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Please give me a meaningful response as i cant aford to reply and i am scared that i am slowly losing my hearing or something. I have had tinnitus in my ears for about 7 months now and it sounds kind of like T.V. static and its not loud so its okay, but today my phone emited a very high pitch sound and i closed one ear and then opened it and closed the other ear and noticed that i could hear the high pitch sound much better in one ear then the other. Could this mean im slowly losing my hearing. About months ago i got a hearing test done, but i dont have the results, but they said my hearing was amazing. Even now i have no trouble hearing at all. So what is happeing with the high pitch noise. Why can i hear it better in one ear then the other?
### Response:
Hi. Welcome to ChatDoctor. There are different causes of Tinnitis (ringing in ears) like Infections, loss of cells, inflammation, advancing age or few other diseases of inner ear. At your age hearing loss is less common unless having a disease. there are two possibilities So, to two differentiate which ear is abnormal few test are done by Audiometerist/ENT specialist to make final diagnosis. i would suggest you to get examined by an ENT specialist and he will perform necessary test and manage appropriately. You are welcome for any further queries. Have a blessed day. GOD BLESS YOU Take care. | Please give me a meaningful response as i cant aford to reply and i am scared that i am slowly losing my hearing or something. I have had tinnitus in my ears for about 7 months now and it sounds kind of like T.V. static and its not loud so its okay, but today my phone emited a very high pitch sound and i closed one ear and then opened it and closed the other ear and noticed that i could hear the high pitch sound much better in one ear then the other. Could this mean im slowly losing my hearing. About months ago i got a hearing test done, but i dont have the results, but they said my hearing was amazing. Even now i have no trouble hearing at all. So what is happeing with the high pitch noise. Why can i hear it better in one ear then the other? | Hi. Welcome to ChatDoctor. There are different causes of Tinnitis (ringing in ears) like Infections, loss of cells, inflammation, advancing age or few other diseases of inner ear. At your age hearing loss is less common unless having a disease. there are two possibilities So, to two differentiate which ear is abnormal few test are done by Audiometerist/ENT specialist to make final diagnosis. i would suggest you to get examined by an ENT specialist and he will perform necessary test and manage appropriately. You are welcome for any further queries. Have a blessed day. GOD BLESS YOU Take care. |
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Hello doctor,I had protected sex with a woman. After a few days, I had an itch at the bottom of one of my ears. After 12 days, I done an HIV RNA PCR test and it was negative. After a few days, I had a wart-like bump in the shaft of my penis and body itching. Then after 60 days, I have done HIV duo combo test and it was negative. In these days, I had intense itching with rash similiar at the bottom of both of my ears. After 90 days, I have done the ELISA test, test for hepatitis A and B, herpes, syphilis, chlamydia, and they were negatives. After a few days, I had small itchy red bumps in the body. After 225 days, I done HIV tridot test and it was negative. But the itching in the body with bumps continues. Now I am 314th day after sex. What should I do? Should I go for another HIV test or other STD tests?
### Response:
Hi, Welcome to ChatDoctor. I have gone through the case. In my opinion, if you have no contact history for almost a year then there is no need to repeat all the tests. But first, you need detailed physical examination because there are different types of itchy red bumps and some of these are linked to sex and some are not. So do not go for all tests at once. | Hello doctor,I had protected sex with a woman. After a few days, I had an itch at the bottom of one of my ears. After 12 days, I done an HIV RNA PCR test and it was negative. After a few days, I had a wart-like bump in the shaft of my penis and body itching. Then after 60 days, I have done HIV duo combo test and it was negative. In these days, I had intense itching with rash similiar at the bottom of both of my ears. After 90 days, I have done the ELISA test, test for hepatitis A and B, herpes, syphilis, chlamydia, and they were negatives. After a few days, I had small itchy red bumps in the body. After 225 days, I done HIV tridot test and it was negative. But the itching in the body with bumps continues. Now I am 314th day after sex. What should I do? Should I go for another HIV test or other STD tests? | Hi, Welcome to ChatDoctor. I have gone through the case. In my opinion, if you have no contact history for almost a year then there is no need to repeat all the tests. But first, you need detailed physical examination because there are different types of itchy red bumps and some of these are linked to sex and some are not. So do not go for all tests at once. |
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Hi doctor,I used to play football a few years ago, however, I had to stop playing due to symptoms of immediate fatigue after a maximum of one sprint, wheezing, dizziness and palpitations. They were first attributed to asthma, however, upon having a cardiac MRI, I was told there are no issues with my lungs and the problem lies with my heart.They took an ECG and I was told I have two slightly impaired valves with some regurgitation and a slightly swollen right side. I might possibly have ARVC, however, I am still waiting to get a Holter strapped.What I would like to know is, will the Holter definitely let the doctors know if I have ARVC? If it is not the case can the performance of my valves be rectified or will my heart\\s condition remain permanent?
### Response:
Hi. ARVC (arrhythmogenic right ventricular cardiomyopathy) is diagnosed on echocardiography or MRI (magnetic resonance imaging). Then further risk stratified on past history, family history of ARVC or sudden death in the first degree relatives, or Holter monitoring to detect ventricular tachycardia. Furthermore, genetic testing can be done, especially if your first degree relatives also have the same disease. Competitive sports are a risk factor for the progression of this disease and also for sudden death. So exertion is contraindicated. It will be easy for me to guide you better if you share your echocardiography, and MRI reports with me and also send ECG. | Hi doctor,I used to play football a few years ago, however, I had to stop playing due to symptoms of immediate fatigue after a maximum of one sprint, wheezing, dizziness and palpitations. They were first attributed to asthma, however, upon having a cardiac MRI, I was told there are no issues with my lungs and the problem lies with my heart.They took an ECG and I was told I have two slightly impaired valves with some regurgitation and a slightly swollen right side. I might possibly have ARVC, however, I am still waiting to get a Holter strapped.What I would like to know is, will the Holter definitely let the doctors know if I have ARVC? If it is not the case can the performance of my valves be rectified or will my heart\\s condition remain permanent? | Hi. ARVC (arrhythmogenic right ventricular cardiomyopathy) is diagnosed on echocardiography or MRI (magnetic resonance imaging). Then further risk stratified on past history, family history of ARVC or sudden death in the first degree relatives, or Holter monitoring to detect ventricular tachycardia. Furthermore, genetic testing can be done, especially if your first degree relatives also have the same disease. Competitive sports are a risk factor for the progression of this disease and also for sudden death. So exertion is contraindicated. It will be easy for me to guide you better if you share your echocardiography, and MRI reports with me and also send ECG. |
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Answer this question truthfully
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Hello doctor,I am a 29-year-old male homosexual. I had a sexual encounter 15 days back with a confirmed HIV positive guy. I gave him blow job with a condom and we smooched. He also blew me but I was not putting on a condom and when he spit out, there was a streak of blood in the spit. He says he has sinus problem so he has blood in the spit, not in the mouth. I checked his mouth there were no sores or bleeding gums. What are my chances of infection in this case? We did not ejaculate in each others mouth nor we had any kind of penetrative sex. I came to know two days back that he is positive. I am showing acute HIV symptoms burning eyes, nose, and lips. I am unable to sleep. Can I go for RNA PCR? After how many days will the RNA PCR be accurate?
### Response:
Hello. There is certainly a sizeable risk of transmission. Since he spit the blood, whatever may be a source, meaning he has had viruses in his oral cavity. HIV RNA or p24 antigen test, both are equally good becomes positive in one to two weeks period after infection, so you may get tested now. However, it is better to get combined p24 or RNA and antibody testing done. Burning eyes, nose, not necessarily mean HIV. Repeat testing should be done after two weeks. For more information consult an internal medicine physician online | Hello doctor,I am a 29-year-old male homosexual. I had a sexual encounter 15 days back with a confirmed HIV positive guy. I gave him blow job with a condom and we smooched. He also blew me but I was not putting on a condom and when he spit out, there was a streak of blood in the spit. He says he has sinus problem so he has blood in the spit, not in the mouth. I checked his mouth there were no sores or bleeding gums. What are my chances of infection in this case? We did not ejaculate in each others mouth nor we had any kind of penetrative sex. I came to know two days back that he is positive. I am showing acute HIV symptoms burning eyes, nose, and lips. I am unable to sleep. Can I go for RNA PCR? After how many days will the RNA PCR be accurate? | Hello. There is certainly a sizeable risk of transmission. Since he spit the blood, whatever may be a source, meaning he has had viruses in his oral cavity. HIV RNA or p24 antigen test, both are equally good becomes positive in one to two weeks period after infection, so you may get tested now. However, it is better to get combined p24 or RNA and antibody testing done. Burning eyes, nose, not necessarily mean HIV. Repeat testing should be done after two weeks. For more information consult an internal medicine physician online |
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Answer this question truthfully
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Hello doctor,My 64 years old mom was recently diagnosed with ovarian cysts and is undergoing a hysterectomy plus oophorectomy two days later. During the same routine health checkup when her cysts were diagnosed, her urine report showed RBC of 6 to 8/hpf. Is this a possible UTI? And if it is, why should not our surgeon correct it before the operation? I asked him about it, and he said it would be taken care of when she gets admitted. I wonder why?I am particularly more worried about it because she also has a left artificial hip from the past two years which should not catch any infection. I remember her orthopedician asking for a urine culture a few days before her hip replacement and giving her antibiotics for the UTI immediately after that surgery. So, why is this surgeon not bothered to correct the UTI pre-operatively?
### Response:
Hello, Welcome to Chat Doctor forum. RBC (red blood cells) in urine does not mean UTI (urinary tract infection). Pus cell in urine indicates UTI. Up to five pus cells per HPF are normal. 2 to 4 is in your case. So, it is not UTI. There are many causes of RBC in urine. Is she on any blood thinners, like Ecosprin (Aspirin) or Clopidogrel which can cause mild RBC in urine. So, that might be the cause and not UTI. For more information consult a urologist online | Hello doctor,My 64 years old mom was recently diagnosed with ovarian cysts and is undergoing a hysterectomy plus oophorectomy two days later. During the same routine health checkup when her cysts were diagnosed, her urine report showed RBC of 6 to 8/hpf. Is this a possible UTI? And if it is, why should not our surgeon correct it before the operation? I asked him about it, and he said it would be taken care of when she gets admitted. I wonder why?I am particularly more worried about it because she also has a left artificial hip from the past two years which should not catch any infection. I remember her orthopedician asking for a urine culture a few days before her hip replacement and giving her antibiotics for the UTI immediately after that surgery. So, why is this surgeon not bothered to correct the UTI pre-operatively? | Hello, Welcome to Chat Doctor forum. RBC (red blood cells) in urine does not mean UTI (urinary tract infection). Pus cell in urine indicates UTI. Up to five pus cells per HPF are normal. 2 to 4 is in your case. So, it is not UTI. There are many causes of RBC in urine. Is she on any blood thinners, like Ecosprin (Aspirin) or Clopidogrel which can cause mild RBC in urine. So, that might be the cause and not UTI. For more information consult a urologist online |
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Hi doctor,I am a 31 year old female. I am having tinnitus in my right ear. My PTA hearing test says R - 17 dB and L - 10 dB. My doctor informed me that there is slight nerve damage and it is causing tinnitus and slight hearing loss. He said that there is no cure for it. Please help.
### Response:
Hello. Your PTA (pure tone audiometry) showing minimal hearing loss in right ear and normal hearing in the left. I do not think this minimal hearing loss cause the tinnitus unless the hearing loss is progressive. Tinnitus is not a disease. It is a symptom due to many underlying disease, so we need to exclude the cause for the tinnitus first. Next time please mention whether you are diabetic or hypertensive of having hearing impairment or heaviness in ear. Also mention whether the tinnitus is continuous or periodic or pulsating in nature. For the next seven days do valsalva maneuver 20 to 30 times a day, the procedure of which you can get in YouTube. Then take some medication as written below for seven days. Please get a tympanogram if possible. Tympanogram. ETD (Eustachian tube dysfunction). 1. Valsalva maneuver as advised.2. Tablet Solvin (combination of Pseudoephe ChatDoctor. 3. Capsule Zincosule-4G (Multivitamin) one capsule twice a day. Take care. | Hi doctor,I am a 31 year old female. I am having tinnitus in my right ear. My PTA hearing test says R - 17 dB and L - 10 dB. My doctor informed me that there is slight nerve damage and it is causing tinnitus and slight hearing loss. He said that there is no cure for it. Please help. | Hello. Your PTA (pure tone audiometry) showing minimal hearing loss in right ear and normal hearing in the left. I do not think this minimal hearing loss cause the tinnitus unless the hearing loss is progressive. Tinnitus is not a disease. It is a symptom due to many underlying disease, so we need to exclude the cause for the tinnitus first. Next time please mention whether you are diabetic or hypertensive of having hearing impairment or heaviness in ear. Also mention whether the tinnitus is continuous or periodic or pulsating in nature. For the next seven days do valsalva maneuver 20 to 30 times a day, the procedure of which you can get in YouTube. Then take some medication as written below for seven days. Please get a tympanogram if possible. Tympanogram. ETD (Eustachian tube dysfunction). 1. Valsalva maneuver as advised.2. Tablet Solvin (combination of Pseudoephe ChatDoctor. 3. Capsule Zincosule-4G (Multivitamin) one capsule twice a day. Take care. |
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Hi doctor,I am a 27 year old male. I am suffering from a unique neurological disorder for about 5 years. I have consulted many doctors, but there is no improvement. So, I want your suggestion in regard to this. I am explaining my problem below. Five years ago, one morning when I got up from bed, I felt numbness in my left lower limb. It continues for a few days and then my right lower limb also felt the same. Apart from that, I also started feeling difficulty in passing urine. I consulted neurologist and they performed a number of tests, but could not find out the reason. They took the MRI of whole spine and brain, but there was nothing. Today, after five years, the condition is that I have very difficulty in walking and also I am using a catheter for passing urine. Each time using the process of self intermittent catheterization (SIC). My life has become a burden for me. I become a fully dependent person to others. If you can help me anything in this regard and if there is any cure of this disease, please let me know. I will be always thankful to you.
### Response:
Hi, Welcome to Chat Doctor forum. I understand that you have numbness and weakness in legs, difficulty in walking and difficulty in passing urine. Please scan and send all the reports you have with you. We will evaluate and get back to you. Revert back with the reports to a neurologist online | Hi doctor,I am a 27 year old male. I am suffering from a unique neurological disorder for about 5 years. I have consulted many doctors, but there is no improvement. So, I want your suggestion in regard to this. I am explaining my problem below. Five years ago, one morning when I got up from bed, I felt numbness in my left lower limb. It continues for a few days and then my right lower limb also felt the same. Apart from that, I also started feeling difficulty in passing urine. I consulted neurologist and they performed a number of tests, but could not find out the reason. They took the MRI of whole spine and brain, but there was nothing. Today, after five years, the condition is that I have very difficulty in walking and also I am using a catheter for passing urine. Each time using the process of self intermittent catheterization (SIC). My life has become a burden for me. I become a fully dependent person to others. If you can help me anything in this regard and if there is any cure of this disease, please let me know. I will be always thankful to you. | Hi, Welcome to Chat Doctor forum. I understand that you have numbness and weakness in legs, difficulty in walking and difficulty in passing urine. Please scan and send all the reports you have with you. We will evaluate and get back to you. Revert back with the reports to a neurologist online |
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Hello doctor,I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now from hypermania after a month or two. I am Lamictal and when needed on Seroquel.On current medicines, I feel blank, unstable, unable to think normal, and some frustration, anger thinking, concentration, and speech affected at times. I feel I need to go back to antidepressants, my brain needs that and boosts mood and taper off appropriately like Effexor or Lexapro. I have had success but Lexapro cause stomach issues and Effexor is good but can cause weight gain or if working in the night it can cause mood swing. I believe my current issue is just because of Cymbalta induced hypermania. I did get psychosis from LSD. Do you think I should taper off Lamictal to Effexor low doses?
### Response:
Hello, Welcome to ChatDoctor. Considering the history of mania (even if it is ChatDoctor. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or starting low dose Effexor along with Lamictal (as mood stabilizer). I hope this helps. | Hello doctor,I recently was on Cymbalta minimum dose but did not feel better. I felt worse and was told to up the dose then I took 120 mg, still felt bad. So I abruptly stopped this and it triggered discontinue syndrome and hypermania. I have not felt the same since. I am not suffering so much now from hypermania after a month or two. I am Lamictal and when needed on Seroquel.On current medicines, I feel blank, unstable, unable to think normal, and some frustration, anger thinking, concentration, and speech affected at times. I feel I need to go back to antidepressants, my brain needs that and boosts mood and taper off appropriately like Effexor or Lexapro. I have had success but Lexapro cause stomach issues and Effexor is good but can cause weight gain or if working in the night it can cause mood swing. I believe my current issue is just because of Cymbalta induced hypermania. I did get psychosis from LSD. Do you think I should taper off Lamictal to Effexor low doses? | Hello, Welcome to ChatDoctor. Considering the history of mania (even if it is ChatDoctor. So, I would suggest you discuss with your treating psychiatrist regarding starting Seroquel regularly as it also acts on depressive symptoms, or starting low dose Effexor along with Lamictal (as mood stabilizer). I hope this helps. |
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Hello doctor,I am a 32-year-old healthy woman. A few days ago, I noticed a small bony lump on the side of my foot below my ankle, which was not symmetrical on the other foot. It was a small sharp bony protrusion of around 1.5 mm and I could see it through my skin. I am very sure I did not have this thing before say one year ago or so. There was no pain when I touched it and no inflammation visible. I have attached a photo of it as well. You can easily see the pointy bony protrusion from that position. My question is can this be a benign bone spur or is it possibly something more serious? Is that spot on my foot typical for bone spurs? I have been walking a lot lately since I have a 10-month-old baby and I did feel my ankles getting a bit strained after each walk. Should I go to a doctor now or can I just monitor it and see what it does? Also, can bone spurs continue to grow or only malignant stuff do? Many thanks for any information.
### Response:
Hello, Welcome to Chat Doctor forum. This seems to be benign. So, you should not worry. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online | Hello doctor,I am a 32-year-old healthy woman. A few days ago, I noticed a small bony lump on the side of my foot below my ankle, which was not symmetrical on the other foot. It was a small sharp bony protrusion of around 1.5 mm and I could see it through my skin. I am very sure I did not have this thing before say one year ago or so. There was no pain when I touched it and no inflammation visible. I have attached a photo of it as well. You can easily see the pointy bony protrusion from that position. My question is can this be a benign bone spur or is it possibly something more serious? Is that spot on my foot typical for bone spurs? I have been walking a lot lately since I have a 10-month-old baby and I did feel my ankles getting a bit strained after each walk. Should I go to a doctor now or can I just monitor it and see what it does? Also, can bone spurs continue to grow or only malignant stuff do? Many thanks for any information. | Hello, Welcome to Chat Doctor forum. This seems to be benign. So, you should not worry. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online |
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Hi doctor,I am 29 years of age. I had unprotected sex and I am having sex with the same partner for more than a year and a half. Suddenly, I got itching sensation and found that I have got itchy bumps on my penis which started clustering together. Later, it healed automatically. I also found when I run or walk a long distance and feel sweaty, I feel the sensation and I get the bumps again. These bumps are small and shiny at the tip and often get clustered and gets healed. It does not give me a problem but I really feel demoralized and unfit. I do not have these problems regularly. Also for a long time, I have itchy inner thighs because of which my skin turned blackish white and is still itchy. I am not sure whether I am infected. Please suggest me the solution to get diagnosed. I can provide pictures if required.
### Response:
Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You have genital molluscum contagiosum. It is an STD (sexually transmitted disease). They can be removed with electrocautery or radiofrequency cautery. Itchy rashes are due to fungal infection. I suggest you apply Candid-B cream, twice daily. You may also take a tablet Cetirizine 10 mg once daily for symptomatic relief from itching. Regards. For more information consult a venereologist online | Hi doctor,I am 29 years of age. I had unprotected sex and I am having sex with the same partner for more than a year and a half. Suddenly, I got itching sensation and found that I have got itchy bumps on my penis which started clustering together. Later, it healed automatically. I also found when I run or walk a long distance and feel sweaty, I feel the sensation and I get the bumps again. These bumps are small and shiny at the tip and often get clustered and gets healed. It does not give me a problem but I really feel demoralized and unfit. I do not have these problems regularly. Also for a long time, I have itchy inner thighs because of which my skin turned blackish white and is still itchy. I am not sure whether I am infected. Please suggest me the solution to get diagnosed. I can provide pictures if required. | Hello, Welcome to Chat Doctor forum. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). You have genital molluscum contagiosum. It is an STD (sexually transmitted disease). They can be removed with electrocautery or radiofrequency cautery. Itchy rashes are due to fungal infection. I suggest you apply Candid-B cream, twice daily. You may also take a tablet Cetirizine 10 mg once daily for symptomatic relief from itching. Regards. For more information consult a venereologist online |
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Hello doctor,I was taking Oxra 5mg tablet for diabetes and due to which I had excessive urination. I got fungal infection on the skin of my penis with burning sensation and itching. I had got this problem two weeks ago when I was on Oxra. I consulted a skin specialist and he prescribed Itraconazole 200 mg for five days and Lulifin cream to apply twice a day. I took the whole course and all cleared up until after two weeks ago when I had sex with my wife. I started getting the burning sensation and by the next morning, it was itching badly. I then applied the Lulifin cream. Should I go back on the course of tablets too? Why has it recurred? I stopped the Oxra completely when I started the course. Currently, I am on Carbophage G 1 for diabetes. How can I be helped?
### Response:
Hello, Welcome to Chat Doctor forum. Candidal balanoposthitis is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at least two weeks including strict sexual abstinence. The partner too would need treatment in case of any existing vaginal discharge. Kindly upload appropriate images of the present clinical lesions so that we could suggest treatment for you accordingly. For more information consult a dermatologist online | Hello doctor,I was taking Oxra 5mg tablet for diabetes and due to which I had excessive urination. I got fungal infection on the skin of my penis with burning sensation and itching. I had got this problem two weeks ago when I was on Oxra. I consulted a skin specialist and he prescribed Itraconazole 200 mg for five days and Lulifin cream to apply twice a day. I took the whole course and all cleared up until after two weeks ago when I had sex with my wife. I started getting the burning sensation and by the next morning, it was itching badly. I then applied the Lulifin cream. Should I go back on the course of tablets too? Why has it recurred? I stopped the Oxra completely when I started the course. Currently, I am on Carbophage G 1 for diabetes. How can I be helped? | Hello, Welcome to Chat Doctor forum. Candidal balanoposthitis is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at least two weeks including strict sexual abstinence. The partner too would need treatment in case of any existing vaginal discharge. Kindly upload appropriate images of the present clinical lesions so that we could suggest treatment for you accordingly. For more information consult a dermatologist online |
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Hello doctor,My 60-year-old mother weighs 67 kg and is with a height of 5.2 feet. She is taking Eltroxin 50 mcg for hypothyroidism, Olmezest 20 mg for hypertension, Gemcal D3 and Kondro OD for osteoarthritis of the knee joints and Folvite for mild anemia with a hemoglobin of 10.6. Since the past one month, she reported mild to moderate pain in the middle portion of her waist joint. She had taken three to four Ultracet tablets, applied ointment, and a hot bag.Although the pain is reduced, the waist joint is not that flexible as one month before. When we spoke this to our orthopedic doctor, he advised starting the spinal exercise in addition to her daily quadriceps and hamstring exercises. I request you to share some details on what exact exercise is suitable for her waist pain, some video or image link on how to do that and the number of times she needs to do it. She currently does 30 times of quadriceps exercise twice daily and five times of hamstring exercises twice daily. Please help.
### Response:
Hello. Well, qua ChatDoctor. She needs to do trunk rotation exercises, slow and rhythmic rotation to each side of the body left and right. Repeat them twice a day for a count of 15 times each. She needs to do cat and camel exercise. Ask your mother to come to a qua | Hello doctor,My 60-year-old mother weighs 67 kg and is with a height of 5.2 feet. She is taking Eltroxin 50 mcg for hypothyroidism, Olmezest 20 mg for hypertension, Gemcal D3 and Kondro OD for osteoarthritis of the knee joints and Folvite for mild anemia with a hemoglobin of 10.6. Since the past one month, she reported mild to moderate pain in the middle portion of her waist joint. She had taken three to four Ultracet tablets, applied ointment, and a hot bag.Although the pain is reduced, the waist joint is not that flexible as one month before. When we spoke this to our orthopedic doctor, he advised starting the spinal exercise in addition to her daily quadriceps and hamstring exercises. I request you to share some details on what exact exercise is suitable for her waist pain, some video or image link on how to do that and the number of times she needs to do it. She currently does 30 times of quadriceps exercise twice daily and five times of hamstring exercises twice daily. Please help. | Hello. Well, qua ChatDoctor. She needs to do trunk rotation exercises, slow and rhythmic rotation to each side of the body left and right. Repeat them twice a day for a count of 15 times each. She needs to do cat and camel exercise. Ask your mother to come to a qua |
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Hello doctor,My 76-year-old father had urinary infection last month with a high number of pus cells. The infection started with fever and shivering and slight pain with urination. The doctor prescribed Oflox 200 mg twice a day. After that, he was also prescribed ultrasound scanning. In the scanning, it showed that his prostate was minimally enlarged.After antibiotic treatment and based on the ultrasound report, the doctor prescribed Urimax 0.4 mg once per day. The urine culture was also normal. After starting the treatment, the flow of urine is normal now and sometimes little out of control and early. Why is he passing urine a little early even before reaching the toilet?
