input stringlengths 0 6.47k | output stringlengths 2 3.3k |
|---|---|
Dear Sir, My wife is having Blood pressure since 18 years.She is 44 years old.I have shown her to many doctors but of no use.At present she is suffering from high B.P,not getting sleep and shievering with fear tendency.Will you please suggest some good doctors in India so that I can show her. Regards, BKSingh | Hello, Regarding your concern, I would explain that her blood pressure values could be related to primary or genetic arterial hypertension. Anyway, I would recommend performing some blood lab tests |
Hi, I quit smoking marihuana after using it for about a year. I had a cough and every now and then I hack up black spotted phlegm. Thats not what Im worried about though. Within the spotted phlegm I get little streaks of blood. Should I worry about the blood? Because Im not going to lie, the blood streaks do worry me a little. | Hello dear, thanks for your question on Chat Doctor. I can understand your problem and situation. Blood in phlegm is known as hemoptysis. And it is seen commonly in smokers. Following diseases need to be rule out in smokers with hemoptysis .1. Chronic bronchitis.2. Infections like tuberculosis and pneumonia3. Lung cancer. So better to consult pulmonologist and get done1. Chest x ray2. CT thorax3. PUT (pulmonary function test)Chest x-ray and CT thorax are needed to rule out infections and cancer.PFT is needed to rule out bronchitis. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. |
Hello doctor , I have scar on my left side of face in middle just after my nose on cheeks , My complexion is fair and this Scar is of Brown with 2cm in length , It feels so awkward . It came after sun brun , looks apigmentation , It can be cure Pls guide I am female of age 26. applied some cream but it worsen not cured .. | Hi sweet, Thanks for writing in. You seem to have postinflammatory hyperpigmentation and scar formation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements. You can apply Vania cream at nighttime over the affected area. You need to consult a dermatologist as dermatology being a visual field, the cause for scar and the treatment required can only be suggested after proper skin examination. Take care. Chat Doctor. |
I am 21 yrs old boy. My weight is 70 kg and height is 5ft 4inches.I am excreting semen from the age of 14 yrs daily and want to control on myself doing daily . I cannot concentrate on my career. Please give me suggestions and effective technique to control it. If this thing persist for longer time then I would be doing the same with my wife after marriage .Please help me out. | Hi, I understand your concern to stop or reduce frequency of masturbation. I can see that you are compelled to masturbate rather than for sexual pleasure. This causes significant distress to you, and you cannot concentrate in your career. Compulsive masturbation (One has to do rather than for pleasure) definitely needs psychiatric attention and treatment. Kindly consult a psychiatrist near your area. When patients with similar problem come to my clinic, I prescribe them Capsule Fluoxetine with Clonazepam. These medicines must be taken under guidance and medical supervision otherwise it may be harmful. I also suggest behavior therapy like relaxation and cognitive therapy. Hope I have answered your query. Let me know if I can assist you further. Wish you rapid recovery! |
Yes my collar bone is popping and is real mushy feeling around my sernam there is alot of pain with this the pain radiates into my neck and shoulder as well it is also makining popping and cracking noises were the bone meets the sernum and swelling is visible | Hello, As this must be the Sternoclavicular joint inflammation due to ligament sprain. Taking an x-ray is advised. Post which hot water fermentation and exercise to stabilize the Sternoclavicular joint is advised. Also, for neck and shoulder stabilization should be a part of the exercise prescription. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
I have been having joint pain for over a year now. First started in my left hip causing me to waken during the night. After a year I then added right elbow pain. Was first told it was hip bursitis then Dr added tennis elbow. Now, three months later I have added left elbow pain and shoulder pain and my limbs feel very tired and I am also tired much of the time. Any ideas? | Hi, Thanks for your query. Repeated joint pains can be due to multiple causes at this age the commonest being poly arthralgia. Other causes can be rheumatoid arthritis, gout, inflammatory diseases like SHE, bursitis, fibromyalgia, etc. For proper diagnosis, some blood tests are advisable like- 1. Serum calcium levels.2. Serum Uric acid levels.3. RA factor4. ESR and CRP5. Serum Creatinine6. X-ray of affected joints. You need a thorough clinical examination followed by investigations under the guidance of an orthopedic. Till then for symptomatic relief, you can take over the counter analgesics, do hot fomentation and apply local analgesic gel on the affected areas. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
HELLO DOCTOR.....I HAVE BEEN PLANNING TO CONCEIVE FROM THE LAST 6 MONTHS AND CONSULTING A GYNACOLOGIST IN THIS MATTER, I HAVE DONE ULTRASONOGRAPHY AND FOLLICULAR TESTS ALSO ALONG WITH BLOOD SUGAR,TSH,BLOOD COUNT ETC.ALL MY REPORTS ARE NORMAL AND ALSO MY HUSBAND S SPERM TEST IS NORMAL,I AM STILL NOT ABLE TO CONCEIVE AND THE DOCTOR HAS ADVICED ME FOR HSG TEST. I AM VERY SCARED ABOUT THE TEST AS I WENT THROUGH THE BEGINNING OF THE PROCEDURE AND FOUND IT VERY PAINFUL AND COULD NOT CONTINUE, CAN IT BE DONE WITH ANASTHESIA? PLEASE SUGGEST ME. I AM ALSO WORRIED AS I DOUBT IF ANYTHING IS WRONG WITH THE FALLOPIAN TUBES?I ALWAYS HAD REGULAR PERIODS AND NEVER ANY OTHER PROBLEM BUT THIS PROBLEM IN CONCEIVING AND IF AT ALL I HAVE TO GO FOR IVF IS MAKING ME TENSE. | Hi I understand your concern. Your case is indicating that you might be suffering from unexplained infertility. I agree HSG is a bit painful test. Ya it can be tried in short sedation which is a kind of anesthesia, you would be able to tolerate it better. From your history tubal block is unlikely. I just wanna to confirm how many times you have taken ovulation induction. Have you tried timed intercourse. I do not think you should straight away jump to IVF.if you are not comfortable with HSG you can go for diagnostic laparoscopy and hysteroscopy with chromopertubation this is a day care procedure where your tubes can be very well checked for their patency. I hope I am able to solve your query, you can revert to me with the confirmations of history I asked from you. |
Hi, my son is 10 yrs old. I have a quesion regarding his penis size. When he was born he had larger than avg testicle size (even now they are large) but his penis seems small in comparison. He is very tall for his age, 5ft 3inches and is a big kid (not fat just bigger and taller than avg kid his age). Should I be worried about him having lower testosterone levels? What should I be asking his pediatrician regarding this (without making him worry or feel weird about it). Thanks. | Dear, Welcome to ChatDoctorWe understand your concerns went through your details. I do not think you have to worry about your children penis size. Your child is 10 years. In the initial years, it is quite natural that the ratio between penis size and testicle size is non-comparable. Testicles size is always bigger. Up to the age of around 12 years, or till the child reaches fully puberty, the penis size will never be more than 3 inches, at the maximum. But after that, there could be a Chat Doctor. Therefore, as of now, the penis size is reasonable. There is no significant symptoms to worry about testosterone levels. If you require more of my help in this aspect, please use this URL. http |
Hi! So, my friend this last fall got a concussion during Volleyball season because while we were putting things away after practice she got hit in the head. Ever since, she shakes constantly. She has what people call a tremor in her hands and sometimes other parts of her body. It only stops when she touches something. Shes worried shes messed up in her head. I think it s something else. Care to shed some light for me please? | Hello, Tremors after a head injury are indicative of TBI, traumatic brain injury or Neurological problems developing. She needs to get physically examined, get done EEG, MRI, CT, Neurocognitive tests & Nerve conduction tests, nerve biopsy. Get assessed & evaluated. Her treatment will depend upon the pathology detected. Damage to the mid-brain may cause Parkinson disease. Closed head injuries cause tremors. She may be treated with medications, but if a response is not good she may require surgery. Hope I have answered your query. Let me know if I can assist you further. |
Hi Doctor.I had Copper T after giving birth to my baby boy. I have experienced brown /black discharge ,and irregular periods. I have consulted Gynaecologist and taken blood and Hormone test. Reports were fine , but due to discharged doctor advised to remove copper T.And it has been removed but after 14days of my periods i am experiencing black discharge for 5 days again. why this is happening , now i don`t have Copper T in my body.? | Hi. Thanks for asking in Chat Doctor. Irregular periods and brown discharge are some Chat Doctor. Although copper T is only a non-hormonal IUD, the periods take some time to get regularized after its removal. Your bleeding could be due to inter menstrual bleeding. But brown discharge can also be due to vaginal infection or pelvic inflammatory disease (PID). If the brown discharge/bleeding continues or if it is accompanied by pain and fever, then it indicates PID and you should consult your treating |
white blood count went from 3.3 to 3.0 (range 4.5-11)red blood count went from 4.46 to 4.36 (range 4.5-5.5)HGB and HCT normalMCV went from 96.9 to 100.4 high normal (83-101)MCH went from 33 to 32.9 high normal (27-34)MCHC went from 34.1 to 32.8 low normal (31.5-36)RDW went from 12 to 12.2 (11.5-14.5)Platelet went from 228 to 209 low normal (150-400)Neutrophils went from 1 to 1.1 low and from 30% to 31% Bands from 1% to 4%Lymphocytes went from 1.9 to 1.5 and from 59% to 51%monocytes from .2 to .3 and from 6% to 10%Eosinophils from less than .1 to .1 and from 3% to 4%Basophils tested on first test as less than .1 and 1% Having joint and muscle pain, pain in back. legs shoulders it migrates. Chills/sweats, rapid change in vision, shakes in hands, cramping in feet, mood swings, fatigue and sleep disturbances. Being referred to oncologist at cancer center, what could the causes for my decreased cbc and symptoms be? | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It appears you are possibly having megaloblastic anemia. It B12 deficiency commonly leads to increased MCV, anemia and leukemia.2. It B12 serum assay will confirm it. Multiple systemic symptoms suggest nutritional deficiency rather than oncology problem.3. However, do get a bone marrow biopsy done to rule out any malignancies in blood. Hope it helps. Any further queries, happy to help again. |
Hello, my name is Luiza an I m 46 years old. In March-April, I was diagnosed with liver hemangioma. I never had problems or pain, it was discovered during other investigation. Recently I had a hepatitis B vaccin booster for work. I m working long hours labour work and study during nights. I only had 3 to 4 hours rest in the last 6 month. This is the third day when I feel discomfort and stabbing pain in my liver. Once again I never have serious health issues, I consider myself strong and healthy. Can this pain be linked to the vaccine or to the hemangioma and lack of sleep ? Is it necessary to see a doctor or it is fine to wait until pain goes away. Thank you Regards Luiza Russell | Hi.what's the size of your liver lesion (hematoma)? Usually, when a liver lesion reaches more than or equal to 5\u00a0cm, it produces symptoms such as abdominal pain. This pain is usually dull, intermittent, epigastric to right upper qua Chat Doctor. It is best if you consult with a general surgeon or a gastroenterologist in regard to this problem. Treatment (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ |
