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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am taking Sazo 1000 twice daily since last 3 months, and suffering from back pain since 12 years. Is there any side effect for taking such drugs since long. It is mention further that I am taking sazo 500 for last 8 months before taking sazo 1000. please advice regarding that matter. | Hello, I will ask you a few questions regarding your disease. You haven't mentioned why are you taking seize. Usually the diseases for which seize is needed also lead to backache (A part of disease). Regarding side effects, I think the best part is that you have been tolerant to the Chat Doctor. You need to be vigilant for developing white blood deficiency, folic acid deficiency or some damage to your liver enzymes. (Very rare effects in very few patients). You need to take folic avoid along this |
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ηζθΏ°εηι«εΈει‘γ | Hi, My daughter is having 102 - 103 temp every night at 8.00 PM for the last 4 days and having Anti biotics. + medicines for temperatures, but the case is still same every day and she feel sleepy with shivering. Now she started vomiting also, can you help me | Hello Presumed that fever is just for 4 days. Such type of fever may be due to common cold i.e. flu or viral. As she is taking antibiotics and tablets for fever, so this medicine together fever produces vomiting. When such patient visit I advise my patient to take ondansetron 4 mg mouth dissolving tablet (put a tablet over tongue, it will melt) . One hour after this Tylenol ( paracetamol) 10 mg / kg body weight in 3-4 divided doses will provide relief. If there is severe bout of vomiting then she may need some intravenous Ringer lactate solution. Flu or viral usually take 7-10 for recovery. While mild shivering is due to viral or flu.However, if fever is on alternate day and shivering is very severe , get in blood for Malaria examination. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,Fourteen months ago, my wife went through a C-section delivering a baby girl. After 15 days of surgery, she started feeling lower backache with very local pain in bending, sneezing and coughing. Initially, we thought it is a post-cesarean effect. As she was breastfeeding the baby, she took homeopathic medicines.Afterwards, we consulted an orthopedic as there was no relief of pain. Three months later, we consulted Neuromedicine. With certain blood investigations and an MRI report, they diagnosed it as a Pott's spine in the L4-L5 region.The MRI report said there was an altered T2WI hyperintense and T1WI hypointense signal intensities noted involving the L4 and L5 vertebral bodies with the paradiscal destruction of the L4 vertebral body. A post-contrast study reveals heterogeneous involvement. An irregular peripheral enhancing T2WI hyperintense and T1WI hypointense collection is noted in intraosseous space, prevertebral and paravertebral space extending behind L4 and L5 vertebral level. Small similar collections were noted in the adjacent psoas muscles. Anterior epidural space collection was noted behind L4-L5 level causing spinal canal stenosis. Rest of the vertebrae were normal.Of late, she has started feeling severe pain in her back as well in the right leg. Right now she is feeling difficulty in moving and walking.Can you please prescribe her what to do next? They have started the treatment course and suggested to wear an LS belt. The medications are as follows:R-Cin 500 mg OD,Econex 850/300 OD,Pzide 500 BD,Dolo 650 mg BD,Syrup Dicalciiplex N 1 TS BD. | Hello. She has Pott\s spine that is tuberculosis of the spine and the treatment duration for this is 18 months. Now, the symptom you have mentioned suggests that she has got severe compression of the nerves of the back aggravated by a jerk. In such scenario, she needs to apply Taylor\s brace on her back to support her back and she may even need rest for a few weeks. In such cases, I also prefer to add up a medicine which helps in reducing the disc edema and that is a tablet Disperzyme (Bromelain, Trypsin, Rutoside). Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a neurologist online Take care. |
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ηζθΏ°εηι«εΈει‘γ | for two days now, i have dull aching pain in upper left back (shoulder area)hurts to turn head to the left,can not raise my left arm more than aprox. 8 inches away from my body without dull pain all the way down to my mid forearm. i have taken 2 tylenol every 4 hours without any relief. could you help me ? | Hi, You may be suffering from neck muscle spasm. Neck movements with pain to left indicates this diagnosis. Treatment is hot water fomentation and local application of Dynamic gel. Start Neo relax MR twice a day with tablet Attract once at night. Use soft pillow of low height. Avoid jerky movements of neck. You will be fine within few days. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Its almost a year and a half since I started experiencing severe, but infrequent lower abdominal pain. The pain would last for 2 - 5 mins and would go away. It would then comeback after days, weeks or months. Possibility of inguinal hernia, kidney stones or any major development was ruled out after tests and scans(MRI and ultra sound) . My doctor gave me medicines for urinary infection. But the pain still comes and goes. It is mostly very sharp around the lower abdomen and would increase when I stretch (as in a yoga posture, standing with hands up, bending to the back). I am not able to say if its those testicles causing pain. The pain is usually sharp, around lower abdomen and rarely dull pain around scrotum. Any help is appreciated. Thank you. | HI. Read the history carefully. It says the pain is sharp- 2-5 minutes-increases on stretching-dull pain around scrotum and so on.... As your investigations are negative I would think of a muscular cause and may be an entrapped nerve causing the sharp pain and referred to the scrotum. I would advise undergoing the high resolution ultrasonography of the abdominal wall; mark down the site of pain when you get an attack. This will help for a pointed investigation. |
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ηζθΏ°εηι«εΈει‘γ | Dear Doctor , I reside in Pakistan , my age is 56, Male, I had stone it dignose in my left kidney 9 years ago, then I had faced Litheotripsy and 90% of my stone remove through urien, before that every second or third day I got untolrateable pain and get pain killer injection by some emergency clanic, but since the major part of stone removed I naver face any kind of pain, but last month I go for ultrasound and it found that again the stone develop , and due to infection I m suffering high blood pressure , sawing on my face and under eyes, hemoglobin is +, WBC-4.8HPF, RBC-10-12/HPF, pls advise | Welcome to Chat Doctor There could be associated kidney damage which is why you have high blood pressure and swelling under eyes and blood, WBC in urine. You need antibiotics. Take enough water, restrict salt in diet. The stone develops due to infection which is not treated. Eat plenty of fresh fruits and vegetables. You can Chat Doctor. You need to get other stone removed as well depending on size. As of now you need kidney function tests, DMS scan and antibiotics steroids for your kidney infection. Avoid as much painkillers like NSAIDs, use Paracetamol for pain as long as you do not have liver problem. |
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ηζθΏ°εηι«εΈει‘γ | I just brushed my teeth and noticed I have a raw spot on my gum towards the back. I just had a cleaning a couple weeks ago and did that oral rinse to check for cancer and that was fine. Since then, my gums have been somewhat irratated. I was told I do have a bit of recession where this raw spot is. What can I use for a rinse or should I have this checked? | Thanks focusing Chat Doctor .read your query. The gums can be in discomfort, if there is recession and there can be increased sensitivity also associated with it. I would advise you to get your teeth cleaned by the dentist and use a desensitizing toothpaste like Sensory for a few days. The recession can reduce, if still persisting the dentist will provide you with the next plan of treatment for the recession. Do salt water gargling. For the raw spot apply a Denote two or three times a day. If it is still bothersome please consult your oral surgeon. Hope this was helpful. Thanks and regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am a 43 year old female. I am very overweight but have always been in good health. However, recently I have found a lump that is movable and soft on the left side of my belly button. It is pressing in and and begininng to close my belly button on that side. Also I have noticed changes in my bowel movement frequency (more frequently)and maybe in my urination (more frequent) as well. I have also just developed a slight lower back ache. Any ideas of thoughts on what it could mean and what I should do? | Welcome to Chat Doctor .1. If its felt superficial and reducing in size on pressure then it's a hernia. It could be a large cyst arising from adnexa if it felt inside.2. Other mass lesions can not be ruled out.3. In your case i wild ask for an ultrasound abdomen pelvis to identify the mass and where it is extending from. 4. Get an appointment nearest you can get and ask for an ultrasound abdomen pelvis.5. And needful things can be done. Anything to ask ? Do not hesitate. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | my nephew ,he is 13 years old, for the past 2and half month he is suffering from dry gaugh,we visited so many docteurs, and we admitted in clinic also , but after 3 days he started to caugh, docteurs are saying its a type of asma.but he had this problem only in night till morning non stop with out sleeping. please advice me what do. | Hello. Thank you for asking at Chat Doctor. I went through your nephews' history. I assume that apart from this, he does not have any other healtChatDoctorplaints. Were I treating him, I would suggest taking a combination of montelukast & levocetirizine daily at evening for 14 days. If he has any of the complaints like regurgitation, nausea, vomiting or burning in chest, especially after spicy meals, I would also suggest antacid like omeprazole before meals for 14 days. I would suggest you to make sure that there are no cold air currents directed at his nose/face (such as air conditioner, open window, etc.) in to be Chat Doctor. Cold, |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor, my son is 16 months old and suddenly he had fever which was too high,that his whole face and body became reddish, he don t even have cough or and cold related issue, it was on Sunday evening . I consulted a pediatric and he prescribed three meds for him alex p+, meftal p, and monocef 0. Although I gave all meds as per his prescribed dosage but my baby is unable to sleep for more than 30 mins or more. Also his feet and face are again reddish. Am very much worried about him please please help me whether the prescribed meds are not too hard for him also what precautions should I take. | Hi... Thank you for consulting in Chat Doctor. 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. Paracetamol can be given in the dose of 15Β mg/kg/dose (maximum ceiling dose of 500Β mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
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ηζθΏ°εηι«εΈει‘γ | I have missed my period by over a week now and i am always on time , i have sore breasts and have been feeling quiet sick lately i have been having lower cramps and my sides have been a bit sore aswell i have been urinating alot more , i have taken 2 pregnancy tests and they botChatDoctore back negative could i still be pregnant or what could be the problem? | Hello, and I hope I can help you today. Pregnancy symptoms can vary widely between women, and all the symptoms you describe-nausea, bloating, breast tenderness and feeling weak can also be caused by the hormone imbalance that caused you to miss your period. But you can trust the pregnancy test to be reliable if you took it at least 14 days from possible conception. A delayed cycle can occur from sudden weight loss or gain, traveling or a change in schedule, or even stress. Worrying about pregnancy can even make you stressed enough to miss a period. All your symptoms will resolve once you do get your menstrual cycle again. I suggest you wait until your next period would be due and if you do not get one then I suggest consulting with a GUN doctor to investigate your irregular cycles. But I can reassure you that if your pregnancy test is negative, whatever symptoms you have been not caused by pregnancy. I hope I was able to answer your question today and that this information was reassuring. Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | my daughter is one year and 1/2 she has has a ugly rash in her outer part of the vagina and her butt a little in her legs and about four in her chin shes had it for four days and it hasnt gone away they say its something like shingles her vaccines are up to date and that rash is red a few looked like if they had water in them and popped | Hello, I read carefully your query and understand your concern. The symptoms of your daughter are very likely related to shingles. I suggest using an anti-inflammatory medication such as acetaminophen to relieve the pain. I also suggest using an antiviral cream for local application such as Acyclovir cream. I recommend maintaining a good hygiene. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,Yesterday night a baby mouse cut my wife in her index finger without any discharge of blood or any sign of cut except pain. Is anti-rabies vaccine required? | Hello. No, your wife does not need the anti-rabies vaccine. But you should see if your wife gets any of following symptoms within 10 days from the day of bite then she will need an antibiotic dose. Fever, vomiting, headache, any rash or swollen area or pain in the back or joints. Just keep the area where the mouse bite you clean. You should give her tetanus toxoid injection only and if it pains too much then you can give her tablet Diclofenac sodium 50 mg twice for three days. Take care. For more information consult a general medicine physician online |
