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### Instruction:
Answer this question truthfully
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Hello doctor,I am 19 years old, and I want a beard on my face. What should I do? Please help.
### Response:
Hello. I read your query. First of all, I want to tell you that beard growth is related to your hormones, mainly testosterone. Sometimes in some men, it took longer to grow a beard. You are still in your teen years. So do not worry and wait for some more years because as you will grow older, you will get more facial hair. The beard growth also depends on genetics too, so watch out your father and uncles too for their growth. Because some men get full facial hair in the late twenties. There is no food, supplement, or vitamin to increase the beard. So beware of these kinds of ads or supplements. Some people use testosterone gels or testosterone pills to increase their beard, but in the long run, these things have potential side effects. My suggestion to you is wait for some more years because you already have some facial hair and they will increase with time, so you do not have to worry. After some years, if you do not get as many hairs as you want, then you can opt-out for facial hair transplant. But do not do it so early because you are too young and you will get your beard to grow naturally after some years. I hope this helps. Failure of gonads or testes in men. Serum testosterone, FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin levels. After two months. | Hello doctor,I am 19 years old, and I want a beard on my face. What should I do? Please help. | Hello. I read your query. First of all, I want to tell you that beard growth is related to your hormones, mainly testosterone. Sometimes in some men, it took longer to grow a beard. You are still in your teen years. So do not worry and wait for some more years because as you will grow older, you will get more facial hair. The beard growth also depends on genetics too, so watch out your father and uncles too for their growth. Because some men get full facial hair in the late twenties. There is no food, supplement, or vitamin to increase the beard. So beware of these kinds of ads or supplements. Some people use testosterone gels or testosterone pills to increase their beard, but in the long run, these things have potential side effects. My suggestion to you is wait for some more years because you already have some facial hair and they will increase with time, so you do not have to worry. After some years, if you do not get as many hairs as you want, then you can opt-out for facial hair transplant. But do not do it so early because you are too young and you will get your beard to grow naturally after some years. I hope this helps. Failure of gonads or testes in men. Serum testosterone, FSH (follicle-stimulating hormone), LH (luteinizing hormone), Prolactin levels. After two months. |
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Hi doctor,I got my CBC report. It was normal, but lymphocytes were 3.04. Then again I tested after two days, everything was normal, and the lymphocytes were 2.57. I asked a general physician. He said, they would fluctuate every hour, and the doctor saw my latest reports and told everything is normal and healthy. I am a fearsome person. So I tested for blood smear. I read that the blood smear will show abnormal cells. If you have any blood disorders, the report will show you. The reports came in which RBC, platelets are adequate, and there is no hemoparasite found but, it says mild lymphocytosis. My general physician says there are no abnormal cells like blast cells or anything found. So it is normal. Can you tell is this normal? I am getting feared and worried. I tested because of my fear of getting cancer. Please help.
### Response:
Hi. I have reviewed your query, and I will surely help you to remove your fear. The mentioned history does not suggest any abnormality, and you have lymphocytosis only. As per the reports you have attached (attachment removed to protect patient identity) abnormal cells like blast cells, prolymphocytes are not seen. So, leukemia is not present. In leukemia, the total count will be high, which is not present in your case. So do not get worried. You can attach your reports so that I can also check it. For more information consult a hematologist online Take care. | Hi doctor,I got my CBC report. It was normal, but lymphocytes were 3.04. Then again I tested after two days, everything was normal, and the lymphocytes were 2.57. I asked a general physician. He said, they would fluctuate every hour, and the doctor saw my latest reports and told everything is normal and healthy. I am a fearsome person. So I tested for blood smear. I read that the blood smear will show abnormal cells. If you have any blood disorders, the report will show you. The reports came in which RBC, platelets are adequate, and there is no hemoparasite found but, it says mild lymphocytosis. My general physician says there are no abnormal cells like blast cells or anything found. So it is normal. Can you tell is this normal? I am getting feared and worried. I tested because of my fear of getting cancer. Please help. | Hi. I have reviewed your query, and I will surely help you to remove your fear. The mentioned history does not suggest any abnormality, and you have lymphocytosis only. As per the reports you have attached (attachment removed to protect patient identity) abnormal cells like blast cells, prolymphocytes are not seen. So, leukemia is not present. In leukemia, the total count will be high, which is not present in your case. So do not get worried. You can attach your reports so that I can also check it. For more information consult a hematologist online Take care. |
### Instruction:
Answer this question truthfully
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Hello doctor,I am a 31-year-old male. For no reasons, my upper back has formed acne in the back of shoulders and in the mid-upper back. I tried Benzoyl wash, Vanoxide Topical, and Doxycycline. There was no success. I am now using Hibiclens foam wash, Clindamycin and Benzoyl foam, and a Sulfamethoxazole tablet two times per day. This second regimen has only been going on for five days. How long can I expect results?I also shave my shoulders which I know puts me at risk for folliculitis and other related conditions. However, I have never shaved my back and therefore do not understand how this occurred. Just when I think things look better, a trip to the gym and shower right afterward, it always makes things look worse. Am I wasting my time trying to fix this? Of note, I had a very severe acne on the upper back and face when I was a teenager. I was on Doxycycline in the past.
### Response:
Hello, Welcome to Chat Doctor forum. Perhaps it is Pityrosporum folliculitis. It is usually itchy and favors back and looks similar to acne. Do they itch in your case? Pityrosporum folliculitis would require oral antifungals. Anyways acne that is unresponsive to usual antiacne medications oral and topical usually respond to oral Isotretinoin. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online | Hello doctor,I am a 31-year-old male. For no reasons, my upper back has formed acne in the back of shoulders and in the mid-upper back. I tried Benzoyl wash, Vanoxide Topical, and Doxycycline. There was no success. I am now using Hibiclens foam wash, Clindamycin and Benzoyl foam, and a Sulfamethoxazole tablet two times per day. This second regimen has only been going on for five days. How long can I expect results?I also shave my shoulders which I know puts me at risk for folliculitis and other related conditions. However, I have never shaved my back and therefore do not understand how this occurred. Just when I think things look better, a trip to the gym and shower right afterward, it always makes things look worse. Am I wasting my time trying to fix this? Of note, I had a very severe acne on the upper back and face when I was a teenager. I was on Doxycycline in the past. | Hello, Welcome to Chat Doctor forum. Perhaps it is Pityrosporum folliculitis. It is usually itchy and favors back and looks similar to acne. Do they itch in your case? Pityrosporum folliculitis would require oral antifungals. Anyways acne that is unresponsive to usual antiacne medications oral and topical usually respond to oral Isotretinoin. Consult your specialist doctor, discuss with him or her and with their consent take the medicine. For more information consult a dermatologist online |
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Hello doctor,I am a 19-year-old male. Three weeks ago, I did deadlifts and squats on the same day. I have been training for two years, and I never faced any lower back issues. I experienced pain and soreness in my lower back about two days and a week goes I thought it was a little pain, and I did deadlifts again this time the pain was so bad that till date I could not bend my back like I used to do.It was slowly recovering, and I did not go to the gym for four days, and then I started using machines for three days from now. Today I did my leg workout and thought leg press would not aggravate my pain, but it did, so bad. What should I do now should? I quit the gym for a while or avoid some movements? Is there any quick home cure for the pain?
### Response:
Hello, Welcome to Chat Doctor forum. It sounds more of the lower back ligament sprain. You may have injured the back. The first thing to do is to look for an MRI, like any soft tissue Injury if not focused, then might become chronic. I will advise you to do some exercises for strengthening the paraspinal muscle\\s. Once you learn the correct pattern of the exercises I am talking about then before every workout regimen, you need to do that, and then your back pain would not come up. For now, give rest of three weeks, and then I can teach you proper exercises which will help avoid future back pains. | Hello doctor,I am a 19-year-old male. Three weeks ago, I did deadlifts and squats on the same day. I have been training for two years, and I never faced any lower back issues. I experienced pain and soreness in my lower back about two days and a week goes I thought it was a little pain, and I did deadlifts again this time the pain was so bad that till date I could not bend my back like I used to do.It was slowly recovering, and I did not go to the gym for four days, and then I started using machines for three days from now. Today I did my leg workout and thought leg press would not aggravate my pain, but it did, so bad. What should I do now should? I quit the gym for a while or avoid some movements? Is there any quick home cure for the pain? | Hello, Welcome to Chat Doctor forum. It sounds more of the lower back ligament sprain. You may have injured the back. The first thing to do is to look for an MRI, like any soft tissue Injury if not focused, then might become chronic. I will advise you to do some exercises for strengthening the paraspinal muscle\\s. Once you learn the correct pattern of the exercises I am talking about then before every workout regimen, you need to do that, and then your back pain would not come up. For now, give rest of three weeks, and then I can teach you proper exercises which will help avoid future back pains. |
### Instruction:
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###Input:
Hello doctor,My A1c is 5.4 and my fasting glucose is 107 and I was taking 800 mg of Seroquel which is a medication for paranoid schizophrenia and is known for causing diabetes and high blood sugar and five minutes after taking a 400 mg pill, one day my sugar went over 200 and the next day five minutes after taking a 400 mg pill, my sugar went up to 495. So, I stopped the Seroquel. According to my A1c, I am a nondiabetic, according to my fasting glucose, I am a pre-diabetic, and according to those two high blood sugar readings, I am a serious diabetic. Those are three different diagnoses. But those two high readings could have just been because of the Seroquel because I have never had high readings like that other than when I was taking the Seroquel and I was taking a high dose. A lot of people only take 100 to 200 mg, but I was taking 800 mg. So, do you think I am a diabetic or do you think it was just the Seroquel that caused the two high readings?
### Response:
Hello. Quetiapine (Seroquel) in such high doses may produce hyperglycemia. So, the first possibility is ChatDoctor. So, try to reduce the dosage after consulting your doctor. You have to monitor your blood sugar regularly when you are taking these type of Take care. | Hello doctor,My A1c is 5.4 and my fasting glucose is 107 and I was taking 800 mg of Seroquel which is a medication for paranoid schizophrenia and is known for causing diabetes and high blood sugar and five minutes after taking a 400 mg pill, one day my sugar went over 200 and the next day five minutes after taking a 400 mg pill, my sugar went up to 495. So, I stopped the Seroquel. According to my A1c, I am a nondiabetic, according to my fasting glucose, I am a pre-diabetic, and according to those two high blood sugar readings, I am a serious diabetic. Those are three different diagnoses. But those two high readings could have just been because of the Seroquel because I have never had high readings like that other than when I was taking the Seroquel and I was taking a high dose. A lot of people only take 100 to 200 mg, but I was taking 800 mg. So, do you think I am a diabetic or do you think it was just the Seroquel that caused the two high readings? | Hello. Quetiapine (Seroquel) in such high doses may produce hyperglycemia. So, the first possibility is ChatDoctor. So, try to reduce the dosage after consulting your doctor. You have to monitor your blood sugar regularly when you are taking these type of Take care. |
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Hello doctor,My sister is 16 years old and extremely worried about her breasts. There is no development in them at all, what so ever. There is no breast bump, they are the same size as they were when she was 5. She has had her period for two years and has pubic hair. What is wrong with her breasts? Could estrogen help in any way? It gets her down so much and it is all she can think about when she wakes up and when she goes to sleep. It makes her cry herself to sleep every single night and wake up wishing she had breasts. She feels horrible like this. She feels like a boy. Please help her. She is desperate. She went to a doctor but they were absolutely no help.
### Response:
Hello. I just read your query and I can empathize with you. Sometimes, a girl\\s breast can develop a bit later than most of the other girls her age. You said that she is 16 and got her periods two years ago. That means at the age of 14 years. So, it was later than most girls her age. So, naturally, her breast can grow later too. There is nothing to worry about. There are many options. Firstly, we have to know whether all her hormones are normal or not and treat accordingly. Secondly, we can always have a breast implant surgery if nothing works on the medical side. Ask her to eat a well-balanced diet. Stop worrying. For more information consult an endocrinologist online | Hello doctor,My sister is 16 years old and extremely worried about her breasts. There is no development in them at all, what so ever. There is no breast bump, they are the same size as they were when she was 5. She has had her period for two years and has pubic hair. What is wrong with her breasts? Could estrogen help in any way? It gets her down so much and it is all she can think about when she wakes up and when she goes to sleep. It makes her cry herself to sleep every single night and wake up wishing she had breasts. She feels horrible like this. She feels like a boy. Please help her. She is desperate. She went to a doctor but they were absolutely no help. | Hello. I just read your query and I can empathize with you. Sometimes, a girl\\s breast can develop a bit later than most of the other girls her age. You said that she is 16 and got her periods two years ago. That means at the age of 14 years. So, it was later than most girls her age. So, naturally, her breast can grow later too. There is nothing to worry about. There are many options. Firstly, we have to know whether all her hormones are normal or not and treat accordingly. Secondly, we can always have a breast implant surgery if nothing works on the medical side. Ask her to eat a well-balanced diet. Stop worrying. For more information consult an endocrinologist online |
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Answer this question truthfully
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Hello doctor,I am a 65-year-old white male and tested negative for HIV 1 and 2 in a one-time test three to four years ago. I am not sure if it was a third or fourth generation test. I tested negative with a fourth generation test four months back because I thought I might be having some symptoms. And I remembered the flu-like illness about six months after exposure.I weighed 204 kg three months back and now I weigh 191 kg. I have worried a lot (pacing the floor, sleep loss) for past five months, took Paxil, and realized my worry could account for some weight loss. Shortly, after the test, I had the following symptoms
### Response:
Hi, Welcome to Chat Doctor forum. Your test done before four months is certainly conclusive and final. A three months intervening period/window period between risk exposure and a fourth generation HIV screening test is good enough for it to be considered conclusive. 95 % of those infected with HIV will have detectable antibodies by four weeks and by 12 weeks, or three months 100 % of HIV infected individual will have detectable antibodies. Antibodies once formed will remain detectable by screening tests. In fact, antibody based HIV screening tests are the gold standard tests for the diagnosis of infection whereas an HIV RNA PCR test is more commonly utilized as a measure of response to antiretroviral therapy in HIV AIDS patients rather than as a diagnostic or screening test. For more information consult a HIV AIDS specialist online | Hello doctor,I am a 65-year-old white male and tested negative for HIV 1 and 2 in a one-time test three to four years ago. I am not sure if it was a third or fourth generation test. I tested negative with a fourth generation test four months back because I thought I might be having some symptoms. And I remembered the flu-like illness about six months after exposure.I weighed 204 kg three months back and now I weigh 191 kg. I have worried a lot (pacing the floor, sleep loss) for past five months, took Paxil, and realized my worry could account for some weight loss. Shortly, after the test, I had the following symptoms | Hi, Welcome to Chat Doctor forum. Your test done before four months is certainly conclusive and final. A three months intervening period/window period between risk exposure and a fourth generation HIV screening test is good enough for it to be considered conclusive. 95 % of those infected with HIV will have detectable antibodies by four weeks and by 12 weeks, or three months 100 % of HIV infected individual will have detectable antibodies. Antibodies once formed will remain detectable by screening tests. In fact, antibody based HIV screening tests are the gold standard tests for the diagnosis of infection whereas an HIV RNA PCR test is more commonly utilized as a measure of response to antiretroviral therapy in HIV AIDS patients rather than as a diagnostic or screening test. For more information consult a HIV AIDS specialist online |
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Hi doctor,I have been coughing since three weeks. My cough has changed from a dry hacking cough to a more productive cough with wheezing. I went to the doctor for the third time. So, my doctor decided to do a chest x-ray. Now along with a chest x-ray, the doctor advised me to have a CT scan, and breathing treatment. The doctor said to me to have an appointment with a pulmonologist. After reviewing my x-rays, the doctors informed me that I have pulmonary fibrosis. Is this indeed something that can be diagnosed by x-ray? I am taking Topamax 200 mg, Ambien 10 mg one tablet at night, Pro-Air inhaler, and Medrol dosepak.
### Response:
Hi. Pulmonary fibrosis is a chronic, and progressive disease of lungs with unknown etiology. Clinical, physiological and radiological criteria diagnose it. When there is a suspicion of pulmonary fibrosis, a chest x-ray is the first investigation. To confirm the diagnosis, a high-resolution CT scan is done, which can show the abnormalities found in the airways of the lungs. An open lung biopsy is one of the useful methods. However, there may be variations in the histology, and this can make it difficult to diagnose it. In your case, the history of illness, physical findings of late wheezing after a productive cough, combined with specific findings on x-ray and CT scan have pointed to the diagnosis of pulmonary fibrosis. Kindly consult the pulmonologist before the worsening of the condition. | Hi doctor,I have been coughing since three weeks. My cough has changed from a dry hacking cough to a more productive cough with wheezing. I went to the doctor for the third time. So, my doctor decided to do a chest x-ray. Now along with a chest x-ray, the doctor advised me to have a CT scan, and breathing treatment. The doctor said to me to have an appointment with a pulmonologist. After reviewing my x-rays, the doctors informed me that I have pulmonary fibrosis. Is this indeed something that can be diagnosed by x-ray? I am taking Topamax 200 mg, Ambien 10 mg one tablet at night, Pro-Air inhaler, and Medrol dosepak. | Hi. Pulmonary fibrosis is a chronic, and progressive disease of lungs with unknown etiology. Clinical, physiological and radiological criteria diagnose it. When there is a suspicion of pulmonary fibrosis, a chest x-ray is the first investigation. To confirm the diagnosis, a high-resolution CT scan is done, which can show the abnormalities found in the airways of the lungs. An open lung biopsy is one of the useful methods. However, there may be variations in the histology, and this can make it difficult to diagnose it. In your case, the history of illness, physical findings of late wheezing after a productive cough, combined with specific findings on x-ray and CT scan have pointed to the diagnosis of pulmonary fibrosis. Kindly consult the pulmonologist before the worsening of the condition. |
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Hi doctor,I got a very bad sunburn on my left leg about a week ago. I am almost certain it was a second degree even though it did not blister. It was very red and hurted for at least three days. My ankle was swollen for two days as well. I am much worried about it as I am on holiday and did not seek medical advice and also did not wrap it with a bandage. It has healed quite a lot, but now it is starting to scab around the edges and some skin is turning shiny. I am worried about the scarring. I have attached photos for your reference. The white stripe across is where I was wearing a plaster. The area has now become itchy. I just do not know what to do. Please help.
### Response:
Hi, Welcome to Chat Doctor forum. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern Photocontact dermatitis. 1. You can take antihistamines like tablet Levocetirizine 5 mg twice daily.2. A combination of steroid like Clobetasol and antibiotic like Fusidic acid to be applied over it twice daily for one week. This will help in relieving irritation and also minimize scarring. 1. Sun protection.2. Avoid using soap over this area for a week. You can apply Calamine lotion as soothing agent.3. Apply emollients like Cetaphil Dam lotion twice or thrice a day. Revert back after a week to a dermatologist online.- | Hi doctor,I got a very bad sunburn on my left leg about a week ago. I am almost certain it was a second degree even though it did not blister. It was very red and hurted for at least three days. My ankle was swollen for two days as well. I am much worried about it as I am on holiday and did not seek medical advice and also did not wrap it with a bandage. It has healed quite a lot, but now it is starting to scab around the edges and some skin is turning shiny. I am worried about the scarring. I have attached photos for your reference. The white stripe across is where I was wearing a plaster. The area has now become itchy. I just do not know what to do. Please help. | Hi, Welcome to Chat Doctor forum. I have read your query in detail and viewed the attached pictures (attachment removed to protect patient identity) and do understand your concern Photocontact dermatitis. 1. You can take antihistamines like tablet Levocetirizine 5 mg twice daily.2. A combination of steroid like Clobetasol and antibiotic like Fusidic acid to be applied over it twice daily for one week. This will help in relieving irritation and also minimize scarring. 1. Sun protection.2. Avoid using soap over this area for a week. You can apply Calamine lotion as soothing agent.3. Apply emollients like Cetaphil Dam lotion twice or thrice a day. Revert back after a week to a dermatologist online.- |
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Hello doctor,I am a 55 year old male, and I have been suffering from depression due to extreme guilt from 22 years. I have been taking allopathic medicines, but my depression bounces back. Actually, my childhood, teenage, and adolescent was disturbing. My father always abused me, and my parents quarrel daily. My father always neglected me and avoided paying my college fees. Other than this, I witnessed my parents having sex many times in the same room where I slept. I felt disgusted and also excited. I wanted to avoid the situation, but I did not have any option. When I was 19 years old, I happened to see my mother taking bath from the keyhole. One day, I slept with my mother in the same bed, and I ejaculated. At the time of ejaculation, my back was towards my mother. I love and respect my mother a lot, and I always feel I am a sinner. I am unable to forgive myself, and I have not able to get over it. I have been living with guilt and feeling bad about myself for 20 years. Please suggest some solution. I am taking Paxinet 37.5 mg, Lithium 800 mg, and Quetiapine 50.
### Response:
Hello. I completely understand that you feel depressed and guilty due to past negative experiences in life. I hope this information is helpful for you. Do follow-up if you feel the need. Best regards. For more information consult a psychologist counsellor online | Hello doctor,I am a 55 year old male, and I have been suffering from depression due to extreme guilt from 22 years. I have been taking allopathic medicines, but my depression bounces back. Actually, my childhood, teenage, and adolescent was disturbing. My father always abused me, and my parents quarrel daily. My father always neglected me and avoided paying my college fees. Other than this, I witnessed my parents having sex many times in the same room where I slept. I felt disgusted and also excited. I wanted to avoid the situation, but I did not have any option. When I was 19 years old, I happened to see my mother taking bath from the keyhole. One day, I slept with my mother in the same bed, and I ejaculated. At the time of ejaculation, my back was towards my mother. I love and respect my mother a lot, and I always feel I am a sinner. I am unable to forgive myself, and I have not able to get over it. I have been living with guilt and feeling bad about myself for 20 years. Please suggest some solution. I am taking Paxinet 37.5 mg, Lithium 800 mg, and Quetiapine 50. | Hello. I completely understand that you feel depressed and guilty due to past negative experiences in life. I hope this information is helpful for you. Do follow-up if you feel the need. Best regards. For more information consult a psychologist counsellor online |
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Hello doctor,I am male, 32 years old. Last month I got married. After marriage started having sex daily. Now my penis tip inside foreskin has become blackish and showing black patches and it is itching too. Previously I did not face such kind of problem. Now for the past eight days, I have stopped having sex. Initially, it started itching after sex, but I ignored it. Before two days itching was terrible. Now I am feeling irritation inside penis while urinating and in relax mode too. My wife having white discharge problem for the past two months and she is on medication for that. We do not use any condom nor any lubricant. Since three days started using soap for washing my penis and surrounding areas and Clotrimazole dusting powder. I think it is dermatitis and fungal infection. Which medication should I use? Shall I visit any dermatologist or with the help of medication it will be curable? For how many days I should avoid having sex or I can have sex?
### Response:
Hello, Welcome to Chat Doctor forum. It very well looks like a fungal infection (attachment removed to protect patient identity), the source could be your partner\\s genitalia as she is complaining of white per vaginal discharge for a long time. You both should consult a gynecologist soon and order swab testing for urself. The gynecologist would also start you guys on some antifungals. Treatment would be comprised of 15 days to a month depending on the severity. Do not make sexual connections till the period of asepsis. | Hello doctor,I am male, 32 years old. Last month I got married. After marriage started having sex daily. Now my penis tip inside foreskin has become blackish and showing black patches and it is itching too. Previously I did not face such kind of problem. Now for the past eight days, I have stopped having sex. Initially, it started itching after sex, but I ignored it. Before two days itching was terrible. Now I am feeling irritation inside penis while urinating and in relax mode too. My wife having white discharge problem for the past two months and she is on medication for that. We do not use any condom nor any lubricant. Since three days started using soap for washing my penis and surrounding areas and Clotrimazole dusting powder. I think it is dermatitis and fungal infection. Which medication should I use? Shall I visit any dermatologist or with the help of medication it will be curable? For how many days I should avoid having sex or I can have sex? | Hello, Welcome to Chat Doctor forum. It very well looks like a fungal infection (attachment removed to protect patient identity), the source could be your partner\\s genitalia as she is complaining of white per vaginal discharge for a long time. You both should consult a gynecologist soon and order swab testing for urself. The gynecologist would also start you guys on some antifungals. Treatment would be comprised of 15 days to a month depending on the severity. Do not make sexual connections till the period of asepsis. |
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Hi doctor,I have ADHD. My common symptoms are disturbance of selective attention of auditory and visual input, disorders of visual perception, impaired organization and categorization of verbal material, disturbance of language comprehension, impaired long-term memory, altered personality and affective behavior and handwriting problems. Already, I have tried medicines like, Focalin, Adderall, Strattera, Quillivant, Ritalin, Topiramate, Metadate, Concerta, Vyvanse, Dexedrine and antidepressants like Zoloft, Lamictal and Wellbutrin. They all give me the same effect and worst my symptoms. My brain SPECT indicates left caudate and right temporal hypoperfusion. These findings correlate with the reported symptoms of decreased attention and concentration when the temporal lobe is involved as in focal hypoperfusion. An interictal epileptogenic focus or learning disabilities may be present complicating the ADHD. I have no hope for this. Please help
### Response:
Hi, Welcome to Chat Doctor forum. I understand your symptoms and the clinical case scenario. Most of the medicines, which work for ADHD (attention deficit hyperactivity disorder), are not working well for you. Actually, they are worsening you. This is an observation which supports the possibility that we are not dealing with an ADHD alone, but also another co-existing disease, most likely medial temporal lobe subclinical seizures. So, you do not have any classical signs of temporal lobe epilepsy, but you do have T signs of temporal dysfunction. Revert back with the reports to a neurologist online | Hi doctor,I have ADHD. My common symptoms are disturbance of selective attention of auditory and visual input, disorders of visual perception, impaired organization and categorization of verbal material, disturbance of language comprehension, impaired long-term memory, altered personality and affective behavior and handwriting problems. Already, I have tried medicines like, Focalin, Adderall, Strattera, Quillivant, Ritalin, Topiramate, Metadate, Concerta, Vyvanse, Dexedrine and antidepressants like Zoloft, Lamictal and Wellbutrin. They all give me the same effect and worst my symptoms. My brain SPECT indicates left caudate and right temporal hypoperfusion. These findings correlate with the reported symptoms of decreased attention and concentration when the temporal lobe is involved as in focal hypoperfusion. An interictal epileptogenic focus or learning disabilities may be present complicating the ADHD. I have no hope for this. Please help | Hi, Welcome to Chat Doctor forum. I understand your symptoms and the clinical case scenario. Most of the medicines, which work for ADHD (attention deficit hyperactivity disorder), are not working well for you. Actually, they are worsening you. This is an observation which supports the possibility that we are not dealing with an ADHD alone, but also another co-existing disease, most likely medial temporal lobe subclinical seizures. So, you do not have any classical signs of temporal lobe epilepsy, but you do have T signs of temporal dysfunction. Revert back with the reports to a neurologist online |
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Hi doctor,I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then .
