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### Human: Hi doctor,I was on a business trip and my friend and I went to a high-end brothel. My friend hired two girls and brought them back to the hotel. He had to take a phone call and while the girls were waiting for him they performed oral sex on me for a few minutes without a condom. They had no symptoms in their lips and facial region. I am worried, I contracted herpes. I got tested for chlamydia, syphilis, gonorrhea, hepatitis, and HIV and they came up negative. It has been four weeks since the incindent and I have no herpes symtomps. What are my chances of having herpes? I know people might not show symptoms. I am married and I felt very guilty for what I had done and told my wife. We are planing to have kids. What are the chances of her getting herpes and passing on to our baby? I appreciate all your help with my concerns.### Assistant: Hi, Welcome to Chat Doctor forum. I can understand your concern. There are very fewer chances of you having herpes since four weeks have passed and you have not developed any symptoms. But yes, herpes can even occur as sub clinical infection without presenting with any signs and symptoms. I would recommend you go for an ELISA (enzyme-linked immunosorbent assay) test for herpesvirus that is HSV 1 IgG and HSV 2 IgG and HSV 1 IgM and HSV 2 IgM. These tests are confirmatory in herpesvirus infection. These will tell your herpes status. If positive there are chances of passing the infection to your wife but not very high since you are asymptomatic. I would recommend you to first get the tests done and find your status. Then we can discuss further possibilities. I hope this helps. |
### Human: Hello doctor,How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to.### Assistant: Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies? |
### Human: Hello doctor,I had the Skyla IUD inserted two months ago to lighten my very heavy menstrual flows hopefully. My first period after insertion was very heavy and painful, more than usual, but I heard that was likely to happen. It lasted for two and a half weeks. Since then, I have had spotting daily, some days heavier than others, but very frequent. I also have been experiencing mild cramping and bleeding after intercourse. Is this a dangerous condition?### Assistant: Hello, Welcome to Chat Doctor forum. Irregular bleeding is the most common side effects of hormonal IUD (intrauterine device). You should expect irregular bleeding or vaginal spotting for six to eight weeks after the insertion. I recommend you to reach inside your vagina and feel the string. If you can feel the string the chance that IUD is in the right place is very high so you should not worry too much. Taking Motrin (Ibuprofen) and applying heating pads should help with cramping. The string should be checked by yourself now and then to make sure it is still in the right place. |
### Human: Hello doctor,I began taking Ortho Tri-Cyclen Lo at the start of this month due to follicular cysts. I have observed two bruises on arms and one on my leg. Are these side effects of the contraceptive?### Assistant: Hello, Welcome to Chat Doctor forum. I would be in a better state to answer if you could attach a photograph of the area. For more information consult a critical care physician online |
### Human: Hello doctor,I am scheduled to receive a frenectomy to close the gap in my two front teeth, but I have done some research and it has all told me I need to get braces following the procedure but my dentist told me it was not necessary although my gap is quite large. I was wondering if you could help me understand the process more. Thank you.### Assistant: Hello, Welcome to Chat Doctor forum. The frenectomy procedure as such does not close the gap. It involves the removal of fibrous tissue that is present. Then, closure of the gap can be achieved. The minimal movement to close the gap is with the help of removable appliances like retainers. More movement to close the gap, if required, can only be achieved with braces. Clinical pictures and radiographic evidence will be necessary to predict the treatment plan and the outcome. Just discuss all your doubts with your dentist and take a good decision. For more information consult a dentist online |
### Human: Hello doctor,I had a boil on my lower leg last month. It was paining and in five days it was filled with pus. Doctor advised it poping and after that, I took Amoxiclav 625 twice daily for three days and keep on dressing.After 15 days another one appeared on the upper side of the knee on the same leg. I used black tape (Atropa) and it popped in five days. On the fifth day, another appeared on the same leg and I took Amoxiclav 625 for five days twice daily. It popped yesterday and today is the fifth day of medicine. Now today, I am feeling another coming near it. What should I do? Please suggest.Should I use Mupirocin on it three to four times a day? Should I continue Amoxiclav more?Please guide me if anything else should I do including any home remedy I can not bear more pain and I do not want to take medicine any longer.### Assistant: Hi. From your history, I would say you are suffering from folliculitis i.e bacterial infection. Since you have recurrent episodes I would suggest you to get pus culture sensitivity done. So that specific antibiotics can be decided. Secondly, complete your seven days course of Amoxclav 625 (Amoxycillin and Clavulanic acid). Do not burst boils. There is no need for ChatDoctor. Yes, you can use Mupirocin ointment two to three times a day or Fusidic acid cream (Fucidin cream) can be used. If possible please send an image and revert back. |
### Human: Hi doctor,Initially, I noticed four red rashes on my chest and neck. On the next day, I got another four rashes on my face and after two days, I got rashes on my hand and fingers. I also have mild fever and joint pain. All the symptoms have started after my treatment for herpes from a hospital. Do all my symptoms say something about HIV? Previously, I was tested negative for HIV on the 27th day of exposure.### Assistant: Hi, Welcome to Chat Doctor forum. Please send a few good quality photographs taken in a natural light to help you better. Revert back with the photos to a HIV AIDS specialist online |
### Human: Hello doctor,I am a 37-year-old female. For the past couple of weeks, I have foot ache and feel a cold tingling sensation on and off. My blood reports and ECG are normal. I have no health issues. But I have a cheek tingling occasionally.### Assistant: Hello. You seem to have mild neural pain. It could be due to the gentle compression of nerves. Please take Vitamin supplements and if persisting, Pregabalin after an evaluation by neurophysician. Please feel free to question me in this regard. Take care. |
### Human: Hi doctor,I had high blood pressure, low heart rate. Is my ECG showing infarction? I have no chest pain. At the time of ECG, my blood pressure was 168/100 and heart beat 46.### Assistant: Hello, Welcome to Chat Doctor forum. I have gone through your ECG (attachment removed to protect patient identity). The reports mentioned on ECG are machine generated and are frequently inaccurate. There is no clear-cut evidence of myocardial infarction on ECG. As you also do not have any history of chest pain, it is unlikely for you to have any heart attack. And yes, heart rate is low and it is sinus bradycardia. Do you have any symptoms of dizziness, syncope, etc? If not then it needs no action at the moment. However, you should undergo thyroid test to rule out hypothyroidism as a cause for low heart rate. Also, should undergo echo, which will additionally provide the assurance to rule out MI. Also, if echo is normal then should have TMT (treadmill test), which will help in ruling out minor blockages, subclinical ischemic heart disease and to look for maximum heart rate you achieve during exercise, which will help in determining the benign nature of sinus bradycardia if the adequate heart rate is achieved. Also, high bp can also cause low heart rate by a reflex mechanism. So you should have medicine for it. I guess you are not receiving any medicines like beta blockers which can reduce heart rate. You should have tablet Telma CTD (Telmisartan and Chlorthalidone) 40/12.5 mg once a day in the morning for hypertension so get it prescribed by a local doctor. For more information consult a cardiologist online |
### Human: Hello doctor,Does the keto diet positively affect and alleviate stomach issues such as IBS?### Assistant: Hello. Keto diet is a crash diet, which means it can be done for a short period of two to three months or so. It can surely improve digestive issues such as IBS (irritable bowel syn ChatDoctor. |
### Human: Hi doctor,I have missed my period for a month, and he inserted his penis tip into me. But he did not do an ejaculation. Please solve my doubt.### Assistant: Hi. If the ejaculation is not done in the vagina, then there is no chance of getting pregnant. The delay could be because of hormonal changes. Get a urine pregnancy test done with an early morning urine sample to confirm pregnancy. |
### Human: Hello doctor,I have been prescribed Adderall 10 mg two tablets daily for ADHD and 10 mg Propranolol as needed for anxiety. Adderall is helping my ADHD. However, I have experienced increased anxiety and all the physical symptoms that come along with it, including chest tightness since taking the Adderall. I do not have chest pain or increased heart rate. Is it safe to assume the Propranolol while taking Adderall?### Assistant: Hello, Welcome to Chat Doctor forum. How long are you taking Adderall? It is known that some people experience increased anxiety when taking Adderall ( Dextroamphetamine, Amphetamine). If the excessive stress continues to be problematic and has not settled in few weeks, discuss with your psychiatrist about possibly reducing the dose of Adderall or looking at alternative medication for managing ADHD (attention-deficit hyperactive disorder). Meanwhile, Propranolol can be used as needed to manage anxiety provided there are no contraindications like asthma. I hope this helps. |
### Human: Hello doctor,My wife took abortion pills before three weeks, but still, her periods did not stop. She is getting some fiber along with the blood and we think that this is not normal. Can you please suggest?### Assistant: Hi. Her symptoms are suggestive of incomplete abortion. First, you should go for pelvic ultrasonography to see the cause. Then you should consult a gynecologist and get your examination done. If any retained products of conception are there then it can be evacuated by surgical method of abortion (D&C). Please do not worry. Please consult a good gynecologist. It is a safe method of abortion. I hope this helps. Take care. |
### Human: Hi doctor, I am a 35 year old female. I have on and off sharp pain in the left upper chest. Sometimes, it radiates to the neck and sometimes shoulder and upper arm. My ECG, bloods and chest x-ray were normal. With all these tests, is it likely to be the heart? Movement does not seem to influence the pain. Sometimes, I get a bit dizzy too. Pain seems to come randomly. Doctor prescribed Diclac 50 mg thrice a day and Clorom 500 mg twice a day. What else could it be? Colonoscopy has done recently due to family history of cancer and that was clear. Ultrasound of the abdomen was also clear.### Assistant: Hi, Welcome to Chat Doctor forum. I have carefully worked through your case and can well realize your health worries. Thanks for uploading the details of some laboratory reports (attachment removed to protect patient identity). |
### Human: Hello doctor,Three months ago, I had sex with my partner. Fourteen days later, I had my normal periods. But now two months have passed by and I have not got my periods. Moreover, I have used home fertility kit and that has shown negative results.Am I pregnant?What is the reason for my missing periods?