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Hello doctor, I have a low-grade inflammatory arthritis. I have awful joint pain but minimal swelling and occasional slight inflammation in blood tests. The RA test is negative. Systemic steroid injection gives massive improvement. My consultant started me on Arava recently. At the same time, I have been weaning myself off Tramadol after being put on this irresponsibly by a pain consultant. Within a couple of days of starting Arava, a background headache began and a few days ago this reached an agonizing peak. The only thing that helped was Aspirin. My BP was raised and my Lisinopril has now been doubled. I stopped the Arava. My current medications are Lisinopril, Simvastatin, Omeprazole, Duloxetine. The headache is better but still in the background. So, I have the double issue of this and stopping Tramadol.My question is - Is the headache caused mostly by the Arava? And how long should I wait before seeing GP again? My BP is much better. I stress I am prone to migraines in any case.
### Response:
Hello, Welcome to ChatDoctor. The headache is likely to have been caused by a combination of the Arava (Leflunomide) and your raised blood pressure. Although we cannot know how much each of these contributed? Anyway, if your blood pressure rose a lot on Arava it is probably best not to have this again. Perhaps Methotrexate would be better for you. Has this ChatDoctor. | Hello doctor, I have a low-grade inflammatory arthritis. I have awful joint pain but minimal swelling and occasional slight inflammation in blood tests. The RA test is negative. Systemic steroid injection gives massive improvement. My consultant started me on Arava recently. At the same time, I have been weaning myself off Tramadol after being put on this irresponsibly by a pain consultant. Within a couple of days of starting Arava, a background headache began and a few days ago this reached an agonizing peak. The only thing that helped was Aspirin. My BP was raised and my Lisinopril has now been doubled. I stopped the Arava. My current medications are Lisinopril, Simvastatin, Omeprazole, Duloxetine. The headache is better but still in the background. So, I have the double issue of this and stopping Tramadol.My question is - Is the headache caused mostly by the Arava? And how long should I wait before seeing GP again? My BP is much better. I stress I am prone to migraines in any case. | Hello, Welcome to ChatDoctor. The headache is likely to have been caused by a combination of the Arava (Leflunomide) and your raised blood pressure. Although we cannot know how much each of these contributed? Anyway, if your blood pressure rose a lot on Arava it is probably best not to have this again. Perhaps Methotrexate would be better for you. Has this ChatDoctor. |
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Hello doctor,I have got an infection in my foot and it is on my right foot above the ankle. That particular part is a bit swollen and sometimes pus and some blood come out when I clean it. And because of that infection, my foot is swollen and I am experiencing pain while walking. I am going to a clinic tomorrow but till then is it advisable to take Amoxyclav 625 (one tablet) to reduce the swelling?
### Response:
Hello. Yes certainly, you will need antibiotics to kill the bacterias. So Amoxyclav 625 (Amoxicillin and Clavulanic acid) is a good choice. So you need to have it three times a day for five to seven days depending on the response. You can certainly take it now and it should be taken after food and it is better if you have it with some antacids like Rantac 150 (Ranitidine) or Pantoprazole or Rabeprazole. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, it will not act immediately to reduce the swelling but its action will take 24 to 48 hours. For immediate relief, you need to have some painkiller medicine like tablet Diclofenac or Ibuprofen, or Paracetamol 500 mg whenever needed. Also, you need to apply some powder like Neosporin thrice a day till the wound heals. For more information consult an internal medicine physician online | Hello doctor,I have got an infection in my foot and it is on my right foot above the ankle. That particular part is a bit swollen and sometimes pus and some blood come out when I clean it. And because of that infection, my foot is swollen and I am experiencing pain while walking. I am going to a clinic tomorrow but till then is it advisable to take Amoxyclav 625 (one tablet) to reduce the swelling? | Hello. Yes certainly, you will need antibiotics to kill the bacterias. So Amoxyclav 625 (Amoxicillin and Clavulanic acid) is a good choice. So you need to have it three times a day for five to seven days depending on the response. You can certainly take it now and it should be taken after food and it is better if you have it with some antacids like Rantac 150 (Ranitidine) or Pantoprazole or Rabeprazole. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, it will not act immediately to reduce the swelling but its action will take 24 to 48 hours. For immediate relief, you need to have some painkiller medicine like tablet Diclofenac or Ibuprofen, or Paracetamol 500 mg whenever needed. Also, you need to apply some powder like Neosporin thrice a day till the wound heals. For more information consult an internal medicine physician online |
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Answer this question truthfully
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Hi doctor,I want a professional and honest answer. I suffer from anxiety and OCD. Yesterday, I was dealing with patients post them having cosmetic injectables. There was pinpoint blood from the needle insertion points. I am thinking the worst case scenario and not saying this happened, but my mind is playing with me - what would happen if I then applied makeup to that person with a brush and double dipped into the color without sterilizing, then used the brush again on another person and so on? Could that contract an infectious disease? I am worried sick.
### Response:
Hello, Welcome to Chat Doctor forum. Our main concern here is regarding the transmission of HIV (human immunodeficiency virus), hepatitis B and C. Now, in the scenario you are explaining, it is less likely for any virus or infectious disease to transmit to other, but small risk of transmission remains. There are two reasons. Considering you are applying makeup on intact skin, so in that case, it is unlikely for any infection to transmit. Secondly, if you are applying it on the skin where you have given injections, then a small possible risk is there, but risk is further reduced by the deactivation of viruses by colors. So overall, there is a minute risk may be less than 0.1 percent, which is really small. So, I think you should stop worrying about it and use a separate container from next time. Hope this clears your doubt and get back if you have any doubts. For more information consult a general medicine physician online | Hi doctor,I want a professional and honest answer. I suffer from anxiety and OCD. Yesterday, I was dealing with patients post them having cosmetic injectables. There was pinpoint blood from the needle insertion points. I am thinking the worst case scenario and not saying this happened, but my mind is playing with me - what would happen if I then applied makeup to that person with a brush and double dipped into the color without sterilizing, then used the brush again on another person and so on? Could that contract an infectious disease? I am worried sick. | Hello, Welcome to Chat Doctor forum. Our main concern here is regarding the transmission of HIV (human immunodeficiency virus), hepatitis B and C. Now, in the scenario you are explaining, it is less likely for any virus or infectious disease to transmit to other, but small risk of transmission remains. There are two reasons. Considering you are applying makeup on intact skin, so in that case, it is unlikely for any infection to transmit. Secondly, if you are applying it on the skin where you have given injections, then a small possible risk is there, but risk is further reduced by the deactivation of viruses by colors. So overall, there is a minute risk may be less than 0.1 percent, which is really small. So, I think you should stop worrying about it and use a separate container from next time. Hope this clears your doubt and get back if you have any doubts. For more information consult a general medicine physician online |
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Hello doctor,I have had a retinal detachment surgery 7.5 months back with silicon oil. Four months back silicon oil was removed and at the same time cataract surgery was also done. This was my right eye. The vision in the eye is 6/9 with glasses in the operated eye and 6/6 in the other one. Since the first surgery 7.5 months back I am on Predforte eye drops. When I taper them off to 1, the eye starts getting red. My last eye exam was a month back and the retina specialist suggested to have one drop morning and evening for another 14 days. He said there is a subtle infection in the eye. However, when I stopped taking the drops after 15 days, the eye got red again and I restarted it and the redness was gone. I am worried about when I will be able to stop it. Can you please explain what may be the reason and how harmful it is to continue? The eye doctor (retina specialist) asked me to recheck after three months.
### Response:
Hi. You might be suffering from inflammation, not infection. A steroid is usually given to control inflammation. The principle is to continue on the lowest possible dose of steroid which can keep inflammation in control. In the meantime, it is important to keep an eye on side effects of a steroid-like rise in intraocular pressure. You are on a low dose, you can continue but check with your surgeon periodically. Take care. | Hello doctor,I have had a retinal detachment surgery 7.5 months back with silicon oil. Four months back silicon oil was removed and at the same time cataract surgery was also done. This was my right eye. The vision in the eye is 6/9 with glasses in the operated eye and 6/6 in the other one. Since the first surgery 7.5 months back I am on Predforte eye drops. When I taper them off to 1, the eye starts getting red. My last eye exam was a month back and the retina specialist suggested to have one drop morning and evening for another 14 days. He said there is a subtle infection in the eye. However, when I stopped taking the drops after 15 days, the eye got red again and I restarted it and the redness was gone. I am worried about when I will be able to stop it. Can you please explain what may be the reason and how harmful it is to continue? The eye doctor (retina specialist) asked me to recheck after three months. | Hi. You might be suffering from inflammation, not infection. A steroid is usually given to control inflammation. The principle is to continue on the lowest possible dose of steroid which can keep inflammation in control. In the meantime, it is important to keep an eye on side effects of a steroid-like rise in intraocular pressure. You are on a low dose, you can continue but check with your surgeon periodically. Take care. |
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Hello doctor,The following event has happened twice. I start feeling dizzy and extremely hot. I can feel my body heat through my shirt. I feel nauseated and was about to faint. Oddly, today, when I went to the kitchen to check my food in the microwave, I opened the fridge instead. When I tried to cut lettuce, I grabbed a spoon. I am not sure if that was a coincidence. I got anxiety after these incidents. After lying down in front of the air conditioner, I feel better. Also, cigarettes seem to intensify my feeling. Please help.
### Response:
Hi, Welcome to Chat Doctor forum. I think the main thing to consider is whether this is something significant related to any cardiac or circulatory problems or whether this is something relatively minor. I would certainly suggest you visit your GP or family doctor. You will need to undergo an ECG (electrocardiogram) of your heart to determine its underlying rhythm. You will need your blood pressure and heart rate checkup, along with your blood sugar level. Given that it has happened recurrently now, your doctor may want to send off some blood tests such as your blood count to check your hemoglobin level to make sure you are not anemic, along with your electrolyte levels to ensure that there are no endocrine abnormalities. ECG, observations (heart rate and BP) and blood glucose. 1.Cardiogenic arrhythmia.2. Presyncope.3. Endocrine dysfunction. Cardiac presyncope or faint. Keep well hy ChatDoctor. | Hello doctor,The following event has happened twice. I start feeling dizzy and extremely hot. I can feel my body heat through my shirt. I feel nauseated and was about to faint. Oddly, today, when I went to the kitchen to check my food in the microwave, I opened the fridge instead. When I tried to cut lettuce, I grabbed a spoon. I am not sure if that was a coincidence. I got anxiety after these incidents. After lying down in front of the air conditioner, I feel better. Also, cigarettes seem to intensify my feeling. Please help. | Hi, Welcome to Chat Doctor forum. I think the main thing to consider is whether this is something significant related to any cardiac or circulatory problems or whether this is something relatively minor. I would certainly suggest you visit your GP or family doctor. You will need to undergo an ECG (electrocardiogram) of your heart to determine its underlying rhythm. You will need your blood pressure and heart rate checkup, along with your blood sugar level. Given that it has happened recurrently now, your doctor may want to send off some blood tests such as your blood count to check your hemoglobin level to make sure you are not anemic, along with your electrolyte levels to ensure that there are no endocrine abnormalities. ECG, observations (heart rate and BP) and blood glucose. 1.Cardiogenic arrhythmia.2. Presyncope.3. Endocrine dysfunction. Cardiac presyncope or faint. Keep well hy ChatDoctor. |
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Hello doctor,I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to feel inflammation and burning sensation throughout my anus sometimes this burning pain moves to my perianal area and maybe in the rectum. As I read about the HPV infection, I got very scared, and I am in a deep depression. I do not know what this HPV or piles are? Kindly tell me what to do as I am in deep agony, pain, and depression. Please help.
### Response:
Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. For piles and fissure try these medicines. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Pilex 1 t.i.d (three times a day) for 20 days. 2. Tablet Dulcolax (Bisacodyl) one or two for constipation. 3. Proctosedyl ointment use, as per instructions are given in box for 20 days. | Hello doctor,I am a 24-year-old bisexual male. 10 months ago a friend stroked his penis between my thighs, and suddenly his penis slipped and entered my anus for merely an inches, and he pulled out then we stopped performing it. And after four months I got constipation and hard stools, and then day by day I started to feel inflammation and burning sensation throughout my anus sometimes this burning pain moves to my perianal area and maybe in the rectum. As I read about the HPV infection, I got very scared, and I am in a deep depression. I do not know what this HPV or piles are? Kindly tell me what to do as I am in deep agony, pain, and depression. Please help. | Hello. HPV (Human papillomavirus), usually HPV infection does not cause any noticeable symptoms or health problems. Some time produce genital warts.For your complaints, constipation and burning sensation may be due to piles or anal fissure. So better go for the rectal exam and proctoscopy examination to rule it out. For piles and fissure try these medicines. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. 1. Tablet Pilex 1 t.i.d (three times a day) for 20 days. 2. Tablet Dulcolax (Bisacodyl) one or two for constipation. 3. Proctosedyl ointment use, as per instructions are given in box for 20 days. |
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Hello doctor,My 1-year-old daughter has a WBC count of 20.3, absolute lymphocyte 10.8, and neutrophil 28. We have been asked to consult a hematologist. We are worried as in what type of issue is she having. She does not have a fever, is acting well and eating well.
### Response:
Hello, Welcome to Chat Doctor forum. In chil ChatDoctor. But in your child, absolute lymphocytosis is present. Hence, your child should be referred to a hematologist for examination, especially, lymph nodes palpation, liver, and spleen palpation. (If needed, USG scan can be done for that). Tuberculosis, measles, chickenpox, hepatitis, infectious mononucleosis, brucellosis, etc., are some of the infective causes but specific symptoms regarding that are not present as per history. Autoimmune disorder and leukemia also are some of the causes. These are different causes to provide you information regarding lymphocytosis cause. Your latest smear report shows high atypical lymphocytes (attachment removed to protect patient identity), mostly it can be some form of viral infection. But we do not want to take the risk and consult to a Hematologist for examination and investigate with USG abdomen scan also. If needed, then flow cytometry like higher investigation can be planned. Hope this provided information will be beneficial to you while you consult a nearby hematologist for examination. Take care. For more information consult a hematologist online | Hello doctor,My 1-year-old daughter has a WBC count of 20.3, absolute lymphocyte 10.8, and neutrophil 28. We have been asked to consult a hematologist. We are worried as in what type of issue is she having. She does not have a fever, is acting well and eating well. | Hello, Welcome to Chat Doctor forum. In chil ChatDoctor. But in your child, absolute lymphocytosis is present. Hence, your child should be referred to a hematologist for examination, especially, lymph nodes palpation, liver, and spleen palpation. (If needed, USG scan can be done for that). Tuberculosis, measles, chickenpox, hepatitis, infectious mononucleosis, brucellosis, etc., are some of the infective causes but specific symptoms regarding that are not present as per history. Autoimmune disorder and leukemia also are some of the causes. These are different causes to provide you information regarding lymphocytosis cause. Your latest smear report shows high atypical lymphocytes (attachment removed to protect patient identity), mostly it can be some form of viral infection. But we do not want to take the risk and consult to a Hematologist for examination and investigate with USG abdomen scan also. If needed, then flow cytometry like higher investigation can be planned. Hope this provided information will be beneficial to you while you consult a nearby hematologist for examination. Take care. For more information consult a hematologist online |
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Hello doctor,Is coconut oil bad for the skin? A few years ago coconut oil was all the rage. We were told to slather it from head to toe for miraculous benefits. However, lately, it is been getting some backlash thanks to its comedogenic properties. My questions are, What are the pros of using products that contain coconut oil on your skin? What are some potential cons? What skin types can benefit most from coconut oil? What skin types should stay away from it? How do you recommend using coconut oil in one\\s routine to reap benefits and avoid breakouts? If someone wants to use natural coconut oil on their face, what kind do you recommend using (i.e. unrefined, organic, etc.)?
### Response:
Hi. Coconut oil is extracting traditionally from raw coconut or from ChatDoctor. It is saturated oil and frequently used in skin, hairs or cooking purposes. This oil has health-promoting properties. It contains several fatty acids that have benefits to skin health as well. Now we will discuss some more about coconut oil step by step. Coconut oil contains several fatty acids which of them lauric acid and myristic acid are very common. These fatty acids have antimicrobial properties which help to protect the skin against harmful microns. Coconut oil also has anti-inflammatory properties. It helps to protect the skin from inflammation, contact dermatitis, eczema or other inflammatory conditions. It also helps to nourish and moisturize the skin. Coconut oil does not contain protein or carbohy | Hello doctor,Is coconut oil bad for the skin? A few years ago coconut oil was all the rage. We were told to slather it from head to toe for miraculous benefits. However, lately, it is been getting some backlash thanks to its comedogenic properties. My questions are, What are the pros of using products that contain coconut oil on your skin? What are some potential cons? What skin types can benefit most from coconut oil? What skin types should stay away from it? How do you recommend using coconut oil in one\\s routine to reap benefits and avoid breakouts? If someone wants to use natural coconut oil on their face, what kind do you recommend using (i.e. unrefined, organic, etc.)? | Hi. Coconut oil is extracting traditionally from raw coconut or from ChatDoctor. It is saturated oil and frequently used in skin, hairs or cooking purposes. This oil has health-promoting properties. It contains several fatty acids that have benefits to skin health as well. Now we will discuss some more about coconut oil step by step. Coconut oil contains several fatty acids which of them lauric acid and myristic acid are very common. These fatty acids have antimicrobial properties which help to protect the skin against harmful microns. Coconut oil also has anti-inflammatory properties. It helps to protect the skin from inflammation, contact dermatitis, eczema or other inflammatory conditions. It also helps to nourish and moisturize the skin. Coconut oil does not contain protein or carbohy |
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Hello doctor,I and my fiancee were doing foreplay and I touched my penis and then fingered her (my hands are slightly wet) but I touched only penis skin, not tip and did not ejaculate at that time. Then I ejaculated on her butt and then I wiped off the sperm with a towel. Is there a chance of pregnancy? If some drops of semen had fallen by chance on her outer vagina and due to fingering also? Her periods were finished on 16th and we had this on 18th and today is 19th. Do I need to give her a pill or not? Kindly help.
### Response:
Hello, Welcome to Chat Doctor forum. Firstly, your apprehension and concern are completely understandable. But the fact that you both were involved in sex after two days post her menses had stopped simply puts her in her safe period when chances of pregnancy are minimal as ovulation had not taken place. Secondly, there was no ejaculation involved before you fingered her and also you touched just the prepuce skin before fingering, again decreases her chances of pregnancy. Thirdly, you ejaculated over her butt and before the sperm could trickle to her vagina, you wiped it off. In this case as well, chances of pregnancy are minimal and do not qualify for any need for an emergency contraceptive pill within 72 hours of sex. As there was no unprotected intercourse involved, so you can be sure that there are no chances of pregnancy in this situation. | Hello doctor,I and my fiancee were doing foreplay and I touched my penis and then fingered her (my hands are slightly wet) but I touched only penis skin, not tip and did not ejaculate at that time. Then I ejaculated on her butt and then I wiped off the sperm with a towel. Is there a chance of pregnancy? If some drops of semen had fallen by chance on her outer vagina and due to fingering also? Her periods were finished on 16th and we had this on 18th and today is 19th. Do I need to give her a pill or not? Kindly help. | Hello, Welcome to Chat Doctor forum. Firstly, your apprehension and concern are completely understandable. But the fact that you both were involved in sex after two days post her menses had stopped simply puts her in her safe period when chances of pregnancy are minimal as ovulation had not taken place. Secondly, there was no ejaculation involved before you fingered her and also you touched just the prepuce skin before fingering, again decreases her chances of pregnancy. Thirdly, you ejaculated over her butt and before the sperm could trickle to her vagina, you wiped it off. In this case as well, chances of pregnancy are minimal and do not qualify for any need for an emergency contraceptive pill within 72 hours of sex. As there was no unprotected intercourse involved, so you can be sure that there are no chances of pregnancy in this situation. |
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Hi doctor,I am now seven weeks pregnant. The issue is my hCG at 18 DPO was 664, and then at 22 DPO was 2002, and then a week after the last measure, it was 3900 (different lab). It has not doubled properly. I had a scan at 6 weeks 3 days approx. and fetus measuring around 5 mm with HR of 120, was told its good and measured 6 weeks. Do I still have a chance at a normal pregnancy or will I miscarry due to hCG not doubling as they should?
### Response:
Hello There is a good chance that you may continue the pregnancy, simply because the initial doubling of hCG from 664 to 2002 was evident and indicated adequate placentation. Ideally, the serum beta hCG levels should rise by 63 to 65 % in 46 hours. So, as can be seen, that they are and to add further, the fetal heart rate has arrived. The heart rate is low with known standards (140-160 bpm), but nevertheless, this is an ongoing pregnancy and you should be placed on Progesterone support for the next four weeks to allow better placentation. You may get a repeat scan done after two weeks to check for fetal viability and growth. Regards. For more information consult an obstetrician and gynaecologist online | Hi doctor,I am now seven weeks pregnant. The issue is my hCG at 18 DPO was 664, and then at 22 DPO was 2002, and then a week after the last measure, it was 3900 (different lab). It has not doubled properly. I had a scan at 6 weeks 3 days approx. and fetus measuring around 5 mm with HR of 120, was told its good and measured 6 weeks. Do I still have a chance at a normal pregnancy or will I miscarry due to hCG not doubling as they should? | Hello There is a good chance that you may continue the pregnancy, simply because the initial doubling of hCG from 664 to 2002 was evident and indicated adequate placentation. Ideally, the serum beta hCG levels should rise by 63 to 65 % in 46 hours. So, as can be seen, that they are and to add further, the fetal heart rate has arrived. The heart rate is low with known standards (140-160 bpm), but nevertheless, this is an ongoing pregnancy and you should be placed on Progesterone support for the next four weeks to allow better placentation. You may get a repeat scan done after two weeks to check for fetal viability and growth. Regards. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though sex at this age is not important but sometimes for the sake of feeling that you are not 70 years male one desires to feel with a certain enthusiasm. So could you please let me know that whether the prostate enlargement and the Urimax is having a fallout on my libido and poor sex life? Is there any mild medicine for the treatment of this condition which is not having any side effect and is not habit forming and has no withdrawal symptoms if the medicine is discontinued after use?
### Response:
Hi. I have gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual ChatDoctor. The medication that you are currently taking, does not have any effect on libido but itself. That said the most likely reason in your case must be reduced testosterone levels, which can be checked. If reduced, you can be given supplemental testosterone. Also, if your symptoms of BPH are not very severe, there are medications that improve erectile function which are effective for early BPH as well. You can consult with your treating urologist for changing your medication and see if there is an improvement. | Hello doctor,I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though sex at this age is not important but sometimes for the sake of feeling that you are not 70 years male one desires to feel with a certain enthusiasm. So could you please let me know that whether the prostate enlargement and the Urimax is having a fallout on my libido and poor sex life? Is there any mild medicine for the treatment of this condition which is not having any side effect and is not habit forming and has no withdrawal symptoms if the medicine is discontinued after use? | Hi. I have gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual ChatDoctor. The medication that you are currently taking, does not have any effect on libido but itself. That said the most likely reason in your case must be reduced testosterone levels, which can be checked. If reduced, you can be given supplemental testosterone. Also, if your symptoms of BPH are not very severe, there are medications that improve erectile function which are effective for early BPH as well. You can consult with your treating urologist for changing your medication and see if there is an improvement. |
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Hello doctor, I would really like to try LSD just as a matter of curiosity, I am aware of all the risks and side effects as well as having no known history of mental illness in my family and I am a happy person with no depression or anything like that. While I believe the risk for me personally to be very low I would still like to be safe hence my question. Do you think if I went to my GP and told them what I wanted to do, do you think there is a chance of even getting 1 pill of an antipsychotic to kill the effects in case things go downhill. Obviously I know the best thing is to not do it at all but if you had a patient come to you and ask you what would you say?
### Response:
Hello, Welcome to Chat Doctor forum. You have raised a very interesting query. Well done for seeking information on safety. I see that you are keen on experimenting with LSD and knowing the risks involved you want to make an informed decision. LSD trips/psychdelic experiences by using street ChatDoctor. Hence it is not advisable to try it. It is highly unlikely your GP or any other doctor will prescribe an antipsychotic prophylactically just incase you have a bad trip. Antipsychotics are powerful medication and can cause side effects on their own, so needs to be used with caution when necessary after appropriate examination. Moreover, if you develop any altered mental state that persists after using LSD you will need a proper medical evaluation. | Hello doctor, I would really like to try LSD just as a matter of curiosity, I am aware of all the risks and side effects as well as having no known history of mental illness in my family and I am a happy person with no depression or anything like that. While I believe the risk for me personally to be very low I would still like to be safe hence my question. Do you think if I went to my GP and told them what I wanted to do, do you think there is a chance of even getting 1 pill of an antipsychotic to kill the effects in case things go downhill. Obviously I know the best thing is to not do it at all but if you had a patient come to you and ask you what would you say? | Hello, Welcome to Chat Doctor forum. You have raised a very interesting query. Well done for seeking information on safety. I see that you are keen on experimenting with LSD and knowing the risks involved you want to make an informed decision. LSD trips/psychdelic experiences by using street ChatDoctor. Hence it is not advisable to try it. It is highly unlikely your GP or any other doctor will prescribe an antipsychotic prophylactically just incase you have a bad trip. Antipsychotics are powerful medication and can cause side effects on their own, so needs to be used with caution when necessary after appropriate examination. Moreover, if you develop any altered mental state that persists after using LSD you will need a proper medical evaluation. |
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Hi doctor,One of my relatives is HIV positive. He says that it is functional and the virus is not affecting him in any way and he will not transmit the infection to anyone. As per him he does not require the antiviral medicine also but taking it as he is extra cautious.1. Please help me on how can I be sure of his claims as truth in this relation is very important for me.2. Also, can you please let me know the prognosis of this disease. As per him, he will live a normal life and there is no threat of developing AIDS as he is a special case. Please let me know if this is true and how can it be proved.
