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Hello, I watch my 5 month old nephew every day... and he has normal bowel movements that are usually a dark green in color.. the last two days he has had liquid stools that were yellowish green in color and the liquid soaks into the diaper and all that is left is a seedy texture that is a whitish color. Also it d...
Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use ...
I was diagnosed with asthma upon being born. Its generally excersize enduced with cold weather, but recently ive been in england for a few weeks now and im experiencing shortness of breath and some strong coughing, usually taking a deep breath allows me to hear a wheezing noise or a very high pitched sound upon exhalin...
HelloAirways hyperresponsivenss due to inflammatory disease or due to allergy, produces wheezing, shortness of breath, cough late in the night or early in the morning and is known as ASTHMA. Mite, dust, fine dusting powder, hay, sudden change in temperature, pollen, molds, pests (, cockroaches). Smoking (active or pass...
I have really bad stomach pain and I don t know what to do can you help me? I have a throbbing pain when she walks and its in the center of her stomach.
HELLO & WELCOME TO Chat Doctor FORUM YOU HAVE NOT MENTIONED YOUR SYMPTOMS IN DETAIL AS PER MENTIONED YOU MAY BE SUFFERING FROM PEPTIC ULCER DISEASE, ACUTE PANCREATITIS AND ACUTE GASTROENTERITIS YOU SHOULD GO FOR X-RAY ABDOMEN, USG ABDOMEN, UGI ENDOSCOPY AND FEW BLOOD TESTS SUCH AS COMPLETE BLOOD COUNT, SERUM AMYLASE & ...
Hello my question and concern is about my 2year old. about 2 weeks ago my son as introduced for the first time to raw cashews. he then started having a smelly, loose stool, diarrhea like, once a day for 2-3 days. My first thought was an intolerance to the cashews, so I stopped giving them to him. he got better and diar...
Hi, thanks for the question. It looks like your child has gastroenteritis. His anus is red due to dermatitis caused by constant wetting and irritation of skin by loose stools. It will come down once loose stools subsides just clean the skin around the anus after your child passes stools and keep it Chat Doctor. You ca...
Numbness in side of face, neck, arm and leg My stepdad is 34 and has had numbness in the right side of his face, neck, arm and leg.that comes and goes every time it happens he goes to the ER, the firs time they gave him adivan the second time they gave him bp medication. His cat scans were clear. Is it MS, is he going ...
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. As CT scan is normal, it is not multiple sclerosis.2. Possible vitamin deficiency needs to be thought of, particularly B-complex group of vitamins.3. Sensation would be present all over, but variation is known to occur. If there was to be MS, spasm...
i am suffering from rapidly hair fall problem. My aunt suggest me to take calten(calcitriol, calcium, carbonate & zinc capsules), raviron xt(ferrous ascorbate & folic acid tablets) and xtraglo(amino acids, vitamins, minerals & methylsulfonylmethane tablests) Is it alright? should i take these medicines? And please sugg...
Hi! Thank you for your question! I would recommend first having a CBC test, to see mainly the RBC, and hemoglobin levels. Do you suffer from any other disease, have you had any emotional stress recently? You can also use the Trail supplements alone, just in combination with Monoplane shampoo ore Physician shampoo to pr...
Does Diabetic Neuropathy come on suddenly? My husband is diabetic and has been for over 25 years with type 2. Back in the first part of August he started experiencing weakness in his legs and arms, tingling and numbness in his hands and feet. He has been diagnosed with Diabetic Neuropathy but it sure came on quickly.
Hi, thank you foe quarry, Diabetic neuropathy is the most common complication of diabetes mellitus (DM), affecting as many as 50% of patients with type 1 and type 2 DM. Diabetic peripheral neuropathy involves the presence of symptoms or signs of peripheral nerve dysfunction in people with diabetes. If this develops a l...
sir, my daughter is 5 months old, she is suffering from loose motions(12/day) for last two days,doctor gagve her normet(ofloxacin 50mg+omidazole 125 mg) syrup. THe dose is half teaspoon thrice a dat,she is not liking it and vomiting after taking it, is is safe? pls reply
Welcome to the ChatDoctorI understand your concerns. Poops of babies at this age may vary a lot in terms of frequency, color, and consistency. Most of the diarrhea episodes in infants are due to viral gastroenteritis which do not require antibiotics. If your babies poop is not having any blood or mucous in it, then th...
I cant close my mouth all the way, and my Two front top Teeth are always on show and it puts me down, only happened after I had my Brace took of. I want to do something about, and from the side it looks really long on my mouth and I really hate it, is there anything I can do. Also when I try and close my Mouth it reall...
Thanks for your query, I have gone through your query. The problem what you are facing is because of the skeletal or dental malocclusion. Consult an orthodontist and get yourself examined and get a radiograph(OPG and Lateral rephotograph) done to rule out the above said conditions and based on that we can decide whethe...
Hi, I have had chronic knee pain that was recently made worse by helping a friend move. Previously I could treat with ice and compression. I am a reasonably fit 55 year old- spin twice a week and lift weights, walk my dogs. Now very bad. Which kind of doctor do I see- surgeons answer the question with surgery so, do I ...
Hi, thank-you for providing the brief history of you as your age is 55, it can be suspected that there might be possibility of degenerative changes in the knee joint due to weak and tear. Also, you do weight training this might lead to compression on the joint soft tissues and wear and tear as well. Taking an MRI of th...
I have noticed about a month ago, a dark vein at the back of my 6yr old son s leg, just below his knee joint, right at the top of his calf. He has been diagnosed with environmental asthma and is on a daily medication called Singulair. Is this vein normal or could it be a side effect of his asthma meds, or could it be s...
Thank you for posting your question. The location on the leg that you have mentioned does harbor a major vein. It is most likely that this prominence that you have noticed is a normal occurrence. Also, the Chat Doctor. Having said that, I would suggest you keep a watch for appearance of any new symptoms like swelling ...
A Contrast CT scan was done on my boyfriend and they sound a solid mass on the upper pole of his left kidney. He also had extremely high blood pressure, and nausea and vomiting in addition to headaches. They discharged him and told us to follow up with a urologist but we have no insurance and cannot afford even the con...