### Assistant: Hello. If you had a period after intercourse which is totally normal like the ones you had before, in terms of flow and days, it is highly unlikely that you would be pregnant. Also, you have stated urine pregnancy test is negative. So that goes against too. There could be many reasons for a missed period. I suggest you try a simple progesterone, Me ChatDoctor. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You should expect your period to come after completion of the doses between 48 hours to seven days. If you do not get it even after that, it is better to consult a gynaecologist physically to rule out other causes as well. For more information consult an obstetrician and gynaecologist online Take care. |
### Human: Hello doctor,I had sex with my fiance one and a half months back and within an hour, I took I-pill. Eight days later, I had some spotting and after that, I usually had my periods a week later. But, this time it did not happen and I am totally freaked out and I did try sugar pregnancy test at home but it did not show any sign of pregnancy. What should I do now and my periods are delayed by I-pill or some other reasons. What should I do? Please help.### Assistant: Hi, Welcome to Chat Doctor forum. Your periods can be delayed due to I-pill. Periods can also be delayed due to hormonal problems. Do serum beta hCG blood test to rule out pregnancy confirmatively. Let me know your blood report so that I can guide you. Do serum TSH (thyroid stimulating hormone) and serum prolactin blood test on empty stomach tomorrow morning to see if you have any hormonal imbalance. Let me know the report once you get it. For more information consult an obstetrician and gynaecologist online |
### Human: Hello doctor,How accurate in your opinion is the Lelli ACL (Lever test)? I am almost three months post-op of having my ACL reconstructed along with a few lesions addressed during the surgery. I am concerned I have ruptured my ACL again after feeling a short sharp pain when turning in the sand on vacation. It has been three days since the incident and the knee now feels a lot looser and I have some pain in different areas. I have tried the Lachman test with no noticeable shifting, and the Lelli test was positive with good leverage hopefully assisted by my intact ACL. I will have to see my surgeon and physio soon but I am just wondering how accurate the Lelli test is. There seems to be no difference when comparing the test in both knees.### Assistant: Hello. I read through the concern. The Lelli test is accurate in diagnosing acute on chronic ACL tears, more sensitive than many other traditional tests performed in an acute condition, especially partial and acute tears. Do not be afraid. Keep calm. Take precautions not to strain and exert your knee. Keep it supported with an ACL brace until you get properly diagnosed by a good orthopedic or physio. Do not jump to a conclusion and keep worrying as you might not be accurate enough to say the reason for translation as there could be many factors like muscle inhibitions and imbalances that exist post surgery which may all confuse you leading to false positive tests. Hope this is helpful. Kindly revert back in case you need any further help in this regard. For more information consult a physiotherapist online Take care. |
### Human: Hi doctor,I am a student, and I stay in a highly polluted area. I got shifted here five months ago. Early in the morning as soon as I wake up for five to ten minutes, my eyes start paining and irritating. Few times it also turns red. Due to this I could not wake up on time and also feel uncomfortable. When I study I feel some dryness in my eyes. Please help me out with some suggestion.### Assistant: Hi. By your description, it looks like a condition called vernal keratoconjunctivitis. It is a type of allergic condition. It increases in summer and dusty polluted environment. I suggest you wash your eyes with cold filter water twice a day. Also, use Pataday eye ChatDoctor. |
### Human: Hi doctor,My mother is having difficulty in breathing. We have consulted a doctor. Based up on the diagnosis, he advised a surgery for the polyp in the right side of her nose. She is 45 years old. Her weight is 65 kg and height is 5\4". Currently, no biopsy has been done. Do we need to check biopsy? Can you please provide your opinion and the severity level?### Assistant: Hi. I got to understand that the primary complaint of your mother is nasal obstruction. How long is it present? If it is antrochoanal polyp, as CT suggests (attachment removed to protect patient identity), it needs surgery. AC polyp does not reduce with medicines. More important reason to get surgery is that in above 40 years age with nasal polyp is a risk. Biopsy has to be taken to rule out malignancy when it is only on one side. Risk of surgery depends on general condition and surgery when done endoscopically does not cause much risk. BP, diabetes and other underlying systemic diseases are risk factors. |
### Human: Hello doctor,Just this morning my brother told me he had pain in his ribs the day before and it seemed a bit weird this morning too. But, he did not have any pain. There seems to be a weird bump on one side of his rib cage. What could be wrong?### Assistant: Hello, Welcome to Chat Doctor forum. This could possibly be a collection of fat cells called lipoma or collection of a mass of nerves called neuroma. Another possibility is that it could be an inflamed muscle or a bone spur. A clinical examination would be extremely necessary. A biopsy may be needed based on clinical examination findings. Hope it helps. For more information consult a paediatrician online |
### Human: Hello doctor,Why do I have dry skin around my mouth and how can I treat it?### Assistant: Hi, Welcome to Chat Doctor forum. I have gone through your case. There are number of causes of such ChatDoctor. Use of colored toothpaste, excessive salivation, rubbing tongue on lips, poor oral hygiene, use of lip balms and lipsticks. Treatment involves maintaining good oral hygiene. Mix Clotrimazole and Hy |
### Human: Hello doctor,I am 24 years old and I have a combination skin type. I have minimal breakouts basically during my periods but these pimples leave a lot of marks. Please suggest me a tablet or a treatment on how to remove these marks. Also, I do not want to take any medicines containing steroids or apply any cream having steroids. Please help. Also, please tell me what to do to make my skin better? Not only my faces but also my body.### Assistant: Hi, Welcome to Chat Doctor forum. I have gone through your case. First, you need to understand acne is common and you may experience frequent exacerbation due to stress or periods as you already told. Moreover, steroids should never be used in acne skin. In fact, this aggravates acne. Please apply Clindamycin gel two times a day on pimples. Apply Vitamin C serum on dark lesion for three months twice daily. Use Cetaphil cleanser. |
### Human: Hello doctor,I have had a rash on my right chest for five months. I asked many doctors but no one can say excatly what it is. It is a red small rash without symptoms. I did try some stuff like hydrocortisone 1% cream for two weeks and an antifungal medicine for two weeks but nothing happened. Then more than a week ago, I did go to the doctor and he prescribed Fusidic Acid and betamethasone 20mg/g plus 1mg/g cream. I have taken this for one week and three days with one day pause. I have attached few pictures before and after the treatment and the medicines seem to work very well. I want to know should I continue until the symptoms have totally gone or should I use it only once a day instead of twice a day? What is the best option without side effects and long-term complications? If I have to stop these medicines, should I start using hydrocortisone 1% cream? I have read on the internet that the cream might damage my eyes. Is it true? After I take a shower, is it safe to touch the affected area? Should I be careful when I wash my hair or face after touching the affected area? What can I do to make sure this does not come back after it has gone.### Assistant: Hello. I have reviewed the clinical photographs attached (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online |
### Human: Hello doctor, I am a 35 year old male. What is the normal range of cortisol in a 24-hour collected urine probe? Is having too low cortisol levels in 24-hours collected urine probe a clinical matter? In the last six months, I had three urine testings with the account of cortisol between 10-12 \xb5g/24 hours. I am dealing with PTSD and a distinct fatigue.### Assistant: Hello, Welcome to Chat Doctor forum. You have not mentioned why you got your urine cortisol levels checked. The normal cortisol levels vary between 10 to 100 micrograms and vary from one person to another and is affected by many factors. What are the symptoms you are experiencing? Are you having any sleep disturbances? Are you on any medications? Please revert back with the above answers for proper diagnosis. For more information consult a general practitioner online |
### Human: Hi doctor,My 2 year old son\s penis tip has a very narrow opening. The foreskin at the bottom part is quite flexible, but it seems to be attached to the inner meatus at the tip. When I try to pull back the foreskin for cleaning gently, the inner meatus is hardly visible. Earlier, he used to have ballooning while peeing. After application of a corticosteroid cream (Betamil GM) for a couple of months, the ballooning has gone completely. But, the opening is very tiny. He has not complained of any pain as yet, but I am just curious to know if I should worry. Thank you.### Assistant: Hi, Welcome to Chat Doctor forum. This phenomenon is known as phimosis. Most of the time, steroid ointment that you have applied will help. In your case, it has helped. So, do not worry even if the opening is small as long as there is no ballooning of the prepuce. You can get a circumcision if you want to get rid of this problem altogether. But, no hurry to get it done. |
### Human: left eyelid very swollen and itchy with pain. It is also very itchy and painful and also having a white discharge from eye. I have been having the issue for a week and it is not getting any better### Assistant: Hello, According to picture you have send its likely to be infective in origin. So you have to take antibiotics for the treatment. All these you have to take for 1 weeks. Then you will be fine. Infection As per now nothing ? Sty Infected lid swelling As mention above Do not rub your eye Do not touch your eye After 1 week |
### Human: Hello doctor,My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal. Please advice.### Assistant: Hi. What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician and traumatologist online |
### Human: Dear doctor,Recently, I was diagnosed with diabetes and my blood sugar fasting was 231 and random was 271 mg/dL. I consulted a doctor and he prescribed me Qosmet 500 mg/ 50mg twice a day and Amaryl 1 mg once in the morning. After a week, my sugar was under control and blood sugar fasting was 93 mg/dL and random was 111 mg/dL and 139 mg/dL. Three days I was fine but after that, I am feeling vertigo (dizziness). Kindly tell me why this is happening to me. Is it any side effect of the tablet I am taking or any other issue?### Assistant: Hello. You should monitor your blood sugar twice a week and especially at those times when you are feeling dizzy. Initially, with the start of medication, you may have some low blood sugar symptoms due to the first effect of medications for treatment of diabetes. I suggest you buy a glucometer and keep a check of your blood glucose twice a week and also check your blood sugar whenever you have such kind of symptoms like dizziness, sweating, and irritability. For more information consult a diabetologist online |
### Human: Hi doctor,From yesterday, I have vaginal swelling, discomfort, and abnormal discharge. I had intercourse with my partner before four days. Please prescribe some home remedies or medicine to cure this problem.