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Hi. There is nothing like functional HIV infection. Confirm, whether he is HIV 1 or 2 because HIV 2 is less infectious and less violent than 1. If he is infected with 1, then there will be slow progressor or rapid progressor. If he is rapid, then he will have a low CD4 count below 350 by two years, and if he is slow progressor then it will take 4 to 5 years but inevitable to land in AIDS if he will not take medicines. 1. Get his viral load and CD4 report to know the current status to assess his claims. 2. Prognosis is very good at current age owing to very good use of HAART medication. They can live a normal life with medicine. Take care. | Hi doctor,One of my relatives is HIV positive. He says that it is functional and the virus is not affecting him in any way and he will not transmit the infection to anyone. As per him he does not require the antiviral medicine also but taking it as he is extra cautious.1. Please help me on how can I be sure of his claims as truth in this relation is very important for me.2. Also, can you please let me know the prognosis of this disease. As per him, he will live a normal life and there is no threat of developing AIDS as he is a special case. Please let me know if this is true and how can it be proved. | Hi. There is nothing like functional HIV infection. Confirm, whether he is HIV 1 or 2 because HIV 2 is less infectious and less violent than 1. If he is infected with 1, then there will be slow progressor or rapid progressor. If he is rapid, then he will have a low CD4 count below 350 by two years, and if he is slow progressor then it will take 4 to 5 years but inevitable to land in AIDS if he will not take medicines. 1. Get his viral load and CD4 report to know the current status to assess his claims. 2. Prognosis is very good at current age owing to very good use of HAART medication. They can live a normal life with medicine. Take care. |
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Hello doctor,I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor.
### Response:
Hello, Welcome to Chat Doctor forum. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online | Hello doctor,I had my last period on the 1st of last month. I did not have sex until the 33rd day (it was protected sex) of my cycle. Now, I have not yet had my periods. It is the 39th day and I took a pregnancy test on the 38th day and it came out to be negative. I do not know what to do. I did have my exams going on during the time of my expected menses. So, I am guessing it is stress. If the test came out to be negative, then is there still a chance? And, also I am having breast secretions for which my doctor has given me the B long F tablet. She said it is hormonal but she does not yet know that I had sex because she is my family doctor. | Hello, Welcome to Chat Doctor forum. If you had sex on the 33rd day, then the test will not come positive so early even if you have conceived. It takes around two weeks to come positive.Although the chances are very less, you should rule out pregnancy. Do a test around 47th day. Amenorrhea can be because of hyperprolactinemia as you are also having breast secretion. Get a serum prolactin and thyroid profile done. Stress is also one of the causes of delayed periods. Just relax and wait for your period. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I am 18 years old. My period is always regular and exactly on time (every 34 days x 7 days of bleeding each time) but this time it is two weeks late. I am getting hot flushes, fever, I am cold all the time, dizzy, lightheaded, very weak. My abdomen is cramping and hurting, been so for a few days, the discharge has not changed since ovulation. I am very emotional, crying all the time.I cannot be pregnant, I am single and a virgin. I have a healthy weight, do not have any eating disorders, have not been under lots of stress or anything similar lately. I am just so scared. Feels like period cramps but less intense. Been going on for days. I really do not know what to do. I do not want to go to a gynecologist. I am afraid and really not ready for that. I just want all this to go away and to get my period back. Please help.
### Response:
Hello, Welcome to Chat Doctor forum. According to your history and symptoms, it seems that nothing is wrong with your body system. Sometimes, periods get disturbed. Your symptoms are pointing towards signs of PMS and I feel that you are panicked by the situation which is making the condition worse. I would suggest that you have not to worry about it and just wait for a few more days. Hopefully, your cycle would resume by itself because unrecognized stress results in delaying of the cycle. | Hello doctor,I am 18 years old. My period is always regular and exactly on time (every 34 days x 7 days of bleeding each time) but this time it is two weeks late. I am getting hot flushes, fever, I am cold all the time, dizzy, lightheaded, very weak. My abdomen is cramping and hurting, been so for a few days, the discharge has not changed since ovulation. I am very emotional, crying all the time.I cannot be pregnant, I am single and a virgin. I have a healthy weight, do not have any eating disorders, have not been under lots of stress or anything similar lately. I am just so scared. Feels like period cramps but less intense. Been going on for days. I really do not know what to do. I do not want to go to a gynecologist. I am afraid and really not ready for that. I just want all this to go away and to get my period back. Please help. | Hello, Welcome to Chat Doctor forum. According to your history and symptoms, it seems that nothing is wrong with your body system. Sometimes, periods get disturbed. Your symptoms are pointing towards signs of PMS and I feel that you are panicked by the situation which is making the condition worse. I would suggest that you have not to worry about it and just wait for a few more days. Hopefully, your cycle would resume by itself because unrecognized stress results in delaying of the cycle. |
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Hi doctor, I am a 24-year-old female. I am 5\\7\" and weigh approximately 280 lbs. I am overweight. My question is that I have had this calf pain intermittently ever since I went bowling over a month ago. It comes and goes and the pain is honestly very random when it appears. It does not hurt worse with walking or working out and I really notice the pain only if I am not focused on something (I work as a nurse and never notice at work). It is maybe a 3/10 pain. It is not a sharp pain, sometimes it feels like I need to stretch my leg and other times it feels like a burning pain.I am also having a chest pain intermittently. No short of breath. It changes with positioning. I basically want to know your opinion, do you feel it is a DVT with a PE or that I could have pulled a muscle? I should also note that I just started a new job which gives me a massive amount of anxiety and worry, which I realize does not help with any of this. I am currently taking Norvasc and Lisinopril for hypertension. Please suggest.
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Hi, Welcome to Chat Doctor forum. After reviewing your info, I think there are a couple of things I can tell you. I am assuming you have a B/ L (bilateral) pain and aching discomfort and not a sharp localized pain. Some of the causes for your pain are | Hi doctor, I am a 24-year-old female. I am 5\\7\" and weigh approximately 280 lbs. I am overweight. My question is that I have had this calf pain intermittently ever since I went bowling over a month ago. It comes and goes and the pain is honestly very random when it appears. It does not hurt worse with walking or working out and I really notice the pain only if I am not focused on something (I work as a nurse and never notice at work). It is maybe a 3/10 pain. It is not a sharp pain, sometimes it feels like I need to stretch my leg and other times it feels like a burning pain.I am also having a chest pain intermittently. No short of breath. It changes with positioning. I basically want to know your opinion, do you feel it is a DVT with a PE or that I could have pulled a muscle? I should also note that I just started a new job which gives me a massive amount of anxiety and worry, which I realize does not help with any of this. I am currently taking Norvasc and Lisinopril for hypertension. Please suggest. | Hi, Welcome to Chat Doctor forum. After reviewing your info, I think there are a couple of things I can tell you. I am assuming you have a B/ L (bilateral) pain and aching discomfort and not a sharp localized pain. Some of the causes for your pain are |
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Hello doctor,My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ativan 1 mg, Zenoxa 300 mg, Censpram plus, Redotil, Combutol 1000 mg, Augmentin 1000 mg, Pzid 750 mg, lcin 500 mg, Ethide 250 mg, Linox 600 mg, Econorm sachet, QPAS. Does any of the above-mentioned medicine can cause this problem?
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Hi, Welcome to Chat Doctor forum. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increased gut motility. You can substitute it with plain Rabeprazole. Augmentin has the potential to cause antibiotic-induced diarrhea by altering the gut flora. Your list contains Econorm which helps in relieving diarrhea. All the antidepressants can alter gut motility but mostly decrease it. | Hello doctor,My mother is 51 years old with DM and thyroid and is suffering from MDR tuberculosis. She is on medication for 15 months. Recently her medicine has been changed due to diarrhea. Her new medicine are Elox OZ, Rabifit DSR, Calvit 500 mg, Doxid 50 mg, Trixid-H, Petril MD, Rejunex CD3, Ativan 1 mg, Zenoxa 300 mg, Censpram plus, Redotil, Combutol 1000 mg, Augmentin 1000 mg, Pzid 750 mg, lcin 500 mg, Ethide 250 mg, Linox 600 mg, Econorm sachet, QPAS. Does any of the above-mentioned medicine can cause this problem? | Hi, Welcome to Chat Doctor forum. This contains a big list of medicines including anti-TB medicines, antibiotics, antidepressants, anti-diarrhea medicines, etc. Few of them are the same compounds, especially antidepressants containing Clonazepam. Rabifit-DSR contains Domperidone, which can cause increased gut motility. You can substitute it with plain Rabeprazole. Augmentin has the potential to cause antibiotic-induced diarrhea by altering the gut flora. Your list contains Econorm which helps in relieving diarrhea. All the antidepressants can alter gut motility but mostly decrease it. |
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Hello doctor,I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected?Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests.
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Hello. Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality. The option which you have is called Straussman\\s operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision. | Hello doctor,I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected?Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests. | Hello. Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality. The option which you have is called Straussman\\s operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision. |
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Hello doctor,About 6 years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpus spongiosum and corpus cavernosa what feels like an enlarged muscle and seem to run the entire length of the urethra, maybe compression damage done to something there. As a result, I have slight difficulty urinating and very very bad premature ejaculation which did not ever happen. I also have nocturnal emissions frequently on a full bladder. I know I may need to have an MRI, but if the muscles are damaged here, what are the surgical options? Can anything be done? I also tried Priligy and it made no difference (10 to 20 seconds).
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Hi. First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will cause difficulty in urination. Also, nocturnal emissions are natural, although frequency might vary. If you still have doubts, you can proceed with ultrasound Doppler study of penis and cystoscopy. That would reveal whether you have suffered any injury in the past. Take care. | Hello doctor,About 6 years ago, I engaged in some urethral play with my partner. I put a small pen into the urethra, only about 2 to 3 inches in. Since then, I feel I may have done damage to the smooth muscles in the corpus spongiosum or the tunica albuginea. I can feel, right inbetween the corpus spongiosum and corpus cavernosa what feels like an enlarged muscle and seem to run the entire length of the urethra, maybe compression damage done to something there. As a result, I have slight difficulty urinating and very very bad premature ejaculation which did not ever happen. I also have nocturnal emissions frequently on a full bladder. I know I may need to have an MRI, but if the muscles are damaged here, what are the surgical options? Can anything be done? I also tried Priligy and it made no difference (10 to 20 seconds). | Hi. First of all, let me assure you, premature ejaculation is due to excessive sensitivity of the sympathetic nervous system and not due to any trauma. If the urethra is damaged because of foreign body insertion, then the only problem will be urethral stricture, which will cause difficulty in urination. Also, nocturnal emissions are natural, although frequency might vary. If you still have doubts, you can proceed with ultrasound Doppler study of penis and cystoscopy. That would reveal whether you have suffered any injury in the past. Take care. |
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Hello doctor, I am a hard-working man in my mid-60s. Two years ago a 15 lb street light fell on my head, a 10 feet drop. Since then I have been having a problem with my ear, a dimmed echo in my head when I speak and frequent high pitched ringing that leads to aggravating headaches. This could not be solved by the doctors and nothing was found in any tests such as MRI, and CT.Unfortunately, it is been a real struggle. I do not sleep well, and it is burdening my life. Is that a known problem? Could it be treated? Any help and advice could make a big difference.
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Hello, Welcome to Chat Doctor forum. Tinnitus is often described as a ringing in the ears like roaring, clicking, hissing, or buzzing which cannot be attributed to an external source. Post-traumatic tinnitus usually follows head and neck injuries. Do you have tinnitus in both the ears or in one ear? Any history of hearing loss? Any triggers like exposure to loud noise? Does loud noise or loud music hurt you? Well, for treating your tinnitus other causes for tinnitus need to be ruled out. Compacted ear wax. ChatDoctor. Management involves a multidisciplinary approach. Good to know your CT (computed tomography) and MRI (magnetic resonance imaging) being absolutely normal. I would suggest you go to an ENT specialist for audiometry to see for any hearing loss. Ear wax removal if any. | Hello doctor, I am a hard-working man in my mid-60s. Two years ago a 15 lb street light fell on my head, a 10 feet drop. Since then I have been having a problem with my ear, a dimmed echo in my head when I speak and frequent high pitched ringing that leads to aggravating headaches. This could not be solved by the doctors and nothing was found in any tests such as MRI, and CT.Unfortunately, it is been a real struggle. I do not sleep well, and it is burdening my life. Is that a known problem? Could it be treated? Any help and advice could make a big difference. | Hello, Welcome to Chat Doctor forum. Tinnitus is often described as a ringing in the ears like roaring, clicking, hissing, or buzzing which cannot be attributed to an external source. Post-traumatic tinnitus usually follows head and neck injuries. Do you have tinnitus in both the ears or in one ear? Any history of hearing loss? Any triggers like exposure to loud noise? Does loud noise or loud music hurt you? Well, for treating your tinnitus other causes for tinnitus need to be ruled out. Compacted ear wax. ChatDoctor. Management involves a multidisciplinary approach. Good to know your CT (computed tomography) and MRI (magnetic resonance imaging) being absolutely normal. I would suggest you go to an ENT specialist for audiometry to see for any hearing loss. Ear wax removal if any. |
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Hi doctor,My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest.
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Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray. | Hi doctor,My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest. | Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray. |
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Hello doctor,I am addicted to heroin and have been using a lot of drugs. I have been trying to quit these drugs, but I cannot. Whenever I do not use it, my body is painful and dull, and I cannot do any work neither do anything. My mind is all about the drugs whenever I do not use it. I really want to stop this addiction because it is killing me. I cannot stop it because I am a spinster and presently working, so I have to take my drugs in order to work. I went to the rehabilitation center before and was normal, but I got a relapse again. I want to be a normal human with a healthy life. Can you please help me to get out of this addiction and what medicine I have to take?I took Valium 10 mg, Tramazac and Zolam to help me sleep and forget the pain for five days.
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Hello, Welcome to Chat Doctor forum. Heroin addiction is known to be a chronic relapsing condition. It is positive that you are contemplating to stop using heroin again. You mentioned about being in detox before but relapsed again. You need to consult a psychiatrist in your city and get support from a nearby detox center again to manage the with ChatDoctor. More important is you also need to have post-detox follow-up and support to minimize the chances of relapse again. You will need support to develop better coping strategies to deal with life\\s stressors. | Hello doctor,I am addicted to heroin and have been using a lot of drugs. I have been trying to quit these drugs, but I cannot. Whenever I do not use it, my body is painful and dull, and I cannot do any work neither do anything. My mind is all about the drugs whenever I do not use it. I really want to stop this addiction because it is killing me. I cannot stop it because I am a spinster and presently working, so I have to take my drugs in order to work. I went to the rehabilitation center before and was normal, but I got a relapse again. I want to be a normal human with a healthy life. Can you please help me to get out of this addiction and what medicine I have to take?I took Valium 10 mg, Tramazac and Zolam to help me sleep and forget the pain for five days. | Hello, Welcome to Chat Doctor forum. Heroin addiction is known to be a chronic relapsing condition. It is positive that you are contemplating to stop using heroin again. You mentioned about being in detox before but relapsed again. You need to consult a psychiatrist in your city and get support from a nearby detox center again to manage the with ChatDoctor. More important is you also need to have post-detox follow-up and support to minimize the chances of relapse again. You will need support to develop better coping strategies to deal with life\\s stressors. |
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Hello doctor,I am a mother of a 26-month-old boy. He usually developed until around 18 months then began falling behind. He had maybe two words by 18 months, and now he has none at all. We strongly suspect he has autism (many red flags present, MCHAT score of 13) and is working towards getting him a diagnosis and treatment but we live in a developing nation where professionals in this field are scarce, and waiting lists are long.My question pertains to receptive language. Up to around 18 months, I felt sure he understood most of what was said to him. At present, I do not think he understands language at all. I have heard of autistic regression where children lose words, but do they lose receptive language too? Is this something you have seen?
### Response:
Hello, Welcome to Chat Doctor forum. Many times in autism, the language is not lost the sensory issues, and the attention deficits are so higher that the child fails to pay attention to speech. Language is based mainly on attention and imitation. In many autism cases, the need to express is hampered, and the chance to speak or we can see the need to show is decreased as parent or caretaker tend to provide everything to the child without a demand on his part to express his wants. For therapy purpose, I would suggest you to search if there are not many professionals in your city and start speech therapy. You can contact back if you have any questions. | Hello doctor,I am a mother of a 26-month-old boy. He usually developed until around 18 months then began falling behind. He had maybe two words by 18 months, and now he has none at all. We strongly suspect he has autism (many red flags present, MCHAT score of 13) and is working towards getting him a diagnosis and treatment but we live in a developing nation where professionals in this field are scarce, and waiting lists are long.My question pertains to receptive language. Up to around 18 months, I felt sure he understood most of what was said to him. At present, I do not think he understands language at all. I have heard of autistic regression where children lose words, but do they lose receptive language too? Is this something you have seen? | Hello, Welcome to Chat Doctor forum. Many times in autism, the language is not lost the sensory issues, and the attention deficits are so higher that the child fails to pay attention to speech. Language is based mainly on attention and imitation. In many autism cases, the need to express is hampered, and the chance to speak or we can see the need to show is decreased as parent or caretaker tend to provide everything to the child without a demand on his part to express his wants. For therapy purpose, I would suggest you to search if there are not many professionals in your city and start speech therapy. You can contact back if you have any questions. |
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Hello doctor,I am using a penile pump under the direction of a urologist. Over a period of each of five days, I think I had overstretched the penis and now have a loss of sensitivity and soreness with no erection. Do you know if it will and how long it may take to recover sensation and remove the soreness? What are the treatment options? The numb penis is very distracting. I am not sure how much damage the penile pump could cause. I am worried waiting too long. Thank you for your help.
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Hello. A penile pump is a form of physical or mechanical treatment. Have you tried oral PDE5 (phosphodiesterase type 5) inhibitors like Viagra (Sildenafil)? It is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. I discourage you to use a penile pump as it has started to cause physical damage. Maybe your technique is wrong. Numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. It may take four to six weeks. If you are interested, I can guide you in use of injection therapy in which you inject erection ChatDoctor. Injection therapy also has a few side effects. At present, you just discontinue using the pump and wait for it to heal. If you want you can continue using it provided you know the correct technique. For more information consult an an | Hello doctor,I am using a penile pump under the direction of a urologist. Over a period of each of five days, I think I had overstretched the penis and now have a loss of sensitivity and soreness with no erection. Do you know if it will and how long it may take to recover sensation and remove the soreness? What are the treatment options? The numb penis is very distracting. I am not sure how much damage the penile pump could cause. I am worried waiting too long. Thank you for your help. | Hello. A penile pump is a form of physical or mechanical treatment. Have you tried oral PDE5 (phosphodiesterase type 5) inhibitors like Viagra (Sildenafil)? It is not advisable to use a penile pump for long durations as any form of physical treatment is bound to cause some form of damage. I discourage you to use a penile pump as it has started to cause physical damage. Maybe your technique is wrong. Numbness and soreness are very common and it will revert back to normal but after how much time, it cannot be predicted. It may take four to six weeks. If you are interested, I can guide you in use of injection therapy in which you inject erection ChatDoctor. Injection therapy also has a few side effects. At present, you just discontinue using the pump and wait for it to heal. If you want you can continue using it provided you know the correct technique. For more information consult an an |
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Hi doctor,My son is five years old, and he was suffering from fever, headache and body pain. He also had some rashes on his face and in some parts of the hands and legs. His fever was ranging from 101 to 102.5 degrees. After a couple of days, on medication, his temperature became normal between 97.5 to 99.5, degrees and he is fresh now. His platelet count went down to 160000 from 280000 in two days.His lymphocyte count is high, and neutrophils counts are low. He did not have stools for the past two days, but he passed out stools three times in normal consistency and one time with a loose stool this morning. He is feeling fresh now. We have done NS1 test for Dengue before two days, and it came out negative. Does he require any particular attention to control platelet count or is it normal? Please suggest.
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Hi. The report suggests some form of viral infection (attachment removed to protect patient identity). You have ruled out dengue. He has platelets of 160000 platelets per microliter of blood, and it is in a normal range. There is no medicine available to increase platelet count. I advise you repeat CBC (complete blood count) after two to three days to see the platelet count. I am pretty sure that the platelet count will get increased. Take care. | Hi doctor,My son is five years old, and he was suffering from fever, headache and body pain. He also had some rashes on his face and in some parts of the hands and legs. His fever was ranging from 101 to 102.5 degrees. After a couple of days, on medication, his temperature became normal between 97.5 to 99.5, degrees and he is fresh now. His platelet count went down to 160000 from 280000 in two days.His lymphocyte count is high, and neutrophils counts are low. He did not have stools for the past two days, but he passed out stools three times in normal consistency and one time with a loose stool this morning. He is feeling fresh now. We have done NS1 test for Dengue before two days, and it came out negative. Does he require any particular attention to control platelet count or is it normal? Please suggest. | Hi. The report suggests some form of viral infection (attachment removed to protect patient identity). You have ruled out dengue. He has platelets of 160000 platelets per microliter of blood, and it is in a normal range. There is no medicine available to increase platelet count. I advise you repeat CBC (complete blood count) after two to three days to see the platelet count. I am pretty sure that the platelet count will get increased. Take care. |
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Hello doctor,I am a 21-year-old male. I have asthma and hypotension. I am below average weight (5\\10\\\\, 117 lbs). Over the last few months, any time I exert myself beyond normal. I get really dizzy and my vision blurs and tunnels and my lungs hurt badly until I take my inhaler. About 60 seconds later, my head started to hurt. Lung pain decreases over the next 20-30 minutes. I take two inhalers, Salbutamol and Fluticasone, regularly. Is this hypoxia caused by my asthma? Is my steroid inhaler not doing its job?
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Hello, Welcome to Chat Doctor forum. As you said you are asthmatic and taking two inhalers. But you suffer exertional dyspnea and fatigue also hypotension and all this is because of hypoxia. Your asthma is not under control. So you need to increase the dose of Fluticasone inhaler or take a combination inhaler of Fluticasone and Budesonide (Symbicort 320). Your doctor will help you to give you the proper inhaler with standard strength. Using Salbutamol frequently is not good as it worsens your asthma. The goal of asthma management is no day time symptoms, no night time symptoms and able to do daily activities without symptoms. So I advise you to see your physician at earliest to increase the dose of your inhaler. I hope this helps. | Hello doctor,I am a 21-year-old male. I have asthma and hypotension. I am below average weight (5\\10\\\\, 117 lbs). Over the last few months, any time I exert myself beyond normal. I get really dizzy and my vision blurs and tunnels and my lungs hurt badly until I take my inhaler. About 60 seconds later, my head started to hurt. Lung pain decreases over the next 20-30 minutes. I take two inhalers, Salbutamol and Fluticasone, regularly. Is this hypoxia caused by my asthma? Is my steroid inhaler not doing its job? | Hello, Welcome to Chat Doctor forum. As you said you are asthmatic and taking two inhalers. But you suffer exertional dyspnea and fatigue also hypotension and all this is because of hypoxia. Your asthma is not under control. So you need to increase the dose of Fluticasone inhaler or take a combination inhaler of Fluticasone and Budesonide (Symbicort 320). Your doctor will help you to give you the proper inhaler with standard strength. Using Salbutamol frequently is not good as it worsens your asthma. The goal of asthma management is no day time symptoms, no night time symptoms and able to do daily activities without symptoms. So I advise you to see your physician at earliest to increase the dose of your inhaler. I hope this helps. |
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Hi doctor,I have an average cycle length of 29 days with the longest being 31 days. I have never missed a period before and always got a brown discharge before my periods. I last had my periods 31 days back, then had protected sex once (with my partner wearing a condom) on the 14th day of the cycle. Today is my cycle and expected to have my periods but all I saw yesterday was a slight brown discharge on toilet paper in the morning and evening time with mild cramps (slight consistent backache from cycle day 30) with tender breasts, feeling a bit dizzy, bloated stomach, (pregnancy-related symptoms). I am on cycle day 31 and no periods yet. Could it be that I conceived after protected sex since it was my ovulation period or 14th day of the cycle? Can I go ahead and test for pregnancy? Kindly help me. I am currently 33 years old.