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ηζθΏ°εηι«εΈει‘γ | I have abdominal pain where my ovaries are located. It aches most of the time If I bend over it sends sharp pain out also if I take a deep breath and my stomach expands. Exercise makes my left side feel like there is alot of pressure on it. A friend jabbed me in the spot unknown about the pain and it felt like a cold liquid spread out accross my abdomen. I soon felt like I was going to vomit. Now both sides are aching and have sharp pains... what is going on with me?? | Hi, thanks for posting to Chat Doctor. Do you have any menstrual problems? Did you ever visit a gynecologist? My impression is you seem to be having some pelvic inflammatory disease. It is highly suggested that you get an ultrasound scan of abdomen. It will reveal any abnormality within your abdomen. Please post us back the report so that we can be of further help. Regard this as an urgent issue, before you land up in some complication. Hoping to hear back from you, all the best. |
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ηζθΏ°εηι«εΈει‘γ | What could have caused me to all of a sudden feel like I was passing out, so dizzy, sick to my stomach, heart racing when the dentist was giving me numbing shots to numb my teeth. He had already given me several shots with no problem, then all of a sudden everything went wrong. 5 days later I still feel light headed. No pain from the tooth extraction. I have had extensive dental work with no problems. He said he gave me something different in the shot but I was to sick to ask any more questions. I did not go to the doctor because I was afraid they would tell me I had a panic attack. It wasnt a panic attack, something went wrong in that chair. I couldnt even drive home I was so sick. | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned in your query it can be due to Anxiety, or due to side effect of Anesthesia also. Don't worry these symptoms last for few days after that you will be normal if it continues for week then consult your dental surgeon again and then go for any treatment. Take proper sleep of 8 hours. Do take proper nutritious healthy diet. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi my name is Lisa and I am a 24 year old woman. 3 days ago I felt this small lump on the inside of my right bum cheek and has since grown in size and causing great discomfort whilst I sit or lay down. There is only redness if I touch it, there is no puss or no head. The lump is hardly recognisable from the outside but feels alot bigger under the skin. It started off as a pea size but is now currently near, if not bigger than a grape. I would be very grateful if you could help me out as I really don t want to go to my GP. Thank you. Kind Regards, Lisa. | Hi Lisa. The lump you describe could be infective in nature like an abscess in the Ischiorectal area. Therefore, I strongly advice you to consult a Doctor who can examine you and advice you medication or Surgery whichever would be needed to treat the condition. I am unable to tell you with certainty as I have not examined you. But take my advice and consult your GP. Do let us know if there are other queries about your condition. You could also contact us directly by leaving a Direct or a Specialist query. Take care, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have pain in my abdomen and hips and it hurts when I urinate and after its like a constant burning/ throbbing pain and the pains in my lower back is agony! and I have had loose bowels all day and feeling nausea and dizzy , energy levels have plummeted and im going to the toilet a lot more than I used to I used to have a bowel movement every 2-3 days now its 3-5 times a day! I have tried drinking cranberry juice and stuff from my pharmacist its been like this for 3 days now | This all is suggested that you an infection of the urinary system as well as intestinal system. I would advise you to go for tests::Complete blood picture.Blood-sugar, urea, creatinine, Urine - routine, microscopy, culture and sensitivityStool- routine, occult blood, microscopy. Ultrasonography of abdomen specially for urogenital system. I would advise you to get admitted is the vitals are disturbed. You need intravenous fluid, antibiotics- to be changed if there is no response or according to the culture report which may take about 4 days. Supportive treatment in the form of probiotics, antispasmodics and multivitamins will help a lot for a proper recovery. |
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ηζθΏ°εηι«εΈει‘γ | My dads throat cancer came back and is wrapped around his caratoid artery. he has stage IV cancer, his particular cancer is from HPV. The only treatment they can do is Chemo and they said it would only buy him a month or so. What are we looking at on approx. time in general? no one has said, they just say hes terminal. | Hi, Thanks for writing in. Sorry to hear about your dad having stage IV throat cancer. The tumor wrapping around the carotid artery is a delicate situation and one of the reasons his treatment options are limited. The main objective when treating a terminal condition is to ad Chat Doctor. Following pain management, chemotherapy is the next goal and I feel you must go ahead with chemotherapy even if it means he will love a month or two more. Life expectancy in stage 4 cancer can vary anywhere from 6 months to 18 months depending on the involvement of structures around the tumor and spread to other organs. Cancer is a difficult condition to treat and his battle with cancer should be fought till the end. I recommend the chemotherapy if he is able to tolerate the treatment. Please do not worry. |
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ηζθΏ°εηι«εΈει‘γ | SIR, MY SELF ASHISH FROM INDIA . NOW A DAYS I M SUFFERING FROM WRITER CRAMP AS DOCTOR TOLD ME. I CANT WRITE SINL COMPLETE LINE IN A MANNER. IN PRESSURE OF WRITING I CAN WRITE A SINGLE WORD.. AT THE WRITING TIME I CAN HOLD THE PEN IN ONE POSITION. IT START FROM 3 MONTHS, BEFORE THAT THERE WAS SWELLING IN MY FINGER DUE PRESSURE AT THAT AREA AT WRITING TIME. MY AGE IS 28. MY WEIGHT IS 87 KG. HEIGHT IS 5.7 . I M MBA. NOW I M RUNNING MY OWN BUSINESS . | Hi, Writers cramp affects the fingers, hand or forearm. It is characterized by pain and discomfort while performing fine motor activity such as writing, sewing or playing musical instrument. Physical and occupational therapy including holding the pen differently, using a different position with paper and pen and using specially made splint can all cause reduce the discomfort. Relaxation techniques and certain anti-cholinergic Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have had a cough and blocked ears for 3 months now, 5 lots of anti biotics, and 5 different doctors, chest xray clear. It was a lot worse than I am at the moment, but every day I have to cough up gunk from the top of my throat, for about half an hour, after this I am Ok but do a lot of throat clearing. I have tried variously giving up alcohol, salt, coffee, dairy, gluten, for periods of time, but nothing has finally got rid of it. I also have an itchy anus, I have wormed myself to no avail. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your symptoms are not improving with routine Chat Doctor. This is newer term explaining cough, ear problem due to allergy. So better to get done eosinophil count and serum total IGE level. If these are raised than possibility of allergy is more for your chronic symptoms. You may need combination of antihistamine and anti-allergic |
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ηζθΏ°εηι«εΈει‘γ | I have pain and stiffness in my fingers and wrists. My son has Juvenile Idiopathic arthritis and my mother had rheumatoid arthritis. I don t see any inflammation but I have no recent injuries, etc. Should I go see my general practitioner or reach out to a rheumatologist? | Hi welcome to ChatDoctorI can understand your concern for your pain and stiffness in fingers and wrists. Dear, as you say your mother had rheumatoid arthritis, you have stiff fingers and now your son also has arthritis This seems to be Immunity issue. I am compelled to think that there must be some fault in diet & lifestyle, which is the basis of our life and going through generation to generation. It can happen due to many other factors, injury, overwork like typing etc., Sometimes removing the cause helps remove the problem. The best way is to modify your lifestyle and food habits Include a proper regular physical activity - walk, Yoga & Panama, meditation - which caters exercise to strengthen each and every part of our body including our mind. Rotating & stretching your fingers and them and wrists, opening and closing fist all help alley pain and stiffness instantly. A balanced diet, containing all essential nutrients - fiber, minerals, vitamins, antioxidants - ginger, garlic, proper hydration helps boost your immunity FOF healthy disease free life .1. A spoon of Turmeric powder with a cup of hot milk + a spoon of Almond oil 2. Aloe era juice 20ml + AMLA juice 20 ml in the morning for 15 days helps alley pain and inflammation. Lemon juice, Banana & sunlight give Vitamin C & D, and help in bone pains stiffness and inflammation. Avoidance of fried, fast food, tea, coffee, alcohol, sleeplessness, dehydration, worry, constipation is definitely a better option for boosting immunity. CrΓͺpe bandage after Application of analgesic ointment can give instant relief. If problem persists, it is advisable to consult an or tho expert Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query |
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ηζθΏ°εηι«εΈει‘γ | Yes, I have had pain in my shoulder for a number of years and am unable to reach my right hand too far up and not at all behind my back. Now my left shoulder has become painful and I cannot reach too far up but I am still able to reach behind my back although it is painful. I would like to try exercises but do not want to damage my shoulders more. | Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the shoulder pain is limiting you for utilization of its all functions I will advise you to undergo physical therapy. As initial stages taking therapeutic ultrasound therapy will help reduce joint inflammation and TENS therapy for reduce pain. Post which exercise will start by first isometrics for few number of times and days to get the muscle property back. Post with isotonic and ROM exercises will be implemented to get full should function. RegardsJay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have been suffering from severely dry skin on my face for about 6 weeks. The outside corners of my eyes are red and my eyes themselves are itchy. I also have very chapped lips and the area around my nose is red and itchy and raw. My nostrils have cracks, too. I have had this in the past but it has never lasted this long. Is it possible I have an infection? Also interesting is that I dont have any dry skin anywhere else... | Hi, It seems that probably you may be having atomic dermatitis. You have itchy sensation on face. And you have charities and fissures on nasal areas. Kindly consult the dermatologist. I would suggest.- tab methyl prednisolone 8 mg thrice a day for 5 days then to tapper 4 mg every 5 days.- antibiotic like azithromycin 250 mg thrice a day for one week- antihistamines like desloratidine once a day at night daily till itch is relieved-apply mild steroid with juridic acid cream on the cracked areas and lips- moisturizer cream like liq paraffin on face daily in morning after bath-avoid soap on face-avoid exposure to sun-avoid fish, chicken,eggs, nuts,bringer, curd,milk products, banana in diet-avoid contact with dust, fume,cosmetic, pollens, wool.etc-keep mind cool, no worries and tension-have patienceThis would help you. Thanks Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am having strange prickling in my neck that move up I feel dizzy and nausea 3 weeks ago was so severe I lost consciousness. My arms also have sort off electric like feelings my neck and face get red also. Every day after I have been up awhile These symptoms start and progressively get worst. I have had a neuclar stress test and was fine also have had ct scan but have not gotten results as of yet. I get very tired easily and am not functioning well at all. I am 60 female, have had 3 stents in LAD and have left internal occluded temporal artery. Ex smoker for over 4 years have excercised and tried to eat well and just keep have one ironic problem after another. But have never passed out until recently. My weight is 126 at 5 ft 2. What kinda of test do I need to be seeking? | Hi, First, you should measure your blood pressure and if it were high, you should receive a medical treatment and do an ECG and an ECHO on your heart to assess the ejection fraction. Second, if you took oral contraceptive pills or a hormonal replacement therapy, you should ask a gynecologist for help. Second, you should do ESR to assess the left temporal artery occlusion. Besides taking medical treatment for your heart condition, you should change your lifestyle by stop eating too much fat and salt in your food. