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My son, who is 33 years old, has been suffering from intermittent epileptic seizures (TONIC) with certain psychotic problems like low self-confidence, poor concentration and dis-interest in work , non-socialization, rare but sudden bursts of anger etc. From September, 1998 to July, 2011, he had in all 43 irregular seizures. He has been on different medicines for cure since 1998 itself as per different neurologists advice in the order given- DILANTIN-100+100mg/day ( 1 seizure in 1 year intake during 1998-99); TEGRETOL-100+100mg / d ( 2 in 4 months - 1999); ZEPTOL- 200+200 mg / d (30 in 2 yrs -1999-2001); EPILAX CHRONO 700+700 mg / d ( 3 in 4 yrs- 2002-2006); DEPAKOTE -500+500mg / d (NIL in 8 months-2007); TORVATE -500+500 mg/d +T.EPTOIN-100mg/d (7 in 4 yrs-2008-11). 20% of the seizures were due to non-intake of medicine for a day or two and rest may be due to non-suitability or inadequate dosage of medicines taken. presently he is on EPILAX CHRONO -500+500 mg / d +RISDONE-1 mg/d+NEXITO-5 mg/d from July, 2011. Today, ie on 16-4-2012 he is on severe tonic seizure twice at 1.30 AM and 5.30AM. Advice sought to do what immediately. | Hello Thanks for using Chat Doctor .com From the details provided it looks to me like he is suffering from pseudo-medically refractory epilepsy along with psychosis and depression. I call it pseudo because of the inadequate dose and poor compliance with the medications. Other causes for recurrent seizures are sleep deprivation and wrong selection of medications for the type of epilepsy. I recommend you to see an Epidemiologist for classification of epilepsy and then to choose right medicine for the type of epilepsy. Inspire of this he remains refractory with good Chat Doctor. Sincerely, |
I have been experiencing a sharp pain in left middle stomach. The pain is a nonstop stabbing pain. Also it getworse when I eat maybe about an hour or so after. Today it is worse and I have new symptoms diaharea and gever which may have nothing to do with it. I dont get heartburn but sometimes burning in my belly | Hi. Thanks for your query. You have pain in left middle stomach and is non-stop stabbing in character-after an hour food-now diarrhea and fever. This indicates an inflammatory character, and you need to go for investigation |
I M 23 YEARS OLD GIRL....I HAVE THICKER HAIRS ON MY CHIN...BUT I HAVE ONLY SOME AMOUNT OF HAIR...GIVE ME GOOD HOME REMEDIES...REP ASAP... PLZ REP SOON... | Hi... Thanks for choosing Chat Doctor., Thicker hairs on chin, Usually due to 1) Hyperactivity of Hormones., e.g..POD, A Chat Doctor. , Arrenoblastoma., 2) Steroids...excessive uses first evaluate, to exclude above problems.,1) simple, non-expensive procedure.... RF- electron...emulation.,2) Electrolysis....3) Chemical emulation....4) LASER therapy...expensive but reliable and effective., Diode laser.800 nm., IPL-intense pulsed Light System., without heat, LHE-400 to 1200 nm.ok good luck., |
I am a 23 year old female and have been diagnosed with PCOS.. I had a normal period for around 2 years and then all of a sudden it stopped.. Since i have been diagnosed by a doctor .. The past 2 years however I have got more symptoms such as increased hair growth which is really embarrassing.. I have seen my doctor as I wish to fall pregnant and she prescribed metformin/diaformin.. I have been takin this for approx 4 weeks and recently got some light irregular bleeding for around 4 days.. If I keep taking this medication will I be able to fall pregnant naturally or will my period become stronger? The doctor never helps with the hair growth problem.. | Hi Megan, Welcome to Chat Doctor.PCs is characterized by excessive hair growth in unwanted places, obesity and irregular menstrual cycles. Your doctor has correctly prescribed the Chat Doctor. These tablets will assist you to get pregnant as well as regularize your periods. You need to take this medication for months together for it to be effective. This may not clear your hair growth but may control further hair growth. Wish you all the Best. |
I have just been diagnosed with HSV-1 but it was a painful genital breakout. First one. My wife has also been diagnosed with HSV-1 but its oral. She sometimes gets cold sores on her mouth. Is it possible for me to give her another infection of HSV-1 in her genitals if I m shedding in my genitals? thank you S | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint infection in genitals seems to be due to HSV 2 and in case if you have a breakout in your genitals I would suggest you to avoid intimate contact with your wife as you can very much transfer infection to her, and she is susceptible to develop infection when she is already infected with oral herpes. I would also suggest you to consult an Infectious Medicine Specialist and get evaluated, and he can do viral culture as well as blood culture to rule out the exact level of infection. He can start a course of oral and topical anti-viral medications for you as well as your wife and can give oral doses of Acyclovir and topical application of antiviral ointments like Acyclovir, Val acyclovir etc. for reducing viral count.Anti-viral medication will reduce the frequency of recurrent infection as well as reduce the duration of prevent infection. Avoid sexual intimacy to prevent spread and severity of infection. Keep your personal use things like towels glasses etc. separate. Always use washed and cleaned undergarments, towels, clothes etc. Hope this information helps. Thanks and regards. Chat Doctor. |
My mom is 80 years old with high blood pressure and parkinsons disease...she is on blood pressure medicine everyday and today her face is red and we checked her blood pressure ...it is 196 over 99 with a pulse rate of 90...she just took more medicine...what else should we do? | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that high blood pressure in her situation should be treated like in other patients. You should know that high blood pressure is not typical of Parkinson's disease (it usually causes hypotension or orthostatic hypotension). I would like to know what is her actual antihypertensive therapy. I would recommend consulting with her attending physician for a careful physical examination, a resting ECG, chest X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.) to exclude other secondary causes of high blood pressure. You should discuss with her doctor on the possibility of adding other antihypertensive Chat Doctor. |
I my brother suffering from fits form last 20years.we met several doctors and tried different treatments.From last 10 years we are following one doctor with large amount of medicine. Now not facing fits but seeing seizures in a week or for one month some times.Please suggest what is the reason and what is the best treatment to get permanent cure??Thanks in advance. | Hi, I have gone through your question and understand your concerns. If the source of seizures is temporal lobe of the brain, epilepsy surgery helps in about 75 % of cases in reducing or eliminating them. This needs to be discussed in a Neurosurgical center. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
a pyeloplasty of my left kidney was done about 16 yrs back now i am 53 yrs 5 months i was admittd to hospital on 1st april 2011 after having temp of 99 -99.5 degree since jan 2011 ,di agosed having uti routine urine had pus cells full field 7 culture sterile being given many antibiotics cipro, nitrofurantion group & many more since april 2011 .Also there is a pain on the left side at the outer side of the lower ribs .dtpa revealed kidneys are good with left kidney enlarged urologist says kidneys are functioning very good one of the Dr said may be it is chondritis/tumor as the Kidneys are much below .Drs are now giving me tuberclosis medicines ie--Rcinex 600, pza 750 chlorambutol pridoxine liv-50 &polybion .After about 1 0 days of this medicine urine routine pus cells were 10-12 & urine culture sterile. still i am having temp of 99degree B.P --122/88 Wt--56.6Ht- 4.6 feet today i am advised Bone Scan & CECT Urography please advise me | Hello and welcome to Chat Doctor. As a urologist, I can understand your anxiety. After an examination by Urologist, the proper test to do is a CENT. The creatinine level must be written. The urine is sterile. So no there's no UTI. Anti-t.b.treatment has been started empirically. Urine should've been sent for AFB culture. You may send the CENT and creatinine reports to me, for an expert opinion, as a direct question. |
I recently found out I was pregnant with three positive home pregnancy tests and am schedule for lab work in a couple days. Today I have been feeling really nauseated and have been running a low-grade fever 100.4-100.6 with chills. No other symptoms. Should I be concerned? | Hello, and I hope I can help you today. Unfortunately, being pregnant does not prevent you from getting sick just like any other person. Fortunately, you have to have very severe and/or certain types of illnesses to put the baby at risk. A low-grade fever and some nausea likely is just a stomach flu or some type of food-borne illness and does not pose a threat to the pregnancy. I suggest you start a bland diet with simple, starchy foods and sweet liquids. Products made from ginger (tea, candies) are soothing to the stomach and can help with nausea, and Acetaminophen (Tylenol) is safe to take at the normal adult dose during pregnancy for pain or fever.Also, if you are sick, there is no problem with getting the routine prenatal blood tests as the results are not affected by your illness. I hope I was able to answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy, and I hope you feel better, |
ok so i recently had sex on the 2nd and my period was supposed to come on the 17th Im late by 6 days. i do not have a regular 28 day cycle some times its more some times its less. some periods last 4 days others last 7. there are months were i skip a period and i have been late and sometimes early after having sex. so what does this mean? | Hi, thank you for asking Chat Doctor. It is important to remember that pregnancy can occur any before menopause even if your periods are irregular. Irregular periods are caused by an imbalance in hormones that control the menstrual cycle. For me, I think the only thing you can do to know whether you are pregnant or not is to do a home pregnancy test each time you miss your period. I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish you good health |
Are my cholesterol levels good bad, what do I need to Improve on?My HDL is 0.93 My LDL is 3.35 Weight is 206 pounds Height is 6ft 3 I am a Canadian. How are my levels, are they dangerous, safe, what should I do to fix them. My age is 55 | Hello, the cholesterol targets depend largely on your medical history. If you're healthy (no diabetes, no heart events, no hypertension, etc.) then your HDL and LDL are fairly OK. Your HDL would be better if it were higher though.I'll mention a few things you can do to raise it |
I would like an opinion on my MRI report. 1. Moderate disk bulge at c3-4, which is predominantly central. There is approximately 10% to 15% loss of normal AP dimension of the cervical canal. The neural foramina are patent and there is no evidence of neural foraminal narrowing or nerve impingement. 2. C5-6 level. There is a posterior bulge present and minimal to mild narrowing of the neural foramina. There is narrowing of the dimension of the spinal canal by approximately 15%. There is mild ligamentum flavum hypertrophy . 3. C6-7 | Hi, Thank you for posting your query. Your MRI of cervical spine shows bulging of discs (soft tissue located between the vertebral bodies) at multiple levels, causing narrowing of the opening for the nerves and the space for the spinal cord. However, the degree of disease is mild-to-moderate. At this stage, treatment would consist of physiotherapy and medications (such as pregabalin). Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