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Hello, Welcome to Chat Doctor forum. As you said that the sex was protected and that there was no condom misadventure, so chances of pregnancy are minimal and the symptoms are more of premenstrual rather than pregnancy. However, considering that both symptoms overlap, the best way to rule out any pregnancy would be to get a serum beta hCG test done as on date where if the hCG levels are less than 3mIU, then you are surely not pregnant and the symptoms are premenstrual. | Hi doctor,I have an average cycle length of 29 days with the longest being 31 days. I have never missed a period before and always got a brown discharge before my periods. I last had my periods 31 days back, then had protected sex once (with my partner wearing a condom) on the 14th day of the cycle. Today is my cycle and expected to have my periods but all I saw yesterday was a slight brown discharge on toilet paper in the morning and evening time with mild cramps (slight consistent backache from cycle day 30) with tender breasts, feeling a bit dizzy, bloated stomach, (pregnancy-related symptoms). I am on cycle day 31 and no periods yet. Could it be that I conceived after protected sex since it was my ovulation period or 14th day of the cycle? Can I go ahead and test for pregnancy? Kindly help me. I am currently 33 years old. | Hello, Welcome to Chat Doctor forum. As you said that the sex was protected and that there was no condom misadventure, so chances of pregnancy are minimal and the symptoms are more of premenstrual rather than pregnancy. However, considering that both symptoms overlap, the best way to rule out any pregnancy would be to get a serum beta hCG test done as on date where if the hCG levels are less than 3mIU, then you are surely not pregnant and the symptoms are premenstrual. |
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Hello doctor,My 24 year old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately who did a physical exam, drew some blood and took a urine specimen. He said that the lump was located on the back of the testicle and most likely a benign cyst. We had a follow up today for the results of his blood work. He had a very low testosterone level and extremely low vitamin D and an elevated estrogen level. He was placed on a vitamin D supplement and 1 mg of Anastrozole per week to block the production of estrogen and raise his testosterone. He still maintains that these issues are the cause of the lump but we have had no ultrasound or anything that I would have expected to diagnose a problem. Should we push for a second opinion?
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Hello, Welcome to Chat Doctor forum. Relax and do not worry. Testicular lumps are very common in young people. As your urologist has examined you, there are high chances of it being a benign cyst arising from the epididymis. But, I will suggest an ultrasound scrotum just to be sure and confirm it is a cyst only. So, insist for ultrasound scrotum. Hormonal problem and lump of testicular cyst are two different things and as per me are not related together. If it gets confirmed on USG that it is epididymis cyst, then nothing is to be done until there is pain or increase in size. For more information consult a urologist online | Hello doctor,My 24 year old son discovered a small lump in his testicle about a month ago. He saw a urologist immediately who did a physical exam, drew some blood and took a urine specimen. He said that the lump was located on the back of the testicle and most likely a benign cyst. We had a follow up today for the results of his blood work. He had a very low testosterone level and extremely low vitamin D and an elevated estrogen level. He was placed on a vitamin D supplement and 1 mg of Anastrozole per week to block the production of estrogen and raise his testosterone. He still maintains that these issues are the cause of the lump but we have had no ultrasound or anything that I would have expected to diagnose a problem. Should we push for a second opinion? | Hello, Welcome to Chat Doctor forum. Relax and do not worry. Testicular lumps are very common in young people. As your urologist has examined you, there are high chances of it being a benign cyst arising from the epididymis. But, I will suggest an ultrasound scrotum just to be sure and confirm it is a cyst only. So, insist for ultrasound scrotum. Hormonal problem and lump of testicular cyst are two different things and as per me are not related together. If it gets confirmed on USG that it is epididymis cyst, then nothing is to be done until there is pain or increase in size. For more information consult a urologist online |
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Hello doctor,I had abortion, D and C, two months ago. After that, I got my regular cycle on the next month, and it was normal. Last month starting there was a one-day spotting, which again started on the mid of the month and lasted for four days. And after some days I had periods with a dark brown colored discharge but not of that adequate amount, but it lasted for six days like a regular period.But I had contact last month after which only the next spotting kind of discharge came as I told. I had progesterone from this month for four days to regularize my cycles. But I have not got my cycle till today. It is more than six days now. I usually used to get my period on the 5th day after progesterone. But this time I did not get my period till now. I do not want to be pregnant now. What should I do?
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Hello, Welcome to Chat Doctor forum. If there is a history of sexual intercourse after abortion, then I would suggest you do a blood test and serum beta hCG (human chorionic gonadotropin) after 10 days of intercourse. Also, I would advise you to do one pelvic ultrasound and serum beta hCG to rule out any retained product of conception. If everything is fine, then you can take OCP (oral contraceptive pills) for three cycles to regularize your periods. Please do a pelvic ultrasound and serum beta hCG and send me the report. | Hello doctor,I had abortion, D and C, two months ago. After that, I got my regular cycle on the next month, and it was normal. Last month starting there was a one-day spotting, which again started on the mid of the month and lasted for four days. And after some days I had periods with a dark brown colored discharge but not of that adequate amount, but it lasted for six days like a regular period.But I had contact last month after which only the next spotting kind of discharge came as I told. I had progesterone from this month for four days to regularize my cycles. But I have not got my cycle till today. It is more than six days now. I usually used to get my period on the 5th day after progesterone. But this time I did not get my period till now. I do not want to be pregnant now. What should I do? | Hello, Welcome to Chat Doctor forum. If there is a history of sexual intercourse after abortion, then I would suggest you do a blood test and serum beta hCG (human chorionic gonadotropin) after 10 days of intercourse. Also, I would advise you to do one pelvic ultrasound and serum beta hCG to rule out any retained product of conception. If everything is fine, then you can take OCP (oral contraceptive pills) for three cycles to regularize your periods. Please do a pelvic ultrasound and serum beta hCG and send me the report. |
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Hi doctor,Actually, I feel sometimes pain in my right testicle for last two months. Sometimes also feel burning sensation, weakness, heaviness in the right leg. For past four months, I was under severe stress, anxiety, and depression due to an unprotected sexual exposure .five months back. It caused self-guilt feeling inside me. Had medications for that. Checked also for HIV (duo combo), VDRL and HBsAg. All were negative till 100 days after exposure. Last month I saw blood in my sperm which got treated and the reason was excessive masturbation because after 15 to 20 days, I masturbated but it was all clear. No issue. For my mind satisfaction, I chose for testicular USG, urine culture and PSA test. All were normal. I want to know if all reports are fine and normal then what is the reason of the testicular pain and burning sensation in the leg.
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Hi. Testicular pain can happen due to any cause like a simple infection of virus or bacteria. So you do not have to worry about it. The burning sensation of the leg could be due to some allergy or something. Your problems are in mind and not the body. You are anxious and guilty as you said. Kindly calm your mind with yoga or meditation. Do activities which interests you and get involved in that. If you still have problems then come for follow up after two weeks to us. For more information consult a general practitioner online | Hi doctor,Actually, I feel sometimes pain in my right testicle for last two months. Sometimes also feel burning sensation, weakness, heaviness in the right leg. For past four months, I was under severe stress, anxiety, and depression due to an unprotected sexual exposure .five months back. It caused self-guilt feeling inside me. Had medications for that. Checked also for HIV (duo combo), VDRL and HBsAg. All were negative till 100 days after exposure. Last month I saw blood in my sperm which got treated and the reason was excessive masturbation because after 15 to 20 days, I masturbated but it was all clear. No issue. For my mind satisfaction, I chose for testicular USG, urine culture and PSA test. All were normal. I want to know if all reports are fine and normal then what is the reason of the testicular pain and burning sensation in the leg. | Hi. Testicular pain can happen due to any cause like a simple infection of virus or bacteria. So you do not have to worry about it. The burning sensation of the leg could be due to some allergy or something. Your problems are in mind and not the body. You are anxious and guilty as you said. Kindly calm your mind with yoga or meditation. Do activities which interests you and get involved in that. If you still have problems then come for follow up after two weeks to us. For more information consult a general practitioner online |
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Hi doctor,I am a 47 year old male weighing 90 kg with a height of 5\\9\", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets. Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me.
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Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehy ChatDoctor. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports. | Hi doctor,I am a 47 year old male weighing 90 kg with a height of 5\\9\", suffered with fever as well as cold routinely in the last month. My doctor advised me some blood test as my BP at the time of consultation was 130/110 but I was not having BP problems. The last checkup reveals normal BP 120/80. The antibiotic given to me works and I do not have fever after that. The blood test advised to me by the doctor shows normal reading except creatinine 1.19 and increased uric acid. My uric acid is normally on higher side and I was prescribed Zyloric tablets. Please advise me whether I am having any kidney related problem or not. My BP is normal without medication. What should be my line of treatment ? I have attached my lab reports including KFT, hemogram and urine test. I am worried. Please review the reports and help me. | Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). During any acute infection serum creatinine can rise as a result of infection as well as dehy ChatDoctor. For a better judgment you need to get a repeat serum creatinine as well as uric acid done. This should give us a clear idea. In case if it is still high, you would require to get further investigations. So, get the repeat test done and write back to me with reports. |
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Hi doctor,My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us.
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Hi, Welcome to Chat Doctor forum. I have seen your concern and examined the given pictures (attachment removed to protect patient identity). Anxiety, depression and personality disorder. No specific laboratory blood tests are required to establish a diagnosis of dermatitis artefacta nor are any diagnostic imaging studies indicated. 1. Dermatitis artefacta.2. Factitious disorder.3. Striae distensae. Dermatitis artefacta. 1. General dermatologic care measures include baths and debridement (thorough cleaning).2. I suggest you to apply emollients like Emoderm cream (White soft paraffin and liquid paraffin) twice daily along with topical antimicrobials like Fusidin cream (Fusidic acid) twice daily for five days. Consult her doctor, discuss with him or her and take the treatment with consent.3. Consultation with a psychiatrist is recommended. She needs to be observed closely and she really requires psychological support. Revert back after a month to a dermatologist online.- | Hi doctor,My daughter is 13 years old. She is suffering from strange allergy since two years. It became very bad and affects her psychologically. It started when we changed our location before two years. I have consulted three doctors and all of them said it as strange and did not show response to any medication. I even tried biopsy to find out the disease. Her doctor just advised to avoid potato chips, cream, etc. She become more frustrated and looks sad always. Please help us. | Hi, Welcome to Chat Doctor forum. I have seen your concern and examined the given pictures (attachment removed to protect patient identity). Anxiety, depression and personality disorder. No specific laboratory blood tests are required to establish a diagnosis of dermatitis artefacta nor are any diagnostic imaging studies indicated. 1. Dermatitis artefacta.2. Factitious disorder.3. Striae distensae. Dermatitis artefacta. 1. General dermatologic care measures include baths and debridement (thorough cleaning).2. I suggest you to apply emollients like Emoderm cream (White soft paraffin and liquid paraffin) twice daily along with topical antimicrobials like Fusidin cream (Fusidic acid) twice daily for five days. Consult her doctor, discuss with him or her and take the treatment with consent.3. Consultation with a psychiatrist is recommended. She needs to be observed closely and she really requires psychological support. Revert back after a month to a dermatologist online.- |
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Hello doctor,My 66-year-old mother is suffering from diabetes for the last 30 years. Her gallbladder has been removed. Angioplasty has been done two years back. She had an infection in her scalp and took higher antibiotics for few months. She is now taking Basugine 20 at night, Actrapid 12 in the morning, Rosuvas 10 mg at night, Concor 2.5 mg, Clopitab 75 mg one in afternoon, and Pantocid 40 mg twice daily. Still, she has pain in her abdomen in her belly button area and above it and there is a burning sensation continuously. She has to use Cremaffin to pass stool daily. The stool is semi-fluid. She cannot sit for some time due to weakness and sleeps after her meal. She also takes Enzar Forte after meals in the morning.
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Hello. It seems that your mother has acid reflux and pain due to stress. Stress could be mental or it could be related to removal of the gallbladder as well as taking so many medications. At this point in time, my recommendations would be to start her on capsule Colospa Retard (Mebeverine) twice daily half an hour before meals. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Give it initially for 10 days and then write back to me with results. For more information consult a critical care physician online | Hello doctor,My 66-year-old mother is suffering from diabetes for the last 30 years. Her gallbladder has been removed. Angioplasty has been done two years back. She had an infection in her scalp and took higher antibiotics for few months. She is now taking Basugine 20 at night, Actrapid 12 in the morning, Rosuvas 10 mg at night, Concor 2.5 mg, Clopitab 75 mg one in afternoon, and Pantocid 40 mg twice daily. Still, she has pain in her abdomen in her belly button area and above it and there is a burning sensation continuously. She has to use Cremaffin to pass stool daily. The stool is semi-fluid. She cannot sit for some time due to weakness and sleeps after her meal. She also takes Enzar Forte after meals in the morning. | Hello. It seems that your mother has acid reflux and pain due to stress. Stress could be mental or it could be related to removal of the gallbladder as well as taking so many medications. At this point in time, my recommendations would be to start her on capsule Colospa Retard (Mebeverine) twice daily half an hour before meals. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Give it initially for 10 days and then write back to me with results. For more information consult a critical care physician online |
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Hi doctor,I am 22 years old. I have blood and blood clots flowing in my urine. It happened about two times. After an hour, when I did urination, it was normal. I went to a nearby hospital and checked my blood and urine. It was completely normal. After two days, I went for an advanced scanning. I did an ultrasound scanning for kidneys, bladder, and for the abdominal area. The scanning results were completely normal. After a few days, I had the same problem. I have a habit of masturbation for the past six years. I can see a blood vessel enlarged in my penis and the blood supply is blocked in that region. I have an erection problem now. Please help.
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Hi. Blood in urine usually occurs due to infection or stone. Since your reports are regular, there can be a mild infection, or it can be a small stone which has not caused any pain. I suggest you visit a urologist and get a CT scan of KUB (kidneys, ureter, and urinary bladder) region done. If the results are healthy, and if there is no bleeding, probably there is nothing to be done. If the report shows something, or if there is bleeding again, further tests will be advised by the urologist. Do not worry about the veins over your penile skin, as they are not related to erection. So do not worry about erectile problems. Take plenty of fluids. Please provide your reports for further analysis. | Hi doctor,I am 22 years old. I have blood and blood clots flowing in my urine. It happened about two times. After an hour, when I did urination, it was normal. I went to a nearby hospital and checked my blood and urine. It was completely normal. After two days, I went for an advanced scanning. I did an ultrasound scanning for kidneys, bladder, and for the abdominal area. The scanning results were completely normal. After a few days, I had the same problem. I have a habit of masturbation for the past six years. I can see a blood vessel enlarged in my penis and the blood supply is blocked in that region. I have an erection problem now. Please help. | Hi. Blood in urine usually occurs due to infection or stone. Since your reports are regular, there can be a mild infection, or it can be a small stone which has not caused any pain. I suggest you visit a urologist and get a CT scan of KUB (kidneys, ureter, and urinary bladder) region done. If the results are healthy, and if there is no bleeding, probably there is nothing to be done. If the report shows something, or if there is bleeding again, further tests will be advised by the urologist. Do not worry about the veins over your penile skin, as they are not related to erection. So do not worry about erectile problems. Take plenty of fluids. Please provide your reports for further analysis. |
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Hello doctor,About a year ago, I started with tingling symptoms on the face, which was most consistent but also arms, legs, and torso those are more intermittent on both sides of the body. At time B12 was low started taking it after a couple of months symptoms better. Also, I had regular neuro examination and normal MRI of the head and cervical spine.After a few months, I stopped B12 levels up then a few months after the same symptoms again and B12 low again. Started back on B12 symptoms went away in a couple of months. Last month it started signs yet, but still, on B12 it is very high 1270 so symptoms not due to that. Had another head MRI was normal. My cervical MRI did show moderate to severe changes throughout of narrowing of foraminal in all areas c3 to c7. Also flattening of ventral cord c3 through 6. I am anxious about it being multiple sclerosis.
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Hello, Welcome to Chat Doctor forum. If your neuro exam and MRI brain and cervical spine are mostly normal, I believe that the symptoms may not be an indication of something serious. However, if the tingling persists, please get the following tests done. 1. Serum Vitamin B12 (to know if your supplements have worked). 2. Serum Vitamin D3. 3. Nerve conduction studies to check the conduction in nerves. I suspect all the tests will come out to be normal. | Hello doctor,About a year ago, I started with tingling symptoms on the face, which was most consistent but also arms, legs, and torso those are more intermittent on both sides of the body. At time B12 was low started taking it after a couple of months symptoms better. Also, I had regular neuro examination and normal MRI of the head and cervical spine.After a few months, I stopped B12 levels up then a few months after the same symptoms again and B12 low again. Started back on B12 symptoms went away in a couple of months. Last month it started signs yet, but still, on B12 it is very high 1270 so symptoms not due to that. Had another head MRI was normal. My cervical MRI did show moderate to severe changes throughout of narrowing of foraminal in all areas c3 to c7. Also flattening of ventral cord c3 through 6. I am anxious about it being multiple sclerosis. | Hello, Welcome to Chat Doctor forum. If your neuro exam and MRI brain and cervical spine are mostly normal, I believe that the symptoms may not be an indication of something serious. However, if the tingling persists, please get the following tests done. 1. Serum Vitamin B12 (to know if your supplements have worked). 2. Serum Vitamin D3. 3. Nerve conduction studies to check the conduction in nerves. I suspect all the tests will come out to be normal. |
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Hello doctor,I am going to have the muscles shortened in both eyes and then my eyelids lifted. They say I will be asleep when these muscles are shortened and then they will wake me up so I can talk and move my eyes. Will they put a tube down my throat? I am so scared about having this done as I panic when a lot of people get around me. I was in a serious car several years ago and it took for the medical personnel an hour to get me out.
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Hi, Welcome to ChatDoctor. As far as anesthesia is concerned in your case, the eyelid surgery may be done under general anesthesia which does require securing your airway safely. Prior to securing the airway, you will be given injectable medications to make you fall asleep so that you do not remember and also you are not aware of the procedure when it is being done. So I would suggest you not to worry. As general anesthesia is a safe procedure when given by an experienced anesthetist. Now let me tell you about either of two tubes that may be used for the procedure are laryngeal mask airway (LMA) and endotracheal tube. LMA has advantages over endotracheal tube of less postoperative sore throat and lesser intraoperative rise in blood pressure and heart rate. This insertion and removal of airway tubes are safely done while you are unconscious so you are not aware of the procedure. So please do not worry. General anesthesia is given meticulously nowadays and patient safety is a primary concern. | Hello doctor,I am going to have the muscles shortened in both eyes and then my eyelids lifted. They say I will be asleep when these muscles are shortened and then they will wake me up so I can talk and move my eyes. Will they put a tube down my throat? I am so scared about having this done as I panic when a lot of people get around me. I was in a serious car several years ago and it took for the medical personnel an hour to get me out. | Hi, Welcome to ChatDoctor. As far as anesthesia is concerned in your case, the eyelid surgery may be done under general anesthesia which does require securing your airway safely. Prior to securing the airway, you will be given injectable medications to make you fall asleep so that you do not remember and also you are not aware of the procedure when it is being done. So I would suggest you not to worry. As general anesthesia is a safe procedure when given by an experienced anesthetist. Now let me tell you about either of two tubes that may be used for the procedure are laryngeal mask airway (LMA) and endotracheal tube. LMA has advantages over endotracheal tube of less postoperative sore throat and lesser intraoperative rise in blood pressure and heart rate. This insertion and removal of airway tubes are safely done while you are unconscious so you are not aware of the procedure. So please do not worry. General anesthesia is given meticulously nowadays and patient safety is a primary concern. |
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Hi doctor,I have lower back pain on and off from last two years. Two weeks before I got severe pain in my right leg. I was unable to move my leg. Physiotherapist suggested taking bed rest for four days. My trauma and orthopedic doctor asked me to do surgery if I was unable to tolerate pain. After four days, the pain in the leg and lower back pain were gone and I got mild numbness below my knee (back side of my right leg) and thumb finger of my toe. Physiotherapist asked me to do some exercise regularly and it will be cured automatically. Please advice. Do I need to consult a neurologist for numbness?
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Hello, Welcome to Chat Doctor forum. Basically, it is a nerve pain due to compression at your lumbar spine. Usually, 90 to 95 % of patients respond to conservative management. Only 5 % of patients require surgery. The ailment basically you have has waxing and waning course. A few days back you had pain and now no pain. The treatment of this has two parts. First is the treatment of your current pain or numbness and the second part is to prevent pain to appear again. Kindly answer these questions for me to decide the management. How much is your back pain now? How much distance you are able to walk comfortably? Is there any problem in urination like increased frequency or straining while urination? Are you able to walk on your toes and heels? Is there any numbness in the perineal region? | Hi doctor,I have lower back pain on and off from last two years. Two weeks before I got severe pain in my right leg. I was unable to move my leg. Physiotherapist suggested taking bed rest for four days. My trauma and orthopedic doctor asked me to do surgery if I was unable to tolerate pain. After four days, the pain in the leg and lower back pain were gone and I got mild numbness below my knee (back side of my right leg) and thumb finger of my toe. Physiotherapist asked me to do some exercise regularly and it will be cured automatically. Please advice. Do I need to consult a neurologist for numbness? | Hello, Welcome to Chat Doctor forum. Basically, it is a nerve pain due to compression at your lumbar spine. Usually, 90 to 95 % of patients respond to conservative management. Only 5 % of patients require surgery. The ailment basically you have has waxing and waning course. A few days back you had pain and now no pain. The treatment of this has two parts. First is the treatment of your current pain or numbness and the second part is to prevent pain to appear again. Kindly answer these questions for me to decide the management. How much is your back pain now? How much distance you are able to walk comfortably? Is there any problem in urination like increased frequency or straining while urination? Are you able to walk on your toes and heels? Is there any numbness in the perineal region? |
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Hi doctor,I am 41 years old. I had two full term normal delivery. I do not have any menstrual problem. My cycle is regular for 28 days with three to four days of bleeding. My last menstrual period was on the 5th of this month. I have been having lower back pain and groin pain for the last 10 days. I feel more pain while sitting and severe on and off spasm in the inguinal region. My TVU showed three small fibroids, two subserosal (2.8 x 2.2 cm and 1.3 x 1.2 cm) and one submucosal (1.5 x 1.2 cm). I have been treated for UTI, but there is no relief. My mom is 66 years old and recently got treatment for early breast cancer. I need some advice on my issue. Please explain whether the cause of the pain is fibroids or not. I need some advice if fibroids could be the cause.
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Hi. The fibroids can cause lower back pain and groin pain, especially around the time of period. However, if you do not have menstrual problems due to it, then no need for treatment. Usually, mild painkiller can be used for the pain at present along with simple home remedies. If the pain persists, then it would be good to get evaluated for other causes of back pain, because symptomatic fibroids would cause menstrual issues as well. | Hi doctor,I am 41 years old. I had two full term normal delivery. I do not have any menstrual problem. My cycle is regular for 28 days with three to four days of bleeding. My last menstrual period was on the 5th of this month. I have been having lower back pain and groin pain for the last 10 days. I feel more pain while sitting and severe on and off spasm in the inguinal region. My TVU showed three small fibroids, two subserosal (2.8 x 2.2 cm and 1.3 x 1.2 cm) and one submucosal (1.5 x 1.2 cm). I have been treated for UTI, but there is no relief. My mom is 66 years old and recently got treatment for early breast cancer. I need some advice on my issue. Please explain whether the cause of the pain is fibroids or not. I need some advice if fibroids could be the cause. | Hi. The fibroids can cause lower back pain and groin pain, especially around the time of period. However, if you do not have menstrual problems due to it, then no need for treatment. Usually, mild painkiller can be used for the pain at present along with simple home remedies. If the pain persists, then it would be good to get evaluated for other causes of back pain, because symptomatic fibroids would cause menstrual issues as well. |
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Hello doctor,My 12 year daughter has been suffering from seizures since birth. The cause of the seizure was not known, that is, idiopathic. She is now taking Valparin 500 Chrono and Levipil 750 both two times daily. Last seizure occurred four years ago. Developments are slow although attained puberty last year at the age of 11 years. Academic achievements are fairly poor seemed to be dysgraphic. Can I expect any improvement in the future?