Had recent ct and mri scan only thing showing is cyst in lt renal pole ? I am convinced I have some form of liver disease . I have been in constant pain and discomfort for 2 yrs now urq I bloat and pain after eating. Blood in dark urine tired and my stomach actually feels nodules now how can an mri not detect what I fear is wrong ?? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. When both CT scan and MRI are normal, I don't think there is something to worry. Keep cool. Get your urine examination and liver function tests to confirm if there is anything wrong in the liver and to confirm whether there is blood in urine or not. I hope I have answered your query and this will help you. Wish you a good health |
Hello I am a 34 yr old male Ive been in some serious testicular pain and abdomin pain for the past year...I have seen 4 different doctors who have pretty much just shrugged the problem off. I have tried many different antibiotics for pretty long periods of time with no sign of it getting better. Bactrim, Doxycycline, tetracycline,azithrimysin,cipro. The only one that had some effect was bactrim the first time i took it then took it again couple months later and nothing happend. This truely has effected my life in all aspects I no longer work at my job of 11 years due to constant pain and discomfort, its hard to lift heavy things without being in pain, Its extremely hard to sleep the majority of nights because of the pain. My sex drive has gone almost to 0 and if i do have sex im in pain afterwards. I have had periods of burning while urinating but it comes and goes. I also am experiencing atrify in both my penis and testicles which both me and my fiance both can see and constant red and enflamed testicles and sac. Ive tried some methods to ease the pain like warm baths, cold compresses, rest, no sex for 4 months now. All i can do is sit all day walking even bothers it...I just want my life back I want to run with my son again and be energetic I feel like a 90 yr old man...I just would like some kind of answer solution something as to what to do where to go next i ve been searching so long i feel like all hope is lost. Please if you have answer or a solution i would greatly appreciate it | HelloThanks for query. You have pain in both the testicles and abdomen since a long time which has not resolved even after taking ample of antibiotics. You have not mentioned any tests carried out to establish diagnosis. I would suggest you to consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Ultrasound Scanning of Scrotum 4) Color Doppler scan of Scrotum. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. |
Last month I had tried to conceive but had an early period which lasted for two day. usually my period lasts for 6 days. my reports say that my uterus is anteverted normal in szie and echotexture, plus same goes for the ovaries. just want to know how logn will it take to conceive as i ahve a busy schedule | Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Since your period usually lasts for 6 days, there is a small possibility that the 2-day period you had is implantation bleeding. Just get a pregnancy test done. It would have been nice if you had provided me some more information like your age, BMI, duration of marriage, regularity of menstrual cycles etc. The ultrasound report is perfectly normal. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. If it is more than two years of trying, then consult doctor and get baseline hormone tests and HSG for tubal patency for you and semen analysis for your husband done. The tests results will help in planning the treatment. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. Take a tablet of folic acid daily. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor. Best wishes, Chat Doctor. |
I have a 3 tooth bridge left side of my mouth on the bottom. It is really sore when I touch it it looks kinda wrinklie with red sore under the middle tooth of my bridge it hurts when I put pressure on it or on my cheek its kinda of makingmymy left neck hurt | Hello and welcome. For now, you can do warm saline rinses twice daily for a week and use Medicine mouth wash for gargling after dinner. It should heal. It is best to visit dentist and get clinical examination done to see if there are any pockets developed. Development of pockets and recurrent food lodgment can lead to failure of bridge treatment.Therefore, please see your dentist soon. Hope it helps. Thanks. Take care. |
I have been experiencing pain in the gingival area after eating. It has mostly been in the area of my dental implant that was seated a year ago.I am a former dental assistant so this issue baffles me even more in wondering what is going on. I do want to mention I have gone to the dentist and he has checked for peridontal pockets, and there are a couple 4s that are not very wide. I had bitewing x-rays taken and they did not show problems and the area that is cold and hot sensitive around the implant #17, is all showing everything is o.k. I even had him replace an old large filling in #18 to see if he could find a crack. There was none. I just at and apple and other areas are bothering me. I must admit that the last two weeks I have flossed two or three times a day and used sensydine toothpaste in hopes to clear up this issue. The opposite happened. The discomfort is more intense. I also have a tender spot in my hard palette in near the palette midline just in from the implant. Hope all of that made sense. Wondering if I should go to the oral surgeon or if other health issues can cause these symptoms. | Hello, Thanks for your query. The floor of your sinuses (air-filled compartments in the bone below your cheeks) is located just below the gums of the upper jaw. When implants no longer fit properly, excessive pressure may impact the gums and bone below the implant resulting in sinus pressure. If the biting surfaces have worn down as well, then headaches may result. Any type of pain or pressure should be evaluated by your dentist or prosthodontist to ensure the tissues are healthy. Also, any complaint of sinus problems should be evaluated by your medical doctor or an ear, nose and throat specialist. Maintain good oral hygiene. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
I have had cubic zirconia crowns put on a couple molars over the past 3 years or so. I have had nothing but trouble...cracking, breaking, chipping of these...at least 3 times!! this morning, the crown i had fitted one year ago just cracked/broke. So I am going in to see him this afternoon. I was told its under warranty. I have a new dentist now because my insurance recently changed. Should i be looking into getting a different kind of material?The dentist said he recommended the expensive crowns because i have an immune system health issue. Is he just trying to make more $$? | Hi, Thanks for asking the query, Chipping and breaking of the zirconia crown occurs when your biting forces are high. I would suggest you to visit the Prosthodontist and look for a full ceramic or metal fused to ceramic crown, discuss with your Dentist about the treatment options. Zirconia crowns do not have any relation with your immune system, so you can definitely think of different treatment options. Maintain a good oral hygiene use antiseptic mouthwash rinses twice daily. Hope this helps out. Regards. |
Hi I took a pelvic ultrasound and it said the following, an anteflexed uterus is observed, which shows normal morphology and echotexture. No myomertrial lesions are observed. A central central echogenic endometrium with normal thickness is observed; it measures 8.2mm. There is no fluid in the endometrial cavity. the ovaries are of normal morphology and show an increase in echotexture due to multiple small peripheral cysts. the right ovary measures 38.8x37.5x4.8mm (volume 18.9 ml) and the left ovary measures 38.5x38.1x24.8mm (volume 19.1ml) there is no fluid in the cul-de sac. My question is what exactly is this saying? will i be able to have kids since I am trying to? Please help | Hello dairy understand your problem, dear you can plan for pregnancy as according to your ultrasound picture you have polycystic ovaries while no uterine pathology and endometrial thickness is normal so before planning the concern are first if your menstrual are not regular you can start oral contraceptive pills for 3 to 4 cycles to regularize cycles, secondly if you are obese or have insulin resistance you should reduce weight by exercise, diet control, and you can also try metformin then also if you are not able to conceive consult doctor get thorough examination done and can go for ovulation induction. BEST OF LUCKTHANKS |
Hi mam.. i am 26 yrs old.. ttc for 1 year.. last april i was diagnose PcOs .. the impression was multicystic follicles with dominant follicles bilateral vs polycystic ovaries with dominant follicles bilateral... is their possible i get pregnant in this condition? I am taking metformin 1000mg for almost 4 mos. And folic acid 10mg. | Hello dairy understand your concerns is very complex disease and difficult to manage. But pregnancy is possible once hormonal imbalance is corrected. I would suggest consulting the authorized gynecologist and take proper treatment. Following medicine will help you to become pregnant. Progesterone pill in the second half of the periodClomiphene citrate |
I woke up this morning with an acheing pain all down my back , lower back is the worse , up through my shoulders & neck. & my head feels really heavy. I go back in forth from having chills to being extremely hot. I went to work @4 & they had to send me home @ 5 | Dear friend, thank you for your consultation.it seems that the pain in your lower back, neck all are bothering you very much. So first you should go for a complete investigation of the reason behind this pain. If it is caused by some bacterial or viral infection in the body causing muscular pain then a proper course of antibiotic and painkiller with some rest will help you to be cured. But if the pain is caused by local back muscle spasm caused by dislocation of disc between the vertebral bones then a week complete rest is needed. Then home regimen of back muscle strengthening exercise like flexion exercise should be started. Apart from that avoid bending forward and lifting heavy weight. I sincerely hope with following these advices you will get rid of this pain very soon. Thank you. |
Hi, I am trying to conceive. And have been for about a year. I have 25 day cycle, which regular, and having intercourse during my fertile week. However, nothing has happened as of yet. I have had chlamydia (which went undiagnosed for at least 1 1/2 - 2 years) as well as BV. I am wondering if I may have PID now and if so, what are the symptoms? And what are the treatments for it as I would love to become a mommy before my 30s (I am currently 27). Thanks. | HAI, In PID you will likely to have lower abdominal pain, especially on either side of your bladder, even tender, and sometimes you may have dysphonia, pain during intercourse and pain during vaginal examination when your doctor moving your cervix. If you don't have all these symptoms you may unlikely to have PID. CHLAMYDIA can be treated by DOXYCYCLINE capsules for a period of two weeks. Your sexual partners also should be treated simultaneously. Otherwise, it is useless. PID may lead to bilateral block of your Fallopian tubes and may lead to infertility. So check yourself for pat-ency of your tubes either by laparoscopy or though Hysto-salphingogram. If it is cleared you'll become a mother. Good luck. Chat Doctor. |
Hi I have been diagnosed with sciatica a few months ago. It is not painful all the time but I was wondering if there was any non medicinal way to alleviate the pain ? I have been given some diclofenac sodium 50mg and advised to take three per day, but I really dont want to be taking pills unless absolutely necessary. I have been doing the exercises my doctor recommended on a printout she gave me, but its not helping. If anything its making it worse. I get regular exercise as I am a linedance teacher. I have also in the last 3 years slowly lost 2.5 stone which my gp is happy about. Would losing more weight help ? I am 10 stone approx and 5 feet 2 inches tall. My age is 49. Any advice would be appreciated. Thank you, Rebecca. | HIT hank for asking to ChatDoctorExercise does not give relief at once it takes few days to weeks, you have to continue it, sometimes it aggravates the symptoms initially, later it gets subsided, do not stop exercise this is the only best way beside the medicine, better have opinion from professional person one who can guide you (Physiotherapist), you can even try tropical analgesic available on counter, keep your stress level low no need to worry, have nice day. |
