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My grand mother aged 68 yrs having these problems and the ct scan shows this | Hello, Alpina, I am sorry to see this report. She is only 68 years young and seems to have major problem. Gallbladder cancer is not that common at her age, but can occur. From the description of CT findings, she may have primary cancer of the gallbladder which is causing blockage of the main channel that carries the bile from the liver to the gallbladder and also portion of the channel inside the liver. Bile from the gallbladders usually released into the duodenum. There seems to be a mass effect with pressure on the duodenum and also the part of the colon that is close to the liver. It is very difficult to say whether this is operable without additional studies which might include, endoscopy, ERCP, MRCP, CT-guided biopsy etc. She needs to be seen by a top specialist, may be at a university hospital setting where all these are available. I wish her well. |
Hi. I have noticed a week ago a small painful lump ot something like that on my right buttock. I think that i cant see it in the mirror but i feel it when i touch and it hurts when i press it. It is inside of the tissue. It doesnt begin on the surface. I m not sure if can move i m scared to touch it too much. I m not sure is it in the muscle maybe it is in fat. At first i wasnt worried, i taught it is maybe a pimple but i just can see it yet. But i am starting to worry. And i dont remember i hit myself. What coulld it be ? Should i be worried ? Thank you. | Hello! Thank you for the query. For sure It's nothing serious. You should not be worried. The pain indicates the lump is most likely filled with pus. The pus could appear due to some infection of hair follicle or sebaceous cyst. I suggest you to consult general surgeon. Soft tissues' ultrasound should be done to get more information about this lump. Small incision and Chat Doctor. Hope this will help. Regards. |
HI.. I have extremely low volume of seminale fluid at ejaculation. It feels like something is actually blocking the flow. I have been to uroligists to no avail. I have a vasectomy 24 years ago, so not sure if that has anything to do with it. Doctors seem to scoff at my bringing it to their attention. They have said if it feels good that everything is ok. I am 57 years old... | Thanks for asking in Chat Doctor forum In short |
i have a little bit of blood in my urine, what could it be? i wiped some on toilet paper and it was a faint orange color, so it was not much, i 1st noticed it this morning when it hurt to pee, the pain was a decent amount, i got back from school and went to the bathroom again and it hurt again but a lot less than this morning. there is no one with diabetes in my family, so it might be UTI (even though i have never had sex). | First get your urine examination done to confirm whether it is urine in blood or something else. Most common cause for blood in urine is calculus. Common cause varies from male to female. UTI can cause blood in urine, but not the commonest cause. So to know the cause complete urine & sonography is required. Treatment depends on the cause. Start taking plenty of liquids it will definitely help you. Disclaimer |
my friend was wondering if she could get pregnant this way, her toilet clogs up a lot and she has an older brother. A few days ago she went into the restroom and went to go pee, she didnt realize it but the toilet water was super high up and as she was doing her business toilet water was splashing on her insides, what are the chances that if her brother used the toilet earlier and didnt flush and had some sperm in his pee that she could get pregnant? | Hello dear, I understand your concern. In my opinion there is no chance of pregnancy in that way. There is scope for pregnancy when semen is ejaculated inside or around the vagina during the fertile period. Just by splashing of semen mixed water or just by touching genitals or any other action will not lead to pregnancy. Whenever the sperm come in contact with water they lose their vitality. So do not worry. There is absolutely no chance of pregnancy. Hope this helps. Best regards... |
hi. Yesterday night i was was bitten by a street dog. it didnt bleed but after sometime that site became reddish colour with some scratches. Then immediately i went to the hospital and took TT and morning i took Rabipur I dose. Will i infected by Rabies...... i want to know the food restrictions? | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First your bite was not severe, so nothing to worry if you take complete Raipur vaccination. So, take the complete course and don't leave it in the way. Clean the wound properly. If you see any swelling and further redness there, see your doctor you might require antibiotics for cellulitis. No special food restrictions are there. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD |
My Partner hurt his big toe 2 months ago and it has a huge lump on it. He hurt his elbow 10 days a go and his elbow has a bit long lump on it. I told him he should see the doctor but says its fine as he has acid between the joints and has caused this?? | Hi, I had gone through your question and understand your concerns. You haven't mentioned your partners age and proper medical history. As per your information, the deposition of sharp acid crystals (uric acid) in joints, often in the big toe is the possibility of the condition called gout, deposits of uric acid (called tofu) which look like lumps under the skin. It affects many joints including elbow. It is one of the most painful forms of arthritis. People who are more likely to have gout if |
Hello! Over the past week or so, I have experience an increased need to urinate and increased thirst. I have read online (bad, I know) that those are symptoms of type 2 diabetes. I had my fasting glucose checked back in June and it was 95. Can it increase that fast? No other symptoms. Thanks!Stacy | Hi, Thanks for your question. Noted your concern. Yes increased frequency of urination, thirst, weight loss despite increased apatite are symptoms of hyperglycemia (Diabetes). In such a case I may suggest following evaluation-- Complete Blood Count.- Fasting and postprandial blood sugar level.- HbA1c.- Urea, creatinine, electrolytes. If blood sugar level normal in that case possibility of compulsive late Chat Doctor. For which further evaluation like urine and serum osmolality maybe considered. |
dear doctor my son age of 2yrs we have consulting a near by doctor for sinus problem he advised us to give montairlckid tablet daily and told us without his knowledge we should not stop the tablet.past 1yr we are giving the tablet but the sinus is not cured yet. now my son age is 3 and half yrs now.please guide me the right way to cure sinus in tablets or a better way. | Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions |
Hello, I ve done something really silly and burned the roof of my mouth just behind my front teeth with hot chocolate the area is very red/purple and extremely painful!! I m unable to eat anything and my teeth feel sore and sensitive now!! I have been advised by a pharmacy not to use bonjela cool as I am 20 weeks pregnant and the ingredient is not safe to be using? How long will it take to heal is there anything I can use safely to ease the discomfort?? | Hello, Use lukewarm saline water gargles a couple of times per day. That would be best since you are pregnant. You can also use a bit of lidocaine jet over the burnt area after consultation with your gynecologist. Burns over the roof of the mouth tend to heal rapidly so that the whole area should be healed within about a week or so unless the burn was quite severe and extended quite deep in which event it might take a bit longer. |
I was showering the other morning and my thumb locked up and would not move. It wasn t like a catch or a joint locking up. My arms the night before were numb and tingling. I went to the emergency room and they said I had a seizure. They diagnosed this with out even taking my blood pressure etc. I went to a different doctor, that one said it was an anxiety attack. both are wrong. Not sure what caused this. I m thinking maybe neurological . Thinking I should have a MRI . I m a 24 year old female in excellent health, I work out no less then 3 time a week and I eat very healthy.Jacey | Hi, First, let me tell you that blood pressure reading is not required for the diagnosis of seizure. In my opinion, thumb getting locked up was probably Trigger thumb- a condition where swelling at the base of thumb locks up the thumb in flexion. For this, I would suggest painkillers and if it persists then probably you may need a local steroid injection. Hope I have answered your query. Let me know if I can assist you further. |
I Have overactive bladder problems with urgency. I have used Vesicare, but it now too expensive for me. Veriscare did work however. Now I am using the patch with mild to moderate relief. What other things to I need to do or know about urinary health | Hi, I had gone through your question and understand your concerns. There are several medicament options for over reactive bladder, and you need to find one that fits you most. There is potent Chat Doctor. It works by relaxing the smooth muscle in the walls of your bladder. This effect helps your bladder hold more urine. Other such as, oxybutynin (Nitrogen XL, Control), tolterodine (Petrol, Petrol LA) andtrospium (Sanctuary) have similar acting mechanism but more or less significant side effects which are present in some people, in some not You should try some of these for 4 weeks and see if there will be improvement. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
I have severe pain at times in my chest area, I have had heart checked, and upper and lower gi and shows nothing. I have had indigestion all my life even from a teenager till 73 years later. My doctor says I have barrett s esophagus disease. Can this cause the chest pain I am experiencing? | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, Barrett's esophagus can cause chest pain. It is actually change in esophageal mucosa, due to chronic HERD (gastroesophageal reflux disease). On chronic exposure to acid reflux Esophageal mucosa becomes resistant and gives rise to Barrett's esophagus. So treatment of HERD is needed to treat Barrett's esophagus and thus your chest pain. Try to follow these steps.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and tension4. Start proton pump inhibitor.5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent acid reflux.7. Avoid smoking and alcohol. |
Hi there, I was playing baseball a week ago and did something to my foot where if I put pressure on my toes it s a sharp pain. I left it and just thought it would heal now a week later and getting worse with swelling. It s on the top of both my feet but one worse then the other. Top middle on big toe side | Dear patient You have got trauma to your both feet and since pain is not relieved even after one week possibility of fracture cannot be ruled out. I would advise X-ray of both feet anteroposterior and oblique to rule out bony abnormalities. Visit radiology center nearby you and get it done. Meanwhile, start tab diclofenac plus serratiopeptodase combination twice a day for pain relief. You need to consult expert orthopedic surgeon with X-ray report. Avoid playing till the time. All the best. |
hi,my father has got carcinoma tongue and his biopsy has been done but his reports of biopsy will come after 15 days so is there any chances of spreading in these 15 days if yes then suggest sumthin and what is the preffered treatment for the same radiotherapy or surgery | I have gone through your query. You did not mention if the biopsy is excisional biopsy or an incisional biopsy. Rate of spread of tongue carcinoma can be assessed based on many factors like type of carcinoma, age of the patient and nutritional status etc. Your physician will do a complete head and neck scan, laryngoscopy, laryngoscopy, PET, CT,MRI and lymph node assessment for staging and grading the cancer. Surgery or radiotherapy can be determined depending on the type of cancer and lymph node involvement. Patient should quit any tobacco habits, alcoholism and follow a healthy lifestyle. Hope this helps. |