### Assistant: Hi, Welcome to Chat Doctor forum. You have some vaginal infection, and it is causing the problem. Please get yourself checked by a gynecologist internally and get a vaginal swab test done. Avoid having sex till then. Wear cotton panties, and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with ordinary tap water whenever you use the washroom. Avoid using vaginal douches and creams. Revert me with the reports to guide you further. |
### Human: Hello doctor,If a person is allergic to seafood, can they swim in the ocean? This person cannot touch seafood or have sea-salt either.### Assistant: Hi. If a person is allergic to sea food and sea salt both, he should ideally avoid swimming in the ocean so as to avoid getting an attack of anaphylaxis (lethal allergic reaction) while under water. In my years of practice I have never come across any person with allergy to sea salt. It is usually the sea food which contains proteins, to which allergy occurs. Sea salt contains NaCl and KCl and other minerals which are usually inert and do not cause any reaction. However, to be on the safer side, avoid swimming if you are truly allergic to sea food and sea water. Take care. |
### Human: Hi doctor,When I do intercourse I am not able to go deep up to the length of my penis. My outer layer of penis is attached to the head. I feel to ejaculate due to excitement. While having sex using condom I am able to insert whole of my penis and enjoy good sex. But without condom, I ejaculate in few minutes and not able to insert inside properly. As my wife is more supportive I feel bad for her now. I am afraid whether it is phimosis. Please suggest some remedy.### Assistant: Hi, Welcome to Chat Doctor forum. I have read and understood your problem. Yes, it may be Phimosis, the symptoms like difficulty during intercourse, hard to urinate will occur. You should use some lubricant or soap and try to pull the foreskin back by holding your penis in one hand and pulling back with another. Do not apply force and over few days it will be pulled back gradually. If skin remains stuck, then you may need a simple surgical procedure called Circumcision. As you are enjoying good sex with condom? You can apply Lignocaine gel to the head of penis 10 minutes before sex and wipe it off. |
### Human: Hello doctor,I am 54 years old, female. I am having no fat loss at all. Even after excercise and proper diet plan. I am taking medication (inhaler) for asthma, nasal spray, and vaccines for allergy and Thyroxine for thyroid.### Assistant: Hi. Thanks for your query. Common medical conditions that can lead to weight gain in spite of proper diet and exercise are thyroid disorders, polycystic ovarian syn ChatDoctor. |
### Human: Hi ,MY query is i suffer from chronic ear infection. This time when ear infection started i started taking ear drops preemptively which worked for me. But the problem is infection is in the inner walls which keeps coming back after out walls are healed and i stop taking drops for 2 weeks. Now i want to ask can ear drops cure inner infection too if i keep taking my drops. Dexatob/Clotrim### Assistant: Hi, There is a possibility that there is a chronic infection in the middle ear which is located beyond your ear ChatDoctor. In such a situation plain ear |
### Human: Hello doctor,I have crooked teeth at front and tooth behind the crooked teeth was decayed and half broke in sideways. It was touching the crooked teeth in backward and my teeth in under jaws are somewhat misaligned. Do I need a tooth extraction for braces?### Assistant: Hi. You have crowded teeth and in medical terminology, it is called malocclusion. Early growth issues, small arches, delay in the eruption and delay in fall of milk teeth, habits like tongue thrust. General oral examination. Crowding (malocclusion). There are treatment options available as follows:1.Removable orthodontics using prosthetic appliances.2.Fixed orthodontic appliances.3.Removal of some teeth can be needed to create space for crowded teeth to align but that is normal procedure, not to be worried.4.Visit nearby hospital for an orthodontic treatment. 1.Avoid tongue thrust, nail-biting in early life, especially among babies.2.Care of chil ChatDoctor. 3.Visit nearby dental hospital after every six months particularly during initial 12 years of age to avoid any misguided eruption and decay. Growing period stretches up to 25 to 30 years of age. So, it is better to approach the nearby dentist early so that your defect can be corrected before it is too late. Take care. |
### Human: Hello doctor,I am having brown spotting with blood clots, and there is no pain or cramps. I had my periods in the first week of June. I had unprotected intercourse in the first week of October, but my partner did not ejaculate inside me. I again had intercourse (protected) and I had slight bleeding after that. Whenever I have the orgasm I bleed, this never happened before. I have an irregular cycle for one year. My periods come in about three or four months duration. Now it is four months already, and I am experiencing this dark brown spotting instead of my periods. Why is this happening? Please help.### Assistant: Hello. Considering the fact that your periods have been irregular since long and the interval is three to four months, then for sure, you should be evaluated for causes of oligomenorrhea like PCOD (polycystic ovary disease), hypothyroidism, and hyperprolactinemia. Also important is to rule out the pregnancy as you have been sexually active. Once ruled out then a per speculum examination can be conducted to rule out cervicitis, or erosions which can cause post-coital bleeding. So a gynecologist examination would be recommended. |
### Human: Hello doctor,My right inner cheek is swollen. This happened for the second time this month. The swollen cheek falls between the teeth while talking or eating. I am having pain too.### Assistant: Hi, Welcome to Chat Doctor forum. I have read through your complaint and the relevant details. The swelling should be the reason for any tooth infection associated with the right lower back tooth region in the least case. If that is ruled out during a dental consultation, then it could be the infection in the salivary gland. I say this because you have mentioned a history of swelling interferes with eating and talking. Usually, salivary gland swellings affect both the sides of the cheek region and also below the tongue with or without pain. You also got to check if you have ChatDoctor. |
### Human: Hello doctor,My baby is one year old. She has soft teeth in the front and she is not able to bite anything with the upper teeth. If she bites, the teeth start chipping. What am I to do?### Assistant: Hi. If the enamel matrix formation is deficient, it will result in soft teeth that chips and/or decays easily. It may also result in an atypical or abnormal tooth shape. This is called enamel hypoplasia. Treatment for this dental condition includes removal of the very soft enamel and placement of a white tooth-colored filling in that area. Occasionally, the aberration or deviation from normal growth in the enamel is extensive enough that we recommend a white stainless steel cap as a temporary crown during the growing years. Maintain proper oral hygiene of the child by wiping the teeth with a soft cloth or a very soft brush. |
### Human: Hello doctor,I am 32 years old. I was using self-tanning creams around seven years all year long. I have stopped for the last two years. I am worried because I have read that self-tanning creams are causing cancer and tumors. Is it true? Are they out of my system or will it take years to appear if they caused me cancer?### Assistant: Hello, Welcome to Chat Doctor forum. Yes, self-tanning lotions are known to cause skin cancer. Please stop using it and avoid exposure to sunlight without a sunscreen. Use a sunscreen with SPF 50 or more, apply every fourth hourly. Look for any changes in the skin, any bumps that look different, any changes in moles. Seven years is too long. I would suggest you visit a dermatologist for full skin examination so that any abnormal skin lesion if present, can be picked up early. For more information consult a dermatologist online |
### Human: Hi doctor,I am 34 year old female. I have got my STD and HIV done. I have attached my reports for your reference. All look clear, but herpes simplex virus IgM and IgG are 3.5 and 4. I have no other symptoms. Please help.### Assistant: Hello, Welcome to Chat Doctor forum. 1. IgG HSV1 and IgG HSV2 to check for immunity against these subtypes individually.2. The IgM antibodies may still be positive with progressive fading acute infection. 1. If you do not have active lesions or are not pregnant, there is no indication for treatment.2. If you have active lesions, avoid unprotected sexual contact. It may however still transmit even if you do not see active lesions, since they may be hidden in the genital tract. |
### Human: Hi doctor,I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else?### Assistant: Hi, Welcome to Chat Doctor forum. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous ChatDoctor. Eyes also become hypersensitive. Systane ultra is artificial tear eye |
### Human: Hello doctor,I have a problem with my teeth. I started using Hexidine mouthwash last month for whitening of teeth, but it is not helping me, and soon my teeth are becoming brownish at some places. What should I do to clean it?### Assistant: Hi. Using Chlorhexidine mouthwash for more than 15 days in continuation causes brownish discoloration, that is the reason your teeth are becoming brownish. Now that you have developed chlorhexidine discoloration, I do not think scaling will be of any use. Instead, I would suggest you for either bleaching or veneering. Veneering is the solution for the type of stains that you have developed. Dental veneers are thin flakes of tooth-colored material, which are applied over the original teeth. Good luck. |
### Human: Hello doctor,I had suffered from common cold symptoms three months back. It resolved completely in about 18 to 19 days. Started with constant sneezing followed by a runny nose, then nose cleared and sneezing stopped but felt an uneasiness in palate and throat turned sore, getting worse with time and then persistent coughing. I consulted my general practitioner on the fourth or fifth day who prescribed some medications. I started feeling better after the seventh day and the throat improved. But almost the next day onwards I started feeling worse again but this time it was not sore throat or a runny nose exactly, just felt the mucous inside throat all the time. Never felt feverish as such or found raised body temperature (by touching only) and experienced mild body ache here and there. Nevertheless, around 1 month after this resolved totally as said above, since yesterday I have started feeling same common cold symptoms, runny nose (not sneezing or coughing much though) with uneasiness in the palate, no raised body temperature but little feverish with mild body ache here and there.In both the aforesaid cases I had taken a Cetirizine tablet on the same day (but little later in the day) the symptoms started. But the medicine did not work. However, previously whenever I experienced a runny nose and constant sneezing, one Cetirizine tablet helped.In fact, it resolved the problem. Could you please share your opinion on this, please, why the cetirizine did not work? Secondly, I may have had (but I am not sure at all) a possible HIV exposure around 10 months ago. I did not get tested. I have consulted few doctors online who said that the chances of HIV infection is quite less. Assuming I may have HIV, could it be the reason why the cetirizine did not work? I wish to mention here that I had high blood pressure for which I take medicines and last month when I checked, it was under control.