Hi welcome to the Chat Doctor You are having mass on upper pole of kidney. Kindly mention what CT scan report says whether it's an abscess or mass written?? What is the size of mass?? Let me know you this should not be neglected if mass written in CT scan report For that USG guided biopsy taken and histopathology exam...
hi doctor i m having cardiomegaly with a right side kidney also affected and my legs,ankles and face have prominent swelling on them often when i wake up what do u suggest is it due to cardiomegaly or due to kidney problem ??? waiting for ur suggestion.....
Hi, Thanks for writing in. It is difficult to say what is causing the swelling without clinical examination. You need to take tests specific to heart like ECG and echocardiography. If there is fluid around heart, pericardial effusion then there is possibility of hart related swelling. You also need to get kidney tests ...
-i have social phobia..-i cant interect with unknown..i have very low self confidence..even with known people,i think thousand times before speaking..-whenever i enter a room full of people i get feeling that everybody is going to judge me which makes me nervous..-i have obssessive complusive disorder..-i am uncomforta...
Thanks for asking from ChatDoctorI have read the query, and you have tried nicely to tell your symptoms. You have mentioned that you can't interact with unknown people, even with familiar person you find difficulty in interacting, you have poor self-confidence, and also you have inferiority complex. As you have mention...
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Hi, A sprained ankle produces a good amount of swelling which should be treated with ice, pressure bandage and elevation. If this is not done the swelling will persist especially if you have been immobile for quite a long time with your computer. This can cause slow blood circulation of the limb. Are you a diabetic? If...
I have terminal gall bladder cancer and feel perfectly normal. I ve not been sick or had any pain, before I had my gall bladder out in May and still none after removal. When can I start feeling symptoms and what will they be? Any prediction on how long I have to live? The cancer is not being treated, by my choice. Than...
Hi, dairy have gone through your question. I can understand your concern. Survival rate depends on type, stage and spread of cancer. You have gall bladder cancer. Please send me your reports with stage and spread of cancer so that I can say accurately. If it is confined to gall bladder only then survival rate is good. ...
I am experiencing severe mood swings. I am happy and then ten to twenty minutes later I am crying my eyes out. I have terrible temper rages. I feel like I am going insane. I dont know which is worse, the tears for no reason or the euphoria. Please help. I have already tried two depression medications, Zo...
Degree understand your concerns went through your details. I suggest you not to worry much. Please try to understand. You do have moderate to severe depressive disorder and do not take self medications. You must try to sleep immediately. Otherwise, try to relax and engage in some activities which interests you. In the ...
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Hi! Thanks for sharing you acute health problem with Chat Doctor! When a post-op patient approaches me about symptoms of food indigestion and vomiting, I would advise x-ray/USG of the abdomen to exclude any tumor/inflammation in the lower gut or kind of illus. I also need to assess your BP and other physical status to ...
Hi, I am a 64 year old lady. I have had a morpine pain pump for 8 years at 8.59 mg day. Was doing great until my 2 physicians moved out of stat and have a new replacement which removed the pump on Oct 1, since he does not believe in the pump. I had no choice. Since I have a spinal headache,diarrhea 25-28 times a day wi...
Hi Donnie can understand your depend on morphine pump and finding hard with switch over....but it is well documented that fentanyl patch is equally effective and dosing has to monitored for optimum level of relief. Cause of diarrhea may be diagnosed by a gastroenterologist and treated according to cause, only maintain ...
I have a pneumonia and have gone through 1 full round of a zpack and steroid. I m also using an inhaler, had to go back to dog on Thursday night because I was still not any better. They gave me a antibiotic shot and a 1/10day script for levaquin which I started about 10am Friday morning. I m still not feeling better. I...
Respected user, hi Thanks for using Chat Doctor.come have evaluated your query thoroughly.* All symptoms are in relation with underlying lung condition giving rise to bronchi alveolar constrictions, pleura irritation with systemic manifestations* As there is not much relief of oral medications given till now, I strongl...
Hello doctor,i am 27 years old girl, not yet married, As per my doctor analysis i am suffering from OCD , everyday in night time i am taking two tablets nexito fort, and nexito 1O MG now i am fully recovered i do not have any OCD symptom, i feel same symptom whenever i tried stop taking tablets 3 times as per my do...
Degree understand your concerns went through your details. I suggest you not to worry much. OCD is a mental disorder and not a disease. Normally mental disorders do not need medicines as cure. You need to ascertain your past to find the reason for your OCD. There has to be a trigger. Find out and once the trigger is fo...
Hi , last night when I brushed my teeth I suddenly felt a stinging sensation on my tongue (a little like there was glass shards in that area) and when I looked I saw that that area of my tongue (kinda centre towards the front) is rather red. This morning the sensation is still there today...its senstive to touch like t...
Hello there, Redness and sensitivity on tongue suggests that the tongue mucosa is inflamed. This can be due to allergy to certain toothpastes and mouth rinses, traumatic tooth brushing or tongue cleaning.injury to tongue due to hot food stuffs, Deficiency of certain vitamins also leads to redness and sourness. You can ...
i suffer mild to severe pain in my upper abdomen that comes in waves, usually a minute or so apart and lasting roughly 5-10 seconds. I shrugged it off for a couple of days but it is worsening. One thing I have noticed is it almost always feels better after eating, but only for an hour or so. Any help would be greatly...
Hi. Thanks for your query. You have a classical history of intermittent upper abdominal pain, lasting for 5 - 10 seconds and at one minute interval. This is getting better with eating for an hour or so. This is indicating that the probable reasons could be
I have degenerative disc disease. It s int the L5 vertebrae. My left side has been bothering me for a while. I thought it might be the muscles trying to keep my back straight. I m crooked now. It is getting worse and is moving towards the front. Just curious if I was correct in thinking that the muscles are overworked.
Neurodegenerative disc disease need proper evaluation. Besides clinical assessment, you may need further investigations like MRI of L/S spine. It is important to know status of inter vertebral disc and nerve. Treatment options of degenerative disc disease is both conservative or surgical depending upon findings. You ma...