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Hello. I understand your concern and would explain that as your daughter has been suffering from seizures since birth, it is very likely that her brain has been damaged during birth (from hypoxia) or she has any specific genetic syn ChatDoctor. Both these conditions, indicate that her brain is not like other girls of her age. On the other hand repeated seizures, lead to important neuronal (brain cell) damage to her brain. For this reason, we cannot expect her to have the same development as others. But, as she is still young, there is still hope for improvement in the future. You should just try to be more patient. The most important thing is that her seizures seem to be under control with her current therapy. Regarding her current therapy, you should know that Valparin can lead to ovarian cysts and menstrual cycle irregularities. For this reason, I would recommend performing periodically an abdominal ultrasound to check her ovaries. Hope you will find this answer helpful. For more information consult a neurologist online | Hello doctor,My 12 year daughter has been suffering from seizures since birth. The cause of the seizure was not known, that is, idiopathic. She is now taking Valparin 500 Chrono and Levipil 750 both two times daily. Last seizure occurred four years ago. Developments are slow although attained puberty last year at the age of 11 years. Academic achievements are fairly poor seemed to be dysgraphic. Can I expect any improvement in the future? | Hello. I understand your concern and would explain that as your daughter has been suffering from seizures since birth, it is very likely that her brain has been damaged during birth (from hypoxia) or she has any specific genetic syn ChatDoctor. Both these conditions, indicate that her brain is not like other girls of her age. On the other hand repeated seizures, lead to important neuronal (brain cell) damage to her brain. For this reason, we cannot expect her to have the same development as others. But, as she is still young, there is still hope for improvement in the future. You should just try to be more patient. The most important thing is that her seizures seem to be under control with her current therapy. Regarding her current therapy, you should know that Valparin can lead to ovarian cysts and menstrual cycle irregularities. For this reason, I would recommend performing periodically an abdominal ultrasound to check her ovaries. Hope you will find this answer helpful. For more information consult a neurologist online |
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Hello doctor,My son (aged 8 months, weighing 8.5 kg) is suffering from fever frequently once in 10 days for last two months. We have got urine (culture and routine) and blood tests (CBC, CRP, IgE total) done for my son. The urine report is normal. However, as per the blood report, there is some infection in the blood and Hb is low (attached reports). So, the doctor prescribed some medicines (Lacktrum powder) and we started giving the medicine from last week. We have been also giving Vita Nova D3 and Bevon since his birth. Today also he got a fever. Why is the fever still continuing despite being on medication? Is the medication enough for him? Any other tests required? Please provide your opinion on this. Also, he is falling down frequently while trying to stand or sit. Will it be an issue?
### Response:
Hello, Welcome to Chat Doctor forum. As per the blood investigations, you have shared (attachment removed to protect patient identity), it suggests that there is some bacterial infection in the blood. I suggest you start a course of antibiotics for your child at least for five days, preferably Amoxyclav (Amoxicillin and Clavulanic Acid) or Taxim (Cefixime) depending on your paediatrician\\s recommendation. Rest is fine in the report. You need not worry. It is common in this age group. For more information consult a paediatrician online | Hello doctor,My son (aged 8 months, weighing 8.5 kg) is suffering from fever frequently once in 10 days for last two months. We have got urine (culture and routine) and blood tests (CBC, CRP, IgE total) done for my son. The urine report is normal. However, as per the blood report, there is some infection in the blood and Hb is low (attached reports). So, the doctor prescribed some medicines (Lacktrum powder) and we started giving the medicine from last week. We have been also giving Vita Nova D3 and Bevon since his birth. Today also he got a fever. Why is the fever still continuing despite being on medication? Is the medication enough for him? Any other tests required? Please provide your opinion on this. Also, he is falling down frequently while trying to stand or sit. Will it be an issue? | Hello, Welcome to Chat Doctor forum. As per the blood investigations, you have shared (attachment removed to protect patient identity), it suggests that there is some bacterial infection in the blood. I suggest you start a course of antibiotics for your child at least for five days, preferably Amoxyclav (Amoxicillin and Clavulanic Acid) or Taxim (Cefixime) depending on your paediatrician\\s recommendation. Rest is fine in the report. You need not worry. It is common in this age group. For more information consult a paediatrician online |
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Hello doctor,My baby\\s birth vaccine has been delayed by one week due to health issues (my baby was born on 15th but the birth vaccine was given on 22nd). So, the next vaccine which was supposed to be given in six weeks has been given on 7th of this month (after two months) but if I see according to his birth it should be near 1st or 2nd and the next vaccine which is in 10 weeks comes on 7th or 8th of next month but according to his birth the 10 weeks completes by 1st of next month. So my question is are the vaccination being given as per the day of birth or as per the time from when the birth vaccine was received? Please solve my problem and tell me whether my baby is on the right track of recieving vaccination.
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Hi. I understand your concern. Vaccines are given as the birth age for a full-term normal weight baby. If the baby was premature and hospitalized, then it can be delayed. If it is delayed then one month gap is usually kept between two vaccines for better vaccine uptake. You are right, your baby\\s next dose schedule is around 1 or 2 of this month. There must be a reason for the delay, as I mentioned earlier. In the long run, it usually does not make a lot of difference. Make sure all the necessary vaccines are received. Take care. | Hello doctor,My baby\\s birth vaccine has been delayed by one week due to health issues (my baby was born on 15th but the birth vaccine was given on 22nd). So, the next vaccine which was supposed to be given in six weeks has been given on 7th of this month (after two months) but if I see according to his birth it should be near 1st or 2nd and the next vaccine which is in 10 weeks comes on 7th or 8th of next month but according to his birth the 10 weeks completes by 1st of next month. So my question is are the vaccination being given as per the day of birth or as per the time from when the birth vaccine was received? Please solve my problem and tell me whether my baby is on the right track of recieving vaccination. | Hi. I understand your concern. Vaccines are given as the birth age for a full-term normal weight baby. If the baby was premature and hospitalized, then it can be delayed. If it is delayed then one month gap is usually kept between two vaccines for better vaccine uptake. You are right, your baby\\s next dose schedule is around 1 or 2 of this month. There must be a reason for the delay, as I mentioned earlier. In the long run, it usually does not make a lot of difference. Make sure all the necessary vaccines are received. Take care. |
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Hi doctor,I have had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally 2 weeks course and Acyclovir 2 weeks course to treat it. The actual sore improved, the blister stopped weeping, the scab formed and flaked off within 3 weeks but the redness is still lingering. I rung the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago. I also had a new flare up three days ago. Also on the top of my lip symmetrical on both sides. It looks different to a cold sore in that it was some redness and skin flaking. Home remedies I have tried so far
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Hello. As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hy ChatDoctor. Apply Dologel only. It contains Cholinesalicylate along with certain other ingredients that help to heal. No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for 2 more weeks atleast till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing. Take care. | Hi doctor,I have had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally 2 weeks course and Acyclovir 2 weeks course to treat it. The actual sore improved, the blister stopped weeping, the scab formed and flaked off within 3 weeks but the redness is still lingering. I rung the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago. I also had a new flare up three days ago. Also on the top of my lip symmetrical on both sides. It looks different to a cold sore in that it was some redness and skin flaking. Home remedies I have tried so far | Hello. As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hy ChatDoctor. Apply Dologel only. It contains Cholinesalicylate along with certain other ingredients that help to heal. No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for 2 more weeks atleast till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing. Take care. |
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Hello doctor,I am a 32-year-old male with a height of 170 cm and weight 50 kg. I had sudden deafness of left ear last year. No infection, no injury, no other disease. Treatment started with Mecobalamin, Dexamethasone sodium phosphate, and some other medication through IV. Also treated with mouse nerve growth factor and hyperbaric oxygen therapy. Oral Mecobalamin and B complex for a month. Now there is still some low-frequency hearing loss of the left ear and mild tinnitus. I am seeking for more treatment options and advice which may improve the hearing function.
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Hello, Welcome to Chat Doctor forum. As per reported by you, there is an improvement in the left ear however, in spite of all the treatments done, sometimes the loss is not entirely reversible. Thus there are high chances of the damage in the left ear to be the same, which is mild at low frequency. The main rates responsible for speech perception are that of 500, 1k and 2 k which are mild. However, your right ear will compensate so there would not be much problem in communication. Regarding tinnitus, you can consult an audiologist for TRT, which is called tinnitus retraining therapy from where you might get some results for tinnitus. If you want, you can ask an otolaryngologist for low-frequency hearing loss for further treatment. If your tinnitus is reduced, you will hear much better. | Hello doctor,I am a 32-year-old male with a height of 170 cm and weight 50 kg. I had sudden deafness of left ear last year. No infection, no injury, no other disease. Treatment started with Mecobalamin, Dexamethasone sodium phosphate, and some other medication through IV. Also treated with mouse nerve growth factor and hyperbaric oxygen therapy. Oral Mecobalamin and B complex for a month. Now there is still some low-frequency hearing loss of the left ear and mild tinnitus. I am seeking for more treatment options and advice which may improve the hearing function. | Hello, Welcome to Chat Doctor forum. As per reported by you, there is an improvement in the left ear however, in spite of all the treatments done, sometimes the loss is not entirely reversible. Thus there are high chances of the damage in the left ear to be the same, which is mild at low frequency. The main rates responsible for speech perception are that of 500, 1k and 2 k which are mild. However, your right ear will compensate so there would not be much problem in communication. Regarding tinnitus, you can consult an audiologist for TRT, which is called tinnitus retraining therapy from where you might get some results for tinnitus. If you want, you can ask an otolaryngologist for low-frequency hearing loss for further treatment. If your tinnitus is reduced, you will hear much better. |
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Hello doctor,I am 12 weeks one day pregnant. I went in for my NT scan today and they said it has possible gastroschisis and I am honestly just so worried. I have a checkup in the next two weeks but I am just curious to know if it could be normal that the intestines still are not inside the fetus? Is it too early to diagnose? I am so stressed and worried.
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Hi, Welcome to Chat Doctor forum. Normally intestine is outside body of the fetus from 6 to 10 weeks of gestation is known as an intestinal hernia. Around 11 weeks it should be inside the body of the fetus. If you have been irregular periods there could be a discrepancy of dates between the scan and your menstrual periods then you need rescan to check things again. Gastroschisis and omphalocele two defects if a similar place of a fetal body with some difference. Better to have nuchal translucency check now as it should be done around 13 weeks via scan in fetus having a risk of congenital defects. You might need double marker test to check for any syn ChatDoctor. So better to have serum beta hCG and serum PAPPA (pappalysin-1) checked. Have nuchal translucency and double marker test now and discuss here or local gynecologist and then repeat scan as per schedule after two weeks. For more information consult an obstetrician and gynaecologist online | Hello doctor,I am 12 weeks one day pregnant. I went in for my NT scan today and they said it has possible gastroschisis and I am honestly just so worried. I have a checkup in the next two weeks but I am just curious to know if it could be normal that the intestines still are not inside the fetus? Is it too early to diagnose? I am so stressed and worried. | Hi, Welcome to Chat Doctor forum. Normally intestine is outside body of the fetus from 6 to 10 weeks of gestation is known as an intestinal hernia. Around 11 weeks it should be inside the body of the fetus. If you have been irregular periods there could be a discrepancy of dates between the scan and your menstrual periods then you need rescan to check things again. Gastroschisis and omphalocele two defects if a similar place of a fetal body with some difference. Better to have nuchal translucency check now as it should be done around 13 weeks via scan in fetus having a risk of congenital defects. You might need double marker test to check for any syn ChatDoctor. So better to have serum beta hCG and serum PAPPA (pappalysin-1) checked. Have nuchal translucency and double marker test now and discuss here or local gynecologist and then repeat scan as per schedule after two weeks. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,My wife just started on Pradaxa (blood thinner) a week back. She has an antiphospholipid antibody, but she has not had any clot before. We started seeing a couple of small bruises today in her hand without any injury. I want to know if we need to stop it. We consulted a doctor in the next couple of days but needed a second opinion on it. What would be the effect if we stop taking Pradaxa? What is the other alternative? Does she need to be on the blood thinner, even though she has not developed any clot yet? She was allergic to aspirin, so she could not take that.Lab test report says that her antiphospholipid antibodies were high and as per the hematologist, she is at high risk for a clot.
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Hello, Welcome to ChatDoctor. How was she diagnosed with APS (antiphospholipid antibody syn ChatDoctor. Now coming to your question, Pradaxa (Dabigatran), as you know, is a blood thinner, and it will predispose her to have bruises, which are mostly harmless. What you need to look for is a huge hematoma (collection of blood beneath the skin), blood in stools, and urine. If you have discussed with your doctor to continue the Pradaxa for prophylaxis of DVT (deep vein thrombosis) and PE (pulmonary embolism), then do not discontinue it, although, as I mentioned earlier it is controversial. Take care. | Hello doctor,My wife just started on Pradaxa (blood thinner) a week back. She has an antiphospholipid antibody, but she has not had any clot before. We started seeing a couple of small bruises today in her hand without any injury. I want to know if we need to stop it. We consulted a doctor in the next couple of days but needed a second opinion on it. What would be the effect if we stop taking Pradaxa? What is the other alternative? Does she need to be on the blood thinner, even though she has not developed any clot yet? She was allergic to aspirin, so she could not take that.Lab test report says that her antiphospholipid antibodies were high and as per the hematologist, she is at high risk for a clot. | Hello, Welcome to ChatDoctor. How was she diagnosed with APS (antiphospholipid antibody syn ChatDoctor. Now coming to your question, Pradaxa (Dabigatran), as you know, is a blood thinner, and it will predispose her to have bruises, which are mostly harmless. What you need to look for is a huge hematoma (collection of blood beneath the skin), blood in stools, and urine. If you have discussed with your doctor to continue the Pradaxa for prophylaxis of DVT (deep vein thrombosis) and PE (pulmonary embolism), then do not discontinue it, although, as I mentioned earlier it is controversial. Take care. |
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Hello doctor,My 10-month-old baby is cutting her top tooth and there are orange and red lumps above where the tooth has started to come. What are these lumps? I have attached few pictures for your reference.
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Hello. I have seen the photos (attachment removed to protect patient identity). As your child is 10 months old, the upper teeth should have been erupted by this time. But three to six months delay is normal and it looks like your child is putting teether in his mouth and bitting it hard which is normal during teething. If the lower teeth are there, they also exert pressure if the child bites strongly on upper gums which also leads to this condition. Just check if there are no other lesions like this in the baby\\s mouth. If the child is irritable, you can use an over-the-counter analgesic gel, like Dologel (Choline Salicylate and Lidocaine Topical) over the lesion only and keep the area clean. Take lukewarm water and wipe the area with wet cotton and you can give the child a chilled teether to give relief. If there is associated fever that is also normal up to 100 degrees Fahrenheit. If the lesion does not resolve in three to four, visit a pediatric dentist to get a treatment. But, from the picture, it looks like it is only a teething trouble and this will resolve on its own. For more information consult a dentist online Take care. | Hello doctor,My 10-month-old baby is cutting her top tooth and there are orange and red lumps above where the tooth has started to come. What are these lumps? I have attached few pictures for your reference. | Hello. I have seen the photos (attachment removed to protect patient identity). As your child is 10 months old, the upper teeth should have been erupted by this time. But three to six months delay is normal and it looks like your child is putting teether in his mouth and bitting it hard which is normal during teething. If the lower teeth are there, they also exert pressure if the child bites strongly on upper gums which also leads to this condition. Just check if there are no other lesions like this in the baby\\s mouth. If the child is irritable, you can use an over-the-counter analgesic gel, like Dologel (Choline Salicylate and Lidocaine Topical) over the lesion only and keep the area clean. Take lukewarm water and wipe the area with wet cotton and you can give the child a chilled teether to give relief. If there is associated fever that is also normal up to 100 degrees Fahrenheit. If the lesion does not resolve in three to four, visit a pediatric dentist to get a treatment. But, from the picture, it looks like it is only a teething trouble and this will resolve on its own. For more information consult a dentist online Take care. |
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Hello doctor,I have been suffering from anal blood discharge for the past four months. But I did not take it seriously as I had been traveling. Today I consulted a surgeon and after checking he advised to go for surgery as he discovered fistula. Can you recommend me the Ayurvedic procedure of cure as I do not want to go with surgery and I have read on your website that with surgery there is a chance of recurrence? How longer does it take for the cure? What would be the process of therapy?
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Hello, Welcome to Chat Doctor forum. I just read your query. As you do not want to undergo a surgery, in Ayurveda, Kshar sutra procedure is performed for fistula in the anus. It is a procedure where a medicated thread is bound at your fistula site and after some days your treating physician will change it. Ultimately this thread will cut down the fistula tract as well as will also help in its healing. Along with this, your doctor may also prescribe you some medicines and you have to take treatment for avoiding constipation also. According to the condition of your fistula, he will let you know that for how long you have to bind this thread. Usually two to four weeks is the time period but time may vary according to patient to patient. It is a cost-effective treatment with minimal side effects and minimal chances of reoccurrence. You can know more about it from a nearby Ayurvedic hospital or Ayurvedic physician who perform this procedure. For more information consult an ayurveda specialist online | Hello doctor,I have been suffering from anal blood discharge for the past four months. But I did not take it seriously as I had been traveling. Today I consulted a surgeon and after checking he advised to go for surgery as he discovered fistula. Can you recommend me the Ayurvedic procedure of cure as I do not want to go with surgery and I have read on your website that with surgery there is a chance of recurrence? How longer does it take for the cure? What would be the process of therapy? | Hello, Welcome to Chat Doctor forum. I just read your query. As you do not want to undergo a surgery, in Ayurveda, Kshar sutra procedure is performed for fistula in the anus. It is a procedure where a medicated thread is bound at your fistula site and after some days your treating physician will change it. Ultimately this thread will cut down the fistula tract as well as will also help in its healing. Along with this, your doctor may also prescribe you some medicines and you have to take treatment for avoiding constipation also. According to the condition of your fistula, he will let you know that for how long you have to bind this thread. Usually two to four weeks is the time period but time may vary according to patient to patient. It is a cost-effective treatment with minimal side effects and minimal chances of reoccurrence. You can know more about it from a nearby Ayurvedic hospital or Ayurvedic physician who perform this procedure. For more information consult an ayurveda specialist online |
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Hi doctor,I am 22 years old. My problem is that I have been suffering from depression and anxiety for the past one year. Without knowing it, I consulted a cardiologist for chest pain and anxiety. They prescribed me Pexep-CR 25, Lonazep 0.25 and Betacap. I took those medicines regularly for 1.5 years and I felt good. When I stopped the medicines, I felt chest pain and anxiety. Again, I am feeling depressed and I think that I will die because of heart attack. Again, I consulted the cardiologist and started taking the medicines regularly. After 3 hours of medicine, I feel a burning sensation, sleepy and body pain. I had a habit of masturbation before depression and I used to masturbate regularly to get rid of nightfall. Is it safe to take Bupropion?
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Hi. It seems that you had a relapse of anxiety symptoms after the first time you stopped your medications. Relapses are more severe. They need a higher dose and a much longer duration for recovery. Hence, in your case, you need to either increase the dose or you can add or replace the current treatment with a longer acting ChatDoctor. Keeping in view your sexual habits, it is preferable for you to start with Desvenlafaxine 50 mg, which will help in reducing anxiety symptoms and will not affect your sexual functioning as well. Bupropion is a good | Hi doctor,I am 22 years old. My problem is that I have been suffering from depression and anxiety for the past one year. Without knowing it, I consulted a cardiologist for chest pain and anxiety. They prescribed me Pexep-CR 25, Lonazep 0.25 and Betacap. I took those medicines regularly for 1.5 years and I felt good. When I stopped the medicines, I felt chest pain and anxiety. Again, I am feeling depressed and I think that I will die because of heart attack. Again, I consulted the cardiologist and started taking the medicines regularly. After 3 hours of medicine, I feel a burning sensation, sleepy and body pain. I had a habit of masturbation before depression and I used to masturbate regularly to get rid of nightfall. Is it safe to take Bupropion? | Hi. It seems that you had a relapse of anxiety symptoms after the first time you stopped your medications. Relapses are more severe. They need a higher dose and a much longer duration for recovery. Hence, in your case, you need to either increase the dose or you can add or replace the current treatment with a longer acting ChatDoctor. Keeping in view your sexual habits, it is preferable for you to start with Desvenlafaxine 50 mg, which will help in reducing anxiety symptoms and will not affect your sexual functioning as well. Bupropion is a good |
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Hi doctor,I just got all four of my wisdom teeth removed two days before and I have a bad taste in my mouth that tastes like sour dough but more like metallic. There is not really any pain there, my jaw is just sore from being held open for about an hour but the taste has been happening for about a day and a half. I am worried that it may be an infection even though I have been carefully brushing my teeth twice a day and using a lukewarm saltwater solution.Is there really anything for me to worry about when it comes to that and is there a way to get this horrid taste out of my mouth so I can stop losing my appetite? I am also on contraceptives so that is why I am a little worried that it may be a dry socket but I do not have the excruciating pain which is what confuses me.
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Hello. It is very strange that you have all your wisdom teeth removed at the age of 14. These teeth normally start to erupt or come through at the age of 18 years or later when they start to cause trouble and we think of getting them out. Anyway, if you had all the four removed or even one of them and had the wound closed with stitches, check in the mirror and see if the stitches are still there, in which case you are unlikely to be having a ChatDoctor. If you, however, find the socket or the hole that was holding your tooth open, it is more likely a | Hi doctor,I just got all four of my wisdom teeth removed two days before and I have a bad taste in my mouth that tastes like sour dough but more like metallic. There is not really any pain there, my jaw is just sore from being held open for about an hour but the taste has been happening for about a day and a half. I am worried that it may be an infection even though I have been carefully brushing my teeth twice a day and using a lukewarm saltwater solution.Is there really anything for me to worry about when it comes to that and is there a way to get this horrid taste out of my mouth so I can stop losing my appetite? I am also on contraceptives so that is why I am a little worried that it may be a dry socket but I do not have the excruciating pain which is what confuses me. | Hello. It is very strange that you have all your wisdom teeth removed at the age of 14. These teeth normally start to erupt or come through at the age of 18 years or later when they start to cause trouble and we think of getting them out. Anyway, if you had all the four removed or even one of them and had the wound closed with stitches, check in the mirror and see if the stitches are still there, in which case you are unlikely to be having a ChatDoctor. If you, however, find the socket or the hole that was holding your tooth open, it is more likely a |
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Hi doctor,A few months ago, I have been having left side pain from my shoulder blade down to my arm till the tip of the last finger. I have had ECGs, blood work, chest x-rays and finally a CT angiogram. All were normal. I am tempted to go to the ER every time this happens, because I think this might actually be a heart attack. I am so frustrated. I have been feeling normal and I am back to my regular daily workouts, which are fine. But, my back always feels very tight after my workout and it takes me a while to catch my breath. From today morning, I have been feeling dizzy at times and my left pinky and back feel tight again the way they had in the past. I feel like I am breathing harder than usual. I have had tests done both in the ER and by a very good cardiologist, including a CT angiogram, ECG and blood work. I have had panic attacks and I fear that this is a real heart issue. Should I go to the ER? I am very concerned that my workout seems to make my upper back feel worse. Is this a sign of heart disease?
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Hi. I appreciate you and have thoroughly worked through your case. I can well realize the sensitivity of the issues you are feeling right now. My discussion today will mostly comprise of reassurance and explaining the things in the best possible way for easy understanding. Revert back with the reports to a cardiologist online | Hi doctor,A few months ago, I have been having left side pain from my shoulder blade down to my arm till the tip of the last finger. I have had ECGs, blood work, chest x-rays and finally a CT angiogram. All were normal. I am tempted to go to the ER every time this happens, because I think this might actually be a heart attack. I am so frustrated. I have been feeling normal and I am back to my regular daily workouts, which are fine. But, my back always feels very tight after my workout and it takes me a while to catch my breath. From today morning, I have been feeling dizzy at times and my left pinky and back feel tight again the way they had in the past. I feel like I am breathing harder than usual. I have had tests done both in the ER and by a very good cardiologist, including a CT angiogram, ECG and blood work. I have had panic attacks and I fear that this is a real heart issue. Should I go to the ER? I am very concerned that my workout seems to make my upper back feel worse. Is this a sign of heart disease? | Hi. I appreciate you and have thoroughly worked through your case. I can well realize the sensitivity of the issues you are feeling right now. My discussion today will mostly comprise of reassurance and explaining the things in the best possible way for easy understanding. Revert back with the reports to a cardiologist online |
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Hi doctor,I am 16 years old and not good. I have a smile issue. I think it started before 5 years if I am not wrong. I feel like I cannot put a smile for more than 3 to 4 seconds ,and sometimes I think it trembles. My smile is very uncomfortable and weird. This whole thing has caused me social anxiety. I want to do so many things that I cannot do. All these years, I thought that this is a psychological problem. But I started thinking that there is any facial issue or nerve damage. I thought to get in touch with a neurologist. Because, when I smile, I feel like my facial muscles cannot handle it and start twitching too. Also if I try to close a little bit my eye starts twitching, and same for my nose. I would be so glad if there is some physical problem and can be fixed. My life has been ruined all these years because of this. Please help me.