I bruised my mid thigh by bumping rather hardly into a desk. After the third day, bruising formed, and now on the 5th day I woke up with a red area about as big as a 50 cent piece over a lump. It hurts quite badly when touched. Should I be concerned of a blood clot? Also as a note, I have had both knees replaced 3 years ago. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to bumping the thigh with the desk there has been traumatic injury to the soft tissues leading to swelling and the red area seems to be due to broken blood vessels leading to spillage of blood in the soft tissues and hematoma formation. You need not worry as gradually as the healing will proceed and inflammation will subside pain will reduce. Blood will also gradually disintegrate from the soft tissues leading to fading of redness. I would suggest you to take anti-inflammatory painkiller like Ibuprofen. Do cool compresses over the swelling. You can apply an analgesic ointment over it. You can also apply Heparin ointment as it will help in fading of the bruising and faster disintegration of the blood clot. Elevate your leg while lying down. In case if the condition worsen or there is no improvement in a week consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. |
Saw my Dr. yesterday, my heartbeat was 122 bpm. I thought it was because I was in a rush to get to appt. Today took my blood pressure at a drugstore and heart beat was again, 122 bpm. Blood pressure was yesterday was 111 over 50 today it was 117 over 70. | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that normal heart rate ranges between 50-100 beat for minute. When it exceeds 100 beats for minute in Norma rhythm and normal conditions we talk about sinus tachycardia. A person might experience sinus tachycardia for different reasons like stress, coffee or energy Chat Doctor. So, to understand if it is just a sporadic episode with high frequency or something else I would recommend some examination like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and a holder rhythm monitoring to evaluate your heart frequency during day and night. After all this we can better understand what we are dealing with and how to treat it. Mean wile avoid excessive coffee consumption or energy |
I have a small lump up inside my rectum. It seems to be protruding out through the outer part of the anus. More towards the cheek. It only hurts when I directly apply pressure. No blood , itching, as of yet. I m assuming after it has been there for a couple days it is more than likely a internal hemroid | Yes, you are right! This could well be an internal hemorrhoid. However, some other possibilities are also there like a rectal polyp, a mucosal tag, mucosal prolapse, lymphoid tissue etc...AS PER THE DESCRIPTION, IT IS LIKELY BENIGN AND nothing to worry much but still needs confirmation!Therefore, see a surgeon for a rectal examination, colonoscopy if necessary and stool examination and to discuss possible cure if needed!regards, |
Hi, may I answer your health queries right now ? Please type your query here...My wife received a tetanus shot 1 week ago and her initial reactions of redness and swelling and pain in her injection have changed and seem to be improving. Should she take other precautions? | Hi, Thanks for posting in Chat Doctor. It appears from your description that your wife has got a reaction due to taking of injection tetanus toxic. If you see pain and redness at the site, she can apply ice pack to reduce the inflammation. She can take anti-inflammatory and analgesic like Ibuprofen and Paracetamol combination, twice a day after food. If she is pregnant, she should avoid ibuprofen has to be avoided and only paracetamol needs to be taken. Hope the information provided would be useful. |
I I have been experiencing lower back, and right leg pain stemming from the sacrum for 3 months now. Work has referred me to physical therapy and I go 2 times a week but the stretching exercises they have me doing are not helping. My pain is getting worse, especially sitting. Driving to work is almost unbearable. My x ray shows that my sacrum bends back where it connects to my L5 farther than normal. But they say it cannot be work related pain. They want to deny me workers comp and sat it s my bad posture. I deliver small heavy boxes all day and sit in the back o a vehicle for 9 to 12 hours a day. I am worried that they are misdiagnosis this to avoid paying workers comp. Any help would be great | Hi, thank-you for providing the brief history of you. As per the history I understand that you are not undergoing sufficient physical therapy session. I will say underground 2 days a week is for no sure going to help you at all. You need a minimum of 5 days a week of Physical therapy. Also, by your x-ray report mentioned by you, I feel I is work related issue, and you need and MRI for this. I think this is more of a spondylolisthesis of the L5 over S1 region, it's a mere speculation but with understanding the MRI study and comparing to clinical symptoms we can come closer to conclusions, as you are a delivery boy, this condition would have made some changes in the posture and lead to abnormality in the sacral region. Also, it's totally a looking the mechanism of injury is due to job profile.Also, I will advise you to undergo and MRI and also increase the number of your weekly physical therapy sessions for up to 12-16 weeks. As in my clinical practice most patients have work related injury like how you have now, and responds well to physical therapy when the proper kinematics of the spine and the injury is understood. RegardsJay In Chat Doctor. |
Hi, Ive noticed all around my outer labia, the skin is all white and cracked and some of it flakes off. The skin is bright red around it and feels warm to the touch. I think it might be vaginal dermatitis as it looks a bit like dandruff only harder to remove. | Hello, Thank you for posting on Chat Doctor. It seems you have got intertwine. Intertrigo is an infection which occurs over any opposing skin surfaces, mostly seen over groin folds. Its caused due to bacterial or sometimes fungal infection. Overweight can increase the friction and thus predispose to intertwine. I would suggest you oral antibiotics and antifungal tablets for few days along with application of antibiotic cream like juridic acid and antifungal cream like clotrimazole twice a day for few weeks. Use dusting powder containing clotrimazole on daily basis to keep area Chat Doctor. Try to reduce weight and maintain hygiene. Avoid tight undergarments and use cotton garments as far as possible. Hope this will help YouTube care |
What is causing me to keep bumps with puss all over the back of my head? Different shampoos seem to make it more irritating than others. I have tried all kinds of things and have been to two skin doctors and nothing works, but the nail fungus pill medicine? | Hi, From history it seems that there might be having scalp infection giving this problem. This can be folliculitis, yeast infection, sebohrric dermatitis, Dan Chat Doctor. Consult dermatologist and discuss this. After finding the cause go for treatment accordingly. If there is fungal infection in nail, this can be yeast infection in the scalp. Go for one oral course of antifungal medicine like Fluconazole 150 mg once in a week for 4 weeks. Take head bath daily with plane warm water. Avoid using shampoos, conditioners. Ok and take care. |
since i was small maybe like seven i had been hearing voices calling my name i dont think they are in my head because they sound so real. but then as i got older it gets more worst becouse know i start to hear other stuff besides my name like its trying to get my attention by making weird noises or whistling and know i think i m seeing shadows fallowing me everywere but when i m not alone i dont hear nor see anything like that. i sometimes think that i m going crazy. i once told my mom about this and she just said that maybe i was just imagining stuff. am i actually going crazy? | There is nothing called \"crazy\". To you the experiences are real. That is all that matters. 60% of people hear voices or see things that others can not experience at least once in their life. This is a proven fact. The only difference is that your experiences are persisting for long time and are troubling you. The best thing to do is to get professional help. It could be that the most simple thing could be the answer to your problem, like talking about stress that you are experiencing at home or at school or with friends, or stopping the occasional pot or marijuana that you may be doing or whatever. I am just guessing all the simple things that could help you with these things apart from the notion that you are going crazy. Do consult a psychiatrist. There are lots of reversible causes that may cause experiences like these. And we can help in all of them. Half the battle is already won that you are seeking help for the experiences. Goof Luck. |
Hi, I had arthoscopic surgery on my knee on the 27th, the stitches are burning off and on and i still have extreme pain when i try to put weight on it. I was told not to remove the bandages and dressing till my office visit on the 12th of July... Is the burning normal 3 days after the surgery | Thank you for your question on Chat Doctor. Pain and burning sensation at the site of surgery is normal because the wound is still healing. The knee being a weight-bearing joint, you should b careful to not put weight on your knee for up to two weeks at least post surgery. You can engage in light movements at your knee joint sufficient to prevent any contractures(slightly move your joints)the pain should subside in a few days. Hope this information was useful. Regards, Chat Doctor. |
Hello doctors!! I am Mn,mita .I got my 1st miscarriage last year in July.After that I have done almost allthe tests like HSG scan,Estrogen homone test and other blood test.Everything is fine and good.But then also I am not getting pregnent .My husband have done his tests .He is also good.Please advise me. | Hi, Thanks for writing to Chat Doctor. If you're all tests have come normal then there could be problem in either ascend of sperm or fertilization or implantation. I would suggest you to go for GUI(intrauterine ingestion of sperm). In this they will wash the sperms and processed and healthy sperms are placed in uterus. This will solve problem in ascend of sperms. I would suggest you to try for 3 cycles of GUI if you are trying for pregnancy more than 2 yrs and your age is more than 27yrs. I wish you conceive with GUI. If it fails I suggest going for IVF(invited fertilisation). Here fertilisation is done outside and placed in uterus. Hope I have been helpful. Regards Chat Doctor. |
I went to the doctors last thursday to have mirena taken out as it did not work for me. I also had been having pains a week before extraction and my doctor thought I had appendicitus so went to hospital and they said no it wasnt but one day after having coil extracted I have been having more pain and lots of bloods loss and clots what is this | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor, F. You text says that You had pains since few days, you got IRENA removed on last Thursday. On Friday you had pain and lots of blood and clots. It appears that you have urinary tract infection, which caused pain. On Thursday you got IRENA removed, probably during the infection which resulted in over bleeding. Even otherwise also sometimes happens like this. Still examination is necessary, so I advise you to consult you doctor for diagnosis and treatment. Wishing that everything is fine. Best regards. |
Is it wise for a daughter to tell her mother that she has borderline personality, and point to behaviors the child remembers from growing up (i.e. telling the mother that she thinks her mother has lived her life in emotional turmoil, when the mother does not feel that way at all) | Degree understand your concerns went through your details. I can understand your emotions. I assume that you are the mother and your child abused you. In any case, mother and girl child relationship are always thorny during the girl children teen and young adult age period. You have not mentioned the children and the mothers age. So I assume that too. There are many occasions where the child uses foul language and the mother retracts and the same happens in the reverse too. Both mother and child could fight each other using words and using hands sometime. All the above behavior are normal up to an extent. Limits should not be crossed. For that either of one should adjust. Don't worry. Everything will be alright. Keep your faith. If you require more of my help in this aspect, please use this URL. http |