ok i am 45 yr old overweight white woman with bad kidneys high cholesterol and pees all over her self..hahhaah will exercise help with the cholesterol? and what can i do not to pee..sit ups, laughing coughing running any kind of pressure from my stomach i pee..and with my bad kidneys what do i expect when i go to the kidney dr? | Hi and thank you so much for this query. I am so sorry to hear about health concerns. Hop we get to propose solutions that would make your life somewhat better. Yes, exercise would greatly help with your cholesterol problems. If it should fail, then adding some Chat Doctor. In a good number of my patients, exercise and reduced fats' intake greatly helps them and rarely do they need medications to stay controlled unless otherwise. From the urination standpoint, I suspect you have urinary incontinence. The best thing to do at this time would be to empty your bladder as often as possible. I will suggest that you establish an urination schedule like every 2\u00a0hours to always allow the bladder almost empty. This would ensure that nothing flows out when you laugh, sneeze, cough, etc. Also, your doctors should teach you how to practice keel exercises to better control these symptoms. The kidney doctor would try to look for the cause of your problem and ad |
Yes, I am concerned my boyfriend has multiple personality disorder. How do I know, and what to do? His mother is schizophrenic, and he exhibits wild changes in behavior, look, voice, and with seeming memory loss of certain conversations we have.... | Degree understand your concerns went through your details. Multiple personality disorder is a serious mental health disease which needs thorough diagnosis and prolonged psychiatric treatment. If you suspect your boyfriend for having it, it becomes your duty to convince him for a psychiatric consultation. You may also talk to his parents, relatives or well-wishers. They may not accept the treatment option first hand. But you need to convince him to take the treatment option because that is the only way. If you still need my assistance in this regard, please use this link. http |
Have had back pain for some time now. Area by kidney is swollen. I have different degrees of pain ranging from mild to very uncomfortable, not severe. Have been icing swollen/painful area two to three times a day for about 2 weeks now. I ice 20 minutes at a time. Yesterday, I started using moist heat for 15 min, followed by icing for 20 min. Seems to help, but start getting achy again in about an hour. I urinate frequently, usually once or twice in a couple of hours, and sometimes I get the urge where I have to urinate right away. I usually have to get up two to four times a night to urinate. It is never painful when I urinate, but I do sometimes seem to not be able to empty my bladder completely. I may go and then go again a half hour later. Since I m swollen around my kidney area, is it possible I may have a kidney infection, or kidney stones? | Dear patient frequent micturition even at night is early sign of diabetes Mellitus. Burning micturition with urgency is early sign of urinary tract infection. What is your age? Always mention your age while giving history. Diagnosis can very depend on age. For example if you are elderly all these symptoms points towards benign prostatic hypertrophy. This needs to be investigated with 1) urine examination for blood, sugar and crystals.2) fasting and postprandial blood sugar levels 3) ultrasound of pelvis to see prostatic volume. You need to consult your physician with all reports so that appropriate treatment can be started. |
Hi Doctor, My mother has recently been diagnosed with Hashimoto encephalopathy, her antithyroid antibodies level are more than 4000. she is facing issues like heavy weakness, joint pain etc. Dr has prescribed her wysolone 30 mg since last 30 days. But as of now there is not much improvement in her condition specially weakness is it right treatment she is undergoing? how long it take to get fully normal antithyroid antibodies? Regards nilesh | Hello, Hashimoto encephalopathy usually responds to the short-term steroid. Significant clinical improvement may take average four to six weeks(then slowly tapered over weeks). Most patients stay in remission even after discontinuation of treatment. But treatment may be required lifelong. Periodic intravenous immune globulin and plasma exchange are other therapeutic options. Antithyroid antibody liters do not correlate well with disease severity and may not return to normal. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I have slightly visible veins( veins are not raised) on my shoulder and chest and I have a mild pain with slight swelling on my right chest.area.. Holding a cup of coffee, or a remote to the TV is discomforting, have this for about 2 weeks.Any answers | Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems muscular sprain or strain.* Guidelines for better recovery- Application of heating pad 5 minutes each 3 times a day.- Local application of analgesic spray or ointment 3 - 4 times a day.- Tab. Ibuprofen (400) mg 3 times a day after meals.* Consult later your doctor if required. Wishing you fine recovery. Always welcome for any further assistance. Regards . |
hi I am a 40 year old male I have 2 operations on my back on the L5-S1 around 2 years ago and was told I would be a good candidate for a disk replacement over the past couple of years I am unable to do the little things in life now like -brush my teeth -put a drink on a coffee table -hold a small weight out in front of me anything involved in holding my own body weight when I bend at the waist as this a big part of you body to function everyday it is a scary thing to do if is doesn t work my life function will be all but gone as I cant go on the way I am at the moment would you recommend going to see about the disk replacement look forward on your thoughts thanks steve | Hello, I have studied your case. Yes disc replacement is good surgery and at age of 40 you may need revision surgery in the future. Medication like methylcobalamine with neurotrophic like pregabalin will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Disc compressing on nerve root then surgical decompression with instrumented fusion can be solution. You can send your MRI films or report. So that I can help you better. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. |
Hello, I have a just barely 3 year old who is very small, technically failure to thrive...although I would say she is thriving in every way, but she is small. We have already had all the basic tests done (Celiac, Thyroid, Metabolic Panels, and most recently an upper Endoscopy), all of which are normal. The last four months she has been complaining of belly button pain, sometimes back pain at the same time. The complaining is 3-4 times a day, she just had a UA with Micro/Culture and Stool testing for absorption done. The urine was fresh, the pH was high at 7.5, could this be due to her Prilosec medication? Also, she has mucous in her urine, but everyting else was normal...including the culture. I m thinking something kidney related, based on the fact that her bowel movements are normal any thoughts? I haven t heard back from the GI specialist yet, but I want to be prepared when we speak. Should I ask for an ultrasound to be performed? The constant tummy pain is a worry, and we can t seem to get to the bottom of it. Thanks, Kelli | The urine PH is worrying. High urine pH with failure to thrive suggest only one diagnosis - a variety of renal tubular acidosis (RTA). You have to examine the urine for bicarbonates, glucose, amino acids and pH. If all of them come high and Blood PChatDoctores low its RTA. You have not mentioned the weight of the baby, also I require going through all your reports. Kindly sent me the reports and also the weight, height, head circumference of the baby. Also try to measure the 24 hours urine output. Prilosec does not cause high pH. An ultrasound abdomen can see if there is any anatomical defects but will not detect any functional anomaly of kidneys. |
Hi, I am a 41 yrs old male, i have never been into relationship with any woman so far until recently. my problem is when i talk to her over the phone or meet her i get little excited and couple of drops of sperm(clear thick liquid ) discharge in my penis and it happens around 3-4 times a day and night as well. I dont know if it is normal or not sometimes its embarrassing too. Please help is to do with anything with the diet as well. | HelloThanks for query. You are passing few Chat Doctor. This is a thick mucus secreted by mucus secreting glands located in Bulgar part of urethra which get stimulated on sexual arousal like talking to woman or audio, visual stimuli to secrete mucus that is leaked out through urethra. This is a natural and normal process and does not signify any pathology. It gets resolved spontaneously over a period of time and does not require any treatment. |
I got stung by a wasp 4 days ago and had an allergic reaction. I was stung on the hand and my hand, arm and eye swelled up (no trouble breathing or swelling of tongue) also had some hives. Days 3 & 4 I have had a horrible headache and pain and stiffness in my neck. Is this an after reaction from the wasp sting? | Hello, Welcome to Chat Doctor, Wasp stings are common, especially during the summer months when people are outside for prolonged periods. Wasp stings can be uncomfortable, but most people recover quickly and without complications. The majority of people without sting allergies will show only minor symptoms during and after a wasp sting. The initial sensations can include sharp pain or burning at the sting site. Redness, minor swelling and itching can occur too. Only about three percent of the general population is allergic to wasps stings and Severe allergic reactions to wasp stings are referred to as anaphylaxis. During anaphylaxis patients will have severe swelling of the face, lips, throat hives, itching, breathing difficulties, wheezing,dizziness, sudden Chat Doctor. Thank you. |
i have been to the doctors today to have my inplant updated and was asked how i was by the nurse i told her ive been dizzy for a few weeks now and she took my blood pressure she said it is very low 90 over 60 or the other way around. i have made an appointment for 2 days time. ive also noticed a tingling feeling in my legs at night and my wee smells very strong. do you have any idea what it could be or if all these symptoms are linked? | Hi welcome to ChatDoctorI have gone through your query regarding low BP. I can understand your concern .for your info BP count of 90/ 60 should not because of worry. As far as your BP is concerned, it is not low BP, and is out of danger zone. But below this level it causes restriction to the amount of blood flowing to your brain and other vital organs, which can cause, unsteadiness, dizziness, lightheadedness or fainting, tingling in legs etc.;You can have low blood pressure for many reasons, including the time of day, your age, the temperature, any medication you may be on, an injury and some illnesses. For coming out of such situations, you have to follow regular disciplined lifestyle, and food habits. Regular day with all essential nutrients' fiber, fruit, green leafy veges almonds, nuts , vitamins and minerals, ginger , garlic, turmeric, lemon juice with water, Algebra all antioxidants help keep balance in our body system, all give immunity to our system paving way for good health. Proper walk, exercise Panama -deep breathing plays a great part in regulating our blood circulation in our system . Health check up by your treating doctor from time to time save from big problems. Hope this helps you solve your query Take care All the Westmont hesitate to get back if you have any further query |