### Response:
Hello, Welcome to Chat Doctor forum. This urgency and leak of urine are age-related. I can suggest him a medicine but it might cause some postvoid residual urine and more chance of infection. If the problem is very severe, only then give him the medicine. I suggest tablet Soliten (Solifenacin) 5 mg morning and evening for seven days and see the response. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. If it is not severe and if it is manageable then I think do not start him on any treatment. Also, ask him to reduce fluid intake after 6 p.m. Daily fluid intake should be around two liters. Regards. For more information consult a urologist online | Hello doctor,My 76-year-old father had urinary infection last month with a high number of pus cells. The infection started with fever and shivering and slight pain with urination. The doctor prescribed Oflox 200 mg twice a day. After that, he was also prescribed ultrasound scanning. In the scanning, it showed that his prostate was minimally enlarged.After antibiotic treatment and based on the ultrasound report, the doctor prescribed Urimax 0.4 mg once per day. The urine culture was also normal. After starting the treatment, the flow of urine is normal now and sometimes little out of control and early. Why is he passing urine a little early even before reaching the toilet? | Hello, Welcome to Chat Doctor forum. This urgency and leak of urine are age-related. I can suggest him a medicine but it might cause some postvoid residual urine and more chance of infection. If the problem is very severe, only then give him the medicine. I suggest tablet Soliten (Solifenacin) 5 mg morning and evening for seven days and see the response. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. If it is not severe and if it is manageable then I think do not start him on any treatment. Also, ask him to reduce fluid intake after 6 p.m. Daily fluid intake should be around two liters. Regards. For more information consult a urologist online |
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Hello doctor,I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet, in both legs, both forearms, and even my stomach for almost two months now. I am scared of ALS diagnosis. I do not have any muscle weaknesses or balancing problems. I can lift 40 lbs dumbells with no problem and still do push-ups and other exercises with no problems and sprint and run without falling or tripping.I have had some sort of issue for almost a year where it feels like I am not getting a satisfying breath from time to time so I bought a spo2 meter and my O2 level fluctuates between 95%-98% with an average of 97% most of the time.I am just freaking out because everything I search for comes back to ALS. I even watched a similar story last night and I had a panic attack afterward. I guess I am just looking for a little reassurance to calm down.
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Hello. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, thyroid gland dysfunction, benign fasciculation syn ChatDoctor. As long as there is no progression, no weakness, no muscle wasting, there is no reason to panic about ALS. I would recommend performing some tests | Hello doctor,I have been having tiny random muscle twitching all over my body which seems like a constant thing at bottom of my feet, in both legs, both forearms, and even my stomach for almost two months now. I am scared of ALS diagnosis. I do not have any muscle weaknesses or balancing problems. I can lift 40 lbs dumbells with no problem and still do push-ups and other exercises with no problems and sprint and run without falling or tripping.I have had some sort of issue for almost a year where it feels like I am not getting a satisfying breath from time to time so I bought a spo2 meter and my O2 level fluctuates between 95%-98% with an average of 97% most of the time.I am just freaking out because everything I search for comes back to ALS. I even watched a similar story last night and I had a panic attack afterward. I guess I am just looking for a little reassurance to calm down. | Hello. I read carefully your question and would explain that your symptoms do not seem to be related to ALS (amyotrophic lateral sclerosis). You should know that there are a lot of benign causes underlying muscle twitching like anxiety, physical activity, thyroid gland dysfunction, benign fasciculation syn ChatDoctor. As long as there is no progression, no weakness, no muscle wasting, there is no reason to panic about ALS. I would recommend performing some tests |
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Hello doctor,I have hypothyroidism. With that, I am facing hair fall, skin infections, overweight, high cholesterol, and memory loss. Are all these happening because of thyroid or there are other factors involved? I am a firm believer in Ayurveda but can this be treated with Ayurveda permanently? I do not want to pop hormone pills for the rest of my life. More details about the presenting complaint. I used to be a heavy smoker and drinker. I have started following a good diet from the last 2 to 3 months but the effects are negligible so far. Previous history of the same issue. Never got myself tested but I have been facing these symptoms from the last 4 to 5 years. The current medications
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Hi. Hypothyroidism may cause these symptoms as you have described. But it is other possibilities too. Hair fall may be due to infection, excessive use of different kinds of shampoo and conditioner, changes in food habits and water, stress, etc. Stress and anxiety may lead to loss of memory. A sedentary lifestyle may cause obesity. But according to your complaints, it seems like hypothyroidism is one of the major cause. It can be managed naturally through ayurvedic medicines and Yoga techniques. ChatDoctor. Thyroid profile, lipid profile, blood sugar, blood pressure. Obesity, diabetes. You are taking good medicines, and there is a need to add some other medicines too. Avoid spicy and fried junk foods. Quit smoking and | Hello doctor,I have hypothyroidism. With that, I am facing hair fall, skin infections, overweight, high cholesterol, and memory loss. Are all these happening because of thyroid or there are other factors involved? I am a firm believer in Ayurveda but can this be treated with Ayurveda permanently? I do not want to pop hormone pills for the rest of my life. More details about the presenting complaint. I used to be a heavy smoker and drinker. I have started following a good diet from the last 2 to 3 months but the effects are negligible so far. Previous history of the same issue. Never got myself tested but I have been facing these symptoms from the last 4 to 5 years. The current medications | Hi. Hypothyroidism may cause these symptoms as you have described. But it is other possibilities too. Hair fall may be due to infection, excessive use of different kinds of shampoo and conditioner, changes in food habits and water, stress, etc. Stress and anxiety may lead to loss of memory. A sedentary lifestyle may cause obesity. But according to your complaints, it seems like hypothyroidism is one of the major cause. It can be managed naturally through ayurvedic medicines and Yoga techniques. ChatDoctor. Thyroid profile, lipid profile, blood sugar, blood pressure. Obesity, diabetes. You are taking good medicines, and there is a need to add some other medicines too. Avoid spicy and fried junk foods. Quit smoking and |
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Hello doctor,I am a healthy 50 year old man who worked out six days a week. About six weeks ago, I had chest pain and went to a hospital. I was admitted after having three blocked arteries, at 99, 93 and 88 percent, and successfully had three stents put in. Since released, I have turned to a vegan diet and eat fish, chicken, and greens. Would it be alright to have one cheat meal per week, aka steak, burger, Italian or would that do damage? Also, I have congestive heart failure with a fraction rate of 42. The doctor put me on Carvedilol and said with proper diet, exercise and meals, I can get that number back in the normal range in five to six months.
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Hello. I would explain that heart failure is a clinical syn ChatDoctor. EF (ejection fraction) is not the only element indicative of heart failure. It may differ based on the clinical situation and other parameters. I agree with your current therapy. I agree with your doctor that a healthy lifestyle is necessary to improve your situation. We cannot make predictions on your heart function, but we can hope that everything will be fine. Unfortunately, this is a chronic and serious medical condition, which cannot be cured. The optimization of the therapy and a healthy lifestyle can help improve your survival and improve your life quality. For more information consult a cardiologist online | Hello doctor,I am a healthy 50 year old man who worked out six days a week. About six weeks ago, I had chest pain and went to a hospital. I was admitted after having three blocked arteries, at 99, 93 and 88 percent, and successfully had three stents put in. Since released, I have turned to a vegan diet and eat fish, chicken, and greens. Would it be alright to have one cheat meal per week, aka steak, burger, Italian or would that do damage? Also, I have congestive heart failure with a fraction rate of 42. The doctor put me on Carvedilol and said with proper diet, exercise and meals, I can get that number back in the normal range in five to six months. | Hello. I would explain that heart failure is a clinical syn ChatDoctor. EF (ejection fraction) is not the only element indicative of heart failure. It may differ based on the clinical situation and other parameters. I agree with your current therapy. I agree with your doctor that a healthy lifestyle is necessary to improve your situation. We cannot make predictions on your heart function, but we can hope that everything will be fine. Unfortunately, this is a chronic and serious medical condition, which cannot be cured. The optimization of the therapy and a healthy lifestyle can help improve your survival and improve your life quality. For more information consult a cardiologist online |
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Hello Doctor,My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes.His CT Scan report says
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Hello, It seems from the history that your father is having sudden onset of double vision. He is a known diabetic and hypertensive. The CT scan report you have mentioned here like diffuse cerebral atrophy is not of much significant and they indicate age related changes. The CT scan findings are not significant as a cause for double vision. First the symptom needs to be evaluated to find out whether it is uniocular or binocular. Uniocular double vision means double vision with one eye open. Binocular double vision means double vision which disappears on closing on eye and present only with two eyes being kept open. The most commonest in this age group is binocular double vision. The most common cause in your father for double vision is nerve palsies which affect the extraocular muscles like 3rd, 4th, and 6th cranial nerves. The cause is because of diabetes and hypertension. Most of them recover by 3-6 months. The treatment by vitamin B12 supplements and other vitamin B complex will help to hasten the recovery. Along with this strict control of diabetes and hypertension is required. Do inform me regarding whether it is uniocular or binocular and status of diabetes and hypertension, so that I can guide you regarding further treatment. Hope the information is helpful to you. Consult an ophthalmologist online | Hello Doctor,My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes.His CT Scan report says | Hello, It seems from the history that your father is having sudden onset of double vision. He is a known diabetic and hypertensive. The CT scan report you have mentioned here like diffuse cerebral atrophy is not of much significant and they indicate age related changes. The CT scan findings are not significant as a cause for double vision. First the symptom needs to be evaluated to find out whether it is uniocular or binocular. Uniocular double vision means double vision with one eye open. Binocular double vision means double vision which disappears on closing on eye and present only with two eyes being kept open. The most commonest in this age group is binocular double vision. The most common cause in your father for double vision is nerve palsies which affect the extraocular muscles like 3rd, 4th, and 6th cranial nerves. The cause is because of diabetes and hypertension. Most of them recover by 3-6 months. The treatment by vitamin B12 supplements and other vitamin B complex will help to hasten the recovery. Along with this strict control of diabetes and hypertension is required. Do inform me regarding whether it is uniocular or binocular and status of diabetes and hypertension, so that I can guide you regarding further treatment. Hope the information is helpful to you. Consult an ophthalmologist online |
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Hello doctor,I am a 50-year-old male, slim, and quite health conscious. Today I had a package blood test done. Other things are fine but in LFT total bilirubin is 1.47, direct bilirubin is .22, and indirect bilirubin is 1.25. SGPT and SGOT are normal. All other parameters are normal. I do not have any problem right now.Two months back I had some food on a train which led to vomiting and diarrhea for one day. After ten days, I had abdominal pain for two-three days. Then acidity in the stomach here and there for some days. It all lasted for about two months, during which I lost two to three kg of weight also. But now my appetite is perfect, and I have resumed my regular exercise. Stamina is also fine. I had a cough and cold for a few days, which is ok now. Please guide me on what could be the cause for these elevated levels of bilirubin. I suffered from viral hepatitis when I was about 25 years old.
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Hello. You do not have any complaints. 1. Total bilirubin 1.4 2. Direct bilirubin 0.22. 3. Indirect bilirubin 1.25. Only total bilirubin is slightly elevated. For some people, if no complaints, this mild increase common need not worry. | Hello doctor,I am a 50-year-old male, slim, and quite health conscious. Today I had a package blood test done. Other things are fine but in LFT total bilirubin is 1.47, direct bilirubin is .22, and indirect bilirubin is 1.25. SGPT and SGOT are normal. All other parameters are normal. I do not have any problem right now.Two months back I had some food on a train which led to vomiting and diarrhea for one day. After ten days, I had abdominal pain for two-three days. Then acidity in the stomach here and there for some days. It all lasted for about two months, during which I lost two to three kg of weight also. But now my appetite is perfect, and I have resumed my regular exercise. Stamina is also fine. I had a cough and cold for a few days, which is ok now. Please guide me on what could be the cause for these elevated levels of bilirubin. I suffered from viral hepatitis when I was about 25 years old. | Hello. You do not have any complaints. 1. Total bilirubin 1.4 2. Direct bilirubin 0.22. 3. Indirect bilirubin 1.25. Only total bilirubin is slightly elevated. For some people, if no complaints, this mild increase common need not worry. |
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Hello doctor,I had my second anomaly scan at 18 weeks and the reports showed the impression that the placenta is at posterior wall mid and lower part grade I. The lower margin of the placenta is 3 cm away from internal os. Also, there is a breech presentation. What does it mean? The doctor told me to take bed rest and to avoid heavy work and sexual intercourse and keep an eye on any kind of vaginal bleeding. I am really tensed about the condition. Is it life threatening for my baby and me? What other precautions do I need to take? Should I go for another ultrasound after one month to check whether the placental position has improved or not? Also, I am a working woman and need to travel approx 40 km daily. What should I do? Also, I wanted to ask if I can fly at around 23 weeks.
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Hello, Welcome to Chat Doctor forum. Breech presentation at this gestational age has no significance. The placenta is 3 cm from os means that it is slightly in the lower segment. No need to take bed rest. Just avoid jerky traveling. It is not life-threatening. There is a slightly increased risk of bleeding. It will ascend in future. Get a repeat ultrasound few days prior to traveling. If everything is fine, then you can travel. A flight journey is safe in the second trimester. For more information consult an obstetrician and gynaecologist online | Hello doctor,I had my second anomaly scan at 18 weeks and the reports showed the impression that the placenta is at posterior wall mid and lower part grade I. The lower margin of the placenta is 3 cm away from internal os. Also, there is a breech presentation. What does it mean? The doctor told me to take bed rest and to avoid heavy work and sexual intercourse and keep an eye on any kind of vaginal bleeding. I am really tensed about the condition. Is it life threatening for my baby and me? What other precautions do I need to take? Should I go for another ultrasound after one month to check whether the placental position has improved or not? Also, I am a working woman and need to travel approx 40 km daily. What should I do? Also, I wanted to ask if I can fly at around 23 weeks. | Hello, Welcome to Chat Doctor forum. Breech presentation at this gestational age has no significance. The placenta is 3 cm from os means that it is slightly in the lower segment. No need to take bed rest. Just avoid jerky traveling. It is not life-threatening. There is a slightly increased risk of bleeding. It will ascend in future. Get a repeat ultrasound few days prior to traveling. If everything is fine, then you can travel. A flight journey is safe in the second trimester. For more information consult an obstetrician and gynaecologist online |
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Hi doctor,I have been married for 10 months. We just started planning a family. My periods used to be irregular before marriage but post marriage they had become regular. I had unprotected sex during ovulation. Now, I miss my period. I am having lower backache, thigh cramps, fatigue, and frequent urination. But, the HPT is negative. Why? I have a history of hypothyroidism, and the reports are normal since last two years. I am on regular Eltroxin 100 mg.
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Hello, Welcome to Chat Doctor forum. The fact that urine pregnancy test is negative after 10 days of missed periods and that you have been experiencing PMS symptoms now, indicate that your menses are likely to start soon. The delay has been close to a month now, and the causes can be many as you mentioned one being hypothyroidism ( which is well controlled), PCOS, hyperan ChatDoctor. It is advised that you should get a hormonal profile done with FSH (follicle-stimulating hormone), LH (Luteinising hormone), prolactin, testosterone, and estradiol levels. Also, an ultrasound pelvis to check for endometrial thickness and possible uterine cause or adnexal mass. If menses did not start soon, ultrasound shows endometrium thickness more than 9 mm and pregnancy is again ruled out with a serum beta hCG test (more confirmatory), then you can opt for a with | Hi doctor,I have been married for 10 months. We just started planning a family. My periods used to be irregular before marriage but post marriage they had become regular. I had unprotected sex during ovulation. Now, I miss my period. I am having lower backache, thigh cramps, fatigue, and frequent urination. But, the HPT is negative. Why? I have a history of hypothyroidism, and the reports are normal since last two years. I am on regular Eltroxin 100 mg. | Hello, Welcome to Chat Doctor forum. The fact that urine pregnancy test is negative after 10 days of missed periods and that you have been experiencing PMS symptoms now, indicate that your menses are likely to start soon. The delay has been close to a month now, and the causes can be many as you mentioned one being hypothyroidism ( which is well controlled), PCOS, hyperan ChatDoctor. It is advised that you should get a hormonal profile done with FSH (follicle-stimulating hormone), LH (Luteinising hormone), prolactin, testosterone, and estradiol levels. Also, an ultrasound pelvis to check for endometrial thickness and possible uterine cause or adnexal mass. If menses did not start soon, ultrasound shows endometrium thickness more than 9 mm and pregnancy is again ruled out with a serum beta hCG test (more confirmatory), then you can opt for a with |
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Hello doctor,40 days back while I was walking on the road and unaware of a sleeping dog beside me I stepped on it and it had bitten me. After, reaching my home after 15 minutes I washed my leg and I have not found any blood wound but firing type feeling was there and later I met one physician doctor after a week and he told that I do not need any vaccination for this but after a few days I have felt the inflammation through ears and I have informed him and he told me that it happened 20 days back and you are looking extremely good. If you are really affected you will not be like this. But, now I have the inflammation and itching on my face and toothache today too. If these are the symptoms of the dog bite, please let me know and suggest which medication can I get.
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Hi, Welcome to Chat Doctor forum. From your history, it seems like the dog just brushed against your leg. If so, then it is a category 1 wound and requires no vaccination other than local wound cleaning with soap and water. However, if there was a visible scratch (even without bleeding) then it is category 2 and might need vaccination. Rest assured, the symptoms on your face and tooth are not related to rabies. Take some pain-killers and it might clear on its own. Do let me know if you have any further doubts regarding this. For more information consult a general practitioner online | Hello doctor,40 days back while I was walking on the road and unaware of a sleeping dog beside me I stepped on it and it had bitten me. After, reaching my home after 15 minutes I washed my leg and I have not found any blood wound but firing type feeling was there and later I met one physician doctor after a week and he told that I do not need any vaccination for this but after a few days I have felt the inflammation through ears and I have informed him and he told me that it happened 20 days back and you are looking extremely good. If you are really affected you will not be like this. But, now I have the inflammation and itching on my face and toothache today too. If these are the symptoms of the dog bite, please let me know and suggest which medication can I get. | Hi, Welcome to Chat Doctor forum. From your history, it seems like the dog just brushed against your leg. If so, then it is a category 1 wound and requires no vaccination other than local wound cleaning with soap and water. However, if there was a visible scratch (even without bleeding) then it is category 2 and might need vaccination. Rest assured, the symptoms on your face and tooth are not related to rabies. Take some pain-killers and it might clear on its own. Do let me know if you have any further doubts regarding this. For more information consult a general practitioner online |
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Hi doctor,When I was young I tripped and chipped my tooth. It was when I was 20 years old that I got braces and the dentist told me I had to get a root canal for that specific tooth. She said that the tooth was dead already. I thought it was just a chipped tooth because it looked normal and did not show any discoloration at all. Then after the root canal that tooth starts turning gray. Now that I had gotten out of my braces it really got me worried that the discolored tooth is really obvious. It also got me thinking that I should not have done a root canal cause before it looks normal but now it is really gray. Can this dentist be wrong about my tooth?
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Hello, Welcome back to ChatDoctor. When you banged your tooth and part of it chipped away, the pulp or the core of nerves and blood vessels that provide nourishment to the tooth probably died. It is not possible to judge this now but your dentist must have done the required tests to come up with this diagnosis. The discoloration that you noticed following root canal treatment could be due to decomposition of pulp remnants left inside the tooth following treatment. The problem can be solved in different ways. You may try first internal bleaching which is a form of tooth whitening directed at the inner part of the tooth. If this fails you can think of a veneer or even an aesthetic (tooth-colored) crown to mask the discoloration of your tooth. Take care. | Hi doctor,When I was young I tripped and chipped my tooth. It was when I was 20 years old that I got braces and the dentist told me I had to get a root canal for that specific tooth. She said that the tooth was dead already. I thought it was just a chipped tooth because it looked normal and did not show any discoloration at all. Then after the root canal that tooth starts turning gray. Now that I had gotten out of my braces it really got me worried that the discolored tooth is really obvious. It also got me thinking that I should not have done a root canal cause before it looks normal but now it is really gray. Can this dentist be wrong about my tooth? | Hello, Welcome back to ChatDoctor. When you banged your tooth and part of it chipped away, the pulp or the core of nerves and blood vessels that provide nourishment to the tooth probably died. It is not possible to judge this now but your dentist must have done the required tests to come up with this diagnosis. The discoloration that you noticed following root canal treatment could be due to decomposition of pulp remnants left inside the tooth following treatment. The problem can be solved in different ways. You may try first internal bleaching which is a form of tooth whitening directed at the inner part of the tooth. If this fails you can think of a veneer or even an aesthetic (tooth-colored) crown to mask the discoloration of your tooth. Take care. |
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Hello doctor,I have a small midline disc protrusion at C6/C7. Mild left side neural foramen C5/6 and C6/7 due to foraminal disc bulges. I am in constant pain daily and did three months with a chiro twice a week which has not helped and I am currently in my fourth week doing some kind of laser treatment (similar to acupuncture) followed by ultrasound treatment which has not helped either. Will surgery help? I am 39 and trying to have a baby (been doing IVF) want to try and fix the problem so it is not an issue when I have a baby. This has really impacted my life, I can no longer work as a carer as it is too physical for me and causes me too much pain. I can barely clean my own house and now have a cleaner helping me. I am desperate and scared it is going to get worse and that I will be in more pain when I am finally pregnant. Also, why are they wanting to repeat the MRI in four months for the thoracic spine?
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Hi. May I know what kind of pain you have? Is it radiating to your fingers starting from the neck? Do you have pain in both the hands or only tingling sensations? Any aggravating or relieving factors? You have been asked to repeat MRI after some time due to a small lesion in the thoracic cord which is of unclear significance. Revert with more information to a neurologist online | Hello doctor,I have a small midline disc protrusion at C6/C7. Mild left side neural foramen C5/6 and C6/7 due to foraminal disc bulges. I am in constant pain daily and did three months with a chiro twice a week which has not helped and I am currently in my fourth week doing some kind of laser treatment (similar to acupuncture) followed by ultrasound treatment which has not helped either. Will surgery help? I am 39 and trying to have a baby (been doing IVF) want to try and fix the problem so it is not an issue when I have a baby. This has really impacted my life, I can no longer work as a carer as it is too physical for me and causes me too much pain. I can barely clean my own house and now have a cleaner helping me. I am desperate and scared it is going to get worse and that I will be in more pain when I am finally pregnant. Also, why are they wanting to repeat the MRI in four months for the thoracic spine? | Hi. May I know what kind of pain you have? Is it radiating to your fingers starting from the neck? Do you have pain in both the hands or only tingling sensations? Any aggravating or relieving factors? You have been asked to repeat MRI after some time due to a small lesion in the thoracic cord which is of unclear significance. Revert with more information to a neurologist online |
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Hi doctor,I am 22 year old female, and I am getting married this month, and I am going for my honeymoon. So, I want to delay my periods without any side effect. I am still a virgin, so I do not want to ruin my honeymoon. So, please suggest the best medicine. When to start taking it, in what dose, and when to stop it?