I am going in for a colonoscopy and upper scope on April 15th and the Dr. called and said my potassium level is low and I am to eat foods high in potassium for 2 days and they will do another blood test to see if it is normal before she goes ahead with the procedure. I have been taking potassium pills for over 2 years ...
Sweats do not cause a Chat Doctor. Low potassium could be due to leakage of potassium from the urine. You need to check a trans tubular potassium gradient in urine. Also check your serum aldosterone as high levels could cause potassium to leak in urine. Check your magnesium and calcium levels with vitamin D. unless yo...
Hi, may I answer your health queries right now ? Please type your query here... i just discovered a very small lump on my lower breast it is the size of a bb, i pull it away from my breast tissue and feel all around it. it moves very easy feels like it is in the layer of fat just below the skin i can also see i slight...
Hello! Thank you for using Chat Doctor. You have not mentioned your age, but my guess is you are young. The lump in your breast seems like a Fibroadenoma, which is a benign (not cancer) condition. Because of the way it freely moves, it is also known as mouse in the breast.
I have been diagnosed with Squamous cell carneinoma, ? stage 3, I am going to begin the second round of cemo July 2. How do I know if the treatment is working. The Doctor said I have 1 year maybe 2 to live. Will I know when it is time to contact Hospis or will I just stop breathing? My name is Zola.
Hi, Thanks for writing in. Cancer is a difficult disease to treat, but many have survived even after having stage 3 squamous cell carcinoma, and you should not give up. Praying to God for your quick recovery. Chemotherapy is a method used in treating cancer by infusion of medication that act only against cancer cells. ...
My 14 year old daughter had Chiari Malformation decompression surgery when she was two. About a year ago she developed a \"lump\", hard to the touch, at the top of her spinal column (base of her neck). Her former physician suggested warm compresses for the discomfort, but never seemed too concerned.We saw a new doctor ...
Welcome to Chat Doctor .1. Its post-operative changes seen at the site of operation.2. Initially an ultrasound scan to find out what it is consists of and where it is extending from and the nature of the lesion (cystic, solid mixed)3. If not helpful then an MRI will help in evaluation of the neural elements.4. Yes the ...
Dear Doctor My 3 month old baby daughter has developed a red, raised rash on her body (mostly on her face). The spots first appear as a white dot and then get very red and raised, but quicky disappear, only to show up on another part of her fact. She is not distressed and continues to feed well and sleep well. She is f...
This type of skin rash whicChatDoctores and goes is most consistent with infantile eczema, which is usually on the face of the child, can be itchy and sometimes not, white to red rash once exposed to heat. Some of these eczema can be manageable but some of them may persist up to one year. I recommend you to do the foll...
Hello my husband has glioblastoma grade 4 two year ago we went to the following procedures,surgery of the tumor in the frontal lobe, radiation and temodar for 2months, then 5days cycle monthly also on temodar , six months later he had a progression of the tumor , we stopped temodar and started on avastin every two week...
HI, I can understand how much hardship you are facing this time due to cancer of your husband. I had a patient few months ago with similar kind of complaints. He is a young adult of 35\u00a0years, had nuroblastoma in frontal region. In spite of surgical resection and chemotherapy we could not make him alive for more th...
Have I Swine Flu? I have a chesty cough with phlagme......kinda high temperature however symptoms are controlled well under paracetemol. Crucially I have no vomitting, I have a good appetite also. Is it Swine Flu, Seasonal Flu or just a very bad cold Thanks
Hi, Thanks for posting in Chat Doctor. H1N1 is a subtype of the influenza A virus. It is also known as swine flu. Symptoms include
i had laproscopy in april for endometriosis cyst on my left ovary Dr has put me on lupron 3.75 for 3 months i had all the 3 shots i am married for two years am 30 year old and eager to have a child when are the chances to conceive and will it be normal or i have to prepare for IUI
Hi welcome to the Chat Doctor Endometriosis cyst in ovary can lead infertility. You have been treated for that microscopically and by provide Chat Doctor. . Hence, now conception can occur as you have treated underlying cause... Frequent sexual intercourse around ovulation time can lead conception... If you can't conce...
Hi... My mom recently got admitted in a hospital because she had breathing trouble with high fever, cough. Later doctors discovered that she had fluid around lungs and a decreased platelet count. They are curing fluid around lungs by way of injection and now by medicines. Mean while platelets count in blood got reduced...
Hello, I had gone through your query and understand your concern.WBC count increases whenever there is infection in the body. As it is evident from your question, your mother had pleural effusion which means collection of fluid around the lungs. There are many reasons for this. I suppose your doctor has sent that fluid...
My boyfriend had major surgery on his throat. He had a large infection under his tongue in the throat that the surgeon had to cut into his throat area and drain the infected area. He has now has to deal with increased tightening In the throat area from the scar tissue that has formed. When he bends over to tie his shoe...
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms severe infection under the tongue post surgery which is due to healing and formation of scar tissue. Well need not worry about it. You can go for micro-ablation or surgical procedure to remove this scar tissue. I would sugg...
I have slightly raised lumps on the joints of my heels And calves and tendons I also have lupus The lumps are just under the skin they are itchy and cause strange sensations in My feet is it calcification or xanthoma tendinosum and how can I treat it
Hi. Thanks for your query. Noted the history of slightly raised lumps on the joints of heels, calves and tendons and is a known case of lupus. Lumps are just under the skin, itchy and cause strange sensations. There is Anthony tendinosum. I would advise you the following
I have been told I have Osteopenia and degenerative disk disease. My regular DR has been telling me I have Osteo Arturitis in both hip and spine. Medicine for that hasn t helped much. So I went to the VA and found this out. Not sure what to do, been told to keep taking the pain medicine.
All the problems you have mentioned are part of natural aging phenomenon Medicines are the first line of treatment for osteopenia and osteoarthritis. Walking, jogging, running, range of motion exercises have been found to help age related degeneration and osteopenia. I suggest you to meet a physical therapist and start...
