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I had all my wisdom teeth removed this saturday will be 2 weeks. But now the tooth on the bottom left right next to the wisdom tooth that was removed is still hurting when i bite down. It feels like it shifted if that makes sense. Is that normal to be hurting still | Thanks for your query, I have gone through your query. The pain after 2\u00a0weeks of extraction is not common. The pain can be because of any sharp bony margin left during tooth removal or any infection in the next tooth. Consult an oral physician and get a radiograph done to rule the infection or any bony sharp edges... |
hi this is ravi from ranchi,i am a boy 27 yr old,with Wheaties complexion ,earlier i was using bright cream a combination of hydroqunion and kojic acid,i notice changes after applying this cream but restore to normal complexion, i heard about malaglow and want to know about it more,my skin type is oily,can i use this c... | Mel aglow is a triple combination cream having steroid+retinoid acid+HY Chat Doctor. .it should be applied under doctors supervision as in prolonged usage it has its own side effect...as you just want to improve your complexion and haunt any abnormal pigmentation, I suggest you to use a good gel based sunscreen for you... |
Hello doctor, I Donot masturbate like that much on the daily basis. But I have been masturbating from long time ago I can barely remember. I am 30 years old am not married yet and I feel my penis is so week myWalsall seminal is not like that a lot as it was before.. | Hello dear,First, remove all myth and misconception from your mind regarding masturbation. There is no any harmful effects of masturbation as such. However, if it is done regularly then it will result in thinning of semen with low sperm count. Since you are feeling that you are addicted to masturbation, and it is inter... |
I broke my wrist 2 years ago. All of a sudden last week it started to hurt at work while I typed. Over the weekend it has swollen up and is extremley painful. I have it wrapped in a ace bandage. I didn t do anything to hurt it, why is it so swollen and it hurts like I broke it all over again. | Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a wrist sprain. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Furthermore, I recommend maintaining a brace to maintai... |
My husband had open heart surgery 7 months ago. He has noticed a kinda large lump at the very top of his incision. It is very hard. It is bigger in the morning when he wakes up; then gets smaller during the day. Any thoughts? He has a dr. appointment tomorrow with his cardiologist. | Hi, dairy have gone through your question. I can understand your concern. He has history of heart surgery and lump at incision site. It can be due to hypertrophic scar, keloid or some other mass. You should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should ... |
Last week ankle felt weak. No big deal sprain them every year. so I babied it bit so I wouldn t sprain it and be no crutches. Yesterday {Feb 2nd} woke up put my foot on the floor and thought i would go through the roof.My left foot , started on the bottom of foot. Now ankle, calf and calf has a lump on it as of this mo... | Hello I have studied your case. As per your history and symptoms possibility of cellulitis can be considered. Consulting your doctor infection /cellulitis can be confirmed, antibiotic can be started according to examination. If required you may need to do blood investigation for prognosis and recovery. Take precaution ... |
I had the cancer Rhabdomysarcoma and underwent treatment when I was 21. I am no 26 and cancer free. I recently got married and am curious if the chemo or radiation I had could have made me sterile. The tumor was in my sinus and so the radiation was focused on the head and neck regions. The chemos I took were, Etopo... | Hi, Thanks for writing in. Etoposide can cause reduced ovarian reserve in females and infertility in males. Males appear more susceptible than females to ifosfamide genotoxicity. There may be a dose in males below which the risk of subfertility is low. In females there is preliminary evidence of reduction in ovarian re... |
My mother is 74 years old and was very healthy until she was recently diagnosed with a herniated disc caused by a fall. Since then she is extremely fragile, she can t do regular activities such as getting up off a chair or getting out of the car without help. During the last week, we have noticed her memory is also aff... | Hello; thanks for the query. Simple answer NO. Spine injuries will not cause memory issues. But given her age 70+ years; these may easily be senility related memory issues or onset of a process known as dementia. You might have suddenly started noticing it as she has recently suffered a fall & hence you are taking her ... |
iam 34 years old malei am taking avil 50 mg 10 tablets daily i am observing bad effects on my health i want to know detail causes of using this tablet | Evil is a sedating antihistamine. It can be given for allergic conditions including allergic rhinitis(running nose, sneezing, ) , urticaria(rashes in the skin with itching), conjunctivitis and pruritic. However, it can cause sedation, inability to concentrate, Chat Doctor. These days there are non sedating antihistami... |
Hello im 31yrs old. I recently fell off a loading dock at my job and fractured my elbow. About 8+ weeks of rehab im back to work. After 2 weeks of work I started to get all kinds of pain in my wrist and upper arm. Feelings range from numbing, on fire, tingling, discomfort, poping and just pain all over. What should I d... | Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern.it happens due to stiffness and muscle and nerve weakness in those areas. Get physio exercises done, muscle relaxant tablets, analgesics, methycobal tablets, local gel, and hot fomentation Hope your query... |
I ve got a lump on the edge of my bottom lip. It initially started as a small red bump but over the last week has swollen. It feels like it is filled with fluid and a small amount of pus came out. If I apply a little bit of pressure I can see there are about 3 whitish areas under the surface but there is no visible hea... | Hi.based from your description, it could be folliculitis. This usually occurs after shaving, when hair is accidentally pulled out and inflammation and infection occurs, or when there's an irritation or an inflammatory reaction from chemicals. Inflammation from uninfected follicles will subside in a few days time on its... |
My hair has been damaged by using heating iron. I had some hairloss problem. I havent used it again for about a year now. Some one suggested me to go for Brazilian hair straitening treatment which does not use formyhydrate. I am 20yrs old female and vegeterian. Please help.! I want my hair back!!! | Hello, I can understand your concern it would be very helpful if I could see some pictures of your scalp.hairless maybe due to excessive ironing or using different products, avoiding it can help to reduce it. You may have halogen effluvium of female pattern hair loss.hairball may be due to lack of nutrients like iron o... |