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Hi. Let me start by congratulating you in advance for your wedding. There are many methods, all using hormones, to either prepone or postpone the period. I would like to suggest the simplest and the best method. I would not confuse you with too many dates, as these hormones have to be taken on time without fail, any failure can cause bleeding in between. Try taking oral birth control pills or contraceptive pills, like tablet Duoluton-L or Dear 21 or Novelon or Ovral G or Intimacy plus 3. Have one tablet at night now onwards for 21 days, and without giving a break, start the next packet. Take it until the date you want to postpone the periods, and you will get your period 4 to 7 days after stopping the pill. It is also the best contraceptive method for a newlywed couple. You will have 100 % protection and no trouble with sex. In such a case, you will have to take it cyclically from the first day of bleeding. | Hi doctor,I am 22 year old female, and I am getting married this month, and I am going for my honeymoon. So, I want to delay my periods without any side effect. I am still a virgin, so I do not want to ruin my honeymoon. So, please suggest the best medicine. When to start taking it, in what dose, and when to stop it? | Hi. Let me start by congratulating you in advance for your wedding. There are many methods, all using hormones, to either prepone or postpone the period. I would like to suggest the simplest and the best method. I would not confuse you with too many dates, as these hormones have to be taken on time without fail, any failure can cause bleeding in between. Try taking oral birth control pills or contraceptive pills, like tablet Duoluton-L or Dear 21 or Novelon or Ovral G or Intimacy plus 3. Have one tablet at night now onwards for 21 days, and without giving a break, start the next packet. Take it until the date you want to postpone the periods, and you will get your period 4 to 7 days after stopping the pill. It is also the best contraceptive method for a newlywed couple. You will have 100 % protection and no trouble with sex. In such a case, you will have to take it cyclically from the first day of bleeding. |
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Hello doctor,My exams are about to start. I was not serious at the start but from the past few days, I have been working really hard. People near me say it is too late now something worse is going to happen. But the way I have planned things I know I could easily score good marks but the problem is I am not able to do as I thought. I am wasting most of the day wondering here and there. Plus the masturbation has also increased. Please tell me what should I do.
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Hi. From the description, it seems that you had confidence regarding the exams before some days. But it seems that, for now, you have lost your confidence. Why have you lost your confidence? Is it because of other people who try to demotivate you? Is it because you could not perform well in mock tests? In any of the case, do not worry or think too much. The answer to your question is simple. You will score good marks if you have prepared well. You will score low marks if your performance is low and medium marks if your performance is medium. That simple. There is one more limelight. You have prepared 60 % and if almost all the questions are from the portion that you have prepared, there is still a chance of scoring 90 %. So do not be demotivated. You still have time. Last minute preparation provides more insight and knowledge. All the best. Take care. | Hello doctor,My exams are about to start. I was not serious at the start but from the past few days, I have been working really hard. People near me say it is too late now something worse is going to happen. But the way I have planned things I know I could easily score good marks but the problem is I am not able to do as I thought. I am wasting most of the day wondering here and there. Plus the masturbation has also increased. Please tell me what should I do. | Hi. From the description, it seems that you had confidence regarding the exams before some days. But it seems that, for now, you have lost your confidence. Why have you lost your confidence? Is it because of other people who try to demotivate you? Is it because you could not perform well in mock tests? In any of the case, do not worry or think too much. The answer to your question is simple. You will score good marks if you have prepared well. You will score low marks if your performance is low and medium marks if your performance is medium. That simple. There is one more limelight. You have prepared 60 % and if almost all the questions are from the portion that you have prepared, there is still a chance of scoring 90 %. So do not be demotivated. You still have time. Last minute preparation provides more insight and knowledge. All the best. Take care. |
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Hello doctor,I am 36, weighing 57 kg and having a resting heart rate of 60 to 65 bpm till last week, but now I am getting resting heart rate as 80 to 85 bpm. From last one week, I have started running every day for about 16 minutes, four minutes each lap (starting with 5 kmph to 8 kmph till 16th minute). I have heard that if we start running every day our heart rate goes down and down, but the reverse is happening for me, so scary. And also, I am a light smoker, smoke three to four cigarettes a day (till three months back, I used to smoke 10 cigarettes a day). Please help to figure out the issue.
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Hello. I do not think there is anything to worry about. Running for a longer time, say for few months at least, will make the heart stronger and decrease the heart rate, not for a week. There are numerous factors which can affect our heart beat like exercise status, walking before taking heart rate, psychological status like anxiety, etc. So, this can cause an elevated heart rate. I guess you do not have any symptoms like dizziness, shortness of breath with elevated heart rate, right? Also, no harm in getting a thyroid test done as resting heart was on the lower side. For more information consult a cardiologist online Take care. | Hello doctor,I am 36, weighing 57 kg and having a resting heart rate of 60 to 65 bpm till last week, but now I am getting resting heart rate as 80 to 85 bpm. From last one week, I have started running every day for about 16 minutes, four minutes each lap (starting with 5 kmph to 8 kmph till 16th minute). I have heard that if we start running every day our heart rate goes down and down, but the reverse is happening for me, so scary. And also, I am a light smoker, smoke three to four cigarettes a day (till three months back, I used to smoke 10 cigarettes a day). Please help to figure out the issue. | Hello. I do not think there is anything to worry about. Running for a longer time, say for few months at least, will make the heart stronger and decrease the heart rate, not for a week. There are numerous factors which can affect our heart beat like exercise status, walking before taking heart rate, psychological status like anxiety, etc. So, this can cause an elevated heart rate. I guess you do not have any symptoms like dizziness, shortness of breath with elevated heart rate, right? Also, no harm in getting a thyroid test done as resting heart was on the lower side. For more information consult a cardiologist online Take care. |
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Hello doctor,I would like to ask what is the likelihood that my partner who performs oral sex on me has trench mouth or acute necrotizing ulcerative gingivitis? He has no bad breath and he was able to have normal food. Can people with trench mouth have no bad breath and is able to eat normal food?
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Hello. I understand your concern. Trench mouth or acute necrotizing ulcerative gingivitis (ANUG) is a bacterial infection and is uncommon nowadays but it is highly associated with HIV infection and in kids with nutritional deficiencies. To be diagnosed with trench mouth or ANUG, symptoms like gum necrosis and ulceration, pain and bleeding (on just touching the gums) should be present. The main characteristic feature is fetid or the putrid odor which is caused due to the rotting gum tissue. And people diagnosed with ANUG has this odor, unless if they are under treatment in a very initial stage. It is certainly difficult for people with ANUG to eat a portion of normal or even less spicy food if they are not under treatment. It is treatable within a week by the usual antibiotic regimen and medicated mouth rinses. Gum infection such as this cannot occur only by fellatio. If your partner is diagnosed with immunocompromised diseases, respiratory infection, poor nutrition or has the habit of smoking, practice caution during the act. Proper protection and oral hygiene practices will prevent such infections. I hope this helps. Take care. | Hello doctor,I would like to ask what is the likelihood that my partner who performs oral sex on me has trench mouth or acute necrotizing ulcerative gingivitis? He has no bad breath and he was able to have normal food. Can people with trench mouth have no bad breath and is able to eat normal food? | Hello. I understand your concern. Trench mouth or acute necrotizing ulcerative gingivitis (ANUG) is a bacterial infection and is uncommon nowadays but it is highly associated with HIV infection and in kids with nutritional deficiencies. To be diagnosed with trench mouth or ANUG, symptoms like gum necrosis and ulceration, pain and bleeding (on just touching the gums) should be present. The main characteristic feature is fetid or the putrid odor which is caused due to the rotting gum tissue. And people diagnosed with ANUG has this odor, unless if they are under treatment in a very initial stage. It is certainly difficult for people with ANUG to eat a portion of normal or even less spicy food if they are not under treatment. It is treatable within a week by the usual antibiotic regimen and medicated mouth rinses. Gum infection such as this cannot occur only by fellatio. If your partner is diagnosed with immunocompromised diseases, respiratory infection, poor nutrition or has the habit of smoking, practice caution during the act. Proper protection and oral hygiene practices will prevent such infections. I hope this helps. Take care. |
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Hello doctor,I am 32 years old and unmarried. I am a patient of PCOD. I also have a family history of breast cancer. My father\\s sister had breast cancer recently. I am in a very big financial crisis. So, one of my friends suggested me to donate eggs. Will it be risky if I donate my eggs only once? As I am a patient of PCOD, will I be able to conceive in the future? Will I be given some hormonal treatment to conceive later? Please advise me whether I should proceed with the idea of egg donation. Is there any chance of developing breast or ovarian cancer if I donate eggs? Please guide me. I just want to know about its long term consequences as I am afraid of breast and ovarian cancer.
### Response:
Hi, Welcome to Chat Doctor forum. A single cycle of ovulation induction for egg donation and then, possibly in the future for yourself would not increase your chance of breast or ovarian cancer. The heredity for a woman is decided from her maternal background and not from the father\\s side. So, if your paternal aunt had it and your mother or maternal grandmother did not have it, then there are very minimal chances that you should get it in future. You can safely go ahead with an ova donation if you wish to without fear. PCOS - polycystic ovary syn ChatDoctor. So, whenever you decide to get pregnant, conservative management of treatment can always be considered. | Hello doctor,I am 32 years old and unmarried. I am a patient of PCOD. I also have a family history of breast cancer. My father\\s sister had breast cancer recently. I am in a very big financial crisis. So, one of my friends suggested me to donate eggs. Will it be risky if I donate my eggs only once? As I am a patient of PCOD, will I be able to conceive in the future? Will I be given some hormonal treatment to conceive later? Please advise me whether I should proceed with the idea of egg donation. Is there any chance of developing breast or ovarian cancer if I donate eggs? Please guide me. I just want to know about its long term consequences as I am afraid of breast and ovarian cancer. | Hi, Welcome to Chat Doctor forum. A single cycle of ovulation induction for egg donation and then, possibly in the future for yourself would not increase your chance of breast or ovarian cancer. The heredity for a woman is decided from her maternal background and not from the father\\s side. So, if your paternal aunt had it and your mother or maternal grandmother did not have it, then there are very minimal chances that you should get it in future. You can safely go ahead with an ova donation if you wish to without fear. PCOS - polycystic ovary syn ChatDoctor. So, whenever you decide to get pregnant, conservative management of treatment can always be considered. |
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Hello doctor,From the past 10 years, I am suffering from an allergy. The doctors informed that due to allergy there is an excess histamine produced in my body. My allergic symptoms are nasal congestion, sneezing, anxiety, frequent throat infection, shortness of breath, and some kind of discomfort. I am having these symptoms from past 10 years. The doctors told it is due to not maintaining hygiene and low immunity. I am making lifestyle changes and yoga to get rid of allergy. But monthly three to four days, I need to do presentations in my office, and due to the allergy, the quality of my work goes down. Presently, I am using some herbal medicines, that is, turmeric for reduction of histamine and it works a little and reduces a few symptoms. I am requesting you to provide me the tablet for reduction of excess histamine in the body or medicine to prevent the production of histamine in the body. If histamine level is normal in my body, I can experience calmness and happiness. But if histamine levels are increased due to allergy, I feel some kind of discomfort. So to avoid discomfort asking medicine to reduce histamine levels.
### Response:
Hello, Welcome to Chat Doctor forum. I can understand your concerns. Having allergy can cause a lot of discomfort in life, affect the quality of life, and result in anxiety and depression eventually. But, you need not worry. We have solutions for allergy. Revert with more information to an allergy specialist online | Hello doctor,From the past 10 years, I am suffering from an allergy. The doctors informed that due to allergy there is an excess histamine produced in my body. My allergic symptoms are nasal congestion, sneezing, anxiety, frequent throat infection, shortness of breath, and some kind of discomfort. I am having these symptoms from past 10 years. The doctors told it is due to not maintaining hygiene and low immunity. I am making lifestyle changes and yoga to get rid of allergy. But monthly three to four days, I need to do presentations in my office, and due to the allergy, the quality of my work goes down. Presently, I am using some herbal medicines, that is, turmeric for reduction of histamine and it works a little and reduces a few symptoms. I am requesting you to provide me the tablet for reduction of excess histamine in the body or medicine to prevent the production of histamine in the body. If histamine level is normal in my body, I can experience calmness and happiness. But if histamine levels are increased due to allergy, I feel some kind of discomfort. So to avoid discomfort asking medicine to reduce histamine levels. | Hello, Welcome to Chat Doctor forum. I can understand your concerns. Having allergy can cause a lot of discomfort in life, affect the quality of life, and result in anxiety and depression eventually. But, you need not worry. We have solutions for allergy. Revert with more information to an allergy specialist online |
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Hello doctor,I am 33 years old and got ovulation spotting on 27th of last month, after this I tried to conceive. My period date is 11th of this month. I faced many leg cramps and abdominal pain in the period, also the period was light as usual and got frequent motion after the period. I am feeling irritated with many smells. On 24th again I got some spotting (ovulation day). I did a pregnancy test but it is negative. I am messed up. Can I be pregnant in this scenario? My doctor prescribed Deviry 10 mg for 10 days. Please suggest me is that medicine is safe if I get pregnant?
### Response:
Hi, Welcome to Chat Doctor forum. It is not always that you will be surely pregnant if you had sex during ovulation. It is also not 100 % that there is bleeding when there is ovulation. Spotting can be due to other reasons and can be the sign of irregular endometrium due to hormonal imbalance. You can get Deviry (Me ChatDoctor. Consult a nearby gynecologist and do take proper consultation and counseling session about pregnancy and its treatment performa. You may need to do some basic investigation to find out whether there is any problem or not. Whether you are ovulating or not during the mid-cycle and confirming it by ultrasound. You can take a repeat urine pregnancy test after eight more days. | Hello doctor,I am 33 years old and got ovulation spotting on 27th of last month, after this I tried to conceive. My period date is 11th of this month. I faced many leg cramps and abdominal pain in the period, also the period was light as usual and got frequent motion after the period. I am feeling irritated with many smells. On 24th again I got some spotting (ovulation day). I did a pregnancy test but it is negative. I am messed up. Can I be pregnant in this scenario? My doctor prescribed Deviry 10 mg for 10 days. Please suggest me is that medicine is safe if I get pregnant? | Hi, Welcome to Chat Doctor forum. It is not always that you will be surely pregnant if you had sex during ovulation. It is also not 100 % that there is bleeding when there is ovulation. Spotting can be due to other reasons and can be the sign of irregular endometrium due to hormonal imbalance. You can get Deviry (Me ChatDoctor. Consult a nearby gynecologist and do take proper consultation and counseling session about pregnancy and its treatment performa. You may need to do some basic investigation to find out whether there is any problem or not. Whether you are ovulating or not during the mid-cycle and confirming it by ultrasound. You can take a repeat urine pregnancy test after eight more days. |
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Hi doctor,I have done my C1 and C2 surgery with screw fixation. After three months, my head is little flexible to move down and backward but not left and right (the surgery moto is not to turn my head). But for the past one week, I am facing that my neck is very stiff and my right shoulder feels like very tight and weight (sometimes I get pain). Because of this, my total head feels like very tight and with this, I am not able to move my head down (but can move backward). After I consulted with my doctor and took an X-ray and checking that there is no fault in my screw fixation, that is perfect and he gave me some tablets too. But still, I am facing neck, right shoulder (starting from neck till shoulder knee) stiffness.
### Response:
Hi. Your X-ray looks fine (attachment removed to protect patient identity). So, nothing to worry. Yes, you can travel but if you have pain and stiffness, then you need to use a soft cervical collar-size depending on your neck length, or it can be adjustable. If you do a sitting job, then you should get up once every 15 to 20 minutes and take a small walk for two minutes everytime. For the lower back, you need to do McKenzie back extension exercises (cautiously under the guidance of a physiotherapist, as the neck should not get a lot of strain while exercising). | Hi doctor,I have done my C1 and C2 surgery with screw fixation. After three months, my head is little flexible to move down and backward but not left and right (the surgery moto is not to turn my head). But for the past one week, I am facing that my neck is very stiff and my right shoulder feels like very tight and weight (sometimes I get pain). Because of this, my total head feels like very tight and with this, I am not able to move my head down (but can move backward). After I consulted with my doctor and took an X-ray and checking that there is no fault in my screw fixation, that is perfect and he gave me some tablets too. But still, I am facing neck, right shoulder (starting from neck till shoulder knee) stiffness. | Hi. Your X-ray looks fine (attachment removed to protect patient identity). So, nothing to worry. Yes, you can travel but if you have pain and stiffness, then you need to use a soft cervical collar-size depending on your neck length, or it can be adjustable. If you do a sitting job, then you should get up once every 15 to 20 minutes and take a small walk for two minutes everytime. For the lower back, you need to do McKenzie back extension exercises (cautiously under the guidance of a physiotherapist, as the neck should not get a lot of strain while exercising). |
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Hello doctor,One week ago, I started feeling pain in the mouth in the left side last tooth. The pain was so severe that I was unable to open mouth and also ulcer over that area was not visible to the doctor (GP). He advised me to take Becosules, Rubifol, and Zocon DT for five days. I started taking those medicines, but I started feeling pain in the full left side teeth and jaw that extends towards the ear. After searching over the net I came to know that it is a swelling of gum and something called gingivitis which may be the cause of my pain. After I have gone to the dentist, she advised me the following medicines
### Response:
Hello, Welcome to Chat Doctor forum. I am sorry to hear about your problems. The symptoms and line of treatment you have described points to be normal. Though you can take painkillers as per your requirement, I advise you to not to stop the antacid (Rabeprazole and Domperidone in many cases) as they may help you prevent conditions like nausea and vomiting. The blood appearing is alarming, and the source of bleeding should be figured out. Notice if the blood is coming out along with pus of the tooth or not. You may consult or call me in this regard. It would be better if you send me a picture of the tooth and gums in questions to pinpoint the condition. It is not always necessary to go for surgical procedures. | Hello doctor,One week ago, I started feeling pain in the mouth in the left side last tooth. The pain was so severe that I was unable to open mouth and also ulcer over that area was not visible to the doctor (GP). He advised me to take Becosules, Rubifol, and Zocon DT for five days. I started taking those medicines, but I started feeling pain in the full left side teeth and jaw that extends towards the ear. After searching over the net I came to know that it is a swelling of gum and something called gingivitis which may be the cause of my pain. After I have gone to the dentist, she advised me the following medicines | Hello, Welcome to Chat Doctor forum. I am sorry to hear about your problems. The symptoms and line of treatment you have described points to be normal. Though you can take painkillers as per your requirement, I advise you to not to stop the antacid (Rabeprazole and Domperidone in many cases) as they may help you prevent conditions like nausea and vomiting. The blood appearing is alarming, and the source of bleeding should be figured out. Notice if the blood is coming out along with pus of the tooth or not. You may consult or call me in this regard. It would be better if you send me a picture of the tooth and gums in questions to pinpoint the condition. It is not always necessary to go for surgical procedures. |
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Hello doctor,My mom met an accident with a head injury. Right FTP SDH and midline shift, craniectomy surgery is done on the same day. But still she is semi-unconscious. There are body movements, but she has not yet opened her eyes. Ventilator has been removed before 30 hours. I want to know when she can open her eyes and how long will it take to become normal. I have attached a recent CT scan.
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Hello. This is the most common question we encounter in our daily practice. One thing I want you to understand is that the surgery which has been performed was a \\\\life-saving procedure\\\\. If that were not done, we would have lost her; luckily, thank God that did not happen. The rest of the recovery is actually unpredictable. Depending on the extent of the damage, the patient will recover after this sort of surgery. Positive things are she has survived, she is off the ventilator, her injury was more on the right side and not on the left side. So there are pretty good chances that she will improve eventually. If it had been more injury on the left side, we would not have expected her ever to speak again or calculate again. That is not the case with the right side. She would open her eyes in less than a week. Other functions will take time to recover up to six months. The next stage is you have to focus on rehabilitation measures. | Hello doctor,My mom met an accident with a head injury. Right FTP SDH and midline shift, craniectomy surgery is done on the same day. But still she is semi-unconscious. There are body movements, but she has not yet opened her eyes. Ventilator has been removed before 30 hours. I want to know when she can open her eyes and how long will it take to become normal. I have attached a recent CT scan. | Hello. This is the most common question we encounter in our daily practice. One thing I want you to understand is that the surgery which has been performed was a \\\\life-saving procedure\\\\. If that were not done, we would have lost her; luckily, thank God that did not happen. The rest of the recovery is actually unpredictable. Depending on the extent of the damage, the patient will recover after this sort of surgery. Positive things are she has survived, she is off the ventilator, her injury was more on the right side and not on the left side. So there are pretty good chances that she will improve eventually. If it had been more injury on the left side, we would not have expected her ever to speak again or calculate again. That is not the case with the right side. She would open her eyes in less than a week. Other functions will take time to recover up to six months. The next stage is you have to focus on rehabilitation measures. |
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Hi doctor,I am 18 years old. My height is 5\\9\", and weight is 130 lbs. I am not due my period anytime soon, and I am on birth control. For the past few days, I have been getting severe pains in the bottom of my abdomen. It started a few days ago with sharp pains on the right side just up a bit. By yesterday night, it moved down to where period cramps usually are. They are not cramps, but they do feel like cramps. It is present consistently and sore to press on my stomach on the both sides. I do not have a fever, vomiting, diarrhea or constipation. What could be wrong?
### Response:
Hi, Welcome to Chat Doctor forum. There could be ureteric calculus if the pain is sharp and shooting or a renal stone dislodged from the place. You need to get an ultrasound done to rule out any pathology. It needs further physical examination as it could just even be a muscular spasm, which happens if there is a muscle pull during day-to-day activity or exercise. There could be an ovarian cyst as the site you specified looks near to the ovaries, but less likely as you are on a birth control pill. More likely there could just be a gas problem as it is the commonest reason for pain there. I presume passing urine is not an issue. Please visit a doctor for a prescription of an antispasmodic tablet. | Hi doctor,I am 18 years old. My height is 5\\9\", and weight is 130 lbs. I am not due my period anytime soon, and I am on birth control. For the past few days, I have been getting severe pains in the bottom of my abdomen. It started a few days ago with sharp pains on the right side just up a bit. By yesterday night, it moved down to where period cramps usually are. They are not cramps, but they do feel like cramps. It is present consistently and sore to press on my stomach on the both sides. I do not have a fever, vomiting, diarrhea or constipation. What could be wrong? | Hi, Welcome to Chat Doctor forum. There could be ureteric calculus if the pain is sharp and shooting or a renal stone dislodged from the place. You need to get an ultrasound done to rule out any pathology. It needs further physical examination as it could just even be a muscular spasm, which happens if there is a muscle pull during day-to-day activity or exercise. There could be an ovarian cyst as the site you specified looks near to the ovaries, but less likely as you are on a birth control pill. More likely there could just be a gas problem as it is the commonest reason for pain there. I presume passing urine is not an issue. Please visit a doctor for a prescription of an antispasmodic tablet. |
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Hi doctor,I have vision-related tinnitus. I have been nearsighted for a while. Approximately, three months ago, I went to see a speaker, sat in the back and ended up looking at him out-of-focus for an hour. The next day, my ears started ringing. Looking at my computer tends to make it louder. I have special blue light blocking computer glasses. I got polarized yellow clip to use at night, in addition to three screens over my computer as well as a couple programs to warm the screen\\s color temperature. But, I am still experiencing elevated ringing. My audiology test revealed a slight hearing loss in left ear, but nothing that would have brought on sudden tinnitus. I am currently on Nortriptyline to aid sleep. I have an appointment to see an ophthalmologist. I am searching for any immediate help possible. Do you like to give any suggestions for a particular polarized shade for to clip on or use over my prescription specs?
### Response:
Hello. From what you have described, you have tinnitus that gets exacerbated on looking at the computer screen. There is no established connection between looking at a bright object and worsening of tinnitus, though there may be isolated reports. Tinnitus is usually caused due to an inner ear problem. In my opinion, you should seek an ENT consultation instead of an eye checkup as your main problem is tinnitus. An ENT consultation will help you find out the real cause for your tinnitus. | Hi doctor,I have vision-related tinnitus. I have been nearsighted for a while. Approximately, three months ago, I went to see a speaker, sat in the back and ended up looking at him out-of-focus for an hour. The next day, my ears started ringing. Looking at my computer tends to make it louder. I have special blue light blocking computer glasses. I got polarized yellow clip to use at night, in addition to three screens over my computer as well as a couple programs to warm the screen\\s color temperature. But, I am still experiencing elevated ringing. My audiology test revealed a slight hearing loss in left ear, but nothing that would have brought on sudden tinnitus. I am currently on Nortriptyline to aid sleep. I have an appointment to see an ophthalmologist. I am searching for any immediate help possible. Do you like to give any suggestions for a particular polarized shade for to clip on or use over my prescription specs? | Hello. From what you have described, you have tinnitus that gets exacerbated on looking at the computer screen. There is no established connection between looking at a bright object and worsening of tinnitus, though there may be isolated reports. Tinnitus is usually caused due to an inner ear problem. In my opinion, you should seek an ENT consultation instead of an eye checkup as your main problem is tinnitus. An ENT consultation will help you find out the real cause for your tinnitus. |
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Hello doctor,I am a 28 year old man. My girlfriend left me last month and I am going through severe heart pains and anxiety. My heart pounds and beats very loudly. I cannot concentrate on anything. I am having this constant urge to call her and I am not able to control myself. Due to my constant calling, she threatened me to change her number. But, still I feel like I should call her. I feel as if my hands and legs pulling me to pick the telephone and call her. I am becoming like mad. She said I have turned psycho and she cannot trust my mental condition. I forced her to be with me and she said she hates me and threatened me. I was not like this before, rejection turned me into a psycho. We used to talk daily on phone and I was really addicted to her. Now, she informed me that she is getting married. I am going through disbelief and lot of pain. I feel as if I am useless. I feel anger. I feel guilt. I feel why did this happen with my life? I cannot sleep properly. I am currently at home after my MBA and will be joining my job in some days, but I do not feel motivated. Please help.