Hi, I have dry sex with my girlfriend we both had our clothes on, me with my underwear and my jeans and her with her underwear and jeans. I ejaculated inside my pants and got wet, I dont know if she got her pants wet. What are the chances that she is pregnant?, Im young and I m very afraid. I would apreciate your answer. Thanks | Hello dear, I understand your concern. In my opinion intercourse with clothes on might not result in pregnancy. There is chance of pregnancy when semen is ejaculated directly inside or around the vagina during the fertile period. So relax. The Chat Doctor. The first sign of pregnancy is missed period. Even the thought of pregnancy might also delay the period. So relax. If the period is delayed do a urine pregnancy test a week after missed period. If it is negative pregnancy is ruled out. Best regards... |
The gum behind my last tooth on the left side, the gum is swollen & theres a hole there & inside of the hole is something white. Its painful & I keep brushing it to make sure nothings in it. I also use mouthwash to clean it but nothing is making it go away. What is the hole & the white in it?? | Hi. Can understand your concern. As per your complaint the swollen gum and the white material inside it is a result of some inflammation. There can be a few reasons depending upon whether it is the second molar or the wisdom tooth. In case it is a wisdom tooth which is erupting or is impacted then the gum above it can get infected and inflamed due to either food deposition between the gum and the wisdom tooth or it can be due to gum flap bitten by the opposite jaw tooth and the condition is known as PERITONITIS. The white material in it is Pus. In case it is second molar the swollen gum with white material in it can be as a result of infection in the gums due to deposits on the teeth like plaque or calculus or due to foreign body impaction in the gums which carries infection along with it deeper into the gums causing pus formation. It can also be due to deeply infected tooth causing pus formation below the tips of the roots of the tooth causing swelling on the gums with pus inside. I would suggest you to consult a dentist and get evaluated for the exact cause of the swelling and get treated accordingly. In case if it is wisdom tooth either excision of gum flap or extraction if the tooth is impacted followed by antibiotics and painkillers can be done. In case of gum infection professional cleaning of teeth followed by antibiotics and gum paints can help. In case of tooth infection root canal treatment or extraction depending on the condition of the tooth can be done. Hope your query is solved. If you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. |
Hello Doctor My father aged 67 years recently had CABG on Jan 21 2014. Discharged on Jan 29 2014. From last Sunday he is having pain in the left hand. It starts from the last fingers and raises till the shoulder. Its like tingling pain. Its paining only in the night. In day its minute. Please suggest me. I just called to the hospital they told me this pain will be there and if pain is severe they suggested to come to hospital. He is diabetes and BP person too. | Hi, I understand that your father had a CABG done. The surgeon takes a graft from an artery near the shoulder during which sometimes a nerve near it may also get involved. This may cause the pain you are telling about. Further Diabetes also causes neuropathy. I will suggest you take some Vitamin B12 supplement which helps in such type of pain. You can also see a neurologist if the Pain is severe. Hope I have answered your query. Let me know if I can assist you further. |
for the last 2 weeks my daughter has been complaining of a sore head, i have given her panadol for children thinking it may be related to over tired ness as she has been waking up earlier than usual, i feel this has gone on too long and i am getting quite concerned, other than the complaints of a sore head everything seems to be normal. do you have any advice? | Hello, A headache in kids needs to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards a migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has a headache been there?2. Does it always occur on the forehead or keeps changing?3. Is it associated with the blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is she very angry when she gets a headache and does the ache get better after a good sleep?6. Does she vomit when there is headache? Kindly get back to me with the answers to above questions and also mention her weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol. Hope I have answered your query. Let me know if I can assist you further. |
Whenever I try to sit criss cross apple sauce the outside of my knee starts to hurt really badly. I can only sit that way for a few seconds and the pain start and continues to progressively get worse the longer I sit in that position until it gets so bad that I have to uncross my legs. Once I do uncross my legs from that position though the pain just slowly goes away like it was never there to begin with. | Hello, Pain that only comes on sitting cross-legged may be due to 2 reasons 1. Degenerative changes in knee 2. Meniscus injury. I would like to advise X-ray of both knees anteroposterior and lateral views to confirm diagnosis. Meanwhile, avoid sitting in crossed leg position and squatting. You can take tab Diclofenac sodium as and when required for pain. Visit to orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further. |
hi, i have been sick and have had bronchitus.. i got antibiotics for this, and had to use the repeats.. however i still caugh (even though i told my doctor to give me stronger antibiotics since the normal once never help!) and my coughing attacks usually comes at night.. however my mucus is no longer green/yellow-ish and just today i threw up quite a lot of clear mucus in one go (thought i threw up food but it turned out to be mucus! which has never happened to me before..) do u know why this is? should i be worried? | Thanks for your question on Chat Doctor. I can understand your concern. You are not receiving appropriate treatment for bronchitis. Inhaled treatment in best for bronchitis. Since you are not receiving inhaled treatment you are not improving completely. So consult pulmonologist and start inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these in 2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi, may I answer your Hi, my 13 month old son constantly has a cold and a cough this cough gets worse at night and becomes like a choking cough where he is crying after he coughs. When he was around 8 months old he was admitted to hospital with bronchialitus for 4 days and has just had the odd cough and cold and about 4 chest infections since then. He was prescribed with a blue inhaler a few months ago but is not on any inhalers or medication at the minute.Do you think he has asthma and if so what medication or inhalers should he be given? i just feel like im going round in circles as he has always got something and hasnt slept through the night for months.Thanks queries right now ? Please type your query here... | Hello dear!I can understand your concern. Your history suggests your child has hyper reactive airway disease. I would like to know a detailed history regarding family history of asthma and allergies. I would recommend a detailed physical examination by a pediatrician. I would advise you to start some good anti histamines like spy. Levocetrizine 3 ml at night for 2 weeks and montelukast sachet 4 mg at night for 3 months. To soothe the cough, ivy leaves extract containing spy., comes with the name of no cough, pros pan or cover are also beneficial if giving twice or thrice daily for a week. You can also try some home remedies like 1 teaspoon of honey in a glass of Luke warm water given once daily and also some soothing herbal tips like freshly squeezed ginger(few Chat Doctor. Give 2-3 |
I had an abdominal CT today for pain. The doctor originally thought it was possibly reoccurring kidney stones . The scan showed no evidence of stones. I also had a lap done about 6 weeks ago for severe right sided pelvic pain and had several cysts vaporized on my only ovary. The CT from today said I didn t have any cysts, but there is a bunch of free fluid around the ovary. What causes the fluid and can the fluid be causing the pain? | Hi. As per your letter, you may be probably having Polycystic ovarian disease on right side. But, pain due to it is rare. An Ovarian cyst can rotate along its own axis(Torsion) and may cause pain, but this complication is rare in Polycystic disease. As your cysts were dealt through laparoscopy, nothing to worry. But the fluid that is present may be Reactionary fluid due to the procedure, or it may collect fluid after the cysts rupture. Pain may not be due to fluid. It will be absorbed in course of time. If you had previous history of kidney stones, get MVP(Intravenous pyelogram) done by the advice of Urologist even though CT is normal for stones. Wish you good healthRegards |
Hello,My children and I have all been suffering with increasingly bothersome allergies for the past 2 weeks which is normal here. However, for the past 2 days we have all developed the same symptoms | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows |
my email id is YYYY@YYYY , and i am 18 year old, i am suffering from nightfall , and i have sexual weakness,when i watch any sexy video, i get some drops of sperms and i have not ever got sex but i feel my sex time is very low,i think , i am suffering from intent ejacuation ,in my unkonwess i have get mannul sex. now i feel weakness of my muscles and body joint parts.and when i get angry i get body vibration.in cool too. so please tell me advise | Degree understand your concerns went through your description. I suggest you not to worry much. Masturbation is not a sin, and it is natural and normal. Masturbation cannot lower your sexual power. Nightfall also is normal for a young guy and is due to bodies requirement. Premature ejaculation and lower sexual power are available only in thoughts. Over coming is not that difficult. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck. |
Hello, ive been having tooth aches for the past week, i think it might be cavity, because every couple of hours i feel the pain over and over again. at the same time i have dental fear, so is there any way i can treat and heal my tooth without going to the dentist ? | Hi. Can understand your concern. As per your complaint toothaches most commonly occurs due to deep cavities into the tooth leading to reaching of infection in the pulp which is a central part of tooth containing nerves and blood vessels. Once infection reaches the pulp pain is initiated. This infection can also reach the underlying bone through root canals of tooth and lead to pus formation under the root tips which in-turn cause intense pain. There may be other cause of toothache and that is any deep infection in gums which can also reach to the bone and the adjoining tooth is infected from the root side upwards. Any treatment can be initiated only after knowing the exact cause for your toothache as the treatment modalities depends on the type of problem causing toothache. Medicines that can help you in relieving pain are IBUPROFEN OR KETOROL-DT, but only painkillers can't provide you forever relief until the cause of toothache is treated, and it needs antibiotics (like amoxicillin, augmenting etc., only to be taken if not allergic and prescribed by a dentist)as well as any in office dental procedure required. I would like to tell you that dental fear is totally a misconception which sometimes people create for themselves as well as others. A dentist always tries to cure your problems and all necessary measures like local anesthesia are taken to carry out any dental procedure painlessly. So you need not worry and consult a dentist so that he can do a clinical evaluation and find out the exact cause of pain by taking an IOP AR (x-ray) and carry out proper treatment. Hope your query is solved. Thanks an regard. Chat Doctor. |
My styostolic blood pressure is 142; my diastolic pressure is 86; my pulse is 86. I have been taking my blood pressure all day. s158/114 pulse 68 - s245/d72 pulse 93...my blood pressure has been good for a long time.I take 25 mg on Atenolol. And warforwin 5mg; Larapon - 2 times a day. I have a history of a-fib, but have not had any events for probably over 5 yrs. I would appreciate your advice. Thank you | Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Reading of must be a false reading, such readings should be reconfirmed. If BP is persistently more than 140/90 MMH, then either dose of atenolol should be increased or better option to add another Chat Doctor. Atenolol is not a first line antihypertensive these days. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. |