Hello sir my baby girl is 4 1/2 months old and is suffering from increased frequency of stools which r partly watery and green coloured and sticky since ystrrday afternoon. i m giving her wallamycin since ysterday night. can i continue her with wallamycin or should i start with antibiotics.
Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. ...
I was in a car wreck two weeks ago and had three CT scans looking for broken bones. I have a fracture of the 4th rib. But the pain I m experiencing in groin pain. I can barely walk and have been using a cane for the last week. We we re hit by a car going 60 mph broadside on my car door. I had to be cut out of the car a...
Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. From the history.I feel if u have done all ct scans and X-rays and if they are normal. .u might have strained your groin muscles.iliopsoaswhich is pretty common in such type of injuries you need is good rest and phy...
Hello Sir, I am experiencing a severe hair fall from 6 months.My hair fall started after I moved to Hyderabad city before .In my family no one is having genetic baldness but I am having premature graying since my 10th standard and I have used hair colours from 10+2 standard. Now I am 21 and with medium hain in middle b...
My DearWelcome to Chat Doctor ! I have reviewed and analyzed your complaints. Your description matches very closely to that of a condition called Halogen Effluvium which results in diffuse hair fall from scalp and can be triggered by the events like the one that you have described. Let me reassure you that you will, in...
My ENT has diagnoside me with thrush after being on steroids and antibiotics for surgery. I have deep groves in my tongue and it is very painful to eat or drink. I have no sores inside my mouth; just tongue and roof of mouth where breathing tube was placed. What has caused my tongue to crack?
Hi, Cracks on the tongue can be due to infection or oral thrush and also there is a possibility that you have got fissure tongue leading to deep painful grooves over tongue. So my suggestion to you is to consult an Oral Physician and get yourself checked. For thrush, you can be advised a course of antifungal medicines...
hi my name s anitha.i m allergic to group of medicines like antibiotics,amoxlline group etc i hav fever,headach,low bp,cough from 2weeks i went to doctor but the medicine which he gave again caused alergie,he asked me to take a alergie test and come i don know where in bangalore such tests can u please guide me what to...
Hello Anita, Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions for you as follows
Hi im a 42 year old female for weeks nw been experiencing left side stich pain gt worse over last few weeks saw dr who said blood results show kidney function levels were high nw waiting for ultrasound scan,but today felt realy sick went dizzy and thought i was gonna pass out any ideas what it could be?
HelloThanks for writing to ChatDoctorYou need proper clinical examination and investigations. Pain may be due to renal problems. You need investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Renal function test(RFT), ECG in all leads, Ultrasound of abdomen. If there is any renal prob...
My adopted son who is 44 has just been diagonst with bile duct cancer, tumor is in bile duct &also on outside of duct, Rob is to be operated on in 10days, I want to know what are best food choices, I want to know how to help him. He has wife and 2 small boys 9 & 7, he is the best husband , father, son & friend. I wont ...
DearY our adopted son already having been diagnosed as bile duct cancer, surgery will be the best option if found feasible by your Once surgeon. This has to be followed if necessary by local radiation therapy and systemic chemotherapy. If surgery does not leave any residual disease then only systemic adjutant chemother...
Im male, 16 white Australian. I wear contacts daily and glasses on the weekends, Ive just noticed that my right eye has become itchy lately. Today when I looked in the mirror I noticed that the pink fleshy part in the corner of my right eye, the corner close to teh middle of my face, has another fleshy darker coloured ...
Hello, I have gone through our query. As per description provided by you, DEFINITELY it is not a cancer.... So Stop such worries now. The redness and etching in eye is indicative of infection to the eye. Our eyes are very delicate organs and can get infected even by dirty hands or handkerchief contact with eyes. As you...
my son is 2 yr. old. Since he was 1 yr. he had been suffering from constipation. by consulting with a doctor he prescribed laxopeg syrup. but he totally depends on that medicine. he is very well when takes it otherwise not. pl. help me to cure it permanently .thanks.
The cause of constipation needs to be evaluated. The bowel movements are responsible for moving the food down through the gastrointestinal tract, as it gets digested, and eventually leads to the expulsion of stool. When there is stagnation due to some reason, constipation occurs. Formation of bulk, gets the stool going...
i recently got ultrasound done.... The results showed that i have polycystic impressions in both the ovaries and a fatty liver too....im just 19.....is this report a matter of concern for me? What care should i take at home? p.s ive pimples on my face too.
Hello POD is generally a manageable condition.POD should be confirmed by clinical correlation and biochemical markers like hormonal assay for POD.POD is a curable disease, and mostly it is treated by medicines. Surgical intervention is required in very few cases. Fatty liver is a reversible condition. It may be due to ...
My Mom received this diagnosis information from her MRI yesterday. Can you translate this into layman s terms for me? Thank you. Cerebrum
HiT hanks for posting your query. In simple terms your mother MRI shows multiple small blockage of the blood flow to her brain. Due to these multiple blockages small portions of brain has been damaged. She needs to be started on Anti platelet medication like Aspirin and Atorvastatin for further prevention of these b...
Ive been congested for about 3 weeks now, its clear sometimes yellow, and its all day long and nite, at first i thought maybe i developed allgergies so i went and took claritin, then it didnt work so i tried advil cold and sinus, that didnt work so i went to the clinic and the doctor said it was a sinus infection, so h...
Hi Dear!! Thanks for your query to Chat Doctor. What is the cause of it? Based on facts of your query, you seem to suffer from-Sinusitis with obstructed Sinus. Chymoral forte with Antibiotics with nasal douches x 2-3 times with saline warm water. With Nasal-sprays-Oxymetazoline-Vasoconstricter. With NSAIds-ibuprofenWit...
I found a lump on the left side of my jaw bone. First it was soft and i was able to drink without a problem but now the lump grew, became larger in size and its spreading under my chin. When i touch it, its really hard and it hurts a lot, and now its becoming really hard to drink water. Can anyone help me?
Hi! Good evening. I am Chat Doctor answering your query. Based on your history, I would strongly recommend a physical examination of the swelling on your jaw bone, without which it might not be possible to reach at a provisional diagnosis, and decide on the related investigations for confirmation of the pathology. Ther...