I started to feel like I had a small pill or something lodged in my throat that I couldnt seem to swallow down no matter the amount of water I drank. The next day I took some Maalox which helped but then I started to have a burning sensation in my sternum as well as a bloated feeling in my chest which made me feel like I needed to burp, but I cant. I have taken GasX to aid it but I can can still feel the air-like pressure throughout the day.I have now develop a case of diarrhea but I havent had much to eat. Could you please assist me. I have no insurance and going to the ER is the very last option. I feel no pain but major discomfort. | Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with intestine infection.* Suggestions for better outcome - Chat Doctor. - Soft, light diet at intervals with fresh curd preferable.- Avoid spicy, oily, non veg stuffs.- Intake of cap. Omeprazole and pro bionics with Lactobacillus always help to recover early. Hope this clears your query. Welcome for further assistance. Regards dear take care. |
I am experiencing a lot of itiching coming from my vaginal area. My boyfriend and I just recently had sex and this is the first time I ve had sex in about 4 months. After we had sex I began to bleed like a period but it has been 2 weeks now and I m having a lot of discomfort and a lot of itching. What should I do? | Hi. It can be due to fungal or yeast infection of the vagina causing itching and bleeding on having intercourse. So the first thing that you need to do is to consult a Gynecologist and get examined. If a clinical examination is not sufficient then a vaginal swab culture can be done to rule out the nature of infection. If fungal infection is confirmed then you can be advised oral antifungal medicines like Fluconazole, Itraconazole etc. and along with it using vaginal antifungal ointments like Clotrimazole and pessaries can be advised. For now to control itching take anti histamines like Levocetrizine and maintain a good hygiene. Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
hi i have a pea sized lump on the back of my neck also been suffering with mouth ulcers on roof of my mouth but they have gone now feeling giddy all the time with a wierd aching feeling from neck back of head and around ear i also keeping hearing and feeling a running fluid sensation at back of neck can you please help oh feeling tired all of the time too thankyou kerry | Welcome to Chat Doctor. 1. The history suggest most possible cause could be lymph nodal enlargement.2. Lymph nodes get enlarged due to presence of any infection or inflammation it can be localized or systemic.3. So treat the cause like you are saying mouth ulcers and so - they might go on its own.4. For other symptoms you mentioned - get BP checked and a Chest x-ray, abdomen pelvis ultrasound - helps like a health checkup.5. If lumps remain get an ultrasound for more near diagnostic purpose. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. |
I have a persistant cough that started over a week ago in India. We stayed in a musty/modly hotel room. I had a fever for 3 days. I am now back in the states, still coughing and congested. My mucus is brown, green and sometimes bloody - especially in the morning and evening. I get flashes of sweat and my sleep is not great. | Thanks for your question on Chat Doctor. I can understand your concern. Since you are having recent travel history, we should definitely rule out lung infection (pneumonia) and bronchitis for your symptoms (cough and hemoptysis - bloody sputum). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics and inhaled bronchodilators (formoterol or albuterol) on the basis of reports.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
HiI am about to have a kidney removed due to a birth defect that has caused back pressure to damage the kidney. I am 42 years old, I weigh 6 and half stone at the moment due to weight loss, Im usually around a stone heavier. Will I be classed as disabled? | HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor. |
hello doctor !!my one old son was hospitalised out of high grade fever and atypical seizures, we took blood test ,urine test, lamba punture and MRI scan. except MRI all other test results shown normal. MRI results that his brain shows hyperintensitve at bilateral periventricular white matter. i wanna to know it means, do it have impact on mental growth. | HelloWelcome to Chat Doctor Seizures in a child of less than 3 years age with high grade fever are also called as Febrile Convulsions. Basic treatment in such seizures is control of hyperthermia and control of seizure by medicines like Garden or Phenobarbital. Mild hyper intensities on MRI are normal findings and there is no need to worry. Still you can consult his doctor for detailed results. For his normal mental growth I would advise you to please give him special attention for at least next 2-3 years, fever or hyperthermia should be avoided completely. If fever occurs then immediately give paracetamol syrup and take him to a doctor. Consult his doctor for some prophylactic medicine for seizure as Garden. He will attain normal growth, don't take excess stress. Thanks |
My daughter started with severe pain from armpit to wrist. Vein swelled. Bruising along entire vein line. Hand swollen. Went to ER. Did blood clot test and mammogram. Blot clot test negative. No results from mamogram yet. Any suggestions? She has Hashimotos and I am thinking it might be related to that. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in arms. Well there can be many reasons for symptoms you mention in query like cervical spondylosis, cervical radiculopathy, nerve compression, or symptoms of angina. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI along with nerve conduction test. Doctor may prescribe nerve supplement muscle relaxant along with anti-inflammatory and physical therapy along with particular stretching exercises. You can also keep your arm in hot water tub with Epsom salt for 15 minutest daily. Doctor may also refer you to cardiologist in case of cardiac problem. For now eat healthy and take ibuprofen or acetaminophen for pain. If you are experiencing dizziness, shortness of breath or weakness along with numbness and tingling in legs then you should go to emergency. There is also possibility of carpel tunnel or tendinitis. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
i had sex on december 18th directly after my period ended. the condom broke completely and he came inside of me. i went straight from there purchased and took plan b. exactly two weeks later, on january 1st, thinking i was safe i had sex again and he couldnt find the condom after. i just found it today in me, 5 days after. he did not cum. but even if he did not cum, if there is any precum existing in that condom could i get pregnant? what after the chances? and would 6 days be too late to use an emergency contraceptive? | Degree understand your concerns went through your details. You can be rest assured, from the given circumstances, there are no chances of pregnancy. I am replying for the second instance. Pre-cum is usually devoid of sperm cells. Even though they are present, they may not be having the essential fluid base to reach the ovum and to fertilize it. Don't worry. If you require more of my help in this aspect, please use this URL. http |
Hi, for the past year I have had a swollen gland on the right side of my neck, Im 35 and a smoker and so am very worried. However, this all started when I had a very bad dental abscess on a tooth which was not removed for a further 6 months due to waiting lists. could they be related and if sowhy has the swelling in my neck never gone down? Thanks. | Thanks for your query, I have gone through your query. The swelling in the neck region can be a space infection, or it can be an inflammatory lymphadenopathy secondary to tooth infection. Consult an oral physician and get the tooth treated, once the source of infection is removed or treated, then the swelling will come down. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Since you are giving a history of smoking, get your oral cavity checked for any potentially malignant disorders. I hope my answer will help you, take care. |
1. Do people with thallassemia ever have symptoms of hallucinations (auditory or visual) or dizziness/disorientation from that disease? 2. Do adults with thallassemia ever get umbilical cord transfusions today, or is it just treated medicinally? I m just writing a script--this is not an emergency. | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. No, thalassemia never causes hallucinations. There may be some other reason in you that is causing hallucination in you. I suggest you to do your psychiatric evaluation before. Please take full sleep and do yoga and meditation early in your morning. This help reduces your symptoms. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist. |
I have been diagnosed with bacterial vaginosis I believe it was caused by a tampon that was inside me for about a week since that event at the beginning of January I have been tired, run down, depressed , overly emotional feeling shivery and weak as well as tired and have no motivation could this be from just having an infection? | HI, thanks for using Chat Doctor The infection would cause fatigue and possibly contribute to the weakness, but it would not cause the other symptoms - depression, lack of motivation, overly emotional. It is possible that you may be suffering from depression. This is a common and serious condition that needs treatment like any physical illness. Your GP can assess you and determine if this is the case and initiate treatment or may refer you to a psychiatrist for assessment. Medication and counselling would be helpful. You would not necessarily need to be on medication for a prolonged period of time. I hope this helps |
This was the x-ray findings | Thanks for your question on Chat Doctor. In my opinion your x-ray findings are suggestive of right sided fibrotic lung. You must have TB infection in right lung in the past. And your present x-ray findings are sequela of healed TB lesion. When lung fibrosis occurs, the healed tissue shrunk the lungs and pull the structures. So mediastinum and trachea are shifted towards right side. So no need to worry about this x-ray as it is old fibrotic right sided lung is seen. |
For the past few weeks I have been suffering from a rash type thing that s like small little pimple like bumps that starts in my head and goes into my neck, back and my ears it gets so bad that I scratch till it bleeds. Haven t used anything different than I ve been using before. I have swollen lymph nodes in my neck that swell and then go down, and I also get reoccurring abcesses. Have had tests for thyroid all normal. I have noticed I ve had a lower anger threshold (not sure if it s related ) please help. | Hi, You seem to suffer from purity simplex most probably. Irritants and allergens may be responsible. Even psychological upsets might exacerbate the disease. Your immunity may be poor, so secondary bacterial infection occurs leading to lymphadenopathy. Consult the dermatologist for the perfect diagnosis and proper treatment. Hope I have answered your query. Let me know if I can assist you further. |
Hi, I am a lifeguard at my local pool as i was last summer. Last summer went good and I had never been dehydrated or felt like i do this summer. But this year I have felt anxious, constantly tired, at times weak, i feel constantly thirsty, i have to urinate almost every hour of the day,i feel lightheaded and sometimes nauseated. Can you give me any ideas of whats causing this? | Hello Good Evening, As per your description you did not mention your age and your weight and history of your weight gain or loss. Your symptoms can be just physiological, nothing to worry or can be of Diabetes. Because in Diabetes there are major symptoms are |