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hi. i have been struggling with A. necrosis for about 10 yrs or so. I was being seeing a Pain Management Center in AZ (im now in a small town in CA) where they prescribed meds to help control th pain whie i sought treatment elsewhere looking for some possible cure for my necrosis. Not really happening at this point. Back to today.. I had been seeing a Pain Specialist here for a few years but he doesnt accept MediCal that i have being on SSI. I sought out a GP Dr when i was having a hard time keeping up with th Dr visit charges (which i now regret immensely). These new regular Dr are EXTREMELY against fastacting pain meds etc. 7 yrs ago or so, my Dr in AZ talked me into 12 Kadians (morphine) assuring me that detoxing with him would be painless IF and WHEN we found some cure for my Necrosis. Ive been on Kadian eve since with Oxycodone for breakthru pain. My newest Dr refuses to prescribe fastacting pain meds swearing that they cause your pain tolerance to be lowered constantly to th point where i ll never be able to have real pain relief. Two times while on Kadian 60mg every 12 hours i accidentally missed a dose or 2 and ended up in an ER with pain so extreme, vomiting uncontrollably etc (we concluded that i was goin thru withdrawals). Now this new Dr wants only to increase my Kadian and quickly. In the past few months from 60mg to 80mg every 12 hrs. With not very good results so shes prescribed me uot to 100mg every 12 hrs plus Kadian 60mg for breakthru between my 12 hr meds. Needless to say that i am SCARED TO DEATH about these doses!So far i have begun thje 100mg every 12hrs and added 20mg up to 6 daily = 320mg supposed to lead up to (next week) 560mg per day. This seems crazy considering how badly i thought i was dying previously when i missed doses. AND im stil in pain to th point that i now feel like a cripple for the first time in my life. i often cry from th pain, limp and am in pretty much constant pain. My mother dioesnt get it all but believes this new Dr that fastacting meds will never be the answer and thats is her adament opinion (to the point where she called my previous Pain Management Dr crazy TWICE and rt to my face! I really just want to go back to my REAL Pain Dr and go back to much lower Kadian dose with my fastacting Oxycodones. Whats your opinin on this please? not sure if i can add to this but im supposed to tell you im a 49 yr old female, 5 8, 140 pounds, as active as i CAN be but am not, hope that helps... | Hi, From your description I understand that you are in chronic pain. I presume that your blood sugar levels and metabolic profile are ok. If these tests have not been done please do get them done as well. Has your vitamin D level test been done. If not you may get your vitamin D level tested. If this is low then you may need adequate supplementation. I would suggest that in addition to your doctors prescriptions you may see a well qualified acupressure specialist. Acupressure is an alternative branch of medicine which is complementary to your pain medication. It does not cure the medical problem but may help some people in reducing their pan symptoms. Over time some patients report a sense of overall well-being and decreased use of pain medications with acupressure. You may also find out if there are biofeedback type of sessions at your pain management clinic. Biofeedback is also a type of additional therapy used to manage some forms of chronic pain. You may also try meditation techniques as available on About.com or Deepak Chopra websites or any good meditation center. Mediation works by helping to calm our anxieties and creates a sense of well-being which induces a sense of positivity which helps us in coping with the chronic pain. Chronic pain, I understand reduces the quality of our life and creates a sense of misery and anxiety and that is why in addition to the usual medications, we should also work on ad Chat Doctor. Acupressure also may be helpful but must be done under the advice of a skilled practitioner. You may also try to consume anti oxidant containing food and beverages such as green tea, berries etc. if you are not allergic to them or have no other contraindications. A well-balanced diet with more natural food, whole grains and vegetables promotes a sense of well-being. You may try to reduce the consumption of food that contains too many preservatives, coloring and additives etc. Since you said that you are an active person, I presume that you are able to do some light aerobic exercises when possible, but please do not do any exercises when you are in pain. Should you require further guidance please post your lab reports and doctors diagnosis with details here so that I provide you with more information? Warmest regards and wishing you a pain free and healthy life |
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ηζθΏ°εηι«εΈει‘γ | i had a c section 8 weeks ago and when i leaned over and lifted my baby 2 days ago I felt a sharp pain in the left side of my lower belly, just above the incision. The pain feels coming and going, not constant, but feels like its inside, deeper than the incision. What can it be? could it be that i strained my muscle? or a hernia?thank you | Hi, Thanks for writing in. Since you had c section 8 weeks back, your surgical wound is still in process of healing. Lifting a baby generally will not cause anything like a hernia. It must be that the healing process is continuing, and you had a little muscle irritation. Hernia surely needs to be ruled out if there is any swelling which increases on coughing. Please do not cough unnecessarily and allow yourself to be examined by a doctor if you feel there is any associated intermittent swelling below the surgery scar. An ultrasound scan will show if there is any widening (hernia) or infection in the scar. Hope this helps. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have an abscess in my gums. I went to the hospital yesterday and they prescribed me 500 mg Penicillin to be taken four times a day. I started the Penicillin at 10 AM yesterday. The abscess has caused my face to swell. Overnight, the swelling has spread to the area around my eye. I do not have any pain unless I poke around at my cheek. I can still see out of the eye, but it is uncomfortable. I am, however, extremely scared by the swelling around my eye and was wondering if I should return to the hospital and possibly inquire about an IV antibiotic or should I just wait it out with the oral antibiotic? | Hello. You also need to consult a dentist as soon as possible, and the tooth should either undergo a root canal treatment or extraction, depending on the condition of the tooth. Hope this helps. Regards. For more information consult a dentist online |
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ηζθΏ°εηι«εΈει‘γ | It has been just 24 hours now since I started taking antibiotics for an infection after having root canal done on a tooth that was infected, how much better should I be feeling. I am still tired and have no energy although pain seems to be subsiding a bit | Hello, Antibiotics can take 24-48 hours to become effective. You also may feel some discomfort from the dental procedure. Include taking an anti-inflammatory medication to reduce discomfort. Tylenol or Advil are common anti-inflammatory medications. Systemic effects should continue to decrease since the reduction in pain indicates control of the infection. Consult your dentist if any symptoms worsen. Take medication as directed, stay well HY Chat Doctor. Make sure you have proper nutrition with balanced vitamins especially vitamin B12. Thank you for your inquiry. |
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ηζθΏ°εηι«εΈει‘γ | My bp goes up n down lately, from 140/100 to 200/100 n i cant sleep, urinate a lot every now n then, burning sensation in my chest n headache. I was just discharged from hospital today after 3 days rest. My xray n ct scan showed alright. They just give me pain killer for my headache n iim seeing the doctor again tomorow. Only then they know whether i shoul be on medication or not.. I cant sleep tonight. Please help. Whether i shoul go back to the hospital right now for bp monitoring?. Tq. | Thanks for your question on Chat Doctor. I can understand your concern. You are fluctuating blood pressure readings. But consistent part is high diastolic blood pressure (100mmHg). And this is something, we should definitely treat. You are also having disturbances in sleep, increased urination, chest discomfort etc. All these can be seen in hypertension. You should also rule of diabetes and dyslipidemia because fluctuating blood pressure is associated with these Comorbidities. So you definitely consult doctor, get done reports for diabetes and dyslipidemia and start treatment accordingly. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Blood tests indicate my red & white blood cells are in normal range. I have hemochrometois, when they try to give me a philobotmy my blood is so thick they can t get it out. What is causing this since my red blood cell count shows normal. thank you | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Thick blood could be due high Red blood cell count or low plasma volume2. As the RBC count is within normal range, possible deny Chat Doctor. 3. Get a hematocrit done to check the level of plasma volume. If low, will need correction.4. Other than that, larger vein should be sought for phlebotomy and with appropriate anticoagulation, apheresis would be a better choice now. Hope it helps. Any further queries, happy to help again. |
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ηζθΏ°εηι«εΈει‘γ | I had what I thought was a bite of some kind. I could not walk on my right foot at all, very painful. Its better today after some pain killers. I dont think gout, but someone said creeping something. I spent the last week in florida, ocean, sand, and all. The right foot is still swolen, but I can walk. What do I have? | Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. For the pain you can take analgesics tablets or gel/spray rite now your foot needs rest. Try cold compression with ice packs tablet diclofenac 50 mg twice daily after fooddiclofenac gel/ spray after hot compression will help. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards! |
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ηζθΏ°εηι«εΈει‘γ | My mother in law is bipolar. She took 70 mg Nitrazadone in one dose last night. She has taken this in addition to Lorazepam (up to 10mg). We are in BC and she is in Ontario; she is with her husband. She has had one unsuccessful suicide attempt 9 years ago. We thing she should go to ER. She is very groggy, and on the phone she said my family is better off without me . My father in law does not even want to report this to a doctor. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. There should be no second thought, and they should go to the ER and get admitted for cardiac monitoring. Trazodone can cause QT prolongation and can lead to arrhythmia. The cardiac status needs monitoring. He should take her to ER. Try to convince him regarding this. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My hearts been having issues lately, but my cardiologist thought it was due to stress/fatigue. Passed my stress test, although my heart rate hit target (too) quickly. My heart is now POUNDING when I go up stairs. I do have a cold, overweight, 35 female. | Thanks for your question on Chat Doctor. I can understand your concern. Since your stress test is normal, no need to worry about heart diseases for your symptoms. Stress, anxiety can cause heart pounding ongoing upstairs. Another possible cause is obesity. So try to lose some weight and stay fit, healthy. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, lose some weight. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I have noticed swelling on the right side of lower neck around 15-20 days back. The FNAC report is strongly suggestive of Tuberculosis. Can you please let me know if I can start the treatment? I need to know when the treatment starts, how can I come to know that I am relieved from TB and when my nodes will heal? Also let me know the precautions to be taken and how can I start my treatment. Whether this is infectious? And what are the reasons for this disease. | Thanks for your query at Chat Doctor!In my opinion you are suffering from tubercular lymphadenitis infection. As your FNAC report also suggest the same. Absolutely it is high time you start the treatment with first line anti-tubercular Chat Doctor. You may get registered if centers for treatment if provided in your country like DOTS in India where you get free treatment. You might have to undertake repeated aspirations for swelling if it persists and send sample for ZN staining and culture for AFB and sensitivity test for the same. There are special tests like Chains which can be ordered at that time for genotypic testing from aspirate. Yes this is infectious you need to take precautions and follow hygiene practices. After 2 weeks post treatment you will become non-infective. The reasons for the disease is living with a person suffering with TB or you may have contracted it through coughing by infected people who commonly move in public places. Sometimes latent TB gets activated with declining immunity. It is curative, so don't worry. Strictly adhere to treatment of long duration to avoid emergence of |