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Hello. Welcome to ChatDoctor. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it's health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days Take care. | Hi doctor,I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then . | Hello. Welcome to ChatDoctor. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it's health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days Take care. |
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Hello doctor,I am 19 years old female weighing 53 kg and of height 155 cm. I do not have any emotions except for smiling too much and sometimes feeling anger. I used to be a little violent. I do not feel love or sadness or guilt or jealousy.I do not miss my friends or my family while I stay far away for college. I do not feel anything when doctors say my mother might be suffering from cancer. While I was around 10, my grandfather passed away, and I said there is no need to cry as it is similar to a chicken dying.I do not feel shame or embarrassment. I sleep with my lights on and always with somebody in the room. As time is passing by, I am feeling that my humanity and empathy are disappearing.I feel there is no need for any relationship but I am not antisocial. Is this normal?
### Response:
Hi, Welcome to Chat Doctor forum. I have read your query carefully. First of all, I would like to reassure you that you are completely normal. Each individual is having a specific personality and you are having a schizoid personality which is not so uncommon. Features like less emotional, less empathetic about others emotions, less sensitive, less requirement of friends, etc., are few characteristics of schizoid personality and it is completely normal. It will not impact your life in the future. Slowly when you will grow, your personality will become more mature to deal with and understand social emotions. For more information consult a psychiatrist online | Hello doctor,I am 19 years old female weighing 53 kg and of height 155 cm. I do not have any emotions except for smiling too much and sometimes feeling anger. I used to be a little violent. I do not feel love or sadness or guilt or jealousy.I do not miss my friends or my family while I stay far away for college. I do not feel anything when doctors say my mother might be suffering from cancer. While I was around 10, my grandfather passed away, and I said there is no need to cry as it is similar to a chicken dying.I do not feel shame or embarrassment. I sleep with my lights on and always with somebody in the room. As time is passing by, I am feeling that my humanity and empathy are disappearing.I feel there is no need for any relationship but I am not antisocial. Is this normal? | Hi, Welcome to Chat Doctor forum. I have read your query carefully. First of all, I would like to reassure you that you are completely normal. Each individual is having a specific personality and you are having a schizoid personality which is not so uncommon. Features like less emotional, less empathetic about others emotions, less sensitive, less requirement of friends, etc., are few characteristics of schizoid personality and it is completely normal. It will not impact your life in the future. Slowly when you will grow, your personality will become more mature to deal with and understand social emotions. For more information consult a psychiatrist online |
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Hi doctor,I have been diagnosed with sinusitis, cold and ear infection for more than 10 days. Took antibiotics with ENT doctor consultation, I could see improvement in sinus pain, cold but one ear still remains clogged, finding difficulty in hearing. When checked with doctor, I was informed that the fluid has entered deep and need steroids to recover it. I have been prescribed Prednisolone 5 mg for 15 days with 6 tablets per day for first five days, then 4 for another 5 days and two for remaining 5 days. Along with this steroid, doctor have given Clarinase and one more tablet named Gasec for preventing the stomach related issues as side effect of taking steroids.My queries are is it fine to take such tablets while trying to conceive? If not, how many months I have to wait for conceiving? Is it the right treatment for clogged ears due to sinus? What type of side effects can I expect due to this steriod?
### Response:
Hi. If you are trying to get pregnant you must stop Steroids because it has a harmful effects on the nervous and immune system of the fetus but do not panic because you have taken a small dose of Steroids for a short period. Yes, Steroids are one of the best treatments for the collected secretions behind ear ChatDoctor. You can start trying to be pregnant the next few days from stopping Steroids. Do not wait for side effects as the dose is small, the period of treatment is short. Take care. | Hi doctor,I have been diagnosed with sinusitis, cold and ear infection for more than 10 days. Took antibiotics with ENT doctor consultation, I could see improvement in sinus pain, cold but one ear still remains clogged, finding difficulty in hearing. When checked with doctor, I was informed that the fluid has entered deep and need steroids to recover it. I have been prescribed Prednisolone 5 mg for 15 days with 6 tablets per day for first five days, then 4 for another 5 days and two for remaining 5 days. Along with this steroid, doctor have given Clarinase and one more tablet named Gasec for preventing the stomach related issues as side effect of taking steroids.My queries are is it fine to take such tablets while trying to conceive? If not, how many months I have to wait for conceiving? Is it the right treatment for clogged ears due to sinus? What type of side effects can I expect due to this steriod? | Hi. If you are trying to get pregnant you must stop Steroids because it has a harmful effects on the nervous and immune system of the fetus but do not panic because you have taken a small dose of Steroids for a short period. Yes, Steroids are one of the best treatments for the collected secretions behind ear ChatDoctor. You can start trying to be pregnant the next few days from stopping Steroids. Do not wait for side effects as the dose is small, the period of treatment is short. Take care. |
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Hello Doctor,My son is 2 and a half years old and has very jagged (crescent-shaped) front teeth. I have brought him to two dentists.One said it appeared to be an enamel deficiency and the other said it was due to him grinding his teeth. I have never seen or heard him grind.
### Response:
Hello, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. I also saw the picture attached (attachment removed to protect patient identity). This is definitely not because of teeth grinding because the features of the tooth say it all. This could be something called as Hutchinson\\s incisors with the clear crescent shape of the teeth. There is a high possibility of his back teeth (molars) having a similar shape. If that is so, please check with a general physician if the child has any other abnormalities in the internal organs including rhinitis and rashes. Because Hutchinson\\s incisors is a sign of congenital syphilis (birth defect). Mostly, in syphilitic infections, permanent teeth will be affected. But here, considering your son\\s age it is the milk teeth that are affected. Hence, it could be as simple as enamel deficiencies which were already diagnosed. If infections are ruled out, then you need not worry about the enamel malformation because once the permanent teeth erupt, it will be resolved automatically. After a consultation with the general physician, you might choose to get the teeth filled by a dentist for cosmetic reasons. Thank you. For more information consult a dentist online | Hello Doctor,My son is 2 and a half years old and has very jagged (crescent-shaped) front teeth. I have brought him to two dentists.One said it appeared to be an enamel deficiency and the other said it was due to him grinding his teeth. I have never seen or heard him grind. | Hello, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. I also saw the picture attached (attachment removed to protect patient identity). This is definitely not because of teeth grinding because the features of the tooth say it all. This could be something called as Hutchinson\\s incisors with the clear crescent shape of the teeth. There is a high possibility of his back teeth (molars) having a similar shape. If that is so, please check with a general physician if the child has any other abnormalities in the internal organs including rhinitis and rashes. Because Hutchinson\\s incisors is a sign of congenital syphilis (birth defect). Mostly, in syphilitic infections, permanent teeth will be affected. But here, considering your son\\s age it is the milk teeth that are affected. Hence, it could be as simple as enamel deficiencies which were already diagnosed. If infections are ruled out, then you need not worry about the enamel malformation because once the permanent teeth erupt, it will be resolved automatically. After a consultation with the general physician, you might choose to get the teeth filled by a dentist for cosmetic reasons. Thank you. For more information consult a dentist online |
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Hello doctor,I am a 33-year-old male with no significant medical history aside from essential tremors treated with Inderal 120 mg, and anxiety treated with Venlafaxine 75 mg. Three months before, I consulted an ENT doctor because of an unilateral (right) tonsil enlargement. I am attaching a photo of what it looked like at that moment. Upon clinical examination, my doctor was not worried and suggested to monitor the volume of the tonsil in the upcoming year. I had underwent adenoidectomy during childhood.In the last few months, I have noticed that the same tonsil has gained in volume and now appears round, red and more swollen than before. It is not painful when I swallow, but I have the sensation that something is stuck in my throat (most probably a collateral effect of edema). I am attaching another photo of what it looks like today. I do not feel any lumps in my neck. I have an appointment to see my ENT again, but it is only in one month from now. Being a big fan of catching things early I am a bit worried about waiting another month. Could you please give me your opinion?
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Hello. The two tonsils are unevenly enlarged. Whereas it is usually not any abnormal growth, we can say conclusively only after biopsy. I suggest you discuss with the doctor about the option of tonsillectomy and histopathological examination of the sample. Meanwhile you should get some Benzydamine gargles and check if the symptoms resolve. | Hello doctor,I am a 33-year-old male with no significant medical history aside from essential tremors treated with Inderal 120 mg, and anxiety treated with Venlafaxine 75 mg. Three months before, I consulted an ENT doctor because of an unilateral (right) tonsil enlargement. I am attaching a photo of what it looked like at that moment. Upon clinical examination, my doctor was not worried and suggested to monitor the volume of the tonsil in the upcoming year. I had underwent adenoidectomy during childhood.In the last few months, I have noticed that the same tonsil has gained in volume and now appears round, red and more swollen than before. It is not painful when I swallow, but I have the sensation that something is stuck in my throat (most probably a collateral effect of edema). I am attaching another photo of what it looks like today. I do not feel any lumps in my neck. I have an appointment to see my ENT again, but it is only in one month from now. Being a big fan of catching things early I am a bit worried about waiting another month. Could you please give me your opinion? | Hello. The two tonsils are unevenly enlarged. Whereas it is usually not any abnormal growth, we can say conclusively only after biopsy. I suggest you discuss with the doctor about the option of tonsillectomy and histopathological examination of the sample. Meanwhile you should get some Benzydamine gargles and check if the symptoms resolve. |
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Hello doctor,I am a 32-year-old female. Last night out of nowhere I started having a pain suddenly under my ribs on the left side. About an hour later pain developed in my upper back on the left side. I did not fall or lift or hit anything that would cause this pain. Currently, there is no nausea or vomiting. I know this pain is much different from any other pain I have felt. The pain seems to be connected as it is wrapping or radiating around from the abdomen to back. While the pain is not yet excruciating it is still very bothersome and uncomfortable. I could compare the feeling to beg deeply bruised. It almost feels like I was kicked hard in the abdomen and back. I am dealing with something autoimmune but right now it is labeled as UCTD (undifferentiated connective tissue disease). I think it could be related. My concern is that it could be pancreatitis. Do I need to go to the ER? Does pancreatitis progress slowly? This is day two and I do not want to get to the point of excruciating pain.
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Hello. I read through your concern. The pain what you experience may not be due to pancreas as you feel as usually it will get referred to the right side. There is something like spasm between your intercoastal muscles that will lead to same symptoms and pain that you described, and limited movement of ribs to give rise to associated stiffness and pain in thorax and abdomen. So, I recommend you to keep icing over the painful area. ChatDoctor. | Hello doctor,I am a 32-year-old female. Last night out of nowhere I started having a pain suddenly under my ribs on the left side. About an hour later pain developed in my upper back on the left side. I did not fall or lift or hit anything that would cause this pain. Currently, there is no nausea or vomiting. I know this pain is much different from any other pain I have felt. The pain seems to be connected as it is wrapping or radiating around from the abdomen to back. While the pain is not yet excruciating it is still very bothersome and uncomfortable. I could compare the feeling to beg deeply bruised. It almost feels like I was kicked hard in the abdomen and back. I am dealing with something autoimmune but right now it is labeled as UCTD (undifferentiated connective tissue disease). I think it could be related. My concern is that it could be pancreatitis. Do I need to go to the ER? Does pancreatitis progress slowly? This is day two and I do not want to get to the point of excruciating pain. | Hello. I read through your concern. The pain what you experience may not be due to pancreas as you feel as usually it will get referred to the right side. There is something like spasm between your intercoastal muscles that will lead to same symptoms and pain that you described, and limited movement of ribs to give rise to associated stiffness and pain in thorax and abdomen. So, I recommend you to keep icing over the painful area. ChatDoctor. |
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Hi doctor,My periods will last usually for five days on average. It hurts tremendously even with pain medication and birth control. I would get horrible periods since I was about 12 years. In my 15 years age, I used to vomit on the first day of my period, but vomiting stopped in the past two years. Before one year I have been diagnosed with endometriosis and prescribed birth control to help ease symptoms. My current medication is only over-the-counter painkiller and doctor did not prescribe any medication as she felt it would not help me. I am considering switching from hormonal pill birth control to an IUD. I have researched on the internet and I would prefer a hormonal method because I have endometriosis. My heavier periods and cramps sound absolutely horrible. However, I have also read that a lot of women experience weight gain and moodiness with the hormonal methods, the two things I do not need in my life. Which method is better for me? I am 19 years old, moderately sexually active with a serious relationship, generally healthy (prone to colds and flus), no serious medical issues in the family aside from my endometriosis and no history of cancer or ectopic pregnancies. Please suggest me.
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Hi, Welcome to Chat Doctor forum. Both pills and IUD (intrauterine device) have their own advantages and disadvantages. If you are thinking of switching from hormonal pills to IUD only because of complications like weight gain and mood swing, then think twice. Studies have failed to demonstrate these complications of pills. | Hi doctor,My periods will last usually for five days on average. It hurts tremendously even with pain medication and birth control. I would get horrible periods since I was about 12 years. In my 15 years age, I used to vomit on the first day of my period, but vomiting stopped in the past two years. Before one year I have been diagnosed with endometriosis and prescribed birth control to help ease symptoms. My current medication is only over-the-counter painkiller and doctor did not prescribe any medication as she felt it would not help me. I am considering switching from hormonal pill birth control to an IUD. I have researched on the internet and I would prefer a hormonal method because I have endometriosis. My heavier periods and cramps sound absolutely horrible. However, I have also read that a lot of women experience weight gain and moodiness with the hormonal methods, the two things I do not need in my life. Which method is better for me? I am 19 years old, moderately sexually active with a serious relationship, generally healthy (prone to colds and flus), no serious medical issues in the family aside from my endometriosis and no history of cancer or ectopic pregnancies. Please suggest me. | Hi, Welcome to Chat Doctor forum. Both pills and IUD (intrauterine device) have their own advantages and disadvantages. If you are thinking of switching from hormonal pills to IUD only because of complications like weight gain and mood swing, then think twice. Studies have failed to demonstrate these complications of pills. |
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Hello doctor,As bisexuality is defined as attraction to both men and women, however, many men who feel that way tend to not identify as that. Please explain why this is? And, why bisexuality among men has been so stigmatized in the past? And why it has not seemed to improve, even as people become more accepting of homosexuality?
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Hello. Bisexuality is common and a lot of men and women have bisexual orientations at some point in their lives. This does not mean that a person will have homosexual relationship with same sex partner. A person who is happily married might have likings for same sex too. But this has been stigmatized in the past and because of cultural beliefs people never thought of accepting this in public. Since birth an individual is conditioned to behave in a particular manner like boys are supposed to be more active in competitive sports, they are encouraged to be masculine while girls are supposed to be delicate, sophisticated in most countries and most cultures. If a boy behaves like girls he faces many issues like other peers make fun of him. This conditioning is the basis of sexual orientations too. Boys are supposed to have girlfriends and girls have boyfriends. Homosexuality was considered as sin and even a lot of countries still consider homosexuality a crime and is stigmatized. Even these days media and the internet are working to reduce the stigma but in society, people make fun of homosexuals (especially of men). This is the reason things are improving but still, people do not look at bisexuality with good intentions. | Hello doctor,As bisexuality is defined as attraction to both men and women, however, many men who feel that way tend to not identify as that. Please explain why this is? And, why bisexuality among men has been so stigmatized in the past? And why it has not seemed to improve, even as people become more accepting of homosexuality? | Hello. Bisexuality is common and a lot of men and women have bisexual orientations at some point in their lives. This does not mean that a person will have homosexual relationship with same sex partner. A person who is happily married might have likings for same sex too. But this has been stigmatized in the past and because of cultural beliefs people never thought of accepting this in public. Since birth an individual is conditioned to behave in a particular manner like boys are supposed to be more active in competitive sports, they are encouraged to be masculine while girls are supposed to be delicate, sophisticated in most countries and most cultures. If a boy behaves like girls he faces many issues like other peers make fun of him. This conditioning is the basis of sexual orientations too. Boys are supposed to have girlfriends and girls have boyfriends. Homosexuality was considered as sin and even a lot of countries still consider homosexuality a crime and is stigmatized. Even these days media and the internet are working to reduce the stigma but in society, people make fun of homosexuals (especially of men). This is the reason things are improving but still, people do not look at bisexuality with good intentions. |
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Hi doctor,When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg.
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Hello, Welcome to Chat Doctor forum. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should rule out the autonomic neuropathy. You should get your BP checked by the local doctor or yourself if having BP apparatus at home. For that, you have to check BP while lying down and then recheck it after you stand whenever you started feeling dizzy, and see the difference between the two readings. You should get your thyroid, sugar levels done if not done recently. Next if you are consuming too much alcohol then needs to reduce the consumption. Please let me the know the content of the first medicine you mentioned and if you are taking any other medicines. Is there any response to Vertin (Betahistine)? In treatment, firstly you should avoid sudden changes in posture, and you should do it more gradually like sitting for a while in bed and then standing. Next thing, you should avoid dehy ChatDoctor. Later we might need to add medicines if needed. For more information consult a cardiologist online | Hi doctor,When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg. | Hello, Welcome to Chat Doctor forum. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should rule out the autonomic neuropathy. You should get your BP checked by the local doctor or yourself if having BP apparatus at home. For that, you have to check BP while lying down and then recheck it after you stand whenever you started feeling dizzy, and see the difference between the two readings. You should get your thyroid, sugar levels done if not done recently. Next if you are consuming too much alcohol then needs to reduce the consumption. Please let me the know the content of the first medicine you mentioned and if you are taking any other medicines. Is there any response to Vertin (Betahistine)? In treatment, firstly you should avoid sudden changes in posture, and you should do it more gradually like sitting for a while in bed and then standing. Next thing, you should avoid dehy ChatDoctor. Later we might need to add medicines if needed. For more information consult a cardiologist online |
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Hello doctor,My partner ejaculated hours before we had unprotected sex. According to my ovulation calendar, we had sex on the day of my ovulation. If it helps, I have a 30-day cycle, and my last menstruation started six days before. I want to ask whether I can get pregnant with the pre-cum because he withdrew on time before ejaculating in me. I am afraid of what the result would be. And, I took an emergency pill that contains Ethinylestradiol and Levonorgestrel, three days after intercourse. I know it would not affect much because it happened the day after ovulation. But I am hoping for a different approach.
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Hello, Welcome to Chat Doctor forum. Yes, pregnancy can occur with just precum as well but as you had taken I-pill within 72 hours then hopefully it would be effective and would prevent pregnancy. It does not matter if it was your ovulation day or not that you had unprotected act, but i-pill works in every circumstances. And second option which you could avail to totally eliminate the chance of pregnancy (as if you have not had taken pill within 72 hours) is to opt for coil (intrauterine device) in this cycle. It can be inserted up to 10 days after unprotected episode and can be kept as a long term contraceptive method or be removed after period gets started. It all depends on your choice. I hope it has helped you. If you have any further queries, please do not hesitate to contact me. | Hello doctor,My partner ejaculated hours before we had unprotected sex. According to my ovulation calendar, we had sex on the day of my ovulation. If it helps, I have a 30-day cycle, and my last menstruation started six days before. I want to ask whether I can get pregnant with the pre-cum because he withdrew on time before ejaculating in me. I am afraid of what the result would be. And, I took an emergency pill that contains Ethinylestradiol and Levonorgestrel, three days after intercourse. I know it would not affect much because it happened the day after ovulation. But I am hoping for a different approach. | Hello, Welcome to Chat Doctor forum. Yes, pregnancy can occur with just precum as well but as you had taken I-pill within 72 hours then hopefully it would be effective and would prevent pregnancy. It does not matter if it was your ovulation day or not that you had unprotected act, but i-pill works in every circumstances. And second option which you could avail to totally eliminate the chance of pregnancy (as if you have not had taken pill within 72 hours) is to opt for coil (intrauterine device) in this cycle. It can be inserted up to 10 days after unprotected episode and can be kept as a long term contraceptive method or be removed after period gets started. It all depends on your choice. I hope it has helped you. If you have any further queries, please do not hesitate to contact me. |
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Hello doctor,I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls.My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere.I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide.Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me.
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Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syn ChatDoctor. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syn Take care. | Hello doctor,I am a 25 year old male. I am 181 cm tall and I weigh 70 kg. All the members in my family are tall, but I am not that big when compared to my father and brother. I am mentally depressed since my childhood. It is all about my body. I was a female looking boy with very soft body, less energy and not interested in sports. Since that time my arms and legs are very long. But arms are very lean as girls.My puberty was too late at around 18 years of age. But after puberty, I have hair on face, but till now it is not much as my brother had in that age. Facial hair is also thin and not uniform everywhere.I feel my bones are like females and not very strong, arms and fingers are not as big as males. My muscles are less too. I went for gym and built up a little muscle, but forearm and fingers are still feminine. I feel my waist is a little wide.Did I have any genetic problem or hormonal imbalance at puberty stage? I am totally exhausted. I am always worried about that. Please help me. | Hi. I totally understand your anxiety. Based on the description which you have given, there could be a possibility of Klinefelter syn ChatDoctor. This condition can be seen in about one in 600 boys. A normal male will have a chromosomal pattern of XY. However, in case of Klinefelter syn Take care. |
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Hi doctor,Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogram and noticed RCA 99 % block, kept stent. After six months, I developed ectopics around 20 per minute. The drugs were changed to Bisoprolol, Metoprolol, Sotalol but there was no use. The cardiologist advised for EP study. What next? Do I need a device? I am sending briefly about my cardiac MR study and Holter report.