My blood pressure is 174 over 110..i have never had really high BP... My father has hbp I know it s genetic. But it s such a fast onset if hbp. I have a doctor s appointment Thurs and I ve been taking my husband s hbp med.. Ablopinine 5mg until I see my doctor. Only because I have to do something with reading this high. What do u think? | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that there is no specific treatment of choice for starting therapy for high blood pressure. The first thing to do in this situation, is closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and perform a complete check-up from your GP to exclude possible secondary causes of high blood pressure. So I would recommend a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, thyroid hormone levels, cortisol plasma levels, blood electrolytes, etc.). If all these tests result normal and your blood pressure values are above 130/90\u00a0mm Hg, you should discuss with your doctor the possibility of starting a hypertension therapy. Regarding Amlodipine, it is a calcium channel blocker. It can be used as a starting therapy, as well as diuretics, ACE inhibitors or Arms. The choice is usually made based on the patients' tolerance, past medical history and blood pressure values. Hope to have been helpful! Best regards, |
I ve been suffering chronic lower back pain for over 6 years. After trying everything to manage my pain (injections, physical therapy, medication and surgeons opinions) last week my pain management doctor told me I should go see a doctor/clinic where they can manage my back pain with medication, then he dismissed me from the clinic. what is the name of the clinics where people like me have to go to manage his/her pain with medication? | Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. There will be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
My baby (f) is 5 months 2 weeks old. She is formula fed as well as breast fed. for last two weeks she is being fed with cerelac wheet. for last 5 days she is poopoing 4-5 times a day. the color of the stool is greenish/ yellowish. the stool is liquid with sticky in nature. please advice me | Hello, You have recently changed the diet pattern of your child, so it's perfectly normal. Child Chat Doctor. I would advise you to start with rice-based cereal first and give wheat at around one year to prevent the chances of having a wheat allergy. The color of the stool is alarming when it is either jet black like coal or white, or it has blood in it. I would recommend to start with rice pudding and then proceed to boiled vegetables like potato, carrot, peas etcetera at around seven to eight months. Give egg white at nine months of age and complete egg at one year. Hope I have answered your query. Let me know if I can assist you further. |
hi, just yesterday i noticed i had a bit of a stomach ache and when i walk theres like a slight pressure on my anus. i went to bed last night and figured it would be gone by the morning. needless to say it hasnt. what do u think that problem could be and does it need medical attention? thanx | Hi. Thanks for your query. Pain in abdomen with a pressure on the anus is suggestive of an intestinal infection with involvement of the anus in the form of parotitis. You have to have a course of an antibiotic and metronidazole, probiotic and supportive treatment. If there is no relief after a course of 5 days of treatment, you may need colonoscopy and CT scan of the abdomen and further management as per the reports |
After my root canal my cheek was swollen to the extent that my natural \"cheek\" dimple (actual dimple i was born with) was gone. A week later it has started to appear. Now however, I have two small indents that move like dimples on my smile line close to the tooth that was worked on....Is this permenant? what is causing it and how how long will it last/can I treat it? This is almost week 3 post surgery.Feeling self conscious. | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swelling on check after Root canal treatment even after 3 weeks it may be due to Periapical infection or due to periodontal problem. Don't worry consult your dentist again and go for investigations IOWA X-ray of there is periapical infection go for Re -. Rct if there is periodontal infection then go for Curettage. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. |
my problem is my penis.. its small size 4.5inch full erection, curved shape , tight foreskin i tried so much too push back but fail and sleepfall. i think my body has not been growing since i started menstrubation at the age of 14. and i have only 28 teeths in my mouth | Degree understand your concerns went through your details. Penis size of 4.5 inches is more than enough to satisfy any girl across the globe and to have sexual satisfaction. The curved shape is good because it will give you more pleasure than a straight penis because of the extra friction it makes within vagina. You have to use some lubricants or soap liquid to practice movement of the foreskin for some days, or you should circumcise your penis foreskin. Masturbation is a healthy practice and can't slow down your growth or cause problems to your health if practiced moderately. 28 teeth also is normal. Now stop worrying and get to business and your career. Unnecessary thoughts could trigger anxiety. If you require more of my help in this aspect, please use this URL. http |
My glucose rate, according a comp. metabolic set, is 109. This rate has being progressively increasing | Firstly all the blood pressure reading mentioned are in the normal range and so you need not worry about the same. You are true in saying that statin does cause new onset diabetes, but the risk is rare. To be frank its 1 in 250 patients treated with statin over 5 years may have diabetes. And so the benefit for heart condition is far more than the risk of diabetes due to statin, so do continue the same and keep 6 monthly monitoring of the blood pressure. Regards Chat Doctor. |
Hi Sir, I have PCOD and i am on infertility treatment.I did ovulation induction last month and started tab.duphaston 10 mg for 10 days.On my 6th day brownish spotting seen.After duphaston my periods is due since 3 days.Kindly help me to find the reason for this. | Hello, Duphastone tablet is a progesterone hormone tablet. It supports early pregnancy, hence it is given after ovulation. If you are not pregnant then you will get regular menstrual cycle. Now, if you have crossed your dates, then please get mornings first sample of urine tested for pregnancy. In case of any doubt blood beta Chat Doctor test and USG will be of help. Please continue taking Folic acid and vitamin B 12 supplements. This helps you to prevent various complications during conception, pregnancy and childbirth. Hope I have answered your query. Let me know if I can assist you further. |
My husband , 31 yr male, has following problem. He has history of kidney stones . at present, he is diagnosed with multiple calculi in right kidney, with largest 5mm in midpole. multiple calculi in left kidney, with largest 7 mm in lower pole. 8 mm sized left proximal ureteric calculus with ipsilateral hydroureteronephrosis. Is it advisable to go for DJ stent + ESWL procedure, OR are there any other methods by which these stones can be removed more easily? Also what would be the cost of DJ stent + ESWL procedure approximately? | Thank you for using Chat Doctor the presence of an 8 mm stone on the left with HY Chat Doctor. The longer the obstruction remains present, the higher the likelihood of damage to the left kidney. 8 mm is at the upper limit in size in regard to the ability of the stone to pass itself. If adequate time and nonsurgical methods (pain medication, increased fluid intake and use of selective alpha antagonist such as tamsulosin) has not resulted in the stone passing then the next step would be proceeding with cystoscopy and stent placement. I am unaware of the cost of ESL. Take care and be well |
My daughter is in her senior year of college and was diagnosed with mono in December. She just had her 2nd blood test this week which indicates that she still has elevated liver enzymes . She is a runner, eats a very healthy diet with lots of organic products, prepares all her own foods, drinks no alcohol, has cut down on her physical activity (very difficult for her) and resting as much as possible. The doctor did not want to do another blood test on her but she wanted feedback as to if her liver function was going back to normal and it appears that the values are still elevated. She has been accepted and will start medical school next year so she is a highly intelligent individual and is trying to figure out what to do to expedite recovery and insure that she doesn t cause further damage. Do you have any suggestions on resources for her since she is unable to get helpful feedback from her doctor? She is on her college track team and wants to continue to train since she only has a few more months till school ends but wants to make sure she doesn t do anything that would hurt her body. | Hi and welcome to Chat Doctor. This is simple. When diagnosed with mono people should rest for at least 6-8 months, and she should do it too. There is a reason why this is recommended. Every infection which damage liver is treated by resting because then liver doesn't need to produce all these proteins and can heal spontaneously. Mono attacks liver too, and she should check liver tests every month till normal range of it. There is no other way to avoid complication of mono infection. Hope I have answered your query. If you have any further questions I will be happy to help |
hi, doctor pl. advise me on taking Renolog tablets 5 | Hello and welcome to Chat Doctor. As a Urologist, I can understand your concern. Renolog is only a supplement in Kidney failure treatment. It's not a curative treatment. You may discuss this with your nephrologist. In most cases, twice or thrice daily is enough.It's very important to continue with medication for high B.P., and calcium supplements. You should mention the report of kidney biopsy, if done. Itll give a diagnosis, as to what's the reason for developing kidney failure. Then, specific treatment is advised. Your creatinine, urea and uric acid, with electrolytes is monitored closely. Diet control, with salt and protein restriction, is strictly advised. If you've any doubts, send it as a direct question. Chat Doctor. Manga. |
age 71 very bad sharp pain lower left back until I sit in chair cannot pick up my tiny dog off bed without a pain left hand swollen and I am itchy on lower back have had kidney stone gall bladder gone/triple cervical spinal surgery 1997 and do gardening for living but health pretty great in general | Hi, thank you for posting. I have gone through your query and I understand your concerns. Basing on what you refer I can say that you suffer from lumbar arthritis. Except pain, arthritis can cause numbness, too. To treat this disease you can take anti-inflammatory non-steroidal medicines such as Advil. Another alternative is chiropractic treatment.However, the following tests are necessary for the diagnosis.1. Lumbar X-ray.2. Complete blood count.3. Urine test. Contact your neurologist. Take Care. |
Male. Age 52. Esophageal Cancer stage III. treatment to date. Radiation, chemo, esophectomy followed by additional chemo. Surgery November 2009. (3 out of 21 lymph nodes removed positive). All follow up CT scans have been clear to date. I know stats are not in my favor. The boy scout in me wants to prepare for all possible outcomes. My assumption that if reoccurance is to occur should see anytime between now and 18 months or so. My question is this. I can not find anything on the internet that describes the typical last month and or weeks for the patient before death. I realize death may vary if reoccurance occurs in liver, bone, lung etc. Is there a site or information that prepares oneself and family for this period? | Hi, dairy have gone through your question. I can understand your concern. You have esophageal cancer stage 3. Prognosis is definitely poor. But we van not say exact time for individuals. Its differ from patients to patients. Many factors affect that. Moreover, it also depends on spread of disease in lung or liver as you say. So we can not say that its last month or last week for individual right now. So don't worry much about that. Many people may live more than 3 year or 5 year also. So don't think much about that just take regular treatment and go for regular check up. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi, Im naleep an 23 year old man, I have some allergy with dust, my nose get watery if i came in contact with dust. I also have cold from long time, when i goto physician they give some medicine and my cold convert to cough. from 2 day im getting blood strain in cough in the morning.what is the problem? | Thanks for asking your question completely understand your problem in my opinion according to your symptoms, you are suffering from allergic rhinitis, sinusitis. For this problem u need to consult a pulmonologist who may prescribe you a combination of leukotriene antagonist and an antihistamines like montelukast and fexofenadine, and some intranasal steroid sprays like fluticasone nasal spray which you have to take once daily. For all these medications u need to consult a pulmonologist to get them prescribed if his opinion matches mine. Further for now u need to take steam inhalation preferably with some vocals in it or otherwise will also do. For cough with blood streaked sputum u should get a chest X-ray done and to visit some pulmonologist to rule out tuberculosis thanks/regards feel free to ask more questions may god bless you with good health |