I have been working out and running for several weeks now and this is the first time I have been running since middle school. I ve notice the past two days a slight sharp pain when I inhale all the way. The pain is in the center of my chest. Is this like a pulled muscle surrounding my lung? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of pulled muscle is more likely. So apply warm water pad on affected areas of chest. Take simple painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. 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. |
when i was 18(2yeaqrs ago) i had some pain, so i went to the dr, i was adviced a FNAC, upon getting it done the reports showed, fiberadenosis, the dr said it would dissapear in a year or two, these lumps are still present n are very prominent upon touch everyday. what do i do????? what is it? how do i get rid of this?????? i am now 20! | Hi, dairy have gone through your question. I can understand your concern. You have fibroadenomas. If your lump remains persistent and painful then hormonal treatment like tamoxifen can help you. Surgical excision is the last option. 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. |
My 12 year old son had an ultrasound recently. The report says prominent diffuse bladder wall thickening on post void film measuring 4mm. He does not have constant pain. No pain when urinating. 2x in the past 2 weeks he has been doubled over in pain but then is fine. The report also says, mild increased echogenicity of the kidneys suggestive of medical renal disease. We are headed to a childrens hospital for more tests. What does this mean? | Hi. From your description I think your son has got cystitis which means inflammation of the urinary bladder due to some infection. The same if persistent for a long time can lead to changes in the kidneys causing such picture. If your sons growth and weight is appropriate for his age, it means that it's not a prolonged problem affecting the kidneys. Anyway he needs a complete renal work up. Please make sure that his preputial skin is not tight warranting circumcision as tight prepuce can predispose to frequent urinary infections. Chat Doctor. S. Sri VidhyaChennai |
My daughter is 11 years old and she has notice a discharge coming out of the bumps on her areola but only when she squeezes it and it s light green with a blackish or grayish tint to it for the past 2 weeks. Is it something to worry about or is it her hormones as her body changes? | Welcome to Chat Doctor, some greenish colored discharge is usually normal and nothing to worry about but any way i advice to see a gynecologist to examine the presence of blood (microscopic) in the recreation. Bloody discharges are to be worried about. Increased prolactin hormones and inflammation in the breast (mastitis) can cause this also it is advisable not to squeeze. Hope it finds helpful regards Chat Doctor. |
Hi, almost 1-half years back I had Jaundice and completely cured in 2 months. During that period I just avoided Non-veg food completely. 6 months back I have started taking Non-veg items like chicken and red meat. I am still avoiding Sea food. Please let me know how long I need to avoid sea food like fish, prawns etc. | It is safe to eat seafood at this time, UNLESS you have cirrhosis of the liver. Why did you have jaundice? If it was just a viral infection that self resolved, or large amounts of alcohol, or a biliary stone, medication induced, etc. Then you will be fine eating seafood. On the other hand, if you have chronic liver disease, and have been told you have or may have cirrhosis, eating raw seafood places you at risk of infections, which can be very severe. If you are not sure, then check with your primary doctor to see if you indeed have chronic liver disease or not. |
My dad is 47/ had undergone renal transplant 6 months ago. for past 1 week he often gets fever (98.7-99.4 deg) .todays test indicated high ESR / creatinine 2.0. i dont have ESR values in hand at present. Is this indication of failure of transplanted kidney? pls suggest. any more tests to be performed..dad is right now enroute to visit nephrologist. | Hi, I will guide in the best possible way, Kidney transplant is done when creatinine level are very high, for e.g. somewhat near 10,Actually creatine 2 is not that high it means kidneyThat is transplanted is working, Though correlating with earlier investigation is neseceray, Other thing is to check urine output, It should be more than before in general sense, Fever may occur because immunosuppressants are given to prevent rejection, Hope this information helps, Seeing your Sr. Creatinine, urea reports Nephrologist will give you the best expert opinion, Wish you a good health. |
sir, my father is siffering kidney problem since 2 years. he has treated in AIIMS, PGI, and now treatment is going in CMC vellore. dr. has told that there is kidney infection and there is need of transplant as soon as possible , but prior to transplant we want consultant with other renound hospital so kindly give me suggestion that what should we do at this stage. | Hello, There are many indications for kidney transplant. In which infection of kidney is one of the cause. But infection is a vague term to describe the condition because infection generally affects one kidney. And if one kidney is involved then there is no need of kidney transplant if another one is working normally. So in your question, the exact picture is not clear regarding infection. You didn't mention regarding any prior history of Diabetes or Hypertension or any other kidney disease. You also didn't mention father patient on dialysis or not. But according to your description, if all renounced institutes advised kidney transplant after seeing your father illness regarding infection of kidney, it means both kidneys are not working properly and there is a chance of sepsis that itself harm the body fatally. So my advice is gone for transplant if there is no chance of saving of kidney or if there is life-threatening condition. Thank you |
I have been getting irregular heart beats the last week, and I am trying to work out if there is a reason why, could it be because I have a hole in my tooth? My heart hasnt carried on like this for a year and a half or so... Not drinking anymore caffeine than usual... | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will bray to explain you something. You might experience irregular heart beat for different reasons.First it is necessary to know what is this irregular heart beat. It might be an extra-systolic beat. This is an electrical impulse that generate from parts of the heart different from normal sinus rhythm, causing a skipped beat that you feel like irregular rhythm. Or it might be a real irregular rhythm, when your heart beats in a chaotic way, what we call atrial fibrillation. You might have these rhythm issues because of different reasons from simple emotional stress to pathology BS like anemia, hyperthyroidism CTA hole in your tooth does not cause irregular heart beat. Only if you have done an infection in your tooth that might generate an inflammatory process that might give a little sinus tachycardia, meaning that your heart beats over 100 beats for minute. So, my opinion as a cardiologist is that if you continue feeling this irregular beats you should see what are this making some examinations like blood sample, thyroid hormones, electrocardiogram and of course a holder monitoring to see the rhythm tendency. You already do not Chat Doctor. Hope I was helpful. Best regards |
i have been having severe sciatic pain for 4 months, mri showed stenosis and bulging disk L 4-5, have taken zpack whiched helped 3 days and having pain again, my doctor has ordered and epidural,,wondering if this is wise, or should i go for surgery. or will the epi be enough. will i eventually need surgery.. i have such spasms that i cant walk at times. | Hi, Thank you for posting your query. The pain is related to the slipped disc and pinching of the nerve at the lower back. Initial treatment consists of medications such as pregabalin and gabapentin. Physiotherapy is also helpful. If the pain does not improve with above, then epidural injections and surgery are the next options. Epidural is a standard procedure, and I think you should go for that now. Surgery can be reserved for last. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
hello respected sir ... i m 20 year old boy .... i tend to have tightness in chest and experience breathing problems.. when i do exercises which focuses on chest muscles .... i have done all tests..and report suggests that my heart is in good condition.. my lungs is doing well too ..rib cage is in perfect shape .. i have gas problems !!!! plz help !! | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms gaseous burping, belching, chest pain, chest tightness, pressure, breathing difficulty etc. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and tension, be relaxed and calm. 4. Start antacid like pantoprazole on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Keep 2-3 pillows under head in bed to prevent reflux. 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. |
I am 30 years old. I had a pyeloplasty to correct a upj obstruction at about 2 years old. All of my life I have been thin and in relatively good health, but I have always become short of breath easily and also experienced strong, sudden stomach discomfort with very little exercise, and I was never able to excel at cardio type athletics due these issues. I have never brought it up to my doctor, but a few years ago, my mother told me she thinks the condition/surgery I had as a toddler could be connected. Is that true? | Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think your current breathlessness and past history of operation are connected. You are having chronic breathlessness. And it is commonly seen in bronchitis or asthma. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out other lung diseases. PFT will be needed to diagnose asthma or bronchitis. It will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. |
My daughter received a third degree burn from a motorcycle accident. To day she went to the hospital because of on going infection. They informed her today that she has mesa. Can other family members become infected or are there different types of mrsa? | MRSA can be transmissible. MRSA stands for methicillin resistant Staphylococcus aureus. Staph aureus is a common bacterium often found on the skin. Some strains of staph can be very virulent, others less so. Methicillin resistant means it is a strain of staph that is not susceptible to the antibiotics usually used to treat it. There can be different strains of MRSA because there are different strains of staph. The MRSA are harder to treat because not so many antibiotics are effective enough. Staph can affect anybody. The fact that it is MRSA doesn't change that. People with weaker immune systems are more likely to get infected. Or people who have open wounds like abrasions or cut. The bacteria can get in through the wound and cause infection. The best things to do to prevent transmission is to wash your hands frequently and clean up areas, using gloves, where your daughter may have touched the infected burn on. Hope this helps. |
i had unprotected sex for about 4mins on the 1st of jan, and before then i ate some new dish , i was so hungry and needed to eat. by around 9am am that morning about 9 hours after the sex and about 13 hours after eating, i had a serious fever, then the tip of my penis started paining me, then after 2 days my body started itching me all over with no rashes, then joint pains came in, after that, i started feeling like vomiting but i always hold myself not to. then my abdomen starting paining me but for a day, by about the 4th day, i started feeling pinching feelings on my palm and diarrhoea started, till now i still stool, but it has been alittle solid, the fever went in 5 days it started, now, the itching is more at night, i was told i had chlamydia and was given a single dose of antibiotics, the pain stopped, then i was told i had food poisons, that everything just happened together.i cant do a blood test till april, i have not been myself since the first. i was put on ciproflaxcin on the 10th. i noticed white patches on my chest region like skin disease. please what is wrong with me.thank you | Hello, Yes it could be sexually transmitted infection and food poisoning as well. I need to know why can't you have some blood tests till April? Yes, your doctor did the right thing to treat you for chlamydia. I suggest you to test yourself for sexually transmitted infections to see if there is any other infection along with chlamydia. If chlamydia your partner also need to get tested and take treatment as soon as possible. You need to HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care |