My period came on the 17th of may, but it usually just los for 3 days, so I had unprotected sex on tuesday the 22nd of may. I took the emergency contraceptive in the time limit, but I took 4 pills in stead of two. Now on the 30th of may I am have menstrual cramps and my period is on again. Please let me know what is wr...
Hi, Welcome to Chat Doctor, Your period came on 17th of may and unprotected sex on 22 may as only 3 days after period is usually safe period, but you took emergency contraceptive pill it is not advisable to take double dose it can cause hormonal imbalance. You took hormone pill in early phase hence you had with Chat Do...
i am having mitral valve repair surgery in a few days but i also seem to have gerd at lease i was diagnosed with gerd when i started having swalloiwing problems er though and treated allergic reactions with prednisone and enadryl but i went back next day same symptoms and then next week with chest symptoms and had...
Your HERD problems are not due to MVP. Unless you have a severe mitral prolapse and should have a severe mitral regurgitation, and you should have a stage at three or four congestive heart failure before you go for heart surgery. Surgery for the mitral valve is not to help your HERD. Treatment for HERD is not to eat 3 ...
HI Dr, Had a CT Scan last week shows a 7mm upper polenon-obstructing left renal calculus stone. I will see my primary care physician next week. I have no pain and urine is OK. What should I do regarding fluids to flush or is it too big to pass on my own. What types of treatment are available?
HelloThanks for query. You have been diagnosed to have non obstructing stone of a size of 7 mm in left kidney. Normally stone of such size pass down through ureter and then passed out of the body through urethral passage and no active intervention is required. There are two modalities of treating such stones located in...
Hi! I just changed into my pajamas and noticed that I have many (somewhere around 15) small bruises on the insides and backs of my thighs. In the past few days, I have done nothing that might cause these. It s happened a few times in the past, but not often. A few days ago, I started having a sore throat and I was wond...
Hi!welcome to Chat Doctor!SPONTANEOUS BRUISES point towards some bleeding disorder, coagulation defect or thrombocytopenia that is reduced platelet count. Certain viral infections that cause sore throat may also cause platelet to fall resulting in spontaneous bleeding. They are not related to cancer, but you must see a...
My name is danielle and I am 23 years old and I have this bump on my breat bone since I was 14/15. I went to different doctors to figure out what it actually was. The last doctor I saw about this told me and my mother it was just overgrown cartilage. But it has grown bigger over the years and the pain is severe at time...
Hi, from your clinical history, it looks like that whatever it may be either overgrown bone /cartilage or lipoma, it is definitely benign in nature as it is for so much duration and has not produced any symptoms yes except for pressure symptoms due to its size.tretment-medicinal part has very little or no role (for the...
my left cheek was hurting 2 days ago, as it getting worse with mild swelling of left side. Inside of my left oral cavity betweem jaws is paining, and i noticed a white looks like lesion ( may be wrong) and mild red. I didnt have any toothache. But i am irritated , having tendency to grind my left side, and i feel some...
Dear friend. Thanks for sharing your concern. As per history given, it appears you have developed lesion, due to cheek biting. Many people have this habit, but you should try to avoid it. You can do antiseptic mouth rinsing first and then apply colonel on the lesion for a week, (to be applied locally) thrice daily. You...
I JUST GOT OUT OF THE HOSPITAL 3 WEEKS AGO FOR A BAD KIDNEY INFECTION AND KIDNEY STONES AND E COLI ABOUT A WEEK AFTER I GOT HOME MY HANDS AND FEET GOT SWOLLEN AND HAVE BEEN SWOLLEN FOR ABOUT A WEEK NOW AND MY HAND ARE TINGLY AND GO NUMB WHY IS THIS HAPPENING?
Hithanks for posting in ChatDoctorI have understood your concern probabilities of your swelling are1.protein loss through kidneys 2.reduced cardiac function3.liver abnormality4.varicose veins5.hypothyroidism can suggest you to get done1.LFT2. Serum creatinine3.ECG and ECHO4.SHI can suggest you to take high protein diet...
Hi, im a 20 year old female. I just went and had a my second tilt table test today. the results of this one where scary. i didnt really walk out of the hospital assured that id be fine. my last TTT was feb of last year. i passed out after 8 min with a reading of 76/46. i was then diagnosed with NCS. all well and good. ...
Hi, If you are having recurrent syncope, then first medical and behavioral therapy is tried. If there is no response, then one can think of pacemaker. During giddiness or impending syncope, following maneuvers should be tried, Leg-crossing with simultaneous tensing of leg, abdominal, and buttock muscles, Hand grip, whi...
Hi..i m Swati.I m of 21..suffering from lower back pain for last 4 months.few days before i did x-ray spine LS but everything was all right.dr gave me medicines Gemcal plus pure D3 Espra but i m not getting relief.it becomes painful in night i feel straining in spine and to my right leg i cant sit more than 10 min i fe...
Hi Welcome to ChatDoctorI have gone through your query for persistent lower back pain. It is a matter of concern . Dear, It is good that your X-ray came out normal & all is well. But At so young age you are facing this problem, is really worrisome. It seems that your problem may be due to your inactive lifestyle and fa...
I just got back the results from a blood test for food allergies. I am 66 years old and didn t know that I had ANY allergies. Report says to AVOID whey, eggs, almonds, pinneapple, Kidney beans, and garlic. Plus moderate sensitivity to
HIT hank for asking to ChatDoctorI really appreciate your concern looking to the given history here I could say that if you are sensitive to that much food then this is very unlikely and if this is true then underlying cause need to be found out, in my opinion better to see the best dermatologist and discuss this, I su...
hello was just lookin at medicine for back pain I hurt my back when I was younger carryin my friend on my back and heard a crack ever since then I been having back problems cant sleep feels like it needs to pop are something so im looking up meds to help me the best for this porblem
First before suggesting any medication we have to make sure what is your diagnosis. IF your back pain is because of any disc problem or muscle issue. It would require two test, one is X-ray of spine and other is MRI. So if you are having a disc prolapse, my suggestion will be to start back muscle strengthening exercise...
sir my father 40 yrs old is having high traces of albumin in urine we had gone to docters but it is not helping us .he had 3 operation of kidney due to xecisive stone in both kidney in past. know he is feeling weakness a docter told us to do culture test but he is not ready to do. sir give me a good solutions for this
HelloThanks for query. Your father who has undergone three surgeries in past for kidney stone and now has 3 + albumin detected in routine urinalysis. The presence of 3 + albumin is an alarming signal suggestive of chronic kidney disease due to damage due to repeated episodes of stone disease and needs to be investigate...