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Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (electrophysiology studies), which, if positive, that, induces a VT (ventricular tachycardia) which needs an ICD (implantable cardioverter-defibrillator) implantation. The second option is ablation of these VPC\\s. It works better if you have a structurally normal heart, but you have LV (left ventricle) dysfunction. Also, ablation is fine if you have recurrent ICD shocks. So summing up, I would advocate an ICD if VT is induced. For more information consult a cardiologist online | Hi doctor,Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogram and noticed RCA 99 % block, kept stent. After six months, I developed ectopics around 20 per minute. The drugs were changed to Bisoprolol, Metoprolol, Sotalol but there was no use. The cardiologist advised for EP study. What next? Do I need a device? I am sending briefly about my cardiac MR study and Holter report. | Hello, Welcome to Chat Doctor forum. I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (electrophysiology studies), which, if positive, that, induces a VT (ventricular tachycardia) which needs an ICD (implantable cardioverter-defibrillator) implantation. The second option is ablation of these VPC\\s. It works better if you have a structurally normal heart, but you have LV (left ventricle) dysfunction. Also, ablation is fine if you have recurrent ICD shocks. So summing up, I would advocate an ICD if VT is induced. For more information consult a cardiologist online |
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Hello doctor,I have undergone a brain MRI today to rule out acoustic neuromas (among other causes). MRI was prescribed by my ENT doctor because I was very stressed. Gadolinium was injected during the MRI. It turns out the MRI was pretty normal, no tumor, no anomaly or else. I found some asymmetric white surface on a series of four pictures. I think it might be something as normal as blood circulation. However, I would like someone to definitely reassure me or tell me what it is since I am the kind of person to freak out easily concerning health.I have chronic left ear problems since last year. Ear fullness when chewing, diagnosed as otitis media with effusion, untreated-bilateral, unconstant tinnitus for one month (worse when lying down, disappears when walking or doing activities outside), issues with balancing ear pressure (ear becomes blocked during car trips or when eating). I never had ear problems before. However, my sinuses are fragile and prone to irritation (air dryness). I frequently suffer from acid reflux, post nasal drip, sore throat and my septum is deviated. Currently, I am taking Nasacort, Solacy, and Levothyrox. The lab tests performed are thyroid hormones
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Hi. There is the right internal carotid artery near the right cavernous sinus in the area inside the circles in your images (attachment removed to protect patient identity). It is a normal image and the slight brightness is likely due to variation in the signals due to the magnetic field. For more information consult a radiologist online | Hello doctor,I have undergone a brain MRI today to rule out acoustic neuromas (among other causes). MRI was prescribed by my ENT doctor because I was very stressed. Gadolinium was injected during the MRI. It turns out the MRI was pretty normal, no tumor, no anomaly or else. I found some asymmetric white surface on a series of four pictures. I think it might be something as normal as blood circulation. However, I would like someone to definitely reassure me or tell me what it is since I am the kind of person to freak out easily concerning health.I have chronic left ear problems since last year. Ear fullness when chewing, diagnosed as otitis media with effusion, untreated-bilateral, unconstant tinnitus for one month (worse when lying down, disappears when walking or doing activities outside), issues with balancing ear pressure (ear becomes blocked during car trips or when eating). I never had ear problems before. However, my sinuses are fragile and prone to irritation (air dryness). I frequently suffer from acid reflux, post nasal drip, sore throat and my septum is deviated. Currently, I am taking Nasacort, Solacy, and Levothyrox. The lab tests performed are thyroid hormones | Hi. There is the right internal carotid artery near the right cavernous sinus in the area inside the circles in your images (attachment removed to protect patient identity). It is a normal image and the slight brightness is likely due to variation in the signals due to the magnetic field. For more information consult a radiologist online |
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Hello doctor,My partner and I have not had sex for quite a few weeks. I have talked to him about it around three times and each time he tells me that he wants sex and wants to have more of it and that he will try to push away the thoughts of the stress he is going through that keep him from getting an erection. I can understand but why he cannot? I have needs too. I am currently taking Mono-Linyah.
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Hello, Welcome to Chat Doctor forum. Libido can be decreased if a person is undergoing stress and can affect sexual performance. I would recommend that he should either visit a psychiatrist and take some medicines if his stress is affecting his personal, social, and occupational life. The doctor will place him on some medicines which should help with the stress part. In addition to that, you can give him some medicines like Sildenafil 50 mg or Tadalafil 10 mg to take one hour prior to having sex, provided his blood pressure is fine. This will help him achieve an erection. Stress. Erectile dysfunction secondary to anxiety or stress. Tadalafil 10 mg or Sildenafil 50 mg one hour prior to sex upto a maximum of twice a week. Discontinue in case of headache, chest pain, or dizziness. Also do an internet search and start doing Kegel\\s exercises which will help improve the muscles at the base of the penis and improve the strength of the erection. Can follow up after one month if needed. | Hello doctor,My partner and I have not had sex for quite a few weeks. I have talked to him about it around three times and each time he tells me that he wants sex and wants to have more of it and that he will try to push away the thoughts of the stress he is going through that keep him from getting an erection. I can understand but why he cannot? I have needs too. I am currently taking Mono-Linyah. | Hello, Welcome to Chat Doctor forum. Libido can be decreased if a person is undergoing stress and can affect sexual performance. I would recommend that he should either visit a psychiatrist and take some medicines if his stress is affecting his personal, social, and occupational life. The doctor will place him on some medicines which should help with the stress part. In addition to that, you can give him some medicines like Sildenafil 50 mg or Tadalafil 10 mg to take one hour prior to having sex, provided his blood pressure is fine. This will help him achieve an erection. Stress. Erectile dysfunction secondary to anxiety or stress. Tadalafil 10 mg or Sildenafil 50 mg one hour prior to sex upto a maximum of twice a week. Discontinue in case of headache, chest pain, or dizziness. Also do an internet search and start doing Kegel\\s exercises which will help improve the muscles at the base of the penis and improve the strength of the erection. Can follow up after one month if needed. |
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Hello doctor,My baby boy is 3.5 months old. He was diagnosed with VSD when he was 2 months and his cardiologist asked for followup after a month. On out checkup his 3 mm VSD was closed, but the doctor discovered 6 mm ostium secundum ASD. He said that it can close spontaneously just like the VSD, so we have to check it after three months. We needed a second opinion so we consulted another cardiologist who echoed my baby and found out the same results, but he said that it is 6 mm superior secundum, but it will not close on its own cause of its position. Is it really true that my baby can get it closed only by open-heart surgery? I am worried about the scar and the side effects on my baby.
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Hello, Welcome to iclniq.com. I understand your worries. No need to worry all will be fine. From my experience, ASD (atrial septal defect) of 6 mm can still close by itself regardless of its position. I will advise you to wait till your baby is 6 months old to have him checked again before a decision can be made to operate on him. It is safer operating on older chil ChatDoctor. If it does not close, later on, scars would not be a problem. Scars will be minimal and be eliminated using cosmetic or plastic procedures. There is hardly any effects after surgery, he will live a normal life. I hope he gets better soon. | Hello doctor,My baby boy is 3.5 months old. He was diagnosed with VSD when he was 2 months and his cardiologist asked for followup after a month. On out checkup his 3 mm VSD was closed, but the doctor discovered 6 mm ostium secundum ASD. He said that it can close spontaneously just like the VSD, so we have to check it after three months. We needed a second opinion so we consulted another cardiologist who echoed my baby and found out the same results, but he said that it is 6 mm superior secundum, but it will not close on its own cause of its position. Is it really true that my baby can get it closed only by open-heart surgery? I am worried about the scar and the side effects on my baby. | Hello, Welcome to iclniq.com. I understand your worries. No need to worry all will be fine. From my experience, ASD (atrial septal defect) of 6 mm can still close by itself regardless of its position. I will advise you to wait till your baby is 6 months old to have him checked again before a decision can be made to operate on him. It is safer operating on older chil ChatDoctor. If it does not close, later on, scars would not be a problem. Scars will be minimal and be eliminated using cosmetic or plastic procedures. There is hardly any effects after surgery, he will live a normal life. I hope he gets better soon. |
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Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I have attached my blood work. Do you think I have any abnormality in blood? Do you think I am having a stroke or heart attack? Do I have too much thickness in blood as high hemoglobin and hematocrit? Do I have any kind of blood cancer like polycythemia or polycythemia vera? In spite of having too much hemoglobin and platelets, why am I having weakness? Do I need to take blood thinner medicine?
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Hello, Welcome to the ChatDoctor. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychiatrist for counseling and anti-anxiety ChatDoctor. If stress is not present, then the causes for weakness are overexertion, lack of exercise, depression, kidney problems (for that urea, creatinine investigation done), myositis, etc. As for three weeks you are not improving you can be investigated with EMG (electromyography), EKG (electrocardiography) investigation for further workup. Answers to your questions are as follows | Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I have attached my blood work. Do you think I have any abnormality in blood? Do you think I am having a stroke or heart attack? Do I have too much thickness in blood as high hemoglobin and hematocrit? Do I have any kind of blood cancer like polycythemia or polycythemia vera? In spite of having too much hemoglobin and platelets, why am I having weakness? Do I need to take blood thinner medicine? | Hello, Welcome to the ChatDoctor. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychiatrist for counseling and anti-anxiety ChatDoctor. If stress is not present, then the causes for weakness are overexertion, lack of exercise, depression, kidney problems (for that urea, creatinine investigation done), myositis, etc. As for three weeks you are not improving you can be investigated with EMG (electromyography), EKG (electrocardiography) investigation for further workup. Answers to your questions are as follows |
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Hi doctor,I had PAD before 20 years and I am able to maintain my body by exercising. When I get tensed, it comes back. Again, I have to begin exercising and gradually it gets better. This time, I had a bout of depression and I am not able to do exercise, so, it has taken longer time than usual to get the results. Now, with new blood-thinning medicines and exercise, I am starting to see good results. The doctor wants to do an angiogram next month, after that stents or surgery on my lower legs. I have two stents near my heart. One was placed, when I had an infarction 19 years ago and another one was placed after eight years. They seem to be good and I am afraid of another procedure. Now, I am willing to get a second opinion about this condition.
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Hi, Welcome to Chat Doctor forum. It is very good to know that you are doing well with medications and exercise. The development of collateral blood supply in the lower limbs is a good option. You could discuss this with your doctor and postpone angiogram and stenting. However, it is important to realize that collateral vessels are small and do not provide the same amount of blood, as the normal vessels do. Besides, peripheral angiography and stenting are safe procedures. So, I would advise angiography to see the state of the blood vessels and collaterals and then, you can decide for stenting. For more information consult a cardiologist online | Hi doctor,I had PAD before 20 years and I am able to maintain my body by exercising. When I get tensed, it comes back. Again, I have to begin exercising and gradually it gets better. This time, I had a bout of depression and I am not able to do exercise, so, it has taken longer time than usual to get the results. Now, with new blood-thinning medicines and exercise, I am starting to see good results. The doctor wants to do an angiogram next month, after that stents or surgery on my lower legs. I have two stents near my heart. One was placed, when I had an infarction 19 years ago and another one was placed after eight years. They seem to be good and I am afraid of another procedure. Now, I am willing to get a second opinion about this condition. | Hi, Welcome to Chat Doctor forum. It is very good to know that you are doing well with medications and exercise. The development of collateral blood supply in the lower limbs is a good option. You could discuss this with your doctor and postpone angiogram and stenting. However, it is important to realize that collateral vessels are small and do not provide the same amount of blood, as the normal vessels do. Besides, peripheral angiography and stenting are safe procedures. So, I would advise angiography to see the state of the blood vessels and collaterals and then, you can decide for stenting. For more information consult a cardiologist online |
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Hello doctor,I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist eye drops only in right eye one drop four times a day. But after using Nevanac suspension I feel pain in my left eye which was not before. I have headache after using this suspension. Is it the side effects of Nevanac suspension? Should I discontinue Nevanac? I have myopia. My power is -3.75 in left eye and -2.75 in the right eye. I have myopia since 20 years.
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Hello. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherical error but your prescription shows that along with spherical error you have a cylin ChatDoctor. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. If that is not incorporated in your glasses please include it because not using cylin | Hello doctor,I am 37 years old. I have discomfort and mild pain in the right eye since last four days. The doctor has advised taking Nevanac ophthalmic suspension 0.1 suspension, and Maxmoist eye drops for dry eye. He has advised to take Nevanac one drop four times daily in both eyes, and Maxmoist eye drops only in right eye one drop four times a day. But after using Nevanac suspension I feel pain in my left eye which was not before. I have headache after using this suspension. Is it the side effects of Nevanac suspension? Should I discontinue Nevanac? I have myopia. My power is -3.75 in left eye and -2.75 in the right eye. I have myopia since 20 years. | Hello. No, Nevanac (Nepafenac) does not have such side effects. But, I suggest you reduce the frequency of Nevanac to twice daily after 15 days and then to once at bedtime after next 15 days. You said you are wearing -2.75 in the right and -3.75 in left. This is a spherical error but your prescription shows that along with spherical error you have a cylin ChatDoctor. -0.50 at 60 degrees in right and -0.50 at 14 degrees in left. If that is not incorporated in your glasses please include it because not using cylin |
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Hello doctor,I am a 22-year-old female. I have had irregular periods since the beginning. I was sexually active, and I had protected intercourse before six months and had my period on second of very next month after having sex. I had sonography done, and the reports said only slightly enlarged ovary. I have not had my periods till date. Its been three months now.Please advise what could have gone wrong. I recently had unprotected intercourse on last month and had an I-pill within 12 hours. Its been 10 days I have not got any withdrawal bleeding. I took a pregnancy test yesterday and it is negative. I started having Primolut N to induce my periods. What are the chances of pregnancy? And what should I do to regularize my periods?
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Hello, Welcome to Chat Doctor forum. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a with ChatDoctor. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS. Also, do your insulin fasting and transvaginal ultrasound. If the diagnosis of PCOD is confirmed you will have to take oral combined hormone pills with a prescription. That will regularize your periods and give contraceptive protection too. Also, your weight is towards the higher side. Try to lose weight that will help too. | Hello doctor,I am a 22-year-old female. I have had irregular periods since the beginning. I was sexually active, and I had protected intercourse before six months and had my period on second of very next month after having sex. I had sonography done, and the reports said only slightly enlarged ovary. I have not had my periods till date. Its been three months now.Please advise what could have gone wrong. I recently had unprotected intercourse on last month and had an I-pill within 12 hours. Its been 10 days I have not got any withdrawal bleeding. I took a pregnancy test yesterday and it is negative. I started having Primolut N to induce my periods. What are the chances of pregnancy? And what should I do to regularize my periods? | Hello, Welcome to Chat Doctor forum. The chances of pregnancy are close to zero. Primolut N for period induction is good, but it is unlikely to work for you if I-pill did not give you a with ChatDoctor. You may be suffering from PCOD. Please get your blood tested for LH, FSH, TSH, free testosterone, prolactin, DHEAS. Also, do your insulin fasting and transvaginal ultrasound. If the diagnosis of PCOD is confirmed you will have to take oral combined hormone pills with a prescription. That will regularize your periods and give contraceptive protection too. Also, your weight is towards the higher side. Try to lose weight that will help too. |
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Hi doctor, My husband was diagnosed with APL before six years. He underwent treatment by following the pethema protocol for APL. After consolidation phase, BMA revealed there is still 7% of PML Rara using fish rara test while negative on cytogenetics. His doctor proceeded to his maintenance phase two years on ATRA, Mercaptopurine, and Methotrexate. For two years monitoring blood counts are within the normal range. BMA was done this year and revealed there is still 3% on FISH Rara. Is this considered a minimal residual disease? Or incomplete remission? Does he need to undergo chemo again or start a new ATRA?
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Hello, Welcome to Chat Doctor forum. Sorry to hear about your husband\\s diagnosis. He is having acute promyelocytic leukemia cancer and it is considered among favorable outcome leukemia. After starting chemotherapy complete remission includes less than 5% blast in bone marrow aspirate, ANC more then 1500, platelets more than 1 lakh, extramedullary hematopoiesis absent and molecular testing negativity. After consolidation chemotherapy, if cytogenetic study remains positive then prognosis cannot be considered good as compared to a negative cytogenetic leukemic patient after chemotherapy and it can be considered here as a minimal residual disease. Treatment was given in the right way along with proper chemotherapy and retinoic acid as well. But you have to discuss your case with your treating oncologist and he will guide you further about what is the future treatment protocol. I hope this helps. | Hi doctor, My husband was diagnosed with APL before six years. He underwent treatment by following the pethema protocol for APL. After consolidation phase, BMA revealed there is still 7% of PML Rara using fish rara test while negative on cytogenetics. His doctor proceeded to his maintenance phase two years on ATRA, Mercaptopurine, and Methotrexate. For two years monitoring blood counts are within the normal range. BMA was done this year and revealed there is still 3% on FISH Rara. Is this considered a minimal residual disease? Or incomplete remission? Does he need to undergo chemo again or start a new ATRA? | Hello, Welcome to Chat Doctor forum. Sorry to hear about your husband\\s diagnosis. He is having acute promyelocytic leukemia cancer and it is considered among favorable outcome leukemia. After starting chemotherapy complete remission includes less than 5% blast in bone marrow aspirate, ANC more then 1500, platelets more than 1 lakh, extramedullary hematopoiesis absent and molecular testing negativity. After consolidation chemotherapy, if cytogenetic study remains positive then prognosis cannot be considered good as compared to a negative cytogenetic leukemic patient after chemotherapy and it can be considered here as a minimal residual disease. Treatment was given in the right way along with proper chemotherapy and retinoic acid as well. But you have to discuss your case with your treating oncologist and he will guide you further about what is the future treatment protocol. I hope this helps. |
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Hi doctor,I had a strange episode the other day where I was driving, and it was like I lost and had been in a trance or asleep. When I snapped out of it, I was not sure where I was. I thought I was lost at first and did not recognize anything, although I take this trip daily. I had not been sleepy, deep in thought or stressed or anything. I got to work finally. I do not remember anything which has to be done in office on that day. I was told I had said something to someone and had no recollection of it happening and causing a bad argument. I had an appointment with a neurologist today, because of other symptoms. I told him about it, and he said let us see if it happens again. I work in a maximum security male prison with inmates around me for 8 hours. The driving thing scared the crap out. With my job, I cannot risk that happening again without being on a path to figuring out what caused it. What would or should I do? I am not terrified there is something wrong with me, but I am scared of that happening again.
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Hi, Welcome to Chat Doctor forum. The episode you describe fits into either a syncope or a dissociation. I think your neurologist is right. One episode of syncope is not a big problem. However, my further recommendation is to make an appointment with a cardiologist also. Some cardiac problems such as arrhythmias and cardiac valve problems could be associated with this kind of episodes. | Hi doctor,I had a strange episode the other day where I was driving, and it was like I lost and had been in a trance or asleep. When I snapped out of it, I was not sure where I was. I thought I was lost at first and did not recognize anything, although I take this trip daily. I had not been sleepy, deep in thought or stressed or anything. I got to work finally. I do not remember anything which has to be done in office on that day. I was told I had said something to someone and had no recollection of it happening and causing a bad argument. I had an appointment with a neurologist today, because of other symptoms. I told him about it, and he said let us see if it happens again. I work in a maximum security male prison with inmates around me for 8 hours. The driving thing scared the crap out. With my job, I cannot risk that happening again without being on a path to figuring out what caused it. What would or should I do? I am not terrified there is something wrong with me, but I am scared of that happening again. | Hi, Welcome to Chat Doctor forum. The episode you describe fits into either a syncope or a dissociation. I think your neurologist is right. One episode of syncope is not a big problem. However, my further recommendation is to make an appointment with a cardiologist also. Some cardiac problems such as arrhythmias and cardiac valve problems could be associated with this kind of episodes. |
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Hi doctor,There is a girl I know from online for more than three years. I liked her before, but I was too shy to tell her. Last year she opened up that she likes me too. Last summer we talked a lot, daily had calls, movies online, shared pictures. She told me that she loves me, I told her too. Unfortunately, bad things happened to her before me (abusive ex, lost baby, lost cousin). We could not meet yet. Something happened last month, because she seems different. She says that she does not feel anything, and she does not want help nor does she want me to fix her. It feels like she does not love me anymore. I do not know what to do.
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Hi, Welcome to Chat Doctor forum. Long distance relationship has its own pros and cons. Likewise, in your case, in the beginning it was working but one to one direct interaction is always needed to have strong bonding. Especially, in such scenarios where one partner need much emotional support after experincing much losses in life. Sharing time online can be helpful, but not a long-term solution as discussed above. It might be possible that your friend is suffering much and could not share online things as before and needs physical and emotional support from you. I would suggest that try to meet her once even if she shows that she does not need help (depressed people avoid taking help quite often) and discuss the issue to better understand the core of problem. Hope it helps. | Hi doctor,There is a girl I know from online for more than three years. I liked her before, but I was too shy to tell her. Last year she opened up that she likes me too. Last summer we talked a lot, daily had calls, movies online, shared pictures. She told me that she loves me, I told her too. Unfortunately, bad things happened to her before me (abusive ex, lost baby, lost cousin). We could not meet yet. Something happened last month, because she seems different. She says that she does not feel anything, and she does not want help nor does she want me to fix her. It feels like she does not love me anymore. I do not know what to do. | Hi, Welcome to Chat Doctor forum. Long distance relationship has its own pros and cons. Likewise, in your case, in the beginning it was working but one to one direct interaction is always needed to have strong bonding. Especially, in such scenarios where one partner need much emotional support after experincing much losses in life. Sharing time online can be helpful, but not a long-term solution as discussed above. It might be possible that your friend is suffering much and could not share online things as before and needs physical and emotional support from you. I would suggest that try to meet her once even if she shows that she does not need help (depressed people avoid taking help quite often) and discuss the issue to better understand the core of problem. Hope it helps. |
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Hi doctor,I suffered from bipolar disorder four years back. At that time I was told to take Risperidone and Lonazap. I continued medicines for about one year and slowly stopped them as told by my doctor. Then again one year back I faced same bipolar disorder again but this time it was more severe. The doctor recommended 1000 mg Dicorate along with Risperidone and Lonazap. Now for last three months, I am taking only Dicorate 500 mg and I am absolutely fine. Please let me know how long I have to continue the medicine and am I going to face same problems to stop taking the medicine.
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Hi, Welcome to Chat Doctor forum. I read your query and understand your concerns about the ongoing medications and bipolar disorder. As per the available literature, individuals with bipolar disorder need long-term treatment as discontinuation of medication often brings further new episodes. Since you already suffered from two episodes in last four years, I do not feel you should discontinue medication as long as your doctor says so. I would also like to inform you that decision to discontinue medication depends on multiple factors such as severity of symptoms, duration of the index episode, the disruption caused during the episode, the time taken to receive medication and their effect on symptoms as well as side effects. Many of these information are not available to me in regard to your case and I think it will be an injustice if I speculate the duration of treatment without proper information. For more information consult a psychiatrist online | Hi doctor,I suffered from bipolar disorder four years back. At that time I was told to take Risperidone and Lonazap. I continued medicines for about one year and slowly stopped them as told by my doctor. Then again one year back I faced same bipolar disorder again but this time it was more severe. The doctor recommended 1000 mg Dicorate along with Risperidone and Lonazap. Now for last three months, I am taking only Dicorate 500 mg and I am absolutely fine. Please let me know how long I have to continue the medicine and am I going to face same problems to stop taking the medicine. | Hi, Welcome to Chat Doctor forum. I read your query and understand your concerns about the ongoing medications and bipolar disorder. As per the available literature, individuals with bipolar disorder need long-term treatment as discontinuation of medication often brings further new episodes. Since you already suffered from two episodes in last four years, I do not feel you should discontinue medication as long as your doctor says so. I would also like to inform you that decision to discontinue medication depends on multiple factors such as severity of symptoms, duration of the index episode, the disruption caused during the episode, the time taken to receive medication and their effect on symptoms as well as side effects. Many of these information are not available to me in regard to your case and I think it will be an injustice if I speculate the duration of treatment without proper information. For more information consult a psychiatrist online |
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Hello,I am writing to ask about some symptoms I have been experiencing. I am 57 years old. For almost a week I havehad persistent low grade fever (never more than 100.5). After the end of the week, today I no longer has a fever. We did a blood test and found abnormally low amount of platelets
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Hello, Keeping into the current circumstances , your fear is completely justified. Good thing is your fever has subsided Excellent is not having any Upper respiratory tract symptoms during the febrile episode Now coming to low platelet count medically known as Thrombocytopenia , your count that is 1,27,000 /mm3 falls in mild range [1,00,000/mm3---1,50,000/mm3] which can happen due to multiple reasons 1]Lab Error 2]Pseudothrombocytopenia due to the anticoagulant used [EDTA ] Low platelet count is considered , when associated with Bleeding symptoms like spontaneous or easy bruising , petechial rash ,bleeding , gum bleeding etc You have none , hence i foresee it to be a lab error /EDTA induced Further , if you are worried , you can get that rechecked by going for reanalysis of platelet count in Heparin or Sodium Citrate based collection or Peripheral smear I can assure you [with the history of your current illness provided ]that your health is safe and sound and all is well Eat well, Sleep well , Stay safe Take care | Hello,I am writing to ask about some symptoms I have been experiencing. I am 57 years old. For almost a week I havehad persistent low grade fever (never more than 100.5). After the end of the week, today I no longer has a fever. We did a blood test and found abnormally low amount of platelets | Hello, Keeping into the current circumstances , your fear is completely justified. Good thing is your fever has subsided Excellent is not having any Upper respiratory tract symptoms during the febrile episode Now coming to low platelet count medically known as Thrombocytopenia , your count that is 1,27,000 /mm3 falls in mild range [1,00,000/mm3---1,50,000/mm3] which can happen due to multiple reasons 1]Lab Error 2]Pseudothrombocytopenia due to the anticoagulant used [EDTA ] Low platelet count is considered , when associated with Bleeding symptoms like spontaneous or easy bruising , petechial rash ,bleeding , gum bleeding etc You have none , hence i foresee it to be a lab error /EDTA induced Further , if you are worried , you can get that rechecked by going for reanalysis of platelet count in Heparin or Sodium Citrate based collection or Peripheral smear I can assure you [with the history of your current illness provided ]that your health is safe and sound and all is well Eat well, Sleep well , Stay safe Take care |
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Hello doctor,My age is 18 years. I had a root canal last year. I have many cavities in my teeth. I brush three times a day nicely then also cavities grow up and come on other teeth. Please tell me any of your solutions.