I am experiencing complete impotency and I have a varicocele that hurts extremely bad on the left side. I had testicular cancer 3 years ago and went through chemotherapy but not radiation. After I pee, I also have to normally pull on my penis or press on my gooch area to relieve all of the urine to be done. I smoke cig... | HelloThanks for your query, based on the facts that you have posted it appears that you have Left sided Varicocele that is painful and have painful urination and have to apply pressure on supra pubic region to empty the bladder. Please consult qualified urologist for clinical examination and get following tests done to... |
I am really concerned about a rash that I have on my skin. It s something that s on my neck and chest area that fades and comes back. It looks like light spots but itches and has a dry feeling. I think it may be tinea versicolor but I don t know.. Please help | Hi. As per your complaint rashes with severe itching seems to be most probably due to allergic reaction and in case if you have not changed any shampoo, soap or laundry etc. then it seems to be most probably due to any food or medication. I would suggest you to consult an Allergist and get evaluated and a thorough clin... |
My mother has a shunt in her head which is functioning well however she is suffering periodically from a hot head . She has not got a temperature and feels quite cool but inside her head she is very hot. She has chiari malformation. She is 91 and getting very agitated at the moment. We have previously mentioned this to... | The feeling of warmth or heat in the head is most likely related to sudden dilation of the arteries in the head which allow more blood to come forth which creates the sense of warmth. The intracranial shunt would not be responsible for this symptom. She may be suffering from what we refer to as a DYSTONIA which is a ... |
i have two lumps on the right outer skin of the scrotum and one below on the left side that just appeared a couple days ago. before they showed up i had a lump on the shaft of my penis. a couple days after that showed up in looked as if one of my veins was blocked it felt as if there was a worm in it. and it was painfu... | Hi, Dear,Thanks for your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You seem to suffer from-Boil on the base of the penis from Furuculitis of the pubic hairs/ which late on was popped by you with pus discharge. By the time t... |
female, 65 some overweight, good health, never smoked, little wine once and awhile, under heavy, eat, sleep dream stress, house under forclosure, people calling about house, taking pictures , great fear, I feel stress is a BIG problem bloodpressure went upt to 150/80 thos just got over flu too, I think its stress that... | Hi, thank you for quarry, As you mentioned your worries and depression. So its may the cause of high blood pressure but its only one reading which is on higher side you may require more reading at least 3 reading on higher side or ambulatory BP reading on higher side made a diagnosis. Reduce worries and tension if not ... |
Hi, I got small pores (group like a patch) like on my hands(upper side). and sometimes they itch a little and become slightly big in size only for few minutes i will have itching sensation..later on they will slowly disappear. I will get the itching suddenly.what is this actually? I went to doctor and he suggested me C... | Hi!! According to your history it seems to be a case of hand eczema which can be endogenous due to internal sensitivity of the individual or due to external factors. You should try to find out whether you are allergic to any chemical or vegetable material and if yes avoid it. You should avoid frequent washing of hands,... |
I have fibrosis of the lungs. Never smoked, have hiatus hurnia , suffer from reflux, on to topzole recently. Been on prednisone 2 years and stopped. Picked up weight and skin looks old and dry. Have no energy and shortness of breath. Is the reflux the cause of fibrosis. | Thanks for your question on Chat Doctor. I can understand your problem and situation. Pulmonary fibrosis is not a good disease to have. It is chronic, progressive disease. Till date no cure is available. Reflux disease can not cause directly but contribute in worsening of fibrosis by micro aspirations. So control of re... |
I have a very painful lump on the side of my neck. I have gotten ice pick headaches in the past, and I m getting the same feeling in the lump on my neck. It hurts to bend my neck in any direction, and it s giving me constant migraines. The lump had been there for years, and recently just started giving me problems. I v... | Hi.based from your description, it could be a possible cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection; an inflammation secondary to a muscle strain; a possible lesion of thyroid or salivary gland in origin; other considerations may be fibrous, lipoma or c... |
Off and on for years I have woke up with a burning taste in my nose and mouth. Always around time for my period. All day long the next day it comes and goes along with dizzzy spell and almost out of body feeling. It only last 24 hours and then goes away. I am a 53 year old woman. This has been going on for 14 years. Th... | HIT hank for asking to ChatDoctorHere you will have to rule out all the possibility of central nervous system deficit, numbers of investigation will be required, as such you have history of stroke, it is indication of some cerebral pathology right now, more over you had brain aneurysm these are suggestive of some CNS p... |
I am 31 years old with severe chest pain nausea and arm tightness. I went to the er and they said that nothing was wrong that I would just need to see a cardiologist because T-waves on my ekg were flattened. I am still in pain off and on and when the tightness/pain comes on I start to get nauseated to the point I dont ... | Thanks for your question on Chat Doctor. I can understand your concern. T wave flattening on ECG along with chest pain should always be evaluated for coronary artery disease (CAD). So immediately consult Cardiologist and get done 2d echo, stress test (trade mill test) and troponin I level. If all these are normal then ... |
Hi i am 28 years old and i feel like i should take orofer XT just to increase level of heamoglobin, cos last month my periods delayed. is it ok? if i take this tablet? or are there any side effect? I am good in health. not weak not fat i am just perfect. | Hi, Incomplete data like apart from delayed periods do you have any other symptoms or have you done any blood tests to confirm anemia? Order AT Tablet is commonly prescribed for the treatment and prevention of anemia associated with deficiencies of iron and folic acid. Its common side effects include metallic taste, na... |
I M 19 YEARS OLD FEMALE WAT PRECAUTIONS SHD I TAKE AS I FOUND PUSS CELLS IN MY URINE..I ALSO HAVE PAIN ON MY SIDE NEAR RIBS WHY IS IT SO? | Hello Sheila;welcome to Chat Doctor Pus cells in urine is a sign of infection in urine ;if the pus cells are 2-4 then it is fine if they are more than 6 you have infection. But it is also necessary to see if you have any symptom like increased frequency of urine or burning in it. As for pain in abdomen please consult a... |
My son developed a goose egg around his temple area three weeks ago. It never showed a bruise and he did not recall hitting his head. We took him to the doctors and they did a physical examination and said it was a hematoma. It has not gone down in sizzle and sometimes it looks bigger. He is now complaining of dizzines... | Hi, Thanks for writing in. Head injuries need to be observed for the first 24 hours. The following are alarming symptoms (within first 24 hours) of a head injury that needs a doctors' attention.1. Vomiting2. Seizures3. Persisting neurological deficits (numbness is a neurological deficit)4. Difficulty in maintaining gai... |