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Hi. Smile is a complex process executed by a group of muscles and nerves. If you are having difficulty while smiling, then it could be because of psychological or organic cause. Psychological cause includes anxiety disorders, and organic cause includes nerve damage. I would advise you to visit a local neurologist for nerve conduction studies. There are lots of options to correct the smile. For psychogenic causes, you can meet a psychiatrist for counseling and medical treatment to deal your anxiety. Take care. | Hi doctor,I am 16 years old and not good. I have a smile issue. I think it started before 5 years if I am not wrong. I feel like I cannot put a smile for more than 3 to 4 seconds ,and sometimes I think it trembles. My smile is very uncomfortable and weird. This whole thing has caused me social anxiety. I want to do so many things that I cannot do. All these years, I thought that this is a psychological problem. But I started thinking that there is any facial issue or nerve damage. I thought to get in touch with a neurologist. Because, when I smile, I feel like my facial muscles cannot handle it and start twitching too. Also if I try to close a little bit my eye starts twitching, and same for my nose. I would be so glad if there is some physical problem and can be fixed. My life has been ruined all these years because of this. Please help me. | Hi. Smile is a complex process executed by a group of muscles and nerves. If you are having difficulty while smiling, then it could be because of psychological or organic cause. Psychological cause includes anxiety disorders, and organic cause includes nerve damage. I would advise you to visit a local neurologist for nerve conduction studies. There are lots of options to correct the smile. For psychogenic causes, you can meet a psychiatrist for counseling and medical treatment to deal your anxiety. Take care. |
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Hello doctor,I feel listless and tired when I return home in the evening. So much that I cannot exercise on the treadmill. I was on antipsychotics for 30 years which surely caused muscle stiffness and tardive dyskinesia. That could be one reason for the tiredness. Treatment for the above side-effects is now available and I will be starting it next week. Otherwise, it could be fatigue or something which I am asking you to pinpoint. Can you tell me what you suspect to be the cause? And what protocol we follow to resolve it?
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Hello, Welcome to Chat Doctor forum. The causes of fatigue are many including long-term antipsychotic medicines. Other causes include anemia due to iron and B12 deficiency, thyroid diseases, cardiac failure, diabetes, sleep disorders, and medications to name a few. You have not mentioned about your current medications as well as daily activities, your food habits, eating and sleeping habits exercise pattern. There is no mention about your stress level at work and at home. I would like to know the results of all tests done recently as well as the medication list you are currently taking. Do you do meditation, yoga, etc., to reduce stress? Nothing is also mentioned about your family history also. So, please provide all the details and I would suggest how to fix your tiredness. Please revert to me with the details I have asked for. Hope this was useful. For more information consult an integrative medicine specialist online | Hello doctor,I feel listless and tired when I return home in the evening. So much that I cannot exercise on the treadmill. I was on antipsychotics for 30 years which surely caused muscle stiffness and tardive dyskinesia. That could be one reason for the tiredness. Treatment for the above side-effects is now available and I will be starting it next week. Otherwise, it could be fatigue or something which I am asking you to pinpoint. Can you tell me what you suspect to be the cause? And what protocol we follow to resolve it? | Hello, Welcome to Chat Doctor forum. The causes of fatigue are many including long-term antipsychotic medicines. Other causes include anemia due to iron and B12 deficiency, thyroid diseases, cardiac failure, diabetes, sleep disorders, and medications to name a few. You have not mentioned about your current medications as well as daily activities, your food habits, eating and sleeping habits exercise pattern. There is no mention about your stress level at work and at home. I would like to know the results of all tests done recently as well as the medication list you are currently taking. Do you do meditation, yoga, etc., to reduce stress? Nothing is also mentioned about your family history also. So, please provide all the details and I would suggest how to fix your tiredness. Please revert to me with the details I have asked for. Hope this was useful. For more information consult an integrative medicine specialist online |
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Hello doctor,I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribed Ativan (0.5 mg) for sleep, and it sometimes helps, but not always. Even if I take a bit more (I have taken up to .75 total), it does not always help me sleep. My psychiatrist prescribed Trazodone (she suggested I start at 25 mg and if I feel no effect, to take another 25 mg/ go up to 50 mg in one night (but I am concerned about serotonin syndrome from taking another medication that messes with Serotonin). Can you advise if I should be concerned about serotonin syndrome if I take the 25 (or 50) mg of Trazodone? Additionally, should I be concerned about anything else in terms of taking these three medications together?
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Hello. Serotonin syn ChatDoctor. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my knowledge, in fact, these two Take care. | Hello doctor,I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribed Ativan (0.5 mg) for sleep, and it sometimes helps, but not always. Even if I take a bit more (I have taken up to .75 total), it does not always help me sleep. My psychiatrist prescribed Trazodone (she suggested I start at 25 mg and if I feel no effect, to take another 25 mg/ go up to 50 mg in one night (but I am concerned about serotonin syndrome from taking another medication that messes with Serotonin). Can you advise if I should be concerned about serotonin syndrome if I take the 25 (or 50) mg of Trazodone? Additionally, should I be concerned about anything else in terms of taking these three medications together? | Hello. Serotonin syn ChatDoctor. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my knowledge, in fact, these two Take care. |
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Hello doctor,My partner is schizophrenic. She is not medicated because she does not have health insurance. For the past five days, she has been talking to herself thinking she is having a conversation with others. For the last two days, she has been having episodes thinking that the imaginary people are putting snakes inside of her. I have taken her to emergency room 11 times but she leaves shortly after arriving because she is being told by the voices that she is not at a real hospital. I am worried that she might hurt herself not purposely but by accident since she truly believes the voices are putting snakes inside of her. I do not know what to do please let me know what to do?
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Hello, Welcome to Chat Doctor forum. Yes, those are symptoms of schizophrenia. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased and medicines will help reduce the level and get it back to normal and restore the balance. Medicines like anti-psychotics are usually prescribed by psychiatrists. Please take her to a psychiatrist and get started on medicines. Most such patients, do not comply with medicines, so in that case, there are other options that you can discuss with your psychiatrist. Some medicines can be given in food or water or any beverage which are tasteless, colorless and odorless. Once her acute symptoms are reduced she should comply with medicines. Also, there are Depot injections that can be given once a month or two months. | Hello doctor,My partner is schizophrenic. She is not medicated because she does not have health insurance. For the past five days, she has been talking to herself thinking she is having a conversation with others. For the last two days, she has been having episodes thinking that the imaginary people are putting snakes inside of her. I have taken her to emergency room 11 times but she leaves shortly after arriving because she is being told by the voices that she is not at a real hospital. I am worried that she might hurt herself not purposely but by accident since she truly believes the voices are putting snakes inside of her. I do not know what to do please let me know what to do? | Hello, Welcome to Chat Doctor forum. Yes, those are symptoms of schizophrenia. It happens due to a chemical imbalance of certain neurotransmitters in the brain. Levels of dopamine are usually increased and medicines will help reduce the level and get it back to normal and restore the balance. Medicines like anti-psychotics are usually prescribed by psychiatrists. Please take her to a psychiatrist and get started on medicines. Most such patients, do not comply with medicines, so in that case, there are other options that you can discuss with your psychiatrist. Some medicines can be given in food or water or any beverage which are tasteless, colorless and odorless. Once her acute symptoms are reduced she should comply with medicines. Also, there are Depot injections that can be given once a month or two months. |
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Hello doctor,I and my partner had safe sex before three months, after that we never had sex. She had regular periods till now, but this month she did not get her periods on the expected date and till now no periods. She is saying that there is some white discharge. Is this any symptom of pregnancy? If periods are regular why she delays this month? Please explain.
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Hello. If your partner has regular periods and you have not been sexually involved, then she is unlikely to be pregnant. It is not necessary that she should get her mensus on that very date itself. If pregnancy is ruled out with a urine pregnancy test, then the most common cause of delayed menses is stress per se, which can be either psychological, emotional or physical which can cause a hormonal imbalance and can cause a possible delay in the periods. Also, if she is experiencing a white discharge per vaginum, then it can be a part of the premenstrual syn ChatDoctor. Though it mimics early pregnancy symptoms it also occurs in the absence of pregnancy indicating that menses shall ensue in the next few days. As it has already been more than seven days now, it is advised that she may wait till 15 days post missed periods to allow her menses to return naturally, and if it does not then she may get an ultrasound pelvis to check for the endometrial thickness (ET). If the ET is more than 10 mm, then she can opt for a with | Hello doctor,I and my partner had safe sex before three months, after that we never had sex. She had regular periods till now, but this month she did not get her periods on the expected date and till now no periods. She is saying that there is some white discharge. Is this any symptom of pregnancy? If periods are regular why she delays this month? Please explain. | Hello. If your partner has regular periods and you have not been sexually involved, then she is unlikely to be pregnant. It is not necessary that she should get her mensus on that very date itself. If pregnancy is ruled out with a urine pregnancy test, then the most common cause of delayed menses is stress per se, which can be either psychological, emotional or physical which can cause a hormonal imbalance and can cause a possible delay in the periods. Also, if she is experiencing a white discharge per vaginum, then it can be a part of the premenstrual syn ChatDoctor. Though it mimics early pregnancy symptoms it also occurs in the absence of pregnancy indicating that menses shall ensue in the next few days. As it has already been more than seven days now, it is advised that she may wait till 15 days post missed periods to allow her menses to return naturally, and if it does not then she may get an ultrasound pelvis to check for the endometrial thickness (ET). If the ET is more than 10 mm, then she can opt for a with |
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Hi doctor,My girlfriend is a virgin and we were intimate on two consecutive days last month. During that time, her periods were delayed by two weeks. I was careful not to ejaculate anywhere near her vagina nor was it knowingly in contact with my penis. She waited for another 10 days and since she did not get her periods. She had Meprate tablet twice a day for five days. Then, she got her periods after another five days. The blood discharge was more in the first day and the bleeding diminished subsequently and it lasted only till the fourth day, though usually it lasts for five days. Her periods is due now for this month and still she does not have any menstrual symptoms. Will she be pregnant? Please advise.
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Hello, Welcome to Chat Doctor forum. Ideally, Meprate - Me ChatDoctor. So, it would be wise to get a serum beta hCG done (human chorionic gonadotropin). It is a blood test that detects minutest pregnancies. As per the timeline, if the value comes less than 5, then the test is negative. Review with the value of the beta hCG report, so that I can suggest medication safe for her. When you review make sure you mention the following. The value of beta hCG, starting date of last periods (before intercourse), date of intercourse and intake of Meprate and if she has associated thyroid or prolactin disorder. Revert back with the reports to a childbirth educator online | Hi doctor,My girlfriend is a virgin and we were intimate on two consecutive days last month. During that time, her periods were delayed by two weeks. I was careful not to ejaculate anywhere near her vagina nor was it knowingly in contact with my penis. She waited for another 10 days and since she did not get her periods. She had Meprate tablet twice a day for five days. Then, she got her periods after another five days. The blood discharge was more in the first day and the bleeding diminished subsequently and it lasted only till the fourth day, though usually it lasts for five days. Her periods is due now for this month and still she does not have any menstrual symptoms. Will she be pregnant? Please advise. | Hello, Welcome to Chat Doctor forum. Ideally, Meprate - Me ChatDoctor. So, it would be wise to get a serum beta hCG done (human chorionic gonadotropin). It is a blood test that detects minutest pregnancies. As per the timeline, if the value comes less than 5, then the test is negative. Review with the value of the beta hCG report, so that I can suggest medication safe for her. When you review make sure you mention the following. The value of beta hCG, starting date of last periods (before intercourse), date of intercourse and intake of Meprate and if she has associated thyroid or prolactin disorder. Revert back with the reports to a childbirth educator online |
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Hello doctor,I am having significant neck pain that goes out into my shoulders a bit. Pain is accompanied by severe stiffness. Also, my hands have been falling asleep about seven or eight times a week (roughly) and even ache a bit. I thought I might be dealing with a pinched nerve, but all my symptoms are fairly bilaterally equal. This last week I was put through an MRI for a lipoma in my left shoulder and neck area and they found that I also had a lower cervical syrinx at C6 about 3 mm. Could this be causing the pain and numbness that I have been dealing with? Or is the syrinx something that should be removed? I am awaiting an appointment with a neurosurgeon but I thought I would reach out in the meantime. I appreciate any information that you give me.
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Hello, Welcome to Chat Doctor forum. It may very well be the syrinx. A syrinx can cause pain and temperature sensory deficits to occur early but may not be recognized for years. Syringomyelia typically causes numbness, weakness, atrophy, and often fasciculation, and reduced reflexes of the hands and arms. The pain and/or numbness is felt as a sensation in a cakelike distribution over the shoulders, arms, and back. It may be decompressed surgically a bit for that you would need an MRI (magnetic resonance imaging) of the C-spine to look for a more detailed anatomy. I hope this helps. | Hello doctor,I am having significant neck pain that goes out into my shoulders a bit. Pain is accompanied by severe stiffness. Also, my hands have been falling asleep about seven or eight times a week (roughly) and even ache a bit. I thought I might be dealing with a pinched nerve, but all my symptoms are fairly bilaterally equal. This last week I was put through an MRI for a lipoma in my left shoulder and neck area and they found that I also had a lower cervical syrinx at C6 about 3 mm. Could this be causing the pain and numbness that I have been dealing with? Or is the syrinx something that should be removed? I am awaiting an appointment with a neurosurgeon but I thought I would reach out in the meantime. I appreciate any information that you give me. | Hello, Welcome to Chat Doctor forum. It may very well be the syrinx. A syrinx can cause pain and temperature sensory deficits to occur early but may not be recognized for years. Syringomyelia typically causes numbness, weakness, atrophy, and often fasciculation, and reduced reflexes of the hands and arms. The pain and/or numbness is felt as a sensation in a cakelike distribution over the shoulders, arms, and back. It may be decompressed surgically a bit for that you would need an MRI (magnetic resonance imaging) of the C-spine to look for a more detailed anatomy. I hope this helps. |
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Dear Sir, When my eye power 2 years back, My Vision was RE- SPH- +0.5 and ADD + 1.25 LE- SPH- +0.75 and ADD +1.25 But wrongly I was using a Glass of Power RE- SPH- +1.50 ADD +1.25 and LE - SPH +1.50 ADD +1.25 yesterday when I went for a test I got to find my Vision is RE- SPH- +1.50 LE- SPH--+1.75SO requesting you to guide me how can I get back my previous Vision. Regards
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Hello, Welcome to ChatDoctor. Com According to your Age you are having hypermteropia which is called far sightedness in which you can see distance objects clearly but near focus will be blurred without glasses. And one more thing you are 46 years old now,so this is an age for cataract. And when you will have cataract and once it will start increasing then because of lens changes there will be change in refractive index of lens which will lead to improvement of near vision and worsening of distance vision . This you can see in your case. You can compare your previous power and recent power. Now you are not having glasses or power for near vision that means you have cataracts which can be in starting stage. So you have to consult an ophthalmologist and you should undergo cataract assessment. | Dear Sir, When my eye power 2 years back, My Vision was RE- SPH- +0.5 and ADD + 1.25 LE- SPH- +0.75 and ADD +1.25 But wrongly I was using a Glass of Power RE- SPH- +1.50 ADD +1.25 and LE - SPH +1.50 ADD +1.25 yesterday when I went for a test I got to find my Vision is RE- SPH- +1.50 LE- SPH--+1.75SO requesting you to guide me how can I get back my previous Vision. Regards | Hello, Welcome to ChatDoctor. Com According to your Age you are having hypermteropia which is called far sightedness in which you can see distance objects clearly but near focus will be blurred without glasses. And one more thing you are 46 years old now,so this is an age for cataract. And when you will have cataract and once it will start increasing then because of lens changes there will be change in refractive index of lens which will lead to improvement of near vision and worsening of distance vision . This you can see in your case. You can compare your previous power and recent power. Now you are not having glasses or power for near vision that means you have cataracts which can be in starting stage. So you have to consult an ophthalmologist and you should undergo cataract assessment. |
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Hello doctor,I have been suffering from this problem for a few years and every year it seems to be worsening than the previous one. I am overweight and by working hard I have lost about 15 pounds. I got yearly rash outbreaks on arms, especially forearms. I have diabetes and taking many medications, but doctors say that none of my medicines are responsible for it. It happens mostly in the summer. They are very itchy and do not go away in spite of using creams. I took some pills that did not help either. It leaves horrible scars. Even a dermatologist I saw did not seem to know what was wrong. I am sure it is partially a heat rash, but it has completely scarred up my arms. I am attaching the list of medicines I am taking as well as the biopsy report. Please help.
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Hi, Welcome to Chat Doctor forum. It looks like (attachment removed to protect patient identity) polymorphic light eruptions, may be allergic contact dermatitis. You can use full sleeve cotton shirts to cover the photo exposed area. You need absolute sun protection, good quality broad spectrum physical sunscreen. It is a chronic problem and it may occur off and on. You can use mid potency topical steroids over the affected areas once daily for around one week and can continue Hy ChatDoctor. 1. Control your blood sugar.2. Go for photopatch test. 1. Polymorphic light eruptions.2. Allergic contact dermatitis.3. Photoallergic reactions to | Hello doctor,I have been suffering from this problem for a few years and every year it seems to be worsening than the previous one. I am overweight and by working hard I have lost about 15 pounds. I got yearly rash outbreaks on arms, especially forearms. I have diabetes and taking many medications, but doctors say that none of my medicines are responsible for it. It happens mostly in the summer. They are very itchy and do not go away in spite of using creams. I took some pills that did not help either. It leaves horrible scars. Even a dermatologist I saw did not seem to know what was wrong. I am sure it is partially a heat rash, but it has completely scarred up my arms. I am attaching the list of medicines I am taking as well as the biopsy report. Please help. | Hi, Welcome to Chat Doctor forum. It looks like (attachment removed to protect patient identity) polymorphic light eruptions, may be allergic contact dermatitis. You can use full sleeve cotton shirts to cover the photo exposed area. You need absolute sun protection, good quality broad spectrum physical sunscreen. It is a chronic problem and it may occur off and on. You can use mid potency topical steroids over the affected areas once daily for around one week and can continue Hy ChatDoctor. 1. Control your blood sugar.2. Go for photopatch test. 1. Polymorphic light eruptions.2. Allergic contact dermatitis.3. Photoallergic reactions to |
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Hello doctor,Majority of times after I floss and then brush my teeth afterward I use cool mint Listerine mouthwash. I do not understand what is going on but my fiance says I have an unpleasant smell in my mouth. I do not have to be so close to him talking. After I had a wash with the Listerine, I do not eat anything or drink until after we meet up. I do not understand what is going on. I do all that I can to have fresh breath why am I not getting no benefits out of it? I am so frustrated. This issue is there for the past one month.
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Hello. You do not need to be frustrated. It is very common. There are various factors affecting your bad breath. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get ChatDoctor. Brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces. Floss at least once a day. Rinse with a mouthwash twice a day. If you do not like the odor of your mouthwash you could change its flavor. Sometimes when we are empty stomach for a long time, bad breath still comes out of the mouth. Our digestive system also affects our breath, so take care of your digestion. Have a great time. Take care. | Hello doctor,Majority of times after I floss and then brush my teeth afterward I use cool mint Listerine mouthwash. I do not understand what is going on but my fiance says I have an unpleasant smell in my mouth. I do not have to be so close to him talking. After I had a wash with the Listerine, I do not eat anything or drink until after we meet up. I do not understand what is going on. I do all that I can to have fresh breath why am I not getting no benefits out of it? I am so frustrated. This issue is there for the past one month. | Hello. You do not need to be frustrated. It is very common. There are various factors affecting your bad breath. You can try these things to improve your oral hygiene. Avoid foods and beverages that cause bad breath, eat more fruits and vegetables, take sufficient amount of water, try sugar-free gum if your mouth tends to get ChatDoctor. Brush your teeth at least twice a day. Make sure to reach the gum line as well as tooth surfaces. Floss at least once a day. Rinse with a mouthwash twice a day. If you do not like the odor of your mouthwash you could change its flavor. Sometimes when we are empty stomach for a long time, bad breath still comes out of the mouth. Our digestive system also affects our breath, so take care of your digestion. Have a great time. Take care. |
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Hi doctor,I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you.
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Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Me ChatDoctor. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant. Take care. | Hi doctor,I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you. | Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Me ChatDoctor. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant. Take care. |
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Hello doctor,I had a molar extracted 10 days ago, and I am now having severe pain. It was a simple extraction that did not even require stitches. I was prescribed Penicillin VK q.i.d for a week and a few tabs of TYL3, which did next to nothing. I had all four wisdom teeth out about 20 years ago with no complications, but I am now older, unemployed and have dealt unsuccessfully with a severe dental phobia that I have had since I was a small child. Please help.
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Hello doctor, I read your history, almost everything you have attempted. Still, I would recommend the following things. 1. Take Ibuprofen 600 mg three times, (8 hourly) a day, or if having severe pain, you can take it six hourly for three days. 2. Do salt gargles, i.e. take a cup of lukewarm water to add 1/4th teaspoon of salt in it and do rinses six to eight times a day for next 10 days. It is mandatory. The best way for healing of the socket. 3. You need a Zinc oxide Eugenol ChatDoctor. Find out if you can get this zinc oxide eugenol material over the counter then you can put a pinch of it at socket your self at home. This is not cement it is another material. If it is not possible then go ask your dentist to give these | Hello doctor,I had a molar extracted 10 days ago, and I am now having severe pain. It was a simple extraction that did not even require stitches. I was prescribed Penicillin VK q.i.d for a week and a few tabs of TYL3, which did next to nothing. I had all four wisdom teeth out about 20 years ago with no complications, but I am now older, unemployed and have dealt unsuccessfully with a severe dental phobia that I have had since I was a small child. Please help. | Hello doctor, I read your history, almost everything you have attempted. Still, I would recommend the following things. 1. Take Ibuprofen 600 mg three times, (8 hourly) a day, or if having severe pain, you can take it six hourly for three days. 2. Do salt gargles, i.e. take a cup of lukewarm water to add 1/4th teaspoon of salt in it and do rinses six to eight times a day for next 10 days. It is mandatory. The best way for healing of the socket. 3. You need a Zinc oxide Eugenol ChatDoctor. Find out if you can get this zinc oxide eugenol material over the counter then you can put a pinch of it at socket your self at home. This is not cement it is another material. If it is not possible then go ask your dentist to give these |
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Hello doctor,I have a small loose gum flap between my top Incisor teeth. It has been there for a few months now. I thought it would go away in time, but it is still there. When I accidentally bite on it while eating it hurts. The only medication I have taken so far is vitamin C chewable tablets, but I do not think that will fix it. What can I do about this problem?
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Hi, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. The loose gummy flap should be caused by any trauma and in my opinion, it is getting injured every time you bite by the lower front teeth. That could be the reason for not healing. Instead of plain Vitamin C, I advise you to take multivitamin tablets available in the store as it helps in better healing. Also, I advise you to apply ointment Dentogel 20 mg thrice daily on the sore area. Do not rinse it off with water immediately, but leave it in place for 15 minutes at least. Since you said it has been there for four months, I reckon you visit the dentist straight to check if there is any particular sharp tooth that hurts that part of your gums. If that is the case, the sharp portion of the tooth causing injury could be easily smoothened and polished in two minutes. If it is possible, you could also send me a picture attached with the complaint for better diagnosis. | Hello doctor,I have a small loose gum flap between my top Incisor teeth. It has been there for a few months now. I thought it would go away in time, but it is still there. When I accidentally bite on it while eating it hurts. The only medication I have taken so far is vitamin C chewable tablets, but I do not think that will fix it. What can I do about this problem? | Hi, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. The loose gummy flap should be caused by any trauma and in my opinion, it is getting injured every time you bite by the lower front teeth. That could be the reason for not healing. Instead of plain Vitamin C, I advise you to take multivitamin tablets available in the store as it helps in better healing. Also, I advise you to apply ointment Dentogel 20 mg thrice daily on the sore area. Do not rinse it off with water immediately, but leave it in place for 15 minutes at least. Since you said it has been there for four months, I reckon you visit the dentist straight to check if there is any particular sharp tooth that hurts that part of your gums. If that is the case, the sharp portion of the tooth causing injury could be easily smoothened and polished in two minutes. If it is possible, you could also send me a picture attached with the complaint for better diagnosis. |
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Hi doctor,I am getting some sound in both the ears. It continues as a mild sound of high frequency and another sound like humming, vibrating and pulsating sound. This becomes noticeable in the quiet zone and less prominent in working or outside areas. It is mild tinnitus, but bothersome in the night and silent area. However, I do not face many problems to get sleep. I get to sleep at 10 PM. Doctors say that there is no cure. There is a possible relief from Caroverine, but no doctor recommends that. There is sound therapy (experimental), which can cancel out tinnitus sound and after a long time neural network stops generating such noises. There are two activities one at auditory cortex and second at cochlear hair cells of the ear. How to make out the location of fault? Please guide me and advise me what to do with this tinnitus sound. Which is the safe way to ease it? What are the recommended herbs or medicines other than vitamins?