I am 52 Male. about three months back I experienced a stiff neck . Thinking it to be cassual pain I overlooked it. Since I was simultaneously under going dental treatment I was on analgesics and hence did not felt the pain. Now even after three months the pain has once again erupted and from last two days i am having a very stiff neck. I am also feeling very week. I have no fever . Yes I do feel that I am experiencing a mild sore throat from last three months. Should I call on an ortho or an ENT | Hello there...what kind of dental treatment you underwent?based on that I can let you know if your dental treatment has any relevance with your neck pain... Since you are complaining of neck stiffness...you have different reasons for that...though there are few dental conditions that has relevance, I cannot comment until I know the kind of treatment performed...stiffness could be because of severe pharyngitis or tonsillitis or any form of infection in your neck....if it only to the neck region then you can consult an ENT who are experts in it...bacterial infection to the salivary gland (submandibular salivary gland) would also lead to pain in the neck.clinical evaluation is mandatory for final diagnosis.... |
My 66 year old mother had her right hip replaced in May of this year. She has been very active and doing basically everything she wants since July. She started complaining of her hip bothering her about a month ago. Now she is in the hospital with pyelonephritis. In the passed two days, she has said the pain in her hip now severe and is running down her entire right thigh. Could her hip be infected and causing the pyelonephritis? | Howell come to ChatDoctorHip pain and pyelonephritis are two different condition, and they are nothing to do with each other, it would be very less likely that because of one condition other affected, because of the infection body pain and major joint pain may be likely and this may not be indication of infection, if this is pyelonephritis then this need to be treated first, hope this information helps, take care, have a nice day. |
My mother aged about 70 is a patient of chronic hypertension.She has now developed severe chest infection.In earlier years he responded well to ceftum 500.Now the dotctor has advised Augmentin1000 duo every 12 hours.Will it suit her or ceftum is safer and better? | Thanks for your question on Chat Doctor. I can understand your concern. No, augmenting is having better coverage and superior to septum. Augmenting is having combination of Amoxicillin and clavulinic acid. Septum is having cefuroxime. Combination with clavulinic acid makes augmenting better antibiotic. It is having higher bacterial coverage. It acts not only on gram positive bacteria but also on gram negative and anaerobic bacteria. So don't replace augmenting with septum. Augmenting will mostly suit her and treat her lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. |
hi my son was born with a horseshoe kidney and had a large kidney stone removed at 2 years of age he attends rvh in belfast once a year for check ups and scans which hav always came back clear he is 14 yrs old now and has been boxing from the age of 9 recently he had a medical done by a sport doc b4 he entered competitions and was told it might effect his boxing career hes heartbrokenover this i dont know wot to 2 will he be stopped from entering any more competitions | Good day horse shoe kidneys depending on the severity may affect his career due to the abnormal location of the kidneys. The usual location of the kidneys for patients with horse shoe kidneys are at the anterior abdomen or behind the stomach. The normal location of the kidneys are at the flank area protected by the ribs and a great amount of fat to cushion the kidneys. That being said the abnormal location of the kidney may limit your son to be involved in professional boxing or even amateur boxing because it will place his kidneys at higher risk for injury. Surgery can be performed to place both kidneys at the normal anatomic location, although this is a major operation and entails a lot of risk also.I hope I have answered your question and best wishes. |
Hi my ankle keeps swelling up and when the swelling goes down it is very painful to walk, the pain goes up my calf and along my toes and I have had a blood test for blood clots and that has came back negative my doctor isnt helping he said he doesnt have a clue wht it could be please help | Hi, If I were your treating Doctor for this case, I would come up with three possibilities, these include |
I have been experiencing problem in breathing since a few days. Whenever I inhale, I feel pain in my mid-rib section in both front and back. It feels as if it is getting constricted or something. Due to this, I cannot breathe to my full capacity, and it gets even worse when I run, or sneeze, or any activity that involves heavy breathing. I had a previous case in which I experienced the same type of pain in my lungs, some 2-3 years back, due to accumulation of particles from mosquito coils and cigarette smoke (I don t smoke). The X-ray report showed some haziness over the bronchioles area, which the doctor describes as clogging due to which I am unable to breathe properly, This has resulted in dizziness on heavy workouts, and I also feel tired all the time. Can you help me out? | Hello, As per my clinical experience, the issue with haziness over the bronchioles and symptoms suggesting dizziness on heavy work out indicate compromised airway path and enough oxygenation is not taking place at the alveolar space level. The precise diagnosis with pulmonary function test is mandatory for the root cause, evaluation of elastic lung recoil, details of all capacity and lung reserves upon which the definite management should be built up. It is best recommended getting a consulting with an expert pulmonologist at earliest. Till that time, deep breathing exercises help greatly to relieve the issue partially. Hope I have answered your query. Let me know if I can assist you further. |
Regarding my mom s psychology where she feels happy when somebody speaking to her is feeling down. And if anybody is speaking to her with happiness in their voice she cannot bear that n reacts in a sercastic way. Looks like she has some deep rooted sorrows in her mind. Would like to seek meical suggestion so that I can see her happy | Hello and welcome to Chat Doctor. Thanks for your query. From the brief description of your mothers problems, it is possible that she is having some personality issues. This could be stemming from deep-rooted experiences. However, a detailed history and a psychological assessment are necessary to arrive at a definite diagnosis. So, I would suggest that you see a psychiatrist in your place for a detailed evaluation and for further treatment. There are treatments available for your problems - both in the form of psychological therapy, and sometimes medication, which will help her handle such problems. So, please seek professional help at the earliest. Wish you all the best. |
Hi I m 29 yrs old and I m suffering from jaundice from last 20 days.i m also having itching in whole body and it get worse when I try to sleep in night or afternoon.at night its gettting worse.due to this I cant get sleep at nite and sleep in morning after exhausted. Please sugget me a treatment and diet for fast recovery.billiburin level is 3.29 | Hi there thanks for posting your query at Chat Doctor Dear first get yourself evaluated completely by a good gastroenterologist to rule out the cause of jaundice. Jaundice could be due to multiple reasons. There could be infectious reasons. That are typhoid, but you must have swinging type of fever with that or of viral origin like in hepatitis etc. And then only we can give specific treatment. Now I tell there are certain herbal preparation to help improve the activity of the liver. They are Limoges, A compound named silymarin comes as 70\u00a0mg or 140 mg help improve the liver function test and decrease the level of free bilirubin in the blood, In the diet you must avoid fried stuff. Eat of fresh fruits and vegetables . Radish is of great help. Eat milk in the form of curd or yogurt. Try to avoid food with lots of calories putting extra load on the liver. Chat Doctor. |
I have pulmonary sequestration, I am 54 years old, it is located on my lower left lung. One professor is anti operation as he states | Thanks for your question on Chat Doctor. I can understand your concern. If pulmonary sequestration is an accidental finding without any symptoms then nothing should be done. But if recurrent pneumonia, non resolving pneumonia at same sites occur then surgically removal of sequestered lung is the treatment of choice. It is similar to lobectomy surgery. No post-operative or long term complications of this surgery. So in your case, surgery is indicated. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hello, I am currently taking 150mg of Zoloft daily for depression and am looking into starting OxyElite Pro to help with my weight loss goals for my upcoming wedding in 2013. I have seen some discussion on interactions and am wondering if it is safe to take both? | Hi, It is not safe to take Elite while on Zoloft. Oxyelite-pro contains an antidepressant fluoxetine. Fluoxetine is a selective serotonin re-uptake inhibitor commonly prescribed for treatment of depression, bulimia, obsessive-compulsive disorder, and other conditions. Taking fluoxetine while on sertraline can increase the risk of cardiac arrhythmia (irregular heart rhythm) that may be serious and potentially life-threatening. You may be more susceptible if you have a heart condition called congenital long QT syn Chat Doctor. In view of the above, it is better to avoid taking Elite while on Zoloft. Hope I have answered your question. Let me know if I can assist you further. |
Hi I have mild pelviectasis of the right kidney I have severe right thigh pain as well as right hip and abdominal..., should I go to the hospital? I had an ultrasound and the radiologist said their is an obstruction they font know what it is.,. I need a ct scan the dr. Says... | Hello Mild pelviectasis means little dilatation of pelvis(region of kidney which collects urine) of right kidney. It is not a serious finding. It may be due to many reasons like calculus, reflux,normal variation etc. You are rightly advised for further investigations. CT scan can exactly assess cause of obstruction like calculus. Further investigations and follow up can be done if needed. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. |
Im 25 yrs old, African American female with no past medical history. I notice every time I eat or drink something very sweet (in large amount)I start to itch on my face, neck and arms. What could be the reason for that? Is it some kind of sugar intolerance? | HI, thanks for using Chat Doctor It is more in keeping with an allergic reaction to some component of the meal. Allergic responses tend to worsen as a person is continually exposed to the stimulus. If you wish to be sure exactly what you are allergic to you can ask your doctor about allergy testing. This can be in the form of blood tests or skin tests. It would be best to avoid the triggers. I hope this helps |