my daughter woke up with a large red itchy spot on her cheek, it s winter where we live so i ruled out mosquito bite. she is 3 yrs old, she has another red area in her arm pit that itches. she has has the chicken pox vac. all her shots are up to date. im wondering what this could be and if there is a possibility of it ... | Hi, Welcome to the ChatDoctorBrief... History is incomplete, some associated symptoms need to be known to differentiate differential diagnosis. Detailed answer... As I have gone through your question, I need to know about other associated symptoms to rule out whether it can be chicken pox, measles , eczema or low immun... |
Are there any natural remedies I can use or take for PVC...Had an echocardiogram today and other tests. Halter monitor tomorrow. My chest is feeling fluttery a lot of the time. I am very anxious in general and know that this can contribute to it. Is it possible for them to stop? They started a week and a half ago......... | HIT hank for asking for ChatDoctorI had gone through the history and information given here, PVC could be due to heart disease, like ischemia, electrolyte imbalance, second it could be due to some Chat Doctor. The underlying cause of PVC matters the great, and it is being taken care accordingly, it can not be managed w... |
hi i am 27 yr female, off late i am loosing a lot of hair..i want to get this treatment done and fix ma hair as i am a trainer and it embarrases me in ma looks...i would like to know are there any side effects in your treatment and how long would i have to do this, as i am really scared about all this stuff | Howell come to ChatDoctorI really appreciate your concern, underlying cause of hair fall need to be known in female patient it could be due to fungal infection of hair root, second hormone changes third endocrine dysfunction, and it needs be managed accordingly till then condition can be managed with \"Minoxidil 5% sol... |
Hi, may I answer your health queries right now ? Please type your query here... Im 40 weeks pregnant and I have been experiencing tightening of my chest a cough and a slight sore throat. My chest is also starting to hurt hurt from coughing. What can I do? | Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* This suggests upper or lower respiratory infection.* Guidelines for better recovery-Gargles with salted lukewarm water added peppermint oil 3 times a day-Avoid excess sugar, oily, spicy, non veg, junk foods.- Walking in fresh air, deep breat... |
ya i am a34 yers old man and have this problem of high blood pressure since last two months which is not so high ie its 113/80 but i am fealing very weak and have no appetitemy blood reports says that i have little high bile but i am hepatitis ABs positive for A and B BOTH please suggest i am a vegetarian | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your blood pressure values are at a normal range. So your symptoms don't seem to be related to your blood pressure. A chronic hepatitis could mimic this clinical scenario. I recommend consulting with your gastrohep... |
hi, my father in law is suffering from cretining problem in kidney, he is not able to digest any type of liquid also since last 4-5 days. he went to see one doctor today he told that need to put him on dailasys. can you suggest any good doctor in patna bihar, india ? | HelloThanks for query. Your father-in-law has been detected to have Chronic Renal Parenchymal Disease and has persistent vomiting since 4-5 days. He needs to get hospitalized Please consult qualified Nephrologist for clinical assessment and get following basic tests done to confirm the diagnosis .1) Urine routine and c... |
31-year-old female, 5 0 , 55kg, with history of severe left chest pain for more than a month now, unable to freely move left hand due to the pain also not able to sneeze though sneeze is initiated but not able to complete it, as it is stopped in half way. Also difficulty breathing deeply, sometimes have to stop and tak... | Thanks for your question on Chat Doctor. In my opinion you are having musculoskeletal cause mostly for your symptoms. But better to rule out cardiac cause first for left sided chest pain. So get done ECG to rule out cardiac cause. If its normal then no need to worry much. It is due to musculoskeletal cause. Try to foll... |
I recently had three MRI S to my left ankle. They show a small tear to the deltoid ligament. My doctor has suggested surgery to repair the damage. I am a distance runner and was wondering if there was other treatment I should do before going through the surgery. Thank You. | Hello, Thanks for writing to us, I have studied your case with diligence. Till time, you can continue use of ankle supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear on then arthroscopic ankle ligament repair can be done. Hope this answers y... |
Hi Doctor I am facing a social phobia , like I am not able to make eye contacts with the people I am talking to. Whenever I start speaking to people I have some type of phobia and I will start looking into their body parts. So because of this I try not looking at their faces and I will tell myself not to look at their ... | Hello. On the basis of information provided it appear that you are suffering from either social phobia or you have anxious avoidant personality disorder. As far as management is concerned there is no medication which can change you overnight in to a different person. For this you need a psychologist who work with you o... |
hello, i need a urologist i believe. i have a cyst i think on my right scrotum and it is painful. i am not sure how to explain it well. its not puss inside and its not releasing blood. its slighlty red and a bit darker now because ive been trying to squeeze it to pop it thinking it would be puss. im a 22 year old male ... | Hello, I have gone through your query and understand your concern. It is nothing but a Sebaceous cyst. Because you have mentioned that it is underneath the skin and molded into epidermis.Thus, it is not a testicular or epididymis cyst. Luckily this is a harmless cyst and also benign. Probably the cyst might get infecte... |
About two years ago I started getting numbness and pain in my left toe . Spoke to my GP and he thought as I had knocked it badly I could have damaged the nerve and that it would take up to 18 months to repair. Non that time the pain in the toe went just leaving the numbness but the pain and numbness started in the righ... | HiT hank you for your question. There are several kinds of peripheral naturopathies and yours seems to be progressive. It would be very important to know what is the cause of peripheral neuropathy. Please consult a neurologist who can investigate this further. The pattern of progression of symptoms is not very typical ... |
My husband has had extreme constant lower back pain for approximately 2 weeks. Looking at his back there are visible veins over the area that is in pain. The doctor we saw said it was a bruise, but it reminded me of blood poisoning as the veins are very visible and tree branch like. The pain has now moved to the exa... | Hello Miami appreciate your concern for your husband well as far as branching of visible veins is concerned wherever there is inflammation this occurs, but constant pain warrants the radiological examination of the spine if the pain persist for more than two weeks and also blood investigation to rule out any pathologic... |
