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Hi I have had a rash for over a week -- began as a single very itchy small spot on my wrist/hand that seemed like a bug bite -- spread to arms and then legs - from mid-forearm to mid upper arm and corresponding area around knees -- itchy red little bumps, splotchy red spots, and now multiple small black and blue marks in rash area on legs. Thoughts?? | Hi, It seems that you are having lichen ultimatum, also known as popular urticaria. It is hypersensitive reaction to insects. There appears erythematous popular lesions with mild to severe itching. Take short course of steroids in tampering dose. Take antihistamines till itch is relieved. Take antibiotics, if there is secondary infection. Avoid soap bath. Try to protect from insects. I hope you would be benefitted. Best health wishes. |
Late yesterday afternoon after gardening I noticed my arm was itchy with many little colorless bumps, then my eyelid had an itchy bump, then two and my eyelid was swollen. Next morning I had a few on my face, then one on the other eye, all very itchy. I looked over my bed with a magnifying glass, but saw nothing. Ive been putting poultices of plantain to stop the itch and swelling, but dont know what is causing this. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have been bitten by some insect or bug in your garden that has led to allergic or anaphylactic reaction leading to the symptoms of raised bumps, swelling and itching sensation. You should take anti allergic like Levocetrizine or Ben Chat Doctor. . Apply Steroid ointment over bumps to relieve itching and reducing Inflammation. Do cool compresses. In case if symptoms does not improve consult an Allergist or Immunologist, and he can advise you to take injectable anti-allergics, Oral and injectable Steroid for faster resolution of symptoms. Hope this information helps. Thanks and regards. |
Hello, well saturday the top right of my mouth started to feel funny i discovered it was swollen gums , i also had the fever and soar throat . Now i have all my gums swollen i cant chew or close my mouth properly. I have cold sores on my gums and lip. I also feel my wisdom tootChatDoctoring out on the top right of my mouth. What is wrong with my gums? | Hello there, Swelling in the gums indicates inflammation of the gums called gingivitis. It shows symptoms such as bleeding gums, redness, swelling, pain and sensitivity, recession of the gums or apical migration, exposure of root surfaces of teeth. Bacterial or viral infection of the gums may lead to formation of abscess, fever and sore throat. Viral infection may lead to formation of cold sores on lip and gums. You need symptomatic treatment for gingivitis, go for professional scaling of gums, deep curettage and root planing which removes all the irritants, dental plaque and calculus and restores good oral health. Regular mouth rinsing with lukewarm saline water or antiseptic mouthwash like Betadine or chlorhexidine gives soothing effect. Apply topical oral antiseptics over the cold sores along with oral dose of multivitamin supplements. I hope this helps, take care. |
Hi,Basically I was on a plane earlier this week travelling home, when I got a funny feeling in my chest. At first i thought it was a heart attack, but as I didnt collapse or get any ther symptoms, I presummed not. The problem has persisted, and it feels like a shortness of breath and tightness in my chest. I read up on the problem, and it says it could be a collapsed lung, or Primary spontaneous pneumothorax. I read the cause, and it says it is common in males, young, smokers and can start from a change in atmospheric pressure. I am 21, male, a smoker (sorry, I know, trying to give up), and the plane would explain this. I was wondering if you could give me some advice, as I dont really have lots of free time to visit a doctors, as I have a disserttation in in 2 weeks. Thanks! | Hello ! Yes pneumothorax is definitely one of the possibilities. However, it is not the only possibility. Since you mentioned shortness of breath and chest tightness, even bronchial asthma is a possibility. Have your ever had similar episodes in the past ? Problems related to your heart cannot be ruled out just because you didn't collapse. The oxygen levels Chat Doctor. You need to be examined by a physician in person. You will need a Chest X-ray, ECG, Spirometry (pre- and post-bronchodilator) for basic cardiorespiratory evaluation. Treatment needs to be decided based on your final diagnosis. Do not miss consulting because if it's a pneumothorax(air getting collected around your lungs) it needs to be |