My son 40 years old has had a cyst in the middle of chest below collar bone about a quarter size drained twice (no ins) at Urgent Care they told him he has to go into a hospital to have it removed he s on his second round of antibiotic how serious is this? Thank you | Thanks for your question on Chat Doctor. I can understand your situation and problem. Recurrent chest wall infection needs identification of causative organism. So get done culture and sensitivity of fluid (pus) and start antibiotic according to the sensitivity report. Ideally complete removal of cyst (incision and Chat Doctor. Since your son is having recurrent chest wall cyst (second time), I advise you to rule out1. Tubercular abscess2. Diabetes3. Other immune compromised states. So discuss all these with your doctor. |
I have had intermittent chest pain for the last 3 days. This morning I have developed a slight wheezing sensation and when I try to take a deep breath it feels like my lungs are freezing and the deep breath doesnt seem to work. The chest pain seems to go across my chest and ends in my left arm pit. I do also have a swollen Lymphnode under my arm as well. Help! Would rather avoid the hospital but I am getting nervous. | Hi I can understand your concern... You are complaining about wheezing with chest pain. So here there might be some obstructive cause... First rhonchi confirmed by auscultation . Then for confirmation of asthma or chronic obstructive lung disease pulmonary function test done with spirometry..... Chest x-ray also useful to rule out obstructive mass if present... If it is present biopsy taken.... I am suspecting this as you have enlarged lymph node.... According to cause your treatment guided . Like bronchodilator and steroid like Chat Doctor. You can keep all these in mind and consult doctor without worry about your resp examination. You can take further opinion from Chat Doctor by sending follow-up report.... |
son was kicked quite hard in stomach last evening during his kickboxing training...with 3mins he was sparing again.........today i noticed a light purple/red type of colour in his urine..he is not complaining about this..........should he go to hospital straight away or will a sample be ok to take tomorrow..thank you | Hi. Thanks for your query. History of blood in urine with the history of kick in the abdomen in spite of any symptoms has to be taken seriously. You should take him to the ER or the Hospital to get a confirmed diagnosis. I would suggest you the following |
Almost every evening my lower back begins to ache and I feel fluish. Four ibuprofen relieves it enough to sleep, but this has been going on for months now. I also suffer from IBS and have developed a rash behind my ear. The rash does not itch. Any ideas? | Hi Welcome to Chat Doctor. The backache in your case needs to be further evaluated since it does not resolve to standard analgesics. I advise you to get an MRI scan of your lumbar spine to evaluate any possible disc pathology like chronic disc prolapse/degeneration. This can help us to offer better and an early medical or required surgical management.IBS needs to managed with Chat Doctor. Rash behind the ear can be managed through topical antibacterial/antifungal creams, since it does not cause any systemic upset and ear discharge. Consult your doctor in regard to above. Thank you. |
Hello doctor i m suffering from irregular periods for about 4 to 5 years now i m takint meprate for now but i m reallly puting on weight for the past years could u help me with an alternative? Or should i continue with meprate for my PCOS problem Kindly help me Thank u Arti | Hello, Meprate tablets contain a chemical similar to the female hormone progesterone. It may cause weight gain as a potential adverse effect on some patients. An alternative would be combined oral contraception with low dose or very low dose of estrogen/progesterone. These would be for instance Yam, Marlette, Lo String Fe, Yasmin, etc. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. |
Hi .doctor. my daughter is pregnant for the first child.she is in saudi arabia. she is in her 34th week of pregnancy.her care taker says after 37th week it is safe to deliver the child with induced labour. is it safe to do that? please guide us. | Hello dear, I understand your concern. In my opinion induction can be planned at term pregnancy if there are no complications. At or after 37 weeks to 41 weeks is considered as term. Less than 37 weeks is preterm and more than 41 is post term. So if there are no complications and the fetal movements are good, with good liquor etc. then you can wait up to 41 weeks for spontaneous onset of labor pains. If there are any complications and normal vaginal delivery is possible then induction can be planned after 37 weeks. But natural labor pains are always preferable. Walking or practicing antenatal yoga daily aids in normal vaginal delivery. Hope this helps. Best regards... |
My niece chest x ray report says------ Infiltrations, small nodular lesions and minimal fibrosis seen at lt.upper and mid zones and rt. upper zone. findings are suggestive of active kochs lesions. Sir can you tell me what does this report indicate and whether the disease is contagious. The patient is 34 yrs old and has a 3 year old son. | Hello dear, thanks for your question on Chat Doctor. The x array description, you have provided, is suggestive of active, infectious tuberculosis. Tuberculosis commonly affect upper lobes. Lesions like infiltration, nodules and less fibrosis favors active lesion. So get done sputum for AFB as soon as possible and start the treatment according to weight. Pulmonary tuberculosis is infectious disease. I spread by Chat Doctor. Due to coughing, sneezing and deep breathing these |
My Bun/Creatinine was 39. I noticed a few months ago i have had sudden urges to urinate, i have had several uti infections in the past and have a few small thyroid nodules on my isthmus. And high cholesterol, does any of these diagnosis constitute for the abnormal lab result. | Hi, I am so sorry to hear about these not very stellar kidney function tests numbers and all the inconveniences that this has caused you. I have taken a look at these numbers. They are not ideal but somewhat just over the bar for the normal upper limit. The good news is that these numbers have been stable over the months and implies that it is not an ongoing disease process. For now, these numbers are not alarming and undergoing further aggressive testing to explore even further may not be the wisest of decisions. It is already good enough that this subtle increase has been picked up and would be monitored to see when more testing and intervention would be needed. There is no reason to be too concerned about this right now. As for water, Chat Doctor. A benchmark of 1.5Litres daily would be a good start and adjusted accordingly based on daily activities and requirements. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi I am suffering from hair loss from last 2 years.My age is 24,male.I did smoking, does smoking cause hairloss??I have already stopped smoking(2 weeks) and I noticed my hairfall is reduced almost 50%, how much more time my body will take to stop hairloss ??Is there any chances of regrowth of my hair again?? | Hello, Welcome to Chat Doctor, Smoking is an established risk factor for hair loss as nicotine is a vast constrictor and decreases circulation to hair roots. It is better to consult a dermatologist to rule out other causes of hair fall like Male pattern baldness. There are different types of hair loss and prognosis depends on the type. In case of hair cycle disorders like halogen effluvium there is a good chance of hair regrowth, but in case of baldness a lot of follicles would have died, and early treatment will prevent further permanent damage. Hope this helped, Take care. |
My brother is 59 years old, about 5 11 old; he has lost weight down to 128 lbs., and is currently in the hospital on day 28. After open heart surgery my brother has experienced severe chest pain, on two ocasions and I was told three weeks later after being rushed to the ER, he had some inflamation since his surgery. Why is this? Also, after his surgery, tomorrow 4 wks ago, he has been given 2 pints doing surgery or after; the next week, given 2 pints, and the 3rd week, he was given 3 more pints, where is the blood going? Or is there something more serious than they are telling? | Howell come to ChatDoctorI really appreciate your concern, it seems to be post surgical complication, and it could be infection, if the patient is in hospital then it will be taken the best care, in such case clinical examination is must and without that on opinion can be given for sure, but I would advise you to discuss this with the treating team, if the complication being taken the best care then it is nothing to worry hope this information helps. |
age 58, female. after hiking 3 days in a row, when i lay down to sleep at night my heart feels like it is jumping around. i felt my pulse and i am skipping beats, which i think is normal for me. this has been going on since last tuesday night. it s friday now. when i sit up a bit in bed, the jumping stops enough so i can fall asleep. what s happening? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, at your age (58 Yeats), arrhythmia (rhythm disturbances in heart) can cause similar symptoms. Arrhythmias like atrial fibrillation, atrial flutter, supra ventricular tachycardia etc. can also cause skipping beats. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). You may need anti arrhythmia Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I have been experience tooth/gum/jaw pain for almost two weeks now. I have good oral health, just had a cleaning about a month ago, xrays were done and no decay was found. I used a whitening tooth paste for about 3 days and it seems like that is when the pain may have started but it could be complete coincidence. I stopped using it, am now using sensodyne and have even changed my toothbrush (soft). The dull ache seems to now be more focused on my lower front teeth but does tend to travel here and there. Today I chewed a piece of gum and it actually made the pain go away for a little bit. The pain is constant. A dull ache, no sharp or shooting pain at all. My gums seems to be whiter in color also. Please help. I am taking advil and even 3 of them at a time is not making the ache go away. | Hello & welcome, The pain you are experiencing right now seems more likely due to sensitivity caused by teeth cleaning which you have undergone a month ago. This happens prominently in patients whose teeth are covered by large amount of plaque or even there is calculus formation on the teeth surface. In such cases, gingival recesses from its normal position to somewhat lower position due to inflammation exposing that part of the tooth which is covered with gingival all the time. This makes the tooth more sensitive & it is most commonly seen after scaling or cleaning of the teeth specially in Lower Anterior teeth. Visit your dentist as soon as possible to evaluate the condition clinically & get appropriate treatment done accordingly. Controlled release painkillers would provide more relief as compared to other Chat Doctor. Avoid chilled or cold water or |