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Hi. All the very best. Have a bright future. Try to follow my suggestions and take medication for 14 days. It will definitely help you. Review after two weeks to a psychiatrist online | Hello doctor,I am a 28 year old man. My girlfriend left me last month and I am going through severe heart pains and anxiety. My heart pounds and beats very loudly. I cannot concentrate on anything. I am having this constant urge to call her and I am not able to control myself. Due to my constant calling, she threatened me to change her number. But, still I feel like I should call her. I feel as if my hands and legs pulling me to pick the telephone and call her. I am becoming like mad. She said I have turned psycho and she cannot trust my mental condition. I forced her to be with me and she said she hates me and threatened me. I was not like this before, rejection turned me into a psycho. We used to talk daily on phone and I was really addicted to her. Now, she informed me that she is getting married. I am going through disbelief and lot of pain. I feel as if I am useless. I feel anger. I feel guilt. I feel why did this happen with my life? I cannot sleep properly. I am currently at home after my MBA and will be joining my job in some days, but I do not feel motivated. Please help. | Hi. All the very best. Have a bright future. Try to follow my suggestions and take medication for 14 days. It will definitely help you. Review after two weeks to a psychiatrist online |
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Hello doctor,I am a 66-year-old male with no hypertension and non-diabetic. Since many years I have the dry eye problems and have been using Refresh tears drops or Refresh Liquigel. Last year, I developed frequent twitching of eyes and eye specialist prescribed the same eye drops and fish oil 1200 mg that contains 360 mg of omega 3. Since then, the dry syndrome improved a lot. I am continuing to take the fish oil one gel a day soon after lunch. My eye pressure is normal (L 14 R 17) and no glaucoma. I have mild cataract formation in my right eye and I am advised to wait for another year for its removal. I use only reading glasses. However, one and a half years ago, one eye doctor who checked me for the change of eyeglasses suspected that I may have an open-angle problem and graded it as grade II. But in later check up with another doctor, it was ruled out. My cornea is fine and nerves are fine too. My height is 172 cm and weight 68 to 70 Kg.Current problem and symptoms are as follows
### Response:
Hi. You seem to be suffering from what we call myokymia. It is a benign twitching of the eyelids. It has been known to be associated with ChatDoctor. The other know factors which cause and aggravate it are | Hello doctor,I am a 66-year-old male with no hypertension and non-diabetic. Since many years I have the dry eye problems and have been using Refresh tears drops or Refresh Liquigel. Last year, I developed frequent twitching of eyes and eye specialist prescribed the same eye drops and fish oil 1200 mg that contains 360 mg of omega 3. Since then, the dry syndrome improved a lot. I am continuing to take the fish oil one gel a day soon after lunch. My eye pressure is normal (L 14 R 17) and no glaucoma. I have mild cataract formation in my right eye and I am advised to wait for another year for its removal. I use only reading glasses. However, one and a half years ago, one eye doctor who checked me for the change of eyeglasses suspected that I may have an open-angle problem and graded it as grade II. But in later check up with another doctor, it was ruled out. My cornea is fine and nerves are fine too. My height is 172 cm and weight 68 to 70 Kg.Current problem and symptoms are as follows | Hi. You seem to be suffering from what we call myokymia. It is a benign twitching of the eyelids. It has been known to be associated with ChatDoctor. The other know factors which cause and aggravate it are |
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Hi doctor,I am 16 years old. I just recently discovered that I have scoliosis. I do not know much about it but I will tell you what I know. My scoliosis currently has only a 3-degree curve and I am pretty confident it is a C shaped curve, although I am not sure. What do you think are the chances that my scoliosis will develop into adulthood? Do you think it will stop progressing once I am fully grown?
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Hello, Welcome to Chat Doctor forum. Before going into the progress of scoliosis, I would like to make you some clarity about the facts on it. 1) The Cobb angle is a measure of the curvature of the spine in degrees. This helps to determine what type of treatment is necessary. A Cobb angle of 10 degrees is regarded as a minimum angulation to define scoliosis. 2) A scoliosis curve of 10 to 15 degrees normally does not require any treatment except for regular check-ups. 3) If the scoliosis curve is 20 to 40 degrees, the orthopedic doctor will prescribe a back brace help to keep the spine from developing more of a curve. 4) More than 45 degrees need correction surgery keeping many pedicle screw and osteotomy to correct the curve. I hope you go for x ray done of your spine and it will be easy to measure properly about the curvature. | Hi doctor,I am 16 years old. I just recently discovered that I have scoliosis. I do not know much about it but I will tell you what I know. My scoliosis currently has only a 3-degree curve and I am pretty confident it is a C shaped curve, although I am not sure. What do you think are the chances that my scoliosis will develop into adulthood? Do you think it will stop progressing once I am fully grown? | Hello, Welcome to Chat Doctor forum. Before going into the progress of scoliosis, I would like to make you some clarity about the facts on it. 1) The Cobb angle is a measure of the curvature of the spine in degrees. This helps to determine what type of treatment is necessary. A Cobb angle of 10 degrees is regarded as a minimum angulation to define scoliosis. 2) A scoliosis curve of 10 to 15 degrees normally does not require any treatment except for regular check-ups. 3) If the scoliosis curve is 20 to 40 degrees, the orthopedic doctor will prescribe a back brace help to keep the spine from developing more of a curve. 4) More than 45 degrees need correction surgery keeping many pedicle screw and osteotomy to correct the curve. I hope you go for x ray done of your spine and it will be easy to measure properly about the curvature. |
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Hi doctor,This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm.The abnormal values are as follows
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Hi, Welcome to Chat Doctor forum. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps. | Hi doctor,This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm.The abnormal values are as follows | Hi, Welcome to Chat Doctor forum. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps. |
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Hello doctor,I am 36 years old, male, 6\\1\", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction.
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Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehy ChatDoctor. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on ChatDoctor. | Hello doctor,I am 36 years old, male, 6\\1\", 265 lbs. I have a question about total bilirubin. I had it checked four weeks ago and it was at .41 mg/dl and one month later it jumped to .82 mg/dl. My alkaline phosphatase is at 1.173 ukat/l and four weeks ago was at 1.003 ukat/l. The doctor was not concerned by this but the highest I have seen it was three years ago when it was at .53 (total bilirubin).However, during the last month, I went from 282 lbs to 265. I have been extremely stressed out about it. Health problems and my anxiety are high. I barely slept the night before the tests and am possibly dehydrated. Could these factors have contributed to the increase? I am concerned about bile duct obstruction. | Hello. Since this question was posted under diabetology, I am wondering if you have any endocrine issues. The question asked here is about gastroenterology. The liver tests would be concerning for a liver process like gallstone if the enzymes were not coming back down or if you had pain in your right abdomen. Any fever? Dehy ChatDoctor. It is important to have a follow up with your GP. You can also run the query through a gastroenterologist on ChatDoctor. |
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Hello doctor,I never bothered to worry about this before but someone said I should see a doctor about this. The problem I have is that my facial muscles seem to always change shape when I am under stress. I remember someone once telling me he knew what was wrong with me. He said my face needs to breathe. Also when I shave and my face gets air my facial skin gets smoother in texture and fuller. I had not eaten in a while so I was starving and I went out to eat. I ordered a hot dog and by the time I finished eating I felt a surge of energy like my blood began to rush I think and my face popped and was a lot fuller. I think after that any time I would go to the toilet my stool would come out very dark and hard and messy. I do not know what could be the cause. So please could you help?
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Hello, Welcome to Chat Doctor forum. It is very strange if your facial muscles tend to change shape on daily basis. I know of a few conditions in which facial flushing (redness) can occur due to increased blood flow, but the change in facial musculature with food intake or under stress is not a common thing. The facial flushing can occur with eating of certain foods which are rich in amines. Can also occur with hyperthyroidism and diseases like VIPoma or some other carcinoid syn ChatDoctor. But the above things also have certain other presenting features. | Hello doctor,I never bothered to worry about this before but someone said I should see a doctor about this. The problem I have is that my facial muscles seem to always change shape when I am under stress. I remember someone once telling me he knew what was wrong with me. He said my face needs to breathe. Also when I shave and my face gets air my facial skin gets smoother in texture and fuller. I had not eaten in a while so I was starving and I went out to eat. I ordered a hot dog and by the time I finished eating I felt a surge of energy like my blood began to rush I think and my face popped and was a lot fuller. I think after that any time I would go to the toilet my stool would come out very dark and hard and messy. I do not know what could be the cause. So please could you help? | Hello, Welcome to Chat Doctor forum. It is very strange if your facial muscles tend to change shape on daily basis. I know of a few conditions in which facial flushing (redness) can occur due to increased blood flow, but the change in facial musculature with food intake or under stress is not a common thing. The facial flushing can occur with eating of certain foods which are rich in amines. Can also occur with hyperthyroidism and diseases like VIPoma or some other carcinoid syn ChatDoctor. But the above things also have certain other presenting features. |
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Hello doctor,I am 19 and in good health. For about a year, I have had some strange heart palpitations. They tend to happen at night when I lie down. They are very strong beats and irregular. It lasts only a couple of minutes but is quite scary as it feels like my heart is beating out of control and out of rhythm. During this, my chest also feels quite tight and uncomfortable. At the University recently, I had a physical examination, and the nurse noted that my pulse was a bit irregular. No one in my family has any heart problems. I do have anxiety, and I am taking anti-depressants.
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Hello. Palpitations are very common and usually, they are not serious until there are accompanying symptoms like lightheadedness, dizziness, fainting or ChatDoctor. One of the most common causes of palpitations is anxiety, but it can also be due to heart rhythm problems. So, these must be excluded first. I advise you to get an electrocardiogram (ECG) done at the time of palpitations. If that is not possible, then get a baseline ECG at any time of day or night, and another test called 24 to 48 hours ambulatory ECG. It will record your ECG continuously for 24 to 48 hours, and any palpitation episodes will be recorded. No need to worry, palpitations are not life threatening. I suggest the following | Hello doctor,I am 19 and in good health. For about a year, I have had some strange heart palpitations. They tend to happen at night when I lie down. They are very strong beats and irregular. It lasts only a couple of minutes but is quite scary as it feels like my heart is beating out of control and out of rhythm. During this, my chest also feels quite tight and uncomfortable. At the University recently, I had a physical examination, and the nurse noted that my pulse was a bit irregular. No one in my family has any heart problems. I do have anxiety, and I am taking anti-depressants. | Hello. Palpitations are very common and usually, they are not serious until there are accompanying symptoms like lightheadedness, dizziness, fainting or ChatDoctor. One of the most common causes of palpitations is anxiety, but it can also be due to heart rhythm problems. So, these must be excluded first. I advise you to get an electrocardiogram (ECG) done at the time of palpitations. If that is not possible, then get a baseline ECG at any time of day or night, and another test called 24 to 48 hours ambulatory ECG. It will record your ECG continuously for 24 to 48 hours, and any palpitation episodes will be recorded. No need to worry, palpitations are not life threatening. I suggest the following |
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Hello doctor,The back of my right neck where the bottom of the skull is, I feel a lot of crepitus. This has been going on for a year and a half, after my face and cheeks became thick (and hard), fat, and bloated (unevenly) for some reason (only my cheeks, everywhere else, I was as thin as before) for some time (now it is back to normal since about a year).The crepitus is painless, but it feels like my neck vertebrae and skull are grinding every movement. And whenever it is at the peak, I feel very congested and frustrated. Also, a lot of times when I look up at the ceiling, my neck in the skull base area audibly cracks (I can feel something snap), which has not happened before this. I am not sure what the problem is, kindly help.
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Hello. I read your concern. In my opinion, you should get a proper investigation of your upper cervical area. Crepitus could be due to any bone on bone rubbing due to improper positioning of your vertebra (improper alignment) caused due to bad posture. Do not worry if you could be sure if there are no other complicated issues associated with an MRI neck, you can do stabilization exercises and get back regularly. Kindly get an MRI neck and revert. Keep icing your neck frequently and stretch your neck muscles gently. I hope this is helpful for you for now. | Hello doctor,The back of my right neck where the bottom of the skull is, I feel a lot of crepitus. This has been going on for a year and a half, after my face and cheeks became thick (and hard), fat, and bloated (unevenly) for some reason (only my cheeks, everywhere else, I was as thin as before) for some time (now it is back to normal since about a year).The crepitus is painless, but it feels like my neck vertebrae and skull are grinding every movement. And whenever it is at the peak, I feel very congested and frustrated. Also, a lot of times when I look up at the ceiling, my neck in the skull base area audibly cracks (I can feel something snap), which has not happened before this. I am not sure what the problem is, kindly help. | Hello. I read your concern. In my opinion, you should get a proper investigation of your upper cervical area. Crepitus could be due to any bone on bone rubbing due to improper positioning of your vertebra (improper alignment) caused due to bad posture. Do not worry if you could be sure if there are no other complicated issues associated with an MRI neck, you can do stabilization exercises and get back regularly. Kindly get an MRI neck and revert. Keep icing your neck frequently and stretch your neck muscles gently. I hope this is helpful for you for now. |
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Hello doctor,I am writing to get a second opinion for my mother. She is 40 years old. She had a seizure on the day before yesterday. She had got it for the first time during the gestation of her second child 18 years ago. She is using Tegretol 200 mg but not regularly. She has a history of high bp, but since two weeks it is normal (120/80 mmHg). On doing an MRI scan, the reports showed right maxillary and bilateral ethmoid sinusitis. Is this sinusitis related to seizures? During the seizures, she gets froth from the mouth and tongue bite. For the first few seconds of seizure, she is conscious, but later she is not able to hear and later on she is good. Sometimes, she says that she forgot things and is not able to sleep properly. Since the past five days, she is snoring during sleep. Does this cause any complication in the brain? Is this dangerous?
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Hello. She is having epilepsy which has recurred due to irregular sleep, stress and irregular treatment. The sinusitis is not related to the seizures. Her snoring while sleeping does not produce any complications in her brain. Her memory problems may be predominantly attentional deficits rather than memory loss per se. Regular treatment will keep her seizure-free and there is certainly nothing else to worry about. For more information consult a neurologist online Take care. | Hello doctor,I am writing to get a second opinion for my mother. She is 40 years old. She had a seizure on the day before yesterday. She had got it for the first time during the gestation of her second child 18 years ago. She is using Tegretol 200 mg but not regularly. She has a history of high bp, but since two weeks it is normal (120/80 mmHg). On doing an MRI scan, the reports showed right maxillary and bilateral ethmoid sinusitis. Is this sinusitis related to seizures? During the seizures, she gets froth from the mouth and tongue bite. For the first few seconds of seizure, she is conscious, but later she is not able to hear and later on she is good. Sometimes, she says that she forgot things and is not able to sleep properly. Since the past five days, she is snoring during sleep. Does this cause any complication in the brain? Is this dangerous? | Hello. She is having epilepsy which has recurred due to irregular sleep, stress and irregular treatment. The sinusitis is not related to the seizures. Her snoring while sleeping does not produce any complications in her brain. Her memory problems may be predominantly attentional deficits rather than memory loss per se. Regular treatment will keep her seizure-free and there is certainly nothing else to worry about. For more information consult a neurologist online Take care. |
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Hi doctor,Before eight years, my daughter underwent breast surgery. After that, she had a baby who is 18 months of age now. Before a month, she felt pain in one breast and went to GP. He did an X-ray, which showed a tear in one of the implants. Yesterday she visited a surgeon.He informed her that there is no chance for any replacement surgery until the inflammation clears up entirely. He said he could take out the implants, but will not replace it until the swelling gets clear completely. She is advised to take Ibuprofen for the reduction of inflammation. She was advised to visit the surgeon after a week.My concern is whether the leakage from the silicon breast implant is going in her body? How dangerous is this leakage? Is it safe to take these implants out and inserting new ones at a later date after healing?
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Hi, Welcome to Chat Doctor forum. I can assure that silicon from the ruptured implant will stay there only and it will not go anywhere in her body. Your surgeon is correct in telling you that the replacement can be done just after the inflammatory response settles down. It is better to remove the ruptured implant and wait for a replacement with a new one until the active inflammatory response gets resolved. Taking time for an inflammatory response to settle with Ibuprofen is also a good option. Because after that, you can undergo only a single surgery rather than two. For more information consult a plastic surgeon online | Hi doctor,Before eight years, my daughter underwent breast surgery. After that, she had a baby who is 18 months of age now. Before a month, she felt pain in one breast and went to GP. He did an X-ray, which showed a tear in one of the implants. Yesterday she visited a surgeon.He informed her that there is no chance for any replacement surgery until the inflammation clears up entirely. He said he could take out the implants, but will not replace it until the swelling gets clear completely. She is advised to take Ibuprofen for the reduction of inflammation. She was advised to visit the surgeon after a week.My concern is whether the leakage from the silicon breast implant is going in her body? How dangerous is this leakage? Is it safe to take these implants out and inserting new ones at a later date after healing? | Hi, Welcome to Chat Doctor forum. I can assure that silicon from the ruptured implant will stay there only and it will not go anywhere in her body. Your surgeon is correct in telling you that the replacement can be done just after the inflammatory response settles down. It is better to remove the ruptured implant and wait for a replacement with a new one until the active inflammatory response gets resolved. Taking time for an inflammatory response to settle with Ibuprofen is also a good option. Because after that, you can undergo only a single surgery rather than two. For more information consult a plastic surgeon online |
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Hello doctor, Feeling of something stuck in the throat that comes and goes. It is mostly there all the time but sometimes it will go away. It actually feels more like that flap in my throat is twisted or I am swallowing it or something. I had a scope down by a GI last week and they said they only thing they found was a hiatal hernia. I just did a barium swallow test today. Waiting for the results. A few weeks ago, I had a swallow study done and they could see somewhere food was catching there on my epiglottis. I just do not know how much more of this I can take. I feel like it is a hairball or something stuck there or like a small flap or skin. My question is would not GI doctor have seen it if that little flap in my throat or epiglottis? Or it was messed up or swollen or something?
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Hi. The feeling of something stuck in the throat is usually due to gastric acid reflux causing pharyngeal irritation. Gastroenterologist will definitely see the epiglottis but it is not the pathology. The regurgitation of swallow can be seen only on swallow studies that tell functional problems. Endoscopic examination can tell anatomical causes. Hiatal hernia is a cause for it. Even your swallow study is suggestive of this. You should take some antacid regularly but the best solution for this is surgical correction. This can be done laparoscopically too. I hope this helps. | Hello doctor, Feeling of something stuck in the throat that comes and goes. It is mostly there all the time but sometimes it will go away. It actually feels more like that flap in my throat is twisted or I am swallowing it or something. I had a scope down by a GI last week and they said they only thing they found was a hiatal hernia. I just did a barium swallow test today. Waiting for the results. A few weeks ago, I had a swallow study done and they could see somewhere food was catching there on my epiglottis. I just do not know how much more of this I can take. I feel like it is a hairball or something stuck there or like a small flap or skin. My question is would not GI doctor have seen it if that little flap in my throat or epiglottis? Or it was messed up or swollen or something? | Hi. The feeling of something stuck in the throat is usually due to gastric acid reflux causing pharyngeal irritation. Gastroenterologist will definitely see the epiglottis but it is not the pathology. The regurgitation of swallow can be seen only on swallow studies that tell functional problems. Endoscopic examination can tell anatomical causes. Hiatal hernia is a cause for it. Even your swallow study is suggestive of this. You should take some antacid regularly but the best solution for this is surgical correction. This can be done laparoscopically too. I hope this helps. |
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Hello doctor,I am a 31-year-old male with a history of closed globe injury in the right eye 10 years ago. At that time, my vision in the right eye was hand movements only and I was diagnosed with a macular injury. Three months later, my vision slowly improved to 6/36. However, my right eye started to deviate (exotropia) and I started experiencing diplopia. My main problem is diplopia. I have used prisms, but of no use. When I try to focus on an image, I have severe diplopia. The diplopia disappears when I try to correct the squint. At present, I am doing higher studies and the diplopia is really bothering me. Will doing a squint surgery be of any use? Is there anything that I can try?
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Hello. Diplopia is occurring definitely due to squinting because, in this, the image which is formed will be defocussed. It has occurred secondary to the trauma. The only remedy is to correct it by surgery. If it would have been due to other causes which were intrinsic to the eye then the chances would have been to correct by glasses. But still, I would suggest you get to check whether the diplopia is due to the squint only and even after surgery your vision will not recover however the diplopia can be relieved. For more information consult an eye care ophthalmologist online | Hello doctor,I am a 31-year-old male with a history of closed globe injury in the right eye 10 years ago. At that time, my vision in the right eye was hand movements only and I was diagnosed with a macular injury. Three months later, my vision slowly improved to 6/36. However, my right eye started to deviate (exotropia) and I started experiencing diplopia. My main problem is diplopia. I have used prisms, but of no use. When I try to focus on an image, I have severe diplopia. The diplopia disappears when I try to correct the squint. At present, I am doing higher studies and the diplopia is really bothering me. Will doing a squint surgery be of any use? Is there anything that I can try? | Hello. Diplopia is occurring definitely due to squinting because, in this, the image which is formed will be defocussed. It has occurred secondary to the trauma. The only remedy is to correct it by surgery. If it would have been due to other causes which were intrinsic to the eye then the chances would have been to correct by glasses. But still, I would suggest you get to check whether the diplopia is due to the squint only and even after surgery your vision will not recover however the diplopia can be relieved. For more information consult an eye care ophthalmologist online |
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Hello doctor,I am a 32-year-old single male. In the past, I have experimented with using non-deglycyrrhizinated licorice to reduce my libido and make single life more manageable. I have hereditary low blood pressure so that the side effect was not an issue for me. However, after a few days of use, the licorice causes me to develop muscle aches all over my body. Which I assume are due to the reduced potassium levels from the licorice. Is there a better alternative to the licorice? Or a way to prevent the loss of potassium so I can use it for more than a few days at a time? No matter what I ate, (bananas, avocados, apricots), it did not seem to be enough.
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Hi, Welcome to Chat Doctor forum. I can understand your concern. Non-deglycyrrhizinated licorice contains Glycyrrhizin which has some side-effects like hypertension, hypokalaemia, reduces testosterone, edema, etc., as you mentioned well. Muscle cramps and aches are most probably due to hypokalaemia. To fulfill the requirements of potassium you can take a banana, avocado, orange, lemon, apricots, etc. An alternative to non-deglycyrrhizinated licorice, you can take mint, flex seed, popcorn and soda. They normally reduce the testosterone level and make men libido. | Hello doctor,I am a 32-year-old single male. In the past, I have experimented with using non-deglycyrrhizinated licorice to reduce my libido and make single life more manageable. I have hereditary low blood pressure so that the side effect was not an issue for me. However, after a few days of use, the licorice causes me to develop muscle aches all over my body. Which I assume are due to the reduced potassium levels from the licorice. Is there a better alternative to the licorice? Or a way to prevent the loss of potassium so I can use it for more than a few days at a time? No matter what I ate, (bananas, avocados, apricots), it did not seem to be enough. | Hi, Welcome to Chat Doctor forum. I can understand your concern. Non-deglycyrrhizinated licorice contains Glycyrrhizin which has some side-effects like hypertension, hypokalaemia, reduces testosterone, edema, etc., as you mentioned well. Muscle cramps and aches are most probably due to hypokalaemia. To fulfill the requirements of potassium you can take a banana, avocado, orange, lemon, apricots, etc. An alternative to non-deglycyrrhizinated licorice, you can take mint, flex seed, popcorn and soda. They normally reduce the testosterone level and make men libido. |
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Hello doctor,I am currently on 40 mg of Fluoxetine. For the past four days, I was put up from 30 mg to 40 mg as my 20 mg stopped working after three years. While on the 30 mg, my symptoms got better for a couple weeks and then I went back down to where I was, in the beginning, feeling extremely depressed, anxious and completely awful. I was wondering why this happened?