### Assistant: Hi, Welcome to Chat Doctor forum. Firstly, I do not think it has any relation with HIV status and you should not worry about it. It seems you are quite worried and unconvinced about HIV status. So, I would advise you to get yourself checked. It will help in relieving your anxiety and fear. Unresponsiveness to Cetirizine is likely due to development of tolerance which means some medicine becomes less efficacious if taken repeatedly, which recovers within few months of a ChatDoctor. It is not at all related to HIV. You appear to have another viral infection now and I would suggest Tablet Paracetamol 500 mg whenever needed for your body aches, uneasiness and fever if develops. Also, instead of Cetirizine, you can have Tablet Allegra (Fexofenadine hy |
### Human: 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?### Assistant: 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. |
### Human: Hello doctor,I was taking Oxra 5mg tablet for diabetes and due to which I had excessive urination. I got fungal infection on the skin of my penis with burning sensation and itching. I had got this problem two weeks ago when I was on Oxra. I consulted a skin specialist and he prescribed Itraconazole 200 mg for five days and Lulifin cream to apply twice a day. I took the whole course and all cleared up until after two weeks ago when I had sex with my wife. I started getting the burning sensation and by the next morning, it was itching badly. I then applied the Lulifin cream. Should I go back on the course of tablets too? Why has it recurred? I stopped the Oxra completely when I started the course. Currently, I am on Carbophage G 1 for diabetes. How can I be helped?### Assistant: Hello, Welcome to Chat Doctor forum. Candidal balanoposthitis is a very common fungal infection of the glans and prepuce of the penis. It is usually seen in poorly-controlled diabetics. Also the treatment course you have taken is incomplete. Usually, the antifungal cream needs to be applied daily for at least two weeks including strict sexual abstinence. The partner too would need treatment in case of any existing vaginal discharge. Kindly upload appropriate images of the present clinical lesions so that we could suggest treatment for you accordingly. For more information consult a dermatologist online |
### Human: Hello doctor,I am concerned because I have had a low WBC since after I had my son three years back. A year later, my WBC decreased to 4 and since then has continued to decrease but now I have a low granulocyte count of 1.7 which I have not had before. It is now 3.5 from recent CBC. My last draw was a year ago and it was 4.0. I have been as low as 3.6 in the past. I am a highly stressed person since after the birth of my son. I have been in school for my BSN and MSN and I am wondering this could be related to stress. My H+H is within normal limits with only a slight decrease in my HCT of 28.1. At the time of my CBC I was menstruating so I am attributing the low HCT to menstruation. The only symptom I have is fatigue. Otherwise, my PLT, RBC, HGB and other cell line are fine. Any advice would be greatly appreciated. Previously I have had anxiety and leukopenia.### Assistant: Hello. According to the provided history, you are having low WBC count along with normal hemoglobin, platelet, and other values. But your WBC count is not much low and so not much alarming. Viral infection, hepatitis B, HIV, autoimmune disorder like SLE, enteric fever are some causes. According to examination, further workup can be planned according to need. But I need to check your differential WBC count and for that peripheral smear, examination report will be best. So provide your peripheral smear examination report to check it. Take care. For more information consult a hematologist online Take care. |
### Human: Hello doctor,I have a UTI with E. coli infection detected. My blood urea is 27 mg and the serum creatinine is 1.3 mg. My primary health doctor advised me to consult with a nephrologist to find out the reason behind the rise of creatinine level. He told me that the creatinine level is near borderline. I have back pain, waist pain, and discomfort in urethra, and a little foamy urine,Frankly speaking, we do not have any doctors in our area. There are no many doctors who are specialized in kidney disease. How should I have to maintain my health and what precaution needs to b taken care of? Please give me a suggestion. Am I in a danger zone?### Assistant: Hello, Welcome to Chat Doctor forum. Probable cause could be interstitial kidney injury or interstitial nephritis. Differential diagnosis includes ChatDoctor. E.coli (Escherichia coli) can cause both toxic and interstitial injury to kidneys but it is usually reversible. As your ultrasound is fine, there does not seem to be anything to worry. You need to repeat: After 14 days, they should be fine by then. Also, avoid sexual contact for next three weeks. Currently, no medicine is needed if you do not have any symptoms. No sexual activity. Increase fluid intake. There will be no medicines for two weeks. Follow up in 15 days. For more information consult a nephrologist online |
### Human: Hello doctor,I am having "mood disorder" and under treatment for around nine years. The doctor said that the medicines are to be taken lifelong. Now prescribed Valporil CR-300 and LithoSun SR tablets (both 1-0-1). If I come to Ayurveda, can I stop these medicines within some time? While visiting an astrologist, he recommended me to take "Manasamitra vatakam" tablets along with Saraswata Ghritam for 21 days. My query is, can the above Ayurveda tablet be used along with the other allopathic medicines? Will there be any side effects? In what proportion is it to be used?### Assistant: Hello, Welcome to Chat Doctor forum. As you have this problem from a very long time, suddenly stopping the allopathic medicines may lead to worsening of the problem. So, follow the advice of your psychiatrist. Along with the allopathic medicines you can take Ayurvedic medicine. But keep some time gap between your medicines. The ayurvedic medicines recommended to you are good and you can take it as per your physician\s advise. But initially, take under supervision and in case of any problem visit your physician. Along with medicines, try to stabilize your mood by doing meditation and breathing exercises like Pranayam and Anulom vilom daily. Walk daily for at least 30 to 60 minutes. Adopt a new hobby like dancing or painting, etc. Learn new things. These things will help you in managing your mood. For more information consult an ayurveda specialist online |
### Human: Hello doctor, I have flown very often in the last few years. I forgot to wear earplugs and slept on a few flights recently. On the last two trips, I had multiple flights connecting. I noticed my ears did not stop popping after a few days. Since my last flight, my right ear has not cleared up. It used to be at night my ear would pop and get better during the day. Now my right ear has lost hearing, I would estimate about 50% and fluctuates between 50% to 75% during the day. When it is totally silent, I think I hear this tone in my right ear. I do not have headaches and can sleep fine. I have gingivitis and bleeding gums, and no other health issues. I was wondering if my ear is infected or not. I know whatever I have is connected to my frequent flying every two months for the last five years. I always wore earplugs and never had this before but forgot the last trip. Should I take antibiotic drops? I definitely have mucus in my sinus and I am not sneezing or coughing in any major way just and not sure if I am infected or not. Would antibiotic drops help me rule out infection?### Assistant: Hello. Simply it is a eustachian tube dysfunction. Ear infection which needs an antibiotic must be accompanied by ear pain. Ear ChatDoctor. I think that you need an anti-edematous and anti-inflammatory like Alphintern tablets or Reparil tablets three times daily for a week plus corticosteroid tablets in the dose of 1 mg for each 1 kg of your body weight daily. For example, if you are 70 kg you need 70 mg of corticosteroid per day for 10 days.The most popular corticosteroid is called Prednisone tablets. Chewing gum will be useful for you. |
### Human: Hello doctor,I have a white blister on the scrotum for the past one year which is painless.### Assistant: Hi, Welcome to Chat Doctor forum. I have seen your query. With your descriptions, it seems you have developed a sebaceous cyst. Please get a review with pictures for better evaluation and the best possible treatment for your concerns. |
### Human: Hello doctor,It all started with leg pain some two years ago. At that time my vitamin D3 level was only 8. Then, I took Uprise-D3 60000 weekly dose for two months. I was cured and fine. But after six months, the problem started again. I did my blood tests again and it was 30. I started taking vitamin D3 again and got about 70% relief. Three months later, my vitamin D3 level was 66. But when I stopped taking vitamin D3, the symptoms occurred again. Kindly help. My uric acid is 7.6 and calcium level is 10.5.### Assistant: Hello, Welcome to Chat Doctor forum. It appears that you have myalgia. I suggest that you take You need to ChatDoctor. Usually, vitamin D has to be taken along with calcium supplements even if the calcium levels are normal. Also, 50000 IU of vitamin D can cause muscle pain. Dehy |
### Human: Hello doctor,I took GABA supplement and I am unable to sleep. If I fall asleep, I am only sleeping for a few hours, and then I am wacking up. I did not start experiencing this issue until I took the GABA supplement.### Assistant: Hello. GABA (Gamma-aminobutyric acid) supplements can both, make one go to sleep and keep awake. As for now, I suggest you wait for a few hours until the effect of the medicine wears off. I suggest you do not take the GABA supplements by yourself. |
### Human: Hello doctor,I have erectile dysfunction with no apparent cause. Blood test and ECG are fine.I have never had ED. My sex drive is usually not even too much. For the past eight months, my sex drive is non-existent. I also have no morning erections. Factors that play a role are that I broke up with my wife and also eight months ago, I had serious accessory nerve operation that failed to fix my trapezius palsy, but I think these areas are physically too far apart. But maybe depression? I have not been able to think myself to be turned on. I have tried Zinc, Magnesium ZMA vitamin supplements which seemed to help for one week and I got hard morning erections. However, it stopped working. I have also tried Ginseng which does work as well as Tadalafil prescription works too. I can stimulate the penis with no medication too and ejaculate, but I usually have to look at porn (which I do not do often do because I have no libido, whatsoever). I have failed to have sex with three girls now because of lack of desire. I want to physically get it up, but it does not get up. I have ED, and I simply cannot get it up to beautiful women which is horrible.I have slight pain in both testicles which is I think because I have not masturbated. Feels like blue balls which are there when a man gets turned on but does not cum, so it hurts a little. No lumps are there on or in the testicles or anywhere else. No STDs of which I am sure because I had only five partners of which my ex-wife now was for last four years. All were protected sex. All tests came back normal. Only ECG said signs of hypertrophy but compared to ECG three years ago, not with any significant change so I doubt this is a reason. Also, note that the testosterone levels are fine. I usually get my eight hours of sleep but this may be because of sleep apnea. I never feel too rested.