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Hi. Yes, you have tinnitus and many medicines are available to cure it. First, get an audiometry done to see if there is any associated hearing loss. I suggest tablet Cinnarizine twice daily for at least three weeks and tablet Vitamin B12 1500 mcg daily. Consult your doctor, discuss with him or her and take medicine with consent. Do not use earphones and even limit your mobile usage. Follow up with your audiometry report. Take care. | Hi doctor,I am getting some sound in both the ears. It continues as a mild sound of high frequency and another sound like humming, vibrating and pulsating sound. This becomes noticeable in the quiet zone and less prominent in working or outside areas. It is mild tinnitus, but bothersome in the night and silent area. However, I do not face many problems to get sleep. I get to sleep at 10 PM. Doctors say that there is no cure. There is a possible relief from Caroverine, but no doctor recommends that. There is sound therapy (experimental), which can cancel out tinnitus sound and after a long time neural network stops generating such noises. There are two activities one at auditory cortex and second at cochlear hair cells of the ear. How to make out the location of fault? Please guide me and advise me what to do with this tinnitus sound. Which is the safe way to ease it? What are the recommended herbs or medicines other than vitamins? | Hi. Yes, you have tinnitus and many medicines are available to cure it. First, get an audiometry done to see if there is any associated hearing loss. I suggest tablet Cinnarizine twice daily for at least three weeks and tablet Vitamin B12 1500 mcg daily. Consult your doctor, discuss with him or her and take medicine with consent. Do not use earphones and even limit your mobile usage. Follow up with your audiometry report. Take care. |
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Hi doctor,I sprained my thumb last week. I still have some pain but grip, strength and movement are increasing. Can I skip a doctor visit? At first, my thumb was swollen and redness was present. I could not bend it at all. After using R.I.C.E, the swelling has decreased to near normal and it is much more flexible. There is still some pain on the index finger side of the joint when pressed, but grip strength is returning. I am now able to straighten the thumb without difficulty but I cannot fully close the thumb on itself. What should be my next course of action - more rest, work on stretching it out or consulting a specialist?
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Hi. Your description of pain, the presence of swelling and redness and its site of maximum tenderness makes me worry about what is called the \"gamekeepers thumb\". This is the injury of the ulnar collateral ligament (UCL) of the thumb. If that is the injury then you should ideally have yourself examined by a doctor to assess the degree of the injury of the ligament. Because a complete tear will require surgery. But from your description, the chances are remote as you have regained movements and the pain is also settling. The main issue with the UCL injury is lack of or weakness in the pinch grip between the thumb and the index finger which can be quite troublesome for people who do heavy work with their hands. Revert back to an orthopaedician online for further follow up | Hi doctor,I sprained my thumb last week. I still have some pain but grip, strength and movement are increasing. Can I skip a doctor visit? At first, my thumb was swollen and redness was present. I could not bend it at all. After using R.I.C.E, the swelling has decreased to near normal and it is much more flexible. There is still some pain on the index finger side of the joint when pressed, but grip strength is returning. I am now able to straighten the thumb without difficulty but I cannot fully close the thumb on itself. What should be my next course of action - more rest, work on stretching it out or consulting a specialist? | Hi. Your description of pain, the presence of swelling and redness and its site of maximum tenderness makes me worry about what is called the \"gamekeepers thumb\". This is the injury of the ulnar collateral ligament (UCL) of the thumb. If that is the injury then you should ideally have yourself examined by a doctor to assess the degree of the injury of the ligament. Because a complete tear will require surgery. But from your description, the chances are remote as you have regained movements and the pain is also settling. The main issue with the UCL injury is lack of or weakness in the pinch grip between the thumb and the index finger which can be quite troublesome for people who do heavy work with their hands. Revert back to an orthopaedician online for further follow up |
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Hi doctor,I took a CBC test a few days back. Is everything normal? My eosinophil count has increased from 3 to 6 and I am worried as the normal range is 1 to 6. Can you please get back to me on this and if it is fine? Absolute is slightly high but within range. Please let me know if everything is alright.
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Hello, Welcome to Chat Doctor forum. I have seen your complete blood count report and understood your query regarding about eosinophilia (attachment removed to protect patient identity). First of all your reports are normal and counts are also normal, no need to worry regarding this. Your absolute eosinophils count 480 is within the normal range, and of course, in percent form, it is higher normal levels up to 6 %. If we will talk about eosinophilia if more than 500 cells divide into three categories of mild, moderate and severe. It is called eosinophilic syn ChatDoctor. If we talk common cause is a simple parasitic infection, any allergy like rhinitis or skin eczema, up to blood malignancy. So you do not have to worry as you said your eosinophils count has increased from 3 to 6 % until you have any symptoms like rashes, pruritis, breathing difficulties, diarrhea, arthralgia. Repeat your absolute eosinophils count after three months, or if you have any symptoms above, then contact me. Otherwise, it is not significant. | Hi doctor,I took a CBC test a few days back. Is everything normal? My eosinophil count has increased from 3 to 6 and I am worried as the normal range is 1 to 6. Can you please get back to me on this and if it is fine? Absolute is slightly high but within range. Please let me know if everything is alright. | Hello, Welcome to Chat Doctor forum. I have seen your complete blood count report and understood your query regarding about eosinophilia (attachment removed to protect patient identity). First of all your reports are normal and counts are also normal, no need to worry regarding this. Your absolute eosinophils count 480 is within the normal range, and of course, in percent form, it is higher normal levels up to 6 %. If we will talk about eosinophilia if more than 500 cells divide into three categories of mild, moderate and severe. It is called eosinophilic syn ChatDoctor. If we talk common cause is a simple parasitic infection, any allergy like rhinitis or skin eczema, up to blood malignancy. So you do not have to worry as you said your eosinophils count has increased from 3 to 6 % until you have any symptoms like rashes, pruritis, breathing difficulties, diarrhea, arthralgia. Repeat your absolute eosinophils count after three months, or if you have any symptoms above, then contact me. Otherwise, it is not significant. |
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Hello doctor,A few days back, I was diagnosed with minimal B/l hydrocele with the right simple epididymal cyst. The doctor gave me some medication, and the pain was gone. After a few days, I have to travel to another place for office purpose. Hence I took my medication in case required. I started the gym as well but now and then I have that pain in testicles and lower abdomen. I could not find the prescription tablets, and hence pharmacist suggest me to take Doxycycline. But after taking these pills, I have unbearable pain. I can attach all my X-ray and reports, but I could not find the option to attach files. Please suggest what to do?
### Response:
Hello, Welcome to Chat Doctor forum. Doxycycline is a treatment for any infection for urine. It usually does not cause abdominal pain. For the cause of abdominal pain need to be found out. You will need sonography of abdomen to see for cause if the pain is too severe then physical examination by a doctor will be required to see for the cause. Pain in testes can be due to infection of testes is called orchitis. Or occasionally lifting heavy weight can cause torsion in testes that are emergency condition and has severe pain. If pain is not critical, then you can take tablet Paracetamol for pain and continue Doxycycline for seven days. And will review with sonography of scrotum again. If you have any doubt, you can ask me. | Hello doctor,A few days back, I was diagnosed with minimal B/l hydrocele with the right simple epididymal cyst. The doctor gave me some medication, and the pain was gone. After a few days, I have to travel to another place for office purpose. Hence I took my medication in case required. I started the gym as well but now and then I have that pain in testicles and lower abdomen. I could not find the prescription tablets, and hence pharmacist suggest me to take Doxycycline. But after taking these pills, I have unbearable pain. I can attach all my X-ray and reports, but I could not find the option to attach files. Please suggest what to do? | Hello, Welcome to Chat Doctor forum. Doxycycline is a treatment for any infection for urine. It usually does not cause abdominal pain. For the cause of abdominal pain need to be found out. You will need sonography of abdomen to see for cause if the pain is too severe then physical examination by a doctor will be required to see for the cause. Pain in testes can be due to infection of testes is called orchitis. Or occasionally lifting heavy weight can cause torsion in testes that are emergency condition and has severe pain. If pain is not critical, then you can take tablet Paracetamol for pain and continue Doxycycline for seven days. And will review with sonography of scrotum again. If you have any doubt, you can ask me. |
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Hello doctor,My 17 months old daughter booked in for grommets and adenoidectomy due to fluid in middle ear and recurrent ear infections. We are flying two weeks after the procedure. We will be visiting a place with bad air pollution. Will she be more at risk of respiratory infection with no adenoids?
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Hello, Welcome to Chat Doctor forum. At a place with bad air pollution, one\\s respiratory mucosa tends to get excoriated and irritated due to the harmful contents in the air. This can make the area supple and raw and more prone to bacteria and viruses in the surroundings. Having removed adenoids does not make your kid very susceptible to respiratory infections although theoretically adenoids are supposed to help contain infection by acting as a portal of immunity for harmful organisms entering through nose and throat. But at two weeks post surgery, the area will still be slightly raw and healing would not be complete. Hence, that can cause more susceptibility to environmental pathogens. I suggest you take a good course of antibiotics post surgery and during the hospital stay. Take a course of antibiotics for the baby with you and start when you feel she is developing an infection during your trip. Take decongestant nasal ChatDoctor. Avoid areas of frank dust and pollution. Stay away from direct cold winds and Aircon air. If feasible put a face mask for the baby. The mother also should stay healthy as much as possible and follow all precautions to not develop an infection or allergy. | Hello doctor,My 17 months old daughter booked in for grommets and adenoidectomy due to fluid in middle ear and recurrent ear infections. We are flying two weeks after the procedure. We will be visiting a place with bad air pollution. Will she be more at risk of respiratory infection with no adenoids? | Hello, Welcome to Chat Doctor forum. At a place with bad air pollution, one\\s respiratory mucosa tends to get excoriated and irritated due to the harmful contents in the air. This can make the area supple and raw and more prone to bacteria and viruses in the surroundings. Having removed adenoids does not make your kid very susceptible to respiratory infections although theoretically adenoids are supposed to help contain infection by acting as a portal of immunity for harmful organisms entering through nose and throat. But at two weeks post surgery, the area will still be slightly raw and healing would not be complete. Hence, that can cause more susceptibility to environmental pathogens. I suggest you take a good course of antibiotics post surgery and during the hospital stay. Take a course of antibiotics for the baby with you and start when you feel she is developing an infection during your trip. Take decongestant nasal ChatDoctor. Avoid areas of frank dust and pollution. Stay away from direct cold winds and Aircon air. If feasible put a face mask for the baby. The mother also should stay healthy as much as possible and follow all precautions to not develop an infection or allergy. |
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Hello doctor,I have been under medications for hypertension for the past five years. I am currently taking Zilance 40 and Ciplar 10. The random blood pressure reading is 140/100 and goes to around 160/100 at times. The current symptoms include excessive sweating, palpitations, anxiety, headaches, flushing, and fatigue. My ECG and kidney renal doppler tests are normal. Today, I have been prescribed Metanephrine and VMA 24-hours urine tests by the cardiologist. I am also on anti-psychotic medications for depression for the past 10 years. I need your advice and guidance on the tests prescribed above as I read on the internet that the tests are meant to detect a type of tumor.
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Hello, Welcome to Chat Doctor forum. Urinary VMA (vanillylmandelic acid) and Metanephrine tests are done to detect Pheochromocytoma, a kind of tumor, that causes hypertension in young persons, as well as facial flushing, headaches, and palpitations. Though it is rare, it is better to rule out pheochromocytoma in young hypertensives. But honestly speaking, I do not feel that your hypertension is because of pheochromocytoma. The more likely cause is excessive anxiety and depression. So, go for tests and continue your antihypertensive medication. For more information consult an internal medicine physician online | Hello doctor,I have been under medications for hypertension for the past five years. I am currently taking Zilance 40 and Ciplar 10. The random blood pressure reading is 140/100 and goes to around 160/100 at times. The current symptoms include excessive sweating, palpitations, anxiety, headaches, flushing, and fatigue. My ECG and kidney renal doppler tests are normal. Today, I have been prescribed Metanephrine and VMA 24-hours urine tests by the cardiologist. I am also on anti-psychotic medications for depression for the past 10 years. I need your advice and guidance on the tests prescribed above as I read on the internet that the tests are meant to detect a type of tumor. | Hello, Welcome to Chat Doctor forum. Urinary VMA (vanillylmandelic acid) and Metanephrine tests are done to detect Pheochromocytoma, a kind of tumor, that causes hypertension in young persons, as well as facial flushing, headaches, and palpitations. Though it is rare, it is better to rule out pheochromocytoma in young hypertensives. But honestly speaking, I do not feel that your hypertension is because of pheochromocytoma. The more likely cause is excessive anxiety and depression. So, go for tests and continue your antihypertensive medication. For more information consult an internal medicine physician online |
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Hi doctor,I was HPV 16 positivethree years back. Follow up Pap a year later showed positive for HPV 16 again. Last year Pap was normal but my Gyno doctor notes stated \\x80\\x9cpap normal but HPV still present\\x80\\x9d. I was told today that I had cleared the virus last year but why would he write HPV still present if I cleared it. Hysterectomy with removal of my cervix and uterus was done last year. Pathology of cervix and uterus were fine and normal. Last pap was 2 weeks ago. It showed abnormal cells in my vaginal cuff and HPV positive but it is not 16 or 18. The nurse told me it is a low risk type.
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Hi. I understand your anxiety. The fortune thing is that even if last year HPV was present the treatment has been done in the form of hysterectomy. In fact it is over treated. I do not think it is a matter of concern. For your vaginal HPV, low risk types are rarely responsible for any cancer. Also If one is sexually active, HPV infection keeps coming and body deals with it by its own immunity. What should concern us is a persistent HPV infection in your vaginal smears. So right now just use barrier contraception like condoms and repeat vaginal smear at 6 months. That is all. Follow up is what is needed as you are a very low risk case. Take care. | Hi doctor,I was HPV 16 positivethree years back. Follow up Pap a year later showed positive for HPV 16 again. Last year Pap was normal but my Gyno doctor notes stated \\x80\\x9cpap normal but HPV still present\\x80\\x9d. I was told today that I had cleared the virus last year but why would he write HPV still present if I cleared it. Hysterectomy with removal of my cervix and uterus was done last year. Pathology of cervix and uterus were fine and normal. Last pap was 2 weeks ago. It showed abnormal cells in my vaginal cuff and HPV positive but it is not 16 or 18. The nurse told me it is a low risk type. | Hi. I understand your anxiety. The fortune thing is that even if last year HPV was present the treatment has been done in the form of hysterectomy. In fact it is over treated. I do not think it is a matter of concern. For your vaginal HPV, low risk types are rarely responsible for any cancer. Also If one is sexually active, HPV infection keeps coming and body deals with it by its own immunity. What should concern us is a persistent HPV infection in your vaginal smears. So right now just use barrier contraception like condoms and repeat vaginal smear at 6 months. That is all. Follow up is what is needed as you are a very low risk case. Take care. |
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Hello doctor,I am opening up a new subscription under you, so that I can chat more easily. I request you to follow our discussions from previous records. To remind again, this query is for my mother. Age-47, she is on her regular medicines for above mentioned conditions. However, recently her hemoglobin levels fell to 7.8. After consulting a doctor in my local area, she is taking iron pills. The problem is with her fluctuations in Diabetes readings and haemoglobin levels. I am attaching the recent conducted reports below- 1.\\tBlood sugar level + Hb 2.\\tCbc + Lipid profile 3.\\tUrine culture 4.\\tThyroid panel My query is to what can be done to improve her diabetes readings and hemoglobin levels. It will be highly helpful if you elaborate the necessary steps to be taken including types of medicines that are to be taken.
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Hello. I have seen the medicine list being taken by her (attachment removed to protect patient identity). Of those ChatDoctor. BIO D 3 strong is also not needed on continuous basis, unless she has any specific neuropathy problems or any such complaints. Is there a to speak to you so that I can clarify a few things in one go. For her diabetes I feel Glycomet G2 once a day (instead of Voglibose containing tablet) once a day with DYNAGLIPT-M is enough. Rest of the medicines are to be continued. | Hello doctor,I am opening up a new subscription under you, so that I can chat more easily. I request you to follow our discussions from previous records. To remind again, this query is for my mother. Age-47, she is on her regular medicines for above mentioned conditions. However, recently her hemoglobin levels fell to 7.8. After consulting a doctor in my local area, she is taking iron pills. The problem is with her fluctuations in Diabetes readings and haemoglobin levels. I am attaching the recent conducted reports below- 1.\\tBlood sugar level + Hb 2.\\tCbc + Lipid profile 3.\\tUrine culture 4.\\tThyroid panel My query is to what can be done to improve her diabetes readings and hemoglobin levels. It will be highly helpful if you elaborate the necessary steps to be taken including types of medicines that are to be taken. | Hello. I have seen the medicine list being taken by her (attachment removed to protect patient identity). Of those ChatDoctor. BIO D 3 strong is also not needed on continuous basis, unless she has any specific neuropathy problems or any such complaints. Is there a to speak to you so that I can clarify a few things in one go. For her diabetes I feel Glycomet G2 once a day (instead of Voglibose containing tablet) once a day with DYNAGLIPT-M is enough. Rest of the medicines are to be continued. |
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Hi doctor,I am a 21-year-old female, 1.75 m and 70 kg. For the past two to three months, I have been under quite a lot of stress due to an ongoing internship and various school commitments. I am experiencing dull, persistent aches and pains (at times these are sharp pains) on my right abdomen, and I am suspecting it is related to my womb or uterus. I also have sharp and dull pains along my backbone. I have been deferring a visit to the doctor as I had dismissed it earlier thinking that it was due to my frequent dance practices (three times a week). However, after many online searches and having a paranoid mind that causes me to overthink, I ran out of options except to seek for your professional advice online before seeking the help from a physical venue. Could you kindly help diagnose my ailments?
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Hi, Welcome to Chat Doctor forum. According to your complaints, it seems you may be suffering from muscular pain if your pain is not related to any signs like change in bowel habits or related to any abnormality in periods or menstruation or any kind of change in stool or urine and any other associated symptom like nausea or vomiting or relief of pain after bowel movement. If any of the above is present and/or if your pain does not subside in two days or if it recurs anytime again, please get yourself examined by a surgeon. For more information consult an internal medicine physician online | Hi doctor,I am a 21-year-old female, 1.75 m and 70 kg. For the past two to three months, I have been under quite a lot of stress due to an ongoing internship and various school commitments. I am experiencing dull, persistent aches and pains (at times these are sharp pains) on my right abdomen, and I am suspecting it is related to my womb or uterus. I also have sharp and dull pains along my backbone. I have been deferring a visit to the doctor as I had dismissed it earlier thinking that it was due to my frequent dance practices (three times a week). However, after many online searches and having a paranoid mind that causes me to overthink, I ran out of options except to seek for your professional advice online before seeking the help from a physical venue. Could you kindly help diagnose my ailments? | Hi, Welcome to Chat Doctor forum. According to your complaints, it seems you may be suffering from muscular pain if your pain is not related to any signs like change in bowel habits or related to any abnormality in periods or menstruation or any kind of change in stool or urine and any other associated symptom like nausea or vomiting or relief of pain after bowel movement. If any of the above is present and/or if your pain does not subside in two days or if it recurs anytime again, please get yourself examined by a surgeon. For more information consult an internal medicine physician online |
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Hello doctor,My blood work is showing high WBC and RBC. WBC is 11.3 (normal should be 11), and RBC is 5.14 (normal should be 5.0). Neutrophils are 7.6 (normal should be 7.5). Erythrocytes are at 2 not showing the normal number it should be at. However, it is flagged as high. My alkaline phosphatase is at 121 (normal should be 120), and alanine aminotransferase is showing at 75 (normal should be at 36). I also had an ultrasound done and showing 3.5 cm of bile sludge. Would these results indicate to you that I require gall bladder surgery? I do have pain under my right side rib cage into my right side upper back- tolerant pain. So my surgeon said to think about gall bladder surgery. Do my blood results and sludge showing in ultrasound reflect that I should have this surgery?
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Hello. The concept of when to get the surgery depends upon how much pain you have, how bad is the underlying disease and how long you have the inflammation. Given the history of pain, a slightly elevated white count, abnormal liver function test and biliary sludge. It would be a good idea to consider laparoscopic gallbladder surgery. The timing of the surgery whether to do it during an acute attack of pain or as an elective procedure depends upon the surgeon you are seeing. | Hello doctor,My blood work is showing high WBC and RBC. WBC is 11.3 (normal should be 11), and RBC is 5.14 (normal should be 5.0). Neutrophils are 7.6 (normal should be 7.5). Erythrocytes are at 2 not showing the normal number it should be at. However, it is flagged as high. My alkaline phosphatase is at 121 (normal should be 120), and alanine aminotransferase is showing at 75 (normal should be at 36). I also had an ultrasound done and showing 3.5 cm of bile sludge. Would these results indicate to you that I require gall bladder surgery? I do have pain under my right side rib cage into my right side upper back- tolerant pain. So my surgeon said to think about gall bladder surgery. Do my blood results and sludge showing in ultrasound reflect that I should have this surgery? | Hello. The concept of when to get the surgery depends upon how much pain you have, how bad is the underlying disease and how long you have the inflammation. Given the history of pain, a slightly elevated white count, abnormal liver function test and biliary sludge. It would be a good idea to consider laparoscopic gallbladder surgery. The timing of the surgery whether to do it during an acute attack of pain or as an elective procedure depends upon the surgeon you are seeing. |
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Hello doctor,I am a 50-year-old female, overall healthy but recently having issues with tiring easily when biking and doing stairs. EKG was fine. CBC showed low WBC, low anion gap, and vitamin D deficiency. I had a low (99.4\\xb0) temperature earlier today. In light of Covid-19, and being that I work in public, should I be concerned?I currently on Focalin and Triamcinolone acetonide.
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Hi, Welcome to ChatDoctor. I have gone through your detailed history and studied the lab results. (attachment removed to protect patient identity). As per your history, you feel feverish and tired. Your TLC (total leukocyte cont) is low. Record of temperature is 98 degrees. So firstly you have a viral fever, but there is no cough or difficulty in breathing so Corona is not the main diagnosis, but do keep in mind. If you have not been with any corona case, take rest, take tablet Tylenol 1 bd if you are not allergic to it. Keep isolated from a crowd. Then your symptoms are due to a bit of vitamin D3 deficiency. For this take ChatDoctor. Keep me informed. Viral infection. Corona to be a remote possibility. Bed rest, Tylenol 1 bd. Take rest, avoid public gatherings. Tell me in three to five days of any fresh symptoms. Take care. | Hello doctor,I am a 50-year-old female, overall healthy but recently having issues with tiring easily when biking and doing stairs. EKG was fine. CBC showed low WBC, low anion gap, and vitamin D deficiency. I had a low (99.4\\xb0) temperature earlier today. In light of Covid-19, and being that I work in public, should I be concerned?I currently on Focalin and Triamcinolone acetonide. | Hi, Welcome to ChatDoctor. I have gone through your detailed history and studied the lab results. (attachment removed to protect patient identity). As per your history, you feel feverish and tired. Your TLC (total leukocyte cont) is low. Record of temperature is 98 degrees. So firstly you have a viral fever, but there is no cough or difficulty in breathing so Corona is not the main diagnosis, but do keep in mind. If you have not been with any corona case, take rest, take tablet Tylenol 1 bd if you are not allergic to it. Keep isolated from a crowd. Then your symptoms are due to a bit of vitamin D3 deficiency. For this take ChatDoctor. Keep me informed. Viral infection. Corona to be a remote possibility. Bed rest, Tylenol 1 bd. Take rest, avoid public gatherings. Tell me in three to five days of any fresh symptoms. Take care. |
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Hi doctor,I took Clearblue ovulation digital test a week back which showed LH surge. I had intercourse three days before and three days after the test. Since then I have been feeling really sick, but not vomiting. I am really sensitive to perfumes and I have started to feel faint and lightheaded even though I have just eaten or had a drink. I have been getting cramps around my tummy area (like I would the day before my period starts), my bra feels tight, my boobs do not look big but bra feels tight. I have been getting pain around where I get pubic hair if that makes sense like sharp tugging pains. I have stopped getting the discharge. I am not sure what it could be. Please, could you advise if it is too early for pregnancy as I am due to start my period between 20th-22nd of this month or do you think it is a virus or bug?
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Hello, Welcome to Chat Doctor forum. As you had LH surge, so the ovulation would have occurred after 36 hours post-LH surge and practically the intercourse after the test would account for possible conception, but the symptoms of pregnancy are never so early. However, the earliest you may test for pregnancy is after eight days post intercourse with a serum beta hCG test which can give conclusive results. The symptoms are more of premenstrual syn ChatDoctor. For more information consult an obstetrician and gynaecologist online | Hi doctor,I took Clearblue ovulation digital test a week back which showed LH surge. I had intercourse three days before and three days after the test. Since then I have been feeling really sick, but not vomiting. I am really sensitive to perfumes and I have started to feel faint and lightheaded even though I have just eaten or had a drink. I have been getting cramps around my tummy area (like I would the day before my period starts), my bra feels tight, my boobs do not look big but bra feels tight. I have been getting pain around where I get pubic hair if that makes sense like sharp tugging pains. I have stopped getting the discharge. I am not sure what it could be. Please, could you advise if it is too early for pregnancy as I am due to start my period between 20th-22nd of this month or do you think it is a virus or bug? | Hello, Welcome to Chat Doctor forum. As you had LH surge, so the ovulation would have occurred after 36 hours post-LH surge and practically the intercourse after the test would account for possible conception, but the symptoms of pregnancy are never so early. However, the earliest you may test for pregnancy is after eight days post intercourse with a serum beta hCG test which can give conclusive results. The symptoms are more of premenstrual syn ChatDoctor. For more information consult an obstetrician and gynaecologist online |
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Hi doctor,I am a 32 year old married female. I have retention cyst and seedling fibroid. I have this for the past eight months. Can you please let me know if there will be a problem in having a baby? Is this a pcod cyst? Is any treatment required? Or will it go off without treatment? Please clear my doubts. Thank you.