Hi i ve been 2 months monitored by my doctor i had irregular cycle too. Now I m 31 and want to become pregnant,He told me to take gonazi injection 5000 x3 days and duphaston x3pills a day for 16 days i also take x2 metformin tablets i took x1 clomid for 5 days on the 3rd day of my period, he got my cycle normally now a...
Hi, If the entire fertility work up has been done and both of you are not shown to have any difficulties in conceiving, you stand a pretty good chance of conception with the medication prescribed. 40%-45% success rate has been reported at the end of 6 months with Camphene alone. 80% women ovulate in the first cycle its...
my wife is suffering with 102.3 F fever. having pain ,nausia and didnt take meal since 7 pm tonight. Is it viral fever or dengue? i ve given her paracetamole 500 two times but now also her temp is 102. should i give her 650 mg paracetamole bcoz last dose i vegiven her at 9 pm
Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. This is difficult to comment without clinical and laboratory testing. However, dengue presents with fever, malaise, eye pains, bleeding manifestations. If you are having any bleeding from anywhere, then simply get tested. These days viral...
30 year old female, 131 pounds, Mitral valve prolapse, frequent palpitations and urge to urinate, nothing seems to make them better or worse. Dorsalis pedis pulse was +3/+4 and posterior tibial was +1/+4. On birth control for 6 years, smoked for 3 (1-3 packs per day), and I think the EKG showed premature atrial contrac...
Hello, Yes MVP can cause palpitation and urge to urinate. The palpation is mostly because of ventricular premature beats or any change on rhythm. In sensitive patients even atrial premature beats can cause palpitations, also at the same time a Hormone is released from the atrial causing diuresis. I would suggest you t...
My ALT is 48 and the range is supposed to be 5-33; my ast is 37 and the range is listed as less than 32. I injured my back last december, and have been taking tylenol ever since. My dr. said ad long as i stayed under 3000 mg per day i was fine. I hesitate to take ibuprofen or other nsaids, as i was in the hospital for ...
Hi dear thanks for asking question. Ast and alt values permissible up to 42. You have mild elevation of alt only.Here is no need of much worry. Yes by Chat Doctor. Ibuprofen you have taken can elevate it .so avoid haphazard use of analgesic... If needed then only taken... Estimate your cholesterol level and perform USG...
my son s left cheek is swollen and is now causing pain under his eye. His teeth and gums feel fine. We saw a doctor 10 days ago and he said it looks like an infection. He took antibiotics and the swelling went down after 2 days. it has flarred up again this morning
Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. It seems to be the same infection again, there are two possibilities 1-You didn't take the suggested course completely just took antibiotic till t...
Hi I fell over a week ago tomorrow backwards and hit the back of my head on concrete. I have a cut minor that s scabbing up stopped bleeding that night and a big bump and feels really bruised all around the back of my head. My head keeps making a crunch like noise and I have to take painkillers as its so sore as healin...
Hi, thank-you for providing the brief history of you. As the mechanism of injury suggest that you had an internal bleeding in the head due to which the area surrounding the eye got black. As the brain healing occurs on its own and due to the physiological protective process you may feel some headaches and pain as well....
My son is 8 years old. He suffers from recurrent cough quite often in winters. Now since weather has started changing he has prolonged cough twice within last month. We are very worried. We have changed many doctors but no body tells us the cause. Some suggests steroids & some suggests aerial inhalers. We also tried li...
Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having moderate persistent asthma. I have a few questions for you -Questions
My Daughter is getting these Twitches or glitches thats what she call them, today she had them for about 20min on the school bus, she dorpped her phone and was unable to walk for a little while. When she got home i took her to a clinic, they drew blood and checked her pressure everthing was fine. she is ok for now. Not...
Hi, Thanks for writing in. It is possible that your daughter experienced a partial complex seizure. This is not the complete seizure like episode that people call fits but a minor form. However, if this has been happening since earlier, it should be investigated in detail. Taking blood pressure and doing blood tests mi...
Dear Dr., I am humaida, suffering from authoritic problem since three year, feel very pain from back of the neck, some day when I feel much pain then only take medicine, So please tell me some proper solution to throw away this problem. regards humaida
HiT hank you for asking Chat Doctor. I have gone through your query. Your problem of pain on back of neck can be due to cervical spondylosis. An orthopedic examination followed by an X-ray can rule out this. I usually advise NSAIDs like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I a...
for the last few days i have been getting my heart stops then for the first beat after it pounds. i have always suffered this but only once in a while. ne=ow this is lasting days. i had full heart tests about 6 months a go and was told everything was o.k. What is it and what could i do??AL Faella
This could be a number of things; as there are an array of both rhythm and rate disorders and or abnormalities which cause the symptoms you describe. When you say your heart stops, be more specific? And when you say always suffered this, can you think of any things done before each episode, any activities you are engag...
I m suffering from psoriasis for the past 13 years. .now 24 years old..til date my psoriasis were dry patchy wounds but now its has appeared with pus formation, swollen and it pains...earlier it use to just itch but now it pains and psoriasis is fully on my body even on my face..m tensed seriously...please help
Hello and welcome to Chat Doctor I would keep a possibility of Acute pustular psoriasis/Unstable psoriasis. If I was your treating doctor I would have asked you to get hospitalized as acute pustular psoriasis is highly unstable and requires systemic antipsoriatic agents in addition to general management like fluid elec...
dear doctor iam taking metostartan50 and clopilet150 together in the morning and in the night,i had a bypass surgery 11months ago.can i continue the tablet for some time and if i walk for some distance my left hand is paing is that because of side effects pl advice.