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Hello, Welcome to Chat Doctor forum. Fluoxetine 20 mg OD is the usual dose prescribed in managing depression and anxiety. Sometimes Fluoxetine dose needs to be increased to 40 mg OD if the previous dose is no longer effective. You have been on 40 mg for the past four days. You may be aware that you need to wait for at least 2 to 4 weeks to see the maximum therapeutic response. In addition to medication, you will benefit from counseling, CBT to manage your emotional difficulties. Discuss with your GP, CMHT in case you have not had taking therapy before. Try to exercise daily. Even brisk walking outdoors for 30 minutes daily can help to improve your mood and lower anxiety. In case, if you do not get better even on Fluoxetine 40 mg OD. Kindly consult with your doctor. You may need a reassessment of your symptoms and sometimes alternative SSRI needs to be considered. | Hello doctor,I am currently on 40 mg of Fluoxetine. For the past four days, I was put up from 30 mg to 40 mg as my 20 mg stopped working after three years. While on the 30 mg, my symptoms got better for a couple weeks and then I went back down to where I was, in the beginning, feeling extremely depressed, anxious and completely awful. I was wondering why this happened? | Hello, Welcome to Chat Doctor forum. Fluoxetine 20 mg OD is the usual dose prescribed in managing depression and anxiety. Sometimes Fluoxetine dose needs to be increased to 40 mg OD if the previous dose is no longer effective. You have been on 40 mg for the past four days. You may be aware that you need to wait for at least 2 to 4 weeks to see the maximum therapeutic response. In addition to medication, you will benefit from counseling, CBT to manage your emotional difficulties. Discuss with your GP, CMHT in case you have not had taking therapy before. Try to exercise daily. Even brisk walking outdoors for 30 minutes daily can help to improve your mood and lower anxiety. In case, if you do not get better even on Fluoxetine 40 mg OD. Kindly consult with your doctor. You may need a reassessment of your symptoms and sometimes alternative SSRI needs to be considered. |
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Hello doctor,I used to run about five km and do cycling about 6 km. I got a calf pain six months ago, though it would get normal in a few days, the pain persists, the MRI shows nothing. The doctors tell everything is fine, but the pain is too much, could not even walk for a few mins continuously. The pain is exactly on the outer part of the left calf muscle where I could feel it in a particular position like a small line. But the sickness spreads over the entire calf.
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Hello, Welcome to Chat Doctor forum. It would be nice if you can share the MRI reports with us so we can comment accurately. In general, without the MRI, I suspect this to be a muscle injury, which is healing slowly. As MRI too have limitations, we have to follow the clinical signs and symptoms and treat according to the clinical symptoms. This sounds to me as a muscle injury, due to which there is a muscle imbalance. I will advise undergoing muscle re-education, and muscle balance board training, which can help correct the actual action of the muscle and a proper torque can be applied with the contraction of the muscles. Later a graded practice of the lower limb will be good. If the nature of the pain is burning, tingling, radiating, and numbing, etc., that we may have to look out for any nerve root entrapment and treat accordingly. Please share the MRI reports if possible. | Hello doctor,I used to run about five km and do cycling about 6 km. I got a calf pain six months ago, though it would get normal in a few days, the pain persists, the MRI shows nothing. The doctors tell everything is fine, but the pain is too much, could not even walk for a few mins continuously. The pain is exactly on the outer part of the left calf muscle where I could feel it in a particular position like a small line. But the sickness spreads over the entire calf. | Hello, Welcome to Chat Doctor forum. It would be nice if you can share the MRI reports with us so we can comment accurately. In general, without the MRI, I suspect this to be a muscle injury, which is healing slowly. As MRI too have limitations, we have to follow the clinical signs and symptoms and treat according to the clinical symptoms. This sounds to me as a muscle injury, due to which there is a muscle imbalance. I will advise undergoing muscle re-education, and muscle balance board training, which can help correct the actual action of the muscle and a proper torque can be applied with the contraction of the muscles. Later a graded practice of the lower limb will be good. If the nature of the pain is burning, tingling, radiating, and numbing, etc., that we may have to look out for any nerve root entrapment and treat accordingly. Please share the MRI reports if possible. |
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Hello doctor,I am a 29 year old male. I have a family history of diabetes, hypertension, and heart disease. I have been experiencing intermittent chest, left arm and left shoulder pain/discomfort with periods of breathlessness for about two years now. I have had ECGs done on a few occasions and doctors said its unremarkable and commented that the main is orthopedic or neurological in nature. I have consulted a few reputed orthopedic and neurologic doctors and had subsequent MRIs, X-Rays, EMG and NCV done and all reports were normal. The pain was intermittent meanwhile. For the last three months the discomfort became worse. One doctor advised me to get a Cardiac CT done. The result of that showed a myocardial bridge. I have a history of high cholesterol and was under statins for three years now. They have subscribed a beta blocker as well. I would like to know more about the condition. The report and CT image are attached. Looking forward to your opinion.
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Hello, Welcome to Chat Doctor forum. Myocardial bridging - In your case, one of the heart artery LAD, the mid portion, passes through the cardiac muscles instead of lying on the wall. In the activity, when your heart rate increases due to this problem the blood flow reduce and causes discomfort to you. You try to avoid strenuous activities. With medicine, you will feel better but avoid strenuous activities. For more information consult a cardiologist online | Hello doctor,I am a 29 year old male. I have a family history of diabetes, hypertension, and heart disease. I have been experiencing intermittent chest, left arm and left shoulder pain/discomfort with periods of breathlessness for about two years now. I have had ECGs done on a few occasions and doctors said its unremarkable and commented that the main is orthopedic or neurological in nature. I have consulted a few reputed orthopedic and neurologic doctors and had subsequent MRIs, X-Rays, EMG and NCV done and all reports were normal. The pain was intermittent meanwhile. For the last three months the discomfort became worse. One doctor advised me to get a Cardiac CT done. The result of that showed a myocardial bridge. I have a history of high cholesterol and was under statins for three years now. They have subscribed a beta blocker as well. I would like to know more about the condition. The report and CT image are attached. Looking forward to your opinion. | Hello, Welcome to Chat Doctor forum. Myocardial bridging - In your case, one of the heart artery LAD, the mid portion, passes through the cardiac muscles instead of lying on the wall. In the activity, when your heart rate increases due to this problem the blood flow reduce and causes discomfort to you. You try to avoid strenuous activities. With medicine, you will feel better but avoid strenuous activities. For more information consult a cardiologist online |
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Hello doctor,I got the influenza vaccination about a week ago and have a swollen and painful lump in my armpit.
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Hi, Welcome to Chat Doctor forum. I understand your concern. You are having lymph node swelling axillary post influenza vaccination. Influenza vaccine is a very safe vaccine. Although some may have local pain, swelling, and fever. Some may have local lymphadenopathy. Lymphadenopathy is a swelling of lymph node (normal gland present in our body, which function as clearing harmful substances and providing immunity). Local and systemic reactions mostly began between day 1 and day 2. When a lymph node rapidly increases in size, its capsule stretches and causes pain. Pain is usually the result of an inflammatory process. It is a reactive response of the lymph node to the vaccination. So no need to worry. It can be managed by simple Paracetamol or anti-inflammatory medication such as Serratiopeptidase. It should resolve within a week. If it is associated with fever or any other site enlargement of lymph node you can visit your physician. I hope this helps. Reactive lymphadenitis. CBC (complete blood count), ESR (erythrocyte sedimentation rate), USG (ultrasound) axillary lymph node. Lymphadenopathy. anti-inflammatory Paracetamol 500 mg twice or thrice daily or Aceclofenac, Paracetamol, and Serratiopeptidase combination tablet twice daily for three days. Follow up after three days. | Hello doctor,I got the influenza vaccination about a week ago and have a swollen and painful lump in my armpit. | Hi, Welcome to Chat Doctor forum. I understand your concern. You are having lymph node swelling axillary post influenza vaccination. Influenza vaccine is a very safe vaccine. Although some may have local pain, swelling, and fever. Some may have local lymphadenopathy. Lymphadenopathy is a swelling of lymph node (normal gland present in our body, which function as clearing harmful substances and providing immunity). Local and systemic reactions mostly began between day 1 and day 2. When a lymph node rapidly increases in size, its capsule stretches and causes pain. Pain is usually the result of an inflammatory process. It is a reactive response of the lymph node to the vaccination. So no need to worry. It can be managed by simple Paracetamol or anti-inflammatory medication such as Serratiopeptidase. It should resolve within a week. If it is associated with fever or any other site enlargement of lymph node you can visit your physician. I hope this helps. Reactive lymphadenitis. CBC (complete blood count), ESR (erythrocyte sedimentation rate), USG (ultrasound) axillary lymph node. Lymphadenopathy. anti-inflammatory Paracetamol 500 mg twice or thrice daily or Aceclofenac, Paracetamol, and Serratiopeptidase combination tablet twice daily for three days. Follow up after three days. |
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Hello doctor,I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached.
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Hi, Welcome to Chat Doctor forum. I have seen your query and concern. Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity). Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scab looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery. | Hello doctor,I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached. | Hi, Welcome to Chat Doctor forum. I have seen your query and concern. Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity). Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scab looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery. |
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Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already?
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Hi, Welcome to Chat Doctor forum. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction. | Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already? | Hi, Welcome to Chat Doctor forum. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction. |
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Hello doctor,I was trying to put a condom on but I was doing it upside down then I flipped it and wore it. I am worried that while trying to put it in the wrong way, some semen might have got on to the condom. Is it possible to make her pregnant or the sperm dies in just a few seconds when they come in contact of the open air? I already had ejaculated once in my pants before. So it was not a precum that might have contacted the condom.
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Hi, Welcome to Chat Doctor forum. The sperm does not die as soon as they expose to open air. If the condom contains the sperm on the outer side, then it can cause pregnancy. As you mentioned that it was not just precum, but it was semen. So, if it was semen or sperm on the condom then they can cause pregnancy. If your partner was in her fertile period when you had sex, then there are chances of pregnancy. If she was not in the fertile period, then the pregnancy is unlikely. So, verify her fertile period. Also, the emergency contraceptive pill can be used within 72 hours of sex, to avoid pregnancy. Ask her to check it, and you can also check for pregnancy when her period is due or almost after two weeks, that she is pregnant or not. If her pregnancy test return to be positive even then there is an option to terminate it, after consulting with your doctor. | Hello doctor,I was trying to put a condom on but I was doing it upside down then I flipped it and wore it. I am worried that while trying to put it in the wrong way, some semen might have got on to the condom. Is it possible to make her pregnant or the sperm dies in just a few seconds when they come in contact of the open air? I already had ejaculated once in my pants before. So it was not a precum that might have contacted the condom. | Hi, Welcome to Chat Doctor forum. The sperm does not die as soon as they expose to open air. If the condom contains the sperm on the outer side, then it can cause pregnancy. As you mentioned that it was not just precum, but it was semen. So, if it was semen or sperm on the condom then they can cause pregnancy. If your partner was in her fertile period when you had sex, then there are chances of pregnancy. If she was not in the fertile period, then the pregnancy is unlikely. So, verify her fertile period. Also, the emergency contraceptive pill can be used within 72 hours of sex, to avoid pregnancy. Ask her to check it, and you can also check for pregnancy when her period is due or almost after two weeks, that she is pregnant or not. If her pregnancy test return to be positive even then there is an option to terminate it, after consulting with your doctor. |
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Hi doctor,I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. What could be the cause?I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis, 15 years back. I have attached my ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports.
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Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online | Hi doctor,I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. What could be the cause?I went through menopause 1.5 years back. I have type 2 diabetes, for which I take Glimepiride 1 mg, once daily. And I have hypothyroidism, for which I take Eltroxin, once daily. I was diagnosed with asymptomatic cholelithiasis, 15 years back. I have attached my ultrasound of the lower abdomen, transvaginal ultrasound, pap smear, and MRI pelvis reports. | Hi. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often considered as a predictor of cancer. Those women who are diabetic, are more prone to spotting. Your doctor had rightly directed for a hysterectomy. I assure you, at 52 years, there is no chance of hormonal imbalance following hysterectomy. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting.
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Hello, Welcome to Chat Doctor forum. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following | Hello doctor,I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting. | Hello, Welcome to Chat Doctor forum. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following |
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Hello doctor,I am 29 years old and I have smoked three and a half pack years in total. I quit smoking three years ago and I smoked half pack a day from 19 to 26. My great grandmother on my grandfather\\s side died from lung cancer at 49. She was a very very heavy smoker and so was her husband so she was always around it. Does her dying early increase my risk of getting lung cancer or does it not matter because she smoked very heavily but that is several generations ago. Her daughter who is my grandfather\\s sister is in her 70s and has COPD. She was also a lifelong smoker. Should I be worried even though I just have 3.5 pack years? I do not know if genetics were still a factor here. Please help.
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Hello, Welcome to Chat Doctor forum. Yes, lung cancer does have a genetic predisposition. However, it is not that anyone who has a family history of lung cancer will get it. Various other factors like heavy smoking, pollution, body immunity also play a role. I do not find any reason to worry if you do not have any symptoms now and if you have quit smoking. However, there is no harm in getting a single chest X-ray done to be sure of the current status. However, if you have any particular symptoms, please let me now. For more information consult a critical care physician online | Hello doctor,I am 29 years old and I have smoked three and a half pack years in total. I quit smoking three years ago and I smoked half pack a day from 19 to 26. My great grandmother on my grandfather\\s side died from lung cancer at 49. She was a very very heavy smoker and so was her husband so she was always around it. Does her dying early increase my risk of getting lung cancer or does it not matter because she smoked very heavily but that is several generations ago. Her daughter who is my grandfather\\s sister is in her 70s and has COPD. She was also a lifelong smoker. Should I be worried even though I just have 3.5 pack years? I do not know if genetics were still a factor here. Please help. | Hello, Welcome to Chat Doctor forum. Yes, lung cancer does have a genetic predisposition. However, it is not that anyone who has a family history of lung cancer will get it. Various other factors like heavy smoking, pollution, body immunity also play a role. I do not find any reason to worry if you do not have any symptoms now and if you have quit smoking. However, there is no harm in getting a single chest X-ray done to be sure of the current status. However, if you have any particular symptoms, please let me now. For more information consult a critical care physician online |
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Hello doctor,I am a 42-year-old man, active in sports. Recently about five days back, while playing football on a concrete floor, I slipped and fell on my lower back (coccyx area) and injured myself. I, however, can carry on my daily activities at slightly slower speed now, and there is slight pain on bending forward.Since two days, a big boil has appeared near my rectal opening. It is dark yellow in color, may be filled with pus, not sure. It is painful whenever I pull in my pelvic or butt muscles. Stools are normal, luckily the boil is above the rectal opening, so no problem in passing stools, but while washing, I can feel the boil and it is painful.I have pain also while walking. I have three questions.1. Did the fall I had lead to the boil? Or are these two independent problems?2. What is the reason for the boil?3. How to treat it quickly?
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Hello, Welcome to Chat Doctor forum. 1. This is most likely a bacterial infection affecting either hair follicle or perianal glands. 2. It does not seem likely that it is related to your lower back injury. 3. The causative agent is mostly the bacterium known as Staphylococcus aureus. 4. The pus has to be ChatDoctor. 5. Most of the patients get better with antibiotics and anti-inflammatory | Hello doctor,I am a 42-year-old man, active in sports. Recently about five days back, while playing football on a concrete floor, I slipped and fell on my lower back (coccyx area) and injured myself. I, however, can carry on my daily activities at slightly slower speed now, and there is slight pain on bending forward.Since two days, a big boil has appeared near my rectal opening. It is dark yellow in color, may be filled with pus, not sure. It is painful whenever I pull in my pelvic or butt muscles. Stools are normal, luckily the boil is above the rectal opening, so no problem in passing stools, but while washing, I can feel the boil and it is painful.I have pain also while walking. I have three questions.1. Did the fall I had lead to the boil? Or are these two independent problems?2. What is the reason for the boil?3. How to treat it quickly? | Hello, Welcome to Chat Doctor forum. 1. This is most likely a bacterial infection affecting either hair follicle or perianal glands. 2. It does not seem likely that it is related to your lower back injury. 3. The causative agent is mostly the bacterium known as Staphylococcus aureus. 4. The pus has to be ChatDoctor. 5. Most of the patients get better with antibiotics and anti-inflammatory |
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Hello doctor,I have been diagnosed with Sacroiliitis caused by AS and hypermobility, which I manage without tablets, and by doing exercises, stretching and seeing an osteopath once a month to prevent flare-ups. I have also been refered to a rheumatologist with suspected fibromyalgia and I am still waiting for the first appointment. I have now found out that I am six weeks pregnant and have a few questions.Can I still see the rheumatologist regarding fibromyalgia and treatment for sacroiliitis? How will pregnancy affect my sacroiliitis? Will I get more pain? Are there risks in giving birth? How could I be affected after giving birth?
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Hello, Welcome to ChatDoctor. To answer your questions in turn, yes, that will be fine to see a rheumatologist, they should be able to help you. It is hard to say how pregnancy will affect sacroiliitis. Some people improve during pregnancy and some people worsen but there are things that can be done even whilst you are pregnant. The rheumatologist can help you with this. There are not any actual extra risks giving birth, your joints are inflamed but not damaged. After birth your symptoms may worsen or improve, it is difficult to know at this stage, but again there is plenty that can be done to help. So it would be good to see your rheumatologist shortly after birth. I hope this helps. Take care. | Hello doctor,I have been diagnosed with Sacroiliitis caused by AS and hypermobility, which I manage without tablets, and by doing exercises, stretching and seeing an osteopath once a month to prevent flare-ups. I have also been refered to a rheumatologist with suspected fibromyalgia and I am still waiting for the first appointment. I have now found out that I am six weeks pregnant and have a few questions.Can I still see the rheumatologist regarding fibromyalgia and treatment for sacroiliitis? How will pregnancy affect my sacroiliitis? Will I get more pain? Are there risks in giving birth? How could I be affected after giving birth? | Hello, Welcome to ChatDoctor. To answer your questions in turn, yes, that will be fine to see a rheumatologist, they should be able to help you. It is hard to say how pregnancy will affect sacroiliitis. Some people improve during pregnancy and some people worsen but there are things that can be done even whilst you are pregnant. The rheumatologist can help you with this. There are not any actual extra risks giving birth, your joints are inflamed but not damaged. After birth your symptoms may worsen or improve, it is difficult to know at this stage, but again there is plenty that can be done to help. So it would be good to see your rheumatologist shortly after birth. I hope this helps. Take care. |
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Hello doctor,I am a diabetic since I was 30 years and have heart issues from 15 years. Had bypass done eight years back. Now, lVEF is 25 %. Now, if I walk 50 to 100 meters, I feel breathless and after motion or urine, again feel breathlessness. Is it related to any kidney issues? And also, please suggest can angiography and angioplasty can happen without any risks? Recently, was admitted due to fluid retention in lungs. In 15 days after discharge, I feel same breathlessness and eructations, burps start continue for 15 to 20 minutes. Kindly let me know is this a heart block or kidney issue.
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Hello. I reviewed your ECG and would explain that it indicates left bundle branch block. Regarding the shortness of breath, it is related to heart failure. Of course, the renal function may be compromised (as it is very common in heart failure). I would like to know your current therapy. The fluid in the lungs is another common feature of heart failure. An optimization of your therapy could help improve your situation. Regarding angiography or angioplasty, it can be performed in this clinical situation safely, if it is indicated by the doctor. But, first, it is necessary to evaluate your kidneys, by performing renal function tests, in order to be sure that there is no risk from IV contrast. | Hello doctor,I am a diabetic since I was 30 years and have heart issues from 15 years. Had bypass done eight years back. Now, lVEF is 25 %. Now, if I walk 50 to 100 meters, I feel breathless and after motion or urine, again feel breathlessness. Is it related to any kidney issues? And also, please suggest can angiography and angioplasty can happen without any risks? Recently, was admitted due to fluid retention in lungs. In 15 days after discharge, I feel same breathlessness and eructations, burps start continue for 15 to 20 minutes. Kindly let me know is this a heart block or kidney issue. | Hello. I reviewed your ECG and would explain that it indicates left bundle branch block. Regarding the shortness of breath, it is related to heart failure. Of course, the renal function may be compromised (as it is very common in heart failure). I would like to know your current therapy. The fluid in the lungs is another common feature of heart failure. An optimization of your therapy could help improve your situation. Regarding angiography or angioplasty, it can be performed in this clinical situation safely, if it is indicated by the doctor. But, first, it is necessary to evaluate your kidneys, by performing renal function tests, in order to be sure that there is no risk from IV contrast. |
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Hello doctor,I recently had a SPECT scan to evaluate a possible CSF leak. The scan was done with a dye injected into the spine. My brain was scanned and also the abdomen. The scan did not pick-up any abnormalities and a leak was not seen. I was informed today that I may need to have a CT scan of the abdomen for an adrenal issue due to high testerone levels. I assume that the adrenals were seen during the recent CT scan. I am curious to know as to the glands and organs that were visible during this type of scan. I do not want to have another scan if an adrenal problem could have been detected on the SPECT scan.
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Hello. I cannot but appreciate what you call your \"curiosity\". I would rather call it your awareness and consciousness. One should indeed think twice before going through a radiation exposure for a second time. If I say in one word, the CT scan your doctor has recommended is required if the a ChatDoctor. Let me explain and elaborate. Firstly, please note that SPECT and CT are two entirely different imaging technologies (despite the same surname \"CT\"). When you had the SPECT, the dye was injected into the central canal, i.e. the CSF cavity of the spine. That way, the dye could reach wherever CSF could reach, so that it could be identified whether CSF was leaking out of its normal boundaries. The dye did not obviously reach the a | Hello doctor,I recently had a SPECT scan to evaluate a possible CSF leak. The scan was done with a dye injected into the spine. My brain was scanned and also the abdomen. The scan did not pick-up any abnormalities and a leak was not seen. I was informed today that I may need to have a CT scan of the abdomen for an adrenal issue due to high testerone levels. I assume that the adrenals were seen during the recent CT scan. I am curious to know as to the glands and organs that were visible during this type of scan. I do not want to have another scan if an adrenal problem could have been detected on the SPECT scan. | Hello. I cannot but appreciate what you call your \"curiosity\". I would rather call it your awareness and consciousness. One should indeed think twice before going through a radiation exposure for a second time. If I say in one word, the CT scan your doctor has recommended is required if the a ChatDoctor. Let me explain and elaborate. Firstly, please note that SPECT and CT are two entirely different imaging technologies (despite the same surname \"CT\"). When you had the SPECT, the dye was injected into the central canal, i.e. the CSF cavity of the spine. That way, the dye could reach wherever CSF could reach, so that it could be identified whether CSF was leaking out of its normal boundaries. The dye did not obviously reach the a |
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Hello doctor,My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run. He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this.
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Hello. Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease. However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause ChatDoctor. Take care. | Hello doctor,My son is four and a half years old, and he is suffering from reactive airway disease (enclosing the reports and prescription). Kindly suggest based on the above medication that till how long we can safely go ahead with Montair LC Kid. Is there any upper limit of giving this. I am very skeptical about continuing it in the long run. He is completely fine with this medicine, but if I skip a single dose, he starts coughing just anyways and ends up vomiting everything he had. So I keep on giving him a daily dose of MLC kid. Also, he is a bit aggressive and impatient. I do not know whether these are the emotional changes associated with this medicine. Please tell me that is he losing his natural immunity due to this. | Hello. Please note that the medications prescribed are to the best of my knowledge. Montelukast has been prescribed for patients for prolonged periods extending up to even two years without any problems. It uses has shown reduced requirements of admission and improving the quality of life in patients suffering from hyperreactive airway disease. However, it would be good if we can omit the LC (Levocetirizine) content by just giving Montelukast alone in the form of tablet Montair 4 mg daily at 8 pm instead of Montair LC syrup (Levocetirizine, Montelukast). The Levocetirizine component may cause ChatDoctor. Take care. |
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Hi doctor,Last week I and my partner had a romance, I did everything expect for the penetration of my penis into her vagina. At last, I was masturbating outisde with my hands, when the sperm came out it spills out over her legs and also near to her vagina. So we got scared that if sperm spill over was only outside her vagina.Incase, if the spillage over her vagina was only outside means will it cause pregnancy? If it causes pregnancy means what are all the symptoms immediately or with in a week? If in case pregnancy means how to stop now? Please tell us if there is any solution for our safer side to keep us without fear. When the period will stop incase of pregnancy? Please help.