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Hello, Welcome to Chat Doctor forum. I have been through your query and I can understand your concern. The cavities (caries) have many causes to occur in the mouth. And overall cleaning with proper technique of brushing and flossing is essential to maintain good oral hygiene. Good oral hygiene with regular dental check-ups will ensure no cavities in the future. I would advise you to have a visit to your nearest dentist and get the remaining cavities filled (restored). And have a proper cleaning and scaling done for the teeth. In order for proper brushing technique, ask the dentist you visit to show you the suitable and proper brushing technique. As for now, you can search the modified bass technique for brushing your teeth. Be gentle while brushing. Always brush after breakfast in the morning and after the dinner (before sleeping) in the night. Do regular oral rinses after having meals and floss regularly in order to ward off the cavities. Also, come for the regular dental checkups after six months to your nearest dentist (dental check ups will cost merely some bucks which is better than one time huge amount to spend and that too for ChatDoctor. Maintain good oral hygiene and follow above said things and I can assure you that your teeth will never get any cavities. | Hello doctor,My age is 18 years. I had a root canal last year. I have many cavities in my teeth. I brush three times a day nicely then also cavities grow up and come on other teeth. Please tell me any of your solutions. | Hello, Welcome to Chat Doctor forum. I have been through your query and I can understand your concern. The cavities (caries) have many causes to occur in the mouth. And overall cleaning with proper technique of brushing and flossing is essential to maintain good oral hygiene. Good oral hygiene with regular dental check-ups will ensure no cavities in the future. I would advise you to have a visit to your nearest dentist and get the remaining cavities filled (restored). And have a proper cleaning and scaling done for the teeth. In order for proper brushing technique, ask the dentist you visit to show you the suitable and proper brushing technique. As for now, you can search the modified bass technique for brushing your teeth. Be gentle while brushing. Always brush after breakfast in the morning and after the dinner (before sleeping) in the night. Do regular oral rinses after having meals and floss regularly in order to ward off the cavities. Also, come for the regular dental checkups after six months to your nearest dentist (dental check ups will cost merely some bucks which is better than one time huge amount to spend and that too for ChatDoctor. Maintain good oral hygiene and follow above said things and I can assure you that your teeth will never get any cavities. |
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Hi doctor,I an 28 years old and I have a skin problem on my face such as acne, blackheads, big pores, etc. It is usually not that bad but once my spot is gone, I have a red mark that could stay on my skin very long. As a result, all my skin looks a bit reddish due to spots marks. I would say my skin type is combination since it's dry after I wash my face and then it gets oily, especially on my T zone. I am currently using La Roche Effaclar Duo to get rid of my acne and especially my spot marks but it does not seem to help a lot. That is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier. Thank you very much.
### Response:
Hi. Skin in adolescent and young adult are covered with sebum secreting glands mostly over face and trunk. They increase during the summer and varies according to menstrual cycle. Besides oily cosmetics can hamper the acne formation process and aggravte the problems. You can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid. To improve the acne and facial skin we frequently use gel containing retinoic acids specially at night. But if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid. Could you please send me your picture so that I can discuss with you in detail. | Hi doctor,I an 28 years old and I have a skin problem on my face such as acne, blackheads, big pores, etc. It is usually not that bad but once my spot is gone, I have a red mark that could stay on my skin very long. As a result, all my skin looks a bit reddish due to spots marks. I would say my skin type is combination since it's dry after I wash my face and then it gets oily, especially on my T zone. I am currently using La Roche Effaclar Duo to get rid of my acne and especially my spot marks but it does not seem to help a lot. That is why I was just wondering if you could recommend any skin routine that would help me to get rid of my acne and make my skin look better and healthier. Thank you very much. | Hi. Skin in adolescent and young adult are covered with sebum secreting glands mostly over face and trunk. They increase during the summer and varies according to menstrual cycle. Besides oily cosmetics can hamper the acne formation process and aggravte the problems. You can regularly cleanse the skin using facewash containing salicylic acid and or glycolic acid or mandelic acid. To improve the acne and facial skin we frequently use gel containing retinoic acids specially at night. But if you have bigger acne lesions sometimes we need to have some laboratory investigation to start oral retinoic acid. Could you please send me your picture so that I can discuss with you in detail. |
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Hello doctor,I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse.
### Response:
Hi, Welcome to Chat Doctor forum. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hy ChatDoctor. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of | Hello doctor,I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse. | Hi, Welcome to Chat Doctor forum. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hy ChatDoctor. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of |
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Hello doctor,I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in.I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care.Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril.
### Response:
Hello, Welcome to Chat Doctor forum. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online | Hello doctor,I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in.I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care.Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril. | Hello, Welcome to Chat Doctor forum. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online |
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Hi doctor,I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiologist? I am currently on Amitriptyline. My CSK level is slightly raised and normal FBC.
### Response:
Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. Take care. | Hi doctor,I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiologist? I am currently on Amitriptyline. My CSK level is slightly raised and normal FBC. | Hi. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coronary blood supply and defective electrical currents in the heart. Tachycardia can be of two types. Sinus tachycardia and arrhythmias. In sinus tachycardia, heart rate increases, but the rhythm of the heart remains normal. This can be corrected easily with the help of beta blocker. Arrhythmias can cause disturbed rhythm of the heart and are to be taken very seriously. They can even be fatal. I would suggest you to go for an ECG, 2D echo and Holter test for getting evaluated. If you have an ECG, then attach a copy so that I can see the basic rhythms of your heart. Smoking and alcohol can also cause palpitations. But, you have not mentioned them. Take care. |
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Hello doctor,I am 32 years old, and I am kind of facing the issue of fantasy in my head and mind deconcentration. Whenever I am busy or in social gathering most of the time I am fine. But when I am alone, walking alone and traveling alone, my mind goes into the fantasy. I kind of see this thing becoming common in people and while observing them I noticed that whenever I am in this situation my body is at rest while facial expression is changing according to what I am thinking. As I watched a lot of fantasies movies and seasons, my mind keeps stuck in these, thinking about different scenarios along with facial expression like smiling, anger, etc. It is kind of embarrassing when someone notices me. I would like to know what it is. People are saying it as daydreaming. My question is whether it is really daydreaming, or if not what it is? How can I overcome it?
### Response:
Hi, Welcome to Chat Doctor forum. Yes, you are suffering from excessive imagination or day ChatDoctor. But some people do it more which becomes a kind of habit. Sometimes, we also use this kind of defense and imagination in order to avoid day-to-day stress. It becomes a form of avoidance behavior. Distract yourself with some positive and productive strategies like focus on your career, practice your hobbies, make a day-to-day schedule, try to follow it, use some aversive stimulation to prevent yourself from going deep in imagination like pinching yourself hard on the hand. | Hello doctor,I am 32 years old, and I am kind of facing the issue of fantasy in my head and mind deconcentration. Whenever I am busy or in social gathering most of the time I am fine. But when I am alone, walking alone and traveling alone, my mind goes into the fantasy. I kind of see this thing becoming common in people and while observing them I noticed that whenever I am in this situation my body is at rest while facial expression is changing according to what I am thinking. As I watched a lot of fantasies movies and seasons, my mind keeps stuck in these, thinking about different scenarios along with facial expression like smiling, anger, etc. It is kind of embarrassing when someone notices me. I would like to know what it is. People are saying it as daydreaming. My question is whether it is really daydreaming, or if not what it is? How can I overcome it? | Hi, Welcome to Chat Doctor forum. Yes, you are suffering from excessive imagination or day ChatDoctor. But some people do it more which becomes a kind of habit. Sometimes, we also use this kind of defense and imagination in order to avoid day-to-day stress. It becomes a form of avoidance behavior. Distract yourself with some positive and productive strategies like focus on your career, practice your hobbies, make a day-to-day schedule, try to follow it, use some aversive stimulation to prevent yourself from going deep in imagination like pinching yourself hard on the hand. |
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Hello doctor,I need a consultation to decide on a health issue. For the past four and a half years I have been suffering from menorrhagia and metrorrhagia due to a fibroid. I tried ayurveda for three years and homeopathy for almost a year. Ayurveda did not work only with medication and they suggested to go take panchakarma treatment. Homeopathy started working for four months and the prolonged heavy bleeding stopped now. The bleeding was there for almost five years on each and every day with few months stopped now and then.At this juncture, I just got an endometrium biopsy and an ultrasound to monitor the size of the fibroid. My gynecologist suggested immediate hysterectomy to remove the uterus and my Homeopathy doctor asked to try for three to four more months and if homeo treatment fails, then go for surgery. This gynecologist does not believe in any alternative systems. I sent my reports to my ayurvedic doctor too, and he said surgery is not needed. The biopsy report says \\simple hyperplasia without atypia\\. Because of prolong non-stop bleeding for years, now I have anemia and went for infusion. I need a second opinion on hysterectomy if it is needed or not. In case if it is needed, when can I go for it?
### Response:
Hi. Failure of conservative treatment and ChatDoctor. Where is your recent CBC report? If your level of hemoglobin is less than 8 gm/dL then you are at the risk of several diseases affecting the cardiovascular system. | Hello doctor,I need a consultation to decide on a health issue. For the past four and a half years I have been suffering from menorrhagia and metrorrhagia due to a fibroid. I tried ayurveda for three years and homeopathy for almost a year. Ayurveda did not work only with medication and they suggested to go take panchakarma treatment. Homeopathy started working for four months and the prolonged heavy bleeding stopped now. The bleeding was there for almost five years on each and every day with few months stopped now and then.At this juncture, I just got an endometrium biopsy and an ultrasound to monitor the size of the fibroid. My gynecologist suggested immediate hysterectomy to remove the uterus and my Homeopathy doctor asked to try for three to four more months and if homeo treatment fails, then go for surgery. This gynecologist does not believe in any alternative systems. I sent my reports to my ayurvedic doctor too, and he said surgery is not needed. The biopsy report says \\simple hyperplasia without atypia\\. Because of prolong non-stop bleeding for years, now I have anemia and went for infusion. I need a second opinion on hysterectomy if it is needed or not. In case if it is needed, when can I go for it? | Hi. Failure of conservative treatment and ChatDoctor. Where is your recent CBC report? If your level of hemoglobin is less than 8 gm/dL then you are at the risk of several diseases affecting the cardiovascular system. |
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Hi doctor,How long should I take treatment to dissolve a tuberculosis lump? I have been detected this lump two years back. I showed it to the doctor where I was asked to take RHE-FD for two months which got extended to three months and stopped but the lump was not completely dissolved. Then again I got another lump near neck a year back and I again started the medication, which is still continuing. Within which I got the third lump and was operated and after culture test all the reports were normal. I was about to stop the medicines but the first lump now has become little big and now the doctor has asked me to have R-Cinex 450 for three months and stop RHE-FD. The lab tests performed were FNAC, histopathology, culture TB MGIT & identification.I just want to know that is this the symptom of a serious issue? Please suggest me a good suggestion as I am now fed up with it and want to get out of it.
### Response:
Hi, Welcome to Chat Doctor forum. Any anti-tuberculosis regimen has to be taken for a minimum of six months for pulmonary tuberculosis and nine months for extrapulmonary tuberculosis. Your tuberculosis appears to be extrapulmonary. There is no indication to stop treatment after three months even if tests are negative. I would advise you to visit a good pulmonologist and get yourself checked for ChatDoctor. Tb is completely curable if proper and complete treatment is taken. So, do not worry. For more information consult a pathologist online | Hi doctor,How long should I take treatment to dissolve a tuberculosis lump? I have been detected this lump two years back. I showed it to the doctor where I was asked to take RHE-FD for two months which got extended to three months and stopped but the lump was not completely dissolved. Then again I got another lump near neck a year back and I again started the medication, which is still continuing. Within which I got the third lump and was operated and after culture test all the reports were normal. I was about to stop the medicines but the first lump now has become little big and now the doctor has asked me to have R-Cinex 450 for three months and stop RHE-FD. The lab tests performed were FNAC, histopathology, culture TB MGIT & identification.I just want to know that is this the symptom of a serious issue? Please suggest me a good suggestion as I am now fed up with it and want to get out of it. | Hi, Welcome to Chat Doctor forum. Any anti-tuberculosis regimen has to be taken for a minimum of six months for pulmonary tuberculosis and nine months for extrapulmonary tuberculosis. Your tuberculosis appears to be extrapulmonary. There is no indication to stop treatment after three months even if tests are negative. I would advise you to visit a good pulmonologist and get yourself checked for ChatDoctor. Tb is completely curable if proper and complete treatment is taken. So, do not worry. For more information consult a pathologist online |
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Hi Doctor,Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious.Since past week I\\d noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood.I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately.My age is 23 and weight is around 77 kg my height is 6 ft.
### Response:
Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it\\s only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives). | Hi Doctor,Almost 40 days back I saw bright red drops of blood coming out when I was passing the stool, I saw blood(bright red/red) in my stool for next two days and then the problem went away but I became conscious.Since past week I\\d noticed very small amount of blood in my stool.But last night I saw my stool covered in bright red/red blood. I am also constantly seeing mucus/jelly type substance in my stool. One other thing I am worried about is I often see grey/dark grey liquid thing on my stool I am not sure its blood.I do feel fatigued, but I am not feeling any kind of pain anywhere in my body. Even when passing the stool I dont feel any kind of pain. But my urge to poop has increased lately.My age is 23 and weight is around 77 kg my height is 6 ft. | Hello dear, hope you are fine. The presentation you described is likely to be a hemorrhoids (biles), that causing blood in the stool. The fatigue you described maybe due to loss of blood, that caused anemia. I recommend that to confirm the diagnosis, to be examined by a surgeon, so to make sure it\\s only hemorrhoid, and no other masses there causing your symptoms. I also recommend to have blood test, CBC , so to check your hemoglobin. once diagnosis is confirmed, we will discuss the management (which mostly include having high fiber diet and oral laxatives). |
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Hi doctor,I am a 28-year-old girl. I am working. I am in a relationship with a boy. In our starting years, we both were very well. But now, he has no time to spend with me. When I talk to him, he ignores me. I cannot control myself in this situation. I start crying suddenly. I am sleepless, and I am unable to sleep overnight. The next morning I am busy with my schedule again. I tried to stop talking to him. But I cannot do it. I cannot live without him. What is the solution to my problem?
### Response:
Hi. You should have a face to face meeting and clear all your doubts with your boyfriend. You both decide a schedule for each other. Spend at least a half an hour daily with each other. Go for a vacation at weekends. Spend quality time. Spend time with your hobbies like reading books together, painting, playing, sing a song, watch movies together at home, and cook food together. Give some surprise gift or surprise visits. Do not be boring for him. If you both are in love, then you have lots to do together. It is a commitment to give time for your loved ones. Otherwise, there is no meaning of a relationship. Do not get stuck in a toxic relationship if you cannot handle. Life is beautiful if you are in love. But if you cannot enjoy it, then think over it. Live your life. For more information consult a psychiatrist online Take care. | Hi doctor,I am a 28-year-old girl. I am working. I am in a relationship with a boy. In our starting years, we both were very well. But now, he has no time to spend with me. When I talk to him, he ignores me. I cannot control myself in this situation. I start crying suddenly. I am sleepless, and I am unable to sleep overnight. The next morning I am busy with my schedule again. I tried to stop talking to him. But I cannot do it. I cannot live without him. What is the solution to my problem? | Hi. You should have a face to face meeting and clear all your doubts with your boyfriend. You both decide a schedule for each other. Spend at least a half an hour daily with each other. Go for a vacation at weekends. Spend quality time. Spend time with your hobbies like reading books together, painting, playing, sing a song, watch movies together at home, and cook food together. Give some surprise gift or surprise visits. Do not be boring for him. If you both are in love, then you have lots to do together. It is a commitment to give time for your loved ones. Otherwise, there is no meaning of a relationship. Do not get stuck in a toxic relationship if you cannot handle. Life is beautiful if you are in love. But if you cannot enjoy it, then think over it. Live your life. For more information consult a psychiatrist online Take care. |
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Hello doctor,I am a 32-year-old male. My height is 5\\10\" and I weigh 82 kg. I got married two years back. We both are working professionals and love each other a lot. Since our marriage, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried about the situation. Also, we tried penetration a lot of times but the moment I come close to her I lose the erection. I am very uncomfortable with my foreskin rolled down and she is very uncomfortable when I touch her vagina as the sense of pain takes down the momentum and she feels stressed. She also feels dryness at her vagina. As we both are working hence at the end of the day we feel tired and have less sexual desire. You are requested to help us in our healthy sexual life and family planning too.
### Response:
Hello. As you have explained, you never achieved intercourse? You both have fear about sex and you have fear for rolling of your foreskin and she also feels pain and uncomfortable. You both need therapy. You want to plan a baby but first, you achieve a successful intercourse, it is important. You have to do a simple exercise like try to uncover your foreskin when you urinate. Does that hurt? During masturbation try to uncover. And for your partner, you should visit a gynecologist for ChatDoctor. There is vaginal cream that contains estrogen that will be helpful in Take care. | Hello doctor,I am a 32-year-old male. My height is 5\\10\" and I weigh 82 kg. I got married two years back. We both are working professionals and love each other a lot. Since our marriage, we are trying to have intercourse but unable to. We are wanting to have a baby now, but are really worried about the situation. Also, we tried penetration a lot of times but the moment I come close to her I lose the erection. I am very uncomfortable with my foreskin rolled down and she is very uncomfortable when I touch her vagina as the sense of pain takes down the momentum and she feels stressed. She also feels dryness at her vagina. As we both are working hence at the end of the day we feel tired and have less sexual desire. You are requested to help us in our healthy sexual life and family planning too. | Hello. As you have explained, you never achieved intercourse? You both have fear about sex and you have fear for rolling of your foreskin and she also feels pain and uncomfortable. You both need therapy. You want to plan a baby but first, you achieve a successful intercourse, it is important. You have to do a simple exercise like try to uncover your foreskin when you urinate. Does that hurt? During masturbation try to uncover. And for your partner, you should visit a gynecologist for ChatDoctor. There is vaginal cream that contains estrogen that will be helpful in Take care. |
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Hello doctor,I am a 23 year old male. I am having pain in the upper back. When I sit on the chair in office the pain starts and it reduces when I stand, stretch or walk. I work for nine hours, from morning 11 to evening 8. I do not have any previous injuries or accidents. Eight days ago, I felt pain in the upper right back just below the shoulder. Then, the pain shifted to the upper middle back. When I sit and look into the computer screen, it pains more. When I look up, I feel relief. Give me your advice.
### Response:
Hi, Welcome to Chat Doctor forum. You have given an excellent description of a common problem in persons who have a desk-based job. The condition you are experiencing is due to poor posture. Stretching and looking away from your constant position is helpful as you have also figured out. Get up and move around after every half an hour. Keep the top of your computer screen at your eye level while sitting with your back supported in the chair. You can do intermittent stretches of your neck and shoulder muscles. Practice isometric and range of motion exercises of the neck which will help you a lot. Take painkillers and apply an anti-inflammatory gel locally for immediate relief. Do not take the painkillers for a long time. If you follow these instructions, these will help you recover in a few days. If the pain persists, investigations may be required. Consult an orthopaedician online if the pain persists | Hello doctor,I am a 23 year old male. I am having pain in the upper back. When I sit on the chair in office the pain starts and it reduces when I stand, stretch or walk. I work for nine hours, from morning 11 to evening 8. I do not have any previous injuries or accidents. Eight days ago, I felt pain in the upper right back just below the shoulder. Then, the pain shifted to the upper middle back. When I sit and look into the computer screen, it pains more. When I look up, I feel relief. Give me your advice. | Hi, Welcome to Chat Doctor forum. You have given an excellent description of a common problem in persons who have a desk-based job. The condition you are experiencing is due to poor posture. Stretching and looking away from your constant position is helpful as you have also figured out. Get up and move around after every half an hour. Keep the top of your computer screen at your eye level while sitting with your back supported in the chair. You can do intermittent stretches of your neck and shoulder muscles. Practice isometric and range of motion exercises of the neck which will help you a lot. Take painkillers and apply an anti-inflammatory gel locally for immediate relief. Do not take the painkillers for a long time. If you follow these instructions, these will help you recover in a few days. If the pain persists, investigations may be required. Consult an orthopaedician online if the pain persists |
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Hello doctor,I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD.Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated.
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Hi, Welcome to Chat Doctor forum. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce\\s spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance. | Hello doctor,I had a white bump on my penis for the past three months. It did not cause any pain when I touched it, and when I tried to remove it in the shower, it did not budge. It is single and there was nothing else resembling it that showed up on my penis. It showed up maybe a day or two after sexual contact with my girlfriend. I am not sure if it is an STD.Today, during the shower I realized it was not there anymore. It either fell off or shrank, I have not been paying much attention to it the last couple days so I am not really sure. I am attaching a picture of what it looked like when I had it, and what it looks like now. It does not look like any STDs I have seen online, so I am at a loss as to what it could have been. Any help would be appreciated. | Hi, Welcome to Chat Doctor forum. The lesion is not looking like an STD (sexually transmitted disease). From your history, it is asymptomatic and pain free. Whitish concretions can form due to the collection of subpreputial discharge or it can be Fordyce\\s spot. Wart can be asymptotic and go for spontaneous resolution. But it would have spread by now. Apply Mupirocin ointment on the spot. Clean the area with mild soap. Observe next time. If it is forming again please consult with your doctor and remove it and give for biopsy along with blood tests for STD for reassurance. |
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Hello doctor,I have had a sore throat for about three weeks now. Two weeks ago I have had strep throat and doctor gave me 10 dose antibiotics but my sore throat came back on my left side and it hurts my ear and throat when I swallow still. What could this be? They did a swab for the throat but no strep but what else is this? I have a minor cough.
### Response:
Hello, Welcome to Chat Doctor forum. With the conversation I understand that you had suffered sore throat for which swab was done and appropriate antibiotic was initiated. Now again you have developed sore throat, more so on left side, with ear ache while swallowing. Most probably there is inflammation which has not fully got resolved. Since throat tests are negative, we can conclude that there is no active infection. But infectious products may be remaining causing the body to produce counter products (inflammatory response). The same is causing you the troubles. Since the back of throat is connected to ear through the eustachian tube, it pains in the ear also. The local congestion has blocked the tube impairing normal ventilation and ChatDoctor. I suggest you the following which if you take you will find relief. Anti-inflammatory tablets of Trypsin-Chymotrypsin and Rutopside/Bromelain combination, taken before food twice a day for 5 days. Also painkillers Paracetamol/Acetaminophen appropriate dosage will do. To relieve ear ache and eustachian tube obstruction you may use nasal decongestant | Hello doctor,I have had a sore throat for about three weeks now. Two weeks ago I have had strep throat and doctor gave me 10 dose antibiotics but my sore throat came back on my left side and it hurts my ear and throat when I swallow still. What could this be? They did a swab for the throat but no strep but what else is this? I have a minor cough. | Hello, Welcome to Chat Doctor forum. With the conversation I understand that you had suffered sore throat for which swab was done and appropriate antibiotic was initiated. Now again you have developed sore throat, more so on left side, with ear ache while swallowing. Most probably there is inflammation which has not fully got resolved. Since throat tests are negative, we can conclude that there is no active infection. But infectious products may be remaining causing the body to produce counter products (inflammatory response). The same is causing you the troubles. Since the back of throat is connected to ear through the eustachian tube, it pains in the ear also. The local congestion has blocked the tube impairing normal ventilation and ChatDoctor. I suggest you the following which if you take you will find relief. Anti-inflammatory tablets of Trypsin-Chymotrypsin and Rutopside/Bromelain combination, taken before food twice a day for 5 days. Also painkillers Paracetamol/Acetaminophen appropriate dosage will do. To relieve ear ache and eustachian tube obstruction you may use nasal decongestant |
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Hello doctor,I had two sexual encounters with women whom I do not know their HIV status. Both were vaginal and a condom was worn. In the fourth and fifth weeks, I had a fourth-generation antibody-antigen test performed and it came back negative. Should I be retested again?
