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I am a child care provider of a nine month old baby who has had a greyish/black coating on her tongue for at least two months now is it normal or should I continue expressing concern about it to her parents. She didnt get the discoloration until after she had an ear infection and was put on antibiotics, however that was about 2 months ago...she still pulls and tugs on her ears too! Parents said dr. wont give her antibiotics anymore!? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that blackish or grayish discoloration on the tongue of 9-month-old is most commonly due to poor oral hygiene maintenance that leads to abundant deposits of food debris and also bacteria and fungal overgrowth over the tongue leading to formation of a dark coating over the tongue. It is a condition called Black Hairy Tongue. It is however harmless and can be gradually removed if proper oral hygiene and cleaning of tongue is done. You should start cleaning her tongue using a soft toothbrush. Give her solid foods to eat. Use a tongue scraper to gently clean her tongue. Feed with plenty of water. If she tugs and pulls her ear again and again then there must be probably infection still present in ear and for this consult a Pediatrician and get evaluated and get a proper ear examination done so that she can be advised antibiotics oral as well as ear Chat Doctor. . Hope this information helps. Thanks and regards. |
Hello I woke this morning with a big pimple on my mouth and its really hurting me I have a huge dinner today is there any possibilty that I can make it smaller or get rid of it please its an emergency | HelloWelcome to Chat Doctor, I just went through your problem & it is known as Authors ulcers & they are really painful. Common Causes can be |
i have a lump just below my shin where i got tackled in football its been there for 4 weeks now and is the same size and shape there is no real pain there unless i press on it ,. 2 years ago me and my mate smashed shins together playing football and im wondering if it has anything to do with that as when that happened my leg swelled up and was black with a big bruise | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of shin bump-I don't find any reason to associate current painful lump to 2 yrs back trauma, as it would heal by now. For the lump below shin 4 was ago-I would advise you to Use anti-inflammatory Chat Doctor. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. |
iam vijay age is 23 i manstrubate(from 6 years) daily now my penis not raising properly but it is not raising hard is .it raises when i see ***movies and falls witin less time is there any problem plzzz tell me should i consult any Dr. and i WANT TO STOP manstrubate plz tell me | Look habit is very difficult to change but if you strongly determine that you have to leave masturbation then the chances of your success increases. Masturbating daily is not good for health, this means you either have less intimate friends or not much supportive family members. Masturbation as such is not a problem but as I said excess of everything is bad. So do not stop masturbation suddenly but first increase the gap between two masturbation and gradually keep on increasing this gap and increase your interest towards studies and extracurricular activities so that your mind is diverted towards career and not masturbation. Contact a psychiatrist or clinical psychologist. |
Hi, Im 22yrs old. I keep having a recurrence of klesbiella spp and sometimes staphylococcus aureus found in my HVS results and each time I treat with prescribed medications and re-test until theres no bacterial growth. And my partner also treats himself too. Its really frustrating and Im scared I may have infertility problems later on....... | Hello friend. Welcome to Chat Doctor Forum. I read your concern and there is no need to be worried about health status. It is found that there is no bacterial growth in your successive HVS test and hence there is no chance for Recurrent Klebsiella to affect your reproductive system. Have regular follow up with your Doctor and I suggest you to be on healthy diet containing nutrients to fight against microorganisms, and You will never face infertility related issues in your life. Hope this information will help you to have healthy lifestyle. Thanks & Take Care. |
I am constantly anxious, my heart races and I get palpatation, now severe heartburn and night sweats so bad I completely soak my pillows and sheets. My family is prone to heart problems. Im 33 now and concerned. Is this anxiety or something more serious? | From the way you describe your symptoms, in my opinion I am more inclined to believe that you might be having Generalized Anxiety Disorder. But before coming to that diagnosis, I would want to evaluate your heart and vascular function. I would like to know if you are diabetic, hypertensive, smoking, under constant emotional stress. The reason I would want to know this is that these are risk factors to develop heart disease later, and so they are to be treated now. An ECG may be done though it is most likely that you would have a normal one, but it is better to confirm it. Having a family history of heart disease DOES NOT make you 100% likely to get heart disease. It is possible that you may never get it too. Once I am sure that your heart is normal I would suggest you to meet a psychiatrist who routinely treats Generalized Anxiety Disorder. There are several behavioral therapies that may help you apart from Chat Doctor. Some of the medicines that may use include fluoxetine, paroxetine citalopram, buspirone. Since these are prescription medicines, it is best you consult the psychiatrist. I hope this helps. |
Hi, my problem is i am not getting my full erection or when i got full erection at the very same time of full erection some sticky liquid comes out and it weakens my erection.Few months back when i got full erection for a long duration i felt so much pain in my testicles and sometimes in my kidney area too..but now i am having this problem... why it is so? Please help me as i am really worried | Thanks for using the Chat Doctor. Erection and ejaculation are maintained by 2 different kind of nervous system. So if the sticky liquid is proper ejaculate then weakening of erection is normal because other type of nervous system is activated(PNS). You can give some days rest for it to be normal. Pain in testicles if it is more or severe it may be due to injury or may be infection. If it continues consult your doctor for detailed examination and further management. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon.... |
Hi. I am diagnosed with PCOS when I was 17. Now I am 28. For the past 10 years im just ignoring my pcos as im not really care about what it is. Just for the past a year, i started to do active research on it and seek for treatment as my menstrual cycle usually every 35 to 40 days. My gynae suggest YASMIN but in 1st cycle with it I encountered severe side effects such as bloated, stomach pain and breast tenderness. So i stop taking it. Last month i had my menses on 20/6/14 (bleeding) and ends exactly weeks after that. However on 2/7/14 i had back brownish kind of menses with clots till today (14/7/14). Is it something i should be worried about? And of course severe pain on right pelvic and back pain on and off. Am i having other problem than pcos such as endometriosis? Thanking you in advance. Regards. Aira | PCs and endometriosis management may have different procedures in modern science but in Ayurveda, treatment is 100% similar and effective in both the conditions. Try to get Pathway Swath liquid which is herbal decoction clearing endometrium on prolonged use. It clears cysts even by easing shedding out cysts also. Its pure herbal. No side effects. No interaction. May be used for six months also. Commonly available in India. Elsewhere, try to find it on net. It will help you 100%. I m 100% confident with my experience. |
I have a 10 yr old boy, normally very very healthy. He and a friend went fishing in the creek and now he is sick. sore throat, headache, stuffy nose, stomach ache, stiff neck fever 101-103. Went to urgent care said dont know what is wrong. did a strep test came back normal, checked for mono came back normal. he has been sick like this since monday and not getting any better. Have given him tylenol for headache and fever. | Hellothank you for contacting ChatDoctoryour son might be infected with acute pharyngitis, tonsillitis or adenoids. Means infection in throat or tonsils with bacteria or virus. Give him plenty of fluids. Light diet with sprouted pulses. Give him vegetable and fruit juice. Do gargles with a warm water 3-4 times a day. Give paracetamol for fever and headache in half strength. Please consult your clinician for antibiotics thank you |
hello i have a question about pain in my upper stomic like just below my ribs on the right side and i also have been having pain in my testicals mostly the left one its like a sharp pain that last a few mins then goes away for a while (hrs) then comes back .. the pain in my chest hurts more when i breath in fast , my lower back also hurts but i think that is just from work but it could be related please help if you know anything about the testicals n the pain in my chest ? | Hello! Upper right abdomen pain radiating to back is characteristic for gallbladder stones, gallbladder inflammation and pancreas diseases. It likes to come and go. It appears mostly right after a meal. Pain in ribs area can be also caused by neuralgia of ribs nerves. Both, gallbladder diseases and neuralgia aches more when breathing. Pain in testicles area and back pain on the same side are mostly caused by urinary tract infection or kidney stones especially when associated with burning when urinating. Pain in testicle/groin area can be caused by testicles and epididymis infections, testicles tumors, inguinal hernia and prostate gland infection. It is possible that pain in your chest and testicles pain has nothing in common as diseases can be concomitant. You should have abdomen ultrasound, groins ultrasound and testicles ultrasound. Blood tests for infection markers, hepatic tests, pancreatic tests and urine tests. Hope this will help |
I had a bilateral knee replacement surgery in 2015 and have been in constant pain ever since. My surgeon suggested CRPS and I ve had from nerve blocks to Ketamine treatments and going to Europe for the drug Neridronate IV infusions, all treatment, were proven unsuccessful. I am now back with the surgeon after learning what I should have asked him before surgery | Hello,First, since all components are non-cemented which means press fit to the bone and hence no adhesive material is used. Allergy to metal may be issue with many patients, but that will lead to knee effusion and local symptoms more than pain. Loosening of components and low grade infection may be reason for constant pain. Detailed knee examination and aspiration of knee joint fluid is required. X-ray of the both knee anteroposterior lateral and skyline views is needed to look for loosening of components. Please get this done from radiology center nearby you. Visit to your operating surgeon is needed. Hope I have answered your query. Let me know if I can assist you further. |
I have rash on my scrotum mainly the left and right side along with a few odd pimple like bumps that change in location and appearance rather frequentl. Along with an itchy rash and more pimple like bumps, again that change location and appearance often. On top of that an extremely sore throat and difficulty speaking and swallowing | Hello, It seems that probably you may be having scrotal dermatitis and pharyngitis. Consult the dermatologist and ENT surgeon for the perfect diagnosis and proper treatment. Antihistamines like Cetirizine and a course of antibiotic like Azithromycin thrice a week may be considered. Apply mild steroid with antibiotic cream on the scrotal lesions. And salt water gargling may be done to improve pharyngitis. Hope this helps. Chat Doctor. |
Hi my age is 24 and wanted to chck tht whenever I try to get close to my gf some liquid starts to come frm my penis nd when I try to get laid I get ejacuated in seconds could you please tell me the reason behind it and how to resolve it and is this a problem kindly rply asap | Good Day, and thank you for being with Chat Doctor ! The best technique is relaxation techniques. Don't try to think of it much and focus your attention on non-sexual matters like cartoons etc. This is a fairly common condition and requires practice and patience. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at |