So I ve had a sinus infection for over a month now and Latley I ve been feeling my brain moving when I walk it feels as if fluid is moving in there I have gotten a rash which does fade when pressing on it I have burning and itchy sensations throughout my body random body aches neck and back pains recently alon with ringing ears and with sinus infection I ve had/have I feel fatigue sinus pain blurred vision | Hello, I had gone through the case and treated many patients like you. So do not worry. Go for mammogram blood test for eosinophilic and X-ray of paranasal sinus. Meanwhile take Allegra 120\u00a0mg for itching and do nasal wash (JAL net hi) for relieving of sinusitis. Learn nasal wash in naturopathy center. X-ray also conform that there is any nasal polyp or not. Do this and feel better. Hope my answer will be effective for you. Thanks |
Hello, I have been having chest pain for months now. I have been working with a cardiologist who gave me a clean bill of health. Everything was done short of a catheter. I exercise almost daily and was in the 98th percentile for my age, which is 44. In any case while working with the cardiologist I developed a blood clot that was superficial. I h ad a pain develop in my back about a month ago. It was excruciating and went up to my jaw and down the left arm. I could not event chew gum it hurt so bad. Saw my family doc again. He did a d-dimer test whicChatDoctore back as .9 where normal is .4. I am now occasionally coughing up small amounts of blood. I am sweating profusely from time to time and have a general fog or dizziness where I feel that I am favoring my left side. Any thoughts? | I highly suggest you revisit the doctor for formal testing with Chest-X ray and Blood Work. This sounds as if it were a potential atherosclerotic like disease of the central arteries, with some blockage leading to the symptoms described. I would also rule out pneumonia and or infection of the chest. Note that D-Dimer is very non-specific and can be raised for a number of reasons. Nonetheless, coughing up blood, profuse swatting and the unilateral fogginess and dizziness are symptoms that in and of themselves would warrant formal workup and ADMISSION TO THE HOSPITAL. I wish you the best of luck. |
I have right upper motor neurone syndrome, mild form of cerebral palsy. This is what the neurologist diagnosed me with 10 years ago. I m 30 years old and have had problems throughout childhood but was only officially diagnosed at 21 years old. My right arm and hand are affected, although I have had no problems with my legs, the right leg is also weaker. Recently my arm became very weak and I loss control of it, it went blue and for 1 hr my arm was numb. The next day my fingers had curled into the palm of my hand and I could not move them. I am waiting to see a neurologist and have had a normal ct scan. My fingers have uncurled now but my hand and arm are very weak still. This happened 3 weeks ago. I cannot drive at the moment, my arm feels heavy and I have difficulty typing (admin work is my speciality). Please do you have any ideas as to what has happened to me? My frame of mind is not too good as I am frustrated at what I cannot do now and how long it is taking to get better. I am well known amongst friends as having a great memory but recently there have been a few occasions where they tell me I have done something or said something but I cannot remember doing this. I m 5 ft 6, 7 stone 5, and I have pernicious anaemia too. Any reply greatly received, many thanks, Greta Hooper | Hi, Cerebral palsy might lead to spasticity in individual muscles, especially flexors, hence your description of fingers curling. To rule out stroke which could lead to sudden loss of function of one arm, your neurologist might order an MRI scan. Treatment |
My son has been suffering from asthma all week. Hes doctor put him on presidone an antibotic and hes using the neublizer as needed which today has been ever 3 hours. Hes been in the med for 3 days. Now hes complaing of stomach aches and his pupils are dilated is this a normal side effect? | Hi, I understand your concern. * The oral antibiotics & prednisone (if taken on an empty stomach) can lead to increased acidity & pain in upper abdomen.(Avoid giving medicines on an empty stomach/ avoid spicy food/ can give sanitizing along with other medicines -after consulting treating doctor.) - Similarly stress of breathing difficulty/ coughing can result in pain in abdomen.(addition of suitable cough syrup will help) * The dilatation of pupils are not directly associated with the illness- but the physical/psychological stress can cause it. * Treatment of Asthma-in acute stage should be antibiotic, anti allergic with Montelukast, bucolic cough syrup along bronchodilators inform of sprays, nebulizers oral Chat Doctor. N severe case tampering dose of prednisone can be added. In controlled phase- identification of allergen & desensitization therapy along with bronchodilators(Spray form) as per need & breathing exercises are to be done. |
Hi | Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic typhoid infection. Actually you are mostly having chronic typhoid carrier in your gastrointestinal tract. Chronic IGM positivity suggests carrier stage. So better to get done stool culture to confirm this. You will need cephalosporin group of antibiotic for longer duration. In diet, avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid outside food. Eat only freshly cooked, homemade food. Chat Doctor. |
I have had elevating liver enzimes for past 2-3 months, my liver is enlarged. The Dr. said he could feel that it was enlarged plus an Ultra Sound confirmed it was enlarged an excessively fatty. I have a lot of pain, and blood tests just came back with hepatitis A Ab, TOTAL. REACTIVE The only other abnormal results was IMMUNOGLOBULIN A 4 L . My PHENOTYPE IS PI*MM. What does this indicate? I do not drink at all, try and eat healthy, am happily married, and 70.9 years of age. I feel fatigued and am in pain most the time. I had a completely normal ultra sound 16 months ago. | Hi and welcome to Chat Doctor. These findings are typical for hepatitis an infection and it shouldn't worry you. It should recover when virus is eliminated from your body. All this is sign of systemic infection and liver inflammation. You should treat it regularly, avoid hematologic agents and alcohol, rest and follow hepatic diet. Also some medicines may be prescribed for liver protection so consult your doctor about it. Wish you good health. Regards |
I was taking Prozac for over a decade. I stopped taking it when I moved from CT to Florida after my refills ran out. I decided it was time to try again to go off of it. That has turned out to not be the best idea. It has been a few months since I have taken it and I have had some significant bouts of depression and anxiety . I have tried to go off of it in the past and it didn t work out then either so I guess I should have known better. I can not get to see my doc in CT and I can not afford to go see a doc here in Palm Coast, FL. My CT doc does not do online consultation and wants me to come in to the office before he will write a refill. Is this something that could be accomplished via an on-line consult with one of your physicians? | Hi, Our doctors cannot provide prescriptions online but can help with guidance and in decision-making about health issues. In your case, I guess that you stopped the Prozac abruptly every time you tried to come off it. I would suggest that you restart the lowest dose of Prozac that works for you and after a few months to a year, ask your doctor to gradually taper it off. For this, you will have to see either your old doctor or a new one in Florida. You can also ask your doctor in CT if he can refer you to one of his colleagues in Florida whose charges are the same as that of your old doctor. Hope you are able to sort this out. Best wishes. |
Hi i am currently trying to conceive usually have a regular 33 day cycle and started taking pregnacare a week before i took my period which was 5 days early making it a 28 day cycle now 2 days after bleed i have severe cramping in left ovary and severe back pain i couldnt be ovulating yet its to early but would like to know wot could cause this pain | Hi, Pregnacare is not for induction of ovulation, it is a supportive medication. It is true that it is too early for ovulation to occur, but taken that you had a 28-day cycle this time, you could as well be ovulating early-that is one possibility. You should consult your gynecologist and get a trans-vaginal ultrasound done to see if the ovaries and tubes are normal; you may also need a local examination. You may also exclude renal causes as similar pain can be observed in urinary infections, presence of calculi etc. Wish you good health. |
I ran out of linosipril on a recent trip I had to skip 2 days, when i finally took a pill the next morning I had the sweats and nausea is this the result of skipping 2 days? I am 62 male 195 lbs 6ft tall I had a stent placed on my RCA back in January of this year | Hello! Thank you for asking on Chat Doctor! I would like to know if you measured your blood pressure during this episode. Your troubles could be related to low blood pressure, or in toleration to lisinopril. Antihypertensive Chat Doctor. ). I recommend you to closely monitor your blood pressure and regulate the doses of lisinopril based on these values (in order to avoid possible low or high blood pressure). Hope you will find this answer helpful! Kind regards, |
its been 1 year I have been suffering from anxiety nervousness during work and severe gastric doctor has prescribed me nexito 10 mg prothiaden 25 mg and antidep 25 mg I was alright for 6 months then when I started reducing the dose I have got insomnia and gastric trouble with constant burpings. please help | Degree understand your concerns went through your details. The given medicines are usually prescribed for anxiety and mild depression. Here you must know that these medicines were not prescribed by a psychiatrist and thereby psychiatric evaluation of your disorder has not been done. You are using these for 6 months. I suggest you to consult a psychiatrist for further evaluation of your disorder and further suggestions. If you require more of my help in this aspect, please use this URL. http |
hi doc ...i delivered a baby(normal) in the month of aug...he died next day due to brain asphyxia ...it was a big loss for my family..nw i m trying for 2 months but without any success..is everything k with me..m going to many docs spending money like anything..one of the doc suggest folliculr study and other hsa..m confused..plz help..m having regular periods without any problem..thanx | Hi, Nehaji, Welcome to Chat Doctor, Firstly if toy got period then go for the treatment to regularize the period. After 2-3 months course your period will become normal and then go for ovulation study and accordingly you follow the instruction given by your Oust. It is also possible that during this period you may not get period. If it is irregular then it may be due to psychological shock followed by sad demise of your beloved. Ok and bye. |
I just had my wisdom teeth removed a little over a week ago and ever since the surgery I cant nap. Every time I fall asleep during the day I will wake up nauseous and have vomited on occasion, but this doesnt happen in the mornings. Could this be something with lack of sleep? I am also worried this could be early signs of pregnancy | Hello, I would not expect you to have these symptoms over a week after the extractions. Are you taking medications with possible side effects? Many painkiller narcotics can be associated with digestive upset. Antibiotics are known to upset the digestive tract and can affect the balance of normal bacteria. You should follow up with your dentist to make sure healing is processing well and that any medications you are taking are not causing problems. Delayed healing could have an infection present and need prescription medication to treat. If you have inflammation present your throat could feel swollen and cause a gagging reflex. Make sure you practice good dental home care. Continue to rinse with warm salt water. Try some medication to soothe your stomach. Avoid acid foods and Chat Doctor. Stay HY |