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ηζθΏ°εηι«εΈει‘γ | Hi! :) I m a 39 year old, 3 time cancer survivor. I m not sure which surgery I had that left over 20 staples in my body. Some day s I get severe abdominal pains, also blood in urine and rectum . I have searched Hi and Low to find a doctor to help me get these things out, but no doctor will touch me. How do I find a doctor that will help? | Hi, I do not know your past medical history. Severe abdominal pain can be caused by many reasons but bleeding per rectum and urethra is very alarming signs. If the previous cancer history and type of treatment were available to me, it will be easier to ad Chat Doctor. Any tumor in bladder if invade rectum may give similar symptoms but to make sure at least an abdominal ultrasound to be done. Please try to contact your treating oncologist. Take care. |
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ηζθΏ°εηι«εΈει‘γ | My child age 5 yrs.he has discharge 3-4 month before. Now he has pain started from 27 Nov in both the ear.after giving medicine pain is fine after a week.now pain is again started in a interval.what the solution. Some Dr says he hav hole in ear,some says due to cold. | Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. Recurrent discharge from ear could be due to incomplete treatment, recurrent sinusitis or perforated ear Chat Doctor. Since, you have already given antibiotics for 1 week, you should go for pus culture from ear which will help us in starting correct antibiotics. An examination by ENT specialist to rule out perforation of ear |
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ηζθΏ°εηι«εΈει‘γ | My husband has been complaining today that he has a lump on the outside if his butt hole. I looked at it tonight and it is the size of a marble, maybe a tiny but bigger. He says it burns, itches, and hurts when he sits. It s red but it is not bleeding and it does not have a head on it for puss to come out. It s just a red lump that burns and itches. It s on the outside of his but hike between his butt hole and scrotum. Please help! | HI. By the description you have provided, this is a case of a boil, it can be a beginning of a fistula in ANO or a perineal abscess. I would advise you the following: Consult a General Surgeon;Investigations of blood and urine particularly for blood sugar;Get a prescription for antibiotics and anti-inflammatory medicines. Hot fomentation;Regular review. If resolves well and good, But if not he may need a small surgery to have an incision and Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I m 8 weeks pregnant and have been constipated for a while now. It was so bad that I decided to use a Biscolax Suppository and it did help. but now I m worried that it might effect my baby. I only used it once...Is it possible to effect my unborn baby?? Please help!!! | Hello dear, I understand your concern. In my opinion usage of Nicolas suppository once might not cause any problem. Suppositary has local effect and absorption into blood is less. You need not worry. The fetus is safe. And constipation is routinely seen in pregnancy. It needs to be counteracted by taking high fiber diet, adequate fluids up to 3 liters per day and if needed laxatives. Best regards... |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...Hi My father is struggling with severe low back pain that is at the end where spinal gets over for the above past 5 days and he had Taken the tablet of HIFENAC-MR but still no improvement , still same prob continues | HiI may suggest an x-ray of lower spine and consultation with orthopedic doctor He may take Tramadol or Vicodin tab for pain. Also make him sit in tub filed with hot water (site bath) for 10 minutes twice a day. Tail end of spine called coccyx may be inflamed called coccidynia-its a painful condition. Short course of prednisone will also help., otherwise local infiltration with injection depose Chat Doctor. But for above, an examination by an orthopedic doctor for confirmation of diagnosis is a must. The above stated suggestions are only a guideline which may be kept in minds history for prostate, bowel habits, urinary functions have to be simultaneously assessed for |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I have been suffering from throat pain, red tonsil and entire jaw and neck pain. My wisdom tooth also paining for the last two to three months. When I visited an ENT doctor for my throat pain, he said that I do not have any problem inside the neck. He also advised me to visit a dentist. I had medicine antibiotics for throat pain, but still pain is there. Can you please help with that? Is that wisdom tooth causing pain in my throat? | Hi. I have gone through your query and photograph (attachment removed to protect patient identity). X-ray of painful wisdom tooth. Revert back with the x-ray report to a dentist online.- |
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ηζθΏ°εηι«εΈει‘γ | Hello, I just was just wondering if this is an allergic reaction or something more serious. While I eat choclate I sweat, it happens all the time on my face in the cheek, nose,chin and head areas. Recently I ate a lot of chocolate and I noticed what I thought where pimples on my cheeks but they were kind of itchy but I dont know if it was because of the chocolate. | Hello, Welcome to Chat Doctor, The symptoms which you developed after eating chocolates is may you are allergic to chocolates. To confirm that you have to test for absolute eosinophil count (AEC) this will be increased in any allergic reactions. If the AEC is increased you can undergo skin prick test to find out the chocolate allergen which is causing all these symptoms. If you are allergic to the chocolates you have to avoid as for as possible. If you cannot avoid this you can go for treatment like immunotherapy which will sensitize you against the allergen and boost up the immunity to fight against the particular antigen. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I have been experiencing some itchiness on my skin, It look like little white bumps from my stomach area to under my knees and on my forearms. I dont have a history of ecsema in myself or with my family. Ive tried Hydrocortizone and Oatmeal bath and it still hasnt healed my bumps or the itching | Cellophane You for contacting Chat Doctor. Your symptoms are suggesting allergic reaction. It could be from any cause like insect bite, food allergy, dust, etc. If I were your treating doctor then I would have advised following things:> cetirizine one at night for 5 days.> wash your bedding/clothes thoroughly. Hopefully you will see improvement in 2-3 days BUT if condition remains same or aggravates then you need to visit hospital. 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. |
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ηζθΏ°εηι«εΈει‘γ | My wife, who has had mild prolapsed valve symptoms for several years (heart flutter), recently has experienced severe irregular heartbeat on three occasions after two hours of going to bed. This is followed by a feeling of severe restriction in the throat area and upper chest. Advice? | Hi Thereafter going through your query I understand your concern. I would like to tell you that atrial Flutter is an abnormal rhythm of heart and is commonly associated with chest discomfort, racing heart, lightheadedness, breathing difficulty etc. Symptoms vary patient to patient, some have mild symptoms and severe symptoms. Atrial Flutter is also associated with fetal complication. So if she got episodes of rapid heart rate with chest discomfort then It's recommended to see your Cardiologist for further evaluation and treatment. Kind Regards |
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ηζθΏ°εηι«εΈει‘γ | hi! i took vyvanse before I had a swim meet and after two races I felt extremely lightheaded and my heart was beating extremely fast. I ve been swimming for 8 years and that has never happened. I couldn t stand and couldn t keep my eyes open. I smoked early that day but was not high by the time of the meet. I also have high blood pressure. is it the medicine or my blood pressure or what? | DearWelcome to ChatDoctorWe understand your concerns went through your details. Vyvanse is a central nervous system stimulant. It affects those brain parts which helps in hyperactivity and impulse control. You took it to have good performance in swimming. That is natural and many does it. Were you stressed and anxious prior to the swimming competition? That question ends answer. Your answer is that answer. Don't worry. To be on a safer side, please consult a physician. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Have been on antidepressants for GAD. Developed post partum anxiety after 2 nd chikd. Never could gedg if the meds. Have been on Prozac 40 MG for last few years. Now perimenopausal. Prozac not working feeling depressed agitated and no energy. What med. would you suggest | Degree understand your concerns went through your details. I suggest, please don't go behind medicines. You should talk to your gynecologist and understand the postpartum anxiety and depression issues and how common they are. Almost every mother go through these symptoms and after some days these issues will be manageable self. You are feeling depressed and agitated and that could be due to stress factor involved. When there are other stress factors, your depression symptoms get worse. You should learn to manage your stress, external atmosphere first, instead of going for higher dosages of medicines. Talk to your husband, family members, caregivers etc. They should help you overcome your stress. Please don't worry. Worrying also is an extreme stress. You may consult a psychologist also for counseling and stress and anxiety management. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have a dark spot in my x-ray above my front upper left tooth...My new dentist immediately said I needed a root canal upon looking at the X-ray.My concern is I have no pain or other symptoms... My dentist said it could be from traumatic injury from when I was a kid or an infection..I did read traumatic injury could cause the need for a root canal and my two front teeth were chipped when I was younger-but that was 20 years ago and got fixed with veneers. They feel strong and there is no mobility in them whatsoever. Moreover, I have no cavities and never have. I do however tend to get tarter build-up easy and recently had a periodontal scaling and planing with waterlace.What could the dark spot be? What will happen if I do nothing? Do I definitely need a root canal? What happens if I get an unnecessary root canal? What are alternatives? Should I get a second opinion? My dentist has the letters DDS behind her name if that helps you answer my questions-Thanks! | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark spot above the root of the front left tooth seems to be most probably due to either an abscess of cyst formation and in chronic or long-standing cases the tooth can be pain free. It can also be an opening of incisive canal if it is not exactly above the tooth. So my suggestion is to consult an Oral Physician or an Endodontist and get your x-ray re-checked and even x-rays can be taken by changing angulation of x-rays. In case if there is an abscess or cyst formation then root canal treatment is the best appropriate option. You can also send me your x-rays by asking a question by clicking "Ask me a question" button on my profile. I will evaluate it and advise you more appropriately. Hope this information helps. Regards. Chat Doctor. . |
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ηζθΏ°εηι«εΈει‘γ | Hi I just had a CT scan, have not talked to Dr. yet but nurse informed me results show I have a angiomylipoma in my right kidney and he is referring me to a urologist. My question is... what does this mean, what is it? and is there anything I should be doing in the mean time before I get into the specialist? | Hello and welcome to Chat Doctor. As a Urologist, let me advise you, that AML(angiomyolipoma), is not cancer. This is almost diagnostic on the ACTIVE, with typical features.There are three approaches to its management.1. Needle biopsy of the tumor, to confirm, it's an AML. If AML, leave it alone.2. Surgery, send the tumor for a biopsy. If AML, nothing more to do.3. Observation with regular CT scans, at 6-12 monthly intervals. Surgery, only if any changes noted. So, Ct alone isn't conclusive. If you've any doubt, send it to me, as a direct question, for expert opinion. Chat Doctor. Manga. |
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ηζθΏ°εηι«εΈει‘γ | My grandson is 4 month old & breast feeding. He had regular bowel movements (like almost everytime he nursed) for the first 3 months. all of a sudden he quits having reg movements and goes as long as 5 days now - same diet - no food - just breast milk. Mother is very careful about what she eats and drinks. he is very fussy and passes gas that is very fowl smelling. He had a bm last night that was very runny and leaked thru his diaper and in the floor and all over mom. Thought he would feel better today but he didn t. Have had him to the Dr. and she says the fowl order is from bacteria. Is this normal? Don t know if we should take him elsewhere or what. We give him gas drops and gripe water and he is on a medication for reflux that he has been taking since he was about a month old. Can t tell you the medicine as I don t have the prescription bottle with me tonight. | Hi, I had gone through your question and understand your concerns It is normal in infancy to pass motions in 5 days, provided it is not hard, baby active accepting feed, passing urine. Foul smell with gas is due to fermentation by bacteria, and as freq is of 5 days, it is more foul smelled. I do not think any reason to concern, Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your baby good health. |