Hello. I removed a molar a year ago and the Dentist broke it during the process..half stayed in. No problems till now that it seems to hurt my right ear is risky to go back and do it. I am scared to see the Dentist. It is covered by my gums...my email is YYYY@YYYY | Hi! Welcome to Chat Doctor. I read your query. As you mentioned the molar fractured while extraction, are you sure it was not removed entirely? Usually no part of tooth is left in socket intentionally unless it is small enough to resort over a period of time. Still for clarification or if you are having any symptom, I suggest you go to an Oral surgeon and get an X-ray of that area done. It will confirm if It's still there and whether it needs to be removed or not. If it is causing any infection or pain, it needs to be removed. Do not worry, it will be painless under local anesthesia. As you had an unpleasant dental experience once, please don't keep that fear forever and go ahead. Hope the answer helps you. Thank you! |
Hi. I ve been having severe abdominal pain for over 5 hours starting after I ate lunch. It is in the top center of my abdomen and is a sharp cramping feeling. It is not muscular and I am extremely bloated. I vomited a small amount about an hour after it started. The pain comes in waves of varying degrees. I took a couple antacid tablets that did not seem to have an effect. Do you have any advice on what I should do or any medication I can take to relieve the pain? | Hi. The type of pain you are describing gives me an insight about the possibility of a perforated gastric ulcer. You need to get admitted. Get an X-ray of the abdomen in standing position to see for gas under diaphragm. Intravenous fluids and antibiotics. Nil orally. Do not take anything orally till ordered by a Doctor. Ultrasonography and other blood and urine tests. IF this is a perforation you need urgent surgery. If not the treatment already you will be under will be sufficient, and we will have to find for another causes like Pancreatitis, severe gastroenteritis and so on. |
I was just told I have an enlarged liver. I am 47years old and in good shape. I have slight pain below my ribs. The enlarged live was found on an ultrasound and when my md dd a physical palpating he did not notice an enlarge liver. Otherwise I am energetic training for a 30 k race. | HIT hank for asking to ChatDoctorI really appreciate your concern if the liver enlargement is suspected clinically the need to be confirmed with scanning, if you have rib pain then this might be muscular pain and not related with the unconfirmed liver argument, if this it could be liver enlargement the also it may not cause any rib problem unless have some serious pathology, just forget about this, take it easy, no need to worry about the pain this could be functional pain, hope this information helps you have nice day. |
I am having a sharp twinging pain in my lower right quadrant; when I pressed on the spot early this morning i suddenly felt a little nausea and dizziness. The twinges of pain are more frequent. I don t have a fever, diarehea, vomiting. I am thinking either appendix or right ovary or something with my small intestine. I have had 2 bowel movements today which is not usual for me as I can go 2-3 days without going. Am taking probiotics. Thanks | Hi. Yes the pain in the right lower abdomen which increases on pressure and cause nausea and dizziness is more suggestive of an acute inflammation in the area like appendicitis or ovarian twisting or sudden increase in pressure. This can be easily confirmed by an ultrasonography and clinical examination by a General Surgeon. Get operated if there is a surgical cause as we both are thinking. If colitis or such things' area suspected you can have a course of an antibiotic and supportive medicines. |
Hi, may I answer your health queries right now ? Please type your query here...Mybson who is five years old has been running a temp of 102.9 for the past 8 hours, we have giving him some childrens fever medicine, and have a damp cloth for his forehead but it doesnt seem to be helping. Hes lost his appetite and seems very tired and out of it, should I bring him to the er? | Hi, I do care for your concern. The fever that is not controlled by conservative medications, needs a detailed evaluation. I would suggested consult with your physician, and do complete fever profile to rule out the causative pathogen, and t be treated accordingly. In the meantime the procedures that you are following should be continued to keep the temperature at the modest level. If you do not have any clarifications, you can close the discussion and rate the answer. |
I have had a severe cough since Saturday afternoon. It is not as bad today, but I had some red/orange phlegm that I coughed up today. I understand just from reading that hard coughing can cause this. My question is can something you ate also cause this and are there any otc products I can take that will help? No offense, but I have a major difficulty with actually going to a doctor. Personal experiences have made me this way and I wont go unless I have no choice. | Hello, I have gone through your query and I can understand your concerns. Orange or red colored phlegm is quite common following an attack of pharyngitis(inflammation of your throat) due to irritation of your throat mucosa by pathogenic bacteria. It is also seen in sinusitis. Mucus from throat may have turned orange due to action of certain food stuffs like soft Chat Doctor. We have to rule out these possibilities before commencing the treatment. As an initial line of management I would suggest the following.1-Avoid smoking and spicy food stuffs.2-Do warm saline gargles or gargling with an antibiotic mouthwash.3-Start a short course of antibiotics line \"amoxicillin\" for five days.4-Antihistamines like \"cetirizine\" for symptomatic relief.5-You can have simple analgesics like \"ibuprofen\" for pain. It is always better to consult a physician rather than self treatment. I suggest you to consult an ENT specialist for detailed evaluation and treatment. Hope this information helps. Wishing you good health. Regards. |
Primosa and evon 400has been prescribed to me as a fibrodenomas was detected in my breast. It bein cancereous nt yet detected. Im 26 urs old lady, married, no kids. Do u think d tablets r rightly prescribed fr d dissolving of dat mass formed?? Thank u | Hi, Thanks for writing to Chat Doctor. There are 2 things which happens in breast one is fibroadenomas in which you have pain and diffuse modularity. There will be no formed swelling in breast. 2nd is fibroadenoma in which there will be well-formed swelling which moves freely in breast, and it will not be painful. For fibroadenomas primrose and Evian is useful to treat it. For well-formed fibroadenoma treatment is surgical removal. It won't reduce by you medication. At age of 26yrs it is very less likely to have cancer unless in your family you have many blood related females with breast cancer. Still if you have doubt you can get done FNAC. It is needle aspiration of swelling, and it is examined to know whether it is cancer or not. Hope I have been helpful. Regards Chat Doctor. |
I have been having a problem with abdominal distention (looking like I am pregnant) for about 5 months now off and on. I have been swelled since Aug 8th this time. 6 years ago I had surgery for the same type of issue where they said my intestines were too long and they adhered part of it to my side instead of removing any. I went to a gastroenterologist a couple of months ago and he was concerned that I had fluid in my abdomen - then he noticed spider angioma on my chest so right away he thought liver. I had all kinds of bloodwork done for the liver and an ultrasound and all of that came back normal. When I went back to him, i was not swelled and that was great. When i swelled again, i called and he brushed me off saying it was constipation. I have never been an every day person. Every 3 days is my normal. i really dont feel that is the problem. He went from concerned to patronizing. I really dont hurt (except in my upper abdomen - right under the middle of my breasts). Im just very uncomfortable. I feel like going to an emergency room in a great hospital and just saying ok here i am... please find out what is wrong with me. | Hi. Thanks for your query. Bloating or distension with going for a poop once in 3 days can indicate a problem with the large intestine causing the distension without much pain, nausea or vomiting. I would suggest you the following |
HI my total cholestoral is 218, LDL 168, hdl 41 triglyceride is 93.Should i take medication?Age 37. Also my SGPT 70 sgot 27 my testesterone count is 227 Had been taking garlic pearls at night after bedtime along with revital for few months now.Is there any linkage? I am 6 ft weight 74 with thin built but slight belly fat since past 6 months of sedentary lifestyle.BP remains normal 120 80 or 70...and i do have tendency of being stessed | LDL level 160-189 is considered high and >189 is considered very high .in case of high blood pressure there are more risk associated with high LDL level .but in your case there is no elevated blood pressure, but you are still advised to maintain the LDL level below 130 .you should continue the medicine unless your LDL level is normal you are advised to follow few lifestyle modifications-avoid sedentary lifestyle do daily exercise at least for 30 minutes. Avoid junk and oily food stake food rich of fiber like vegetables, salad and fruits. Thankyou and take care. |
I have a urinary tract infection. But I also have this bright red somewhat like a rash on my inner thigh around my virgins area. It orchestral alittle now that Ive taken my antibiotic,but Im still sore, burns and verry uncomfortable to move. I look at myself and it looks like my skin is dry and so red like if it was peeling..what can I do to relieve this? | Hello and welcome to Chat Doctor, Presence of urinary tract infection and rash on the thigh can be due to similar infection of urinary tract and skin. The skin rash as I mentioned could be fungal infection of skin, or primary skin disease. A clinical examination of the skin lesion needs to be done to decide the further mode of action. A complete urine examination and microscopic examination needs to be done to look for evidence of infection. If detected the microorganism needs to be isolated and Chat Doctor. Thanks and take care |
I am on a Z pack today is the last day also on prescription cough medicine. I ran a low grade fever last night, but not this am. I am still coughing dry and hacking, runny nose, itchy eyes, but the burning in my lungs went away. The doctor said I have Severe Bronchitis. I went Monday night with a 100 fever on tylenol. She said I should be better in a couple of days and I am not. Should I return to the doctor or wait this out? | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should consult pulmonologist. Because you are not taking correct treatment for bronchitis. Inhaled bronchodilators and inhaled corticosteroid (ICS) are first line treatment for bronchitis, and you are not taking these. So you are improving despite taking treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So better to first diagnose correctly and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. |
I had a sudden onset of pain in my right collar bone..it spread across my shoulder and I felt it hit my elbow..it has made my hand feel numbish and is not going away..It took about 20 minutes to a half hour to do this..it is still the most dominant in my neck/collar bone area any ideas..thanks | HelloThanks for posting your query in Chat Doctor. The symptoms you are having are most commonly suggestive of pain due to unnoticed trauma to your collar bone. You might have just ignored the trauma when it happened. These type of symptoms also occur in thoracic outlet syn Chat Doctor. So, i would suggest you to consult an orthopaedician and take a shoulder X-ray and confirm the diagnosis. Hope you are happy with the answer. Thank you |