I am 23 and been having serious pain in my chest and the pain comes and goes origin my arms and back as well I feel weak and tired and just hurting all the.time whats going on with meI have been having these really bad chest pains where it gets so unstable it makes it hard to breath it gives me these really bad headaches and back aches it makes my arms hurt and my body just feels so weak and not right ... I am a 23 year old mother to a four year old son I shouldnt be feeling like this what is going on with me ...I mean the pain. Will come all threw the day worse at night and in the mornings whats wrong with me Ive been to the emergency room here where I love and got called ridiculous and that im crazy its all in my head but I know what im feeling im not just image I bing all this please someone help | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you're all symptoms are anxiety related mostly. Because at your age (23), cardiac diseases are uncommon. But better to get done ECG, if this is normal then no need to worry about cardiac cause. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out asthma or bronchitis as a cause for your breathlessness and chest pain. If both these are also normal then anxiety is the likely cause for your symptoms. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. |
i had sex with my long term bf tues, i was fine. wed i did and from my cried you would have thought someone was trying to hurt me. i went to the doctors the next day and had a preg test (neg), sonogram (inside and out), no blood work because i couldnt afford that too with all the rest. they didnt see a mass (thought maybe a ectopic preg) but saw some fluid (think ruptured cyst). the dr. is still calling me to check up and is really pushing me for blood work. my pain is less. i have EXTREME bloating with gas bubbles. i had a light light, early period before this, and now i have brown discharge. is from period or rupture? any ideas whats up. how come dr. doesnt know after those tests? | Hi. Understood your history. This is definitely suggestive of pelvic inflammatory disease and the cause may be anything ranging from a ruptured ovarian follicle to any inflammatory process. This can cause the severe pain die to irritation it causes to the very sensitive peritoneum. Since your pain has reduced no need to worry much. The extreme bloating with gas bubbles is reactionary to any inflammation in the abdomen / pelvis. The bleeding could also be reactionary or a normal period. Take the medicines as advised, take full bed rest, Chat Doctor. Stop solid food for a day or two, and you may be fine. IF there is not much relief, you can then go for further tests for a proper diagnosis and treatment. |
Hi, If I masturbate by rubbing my hand on inner skin of my penis, then after a while it starts paining if I pull my outer skin of the penis. If I cover my penis with outer skin then it will stop paining. But then I cant masturbate properly as I cant pull my outer skin. What could be the reason. Pl. help. | Hello, From the given details, it seems that your penis foreskin is little tight so that you are unable to pull it back during and while masturbation. Tight foreskin is the reason for the pain, I think. Tight foreskin could cause further problems while having sex with a woman. You can apply oil before masturbation on the foreskin and inside your foreskin so that the friction is reduced. You may also go for a small surgery named circumcision to clear the problem. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist |
Hi...I am having a CT scan done on Wednesday. About 7 weeks ago I noticed a lump on the left side of my neck. It is painless but I notice it can be anywhere from a small peanut size/shape to as tiny as a bb. I saw my GP last week. She said it is very close to my thyroid and the lump is smooth but other then that its a wait & see what the tests show. What does this sound like to you? I have no other symptoms. Thank you, Shelly | Welcome to ChatDoctorSuch small lumps can be just enlarged lymph nodes/glands or small thyroid nodule. On clinical examination we can tell most probable origin of it. You have not mentioned your age and CT report. If you are young chap no need to do anything unless it is rapidly increasing in size. In old age you need to do FNAC/fine needle aspiration cytology. If it is thyroid nodule FNAC is required. Regards |
well i havnt had inter course with my gf yet but she was telling what she is going threw an well it sounds like she has chiamydia and well she is scared wen i told her an well she doesnt want to tell her mom or do anything about it what should i do, tell her mother or jus be there for her bc rite now she says she is going to dies so i need an anser now i can pay i am only 16 an well if u guys can help someone then wat ever but i do need help | Thank you for your query....you have said that your GF thinks she has chlamydia...now what makes her think so?did she have unprotected sex?does she have any ulcer or lesions in her genitals?does she have lower abdominal pain?is she having any vaginal discharge?kindly come up with the answers so that a proper diagnosis can be made...anyway if it is diagnosed as chlamydia, it is a perfectly curable condition and tab doxycycline 100 twice daily for 21 days should be effective...so ask your GF to not panic because the condition is not life-threatening...hope this was helpful...feel free to contact me with any further questions...regards |
I am trying to conceive for last 5 years.i diagnosed as unexplaind infirtility.i took clomiphen citrate about 6 cyle letrazole 6 cycle on 2011-2012.and again took 3 cycle of clomiphen citrate in 2014 with IUI.My estrogen, progesterone levels are good.my doctor told me every month 7 follicle developed in my ovary instead of 10-20 but i am.also told me i have premature ovulation when i was in clomid.but in this month i found LH surge on 12th of my cycle.my questions are 1.what treatment is suitable for me?2.do you think shall i be menopose earlier?3.am i able to conceive?4.is it a problem if 7 follicle develope insteade of 10-20?please help me i can t understand what to do... | Hi, Firstly, get the idea of premature menopause out of your mind. The fact that you have been labelled as a case of unexplained infertility suggests that you're all other factors like tubal patency, semen quality and quantity are normal. If Camphene citrate for 6 cycles have failed to achieve success in effecting the conception, you should not give any more trial to this medicine; instead you may try Chat Doctor/HMG combination. Even these medicines also fail to offer you pregnancy, you will have to opt for some Artificial Reproduction Technique (ART); of which, you have already tried GUI. Development of 7 follicles should not be a concern. The follicle which releases the egg should be between 18 mm and 21 mm in size to release the healthiest egg. During ART, well-developed eggs only will be collected. LH surges on day 12 is a good sign. This is an indication that you may produce egg. I hope this offers you valid options. Let me know if I can assist you further. |
I was sitting at work this afternoon, and Im not quite sure what happened. I felt as though my heart stopped for about 2 seconds, I got light headed, and about the time I thought I was going to faint, I felt my heart start back up again and in another few seconds I felt normal. Do you know what happened? | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to a cardiac arrhythmia. Anxiety could also mimic this clinical scenario. I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests |
l am almost 50 years old female l recently under a lot of stress had some bloods taken am now having vit 12 injections and taking vit d tablets l have lost a lot of weight not felt like eating with the stress my appettie has improved l have a very healthy diet l have numbness and tingling in my hands and feet and a unusal sensenation below the knees l have being diagnosised with raynaud disease some years ago l often feel nauseas and really unusual coppery taste in my mouth l often have foggy feeling l dont drink alcohol very often l am smoker l dont have diabetes or any other known illness | Hi, I would suggest the following tests if they have not been done earlier. Complete blood count, peripheral blood smear, blood Urea serum, liver function tests, creatinine, urine routine examination, lipid profile, thyroid function test, fasting blood sugar., ANA. I presume that you have been prescribed vitamin B12 because your vitamin B12 is low. A deficiency of vitamin B12 and vitamin D do produce the symptoms you have described, but it is also important to rule out Diabetes mellitus and thyroid problems as well hence I have suggested a battery of tests. The Maynard type of symptoms may have no cause in which case its idiopathic, or it may be secondary to autoimmune diseases. Your Vitamin B12 deficiency may be nutritional or immunological such as pernicious anemia. Depending on the cause of your vitamin B12 problem you may be treated as a short course of vitamins or life long if it is the pernicious anemia type. If all tests are negative the Reynolds phenomenon may be alleviated by keeping your feet and hands warm by gloves and socks and also avoiding cold temperature. It is important that you should get your feet examined for loss of pulses and peripheral neuropathy. As a precautionary measure avoid walking barefoot and avoid immersing your limbs in hot or cold water. If your lipid profile shows abnormal values that has to be treated either through dietary modifications for mild values or lipid lowering Chat Doctor. Protection of hands and feet from injury is essential. Smoking aggravates Reynolds. As you have expressed that you do not have diabetes or any known illness I presume that you have done most of the lab tests. If it has been a long time since you had the tests it is prudent to get the tests done now. Should you require further information please post your lab test results and further clarifications here so that I may assist you in getting all the information that you need? Best regards |
Gud day... my 7 yr old son had a cough and cold last sept. 2014.. his doctor gave him polymyxin b sulfate neomycin sulfate dexamethasone 3 drops twice a day...he had still left over...can i still give it to him cause he has the same situation now...can i still give the remaining solution to him....after having it kept to the fridge for almost 2 mos... | Hi....this is Dexamethasone (a corticosteroid) and it is not required unless the kid is severely breathless or having low oxygen in the blood. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal |
My 3.5 year old son had a stomach flu about a week ago with the standard low-grade fever and throwing up for about 24 hours. His appetite hasn t returned, and for the last 3 days he s been complaining that his belly hurts. Tonight he started crying and went to go throw up, which he did, and it smelled strongly of yeast. His throw up from a week ago did not smell that way. What could that be? | Hi...your son seems to be going through a viral diarrhea. It is quite common in diarrhea to lose some appetite for 1-2 weeks. Occasional throwing up with yeast smell is usual. Will tell you when you need to worry. 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. 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 had a car accident 10 days ago. My neck sounds like rice crispies whenever I rotate or turn my neck, and is painful to do so. I have had two brief instances of numbness in my left hand after rotation of neck. I have a doctor follow-up next Monday, and possibly an MRI. What would a likely diagnosis be? And thanks for any information. | HIT hank for asking to ChatDoctorThe sound you experiencing may not be due to accident, but it could be there before the accident that might not be noticed or heard by you, such sound comes from the cartilage bony structure while it get rubs with each other or accumulation of some gas inside the tissue when escape could produce such sound, whatever it may be that is nothing to worry, have nice day. |
I am 50 years old have tachycardia, but lately all I want to do is sleep. I injured my back in 2000. Get headaches alot, can go 2 to 3 days not eating. Get dizzy standing up. am on Cymbalta 60mg once a day,Metoprolol ER 100mg once a day,Lisinopril 10mg once a day, Morphine 30mg 1 every 8 hours, Methadone 10mg eight times a day. Also am 5 6 and weigh 232. I know over the winter I got lazy. Sometimes walking just wears me out and my heart beats out of my chest, yesterday my pulse was very high and I was just sitting. | Hello, You may be having some condition here, a tachycardia while sitting and getting effortless may be signs of heart failure. You need to get checked by a cardiologist to do EKG, echocardiography, and some labs. Some thyroid dysfunction may be a differential here. So, I suggest doing a thyroid profile. Also, check your blood pressure regularly as it may be lowered too much with you medications. Hope I have answered your query. Let me know if I can assist you further. |