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ηζθΏ°εηι«εΈει‘γ | my son has to have liver test cause his spleen is enlarged and has fatty liver they are to go through his neck he is in pain a lot but scared of the test . If they mess up and hit something it could be bad but if he don t take test it still could be bad. They are to put needle in his neck to take a piece of his liver.what is best what could be his problem. | Thank you for posting your query. Its better to do following test before heading towards liver biopsy:1. Liver function test 2. Fibrosis (kappa value)3. Serum Albumin 4. PT and aPTTAVOID fat-rich food, spicy food, high salt intake, smoking and alcohol. Furthermore, "biopsy of liver" (to take liver tissue) is done by penetrating needle through the thoraco-abdomen region, NOT through neck. So NO need to worry. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi I am being weaned off citalopram and am on 10mg every other day and have just been put on the mini pill . A few months ago the combination made me really tearful so I came off the pill and put a halt on sex. I ve gone back on the pill again and It doesn t seem so bad this time but is this normal? Should they effect each others effectiveness? I don t really know what to do my gp just told me to use a condom and nothing else but I d rather not take any risks. | Hi there ~ It is a good choice to use both contraceptives, the condom and the minipill, as the chances of you becoming pregnant on these two methods is very, very low. I would also suggest that you relieve your anxiety by using the methods that have been suggested by your doctor. Citalopram is helpful for depression, and you should continue to take the medication. Do not worry about the libido as the side effect, it will get better over time. I hope this helps. Take care and have a lovely day ! |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor,My brother is 29 years old, yesterday, he suffered from a pain which is initiated at the top of stomach and now in the whole area of the stomach. After Ultrasound test, the doctor says that, minimal free fluid is seen in pelvic, no leakage is seen in intestine, and pancreas is normal, please can you advise me? | HIT hank for asking to ChatDoctorThe detection of minimal fluid in pelvic region in ultra sonography imaging, need to be correlated with clinical condition, it may not be indicative, but follow up is require, if it is the same in follow up then, other supportive or confirmation test has to be carried out, here in your case the most possible cause would be, intra-abdominal infection, discus it with doctor, have nice day. |
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ηζθΏ°εηι«εΈει‘γ | Hi I lived in bangalore from 1990 to 2008 and had accute bronchitis. I took several treatments but did not help me, several doctors suggested that it is due to polen grains in the air, which i was allegic to. In year 2009 i relocated to Delhi and I have absolutely no problem of bronchitis. Unfortunately i am transfered back to bangalore. I am feeling short of breadtChatDoctoring back to bangalore. Kindly help what care should i take here? | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having allergic bronchitis. Environmental allergens in Bangalore is causing you these symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system2. 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 will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I m not currently experiencing an issue, but I ve had a few strange things yesterday and today. Yesterday, I woke up and noticed when I looked in the mirror that I had a vein (never there before) visible running down my right cheek. It lasted most of the day, and I had minor numbness/tingling in my face and also down my right arm. This went away by the end of the day. Today, I have had four episodes of a sudden weird pain/feeling that runs across my upper back/shoulders/neck and down into my upper arms. It only lasted in all cases about 15 seconds, and then subsided. I don t even know how to describe it as it isn t terribly painful but rather something I would describe as a weird feeling and a weakness followed by slight numbness. Once again, it is gone at this time. I m just wondering if this sounds like anything I should have checked out.?? | Hi I am Chat Doctor. . In my opinion from your given history that is a kind of pain called neuropathic pain usually due to nerve compression that may cause such symptoms for your case I think it is cervical radiating pain. And that neck vein maybe only due to a bad sleeping posture which i don't think you should be worried of . For my patients I may recommend avoiding heavy lifting, vigorous movement, bad sleeping postures, painkiller like Advil tab when needed, hot massages with topical gels, muscle relaxants, physiotherapy will be effective for mild cases otherwise I suggest X-rays, CT, MRI, Doppler U/S on venous system of your shoulders to exclude cervical disc herniation and visit your neurologist for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. |
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ηζθΏ°εηι«εΈει‘γ | I have a heavy head almost as if it s filling with blood. I also have shortness of breath an I don t want to say chest pressure but it feels like I have flem caught in my chest. I also have a pain in the crease of my shoulder blade when I take a deep breath an sometimes the pain will move to the front in my rib area. What could this be? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. Bronchitis causes bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (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 will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Am I getting my wisdom teeth? I am 14 years old, female, and the past week has been torture off and on. Behind my last molars, my gums have became red and hard, the top layer has began to peel back too. I ve noticed since this started that headaches have became my best friend, along with the gums being so tender and have bled depending on what I eat:( Can you please let me know if I am starting to grow in wisdom teeth? | With your query, as such third molars usually erupts at the age between 17-21 years so in regard to your question I would suggest you to take a visit your dentist and take an x-ray for more information or status of the wisdom tooth/ third molar. Coming to the signs and symptoms when a wisdom tooth erupts yes one can see slight bulging/swelling of gingival that is overlying the tooth with inflammation. Some may get even severe pain during its eruption of course that area will be tender and causes uneasiness while eating and swallowing if lymph nodes are also enlarged. Nothing to worry about it first please visit you dentist ti rule out that the problem what you have is because of impacted tooth or any other pathology and then accordingly proceed with the treatment. |
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ηζθΏ°εηι«εΈει‘γ | My wife had an MRI that indicated a left calvarial centrally lytic and peripherally sclerotic lesion possibly representing a benign osteoid osteoma. All research we have done indicates that they usually small, do not grow, and sometimes disappear. Is this also true with ones that are in the skull? | Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about your wives MRI findings. They represent a benign tumor of the bone, and would not do any harm to her. In some cases, it may disappear on its own, however, it would persist in most people. In a few cases, it may grow in size. If it grows, it is better to excise (remove) it by surgery. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | Hello i have red spot like things in my pubic hair now there not in one place and not closes to oneother thay ich from time to time i dont shave i only trim but i did not notice them untill i trinmed today most of them are where my pubs grow some are next to them | Hello, Probably, red spots in pubic region are due to fungal infection. It needs treatment with oral and topical antifungals under the supervision of a dermatologist. Avoid using tight clothes and jeans. Keep area Chat Doctor. You can use antifungal powder like candid for this. OTC creams like clotrimazole are also can be helpful to treat infection. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hello, my name is Nissa and I wanted to ask you regarding dengue fever since I live in a wide spreaded area of dengue so that is why iam a bit curious to know. I checked the symptoms and as to my info there was only one symptom that matched my condition for now and that was rashes since i do feel itchy often and scratch myself and cuz of that there are red spots but from my information there is only one spot that I could detect so I kind of wanted to know that if I should be alert about it or not. Thankyou for your time | Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Single red spot on the skin never be a dengue. I advise you to undergo dengue testing, and platelet counting. Rashes usually appears in dengue positive cases and when platelet goes down below normal range. Dengue rash are itchy, but it is also associated with high fever and severe joint pain. In absence of such a symptoms' dengue is not a possibility. Glad to answer your further concern. You can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor |
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ηζθΏ°εηι«εΈει‘γ | I am soon to be 52 yrs old/female. I suddenly have 2 soft spots on the top of my head. I haven t been feeling very well lately with my legs and lower back hurting badly to the point of having difficulty in standing and walking. I am also experiencing severe fatigue. Any ideas ? | Hello, I have studied your case. Son spot in head is not a common occurrence. It can be due to collection of fluid in scalp, or it can be lipoma. I would suggest you to meet a surgeon and get it examined thoroughly. For weakness and leg pain most common cause at your age is lack of B 12 and vitamin D 3 in diet. It can be hormonal changes also. You need to get your serum B 12 and D 3 check up and if it is low then supplementation is needed. Take 1000 mg calcium daily and methyl coal daily. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I had my flu injection a week back. And ever since I have been really ill. I have had cold sweats and very high temperature. I have not eaten anything as I am sick. I am drinking plenty but still in bed and have no strength. I have had this flu injection every year but have never felt like this. | Hello. Usually, the flu vaccine is very safe and no adverse effects occur in most of the patients. But unfortunately, your symptoms suggest side effects of the flu shot. It can be managed according to a predominant presentation. You can be prescribed Ibuprofen for pain and fever relief. If rash or congestion associated, then decongestant can be prescribed. Avoid the intake of excess spicy foods. ChatDoctor. Take care. |
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ηζθΏ°εηι«εΈει‘γ | my almost 9 month old boy has been constipated for the last 2 weeks was given lactoloose by the doctor which isnt working hes had bowel movements twice this week but nothing else he also has really bad smelly wind which he is constantly passing he was never this bad before sometimes its causing pain aswell is there anything i should be worried about or that i can do to help | Hi, first congratulations on your 9 months old baby. Coming to your concern, passing smelly gas is very common and normal for infants. If he is really crying, grunting while passing stool, try giving 5 ml of gripe water. I used to give it to my daughter when she had the same problem, and it really worked, though it depends on from one infant to others. Apart from that, tummy massage, giving tummy time helps like a miracle. Good luck! |