### Assistant: Hello, Welcome to Chat Doctor forum. Relax and do not worry. ED (erectile dysfunction) can be because of mainly two causes: Basically, we need to differentiate between the two as treatments for both are different. Your reports are fine (attachment removed to protect patient identity) They do not suggest any hormonal problems. I would like to have you one more test which is penile doppler with vasoactive substance injection (Papaverine). This will test whether the flow of blood in your penis is adequate or not. I feel you have a psychological cause because of your relationship with your wife and other stressful events. Moreover, it has formed a loop as now you are in the fear that every time it will not erect. So, I feel it is basically a psychological cause. For more information consult a urologist online |
### Human: Hello doctor,I brush my teeth a minimum of twice, if not, once a day but my teeth have a yellow look to them. Is there anything I can use at home to help get them white. I have heard that charcoal tooth paste makes teeth white. Is this true or can you recommend something?### Assistant: Hi, Welcome to Chat Doctor forum. I got your chief complaint and your concern is esthetics. Yes, there is kind of toothpaste containing carbon or charcoal which can remove stains. But there are variable opinions regarding their use. I suggest you if you are more concerned about esthetics use alternative toothpaste like Glodent (containing Bromelain, Papain, Flouride, Xylitol) daily for one month. This toothpaste can remove stains and whiten teeth. But so for tooth esthetics is considered, there are treatment modalities available like bleaching, scaling, and polishing. Send your photograph of teeth inside and outside so that I can find a proper cause of discoloration and it can be ad ChatDoctor. |
### Human: Hello doctor,My wife is 25 years old and she had her period on the 14th of last month. On the 1st of this month, while having intercourse, unfortunately, the condom broke. She had taken I-pill within two hours. Can you please advise if the tablet will work or not?### Assistant: Hello. I have gone through your history and understand your concerns. As you had I-pill, the chances of pregnancy are not there in your case. Delayed menses, if any, are due to hormonal imbalance caused by I-pill. Just wait and watch for your menses. For more information consult an obstetrician and gynaecologist online Take care. |
### Human: Hi doctor,I am a male. I had unprotected vaginal sex single exposure with a girl. Nine months later, I found she is HIV positive. My question: I have read that after a certain window period time (three months after getting negative) is conclusive and even after (six months) confirmation is definitely negative. But, why are all these other people saying you can go years without showing positive and that is really freaking me out big time. Is it true that it takes years to come up positive or does it only take six months to know it 100 %? What is true? Also, there is a doctor who says no test is 100 % reliable. I am still 15 months post exposure. HIV RNA PCR qualitative all are negative. 20 months post exposure, HIV-Alere combo test result is negative. Any further test is needed?I am negative now. Will my result change in the future? What is 100 % window period? Please clarify my doubts. Thank you.### Assistant: Hi, Welcome to Chat Doctor forum. For this question, it is based on the test you do. HIV enters the body on day-0, and goes to the nearest lymph node and starts replication by day-7. This is when, p24 antigens (core proteins of HIV virus) get detected and in turn, the body starts defense and produces HIV antibodies, and these get tested positive in 15 to 23 days. But, due to neutralization of antigens by antibodies, as per theory, testing after 23 days up to 28 days may give false negatives (<0.001%). So, getting a fourth generation HIV test after 28 days is confirmation by 99 %. Yes, not only in medical, but in any field, 100 % is not possible. And taking medico legality, no one gives you 100 % cure. No further test is needed. You are negative by 99.99 %. A change in result is unlikely. You will stay negative forever. The window period is a period where lab tests cannot detect the presence of infection by tests. For more information consult an HIV AIDS specialist online |
### Human: Hello doctor,My mother has knee joint pain issue. We consulted a specialist a month back, he said that the cartilage in the knee joint has become less in one side of the joint and he suggested few medicines for pain relief and cartilage renewal namely, Calcium (Celedol -100, Jointac C2, and Osteodon). I read about Cartilage type-II that it helps very well in cartilage improvement and pain relief. I just want to ask you whether we can use this Cartilage type-II capsules along with the above-mentioned medicines for fast recovery of the cartilage? Or should we use only Cartilage type-II capsules without using \ Jointac C2?### Assistant: Hello. Whatever you use, whether cartilage supplements or Glucosamine, it will not help in moderate to severe osteoarthritis. Only in the very early stages of OA, it helps. \ If she is not diabetic, I suggest she can take intra-articular steroids or if affordable, intra-articular viscosupplementation. Continue qua ChatDoctor. Weight reduction also helps. If X-ray shows advanced stage, only joint replacement helps. For more information consult an orthopaedician and traumatologist online |
### Human: Hello doctor,I got hit on my cheek by a rock while doing some work. The area under my eye swole up and caused me to have a black eye. Now a whole one year two months later, I still feel the bruising of under eye similar to the look of a black eye. Is there a certain term for this?### Assistant: Hello. The certain term for this is the black eye that you have told yourself. This is a particular term (black eye) used for trauma to eye area resulting in blood collection around it. Another term used for it is raccoon eyes or panda eyes as it forms a complete ring around the eye. Because the eye area is very thin, the blood gets accumulated in collagen tissue and takes a long time to clear it up. Take care. |
### Human: Hello doctor,Last month, I did a health check-up and everything was fine. Later, I had my cycle a little heavy compared to my regular one. I felt quite weak. I went for an ECG in a local diagnostic center. It showed tachycardia and an early transition posterior infarct. I am very prone to anxiety. Please tell me what to do as I am going crazy.### Assistant: Hello, Welcome to Chat Doctor forum. From the limited details on this case that I have, it seems you are worried about the finding on the EKG (electrocardiogram) as early transition infarct of the posterior wall. Hope this helps. Please feel free to ask me if you need further assistance. I would be happy to help. For more information consult a cardiologist online |
### Human: Hello doctor,I was sick for two weeks with flu and now I have parotid gland infection (swelling) on the right side of my face which is getting bigger on the second day of antibiotics. Kindly tell me what has to be done. The ultrasound and complete blood count were checked.### Assistant: Hello. I have seen your symptom details and reports (attachment removed to protect patient identity). Your reports show enlarged parotid gland with a cyst in the gland. This is due to parotitis. Usually, this kind of swelling will reduce in size with medication only. You need to take proper antibiotic coverage and anti-inflammatory ChatDoctor. This may take four to six weeks of treatment. If the swelling is not reducing in size even after four weeks, it may require aspiration of the cyst. Your swelling size is probabling increasing because of incomplete treatment. There could be another possibility of stone formation in the parotid gland. You need to undergo X-ray to rule out the stone in the parotid duct or parotid gland. For more information consult an ENT otolaryngologist online |
### Human: Hi doctor,I have a gag reflex, which is really bad. I am going to the dentist next week, and I might even get braces. Do you know how I can get rid of my gagging reflex?### Assistant: Hello, Welcome to Chat Doctor forum. Gagging is very common. Do not be scared or tensed, as it can be controlled. Wish you good health and happiness. Keep me updated with the improvements. For more information consult a dentist online |
### Human: Hi doctor,I had unprotected sex with my wife on the fourth day of her menses and she took I-pill within 24 hours. The next day also we had unprotected sex and she again took an I-pill. After eight days, she bled and eight days later again she bled. She should get her menses by now, but still she did not get. We checked home pregnancy kit and it was negative. What could be the reason for delayed menses?### Assistant: Hi, Welcome to Chat Doctor forum. She has already bled twice this month and that means to say that she has already done with her periods, though before actual date. So, now she will not have her periods. Moreover, you said that the urine pregnancy test is negative and so there is nothing to worry about. Just wait for the next month periods. Do not hurry and take any further medications. She will be alright. One more thing I would like to suggest you. If you have intercourse within 10 days of periods, then you need not take emergency pills as it is the safe period where there are no chances of pregnancy. |
### Human: Hi doctor,My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy?### Assistant: Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online Take care. |
### Human: Hi doctor,Can Balaguluchyadi thailam be used for muscle knots or pain in the forearm?### Assistant: Hi, Welcome to Chat Doctor forum. Majority of thailam will relieve pain. But we should find out the reason for the pain. If it is because of gout, definitely your pain will be cured with this oil. It would be better if you explain your problem in detail with reports if you have any. |
### Human: Hello doctor, I am having a painless pimple protruding on my penis skin. I am concerned about STD. I carried out blood tests and it shows herpes. Kindly suggest some cream.### Assistant: Hello. Herpes genitalis usually presents with well-defined erosions or polycyclic lesions. The lesions are usually associated with pain or a burning sensation. Treatment is with oral antivirals. You complain of painless bumps which are unlikely to be herpes. It seems more like it could be viral warts. You may ask me a query along with a clear digital photograph of the lesions for a confirmatory diagnosis. |
### Human: Hi doctor,I have heard that edging helps to maintain sexual excitement for an extended period. Is it true?### Assistant: Hi. Yes, edging helps to maintain sexual excitement for an extended period. If you are hyper-excited and anxious, then there may be an early discharge, and you will have an incomplete orgasm. Try to distract yourself during sex, and this will surely help you to extend the time. For some time, you can use condoms, and this will also increase the time. Dapoxetine is a ChatDoctor. |
### Human: Hello doctor,My son is 1.7 years. He had rickets sometimes back and was put on supplements for six months. Upon taking him for review, alkaline phosphatase was extremely high but calcium level was okay and was referred to an endocrinologist. Upon doing several laboratory tests, TSH was okay, PTH was low, vitamin D levels were fine and wrist X-ray was normal. The boy cannot walk and does not look as if he will soon. When standing, he bends his legs at knee point and also clenches his fists when grasping. From the looks, he seems okay. Please help.