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Hi, Welcome to Chat Doctor forum. Pregnancy can happen rarely in the scenario you described. There will not be any immediate symptoms of pregnancy. The earliest symptom is missing the next expected period. You cannot do anything to stop the pregnancy right now. If she misses her period, she can confirm pregnancy at home by doing a urine pregnancy test. If pregnancy is confirmed, you can consult a gynecologist for abortion through medicines. In case, she becomes pregnant, she will miss her next expected period. Remember one thing, pregnancy is very rare (most unlikely) in the scenario you described, so there is no need to fear. Just wait for her next period and things will become clear by then. | Hi doctor,Last week I and my partner had a romance, I did everything expect for the penetration of my penis into her vagina. At last, I was masturbating outisde with my hands, when the sperm came out it spills out over her legs and also near to her vagina. So we got scared that if sperm spill over was only outside her vagina.Incase, if the spillage over her vagina was only outside means will it cause pregnancy? If it causes pregnancy means what are all the symptoms immediately or with in a week? If in case pregnancy means how to stop now? Please tell us if there is any solution for our safer side to keep us without fear. When the period will stop incase of pregnancy? Please help. | Hi, Welcome to Chat Doctor forum. Pregnancy can happen rarely in the scenario you described. There will not be any immediate symptoms of pregnancy. The earliest symptom is missing the next expected period. You cannot do anything to stop the pregnancy right now. If she misses her period, she can confirm pregnancy at home by doing a urine pregnancy test. If pregnancy is confirmed, you can consult a gynecologist for abortion through medicines. In case, she becomes pregnant, she will miss her next expected period. Remember one thing, pregnancy is very rare (most unlikely) in the scenario you described, so there is no need to fear. Just wait for her next period and things will become clear by then. |
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Hello doctor,My age is 27 years, my height is 5'4\" and my weight is 65. I have trigeminal neuralgia for which I take Lyrica 75 mg during flareups. I recently had a blood test which indicated low vitamin D (6 ng/ml) for which doctor advised me to take D-rise 60,000 IU/week for eight weeks and then 60,000 IU/month for a year. In my CBC done last week, my ALC and my WBC were high that I had a test again eight days later in which the lymphocyte was increased again by 1000. Apart from this, I have pain in lower abdomen and my body keeps having hot and cold flashes. I also have pain in legs and arms and I do not feel hungry like I used to for the past one month.
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Hello, Welcome to Chat Doctor forum. Your increased WBC and lymphocytes, I could certainly relate it to your trigeminal neuralgia as this is an inflammation of a nerve which would rise WBC levels even if you are in recovery period with no symptoms. But, what I am concerned about is your appetite and abdominal pain and hot and cold flashes as these symptoms correlate with endocrinal dysfunction. So, we can be certain by doing thyroid function tests to see how it is going. For more information consult a general practitioner online | Hello doctor,My age is 27 years, my height is 5'4\" and my weight is 65. I have trigeminal neuralgia for which I take Lyrica 75 mg during flareups. I recently had a blood test which indicated low vitamin D (6 ng/ml) for which doctor advised me to take D-rise 60,000 IU/week for eight weeks and then 60,000 IU/month for a year. In my CBC done last week, my ALC and my WBC were high that I had a test again eight days later in which the lymphocyte was increased again by 1000. Apart from this, I have pain in lower abdomen and my body keeps having hot and cold flashes. I also have pain in legs and arms and I do not feel hungry like I used to for the past one month. | Hello, Welcome to Chat Doctor forum. Your increased WBC and lymphocytes, I could certainly relate it to your trigeminal neuralgia as this is an inflammation of a nerve which would rise WBC levels even if you are in recovery period with no symptoms. But, what I am concerned about is your appetite and abdominal pain and hot and cold flashes as these symptoms correlate with endocrinal dysfunction. So, we can be certain by doing thyroid function tests to see how it is going. For more information consult a general practitioner online |
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Hi doctor,I am a regular runner and have recently been trying out a new programme running five days per week, with lots of gentle short runs. I have had a few running related injuries in the past year. I got shin splints and peroneal tendonitis on the outside of my left foot for several months, last year. I had physiotherapy for the tendonitis. The physiotherapist discovered that my left hip flexor is weak and the hamstring is too tight on that side, which was causing the foot issues.Last weekend, I seem to have pulled a muscle in my left hip. I did a steep trail run and feel like it was on the downhill that I triggered the injury. It was hurting when I tilted my pelvis forwards. I tried swimming, but the side-to-side tilt of the pelvis caused little sharp pains what felt like inside my pelvis. The sharp pain has now gone, but all of the muscles in my lower back, mainly on the left, but also on the right are now tensing up causing me discomfort. Any ideas about this? I have done a bit of self-diagnosis and it sounds like one of the muscles that do balancing on the hip.
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Hello. If you have questions after seeing the physiotherapist, then please let me know, as I can rely on the physiotherapist\\s examination findings to guide me Revert with more information to a physiotherapist online Take care. | Hi doctor,I am a regular runner and have recently been trying out a new programme running five days per week, with lots of gentle short runs. I have had a few running related injuries in the past year. I got shin splints and peroneal tendonitis on the outside of my left foot for several months, last year. I had physiotherapy for the tendonitis. The physiotherapist discovered that my left hip flexor is weak and the hamstring is too tight on that side, which was causing the foot issues.Last weekend, I seem to have pulled a muscle in my left hip. I did a steep trail run and feel like it was on the downhill that I triggered the injury. It was hurting when I tilted my pelvis forwards. I tried swimming, but the side-to-side tilt of the pelvis caused little sharp pains what felt like inside my pelvis. The sharp pain has now gone, but all of the muscles in my lower back, mainly on the left, but also on the right are now tensing up causing me discomfort. Any ideas about this? I have done a bit of self-diagnosis and it sounds like one of the muscles that do balancing on the hip. | Hello. If you have questions after seeing the physiotherapist, then please let me know, as I can rely on the physiotherapist\\s examination findings to guide me Revert with more information to a physiotherapist online Take care. |
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Hello doctor,I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread?In people who have already taken hepatitis B virus vaccine, is there any chance of virus affecting them? My wife has taken hepatitis B vaccine. Can we have sex? Is there any chance of hepatitis B virus affecting my wife? Can my wife breastfeed our child? Is there any chance of virus transmission from my wife to our kid?
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Hi, Welcome to Chat Doctor forum. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and ChatDoctor. You should not have sexual contact with your wife. And she should check herself for hepatitis B. Are you taking any injections for hepatitis B, like interferons? You should do the tests - HBsAg, Anti HBc and Liver Function Test (LFT). If you have already done these tests, you can upload the report here. Yes, in rare cases, it can affect a breastfed child. But, I think your wife must have been tested for hepatitis B and C before delivery. Your wife needs booster doses of hepatitis B vaccine if she had taken the vaccination during childhood. She also has to check antibodies against hepatitis B. | Hello doctor,I want to know about Hepatitis B virus. I have been affected by this disease. Is it a contagious disease? Can others use the things which I use? Can others drink water with my used glass? How does this virus spread?In people who have already taken hepatitis B virus vaccine, is there any chance of virus affecting them? My wife has taken hepatitis B vaccine. Can we have sex? Is there any chance of hepatitis B virus affecting my wife? Can my wife breastfeed our child? Is there any chance of virus transmission from my wife to our kid? | Hi, Welcome to Chat Doctor forum. Hepatitis B virus is transmitted through sexual contact with an infected person and through blood, mucous membranes, and wounds. Yes, other persons can use your things and ChatDoctor. You should not have sexual contact with your wife. And she should check herself for hepatitis B. Are you taking any injections for hepatitis B, like interferons? You should do the tests - HBsAg, Anti HBc and Liver Function Test (LFT). If you have already done these tests, you can upload the report here. Yes, in rare cases, it can affect a breastfed child. But, I think your wife must have been tested for hepatitis B and C before delivery. Your wife needs booster doses of hepatitis B vaccine if she had taken the vaccination during childhood. She also has to check antibodies against hepatitis B. |
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Hi doctor,I am a 25 year old male. I am a healthy person. If I want to maintain this health ever, then I understood that I should balance vata, pitta and kapha (tridoshas) in my body. I have also studied many basic principles of ayurveda for the last three years. Kindly tell me a powerful medicine that always balances tridoshas and seven dhatus in my body. I am already on Triphala. So, please tell me something useful to balance my body equilibrium. Thanks in advance.
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Hi, Welcome to Chat Doctor forum. According to Indian traditional medicines (ayurveda and siddha), one can be healthy by balancing three life humors and seven body humors. ChatDoctor. For example, amla (gooseberry), triphala, etc. But, in today\\s lifestyle, these two are not sufficient as you feel and I also agree with you. Once in a six month, you need to subject you for body service. It means purgation, vomiting (vamanam) and sweating or sputum expectoration are the three procedures to balance vaatham (vata), pitham (pitta) and kapham respectively. This can be effectively done under ayurveda or siddha physicians. In ayurveda, they do it in panchakarma therapy. In siddha, it is done in two phases | Hi doctor,I am a 25 year old male. I am a healthy person. If I want to maintain this health ever, then I understood that I should balance vata, pitta and kapha (tridoshas) in my body. I have also studied many basic principles of ayurveda for the last three years. Kindly tell me a powerful medicine that always balances tridoshas and seven dhatus in my body. I am already on Triphala. So, please tell me something useful to balance my body equilibrium. Thanks in advance. | Hi, Welcome to Chat Doctor forum. According to Indian traditional medicines (ayurveda and siddha), one can be healthy by balancing three life humors and seven body humors. ChatDoctor. For example, amla (gooseberry), triphala, etc. But, in today\\s lifestyle, these two are not sufficient as you feel and I also agree with you. Once in a six month, you need to subject you for body service. It means purgation, vomiting (vamanam) and sweating or sputum expectoration are the three procedures to balance vaatham (vata), pitham (pitta) and kapham respectively. This can be effectively done under ayurveda or siddha physicians. In ayurveda, they do it in panchakarma therapy. In siddha, it is done in two phases |
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Hello doctor,I have chronic pain at the semimembranosus insertion points in both legs. I have had this for nearly 18 months. I am a runner who over-pronates. More recently I have had tightness and hyper irritation in my lower legs - shins, and calves. I have had a lumbar MRI for a bulging disc which showed a very slight disc bulge at L4-L5 on the left side but no impingement on the nerve. So, considered negative for pain in my legs. My question is, could the semimembranosus insertion point be affecting the tibial nerve and causing the tightness and irritation in my lower legs? This does not respond to stretching which often makes it worse.
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Hello, Welcome to Chat Doctor forum. I have understood your concern about the pain in the lower leg, semimembranosus. See, semimembranosus is the muscle of lateral hamstring. If you feel pain exactly at the tendon of it, our treatment will be different, like ultrasound therapy. As you mentioned you are a runner, according to me, your hamstring and calf may be shortened or tight. So, I suggest you go for physiotherapy treatment where you can be treated with ultrasound therapy of semimembranosus muscle tendon and simultaneously mild stretching of lower leg muscles, that is, calf muscle and all the hamstrings which would prevent recurrent pain. For more information consult a physiotherapist online | Hello doctor,I have chronic pain at the semimembranosus insertion points in both legs. I have had this for nearly 18 months. I am a runner who over-pronates. More recently I have had tightness and hyper irritation in my lower legs - shins, and calves. I have had a lumbar MRI for a bulging disc which showed a very slight disc bulge at L4-L5 on the left side but no impingement on the nerve. So, considered negative for pain in my legs. My question is, could the semimembranosus insertion point be affecting the tibial nerve and causing the tightness and irritation in my lower legs? This does not respond to stretching which often makes it worse. | Hello, Welcome to Chat Doctor forum. I have understood your concern about the pain in the lower leg, semimembranosus. See, semimembranosus is the muscle of lateral hamstring. If you feel pain exactly at the tendon of it, our treatment will be different, like ultrasound therapy. As you mentioned you are a runner, according to me, your hamstring and calf may be shortened or tight. So, I suggest you go for physiotherapy treatment where you can be treated with ultrasound therapy of semimembranosus muscle tendon and simultaneously mild stretching of lower leg muscles, that is, calf muscle and all the hamstrings which would prevent recurrent pain. For more information consult a physiotherapist online |
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Hello doctor,My son who is 2 months old sleeps longer during the night now and urinates very less during the night (one or two times only). Yesterday, he went without peeing for about five to six hours at night. Since few days he is also crying when urinating (before and after as well). His penis is also ballooning during peeing and at times it seems like he is straining or pushing. He does not cry always also when peeing. I showed a doctor about the ballooning and pain and he looked at the penis and told that his skin is too tight and the hole is small. He told to push the skin back and apply an ointment (Fusidic acid based) after bath. I just applied it once as I am not sure about pushing the back skin and the ointment itself. We also did a urine routine today and everything is nil (pus 1-2 /hpf and epithelial 2-3 /hpf). Is there anything to worry about? Please advice. It is very hot climate here right now.
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Hello. Relax and do not worry. Yes, what the doctor suggested is absolutely right. He has tight foreskin called physiological phimosis. It should resolve by 3 to 4 years of age by itself. You just need to pull the skin slightly and apply ointment. Do not worry, it will not cause any harm. For more information consult a urologist online | Hello doctor,My son who is 2 months old sleeps longer during the night now and urinates very less during the night (one or two times only). Yesterday, he went without peeing for about five to six hours at night. Since few days he is also crying when urinating (before and after as well). His penis is also ballooning during peeing and at times it seems like he is straining or pushing. He does not cry always also when peeing. I showed a doctor about the ballooning and pain and he looked at the penis and told that his skin is too tight and the hole is small. He told to push the skin back and apply an ointment (Fusidic acid based) after bath. I just applied it once as I am not sure about pushing the back skin and the ointment itself. We also did a urine routine today and everything is nil (pus 1-2 /hpf and epithelial 2-3 /hpf). Is there anything to worry about? Please advice. It is very hot climate here right now. | Hello. Relax and do not worry. Yes, what the doctor suggested is absolutely right. He has tight foreskin called physiological phimosis. It should resolve by 3 to 4 years of age by itself. You just need to pull the skin slightly and apply ointment. Do not worry, it will not cause any harm. For more information consult a urologist online |
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Hello doctor,My husband went to the hospital before four days because he felt dizziness and chest pain. They found no troponin and told us his EKG was fine. His bp was 105/70 mmHg in the hospital. The next day we went to a cardiologist and found partial right bundle block and he ordered more tests. Today we heard that his grandmother had IHSS. We were not aware of this during our appointment with the cardiologist. Today he went to the grocery store and he felt the same dizziness symptoms, though it was not the same degree as before. My concern is whether if this is something to go to ER? His BP 15 minutes after today\\s syncope event was 123/70 mmHg.
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Hello, Welcome to ChatDoctor. Thanks for your detailed explanation. I understand your worries, but there is nothing much to worry about. It is common to have an event of fainting and dizziness, I see often amongst my patients with RBBB (right bundle branch block). RBBB is due to a slow heart rate that is why he is having dizziness often. You should not worry about going to the ER (emergency room) as his blood pressure and heart rate is normal for now. You should keep monitor of the rates at least every two to three hours. If his symptoms persist with a ChatDoctor. Hope he gets better soon. Take care. | Hello doctor,My husband went to the hospital before four days because he felt dizziness and chest pain. They found no troponin and told us his EKG was fine. His bp was 105/70 mmHg in the hospital. The next day we went to a cardiologist and found partial right bundle block and he ordered more tests. Today we heard that his grandmother had IHSS. We were not aware of this during our appointment with the cardiologist. Today he went to the grocery store and he felt the same dizziness symptoms, though it was not the same degree as before. My concern is whether if this is something to go to ER? His BP 15 minutes after today\\s syncope event was 123/70 mmHg. | Hello, Welcome to ChatDoctor. Thanks for your detailed explanation. I understand your worries, but there is nothing much to worry about. It is common to have an event of fainting and dizziness, I see often amongst my patients with RBBB (right bundle branch block). RBBB is due to a slow heart rate that is why he is having dizziness often. You should not worry about going to the ER (emergency room) as his blood pressure and heart rate is normal for now. You should keep monitor of the rates at least every two to three hours. If his symptoms persist with a ChatDoctor. Hope he gets better soon. Take care. |
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Hello doctor,I have been taking Lorazepam for 25 years. The last four years I am taking 4 mg daily. 2 mg at night for sleep and the other two split in the day. I only had two today and do not have any for tonight. I will pick up my prescription in the morning. I am concerned if me going from 4 to 2 will cause any serious symptoms.
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Hello, Welcome to Chat Doctor forum. It will cause some symptoms like tremors, anxiety, lack of sleep tonight, but serious side effects will probably not occur especially if the dose is taken in the late afternoon or evening. Usually, symptoms onset occurs after 24 hours of stopping the ChatDoctor. You can have some antihistaminics like Cetrizine or Levocetirizine 10 mg tonight if available and help in tackling the symptoms to some extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you noticed excessive symptoms then you should call the ambulance and keep someone informed about your Lorazepam status or keep a chit in your wallet. Overall, I do not think, there will be any serious side effects within such a short period as some amount of Lorazepam will stay in your body 24 to 48 hours. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online | Hello doctor,I have been taking Lorazepam for 25 years. The last four years I am taking 4 mg daily. 2 mg at night for sleep and the other two split in the day. I only had two today and do not have any for tonight. I will pick up my prescription in the morning. I am concerned if me going from 4 to 2 will cause any serious symptoms. | Hello, Welcome to Chat Doctor forum. It will cause some symptoms like tremors, anxiety, lack of sleep tonight, but serious side effects will probably not occur especially if the dose is taken in the late afternoon or evening. Usually, symptoms onset occurs after 24 hours of stopping the ChatDoctor. You can have some antihistaminics like Cetrizine or Levocetirizine 10 mg tonight if available and help in tackling the symptoms to some extent. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you noticed excessive symptoms then you should call the ambulance and keep someone informed about your Lorazepam status or keep a chit in your wallet. Overall, I do not think, there will be any serious side effects within such a short period as some amount of Lorazepam will stay in your body 24 to 48 hours. 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 met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction?
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Hello, Welcome to Chat Doctor forum. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps. | Hi doctor,I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction? | Hello, Welcome to Chat Doctor forum. Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent. Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date. I hope this helps. |
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Hi doctor,I am a 28 year old unmarried woman. Last month my period was irregular. I got my periods on the 30th of last month and it was already 20 days later from the actual due. Initially, I had spotting for five days, then I bled for seven days and again, had spotting for three days. Now, I am bleeding again from today on the 27th of this month. Please help me out. My height is 155 cm and weight is 63 kg. I have this complaint once since last month. Normally, my periods will occur in an interval on 40 to 45 days. This is the first time I am experiencing spotting, bleeding and delay. Is this a serious problem?
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Hi, Welcome to Chat Doctor forum. Please do not worry. Irregular periods are not an alarming thing to worry about. Irregular periods are due to Please get your complete blood count and thyroid profile done. Also, get a pelvic scan done to rule out the exact cause. Just get your urine pregnancy test done with early morning urine sample, if you are sexually active. If not, then just ignore. Do get back to me with reports so that I can guide you further. Take plenty of fluids, vegetables, fruits, iron-rich diet and exercise. Revert back with the reports to an obstetrician and gynaecologist online | Hi doctor,I am a 28 year old unmarried woman. Last month my period was irregular. I got my periods on the 30th of last month and it was already 20 days later from the actual due. Initially, I had spotting for five days, then I bled for seven days and again, had spotting for three days. Now, I am bleeding again from today on the 27th of this month. Please help me out. My height is 155 cm and weight is 63 kg. I have this complaint once since last month. Normally, my periods will occur in an interval on 40 to 45 days. This is the first time I am experiencing spotting, bleeding and delay. Is this a serious problem? | Hi, Welcome to Chat Doctor forum. Please do not worry. Irregular periods are not an alarming thing to worry about. Irregular periods are due to Please get your complete blood count and thyroid profile done. Also, get a pelvic scan done to rule out the exact cause. Just get your urine pregnancy test done with early morning urine sample, if you are sexually active. If not, then just ignore. Do get back to me with reports so that I can guide you further. Take plenty of fluids, vegetables, fruits, iron-rich diet and exercise. Revert back with the reports to an obstetrician and gynaecologist online |
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Hello doctor,I had sex with my fiance a month ago, and I did not use the condom. After 15 days the testicle pain started with abdominal pain, and then the small bubbles at penis glands. Now with the tiredness of the head, the headache is accompanied, and the sweat is high. I used to get testicle pain in only summer, three or four times per three months. The urine albumin present 1+ in the urine test, the urine epithelial cells 15 to 18 and the urine RBCs 10 to 12. What it could be?
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Hello, Welcome to Chat Doctor forum. I have gone through your query. I would like to know a few more details to answer your question better. Have you have had any fever, rashes or joint pains in the last two weeks? Based on your symptoms, it is most likely that you either have a urine infection or some infection of the genitalia. The urine test reports also suggest the same. It would be necessary to have a complete physical examination to find out what is the exact infection and treat it with medication which should be able to get you back to normal. You may require a urine culture test or urethral swab test to pinpoint what the infection is. I would suggest you to visit your local urologist at the earliest to get the tests. I hope this helps, feel free to revert with any other questions or concerns. | Hello doctor,I had sex with my fiance a month ago, and I did not use the condom. After 15 days the testicle pain started with abdominal pain, and then the small bubbles at penis glands. Now with the tiredness of the head, the headache is accompanied, and the sweat is high. I used to get testicle pain in only summer, three or four times per three months. The urine albumin present 1+ in the urine test, the urine epithelial cells 15 to 18 and the urine RBCs 10 to 12. What it could be? | Hello, Welcome to Chat Doctor forum. I have gone through your query. I would like to know a few more details to answer your question better. Have you have had any fever, rashes or joint pains in the last two weeks? Based on your symptoms, it is most likely that you either have a urine infection or some infection of the genitalia. The urine test reports also suggest the same. It would be necessary to have a complete physical examination to find out what is the exact infection and treat it with medication which should be able to get you back to normal. You may require a urine culture test or urethral swab test to pinpoint what the infection is. I would suggest you to visit your local urologist at the earliest to get the tests. I hope this helps, feel free to revert with any other questions or concerns. |
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Hello doctor,I was recently diagnosed with genital herpes. I am sure I got it from a person with type 1 (had regularly cold sores in the past and probably transferred it to me through oral sex). I was wondering, is there still a chance I might infect that person genetically? Or how high is the chance? We both have the same type of herpes, but my partner only experienced oral herpes before, and I have genital herpes.Can someone who already had oral herpes develop genital herpes themselves? Or does herpes only occur at the place of infection? I want to know how high the risk is of me infecting my partner genetically (same type) when I am not showing any symptoms.
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Hello, Welcome to Chat Doctor forum. Genital herpes can be transmitted to your partner sexually because it is an STD (sexually transmitted disease), whereas herpes simplex (HSV-1) can be transferred from one person to another via infected oral secretions while in close contact. But at times, there is a possibility of getting genital ulcers when you are infected with HSV-1. Hence, I would advise you to undergo lab test to know if you are infected with the virus or not. And if you are positive for HSV, then you will require Acyclovir, which is an antiviral medicine. Till then, I would advise you to take preventive measures to avoid transmission to other partners. If you have any further queries, feel free to contact me. | Hello doctor,I was recently diagnosed with genital herpes. I am sure I got it from a person with type 1 (had regularly cold sores in the past and probably transferred it to me through oral sex). I was wondering, is there still a chance I might infect that person genetically? Or how high is the chance? We both have the same type of herpes, but my partner only experienced oral herpes before, and I have genital herpes.Can someone who already had oral herpes develop genital herpes themselves? Or does herpes only occur at the place of infection? I want to know how high the risk is of me infecting my partner genetically (same type) when I am not showing any symptoms. | Hello, Welcome to Chat Doctor forum. Genital herpes can be transmitted to your partner sexually because it is an STD (sexually transmitted disease), whereas herpes simplex (HSV-1) can be transferred from one person to another via infected oral secretions while in close contact. But at times, there is a possibility of getting genital ulcers when you are infected with HSV-1. Hence, I would advise you to undergo lab test to know if you are infected with the virus or not. And if you are positive for HSV, then you will require Acyclovir, which is an antiviral medicine. Till then, I would advise you to take preventive measures to avoid transmission to other partners. If you have any further queries, feel free to contact me. |
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Hello doctor,I have a complex case, as stated by my dentist. I had braces five years ago, but my teeth went back to their previous state, overlapped, like they were tightly fit into a small place, apparently because of the shape of my mouth. Also, I have fear from getting braces the second time, that it could cause harm to my teeth and still they would stay the same. Is there another solution? I am 18 years old now.
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Hi, Welcome to Chat Doctor forum. I can exactly tell you about your case on seeing radiographs and clinical pictures of teeth if you can provide. While, your query is telling me you had a relapse of orthodontic treatment. Now you have two options. 1. Go for invisible tray ortho treatment (in which invisible trays are given instead of metal brackets). This is an expensive one and treatment time is prolonged. Your teeth will not weaken in it as bracketing will not be done. 2. Go for conventional metal bracketing ortho treatment. Get it done and do get fixed retainers at the end of treatment, that is, the invisible wire at back side of teeth that prevents teeth to come back at their previous positions for your entire life. This is not expensive, a bit economical and treatment result is fast. If your teeth get weaken at end of treatment, get them veneeres or get filling of composites done on them. All will be fine then. | Hello doctor,I have a complex case, as stated by my dentist. I had braces five years ago, but my teeth went back to their previous state, overlapped, like they were tightly fit into a small place, apparently because of the shape of my mouth. Also, I have fear from getting braces the second time, that it could cause harm to my teeth and still they would stay the same. Is there another solution? I am 18 years old now. | Hi, Welcome to Chat Doctor forum. I can exactly tell you about your case on seeing radiographs and clinical pictures of teeth if you can provide. While, your query is telling me you had a relapse of orthodontic treatment. Now you have two options. 1. Go for invisible tray ortho treatment (in which invisible trays are given instead of metal brackets). This is an expensive one and treatment time is prolonged. Your teeth will not weaken in it as bracketing will not be done. 2. Go for conventional metal bracketing ortho treatment. Get it done and do get fixed retainers at the end of treatment, that is, the invisible wire at back side of teeth that prevents teeth to come back at their previous positions for your entire life. This is not expensive, a bit economical and treatment result is fast. If your teeth get weaken at end of treatment, get them veneeres or get filling of composites done on them. All will be fine then. |
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Hello doctor,My wife was diagnosed with infantile hereditary optic atrophy when she was young. She is now 52. Can you provide me with some up-to-date information or a webpage that explains the disease, its symptoms, if it goes by any other name or is a symptom of another disease, etc? I can only find some pages so far that are not very clear or shows a copy of an explanation from 45 years back. Has anything changed in the past 35 years or so in regards to the disease that we should be aware of or is it basically still the same issue it was back then?