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Hi. Fibroids can cause fertility problems if they are too large in size or in the wrong location. If you have seedling fibroids, then they are unlikely to cause problems in conception. They may grow a bit during pregnancy, but will decrease in size after delivery. If you are married, then I would suggest you get another ultrasound done to check the status of the fibroids and if still seedling please try to plan your family and conceive. Fibroids grow over time, albeit slowly. If you delay by a few years, then they may cause fertility issues. Retention cyst is different from a polycystic ovary. PCOS is a syn ChatDoctor. There are multiple small cysts in the ovaries. If you have a single retention cyst, then it may be physiological. The cyst may resolve on its own. You will need to get another ultrasound on the second day of your next period to find out the status of the cyst. If it is more than 3 to 4 cm and of a dubious nature, then it may need laparoscopy and removal. This does not cause infertility. | Hi doctor,I am a 32 year old married female. I have retention cyst and seedling fibroid. I have this for the past eight months. Can you please let me know if there will be a problem in having a baby? Is this a pcod cyst? Is any treatment required? Or will it go off without treatment? Please clear my doubts. Thank you. | Hi. Fibroids can cause fertility problems if they are too large in size or in the wrong location. If you have seedling fibroids, then they are unlikely to cause problems in conception. They may grow a bit during pregnancy, but will decrease in size after delivery. If you are married, then I would suggest you get another ultrasound done to check the status of the fibroids and if still seedling please try to plan your family and conceive. Fibroids grow over time, albeit slowly. If you delay by a few years, then they may cause fertility issues. Retention cyst is different from a polycystic ovary. PCOS is a syn ChatDoctor. There are multiple small cysts in the ovaries. If you have a single retention cyst, then it may be physiological. The cyst may resolve on its own. You will need to get another ultrasound on the second day of your next period to find out the status of the cyst. If it is more than 3 to 4 cm and of a dubious nature, then it may need laparoscopy and removal. This does not cause infertility. |
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Hi doctor,I am a 62 year old male. I have one stent but otherwise very healthy, nonsmoker, who works out one hour per day six days a week. I take Atorvastatin, 80 mg daily and Tamsulosin once daily, no other meds except 81 mg Aspirin. I have slightly elevated blood pressure 138/78 and have been experiencing some ED symptoms the last six months or so. I have read that Viagra has been shown in a 20 year study to lower blood pressure while improving erectile dysfunction. What is your opinion on this? I have ordered a few 25 mg to try out.
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Hello, Welcome to Chat Doctor forum. Is your ejection fraction normal? Yes, Viagra (Sildenafil) can cause fall in BP as a side effect and you are also having Tamsulosin. So, it also predisposes one to BP fall. You need to use it cautiously. It is better to stop Tamsulosin if it is not absolutely necessary with Viagra. Consult your specialist doctor, discuss with him or her and stop the medicine with their consent. And do not use other nitrates for the purpose of heart diseases like Nitroglycerin, Isosorbide dinitrate or Mononitrate, etc. Avoid dehy ChatDoctor. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online | Hi doctor,I am a 62 year old male. I have one stent but otherwise very healthy, nonsmoker, who works out one hour per day six days a week. I take Atorvastatin, 80 mg daily and Tamsulosin once daily, no other meds except 81 mg Aspirin. I have slightly elevated blood pressure 138/78 and have been experiencing some ED symptoms the last six months or so. I have read that Viagra has been shown in a 20 year study to lower blood pressure while improving erectile dysfunction. What is your opinion on this? I have ordered a few 25 mg to try out. | Hello, Welcome to Chat Doctor forum. Is your ejection fraction normal? Yes, Viagra (Sildenafil) can cause fall in BP as a side effect and you are also having Tamsulosin. So, it also predisposes one to BP fall. You need to use it cautiously. It is better to stop Tamsulosin if it is not absolutely necessary with Viagra. Consult your specialist doctor, discuss with him or her and stop the medicine with their consent. And do not use other nitrates for the purpose of heart diseases like Nitroglycerin, Isosorbide dinitrate or Mononitrate, etc. Avoid dehy ChatDoctor. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online |
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Hi doctor,I am pregnant with my first child and I am 39 weeks and 3 days. I have been having mild contractions all day. For the past hour, they have been really intense and I have felt a lot of pressure. The midwife has told me not to come in as my contractions are still two minutes apart. I have just felt down below and I am slowly crowning. I am in agony and the midwife is determined that I do not need to go in yet. Shall I just go in?
### Response:
Hi, Welcome to Chat Doctor forum. Do not worry. This is not crowning, this is the last phase of the second stage of labor when the head of the baby is on your perineum. The rate of contractions will occur once in 2 to 3 minutes and will last for around 30 to 45 seconds. I would advise you to go in, as you have already reached the date, pain has been there for all day (that is quite a lot of time) and you feel they are increasing, along with the pressure feel. Suppose you break out waters, the pain will be even more intense and you will not be able to move out easily. It is always advisable for you to be around the midwife when you are entering the active phase of labor. Just feel for the rate and duration of the uterine contraction and also for the severity of contraction. If it is getting closer and lasting longer, you better not wait. | Hi doctor,I am pregnant with my first child and I am 39 weeks and 3 days. I have been having mild contractions all day. For the past hour, they have been really intense and I have felt a lot of pressure. The midwife has told me not to come in as my contractions are still two minutes apart. I have just felt down below and I am slowly crowning. I am in agony and the midwife is determined that I do not need to go in yet. Shall I just go in? | Hi, Welcome to Chat Doctor forum. Do not worry. This is not crowning, this is the last phase of the second stage of labor when the head of the baby is on your perineum. The rate of contractions will occur once in 2 to 3 minutes and will last for around 30 to 45 seconds. I would advise you to go in, as you have already reached the date, pain has been there for all day (that is quite a lot of time) and you feel they are increasing, along with the pressure feel. Suppose you break out waters, the pain will be even more intense and you will not be able to move out easily. It is always advisable for you to be around the midwife when you are entering the active phase of labor. Just feel for the rate and duration of the uterine contraction and also for the severity of contraction. If it is getting closer and lasting longer, you better not wait. |
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Hi doctor,Before 19 days, I had protected sex with a part-time sex worker and freaked out after the incident. I am worried about any possible infection that could happen. I did a p24 antigen test. The results are p24 antigen on fourth day-0.125, sixth day-0.254, ninth day-0.271, twelfth day-0.274, fifteenth day-0.396, nineteenth day-0.540.I am upset about the increase in count. Please advise. I have done PCR RNA after 15 days for HIV 1, and it is not of detected status and HIV 2 ELISA on the nineteenth day which was also nonreactive. Kindly advise.
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Hi. Yes, the titer of p24 is increased, but still, it is below the threshold value of being positive. Also, your PCR RNA done after two weeks is also negative. Your HIV 1 and HIV 2 tests done on the nineteenth day is also negative. It indicates that you do not have any infection, but it is too early to say with certainty. So you need to repeat the fourth generation HIV test after 12 weeks of possible exposure. So till that you need not worry excessively as the investigation done till to date indicates that most probably you do not have an infection. For more information consult a sexologist online Take care. | Hi doctor,Before 19 days, I had protected sex with a part-time sex worker and freaked out after the incident. I am worried about any possible infection that could happen. I did a p24 antigen test. The results are p24 antigen on fourth day-0.125, sixth day-0.254, ninth day-0.271, twelfth day-0.274, fifteenth day-0.396, nineteenth day-0.540.I am upset about the increase in count. Please advise. I have done PCR RNA after 15 days for HIV 1, and it is not of detected status and HIV 2 ELISA on the nineteenth day which was also nonreactive. Kindly advise. | Hi. Yes, the titer of p24 is increased, but still, it is below the threshold value of being positive. Also, your PCR RNA done after two weeks is also negative. Your HIV 1 and HIV 2 tests done on the nineteenth day is also negative. It indicates that you do not have any infection, but it is too early to say with certainty. So you need to repeat the fourth generation HIV test after 12 weeks of possible exposure. So till that you need not worry excessively as the investigation done till to date indicates that most probably you do not have an infection. For more information consult a sexologist online Take care. |
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Hello doctor,I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium.
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Hello, Welcome to Chat Doctor forum. I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity). You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time. My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well. Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis. Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need. Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. ChatDoctor. One hour regular excercise. After 10 days. | Hello doctor,I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium. | Hello, Welcome to Chat Doctor forum. I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity). You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time. My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well. Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis. Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need. Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. ChatDoctor. One hour regular excercise. After 10 days. |
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Hello doctor,I took a tablet to extend my period during my wedding. After that, I got a scanty one in the same month and took an i-pill end the end of the month. I got my next period within a few days. It was heavy for the first two days and I felt so tired. Again after twelve days, I had bleeding for four days.The next cycle started. I took an i-pill on that month also. Last week I took another i-pill and it started bleeding after four days. It is very heavy. Am I getting an early period or just bleeding or something else?
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Hi. You are probably taking the i-pill again and again which is not right. It has caused hormonal imbalance and disturbed the cycles. It is meant to be taken once only for emergency reasons and not after every unprotected sex. Anyhow the reason for bleeding like this is with ChatDoctor. If you take the i-pill before ovulation, then your cycle is likely to get shortened and you get your periods early. But if you happen to take it after ovulation, then the cycle will be prolonged. It will be better if you take regular combined contraceptive pills for 21 days if you want contraception for a few months. This will also regularise your cycles and also control bleeding. However, it will be better if you get one check-up done and get a scan done to see is there any other cause for heavy bleeding. | Hello doctor,I took a tablet to extend my period during my wedding. After that, I got a scanty one in the same month and took an i-pill end the end of the month. I got my next period within a few days. It was heavy for the first two days and I felt so tired. Again after twelve days, I had bleeding for four days.The next cycle started. I took an i-pill on that month also. Last week I took another i-pill and it started bleeding after four days. It is very heavy. Am I getting an early period or just bleeding or something else? | Hi. You are probably taking the i-pill again and again which is not right. It has caused hormonal imbalance and disturbed the cycles. It is meant to be taken once only for emergency reasons and not after every unprotected sex. Anyhow the reason for bleeding like this is with ChatDoctor. If you take the i-pill before ovulation, then your cycle is likely to get shortened and you get your periods early. But if you happen to take it after ovulation, then the cycle will be prolonged. It will be better if you take regular combined contraceptive pills for 21 days if you want contraception for a few months. This will also regularise your cycles and also control bleeding. However, it will be better if you get one check-up done and get a scan done to see is there any other cause for heavy bleeding. |
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Hi doctor,My girlfriend is 20 years old. She recently started losing her hair. Now, within two and a half months you can see her scalp near the front of her head and the very back of her head. It happened suddenly. And now she is pulling her hair out in clumps throughout the day. I have also noticed that her eyes are very dark and she complaints of being tired. She does not sleep well at night either. Her job has been stressing her out lately. She is working as a teacher for the past two years and managing kindergarten kids. What I really want to know is, can there be such a rapid hair loss due to stress of her job? Or is it something worse? I have almost ruled out thyroid. She is perfectly healthy. I have a thyroid problem and her symptoms are not similar to mine. And it does not run in the family too. Please help with her problem.
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Hi. Let me explain everything about hair fall. Straightening and other procedure also cause weakness of root. Other condition like fever, typhoid, malaria, thyroid, etc., can also cause hair fall, but these are less common. Regarding treatment, have good sleep. Eat proper food with green vegetables and fruits. Take Iron and multivitamin like Follihair for at least three months. Check your blood hemoglobin. If it is less, then she should start iron and folic acid supplement. Also, check thyroid and diabetes to rule out other cause. | Hi doctor,My girlfriend is 20 years old. She recently started losing her hair. Now, within two and a half months you can see her scalp near the front of her head and the very back of her head. It happened suddenly. And now she is pulling her hair out in clumps throughout the day. I have also noticed that her eyes are very dark and she complaints of being tired. She does not sleep well at night either. Her job has been stressing her out lately. She is working as a teacher for the past two years and managing kindergarten kids. What I really want to know is, can there be such a rapid hair loss due to stress of her job? Or is it something worse? I have almost ruled out thyroid. She is perfectly healthy. I have a thyroid problem and her symptoms are not similar to mine. And it does not run in the family too. Please help with her problem. | Hi. Let me explain everything about hair fall. Straightening and other procedure also cause weakness of root. Other condition like fever, typhoid, malaria, thyroid, etc., can also cause hair fall, but these are less common. Regarding treatment, have good sleep. Eat proper food with green vegetables and fruits. Take Iron and multivitamin like Follihair for at least three months. Check your blood hemoglobin. If it is less, then she should start iron and folic acid supplement. Also, check thyroid and diabetes to rule out other cause. |
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Hello doctor,I am 36 years old and healthy. I had Vitamin D3 deficiency with back pain four years ago when I was abroad. I came back and, did physiotherapy and Ayurvedic treatment. Things got better in two years. But I still have the following symptoms.Back pain comes when sitting for a long time specifically in certain kinds of chairs. Sometimes twisting pain comes suddenly when I sit in certain chairs for long. Standing continuously in certain types of floors is an issue. Lifting weights is fine, but still, need to comfortably lift more than 6 kg. Standing is comfortable in roads, shops, etc., for a long time. Spine pain radiates to the back of the head and neck at times. When that happens I sometimes get lightheaded when seeing objects rotate. Pain comes when I sit and clean objects. If I do no fully sit pain does not come. Long scooter rides sometimes cause back pain the next day.
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Hello, Welcome to Chat Doctor forum. You have symptoms that are typical of core and back muscles weakness. I will advise you to take up some regular exercise schedule whether it is gym-based, or at home like yoga, or even at work where you do chair-based exercises that help you with core strength and back toning and flexibility exercise. You can see a good manual therapist or a physiotherapist who will be able to guide you. You should be mindful of poor posture and avoid sitting in position for any length of time. | Hello doctor,I am 36 years old and healthy. I had Vitamin D3 deficiency with back pain four years ago when I was abroad. I came back and, did physiotherapy and Ayurvedic treatment. Things got better in two years. But I still have the following symptoms.Back pain comes when sitting for a long time specifically in certain kinds of chairs. Sometimes twisting pain comes suddenly when I sit in certain chairs for long. Standing continuously in certain types of floors is an issue. Lifting weights is fine, but still, need to comfortably lift more than 6 kg. Standing is comfortable in roads, shops, etc., for a long time. Spine pain radiates to the back of the head and neck at times. When that happens I sometimes get lightheaded when seeing objects rotate. Pain comes when I sit and clean objects. If I do no fully sit pain does not come. Long scooter rides sometimes cause back pain the next day. | Hello, Welcome to Chat Doctor forum. You have symptoms that are typical of core and back muscles weakness. I will advise you to take up some regular exercise schedule whether it is gym-based, or at home like yoga, or even at work where you do chair-based exercises that help you with core strength and back toning and flexibility exercise. You can see a good manual therapist or a physiotherapist who will be able to guide you. You should be mindful of poor posture and avoid sitting in position for any length of time. |
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Hello doctor,My problem is I have a wavering mind and am overimagining everything. If I am watching some negative scenes in movies or shows, I am imagining as if it is happening to me in my real life and am scared that it will surely happen in my life also. I am imagining myself as a bad girl and am crying and convincing myself that am not. For two days, I will behave like this. Then, I will self-motivate myself. Then once again, I will start imagining. I want my old me. I am not myself nowadays. I feel like committing suicide. I want to come out of this problem. I want to be happy with my boyfriend, my family and I want to be successful. I am a good girl but scared to come out of my home. I am very much scared tat I will go wrong. I do not have self-confidence and I do not believe me at all. Please help me to solve this problem.
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Hello, Welcome to Chat Doctor forum. You have intrusive thoughts and these are resulting in distress. The intrusive thoughts are unwanted dominating thoughts which result in significant distress. The thoughts on seeing some negative scene that you are bad or imagining yourself in such situations are part of anxiety. If these are resulting in distress and you are not able to function properly then please visit a psychiatrist for help. Please do not delay the treatment because this might complicate into anxiety or obsessive-compulsive thoughts. Take care. | Hello doctor,My problem is I have a wavering mind and am overimagining everything. If I am watching some negative scenes in movies or shows, I am imagining as if it is happening to me in my real life and am scared that it will surely happen in my life also. I am imagining myself as a bad girl and am crying and convincing myself that am not. For two days, I will behave like this. Then, I will self-motivate myself. Then once again, I will start imagining. I want my old me. I am not myself nowadays. I feel like committing suicide. I want to come out of this problem. I want to be happy with my boyfriend, my family and I want to be successful. I am a good girl but scared to come out of my home. I am very much scared tat I will go wrong. I do not have self-confidence and I do not believe me at all. Please help me to solve this problem. | Hello, Welcome to Chat Doctor forum. You have intrusive thoughts and these are resulting in distress. The intrusive thoughts are unwanted dominating thoughts which result in significant distress. The thoughts on seeing some negative scene that you are bad or imagining yourself in such situations are part of anxiety. If these are resulting in distress and you are not able to function properly then please visit a psychiatrist for help. Please do not delay the treatment because this might complicate into anxiety or obsessive-compulsive thoughts. Take care. |
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Hi doctor,I am 25 years old, boy, my height is 158 cm and weight is 61 kg. I am suffering from motion problem. My motion is not proper. It is getting too hard and timing is not proper I feel, something like ulcer is there inside of my anus. Please help me.
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Hi, Welcome to Chat Doctor forum. You feel pain when you use the toilet, and always hard. You need to take enough water, fruits and vegetables in your diet to soften your stool. You need a lot of fibres in your diet. For the ulcer like symptom as if there is a wound in your anus, that may be making you to go to toilet for fear of pains after use of toilet, in turn it makes your stool get harder beause you do not go to toilet when you ought to. It is likely that you have anal fissure, which is responsible for the pains and in turn constipation is there steaks of blood too in the stool. What you can do is take Liquid Paraffin 15 ml thrice daily, that will help soften your stool. Apply topical Lignocaine local anastesia on the anus to relieve pain. Do warm sitz bath. Put plenty of salt in warm water, add a disinfectant containing Chlorhexidine to it and sit on it. Do it thrice everyday, and after using the toilet. It will help to sooth the discomfort and relax the nerves around anus. | Hi doctor,I am 25 years old, boy, my height is 158 cm and weight is 61 kg. I am suffering from motion problem. My motion is not proper. It is getting too hard and timing is not proper I feel, something like ulcer is there inside of my anus. Please help me. | Hi, Welcome to Chat Doctor forum. You feel pain when you use the toilet, and always hard. You need to take enough water, fruits and vegetables in your diet to soften your stool. You need a lot of fibres in your diet. For the ulcer like symptom as if there is a wound in your anus, that may be making you to go to toilet for fear of pains after use of toilet, in turn it makes your stool get harder beause you do not go to toilet when you ought to. It is likely that you have anal fissure, which is responsible for the pains and in turn constipation is there steaks of blood too in the stool. What you can do is take Liquid Paraffin 15 ml thrice daily, that will help soften your stool. Apply topical Lignocaine local anastesia on the anus to relieve pain. Do warm sitz bath. Put plenty of salt in warm water, add a disinfectant containing Chlorhexidine to it and sit on it. Do it thrice everyday, and after using the toilet. It will help to sooth the discomfort and relax the nerves around anus. |
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Hello doctor,I contracted scabies from a hotel I stayed at over two months ago. Two nights later, I stayed with my partner at his place. I learned that symptoms can show as quickly as 1 to 3 days in cases of reinfestation and I immediately recognized the small red itchy dots that I began developing along with a burrow line due to having contracted scabies years ago after a holiday.I successfully treated myself and the symptoms eased. I visited my partner again only to have been reinfested by him. Although he showed no symptoms, he did the Permethrin treatment and I repeated treatment. Symptoms eased. This was eight weeks ago. Since staying at his room two days ago, symptoms have appeared again. Itching along with new red rash is appearing due to scratching. I have done the ink test and am convinced that the little line shown on my forearm is a burrow forming.What if I fail to understand that he has the disease and continues to experience no symptoms. It has been almost 11 weeks. How is this possible? Could scabies lay dormant for some time in darker, stronger skin? The anxiety this is giving me is crippling. Please advise.
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Hello, Welcome to Chat Doctor forum. I understand your concern. But it can mean that you do not have scabies and it is something else like papular urticaria or like that. Please send pictures of the affected area to help you better. Take care. | Hello doctor,I contracted scabies from a hotel I stayed at over two months ago. Two nights later, I stayed with my partner at his place. I learned that symptoms can show as quickly as 1 to 3 days in cases of reinfestation and I immediately recognized the small red itchy dots that I began developing along with a burrow line due to having contracted scabies years ago after a holiday.I successfully treated myself and the symptoms eased. I visited my partner again only to have been reinfested by him. Although he showed no symptoms, he did the Permethrin treatment and I repeated treatment. Symptoms eased. This was eight weeks ago. Since staying at his room two days ago, symptoms have appeared again. Itching along with new red rash is appearing due to scratching. I have done the ink test and am convinced that the little line shown on my forearm is a burrow forming.What if I fail to understand that he has the disease and continues to experience no symptoms. It has been almost 11 weeks. How is this possible? Could scabies lay dormant for some time in darker, stronger skin? The anxiety this is giving me is crippling. Please advise. | Hello, Welcome to Chat Doctor forum. I understand your concern. But it can mean that you do not have scabies and it is something else like papular urticaria or like that. Please send pictures of the affected area to help you better. Take care. |
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Hi doctor,I had a cracked temporary crown in the tooth. I had some decay in the same tooth. I do not have pain in the tooth. But I had a sensitivity. My dentist examined the tooth and told that the decay has extended to the nerve area. My dentist did a root canal in the tooth. Now, I am fine with a temporary crown placed. Can I get a permanent crown now? Please advice.
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Hi, Welcome to Chat Doctor forum. Crown failures often indicate a caries progression below the tooth. The supporting tooth substance which is infected by caries can no longer resist the forces of mastication, and they tend to crack, break and fail. The tooth decay must be removed entirely to protect the tooth. You had tooth sensitivity due to the affected nerve present in the infected tooth. In the root canal treatment, the infected nerve is removed, and it is placed with gutta-percha. After that, a filling is placed to protect the tooth. Now you can go for a permanent crown. As long as the root canal treatment is fine and the tooth substance is adequate, you can proceed with a permanent crown. Please send the X-ray of the root canal treated tooth to guide you further. I would like to see whether the root canal treated tooth is fine and to see whether the remaining tooth substance is sufficient to support a permanent crown. Brush your teeth twice daily and take good care of your crowns and bridges by using interdental brushes. | Hi doctor,I had a cracked temporary crown in the tooth. I had some decay in the same tooth. I do not have pain in the tooth. But I had a sensitivity. My dentist examined the tooth and told that the decay has extended to the nerve area. My dentist did a root canal in the tooth. Now, I am fine with a temporary crown placed. Can I get a permanent crown now? Please advice. | Hi, Welcome to Chat Doctor forum. Crown failures often indicate a caries progression below the tooth. The supporting tooth substance which is infected by caries can no longer resist the forces of mastication, and they tend to crack, break and fail. The tooth decay must be removed entirely to protect the tooth. You had tooth sensitivity due to the affected nerve present in the infected tooth. In the root canal treatment, the infected nerve is removed, and it is placed with gutta-percha. After that, a filling is placed to protect the tooth. Now you can go for a permanent crown. As long as the root canal treatment is fine and the tooth substance is adequate, you can proceed with a permanent crown. Please send the X-ray of the root canal treated tooth to guide you further. I would like to see whether the root canal treated tooth is fine and to see whether the remaining tooth substance is sufficient to support a permanent crown. Brush your teeth twice daily and take good care of your crowns and bridges by using interdental brushes. |
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Hi doctor,I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me.
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Hi, Welcome to Chat Doctor forum. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These ChatDoctor. You can discuss with your hematologist regarding the test suggested and about the | Hi doctor,I am a 36-year-old female. I had two chemical pregnancies this year, and I am childless. Due to my age, I decided to investigate more. The thrombophilia panel test results recommended me to see a hematologist. I have positive results (heterozygous) for MTHFR C677T, PAI 4G by 5G, AGT M235T, factor XIII Val34Leu, and fibrinogen 455 G by A. Will I need special treatment for a future pregnancy? Please help me. | Hi, Welcome to Chat Doctor forum. I have reviewed your case. It seems that you had two miscarriages. So, you have to know a little detail about your condition and to understand thrombophilia. The risk of abortion is none to minimal in normal pregnancy whereas intermediate and high in heterozygous and homozygous mutation respectively. In your case, as you have twice pregnancy failure, I have two recommendations. Try to do APLA test (antiphospholipid antibody workup) which is just the extension of thrombophilia work up. During future pregnancy, usually in your case, we need to give some medications which can maintain your blood flow, and it can prevent the micro clot formation in the placental blood vessels, and hence the chances of abortion will get decreased. These ChatDoctor. You can discuss with your hematologist regarding the test suggested and about the |
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Hello doctor,I am a 28 year old male. I have been diagnosed with RA. And another rheumatologist told me I do not have enough symptoms for RA. However, I have been using Methylprednisolone 4 mg for almost four years every day. And this helps me completely get rid of any problems. If I do not take it for a day all my joints start to swell and it is unbearable. The second rheumatologist prescribed Methotrexate to me and now I am taking this for already four months together with the Methylprednisolone. But, I still cannot get rid of the Methylprednisolone. How dangerous is it taking this drug for already so long? Will it prevent me being able to have children? What is my best option? I am open to travel to any hospital in the world. Symptoms started four years ago.