I have severe humerus fracture with dislocation. I have plate and 8 screws in shoulder and arm.Also had second surgery adhesive capsulitis. It has been 2 years and now my arm is swelling and lots of pain. What is wrong? I have also had disk replaced in my neck. 2 bryan disk...pain is worse now than it was before surgery. I ve been put to sleep 23 times since my accident Feb. 2012 for surgery and several injections, blocks, nerve burns....My good arm also hurts worse than my injured shoulder and arm. | Hi, thank you for providing a brief history of you. Since you mentioned you had severe fracture of the humerus, and it was treated with surgery. The procedure consumed some screws and metal plates. I have to stop here to ask you a question. Were you advised to undergo physical therapy post surgery? As physical therapist will help you regain the shoulder movements and strength in the muscle as well around the shoulder girdle muscles. Coming next to you neck region, since this area was also operated and disc is replaced, were you advised physical therapy even after this surgery?now coming to the current symptoms as to look into. For the pain part the physician has done all the possible ways to help you. He has been perfect to deal with your injury and symptoms. I appreciate it.let's look into how can be more look forward to helping you without any major complications. I recommend you to take an x-ray and figure out the shoulder and neck region bony alignment. Next thing to look forward is to relax the muscle area. For that you can use hot water fermentation as it will provide a vasodilation effect and relaxation to the skeletal muscle. Also to consider is slow stroking massage which will help to soothe the muscle. Now come to the strength part for which you may need to take help from a qualified physiotherapist. The physiotherapist will have the scientific approach towards you. Trying physiotherapy will add on the gradual increase in the strength and which will later on reduce the pain for you.of course for no doubt physiotherapy is a long and time-consuming process, but to be honest is that all the possible way the physician is trying to help you. With the addition of a physiotherapy to your treatment plan will help the medicines work better. Why exercise even in the situation of pain I am advising. Since medicine acts as a supportive therapy for the body, the body even needs the good metabolism and immune system to allow the benefits of medicine to happen. With exercise your metabolism will improve, oxygen carrying capacity of the blood will also improve, which will overall allow the muscle to get the strength and even the medicine will be able to help the symptoms to lower .with the grace of God I further recommend you to do physiotherapy and a good health in the future. |
im 19 and have been told i have a fungal infection between my breasts. i was given daktacort and used it for a week but saw no changes. today ive been given daktarin instead. just wondering if this will make any difference and what is the difference between the two products? | Hi & Welcome to Chat Doctor. Daktacort contains Antifungal Fluconazole and a steroid HY Chat Doctor. Captain contains the antifungal Fluconazole. Both are effective in the treatment of fungal infections involving the skin and mucous membranes. Daktacort is useful if there is associated redness, itching, swelling, etc. Continue using Captain creams, if there is no response Terminating containing creams are effective. Hope to have answered your query. Regards. |
Hi, I am 22 years old, and I have post inflammatory hyper-pigmentation between my lower lip and my chin. I have tried all the chemical peeling (6 Sessions) in Kaya Skin Clinic but it didnt affected me at all. Its been 6 years since I got this Skin Disease and although I have tried almost everythig but the patch is still dark brown/black. Can you please help me. Thanks. | Hi, I can understand your concern for post inflammatory hyperpigmentation between lower lip and chin. Post inflammatory hyperpigmentation results due to activity of melanocytes in the superficial epidermal layer of skin. Lightening agents such as Comic acid or atelier acid cream application which you can use under dermatological guidance. Eat healthy diet containing a lot of vitamin A and vitamin C. The most important part in treatment is by sun protection by all measures. Take a proper guidance and follow up with a good dermatologist so that all the problem of pigmentation can be dealt best for future time. Take care |
Iam 28 years old ,159cm height, 69kg weight, Iwas done cholesistectomy 2month ago, Ihave ahistory of mild microstatic hypochromic anemia, menstraution regural but its sever amount, still 3days, my skin colour still pallor although treatment taken, what can ido? | Thanks for contacting Chat Doctor. It appears that excess blood loss during menstruation is causing you to lose blood and thus anemia. Please get yourself examined by a gynecologist and get an ultrasound done to find out cause of heavy menstruation and then get it cured. Also start an Iron and folic acid supplement which should give you at least 100mgs of elemental iron 2-3 times a day, till the hemoglobin becomes normal. Regards |
Hello, I am a 58 yr old male, 195lbs, and feeling great until recently. Several times a day, my arms might tingle and feel numb, sometimes get dizzy getting up too fast, vision might blur, swelling and pain in right thumb and fore finger (joints), some discomfort in left thumb at joints. BP is 107/65 pulse 81. Twice I have lost motor control below my waist. Legs wobble and feel useless. Coordination has been off a couple of times too. I am in need of an alignment, as my back has familiar pains upper and lower. What do you think? | You may consult a neurologist for work up. Cause of dizziness, numbness, tingling, motor weakness in lower limbs need exploration In meantime take methycobalamin and lyrics tabs 75 mg twice a day. Take physical therapy of back and legs. Some weight reduction with modified diet and exercises shall be helpful. Get serum Lipid profile also done. Bad cholesterol deposits does some impaired blood circulation often, with weight, it's possible.must rule out too Best wishes |
okay I have a spot it feels round behind my front tooth on the roof of my mouth It is swollen up and hurts when I press my tongue on it I feel Like it is filled with liquid or something because Ive had these before and when I pressed my tongue on it it shot out awful tasting liquid threw my front tooth and the sore was gone but it always comes back and now I cant even do that It just hurts throbbing. | Thanks for your query, I have gone through your query. The swollen spot behind tooth on roof of the mouth could be because of the abscess formation secondary to tooth infection or gum infection. The other possible cause could be a muscle(cystic lesion of the minor salivary gland). Consult an oral physician, and get it evaluated. Get a radiograph done to rule out tooth infection. If there is a tooth infection, then get the tooth treated with RCT or extraction. If it is a muscle, get it surgically excised. I hope my answer will help you, take care. |
Hi,My name is Alexanda and I am 23 years old. I have been struggling with bulimia for about 5 years now. Im doing everything possible to stop and so far Ive been doing better, however, the habit comes back every now and then. My question is, is that recently Ive been feeling extremely tired and it seems that I am getting extremely self-conscious, more and more everyday. Its to the point that I dont want to get in front of people, not even friends and family. I cant concentrate and lose track of what Im talking about in the middle of talking. I want to know what is wrong with me. Ive always been outgoing but now I want to stay to myself. I feel like Im going crazy. | Hello, Welcome to Chat Doctor You are struggling with Bulimia Nervosa since last 5 years and complaints of tiredness and weakness. You become aware or conscious while talking and this has caused stress, and you have stopped to go out. Even during conversations you are not able to complete and feel intense anxiety. These things are occurring due to social anxiety. Bulimia is one of reasons behind the anxiety. Consult a psychiatrist as the condition is causing significant impairment to your normal functioning. Medicines as Fluoxetine can be used in such situation as it will help in bulimia also. For severe anxiety provoking situations medicines like Propranolol can be prescribed. Consul a doctor for prescription. Systematic desensitization is a method of behavior therapy that is also useful in such situation. Thanks |
Burning sensation on the tip of my penis and frequent urination1.tab flagentyl(secnidazole) 4 at once.2.tab sparfloxacin 200 mg twice daily for 10days.3.cap fluconazole 50mg twice daily for 10days.I have taken the above drugs but I still feels a burning sensation in my penis | Hello appreciate yourconcernLooking at your description I would advise you following few tests done like Urine culture and sensitivity test and blood sugar fasting and postprandial This can be related to passage of concentrated urine so have plenty of fluids daily would like further information.to help you better libelous age and relevant medical history like diabetes or kidney disease If it doesn't improve with all these measures please consult a urologist for further examination and investigations like Ultrasound Maintain good hygiene Hope this answers your questions you good health regards |
Hi I had been dignosed with peri anal abscess last year June and was suffering from regular pus formation and discharge from the same area. The length as per sinogram was 7 cm. By Oct the discharges stopped but I was feeling a lump. Slowly it also reduced in frequency and I took another sinogram yesterday and the length was 2.5 cm and without any pus formation observed. My doctor is still insisting on a surgical procedure. Is it advisable or I let it heal on its own. | Hi! My short answer is YES! Hello, welcome to Chat Doctor, and thanks for your queries! In fact, as per your description, your problem of a perianal abscess is complicated by the formation of a sinus tract; this means a blind tunnel through your normal tissue spaces where there are recurrent infections as the other end is open to the environment; the intensity depends upon local hygiene and your immunity power both of which are highly variable... Therefore, it all needs to be obliterated so that no space of infection is left meaning surgical excision is the final cure for this! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
this is going to sound stupid but im very worried i was eletricuted the other day i recvied help but today i touched a metal railing and a ark of light shocked me i was knocked to the floor and after the railing was boiling my friend toched it and got shocked | Hello! Welcome on Chat Doctor ! I understand your concern and would explain that it seems that you have been in contact with an electrical shortcut. As you are feeling better now, there is nothing to worry about! It is quite normal to faint after an electrical shock, but it seems to have caused no damage as you have not physical signs now. So, just try not to think about it anymore! Hope to have been helpful! Best wishes, |