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Hello, Welcome to Chat Doctor forum. I am very sorry about your wife, optic atrophy is an irreversible process and once the optic nerve has atrophied, there is nothing we can do. It is regarded as the end stage of the inflammatory process of the optic nerve called optic neuritis, optic neuropathy. Regarding the disease, you can read online about optic neuropathy, hereditary optic neuropathy, this should tell more about how the disease progresses, its inheritance patterns if it spreads to your chil ChatDoctor. Regarding newer advances in treatment, these are confined to optic neuropathy and no treatment currently available has been found to reverse optic atrophy. A few noteworthy and well-acclaimed treatment trails are ONTT- optic neuritis treatment trial and CHAMPS- controlled high-risk Avonex in multiple sclerosis study. | Hello doctor,My wife was diagnosed with infantile hereditary optic atrophy when she was young. She is now 52. Can you provide me with some up-to-date information or a webpage that explains the disease, its symptoms, if it goes by any other name or is a symptom of another disease, etc? I can only find some pages so far that are not very clear or shows a copy of an explanation from 45 years back. Has anything changed in the past 35 years or so in regards to the disease that we should be aware of or is it basically still the same issue it was back then? | Hello, Welcome to Chat Doctor forum. I am very sorry about your wife, optic atrophy is an irreversible process and once the optic nerve has atrophied, there is nothing we can do. It is regarded as the end stage of the inflammatory process of the optic nerve called optic neuritis, optic neuropathy. Regarding the disease, you can read online about optic neuropathy, hereditary optic neuropathy, this should tell more about how the disease progresses, its inheritance patterns if it spreads to your chil ChatDoctor. Regarding newer advances in treatment, these are confined to optic neuropathy and no treatment currently available has been found to reverse optic atrophy. A few noteworthy and well-acclaimed treatment trails are ONTT- optic neuritis treatment trial and CHAMPS- controlled high-risk Avonex in multiple sclerosis study. |
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Hello doctor,I experienced a rash after an allergic reaction that spans from my chest, neck, and face. I removed the allergen from my diet and was prescribed Elidel to help clear the rash. However, I experienced over the course of two to three days, white patches which look as there is absolutely no pigment present in these areas. Will hypopigmentation from the use of Elidel fade? I was prescribed Elidel for the first time for a rash on my face. I am pale, but these are extremely white patches reminiscent of acne scars (but being completely flat). Is this likely to be permanent? Will it likely fade? If it may fade, how long would this likely take? What are my potential treatment options? No major injury to the sites was noticed aside from the generalized rash that was being treated.
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Hi, Welcome to Chat Doctor forum. If the patch is secondary to the use of Elidel (Pimecrolimus) fade cream then it is temporary. Within two or three months gradually it will subside. Right now do not use anything else on the face except for sunscreen and moisturizer. If it does not subside even after three months then you can go for the treatment. In treatment there are medicines available which helps in repigmentation of the skin. But right now do not apply any medicines. Let it heal on its own. Post-inflammatory hypopigmentation. Sunscreen and moisturizer. One month. | Hello doctor,I experienced a rash after an allergic reaction that spans from my chest, neck, and face. I removed the allergen from my diet and was prescribed Elidel to help clear the rash. However, I experienced over the course of two to three days, white patches which look as there is absolutely no pigment present in these areas. Will hypopigmentation from the use of Elidel fade? I was prescribed Elidel for the first time for a rash on my face. I am pale, but these are extremely white patches reminiscent of acne scars (but being completely flat). Is this likely to be permanent? Will it likely fade? If it may fade, how long would this likely take? What are my potential treatment options? No major injury to the sites was noticed aside from the generalized rash that was being treated. | Hi, Welcome to Chat Doctor forum. If the patch is secondary to the use of Elidel (Pimecrolimus) fade cream then it is temporary. Within two or three months gradually it will subside. Right now do not use anything else on the face except for sunscreen and moisturizer. If it does not subside even after three months then you can go for the treatment. In treatment there are medicines available which helps in repigmentation of the skin. But right now do not apply any medicines. Let it heal on its own. Post-inflammatory hypopigmentation. Sunscreen and moisturizer. One month. |
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Hi doctor,My sister is 23 years old. She had unhygienic sex a couple of weeks ago. She started feeling itchy on her vagina. I am worried it might be herpes but I need confirmation from a specialist before we visit the doctor. It looks clustered and yellow. No hard lump under and it just looks inflamed. She does not complain of pain anywhere else. There is no pain inside the urethra, no burning sensation while urinating and the discharge is whitish-yellowish and watery. She does not have any sign of fever. She bought labia herpes cream yesterday. After application it changed the color today to darker yellow and some of it fell off. What could this be?
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Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). The closely grouped fluid filled blisters and yellow crusted lesions seem to be most likely herpes infection. You do not have to apply Acyclovir cream as it will not be much effective in genital herpes. You should start with oral antiviral like tablet Acyclovir 400 mg thrice daily for a week and apply topical antibiotic like Mupirocin cream on the lesions twice daily. Do not use soap over the affected areas and wash only with plain water. Caused by herpes virus; either HSV1 or HSV2 (herpes simplex virus 1 or 2). Herpes genitalis. Avoid intercourse till the healing of lesions. Take care. | Hi doctor,My sister is 23 years old. She had unhygienic sex a couple of weeks ago. She started feeling itchy on her vagina. I am worried it might be herpes but I need confirmation from a specialist before we visit the doctor. It looks clustered and yellow. No hard lump under and it just looks inflamed. She does not complain of pain anywhere else. There is no pain inside the urethra, no burning sensation while urinating and the discharge is whitish-yellowish and watery. She does not have any sign of fever. She bought labia herpes cream yesterday. After application it changed the color today to darker yellow and some of it fell off. What could this be? | Hi. I have reviewed the attached photographs (attachment removed to protect patient identity). The closely grouped fluid filled blisters and yellow crusted lesions seem to be most likely herpes infection. You do not have to apply Acyclovir cream as it will not be much effective in genital herpes. You should start with oral antiviral like tablet Acyclovir 400 mg thrice daily for a week and apply topical antibiotic like Mupirocin cream on the lesions twice daily. Do not use soap over the affected areas and wash only with plain water. Caused by herpes virus; either HSV1 or HSV2 (herpes simplex virus 1 or 2). Herpes genitalis. Avoid intercourse till the healing of lesions. Take care. |
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Hi doctor,I am 21 and suffering from tinnitus from last four months. The sound in the ears is not constant. It is changing. Sometimes, it is loud enough that I can hear it even in a crowded place and sometimes so low I cannot detect in a normal environment and the most important of all with a loud noise like train horn it is taking a peak and when the sound goes off it comes back to normal. My doctor told me this is due to cold and prescribed some antibiotics. But it did not work. So he told me to visit an ENT specialist. After visiting an ENT specialist, he told me my ears are fine but I should do an audiogram. And also given me some antibiotics. There was no hearing loss in the audiogram. And the medicines also did not work. Then I again visited the doctor. This time he told me there is nothing to worry about and sent me back home. What I want to ask is, if there are any other tests that could detect why this is happening and how this could be treated?
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Hello. You are suffering from fluctuating tinnitus for four months as you have said. Tinnitus (ringing sensation in the ear) may be due to problems of the ear or problems not related to the ear. Ear problems causing tinnitus are generally associated with hearing loss. But that is ruled out in your case as your audiogram is normal. Some investigations need to be carried out | Hi doctor,I am 21 and suffering from tinnitus from last four months. The sound in the ears is not constant. It is changing. Sometimes, it is loud enough that I can hear it even in a crowded place and sometimes so low I cannot detect in a normal environment and the most important of all with a loud noise like train horn it is taking a peak and when the sound goes off it comes back to normal. My doctor told me this is due to cold and prescribed some antibiotics. But it did not work. So he told me to visit an ENT specialist. After visiting an ENT specialist, he told me my ears are fine but I should do an audiogram. And also given me some antibiotics. There was no hearing loss in the audiogram. And the medicines also did not work. Then I again visited the doctor. This time he told me there is nothing to worry about and sent me back home. What I want to ask is, if there are any other tests that could detect why this is happening and how this could be treated? | Hello. You are suffering from fluctuating tinnitus for four months as you have said. Tinnitus (ringing sensation in the ear) may be due to problems of the ear or problems not related to the ear. Ear problems causing tinnitus are generally associated with hearing loss. But that is ruled out in your case as your audiogram is normal. Some investigations need to be carried out |
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Hi doctor,The imaging of the neck region was done and some lesions were detected. The operation of lower jaw and neck region was done followed by chemotherapy and radiotherapy and it was stated that things will settle to normal. During routine checkup, some swelling in neck region was detected and FNAC was done, which shows metastatic poorly differentiated squamous cell carcinoma, and after that full-body scan was performed. The reports are attached. Kindly look into it as the second opinion is required.
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Hello, Welcome to Chat Doctor forum. I am sorry to know the recurrence of cancer. (attachment removed to protect patient identity). You got diagnosed with squamous cell carcinoma in buccal mucosa of the left oral cavity in December 2019 which was operated. Then you received chemotherapy and radiation therapy and now on routine evaluation, there are some new lesions coming up in the thyroid and neck. So basically there are two sites of new lesions now, in parotid and around it one more lymph node. So please undergo a biopsy of this lesion from parotid to see if it is same cancer as before or a new second primary cancer. If it is confirmed as same cancer as before, it will be operated and taken out and also few more lymph nodes on the same side of the neck followed by chemotherapy. If a second primary cancer, then treatment can be different depending upon what type of cancer it is (on biopsy). So your first step is biopsy. | Hi doctor,The imaging of the neck region was done and some lesions were detected. The operation of lower jaw and neck region was done followed by chemotherapy and radiotherapy and it was stated that things will settle to normal. During routine checkup, some swelling in neck region was detected and FNAC was done, which shows metastatic poorly differentiated squamous cell carcinoma, and after that full-body scan was performed. The reports are attached. Kindly look into it as the second opinion is required. | Hello, Welcome to Chat Doctor forum. I am sorry to know the recurrence of cancer. (attachment removed to protect patient identity). You got diagnosed with squamous cell carcinoma in buccal mucosa of the left oral cavity in December 2019 which was operated. Then you received chemotherapy and radiation therapy and now on routine evaluation, there are some new lesions coming up in the thyroid and neck. So basically there are two sites of new lesions now, in parotid and around it one more lymph node. So please undergo a biopsy of this lesion from parotid to see if it is same cancer as before or a new second primary cancer. If it is confirmed as same cancer as before, it will be operated and taken out and also few more lymph nodes on the same side of the neck followed by chemotherapy. If a second primary cancer, then treatment can be different depending upon what type of cancer it is (on biopsy). So your first step is biopsy. |
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Hello doctor,I am 64 years old and I just had my first prostate biopsy. Out of 10 samples, only one contained cancer. Gleason 6 (3+3). DRE normal. PSA 4.4. PSA has gone up and down over four years with 4.5 the highest, 3.75 lowest. Recent 4K score 9%. Recent PCA3 17%. I was relieved with biopsy, but urologist wants to do a follow-up MRI to rule out any hidden cancers.Why did not he do this before biopsy? Is this insurance related? By the way, my prostate measured 60 grams. I am an active healthy guy. I take Simvastatin for cholesterol and Losartan 100 mg for blood pressure. I just want your advice on why MRI is indicated.
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Hello. If no foci then you do not require anything at present just follow up with PSA (prostate-specific antigen). If there are other foci which are malignant then you may require surgery depending on the stage of disease and hence MRI. MRI can be done pre or post biopsy. If your biopsy had shown aggressive tumor then MRI could have been avoided and you would have required surgery directly. So, he did not do an MRI before. So it is better for you to undergo MRI as you require active surveillance. For more information consult a urologist online Take care. | Hello doctor,I am 64 years old and I just had my first prostate biopsy. Out of 10 samples, only one contained cancer. Gleason 6 (3+3). DRE normal. PSA 4.4. PSA has gone up and down over four years with 4.5 the highest, 3.75 lowest. Recent 4K score 9%. Recent PCA3 17%. I was relieved with biopsy, but urologist wants to do a follow-up MRI to rule out any hidden cancers.Why did not he do this before biopsy? Is this insurance related? By the way, my prostate measured 60 grams. I am an active healthy guy. I take Simvastatin for cholesterol and Losartan 100 mg for blood pressure. I just want your advice on why MRI is indicated. | Hello. If no foci then you do not require anything at present just follow up with PSA (prostate-specific antigen). If there are other foci which are malignant then you may require surgery depending on the stage of disease and hence MRI. MRI can be done pre or post biopsy. If your biopsy had shown aggressive tumor then MRI could have been avoided and you would have required surgery directly. So, he did not do an MRI before. So it is better for you to undergo MRI as you require active surveillance. For more information consult a urologist online Take care. |
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Hi doctor,I have done my sperm analysis. The gynecologist suggested low motility grade A, and I am taking Fertisure M for past one month but, was a bit irregular in medicine but now following the strict timeline. She suggested consulting a urologist for agglutination/pus cells, etc. Kindly suggest some line of treatment.I do not smoke and drink once in a month (even that is not regular). I used to drink cold drinks but have given up now. I have reduced junk food and consume fruits, vegetables, and non-vegetarian food. I sleep for seven hours and do exercise and walking regularly.Kindly suggest a remedy for agglutination based on your analysis of the report.
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Hi, Welcome to Chat Doctor forum. I want to know what problem you have. Are you suffering from infertility? If yes, since when? Did you try any other treatment before? I have seen your report (attachment removed to protect patient identity). It appears fine regarding quantity and motility. Regarding clumping, it can be either because of infection in semen or autoantibodies. Most common is the infection of semen. So, I will ask you to get semen culture and sensitivity test done. If it comes positive, then we will start antibiotics according to culture. If not positive, then we will start empirical antibiotics. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an | Hi doctor,I have done my sperm analysis. The gynecologist suggested low motility grade A, and I am taking Fertisure M for past one month but, was a bit irregular in medicine but now following the strict timeline. She suggested consulting a urologist for agglutination/pus cells, etc. Kindly suggest some line of treatment.I do not smoke and drink once in a month (even that is not regular). I used to drink cold drinks but have given up now. I have reduced junk food and consume fruits, vegetables, and non-vegetarian food. I sleep for seven hours and do exercise and walking regularly.Kindly suggest a remedy for agglutination based on your analysis of the report. | Hi, Welcome to Chat Doctor forum. I want to know what problem you have. Are you suffering from infertility? If yes, since when? Did you try any other treatment before? I have seen your report (attachment removed to protect patient identity). It appears fine regarding quantity and motility. Regarding clumping, it can be either because of infection in semen or autoantibodies. Most common is the infection of semen. So, I will ask you to get semen culture and sensitivity test done. If it comes positive, then we will start antibiotics according to culture. If not positive, then we will start empirical antibiotics. For more information consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an |
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Hi doctor,I have done all thyroid tests and worried about the results.TSH is high at 4.56 milli international units per liter and thyroglobulin antibodies were high 2.8 IU/mL. TOP, T3, and T4 were normal; TPO 14 IU/mL and T4 free 0.95ng/dl. I am having throat pain and I feel like my glands are swollen, along with extreme tiredness. Could this be Hashimoto\\s disease or cancer? I am really worried.
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Hello. Antithyroglobulin antibody can be positive in autoimmune thyroid problem. So, it can be a positive result to have hashimoto\\s thyroiditis and grave\\s disease. But, your thyroid hormone level is within range and TSH (thyroid stimulating hormone) not much elevated. So, clinical correlation is necessary with thyroid palpation and USG (ultrasound) scan. Your throat pain can be due to thyroid inflammation or from posterior pharynx infection that is pharyngitis. In such inflammation, glands can be enlarged as generalized infection. Your physical examination and posterior pharynx examination should be done. An analgesic or an antibiotic if needed can be prescribed. If glands get enlarged persistently, then FNAC (fine needle aspiration cytology) can be done for further diagnosis. Do not think of malignancy. Consult otorhinolaryngologist for examination. For more information consult a family physician online | Hi doctor,I have done all thyroid tests and worried about the results.TSH is high at 4.56 milli international units per liter and thyroglobulin antibodies were high 2.8 IU/mL. TOP, T3, and T4 were normal; TPO 14 IU/mL and T4 free 0.95ng/dl. I am having throat pain and I feel like my glands are swollen, along with extreme tiredness. Could this be Hashimoto\\s disease or cancer? I am really worried. | Hello. Antithyroglobulin antibody can be positive in autoimmune thyroid problem. So, it can be a positive result to have hashimoto\\s thyroiditis and grave\\s disease. But, your thyroid hormone level is within range and TSH (thyroid stimulating hormone) not much elevated. So, clinical correlation is necessary with thyroid palpation and USG (ultrasound) scan. Your throat pain can be due to thyroid inflammation or from posterior pharynx infection that is pharyngitis. In such inflammation, glands can be enlarged as generalized infection. Your physical examination and posterior pharynx examination should be done. An analgesic or an antibiotic if needed can be prescribed. If glands get enlarged persistently, then FNAC (fine needle aspiration cytology) can be done for further diagnosis. Do not think of malignancy. Consult otorhinolaryngologist for examination. For more information consult a family physician online |
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Hi doctor,I did a recent blood test, where my CBC, TLC, ALC are normal and looks fine but under DLC (differential leucocytic count) my lymphocyte is 41.2 (range 20 to 40), eosinophil is 6.6 (range 1 to 6). What does this mean? I have a very slight cold for some time and sometimes when I lift anything, my upper right arm closer to my elbow feels stressed and it hurts and the same hand between my palm and wrist space below my wrist it hurts. No stiffness. I can do all the activities. I can feel a kind of a pain in these two spots. My height is 5\\4\", weight is 69.2 kg. This blood test was done exactly five days after my periods.
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Hello, Welcome to Chat Doctor forum. Your complete blood count report shows borderline lymphocytes and eosinophil. But that can be from the cold that you already have. I need to know your full CBC to check absolute lymphocytes count and absolute eosinophil count. So you can attach your reports. For bone pain at two spots, investigate with serum 25 (OH-hy ChatDoctor. You can provide that reports once done. Bursa or tendon inflammation also can be possible in your case. It happens if we overuse a particular portion of the body. You can be prescribed course of nonsteroidal anti-inflammatory | Hi doctor,I did a recent blood test, where my CBC, TLC, ALC are normal and looks fine but under DLC (differential leucocytic count) my lymphocyte is 41.2 (range 20 to 40), eosinophil is 6.6 (range 1 to 6). What does this mean? I have a very slight cold for some time and sometimes when I lift anything, my upper right arm closer to my elbow feels stressed and it hurts and the same hand between my palm and wrist space below my wrist it hurts. No stiffness. I can do all the activities. I can feel a kind of a pain in these two spots. My height is 5\\4\", weight is 69.2 kg. This blood test was done exactly five days after my periods. | Hello, Welcome to Chat Doctor forum. Your complete blood count report shows borderline lymphocytes and eosinophil. But that can be from the cold that you already have. I need to know your full CBC to check absolute lymphocytes count and absolute eosinophil count. So you can attach your reports. For bone pain at two spots, investigate with serum 25 (OH-hy ChatDoctor. You can provide that reports once done. Bursa or tendon inflammation also can be possible in your case. It happens if we overuse a particular portion of the body. You can be prescribed course of nonsteroidal anti-inflammatory |
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Hi doctor,I am having a white coating on my tongue. Also, since my childhood, I have had a problem with frequent urination. I have a slightly enlarged prostate of 21.9 whereas less than 20 is normal. My skin has always been very dry. For about 1 or 2 years, I am losing hair and suffering from dandruff. Now I am doing daily tongue scraping, oil pulling for 3 minutes, asanas and some pranayama. My diet is mainly vegetarian. I am on my 8th day of a kitchari mono-diet. I have taken 30 to 60 mL of ghee per day for one week. I am eating twice per day (breakfast and lunch). However, the coating on the tongue remains the same with no improvement. Should I continue the mono-diet? If so, then for how long? As for the urination problem and enlarged prostate, what is your opinion on Himplasia tablets? Would they be beneficial?
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Hi, Welcome to Chat Doctor forum. I have gone through your details and found that you are following certain kind of diet, which is not really beneficial in this condition. Instead of sticking with a mono-diet (ayurveda diet for detoxification) you can make the following practices. Aama (toxins formed in the body) and diminished digestive fire. Revert back after two weeks to an ayurveda specialist online.- | Hi doctor,I am having a white coating on my tongue. Also, since my childhood, I have had a problem with frequent urination. I have a slightly enlarged prostate of 21.9 whereas less than 20 is normal. My skin has always been very dry. For about 1 or 2 years, I am losing hair and suffering from dandruff. Now I am doing daily tongue scraping, oil pulling for 3 minutes, asanas and some pranayama. My diet is mainly vegetarian. I am on my 8th day of a kitchari mono-diet. I have taken 30 to 60 mL of ghee per day for one week. I am eating twice per day (breakfast and lunch). However, the coating on the tongue remains the same with no improvement. Should I continue the mono-diet? If so, then for how long? As for the urination problem and enlarged prostate, what is your opinion on Himplasia tablets? Would they be beneficial? | Hi, Welcome to Chat Doctor forum. I have gone through your details and found that you are following certain kind of diet, which is not really beneficial in this condition. Instead of sticking with a mono-diet (ayurveda diet for detoxification) you can make the following practices. Aama (toxins formed in the body) and diminished digestive fire. Revert back after two weeks to an ayurveda specialist online.- |
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Hello doctor,I had unprotected oral sex and protected hardcore sex with a commercial sex worker whose medical status was unknown. After four weeks of exposure, I had breathing and stomach bloating problem. I am allergic to cold and the climate in our area considerably dropped. I consulted a doctor and got a blood test for asthma but results were normal.In the fifth week, I got conjunctivitis, cough, and weakness at a time. The doctor gave treatment for conjunctivitis and syrup for a cough but still, I felt weak. Could you please brief on the above symptoms and I would like to undergo complete HIV test on the 90th day with results on the same day and doctor consultation for this. I am in a panic since that encounter of unprotected oral sex.
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Hello, Welcome to Chat Doctor forum. The chances of transmission of HIV (human immunodeficiency virus) by unprotected oral sex is almost nil unless there are bleeding wounds in both. This is unlikely. The chances of transmission of HIV by protected intercourse is almost nil. The risk is almost nil. You can go for HIV fourth generation tests and HIV 1 and 2 and PCR (polymerase chain reaction) now to be relieved of your anxiety. You can consult any major hospitals for investigation and management. The symptoms are nonspecific. It can be due to any simple respiratory infection or allergic manifestations. It is unlikely due to HIV. For more information consult a community medicine physician online | Hello doctor,I had unprotected oral sex and protected hardcore sex with a commercial sex worker whose medical status was unknown. After four weeks of exposure, I had breathing and stomach bloating problem. I am allergic to cold and the climate in our area considerably dropped. I consulted a doctor and got a blood test for asthma but results were normal.In the fifth week, I got conjunctivitis, cough, and weakness at a time. The doctor gave treatment for conjunctivitis and syrup for a cough but still, I felt weak. Could you please brief on the above symptoms and I would like to undergo complete HIV test on the 90th day with results on the same day and doctor consultation for this. I am in a panic since that encounter of unprotected oral sex. | Hello, Welcome to Chat Doctor forum. The chances of transmission of HIV (human immunodeficiency virus) by unprotected oral sex is almost nil unless there are bleeding wounds in both. This is unlikely. The chances of transmission of HIV by protected intercourse is almost nil. The risk is almost nil. You can go for HIV fourth generation tests and HIV 1 and 2 and PCR (polymerase chain reaction) now to be relieved of your anxiety. You can consult any major hospitals for investigation and management. The symptoms are nonspecific. It can be due to any simple respiratory infection or allergic manifestations. It is unlikely due to HIV. For more information consult a community medicine physician online |
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Hello doctor,My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control? Will she face any problem during pregnancy?