### Response:
Hello, Welcome to ChatDoctor. It is a good idea to get repeat testing, here is why. The antibody testing at the fourth and fifth weeks can give you some idea of the HIV (human immuno deficiency virus) status, but the one at 12 weeks after the exposure will confirm the negative status completely. The reason being the window period. The window period is a duration where a person can have HIV but still test HIV negative. The fourth generation is antigen-antibody based testing and the best we have so far for screening. When suspected acute HIV infection or high risk exposure, PCR (polymerase chain reaction) is the best in the fourth and fifth weeks post-exposure. Of note, the window period for a fourth-generation antigen-antibody test is short as compared to other HIV tests available (about four weeks). Usually by this time, 95% of infection will be detected in the blood. In general, there is a three month window period for HIV after a given exposure, and therefore for the fouth generation testing to confirm that a person is more than 99.9% infectious. Hence the 12 weeks retesting is recommended. I hope this helps. | Hello doctor,I had two sexual encounters with women whom I do not know their HIV status. Both were vaginal and a condom was worn. In the fourth and fifth weeks, I had a fourth-generation antibody-antigen test performed and it came back negative. Should I be retested again? | Hello, Welcome to ChatDoctor. It is a good idea to get repeat testing, here is why. The antibody testing at the fourth and fifth weeks can give you some idea of the HIV (human immuno deficiency virus) status, but the one at 12 weeks after the exposure will confirm the negative status completely. The reason being the window period. The window period is a duration where a person can have HIV but still test HIV negative. The fourth generation is antigen-antibody based testing and the best we have so far for screening. When suspected acute HIV infection or high risk exposure, PCR (polymerase chain reaction) is the best in the fourth and fifth weeks post-exposure. Of note, the window period for a fourth-generation antigen-antibody test is short as compared to other HIV tests available (about four weeks). Usually by this time, 95% of infection will be detected in the blood. In general, there is a three month window period for HIV after a given exposure, and therefore for the fouth generation testing to confirm that a person is more than 99.9% infectious. Hence the 12 weeks retesting is recommended. I hope this helps. |
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Hi doctor,I had unprotected sex with a call girl ten months back. Then after three months, I got my HIV test done and the test was negative. Then again I got the HIV test after six months, the test was negative. Then after eight months, I got my HIV test done again, the test result was negative.I did Elisa test, tri-dot test, Elfa test, finally western blot test. All test results were negative. I am getting some symptoms like body pain, body tiredness, bitter mouth, sore throat, tightness in neck.So, I am fully scared. My question is that are these symptoms related to HIV or again I have to take another HIV test? Recently I did a WBC count test and it is 12000.I have got Vitamin D test results as 16.6 ng/ml. Is Vitamin D deficiency related to my symptoms? I got Vitamin B12 test results as 188 pg/ml. Is this related to the beginning of HIV infection? I am totally confused.Please answer my questions.
### Response:
Hello, Welcome to Chat Doctor forum. So whatever symptoms are there, it is due to vitamin deficiency. All tests are negative so it is clear that there is no HIV infection. So do not worry. You can consult a general physician. So he will give you written prescription, even I can but a long treatment is required. You will be all right after taking treatment. For more information consult a HIV AIDS specialist online | Hi doctor,I had unprotected sex with a call girl ten months back. Then after three months, I got my HIV test done and the test was negative. Then again I got the HIV test after six months, the test was negative. Then after eight months, I got my HIV test done again, the test result was negative.I did Elisa test, tri-dot test, Elfa test, finally western blot test. All test results were negative. I am getting some symptoms like body pain, body tiredness, bitter mouth, sore throat, tightness in neck.So, I am fully scared. My question is that are these symptoms related to HIV or again I have to take another HIV test? Recently I did a WBC count test and it is 12000.I have got Vitamin D test results as 16.6 ng/ml. Is Vitamin D deficiency related to my symptoms? I got Vitamin B12 test results as 188 pg/ml. Is this related to the beginning of HIV infection? I am totally confused.Please answer my questions. | Hello, Welcome to Chat Doctor forum. So whatever symptoms are there, it is due to vitamin deficiency. All tests are negative so it is clear that there is no HIV infection. So do not worry. You can consult a general physician. So he will give you written prescription, even I can but a long treatment is required. You will be all right after taking treatment. For more information consult a HIV AIDS specialist online |
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Hello doctor,My tonsils are not symmetrical. I first noticed just two months ago that my right tonsil looks like a kidney bean with a small hole on top while my left tonsil looks oval in shape with a much larger hole. My right tonsil looks like there is a lump of the bottom of it. I am 28 years old and I smoked for just under 10 years and I have not tested positive for HPV. I do not have any lumps that I can feel, have not lost any weight, do not feel regularly sick. I did have a sore throat a month ago and my left tonsil did feel infected. I did push quite a few tonsil stones from it. I am worried that the asymmetry of my tonsils may be an indicator of cancer.
### Response:
Hi, Welcome to Chat Doctor forum. Tonsils are our lymphoid organs which protect us from infections. The shape of tonsil can vary from person to person and asymmetrical shapes are not at all indicators for cancer. The holes you mentioned are called crypts which lodges food particles which can form stones. Hence, regular salt water gargling is advised. A sore throat you had was because of smoking which is a normal phenomenon of a tonsil infection. Hence you need not to worry thinking abnormal shapes of tonsil for cancer which is pretty much normal in all individual. Finally, regular gargling and antibiotic for a sore throat will relieve your problem. If at all tonsils are troubling you a lot, you can get them removed. | Hello doctor,My tonsils are not symmetrical. I first noticed just two months ago that my right tonsil looks like a kidney bean with a small hole on top while my left tonsil looks oval in shape with a much larger hole. My right tonsil looks like there is a lump of the bottom of it. I am 28 years old and I smoked for just under 10 years and I have not tested positive for HPV. I do not have any lumps that I can feel, have not lost any weight, do not feel regularly sick. I did have a sore throat a month ago and my left tonsil did feel infected. I did push quite a few tonsil stones from it. I am worried that the asymmetry of my tonsils may be an indicator of cancer. | Hi, Welcome to Chat Doctor forum. Tonsils are our lymphoid organs which protect us from infections. The shape of tonsil can vary from person to person and asymmetrical shapes are not at all indicators for cancer. The holes you mentioned are called crypts which lodges food particles which can form stones. Hence, regular salt water gargling is advised. A sore throat you had was because of smoking which is a normal phenomenon of a tonsil infection. Hence you need not to worry thinking abnormal shapes of tonsil for cancer which is pretty much normal in all individual. Finally, regular gargling and antibiotic for a sore throat will relieve your problem. If at all tonsils are troubling you a lot, you can get them removed. |
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Hello doctor,I had a minor injury four weeks ago when my partner while on the bed accidentally hit my erected penis on the left side next to the frenulum under the head. I had some minor pains here and there but I stopped all sexual activities. I did notice a very sharp pain today after an erection only, and the pain was at the same location of the injury. As I wanted to feel if there is a lump I did feel something there at the same location I described above (size of 1-2 millimeters). Please tell me if this will heal in a good way such as no scar tissue or bad way with scar tissue and Peyronie\\s as my age is only 26 and I do not have any medical history or problems, and the same for my family. I do have varicoceles on my left nut sack grade 1. I have attached a picture of the frenulum.My questions are
### Response:
Hello, Welcome to Chat Doctor forum. I have seen the pictures. (attachment removed to protect patient identity). If the trauma was at the level of frenulum then you can go for frenuloplasty so that frenulum will be freed from glans and there should not be any problem further. Peyronie\\s disease generally develops after trauma to the shaft of penis. There is no recommendation to start medication for this prophylactically. Take some pain killers and anti-inflammatory medicines so that pain and inflammation will subside early. It may take three to five days. | Hello doctor,I had a minor injury four weeks ago when my partner while on the bed accidentally hit my erected penis on the left side next to the frenulum under the head. I had some minor pains here and there but I stopped all sexual activities. I did notice a very sharp pain today after an erection only, and the pain was at the same location of the injury. As I wanted to feel if there is a lump I did feel something there at the same location I described above (size of 1-2 millimeters). Please tell me if this will heal in a good way such as no scar tissue or bad way with scar tissue and Peyronie\\s as my age is only 26 and I do not have any medical history or problems, and the same for my family. I do have varicoceles on my left nut sack grade 1. I have attached a picture of the frenulum.My questions are | Hello, Welcome to Chat Doctor forum. I have seen the pictures. (attachment removed to protect patient identity). If the trauma was at the level of frenulum then you can go for frenuloplasty so that frenulum will be freed from glans and there should not be any problem further. Peyronie\\s disease generally develops after trauma to the shaft of penis. There is no recommendation to start medication for this prophylactically. Take some pain killers and anti-inflammatory medicines so that pain and inflammation will subside early. It may take three to five days. |
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Hello doctor,My son is 10 years old. Since one year, he has been urinating in his pants in school and often arguing with adults and sometimes with other kids. He has once threatened me that he would commit suicide. He tells people he is a \"master manipulator\" and that there is nothing wrong with him. He has been seeing a counselor once a week for about a year, and she has twice diagnosed him with ADHD. He has no problems paying attention and is not hyperactive or fidgety. I do not feel this diagnosis is accurate. We have been trying to have an appointment with a psychologist for the past five months and have got one recently. In the meanwhile, we are hoping to find some answers. What could be going wrong on with him?
### Response:
Hello, Welcome to Chat Doctor forum. I understand your concern. From your description, there are two things which come to my mind apart from the ADHD (attention-deficit hyperactivity disorder). One is ODD (oppositional defiant disorder), and the other one is a conduct disorder. But, your description does not suffice the above diagnoses. For this, I need more data and a detailed description of his behaviors. Since how long has he has been exhibiting such behavior? Such behaviors need early treatment with medications and counseling. Psychotherapies can effectively control and prevent the child from doing something dangerous. So, I suggest you continue with your current treatment and consult a psychiatrist. All the best. Regards. For more information consult a psychiatrist online | Hello doctor,My son is 10 years old. Since one year, he has been urinating in his pants in school and often arguing with adults and sometimes with other kids. He has once threatened me that he would commit suicide. He tells people he is a \"master manipulator\" and that there is nothing wrong with him. He has been seeing a counselor once a week for about a year, and she has twice diagnosed him with ADHD. He has no problems paying attention and is not hyperactive or fidgety. I do not feel this diagnosis is accurate. We have been trying to have an appointment with a psychologist for the past five months and have got one recently. In the meanwhile, we are hoping to find some answers. What could be going wrong on with him? | Hello, Welcome to Chat Doctor forum. I understand your concern. From your description, there are two things which come to my mind apart from the ADHD (attention-deficit hyperactivity disorder). One is ODD (oppositional defiant disorder), and the other one is a conduct disorder. But, your description does not suffice the above diagnoses. For this, I need more data and a detailed description of his behaviors. Since how long has he has been exhibiting such behavior? Such behaviors need early treatment with medications and counseling. Psychotherapies can effectively control and prevent the child from doing something dangerous. So, I suggest you continue with your current treatment and consult a psychiatrist. All the best. Regards. For more information consult a psychiatrist online |
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Hello doctor,Just had a baby three weeks ago. Three days ago it started to pain under left breast then under left armpit. The pain continued in a part of my arm, then a spot on my neck and then a spot on my shoulder. And I read about heart attack. And I have been under a lot of stress recently. Kindly advice.
### Response:
Hello. Unlikely to be a heart attack. This is atypical chest pain. I guess you do not have any shortness of breath. Considering your age group the possibility of heart attack is extremely low. Next, the pattern of pain is not consistent with the heart attack. Heart attack pain is sudden onset, retrosternal or left-sided rather than just below the breast, going to left arm associated with uneasiness sweating, etc. It usually does not persist for three days even without treatment. The possibilities in you are musculoskeletal pain, cervical causes, pain from breast itself due to hormonal changes and stretching of tissues due to breast enlargement, etc. Try to press over the site and see if pain reappears, if yes then it suggests that it is a local pain rather than due to the heart attack. So, unlikely to be related to heart attack, but should get examined by a local doctor and ECG done if necessary after examination. Examination of doctor will also help to assess the possibility of peripartum cardiomyopathy, which usually presents with shortness of breath rather than chest pain. Hope this helps you and get back if you have any doubts. Take care. | Hello doctor,Just had a baby three weeks ago. Three days ago it started to pain under left breast then under left armpit. The pain continued in a part of my arm, then a spot on my neck and then a spot on my shoulder. And I read about heart attack. And I have been under a lot of stress recently. Kindly advice. | Hello. Unlikely to be a heart attack. This is atypical chest pain. I guess you do not have any shortness of breath. Considering your age group the possibility of heart attack is extremely low. Next, the pattern of pain is not consistent with the heart attack. Heart attack pain is sudden onset, retrosternal or left-sided rather than just below the breast, going to left arm associated with uneasiness sweating, etc. It usually does not persist for three days even without treatment. The possibilities in you are musculoskeletal pain, cervical causes, pain from breast itself due to hormonal changes and stretching of tissues due to breast enlargement, etc. Try to press over the site and see if pain reappears, if yes then it suggests that it is a local pain rather than due to the heart attack. So, unlikely to be related to heart attack, but should get examined by a local doctor and ECG done if necessary after examination. Examination of doctor will also help to assess the possibility of peripartum cardiomyopathy, which usually presents with shortness of breath rather than chest pain. Hope this helps you and get back if you have any doubts. Take care. |
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Hi doctor,I took the first abortion pill but until now, I did not get bleed. What is the reason?
### Response:
Hello. It is really a very short description of your concern. It would be better if you would send me your detailed gynecological, menstrual, obstetric, medical and other histories. Which pill have you taken and how much dose? Had you confirmed your pregnancy status before having the pill? If not, have serum beta hCG (blood pregnancy test) to have a clear idea about your pregnancy. On which date have you taken the pill and what was your last period date? If pregnancy is confirmed and it is early pregnancy, emergency contraceptive pills give with ChatDoctor. Kindly send me your details so that I can guide you. In case of a positive pregnancy test, check again the level of beta hCG after 48 hours from the previous test. It will give us a clear idea about pregnancy progression or the effect of the pill on it as well. If the second level comes less than the previous it is a miscarriage. If the second level shows increase more than 60 % then it is a normal growing pregnancy. If the second level shows less then 60 % increase it is alarming and you need a transvaginal scan to exclude pregnancy outside the uterus (ectopic pregnancy). In case of pain, bleeding, dizziness with a positive pregnancy test, better to report to a tertiary care unit. For more information consult an obstetrician and gynaecologist online | Hi doctor,I took the first abortion pill but until now, I did not get bleed. What is the reason? | Hello. It is really a very short description of your concern. It would be better if you would send me your detailed gynecological, menstrual, obstetric, medical and other histories. Which pill have you taken and how much dose? Had you confirmed your pregnancy status before having the pill? If not, have serum beta hCG (blood pregnancy test) to have a clear idea about your pregnancy. On which date have you taken the pill and what was your last period date? If pregnancy is confirmed and it is early pregnancy, emergency contraceptive pills give with ChatDoctor. Kindly send me your details so that I can guide you. In case of a positive pregnancy test, check again the level of beta hCG after 48 hours from the previous test. It will give us a clear idea about pregnancy progression or the effect of the pill on it as well. If the second level comes less than the previous it is a miscarriage. If the second level shows increase more than 60 % then it is a normal growing pregnancy. If the second level shows less then 60 % increase it is alarming and you need a transvaginal scan to exclude pregnancy outside the uterus (ectopic pregnancy). In case of pain, bleeding, dizziness with a positive pregnancy test, better to report to a tertiary care unit. For more information consult an obstetrician and gynaecologist online |
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Hello doctor,My 3-year-old son weighing 19 kg seems to develop running nose along with nasal congestion today afternoon. He also seems to have some amount of breathing difficulty today while sleeping, although he does not have any background in asthma.I have some questions
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Hello, Welcome to Chat Doctor forum. The dose of Cetirizine is fine and you can give it for two days more and see. If there is no improvement then kindly do a physical examination. Nasoclear nasal spray can be easily used in form of spray be inserting the tip into the nostril and pressing it. The child can be taught to do himself. Giving plain steam can be an alternate option. Calpol (Paracetamol) can be given if there is throat pain or fever. Ibugesic plus (Ibuprofen and Paracetamol) syrup can be used for high fever. Salt water gargling will help with throat pain. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Fresh fruit juices which are at room temperature can be given any time. Giving curd depends if that triggers cold in him when given. It is better to avoid flu vaccination for now. You can plan it after one week. This time of the year is fine to take flu vaccination. Generally, it is recommended to take in in the latter months of the year. There have been major outbreaks even during summer. Hence it is better to protect your child. For more information consult a paediatrician online | Hello doctor,My 3-year-old son weighing 19 kg seems to develop running nose along with nasal congestion today afternoon. He also seems to have some amount of breathing difficulty today while sleeping, although he does not have any background in asthma.I have some questions | Hello, Welcome to Chat Doctor forum. The dose of Cetirizine is fine and you can give it for two days more and see. If there is no improvement then kindly do a physical examination. Nasoclear nasal spray can be easily used in form of spray be inserting the tip into the nostril and pressing it. The child can be taught to do himself. Giving plain steam can be an alternate option. Calpol (Paracetamol) can be given if there is throat pain or fever. Ibugesic plus (Ibuprofen and Paracetamol) syrup can be used for high fever. Salt water gargling will help with throat pain. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. Fresh fruit juices which are at room temperature can be given any time. Giving curd depends if that triggers cold in him when given. It is better to avoid flu vaccination for now. You can plan it after one week. This time of the year is fine to take flu vaccination. Generally, it is recommended to take in in the latter months of the year. There have been major outbreaks even during summer. Hence it is better to protect your child. For more information consult a paediatrician online |
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Hi doctor,My husband abused me emotionally and physically for five years. He feels very low, sad and feels negative towards everything. He has self-pity. It happens for a few days to few weeks. After that, he starts having anger. Finding fault in everything especially in me. He has the habit of doing emotional abuse which again goes on for a few days. On following it, he becomes aggressive and then there is physical abuse too. Then, he becomes ordinary. He is a very loving, and a caring spouse. He is dependent on me. Then again the whole thing gets repeated. What is happening to him? He had taken Fluoxetine for eight months before 15 years.
### Response:
Hi. Your husband may have depression or anger outburst problem. If your husband is abusing any substance like alcohol or cannabis, it can also cause the above issues. Your husband needs face to face psychiatrist consultation. His symptoms can be controlled with medication and need to stop abusing alcohol or cannabis. Try to find out if your husband has any social, financial or work problems. Help him. You must spend quality time with him. You must take dinner or at least a one-time food together. Try to go for walk together daily after dinner or early morning for 30 to 40 minutes. Give him surprises or try to make him happy. Fluoxetine is one of the right options for your husband. It will help him to manage the depression and anger outburst. For more information consult a psychiatrist online | Hi doctor,My husband abused me emotionally and physically for five years. He feels very low, sad and feels negative towards everything. He has self-pity. It happens for a few days to few weeks. After that, he starts having anger. Finding fault in everything especially in me. He has the habit of doing emotional abuse which again goes on for a few days. On following it, he becomes aggressive and then there is physical abuse too. Then, he becomes ordinary. He is a very loving, and a caring spouse. He is dependent on me. Then again the whole thing gets repeated. What is happening to him? He had taken Fluoxetine for eight months before 15 years. | Hi. Your husband may have depression or anger outburst problem. If your husband is abusing any substance like alcohol or cannabis, it can also cause the above issues. Your husband needs face to face psychiatrist consultation. His symptoms can be controlled with medication and need to stop abusing alcohol or cannabis. Try to find out if your husband has any social, financial or work problems. Help him. You must spend quality time with him. You must take dinner or at least a one-time food together. Try to go for walk together daily after dinner or early morning for 30 to 40 minutes. Give him surprises or try to make him happy. Fluoxetine is one of the right options for your husband. It will help him to manage the depression and anger outburst. For more information consult a psychiatrist online |
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Hello doctor,My partner has type-2 diabetes and has lost several teeth. I am trying to talk him into a dentist visit, not necessarily to walk out with implants or dentures, but to just get an exam and a cleaning done. He believes that the few teeth he does have left will not survive even something as simple as teeth cleaning. That the dentist would take one look and want to pull them. Are his concerns/fears valid? Thank you.
### Response:
Hi, Welcome to Chat Doctor forum. How are you doing? First of all, do not worry. Maybe he is afraid of dental visits because of previous experiences. Uncontrolled diabetes can cause bone loss and hence tooth mobility, in conjunction with improper oral hygiene. Since I do not know the condition of his remaining teeth, I cannot comment on the treatment that will be advised for him. You can maybe send me an image of his teeth and I can advise you more precisely. Secondly, I would advise him to get his missing teeth replaced as this prolonged period of missing teeth might cause aggravated bone loss. The implant will not suit him as he is diabetic, you can go for removable dentures or fixed partial denture (if he has sound teeth left). Tell him to go get a dental visit done. Dentists are there to help you out. Nothing will be done without his consent. Moreover, he can explain his problems and fears and the doctor will accordingly plan the treatment. Feel free to ask further questions. Take care. For more information consult a dentist online | Hello doctor,My partner has type-2 diabetes and has lost several teeth. I am trying to talk him into a dentist visit, not necessarily to walk out with implants or dentures, but to just get an exam and a cleaning done. He believes that the few teeth he does have left will not survive even something as simple as teeth cleaning. That the dentist would take one look and want to pull them. Are his concerns/fears valid? Thank you. | Hi, Welcome to Chat Doctor forum. How are you doing? First of all, do not worry. Maybe he is afraid of dental visits because of previous experiences. Uncontrolled diabetes can cause bone loss and hence tooth mobility, in conjunction with improper oral hygiene. Since I do not know the condition of his remaining teeth, I cannot comment on the treatment that will be advised for him. You can maybe send me an image of his teeth and I can advise you more precisely. Secondly, I would advise him to get his missing teeth replaced as this prolonged period of missing teeth might cause aggravated bone loss. The implant will not suit him as he is diabetic, you can go for removable dentures or fixed partial denture (if he has sound teeth left). Tell him to go get a dental visit done. Dentists are there to help you out. Nothing will be done without his consent. Moreover, he can explain his problems and fears and the doctor will accordingly plan the treatment. Feel free to ask further questions. Take care. For more information consult a dentist online |
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Hi doctor,I disk golf in an area where a decent amount of poison oak is present. I would like to know how fast urushiol binds to skin, and once it does is there any possibility to spread?I use an electronic cigarette which requires me to handle cotton that I feed into the atomizer. My doubt is if urushiol vaporizes automatically, what will be the harm?
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Hello, Welcome to Chat Doctor forum. I have read your query. Poison oak causes allergic contact dermatitis (ACD) and is the most common cause of ACD than all the other causes combined. The allergen which cause ACD is usually present within the sap named urushiol and it will be mainly present in the leaves and the inner stems of the plant. After the contact with any part of the plant it usually takes 12 - 48 hours for the symptoms to occur. But the resin will bond immediately to the skin on contact. So, you should remove it with a mild soap wash immediately. If within 10 - 15 minutes of contact washing is done, 50% can be removed. But, if it is beyond one hour, washing does not help much. You can use Bentonite barrier creams which can prevent bonding of urushiol to your exposed parts. Urushiol once bound to the skin does not vaporize and does not spread to other parts of the body. As it is a local reaction, the intensity of it depends on the amount of resin contacted. | Hi doctor,I disk golf in an area where a decent amount of poison oak is present. I would like to know how fast urushiol binds to skin, and once it does is there any possibility to spread?I use an electronic cigarette which requires me to handle cotton that I feed into the atomizer. My doubt is if urushiol vaporizes automatically, what will be the harm? | Hello, Welcome to Chat Doctor forum. I have read your query. Poison oak causes allergic contact dermatitis (ACD) and is the most common cause of ACD than all the other causes combined. The allergen which cause ACD is usually present within the sap named urushiol and it will be mainly present in the leaves and the inner stems of the plant. After the contact with any part of the plant it usually takes 12 - 48 hours for the symptoms to occur. But the resin will bond immediately to the skin on contact. So, you should remove it with a mild soap wash immediately. If within 10 - 15 minutes of contact washing is done, 50% can be removed. But, if it is beyond one hour, washing does not help much. You can use Bentonite barrier creams which can prevent bonding of urushiol to your exposed parts. Urushiol once bound to the skin does not vaporize and does not spread to other parts of the body. As it is a local reaction, the intensity of it depends on the amount of resin contacted. |
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Hello doctor,I am 26 years old. For the last 10 years, I am suffering from very weak hand grip strength. At the age of 16 it started and grip strength was negligible for like four years. Then I started working out with hand grippers and the condition has improved a lot. There is no pain or numbness but still, at times, I feel my gripping strength is very weak and when I perform exercise it improves for the time being as I can feel the blood rushing inside the hands.My query is that does masturbation has any link with this because I have noticed often that after performing the act the situation starts getting worse as in there is very less blood flow in hands and I feel very low gripping strength. I have no issue in lifting weights eg. bench press and there is no pain while doing any kind of lifts. Please guide me on my condition.
### Response:
Hello, Welcome to Chat Doctor forum. There is no link between masturbation and handgrip weakness. The cause of your hand grip weakness needs to evaluate further. You need an in-person neurologist consultation face to face because we need to examine your strength, reflexes, sensations of your hands. Is the weakness is more on the right or left? Do legs are involved or not? After a thorough physical examination only we can advise MRI (magnetic resonance imaging) cervical spine or nerve conduction study. But as a neurologist, I can definitely guide you that there is no link between masturbation and hand weakness. | Hello doctor,I am 26 years old. For the last 10 years, I am suffering from very weak hand grip strength. At the age of 16 it started and grip strength was negligible for like four years. Then I started working out with hand grippers and the condition has improved a lot. There is no pain or numbness but still, at times, I feel my gripping strength is very weak and when I perform exercise it improves for the time being as I can feel the blood rushing inside the hands.My query is that does masturbation has any link with this because I have noticed often that after performing the act the situation starts getting worse as in there is very less blood flow in hands and I feel very low gripping strength. I have no issue in lifting weights eg. bench press and there is no pain while doing any kind of lifts. Please guide me on my condition. | Hello, Welcome to Chat Doctor forum. There is no link between masturbation and handgrip weakness. The cause of your hand grip weakness needs to evaluate further. You need an in-person neurologist consultation face to face because we need to examine your strength, reflexes, sensations of your hands. Is the weakness is more on the right or left? Do legs are involved or not? After a thorough physical examination only we can advise MRI (magnetic resonance imaging) cervical spine or nerve conduction study. But as a neurologist, I can definitely guide you that there is no link between masturbation and hand weakness. |
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Hello doctor,I have started getting Venus Viva skin resurfacing treatment for atrophic acne scars. I will be getting six sessions over the next six months. I want to complement this treatment with a healthy skin care regime. I read that aloe vera gel and certain essential oils such as carrot seed and lavender essential oil aid in skin regeneration. My question is can I apply these oils (diluted in grapeseed oil) or aloe vera gel as an overnight lotion? Will it clash with whatever process the viva treatment has initiated within my skin? I do not like the night cream offered by my cosmetologist as it appears a little too emollient and does not smell that good. Also, I would rather use something natural.