Advice please - I am a 35 year old married female. I and my husband have been trying for a baby for last 6 years with no luck. Semen test showed that my husband has a low motility and low morphology. All my blood test came positive. So the diagnosis was male factor teratozoospermia. We tried 3 IUI , then 3 IVF and then 3 frozen cycles, none of them took for us. Then we changed clinic and did a 4th IVF, I became pregnant but in the wrong place. It was an ectopic pregnancy and I had to be operated. Both my tubes were removed. The surgeon told us that the tubes looked infected and that is why they removed both of them. After the surgery we again tried several IVF cycles and none of them succeeded. Around 10 years back, when I was in my college days, I had acute lower abdomen pain with white discharge and I was diagnosed with tuberculosis, and was given anti TB medicine for 9/10 months. After the treatment the white discharge problem disappeared. At that point of time the doctors didnt mention anything about the possibility of infertility in the future. But I am wondering if my tubes were infected due to TB at that time and if I am facing infertility now due to this. Just before the ectopic pregnancy I underwent a hysteroscopy and I was told that the uterus looked normal. A tissue was sent for biopsy and the result came out clean. I am not sure if I there is any point in me continuing to take IVFs. Other than the ectopic pregnancy I have never become pregnant even once. Please let me know if my previous TB treatment could be a cause for this and if there is any hope for me to get pregnant through IVF. I am in great agony after such a long journey in the infertile road. | Welcome to Chat Doctor, Unfortunately TB of Tubes causes structural damage to the tubes. Inspire of successful treatment for TB, structural damage does not revert to normal. In the majority of cases of TB of Tubes, uterus also gets affected. In fact, the Doctor should have removed your tubes before your First IVF. Hysteroscopy is a good diagnostic investigation, but again it has its limitations. Biopsy also depends on the quality of sampling, and it can rule out active TB, but the capacity to prepare a bed for fertilized ova to implant is another thing. Male factor also has an important implication on success of fertility. As the age increases, again the chances of Success of IVF reduces. Nevertheless, we should not lose hope. You as a couple should talk to the Doctor, and discuss other options also. |
Hi, may I answer your health queries right now ? Please type your query here...Yes thank you. my aunt in chennai has been diagnosed with non-invasive papillary carcinoma. Will a PET scan help to grade it. do you have pet scan in your institute and how much will it cost? | Hi, Thanks for writing in. PET scan is positron emission tomography which is an imaging investigation that uses a radioactive substance called a tracer to look for disease in the body. In this scan an injection containing radioactive glucose is given in to the vein of the patient and then this goes and gets collected in the area where there is a lot of consumption of glucose. Usually cancer areas have a high energy requirement of glucose and that is the reason the cancer region is seen on a PET scan. It will tell where a cancer might have spread in the body and therefore change the staging. In PET scan it is not possible to tell the grade of cells. However, it can pick up areas of active cell multiplication, but it will not give a pathological diagnosis. Usually CT scan is also done together with a PET scan to know the exact area of cancer, and it is also called PET CT scan. It can cost approximately ten thousand rupees and is done in many cancer hospitals and in private centers across the country. Please do not worry. |
I had a lump appear on my lower lip. Its a little smaller than marble size. Its in the lower right side. The doc is trying to rule out infection, so he prescribed Clinamyacin, now my upper lip is pulsating, which its never done before. And, the lump is still here and its day 3 of meds. Whats going on? | Hi, dairy have gone through your question. I can understand your concern. You may have some infection, cyst or benign tumor like hematoma. You should go for examination and take a complete course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Name | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows |
Hi, I am 30 male and about 2 years back I started experiencing mild heaviness/pressure sensation in my upper right abdomen(center and towards right). I have had abdominal ultra sound done last year and about a week back as well and both ultra sounds were absolutely normal. Also my liver and renal profile done last year were normal. I often experience acid re flux . My physician say there is nothing serious but I want to permanently get rid of this sensation. | Hello, sumkohli, I was just answering your concerns and I Donna know what happened ! But, I was saying I was glad to hear that your ultrasound and blood tests for liver and kidneys were normal. I am not sure if you we replaced on any treatment for acid reflux. If you have tried any over the counter medications like Omeprazole once or twice a day, you will find out quickly if that controls your symptoms. If you have not, I recommend that you do this first. Also, I am not sure if you have problems with your bowel movements. If you have more constipation and gas, this could be giving you the symptoms also. You may need to take stool softeners and Chat Doctor. Make sure that your diet has more fiber, like fruits and vegetables. Whole grain cereals will be good for you. At the minimum, go ahead and get an n upper GI series X-rays to look for hiatus hernia. Wish you well. |
My father has been restoring a car for the last 4 years, stripping paint and using chemicals to clean the engine. He sometimes has the car running with the garage door closed. He has been getting a headache and sore throat lately. He also is getting the flu more often. The doctor says his RBC count is low. any thoughts on a diagnosis. | Hello and welcome to Chat Doctor, Regular exposure to chemicals can affect the blood cells. Exposure to chemicals can lead to bone marrow depression and thus reduction in blood cells. Headache and sore throat can be co-incidental findings and not be associated with exposure to chemicals and fumes. Low red blood cell counts can be due to bone marrow depression caused by chemicals and fumes. Exposure to chemicals and fumes should be discontinued and other blood parameters like white blood cell counts and platelet counts should also be determined. Consult your physician for investigations and further work up. Thanks and take care Chat Doctor. |
my baby is 75 days old and makes gargling type sound .She also has excess saliva which forms bubbles.The doctor who has looked at her told her larynx is not developed fully andthe sound will be cured automatically after she is 3 months old.please advise. | Hi... By what you quote I put forth this possibility - Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in- Chat Doctor. The sound will be more heard during sleeping and feeding. This is due to softness of tissues on the airway. 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 had 3 knee surgeries last year. After the last one, the dr thought I devrloped a cyst due to a large lump sticking out of the side of my knee. They drained it 7 times only for it tocome right back within hours. I gota second opinion and he said it was a hernia not a cyst. This past weekend I was dancing and woke up with extreme pain, the bulge gone and my knee is sore to the touch and movement. What happened? | Hi, thank you for providing a brief history, and it is sad to hear that you had to under such a pain. Well I will recommend to first understand and find out what is the cause of the issue with your knee. I have seen many patients with cysts of knee, never a surgery was needed and by advising a proper exercise we have completely got rid of the cyst. Well, I always recommend to my personal patients that make the best use of the technology, and we have advanced machines too. I will recommend you to undergo an MRI meet a Radiologist discuss your case with him. His input may make a big difference as well. If things go fine and all your aches comes under control you can look with proper guided exercise regimen will surely help you. Thank you |
I have had a problem with my eyelids and the area above them swelling for the past few years. I assume thisight be an allergy symptom. It doesn t happen all the time. Recently I ve connected it to staying in hotels with the air conditioner running. Is it perhaps a reaction to mold in the AC unit? Might it also be the bedding or chemicals used to clean the bedding? It only occurs when I lie down in the bed. If I am up late, the swelling does not happen. | Hello, Mould allergy aggravated by AC units is a good possibility but hotel rooms are notorious to harbor dust mites and dust allergy would be likely. Skin tests to molds, dusts, cockroach need to be done to exclude these allergies. If you are using any eye mascara or facial cleaning products, you need to get a patch test in order to exclude a delayed chemical hypersensitivity. Skin prick tests and patch tests are different, so you need to see an Allergist or a Dermatologist to sort this out. |
I am a 38 yr old female, I had abdominal pains, that it may be my ovaries, so i did go to the ER dept. found out I have a bladder infection and multiple kidney stones, this is my 3rd bout with stones, but today I noticed some blood in my urine .. Is this typical. The 1st two times i had no blood in my urine | Good Day, and thank you for being with Chat Doctor ! Yes it is common for kidney stones to cause blood in the urine especially on top of a bladder infection since infections would make the lining of the kidneys and bladder to be friable. I advise you to consume plenty of water during this episode to wash out the bacteria and the blood. 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 |
Hi doctors, I m a teen. Just half an hour ago there was this tiny hard pimple on my nose . I couldn t help it but to pick it off. It started bleeding a bit but stopped eventually. But I realised there was a red hole. A tiny one though but still very noticeable because it was red. However its a hole, and its red. I want to know if it will close up? Do you think applying toothpaste on it overnight will help? Please help! I don t want a scar on my nose forever! | Hi.thanks for your query if it was a pimple only, I do not see any many chances of the scarring being permanent. But, you should not apply toothpaste or any other material into it, this mite make the thing worse. If you feel that it is bad scab, you can apply an antibiotic cream contains Mupirocin or Juridic acid twice daily for a few days.it prevents the chances of superimposed bacterial infection on the same. U should however in the future, not touch any of the eruptions . It almost always increases the chances of post inflammatory pigmentation and atrophic scars on face. Take care. |
I found a small pea size bump under the skin at the base of my skull on my neck. It doesn t hurt or anything and hasn t changed size in a week. I work with my neck a lot and had a lot of stress and acne lately on my neck and right by the spot on the hair line. | Hi, Thanks for query to My Chat Doctor virtual Clinic. I studied all details of your query. I understood your health concerns about causes of lump at base of neck-Cause of lump at base of neck-After reviewing your query facts, In my opinion their any relation, it's the anxiety from correlating the acne on your hairline is a cause of the lump at the base of your skull /on your neck. This is an inflammatory response to filtered infective bacteria from your acne on the neck.Hence, don't worry about Cancerous painless lump in the neck. I would suggest for a Second opinion from your GP or Surgeon who would be right doctor to treat your issues in the best possible way. Hope this reply would help you in resolving this complex query and anxiety with it. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist. |
31 years old, 5ft7. recenetly found out i have scolosis and im a bit stressed. but before this my penis has been numb and still is has been for around 8 month or more no sensation when having sex also penis seems to of deflated it doesnt look its normal size/self | Hello, Nerve damage is known as neuropathy. Diabetes and multiple sclerosis (MS) are among the diseases that can cause nerve damage and affect the feeling in the penis. Parodies disease, a condition in which scar tissue called plaque forms in the penis, can also affect sensation. Talk to your urologist for detailed investigation. Hope I have answered your query. Let me know if I can assist you further. |
Hi, i have taken Postinor 2 tablets (single dose) for three days somewhat consecutively i.e. First use was Saturday, second use was Tuesday and the third use was on Thursday. My questions are | Hi, I have a suggestion to make for you. If you are in need of the pill Posting 2 quite often, then you rather take a contraceptive pill like Yam or Microgynon on regular basis or go in for implant insertion. It is easy and safe, and effective. You need to go for one implant insertion just every 3 months. Coming to your answers |