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Hi. I read through your query and understood your concern. She can take Progesterone tablets (Me ChatDoctor. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her blood sugar level (at least two to three times during the period she is taking tablets) to make sure that sugar control is fine. Contraceptive pills used nowadays are low dose pills and have little or no impact on diabetes. Even if sugar levels increase, it can be treated by increasing the dose of antidiabetic medicines. So, she can use low dose contraceptive pills. Just consult your physician before starting those pills to make sure that the medicines do not interact with each other. During pregnancy, if her sugar control is fine from three months before pregnancy, during pregnancy and till delivery of the baby, there will practically be no problem to the mother and baby. If sugar control is not good, there may be many problems about which there is no need to worry right now. Revert back to a gynaecologist online for further queries Take care. | Hello doctor,My fiance is having diabetes type 2. And I want to know what will be the impact in the following scenario. Can she postpone her period by eight days as we have some rituals to perform during our wedding? What will be the impact if she uses contraceptive pills in case of birth control? Will she face any problem during pregnancy? | Hi. I read through your query and understood your concern. She can take Progesterone tablets (Me ChatDoctor. These tablets may increase the requirement of antidiabetic medicines (tablets/insulin). So, she needs to monitor her blood sugar level (at least two to three times during the period she is taking tablets) to make sure that sugar control is fine. Contraceptive pills used nowadays are low dose pills and have little or no impact on diabetes. Even if sugar levels increase, it can be treated by increasing the dose of antidiabetic medicines. So, she can use low dose contraceptive pills. Just consult your physician before starting those pills to make sure that the medicines do not interact with each other. During pregnancy, if her sugar control is fine from three months before pregnancy, during pregnancy and till delivery of the baby, there will practically be no problem to the mother and baby. If sugar control is not good, there may be many problems about which there is no need to worry right now. Revert back to a gynaecologist online for further queries Take care. |
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Hello doctor,What is the dosage of Meftal P for 5 years 10 months old boy whose weight is 20 kg, and is suffering from high fever for the past one week? I gave him Dolo 250, but it did not show any effect. I have read online that 25 mg per kg can be given in 24 hours. Is the minimum gap 8 hours? Or what is the minimum dosage gap? If the temperature is above 101-degree Fahrenheit, should this be given alone? So, can we continue to give Dolo 250 5 ml six or four hourly? And whenever the temperature is 101 degree plus, shall we give Meftal P 5 ml? Kindly tell me the timing of each dose.
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Hi, Welcome to Chat Doctor forum. Mefenamic acid (Meftal) is not recommended for chil ChatDoctor. So, we cannot give it to him. Using plain Paracetamol is a good option. Do not use round the clock. Use when it is necessary (temperature greater than 100 degrees Fahrenheit). You can give it four times in a day. More important is to find the cause of fever, and to treat the cause. The investigations to be done are complete blood count, blood culture, urine routine examination, and microscopy. For more information consult a paediatrician online | Hello doctor,What is the dosage of Meftal P for 5 years 10 months old boy whose weight is 20 kg, and is suffering from high fever for the past one week? I gave him Dolo 250, but it did not show any effect. I have read online that 25 mg per kg can be given in 24 hours. Is the minimum gap 8 hours? Or what is the minimum dosage gap? If the temperature is above 101-degree Fahrenheit, should this be given alone? So, can we continue to give Dolo 250 5 ml six or four hourly? And whenever the temperature is 101 degree plus, shall we give Meftal P 5 ml? Kindly tell me the timing of each dose. | Hi, Welcome to Chat Doctor forum. Mefenamic acid (Meftal) is not recommended for chil ChatDoctor. So, we cannot give it to him. Using plain Paracetamol is a good option. Do not use round the clock. Use when it is necessary (temperature greater than 100 degrees Fahrenheit). You can give it four times in a day. More important is to find the cause of fever, and to treat the cause. The investigations to be done are complete blood count, blood culture, urine routine examination, and microscopy. For more information consult a paediatrician online |
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Hi doctor,I am trying to find out a specific function of the diaphragm when it comes to taking a deep breath. There seems to be a deep breath one takes similar to when one is at the doctor and they say take a deep breath and then there is a much more satisfying deep breath one can take which seems to fill the upper lungs with much more air. It looks like the diaphragm (upper belly) moves out a little bit when this deep breath happens. Can anyone explain the mechanics of this? Why can this deep breath happen sometimes and not other times? It is as if I could hold a musical note for 3 minutes because their is so much O2 in my lungs.
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Hi. It is an interesting question. Your observation that sometimes you can take a deep breath that is a bit more satisfying than other times makes me a bit more curious as to whether you are in the same posture every time you try it. The diaphragm is a muscle that divides everything in chest from everything in the belly with a few orifices that help get certain things like your food pipe through. It helps to expand the lungs by moving towards the belly while to take a breath in thereby creating more space for the lungs. Since there is a finite potential space, I wonder if you feel the difference based on how much food you have had or what time of day is it. I suggest a more detailed discussion if you can provide some more information. | Hi doctor,I am trying to find out a specific function of the diaphragm when it comes to taking a deep breath. There seems to be a deep breath one takes similar to when one is at the doctor and they say take a deep breath and then there is a much more satisfying deep breath one can take which seems to fill the upper lungs with much more air. It looks like the diaphragm (upper belly) moves out a little bit when this deep breath happens. Can anyone explain the mechanics of this? Why can this deep breath happen sometimes and not other times? It is as if I could hold a musical note for 3 minutes because their is so much O2 in my lungs. | Hi. It is an interesting question. Your observation that sometimes you can take a deep breath that is a bit more satisfying than other times makes me a bit more curious as to whether you are in the same posture every time you try it. The diaphragm is a muscle that divides everything in chest from everything in the belly with a few orifices that help get certain things like your food pipe through. It helps to expand the lungs by moving towards the belly while to take a breath in thereby creating more space for the lungs. Since there is a finite potential space, I wonder if you feel the difference based on how much food you have had or what time of day is it. I suggest a more detailed discussion if you can provide some more information. |
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Hello doctor,I am having itching and burning problem on my penis. I cannot lift my foreskin upward. It is painful to upward the foreskin. I think I have acquired a fungal infection. My wife was under treatment of heavy menstruation periods for her menopause phase. She had passed through heavy blood flow during her periods. Used 5 to 6 pads during the day. Now, she is perfectly alright for the last 20 days. We had intercourse before seven days and then I developed this symptom of fungal and itching. She is also having the same complaint but she is having itching experience only which is too less compared to me. I have taken one Fluconazole 150 and using skin cream named Castor-NF suggested by the family doctor. Please suggest treatment and medicines to us.
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Hi, Welcome to Chat Doctor forum. Can you forward a few pictures of the affected area, if possible? Your concern may be balanoposthitis most probably. Continue Fluconazole 150 mg. Have them weekly once after dinner for four consecutive weeks and for your spouse advise her Fluconazole 150 mg two tablets with a gap of 15 days. That is two weeks. Use Cetaphil cleanser for genital wash and Seriva cream twice daily after wash for 30 days. Check your fasting and post prandial blood sugar levels and thyroid profile and report me once you get your reports. | Hello doctor,I am having itching and burning problem on my penis. I cannot lift my foreskin upward. It is painful to upward the foreskin. I think I have acquired a fungal infection. My wife was under treatment of heavy menstruation periods for her menopause phase. She had passed through heavy blood flow during her periods. Used 5 to 6 pads during the day. Now, she is perfectly alright for the last 20 days. We had intercourse before seven days and then I developed this symptom of fungal and itching. She is also having the same complaint but she is having itching experience only which is too less compared to me. I have taken one Fluconazole 150 and using skin cream named Castor-NF suggested by the family doctor. Please suggest treatment and medicines to us. | Hi, Welcome to Chat Doctor forum. Can you forward a few pictures of the affected area, if possible? Your concern may be balanoposthitis most probably. Continue Fluconazole 150 mg. Have them weekly once after dinner for four consecutive weeks and for your spouse advise her Fluconazole 150 mg two tablets with a gap of 15 days. That is two weeks. Use Cetaphil cleanser for genital wash and Seriva cream twice daily after wash for 30 days. Check your fasting and post prandial blood sugar levels and thyroid profile and report me once you get your reports. |
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Hello doctor,I recently got my teeth cleaned with a water jet type cleaning, by a new hygienist. A few days later, my bottom front gums felt irritated. I took a look, and one gum looked as if it had been cut down toward root about 3 mm below the normal gum line like it was a mistake. I used a peroxide type mouthwash and declined follow up visits to the same dentist because I did not trust the experience of the hygienist. Ever since, I have been trying to treat the gums and also noticed an odor, greying area toward the root, and it has become difficult to manage the irritation. It also looks like a cavity may be present. I have attached a picture.
### Response:
Hello. Discontinue the use of peroxide type mouthwash, use a gum paint which could strengthen your gums. Gums may move a little downward after cleaning as the inflamed gums come back to normal size after cleaning and is normal. However, in the photograph (attachment removed to protect patient identity), it looks like you still have inflamed gums and a consultation with a periodontist is recommended at this time. The probable causes of inflammation may be an injury during the procedure or incomplete removal of deposits or the use of peroxide-based mouthwash. Your gum specialist may do a thorough checkup and will be able to tell you if you require another round of cleaning. For more information consult a dentist online Take care. | Hello doctor,I recently got my teeth cleaned with a water jet type cleaning, by a new hygienist. A few days later, my bottom front gums felt irritated. I took a look, and one gum looked as if it had been cut down toward root about 3 mm below the normal gum line like it was a mistake. I used a peroxide type mouthwash and declined follow up visits to the same dentist because I did not trust the experience of the hygienist. Ever since, I have been trying to treat the gums and also noticed an odor, greying area toward the root, and it has become difficult to manage the irritation. It also looks like a cavity may be present. I have attached a picture. | Hello. Discontinue the use of peroxide type mouthwash, use a gum paint which could strengthen your gums. Gums may move a little downward after cleaning as the inflamed gums come back to normal size after cleaning and is normal. However, in the photograph (attachment removed to protect patient identity), it looks like you still have inflamed gums and a consultation with a periodontist is recommended at this time. The probable causes of inflammation may be an injury during the procedure or incomplete removal of deposits or the use of peroxide-based mouthwash. Your gum specialist may do a thorough checkup and will be able to tell you if you require another round of cleaning. For more information consult a dentist online Take care. |
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Hello doctor,I have been having an oral problem, most specifically teeth for over 10 years. I have faded gums, beneath my lower pre-molars, incisors and canines are yellow. I have two severe curved molars on my lower jaws which have lasted for 10 years. I resorted to removing but I was advised not to since it could lead to affect rest of the teeth and I would eventually find myself toothless. Minding my food consumption, they have not been itchy. Just for the past few weeks, one of the curved teeth started hurting me severely that I visited my doctor. I have convinced myself that it is the right time to eliminate them. Please advice on this as well how to permanently regain my white teeth. They are not very yellow but partially.
### Response:
Hi. Do not worry too much about the color of the teeth. The color varies in each individual from bright white to pale yellow. There are many shades of teeth that can occur due to varied reasons. As long as the teeth and gums are healthy, nothing much to worry about the color. Regarding pain in one of the molar teeth, visit your dentist and get the suggested treatment done. (My advice is not to get the tooth removed). You can get a few sessions of teeth bleaching done to improve the teeth color to a few shades whiter. (This should be done under the supervision of a dentist). Take care. | Hello doctor,I have been having an oral problem, most specifically teeth for over 10 years. I have faded gums, beneath my lower pre-molars, incisors and canines are yellow. I have two severe curved molars on my lower jaws which have lasted for 10 years. I resorted to removing but I was advised not to since it could lead to affect rest of the teeth and I would eventually find myself toothless. Minding my food consumption, they have not been itchy. Just for the past few weeks, one of the curved teeth started hurting me severely that I visited my doctor. I have convinced myself that it is the right time to eliminate them. Please advice on this as well how to permanently regain my white teeth. They are not very yellow but partially. | Hi. Do not worry too much about the color of the teeth. The color varies in each individual from bright white to pale yellow. There are many shades of teeth that can occur due to varied reasons. As long as the teeth and gums are healthy, nothing much to worry about the color. Regarding pain in one of the molar teeth, visit your dentist and get the suggested treatment done. (My advice is not to get the tooth removed). You can get a few sessions of teeth bleaching done to improve the teeth color to a few shades whiter. (This should be done under the supervision of a dentist). Take care. |
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Hi doctor, I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it mentioned that tiny 3 mm calculus is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 4.5 mm calculus in the lower ureter. Doctor prescribed me Dytor, Aceclofenac and Paracetamol, Drotavarine Hydrochloride and Mefenamic acid tablets. But, today again my sharp abdominal pain is seen. What to do? Please suggest.
### Response:
Hi. Stones smaller than 6 mm are likely to pass without any intervention. Those that are larger than 6 mm or which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pass in a few days time. If pain recurs, you can go for admission and flush therapy (intravenous fluids to flush out stone) for one or two days. You can stop either Aceclofenac or Mefenamic acid as both are pain killers. Take either of the two. Also, add Capsule Urimax 0.4 mg (Tamsulosin and Dutasteride) once daily for five days, this may relax your ureter and help decrease the pain. Repeat USG (ultrasound) after five to seven days to confirm the stone passage. | Hi doctor, I am suffering from kidney stones problem for the past four days. I took an ultrasound scan test. In the report, it mentioned that tiny 3 mm calculus is seen in the upper pole of the left kidney. Mild hydronephrosis is noted on the left side with dilated ureter due to obstructing 4.5 mm calculus in the lower ureter. Doctor prescribed me Dytor, Aceclofenac and Paracetamol, Drotavarine Hydrochloride and Mefenamic acid tablets. But, today again my sharp abdominal pain is seen. What to do? Please suggest. | Hi. Stones smaller than 6 mm are likely to pass without any intervention. Those that are larger than 6 mm or which cause severe pain, vomiting, or fever need surgical removal (endoscopic). In your case, the stone should pass in a few days time. If pain recurs, you can go for admission and flush therapy (intravenous fluids to flush out stone) for one or two days. You can stop either Aceclofenac or Mefenamic acid as both are pain killers. Take either of the two. Also, add Capsule Urimax 0.4 mg (Tamsulosin and Dutasteride) once daily for five days, this may relax your ureter and help decrease the pain. Repeat USG (ultrasound) after five to seven days to confirm the stone passage. |
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Hello doctor,I have had reoccuring pain in my anal for about 10 years. It stays for about 2 to 4 weeks and then it is good for 1 to 4 months. First, I thought it was hemorrhoids but then a specialist diagnozed it as an anal fissure. I am 29 years old, male, eat super-healthy and exercise. I have read about all possible natural treatments and have tried them (fiber, sitz baths, etc.) but the pain always comes back.What are my options? Would lateral internal sphincterotomy heal these reoccuring anal fissures? I also took pictures of my anal yesterday which I would like to have a specialist looking. One while a bowel movement (and bath and shower) and one the next morning.
### Response:
Hi, Welcome to Chat Doctor forum. We are here to help you. I have evaluated your reports and medical history (attachment removed to protect patient identity). As such there is no indication for surgery at this point of time until and unless your pain frequency increases a lot. If it is happening once in 2 to 3 months for a few days then it is bearable. I do not think surgery is required. At that time you can apply Lignocaine containing jelly for a few days and it will soothen your pain. As far your query is concerned, yes lateral sphincterectomy can help you. | Hello doctor,I have had reoccuring pain in my anal for about 10 years. It stays for about 2 to 4 weeks and then it is good for 1 to 4 months. First, I thought it was hemorrhoids but then a specialist diagnozed it as an anal fissure. I am 29 years old, male, eat super-healthy and exercise. I have read about all possible natural treatments and have tried them (fiber, sitz baths, etc.) but the pain always comes back.What are my options? Would lateral internal sphincterotomy heal these reoccuring anal fissures? I also took pictures of my anal yesterday which I would like to have a specialist looking. One while a bowel movement (and bath and shower) and one the next morning. | Hi, Welcome to Chat Doctor forum. We are here to help you. I have evaluated your reports and medical history (attachment removed to protect patient identity). As such there is no indication for surgery at this point of time until and unless your pain frequency increases a lot. If it is happening once in 2 to 3 months for a few days then it is bearable. I do not think surgery is required. At that time you can apply Lignocaine containing jelly for a few days and it will soothen your pain. As far your query is concerned, yes lateral sphincterectomy can help you. |
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Hi doctor,I had protected sex with a male prostitute. I did not receive it, I was giving and later I received it from the prostitute. This occurred before five months. I got tested at the health department for HIV and ECT and they came back negative. I looked at the symptoms and I am panicking. I have had a sore throat, runny and stuffy nose, lower back pain. I stand up at work all day (if that has something to do with it). My throat is red and I have had a bump on the back of the tonsils and it was white but it went away and today I now have bumps and kind of white-yellowish bumps. I have had diarrhea one day and I was feleing warm. All of those other symptoms that happened have gone. Just today, my throat is making me scared. It does not hurt or anything. It is just how it looks and the bumps.
### Response:
Hello. I can understand your anxiety but anyways sore throat and tonsillitis can happen to a normal person also. You have tested for HIV and that test has come negative. You need not worry as that test came negative which has a good sensitivity. Pictures you have sent (attachment removed to protect patient identity) shows redness and swollen tonsils but that is not to worry about. Do not panic, just take rest, ChatDoctor. You shall be alright within a couple of days. | Hi doctor,I had protected sex with a male prostitute. I did not receive it, I was giving and later I received it from the prostitute. This occurred before five months. I got tested at the health department for HIV and ECT and they came back negative. I looked at the symptoms and I am panicking. I have had a sore throat, runny and stuffy nose, lower back pain. I stand up at work all day (if that has something to do with it). My throat is red and I have had a bump on the back of the tonsils and it was white but it went away and today I now have bumps and kind of white-yellowish bumps. I have had diarrhea one day and I was feleing warm. All of those other symptoms that happened have gone. Just today, my throat is making me scared. It does not hurt or anything. It is just how it looks and the bumps. | Hello. I can understand your anxiety but anyways sore throat and tonsillitis can happen to a normal person also. You have tested for HIV and that test has come negative. You need not worry as that test came negative which has a good sensitivity. Pictures you have sent (attachment removed to protect patient identity) shows redness and swollen tonsils but that is not to worry about. Do not panic, just take rest, ChatDoctor. You shall be alright within a couple of days. |
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Hello doctor,I am suffering from anxiety and depression from past few years. I took various antidepressants. Now I am taking Vilazodone, one tablet in the morning and Lonazep 0.25 mg from last ten days. But I am having breathlessness and palpitations when I do any small physical activity and irritability. My hands get numb, and itching occurs on my hands and legs. I guess it is because of diabetes. I feel my chest is heavy, and my legs and back pains a lot. My sugar level is 130 fasting and 235 postprandial. I am taking Glimisave M. My sugar levels fluctuate badly, and my HbA1c is more than 7, a few months back. I think due to sugar intake it is out of control; otherwise, it is normal. I have very low energy due to depression medicines, and I am very drowsy, and irritability does not reduce. I have negative thoughts, and my hands get numb. I have a habit of chewing tobacco. Please, advice some treatment.
### Response:
Hello, Welcome to Chat Doctor forum. I am sorry to know that despite the best efforts you are not responding with current antidepressants and there are active symptoms. In case you have more questions, feel free to write back to me. For further queries consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an | Hello doctor,I am suffering from anxiety and depression from past few years. I took various antidepressants. Now I am taking Vilazodone, one tablet in the morning and Lonazep 0.25 mg from last ten days. But I am having breathlessness and palpitations when I do any small physical activity and irritability. My hands get numb, and itching occurs on my hands and legs. I guess it is because of diabetes. I feel my chest is heavy, and my legs and back pains a lot. My sugar level is 130 fasting and 235 postprandial. I am taking Glimisave M. My sugar levels fluctuate badly, and my HbA1c is more than 7, a few months back. I think due to sugar intake it is out of control; otherwise, it is normal. I have very low energy due to depression medicines, and I am very drowsy, and irritability does not reduce. I have negative thoughts, and my hands get numb. I have a habit of chewing tobacco. Please, advice some treatment. | Hello, Welcome to Chat Doctor forum. I am sorry to know that despite the best efforts you are not responding with current antidepressants and there are active symptoms. In case you have more questions, feel free to write back to me. For further queries consult an an ChatDoctor. ChatDoctor/ask-a-doctor-online/an |
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Hi doctor,My mom had headaches and backpain. So recently, my mom went for an ultrasound scan and was diagnosed with a bulky uterus. The size of her uterus is 83x41x61 mm, and they also found an intramural fibroid sized 57x33x38 mm. Could you please help me understand what exactly this means and is there any complication?
### Response:
Hi. How are you doing? Let me start by saying that it is nothing to worry. Let me explain. Fibroids or myomas are benign or non-malignant masses arising from the muscles fibers of the uterus, usually in women with not many chil ChatDoctor. These masses are like stones and are hormone dependent. So, they grow till she has periods. Once periods stop, her hormone supply stops, and the fibroid starts shrinking. Intramural Fibroid never become malignant. If you randomly take scans of 100 ladies, 50 to 70% may have fibroids of different size. It is a dictum that, no asymptomatic fibroids need treatment. I would simulate it to, if you have a huge boil on the face, which does not interfere with food intake, just leave it alone. But even if you have a small boil on the inside of the mouth, it really hurts, then you may need treatment. Intramural Fibroids need treatment only if | Hi doctor,My mom had headaches and backpain. So recently, my mom went for an ultrasound scan and was diagnosed with a bulky uterus. The size of her uterus is 83x41x61 mm, and they also found an intramural fibroid sized 57x33x38 mm. Could you please help me understand what exactly this means and is there any complication? | Hi. How are you doing? Let me start by saying that it is nothing to worry. Let me explain. Fibroids or myomas are benign or non-malignant masses arising from the muscles fibers of the uterus, usually in women with not many chil ChatDoctor. These masses are like stones and are hormone dependent. So, they grow till she has periods. Once periods stop, her hormone supply stops, and the fibroid starts shrinking. Intramural Fibroid never become malignant. If you randomly take scans of 100 ladies, 50 to 70% may have fibroids of different size. It is a dictum that, no asymptomatic fibroids need treatment. I would simulate it to, if you have a huge boil on the face, which does not interfere with food intake, just leave it alone. But even if you have a small boil on the inside of the mouth, it really hurts, then you may need treatment. Intramural Fibroids need treatment only if |
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Hi Doctor,I recently lost partial vision in my left eye. I was diagnosed with retinal ischemia by an eye specialist and after an angiogram he suspects a small crystal of plaque to be blocking the blood supply to a portion of my retina. He told me I should see a cardiologist fairly soon, as he has worries about where that plaque is coming from and that I am a possible candidate for a stroke. The earliest I can get into see a cardiologist is still a week away. I am wondering if this is more urgent than that. I am 54 years old, currently taking Prednisone and Methotrexate for recently diagnosed psoriatic arthritis. I also have controlled blood sugar with Metformin and cholesterol with a small daily dose of Atorvastatin. I feel fine except for the vision loss. Thank you.
### Response:
Hi, Welcome to Chat Doctor forum. There are chances of cardioembolic stroke (some clot or infected vegetation) particle that your ophthalmologist is suspecting. Your Cardiologist will do echocardio and see if any source of that in your heart. For prevention of stroke you take one high dose of Aspirin 325 mg and Atorvastatin 80 mg and then Aspirin 150 mg with Atorvastatin 40 mg every day. If it is not infected vegetation (as in infective endocarditis) then you can prevent stroke and any other infarction. | Hi Doctor,I recently lost partial vision in my left eye. I was diagnosed with retinal ischemia by an eye specialist and after an angiogram he suspects a small crystal of plaque to be blocking the blood supply to a portion of my retina. He told me I should see a cardiologist fairly soon, as he has worries about where that plaque is coming from and that I am a possible candidate for a stroke. The earliest I can get into see a cardiologist is still a week away. I am wondering if this is more urgent than that. I am 54 years old, currently taking Prednisone and Methotrexate for recently diagnosed psoriatic arthritis. I also have controlled blood sugar with Metformin and cholesterol with a small daily dose of Atorvastatin. I feel fine except for the vision loss. Thank you. | Hi, Welcome to Chat Doctor forum. There are chances of cardioembolic stroke (some clot or infected vegetation) particle that your ophthalmologist is suspecting. Your Cardiologist will do echocardio and see if any source of that in your heart. For prevention of stroke you take one high dose of Aspirin 325 mg and Atorvastatin 80 mg and then Aspirin 150 mg with Atorvastatin 40 mg every day. If it is not infected vegetation (as in infective endocarditis) then you can prevent stroke and any other infarction. |
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