hi. i am experiencing pain around belly button for a week. it comes n goes, just above belly button part is very tight n hurts when i press my belly there and i can hear a heavy pulse. and this happens mostly when i lift up heavy weights and back pains. Theres this burning sensation in the abdomen with grumbling sounds | Hello and welcome to Chat Doctor, Pain around the belly button and hearing heavy pulses at the same site is suggestive of a vascular pathology. Aorta is the big blood vessel which runs from the thorax to the abdomen before dividing into renal arteries. Any abnormality of the vessel especially aneurysm will cause turbulent blood flow and loud audible pulsations. You need to get an MRI of the abdominal area to know the status of the aorta and other structures. Consult a cardiovascular expert for clinical examination, ordering investigations and hence management. Thanks and take care Chat Doctor. |
my 6 year old daughter has tested positive for strep twice now and is on her 2nd round of antibiotics, she has complained of severe abdominal pain and is now having nosebleeds. She had been complaining of the abdominal pain before this 2nd round of antibiotics, but now has the nosebleeds. At the start of this she had sudden onset of abd. pain, with fever , vomiting, grey skin color, heart rate was in the 160 s. We went to the ER for this and she was started on the 2nd antibiotic there through IV, and responded well to this. I am still confused over the abdominal pain and nosebleeds. | Hi.... Can you describe the complaints in details? Does the child have history of nose picking? Is there underlying Cory like symptoms? Nose bleed can most commonly be due to nose picking or can be a manifestation of underlying bleeding disorders. As it is associated with the abdominal pain and fever we should also think about infective etiologies like dengue where the patient has high grade fever, rash, epistaxis, Aldo pain can be associated. Other possibility is that this nose bleeding may be different from abdominal pain. I think the child will need few investigations such as hologram to look for platelet count and bleeding and clotting time. Also, please let me know how is the abdominal pain and fever at present? |
Hi Doctor i am male suffering from leg pain can you please suggest some good treatment for the sameHi Doctor i am male suffering from leg pain can you please suggest some good treatment for the sameHi Doctor i am male suffering from leg pain can you please suggest some good treatment for the same | Hello, I will advise getting it examined once to rule out any neuropathy or other muscular pathology involved. Based on clinical examination the medication can be prescribed. For now, you can do hot water fermentation and take the help of a Physiotherapist close by who can help to reduce the pain with the help of the TENS therapy. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
hi doc my wife is 7 weeks pregnant, she is observing continuous vomiting, she is feeling too much weakness. Doctor has suggested her Duphaston tablet twice a day. My wife believes that due to Duphaston her vomiting has been increased. It is worth-mentioning here that scan report shows only pouch not baby. please tell me either she continue duphaston or not...???? | Hi. Duphaston is given to prevent a possible miscarriage or spontaneous abortion. As only the sac is observed and not the fetus inside, there is a risk present of a possible abortion. To avoid this, phaeton has been prescribed. The nausea or vomiting is due to a hormonal surge, and is expected. But please do not discontinue the phaeton at any cost, it could very well save your babies life. Best wishes. |
I have stage 4 kidney failure my gfr is 17 now. in a couple of weeks I see my nephrologist to check my numbers. I have itching all over my body mostly scalp, arms, back i just started doing this a couple of days ago. Is this a symptom of kidney disease? | Hello and welcome to Chat Doctor. As a Urologist, I fully understand your concern. If you're on dialysis, you should see your nephrologist urgently, as this kind of itching is likely to be an allergic reaction, to some medicine. Itching as such, is not a symptom of kidney failure.You'll need to check your blood creatinine and urea, electrolytes, and Hemoglobin. Urine micro-albuminuria should also be checked.You're welcome to contact me by name, if you've any other doubts. Wish you well. |
I have known trigeminal neuralgia (bilateral) for which I have gone through several surgeries on the right side in 2011 and 2012 and 1 surgery on the left side in 1995. I also had meningitis from a shunt being placed in 2011. I have been experiencing the feeling of fluid running along the inside of the side of my head. What could this possibly be? | Thank you for asking Chat Doctor. My name is Chat Doctor. As you underwent shunt surgery you might be experiencing CSF running in the shunt... As the shunt might be ventriculoperitoneal shunt which is placed subcutaneously placing ventricular reservoir under scalp and peritoneal end in the subcostal region. Due to passage of excess CSF from shunt reservoir to peritoneal the pressure exerted by CSF in the shunt tube. Hope this may help you. Let me know if anything is not clear. Thanks. |
I have a really bad cough for the past week, and at first it was just a bad cough then it started to taste like I was coughing up blood but there was no blood and now I have this awful metal taste in my everytime I cough or sneeze. What could be causing thia | Hi thanks for contacting Chat Doctor. Noted you have main complaint is of cough. Let me know you whether it is Chat Doctor. ... So it can lead cough as by infecting respiratory tract.... Let me know you if you have acid reflux disease then also by irritation cough can occur. Do you smoking? As here bronchitis like condition might lead cough.chest x-ray useful which show prominent bronchovascular marking... Metallic taste here I think need not much concern. Maintain oral hygiene for it. |
I need to speak to a cardiologist.My husband is having some weird symptoms after just a month of having stentsI have tried to get him to go to urgent care before they closed with it being Saturday and his Dr is not in.But he refused.Now im wondering if i should call an ambulance .which he is refusing also. | Hello! Thank you for asking on Chat Doctor! I read your question and understand your concern. If he has complains such as |
I have a throbbing pain on my right hand side. It began off and on a couple of months back. Now it is effecting my sleep, and daily activities. It has begun to be constant in the last few days. It is directly on my side around the middle; above my hip area. | Thank you for question. 1) Thoracic Outlet syn Chat Doctor. The reason could be a) Cervical rib |
i got tooth severe tooth ace on tooth 14 . Went to Dentist, She found minute crack on it and given antibiotic and painkiier, After taking antibiotic for three days now i am feeling minute painSuggested the following treatmentRoot canal and capping the tooth. Is root canal really required ?How to know the teeth is infected or not , Is there any test. | Hello.read through your query...accordingly I must say that your lucky that crack in the tooth has been detected...many situations cracks cannot be detected and patient feels pain no matter what all treatments v do...rootcanaltreatment is required(I strongly feel)in this case....and crown also required otherwise the tooth after root canal treatment may fracture...also the success of the RCT depends on the place where the fracture has occurred...so I strongly give opinion that root canal treatment is required for crack...pain that your feeling after antibiotics is due to exposure of pulp through the crack...so go ahead with the treatment...if it's a vertical fracture extraction has to be done....as it has poor prognosis...so follow your dentist go ahead with the treatment.hope your benefitted something from this reply.have a healthy day!!! |
I suffered with Autoimmune Hepatitis for 15 years and was on Predisolone then Azathioprine. I have been drug free for over 5 years as my liver function is normal. I still have Smooth muscle antibodies in my blood. Could these be attacking any other part of my body. I also have Raynauds Disease and Vitiligo. | Hi, dear. I have gone through your question. I can understand your concern. You have autoimmune disease. So your antibodies will always remain there. You have also high chance of other autoimmune disease. Your antibodies may cross-react with other cells and produce other symptoms also. You should go for complete ANA profile and take steroids according to your doctors' advice. 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 Doctor , I am Jeevan from India and working late nights & to be fit I tried to do some exercise in gym, but from last month I have started pain in my right leg but i continued exercising and now I have pain in my heap also(but its not more). but doctor said may be it can lead to disk problem. I am scared Can you please help & let me know how bad it is? | Hi, First, get the x-ray of lower back and MRI of the lower back. Yes, it could be a disc problem and can not be taken lightly. Avoid weight lifting, prolong standing as much as possible. Do hot fomentation, apply any topical gel, take a muscle relaxant. In maximum cases, it will resolve by doing above measures along with physiotherapy but sometimes it can be serious issues. Hope I have answered your query. Let me know if I can assist you further. |
I was on a mission trip working on bathroom under a lot of stress lately allergic to dust . I found all of a sudden on Thursday two knots one one sid of neck the othe on back of neck on right side was a littles tight from tension. you can move the small lump around on gland. came back and got an adjustment the Dr of chiropractic medicine said knot should go down my neck ws really tight. It has diminished some he said it would take a few days | Welcome to Chat Doctor .1. Multiple lumps/mass on the neck region is generally seen in thyroid glad pathology.2. As you also say there is similar looking lesion on backside of the neck.3.If this case I would order for an ultrasound scan to find out the content of the lumps/mass (solid/cystic/mixed) and relationship with the adjacent structure and glands.4. Only after that we can conclude the diagnosis.5. Suggest you to get an appointment with your doctor, let him do what is necessary. Anything to ask ? Do not hesitate. Thank you. |
I am 51, 5 11 180lbs and had a double bypass 16 years ago after angio and stent failed. About 2 months ago, I had valve replacement (mechanical). The surgeon also had to repair an aneurism and remove part of a LEAD WIRE left in my ascending aorta from a procedure done 16 years ago! I have had a few related problems since then. I was actually admitted back into the hospital for 8 days because the chest tube was removed prematurely so that they could send me home. Approximately 1000ccs of blood fluid had accumulated in my chest cavity. I was on coumadin so they had to take me off of it, drain the fluid (only 700 of the 1000ccs), and then place me back on coumadin and get my INR back up. I have been recuperating and doing well, but have recently in the last 4 or 5 days been feeling pain around my left lung again and running a low-grade fever from 99 to 101 for about a day or two. JUST TONIGHT, I started noticing that my heart would skip a beat every 5 to 15 seconds or so. I am wondering what could be causing this all of a sudden. Am I okay? And will I live through the night? The on-call doctor I spoke with tonight (McKinstry) was flippant about the whole thing and said I should just go to the office in the morning and get an EKG. He was rude and impatient and did not care. Can you provide me with a little peace of mind and perhaps a little insight as to my condition so that I may be able to sleep tonight? | Hello thanks for posting at Chat Doctor. I have gone through the history provided. Since you have a mechanical valve you are put on warfarin. Due to the chest tube placement and subsequent removal I suppose you have got a hemothorax which means blood in the outer covering of the lungs. So the fluid inside the lungs might as well be blood. This may have happened due to the instrumentation (initial placement of the best tune then removal and second 700 cc removal) and also because you are on Coumadin. Other reason for the fluid collection can also be infection due to chest tune placement (foreign body inside chest cavity). Since you got chest pain around your left lung and also fever, I suppose the fluid has collected again and might as well be infected. There is no emergency at present, and you can go to see your doctor in the morning. I recommend a chest x-ray to see if there is fluid collection again in the chest cavity. If there is persistent fluid, then it may be removed and sent for analysis to rule out infection and establish the cause of reaccumulation of fluid. Phase revert with the chest x-ray and pleural fluid reports. Wishing you good healthRegards |