Hello sir .. I m suffering from vomiting via dry cough with shortness of breath now. It was all start about a month ago. I was suffering from viral fever than this happen after 4-5 days. . All the test reports are negative like ultrasound, x ray, blood test, amylase , ESB, sgot/sgpt , fbs etc. I had taken med. Like dompan , montair lc, augmentin, ciplox tz, pan-d, lupitus, sparacid etc. From todays on I m going to take ulicikit and zofer md-4 mg . I don t know weather they work or not.if they don t work my doc said u should admit and then he will do endoscopy. . What should I do ?? | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You have been treated for HERD and still not improving. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis first. As bronchitis can cause similar symptoms. If this is also normal then you are having mostly HERD (gastroesophageal reflux disease). And endoscopy is needed to diagnose this. So get done endoscopy. For better control of HERD you need to follow these lifestyle modifications along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking, if you have these habits. 7. Lose weight if you are obese. Don't worry, you will be alright. |
hi...dr...i m 22 year-old and having g6pd. before that my health was good enough for me to attain any activities. but now i m easier to feel fatigue and my hand keeps shaking. besides, my back started to get pain and love to sleep recently... dr... wat is my problem now? | Dear friend, see there is no such permanent treatment for G6PD deficiency. Only you have to know that some Chat Doctor. If you take this medicines then your blood cells will be broken in a very faster rate, and you will be anemic.in fact, from my day to day clinical practice I have realized that the symptoms you experiencing are all because of low blood cells in your body. Try to take rest, concentrate on nutritious food and take heating to increase blood cell in your body.in this way you will regain your body strength, overcome fatigue and your hands will stop shaking.to decrease your back pain you should go for some back strengthening exercise like flexion exercise of vertebral column.I sincerely believe it will decrease your back pain a lot.my best wishes for your health. Thank you. |
My wife 44 is suffering from haemorragia for over 3-4 years from now. She has been visiting doctors but reluctant to continue the prescribed medicines. Now we see a lot of beahviour change in her she has become violent, aggressive and fights on little things. She has turned suspicious about small things. This has made my life uneasy and almost hell. Please suggest me what should I do or to whom shall I consult a Gyn.gist or Psy.gist? | Hello and welcome to Chat Doctor, The first problem that you have mentioned- hemorrhagic is most commonly caused by hormonal imbalance. Thus, consultation with a gynecologist is required for relevant investigations and thus management. An endometrial biopsy/ currents may be required. The other symptoms of behavioral changes, aggressiveness can be due to metabolic disorder or psychological disorder. Thus, I suggest you to first consult your physician for clinical assessment and relevant investigations to rule out metabolic disorders. In case no biochemical disorders are suspected, psychiatrist opinion can be sought. Thanks and take care Chat Doctor. |
Hi I am 31yrs old and am a bit worried as my wife and I have been trying for a baby..hmmm, I would say for the last 6months with no joy of conceiving. I asked my doctor to allow me to go for a semen analys last year november - 11,2009. The following is a summary of the analys | Hello Your semen analysis findings may indicate decreased sperm motility. Motility should be at least 55 %. Your findings suggest over all 18% motility, so it is low. Sperm morphology is normal. Only 16 % sperms should have normal morphology for natural fertilization. You should do exercise and take nutritious diet. You can also take anti-oxidants. You should avoid alcohol and smoking if you take these things. You also need clinical correlation and few investigations like random blood sugar, ultrasound of scrotum. If findings persists then you may need assisted fertilization technique like GUI. Get well soon. Take Care Chat Doctor. |
after tooth implant, i am still having pain and acute irritation of gums, after 5 days. I do not have any inflammation. So, should I take metronidazole or amoxicillin or neither and wait it out?. For pain I am using ibuprefen 800mg 2 or 3 times a day. the gum irriration just some things from the counter. Please advise | Thanks for your query. I have gone through your query. There will be slight discomfort or irritation for another two days. This can occur either because of the wound contraction or because of sutures. Nothing to be panic. Continue the medicines(both amoxicillin and metronidazole) for another two days. You can use topical metronidazole ointment, apply over the gums where you have irritation, apply 3-4times daily for 5 days. Do saline gargling. Get the sutures removed, if they have give non-absorbable sutures. I hope my answer will help you, take care. |
hi i have been unwell for a week now with constantly coughting , and coughting up green and yellow stuff,i have seen a doctor and have been on antibodies then i was vomiting straight up my food and diaharra I saw another doctor the doctor said it could be the antibodies making me vomit and diaharra and changed the antibodies he said I have a chest infection.To use a steamer , cought mix and rest.I just looked at pheumonia site i have the coughting, pain in the chest walls ,the pain is reducing and the fluid i feel in they isnt as bad, its a very chesty cought , it keeps me awake and cant sleep as i start coughting.i had a fever the doctor said I havent had the chills.Just wondering if it could be this and if antibodies will clear it up.Also last year I dated a man who had bad case of bronchis he couldnt get rid of I didnt show any signs of bronchitis then was three months ago.I feel Im improving slowly but still vomiting, coughting alot and starting to lose my voice due to coughting so much.what causing chest infections thanks | HelloThanks for your question, I will definitely help you in the best possible looking at your detailed description this could be related to respiratory tract infection would like further information to help you better Your age and relevant medical history since how long you have this problem? If I were your treating doctor I would have advised for a battery of tests like blood for hemoglobin, CBC, ESR, liver and kidney function test and an X are chesty may require a course of antibiotics preferably penicillin group of Chat Doctor. You should do gargling with warm saline water or antiseptic mouth wash cough syrup with anti acidity and anti-emetic |
Hi I am very uncomfortable as my stomach is distended and feel pressure inside. I also feel slightly sick from this pressure and dont have an appetite. I I have constant vaginal bleeding. I am under a consultant who has suggested a full hysterectomy but I dont want one if I can help it. I also had a endometrial ablation last year in July but started bleeding constantly again in December until present. I also suffered a heavy bleed and had to call out of hours drs to request noriestherone tablets to help stop bleeding. But now I am starting to bleed through these tablets and it not stopping the bleeding completely. | HI. You have a failed treatment for vaginal bleeding with ablation and medicines. This is the major indication for hysterectomy. As you have a history of stomach distension and feeling pressure inside I would suggest such a patient first to undergo CT scan to rule out cancer of the uterus. Go for tests of blood, urine and fitness for surgery and anesthesia. The best treatment for you is Hysterectomy. |
I am a 31 yr old male. I have been having pain in my left calf for over a week. It feels like a constant cramp. The pain and sorness increases and decreases through the day. Not sure what it could be. I didn t injure it with any activity. It almost feels like the aftermath of a charley horse but has been lingering for over 10 days now. Any help would be greatly appreciated. | As per your explanation for self check, You can try to hold the muscle belly of your left leg calf muscle and squeeze it. If the muscle is pain full then it shows it can be related to atherosclerosis (clotting) in your blood vessels under the muscles. Another test is sat in straight leg position press your knee down and stretch the feet towards you. If someone can help to stretch then it will be better. And again you have to see if there is pain then the test is positive and there might be a problem with vascularity for the affected leg. Here the test will give suspected result however the conformation can be done with Doppler test, so you may need to go for it when above two test are positive. And then visit a vascular doctor who can suggest you medication based on the result. Now when the physical test are negative means no pain with stretching or squeezing calf muscle means there might be weakness or soreness of muscle. In this case you should use hot pack or deep your leg in hot water with added salt, you can also use cold pack to reduce inflammation. Do this for 2to 3 times a day and check. You can also take help of physiotherapy treatment like ultrasound and few stretching exercises as well if needed analgesics for time being. I also suggest once do check your blood pressure and sugar level too. Take care. |
Hi my name is mohammed and i am 25 years old 4 days ago i did CBC test and it shows that my WBC was 0000 and doctor gave me Zexster injection and after that i did bone morrow and it show this | Hello and welcome to Chat Doctor, Your hologram and bone marrow report reads that there is myeloid hyperplasia. Myeloid cells include cells other than lymphocytes. This includes neutrophils, eosinophils, basophils and monocytes. An increase in any of these cells is called myeloid hyperplasia. Shift in left means that the mature cells in the myeloid series are increased. In myeloid series (neutrophil series) immature cells to mature cells are present. When there is increase in mature cells it is called shift to right. When there is increase in immature cells, it is called shift to left. Increase in mature neutrophils occurs in bacterial infections and certain malignancies (e.g. chronic neutrophil leukemia). Presence of dysplasia cells need to be investigated. Anisopoikilocytosis is the condition when there is variation in shape and size of the red blood cells. This usually occurs in anemia. You need some more investigations to know the cause of anemia and necrophilia. Stay in touch with your hematologist for relevant investigations and appropriate management. Thanks and take care Chat Doctor. |
my father-in-law aged 65 yrs, now diagnosed to have kidney stones. fever reduced to normal by taking antibiotics. but still physician asked him to take moxif400 for a week. but no culture infections in urine at present. y this moxif 400 instead of taking steps to remove stones? | Hi, dairy have gone through your question. I can understand your concern. Your father has kidney stones and fever. So he has some infection in urinary tract, so he should complete the course of antibiotics as prescribed. For stone removal many options are there. But it depends on size of stone, location of stone and symptoms. Very small asymptomatic stone can leave alone. Stones less than 3 mm does not require surgery. Conservative treatment is sufficient. For large stones' lithography can be done. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi, My son is suffering from viral fever for past 5 days.. the fever subsided after 5 days but suddently on the 7th day, after coming back from school , he felt weakness and signs of tiredness, became irritable and does not eat anything now... suggest pls | Hi, I had gone through your question and understand your concerns. You should be worried but not too much. It seems he has neurasthenic syn Chat Doctor. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on having multivitamins as Zirconia or B complex with lysine 5 ml once a day for 1 month. For increasing of appetite i advice LIV-52 1 tablet 3 times after 15 min before meal for 1 month. You can add Enzymes syrup for 10 days. Give him fresh juices, yogurts, light food. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son and you are good health. |