### Assistant: Hello, Welcome to ChatDoctor. Rickets can be due to vitamin D deficiency or hypophosphatemia. You did not tell me the phosphate level in blood of your child. The hypophosphatemic form of rickets is resistant to vitamin D supplement. As X-ray is normal, this is a remote possibility in your child. Alkaline phosphatase is very commonly found to be high in growing child. But it is also high in rickets. With treatment, ALP comes to within reference range. I suggest you continue with the Vitamin D and Calcium supplementation and get a phosphate level in your child\s blood. Do not worry if minor deformities are present. Because these deformities will disappear as the child grows. But if the child cannot walk properly despite having a normal X-ray, and normal phosphate level, then consult with an orthopedic consultant. He will help your child by suggesting some good orthoses. I suggest you do a repeat PTH test and to do a serum phosphate level. Also, continue the Calcium and Vitamin D supplementation. Inadequate treatment. PTH, serum phosphate. Vitamin D resistant rickets, hypophosphatemic rickets. |
### Human: Hello doctor,Since a long time now, my voice sounds blocked all the time, even when I do not have the flu. Recently, I visited the doctor, and he told me that I need to take my adenoids out after three months. But, I was wondering whether there is a 100 % chance that my voice will sound perfectly normal, post the surgery or is there a chance it will not work?### Assistant: Hello, Welcome to Chat Doctor forum. Nasal voice can occur due to an adenoid enlargement. Do revert if you require any further support. Happy to help you. For more information consult an otolaryngologist online |
### Human: Hello doctor,Is coconut oil bad for the skin? A few years ago coconut oil was all the rage. We were told to slather it from head to toe for miraculous benefits. However, lately, it is been getting some backlash thanks to its comedogenic properties. My questions are, What are the pros of using products that contain coconut oil on your skin? What are some potential cons? What skin types can benefit most from coconut oil? What skin types should stay away from it? How do you recommend using coconut oil in one\s routine to reap benefits and avoid breakouts? If someone wants to use natural coconut oil on their face, what kind do you recommend using (i.e. unrefined, organic, etc.)?### Assistant: Hi. Coconut oil is extracting traditionally from raw coconut or from ChatDoctor. It is saturated oil and frequently used in skin, hairs or cooking purposes. This oil has health-promoting properties. It contains several fatty acids that have benefits to skin health as well. Now we will discuss some more about coconut oil step by step. Coconut oil contains several fatty acids which of them lauric acid and myristic acid are very common. These fatty acids have antimicrobial properties which help to protect the skin against harmful microns. Coconut oil also has anti-inflammatory properties. It helps to protect the skin from inflammation, contact dermatitis, eczema or other inflammatory conditions. It also helps to nourish and moisturize the skin. Coconut oil does not contain protein or carbohy |
### Human: Hello doctor,I noticed a small triangular bald spot in my beard three weeks ago. It was likely alopecia areata. Saw my dermatologist last week, she said it was likely folliculitis. I have had folliculitis before in the same area and it was much different. She is the doctor. So I accepted and moved on. One small spot that has some hair growing back, small thin white hair. Yesterday, I noticed what appeared to be a bald spot in my pubic hair above the penis. When I trimmed the hair back, it revealed a quarter sized bald spot and a smaller dime sized spot. I am not sure how long they may have been there as they were somewhat masked by a longer pubic hair. So, now I have what I believe to be three spots, two below abdomen and one on beard. My concern is more of them spreading than the current spots.I am now thinking back about the annual checkup that I had with my GP six months back. I advised him that in the past year the amount of semen I produce has gone down drastically. I thought it may be a testosterone issue. He advised it was likely a result of my vasectomy the year before. Also as a part of my visit, my WBC was lower than normal, outside of the range by a couple. He was not concerned about that either.My question is whether any of these things are related: decrease in semen, low WBC, and alopecia in pubic area or all separate issues? I see no reason to go back to the dermatologist as my new spots are hidden. Based on these separate facts, is there any likelihood they are related and is there any reason to see a doctor?### Assistant: Hello, Welcome to Chat Doctor forum. Alopecia areata is an immune disorder and is separated from folliculitis and it has nothing to do with your semen count and low WBC. Nevertheless, please send me a few good quality photographs taken in a natural light. |
### Human: Hello doctor,I have done RNA PCR test. The report showed that the target was not detected in the collected serum. HIV RNA was detected below, within and above the linear range of the assay. Can we conclude that the virus has entered into the body? After one week, I got western blot test also done. That is showing negative. Please suggest what my next step should be?### Assistant: Hi. Kindly mention the kind of exposure you had, whether it was protected, the duration since the exposure and the timing of the test you have undergone with respect to the exposure. Are you experiencing any symptoms since the exposure? Western blot is a second line test and can be considered accurate beyond four weeks of exposure. For more information consult a cosmetologist online |
### Human: Hello doctor,I am a 48 year old female. History of malnutrition caused by stomach issues that still have not been officially diagnosed but I am told I may have Crohn\s. I have chronic pain and seeing a pain specialist for stomach and migraine-related pain. My symptoms are:Severe fatigue.Body aches.Headache on and off.Postnasal drip.Mild sore throat.Shortness of breath.Upper back pain on the left side when I breathe deeply.When I had similar symptoms in fall, I was diagnosed at urgent care with bronchitis. I was given a breathing treatment, inhaler, and antibiotics. I started feeling a little better, then it came back in winter. I have felt poorly since then, but not this bad.### Assistant: Hello, Welcome to Chat Doctor forum. Calprotectin is a simple non-invasive stool test that can exclude Crohn\s disease. Regarding your stomach pain, I suggest that you take Controloc 40 mg (Pantoprazole) once daily at morning. It is very effective. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Regarding your chest problem, I am afraid that you have another episode of bronchitis that will require chest X-ray and some blood tests to confirm. As for your back pain and muscle ache, I suggest local Voltragen gel and deep heat creams. For more information consult an internal medicine physician online |
### Human: Hi doctor,I am 26 years old and now 36 weeks pregnant. I just noticed my stool appeared as a mixture of white and brown long particles. I never had white poop in such lengths. My scan reports were normal a month ago. Is there any problem to worry? Is there any threat to the baby? Should I visit the doctor urgently? Please help.### Assistant: Hi. Passage of white or brown particles in stool does not harm baby and there is no need to be alarmed. You can visit a physician or gastroenterologist for a physical evaluation, to confirm the nature of the problem and take treatment if required. If there are no other stomach symptoms, that visit too is not an emergency. If you have white string in stools along with other symptoms like loose stools or vomiting and pain in abdomen/fever, you need to visit a doctor as early as possible. |
### Human: Hi doctor,I am 16 years old female. I urge to pee quite often. I have a sharp pain in my vagina when I pee. I have the urge to pee frequently. But when I go to the toilet, I do not have the urge to pee. Is this due to UTI or STD?### Assistant: Hi, Welcome to Chat Doctor forum. These symptoms are common in both STD (sexually transmitted diseases) and UTI (urinary tract infections). If you do not have vaginal discharge or any history of unprotected sex, then UTI is the cause. You can confirm the diagnosis with the following tests. You can do urine microscopy and routine examination soon. You can do a vaginal swab for microscopy and culture. ChatDoctor. |
### Human: Hello doctor,I am very depressed due to stomach gurgling noises at work, during the meeting, office training, etc. l have been facing this from my college. I am not able to concentrate on anything for the past four years. As soon I as I enter the office I feel very uncomfortable. During meeting while sitting in a small quiet room, I feel very stressed and wanted to break everything and run out. Please help me overcome this.### Assistant: Hello. When you are saying stomach growling noises, you are probably referring to borborygmi. This is a normal process which happens to everybody when gas travels through the intestines. In some people, it can appear more prominent, especially if one is hungry or after meals. Are these noises, embarrassing you when it can be audible to others? Or are you referring to something else? Borborygmi can be controlled by making some dietary changes. Avoid gassy foods. Avoid carbonated ChatDoctor. Take care. |
### Human: Hello doctor,What does it mean if a swab test (just the Q tip inserted into the vagina) is very painful? More details about the presenting complaint: I have been bleeding nonstop for months, even while on Progesterone. And have heavy discharge with a bad smell. I went to the doctor to test for infection. Current medications include Progesterone and the past medications of the same issue include birth controls.### Assistant: Hello, Welcome to Chat Doctor forum. You are likely to have mixed vaginosis infection both bacterial and fungal which can easily cause cervicitis and is the likely reason you are bleeding since then. More so the infection causes vaginal walls to inflame and hence the pain on insertion. You shall require a course or oral antibiotics along with antifungal vaginal pessaries for complete treatment. Please discuss with your gynecologist and take an informed decision. |
### Human: Hi doctor,A few days ago I just had sex like thing. It means my penis touched vagina and proper sex did not happen. My sperm came out but my penis was covered with a double layered condom. Now, I am suffering from fever and cough.### Assistant: Hello. Went through your post, as you have mentioned that you had used a condom, it is not possible that you could get an infection that is related to that sexual encounter. Do you have anything like cold, sore throat, cough or loose motions, abdominal pain which could cause fever? For more information consult an internal medicine physician online |
### Human: Hi doctor,I am having pain in my lower tooth whenever I go to sleep. Due to lockdown, I am unable to consult the dentist. Can you please tell me any tablet that I can use in the meantime.