my boyfriend has a hard bump under the skin on the left of his chest about an inch under his nipple.. the doctor touched it and told him it was probably just calcium build up. this was over a year ago and he is now saying that he thinks it has gotten a little bigger he said it doesnt hurt at all or effect him in anyway should we get a second opinion and a chest scan or something done. i am worried that it could be something else and would like a couple of opinions as to what else it might be if it is not calcium build up.. thank you he is 35, 6 foot and 146lbs | Dear, Thanks for the query to Chat Doctor. I studied your query and understood your health concerns. Remedy and cause-of your problem-In my opinion are-your boyfriend has Sebaceous Cyst ? Epidermoid ?chronic boil-lump mostly-as it's there for 1 yr and not painful but increasing lately. I would ask you to consult ER surgeon. I suggest you following -Treatment -a-Consult Er Surgeonb-Tab-Nsaidsc-If no relief I would advise FNAC Biopsy from ER Surgeon and would treat it according to its cause by excision. Revert to your doctor on this advise-who would help you. This would help you to resolve your query. Welcome for any further query in this regard. Write review ASAP, with strong recommendations for Me and Chat Doctor to benefit old and new patients. Have a good day. With Chat Doctor. N. |
I have a sharp shooting pain to the back of my head on the left side of my neck below the ear. At the moment there are frequent sharp spasms of pain. This began 3 hours ago and has gradually become more severe. The spasms are currently occurring about every 20-30 seconds. The pain just came on. No physical jarring or turning etc. | Hi, Thanks for writing in to us. There are many causes of a shooting pain in the back of the head. Commonly a neuralgia of the trigeminal nerve can cause such a condition. It has branches which supplies the back of the head. This can trigger sharp pains to the area. However, a clinical examination is required to confirm the condition. Other causes of such pains can be from nerve pinching in the cervical spine. The nerves leave the spinal cord through small foramina and if there is cervical spine disc disease then the nerves are under pressure and can cause a sensation of sharp pain in the back of the head and neck regions. Pain below the ear can also happen due to inflammation of blood vessels called arthritis, usually temporal arthritis is a common cause of pain on the side of head and around the ear. Please consult a neurologist for confirmation. Please do not worry. |
Hello Dr,my son aged7yrs,sufrng frm chronic. Cough since 3yrs.med,started kufrest.his privious priscription,kufrest,3dos/day,klamkid-antibiotics 2/day.after this the cougChatDoctores to control but after 8/10 days again cougChatDoctores back.Nebulisation was also given during the above medicine (Deolin-1.25 hlf dose,budecart o.5 full Rep,at a time,3/4 doses daily. After this seroflo spray,motemac tab one/bedtime) | Welcome to the Chat Doctor I have gone through your question and understand your concerns. The symptoms of your child and his response to the medications you mentioned are suggestive of childhood asthma. Don't worry as it's an easily treatable condition. The most important part of therapy is clinical assessment to categorize and thereafter regular preventer therapy. The preventer therapy includes Budget or Forecourt metered dose inhalers(MDI), albuterol, former, montelukast etc. I usually start my patients with mild to moderate asthma on decor MDI twice daily. Thereafter, if the child remains significantly symptomatic, the. The dose is accordingly increased. Also, the growth, BP, Calcium metabolites are monitored. I would recommend you strongly to meet an expert pediatrician and discuss your children case for proper treatment. Hopefully this will be of help. Take care |
Hi I am 28 years old. I had antibiotic for common cold , cough and fever , after that i had unprotected intercourse, (12 days after my periods) and within 2 hrs, i had I- Pill . Then after 2 days, i again had unprotected intercourse, and i was already on antibiotic, again after 3 hrs i had I-pill, but this time i mixed it with alcohol. ( i had I-pill for like only 2 or 3 times in my entire life.) Will the I-Pill still work? Am i Safe ? I am really worried and need to know about this asap. Also. if there is any side effects of it? | Welcome to Chat Doctor. There are chances of pregnancy you had intercourse during fertile period of cycle. But need not worry because you had taken I pill immediately. You can continue your antibiotic with I pill, it will definitely work. There are chances of gastritis if taking together or with short period. Go for urine pregnancy test if you miss the period. Avoid unprotected sex and stress to be of pregnant. |
My son fell on his elbow and another child fell on top of his arm. It happened just yesterday so it s still swollen and squishy around his elbow? He complains it hurts when he stretches his elbow? Any suggestions on if I should take him to see a doctor. | Hello, Usually, kids have growing bones and are quite flexible. This types of pain go away with simple hot water fermentation and cr\u00eape bandage. But to be on a safer side an x-ray is advised as bones are still into the growing stages and the bone end plates are prone to have inflammation, and that is the reason your son is complaining about pain at the elbow anterior aspect. Taking x-ray will be of choice. Post which support of elbow brace and hot water fermentation is advised. Slow and low-intensity range of motion exercises along with careful Strengthening will help improve the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
Hi im a 53 yr old male was taking enalapril 10mg bid for months. BP was manageable. 9 days ago at my 3mo follow up my bp went from 134/90 to 177/120. My doctor increased it to 20mg bid. My pressure stayed the same for nine days until I went to VA emergency. they gave me 3 25mg metoprolol over a 3hr period. My pulse was120 also. My pulse came down to 88 but my bp only to 164/118. So they ran ekg no problem sent me home with metprolol 100mg bid with enalapril 20mg bid. I took one of each when I got home. Using my omron arm meter my best bp after1 1/2 hr was 177/120 pulse 96. Should I return to er or give the medicine more time? | Hello Sir. I have read through your question and I can see that you're BP is not stabilizing. If I was your physician I would have put you on a calcium channel blocker a KE amlodipine and continued the Metropolis at 50 mg BD. As calcium channel blocker is very good at controlling BP at your age. Also, if your kidney function tests are normal it would be beneficial to start you on a thiamine diuretic like HY Chat Doctor. You can discuss this with you are physician. Hope that answers your question. Please feel free to write If you have any further questions. |
i have this rushing feeling in my head my face feels tight ans numb then I get chest pain in center of chest and left arm goes numb. when it happens i lose all memory of what i was doing and cant recall where i was. i get very tired afterwards. i am 53, about 130 lbs. i have a histort of high blood pressure. | Hello. Thank you for asking on Chat Doctor. I carefully read your query and will try to be thorough with my answer. The above described symptoms could be of various origins. As a cardiologist, I would like to clear the cardiac origin first. Chest pain with coronary artery origin is called angina, and it is described as a chest tightness, heaviness which starts in the midchest region, radiates to both sides of the chest, throat, jaw and left arm, start with physical activity and ceases with the cessation of this physical activity. People with high blood pressure are prone to have these symptoms and, adding your age, are in risk for cardiovascular events. I would recommend you to be put on a 24-hour blood pressure monitor to see if your hypertension is properly controlled, and further adjustment should be made. As for the episodes with losing memory and not remembering what where you're doing, I am not sure if these are fainting episodes. Anyway, I would recommend a 24-hour Holder rhythm monitor and a color Doppler echo of the carotid (neck) arteries. Then, it would also be advisable you consult with a neurologist. At the end, I would also recommend some blood tests |
Hi, I found out that I m 5 weeks pregnant about 4 days ago. I was having slight pains in the abdomin area. So I went to the hospital and turn out I was pregnant. Dr. recommended a vaginal ultrasound and ever since I ve been itchy and my inside is red and swollen. Is this normal? I m very quite worried. Also I have been discharging white liquid that turns into white cottage type. I need help in what this can be. | Hello, I have gone through your query and understood your concern. The origin of your present complaint dates to the time of your sonogram. Your symptoms do suggest a fungal vaginitis. This has perhaps been caused by the instrumentation you had during the sonogram or improper cleaning later on. You should immediately see your health care provider, get a proper examination and initiate treatment to control the infection. Vaginal medication is preferable since you are in the early stages of pregnancy and antifungal medications are not advisable orally. Do not douche or use strong soap solutions; use lukewarm water to clean the genital region. Hope this helps. |
My granddaughter is 3 weeks old and has cried excessively at random intervals that last anywhere from 2 to 8 hour periods. Her mother is nursing her but was told to stay off dairy. The infant was taken to the pediatrician 2 weeks ago and was told there was a microscopic spot of blood in her stool. The baby has very occasional times where she looks peacefully about and seems pleasant and will suddenly scream in agony; dreadfully, the crying process begins. She has been given gripe water, milocon. Any suggestions would be gratefully appreciated. | Hi, sorry to hear about your granddaughter. But this is what 90% of babies go through during first 3 months of life. Ask your daughter to stay of milk and nuts. When the episode starts put the baby prone over your lap. Sometimes if it is due to gas the crying stops. Take the baby to an aerated spaces. Avoid cellphones and TV or internet during feeding the baby. Ask mother to be relaxed and take plenty of water and fresh fruits. Hope she gets fine. Good day |
hi this is salma from Bangladesh, i had a lump in my right breast which was positive malignant cell and was removed March 5th 2013 it means 9 days before and the histapathological report are | Hi, Decision on chemo/radio will depend on the staging of malignancy. Tumor size, no of lymph node, lymphovascular invasion, opposite breast mammography report, margin status are important, hormone receptor status to be identified for perfect adjuvant treatment both chemotherapy and endocrine therapy. You may inform those reports. It will be easier to me to answer about the appropriate treatment. Take care and follow your oncologists' advice. |
is asthma compleatly curable? | Yes. Asthma is completely curable with Ayurvedic treatment. First a panchkarma procedure HAMAN is advised for patient. Haman karma is basically a cleansing and purification therapy for the Kafka related diseases. Its therapeutic basis (vomiting) for purification of chest region. Then a few medicines are given to the patient and diet precautions are also advised to pts. If pt follows the instructions of doctor he can lead a normal life without any medicines. |
hello,doctor i went to my doctor today and he said my lungs sound real clear i quit smoking 2 yrs. ago and gained 27 ponds since then and i have borderline blood pressure but i had asthma as a child and it feels like its back but the doc said my lungs sound clear what does he mean help me please thanks sabrais... | Thanks for your question on Chat Doctor. I can understand your concern. Lung sounds clear means, there are no abnormal sounds like crepitation, rhonchi or wheezing. Crepitation heard in pneumonia. Rhonchi and wheezing heard in asthma and COPD. Since these sounds are not heard, it is unlikely to have these diseases. This is the reason why your doctor told that lung sounds clear. But in my opinion, you should get done PFT (pulmonary function test). PFT will pick up early asthma and COPD as you were smoker. If PFT is also normal then no need to worry. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