every month for the past 5 or 6 months i begin to feel mild labor like contractions under my rib cage. it lasts for about 3 minuites with 30 sec intervals then its gone only to occur a month later. Sometimes its at night, sometimes its while Im at work on the computer. What could this be? | Thanks for your question on Chat Doctor. I can understand your concern. Intermittent feeling of chest contractions are commonly seen in stress and anxiety. But better to rule out heart related diseases first. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Stress and anxiety ... |
Hello, my 4 years old doughter had for 1 day a stuffed nose and running eyes...since this morning she started caughing and her nose started to run. She is cauching pretty bad and her breathing is heavy...she doesn t have fever, her mucus is white and she has a good apetite. Please tell me if she needs an antibiotic and... | Hi, I am Chat Doctor. Decision to start antibiotics is taken by proper examination and history of patient and can not be generalized. Absence of fever and good appetite are against possibility of missing anything serious. But she needs an exam to rule out possibility of bacterial throat infection and congestion in che... |
Hi ..im a 36yr old female and ive noticed that on my right side a little below my ribs i fell what appears to be little hard ,sometimes soft lumps thats moves and im tender in the area as well .ive been having bloating and weight gain lately and bowel issues ...im scared and i have no health insurance to see a doctor .... | Hi, Dear,Good Morning from India. Thanks for your query to Chat Doctor Virtual Clinic.-I studied your query in depth. I understood your concerns.-In my opinion-the right lump below ribs-appears to be wart?sebaceous cyst?lipoma-dercums disease?epigastric hernia?or a boil?. I would require more information by clinical ex... |
Hi my mom has colo rectal cancer and she has undergone chemotherapy and radiation 9 weeks before. the date of surgery is on 12 th july. But now though we are waiting for the surgery date but my mom is facing gas formation issue , regarding stool passing | You mother probably has landed up in irritable bowel syn Chat Doctor. Radiation can also cause increased frequency of stools and irritation of gut but that doesn't last long. Her symptoms are not permanent, and she would get better as time passes by. All she needs to do is to take frequent small meals with good nutrit... |
I have had a headache for 2 days straight ,can t get rid of it no matter what I do or take..Checked my blood pressure it keeps going up...It now is188/111 pulse is 108.. I know I m under alot of stress lately but my primary took me off my blood pressure meds 4 mths ago I been on since 32 yrs old now I m 53. Advice Plea... | Hello, I would explain that the headaches seem to be related to high blood pressure values. For this reason, the main thing to do is to treat high blood pressure. For this reason, I would recommend consulting with your attending physician and discussing the possibility of starting antihypertensive therapy. Some blood... |
I have been throwing up most mornings when brushing my teeth, Just bile. But i sometimes carry on heaving for a while. But if i think about it during the day i heave, If i cough i heave and when i brush my teeth at night i am sick, As i have eaten. I seem to pick up colds and upset tummies a lot lately. | Hi. Welcome to Chat Doctor. I read your query. Do you clean your palate and tongue while brushing? Maybe you tend to clean it too far deep or maybe you have oversensitive palate or gagging sensation. This can also be due to gastric troubles and acidity. Try brushing with a soft brush using correct brushing method (ask ... |
Thanks a lot for your help Doctor. Can I pls ask what are the adverse effects of Demetia? Could it have been brought on by a severe shock to the patient., e.g. hearing that only daughter is divorcing her husband of 32 yrs even though there were not obvious signs of marital problems. | Hithanks for using Chat Doctor Dementia is not merely a problem of memory. It reduces the ability to learn, reason, retain or recall experience and there is also loss of patterns of thoughts, feelings and activities. Additional mental and behavioral problems often affect people who have dementia, and may influence qual... |
for the past few months my 2 year old has complained of itching on her arms and legs and around her back. there is no rash just lots of scratch marks where she has drawn blood. when she starts scratching an area hives might appear for a short time but then they go away. is this an allergy? she has had eczema in the pas... | Brief answer |
My belly button has been getting infected on and off since my lyproscopic surgery a few months ago it gets red and swollen but there is no discharge. My belly button is very deep but I m concerned that it could be internal and not just in need of external cleaning | Hello there I am Chat Doctor. This type of picture is usually seen in two type of condition.1.structural abnormality2. Infection. If there is structural abnormality like proper suture healing is not done, or belly track is connected with some inner body tissue which causing adhesion. To rule out you need to see doctor ... |
I fell backwards and landed on a soccer ball with my lower back. I immediately had extreme abdominal pain and needed to help to get up. I was about to go to the Emergency Room, but after a warm shower the intense pain had gone down significantly. I chose to rest and see how it went. For the most part of the days, I for... | Hi. Thanks for your query. Read your history and understood the problem. IT is wonderful to know that you still have not got an opinion of a Surgeon or took a proper treatment in spite of injury 1 month ago. When one falls backwards and lands on the spine, it ought to cause few types of injury.-The muscular strain and ... |
im not sure what it is. About 3 days ago i noticed I developed a bump about 1.5cm above my clitoris, within the labia minora. it was painful. I left it alone. Yesterday i checked and it looked like it had a white head, much like when a pimple is about to pop out....i tried squeezing, but nothing came out (thank god). I... | Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Cause -for bump above clitoris-1-This could be mostly due to the -boil/furuncle-Folliculitis/mucous cyst -infected with blocked ducts-as its painful and itchy-with irritation a lot with underwear. 2-It co... |
I m 56 yrs old, 6 1 tall, 230 lbs. No health issues, no high blood pressure, take no medications. I need to know if there is a product that can aid me in keeping erections during intercourse. I nevver go completely flaccid, but will have a weaker erection during intercourse. A natural aid is what I m looking for, not o... | Hello, At the age of fifty-six years, due to hormonal changes, some males can face erectile dysfunction. So in my opinion, you should get done hormone levels. You may need hormone pills to regulate hormones. Once your hormones are normalizing you will be alright. Another common cause of this is stress and anxiety. To ... |