why do my bottom lip go numb for a few weeks my bottom lip on the right hand side and the bit under my lip has been tingling and going numb . I ve previously had cold sores there in the past and am prone to them . I m twenty eight and female. I ve been having cold sores every couple of months since roughly age fourteen. I m worried as to what this could be ?? | Helloi have gone through your query. Yes your numbness of the lip is mostly due to cold sores. But the problem is why you are getting cold sores every couple of months.maybe it is caused by the herpes simplex virus type 1, which is usually acquired in childhood through contact with infected saliva.it is activated by stress, anxiety, a cold or excessive exposure to the sun. Unfortunately you can't cure cold sores permanently, and they like to keep coming back. But you can get yourself relief from it in certain ways. Apply travel on the affected area. Change your toothbrush as it harbors the virus. If pain is more aspirin or paracetamol CN be taken. Cold sores may be triggered by stress. During stressful times, sucking on zinc lozenges can boost the immune system. Hope this and helps Regards |
i was having pain in my stomach and i made an ultrasound nd the repart shows that my liver size is increased,my alkaline phosphate is increased to173,and hepatits report shows tht hepatis a and b are positiv,,,,,i smoke as well,,what should i do,,,,or wht should i eat. | Hi, HAV is usually a self limited disease. However, for HBV infection, proper management and follow up is required. Bag can not be completely eradicated in a patient suffering from Herb. However, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral Load on a PCR. If HBV DNA count in PCR are not high, further advise |
3 weeks after having my son by cesarean I had a blood test due to night sweats (which I think are hormonal as I seem to get them monthly and really bad after having my 4 babies) My esr level was 29 (Im 30 years old) and tested positive for ANA.They are repeating my bloods on the 4th of March to see if they have come down. I found a pea sized lump in my breast two days ago and have an appointment for next wed with my doctor.My question is, should I bring my blood test forward to before I see my dr? How quickly do esr rates change? Can raised esr be a sign of breast cancer? Im going out of my mind with worry.My baby is now 11 weeks. | Thanks for your question on Chat Doctor. I can understand your situation and problem. First, no need to worry about Cancer. ESR (erythrocyte sedimentation rate) is marker of infection and inflammation. And chances of breast infection after pregnancy are more. This is due to lactiferous glands in the breast. So possibility of breast infection is more in your case and not breast cancer. Another possible reason for raised ESR is positive ANA (anti-neutrophilic antibodies). This suggests possibility of connective tissue disease. So you should definitely tell all these reports to your doctor. With proper treatment, ESR comes to normal in 1-2 weeks. So avoid tension related to breast cancer because you are not having this. Hope I have solved your query. Wish you good health. Thanks. |
I am 54 years old. One day while having a shower, I felt retraction of my penis so I pulled it out and I felt something has happened, now I have some narrowing on the sides of the middle of my penis and no semen on the moment of ejaculation but little secretion later on. What is my problem and I can get it treated? | Degree understand your concerns went through your details. You need to understand the process well. You are 54. Quantity of semen is determined by so many factors like the interest in sexual act, water content in your body, physical and mental stress, age and so many other factors. Anxiety is also another cause. The retraction you felt could be a natural feeling during a shower. Still, I advise you to consult a physician for your satisfaction. If you require more of my help in this aspect, please use this URL. http |
I have headaches that are very painful. I have had an MRA & the doctors have said all is normal. I m on high blood pressure medicine & the doctor added another medication Metropolol for the headaches which seemed to help some, but I still get them sometimes out of the blue but especially when I cough, sneeze or laugh hard. When I feel a cough or a sneeze coming on I get very apprehensive cause I know it will hurt. I ve also had my neck scanned & been told 4 years ago that I needed to have vertebraes removed and/or fused together due to my spinal cord is not totally protected with spinal fluid as it should be & if I have an accident I could become paralyzed. my question is can too much or lack of seritonin or cerebral fluid cause headaches? | Hi, Thanks for writing in. The attacks of e during laughing or sneezing is due to the problem with cervical spine vertebrae. There is probably a pressure over the cerebellar tonsils region or spinal cord and this needs to be discussed in detail with your neurosurgeon. Pressure in the brain is called intracranial pressure. This pressure is different from blood pressure but complications due to high blood pressure can cause raised intracranial pressure. The intracranial pressure depends on the flow of cerebrospinal fluid which is surrounding the brain and spinal cord from every side. Increase in intracranial pressure can be due to brain swelling, bleeding within the brain, tumors inside the head and infections causing block of cerebrospinal fluid flow. Metoprolol need not necessarily cause increased intracranial pressure. Please discuss with your neurologist. |
hi I have this recurring pain in my jaw. The first time I was sick for a month and bed ridden, couldnt eat cause I couldnt hold anything down. Since then the right side of my jaw from time to time feels swollen and achy. At the moment it is bit more severe as I get soars in my mouth also, just like the first time. | Thanks for your query. I have gone through your query. The pain and swelling can be because of the abscess formation secondary to tooth or gum infection. Nothing to BR panic, consult an oral physician and get it evaluated. Meanwhile, you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). If it is tooth or gum infection, it can be treated with root canal treatment or scaling respectively. Regarding the soreness or ulcers, it can be stress induced leading to authors ulcers, you can take topical anesthetics like lidocaine gel. I hope my answer will help you. Take care. |
I m having burning pain (over a month now) on the right side of my lower abdomen by my belly button. I have PCOS, Fatty Liver and newly diagnosed Medullary Sponge Kidney - all of which Dr. s say are unrelated to my current pain. CT scan came back normal - have a MRI with contrast scheduled next week. Pain is so intense tonight - I m looking for answers | Hi. Thanks for your query. All the three problems you have mentioned looks to be unrelated and particularly to the pain on the right side by umbilicus. Burning pain over a month can be due to intestinal problems or a pinched nerve in the thoracic spine causing the neurogenic pain that is not at all related to PCs or medullary sponge kidney or fatty liver.PCs causes pain in the pelvis and low back. Medullary sponge kidney does not cause any pain. Fatty liver does not cause any pain. CT scan is normal. Let us wait for the results of Contrast enhanced MRI. |
I have lower back pain. It feels heavy and aching.. in what I would think is the kindey-region although I dont think its kidney related. I also feel nauseous, retching but not actually vomiting.. just feel really sick. Nausea seems more acute on movement. I am female, 25, with no known health problems. | HelloThanks for query. Low backache with nausea can be due presence of stone either in kidney or Ureter and needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis. Chat Doctor. |
My wife has had very high blood pressure and meds did not reduce it. Has also found that white cells 10X higher than normal. Ecg was fine and she feels well. She just finished a course of rabies shots could this affect these readings?Thanks Gordon Allison | Hi thanks for asking question in Chat Doctor.Here is your ECG normal ...so no cardiac cause present.... Rabies vaccine not affect WBC count to such an extent ...... Here you have not mentioned value of WBC count.... Detailed peripheral smear examination needed to differentiate leukemia reaction from leukemia..... Take blood in EDTA and send to path lab for PS examination.... According to report further treatment guided... And yes for hypertension also rule out....-renal causes -psychological causes -endocrine disorders For these detail history with investigation needed ... Ex...for renal causes, urine examination and USG done.... Keeping these in mind consult cardiologist... Take care .... Chat Doctor. |
i have accute myloid leukeamia and am in remmission. i could only get 2 treatments of chemo as i got an infection after the first and nearly died and i took 8 weeks to recover from the second one. i am now getting the same pain in the groin area so can you get this pain in the left lymph node without it being the leukeamia. i turned down the bone marrow transplant as they didnt have a perfect match and the death rate was too high from getting stem cell transplantation | The presence of pain usually rules out malignancy. The leukemia may recur as a lymph node swelling and not as a pain. As the leukemia is a disease of blood cells, it usually recurs as a presence of blasts(abnormal cells) in peripheral blood smear or bone marrow. If your peripheral smear and bone marrow are in remission, it has nothing to do with recurrence of leukemia. But the pain may be due to the thrombosis of the deep veins of leg, which should be diagnosed with Doppler examination of lower limbs. Planning transplant means you may be having unfavorable cytogenetics. If you don't have a perfect match for transplant, you can ask for MUD(matched unrelated donor) transplant or umbilical cord stem cell transplant. You need to discuss with your hematologist for these options. |
I m 58 yrs old and since Oct. my heart rate has been very fast. This has caused me to sound as if I m having problems breathing. My pulse/ox is always 98-100 but my heart rate can go from resting, 120 to more then 150 after I walk about 500 feet. I have a lot of pain issues and also narcolepsy and auto ammune problems. | Fast heart rate and narcolepsy are not necessarily related in any specific way except possibly as side effects to medications that are sometimes given to treat the disorder. The other symptoms that you mention including pain issues and other problems with autoimmune diseases may be more responsible and more related to your symptom of fast heart rate or tachycardia. My recommendation therefore, is that you seek out either a primary care physician or cardiologist to review your cardiac symptoms to make sure that these have been documented and are being appropriately ad Chat Doctor. If this information has been a value to you would you take a moment to provide some written feedback as well as giving the answer a star rating. Many thanks and have a nice day. |
when should I take ganaton od... Does it have any side effecwhen should I take ganaton od... Does it have any side effect as the patient has Lymphosis cancer... It has been suggested for weakness and dizziness .. Is this medicine appropriate for the above said symptoms | Hi, Thanks for writing in. The medicine canton OD is topside and is prescribed for functional gastrointestinal disorders during the treatment of cancer. It lessens the nausea and dizziness due to gastrointestinal functional problems after chemotherapy. Lymphosis cancer is lymphocytes leukemia and requires regular treatment with chemotherapeutic Chat Doctor. Many of these medicines might induce nausea, vomiting and dizziness in patients. Canton suppresses these undesired symptoms. It should be taken on an empty stomach and at least 30 minutes before food. Few patients might have side effects like diarrhea, headache, abdominal pain. These effects do not happen regularly. Please do not worry. |
I am a breast cancer survivor 1yr cancer free, lypmnodes removed with cancer under arm, now I have several small hard lumps in my inner upper arm, the same side where lypmnodes were removed, saw fp dr today and she is ordering a ultrasound of the lymph modes, she made no comment one way or the other, later I ran into my oncologists nurse, and she felt the largest lump and said what ever it is , is in the vein, opinion please | Hi, dairy have gone through your question. I can understand your concern. You have history of breast cancer. So there is high chance that you have metastatic breast cancer in lymph node. You should go for fine needle aspiration cytology or biopsy of lymph node to confirm. Then you should take treatment 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 , I had a new baby girl 2 month ago , and recently we found that her TSH is 8.0 .befor that we did this test and the result was normal , but recently when she had the TSH test again , it was vey high , so do you think this well affect her health and her brain functions ?! Thank u | HI...usually a TSH value of more than 20 only need to be reacted to immediately and is associated with adverse effects to the brain. But the values vary depending on the labs and their reference ranges. If possible get back to me with the reference ranges of the lab in which you have done the test. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. |