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Hello. I have noted your concern. A resurfacing treatment would leave your skin red and sensitive for a few days till the epidermis regenerates fully. So, you should be judicious in using products which supposedly while aiding skin regeneration are in fact, irritating or comedogenic. I am against using essential oils on the face, particularly because they usually do not suit sensitive skin and being an oil they can flare up acne which I am sure would be the last thing in the world you would be expecting, considering that you are taking these sessions to improve the appearance of your acne scars. Aloe vera gel is a good option and you can definitely use it post resurfacing sessions. Make sure you use a good brand and not raw aloe vera extracted directly from the leaves. For more information consult a dermatologist online | Hello doctor,I have started getting Venus Viva skin resurfacing treatment for atrophic acne scars. I will be getting six sessions over the next six months. I want to complement this treatment with a healthy skin care regime. I read that aloe vera gel and certain essential oils such as carrot seed and lavender essential oil aid in skin regeneration. My question is can I apply these oils (diluted in grapeseed oil) or aloe vera gel as an overnight lotion? Will it clash with whatever process the viva treatment has initiated within my skin? I do not like the night cream offered by my cosmetologist as it appears a little too emollient and does not smell that good. Also, I would rather use something natural. | Hello. I have noted your concern. A resurfacing treatment would leave your skin red and sensitive for a few days till the epidermis regenerates fully. So, you should be judicious in using products which supposedly while aiding skin regeneration are in fact, irritating or comedogenic. I am against using essential oils on the face, particularly because they usually do not suit sensitive skin and being an oil they can flare up acne which I am sure would be the last thing in the world you would be expecting, considering that you are taking these sessions to improve the appearance of your acne scars. Aloe vera gel is a good option and you can definitely use it post resurfacing sessions. Make sure you use a good brand and not raw aloe vera extracted directly from the leaves. For more information consult a dermatologist online |
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Hi doctor,I am 43 years old. I am having three children. Up to February, my menses cycles were at routine (monthly normally at 10-12 th of every month). My Hbp level is at 7+, but for the first time in the March I had no cycle, and in April I just had spotting. Now from the 1st May, I am having full bleeding, till today.The same case happens with my sister at the age of 41. She faced the same issue and on consulting the doctor, she was advised Progyluton tablet 2 mg / 0.5 mg for 21 days +TriHemic 600 tablet. Due to lockdown, I cannot contact my doctor, can you please guide me? Can I follow the prescription of my sister?
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Hi, Welcome to Chat Doctor forum. I understand your concern. Normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes. So in your case, you might be transiting into menopause. However, if you have excessive bleeding during menses then take tablet Pause MF (Tranexamic acid and Mefenamic acid) three times daily if bleeding is heavy. Also, women must take calcium supplement after 30 years. Please take tablet Calcimax once daily after food. If your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes. | Hi doctor,I am 43 years old. I am having three children. Up to February, my menses cycles were at routine (monthly normally at 10-12 th of every month). My Hbp level is at 7+, but for the first time in the March I had no cycle, and in April I just had spotting. Now from the 1st May, I am having full bleeding, till today.The same case happens with my sister at the age of 41. She faced the same issue and on consulting the doctor, she was advised Progyluton tablet 2 mg / 0.5 mg for 21 days +TriHemic 600 tablet. Due to lockdown, I cannot contact my doctor, can you please guide me? Can I follow the prescription of my sister? | Hi, Welcome to Chat Doctor forum. I understand your concern. Normal age for menopause is 42 to 52 years during which menses become irregular with excessive bleeding sometimes. So in your case, you might be transiting into menopause. However, if you have excessive bleeding during menses then take tablet Pause MF (Tranexamic acid and Mefenamic acid) three times daily if bleeding is heavy. Also, women must take calcium supplement after 30 years. Please take tablet Calcimax once daily after food. If your bleeding does not subside with the above medication please get an ultrasound pelvis to rule out the other causes. |
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Hi doctor,I am just wondering if retainers can be used to realign teeth? I have had braces off for a month and have worn mine religiously but it feels like my teeth are relapsing a little bit despite this. Is this possible? Namely, my teeth before braces were not aligned properly, had spaces, and my ortho had trouble aligning them, as they are straight but going across diagonally, but we worked on this and got it better.When my braces came off, they felt straight, I was really happy. Now, it seems like my teeth are going diagonally and not aligned anymore and is causing anxiety. I want my teeth to come straight down and not be slanted. Also, can my two front teeth be improved by filing? I have already visited my ortho once to have my essix fixed, and my Hawley\\s was severely tightened during that time, so I feel like contacting them just a couple of weeks later again.
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Hello, Welcome to Chat Doctor forum. Once the braces are removed, you have to wear the retainers for at least eight months. You have to wear them literally all the time. Else there are high chances for relapse. And yes your front teeth can be filled using tooth colored composite restoration. You just have to visit the dentist every 30- 45 days to lightly activate the retainer. Please be careful regarding this. If the teeth relapse beyond an extent, then you probably will have to restart the treatment all over again. I hope this helps. | Hi doctor,I am just wondering if retainers can be used to realign teeth? I have had braces off for a month and have worn mine religiously but it feels like my teeth are relapsing a little bit despite this. Is this possible? Namely, my teeth before braces were not aligned properly, had spaces, and my ortho had trouble aligning them, as they are straight but going across diagonally, but we worked on this and got it better.When my braces came off, they felt straight, I was really happy. Now, it seems like my teeth are going diagonally and not aligned anymore and is causing anxiety. I want my teeth to come straight down and not be slanted. Also, can my two front teeth be improved by filing? I have already visited my ortho once to have my essix fixed, and my Hawley\\s was severely tightened during that time, so I feel like contacting them just a couple of weeks later again. | Hello, Welcome to Chat Doctor forum. Once the braces are removed, you have to wear the retainers for at least eight months. You have to wear them literally all the time. Else there are high chances for relapse. And yes your front teeth can be filled using tooth colored composite restoration. You just have to visit the dentist every 30- 45 days to lightly activate the retainer. Please be careful regarding this. If the teeth relapse beyond an extent, then you probably will have to restart the treatment all over again. I hope this helps. |
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Hello doctor,I had an episode of severe palpitations early this year, following which I went through ECG, 2D echo, stress test, and troponin. All the tests were normal. I have been experiencing intermittent chest, neck, and back pain since two yrars. The doctor started with Nebicard SM 5 mg, which he recently halved to 2.5 mg. Both the cardiologists I visited, have ruled out the possibility of a cardiac problem. I am anxiety-prone. I often feel like I may die of a heart attack. The thoughts of death have increased in the past two weeks. My pulse rate seems to be between 55 to 65 bpm at rest and does not seem to rise beyond 80 bpm even while walking. The chest, neck, and back pain still persists. At times I feel dizzy, weak, and very occasionally feel short of breath.
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Hello. I understand your concern. Anxiety is widespread amongst healthy young adults these days. Most often, palpitation is not as a result of a heart problem. I usually advise my patients to engage in exercises like Yoga or deep breathing exercises. Getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. If you stick to these changes, there should be an improvement in four to six weeks. If you do not get better, you will have to see a psychologist. Best regards. For more information consult a cardiologist online Take care. | Hello doctor,I had an episode of severe palpitations early this year, following which I went through ECG, 2D echo, stress test, and troponin. All the tests were normal. I have been experiencing intermittent chest, neck, and back pain since two yrars. The doctor started with Nebicard SM 5 mg, which he recently halved to 2.5 mg. Both the cardiologists I visited, have ruled out the possibility of a cardiac problem. I am anxiety-prone. I often feel like I may die of a heart attack. The thoughts of death have increased in the past two weeks. My pulse rate seems to be between 55 to 65 bpm at rest and does not seem to rise beyond 80 bpm even while walking. The chest, neck, and back pain still persists. At times I feel dizzy, weak, and very occasionally feel short of breath. | Hello. I understand your concern. Anxiety is widespread amongst healthy young adults these days. Most often, palpitation is not as a result of a heart problem. I usually advise my patients to engage in exercises like Yoga or deep breathing exercises. Getting adequate sleep of six to seven hours, avoiding coffee, alcohol, and smoking will help your situation. If you stick to these changes, there should be an improvement in four to six weeks. If you do not get better, you will have to see a psychologist. Best regards. For more information consult a cardiologist online Take care. |
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Hello doctor,I have E.coli bacterial infection. I am taking Ciplox TZ and Nitrofurantoin. But after taking Nitro, I get pain in the stomach and the right side in the groin area. Also if I go for a walk for around 1 km, I feel pain in the groin area and cannot walk for more than two kilometers. I also have kidney stones on bilateral sides. I have a grade II fatty liver. Please advise.
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Hello. You have bilateral renal pelvic obstruction due to stones with diabetes with urinary tract infection. The pain in the groin is due to pelvic renal calculi, the pain of which radiates to the groin. The infection needs to be treated with tablet Levoflox 500 mg once a day for 14 days along with injection Amikacin 500 mg twice a day for 14 days (if serum creatinine is less than 1.6 mg/dl) followed by clearance of stones bilaterally. Otherwise, your infection does not get resolved as the pus is due to disease associated with stones. Your stomach upset and pain in the abdomen is due to Nitrofurantoin, which causes gastritis and acidity. Nitrofurantoin is not the right choice for treating such infection. It can be useful as maintenance therapy. Kindly get diabetes treated. Please check serum creatinine checked once you start injection Amikacin. The presence of stones prevents the total clearance of infection. Please get back to me if you have any more queries. | Hello doctor,I have E.coli bacterial infection. I am taking Ciplox TZ and Nitrofurantoin. But after taking Nitro, I get pain in the stomach and the right side in the groin area. Also if I go for a walk for around 1 km, I feel pain in the groin area and cannot walk for more than two kilometers. I also have kidney stones on bilateral sides. I have a grade II fatty liver. Please advise. | Hello. You have bilateral renal pelvic obstruction due to stones with diabetes with urinary tract infection. The pain in the groin is due to pelvic renal calculi, the pain of which radiates to the groin. The infection needs to be treated with tablet Levoflox 500 mg once a day for 14 days along with injection Amikacin 500 mg twice a day for 14 days (if serum creatinine is less than 1.6 mg/dl) followed by clearance of stones bilaterally. Otherwise, your infection does not get resolved as the pus is due to disease associated with stones. Your stomach upset and pain in the abdomen is due to Nitrofurantoin, which causes gastritis and acidity. Nitrofurantoin is not the right choice for treating such infection. It can be useful as maintenance therapy. Kindly get diabetes treated. Please check serum creatinine checked once you start injection Amikacin. The presence of stones prevents the total clearance of infection. Please get back to me if you have any more queries. |
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Hi doctor,I have pain in my right ear. The pain feels above and below my ear area. It subsides when I grind my teeth but in general, I keep having a light pain and the ear feels like it is closed. I do not have any infection or anything. The only thing at present is I have a slightly inflamed tonsil for which I am using antibiotics. The other thing is I am using antibiotics anxiety tablet Xet CR 12.5
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Hello, Welcome to Chat Doctor forum. The pain could be referred pain from tonsils or TM (temporomandibular) joint pain or some proper earache. Since you are saying you do not have any infection, I am inclined to diagnose it as referred pain from tonsils. Tonsils and ear have the same nerves supplying them and the pain can get referred to ear from tonsil. If you can send a picture of your tonsils it will be very helpful. You just have to click few pics of good clarity of open mouth taking care to focus on the posterior pharyngeal wall. Additionally, please answer the following questions. Do you have throat pain? Any fever? Any a cough? Any decreased hearing? Any difficulty in swallowing? Any nose block or running nose or a headache or sinus pressure? What antibiotics are you on? Has this occurredbefore? How old are you? What is your work? Do you smoke or ChatDoctor. ChatDoctor/ask-a-doctor-online/ENT-Otolaryngologist | Hi doctor,I have pain in my right ear. The pain feels above and below my ear area. It subsides when I grind my teeth but in general, I keep having a light pain and the ear feels like it is closed. I do not have any infection or anything. The only thing at present is I have a slightly inflamed tonsil for which I am using antibiotics. The other thing is I am using antibiotics anxiety tablet Xet CR 12.5 | Hello, Welcome to Chat Doctor forum. The pain could be referred pain from tonsils or TM (temporomandibular) joint pain or some proper earache. Since you are saying you do not have any infection, I am inclined to diagnose it as referred pain from tonsils. Tonsils and ear have the same nerves supplying them and the pain can get referred to ear from tonsil. If you can send a picture of your tonsils it will be very helpful. You just have to click few pics of good clarity of open mouth taking care to focus on the posterior pharyngeal wall. Additionally, please answer the following questions. Do you have throat pain? Any fever? Any a cough? Any decreased hearing? Any difficulty in swallowing? Any nose block or running nose or a headache or sinus pressure? What antibiotics are you on? Has this occurredbefore? How old are you? What is your work? Do you smoke or ChatDoctor. ChatDoctor/ask-a-doctor-online/ENT-Otolaryngologist |
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Hello doctor,I am about to have an open inguinal hernia operation after 15 days. I have been having terrible anxiety leading up to it. I went to my PCP today and informed him of this. He prescribed 25 mg of Zoloft for me. I have read that it takes a month for Zoloft to work. Also, I have read that Zoloft can cause bleeding and complicated risk after surgery. I will be under general anesthesia. Is it safer for me to wait and begin taking the Zoloft after the surgery if I need it?
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Hi, Welcome to Chat Doctor forum. I would like to know that whether your hernia is the cause of anxiety. If anxiety is the case let me assure you that you have nothing to worry from surgical aspect as hernia repair is not a complicated or major surgery. So, the blood loss should not be worrying if you were only on Zoloft. But would like to know if you are having any other medication. Also, since your BMI indicates you are obese, which might be one of the causes for a hernia. Would like to know some other parameters like your blood pressure and sugars, your cardiac status as indicated by ECG and 2D echo. How is your exercise tolerance? Your coagulation profile, other basic blood reports like CBC. How about laparoscopic hernia repair? Or why not under regional anesthesia? Would also suggest yoga and meditation to relieve your anxiety and stress. For more information consult an anesthesiologist online | Hello doctor,I am about to have an open inguinal hernia operation after 15 days. I have been having terrible anxiety leading up to it. I went to my PCP today and informed him of this. He prescribed 25 mg of Zoloft for me. I have read that it takes a month for Zoloft to work. Also, I have read that Zoloft can cause bleeding and complicated risk after surgery. I will be under general anesthesia. Is it safer for me to wait and begin taking the Zoloft after the surgery if I need it? | Hi, Welcome to Chat Doctor forum. I would like to know that whether your hernia is the cause of anxiety. If anxiety is the case let me assure you that you have nothing to worry from surgical aspect as hernia repair is not a complicated or major surgery. So, the blood loss should not be worrying if you were only on Zoloft. But would like to know if you are having any other medication. Also, since your BMI indicates you are obese, which might be one of the causes for a hernia. Would like to know some other parameters like your blood pressure and sugars, your cardiac status as indicated by ECG and 2D echo. How is your exercise tolerance? Your coagulation profile, other basic blood reports like CBC. How about laparoscopic hernia repair? Or why not under regional anesthesia? Would also suggest yoga and meditation to relieve your anxiety and stress. For more information consult an anesthesiologist online |
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Hello doctor,I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The episodes have been happening on and off for the last year in which I have had three MRIs, a full cognitive function test, full set of blood tests, count, liver, kidney, cardiac panel, arthritis, and sleep apnea test. I have also had a cardiac stress test, 24-hour Holter monitor, 5-day event monitor, echocardiogram and these were all negative (no abnormalities were picked up). Of late, I have found that these episodes have been getting more frequent. Could you advise if this could be intracranial pressure, a tumor, seizures, epilepsy or some sort of neurodegenerative disease?
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Hello, Welcome to Chat Doctor forum. I passed carefully through your question and would explain that your symptoms do not seem to be related to intracranial hypertension or any of the other disorders. An inner ear disorder, vertigo, or epilepsy may lead to such clinical situation. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder. If these tests result normal, I would recommend performing an EEG. It is necessary to check also thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful. For more informationconsult a neurologist online | Hello doctor,I have been getting bouts of confusion, dizziness (when looking up and sometimes when getting up), headaches, pulses, and pressure in my head and what I can only explain as brain fog (during these episodes, I find that my problem solving and my cognitive function is diminished). The episodes have been happening on and off for the last year in which I have had three MRIs, a full cognitive function test, full set of blood tests, count, liver, kidney, cardiac panel, arthritis, and sleep apnea test. I have also had a cardiac stress test, 24-hour Holter monitor, 5-day event monitor, echocardiogram and these were all negative (no abnormalities were picked up). Of late, I have found that these episodes have been getting more frequent. Could you advise if this could be intracranial pressure, a tumor, seizures, epilepsy or some sort of neurodegenerative disease? | Hello, Welcome to Chat Doctor forum. I passed carefully through your question and would explain that your symptoms do not seem to be related to intracranial hypertension or any of the other disorders. An inner ear disorder, vertigo, or epilepsy may lead to such clinical situation. For this reason, I recommend consulting with an ENT specialist and performing labyrinthine tests to exclude an inner ear disorder. If these tests result normal, I would recommend performing an EEG. It is necessary to check also thyroid hormone levels for possible thyroid gland dysfunction. Hope you will find this answer helpful. For more informationconsult a neurologist online |
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Hello doctor,I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additional to the PAD, knowing that my left coronary artery is also 40 % blocked, just tripled my risk factor. What can be done and who do I need to go see to get preventive surgery before this disease of my arteries spreads throughout my entire body. All my doctors are stuck as to what to do and I refuse to live on statin drugs. Please advise.
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Hi. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes respectively to control the progress of the disease. There are certain medicines which increase the flow of blood through the arteries by increasing the luminal diameter. They are Cilostazol and Pentoxifylline, and your doctors might have discussed it with you. Medicines to prevent clotting might also be given including Clopidogrel. You should consult a vascular surgeon and regularly follow up. Surgical options include angioplasty, bypass surgery, and thrombolytic procedures. Please consider medicine treatment first and then surgical procedures. | Hello doctor,I am a 47 year old female, who has had a 90 % blocked carotid artery and subsequent endarterectomy at the age of 42 years. A year later, I had a massive heart attack and 100 % block in my right coronary artery. I was just diagnosed with PAD (Peripheral Artery Disease) last week. Additional to the PAD, knowing that my left coronary artery is also 40 % blocked, just tripled my risk factor. What can be done and who do I need to go see to get preventive surgery before this disease of my arteries spreads throughout my entire body. All my doctors are stuck as to what to do and I refuse to live on statin drugs. Please advise. | Hi. I have read through your query in detail. Please find my observations below. Statins are widely used to treat PAD. Depending on other conditions, antihypertensives and medicines to control blood sugar levels are prescribed to patients with hypertension and diabetes respectively to control the progress of the disease. There are certain medicines which increase the flow of blood through the arteries by increasing the luminal diameter. They are Cilostazol and Pentoxifylline, and your doctors might have discussed it with you. Medicines to prevent clotting might also be given including Clopidogrel. You should consult a vascular surgeon and regularly follow up. Surgical options include angioplasty, bypass surgery, and thrombolytic procedures. Please consider medicine treatment first and then surgical procedures. |
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Hello doctor,I am feeling really down. I have had a lot of digestive problems for about two years. I have been diagnosed with candida and dysbiosis but my regular doctor does not seem to know what is wrong with me. I have been very stressed and have suffered anxiety since I was about 16. I was not on any medications and started taking Cymbalta a few months ago.After about three to four days, I started to notice a bit of burning in my feet. I have since stopped taking the Cymbalta about a month ago. My feet seemed fine. Then seven days ago, I have started getting really bad pain in my feet and burning and tickling and pins and needle feelings. I am not diabetic or alcoholic. I have no idea what has brought this on or whether it can be reversed. I am so stressed out. I have to be on my feet for my job for about four and a half hours every morning. Can this be tested to see if the nerve cells are either dead or just damaged and can it be reversed? This feels like it is going to ruin my life. Please help.
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Hello, Welcome to Chat Doctor forum. Regarding your concern, I would agree with you on the fact that your symptoms could be related to a peripheral nerve damage. Coming to this point, I would recommend consulting a neurologist and performing an NCS (nerve conduction study) to examine your nerves. Other tests to investigate the possible causes of your symptoms would be | Hello doctor,I am feeling really down. I have had a lot of digestive problems for about two years. I have been diagnosed with candida and dysbiosis but my regular doctor does not seem to know what is wrong with me. I have been very stressed and have suffered anxiety since I was about 16. I was not on any medications and started taking Cymbalta a few months ago.After about three to four days, I started to notice a bit of burning in my feet. I have since stopped taking the Cymbalta about a month ago. My feet seemed fine. Then seven days ago, I have started getting really bad pain in my feet and burning and tickling and pins and needle feelings. I am not diabetic or alcoholic. I have no idea what has brought this on or whether it can be reversed. I am so stressed out. I have to be on my feet for my job for about four and a half hours every morning. Can this be tested to see if the nerve cells are either dead or just damaged and can it be reversed? This feels like it is going to ruin my life. Please help. | Hello, Welcome to Chat Doctor forum. Regarding your concern, I would agree with you on the fact that your symptoms could be related to a peripheral nerve damage. Coming to this point, I would recommend consulting a neurologist and performing an NCS (nerve conduction study) to examine your nerves. Other tests to investigate the possible causes of your symptoms would be |
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Hello doctor,I am 33 years of age, 165 lbs. I have had anxiety, fatigue, gynecomastia, low libido, no morning hardness, and muscle loss. My lab results came back with my free testosterone level of 9.2 and testosterone level of 485, is this considered low T?
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Hi. I have reviewed your query and can well understand your worries. Normal levels of testosterone range from 300 to 1200 mg/dL and can vary a bit with different laboratories. Yours is not that low but is on lower side for sure. Keeping in view all the symptoms you described, low-T can be suspected if not otherwise ruled out. Just for general knowledge, signs, and symptoms of low testosterone include a change in sleep patterns that may be insomnia or sleep pattern disturbances. Physical changes like increased body fat and reduced muscle mass or bulk. Sexual changes like reduced sexual desire, sexual dysfunction, or infertility. Emotional changes like decreased motivation, depression, lethargic. Worsening of sleep apnea if a patient already has it or if there are risk factors the patient will get sleep apnea possibly. Worsening of congestive heart failure in cardiac patients. Many of your symptoms overlap with low-T. You need further probing in this matter. Your treating physician would help you in this regard. Sometimes diabetes, infections, obesity or other factors may contribute to ending up with low-T. Your physician would rule them out for you. | Hello doctor,I am 33 years of age, 165 lbs. I have had anxiety, fatigue, gynecomastia, low libido, no morning hardness, and muscle loss. My lab results came back with my free testosterone level of 9.2 and testosterone level of 485, is this considered low T? | Hi. I have reviewed your query and can well understand your worries. Normal levels of testosterone range from 300 to 1200 mg/dL and can vary a bit with different laboratories. Yours is not that low but is on lower side for sure. Keeping in view all the symptoms you described, low-T can be suspected if not otherwise ruled out. Just for general knowledge, signs, and symptoms of low testosterone include a change in sleep patterns that may be insomnia or sleep pattern disturbances. Physical changes like increased body fat and reduced muscle mass or bulk. Sexual changes like reduced sexual desire, sexual dysfunction, or infertility. Emotional changes like decreased motivation, depression, lethargic. Worsening of sleep apnea if a patient already has it or if there are risk factors the patient will get sleep apnea possibly. Worsening of congestive heart failure in cardiac patients. Many of your symptoms overlap with low-T. You need further probing in this matter. Your treating physician would help you in this regard. Sometimes diabetes, infections, obesity or other factors may contribute to ending up with low-T. Your physician would rule them out for you. |
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Hi doctor,About 13 years ago, I had an abscess on the right upper first and second molars. The Endodontist has done root canal treatment in these teeth and crowns were placed after the treatment. Recently, I experienced pain around the gums in the second molar and there is a pain radiating to the head. I went to my dentist. He examined and took an X-ray which looked fine. The crown was removed and cleaned by the Hygienist with a Listerine or Peroxide mix. There were food particles and they cleared the food particles present in the crown. My dentist advised me to take tablet Zyrtec every day. The teeth still have a dull type of pain. Could it be an issue of the crown that has not been shown on the X-ray or there is any allergies?