Hello, This association of medications is indicated very frequently in medical practice, the adverse effects that may occur are
Hi I m a 21 year old black male from Germany, and I have some questions concerning my skin problem. Sadly after my puberty , I have noticed that my face became 3 shades darker than the Rest of my body. I have tried many health products to cleans my face, but all failed to recover my skin. My question is, do i have some...
Hi.thanks for your query. You do not seem to suffer from any health disorder. You can follow the steps below to lighten your skin tone by a few shades
Hello Doctor,I am suffering from cough and pain in throat for a long time. When checkup doctors told me its dust allergy and I am having livocitrigine for this. But the problem gets postponed for some time when I have the tablet. Throat pains more when I speak a little bit more.Plz advice that Livocitrigine is the only...
Hi and thanks for the query, It might be necessary to get the opinion of an ENT specialist. Anti-allergic Chat Doctor. In case you react so much to a specific allergen, the substance might be identified, and you could then avoid it, and reaction to substances or degree of allergy could reduce maybe through immune dese...
I am a 33 year old female I weigh 139 and Im 53 i had a baby 3 months ago. Was completely healthy while pregnant and no blood pressure issues at all. Over the past several weeks I have been really worried about my health and it has stressed me out badly. Started taking zoloft 25 mg for anxiety at night. Last week I had...
Degree understand your concerns. I went through your details. As your doctors said, nervousness is evident from the blood pressure readings. The condition becomes a sort of obsession with Hyperion Chat Doctor. But it is never actual. Whenever you see the sphygmomanometer, your BP rise. Obsession. Nothing to worry. Tim...
Hi My kid of aged 10 month has loose motions and used 3 econorm sashet and OFM antibiotic. motions were stopped tempararly and so we stopped with 3 econorm sashets. again Motaions has started. What Madican I can give now. and wanted to know what is econorm sashet for?
Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use ...
I having pimples on my face from the past 6 years.I had used many lotions but i didn t get any releif from them.sometimes they are reducing and sometimes coming again.pls suggest me some permenent cure for it or any medicine?
Hi.dear Himabindu., Thanks for choosing Chat Doctor., Pimples on face is common in this age., it is due to hyperactivity of hormones., So don't worry...go for good treatment to avoid., further effects...ok.,1) Frequent washes with Fast Bar.,2) Tab. Isotretinoin 20 mg for 30 days.,3) Clindamycin and Nicotine acid combin...
I have a small dime size subsurface lump on the right side of my right pectoral. Theres no pain when i press around it, but if I press the lump itself an irritation feeling begins with slight pain. Its about an inch and a half away from my nipple. havent noticed this lump until last night after my light, no weight work...
Welcome to Chat Doctor. 1. The possible cause could be lipoma (fat containing) as there is no pain or tender.2.I would suggest getting an ultrasound scan done - ultrasound will help in evaluation of the nature of the lump, its source and extensions. 3. If there is any mass noted on the scan - a guided FNAC - fine needl...
doctor i am a 22 years male. i am doing my graduation in business management. i am a complete short tempered person and also straight forward. i get angry soon. i feel disappointed for silly things. my problem is, my parents love me a lot....... i too love them... but they havent tried to understand me.... they get me ...
Degree understand your concerns went through your details. I suggest you not to worry much. You are just 22. A 22-year young short-tempered / emotional person is quite a normal statistics. Nothing to worry in your character. But regarding your parents, instead of pointing your fingers towards your parents, you should t...
My wife inhaled clorox mixed with toilet cleaner accidently 6 weeks ago and burned her lungs. Since then she occasionally has difficulty breathing and pain in her lungs. An ice pack and fan on her face seems to help and it goes away in 5 to 15 minutes. She feels fine inbetween these bouts and has no cough. Is this a no...
Thanks for your question on Chat Doctor. I can understand your concern. Fumes of Clorox with toilet cleaner when inhaled can cause irritation and inflammation of the airways. So possibility of bronchitis (inflammation of airways) is more after such inhalation. And your wives symptoms like recurrent burning chest pain, ...
Hello,My daughter is 17 months old. She s suffering from viral fever which spikes to 103-4 after every 4-5 he s. The blood tests reveal anemiac deficiency and spurt of cells in body. How long will it take to recover? And how long does meftal take to lower body s temperature?
Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is ...
i have been feeling really tired, and have had 3 blood tests which queried anemia my iron levels were fine so they checked something beginning with f any way suppose to be 13 and is 11 somethink they want another blood test dont know what all this means
Hello and welcome to Chat Doctor, Extreme tiredness is most commonly caused by anemia. Anemia is not a disease, but it is an indication of an underlying disorder. Anemia is investigated by investigations like complete hologram and red cell parameters. After these investigations, it is important to get iron profile done...
both of my ankles and calves are swollen daily, I sleep with my legs elevated and in the morning the swellings have reduced, but after being up a half hour the swellings return and on and off during the day I get sizzling sensations in different parts of my legs.
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen ankles & calves. Well there can be many reasons for symptoms you mention in query like blood clot of the leg, infection in the leg area, venous insufficiency, organ failure like heart, liver, or kidney, lymphedema. I would s...
I have acute pain In the back of my neck. My arm and shoulder also aches. I have been to the doctors and have ibuprofen 800 gm but I am still in pain. I went to a chiropractor yesterday ans she said I would be better in a couple of days. Now my mouth feels strange with my lips feeln slightly swollen. I have now had to ...
Hithank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by your symptoms and the history, I can understand that you tried all, and it still pains. So I will recommend taking physical therapy. As it is non-invasive, and also it will help regain the strength in the...
I ve been taking Coveram 5 mg for the past 2 months and was taking a pitavastatin for the same period of time. Experienced drop in libido and desire. Stopped the statin a month ago to try to determine which of the drugs was the culprit. Still no change. Cannot maintain an erection. I m 66 and in good health and until I...
You are right in thinking the connection (side effect) of these medicines as ED. People often come with sucChatDoctorplaints with such groups medicines but stopping these medicines without treating doctors advise is no answer. There are medicines available to enhance libido and spermatogenesis to overcome this side eff...