My baby is 11 months old. he is not showing interest in formula or solid foods. yesterday i gave him 2.5ml of bonnisan in morning and in the night. He has vomited in the afternoon and in the night. Is that because of bonnisan. Also I need suggestions for making my baby show interest in food. | Hi, Thank you for asking question on Chat Doctor. The appetite usually decreases by the end of one year. Offer different foods and give those he likes. Do not force-feed the baby as one particular food, you feel, good for the baby. Take more time and feed with tender loving care. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics |
Hello I m having open wound after sinus pilonidalis surgery. It did not heal for a long time, almost 6 months, my doctor said to me that I ll be probably have to get another surgery soon to get my wound cleaned and stitched.However, my wound is not infected, as I keep it clean, for several months now I clean it few times a day. But know some watery like transparent, yellowish fluid is coming out of the wound, in moderate amounts. And Im not sure is it sign of infection or just normal body fluid that aids healing. | Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! I understand your query. Furthermore, I advise you must get fluid collected on swab for culture/sensitivity test bacteria and fungus. Treat accordingly with the Chat Doctor. If sterile no need to worry. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care! |
Got sick after 3-4 hours after eating. Abdominal cramps, no diarhea and no vomiting but almost. Since then i have abdominal cramps when I eat ( not after but a few minutes after firs bite). 20 years ago i had something like this and had to take sulfamide to get rid of. Is it a bacteria or food poisoning or both ? | Hi. Thanks for your query. This type of pain can occur as a reflex. Seen in case of either appendicitis, colonic problem, gastritis or gastric ulcer. You say you have a typical cramp when you eat. I would advise the following |
Hi, I have irritating cough along with accasional running nose WITHOUT having cold. Sometimes it is dry, sometimes cough is yellowish and sometimes it is dark in color. I visited ENT doc and he suggested Amoxycillin tab, LCZ plus and RESWAS syrup. After having taken for 5 days it is not yet perfectly ok. I had sinus problem in the past. | HelloIrritating cough, Running nose, Cough is associated with yellowish color phlegm or sometimes dark, An old case of sinus problem. Amoxycillin, lecoceterizine and cough syrup (res was) are not working. When patient with these symptoms visit my clinic I usually advise them to take montelukast+ albuterol tablet once or twice in day till complete cure. If sore throat is there I advise them to take levofloxacin 750 mg once in day for 5 days. I also advise my patient to avoid contact with mite, dust, pollen, mold, sudden change in temperature, fine dusting powder, hay. Because these are predisposing factors causing sinus problem and allergy (as you may have these symptoms due to asthmatic allergic bronchitis) . Hot coffee and steam inhalation also act as bronchodilators. All these symptoms are due to bronchoconstriction caused by these predisposing factors. Since these Chat Doctor. |
Hello, I have IBS And I have started taking the Green Coffee Bean Extract and Rasberry Keytone to lose weight. Before I started taking the products I had mucus in my stool and noticed there is more and I was wandering if the supplements could have something to do with that ? | Hi, That is a stretch. Number one is that weight loss depends on what you DON'T eat. Number two is that supplements are not regulated and cannot make claims of effectiveness. Third is that it depends on what you mean by mucous. A small amount and gong more frequently could occur with taking coffee beans. Either a lot of mucus, mucus with bleeding or very frequent stools are some worrying things needing rapid medical attention. Hope I have answered your query. Let me know if I can assist you further. Wish you the best recovery. |
Yes, I was given the Twinrix vaccine in does of three injections over a time period. I recall that the nurse who administered my injections forgot to shake it until it turned opaque as directed. Will that have any ill effect or be harmful to me since it is recommended that Twinrix be shaken until turns opaque before injection? Thanks, Concerned Lady | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should not worry. It never causes harm. Not Shaking the bottle never harms you. Vaccine is for the protection purpose. So if someone won't shake it, its effect are lowered, but it never harms you. You can check the title of the antibodies circulating in the blood of you to check the effectiveness of the vaccine administered. And accordingly if the further action is required can be taken. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist. |
I am having some sever acing in my left knee I am currently taking 800mg of ibuprofen I recently had a steriod injuction as well. The pain subsided a little but continues to ace on the top what should I do? I have reported this to my doctor but nothing. | Hi, thank you for providing the brief history of you. A thorough clinical examination is advised followed by MRI of the knee. As you are taking medication and even had a steroid shot in the knee, initially post steroid shot there will be little pain in and around the knee joint which will subside in a few days of time. Also, for knee pain or knee injuries, physical therapy are actively helpful to regain the full mobility and functions. With physical therapy the pain level can also be reduced. In my clinical practice, most patients with Knee pain are refereed to physical therapy, and they respond well to it. RegardsJay In Chat Doctor. |
After unprotected sex, i took Postinor 2 within the first 24hours. I have been experiencing the side effects of the drug. I would like to know whether the side effects are an indication that it worked and if the bleeding rules out the possibility of pregnancy....kindly assist | Hello misunderstand your concerned effect and bleeding after the pill does not rule out the pregnancy. Side effects occur due to the high progesterone in the pill and bleeding is due to breakthrough bleeding. But as you took with in 24 hours after sex, it will 95 percent effective in preventing the pregnancy. Period may be delayed by 7-10 days after using pill as it prolong the second phase of menstrual cycle. So if your period will be delay by 12-14 days then go for pregnancy test and or Blood Chat Doctor to confirm the pregnancy. Hope this may help noncontact Chat Doctor for additional health issue. Best regards |
My wife 50 years old wakes up with stiffens entire back pain lower back right and left throbbing and occasionally lower left back sharp pain. The only thing that relieves pain is heat spray.stretching , yoga , heating pad chiropractor just seems to make it worse. | Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. She may be suffering from lumbar spondylosis. Considering her age, she must be having osteoporosis, leading to degenerative disc disease of the lumbar spine. Get her MRI of the lumbar spine done. Physiotherapy, yoga and using a lumbar brace would be helpful. Consult an orthopedist. I hope the answer was useful. Get back to me for any FOLLOW-UP QUERIES anytime. Best wishes |
The roof of my mouth is sore for last one week. I have been applyiing Daktrin oral gel withiout any relieve. I am male aged 52. | Hello and Welcome to Chat Doctor, Thanks for writing to us. Cold Sores and Canker Sores are the most common causes of sores on roof of mouth. Warm salt water works well and is soothing. The ulcers normally take about 2 weeks to go away whether you use something or not to treat them. The roof of the mouth is involved in speaking, eating and just swallowing, so it can be very tender. There is a medicine called Debater that will take the sting out of it. Have a healthy and well-balanced diet with special emphasis on citrus fruits and green vegetable to boost immunity and facilitate the process of healing. Hope this helps you. Wishing you good health... Regards. |
hello, i have been noticing some interesting happenings over the past few months, this may not be organized or neat but here goes. within the past few months i have noticed some bumps popping up, for instance i think the lymph node below my right ear is swollen or a bump i have no clue, and a more recent development is i found a bump above my left ear about half an inch back and it only hurts real bad to the touch when i dont mess with it its like it isnt there. also if this has any correlation i have been having some psychological or nuerological issues with my processing of information and reaction and action timing which i think is from my head injury almost a yr back... when i was at the er they diagnosed me with pain relievers did a mri etc and left it at that, i think they messed up and ive had head trauma since.. i have alot of issues with body language and emotional facial expressions.. and one more thing i had some weird twinge like headaches a few weeks back, wasnt nothing like any headaches ive had before it was like random bursts of electricity shooting in straight short lines on my head idk was just wondering what a professional thinks of this. thanks for responding | Respected Sir, headache is relating to past history of injury and some neurological consequences of the same. Now lumps in relation to old injury is not evident to that extent, probably must be nonspecific lymphadenopathy else developing neurofibroadenomas, but I would love to evaluate patient with thorough clinical examination, correlating all the past data and then coming to final conclusion for the further management. Thanks, regards |
Age | Hello, Your medical and dental history would be helpful in determining if a Chat Doctor. There are many reasons, and it can signal a systemic change occurring to your body - hormonal, endocrine disorder, organ dysfunction or damage, allergy, diet change, infection, tumor or cancer. I would suggest a blood test and physical evaluation as well as an updated dental exam. Clinical evaluation of the tongue would be helpful. Other conditions such as texture, color, coating on tongue may give some direction and help with a diagnosis. Trauma or habits can contribute. Does anything seem to affect the tongue? Any pain or sore spots? Thank you for your inquiry. I would be glad to expand my answer with additional details. I am glad to offer as much assistance as possible without seeing your condition. |
Hello, I was wondering what might be the cause of my cramps after an attempt to have intercourse yesterday (2-15-2014) for the first time, with my bf of a year and 3 months..Basically, I was on top for more control of the pressure. He had a condom on, but we couldnt find a comfortable position due to our pants being on, so he didnt put his penis in.. anyways, he took it off and I gave him a bit of oral sex, but he had pre-cum and all of a sudden we were on the floor and the head of his penis went in, without the condom on. It lasted for about 5 seconds then I said it was hurting a bit so he took it out.. He didnt ejaculate, but a few hours later I started getting slight cramps in my lower abdomen, but is it because it was my first time engaging in sexual activity? I had finished my period 8 days ago. | Hi, Yes, you are right, the pain you experienced was related to being first time that you are engaging in sexual activity. When having sex for first time, you are not prepared, and might be not wet enough for penetration. This explains the pain you felt while penetration occurred. I suggest to |