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Hello. It could be mostly due to food impaction causing infection below the crown. So, the dentist might have tried to clean it. If you have X-ray of the teeth please attach it for examination. This pain is definitely not an allergy. Use warm salt water gargle twice a day for a week or two. There will be a relief. If still, the pain persists or increases in future then, you have an option including extraction of the teeth or replacing the crown with a new one causing no food impaction below the crown. You need to take antibiotics for a week if the gums are irritating and if there is a pain. For more information consult an endodontist online | Hi doctor,About 13 years ago, I had an abscess on the right upper first and second molars. The Endodontist has done root canal treatment in these teeth and crowns were placed after the treatment. Recently, I experienced pain around the gums in the second molar and there is a pain radiating to the head. I went to my dentist. He examined and took an X-ray which looked fine. The crown was removed and cleaned by the Hygienist with a Listerine or Peroxide mix. There were food particles and they cleared the food particles present in the crown. My dentist advised me to take tablet Zyrtec every day. The teeth still have a dull type of pain. Could it be an issue of the crown that has not been shown on the X-ray or there is any allergies? | Hello. It could be mostly due to food impaction causing infection below the crown. So, the dentist might have tried to clean it. If you have X-ray of the teeth please attach it for examination. This pain is definitely not an allergy. Use warm salt water gargle twice a day for a week or two. There will be a relief. If still, the pain persists or increases in future then, you have an option including extraction of the teeth or replacing the crown with a new one causing no food impaction below the crown. You need to take antibiotics for a week if the gums are irritating and if there is a pain. For more information consult an endodontist online |
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Hi doctor,I have reduced smoking. From past 30 days, I have only smoked maybe 10 to 12 cigarettes and trying to quit smoking. I had a dry cough but it was gone but sometimes I do a cough maybe three to four times in whole 24 hours. But while brushing my teeth today I was cleaning my tongue, I coughed up blood in my spit and then I went to really polluted area dust and smoke of burning tier. I was not able to breathe. Literally not able to breathe. So, I came home on purpose I coughed blood again and that cough was really from inside. I am scared is this lung cancer? But no pain in chest not breathless while running or anything. I am totally fine. No weight loss, I feel hungry. I am totally fine. Please help.
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Hi, Welcome to Chat Doctor forum. I understand your concerns. Coughing up bloody sputum could be caused by many conditions like bronchitis, pneumonia, TB (tuberculosis), or lung cancer. Unfortunately, all these conditions are exacerbated by smoking. Your age, how much do you smoke and for how long? Have you experienced fever recently? Any phlegm? The cough you experienced is due to chronic bronchitis which is very common for smokers. Coughing could be a simple cause of spitting blood. ( sputum with blood streaks). I suggest that you perform chest X-ray to exclude the serious conditions of coughing up bloody sputum. Send me the X-ray for interpretation). | Hi doctor,I have reduced smoking. From past 30 days, I have only smoked maybe 10 to 12 cigarettes and trying to quit smoking. I had a dry cough but it was gone but sometimes I do a cough maybe three to four times in whole 24 hours. But while brushing my teeth today I was cleaning my tongue, I coughed up blood in my spit and then I went to really polluted area dust and smoke of burning tier. I was not able to breathe. Literally not able to breathe. So, I came home on purpose I coughed blood again and that cough was really from inside. I am scared is this lung cancer? But no pain in chest not breathless while running or anything. I am totally fine. No weight loss, I feel hungry. I am totally fine. Please help. | Hi, Welcome to Chat Doctor forum. I understand your concerns. Coughing up bloody sputum could be caused by many conditions like bronchitis, pneumonia, TB (tuberculosis), or lung cancer. Unfortunately, all these conditions are exacerbated by smoking. Your age, how much do you smoke and for how long? Have you experienced fever recently? Any phlegm? The cough you experienced is due to chronic bronchitis which is very common for smokers. Coughing could be a simple cause of spitting blood. ( sputum with blood streaks). I suggest that you perform chest X-ray to exclude the serious conditions of coughing up bloody sputum. Send me the X-ray for interpretation). |
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Hello doctor,I am an 18 year old female.A few days ago I noticed that my left breast was very tender.Yesterday morning I started feeling sharp stabbing pain inside my breast near the nipple every hour or so.Yesterday night I started to feel the pain 10 times worse and more frequently.I also noticed that my nipple started to turn red.The pain goes away and then comes back.I would like to add in that my mother was diagnosed with invasive ductal carcinoma about 5 months ago in her left breast and she has had it removed and has now started chemotherapy.This obviously makes me more worried about my symptoms.Please advice.
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Hello, Welcome to Chat Doctor forum. Invasive ductal carcinoma at 18 years of age is unlikely even though you have a history in family recently. The pain in the left nipple area which had a sudden onset in last few days and have been decreasing with a localised redness around nipple goes more in favour of an abscess rather a carcinoma. As there has been no blood discharge from the nipple which is classical in cancer, it would be too early to comment. But it is suggested that an ultrasound breast may be undertaken to look for an organised lump if present and if required an FNAC may be done to sample the local tissue and send for histopathological examination. This is unlikely to be a premenstrual syn ChatDoctor. Consult your physician for a local examination. Consult an obstetrician and gynaecologist online for further follow up | Hello doctor,I am an 18 year old female.A few days ago I noticed that my left breast was very tender.Yesterday morning I started feeling sharp stabbing pain inside my breast near the nipple every hour or so.Yesterday night I started to feel the pain 10 times worse and more frequently.I also noticed that my nipple started to turn red.The pain goes away and then comes back.I would like to add in that my mother was diagnosed with invasive ductal carcinoma about 5 months ago in her left breast and she has had it removed and has now started chemotherapy.This obviously makes me more worried about my symptoms.Please advice. | Hello, Welcome to Chat Doctor forum. Invasive ductal carcinoma at 18 years of age is unlikely even though you have a history in family recently. The pain in the left nipple area which had a sudden onset in last few days and have been decreasing with a localised redness around nipple goes more in favour of an abscess rather a carcinoma. As there has been no blood discharge from the nipple which is classical in cancer, it would be too early to comment. But it is suggested that an ultrasound breast may be undertaken to look for an organised lump if present and if required an FNAC may be done to sample the local tissue and send for histopathological examination. This is unlikely to be a premenstrual syn ChatDoctor. Consult your physician for a local examination. Consult an obstetrician and gynaecologist online for further follow up |
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Hi doctor,I get a swelling on the temple after chewing on hard food, for example, steak or candy. The swelling goes down after I stop eating, but the area feels numb for a long time after that. What can cause this? I have chronic urticaria and MGUS.
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Hello, Welcome to Chat Doctor forum. I have carefully reviewed your health query and will answer your concerns. The issues you mentioned are related to mastication (chewing). It is a process where you have to put a lot of energy, and the muscles of mastication are widely used. It seems there is some neuropathy causing the muscles of mastication to get fatigued. Other symptoms like swelling and numbness can be a feeling due to the same muscles spasms. Local edema (fluid accumulation) can also be a reason behind the swelling. Regarding MGUS (monoclonal gammopathy of undetermined significance), I want to add that it can lead to multiple myeloma, so keep an eye on your health. Keep a timely follow-up with your treating physician. I suggest you try using anti-inflammatory medications like Acetaminophen, which can help you. Consult your specialist doctor, discuss with him or her and start using the medicine after there consent. Also, ask your physician to take care of urticaria, as this can be an additive factor. You have chronic urticaria, and that may also contribute to local swelling of tissues. Hope it helps. Please let me know if I can be of further help to you. | Hi doctor,I get a swelling on the temple after chewing on hard food, for example, steak or candy. The swelling goes down after I stop eating, but the area feels numb for a long time after that. What can cause this? I have chronic urticaria and MGUS. | Hello, Welcome to Chat Doctor forum. I have carefully reviewed your health query and will answer your concerns. The issues you mentioned are related to mastication (chewing). It is a process where you have to put a lot of energy, and the muscles of mastication are widely used. It seems there is some neuropathy causing the muscles of mastication to get fatigued. Other symptoms like swelling and numbness can be a feeling due to the same muscles spasms. Local edema (fluid accumulation) can also be a reason behind the swelling. Regarding MGUS (monoclonal gammopathy of undetermined significance), I want to add that it can lead to multiple myeloma, so keep an eye on your health. Keep a timely follow-up with your treating physician. I suggest you try using anti-inflammatory medications like Acetaminophen, which can help you. Consult your specialist doctor, discuss with him or her and start using the medicine after there consent. Also, ask your physician to take care of urticaria, as this can be an additive factor. You have chronic urticaria, and that may also contribute to local swelling of tissues. Hope it helps. Please let me know if I can be of further help to you. |
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Hi doctor, Three months ago, I started feeling racing heartbeat and numbness in left hand and felt like I am losing control on my body. I contacted a doctor and he gave me some anxiety pills but after five days I got a strong panic attack which lasted for three hours until I take a pill name Placida. Then I contacted a psychiatrist. He gave a pill for six weeks. Now I am not taking any pill but I am feeling strange feeling in my body like I feel head is heavy and sometimes I feel a strange sensation and weakness in my chest, hand, and back area, and shortness of breath. Sometimes, I feel my heart is heavy and sometimes I feel strange weakness in my chest and muscles of hand and suffering from heavy head. Should I again consult a psychiatrist or I should consult a heart specialist? Kindly tell me what should I do.
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Hello, Welcome to Chat Doctor forum. Racing heart beat (palpitations) can be due to different causes. Excessive anxiety, panic attacks is a common cause of palpitations. If you had no prior history of anxiety and suddenly developed palpitations, it is advisable to consult a heart specialist (cardiologist) so that any heart related issues can be ruled out. If you have never consulted a cardiologist before, it will also be reassuring for you to see the specialist and take his opinion. If there are no physical health problems, then your symptoms are probably related to excessive anxiety or health anxiety and you can follow up with your psychiatrist for further treatment. | Hi doctor, Three months ago, I started feeling racing heartbeat and numbness in left hand and felt like I am losing control on my body. I contacted a doctor and he gave me some anxiety pills but after five days I got a strong panic attack which lasted for three hours until I take a pill name Placida. Then I contacted a psychiatrist. He gave a pill for six weeks. Now I am not taking any pill but I am feeling strange feeling in my body like I feel head is heavy and sometimes I feel a strange sensation and weakness in my chest, hand, and back area, and shortness of breath. Sometimes, I feel my heart is heavy and sometimes I feel strange weakness in my chest and muscles of hand and suffering from heavy head. Should I again consult a psychiatrist or I should consult a heart specialist? Kindly tell me what should I do. | Hello, Welcome to Chat Doctor forum. Racing heart beat (palpitations) can be due to different causes. Excessive anxiety, panic attacks is a common cause of palpitations. If you had no prior history of anxiety and suddenly developed palpitations, it is advisable to consult a heart specialist (cardiologist) so that any heart related issues can be ruled out. If you have never consulted a cardiologist before, it will also be reassuring for you to see the specialist and take his opinion. If there are no physical health problems, then your symptoms are probably related to excessive anxiety or health anxiety and you can follow up with your psychiatrist for further treatment. |
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Hello doctor,My knee is locked in hyperextension. I had an injury on my knee had lateral damage that was fixed by knee scope. This was successful, however, about two months ago, I twisted the wrong way and my knee got caught in hyperextension. I saw my Orthopedic surgeon and he told me I had a high rise patella and Chondromalacia. We did Synvisc and cortisone and physiotherapy. But my knee is still caught in hyperextension and cannot fix it. I am only 32 years old so I need my mobility but now I am in pain and can barely move any thoughts? Right now I am on Naproxen, and Tylenol.
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Hello, Welcome to Chat Doctor forum. From what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee. Can you please elaborate on the range of motion of your knee? If it is barely movable it means that probably some tissue (either meniscus or soft tissue) is stuck causing block to the range of motion. Also are you having hyperlaxity? Generally people who have hypermobile joints tend to go for hyperextension. Also, kindly update the details of your surgery. Was there ACL reconstruction as well? As you pointed high rising patella, patella alta is more responsible for patellar dislocation/subluxation rather than knee hyperextension. Do attach a copy of the MRI you have. | Hello doctor,My knee is locked in hyperextension. I had an injury on my knee had lateral damage that was fixed by knee scope. This was successful, however, about two months ago, I twisted the wrong way and my knee got caught in hyperextension. I saw my Orthopedic surgeon and he told me I had a high rise patella and Chondromalacia. We did Synvisc and cortisone and physiotherapy. But my knee is still caught in hyperextension and cannot fix it. I am only 32 years old so I need my mobility but now I am in pain and can barely move any thoughts? Right now I am on Naproxen, and Tylenol. | Hello, Welcome to Chat Doctor forum. From what I can read and understand by the brief history you have given is that there can be damage to ligaments and meniscus in your knee. Can you please elaborate on the range of motion of your knee? If it is barely movable it means that probably some tissue (either meniscus or soft tissue) is stuck causing block to the range of motion. Also are you having hyperlaxity? Generally people who have hypermobile joints tend to go for hyperextension. Also, kindly update the details of your surgery. Was there ACL reconstruction as well? As you pointed high rising patella, patella alta is more responsible for patellar dislocation/subluxation rather than knee hyperextension. Do attach a copy of the MRI you have. |
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Hello doctor,I have noticed recently that my left arm seems to be raised automatically. This is also about my waist height. I saw a neurologist three years ago, and everything was fine. I also had a brain MRI in 2018 because I was having problems with gait, sometimes need to put my hand on the wall when brushing hair or teeth. My orthopedic doctor found that have a bit of cervical stenosis in my neck C3 and C4.I also hold my cell phone in this hand for many hours while typing. Sometimes when I try to keep three things in my left side, it is a kind of clamps up, and I forget what I am holding (about five yearslike this). Intake blood pressure medicines, and I take a large amount of sleeping pill called Zolpidem 20 mg per day. I am finding it a bit difficult to work sometimes and also suffer from a sore neck sometimes.
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Hello, Welcome to Chat Doctor forum. The clumsy hand and gait difficulties could be related to the cervical spine stenosis. Anyway, I would recommend performing a brain MRI and a physical, neurological exam by your neurologist, before coming to this conclusion. I would also recommend stop taking Zolpidem gradually. This ChatDoctor. Instead, I would recommend switching to Mirtazapine, which can help regulate your sleep without the adverse effects of Zolpidem. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. | Hello doctor,I have noticed recently that my left arm seems to be raised automatically. This is also about my waist height. I saw a neurologist three years ago, and everything was fine. I also had a brain MRI in 2018 because I was having problems with gait, sometimes need to put my hand on the wall when brushing hair or teeth. My orthopedic doctor found that have a bit of cervical stenosis in my neck C3 and C4.I also hold my cell phone in this hand for many hours while typing. Sometimes when I try to keep three things in my left side, it is a kind of clamps up, and I forget what I am holding (about five yearslike this). Intake blood pressure medicines, and I take a large amount of sleeping pill called Zolpidem 20 mg per day. I am finding it a bit difficult to work sometimes and also suffer from a sore neck sometimes. | Hello, Welcome to Chat Doctor forum. The clumsy hand and gait difficulties could be related to the cervical spine stenosis. Anyway, I would recommend performing a brain MRI and a physical, neurological exam by your neurologist, before coming to this conclusion. I would also recommend stop taking Zolpidem gradually. This ChatDoctor. Instead, I would recommend switching to Mirtazapine, which can help regulate your sleep without the adverse effects of Zolpidem. I hope you will find this answer helpful. I remain at your disposal for any further questions whenever you need. |
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Hello doctor,Is hyperpermeable intestine treatable and or curable? Kindly suggest.
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Hi, Welcome to Chat Doctor forum. I hope the following information will help you understand the condition first, and thereafter the possibility of cure and treatment. Together it should help you get your answer. To start with, I am sorry, but your question does not have a simple yes or no answer. Normally, the gastrointestinal epithelium provides a semi-permeable barrier that allows nutrients to be absorbed while preventing larger, potentially toxic, antigenic, or pathogenic molecules or organisms from crossing into the bloodstream. Abnormally increased intestinal permeability allows the individual to absorb the bad food molecules and absorption of bacteria and/or yeast from the gut to extra-intestinal sites, such as mesenteric lymph nodes, liver, spleen, and systemic circulation. This can be also be due to certain ChatDoctor. Increased intestinal permeability occurs commonly with diseases including inflammatory bowel disease, rheumatoid arthritis, ankylosing spondylitis, asthma, eczema, food allergies, alcoholism, trauma, and surgery. Glutamine, phosphatidylcholine, flavonoids, soluble fiber, and fish oil, as well as probiotic organisms, including Lactobacilli and Saccharomyces boulardii, can assist in correcting this abnormal permeability. It would be necessary to avoid triggers like alcohol. And of course, other conditions like rheumatoid arthritis should be looked for. The treatment of cause will help remove the cause. So the treatment and cure would depend on how well one is evaluated. | Hello doctor,Is hyperpermeable intestine treatable and or curable? Kindly suggest. | Hi, Welcome to Chat Doctor forum. I hope the following information will help you understand the condition first, and thereafter the possibility of cure and treatment. Together it should help you get your answer. To start with, I am sorry, but your question does not have a simple yes or no answer. Normally, the gastrointestinal epithelium provides a semi-permeable barrier that allows nutrients to be absorbed while preventing larger, potentially toxic, antigenic, or pathogenic molecules or organisms from crossing into the bloodstream. Abnormally increased intestinal permeability allows the individual to absorb the bad food molecules and absorption of bacteria and/or yeast from the gut to extra-intestinal sites, such as mesenteric lymph nodes, liver, spleen, and systemic circulation. This can be also be due to certain ChatDoctor. Increased intestinal permeability occurs commonly with diseases including inflammatory bowel disease, rheumatoid arthritis, ankylosing spondylitis, asthma, eczema, food allergies, alcoholism, trauma, and surgery. Glutamine, phosphatidylcholine, flavonoids, soluble fiber, and fish oil, as well as probiotic organisms, including Lactobacilli and Saccharomyces boulardii, can assist in correcting this abnormal permeability. It would be necessary to avoid triggers like alcohol. And of course, other conditions like rheumatoid arthritis should be looked for. The treatment of cause will help remove the cause. So the treatment and cure would depend on how well one is evaluated. |
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Hello doctor,I went in for a regular eye exam and told I have an epiretinal membrane. Last year I had floaters and flashing and went to a specialist who said all is fine. I went for new glasses and they told me I had an epiretinal membrane. I have an appointment next week with the specialist, but so worried I may need surgery. My husband passed away recently and a few weeks later my mother also passed away. I did the eye graph exam (from internet search and there is no distortion). Is this something I can live with or shall I have the surgery next year? I have no one to help me and may have help next year.
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Hello, Welcome to Chat Doctor forum. The epiretinal membrane will decrease you. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it. The surgery is only necessary if you have difficulty in seeing or retinal detachment or cataract. You can talk to your doctor about it and tell you are not comfortable going for surgery until next year. Next time you attach the reports given by your doctor it will be helpful for me. | Hello doctor,I went in for a regular eye exam and told I have an epiretinal membrane. Last year I had floaters and flashing and went to a specialist who said all is fine. I went for new glasses and they told me I had an epiretinal membrane. I have an appointment next week with the specialist, but so worried I may need surgery. My husband passed away recently and a few weeks later my mother also passed away. I did the eye graph exam (from internet search and there is no distortion). Is this something I can live with or shall I have the surgery next year? I have no one to help me and may have help next year. | Hello, Welcome to Chat Doctor forum. The epiretinal membrane will decrease you. There is a jelly-like substance in the eye and as age progresses it starts to liquify and you start seeing floaters. You should go to an ophthalmologist immediately in case if there is an increase in the number of these floaters or if you are seeing flashes of light. Because these are the signs of retinal detachment. Get your retina checked at least once a year. Right now you have to ignore the floaters and you will get used to it. The surgery is only necessary if you have difficulty in seeing or retinal detachment or cataract. You can talk to your doctor about it and tell you are not comfortable going for surgery until next year. Next time you attach the reports given by your doctor it will be helpful for me. |
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Hello doctor,I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU.
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Hi, Welcome to Chat Doctor forum. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is with ChatDoctor. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves' disease. These antibodies can enter from the mother\\s blood to the baby\\s blood and stimulate the baby\\s thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth. | Hello doctor,I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU. | Hi, Welcome to Chat Doctor forum. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is with ChatDoctor. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves' disease. These antibodies can enter from the mother\\s blood to the baby\\s blood and stimulate the baby\\s thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth. |
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Hello doctor,I am a 30-year-old female with normal menstrual cycles. I began taking Vitex a month back and stopped after 20 days. I took way too much. The bottle said to take two pills a day but the pills are 400 mg a piece. I now realize that this is way too much. I am concerned because I got my period two days late and it is very heavy. I know this is a normal response to how much Vitex I took. I am just worried that my body will not be able to go back to normal on its own. I am worried that I will need to go on birth control pills to correct this issue. I am looking for guidance on what I should do. Should I wait to see how long my period is? Should I go get birth control pills? Is there anything natural I can do to fix this?
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Hello. I just read your query. See two to four days late or early periods are considered normal if you get menstruation every month and do not skip any cycle. As far as heavy bleeding is concerned, it can be due to the herb. But wait for another cycle. I will not recommend you to take birth control pills right now. The herb contents will wash away from the body very soon as you have stopped taking it. So take your normal diet and ChatDoctor. Wait for your next menstrual cycle and watch for the bleeding and other things. Hopefully, it will be corrected automatically. | Hello doctor,I am a 30-year-old female with normal menstrual cycles. I began taking Vitex a month back and stopped after 20 days. I took way too much. The bottle said to take two pills a day but the pills are 400 mg a piece. I now realize that this is way too much. I am concerned because I got my period two days late and it is very heavy. I know this is a normal response to how much Vitex I took. I am just worried that my body will not be able to go back to normal on its own. I am worried that I will need to go on birth control pills to correct this issue. I am looking for guidance on what I should do. Should I wait to see how long my period is? Should I go get birth control pills? Is there anything natural I can do to fix this? | Hello. I just read your query. See two to four days late or early periods are considered normal if you get menstruation every month and do not skip any cycle. As far as heavy bleeding is concerned, it can be due to the herb. But wait for another cycle. I will not recommend you to take birth control pills right now. The herb contents will wash away from the body very soon as you have stopped taking it. So take your normal diet and ChatDoctor. Wait for your next menstrual cycle and watch for the bleeding and other things. Hopefully, it will be corrected automatically. |
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Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto\\s, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six per day.
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Hello, Welcome to the ChatDoctor. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt. | Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto\\s, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six per day. | Hello, Welcome to the ChatDoctor. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So you are at risk of spending it. But do not be panic. The symptoms are fever and sore throat, mainly with enlarged cervical nodes. Splenomegaly also can occur. If fever, malaise, and sore throat occur than investigate by CBC (complete blood count) and serological test for EBV, which includes ESP (extrasensory perception), Ig M (immunoglobulin M), and Elisa (Enzyme-linked immunosorbent assay). Infectious mononucleosis usually resolves by its own with time. Anyway if you suffer from fever and sore throat that will discuss further and you can consult a nearby physician for examination at that time. It is advisable not to share an object with an infected person. I hope this will help you. Get back with more query if you still have doubt. |
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Hello doctor,I am suffering form folliculitis for about 1 month. I regularly visit my doctor and take all medicines on time. The problem is folliculitis present on my legs and hands. Every week they are gone and then come again then my doctor ask me to do test of blood test and IgE test my blood test report was all fine but my IgE level is 170. So, please tell me what should I do to control my IgE and how to get rid of folliculitis permanently.
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Hello. Folliculitis is inflammation of the hair follicles. Usually it is due to bacteria but sometimes fungus can also cause Folliculitis. Most commonly it is seen over face, beard, chest, arms and legs. Mainly diagnosed by careful inspection of the affected area by the specialist. Sometimes pus or blood tests and skin biopsy is also required to find out the cause. As you said, your blood tests shows IgE level 170. It is completely normal and it has nothing to do with the Folliculitis. So nothing to worry about IgE levels. If your Folliculitis problem is recurrent, then you have to find out the cause for recurring infection of affected area. Talk to your doctor for good antibiotic course or antibacterial cream to apply on affected area. Also it is very important to keep good personal hygiene. Do not share your towels or clothes with anybody. Use good quality soap for bath. If no improvement, then you should see any other Skin Specialist or Dermatologist for expert opinion. | Hello doctor,I am suffering form folliculitis for about 1 month. I regularly visit my doctor and take all medicines on time. The problem is folliculitis present on my legs and hands. Every week they are gone and then come again then my doctor ask me to do test of blood test and IgE test my blood test report was all fine but my IgE level is 170. So, please tell me what should I do to control my IgE and how to get rid of folliculitis permanently. | Hello. Folliculitis is inflammation of the hair follicles. Usually it is due to bacteria but sometimes fungus can also cause Folliculitis. Most commonly it is seen over face, beard, chest, arms and legs. Mainly diagnosed by careful inspection of the affected area by the specialist. Sometimes pus or blood tests and skin biopsy is also required to find out the cause. As you said, your blood tests shows IgE level 170. It is completely normal and it has nothing to do with the Folliculitis. So nothing to worry about IgE levels. If your Folliculitis problem is recurrent, then you have to find out the cause for recurring infection of affected area. Talk to your doctor for good antibiotic course or antibacterial cream to apply on affected area. Also it is very important to keep good personal hygiene. Do not share your towels or clothes with anybody. Use good quality soap for bath. If no improvement, then you should see any other Skin Specialist or Dermatologist for expert opinion. |
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Hello doctor,I need advice after my second CT chest result. Six months back, I went for a CT scan because I have got chest pain which suddenly comes and goes and I wanted to go for a check-up. The CT showed a right-sided nodule measuring 3 mm and was advised to RPT interval scan in six months. I have done the second CT, the previous nodule is still there and they found another one.In the LLL, a 4 mm nodule is representative of an intrapulmonary lymph node. No suspicious lung lesion. Tiny 3 mm RLL nodule noted. No enlarged lymph nodes. Mild thymic hyperplasia. The partly visualized upper abdominal viscera appear unremarkable. No aggressive bony lesion. They said I do not need to do anything which is strange because there are two nodes now and the second one was not there six months ago. Do I need some kind of medicine therapy to clear my lung from this node or do I need to check if it is growing or not after one year?