### Assistant: Hello, Welcome to Chat Doctor forum. Sorry for the pain you are bearing because of the prevailing situation. As you have already mentioned there is a cavity and when it reaches up to the pulp there develops an irreversible stage which generally is more painful during night time as we sleep. I think your tooth has reached the stage of irreversible pulpitis and a root canal treatment is now must in order to save the remaining tooth. So go for it as soon as the situation in your area gets better. For now, take Amoxicillin clavulanate 500 mg (thrice daily) for five days, Paracetamol 500 mg to thrice daily SOS. Do not take Paracetamol when there is no pain but do complete the Amoxicillin course. Additionally, you can take any one for gastritis if you have a tendency to develop gastritis with antibiotics. You can take PAN-D (Pantoprazole) or Omez (Omeprazole). Take them on empty stomach. Do salt water rinse regularly. You can apply clove oil at the site, it is a good anti-inflammatory. Maintain good oral hygiene regularly, but for sure get it treated. Avoid eating from the affected side until it gets treated or even if you eat make sure nothing gets lodged in that tooth. Do mouth rinses with plain water regularly so that there is no food stuck. ChatDoctor. I hope this helps. |
### Human: Hello doctor,I am pretty sure that I have retrograde ejaculation because when I ejaculate it does not come out at the same moment of ejaculation, but it does come out seconds later and when I urinate there is some sperm. I also have male Incontinence and bedwetting problem since I was young and I am now 24 years old and a couple of times this year I found it hard to urinate, I felt like my bladder was numbed or something. So I went to a urologist and I had my testicles tested because I had pain there and thought it was the reason for all this. He gave me antibiotics I also did an ultrasound on my testicles and to check my kidney stones but everything was fine and after the antibiotics nothing change but the testicular pain.My urologist said he wants to do a TURP (transurethral resection of the prostate) but I do not know anything about the operation and he told me I will feel pain and I am scared of that but I also do not know why he wants to do this operation. I searched online and it says mercury retrograde might be from multiple sclerosis, week bladder muscle, problem with the nerves, a previous operation (does not apply to me) or medication side effect (does not apply to me).So I am not sure what to do? I want to check for multiple sclerosis and also look at my bladder muscles? Could it be a problem in the prostate? And is TURP necessary? I want a urologist who really wants to find out what is with me instead of just doing a test and not listening to what I am saying and then tell me to come back a month later. I have more than one problem and I want to know what is causing all this?### Assistant: Hello. I think that there is an obstruction in your prostate gland. Prostate gland store semen. That is why he wants to do this procedure. TURP stands for transurethral resection of the prostate. You must go for it. If you have further questions, do follow-up. |
### Human: Hello doctor,I took an HIV CMIA test on 26th day after a sexual encounter. The test result is negative. I had protected sex but I saw some blood on the inner parts of my partner. And also at the time I was having two pimples on my penis at the end and not on the tip. I am concern about that. Is an HIV test on 26th day conclusive?### Assistant: Hi. HIV negative test report at 26th day post-exposure is quite assuring, but, a confirmatory HIV antibody test is further required at three months of last exposure. There are no specific symptoms by which we can diagnose HIV. The complaints which you are having could be due to multiple reasons and do not necessarily means HIV. For the complaints you mentioned besides getting tests for other STIs (sexually transmitted infections) like HBsAg (hepatitis b virus antigen), anti HCV (hepatitis C virus), V ChatDoctor. Is there any fever as well? If so, please send the temperature record. Please revert with the reports. Take care. |
### Human: Hi doctor,After taking Unwanted 72, my wife got down within five days. But, her menses started again after five days though her actual time of menses not yet come. Why?### Assistant: Hi. Unwanted 72 is an emergency contraceptive pill containing high amount of progesterone. These medicines have a severe side effect of heavy or irregular bleeding. Your wife had the same side effect. Please check her hemoglobin levels; she might turn anemic if she bleeds much. Continue taking iron pills. It might take one or two cycles to get her periods to get regular again. So, preferably maintain a regular regime with condoms or oral contraceptive pills like Novelon, Ovral L, etc., rather than an emergency contraceptive. They are way safer. |
### Human: Hello doctor,I am 18 years old female and sexually not active. A month back, I woke up and peed straight up blood. I went to the ER and was diagnosed a bladder infection/UTI. I was prescribed Bactrim and the next day woke up with a rash. It turns out I was allergic. So, the next day I started a new medicine and took it for a few days. The blood stopped, but I felt pain, so I went back to the ER. They told me my UTI was gone and to stop taking the medicine. A few days later, I saw blood when I wiped after peeing, but it looks like it was in my discharge. It went on a few times, and I went back to the ER three days ago and said that I was peeing blood again. So, I am worried. I have not gotten my period this month, and no, I am not pregnant. I am a virgin. They said it was not a UTI and I was fine. I have had no pain or anything. Just now I peed and when I wiped there was blood in my discharge. It is not a lot but still freaks me out. I cannot tell if it is my period or something else. I have never had this happen before. My mother said that it is spotting but makes no sense to me.### Assistant: Hello. This is likely to be irregular shedding which can often occur in adolescence by mid-cycle in girls with secondary progesterone deficiency due to either delayed ovulation or stress-induced hormonal imbalances. You need to get a serum progesterone level done and if it is less than 21ng/dl by day 21 of your cycle, then you may need cyclical progesterone therapy. For more information consult an obstetrician and gynaecologist online |
### Human: Hello doctor,My teeth are getting deposited with something which gets removed after scaling but, soon develops after 20 days. This situation has taken place twice. I do not have soft drinks, coffee, and chocolates. I am very upset about this situation. Please help.### Assistant: Hello, Welcome to Chat Doctor forum. Scaling is a temporary solution. You should maintain your oral health. As I have seen in pictures, there is stain deposition in your back teeth (attachment removed to protect patient identity). There are several reasons for stains, most common is smoking, fail to brush at night, not changing the brush for every two months, ignoring the brushing of back side teeth. Brush twice daily (especially night brushing), flossing, avoid smoking and gutkha paan. Make your teeth free from any deposition. Change brush every two months. If you follow these instructions, you do not need any scaling for several years. The most important thing is proper brushing technique. All surface of teeth should be involved, and prolonged brushing is not required. |
### Human: Hi doctor,I have a question here. I had a toenail injury last month (cause: fell down, toe landing first onto the floor, which made the nail get loosened). I did go to the hospital to get it treated. The doctor cut off half of my nail, cleaned and dressed it, and kept re-visiting to get the dressing changed. The doctor said that I could stop re-visiting. And then she told me that the nail would have to be removed again after it grows back fully. But, I am hesitant and kind of rejecting to do so.After a month, the nail is not loose anymore, but the nail seems to be growing outwards, and between the nail and the nail bed, there is a gap (kind of like a hollow gap inside). Should I just wait until the nail fully grows back? Should I cut it? What should I do? I am really worried that it will not grow and it will completely fall off once I start wearing shoes. Please note: I am going on a horse riding and hiking camp the next month. Just in case if it does not grow back by then, what should I do or wear to protect it?### Assistant: Hi, Welcome to Chat Doctor forum. I understand your worry. I think you need to follow your doctor\s advice (get the nail removed surgically), as it seems that the nail is detached from its bed. But get the procedure done only by a surgeon or a dermatologist. And get it done as soon as possible, because the earlier you get it done, the more the chances are that your nail will grow back before next month. If the nail has not grown back completely before then, do a good sterile ChatDoctor. Hope this helps. Take care. |
### Human: Hello doctor,Yesterday we had a consultation with an eye doctor for my kid.After diagnosis the doctor said "kid\s eyeball size is quite big".He also said left and right eye have "-4" power (not cylindrical) and retina is good.He also added that, at this stage we cannot do any thing and asked us to come back after 6 months.He said the power may go tentatively up to "-6".Above all he said that spectacles is also optional.Please suggest me what to do now, as I do not want my kid\s eye power even more.Do we have any other approaches to control this?Will swinging of eyes be controlled on its own after some time?### Assistant: Hello. I reviewed your history. Do write back to an eye care ophthalmologist online after consulting your pediatric ophthalmologist so that we can plan the next treatment |
### Human: Hello doctor,I am 17 years old. I had sex with my partner on the 24th day of the menustruation cycle. I used Today vaginal pill before intercourse. On the next day i.e. 25th day, within 30 hours, I also took i-pill to be sure not to be pregnant. Now my period which was on due is still missing. What are the chances of my pregnancy? What should I do to terminate it, if I am pregnant? Kindly help me out.### Assistant: Hello. I have reviewed your query thoroughly. I-pill or emergency contraceptive pills have very minimal chance of failure if taken immediately after intercourse within 24 hours and chances of failure gradually increase after that even if taken within 72 hours. There is about one to two percent chance of failure of an emergency pill or i-pill in your case. But we can be quite sure of its success if with ChatDoctor. Based on the dates given by you, today must be 8 days following the date of the intercourse. In that case, to find out if you are pregnant, you can get a serum beta hCG (human chorionic gonadotrophin) testing done. For the urine pregnancy tests to show the result if pregnant, it must be at least 10 to 14 days following intercourse. If you want to know urgently whether you are pregnant, you can get serum beta hCG testing. If you can wait another week, you can get a urine pregnancy testing, which if positive must be followed up by ultrasound imaging. Only after then and after consulting an obstetrician, should the abortion be planned under guidance. Furthermore, if you are sexually active regularly, it is better to choose other regular contraceptive methods after consulting an obstetrician and gynecologist instead of i-pill. I-pills are meant to be taken only in case of unexpected accidental unprotected sex, but not on a regular basis. |
### Human: Hello doctor,I have problem in one cord and it is for about a month now. I was given Defcort and antibiotic for a week. Persisting for little over a month now.### Assistant: Hi. Since how long you have been having this problem? As per the picture, it has been there on only one cord. If it is early stages, conservative management can be tried. Did your doctor tell you about it? One month duration is a bit less to decide on surgery I feel. You should go for conservative treatment. Conservative treatment means antireflux and antacid measures along with control of allergy. Dietary precautions are to be taken. Absolute voice rest should be maintained. What is your job? Do you speak a lot or sing? Take care. |
### Human: Hi doctor,I am having an abscess on my balls. It is reddish and painful, but not much. I have jock itch right now. I saw terrific images on the internet, but it is not like that. Please help.### Assistant: Hi. Please put up two to three clear photos of the affected area for proper evaluation and guidance. Revert back with the photos to a dermatologist online |
### Human: Hello doctor,Abnormal t-wave. High QRS Voltage. Abnormal Qtc. Pulse 60. Two readings were taken. Marfan syndrome present. Male 33 years old, 180 lbs, 6.1 feet tall. Chest tightness, heart palpitations, fast heartbeat, fluttering, fatigue, inverted sternum since birth (abdominal area protrudes, not due to fat but possibly due to chest deformity, sunken in). Do you see signs of ischemia, what could be wrong based on these readings?