My 5 year old daughter hit her head really hard on the corner of a piano bench a couple months ago and had a large goose egg for a week or so and then went away but the lump has come back several times and then goes away. Tonight it came back again. Any thoughts? | Dear friend, Your daughter having a lump in head after trauma. If I am your doctor I would like to know at which part of head, a lump situated? Post-traumatic hematoma most common on scalp, but it doesn't go and come back. It might be other lump like meningocele or else coming from inside skull. Trauma is just incidence of attention, it might be present before it. Examination require for confirmation, so I think you should consult nearby surgeon. Thanking you. |
Im very concerned....i am experiencing numbness in my left hand and arm. A little bit in my face as well. I did consume alcohol last night....this.also occurred the last time i had alcohol. Never before has this happened though, even though i have drank on & off for over 7 years. Please help! | Hello, I am Chat Doctor. I have read your message. I think I can help you. This may definitely be a neuropathy. Many compression naturopathies occur like this, especially under the influence of alcohol. You need to test an NCV or nerve conduction study of both the upper limbs and face. This can be done at most hospitals where there is a neurologist available. If found to be present, you will need to get admitted to the hospital for treatment with injectable steroids, pregabalin and other supportive care inclusive of physiotherapy. I have tried to make it as simple as possible. Feel free to contact me for any further clarification. Best of luck, ChatDoctor |
light mild cramping with no pain in tibialis that lasts only a few seconds when walking or standing or flexing my ankle. I have been diagnosed with bulging disc between L-4 and L-5. Also groin pain and hip osteoarthritis. Can these be affecting the muscle? | Hi, Thanks for your query. Due to compression of lumber nerve root there can be cramping in your leg. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, Sit with support. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it D3 level. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
well i have been having pain it started on my back shoulder blade on the left side.well this morning it has came around the front of my chest and down my left arm i have weakness and pressure in my chest on the top part of my chest it even hurts when i breath deep | Thanks for your question on Chat Doctor. In my opinion you should consult cardiologist and rule out cardiac cause first.You're all symptoms like chest pressure, tightness, left sided shoulder and chest pain and arm pain, are suggestive of cardiac cause. So get done1. ECG2. 2D Echoed if something comes positiver than go for coronary angiography to rule out coronary obstruction. So better to consult cardiologist and discuss all these. |
Will an antibiotic help my 27 year old son whose crowned molar #3 is hurting him? Dentist x-rayed duly and does not see anything wrong. Tho, when this tooth was crowned 2 1/2 years ago, it presented with a big filling and a big cavity. The pain is off and on-- for about 10-12 days now. Thank you ! | Why crowning has in done? Did your dentist go for root canal treatment?if has done act and crown the tooth the it is ok, in that Casey we have to assume that the pain is taking place due failure of act.act can be failed for many reason starting from pts status to the faulty procedure. But if your dentist did not act, only he filled the tooth and the he went for vital tooth preparation, the pain might happen due to secondary caries, or chronic irritation to the pulp. But in both cases' treatment is same, first remove the crown, thn go for reject or act. And I believe there will not be any pain in future |
Hi, I am married since from last 5 months. I am having severe pain on my 6th day of period on my lower abdomen and also some on my back. First 2 days of cycle there were only sign of spotting and no massive overflow while on 3rd and 4th day were normal while after that no sign of bleeding . I have also carried some heavy item on my 6th day after an hours of it I started that severe pain. Before the start of my period I had a fever for 2-3 days on and off and was also having fatigue during that period. | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You got married 5 months back. You are getting severe lower abdominal pain and backache on 6th day of the period, after a heavy item. Usually your period is very little in first 2 days, and normal in 3rd and 4th days. Before the period you had fever. Usually after marriage for few months there will be irregularities in periods, fevers and pains are common. But if the pains or fever are unbearable you can consult a doctor. For few months before and after the period avoid taking spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards. |
I am a 42 years old. I had a uterine leiomyoma.4 months ago I underwent surgical treatment and hemo transfusion.4 days ago my blood examination revealed HbsAg positive, ALT 2040 U/L, AST 2090 U/L, Total bilirubin 10.60 mg/dl, Direct bilirubin 7.58 mg/d Which medication should I take and what kind of diet I needThank you for attention | Hi thanks for contacting Chat Doctor... Noted here you have viral hepatitis by hepatitis b virus... You can take Ad\u00edlio tablet.... Regarding diet try to avoid high fat diet Fried food less..... Avoid alcohol.... Green leafy vegetables more .... Fruits like apple, mango, papaya more... Sugar Cain juice useful.... In evening take vegetable soup.... One tsp crushed carom and cumin seed with water taken early in morning.... Yoghurt good to take.... Outside food and junk food or non veg avoided.... Repeat viral marker after 6 months of first detection to rule out chronic case.... Take care. Chat Doctor. |
I was diagnosed with HepC recently....I had a blood transfusion in 1978. I am genotype 1b and I have recently completed 48 weeks of interferon/ribaviron therapy. I was virus free at weeks 12-24-36. I had the usual lousy side effects....although my doctor says I did better than most. I am going for my 1 month without meds bloodtest this Friday and I am very scared. I cannot stand the thought of going through this therapy again....even with a new drug. I am 57, female, not overweight, not a drinker or drug user. What do you think? | Hi, You must do a HCV RNA Quantitative Test and then follow up with doctor. Also, you can take liver supplements along with proper diet. Avoid smoking and Chat Doctor. You can take diet rich in omega 3 fatty acids. Also, you must keep your bowel movement regular, for that take food rich in fiber. Avoid taking milk and milk products. Instead of that, you can take yogurt. And most importantly take 6 small meals in a day and avoid overeating. Also repeat the following tests - LFT-3, RFT-2, It D3, TSH. Take care. Hope I have answered your question. Let me know if I can assist you further. |
at night I go to bed about 11 pm I hear a radio show channel 7 vintage radio I have a stand up fan if I turn it off I can t hear the radio - I don t have a radio and no one believes that I really hear it. It plays until 2 | Degree understand your concerns went through your details. I suggest you not to worry much. In the mental disorder named delusions, such experiences are common. But in your case, I suspect that. This could just be a case of Obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
Hi, I am a 20 year old mother of 2 children. ( 2 yr old and a 3 month old). I work full time as a Medical Assistant and a manager at Burger King. During my recent pregnancy I was experiencing episodes of dizziness and passing out. So I had to stop driving. It was discovered that may have a congenital cardiac abnormality. Recently a Cardiac Specialist performed a TEE procedure. Here are the results ( as written in my medical chart) It was discovered I have a large 5mm-7mm Patent Foremen Ovale or small ASD equivalent PFO with bidirectional shunt (positive contrast study for R-L shunt and left to right shunt on color Doppler). Normal LV wall thickness and cavity size with normal LV systolic function. No regional wall motion abnormality. RV size and systolic function appear normal. Consider Device closure of PFO since patient has recurrent TIA-like symptoms or syncpal episodes. My cardiologist advises against the surgery even though he sent me to see a top cardiac surgeon for further work up and to confirm the diagnosis. The surgeon feels the surgery should be performed while I am still young to prevent complications in the future and because I have been symptomatic with episodes of TIA and Syncope. I am not sure whose advice to follow. Please share with me the risks and benefits of this surgery. I need your help and professional advice. | Hello, Many patients have PFO, and it may be found during a routine examination with cardiac ultrasound. Since you have had symptoms, especially in your pregnancy it may be considered to close this defect. Your heart looks in great form. The closure may be done without surgery, with a device that can go there through cardiac catheterization from an interventional cardiologist. It is less invasive and more safely. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
Infertility Doubt | Hi, You have to option you could go for surgery to remove block at right tube. It is called hysteroscope cannulation and can then try naturally to conceive. Or you could consider IVF .IVF is a costly option but with PCs you have two factors of infertility and this could help with both. Do keep in mind that any surgery has complications and also that IVF has only a 40% chances of success in the best of hands. Role of Placenta in removing blockage of tubes is questionable. Before deciding further you should go for a Hysterosalphingography (Dye Test) to know the status of the tubes. Hope this helps. Regards |
I am a 40 yr old, normally in excellent physical conditiona. I workout almost on a daily basis if I am not sick. I got walking pneumonia 2 years ago and didn t take proper care of myself. (I am a single mother with my own business). I got better for a couple of months and then began getting Bronchitis every month. Finally, after a friends suggestion, I went to an allergist and was diagnosed with asthma . It was over a year before I was able to get everything under control. It s been 7 months since my last battle with bronchitis and I am in bed with it again. I was around a tractor that was pushing a lot of dust around and exhaust from a jeep. I was struggling to breathe. Within a few days, I was sick. Can my lungs be this sensitive to environmental factors? Is there anything I can do to make my lungs stronger? I run when I am well to try to help strengthen my lungs. I am so sick of being sick. It scares my child so much every time I get sick because of how ill I have been the last couple of years. Please tell me anything you think I can do to prevent me from getting bronchitis. Thank you so much! | Hello, If the lung function test was suggestive of asthma, and hopefully you had skin tests to find the environmental triggers, the most important thing would be to get your asthma under control. Combination inhalers will be the choice such as Symbicort turbo haler if budesonide 400 has not helped. You must keep Stalin (or the blue albuterol) inhaler with you at all times and take 4-6 puffs as required but maximum 10 puffs at one go. Montelukast 10\u00a0mg addition at night will also significantly help. You also need to know the current status of your immune system with Egg, IGA and IGM levels and functional antibodies against His, pneumococcus and tetanus if available. These tests if normal exclude an antibody deficiency, as these control recurrent chest infections (bronchitis). You will also need a yearly influenza jab due to your asthma. Hope that helps. Thanks. |
I have typically had an average blood pressure of about 120 over 68-70. In the last week I have felt very faint and was very white in the face. I took my blood pressure and it was 80 over 44 on Sunday. Yesterday, Wednesday, it was higher - I think 90 over 45. I have never had low blood pressure like this and I just don t feel good. I have no idea what would cause my blood pressure to dip like this. What are some causes of low blood pressure? Are the latter ratios too low? Thanks | Hi, After going through your medical query I understand your concern and I would like to tell you that most likely insufficient diet or nutritional deficiencies and less liquid intake can be common cause of low blood pressure. It's recommended for you to take plenty of liquid intake with extra salt in diet .if it doesn't help then kindly a physician for proper evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.