for the past two weeks i have been developing very red, angry looking blistering lumps on my face, neck, chest and my back. They only seem to come up when I am at work. Every morning I go in and the lumps are still there but only slightly show. As the day goes on they get worse and I can feel my skin burn, my eye lids burn as does the roof or my mouth. On a few occassions my throat has felt tight as though I am getting tonsilitus. I have been to the doctors and have been told to stay off work for at least a week but I am worried that as soon as I go back it will all happen again. I have been given a steroid injection and have to take 12 tablets a day (6 steroids, 5 piriton and 1 cetrizine tablet). I have worked there for over 8 years and love my job very much but we have recently moved into a brand new building.... I am not drinking water at school nor eating anything different so how will I find out the cause of my problem? | Hi Dear, Welcome to Chat Doctor, Understanding your concern. As per your query you have red blistering lumps on face, neck, chest and back. Well the symptoms you mention in query can occur due to May reason like Contact dermatitis, allergic reaction due to detergent, soap, fragrance, chemical, metal such as in jewelry, poison oak or ivy, an animal bite, or an insect sting and Lyme disease. I would suggest you to consult dermatologist for proper examination. Doctor may prescribe anti histamine, corticosteroid ointment and may give a Chat Doctor. For now take Ben |
Is it safe to take benedryl for allergies with BP meds? I am on Losartin 50 mg. also, I have fluid behind my ears, my dr. Gave me a steroid shot & prescribed antibiotics - no decongestant to relieve pressure behinds the ears. Is there something I can do for that, or do I just have to wait it out? | Unfortunately there is no medication to reduce the fluid and pressure behind your ears. Sometime with allergies you can get these problems. If you are having nose blocks very often you can try steroid Nasal spray (like Flonase or Alone). For allergies, it is best to use regular antihistamines. Best to avoid long term use of nasal decongestants as this can cause rebound swelling of the lining in your nose and worsen nose blocks. If you are getting frequent symptoms, use antihistamines only. Losartan can cause nasal congestion. |
Hello my mother had endometrial fibrosis and her doctor prescribed two injections of dipherelin. One week after the last injection another doctor prescribed dexamethasone for her flu.now she has so many problems because of hypertension what should we do?when is it going to stop? | Hello! Thank you for asking on Chat Doctor! Regarding your concern I would like to explain that it is normal to have Chat Doctor. The high blood pressure is going to decrease slowly after stopping dexamethasone intake. I would recommend lowering the doses of dexamethasone and avoid salt intake with food. If this is not possible due to her clinical condition, I would recommend to start on an antihypertensive |
Hi, may I answer your health queries right now ? PleasI have a pimple looking bump in my vaginal area it hurts kinda only when touched besides that its just there I shave regularly and neitherme or my boyfriend have any stds si what is this? | Hi.based from your description, it could be folliculitis. This usually occurs after shaving or when a hair is accidentally pulled out, and it gets infected. It could also be a cyst, or an inflammatory reaction which is starting to form an abscess. A consult with your gynecologist is best for clinical evaluation. Medical and/or surgical management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
I started to feel ill last night, I was feeling sick all night and had really bad back pain, this morning when i woke up i felt the same as well as being dizzy and having hot sweats. I went to work and was dripping in sweat and was soon sent home, i have slept all day and felt a little better when i woke up however i am starting to feel bad again and sweating really bad and have a really bad headache and back pain, what could be wrong? | Dear patient All these are signs of viral fever. But get tested for 1. Dengue antibody rapid test 3. Malarial parasite peripheral smear to be sure. Take proper rest till malaise and back pain decreases. Take light and non-oily food for 3 days. Take tab ibuprofen 400\u00a0mg thrice a day and tab paracetamol 500 mg thrice a day for pain and headache. You will be better in five days. But beware of positive dengue or malaria report and if u test positive visit physician nearby you asap. |
Hello Sir/Mam, as per report I found that my semen are very less count. I would like to know who can I increase their productivity throug yoga or execercies.. My I know what type are need to increase them. Also let me know what kind of fruits or dry-fruits should I need to eat daily basis to increase their productivity ... sperm count and motility . Thanks in advance for your suggestion. | Hello. Thanks for writing to us. Eat a diet that includes whole, unprocessed foods. The best foods for health in general, and also for sperm count problems, are whole grains, legumes, vegetables, fruits, nuts, and seed. Avoid alcohol, smoking, take more of proteins and fresh vegetables. Minerals like zinc & selenium, amino acids like l-carnitine, and antioxidants like vitamin C and vitamin E are very crucial to sperm health. I hope this information has been both informative and helpful for you. |
friday night i had unprotected sex with my fiance, and end up bying the postinor pill sunday and i took the first pill sunday night. i was to take the 2nd one 12;00 today however i got really caught with work and other stuff i completely forget, it was just a while ago when i look in my purse i remember and take, it how much does this increase pregnancy and wat do u think will happen? wat should i do | Hi, Thanks for the query. Usually emergency contraceptive pills to be taken within 72 hours of the unprotected intercourse. The second dose to be taken within 24 hours of the first dose. Generally emergency contraceptive pills are having around 87% of success rate. With delay in time, the efficacy will decrease. But at present nothing can be done. Wait till your expected date of periods. If you miss the periods, go for blood test for pregnancy. If the test comes negative, no need to worry. If the test comes positive, consult gynecologist once and go for ultrasound. If you want to terminate the pregnancy, you can proceed according to the gestational age with your doctors' advice. Take care. |
Hi, may I answer your healim 18, male , and black... Ive been having chest pains for a few years now, And recently theres been other syptoms along with it. Such as tingling feelings threw my body.... Mainly the left side, and shortness of breath, also like a jerk feeling in my chest that happens nnot so often but happens while my heart beats.. I also have been feeling light headed , and cant get no rest at night... ive been to emergency rooms and have had ekgs and chest x rays and they tell me everything is normal... but the syptoms have increased at a fast rate and its really making start to doubt that there missing something they should not be... and this is really starting to scare me.... please help me!!!th queries right now ? Please type your query here... | Hello,First, no need to worry about heart or lung related diseases because you're all reports are normal. Sometimes, undiagnosed stress and anxiety can also cause similar symptoms. So, consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry; you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have answered your query. Let me know if I can assist you further. |
Good evening sir, I have had a normal heavy regular period. Maybe like 3 weeks ago something started moving all over in my belly. Yesterday I drank a tea to make me poo and it working but today I got off my bed and was standing for like thirty minutes and my lower tummy pelvis and back are killing me. I sat down and it still hurt me, then went away. I stood for another period of time cooking and it started hurting again. What is wrong with me? | Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. As you describe the period started 3 weeks back with pain all over the belly. This morning you had pain in the lower tummy and back. It pains and remissions alternatively. It appears to be pelvic inflammatory disease, If to the right could be appendicitis, or urinary tract infection. If to the left may be urinary tract infection. If near the naves may be due to intestinal worms. I advise you to consult a gynecologist for diagnosis and treatment. You may need to have U.S.scaling besides other routine tests for confirmation. Wishing for a quick recovery. Best regards. |
I was implaneted a stent for MI in March this year (2011). Before angioplasy, echocardiogram showed my LV ejection fraction 49%. Can I improve my ejection fraction further? Please let me know the foods, vitamins, drugs i can take to improve my hearts EF. | Hello, Normally ejection fraction may improve slightly after stenting. But having 49% EF is not bad. Normal EF is more than 55%. Healthy lifestyle like avoiding fatty, oily and high calorie diet, regular exercises, fish oil or fish, green leafy vegetables, fruits and avoiding meat etc. will help. Lipid profile 6 monthly or yearly if it's deranged. Avoid smoking active or passive and alcohol if any. In the Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
I dont have a final diagnosis yet. I thought I was having rib problems, but when they took xrays, my rib was fine and I appear to have swollen nodules on my left lung. I have pain on the left side of my chest. It started with a burning pain just under my left breast. My left side is swollen from under my left breast around to to left side of my back. I have the burning pain almost all the time and sharp stabbing pains occasionally. They are going to do a cat scan, but I admit to being scared. My step-father died of lung and liver cancer and it wasnt pretty. It takes two vicodan at night to sleep. | Hi and thank you so much for this query. I am so sorry to hear about these swollen nodes in the lungs. Swollen lung nodes can represent a lot of different pathologies including tuberculosis, acidosis, cancer, fungal infections, etc. From the outskirts, we cannot make a conclusion, but we would bear in mind all the possible causes and investigate to identify the exact cause. Do you smoke? How old are you? Do you have cough? Where do you live? Etc. These are all further information that we would require to factor in and see what makes one more likely than the other. Please, I understand you fears, and they are real. No one would pretend not to be be concerned by such a finding. I however encourage you to stay calm and let's pursue the tests to obtain definite answers. What I know is what ever the cause, you would not be facing this alone. We promise to stand by you and provide you with the best possible care you deserve. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health. |
I have a lump and discomfort in my right arm pit . Mammogram and Scan show no likely breast cancer. I am booked to have an aspiration to withdraw tissue for testing. Doctor said it may be fat deposit presiding on muscle or nerve. I am fit and active but am rather tired lately | Welcome to Chat Doctor I am Chat Doctor and I will help you with your problem have gone through your question. You have a swelling in the armpit, and you are worried that It might be Breast or any other carcinoma. I need answers to few questions as required always to understand the problem in better way-Exact site of the lump?- How you first noticed it?- How it bothers you?- Is its fix or mobile?- Can skin be pinched over it?- How is the consistency of the lump? Whether its soft/ firm /hard? With available information and when screening for breast Ca is negative. This swelling can most likely be Lipomafollowed by Lymph node enlargement and sebaceous cyst. Ultrasonography can play an important role in differentiating between these. Small lipoma and sebaceous cyst need no intervention while lymph node enlargement need a cause, which should be looked far. Excisional biopsy followed by histopathology of the removed specimen; will end all suspicions and give us tissue diagnosis. I hope my answer will help you. Do rate it, if you like it. Regards |