does mosegar increase sexual power. can it be used regularly vitamins? doctor! my age is 34 years. i weigh 95 kg. i am 5/10 tall. my problem is that i want to enjoy sex with full satisfaction and hardness. i always fee there was lot more to be done after intercourse. though i am fit. | Hi, Moseley (pizotifen) is an antihistamine and serotonin receptor antagonist commonly prescribed to treat migraine and other types of headaches. It is not proved to increase the sexual power. Based on the history you seem to be suffering from erectile dysfunction for which you need to consult your doctor for sildenafil or falafel for better erections and satisfactory intercourse. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi, I found a mass on my right mid to upper rib area that is not attached and floats when moved! I saw my Doctor today and he said I had lymphoma--- non determined which type at this time. He said that he was wanting to be in the watch and see phase at this time, I guess praying his diagnosis is wrong. Do yo feel I need a biopsy of mass done now, or wait as he suggested? | Hi, dairy have gone through your question. I can understand your concern. You have mass in the rib area. SO if your doctor suspect lymphoma then you should go for biopsy. It will clear all doubts and give exact diagnosis. Then you can start the treatment of lymphoma at early stage. And if it is not lymphoma then no need to worry. But biopsy should be done to clear the picture. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
Hi I have pain at the right side below my chest but it very hard at the time of motion/toilet.It increases when I made pressure for toilet. I know the pain started before 2-3 days when I seemed to nausea/vomiting and I tried for it.No vomiting but feeling like that. please suggest me | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-IBS C with HERD. Dear, You need to have physical check-ups from Surgeon. Get EGD(Esophago-Gastro Duodenoscopy) to assess the Gastritis and omitting in your case. Also assess for other causes of dyspepsia -like Gall stones/ appendicitis which could cause sucChatDoctorplaints. Remedy-Check up with Surgeon and get photocopy and rule out any Piles / parotitis / and fissure in ANO and treat it accordingly with medicines and surgical care. Bland Diet with non-fried / non-spicy liquid diet for 3-5 days Skimmed Butter Milk. Rice soup / oatmeal x 3 days time would recoup from the Constipation and imbalanced fluid balance Sporran DS- a probiotic-1 x 2 times a day x 2 weeks PPI like- Pantoprazole Domepridone- 1 x 2 x 2 weeks. Gradual changeover to solid food would recoup the present problems of hardness at motions. For to recover hard motions-Dulcolax suppositories. Acute nausea with right abdominal pain and right chest pain would be relieved once constipation gets relieved. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
Dear doctor(s) | Hi thanks for asking question. Here according to history provided by you here all viral markers are negative. Hepatitis an is not cause here.it might be false positive report, or it is cured now. Here patient having high ammonia suggest progression toward chronic liver disease or chronic hepatitis or cirrhosis. The cause can be you are right is cryogenic hepatitis which can be idiopathic ... Rule out alcohol history as it can lead chronic hepatitis and cirrhosis. If possible after decrease in ammonia level liver biopsy can take.Meanwhile, instruct patient for less fat, less protein diet...fruits more. Papaiya seed with lemon juice good herbal remedy. Take care. Chat Doctor. |
Hi Doctor, My report shows - liver is mildly enlarged in size with increased echogenicity. what does this meanalso my husbands reports shows calcification in right lobe of liver? Calcified Granulomaalso left renal cortical cystPlease advise if there is any issue and also the remedy for it | Hi and welcome to Chat Doctor. It would be easier if you've posted the liver enzymes findings. It ma indicate alcoholic, viral, autoimmune or toxic liver damage. The most probable cause is is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health. |
My male partner, 62 years of age has blocked carotid arteries as a result of radiation therapy for throat cancer 15 years ago. On Friday, after a day of sitting, he was dizzy and feeling disoriented for about an hour at 4 | Hello and thanks for your query. I understand that you are concerned about your partners recent episodes. Of disorientation and memory disturbances. From your description, it appears that he may be having Transient Ischemic Attacks (TIA). Another possibility is a Temporal Lobe Epilepsy. TIA is a condition where a person has temporary neurological disturbances whicChatDoctorpletely resolve within a day. This is usually caused by blood flow problems in the brain. In your husbands case, this is very likely, and it could be related to the blocked carotid arteries. Since he has had two consecutive attacks, it is definitely worrying, and he needs urgent neurological evaluation and further management. So, please take him to the ER for immediate medical attention. Best wishes. |
My neighbor s 4 yr old has circular patches (5 +) in multiple places, legs, feet etc. I originally thought it looked like ringworm except for the small excoriations in the center of each and bruising under each. She went to an urgent care and was told coxsackie virus. No hx of fever or malaise. Can coxsackie do this? | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
I have spider veins in my legs and the other day i felt a slight burning feeling over one of them. When I looked down there was a hard tender bump over it and now there is a large black and blue spot but the bump isn t there anymore and the tenderness is pretty much gone. I didn t bump my leg at all it just happened when i was sitting on the sofa. | Hello, Thank you for your question. Your history of spider veins and the blue spot on your leg can be from venous congestion caused by varicose veins. A congestion of blood in the leg veins can cause swelling and skin changes in the skin over the legs. This can be treated by treating the varicose veins. An Interventional Radiologist like me can treat this by either an Endogenous Laser Therapy or by Radiofrequency ablation. Both the spider veins and skin patches should disappear after this treatment. Chat Doctor. |
I am 25 weeks pregnant and I have no energy and so drained and tired,also I have severe pain in my back on my right side where my rib cage is,it hurts so bad it throbbs,I can t sleep I toss and turn,is this my baby in my ribs or something more...please help me | Hello dear, I understand your concern. In my opinion the pain in the rib cage and back can be due to muscular pain or gastritis. Avoid spicy and oily diet. Take food in small quantities every 2 hourly. Take antacids. If not subsiding take paradox for pain and local irritants and hot fomentation can be applied.Don't worry It will subside. Some or other types of non-specific pains are common in pregnancy. They will subside spontaneously. Best regards... |
I started with a sore throat on Friday evening. Which turned into heaviness in chest, dry cough which changed to phlemy yellow/green mucus. 1 week later I am still coughing.. but now I have these tiny bumps all of my face that are NOT red at all, my face at first felt like it had been sunburn and now feels very dry. | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of viral infection is more. Viral infection can cause skin lesion on face. This can also cause upper respiratory tract infection (URI). So your symptoms like cough, throat pain, heaviness in chest is due to viral URI. So Chat Doctor. Do warm water gargles 5-6 times a day. Start antihistamines and anti-inflammatory |
Hi, my mom is 87 years old. She is having multiple health problems. She is on dialysis and will be getting a catheter on Monday to remove fluids in her lungs. Recently she is has been very nauseous and has thrown up quite a bit. This was even before the pulmonary problem. It seems that when her food is thicker she is able to keep it down. she actually throws up after I give her liquids. A gastroenterologist will see her when she is hospitalized for her procedure but that is on Monday and this is Thursday. Every meal I prepare for her is making me so anxious. What can this be? She says she does not have acid reflux. | Hello Thanks for posting at Chat Doctor. I have gone through your description. So the issues she has are kidney dysfunction, dialysis dependent and fluid in lungs secondary to fluid overload. Intolerance to liquids can be due to esophageal problems (food pipe). So a gastroenterologist needs to be involved and an endoscopy of the stomach has to be done. Further action depends upon the findings in endoscopy. Putting a tube in the chest to remove fluid from lungs can provide rapid relief of symptoms and also the fluid can be tested to find exact cause of accumulation and presence of infection. In the meanwhile you should give fluids via straw which she will tolerate better. Also, please don't continue feeds if she coughs while eating or Chat Doctor. Wishing her good healthRegards |
I have chronic back pain ...ct shows enlarged lymph node near kidney & scheduled for Pet scan. I had cervical cancer 4 years ago and they suspect malignancy. Have been taking advil only & doctor wants to put me on oxicodone based medication. What combination is least addictive and damaging. Acetominophine upsets my stomach and I am concerned about effects on my liver. what about percodan or hydrocodone/ibuprofen | HI THANKS FOR POSTING YOUR QUERY.YOUR RELEVANT CLINICAL HISTORY POINTS LIKELY TOWARDS A METASTATIC DEPOSIT(DISTANT Tumor SPREAD) AS THE CAUSE OF YOUR SYMPTOMS, PARTICULARLY CHRONIC BACKACHE.IN THE VIEW OF PAST HISTORY OF CANCER CERVIX 4 YEARS AGO, A Tumor SPREAD TO VERTEBRAL COLUMN BONES SHOULD BE SUSPECTED AS A CAUSE OF CHRONIC BACKACHE.SUCH DEPOSITS IN THE Backbone ARE LIABLE FOR PATHOLOGICAL FRACTURES.YOU NOW HAVE A PERFECT INVESTIGATIVE FOLLOW UP IN THE FORM OF CT SCAN AND A SCHEDULED PET SCAN .PET SCAN IS KNOW TO EXHAUSTIVELY DETECT Tumor RECURRENCE.BACK PAIN DUE TO CANCER SHOULD BE MANAGED WITH OPIOID Chat Doctor. |
my father had a severe swelling all over his body and collapsed one day.He was with no respiration, no heart beat for few minutes Luckily we were in the hospital one day and he could get a ventilator immediately. He was on ventilator for 7 days in i.c.u. The reason was respiratory acidosis. I want to know the reasons and the precautions we should take to avoid such condition in future. | Thanks for your question on Chat Doctor. I can understand your concern. Respiratory acidosis within swelling all over the body are commonly seen with Cor pulmonary. Cor pulmonary is right sided heart failure due to pulmonary diseases (most commonly COPD). So if he is smoker then smoking should be stopped immediately. Give him medications and inhalers regularly. Fluid restriction should be done (less than 1.5 liters per day). Salt restricted diet should be followed. Get done adult respiratory vaccines like influenza and pneumococcal. Do regular follow-ups with your doctor about his health. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. |
Good day..my boyfriend was diagnosed with the problem in his c6 and c7 herniated disc in his mri result..,His now on his 5 months of therapy but his problem still not experiencing relief..HE DOESNT WANT SURGERY BUT IN IS SURGURY COULD BE HIS LAST RESORT TO HIS DISEASE.?THANK YOU | Hello, thank you for your concern and question regarding your boyfriend. My opinion is that the surgery should be the last step for herniated disc and only after all other treatment alternative have been used and failed. I do not know the grade of the disease and what are the complaints (pain, numbness of arms or weakness of muscle and reflexes) but usually I start the treatment with pain relieve and some sort of collar for immobilization of the neck for few weeks. Then continue with physiotherapy procedures such as ultrasound magnet therapy and tens but not manipulations. Most of the time the hernia will shrink down and absorb. If your situation is the same or worse after 6 months you can start to think about the surgery which nowadays is done with small incision and the complication rate is very low. I wish you a quick recovery. |