my husband is scheduled for a bronchial thermoplasty procedure. He will have three procedures. He has many test and he was given a dx of asthma . His symptoms are wheezing in the lungs, congestion, coughing up dark colored sputum . Predinsone is the only thing that helps.He has been on predinsone since January 2013 due... | Hello, Thanks for the query to Chat Doctor. Forum. Since your husband exposed to asbestos, coal etc. almost 43 years ago. You have not mentioned the duration of present symptoms your husband is having. There is cough, congestion, whistling sound (wheezing), expectoration & breathlessness, relieved with prednisolone may... |
hi doctor,i made blood test yeterday and lipidprofile are as follows total serum cholostrol is 200,tryglycerides is 84,HDL is 55and LDL is 128.2 and VLDL is 16.8 And SGPT is 21.so what should i have to do?my age is 27,height 6 feet,& weight 73 kgs.i am a reguler smoker also. | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are not very concerning findings and usually this can be regulated by appropriate low fat diet and exercise and body weight regulation. Medications are not requires at... |
Hi I had a neck replacement 4 years ago and every sence I have had pain in my right sholder blade and arm and spine It feels like every time I turn my head it is ripping on my spine neck and arm, I am always in pain and the right arm is so weak it hurts after using it only a few time..the pain is getting worse, its har... | Hi I am Chat Doctor. . In my opinion that could be cervical radiating pain due to spinal disc herniation that may cause such neuropathic pain. Try to avoid heavy lifting, over using or vigorous movements , physiotherapy, yoga, hot massages with topical gels, NSAIDs painkillers like Advil tabs when needed, B12 vitamin ... |
Im 19 and I have high blood pressure sometimes and others it is perfectly normal. I am on progestin only birth control pill and I want to get the Implanon implant. Will my doctor perscribe it to me if my blood pressure is high when he takes it? I am also overweight. | Hi, It is not normal to have high blood pressure at this age. What is your BMI? One reason for your high blood pressure could be you being overweight. You must reduce weight. This is important for your overall well-being too. I advise you to first consult physician to find out the cause for high blood pressure and get ... |
Hello. I have had itchy mosquito like bumps on my abdomen, under my breasts, in the groin area and armpits. They itch like crazy then not at all. Then itch like crazy again. I ve had them for about 5 months but lately have been getting more and more and they do not seem to go away! | Dear, As per the area of involvement and duration of bumps. I feel high possibility of associated bacterial and fungal infections in these areas. Usually fungal infections persist for that long. You may start with topical antifungals + antibacterial, which is a prescription Chat Doctor. Sometimes Oral antifungals are ... |
hi, i am 21 years old | Hello and welcome to Chat Doctor. Thanks for your query. From the description of your problem, it appears that you are suffering from an Anxiety disorder with Panic attacks. There are treatments available for your problems - both in the form of medication and psychological therapy, which will help you overcome your sym... |
I have bee going through this for about six months now. and I keep getting different answers. In May I flew home on a short flight I Had two Symmetrical rashes in the same spot on had 2 symmetrical rashes inthe same spot on both legs. The swollen with edema, I went to my primary doctor a dermatologist and and allergist... | As allergy can develop at any time with anything at any age even a major food we are taking suddenly start reacting to body proteins, allergies can be developed from any one of these things like oils shampoo soaps creams ointments body application materials medicines like PCM ibuprofen aspirin disdain calcium multivita... |
I have liver cirriosis and my legs and feet are severely retaining water. Water is dripping out slowly from legs. I am subscribed 40 mg water pill taking one in morning and one in pm. I try and watch my sodium and fluid intake. Any other suggestions? | Hello, You can have portal hypertension because of cirrhosis. Diuretic usually prescribes for decreasing edema fluid. Which you have been prescribed. Take a low salt diet. Moreover, if needed beta-blocker group Chat Doctor. If you vomit blood, then immediately consult to the nearby emergency room for band ligation or ... |
Hello Doctor, I am 28 yrs, female suffering from acute acne since 4 years. Of late I started applying dettol (non diluted) on face and leaving it over night and washing it in the morning. It has worked for me as the acne has decreased substantially. I wonder how safe this might be for the skin? Please advise...Thanks &... | Hello, Thanks for writing to us. As you had mentioned that after detail application your acne has decreased & that has being working for you. Its not safe practice. It's true that poor hygiene aggregates acne so try to use a detail cleansing lotion for cleaning your face. There are many topical antiacne creams & lotion... |
We are married coules...we normaly use condom as a protection during sex. But we are planning to go for oral contraceptives which my wife can take it on regular basis for another 1-2 years. Plz help me n finding best pills in India with a proper advice of when nd how to start the oral contraceptive..when to go for The ... | Hello dear. Understand your concern. You start combine OC pills like male D, ovral, ovral L, femilon, duoluton L, novelon, yasmin, diane 35,etc... all available in India at cheaper rate also. Before starting pills, your wife should do some test like liver function test, blood sugar, pap smear, Blood pressure, weight. Y... |
Hi, I was at my allergist today and was very congested, runny stuffy nose, sneezing as a result of being off my Allegra for four days prior to the subdermal allergy testing she did today. I showed no reaction to any of the environmental allergens tested for, but to help me out she gave me a small cup full of liquid pre... | Hello, There is in fact very little evidence to suggest prednisolone can set off premature ventricular contractions; but certainly can set off palpitations if the dose was higher than required. Some patients with a Chat Doctor. You have not mentioned the dose you had, or whether you took it on an empty stomach or with... |
momexperiencingmilddementiafor2 yrs brokehip totally gpne for 3 weeks after surgery then came back infollowing 2 months gradual progression of denentiasymptoms to severelevels..then started aracept immed improvement within hours...back85 percent ofcognitivefunct andspeechfor2weeks...then 3days sharp decline now upswing... | Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below- |
Hi Doc, I am having severe cold for more than eight days. my nose is running and cough is stuck in the chest and also sour throat. I took Nuhist tablet for three days, 3 tabs per day and Roxithromycin, 2 tabs per day for four days and also Ambrolite-s cough cyrup for the same time. But I didnt get positive result. The... | Thanks for your question on Chat Doctor. I can understand your situation and problem. No, this is not right combination of Chat Doctor. You have given omnacortil, which is oral steroid. And oral steroids are not indicated in cold. So better not to take omnacortil. Absolute syrup is having bucolic, expectorant. So it w... |