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ηζθΏ°εηι«εΈει‘γ | my mom age 59 having pus cell like 60-70 and having 5mm stone in uretor doc is saying that he will put stand first to remove pus and then will treat with laser is he right ..can pus cell or infection be caured with medicine and also the kidney is swaloon plz reply | HelloThanks for query. Your mother has 5 mm sized stone impacted in her ureter and her microscopic examination of urine has revealed plenty of puss cells which suggest infection in urine due to obstruction to flow of urine from kidney in to bladder. The primary aim in management of such case is to save kidney from getting damaged due to back pressure changes and restore flow of urine from kidney in to bladder the infection being automatically controlled. Your Urologist has rightly advised you to put the stent which will help to eradicate infection. The stone will pass out itself spontaneously. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I need to find a neurologist, who is also a psychiatrist specializing in the side effects of a number of medications. I currently take medications Hwith the approval of a psychiatrist and a primary physician. My location is Northwest Chicago. City or suburbs of Chicago on the near Northwest side are a good commute. | Welcome to Chat Doctor Have you tried contacting the Rush Medical Center at 8883527874? I did a search for "psychiatric neurologists in northwest Chicago Ill" and came up with a list of names. It is unfortunate that many psychiatrists s do not place neurology in their listings, but many psychiatrists s are also neurologists. One thing you can do is to contact Rush and if this place is not a good fit for you, ask them for names of NW psychiatrist neurologists. Other options are Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | The right lower limb is noticeably shorter than the left. The right limb is externally rotated, and the patient is unable to change the limb s position without considerable pain. On palpation, the groin region is tender, but no swelling is obvious. Passive movement of the hip causes extreme pain, especially upon external and internal rotation. WBC is 20 Hemoglobin (Hgb) is 9.8 what is is? | Hello, The symptoms you have mentioned typically suggestive of hip joint dislocation and sometimes there will be a fracture also which cause bleeding and hemoglobin fall. Immediately shift the patient to a center where orthopedic is available and get an X-ray hip done to rule out dislocation KT fracture. As of now put an IV line and provide adequate HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Everyday from the moment I wake up I have this strange feeling in my hard..It s very hard to explain but it s like a light burning that doesent heart but it s pretty annoying,my heart also heartbeat is stable but very instense and sometimes it even feels like there s a hole in this part of my body..Please help? I am 17 i esxcercise daily I eat healthy non of my relatives ever had heart symptoms . | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms could be related to gastroesophageal reflux or gastritis. Anxiety can mimic this clinical scenario too. Coming to this point, I would recommend taking a PPI (omeprazole, pantoprazole, etc.) before sleep. If your symptoms improve, I would recommend performing a fibrogastroscopy. If this does not help, you should consider anxiety as the main cause of your complaints. Periodical check-ups (chest X-ray study, resting ECG, blood lab tests) are necessary to be sure that nothing wrong is going on. Hope to have been helpful to you! Wishing good health, |
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ηζθΏ°εηι«εΈει‘γ | Hi there, my period is due around this time of the month and on Friday morning there was a little bit of blood when I went to the toilet so I assumed I was getting my period. But no more blood came till Saturday night and again it was only a little bit. No more untill Monday. is this spotting a sign of pregnancy ? | Hallow Dear, Spotting is not a sign of pregnancy; it is the non-appearance of the regular menses which arises the suspicion of the pregnancy. In fact missing a period is the first cardinal symptom of pregnancy. All other symptoms mentioned bellow appear about 10-15 days later. They are:1. Nausea & vomiting with pica2. Frequency of urination3. Breast changes: * Engorgement & tenderness * Dark discoloration of nipples and areola with increase in areolar size * Appearance of small nodules (Montgomery's tubercles) under the areola * Colostrum secretions from nipple However, the pregnancy cannot be diagnosed only by such symptoms. You have options of undergoing some tests:1. Pregnancy test on overnight first morning urine sample about 8-10 days after missing period. Earlier, these tests may give false negative results. 2. Beta Chat Doctor test which is very specific and sensitive. These tests can give reliable results even few days before missing a period.3. Ultrasonography 10 days after missing period will provide a direct visual evidence of the status of pregnancy.4. Clinical examination by an Obstetrician 2 weeks after missing period. I hope this provides you good options and gives you opportunity to take an informed decision. |
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ηζθΏ°εηι«εΈει‘γ | The main symptom is moderate abdominal pain/discomfort for nearly 3 weeks. It started off as minimal but has increased of late. At times it feels near bottom of sternum but other times more into the abdomen. Eating or not eating does not seem to make a difference. Seems to be more noticeable when sitting at desk or in car. Lately have slight feeling or tendency for shallow cough. Other symptoms include pain emanating to lower back and dull in ache in right arm. No heartburn, acid issues, or other digestive complaints. Doctor did bloodwork and everything appears normal. Endoscopy scheduled in 3 days. Possible causes? | Hi. Thanks for your query. Possible causes : of the pain in abdomen in the upper area spreading to the other area, without any other symptoms of heartburn, acidity or digestive problems is suggestive that the pain may be of the origin of the lower lungs or pleura, or a local problem of the abdominal wall like epigastric hernia. I would advise you to get the X-ray of the chest, ultrasonography of the abdomen, Physical examination by a General Surgeon. This will help to get a proper diagnosis and proper treatment .... |
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ηζθΏ°εηι«εΈει‘γ | I am 25 years old , 1year back i get typhoid,i take the treatment for that ,but till now i get the positive 40 dilutions in O and H ,In a blood culture i get some infection ,the DR feel its b an enterococcal infection, i get a severe eyebrow pain nearly that 1 year,what i have to do for this sir | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It won't cause pain in eyebrow, but it can cause headache and generalized body pain. Enterococcus infection is very notorious for its resistant to antibiotics routinely prescribed. I advise you to take the combination of Chat Doctor. If you have this bug in the blood than monitor the infection continuously until the blood is clear of all the bugs. Please adopt good handwashing practice for all the family members as it can prevent transmission to other family members. Widal title is used for the Salmonella infection it is negative in you and so enterococcus infection is only left out option in you. I will be happy to answer your further concern on bit.ly/ |
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ηζθΏ°εηι«εΈει‘γ | my name is josh david huertas and I have resently discovered my right nipple has swollen quite big and I was wondering if this is a sign of puberty or something else I cant send you a picture so I would like your best answer I feel sensetive about it and fell like it might be something seriousAlso I kind of have no money so if you could find it in your heart could we talk through email I will be waiting for a response in my mail box please | Degree understand your concerns. I suggest you not to worry much. You did not mention your age as well as sex. In females, swelling of nipple is definitely a sign of puberty.in males, in some cases it is a sign of puberty. Even after puberty period, male do have swelling of nipples. This could be due to hormonal imbalance, obesity, lack of exercise. But there is nothing to worry. All these troubles are curable. Hormonal imbalance with the help of proper medication. Others with the help of proper exercises. Analyze yourself properly first and then decide. But don't worry. Worry might lead to anxiety. You might need psychological counseling and or psychotherapy. Please visit http://psychocure.webs.com for behavior modification, mental health assistance, Cognitive Behavior Therapy and other psychotherapies. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | HI, IM TONY I HAVE BLEEDING VARICES WHICH ARE BEING TREATED EVERY 6-8 WEEKS LAST ENDOSCOPY 4 DAYS AGO HAVE BEEN GETTING THROMBIN INJECTION ETC I HAVE CIRRHOSIS OF LIVER THIS HAS BEEN GOING ON NEARLY A YEAR AND ALSO PANCRIATITIS I HAVE BEEN HAVING FOR ABOUT 5 YEARS I NO LONGER DRINK AND HAVE NOT DONE FOR ABOUT 7 MONTHS MY QUESTION IS CAN I FLY (AROUND A 4 HOUR FLIGHT) I HAVE BEEN GETTING CONFLICTING ADVICE FROM VARIOUS PLACES NEVER THE SAME ANSWER TWICE. I WISH TO HAVE A 3 WEEK HOLIDAY STARTING BEFORE CHRISTMAS. I FEEL FINE AND AM NOT IN THE LEAST BIT ILL TO LOOK AT ABDOMINAL PAIN HAS BEEN AN ISSUE FOR A FEW YEARS BUT I DONT REALLY PAY ATTENTION TO THAT ANY MORE ITS AMAZING WHAT CAN BECOME NORMAL AND WHAT THE HUMAN BODY CAN ENDURE. COULD YOU HELP ME WITH THE PROS AND CONS OF FLYING IN MY CONDITION. THANKS | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). If both cirrhosis and pancreatitis are stable presently and for the pastime I don't think there will be any alarming risk at present. Although you must have endoscopy before you fly to see the status of varices. Avoid alcohol also. I 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. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I ve been having pain on the inside of my knee when I squat down. It s not incredibly painful but mostly weird kind of pulling feeling. It is painful but not so much ad I can t stand back up. It almost feels like there is a string that is being stretched apart and it runs about right next to my knee cap. I m afraid it might be my mcl. And am worried I may have torn it. But other then when I squat down I feel no pain at all. Any suggestions would be great. | Hello, Can I come to know your age? I want to ask whether there is any history of trauma or knee injury? As per your history its seems like a ligament injury. I will suggest doing an x-ray knee joint or MRI after orthopedic consultation. Now you can take tablet Diclofenac. I will suggest you to review here after reports. Use knee cap. Don't sit in squatting position for long time. Do regular physiotherapy after consultation. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Dear sir,My mom is suffering from damage of saliva gland. There is two lumps behind her ear at present their is no pain but doctor inform us in future it would be painful and there is no treatement in allopathy.I want to know is it cancer. Is there any treatement in Ayurved please suggest so we give her best treatement. please sir. | Hello, It is important to make a confirmatory diagnosis of the lumps behind to hear which your mother has. It is likely that those are lymph node enlargement involving the retro auricular group of lymph nodes due to a condition of the parotid gland. If pain is there, and it is present from a few days, then acute infection is suspected. If no pain is there, then suspicion of chronic infection like tuberculosis or tumor that is slow-growing needs to be considered. Please get an ultrasound scan done and an FNAC needle test to confirm the diagnosis. Treatment is following confirmation of diagnosis. Please do not worry. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Had some irregular hearbeats and dull ache in middle of chest. Had ekg done and blood pressure check and all was good. Few day later get the dull ache again. Seems like thats all I can think about. Should I go to er or wait and check with family doctor? | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would recommend performing further tests to investigate for the possible cause of your symptoms: - an ambulatory 24-48 hours ECG monitoring is necessary to examine your heart rhythm trends during the day.- a cardiac stress tests is needed to exclude possible coronary artery disease which could lead to chest pain - a chest X-ray study to exclude possible lung disease- a fibrogastroscopy to exclude possible gastroesophageal reflux or gastritis, which could also be the cause of chest pain. Hope to have been helpful! Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | my dotter who is one yr. old has loose motions with vomitting last 2 days but today vomittimg has stopped but whenever she eats something even liquid she has loose motions that is also watery so pls suggest me what to do.........shes under medication but not responding | Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi I recently had a full blood count done at the doctors less than 24 hours I was called back in to repeat the blood test as my blood had abnormal markers low ferritin, vitamin b12 , low blood level I am awaiting second blood results why are my bloods like this and what is the treatment I should also mention that I have been taking iron tablets since April 2016 as ferritin level low then but hasent got better just worse | Hello, Low vitamin b12 occurs quite commonly due inadequate diet or worm infestation. So you should increase milk and dairy products, meat consumption. Also, need deforming with Albendazole. Low ferritin is due to iron deficiency, either due to inadequate intake or loss. So need to stop iron supplements for 3 days and get one stool for occult blood testing. If positive then need further investigation to confirm the site of bleeding. |
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ηζθΏ°εηι«εΈει‘γ | My significant other has Leukoencephalopathy. While in NYUMC to rule out Epilepsy factors, a cardio problem was found. I am looking for a top cardiologist that can address complicated medical cases, on Long Island. We actually live in Babylon, but John worked as a imaging specialist at NS at Glen Cove so we look in that area. The results reported to us are as follows: normal sinus rhythm, rt. bundle branch block, left anterier fas circular fas??? Some blockages with electrical stimulus. At another time, bivesticular arithmea...atrium, ventrical signal disturbances.Can you recommend someone. Thanks for your help. | Hi, Thank for choosing Chat Doctor, I can understand you worry, it would be much better if you would send the EKG tracing, right bundle branch block is nothing but conductive defect of electrical impulses (AV) usually bundle branch block does not cause any clinical symptoms, if it is sever (third degree) then affects the heart beats some time syncope, you better consult the mayo clinic for further evaluation, have nice day. |