whAT the best kind of condom to use for sex?? please anwser soon... need to know... | Hi Welcome to Chat Doctor forum. Condoms are very essential not only to prevent pregnancy but to protect from STDs like HIV, Hep B, etc. While choosing a condom, you must make sure that they are of a good company and also that they are not allergic to you, few people can get condom related contact dermatitis, so you must be careful when you use them, it is picked by trial and error method only, so experiment yourself. Only the company and brands must be approved and safe for use Good luck |
A friend of mine was admitted to hospital after he blacked out and three weeks later after having shoulder surgery contacted a staph infection thatthey found in the stool. They think he may have contacted this in emergency. What caused this andnothing is clearing it up. He is 78 62 and in goodhealth outside of this blackout which they have diagonsed as syncope? Very frustrating. | Hello and thanks for posting. Sorry to hear about your friend. As far as the infection is concerned, we do not always have the answers why certain infections are found in the intestinal tract. There are many reasons (one of them certainly being in hospitals as you have alluded to). Since you state that he is still having problems with the staph infection, please make sure this gets ad Chat Doctor. Best of luck to your friend. |
having stomach pain all day every day with food or without This has come on for a long time and is getting worse day by day if sitting it hurts and if I stand and move around it will ease The pain will go to center of chest When sleeping I am ok till about the last hour then I wake with pain in middle of my back I have gained 30 lbs in 8 months for no reason | Hi. Pain for no obvious reason and so much weight gain has to be investigated. I would advise |
I noticed a dark blue vein across my 2year old eye lid above the crease 2Easters ago. It s very dark, noticeable. He still has it, about to turn 4. He didn t have it as a baby or in any pictures from the summer before that Easter (i was looking back throuhh up close photos from before I noticed it). | These blue veins are completely normal. Everyone has such vein but is more visible in some peoples due to the lack of excessive subcutaneous fat in the eye area particularly in infants, or if someone has problems with sinus infections or chronic upper respiratory infections or if the person has lighter pigmented skin. When a person experiences sinus infections or colds, these veins become more pronounced due to swelling. The best way to deal with these veins is to wash your face with cool or cold water & apply ice packs to the eye area to reduce swelling by vasoconstriction. Laser surgery could offer some remedy for those who want to remove for cosmetic reasons. |
my father has got kidney failure...and doctor advised...dialysis..i want to know what is this dialysis..pls post a reply | Dialysis is a procedure for reducing accumulated waste products in the Food on account of kidney failure when kidneys no longer can do it on their own sufficiently. It can be used both for acute and chronic kidney failure. It is primarily of 2 types namely Hemodialysis(blood & artificial membrane based)done with the help of a dialysis machine & can be done both at home or in the hospital. Although in the majority of centers in India it is done in Hospital setting. Other type is Peritoneal(Abdominal natural membrane based) also can be done both in the hospital and at home, & is a preferred modality by the people who want to do it at home. Both the dialyses are good for the patient requiring dialysis |
I have muscle and joint aches for a week, a low grade temp on and off, a dry irritating cough and have felt nauseated and bloated intermittently. If I take Panadol, after about an hour I have a sweat and feel better for 2-6 hours. I have recently returned from travel in Vietnam (non Malaria areas) and Koh Samui. I was vaccinated for Typhoid before I left and am Hep A & B immune. | Hello there I have read through your question, and it seems you are suffering from viral fever. Fever with joint pains are symptoms of viral. It only needs symptomatic treatment. Continue taking Paracetamol 8 holy for five days. Take omeprazole twice daily on empty stomach for five days to alleviate the nausea. Chat Doctor. Take rest. Do warm saline gargles for the cough. If your symptoms don't subside in three days get yourself checked by a physician. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor. |
About a month ago i began to have severe pain in my growing area and testicles. Sometimes i would have pain near my belly button. My testicles were swollen to about twice their normal size. I thought that it might be a hernia so i went to the doctor. He said i just strained my lower abdomen muscles and that the pain and swelling were just side effects. A few days past and the pain began to lessen. I then found a soft lump on my left testicle. I self-diagnosed myself with a spermatocele . I masturbated and it went away, and so did the pain. I have now discovered a small hard knot on my right testicle. It is painless and is a little larger than the size of a bb. It is about halfway down from the top of my testicle and is facing towards my rear. I am not sexually active and i am 18 years old. Should i be worried? Any help is greatly appreciated. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. A sprained lower abdominal muscle may not be responsible for swelling in the testis. The description that you are giving suggest that there had to be trauma or torsion. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link |
My soon to be nine year old son complains of his legs getting tired when we walk and his jaw getting tired when he is eating chewy foods. He had mono at four that escalated over time into double pneumonia the put him in the hospital almost two weeks. Could this be rwlated and what should I do? | Hi... This i snot related to the mono he got at 4 years of age. This is not related to the double pneumonia either. But you are giving a very significant history in the sense that you are quoting that as the kid is doing a specific motor activity with specific muscle groups he is tiring them out easily. This signifies towards a condition called Transient Myasthenia. It may be due to viral origin too. I suggest you get your son evaluated by a pediatrician. Regards - |
Hi I seem to have a problem with the back of my neck, when turning my head from side to side my neck makes a cracking sound, it s not painful just the noise is really irraratating, when I massage my neck it clicks & it s as if cartilage is moving round, I m really worried please help. | Hello, As this sounds what you hear are the unlocking of the facet joints and not any cartilages. As there is no cartilages present. There seems to be a muscle weakness majorly the para spinal muscles and the muscles of the back. When you massage there is soothing effect and the muscles become weak. Post which you tend to get this kind of unlocking sounds. Doing strengthening exercises for the neck and lower back should such sounds. In my clinical practice of 12 years most patients complain about such sounds but with spinal muscle strengthening, they don't get any sound later on. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
My Blood pressure is high since last few days ranging from 190and 90 to 170 and 90. A week back I suffered a pain in the centre of my chest early in the morning which was quite ubearable for some time. That evening I got ECG and Trop I test done which were normal. This pain only subsided after a three-four days. I have a history of high BP and also am taking medication for thyroid for years now. Three years back I suffered Angina pain also. What step should I take now? My cardiologist advised me to get anangiogram done and has prescribed me some medications in the meantime. Is the angiogram really necessary? | Your ECG and troponin were normal ...that is good, but BP is high ...let the BP stabilize .then you should undergo stress echocardiography or TMT as these are valuable and relatively safe and noninvasive as compared to angiography...if stress echocardiography or TMT come positive ...and you are having chest pain on exertion or exposure to cold even after your BP is stable at 140/90 then you may go for angiography...but till then avoid smoking ...extreme temperature variations...undue physical exertion ...avoid jogging ...walking is beneficial ...take anti BP Chat Doctor. .rest is best of luck |
I am on 25 miligrams of Synthroid for my hypothyroidism and I would like to take Oxyelite pro or another kind of diet pill to help me loose weight. Will the diet pills mess up my thyroid or the way my synthroid works? I don t want to mess up my thyroid now that it s regulated. | Hi, There is no documented evidence of any harmful interactions between the two. However, the US Food and Chat Doctor. It contains Fluoxetine which is a selective serotonin re-uptake inhibitor commonly prescribed for treating depression, bulimia, obsessive-compulsive disorder, and premenstrual dysphoric disorder. Fluoxetine is known to cause sleep disturbances, sexual dysfunction, and convulsions. I advise you to consult your treating doctor for an alternate effective but a safer medication for weight loss. Hope I have answered your query. Let me know if I can assist you further. |
I have lymphodema and recently started leaking everwhere with a discharge odor. I just finished a Z pac but I have had a fever for over two weeks. I am very lethargic and when i am out of bed to go to the bathroom, I am dizzy. I have just strated having the dry heaves. Any help you can offer? | Hello and welcome to Chat Doctor, Lymphedema occurs due to blockage of lymph channels and thus accumulation of lymph.Thus, for management of lymphedema, the underlying cause has to be found out. Obstruction in lymph channels can occur due to pressure from outside or within the lymph vessels. Thus, a Doppler study of the lymph channels is required to know the cause of lymph accumulation and thus management can be planned. Thanks and take care Chat Doctor. |
i was asked to have a semen analysis test... i went to the lab but i noticed great embarrassment. i went into the procedure room but could not get erection for many minutes, my heart beat was increased....then i started rubbing wildly. i came very quickly with a very little erection. the test report said | Dear Faisal, this is a common happening. Sample collection is very important in semen examination. What you might have given for testing might be pre-cum not the semen. Please next time collect sample at home and reach the lab within 30 minutes. You can ask them about how to handle the sample once connected. Do not worry, single semen report does not carry much value, have abstinence for 3 days and then go for examination again. |
I went to a doctor recently and I have perscribed iron tablets 4 weeks ago, the muscle fatigue has drematically improving although the dizziness, palpatations and erratic heart rates are still the same. I also have stomach bloating and discomfort, should i go back to the doctors. This is preventing me competing, i am a Thai boxer competing for 6 years. I am a 39 female have 5 2 58kg I have no other medical problems. Over the last few years I have had been perscribed iron tablets before, with this time presenting more symptoms | Hello, There are two possibilities, one is gastritis and reflux disease and second is cardiac arrhythmia. It probably is an acidity and reflux disease. Do you upper abdominal pain, nausea, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. Iron supplements tend to these symptoms, if having a lot you can take supplements after food. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. If none of the above symptoms are present, then there is a possibility of cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality, so try to get ECG done during the episode. If ECG is not informative then you will need 24 hour holder monitoring if episodes are occurring on daily basis. So visit nearby cardiologist for this investigation. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. |