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Hi. According to guidelines when there is a single nodule in the lung of size less than 3 mm we ask to follow up in six months for repeat CT. In the repeat CT, if we find any enlargement of the nodule or any new developments we usually ask for a biopsy of the existing nodule. That is how we practice. So, I think you should repeat your CT after six months and if the size increases, you should get a biopsy done. | Hello doctor,I need advice after my second CT chest result. Six months back, I went for a CT scan because I have got chest pain which suddenly comes and goes and I wanted to go for a check-up. The CT showed a right-sided nodule measuring 3 mm and was advised to RPT interval scan in six months. I have done the second CT, the previous nodule is still there and they found another one.In the LLL, a 4 mm nodule is representative of an intrapulmonary lymph node. No suspicious lung lesion. Tiny 3 mm RLL nodule noted. No enlarged lymph nodes. Mild thymic hyperplasia. The partly visualized upper abdominal viscera appear unremarkable. No aggressive bony lesion. They said I do not need to do anything which is strange because there are two nodes now and the second one was not there six months ago. Do I need some kind of medicine therapy to clear my lung from this node or do I need to check if it is growing or not after one year? | Hi. According to guidelines when there is a single nodule in the lung of size less than 3 mm we ask to follow up in six months for repeat CT. In the repeat CT, if we find any enlargement of the nodule or any new developments we usually ask for a biopsy of the existing nodule. That is how we practice. So, I think you should repeat your CT after six months and if the size increases, you should get a biopsy done. |
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Hello doctor,I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from 100 to 104. I was tested for hemochromatosis and results are negative. My doctors keep telling me that we will just watch my ferritin level and I have bloodwork done every six months. I was diagnosed with fibromyalgia last year. I am looking for some answers and some help.
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Hello. Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehy ChatDoctor. If you are having repeated blood transfusion history then provide history regarding that. I suggest you investigate with transferrin saturation as well next time when you investigate for ferritin. Do not worry about high serum ferritin as all other related parameters are also within range. If ferritin constantly remains elevated than phlebotomy can be done to decrease the ferritin level. Once transferrin saturation investigation has been done, provide history regarding that. Take care. For more information consult a hematologist online | Hello doctor,I am a 50-year-old female who has had an elevated ferritin level for many years now. My last ferritin level was 342, 20 days back. My ferritin level has been as high as 390. My TIBC, UIBC, iron, and iron saturation have always been within normal range. My glucose has always ranged from 100 to 104. I was tested for hemochromatosis and results are negative. My doctors keep telling me that we will just watch my ferritin level and I have bloodwork done every six months. I was diagnosed with fibromyalgia last year. I am looking for some answers and some help. | Hello. Elevated ferritin could be from congenital hemochromatosis but HFE gene mutation is negative, so it is excluded (attachment removed to protect patient identity). Secondly, a hemolytic condition also can be a possibility but serum LDH (lactic acid dehy ChatDoctor. If you are having repeated blood transfusion history then provide history regarding that. I suggest you investigate with transferrin saturation as well next time when you investigate for ferritin. Do not worry about high serum ferritin as all other related parameters are also within range. If ferritin constantly remains elevated than phlebotomy can be done to decrease the ferritin level. Once transferrin saturation investigation has been done, provide history regarding that. Take care. For more information consult a hematologist online |
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Hello doctor,Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same. I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face. Thanks.
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Hi, Welcome to Chat Doctor forum. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult a dermatologist online | Hello doctor,Around a year ago, some red pimples started appearing around my mouth, chin, forehead, and my nose. These small red pimples create a red area when seen from far away because they are very small and inflamed. It never disappears. My skin always feels stuck and not flexible and with a mildly itchy or burning sensation. No matter how much moisturizer I apply, it does not help. I am using Eucerin atopic control moisturizer and a gel cleanser with Hyaluronan. I even tried using Metronidazole and tea oil, but again it did not help. I have also tried to stop using anything on my face for some days, but it stayed the same. I am 24 years old now, and I never had acne tendencies when I was a teenager, and my skin always looked very smooth. My birth control pill is still the same as it was when I first started taking it, which wad around ten years ago. I do not use steroid creams nor fluoride toothpaste. How can I get rid of this? It was not there before a year. I am attaching a picture of my face. Thanks. | Hi, Welcome to Chat Doctor forum. I have seen the attached image (attachment removed to protect patient identity). Do not apply Metronidazole gel, as there is also erythema over your face. I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. For more information consult a dermatologist online |
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Hello doctor,I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 pulse without any issue that means my heart is in perfect condition?
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Hello. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary in you, you may undergo screening CT angiography or TMT in a few years just be on safer side considering the risk factors. Rest continue with a healthy lifestyle and medicines. | Hello doctor,I am 40 years old male, obese, non-smoking, non-alcoholic, non-diabetic. My lipids and blood pressure are controlled with Rosuvastatin 5 mg and Olmesartan 20 mg. My query is that I walk regularly brisk and my pulse goes up to 145 and 150 without any breathlessness and recovery is also good as it drops around 25 points within one minute. Does this mean my heart does not have plaque and I am safe? After 150 pulse, slight discomfort or maybe anxiety but no breathlessness. I am very scared to do TMT test but also anxious to know that if I am able to touch 150 pulse without any issue that means my heart is in perfect condition? | Hello. Yes, if your heart rate is going above 150 without any chest pain or heaviness then the probability of significant blockages (more than 60 to 70 percent) is very low. However, this or even TMT will not help to rule out plaquing. TMT does not help in the diagnosis or ruling out plaquing as blood supply to the heart is not decreased even at very high heart rate. For plaques, CT coronary angiography is a good investigation. Although not absolutely necessary in you, you may undergo screening CT angiography or TMT in a few years just be on safer side considering the risk factors. Rest continue with a healthy lifestyle and medicines. |
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Hello doctor, I am 36 years old male with 167 cm height. Weight is 73 kg. I am in good health. Practicing yoga four days a week. Two days walking or jogging like 8000 steps. Daily walking for office and routine is 4000 steps. Sitting job. I have a gastric problem for last six months. Release gas from stomach 10 times a day average (fart). Very difficult to manage in meeting time. No smelling but it sounds. No stomach pain. No problem in toilets. My diet is the same as the previous. Nothing has changed. I am a vegetarian. I drink water 3 liters a day. Wake up in the morning 6 to 6.30 AM and have a breakfast by 8, lunch by 1 o\\clock and evening snacks by 5 (light food) and dinner 9 to 9.30. Sleep by 10.30 to 10.45. Yoga 7.20 PM to 8.30 PM. Please guide me.
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Hi, Welcome to Chat Doctor forum. Passing fart up to 10 times a day is normal. However, constipation, gastrointestinal infection, irritable bowel syn ChatDoctor. For you, I suggest you take a good amount of water and dietary fibers. Hopefully, that should improve your symptoms. If you are having constipation, treating it may improve your problem. | Hello doctor, I am 36 years old male with 167 cm height. Weight is 73 kg. I am in good health. Practicing yoga four days a week. Two days walking or jogging like 8000 steps. Daily walking for office and routine is 4000 steps. Sitting job. I have a gastric problem for last six months. Release gas from stomach 10 times a day average (fart). Very difficult to manage in meeting time. No smelling but it sounds. No stomach pain. No problem in toilets. My diet is the same as the previous. Nothing has changed. I am a vegetarian. I drink water 3 liters a day. Wake up in the morning 6 to 6.30 AM and have a breakfast by 8, lunch by 1 o\\clock and evening snacks by 5 (light food) and dinner 9 to 9.30. Sleep by 10.30 to 10.45. Yoga 7.20 PM to 8.30 PM. Please guide me. | Hi, Welcome to Chat Doctor forum. Passing fart up to 10 times a day is normal. However, constipation, gastrointestinal infection, irritable bowel syn ChatDoctor. For you, I suggest you take a good amount of water and dietary fibers. Hopefully, that should improve your symptoms. If you are having constipation, treating it may improve your problem. |
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Dear doctor,I had protected vaginal sex (with little lube) with a prostitute. Although the condom did not break or tear, I feel there could have been some vaginal secretions from her. Since it was my first time, I did not last long and released early, but there was no leakage from the condom, which is how I confirmed there is no tear. But, the entire condom does not cover my penis, which worried me if some tiny secretion could have entered into the condom. There are no cuts or sores around my penis area. Forgive my frankness, but does moist nipple mean anything related to HIV? Also, what are the chances for, if there were any vaginal secretions near the penis base, on wiping (using a tissue) is it possible for the virus to enter through the penis? I am sorry for asking such a long question, but this was my first experience, and what happens next will decide my fate. I am willing to take the test, but I think I need to wait for the three-month window period right? Please advise doctor.
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Hello. I have noted your concern. If the condom was of a proper size and well-fitted, there is no chance of vaginal fluids going inside from the base. Therefore, a protected vaginal sex is safe as far as risk of HIV is concerned. Yes, a rapid HIV screening test is considered reliable and conclusive after a window period of three months. Regards. For more information consult an HIV AIDS specialist online Take care. | Dear doctor,I had protected vaginal sex (with little lube) with a prostitute. Although the condom did not break or tear, I feel there could have been some vaginal secretions from her. Since it was my first time, I did not last long and released early, but there was no leakage from the condom, which is how I confirmed there is no tear. But, the entire condom does not cover my penis, which worried me if some tiny secretion could have entered into the condom. There are no cuts or sores around my penis area. Forgive my frankness, but does moist nipple mean anything related to HIV? Also, what are the chances for, if there were any vaginal secretions near the penis base, on wiping (using a tissue) is it possible for the virus to enter through the penis? I am sorry for asking such a long question, but this was my first experience, and what happens next will decide my fate. I am willing to take the test, but I think I need to wait for the three-month window period right? Please advise doctor. | Hello. I have noted your concern. If the condom was of a proper size and well-fitted, there is no chance of vaginal fluids going inside from the base. Therefore, a protected vaginal sex is safe as far as risk of HIV is concerned. Yes, a rapid HIV screening test is considered reliable and conclusive after a window period of three months. Regards. For more information consult an HIV AIDS specialist online Take care. |
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Hi doctor,This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forward) because of that. Is this an urgent issue for a dentist or can it wait, and if so, is there anything I can do to help the issue?
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Hi, Welcome to Chat Doctor forum. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressure stroke, gums in that particular area goes down, causing sensitivity of tooth. Another cause could be plaque or tartar around that particular tooth causing gums infection that results in receding gums. But still, I think it is your brushing technique that is the main cause of receding gum. Tell me about it. You just have to change your brushing technique, do not do harsh brushing in that area. Take a soft bristle tooth brush. Avoid severe hot or cold food stuff till you visit your dentist. Rest treatment will be done later by the dentist and that could be scaling or filling of abrasion. Stay happy and blessed. Take care. | Hi doctor,This afternoon I noticed some pretty severe gum recession on my left lower cuspid (approximately 5 mm). As far as I can tell, it is the only tooth with any signs of gum recession, and I think it might be due to crowding (my lateral incisor and first bicuspid are slightly behind and might well be pushing forward) because of that. Is this an urgent issue for a dentist or can it wait, and if so, is there anything I can do to help the issue? | Hi, Welcome to Chat Doctor forum. It is okay. You do not need to rush to the dentist. The clinical scenario of teeth that you told indicates that most probably this gum recession is caused by yourself. You brush like giving a slight high power stroke on right and left bicuspids and then with normal force on rest of the teeth. Because of high-pressure stroke, gums in that particular area goes down, causing sensitivity of tooth. Another cause could be plaque or tartar around that particular tooth causing gums infection that results in receding gums. But still, I think it is your brushing technique that is the main cause of receding gum. Tell me about it. You just have to change your brushing technique, do not do harsh brushing in that area. Take a soft bristle tooth brush. Avoid severe hot or cold food stuff till you visit your dentist. Rest treatment will be done later by the dentist and that could be scaling or filling of abrasion. Stay happy and blessed. Take care. |
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Hi doctor,I am Rh negative. I recently had an abortion of six weeks and was not given the Rh injection. Is my health status safe to prevent future complications in pregnancies? This is the third week into the abortion. Can I still go for this injection?
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Hi, Welcome to Chat Doctor forum. Injection anti-D is needed to be taken in case of bleeding within 72 hours of the event. So, it is late already. Most mothers have well-developed immunity against rhesus positive blood group in her second pregnancy if the first child had Rhesus positive blood group. But in the case of fetomaternal hemorrhage also antibodies develop. Rhesus negative issue arises if your partner is Rhesus negative. So first of all, check the blood group of your partner. If he is negative, then there are fewer chances of the fetus to have a positive blood group, so fewer chances of Rhesus isoimmunization issue in coming pregnancies. You can have antibody titer to be on safe side if the husband \\s blood group is positive. But if the husband has blood group positive then in next pregnancy as per protocol you will have to get anti-D at 28 and 32, if pregnancy remains uneventful otherwise more time you could receive. Rhesus negative with a history of miscarriage. Husband\\s blood group. Balanced diet. Normal BMI, weight. If the husband\\s blood group is positive, then early booking for the next pregnancy to have better care. | Hi doctor,I am Rh negative. I recently had an abortion of six weeks and was not given the Rh injection. Is my health status safe to prevent future complications in pregnancies? This is the third week into the abortion. Can I still go for this injection? | Hi, Welcome to Chat Doctor forum. Injection anti-D is needed to be taken in case of bleeding within 72 hours of the event. So, it is late already. Most mothers have well-developed immunity against rhesus positive blood group in her second pregnancy if the first child had Rhesus positive blood group. But in the case of fetomaternal hemorrhage also antibodies develop. Rhesus negative issue arises if your partner is Rhesus negative. So first of all, check the blood group of your partner. If he is negative, then there are fewer chances of the fetus to have a positive blood group, so fewer chances of Rhesus isoimmunization issue in coming pregnancies. You can have antibody titer to be on safe side if the husband \\s blood group is positive. But if the husband has blood group positive then in next pregnancy as per protocol you will have to get anti-D at 28 and 32, if pregnancy remains uneventful otherwise more time you could receive. Rhesus negative with a history of miscarriage. Husband\\s blood group. Balanced diet. Normal BMI, weight. If the husband\\s blood group is positive, then early booking for the next pregnancy to have better care. |
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Hello doctor,Kindly shed light on some issues. I had my period two months back and I had the next once a month later, which only came for a day and I have not had it since it till now. I did home test before my period came which read negative. My two breasts ache and immediately after my period comes, the pain disappear. How many days menstrual cycle do I have? Am I pregnant?
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Hello. Menstrual cycle can be 23 days to 37 days. And bleeding can be from 1 day to 10 days anywhere and all this normal. No need to worry. Sometimes due to imbalance in your body or normally also, your period can be 5 to 6 days here or there and it is absolutely normal.When there is a major imbalance or another problem in ovary than it is more irregular. Now it is also true that sometimes you only have minimal bleeding around your period date while you are pregnant called as implantation bleeding. Around the date, the test can be negative. Do urine pregnancy test once again now, if it is negative, then you are not pregnant and it was normal menses. For breast pain, many female suffer before and during menses also, it is due to hormonal (chemical) changes happening during your cycle that also affects other body parts. And it is one of it. So do not worry. In case of unbearable pain, you can take oral painkillers. You have normal menstrual cycle. Take care. | Hello doctor,Kindly shed light on some issues. I had my period two months back and I had the next once a month later, which only came for a day and I have not had it since it till now. I did home test before my period came which read negative. My two breasts ache and immediately after my period comes, the pain disappear. How many days menstrual cycle do I have? Am I pregnant? | Hello. Menstrual cycle can be 23 days to 37 days. And bleeding can be from 1 day to 10 days anywhere and all this normal. No need to worry. Sometimes due to imbalance in your body or normally also, your period can be 5 to 6 days here or there and it is absolutely normal.When there is a major imbalance or another problem in ovary than it is more irregular. Now it is also true that sometimes you only have minimal bleeding around your period date while you are pregnant called as implantation bleeding. Around the date, the test can be negative. Do urine pregnancy test once again now, if it is negative, then you are not pregnant and it was normal menses. For breast pain, many female suffer before and during menses also, it is due to hormonal (chemical) changes happening during your cycle that also affects other body parts. And it is one of it. So do not worry. In case of unbearable pain, you can take oral painkillers. You have normal menstrual cycle. Take care. |
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Hello doctor,It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation.
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Hello. As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem. | Hello doctor,It has been seven months since I got my braces on. I got then to treat bimaxillary protrusion. My dentist has placed thin wires and elastics and also extracted four teeth to make space. The space has not yet completely closed and he has never changed the wires. When I asked him when he would change the wires, he replied that he would not be removing the wires. For the monthly appointments, only repairments of broken braces were done. For a few appointments, he did not even change the elastics. Should I continue with the same treatment or should I change to another orthodontist? Please reply as I am extremely worried about the situation. | Hello. As per your description, you are having bimaxillary protrusion. Case told by you needs extraction. In the initial phase, alignment of the teeth occurs. Wire will proceed only when correction happen with previous wire till then the only religation has to be done. When there is bracket debonding or bracket broken in that case treatment gets delayed, so for that purpose you have to take care not to break or debond the bracket. To avoid bracket debonding you have to follow certain precautions in oral hygiene measure and while taking food, i.e. avoid sticky, hard food, etc. Space closure occurs on SS (stainless steel) wire that is a stiff wire. Again, I would like to see the images of your concerned area of the upper and lower arch for a detailed discussion of your problem. |
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Hello doctor,I am 27 years old, 247 lb male. I have been having a problem with blood in stool for two years now. Sometimes, I have blood in stool for two or three days and sometimes goes away for months with no blood. For three months, I did not have blood in the stool. Now I started to drive a truck 12 to 14 hours a day sitting on the truck and I started having blood again. I am very scared. I may have colon cancer. My doctor did a blood test on me one month ago including vitamins and minerals and everything came back 100 %. I told her I am scared that I may have colon cancer she said no you do not and you do not need a colonoscopy. How does she know? I have blood in stool for two years now and not in normal shape.
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Hi. See it is difficult to say what is the reason for blood in your stools. But definitely, this is not a normal thing. You could be having piles.Actually, piles are the most common cause of blood in stools. That is why your physician must have in general told you to relieve your stress. My recommendations would be to take a soft, and a blended diet. Take plenty of fluids. Make sure you do not strain during stools. If you still have the blood while you are not straining in stools and you are not constipated, you would definitely require a colonoscopy. Take care. | Hello doctor,I am 27 years old, 247 lb male. I have been having a problem with blood in stool for two years now. Sometimes, I have blood in stool for two or three days and sometimes goes away for months with no blood. For three months, I did not have blood in the stool. Now I started to drive a truck 12 to 14 hours a day sitting on the truck and I started having blood again. I am very scared. I may have colon cancer. My doctor did a blood test on me one month ago including vitamins and minerals and everything came back 100 %. I told her I am scared that I may have colon cancer she said no you do not and you do not need a colonoscopy. How does she know? I have blood in stool for two years now and not in normal shape. | Hi. See it is difficult to say what is the reason for blood in your stools. But definitely, this is not a normal thing. You could be having piles.Actually, piles are the most common cause of blood in stools. That is why your physician must have in general told you to relieve your stress. My recommendations would be to take a soft, and a blended diet. Take plenty of fluids. Make sure you do not strain during stools. If you still have the blood while you are not straining in stools and you are not constipated, you would definitely require a colonoscopy. Take care. |
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Answer this question truthfully
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Hello doctor,My son is 11 months and 25 days old. He has some gas problem for last one week. And he is not eating properly, breastfeeding is done during night and one to two times in the afternoon. He does one potty a day, sometimes four potty, and watery potties also. He releases gas very often. Potty smells very bad sometimes. Can I give Enterogermina respules twice a day for two to three days?Our pediatric doctor prescribed it before two months and also before four months. He mostly has this type of gas problem. Is any medicine available for daily medication purpose to get rid of it?He is not gaining weight for about the last three months. He is always between 7.4 to 7.6 for the last four months. Pediatric suggest Hemsi-D drops twice a day. We are giving it for the last two months but not getting results. Kindly advice.
### Response:
Hello. I got your concern. No need to give Entrogermina (Bacillus Clausii) and Hemsi-D is tonic, is not for weight gain. At this age, he is more active than before so weight gain will be slower. Monitor his weight regularly give home food and breastfeeding. Give Albendazole, and do one stool report. Indigestion. Stool routine report. Syrup Albendazole (200/5) 5 ml stat at night. Follow-up after a week. Take care. | Hello doctor,My son is 11 months and 25 days old. He has some gas problem for last one week. And he is not eating properly, breastfeeding is done during night and one to two times in the afternoon. He does one potty a day, sometimes four potty, and watery potties also. He releases gas very often. Potty smells very bad sometimes. Can I give Enterogermina respules twice a day for two to three days?Our pediatric doctor prescribed it before two months and also before four months. He mostly has this type of gas problem. Is any medicine available for daily medication purpose to get rid of it?He is not gaining weight for about the last three months. He is always between 7.4 to 7.6 for the last four months. Pediatric suggest Hemsi-D drops twice a day. We are giving it for the last two months but not getting results. Kindly advice. | Hello. I got your concern. No need to give Entrogermina (Bacillus Clausii) and Hemsi-D is tonic, is not for weight gain. At this age, he is more active than before so weight gain will be slower. Monitor his weight regularly give home food and breastfeeding. Give Albendazole, and do one stool report. Indigestion. Stool routine report. Syrup Albendazole (200/5) 5 ml stat at night. Follow-up after a week. Take care. |
### Instruction:
Answer this question truthfully
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Hello doctor,I believe I am suffering from a narcissistic personality disorder and pathological lying. From health conditions to plain misconceptions of me as a person. I want to live an honest and pure life, and I want to steer away from these lies I have succumbed to over the past couple aching years. I want to be able to do this without losing the people I care about.I have thought about just coming clean completely and telling them every false thing about me, but I will never have that type of courage. These are people I never want to betray. I need guidance, and I need advice, I feel as though my entire life is a lie, and it makes me genuinely suicidal at times. I am seventeen, please help.
### Response:
Hello, Welcome to Chat Doctor forum. I can understand your concern regarding your personality trait. We all are having specific personalities, and this is completely normal until it affects our social life. We all suppress our nature with our consciousness. If you think your daily life is changing because of your narcissism, it will be better if you will go for counseling. About your pathological lying, I will suggest you forget whatever you lied in the past. Now start with real life. Talk to your friends. Do not worry that you would lose any friend by confronting the truth. If you lose someone, then he is not your true friend. Never feel guilty about your past. Start a new life with full positive energy with enthusing and confidence. I hope my answer helped you. | Hello doctor,I believe I am suffering from a narcissistic personality disorder and pathological lying. From health conditions to plain misconceptions of me as a person. I want to live an honest and pure life, and I want to steer away from these lies I have succumbed to over the past couple aching years. I want to be able to do this without losing the people I care about.I have thought about just coming clean completely and telling them every false thing about me, but I will never have that type of courage. These are people I never want to betray. I need guidance, and I need advice, I feel as though my entire life is a lie, and it makes me genuinely suicidal at times. I am seventeen, please help. | Hello, Welcome to Chat Doctor forum. I can understand your concern regarding your personality trait. We all are having specific personalities, and this is completely normal until it affects our social life. We all suppress our nature with our consciousness. If you think your daily life is changing because of your narcissism, it will be better if you will go for counseling. About your pathological lying, I will suggest you forget whatever you lied in the past. Now start with real life. Talk to your friends. Do not worry that you would lose any friend by confronting the truth. If you lose someone, then he is not your true friend. Never feel guilty about your past. Start a new life with full positive energy with enthusing and confidence. I hope my answer helped you. |
### Instruction:
Answer this question truthfully
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Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body?
### Response:
Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana. | Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body? | Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana. |
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