### Assistant: Hi, Welcome to Chat Doctor forum. I have gone through the ECG and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity and thus the heart being closer to the chest wall than usual. Hence, the recording electrodes recording higher voltages from the heart muscle. The QT also seems normal. I think the palpitations could be due to underlying mitral valve prolapse which is common in Marfan\s syn ChatDoctor. You need to get an echo done to diagnose these conditions. For more information consult a cardiologist online |
### Human: Hi doctor,I just did a dual test. I am worried right now, please help. Gestational age is 12 weeks and 6 days, crown-rump length 64.8 mm, nuchal translucency MoM 1.7 mm, nasal bone is seen, hCG, free beta 60.47, PAPP-A 6020. Method: ECLIA (fully automated electrochemiluminescence system). I have attached the report. Disorder screen positive cut off: trisomy 21 (Down)\t1:250, trisomy 18/23\t1:250.### Assistant: Hi, Welcome to Chat Doctor forum. I can understand your concern. According to your test results (attachment removed to protect patient identity), negative factors are: PAPP-A levels are elevated. Beta hCG levels are low. Positive factors are your age is below 30 years and nuchal translucency is normal. Now the possible steps can be followed are as a dual test can be performed till 14 weeks, better to repeat the test after 48 hours preferably in a standard laboratory. If the results fall in a normal range, repeat the ultrasound after one week. If everything is normal, you can continue the pregnancy. If on repetition also test gives screen positive, the possibility of the chromosomal disorder is more and you may need to terminate the pregnancy after confirming with your doctor. Take care. |
### Human: Hello doctor,I am suffering from high blood pressure since last 10 years. I take medicine every day twice but my BP remains same 150/100. I take Starpress XL 0 (at night), CTDT-0.25 (during day). Gender- female, age- 48 years. I have cholesterol little bit high. So I take Rosuvastatin, but ECG is normal. I have also my TSH level high. I daily take Eltroxin 50.### Assistant: Hi. Your BP (blood pressure) is not controlled with beta-blocker (Starpress) and a diuretic (CTD). I advice you to do a renal function test and a renal doppler. The cause of your high BP can be from renal pathology. It should be ruled out. The second thing is that if both above things are normal, some changes in the medicine is needed. For now, you can add Amlodipine 5 mg OD. Secondary HTN (hypertension). RFT, renal color doppler, blood sugar (FBS, PPBS), electrolytes (Na,K). Essential vs secondary HTN. HTN, hypothyroidism, hypercholesterolemia. Same with ChatDoctor. Exercise, low salt diet, reduce stress if any. |
### Human: Hello doctor,My wife is 5 months pregnant. She is treated in one of the reputed hospitals. She has been advised to take Feronia -XT and Cal 360 tablets. Over last three to four days she is having cough in the night time and she is afraid to use any tablets or tonic. Kindly suggest which tablet or tonic she should take.### Assistant: Hi. Blood test to check for hemoglobin level, total count and differential count. Cough in pregnancy. Revert back after the investigations to an obstetrician and gynaecologist online.- Take care. |
### Human: 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.### Assistant: 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 |
### Human: Hello doctor,I was born half blind in one eye. I have been through a stressful few months and it has all caught up with me now with headaches and anxiety-like symptoms, etc. I noticed during this time, that my \x80\x9cgood eye\x80\x9d became hazy/blurry and became quite sensitive to light. This has gone back to normal vision. I noticed that it is now affecting my \x80\x9cbad eye.\x80\x9d I woke up a few days ago quite dizzy and did not know what was going on. I am wondering if it happened then? As I have gone my whole life like this so maybe my body is confused? I am also worried because I am unsure of whether the vision in the \x80\x9cbad eye\x80\x9d will return to its normal state. This makes me dizzy at times and I think it gets worse when I am nervous about it which might be why I get dizzy?### Assistant: Hello, Welcome to Chat Doctor forum. The symptoms of photophobia and blurry vision points out to the following possibilities: Given that there is a history of congenital impairment of vision in one eye, this tips the diagnosis towards glaucoma or corneal dystrophy. But to diagnose them with certainty you will have to undergo tests like: Until then, I suggest you start Carboxymethylcellulose plus Naphazoline eye ChatDoctor. Nepafenac eye |
### Human: Hi doctor,I am experiencing pain on my right shoulder for a couple of weeks. I have the pain only when I move. When I raise my hands up and throwing anything overhead, I have the pain. The pain is at the front of my shoulder, and I can put the finger on the spot that is sore. I am taking Paracetamol for the shoulder pain.### Assistant: Hi, Welcome to Chat Doctor forum. Keep icing the painful area frequently. The pain in the shoulder could be a muscle strain or a spasm after a prolonged period of compression possibly due to lying over that shoulder. It can be an AC joint (acromioclavicular joint) strain. Massage the area gently. Gentle stretching of the shoulder will help you feel comfortable. |
### Human: Hi doctor,I am taking Larin Fe as a birth control pill. It is a combined monophasic pill with three weeks of active pills and one week of inactive pills. I currently started pill packs a week back but wanted to change it to a weekend to avoid weekend withdrawal bleeding. How can I do so without losing the effectiveness of the pill? My idea was to wait until my placebo week which starts on a weekday and then to take the placebos only up until weekend and start a new pack then. Would this work without changing the effectiveness of my pill?### Assistant: Hi. You can stop the active pill on Wednesday instead. Take placebo pill on Thursday, Friday, Saturday and start a new pack from Sunday. The plan of preponding periods is bewildering to the body. It might take you a few (2 to 3) cycles to tune your periods in a new cycle. Repeat the same thing in the next cycle by stopping the active pills one day prior, that is, 20th day, while starting the new pack on Sundays every time. So in four cycles, your dates will be as per your schedule with stable efficacy of the pills too. I hope, I could help you with your query. Please revert back, if want a shorter alternative. |
### Human: Hi doctor,I have done an eye test recently, and I found that I need a cylindrical correction too. Earlier I used spectacles only with spherical correction. My test results show 6/18, -1.25 DC \xc3\x97 95, 6/6 and 6/9, -0.25/-0.75 \xc3\x97 75, 6/6. I would like to know whether my eye power is too weak. Is there any other way available to correct cylindrical power?### Assistant: Hi, Welcome to Chat Doctor forum. The cylinder power is low, and there is nothing to worry. As there is astigmatism, the glasses have to be worn at all times. You do not need to wear glasses if you do not have symptoms like eyestrain or a headache. But if you have eyestrain and headache, you need to wear glasses. The power is low, so surgical treatment is not necessary. Contact lenses work very well, but for astigmatism, there will be mild discomfort in contact lens users. For a cosmetic concern, contact lenses can be worn after a proper fit. |
### Human: Hi doctor,Is it safe or risk to my healing process, if I smoke marijuana following a root canal treatment?### Assistant: Hi. It is not safe to smoke marijuana after a root canal treatment. It can increase the pain in the root canal treated tooth. It delays the healing process, and it causes pain. If there is a pain, you can consider taking medications prescribed by your dentist. Stop smoking marijuana, and it is not good for your oral health now. Frequent smoking of marijuana causes ChatDoctor. Avoid smoking marijuana, and it is good for your health. |
### Human: Hello doctor,I have been trying to conceive since 9/11/2014, which is when I stopped birth control pills and started prenatal vitamins.My cycles before BCP (Birth Control Pills) were always regular, about 30 days +/- 1 day with a 7 day period.And on BCP, my cycles were always 28 days, with a 5 day period.When I stopped BCP, I had a 5 day period, which began my first cycle of 31 days.The next cycle began with a 6 day period and the cycle lasted 37 days.Then this current cycle, which began with a four day period, a bit lighter than normal.I am currently on CD 27 and I believe I ovulated 3-4 days ago.So, the problem here is that I start spotting on CD 25, along with light cramping.It was only a very little bit of light brown blood, so I did not think much of it.Yesterday, CD 26, I had a little more throughout the day, then quite a bit right before bed.This morning, I am still spotting but much heavier than the past two days, and am starting to get a little alarmed by this.The blood is still brown. Any ideas on why this is happening, presumably 3-4 days past ovulation?Is this cause for concern? I have never spotted ever before.Also, I started taking Vitex at the beginning of this cycle in hopes of shortening my cycle a bit.Thank you in advance for any advice.### Assistant: Hi, Welcome to Chat Doctor forum. This could be ovulation bleeding. Usually it may take about 6 months to conceive after stopping the birth control pills. But your cycle has become irregular after stopping the pills and it is difficult to predict the ovulation time now. If spotting does not stop or if you experience pain, then you should get an internal scan done to see the cause of spotting. There is possibility of DUB (Dysfunctional Uterine Bleeding) or ectopic pregnancy or threatened abortion. It can be seen once your period date is over. Or you may get beta HCG levels tested to confirm this along with the scan (TVS - Transvaginal Scan). If everything is fine, then you may take progesterone support in the second half of cycle to clear this. Revert back with the reports to an obstetrician and gynaecologist online |
### Human: Hello doctor,I have injured urinary bladder and the left side ureter during hysterectomy surgery by laparoscopy. Then, cystoscopy and nephrostomy were done. A catheter is used. Can surgery be done again?### Assistant: Hi, Welcome to Chat Doctor forum. I have gone through your query and the reports of your surgery (attachment removed to protect patient identity). There has been an inadvertent injury to your left ureter and bladder. The details of the bladder injury are not clear in the summary given, but should most likely be repaired. The nephrostomy done will help in maintaining the function of the left kidney, until it is safe to do surgery again. You will need surgery to repair the injury to the ureter, usually done after 3 to 6 weeks. The results of this surgery are usually very good when performed by a trained urologist. Once the surgery is successful, the nephrostomy can be removed. |
### Human: Hello doctor,I went to the dentist three weeks ago and had some pain in my top molar and there turned out to be a cavity which I had filled and fixed but a few days later I started to feel the same pain in the tooth and went back to the dentist and he said he could not find anything wrong. I have this flap feeling on the top tooth and it is causing discomfort and pain to that area but nobody can tell me what is wrong with it. I think I may have a crack or some type of nerve ending there and it is really bothering me.### Assistant: Hello. I understand your concern. The possible causes of pain in your teeth which are filled could be multiple. A thorough checkup is required to reach a right diagnosis. However, if you find your current dentist is not able to help you out, visit another local dentist and tell your concerns. If you have an X-ray of the tooth, please upload it and I can help you rule out some of the causes. For more information consult a dentist online |
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