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Hello, Welcome to Chat Doctor forum. Well, it is a tough spot you are on. It will be difficult for a new rheumatologist to diagnose if you are already on steroids and the symptoms get masked. But I will try to simplify it for you here. Could you let me know the results of rheumatoid factor, anti-CCP antibody, and ANA? If they are negative, it will reduce the probability of rheumatoid arthritis. Steroids on a long-term basis are always harmful. It can cause cataract, osteoporosis, and diabetes mellitus. It is like a ChatDoctor. | Hello doctor,I am a 28 year old male. I have been diagnosed with RA. And another rheumatologist told me I do not have enough symptoms for RA. However, I have been using Methylprednisolone 4 mg for almost four years every day. And this helps me completely get rid of any problems. If I do not take it for a day all my joints start to swell and it is unbearable. The second rheumatologist prescribed Methotrexate to me and now I am taking this for already four months together with the Methylprednisolone. But, I still cannot get rid of the Methylprednisolone. How dangerous is it taking this drug for already so long? Will it prevent me being able to have children? What is my best option? I am open to travel to any hospital in the world. Symptoms started four years ago. | Hello, Welcome to Chat Doctor forum. Well, it is a tough spot you are on. It will be difficult for a new rheumatologist to diagnose if you are already on steroids and the symptoms get masked. But I will try to simplify it for you here. Could you let me know the results of rheumatoid factor, anti-CCP antibody, and ANA? If they are negative, it will reduce the probability of rheumatoid arthritis. Steroids on a long-term basis are always harmful. It can cause cataract, osteoporosis, and diabetes mellitus. It is like a ChatDoctor. |
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Hello doctor,I am planning my second baby. We had unprotected sex. My last month periods were twelve days before that. Two days after the intercourse, I got cramps. I visited the doctor, and she said you are ovulating. Still, some cramps are there, and there is a white watery discharge. My periods are due on the 13th of next month. I do not know if I am pregnant; only my breast is getting heavy a bit.
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Hello. It is true that you should have some pain while you are ovulating. But ovulation pain mostly lasts for four to five hours only. If it is from seven to eight days, then it can be due to some other reason like acidity or stomach infection, which leads to some cramps. White discharge is normal, but it may suggest infection due to which you are having pain. If you are planning for pregnancy and pain is tolerable, then I would suggest not to take any medicine for it. Wait up till 13th, and if menses do not come, then do a urine pregnancy test after three or four days. Heaviness in the breast is maybe normal before menses. If you still doubt that something is wrong and you have minimal bleeding on the last menstrual period then do urine pregnancy test today itself and not to wait up to 13th of next month. And if the pain is not tolerable, then you can take Paracetamol like tablets as a painkiller. | Hello doctor,I am planning my second baby. We had unprotected sex. My last month periods were twelve days before that. Two days after the intercourse, I got cramps. I visited the doctor, and she said you are ovulating. Still, some cramps are there, and there is a white watery discharge. My periods are due on the 13th of next month. I do not know if I am pregnant; only my breast is getting heavy a bit. | Hello. It is true that you should have some pain while you are ovulating. But ovulation pain mostly lasts for four to five hours only. If it is from seven to eight days, then it can be due to some other reason like acidity or stomach infection, which leads to some cramps. White discharge is normal, but it may suggest infection due to which you are having pain. If you are planning for pregnancy and pain is tolerable, then I would suggest not to take any medicine for it. Wait up till 13th, and if menses do not come, then do a urine pregnancy test after three or four days. Heaviness in the breast is maybe normal before menses. If you still doubt that something is wrong and you have minimal bleeding on the last menstrual period then do urine pregnancy test today itself and not to wait up to 13th of next month. And if the pain is not tolerable, then you can take Paracetamol like tablets as a painkiller. |
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Hello doctor,The CT thorax report for chronic cough in comparison made to chest radiograph. 5 mm nodule seen within the left upper lobe. No other discrete pulmonary nodule or mass is identified. 1.3 cm short axis pretracheal lymph node is identified. Calcifications noted within a normal-sized subcarinal lymph node. No enlarged axillary or hilar lymph nodes are identified. Mediastinum and great vessels are otherwise unremarkable. Osseous structures are unremarkable.Can you please help me to understand the report.
### Response:
Hello. I understand from your description that you have a chronic cough and did a CT Thorax, but I am confused as there are no CT images attached. Still, I will try to help you with this report. It says, 5 mm nodule seen within the left upper lobe and 1.3 cm short axis pretracheal lymph node with calcified normal-sized subcarinal lymph node. Rest of the lung parenchyma is normal. I suppose it could be due to an old infection, may be tuberculosis (primary) which went unnoticed and it has nothing to do with the present situation. So you should not worry about this CT findings and try to find out any other cause of chronic cough. You have not elaborated your history in detail to guess any other cause. I advise doing a spirometry test to rule out asthma. It is the most common cause of chronic cough with normal x-ray or CT chest. | Hello doctor,The CT thorax report for chronic cough in comparison made to chest radiograph. 5 mm nodule seen within the left upper lobe. No other discrete pulmonary nodule or mass is identified. 1.3 cm short axis pretracheal lymph node is identified. Calcifications noted within a normal-sized subcarinal lymph node. No enlarged axillary or hilar lymph nodes are identified. Mediastinum and great vessels are otherwise unremarkable. Osseous structures are unremarkable.Can you please help me to understand the report. | Hello. I understand from your description that you have a chronic cough and did a CT Thorax, but I am confused as there are no CT images attached. Still, I will try to help you with this report. It says, 5 mm nodule seen within the left upper lobe and 1.3 cm short axis pretracheal lymph node with calcified normal-sized subcarinal lymph node. Rest of the lung parenchyma is normal. I suppose it could be due to an old infection, may be tuberculosis (primary) which went unnoticed and it has nothing to do with the present situation. So you should not worry about this CT findings and try to find out any other cause of chronic cough. You have not elaborated your history in detail to guess any other cause. I advise doing a spirometry test to rule out asthma. It is the most common cause of chronic cough with normal x-ray or CT chest. |
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Hello doctor,Attached is a treadmill stress test result. I would like to obtain technical info regarding these results, particularly regarding the infarction. I would appreciate the severity of this infarction and whether it could be a machine error. Could you also tell me by perhaps drawing on the shot what waves and shapes indicate problems?
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Hello, Welcome to Chat Doctor forum. I have gone through your report (attachment removed to protect patient identity). It is unlikely to be a machine error. Errors do not have such patterns and it is suggestive of old infarction only. Its present in inferior leads, which suggests inferior part of the heart is damaged and these are relatively less severe kind of infarction. However, an echo will give a better idea regarding the severity and extent of damage done. So it is better to get an echo done, if not done yet. Now, you can see in lead 1, P wave followed by a sharp spike called as QRS complex followed by an upright wave called as T-wave. So now, you can see in lead 2, 3, and AVF which are inferior leads, showing downward QRS spike instead of upward and T-wave is also inverted suggestive of heart damage. So, the next step is an echo to look for the extent of damage and followed by angiography to see the blockages and if needed then revascularization. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online | Hello doctor,Attached is a treadmill stress test result. I would like to obtain technical info regarding these results, particularly regarding the infarction. I would appreciate the severity of this infarction and whether it could be a machine error. Could you also tell me by perhaps drawing on the shot what waves and shapes indicate problems? | Hello, Welcome to Chat Doctor forum. I have gone through your report (attachment removed to protect patient identity). It is unlikely to be a machine error. Errors do not have such patterns and it is suggestive of old infarction only. Its present in inferior leads, which suggests inferior part of the heart is damaged and these are relatively less severe kind of infarction. However, an echo will give a better idea regarding the severity and extent of damage done. So it is better to get an echo done, if not done yet. Now, you can see in lead 1, P wave followed by a sharp spike called as QRS complex followed by an upright wave called as T-wave. So now, you can see in lead 2, 3, and AVF which are inferior leads, showing downward QRS spike instead of upward and T-wave is also inverted suggestive of heart damage. So, the next step is an echo to look for the extent of damage and followed by angiography to see the blockages and if needed then revascularization. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online |
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Hello doctor,Should I get a permanent retainer months after braces and use of a removable retainer? Part of my overbite has returned since I got my braces off due to tongue thrusting. Partly because I never wore my retainers as much as I should have. Can I get a permanent retainer at this point? Or is it too late?
### Response:
Hello, Welcome to Chat Doctor forum. First of all, you should wear your retainer regularly. Ideal position of teeth or occlusion which is obtained with the help of orthodontic treatment is maintained by regular use of orthodontic retainer. Use of orthodontic retainer is equally important and is part of orthodontic treatment. You can read about orthodontic retainer from ChatDoctor articles. As per your description, you have tongue thrust, so it should be corrected otherwise it will be a cause of relapse after successful orthodontic treatment. You can read about tongue thrust from ChatDoctor articles. As you have stated that your bite has relapsed, so if you use permanent retainer then it will retain faulty occlusion. This is what you can see about changes. But as the bite has relapsed, definitely there must have some other changes or movement of teeth happened (you have not uploaded any image of your concern area), that you cannot see but being expert in that field we can see. So for any kind of second opinion one has to check clinically or at least have an image of your concern area. So kindly upload an image of your concern area or teeth for appropriate treatment planning. | Hello doctor,Should I get a permanent retainer months after braces and use of a removable retainer? Part of my overbite has returned since I got my braces off due to tongue thrusting. Partly because I never wore my retainers as much as I should have. Can I get a permanent retainer at this point? Or is it too late? | Hello, Welcome to Chat Doctor forum. First of all, you should wear your retainer regularly. Ideal position of teeth or occlusion which is obtained with the help of orthodontic treatment is maintained by regular use of orthodontic retainer. Use of orthodontic retainer is equally important and is part of orthodontic treatment. You can read about orthodontic retainer from ChatDoctor articles. As per your description, you have tongue thrust, so it should be corrected otherwise it will be a cause of relapse after successful orthodontic treatment. You can read about tongue thrust from ChatDoctor articles. As you have stated that your bite has relapsed, so if you use permanent retainer then it will retain faulty occlusion. This is what you can see about changes. But as the bite has relapsed, definitely there must have some other changes or movement of teeth happened (you have not uploaded any image of your concern area), that you cannot see but being expert in that field we can see. So for any kind of second opinion one has to check clinically or at least have an image of your concern area. So kindly upload an image of your concern area or teeth for appropriate treatment planning. |
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Hello doctor,I have had irregular periods for months. I am experiencing abnormal periods where I am bleeding every other week. Sometimes the bleeding lasts a few days whereas sometimes it lasts at least eight days. More recently, I have had my worst period. I have had it 10 days then off for three days and then back on again for another one. I am currently on a period and it does not look like it will go soon. They are not particularly heavy periods for me and are both a mixture of different shades of red. I currently take the Norethisterone, the only tablet for contraceptive. Please help.
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Hello, Welcome to Chat Doctor forum. The contraceptive efficacy of the Norethisterone is quite less and if you are taking it irregularly then also it may cause a breakthrough bleeding. So the important thing is to get a pregnancy test as this is the most common cause to rule out. If this is ruled out then irregular intake of hormones is the second cause. I suggest you get a gynecological ultrasound and a serum beta hCG (human chorionic gonadotropin) done. AUB (abnormal uterine bleeding), pregnancy, and hormonal imbalance are the differential diagnoses. The treatment plan is to stop taking the pills at present. Let us know the reports of the investigation. Preventive measures include the use of a combination of oral pills. Follow up with the reports. For more information consult an obstetrician and gynaecologist online | Hello doctor,I have had irregular periods for months. I am experiencing abnormal periods where I am bleeding every other week. Sometimes the bleeding lasts a few days whereas sometimes it lasts at least eight days. More recently, I have had my worst period. I have had it 10 days then off for three days and then back on again for another one. I am currently on a period and it does not look like it will go soon. They are not particularly heavy periods for me and are both a mixture of different shades of red. I currently take the Norethisterone, the only tablet for contraceptive. Please help. | Hello, Welcome to Chat Doctor forum. The contraceptive efficacy of the Norethisterone is quite less and if you are taking it irregularly then also it may cause a breakthrough bleeding. So the important thing is to get a pregnancy test as this is the most common cause to rule out. If this is ruled out then irregular intake of hormones is the second cause. I suggest you get a gynecological ultrasound and a serum beta hCG (human chorionic gonadotropin) done. AUB (abnormal uterine bleeding), pregnancy, and hormonal imbalance are the differential diagnoses. The treatment plan is to stop taking the pills at present. Let us know the reports of the investigation. Preventive measures include the use of a combination of oral pills. Follow up with the reports. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well.
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Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days. | Hello doctor,I have pilonidal sinus. I had two surgeries one with the endoscopic method and the second one six months before by incision and drainage method. After recovering from this, I had a small pimple on the wound. Doctor said it is normal and it is because of surgery. But now I am having redness around that. I am using alcohol swap to clean the opening areas of pilonidal sinus and they are closed. Kindly tell me is this recurrence of pilonidal sinus or boil or what it is? It is causing pain while sitting as well. | Hello. Do not worry. I will help you with your problem. As you said, you underwent surgery for pilonidal sinus two times and now you have one boil at the same site. As I can see in the image (attachment removed toprotect patient identity) it can be boil or recurrence of pilonidal sinus that may be due to infection of that local area. I will prescribe you some medicine. Please maintain local hygiene shave your hair in that area. Get back to me after five days. I will add some more medicine and local remedies. Sitz bath in luke water with Betadine twice a day, tablet Augmentin (Amoxicillin and Clavulanic acid)625 mg TDS for five days, tablet Chymoral forte TDS for five days, tablet Serradic P BD for three days, Capsule A To Z OD for 10 days. |
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Hi doctor,I am a 46 year old male. My height is 165 cm and weight is 65 kg. I am a known HTN since 3 years. My medications were Olmezest 10 mg once daily in the morning and Prolomet XL 50 mg once daily in the evening. Now I am diagnosed with type 2 diabetes. My readings are FBS 141, PPBS 236 and BP 130/80. My physician has prescribed me Gemer 1 twice daily and Tazloc-H 40 mg once daily. I heard that Metformin ER has to be taken daily once but he asked me to take twice daily. I would like to know whether my medicines are fine or not. Do I need any more medicine? Also my heart rate was higher earlier but is under control with the use of Prolomet XL. Now the Prolomet is replaced by Tazloc-H 40 mg. Will it be a problem? Please help.
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Hi, Welcome to Chat Doctor forum. Previously, you were on tablet Olmezest (Olmesartan) and tablet Prolomet XL 50 (Metoprolol tartrate). Now you are on diabetic medication and tablet Tazloc-H 40 (Telmisartan). Tablet Olmezest and tablet Tazloc are similar kind of ChatDoctor. So, taking one | Hi doctor,I am a 46 year old male. My height is 165 cm and weight is 65 kg. I am a known HTN since 3 years. My medications were Olmezest 10 mg once daily in the morning and Prolomet XL 50 mg once daily in the evening. Now I am diagnosed with type 2 diabetes. My readings are FBS 141, PPBS 236 and BP 130/80. My physician has prescribed me Gemer 1 twice daily and Tazloc-H 40 mg once daily. I heard that Metformin ER has to be taken daily once but he asked me to take twice daily. I would like to know whether my medicines are fine or not. Do I need any more medicine? Also my heart rate was higher earlier but is under control with the use of Prolomet XL. Now the Prolomet is replaced by Tazloc-H 40 mg. Will it be a problem? Please help. | Hi, Welcome to Chat Doctor forum. Previously, you were on tablet Olmezest (Olmesartan) and tablet Prolomet XL 50 (Metoprolol tartrate). Now you are on diabetic medication and tablet Tazloc-H 40 (Telmisartan). Tablet Olmezest and tablet Tazloc are similar kind of ChatDoctor. So, taking one |
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Hello doctor,The attached PDF are the results from CBC tests and Hb electrophoresis of a girl baby. The first CBC was done in one month, and the following CBC and Hb electrophoresis tests were done in two years of age. The tests seem to indicate that the girl is (at least) a carrier of the alpha thalassemia Hb constant spring (CS) mutation. I have two questions related to this.Is it possible to say from the test results which of the following Hb genotypes are possible?a)\\t3 normal, 1 CS.b)\\t2 normal, 1 CS, 1 deletion.c)\\t2 normal, 2 CS.d)\\tSomething else?What is the difference between a, b and c above in terms of expected symptoms later in life?Additional information
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Hello, Welcome to ChatDoctor. Hemoglobin constant spring is non-deletional alpha thalassemia. This abnormal hemoglobin results from point mutation at the stop codon of the \\xce\\xb12-globin gene (TAA > CAA) which leads to the addition of 31 amino acids to a normal \\xce\\xb1-globin sequence. The heterozygous of Hb CS (hemoglobin constant spring) is clinically and hematologically normal with mild anemia in some cases as it appears to be in this case. Heterozygous cases have a good prognosis and a fairly normal life expectancy. The genetic abnormality can only be confirmed by genetic testing. | Hello doctor,The attached PDF are the results from CBC tests and Hb electrophoresis of a girl baby. The first CBC was done in one month, and the following CBC and Hb electrophoresis tests were done in two years of age. The tests seem to indicate that the girl is (at least) a carrier of the alpha thalassemia Hb constant spring (CS) mutation. I have two questions related to this.Is it possible to say from the test results which of the following Hb genotypes are possible?a)\\t3 normal, 1 CS.b)\\t2 normal, 1 CS, 1 deletion.c)\\t2 normal, 2 CS.d)\\tSomething else?What is the difference between a, b and c above in terms of expected symptoms later in life?Additional information | Hello, Welcome to ChatDoctor. Hemoglobin constant spring is non-deletional alpha thalassemia. This abnormal hemoglobin results from point mutation at the stop codon of the \\xce\\xb12-globin gene (TAA > CAA) which leads to the addition of 31 amino acids to a normal \\xce\\xb1-globin sequence. The heterozygous of Hb CS (hemoglobin constant spring) is clinically and hematologically normal with mild anemia in some cases as it appears to be in this case. Heterozygous cases have a good prognosis and a fairly normal life expectancy. The genetic abnormality can only be confirmed by genetic testing. |
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Good dayMy situation started yesterday after taking a shower yesterday. I climbed out of the shower and noticed I had this high pitched ringing sound in my ears. This sound is really causing me to panic ; last night I has 3 anxiety attacks because of it and I took 50mg Sressam tablet but it did not work. I still have the ringing in my ears today and I\\ve taken another stressam about 1 and a half hours ago but it\\s not seeming to work. I\\m afraid I might have an anxiety attack again tonight because of it. I\\ve recently been placed on Acnetret for my Ance (7 days ago) but my Dr told me to stop it for a few days because I have been experiencing extreme back pain which I am still experiencing right now. I have been off the tablets for about 2 or 3 days and I dont know If this could be causing the high pitch (silence sort of noise) in my ears. Its causing extreme anxiety and unfortunately all Dr\\s rooms are closed right now.Age
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Hello First of all, please know that ringing sensation is very common and prevalent. There are many suspected causes for ringing sensation in the ear. The most common ones being - wax impinging on the ear- ChatDoctor. You say it started after a bath. Even water, soap, hair follicles within your ear, when come in contact with the ear- Take care. | Good dayMy situation started yesterday after taking a shower yesterday. I climbed out of the shower and noticed I had this high pitched ringing sound in my ears. This sound is really causing me to panic ; last night I has 3 anxiety attacks because of it and I took 50mg Sressam tablet but it did not work. I still have the ringing in my ears today and I\\ve taken another stressam about 1 and a half hours ago but it\\s not seeming to work. I\\m afraid I might have an anxiety attack again tonight because of it. I\\ve recently been placed on Acnetret for my Ance (7 days ago) but my Dr told me to stop it for a few days because I have been experiencing extreme back pain which I am still experiencing right now. I have been off the tablets for about 2 or 3 days and I dont know If this could be causing the high pitch (silence sort of noise) in my ears. Its causing extreme anxiety and unfortunately all Dr\\s rooms are closed right now.Age | Hello First of all, please know that ringing sensation is very common and prevalent. There are many suspected causes for ringing sensation in the ear. The most common ones being - wax impinging on the ear- ChatDoctor. You say it started after a bath. Even water, soap, hair follicles within your ear, when come in contact with the ear- Take care. |
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Hi doctor,I am a 20 year old medical student. I have a big problem with my studying techniques, and I find it rare compared to others. First things first, I am lazy to study, not because I am lazy in general, but because I do not understand a word. Even if I understand something, it gets evaporated from my mind within minutes. I am not able to pay attention during lectures, and I do not find it useful. Honestly, I attend lectures just for the attendance sake.But, just before the day of exams, I understand whatever I read, and I somehow manage to pass. I only fail if I could not finish reading due to any reason. My concentration power suddenly improves before exams. But once I am out of the exam hall, everything vanishes from my head. Is there any solution for this? If I am ill on the day before the exam, then I definitely flunk. Honestly, whatever I write in the exam is the result of what I read on the previous day. I know that this type of studying habit is not at all ideal for the profession I choose. So, please help me. Please provide useful information about the same. Also, suggest a way to approach and solve this problem.
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Hello, Welcome to Chat Doctor forum. I can understand your concern. You have issues of poor focus and inability to maintain focus or concentration. Thanks and take care. For more information consult a psychologist counsellor online | Hi doctor,I am a 20 year old medical student. I have a big problem with my studying techniques, and I find it rare compared to others. First things first, I am lazy to study, not because I am lazy in general, but because I do not understand a word. Even if I understand something, it gets evaporated from my mind within minutes. I am not able to pay attention during lectures, and I do not find it useful. Honestly, I attend lectures just for the attendance sake.But, just before the day of exams, I understand whatever I read, and I somehow manage to pass. I only fail if I could not finish reading due to any reason. My concentration power suddenly improves before exams. But once I am out of the exam hall, everything vanishes from my head. Is there any solution for this? If I am ill on the day before the exam, then I definitely flunk. Honestly, whatever I write in the exam is the result of what I read on the previous day. I know that this type of studying habit is not at all ideal for the profession I choose. So, please help me. Please provide useful information about the same. Also, suggest a way to approach and solve this problem. | Hello, Welcome to Chat Doctor forum. I can understand your concern. You have issues of poor focus and inability to maintain focus or concentration. Thanks and take care. For more information consult a psychologist counsellor online |
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Hello doctor,I have been experiencing a pain on the left side of my stomach with passing gas and burping in the stomach. My stool is green and there is no sign of blood and no vomiting. I have been to the doctor and he gave me Nexium and Ranitidine for three days. Also, I was feeling a little better after three days dose. On the fourth day, I felt belly discomfort and burning comes and goes mostly at night. Last night I felt a heat sensation on my neck. The next day I took the pills and the burning feel on the left side of the stomach and heat sensation a neck seems to get cooled. I feel like mucus or something is in my throat. Should I be worried? Also, I get random aches all over the body.
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Hello. I understand your concern. Pain on the left side of the abdomen, along with burping and stomach pain are all suggestive of colitis. Since your stool is also green in color, it is advisable that you get your stool examined for parasites and ova. The sensation in the neck seems to be unrelated to your colitis, however, it could be due to acid reflux. Ranitidine will help and you need to continue. For such colitis, I will advise Ofloxacin and Ornidazole twice daily for five days. Random aches are also suggestive of colitis and infection. So start the medicine and get your stool evaluated. You can follow up once the reports are ready. | Hello doctor,I have been experiencing a pain on the left side of my stomach with passing gas and burping in the stomach. My stool is green and there is no sign of blood and no vomiting. I have been to the doctor and he gave me Nexium and Ranitidine for three days. Also, I was feeling a little better after three days dose. On the fourth day, I felt belly discomfort and burning comes and goes mostly at night. Last night I felt a heat sensation on my neck. The next day I took the pills and the burning feel on the left side of the stomach and heat sensation a neck seems to get cooled. I feel like mucus or something is in my throat. Should I be worried? Also, I get random aches all over the body. | Hello. I understand your concern. Pain on the left side of the abdomen, along with burping and stomach pain are all suggestive of colitis. Since your stool is also green in color, it is advisable that you get your stool examined for parasites and ova. The sensation in the neck seems to be unrelated to your colitis, however, it could be due to acid reflux. Ranitidine will help and you need to continue. For such colitis, I will advise Ofloxacin and Ornidazole twice daily for five days. Random aches are also suggestive of colitis and infection. So start the medicine and get your stool evaluated. You can follow up once the reports are ready. |
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