I have had a broken wisdom tooth for about 3 months and it has been hurting pretty bad for about 2 months now. Well in the past month it has started to smell, probably from decay im guessing, but the gums around the tooth have become sore and swollen in the last few days and the tooth itself wiggles when i touch it as ... | With your query, exactly what you guessed is corrected foul smell is due to purification of collected debris or food particles in it. You also mentioned your gums are sore because of the same and infection. I think you may have to go for extraction of the tooth. I would definitely say you must visit your dentist or ora... |
hi , 32 weeks pregnant , first child , i am getting really bad stomach cramps and it really hurts when my baby moves even the slightest little bit ... i had a shower to relax me abit n noticed the water ran red for a minute or two .. i have a scar froman op ( same place as you would c-section) from a urether reimplanta... | Hi dear, I have gone through your question and understand your concerns. Cramps, pain and red discharge are indicative of preterm labor pains. The pressure at the incision site might be due to the abdominal cramps and uterine contractions. I would suggest you to consult an ORGAN specialist as soon as possible to get pr... |
My 12 year old daughter says she has a pain in her right middle rib cage area. The one rib seems to be swollen more so than the other side. She says it hurts to breathe in and hurts to lay down like something stabbing. She is healthy otherwise and no know medical conditions. | This is most likely a non-displaced rib fracture or a muscle pull. These are not uncommon, but can be tricky to diagnose. A chest X-ray is the first place to start after a good physical exam and a careful history. Often times there's a history of an injury that seemed minor at the time, but was followed by pain. Th... |
Im having stomach pain that hasnt gone away for a few hours, mostly right under my ribs. I just started my period yesterday, so I took 4 ibuprofen this morning at around 7AM, another 4 at 12PM, and then 2 Midol at 4PM- I dont have any cramps that feel like usual menstrual cramps, but instead my stomach feels like its c... | Hello, The multiple doses of an NSAID without antacid is a bit major risk factor for the development of acute gastritis with or without ulcer formation in the stomach. My guidelines at present-stop the further intake of ibuprofen-more liquids' intake in sessions-capsule omeprazole or pantoprazole with sips of water-syr... |
sir my sister suffer from high fever within 3 months. high fever means 105 F approx or some time more than this. This fever attack her at morning time generally. But when we give her medicine than fever become fall down. Kindly inform me that what i have to do? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your sister is suffering from persistent high fever which seems to be due to viral or bacterial infection. It could be due to urinary tract infection. Need not worry. You should maintain complete hygiene. You should do tepid sponging t o low... |
As far as I know ive always had a large dip in my skull where my soft spot would have been. Im a 62 yr old female. Because its so lg, ive asked many others if they have this. Ive not found another like mine. A lg mans thumb could lay in the spot in my skull. | This can happen both congenitally i, e from birth or can be acquired due to various reasons. But from the way that you describe the dip with no other features or symptoms this should not because to worry. But if u do have some symptoms this may have to be investigated but if it is just the dip with no other symptoms ti... |
Thank you for your time sir, I have been diagnosed with multilevel moderate to severe degenerative spondylosis. 1mm at C3-4 and 2mm at C7-T1....I have had fusion and rods surgically implanted (obviously). Also have rods and pins at L3-S1..... my neck is getting progressively painful and am really becoming very limited ... | Hi Michelle, Following surgery to the C spine, what you can develop after a period of time is called as adjacent segment disease or degeneration. What is means is that the cervical vertebrae are subjected to increase movements and following fusion surgery this places additional stress on the intervertebral discs above ... |
Hi,I am a 23 years old female.About 6 months ago I first noticed after a shower that these little lumps under my skin on my shoulder appeared. These are painless, and have only gotten a bit longer and thicker since the first appearance. They only appear after a shower or after putting body lotionon, for a few seconds o... | Hi, You have mentioned this lesion appeared after using some lotion then this may be due to hypersensitivity reaction. Little swelling at the shoulder which disappears sometime surely not related to any sort of cancer. At this region there are no major lymph nodes. Parasitic infection may be there but without clinical ... |
hi there,am dan and would like to know the best product to stop my hairloss and to regrow my lost hair.my family has a history of hair loss and i would like to stop mine.i have heard about products like minoxin, rogaine and loniten. i have also heard that some products will make my hair to fall first before they start ... | My DearWelcome to Chat Doctor ! I have noted your details and related concerns. My view is that |
hi i have tender part on right side of scalp which was inflamed and doctor gave me antibiotics after taking them for 3 days skin broke,doctor then gave me cream which heeld the sore but i still have strange feeling on my scalp and right hand side of head feels sore to the touch | Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to the local inflammation of the soft tissues surrounding the scalp. You should know that in this region nerves lie under the skin and the soreness is related to the nerve inflammation too. It may take some weeks for the sensibility of this regi... |
My 20 month old baby still seems extremely unsteady on his feet. He has been walking since about 13 months or so. He is a twin and was 7 weeks early, his twin does not appear to have the same issues. I also notice him grabbing at his head or tilting his ear towards his shoulder sometimes. Should i worry? | Hi, a child with 20 months of age should have stable gait, although sometimes while running the gait can be unstable. In my opinion you should investigate the child for Rickets or calcium deficiency like CBC, calcium and phosphate levels, X-ray wrist AP View for Rickets. Start Syrup Calcium for 2 months. A follow-up wi... |
My husband has been having lower stomach pains since sept. and are getting worse. He has the pains all the time now along with diarrhea, weakness, loss appetite,and has had a fever for a week now of 101-102F. He had a stool sample done and they found some WBC in the stool. Im worried and was wondering if you know what ... | Hi. Thanks for your query. The symptom complex of diarrhea, weakness, pain in lower abdomen and now with loss of appetite and fever is definitely indicative of an acute or acute on chronic intestinal infection. A 5-day course of an antibiotic, metronidazole, probiotic and symptomatic treatment should help the cause. If... |