I am a 48 year old male who had hip replacement surgery 6 days ago. I am taking blood pressure meds but my current readings over the past few days are on the high side (today was 138/97 pulse 77). How does surgery and recovery impact BP? Should I request my medication to be adjusted?
Hello, The blood pressure reading you have mentioned is just borderline high, and you should not worry about the same in this recovery period. The physical stress of hip replacement generates a lot of hormones like a Chat Doctor. This will shoot your blood pressure temporarily. Also, the pain medications and pain itse...
My 7 year old daughter has 8 little marks (tiny cuts or bites) on her back and neck that are bleeding a little. Most are in spots that were covered by her shirt and she can t reach all of them so I don t think she s scratching. Could these be bed bug bites or flea bites or something else altogether?
Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child but don't worry about it. By what you quote it seems that your child probably has got insect bite. In insect bite, there is redness, swelling and slight bleeding at the site. Apply mupirocin cream loc...
hi my sister has bowel,lung liver and stomach cancer is 50 years old has gone on driver last thursday and was taken in st johns hospice on monday she apeared her usual witty self but day after being in there she has been drifting in and out of sleep her life expectancy was 6 months but that was up in january
Hi, dairy have gone through your question. I can understand your concern. She has bowel, lung liver and stomach cancer. Treatment is very difficult with multiple cancers. She may have multiple metastatic cancers. So its late stage disease and no treatment will cure the disease. Only symptomatic treatment and palliative...
i am disabled and all i have is medicaid for insurance. none of the clinics are excepting new patients for about a month. i cant take ibprophen due to high blood pressure . is there any way you can prescribe anything for the several bad teeth i do plan on getting removed soon. i cant get into any dentists in my area to...
Hello and welcome to Chat Doctor forum, i would like to inform you that, the roots which are now left out should be extracted first as they can be the reason for infection, also if all your teeth are periodontal compromised then it's better to get them removed which should be followed by dentures, you have not mentione...
My son is in the hosp with severe abdominal pain. He is eight yrs old. His pain is being treated with morphine 2mg iv every 4 hrs prn as needed. They are saying it is a stomach virus, but he is hurting in his legs, chest and bilateral lower stomach. he is running a temp of 103. he is yelling out when pain starts until ...
Hi. Thanks for your query. The commonest causes for severe pain in abdomen in a child of 8 years old are to be ruled out by investigations
I live in spain and i suspect i was bitten by a spider on fri/sat. symtoms seem to match a Brown Recluse Spider bite, commonly found in Valencia area Spain where i am. I didnt notice for some time later when i developed an itchy skin irritation on sat night. i had what looked like a little bit mark surrounded by a red ...
Hi, Thanks for posting in Chat Doctor. From your description, it appears that you have been bitten by spider as you have rightly suspected. The symptoms you are complaining of red spotty rashes is due to allergic reaction. You can do the following
my son who is 32 months old is having large adenoids. my ent doctor suggested my son should go for adenoid surgery and we planned a surgery this week. my question is my son likes ragi java very much, after surgery can i give him raagi java and what foods and liquids can i give to my son? can you explain how the surgery...
Thanks for asking I have gone through your question. And understand your concern. You can give radio, java after surgery, (After your surgeon tell giving by mouth after recovery from sedation) Your surgeon will advise you for soft diet like cereal gruel for some time after surgery ( for about one week) The adenoid are...
Hi, I had my 2nd skiing lesson on Sunday evening. I fell over a few times and when I had finished and got in the car to drive home my left shin was very sore, I looked at it and there was a reddish lump which has now developed into a large bruise. I am tending to bruise easily at the moment and they ache. I had varicos...
Hello, Bruises or contusion aren't that uncommon. This type of usually minor injury happens when tiny blood vessels called capillaries are broken due to the fall. I suggest using cold compresses for local applications. I also suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. Hope I...
hi I am Arun from bangalore.. A couple of weeks ago, I was bitten by a stray dog in bangalore. However, there is no make or injury/bleeding as it bite me below my kwnee where my leg was covered by shoe-shack and pant/trouser. When it bite me i got some sensation/irritation. Now, do i need to take treatment for this?
Hello, Welcome to Chat Doctor, Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As there was no bleeding from the bite site, according WHO categorization it is categorized into Cat II. So cat II bite s...
I have an infection under a lower tooth on my jaw. Im taking metronidazole prescribed by my dentist, but there is an apparent increase in swelling under the tooth. Am I in danger of that spreading through my body and making a problem into a nightmare?
Hi. Thanks for the query. Your explanation is pointing towards tooth abscess formation that is due to deep infection in the tooth leading to pus formation below the root tip of the tooth. It can spread to the soft tissues of the face leading to Cellulitis and Space infection. So my suggestion is to consult a Dentist an...
I am 54 years old and feel like my heart hurts and feels tight. I am tired and physical activity has become harder to do. I feel that there is a blockage. Under alot of stress and have been chain smoking. I am 4 11 and 112 lbs always maintained my weight and no health issues except high blood pressure and have been tak...
Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario
what is panderm plus cream?does it clear the black marks on face?
Hi, Panderm plus cream contains ofloxacin, ornidazole(antibacterials), terminating(antifungal) and clobetasol(very potent steroid). As you can see, it's basically a multiple combination cream containing antibacterial, antifungal and steroid to control inflammation. These multiple combination creams have very few specif...
Back ground
This is all about the immune system process. Diagnostic reports help a physician to plan the possible treatment for the welfare of the patient. Tooth removal should not be an issue. Kindly follow the guidelines of the oncologist, and I am sure your husband will be fine. Kindly check with your once if your husband can d...
Hello, I have recently noticed a green / dark gray colored lump, that is sticking out of the skin of the top left of my toe. I can see the lump under my skin as well. There is a ring around the lump as if it had burst through the skin. It appears to look somewhat cracked and has numerous black dots inside of it. I real...
Hi. Thanks for your query. Noted your history and understood your concerns. Green/dark gray lump with multiple black dots and appearing as if coming out of the skin and the part being under the skin indicate the probable cause as viral wart or keratin horn or an infected epidermis cyst. This can be treated in the follo...