Hai Doc., skin on my penile shaft is dry, rough and wrinkled. tip of the penis is itchy sometime. i had unprotected sex once and its been while a six months ago. small red sores like on the penile head are appearing once in a month. pimple like appearing on my face and body some time and more importantly my skin is getting dry and shiny on face, legs and hands. i went to dermatologist, tested negative for HIV, he diagnosed it as Moniliasis (yeast infection) and recommended ammoxycilin and dicloxicin. but i didnt find any best result. i would like to have your suggestions or advice. please its very urgency. | Hi, You seem to have candidiasis. It may be called candida balanoposthitis. It is caused by Candida albicans. You consult dermatologist for firm diagnosis. DM should be ruled out by testing the blood. You may take antifungal like ketoconazole cap once a day for two weeks or ketoconazole tab once a day for two weeks. If there is itching, you take levocetirizine. Apply antifungal cream like clotrimazole or fluconazole. Take a Site bath in detail water. For other problems, you discuss with your dermatologist and take treatment accordingly. I hope you got my answer. Thanks. |
My beutiful daughter was diagnosed with stage ll colon cancer last week, She is 45. The subsequest CT scans shhowed lesions on her liver She is doing a Gerson cleanse...doesnt want any chem, op or anything surgical. She isnt treating her liver. Realisyically I have read she will not, can not survive if this is left untreated Am I correct ? | Hi, dairy have gone through your question. I can understand your concern. She has colon cancer with metastasis in liver. So it is considered as stage 4 cancer. Treatment is very difficult. Chemotherapy remains Chat Doctor. However, despite treatment prognosis is very poor. Survival rate is very low. I am very sorry to say, but a man should not expect much from this case. And you are correct. If it is left untreated then life expectancy is very low. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ |
Hello, im 17 & i started using the birth control patch Ortho Evra to regulate my irregular period. I started yesterday & ive been on it for two days now & i have been feeling nauseous and with strong back pain that i cant stand or sit for a long period of time. Is this normal to have strong back pain from this birth control? I havent had my period in 2 months so my doctor proscribed hormonal birth control to help my system i hope i can have a regular period soon. Any thoughts if this is normal?? | Hi. Thanks for asking in Chat Doctor. Ortho Era is a transdermal patch containing more amount of estrogen than the regular contraceptive pills, increasing the risk of estrogen related side effects. Such side effect depends upon the amount of estrogen absorbed from the patch, and it varies in each individual. In fact an FDA advisory warns of a potential risk of increased thromboembolism in those with higher absorption rate. If your inability to stand for a long time is due to severe calf pain, you should rule out deep vein thrombosis, although such a risk rarely occurs within 2 days. Back pain may also be due to other causes. Higher estrogen levels often results in nausea. Probably, your rate of absorption of hormones from the patch is high. Transdermal patches are much more convenient than the OCP, which needs to be taken at the same time daily, posing a problem for young girls like you and may be that's why Or tho Era has been prescribed for you. But since you are having severe back pain, nausea and inability to sit or stand, you should consult your treating |
Back pain mild at start, left lower flank, a few days later post heat pad, red almost burn appearance, stiff back (?secondary to lack of movement last few days), current multiple papules X 2, prior to papules, skin sensitive to touch, burning sensation post appearance itchy | Cellophane you for trusting ChatDoctorHow old are you?? Are you diabetic or hypertensive?? Dear it may be due to herpes zoster or Tania corporal infection may cause rash or burning sensation.Sometimes spondylosis witChatDoctorpressive neuropathy may cause pain to particular area. Use tab.icicle MR twice a day for five days. Please consult your doctor he will examine and treat you accordingly. Take care |
I had my gallbladder removed due to stones but have had pain continuing. I get bouts of diarhea and burning pain like I have swallowed acid into my stomach or intestines? I have had 2 colonoscopys and both said ok. This is the same pain I had before surgery only it is getting worse all the time, Now I am getting sharp pains that shoot into my back on the right side. I find now even a tiny bit of gas hurts so bad. I am taking omeprazole daily and antacids do not help. I feel nausia often. 12 days after surgery I came down with shingles in my left ear and Bells Palsy and now my neurologist thinks I have neuropathy so every complaint I make about my gut is passed off as neuropathy pain. The head pains like ice pick headaches I now get from possible nerve damage caused from BP is also intensifying. Could it be possible that a stone could be lodged some where which escaped from gall bladder before its removal? I am so tired of being in pain every day/ | Hello, Welcome to Chat Doctor. From your Query I understood that you are suffering from Post Cholecystectomy syn Chat Doctor. As Reservoir for bile(Gallbladder) from liver is removed, bile flow into intestine increases. It moves into stomach and esophagus. This lead to Esophagitis and Gastritis which cause abdominal pain and burning sensation. As bile moves into lower side of intestine, it can cause diarrhea and also colicky abdominal pain. You need Proton pump inhibitors and antispasmodics and also sedatives.ERCP can be performed if symptoms are intolerable. You also Have Bells palsy. It needs Physiotherapy and nerve conduction study. Methylcobalamin and gabapentin are helpful. Hope this helps. Take care. |
Hi today I was working on a roof and a old nail tack went into my wrist, I had to pull it out. It was bleeding for a while but seemed ok. Should I be worried and do I need a jab, its slightly tender where it pierced my skin. Anymore to the left think it may of been more dangerous.. Are the any side affect too | Hello, Thank you for posting st Chat Doctor. Any external injuries especially with metallic objects should never be neglected. I would advise you to visit the nearest doctor and get a shot of tetanus injection. Also, gr would advise short course of antibiotic tablets with some analgesics. Apply antibiotic cream containing mupirocin twice a day. Hope this will take care of your query. Thank you Chat Doctor. |
I have been ttc for the last six years with no success, three months ago i did ultrasound scan of the pelvic and shown a polyp in the uterus and thick uterine linings. The doctor removed the polyp and recommended hyponidd tablets for between three to six months. I am now on the fourth month and nothing has happened. Please assist. | Hi, Welcome to Chat Doctor . I would suggest you to get your follicular study done. In this you will come to know you are ovulating or not and timing. This will help to plan better. Also, I suggest going for ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Thus increasing chances of pregnancy .you may try 3 to 4 cycles with Josephine before proceeding further. Hope I have been helpful. Regards |
hello sir, im 31yrs old working as an accountant my problem that was started from 18/06/12 till today onwards i observed from my pennis leakages a sperm while sitting. but i cant realised while getting out from my pennis. urine is going clear without any pain. but problems that leakage of white sperm from my penis . pls advise what to do ? thnk nazee | Degree understand your concerns went through your details. I suggest you not to worry. Semen is a waste product. Body produces sperm whenever it is sexually aroused. Such semen needs to be thrown out of body. If we do not do it through masturbation or sex, body finds other ways. Emission as Chat Doctor. Small amounts of semen escape through penis is quite normal and there is nothing to worry about. Worry only if there is any pain or burning sensation. Hope this answers your query. Available for further clarifications. Good luck. |
Hi there i am a Hepatitis b carrier but not active (what ever that means)... I also have a fatty liver.. I have always suffered with Eczema... As a child I had it really bad but then it went away in my teenager years and now its back again... I am 42 yrs. I have severe itching on my face... I ended up in hospital because I had a staph infection on my face recently, I wasnt sure if it was a spider bite or I scratched my skin and it became infected... My forehead is the most itchiest area and around my upper lip. Please is there anything I can do... Im tired and just want to go to sleep but cant as I scratch the most while sleeping and wake up with a sore face... HELP... | Hello, Thanks for posting, Well I am not sure your itchiness is related with your fatty liver diseases or the fact that you are a Hep B carrier (with no symptoms or liver problem related to that). The skin affection may just be local and could be as a result of eczema and in order to remedy that you might need some medications. At the moment, you can start by taking a cold bath, then get OTC antihistamines which you can readily fine. I usually prescribe chlopheniramine for itches and may associate it to steroidal anti-inflammatory such as dexamethasone or prednisone. You might require a doctors script in order to get a hold of those. I suggest that you see a dermatologist for immediate relief. Best wishes |
My 22 month old son has had over 20 ear infections. He is currently on his second set of tubes (T tubes). We removed dairy from his diet and have seen a subtle improvement but still can t manage to go more than a few weeks without another episode. In February of this past year, his eardrum ruptured, and we were prescribed an ear drop. We found out the hard way that the drop did nothing to help the infection; he spiked a fever which triggered a 30 minute seizure that left him on life support and in the PICU for several days. We are at our wits end, having visited numerous doctors, a chiropracter, and a naturopath. Any recommendations for what we can do? He seems to be getting another infection as we speak, and lately we have noticed a definite sensitivity to noise. Additionally, he contracted MRSA from his childcare, so we are hesitant to continue putting him on round after round of antibiotics. | Hello, This is a very complete and remarkable history you provide. However, it is not so remarkable, but par for the course, in a child with an immunodeficiency. The hallmark of an immunodeficiency (of which there are many kinds) is a patient who suffers many infections. Sometimes, these deficiencies run in families. Following a prolonged febrile seizure, doctors might wish to place the child on an anti-seizure medication prophylactically to lessen the chance of another seizure should your son get another fever. After he recovered from the seizure has he been developing normally? With so many ear infections, I hope you are making certain that his hearing is being closely monitored. Allergy and immuno-deficiencies are often studied by the same physician. In one child Chat Doctor. |
I have been diagnosed with spinal stenosis in my neck, plus a pinched nerve. I am being controlled with exercise, tramidol and tylenol, but I still suffer from mild to severe pain and soreness in the neck, which at times moves up the back of my head, causing a headache. What do you see in my future for managing my pain? | I read your question carefully, and I understand your concern. I think you have taken the right initial first steps which you must continue for at least some months. If the symptoms do not improve first it must be stabilized whether they are mostly related to the pinched nerve or spinal stenosis. Judging by your description the pinched nerve is the most likely culprit. In that case the next step are local injections with corticosteroids and analgesics under imaging guidance. If that doesn't work either the last resort is surgery to relieve nerve compression I am afraid. I hope to have been of help. |