hi i would like to know if i missed a birth control pill and didn t take it and had unprotected sex can i be pregnant and how long after will i start getting symptoms if i am?hi i would like to know when i missed a contraceptive pill and didnt take it and had unprotected sex with my husband can i be pregnant and if so ... | Hi, Thank you for posting your question here I will try to answer it to the best of my abilities. Yes, there is a possibility of getting pregnant if you miss your contraceptive pill and have unprotected sex. Wait around 7-10 days and then take a home pregnancy test, that should give you your result. Alternatively you c... |
My daughter got sick on August 25th. She tested positive for strep and was put on penicillin on August 29th. She hasnt gotten any better. She is in Arizona, so Im worried she has Valley Fever. She has been to three doctors, the last one told her she was homesick so didnt take her questions about Valley Fever seriou... | Hello, Welcome to Chat Doctor, As your daughter is known to have valley fever, which is a disease caused by a fungus that gets into the body through the lungs. It will make her feel like having cold or the flu and may cause a rash. In rare cases it can be deadly even with a normal immune system. Valley fever can spread... |
HiMy name is suhail khan from india and i m suffering from asthama since childhood.... now i m 21 years old. Had all the types of treatment but it will just control it but not curing asthama.... had tablets since a very long time.. now i m getting heavy hairfall, weak bones etc... please help me in this... thank you | Hello Mr Shall You are an asthmatic patient from childhood and now having severe hairs fall with weak bone. In my opinion you were taking corticosteroid tablets for asthma, however, you didn't mention in your query. Because those who use steroid tablets they develop weakness in bones and also hairs fall, so stop this m... |
What will cause you right thumb to twitch? It s been doing it for a few days and gets worse when I try to use it but it doesnt hurt. | Hi, Thanks for using Chat Doctor forum. Muscle twitching is a benign, harmless condition. The cause is usually unknown. Sometimes it may be related to metabolic and electrolyte disturbances and rarely to a neurological pathology. Do not worry. It should improve with proper HY Chat Doctor. Severe cases need a detail... |
my mom obese 45 year old mother of four complains of pain in her right upper quadrant. She reports that nausea and vomiting often accompany the pain, which is especially noticeable when she eats a meal with high fat content. She added that she has a fever. Physical examination reveals a febrile, overweight woman wit in... | Hi, I am so sorry to hear about your moms symptoms. But based on the symptoms you have listed and the physical signs you are describing, she seems to be suffering from Acute cholecystitis (Inflammation of the gall bladder) most probably due to gall stones. I would suggest you to get an ultrasound scan of the abdomen as... |
I work in a spice mill, and I wear long pants with calf-high socks while I am working. Now that it is getting hotter, when I take my socks off at the end of the day, after sweating all day, both of my legs where the socks were, are very red and blotchy. They stay that way for a few hours to sometimes until the next day... | HiT hanks for writing to us. These red rashes could be due to contact dermatitis which is occurring due to your socks. Right now to treat the same, use a good moisturizer over affected area along with steroid cream like mometasone cream. Also change your socks and wear cotton socks. Make it a point to wash your socks i... |
I have had upper right abdominal pain for about a year now. I ve had a ct scan and ultrasound and nothing was found. It started out hurting every now and again but now it hurts continuously. Also now when I eat a regular size meal, I end up feeling intoxicated. Also when I have a bowel movement all of them are very thi... | Hi. Thanks for your query. Pain in right upper abdomen with normal CT scan and ultrasonography and loose stools is indicative that there may be a problem related to the intestines. I would advise you the following |
have infected,possibly abscessed tooth. cannot afford proper dental care. a friend gave me some hi-dose ibuprofen(at least dulls pain)...and anti-biotics called Nitrofur(MACROBID)...question is will the macrobid help or do i need other type of antibiotics? | Thanks for using Chat Doctor. Read your query. Macrobid is a good antibiotic which is mostly used in urinary tract infections though it has other various indications. Antibiotics are not to be taken off the counter and is to be taken only on prescription from your consulting doctor. Macrobid is not the choice of medici... |
i am 21 years old. um normally getting sick of with people easily.At the moment i`m worry about my girl friend.When i`m talking with her i get fed up quickly .then we ended up with fighting with each other.but i cant live without her .i know i have some problem please any advice um really worrying. | HIT hanks for using Chat Doctor I think, you have emotional instability. It could be part of your personality or may be due to depression. You should consult a psychiatrist for proper mental status evaluation and that would help to control such mood swings. You should also consult a psychologist for personality assessm... |
5 y/r old boy with red inflamed blotches like hives with a center on arms, legs & chest. Warm to touch possibly small bit of pus oozing. Not itchy but painful to touch. Looks like spider bites. Went to ER and was given benedryl & prednisone. So far, no change. | HI...sometimes the hives can take a longer time to resolve and not only this, it has a propensity to recur too after a week or two. I think he is having hives or urticaria, and you can wait for the response for a day or two. But if the kid is having black colored stools or pain the tummy or blood in the urine or motion... |
I suffer from severe upper abdominal attacks. They come on suddenly without warning. I get extreme pain in the lower back as well. After a couple of hours the pain moves into what I feel in my bladder area. These attacks come in clusters it seems, maybe a few over a couple of weeks, then nothing for a couple of months.... | Hi. To recapitulate |
Hi, I fell on the ice 2 days ago and my neck is hurting when I turn my head any direction. I have to help my self up when I lay down because my head/neck feels like its not strong enough to lift. I fell on my butt and hit my head a little bit - but mostly my butt got the most impact. My back is sore , but im worried ab... | Hi, Please tell me about you that have you vertigo or stiffness of back or neck? We will have to find out the reason whether its chronic or acute due to fall down, is there any ligament or muscle injury or simple fracture?some damage may be permanent and leads to nerve compression or arthritis. The treatment for neck a... |
I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services t... | Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss oxblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, and depression. Side effects of certain medicines. Stress. Chat Doctor. The exam, lab tests, and sometimes ... |