hi iam an mbbs student..2nd semester..for the past 2 weeks i had continous exams without break..for the last two three days im feeling really exhausted nd tired..nd as my exams didnt go so well im feeling really low nd miserable...i checked my blood pressure today and found it to be 159/108...i know its high..i wanted to kno weather its a serious case nd shud i start medication...or i shud wait till next week and see weather it gets to normal | Hi dear, This BP for your age is pretty high. But a single reading of raised BP does not define hypertension. You need to have 3 different reading of high BP at 3 different time that too is calm state. Anxiety and stress as you must be knowing increases the sympathetic flow & raises our BP. But that is temporary & comes back to normal as the stressor is gone. Exams are important, but your health too is important. Make a schedule for everything & you will see the stress will be gone. Till than decrease salt in diet & quit smoking if you are doing it. Thanks Chat Doctor. |
My daughter is 8 months old. She has fine dark black hair on her forehead which looks odd. She was not born with hair but they grew when she was one month old and are as it is till date. I do not want to try traditional method of hair removing by using gram floor and olive oil. Please suggest me something. | Hi...dark hair on the forehead of the infant abnormally is a peripheral marker of hypothyroidism. If the kid also has constipation, the possibility increases. I suggest you get her thyroid status checked and then proceed further. If it is hypothyroidism as I suggested, treating it will take off that hair. Otherwise, if it is not then you need not worry, as this could be physiological, and it will reduce by itself as she grows up. Regards - |
Hi.... many thanks if can answer my question...i think i also face this problem - random fast heartbeat...which is sometimes my heartbeat suddently will run very fast..up to 200 per minute and i can not catch up the breath for that time....it will maintain around 30 mins / 1 hour...at that time...i feel very tired and my face is pale.....after that...it will back to normal... is that consider as random fast heartbeat? | Hi, When you feel your heart beats fast It's because the rate has increased. It might be because of simple reason like anxiety or complex on like some problem in the current of the heart. It is important to know because if the rate and rhythm of your heartbeat is changing then you might require medical help. I would suggest getting a 24-hour Holder test done to look at the heart rate and rhythm over 24 hours. This will give an idea of whether It's something minor versus a rhythm problem. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
Hello,, thank you. My question is the patient in my case study has an asthama attack. He has cold extremities, .increasingly dyspneic. Heart rate increases to 125/bpm pulsus paradoxus increases to 30mm Hg. respiratory rate up to 35/min. breathing becomes more labored wheezing is loud throughout expiratory and inspiratory cycle. signs of early cyanosis become evident. No longer alert . ABG are 7.35, PaO2 = 45mm Hg and PaCO2=42mm Hg(40% oxygen by mask) What does this suggest? | Thanks for your question on Chat Doctor. I can understand your concern. The patient in question is having very severe asthma attack. Asthma causes bronchospasm. In this patient, due to severe bronchospasm, he is not taking enough oxygen. So he has to breathe rapidly. Bronchospasm is the cause for his wheezing. In ABG (arterial blood gas) analysis report, his oxygen saturation is very low. And this is the reason for early cyanosis (bluish discoloration if skin). If not treated promptly, this patient will go into respiratory failure with full-blown cyanosis and ultimately death. So he needs mechanical ventilation, inhaled bronchodilator and injectable steroids. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi I would like to know what do I have its been 2 days already I wake up in the morning my stomach starts to hurt then I feel like vomiting and I just spit saliva then vomit clear sometimes yellow but today clear with red line idk Im really concern wondering whats wrong also I get cramps then I go to the restroom but I wonder y do I get cramps if I dont get my days until 2wks Im so confuse can someone help with my disorders!!!! | Hello! I read carefully your query and understand your concern. The way you describe it seems to be stomach issues(gastritis, acid reflux, ). You can try taking antacids or PPI Chat Doctor. If the cause is stomach you will feel better after this. If your pain doesn't get relieved by antacids than another possible cause of these symptoms is gallbladder stones or cholecystitis. The diagnosis is confirmed by abdominal ultrasound. If the symptoms still persist and don't relieve from antacids I suggest consulting a physician and get some tests done to sort out the right cause and get the right treatment. Hope my answer has helped. Take care. |
Hello,I was diagnosed with a small iguinal hernia on my right side in February this year. I had not issues, but I did some physical activity last weekend and their is now a burning sensation coming from that general area and it feels sore.Should I be concerned or just watch and wait? | Hi, Usually, when hernia is small, I recommend my patients to wear corset to try to put pressure on hernia, so preventing complications. I also advise not to go for heavy physical activities that involves abdominal muscles to prevent complications. At your case, if hernia size is the same, and you are only having burning sensation, I advise wearing a corset for few days and avoid physical activity. If after few days, no improvement will be seen, you can contact a general surgeon to further evaluate your hernia and determine definite solution to it. Hope it helped! Chat Doctor. |
My 6 year old daughter has had a chesty cough and 40 degree temp for the past 5 days and today the temp has been 37.5 but tonight she has a headache and said her neck hurts and hurts when she lies down. I ve given her pain stop and nurafen but just don t know what to else to do for. Should i be worried. | Hi, I understand your concern What you SY is her headache comes when she lies down, and it means she had pain on bending neck which points to meningismi and could be a meningitis which can be made sure only after a thorough clinical examination and blood tests along with CSG examination if the doctor feels so. Less serous causes can be a sinusitis as pert oft chest infection. TO my patients I would do the work ups and therefore suggest you to take her to your doctor, Regards and come back for more advice. |
Ok doc, so i ejaculated when me and my girlfriend were messing around but this ejaculation was not in the vagina. I then went pee, awhile later we were messing around again and i had pre cum. I stuck it in about twice. Did my pee kill the sperm from a previous ejaculation and did my precum contain sperm from the previous ejaculation or was it flushed out? | Hi, I had gone through your question and understand your concerns. It is known today that pre-ejaculate has only minor number of sperms, so there are only rare cases where living sperm can be presented in the pre-cum and conception subsequently possible. If you urinated before it then chances for it are negligible. However, the only way to rule it out for 100% is to do pregnancy test to ease your mind. But as I can tell you, pregnancy is really not likely under these circumstances. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
Hello, I just got my results from an ulstra sound I had on my lower abdmonin the findings were as follows | Hi. The mean dimensions of the kidneys upon maturation are |
I have a soft squishy lump, about 1/2 inch diameter on my lower left calf that protrudes only when I am standing. When I am not putting pressure on my leg, there is a slight indentation in that spot. The lump does not hurt, although sometimes after exercise the area aches. I noticed that in the exact same spot on the opposite leg, there is an exact same type of lump, although not nearly as pronounced. I have been an athlete all my life, in great shape, 54 years old, no disease history or current health problems. | Hi, Welcome to Chat Doctor. Based on the facts of your query, as the lump on left calf with slight indentation at the spot, which is painless which appears only on standing and with similar lump on the opposite leg, it seems to be caused from Varicose veins due to short saphenous incompetent vein valves.Throughout the life as an athlete you did not get this, but with aging and addition of increased intra-abdominal pressure, these Long and short saphenous veins have become incompetent lately, which needs to be investigated and investigated after Venous Doppler study and treated from a Vascular Surgeon. So don't worry it. Consult your Vascular Surgeon, after consulting your Surgeon and GP doctor, who would treat this lump with all the care it needs. This reply would resolve your current issues and would reduce your anxiety with it. Hope this reply would help you to plan treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS |
hello sir, during my pregnancy i had seven stenches but it not given properly at that time after two year of my pregnancy i have sudden pain in that area. what should i do some dr. told me that i have to operate again for this....as of they giveme tab-panat-d,emanzen-d,sporidex | Hi, thank-you for providing the brief history of you. As this is a common complaint we find in our clinic postpartum so physical therapy is advised to strengthen the muscles and also the scar management can be done. Therapeutic ultrasound therapy and TENS therapy helps to reduce pain and exercises helps to strengthen the core again. In my clinical practice most cases respond well to physical therapy post partumRegards Jay In Chat Doctor. |
I have a toothache and gum / cheek soreness . Went to dentist 2 weeks ago and he said I need root canal. But I have been so sick with flu virus as well, I havent been up to the procedure and keep putting it off. I have been on antibiotics the whole time but just not getting better. Feel miserable. Should I have the root canal while I feel so sick, or keep waiting till I feel better? | Hello |
I had an unprotected sex with my boyfriend last wk friday though he didn t cum inside me,suddenly i am scared of maybe conceiving and don t know what drugs to take to be sure I don t get pregnant,please advice me on what to do bearing in mind that I ve an issue of high prolactin for some time now that ve seized to stop even with the medications I took in the past also I have a case of renal problem.Please come to my aid,waiting patiently to hear from you | Hi there,If you are having a high prolactin levels it is unlikely you are ovulating normally, making you get irregular periods. You need to take medications for the same, after meeting an endocrinologist; also for the renal problems you need to get in touch with a nephrologist immediately; as kidneys are very vital organs, and you need to make sure they function well. For contraception that will not be affected or will affect the above diseases you should consider Copper-T, an intrauterine device, it is safe, long term and does not have any hormones in it. It is very, very effective as well and can be fitted easily on OLD basis. Get it inserted after your next period, 8 or 9th day after the start of the period to be sure that you are not pregnant. Hope this helps. Regards. |
I have a lump the size of a marble just below my rib cage on the left hand side of abdomen, I went for an ultrasound scan & have just been informed by my doctor I have a neuro sibroma or is it a neuro fibroma? I have been told I need surgery to cut it out, please can you help clarify & give a clearer diagnosis? | HI, Welcome with your query to Chat Doctor. Based on the facts of your query, the possibility of it being neurofibroma could not be guessed on USG, but would need FNAC Biopsy with Homeopath study of it, as you have not submitted any painful lump fact in your query. So I would suggest having Second Opinion from Surgeon and FNAC Biopsy. Besides this, it being a Benign Tumor, You need for it being Cancer. In My opinion it could be Fibrous/Lipoma/or died out Sebaceous Cyst on hairy chest. Hope this reply would help you to plan treatment of your lump. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS |
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