My son (8) has bad allergies right now, itchy eyes and runny nose. He is now complaining of a sore itchy throat. When I looked in his mouth he has a cluster (the size of a dime) of little red pinpoint spots. It is on the roof of his mouth just in front of the uvula. | Hi, Thank for asking to Chat Doctor. As per clinical history it appears as your son are having allergic rhinitis. If I were your son treating doctor, I would advise him Antiseptic Mouth Wash, Steam Inhalation & Steroid nasal spray with antihistamine. Your son will get relief. Certainly above treatment will give you much relief but if relief is not up to satisfaction level then consultation with your ENT doctor will become essential. Hope above information helpful to you, take care. Regards - Chat Doctor. |
hi , sir i have a sever pain in my back tooth actually , my back tooth was removed last year because of some issue well i am getting pain now at that place,could you suggest any medicens for me | Thanks for your query, I have gone through your query. The pain can be because EOF infection from any root piece left out during previous extraction or infection from the neighboring tooth. Consult an oral physician and get a radiograph done to rule out any root piece remaining in the extracted tooth site or infection in the nest tooth.Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). If there is a root piece then get it removed or if there is infection in the next tooth get it treated with root canal treatment or extraction. Do saline gargling. I hope my answer will help you, take care. |
A few months ago, I noticed the middle finger on my left hand started getting stuck in the closed position when I would wake up in the morning. I also noticed there is a small bump at the inner base of that finger. After doing some research online, I found that this might be pointing toward arthritis (specifically trigger finger ). I am 33 years old, so this seemed odd to me, but I made a mental note and went about my business. Plus, it started getting a little better as time went on. Recently, I ve found that anytime I sleep on my left arm it starts to go numb and tingle (it falls asleep ). This has been going on for about a week, or so. And, for a couple of days within that timeframe, my left pinkie finger would tingle throughout the day. That sensation has gone away, but my arm still falls asleep when I lay on it. I am young (33), athletic (slender/muscular 230lbs, 6 5 ) and have always thought of myself as a generally healthy person, but this is starting to worry me a bit. I have thought this might be stress related, as I ve been working long hours at work, or that maybe I just need to get more sleep, as I am lacking in that area, as well. Any thoughts or recommendations would be appreciated. Thank you! | HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to have a complex problem from the disturbed forearm compartments, mostly due to the-overwieght issues with service spondylitis/ and due to the hypothyroid entrapment of the forearm nerves / or could be due to the? Rheumatic nodule with synovitis, on the base of the left-hand middle finger / or could be due to the accompanied dupeutrans contracture, which may start like this/ or due to the psoriasis teno-synovitis of the left hand. All these possibilities would need to be ruled out by check up with and Second Opinion from your Physician or with your Orthopedic doctor/ or Sports doctor, as you are an athlete. Remedy-1-Check out with Ortho-Surgeon and Physician team if need be, would be needed to find out the cause of the stuck middle finger with nodule at the base of the left middle finger. Only after proper X-ray and CT study of the indicated parts as advised from OrthoSurgeon, you could get the correct treatment either with the medicines and or with the surgical correction if need be.2-At 33 with 6ft 5 inches, you are still overweight, though muscular, and need to reduce on at least 20 kg to reduce the load on the hormonal system, which appears to be stressed with the stressed immune system, which seems to be causing this teno-synovitis or rheumatic problem in your upper arm and hand. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS |
i AM 54 YEARS OLD AND HAVE ADHD MY ENTIRE LIFE BUT NEVER STARTED MEDS FOR THIS UNTIL MY ADULT LIFE. I ALSO HAVE ANXIETY AND DEPRESSION DUE TO MY LOSE OF MY ONLY AND 1ST BORN SON. I SEEM TO NOT BE ABLE TO FUNCTION LATELY AND WHEN I WORRY ABOUT SOMETHINGS I GET PANIC ATTACKS THAT TAKE MY BREATH AWAY AND FIND IT HARD TO CALM DOWN. I NEED HELP IN UNDERSTANDING WHAT HAS BEEN GOING ON WITH ME LATELY. | Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern! Your symptoms seem to be related to a panic disorder or depression. Both these psychiatric disorders are related to the psychological stress that you have been going through lately. For this reason, I would recommend consulting with a psychiatrist for a careful evaluation of your clinical situation. An antidepressant would help improve your situations. These Chat Doctor. Hope you will find this answer helpful! Kind regards, |
Dear Dr A.S. Keerthi,I have had two discectomys at the L5 S1 Level to attempt to decompress my sciatic nerve. Both operations have been un-successful in providing relief of my radicular pain symptoms in my right leg. I have severe neuro-tension (flexion of the spine and small movements in my upper spine bring on my leg pain) My recent MRI scan revealed a re-current small disc protrusion and \"thickening of the R Sciatic nerve greater the the L5\" I am concerned about potential scar tissue limiting movement of my sciatic nerve and wonder what my prognosis is for the future. I am on gabapentin and mobic for some pain relief but the pain down my leg all the way to my little toe is extremely uncomfortable. Could you provide some light to the darkness that is my situation? Many thanks! | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You need another surgery for adequate decompression Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http |
Hi, I got hit on th lefte temple by a tennis ball. I think I kind of felt in in my eye too. It felt numb, but I m not really sure about other symptoms because my stomach was hurting from a few hours before. I continued to play Does getting hit in the temple cause brain damage | Hello, I can understand your concern. As you got hit on the temple, you may have injured the temporal bone or zygotic arch in the area. If either of these bones gets injured, it is usual to feel the numbness in the area due to injury to the branches of the facial nerve in the area. The eye may feel the impact too. I advise you to visit an oral and maxillofacial surgeon for examination of the injured area and x-ray of the area to locate any bony injury present. If any injury is present, based on the extent and exact location of the injury, treatment can be advised. Do not worry about brain damage as it is not possible to damage hurt by having tennis ball injury to temple area. If you are in too much pain, you can take Ibuprofen 400 mg up to thrice a day till you see the expert. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best, |
1) my wife is 0 negative and am positive, she delivered a baby boy but died shortly after delivery due to essesive loss of blood . Pls I will like to know if her blood group has anything to do with these. 2) We had over 2 years delay before this conception. I will like to know if it has anything to do with 0 negative | Hi dearWelcome to Chat Doctor. Blood grouping is said as positive or negative based on the Rh typing and antigen. As you are positive, and she is negative, there are chances (not surely 100 % though) that she may develop antibodies against baby blood group, if baby is positive too. But generally the disorder or death occurs of second kid. I am of an opinion that bleeding occurred not because your wife is negative but because of some other reason. But you definitely need to get evaluated properly and counseled before conceiving again. Take care and good luck. |
Good day Dr. Gopi, I am Vincent 37 years old. Ive been recently diagnosed with DCM and given these meds | Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Some medications also lead to elevated liver enzymes. Rule out viral causes and take a second opinion from your treating physician for the prescribed medications. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor. |
Hi. When i m nervous my hands start trembling. For example, I play the flute in band and whenever I have to audition for one of the band directors or play infront of everyone by myself, i get really nervous and start trembling. How can this be prevented or what can i do to stop this from happening. I also notice i tremble very little even though im not nervous. This has been going for a very long time now. | Hi and Welcome to Chat Doctor ... Thanks for your question. From your question I gather that you become excessively nervous and have trembling of your hands, especially during social situations. So, in other words, you seem to be having an \"anxiety\" problem... Generally, anxiety can manifest itself in two ways |
Hi, My 7 months old daughter had urinary tract infection. Routine urine analysis showed numerous WBC/pus cells and occassional RBC and the urine culture showed >1,00,000 count of E-coli. Before we received the culture report, the doctor had advised to start on the antibiotics (Sporidex) just to get a head-start. The urine culture report showed that she is resistant to Cephalexin (which is present in Sporidex). But, she was responding well to Sporidex and the doctor suspected the way urine sample collected was a problem (We collected the sample through urine bag). After 7 days course of Sporidex, we had her urine tested. Routine urine analysis showed occasional WBC/Pus cells & culture showed no bacteria. Now, the doctor is suggesting to get MCU & DMSA done. Could you please advise if it is necessary to do MCU & DMSA testing? | Hi.... your doctor is Hun Chat Doctor. Even if I were your pediatrician I would have suggested the same especially keeping in mind the age of the year kid. These scans are done for the following purposes - DMS scan to find out if there are any renal scars or inflammation in the Kidneys.MCU scan is done to find out if there is any upward reflex of urine going on. If this is the case then the kid will be required to be on prophylactic oral antibiotic till at least 2 years of age. I concur with your pediatrician and I too suggest that you go ahead with both scans. Regards - |
Hi I have r.a and my esr was 40 the last bloods taken also Ive been getting pins and needles feelings in arms and legs muscle weakness on left arm and blurring vision it doesnt happen all the time and I have also had days where I feel very dizzy and balance not great What could be causing this? | Hi I am Chat Doctor. . I think that could be a sign of anemia or weakness as you mentioned. This could vanish simultaneously without medical treatment with bed rest, morning exercises and some B12 multivitamin supplementation. If this issue became more frequent I suggest you measure your blood pressure and have some lab investigation for proper evaluation and management of underlying cause. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. |
Hi I am a 42 year old female and I am in good health except for my foot that I sprained 3 months that doesnt want to heal. My foot was x-rayed but nothing was broken. My foot is still swollen and bruised. Can u please tell me what should be done. I dont have medical aid. | Hello, Continuous swelling after this long time at your foot may due to unhealed ligament injury. You should do following to have relief |
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