all my life i have always had a mask one is the real me caring, always willing to help and funny. while the other makes me be the exact opposite. this all started after i lost my mom and when i was a kid my dad left us, now years later i meet him again and i am told he has kids what am i supposed to do | Degree understand your concerns went through your details. I suggest you not to worry much. Please do not confuse with some sort of behavioral problems with dual personality disorder. Every human being has two or three type of behavior. These behaviors come fore according to circumstances. (For e.g. Person working in an office may not shout at his boss on being bullied and at home the same person losses control on his wife over the same reason). This is just an example. I suggest you not to put names for your behavioral problems and make you a mentally disordered person. Talk to a psychologist for further clarification. OR Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. |
My son is 5, and I just noticed very small, flat red spots around his groin and his leg - do not appear to itch and not fading when pressed. Not very many & fairly spaced out (between 15-20). He had some kind of stomach bug on Saturday and still has very loose stools - not sure if related. | Welcome to the ChatDoctorAs per your description, it seems your child has petechial. These are very small bleeds under the skin which do not blanch on pressure. Petechiae found anywhere on the body could be a sign of a bleeding problem or a serious infection. If you suspect this, it's always better to visit your physician. They may ask you to go for a complete blood count and peripheral smear examination and sepsis work up. For further information on this, do contact us. |
Hi I am a 19 year old male I used to be a heavy drinker and started getting lower abdominal sharp pains last year every time I ate. I was diagnosed with gastritis and couldnt eat almost anything,I recently got an endoscopy which showed no signs of ulcers or gastritis. I am still having abdominal pain I always feel bloated after eating anything. What can this be? | Good day! Your question has answers in it. Alcohol caused it so stop it. Use PPI's, And modify diet and lifestyle for better management. Stay in touch with your gastroenterologist for further managementFollowing things will HelloSign weight (if overweight)Avoiding alcohol, chocolate, citrus juice, and tomato-based productsAvoiding peppermint, coffee, and possibly the onion family[8]Eating small, frequent meals rather than large mealsWaiting 3 hours after a meal to lie downRefraining from ingesting food (except liquids) within 3 hours of bedtimeElevating the head of the bed 8 inchesAvoiding bending or stooping positions Also you need to be in touch with GI consultant to rule out other etiologies like H pylori or allergic or voluminous gastritis. Take care |
Hello, I am 29/f and I have major pain in the lower side of my gut. it came on rather suddenly last night and I thought it may have been constipation as I hadnt had a bm all day and usually I have runny stools at least 2 times a day. Last night I took stool softeners and this morning I took stool softeners too. I was still unable to go, so I took an enema and had some success but not much. This afternoon I took a laxative because I was still in a lot of pain. I was finally able to go, and it was runny just like it always is (sorry for the details). I am still having severe pains in the lower left part of my abdomen or gut area. I havent had any recent surgery, I havent changed my diet or done anything strenuous. If I dont move the pain is just kind of throbbing or a kind of bloated cramping feeling kind of like menstrual cramps only more targeted to my left side. When I move however it is a sharp almost tearing feeling on the left side. When I cough, or blow my nose it has a sharp sudden pain too, though when I sneeze it isnt as painful as the cough. I hope this is enough details for you. I am thinking I will have to go to the clinic tomorrow when it opens. I just dont want to go and have them say that I just really need to poo. Thank you for your help | Hello dear, The causes of constipation can be |
Every now and then I find myself having a hard time breathing. Then I feel my heart beating fast and I can hear my heart beating. It only lasts for a few seconds. I am now pregnant. I am 15 weeks. Since Ive been pregnant, I notice it has been happening more. I always have to take a deep breath to catch my breath. Is something wrong? | Hi, Thanks for the query. I understand your concern. In pregnancy there is rise in blood volume (for fetal circulation). This is by dilution of blood, so the hemoglobin percentage (the oxygen carrying substance) gets reduced. Also, respiration become difficult due to decreased due to pregnancy hormones, while oxygen demand is increased by 20% in pregnancy. All these factors together cause compensatory rise in respiratory rate & heart rate. In an attempt to provide necessary oxygen to growing fetus. The thing can be managed by- - Rise in HBO (treatment/ consumption of healthy diet with proteins, iron, vitamins) - Learning to increase respiratory capacity by using thoracic breathing (pregnancy special Panama) thanks. |
Have had a L4-5 right foraminal disc herniation impinging on the right L4 nerve root MRI showed these results to be found. When I first had injury it was a x-ray showing my pelivic had shifted to sideward of spine. Then a couple wks latter got MRI do to pain in legs was so bad. Been on pain killers and stated nerve pill starting to feel better still some back and leg pain. My question is I have had two large lumps come on my leg one on thigh and one on other leg on shin they do not hurt soft to touch. I have been having toe pain lately should I be concerned of the lumps in my legs? | Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for the painless lumps in your legs are as follows-a-Mostly they are Varicose Veins ?as they are painless and soft to feel.Don't worry of them, as they are not cancers. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. |
I am having much back pain, recently i visit artho doctor and gone to some blood tests and xrays according to him, i am perfectly alright.But still iam feeling the same, one of my friend suggest it may be because of the gastric problems, i have used some zinetac tablets, surprisingly, i got relief. Suggest me to go ahead for permanent solution? | Hi Welcome to Chat Doctor After going through your query I concluded that you are having backache cause of it is acidity. You can take winter tablets as it have given relief. You should avoid stress and avoid spicy food. I think this will be relieved in few months time. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
My grandson is 2 he is on hoidays at hamilton island he was walking along the beach and touched soft coral he imediatly came out on a pimpley rash he when to the doctors and they gave him a antihistermene shot sorry about spelling then he went home with Bortic-ds 1% and phenergan the rash which is red the morning its on his hand and wrist is there anythink we should know about this should we look out for anythink ? | His symptoms are suggestive of Acute Urticaria. This is usually caused by either due to allergy to the sea plant or coral or toxins from the coral. The treatment given to him is the perfect treatment however if it worsens he might need a short corticosteroid medication course. Please note that if he has any lip swelling or difficulty in breathing you should see doctor right away. Hope this information is useful, please feel free to ask if you have any queries. Please feel free to ask if you have any queries. |
I am considering arthroplasty on my right pinky toe. It has been broken several times and of course has arthritis also. The pain is constant and the toe is thick, has turned to the outside and it makes it difficult to wear anything other than wide/soft shoes. I walk a great at least 3 miles a day, play golf and am active. Is it likely that surgery will correct it enough that I will be able to wear normal shoes and resume physical activities? | Hi there. It looks like due to multiple fractures sustained by your previous toes previously it has not united into its proper position. You can opt for various corrective surgeries around the little toe at the level of the metatarsal bone or at the level of the joint to help correct the alignment and help you with wearing a shoe, and improve your walking. Arthroplasty involves removal of bone and will limit any future bony procedures that may be needed in case. The type of procedure required is mainly based on how your x-ray appears and where exactly is the deformity. In order to reduce your pain, consider wearing footwear with soft soles and certain microcellulised rubber(MCR) footwear which has the property of reducing the excess pressure over the prominent bony region. Make your decision regarding going ahead with any surgery based on your discussion with your doctor. |
I have been taking Lamotrigine for 12 mths after a spell in hospital. I am experiencing significant memory loss.This also coincided with 12 ECT treatments, which I understand could be the cause of this.Having read reportable memory loss symptoms with Lamotrigine, I am wondering if I should discontinue and see if there is any improvement, however, my main concern is that the symptoms of anxiety will return and what alternative medication is there available | Hi, Thank you for posting your query. Your memory loss could be related to the disease (anxiety) as well as the treatments (Aborigine and ECTs). Among these, Aborigine is the least likely to cause memory loss. Therefore, I am not in favor of stopping Aborigine. This is more so, as your symptoms of anxiety would also get aggravated after stopping Aborigine. So, I would suggest you to continue with the current treatment. In the meanwhile, rule out other causes such as vitamin B12 deficiency or thyroid disorders as causes of memory loss. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
have rash on ankles itchy, feet were very very swollen this am so sore, fingers are sore, knees are sore, NOT acheyno fever - as the day has gone on feels better - took anti-inflammatory, allegraI was doing a lot of tree trimming pulling vines - I have some dark red spots on my legs ?could poison ivy or oak make your joints swell & hurt?started yesterday but the feet soreness went away by night was twice as bad this am & the fingers started | Hi, It seems that you are having allergic or irritant contact dermatitis. There may be so many causes. It is difficult to say the exact cause. There may be secondary bacterial infection. It may be the cause of swelling of joints. You take antibiotics for few weeks along with ant inflammatory Chat Doctor. And also take anti histamines and short tampering course of steroids. Apply antibiotic cream initially, then in combination with steroids. Avoid soap bath., Use detail liquid for washing the affected area. Avoid worries and tension. Still, you contact dermatologist for perfect treatment. I hope you got my answer. Thanks. |
Hello, I have stage 4pressure wounds on my buttox and also now have ostiomolitis in my hip bone where one of the wounds are..I ve been this way since 2010 and seems like no one can help me. I m bed bound now and suffer from a lot of pain. I ve giving up on trying to live a normal life Noe or some what normal life. Please help me anyone in any state any where. | Hi, thank-you for providing the brief history. As you have osteomyelitis this may be due to either infection or may be due to inflammation of the bone marrow. A thorough clinical examination and some blood routine tests needs to be performed and understand the possible cause. If the infection has reached the bone than may be with the proper understanding of the pathology may be a THR can help. Also, an IV antibiotic for helping reduce the inflammation and infections should help further. A Dedicated team of rehabilitation needs to be approached for further management. If the team performs uniformly than your problem can be resolved. In my practical experience the approach is made uniformly with the help of the team members and coordination. Most patients respond well and healing is expected sooner. Regards Jay In Chat Doctor. |