Last night I noticed a small red patch on the shaft of my penis and a small bump barely 2x2 mm. Its been 5 days since I last had sex which was protected. The red mark is slightly irritating though I think it might just be due to my own periodic self examinations. The surface around the bump is sometimes shiny as if moi... | HelloThanks for query. Red patch with small bumps on glans penis after having protected sex is mostly due allergic reaction to chemicals in condom used as lubricant. You need to take broad spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Along with topical steroid cream of combination of anti... |
I woke last night feeling slightly itchy. Went back to sleep, Woke this morning to a full blown bright red itchy rash covering my whole torso, front, sides and back. Its not terribly itchy, more picky feeling. I ve had pityriasis in the past, doesn t look much like that. I look almost sunburned. The only thing differen... | YES THESE BE FOOD RELATED AS THE FOOD YOU STATED CAN BE ANYTHING CAN REACT WITH BODY PROTEINS AT ANY TIME AT ANY GE TO GIVE REACTIONS YOU MY TREAT IT Buy TAKING ANTI-ALLERGIC TABS LOCAL ANTI-ALLERGIC OINTMENT IN AFFECTED PARTS BUT SOME OTHER THINGS CAN ALSO START RESTING LIKE MED OIL SHAMPOO CREAMS SOAPS AND CLOTHES GE... |
.22years,5.8f,73kg,asthma since childhood,every year facing breathing problem at the time of change of season and in the month of april.i take asthalin inhaler 2or 3times a day.since last 1 year taking foracort inh.(200) twice daily. some times i take nabulizer(levolin).am i taking right treatment. | Hello. Thank you for asking at Chat Doctor. I went through your history. Please consider following points, they will be helpful to you |
sir, my husband is suffering from chronic kidney failure and now he is suggested kidney transplantation . Now I heard abt the key hole surgery kidney transplantation was held in your hospital . What is its cost ? How much safe is this process ? What are the benefits comparing ordinary process? Ii this is safe for diabe... | Welcome to Chat Doctor Key-hole surgeries can be done. They will be helpful by early recovery and return to work, smaller scar. The process is generally much safer than there will be less tissue reaction, bleeding, chance of infection. It will be more expensive though. Diabetes needs to be controlled before the procedu... |
hi i have a reash from heat on my thighs scrotum and up my crack onto my butt cheeks could heat rash have turned into a fungal infection it hurts so bad i cant hardly walk i used exssesive baby powder and try to stay clean and dry there is no ac where i am help | Thank you for query. It may be due to fungal infection. Please take following precautions. Use loose cotton clothes. Keep area Chat Doctor. Apply antifungals like terminating which is fungicidal. Once subsides use regularly antifungal dusting powders like candid or absorb powder to prevent recurrence. Consult doctor if... |
My Wife is 29 yrs Old and she has high SGPT(90) & SGOT(49). I have done his Hepotitis b but it was negative but anti was positive. She did not take vaccination then it means she went through the infection phase but developed immunity for Hep B. Can you pls advise me the next step? Will UDLIV will be good for her? | Hi thanks for asking question. According to history your hepatitis b is seems in recovery phase as you have Bag negative. If Bag remain elevated after 6 months then carrier state present which is less likely in your case. But follow below instructions for few days. You can take ursodeoxy colic acid tablet that you have... |
My 8 month old has been coughing at night for 6 weeks now. I can hear that his nose is congested and the dr said he has post nasal drip. He was on amoxicillin for 10 day and that didn t work. Now he has been on zyrtec for 3 days and is still coughing and stuffy. | Hi, Does he have any fever? Is there any nasal discharge visible? Any allergic disease like asthma or allergic rhinitis in family? Cough that persisted for 6 weeks needs evaluation to find out the cause. Possibilities are asthma, allergic rhinitis with post nasal Chat Doctor. Chronic sinusitis also can cause this, but... |
Hello, I am currently in my teenage years, and my parents cannot afford another visit to the doctors office. I am have difficulties breathing and gasping for air, and sometimes my chest feels a little hurt or tight. The doctors diagnosed me with anxiety but how do I cope? I am currently homeschooled and don t have that... | Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test)3. ECG4. 2d echo. Chest x-ray and PFT are needed to rule out pulmonary causes for your symptoms. ECG and 2d echo are needed to rule out cardiac cause for your symptoms. If al... |
Mild Bilateral Renal Parenchymal disease | HelloFirstly in renal parenchymal disease, severity of disease is assessed and treatment is planned accordingly. Renal parenchymal disease may be due to many reasons like glomerulonephritis, chronic diabetes mellitus, chronic hypertension etc. This need clinical correlation and further investigations. Investigations in... |
My pain started a few weeks a go with pain around my belly button, it constantly feels crampy but sometimes sharp. Then a couple days later I began getting pain in my right leg that does not go away when laying down. Then a couple days ago my chest and back started hurting, my chest feels like there is someone standing... | Hi. Thanks for your query. Read the history and understood the problems. All the symptoms of abdominal pain, leg pains, pain in chest, back and sore and swollen throat are suggestive of that you are suffering from flu unless proved otherwise. Visit the ER or a Clinic nearby, get examined by a Doctor to rule out any oth... |
Hi. I have very less amount of bleeding during menstruation since last 2-3 years. its only for 2 days. I also have too much pain during menstruation and sometimes before that too. also i feel same pain during ovulation . my periods are regular. 28-30 days cycle. I am scared if I am having endometriosis .. what should I... | Hi I had gone through your query and understand your concerns. I would come up with two most possibilities to fit your case. These include1.first possibility is SECONDARY DYSMENORRHOEA;causes by certain underlying diseases, such as endometriosis, acute or chronic pelvic inflammation etc. Endometriosis is the fittest yo... |
I have this rash that is on the tops of my feet and has spread to my ankles and legs. Mainly small dark brown spots but some have merged into dark areas of skin. They do not itch or hurt at all but my feet are now starting to swell and I dont know if they are related. | Howell come to ChatDoctorI really appreciate your concern, if this is not itching or any discomfort, then this could be due to some systemic disease and diabetes need to be ruled out, as matter of fact skin lesion demands the clinical observation and this is the only way of clinical diagnosis because this is kind of ar... |
I had tonsillitis two times the last month, and now I believe I have it again. Is it bad to take antibiotics again for this? Also how long should I be on them...Last time I was on them for ten days. Im a 33 year old male that weighs about 185lbs. Thanks | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. In case of Chronic Tonsillitis, if we talk about conservative management, I would advise you to follow |
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