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ηζθΏ°εηι«εΈει‘γ | Hi, didn t expect to get a real person, but since your are here, I will tell you about symptoms I have been having. I think they are panic or anxiety attacks, but who knows. I get a tight feeling in the back of my head that moves to my temples then down into my throat and eventually down the middle of my chest. I get very emotional when this happens and after all that, I can t catch my breath and my heart beats really fast. It usually goes away in 2 or 3 minutes, if I can sit down and concentrate on my breathing. I recently had an MRI and my heart was found to be OK......any ideas???? | Degree understand your concerns went through your details. I suggest you not to worry much. You are mistaken. We are human beings and are here to answer your queries. You can expect answer from a real person here. In anxiety attacks, obsession with a thought brings anxiety symptoms and then comes emotions. Before the symptoms comes, there is always apprehension. Anxiety attack or panic attack is always an after effect of anxiety. What is your reason for anxiety? Any fear, stress, molestation, health related worries? Find out and you shall get the answer. The answer shall help cure your condition. 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. |
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ηζθΏ°εηι«εΈει‘γ | my son is 18 he has had a lump in his chest in the middle between his rib cage for about a year he has over the last four months lost a lot of weight about half a stone hes now strated to get alot of pain in his lower back and is constantly cracking it he says it gets very tight he has adhd and is scared of doctors and hospitals so iam having trouble getting him checked out hes also a smoker any advice please | Hi, Good Evening. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-Your general health is run down due to the lump in the chest and the associated back problems worsened by smoking and ADHD.b-I think you are a Case of -Thomism with ADHD. And need definitive treatment from doctors. So you have to consult a Physician from an ER-center nearby.Hence, I would Suggest you to consult a Surgeon and Physician whose team work would be needed for proper treat planning and to remove permanently Thomism. Did he have any history of TB meningitis in childhood? The inherited TB residual stress and energy disturbances of TB survivors-with stress on their nervous system-which is proved now -has a genetic predisposition and needs to be removed by consulting specialist doctors in Er by help of -WAVE-MAKER which cancels the disturbed energy of the Thomism in the body of the patient and reduces the ADHD of your child.b-For the chest-lump -which appear to be-Chronic infected lymphadenitis ? Or Cold abscess with TB spine?-I would advise you to have FNAC-Biopsy to fix its cause. If its TB-anti-tb treatment for 18 myths would take care of it-as you are 18 only. C-I would advise you to get full treatment for your son-with your doctors for next 2-3 myths at-least, here on-wards, as yours is a complex health issue, and you need to be serious about it on the lines suggested herewith. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!! |
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ηζθΏ°εηι«εΈει‘γ | Two weeks ago I suffered a subdural hematoma. Holes were drilled in to my skull to relieve the blood. It was an 11mm area of blood and my brain shifted to the left side of my head. After the initial surgery the blood was reduced to 4mm. I wore the drain for 4 days and blood continued to drain. Several CT Scans were performed before I was released. I have to get one more CT Scan next week and a follow up with my Neurosurgeon on October. My question is after this kind of issue will I be able to pursue my career goal next year as a Travel Manager, which will require flying a good percent of the time. Will this type of activity cause additional problems and will it be save for me to fly? Thank You. | I read your question carefully, and I understand your concern. It might have been useful if you had also mentioned the cause of the hematoma. Usually it is a head injury, but rarely there can be a vascular malformation, coagulation issues or medications. I'll assume its head injury, the common cause. If your question is for the next few weeks I recommend to wait for a month after surgery before flying again, or at least till control CT scan. If you mean in the long term there is no reason not to fly again once the remaining blood has been absorbed, you can resume your work. I hope to have been of help. |
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ηζθΏ°εηι«εΈει‘γ | I take 120mg Inderal LA once a day in the AM for Generalized Anxiety Disorder with Panic Outbursts. Since starting this Ive had times where I get the spins and dizzy, or shakes, and my hands and lips getting the tingles. These are not all at the same time, but different times throughout the day. | ! The problem you are having are due to 120 mg of federal. It is not the proper recommended Chat Doctor. You should have been given some good antianxiety molecule - sertraline, or paroxetine, or duloxetine etc. They will help you a lot without such bothering side effects. I donor think that you are seeing a psychiatrist, as they donor go for only federal in cases like yours.## Federal should not be given at high doses, at one time, otherwise such issue creep up. So, discuss the problem with a psychiatrist and you will surely get well. |
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ηζθΏ°εηι«εΈει‘γ | Im on the Nuva Ring and have been for almost a year now. I get my period every month a few days after i take out my ring. But for the past few months ive been feeling movement in my belly. I dont believe I am pregnant because i do get my period on time every month. I have not taken any pregnancy tests. But i am concerned by the movement. Could I possibly be pregnant even though i am on a steady birth control and get my period?` | HELLO HAVE YOU CONSULTED A GYNECOLOGIST BEFORE STARTING NOVA RING. IF NOT THEN PLEASE DO IT BECAUSE IT HAS SOME CONTRAINDICATIONS AND SIDE EFFECTS ALSO. SINCE YOU SAY THAT YOU GET REGULAR MENSES THEN THERE ARE NO CHANCES OF PREGNANCY BUT YOU SHOULD CONSULT YOUR GYNECOLOGIST ONCE. ALSO, YOU SHOULD SEE A GENERAL PRACTITIONER BECAUSE THE BOWEL MOVEMENTS YOU ARE FEELING MAY BE SOMETHING ELSE. ULTRASOUND IS REQUIRED TO CONFIRM THE DIAGNOSIS. THANK YOU |
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ηζθΏ°εηι«εΈει‘γ | I was intoxicated last night and had unprotected sex last night and I am not sure if he finished or not, but I am on the birth control pill. I take the pill everyday but not exactly at the same time everyday. I am due for my period on Thursday and I was wondering if I am pregnant will I miss my period that soon, or will I have to wait until next month to see if I am pregnant or not. | Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Please do not panic. If you are regularly on oral contraceptive pills, then you need not worry about pregnancy. If you are not sure about regular intake of the pills, then you can get mornings first sample of urine tested for pregnancy as soon as you miss out on your periods. The usual pregnancy test kits are quite good at predicting the pregnancy. I hope this answer helps you. Thanks |
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ηζθΏ°εηι«εΈει‘γ | Left posterior parafalcine meningioma measuring 1.3 cm x 1.4 cm x1.3 cm. MRI report shows; focal infiltration of the sagittal sinus demostrated with stenosis versus occlusion of sagittal sinus .. Should I be concerned about stenosis? , or is this a normal behaivor or these tumors? Also remainder of brain demostrates mild to moderate degree of white matter chronic small vessel ischemic changes. Could this be caused by the presence of this tumor? | 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. Stenosis means blood flow is interfered. So you have to worry. The other chronic small vessel changes can be due to this. Please 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. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.-loops 1 : After all your doubts have been cleared, kindly (a) Chat Doctor at http://bit.ly/ask |
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ηζθΏ°εηι«εΈει‘γ | I have been having persistent backpain for over 8 months now, I take tramadol and Cyclobenzaprine for muscle relaxer. I have done Physical Therapy, and had two epidurals to no relief. I have been tested for Spondelitis, and the only cause shown on MRI could be buldging disc, and anuluar tear. I am starting to get a feeling like im on a boat kind of light nausea, I feel as if im weak, and have a poor short term memory now. The black spot just appeared on my right palm, and not sure if Tramadol is causing the nausua or the Cyclobenzaprine. My pain is usually around 8-9 out of 10, I dont have the MRIs to show, Blood work comes up normal. | Hello and Welcome to Chat Doctor, Thanks for writing to us. I understand you have back pain. These symptoms are part of lumbar disc degeneration with PIED where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don't get better with this treatment, I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards. Chat Doctor. Orthopedic Surgeon. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have had a urine infection started off with bad flank pain.. I am 20 weeks pregnant. I have finsihed course of antibiotics. However still not feeling right I have done a dip test yesterday it showed +++125 today says +70 lecokycyes.. no other traces everything else normal not sure if I should go to drs or see how things go | Hi, UTI (Urinary tract infection) is very common among pregnant women. One course of antibiotics is not always enough to treat it. So, you should repeat another course, but this time run urine culture and sensitivity testing to determine the right antibiotic. Furthermore, try to take cranberry supplement to make the urine more acidic and reduce chances for UTI. Get back to your doctor to get another prescription of antibiotics. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hi i am a 31 year old female my height is 5 4" and my weight is 158. I have had severe left sided chest pain for going on almost six years now and i have tried it all. I have had a full heart work up, countless x-rays, acupuncture, physical therapy, narcotic therapy, intercostal nerve block, radio frequency ablation, trial spinal cord stimulator and many other things but nothing has helped my symptoms or situation. i also have some other medical issues i have GERD which i am on meds for, i have autonomic disorder, and had superior mensentary artery syndrome which i had surgery to correct. My symptoms get worse when i lay down or when i swallow or eat anything especially when it is cold. I have had two menomatries done to see if i had espohical spasms but i dont. I just want my life back and anything you could suggest would be helpful because my doctors and advanced pain management locally dont know what else to do. thank you | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, your left sided chest pain is mostly due to HERD (gastroesophageal reflux disease) and this HERD is worsened by your stress and anxiety. So better to avoid stress and tension, be relaxed and calm. Along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in the bed to prevent reflux. 6. Quit smoking and alcohol if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hello SIr, I am a 28 years male. I have swelling under my lower part of rib cage on left side. It is from 4 years now. I never felt any pain before. But I feel discomfort when i bend on left side. I have never felt any pain but some times it pains in left abdomen or under left rib cage for a fraction of seconds. I dont know what it is. One can easily see that left rib cage is swollen nd not in shape as of Right rib cage. Please help me i am bit worried. Is it something serious. | Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. It appears to be the lipoma, and nothing else. What ever pathology of left upper abdomen like gastritis, pancreatitis, etc. will never elicit to the outside. More over it is painless at the same time causing discomfort. I advise you to consult a surgeon for diagnosis and treatment. You may have to take C.T.scan, besides other routine tests and manual examination for confirmation. Wishing for a quick confirmation of the disease and cure. If you have any doubts you can approach me for follow up. Best regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi there, I m wanting to go and talk to my doctor about possibly having some form of ADHD. I m 23 years old but am noticing symptoms that really hinder me sometimes. I struggle to pay attention when listening to people, I really have to conecentrate to stay with the conversation or even when watching movies for that matter. I find my self looking at the movie more than paying attention and listening. I also get distracted when I m trying to read. I ll notice that my mind starts to wander and I want take in anything that I ve read. I find my mind races really fast sometimes. I don t have any control over it. I can t sleep at night when it is. It happens every now and then but enough to cause an issue. I am a very fidgety person when laying down and trying to concentrate. (This is a symptom I read online earlier that made sense to me but could be nonsense.) Now that I m trying to better myself as a person I m starting to notice things like this. I was always told at high school that I was distracted easily in classes even though I was a bright kid. Basically what I m trying to say is, is it worth me going to see my doctor and discussing some sort of medication or plan? Or do I just need more practice at these things. | Hello thanks for asking from ChatDoctorI can understand your concern. You are 23 and have symptoms like poor attention, inability to maintain focus, distraction, racing thoughts etc. These are symptoms are inattention and are seen in ADHD. In ADHD symptoms of hyperactivity, impulsiveness, inattention etc. are seen. If you have impulsive behavior, hyperactivity in tasks then the diagnosis of ADHD could be made. In adults with ADD commonly symptoms of inattention are seen. If these symptoms are resulting in impairment in your functioning, and you are not able to function properly then please visit a psychiatrist for help. Explain your symptoms in detail to the psychiatrist and if needed medicines can be started. For adult ADD stimulants are commonly used. ADDERALL or METHYLPHENIDATE etc. are used commonly for the treatment. Thanks and Take care |