I fell and sprang my hamstring but I had and MRI scan buy they only concentrate d on my knee which I had swelling in that went to my ankle, But the front of my thigh up to my groan hurts .so I was wondering if I need another for my thigh or when they did the one for my knee if they could see my thigh? | Hello, As mentioned in history about the injury to hamstring and the MRI done for the knee which is the right thing to do. Usually hamstring strain or injury happens at the tendon level and tendon is located close to knee. If any injury happened to hamstring then most commonly the knee MRI is taken. Now what are the MRI reports suggestive it has to be seen. If you complain pain in the upper thigh and groin this may be the post injury effects as due to injury of the hamstring at the lower 1/3 of the muscles there is a possibility of pain in the groin and upper 1/3 of thigh due to weight distribution. You may not have to take another MRI at all. Take rest and allow the muscle healing to occur. Post which you can contact a physical therapist to help you out regain the strength in the muscles. In my clinical practice of over 12 years most cases have similar complaints, and they do recover well with simple exercises under a guided physical therapist. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
hello doctor , I m chetan from dahod(gujarat), my question is | Hello Cretan, i would advise you to continue treating him in the ICU till he is able to breath adequately on his own.to assess the future nature of his disease his present condition must be stabilized. His paralysis is permanent however can be helped with physiotherapy and rehabilitative care. Please follow the orders of the ICU doctor. And in case of future doubts contact us back at Chat Doctor .take care |
Hi Doc I am having sleeplessness from about an year now . Diagnosis was a form of depression and anxiety attack . Honestly, I DO NOT have any reason for any sort of anxiety . Whatever from last fortnight i was taking tab Minnite 15 mg, Qutan 25 mg and Lonazep 0.25 all once . The sleeping did not improve and now from last 5 days , Doc added tab Paxidep CR 25 mg and increased Qutan to 200 mg .From the same night , I am having severe hot blast in my entire body - heat eminating from inside the body and ear . The sleep disturbance has NOT shown in improvement . It takes long time to fall asleep and sometimes, even with Ambien , I keep wide awake throughout the night . And it drains out my energy and health .ADVICE PLEASE Rita Bose | Hello Rita, thanks for your query; there are many reasons for lack of non-fulfilling sleep quality (insomnia) including anxiety, depression, poor lifestyle, poor sleeping patterns etc. Considering you are on multiple medications at present including T. Minute (mirtazapine), T. Paid (paroxetine), T. Que tan (Quetiapine) & T. LOCATED (Clonazepam); I would like to know your exact set of symptoms & sequence of addition of these medications. For your ongoing sleep problems, lets start from basic measures; 1. Try to sleep & get up at fixed times 2. If you don't feel sleepy within 20 minutes of going to bed, get out of bed & pace around, read a book, soothing music till you feel sleepy again & then go back to bed 3. Use bed only for sleeping & sleeping only!! 4. Avoid tea/coffee after 6pm 5. Avoid daytime naps 6. Do 30 minutes daily physical exercise including cardio, resistance training, yoga & Panama. If problem is only sleep; consult your Psychiatrist about medications like Agomelatine (adopted), Hamilton (Ramstein), Trazodone (Brazil) or optimizing T. Mirtazapine (Minute) alone & tapering off all other medications. You can get back to me for any further assistance. Good Luck |
Hi Doctor, my nurse said my doctor is sending me to a specialist that is semi urgent, due to finding a sub mucosal fibroid that is 3 cms wide roughly. I have had checks about 5 - years ago and a scan revealed I have a benign growth on my liver. When I meet with the specialist this week, I would like to request a MRI/ LDH Blood test do you think he will give me one I have insurance.?symptomsUrinating all the time, back pain that comes and goes andheavy bleeding with period pain. | Hi and thank you so much for this query. I am so sorry to hear about what you are experiencing now. Your symptoms and the finding of a fibroid need treatment. The best option is getting the fibroid out. I wonder why the symptoms are this severe despite the small size. Because symptoms of frequent urination and pain often result for huge fibroid and not minor 3\u00a0cm one. However, the heavy bleeding is typical of submucosal fibroid. As for the LDH/MRI, your doctor will find out if there are any indications for you to have benefit from these tests. He will not and should not request for the simply because you have insurance. He will be the only person to determine whether to ask or not. You may insist on getting them done too per your request if he cannot justify why he needs them. I hope this answers your query. I wish you a speedy recovery as you meet the specialist next week. Wish you good health. |
My husband was just diagnosed with a parotid tumor. CT scan showed ill-defined edges and enlarged cervical lymph nodes. He has had a lump for a couple of years but it has really grown in size in the past two months. Lately he has been very fatigued and sleeping alot. Im trying not to worry because we wont know if benign or malignant until after it is removed but I cant help it. Are there tumors that are benign that have the same characteristics? | Tumors that rapidly increase in size over a short period of time with associated enlarged cervical lymph nodes are usually malignant. If a patient had presented with these features in my clinic, I would have advised a FNAC of parotid swelling and an MRI scan. FNAC (fine needle aspiration cytology) of parotid swelling will give a diagnosis if malignant cells are seen. MRI scan would give better tissue contrast and involvement of deeper lobe or facial nerve (which traverses through parotid gland). I hope it helps. Please discuss it with your doctor. |
my grand mother,she is 70 year old and about one month earlier she develop vomiting with vertigo in mri on 13 10 2012 she was suspected for brain stem infraction she was on anticoagulant but not relieved after that we gone under another mri than report says small solid enhancing mass along the inferior vermis,right midle cerebeller peduncleand the right lateral aspect of medulla abuting the right lateral and posterior aspect of forth ventrical with out of proportion surrounding edema and associated mild non communicating hydrocephalus | Dear Concerned., Thanks for writing to us. In all probability the vomiting and vertigo are as a result of raised intracranial tension(ICT) due to SOL(Space occupying lesion) as revealed by MRI as you have mentioned above. In general the raised ICT leads to loss of vision due to pressure effect on Optic Nerve. Considering the age factor and the location of lesion near to Vital Centers controlling Respiration and Circulation the Neurosurgeons may not suggest Euro Surgical intervention to remove the SOL. Definitely a Palliative Surgical Procedure such as Right Ventricle Peritoneal Shunting(Presuming the patient to be right-handed) to preserve her Vision for lifetime can be requested by you. Kindly go ahead and consult a Neurosurgeon at the earliest. Best Regards., Chat Doctor. |
Hi Doctor,From last i year we are trying for a kid,but till nw no luck.According to doctors advise 4 times i have taken ChatDoctor injection.Allthe testing result is +ve(Seman analysis and my heath test result).what is the next procedure??please let me knw the answer. | Hi, Thanks for writing to Chat Doctor. If a patient comes to me with such problem then I usually advice them to start ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Along with that take Chat Doctor injection when follicle become more than 20\u00a0mm. In the same cycle I suggest going for GUI since follicle will rupture. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. This increase chances of pregnancy. You can try 4 to 5 cycles of GUI before proceeding further. Hope I have been helpful. Regards |
Im a female and Im almost 18.(165 cm and 55 kg) Ive been having stomach pain for more than a year, it comes and goes. its mostly in the morning.. ive had many tests like blood test and colons-copy and other things and theres nothing wrong with my body so my doctor gave me medications for stomach nerves and stress but it didnt help me. could this pain be related to something else i need to test? | Hi ! Goode veining. I am Chat Doctor answering your query. I would first advise you not to eat from outside if you do, which might be inducing intestinal infection by ingestion of food made in not a very hygienic condition. If I were your doctor, I would go for a routine stool test for ova and cyst and a culture sensitivity test, and prescribe you with an appropriate anti-biotic/antiparasitic Chat Doctor. I would also like to go for a urine routine/microscopic/culture sensitivity test to rule out a silent unsuspecting UTI (urinary tract infection) and treat it accordingly. You have not mentioned anything about your sexual status, that is if you are active in sex. In that case you might have to be assessed by a gynecologist for a possible unsuspected pelvic infection. I am not aware if an ultrasound of abdomen was done for you or not. If not, this test might prove to be helpful in treating your pain abdomen. Till then, you could take some anti-spasmodic |
Just found 3 lumps , two on my pointer finger directly across from each other and right above the last knuckle on my left hand (below fingernail). 3rd lump is on my middle finger right above/on knuckle left hand below fingernail. no pain, almost look like bug bites but not itchy or any thing. | Hi, Dear I went through your query.1-By the facts placed by your query, I feel it to be- infection on your pointer finger and middle finger.2-It could be due to follicular mild -starting-infection of the skin of the fingers.3-Plz check your your ER / family doctor who would give anti-inflammatory -which would resolve it. 4-Hope this would solve your query,5-Thanks for your query to the Chat Doctor. 6-You are welcome for any further treatments if required.7-I would love to help you out of Your lumps. . Thnks. Wellcome. |
I am trying to conceive from last 3 years but no sign. I have been operated for fibroid and polyp in my uterus.Did follicular study 8 times but no result and took hsg 5000 during follicular study. What will be the next step as i am waiting for long time now | Hi, Thanks for writing to Chat Doctor. You will conceive. Be stress-free. In your case the next step will be getting your tubal patency done and hysteroscopy to know any adhesions in uterus. Treatment depends on findings. If both are normal I would suggest you to start on ovulation inducing Chat Doctor. With that I would suggest you to go for GUI. It is intrauterine ingestion of sperms. Here sperms are processed and placed in uterus. This will bypass any sperm ascending defect is there and increase chances of conception. You can try for 3 to 4 cycles like this. Hope I have been helpful. Regards |
my name is badol sperm count | Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per WHO 2010). The motility is lower than normal limit (as per WHO 2010, grade a should be >25% or all total >50%). The Normal sperm count is also within normal limit (as per WHO 2010, normal sperm should be > 04%). The pus cells, RBC's are above normal limit.(as per WHO 2010, normal semen should not contain any pus cells or RBC's). So, overall, your report indicates low motility only. For this you have to take a coenzyme Q and vitamin E. Regards. |
Hello, I am from India. My husband has problems of anger attacks. He gets angry very easily on simple things and he also has mood swings. When he gets angry, he cannot be controlled. he throws things, breaks things and even once tried to put things on fire. He also beat me one day hard during his anger. I took him to a psychiatrist and he gave him Arip Mt 30 mg, but he is not willing to take it after taking 3 doses as he is experiencing nausea and dizziness . Kindly suggest. | Hi there ~ It is not uncommon to experience anger and physical aggression in psychiatric disorders. Your husband seems to be having problems with mania which is common is bipolar disorder. I am thinking that your husband gradually got worse over time and assuming this, it is easier to put someone on medications and try to wait and watch for results. However, symptomatic treatment is recommended in acute and subacute cases and anger management or sleep management might be of initial use before going on to titrate the dose of the mood stabilizer, in this case Trip MT. It may also help to seek the expert advise of a psychiatrist regarding medication changes and a counselor to help with any stressors/family problems. I hope this helped. Take care. |
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