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ηζθΏ°εηι«εΈει‘γ | Congestion, nausea, fatigue. I ve been suffering with allergies for the last two years and continuously taking Zyrtec or Benadryl. I stopped all meds for the last 4 months but for about 6 weeks now I cannot breath through my nose. My nose is a little runny in the morning but no other symptoms. However, I started nasal irrigation the last two days, twice a day and now feel worse!!! I feel very tired with nausea and no relief from my congestion. | Hello mentioned that you were taking Zyrtec or Ben Chat Doctor. Still you are feeling nausea, fatigue, running nose, difficulty in breathing. In my opinion all these symptoms are due to bronchoconstriction caused by some allergen. Bronchoconstriction causes breathlessness (difficulty in breathing), while allergy causes running nose, wheezing, fatigue (allergy produces fatigue) . When such patient visit my clinic with such type of symptoms I advise my patient to take montelukast+ albuterol tablet once or twice in day. Usually they don't require any medicine except this. Steam inhalation and hot coffee also provide relief. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | My lower left jaw has been sore & swollen for a week. I dont know why. Ive had a fever as high as 102.6 & migraines plus Ive been nauseous. Havent taken any medicine because Ive had such a bad upset stomach. I went to my dentist today as Ive had some major dental work done in the last six months. He took xra ys & found nothing, Told me to go to my medical doctor so I called but he is out till Monday afternoon & this being Friday, his office told me to go to the ER. I did. I was told I have a Salivary Gland Stone. They did a CT which did not show it as they believe it is deep into my carotid artery & cannot be seen. Now they gave me an Rx for an antibiotic & told me to go see an ENT. Do you have any suggestions as to what this might be and why it is so difficult to diagnose? | Hello there! Thank you for asking. Regarding your concern of jaw pain and the history of dental intervention and clear investigations, there is the possibility of salivary gland stone, but nothing can be said unless an otorhinolaryngologist sees it. If they suspect why didn't they have a kilogram arranged every thing would have come clear about the stone. I think its related to the procedure which has somehow infected the nearby divinities. Keep using antibiotics, avoid using citrus fruits and saliva Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello, my wife has a ovarian cyst size of 3.5cm. She got miscarrage after a three-week pregnancy; during her pregnancy, the cyst smalled to 1.4cm. Then, it got larger again to become now 3.5cm. The doctor gave her Progyluton and Glucophage 850mg. What is the possibility of having efficient treatment? Will her case in general affect her pregnancy i.e. will be get pregnant easily? | Hi there ~I am sorry that you had a miscarriage and that you have an ovarian cyst. It can be taken care of by a gynecologist who is well versed in laparoscopic oophorectomy. I also think that you're being on the two medications you mention is probably efficient treatment if you have been tested for the disease adequately. I also think that you might have difficulty in future pregnancy and therefore should consult with an expert obstetrician. Furthermore, I hope this helps. Take care and have a lovely day! |
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ηζθΏ°εηι«εΈει‘γ | I have had what seems to be a hole in the back of my mouth, near the uvula which has been periodically producing small amounts of pus. I have been dealing with this issue for some time and was wondering what the medical term for it would be as well as possible causes and necessary treatment plans to remedy the issue. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As you describe in your query that you have pus at the back of your mouth or in throat area, Well bacterial infection sometimes spread in the tissues around the tonsils and produce pus. The condition is known as consular abscess. If not treated infection can spread to deeper tissues and cause cellulite, in advance stages it will make mouth opening difficult and painful. Doctor will diagnose condition by looking into the throat or can also order CT scan to make sure. If it's the start of the infection and large amount of pus is not there Doctor can start antibiotic course like clindamycin orally or by blood. If there is abscess with large amount of pus then doctor may Chat Doctor. I would suggest you to consult ENT specialist (ear, nose , throat). Hope your concern has been resolved. Get well soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | my mother 61 yrs old has end stage congestive heart failure,her defibrilator has gone off three time, she has been admitted to the hospital several times, only to go home and get more fluid ongathered around her abdominal area approx-20lbs in a week- then go back hospital get some iv lasix , which is not working that well, and dobutamide iv. She is becoming confused at times, very depressed, and has pulmonary hypertension -secondary to end stage chf..also her ejection fraction is 15%, she cant take a step without becomng short of breath and has severe pain in her legs now, also she has diabetes 2, hypothyroidism and rheumatoid and osteo arthritis...ALL I WANT TO KNOW IS how much longer approximately can she go on like this? its not getting any better just worse, and they cant do a LVAD or a transplantation...so what the heck should we do, and why wont they (cardiologist order hospice?) | His am sorry but EF 15% and her symptoms are indicative of class 4 congestive cardiac failure, prognosis is few months on medication, however miracle do occur so don't lose hope, she is a candidate for LEAD and cardiac transplant, but it can't be done let's have hope that medicines help her, however 15% EF is very critically low EF, and slowly she will decorate leading to cardiac arrestsorryso try for LEAD, you have not entered her medication, but I feel Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, Im taking a birth conrtol pill called Qlaira. I forgot to take the medication the other night and I was on day 20, then I forgot to start a new pack and took day 21. I am a couple hours over now and Im confused about what I need to do. I cant contract my doctor due to the time and wont be able to till Monday morning. I was wondering if I should continue with the pack Im on or open a new pack or just dont do anything till Monday morning. Thanks for the assistance in advance. | Hi, Thanks for the query. As you missed one pill, the possibility of complete protection is somewhat doubtful. So better to go for additional protection for one week. And continue the older pack. After completing the pack you can go for new pack as per the schedule. In this week you can choose some barrier method of contraception. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi, I am 31 weeks pregnant and I had a really bad pain on my upper stomach to my belly button, it felt like a menstrual cramp but more intense and today i experienced it again in my lower stomach. the baby is moving like normal.. is this normal? or what could it be? | Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor I would go for an ultrasound of your abdomen to rule out any intro abdominal pathology like a gall stone disease not uncommon in getting precipitated during pregnancy, and also rule out by physical examination any chances of an appendix infection which might cause pain higher up at this stage. Apart from this, the ultrasound would also let us know the position and well-being of the fetus, and the placenta as well. Further management would depend on the results of the physical examination and the ultrasound report. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor |
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ηζθΏ°εηι«εΈει‘γ | thankyou...I had total knee replacement in July this yr. all has been going fine until about a wk. ago when i developed a terrific pain n the knee...causing aching down in the calf. I went my orthopedic Dr. after x-ray and he said i pulled a ligament...now i cannot bend the knee to get up with out severe pain and I cannot bend the knee back, like I have able to. Is this tipical for pulled tendon? There is nothing wrong with the prothesis. | HelloThanks for your thereafter going through your query I came to know that you got knee replacement. Now there is pain which can be due to muscle pull as said by your Doctor. It is most likely muscle pull. Treatment of muscle pull is rest and analgesic such as ibuprofen for pain relief. Another cause of such pain can be deep vein thrombosis which can be excluded by color Doppler ultrasound study of both lower limbs. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi doc, my daughter aged 2 years and 7 months has not started speaking full sentences, she speaks few words like , mumma, papa, dada, didi etc. few days back i took her to a doc cos she was suffering from stomach infection, i asked the doc the reason why she has not started speaking yet. doc observed my daughter for a while and told me that she is suffering from autism . although he said that he is not sure and recommended me to consult a child physicrist. i want to know what are the specific reason of my daughter being suffering from autism. i am very tensed and needs your advice. | Hi there ~ To answer your question I have added a link here from the American Academy of Child and Adolescent Psychiatry (AA CAP) which has facts for families (in many languages) that have child Chat Doctor. http://www.aacap.org/cs/root/facts_for_families/facts_for_families I hope this helps. It may also be helpful to find a child psychiatrist that is able to treat your child for specific symptoms locally. Take care. |
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ηζθΏ°εηι«εΈει‘γ | my sisters son who is 4 yrs old has suffered from ITP. He passed stool with traces of blood in it.we quickly took him to hospital where they checked his platelet count.His platelet count was 2000.same kind of situation had hapeened 8 months back when we noticed dark blue spots on his body and face.That timehiscount was1000.this whole thing has made us very nervous as we dont know the cause and remedies for ITP.please help us in knowing the cause for ITP also what can we do to prevent it | Hi, dairy have gone through your question. I can understand your concern.ITP is immune thrombocytopenic purpura. In ITP there is immune mediated destruction of platelets and it leads to low platelets count and bleeding. Mainstay of treatment is immunosuppressive Chat Doctor. He can also take immunoglobulins. Consult your doctor and start steroid treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ |
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ηζθΏ°εηι«εΈει‘γ | :) hey i got a question .. so yeah i had a root canal on one tooth and being lazy i forgot to get the permanent filling and as time passed my tooth fell out .. so my question is .. Can i still get infection there even if i had a root canal and forgot to get the filling and my tooth fell out ?? | Thanks for your query, I have gone through your query. The chances of root canal treated tooth getting infected is very less unless it is not properly treated. The fell out tooth structure could be only the crown portion. The Root canal treated tooth becomes weak after RCT, so it has to be crowned immediately. Now the roots might be remaining with in the bone. Consult an oral physician and get a radiograph to rule out the presence of root piece. If root is there then get it removed. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have been suffering from a fungal infection in the inner thighs for more than a month now. I used Terbinaforce tablets. For a month now, I am using only Sebifin cream. But I cannot see much improvement. Can you please suggest me any better treatment or medicine? | Hello, Welcome to Chat Doctor forum. Fungal infections usually take two months to resolve completely provided you take proper dose of medicine for the prescribed duration. Terbinaforce (Terbinafine) is a good antifungal. Both tablets Terbinaforce and Sebifin (Terbinafine) cream have the same ChatDoctor. I suggest if you have taken Terbinaforce for one month then it is sufficient. I would suggest you switch to Seriva cream (Sertaconazole Topical), a newer antifungal. Apply this cream twice a day, in the morning after taking bath and in the night before going to bed. You also can use KZ soap (Ketoconazole). Use only for thigh area while taking bath. Use your regular soap for rest of the body. You can also use Abzorb Dusting Powder. Apply it to the thigh area after you apply Seriva cream. This will reduce sweating and friction. Along with that, I need you to follow few do\s and don\ts. For more information consult a dermatologist online |
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