I lacerated my liver over 2 months ago, i was in the hospital for a week but did not need surgery. I followed my doctors orders and still have some discomfort. today is my 21st birthday and i want to have a beer, would that significantly slow my healing progress? | Hello, I understand your concern about recovery. Single time consumption of beer has no effect on healing process of liver laceration. But you must be careful not to fall down under effect of alcohol as this is the bigger risk factor for not healing liver laceration. Alcohol consumption on regular basis is surely compromising liver function and over the time it may lead to end-stage of liver disease. |
I had a fall which left me with a hairline fracture in my pelvis. I am in physical therapy and my medications are hydrocodone/acetaminophen 7.5-325 T for the fracture, and Gabapentin 300 mg. for a pinched nerve in the leg on the opoosite side. However, I still have debilitating pain in that leg. | Hi I am Chat Doctor. . In my opinion your medication is fine you may add hot massages with topical gels and some B12 vitamin supplementation will be helpful in most of the cases. Physiotherapy sessions and spinal straightening exercises have a good rule in maintaining your low back pain. Avoid overweight, vigorous movements, heavy lifting, bad sleeping or sitting postures, standing for long time. If your pain persists ii suggest MRI on spine to rule out any kind of spinal injury like disc or herniation and follow them up with a neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. |
I have asthma and i have been smoking marijuana because i believed it helped esp when i smoked ciggarettes. I read that weed can stop a full blown asthma attack. Also it help aleeve mucus in my throat. My asthma has dissapeared. But i want know that me marijuana medicine can always be there for me. | Hello, It is my pleasure to help you, Smoking marijuana or administration of its main active constituent of marijuana may exert potent dilating effects on human airways. But the physiological significance of this observation and its potential therapeutic value are obscured. Some asthmatic patients respond to these compounds with a paradoxical bronchospasm. Regular marijuana smoking produces a number of long-term pulmonary consequences, including chronic cough and sputum. Hope you got the answer for the query. Thank you. |
My daughter 8 yrs ,suffering from typhoid fever for last 15 days. doctos gave 5 day anti biotis. but now she is in same condition. so my quarie is what way i can give the food. How should I want to care here. my e-mail id is YYYY@YYYY | Foods to be strictly avoided are butter, ghee, vegetable oil, chilies, spices and all irritating fibers occurring in foods. Also, rich pastries, fried snacks, desserts and thick cream soups must be avoided. Patients of typhoid should not be given protein-rich food. Eggs and meat are totally prohibited. During this period, the patient should be given only liquids or easily digestible carboy Chat Doctor. Vegetable soup and fruit juice is useful for the patient. After the patient has recovered from the fever and weakness, he should be given plenty of protein-rich diet so that the loss of tissues can be compensated. Orange has a cooling effect and provides relief from restlessness caused by typhoid. The patient can take milk mixed with orange juice or can eat an orange after taking milk. Oranges can be eaten several times in a day. He may also take tender coconut water. Diet tips for typhoid |
Hi i am mr.sharif age-32,height-1.70 meter. I am carring Hbs+ last six years. I stopped taking madecine from last two years. i lost my all perscription.so i have to need your suggesion to remove or control this virous. | Hello Mr. Sharif ;Welcome to Chat Doctor Many people carry HBS+ & can maintain proper health with a controlled diet & lifestyle.Nowadays, even treatment is available to control & trails are on of new Chat Doctor. As you lost the prescription I would advise you to contact & consult your doctor again & he will prescribe the required medicines for you.online consultation will not help as you left medicine 2 yrs ago, so it will be better to get physically examined;if required to be investigated then you can be treated by your doctor. Thanks |
I had left-sided pain last week. I thought it was a kidney stone. (I ve had them many times before). have stage 3 kidney disease. The doctor at Urgent Care felt a mass on my left side and had me go to ER. I had a CT Scan and and a stomach ultrasound and vaginal ultrasound. They found a stone in my right kidney. The ER Doctor said she felt a mass on my left side, too. But there were no problems with my tests. The pain subsided for 2 days and now it s back. Any idea what it could be? | Hi, Your pain is due to stone in the kidney. There is no mass lesion in ultrasound so don't worry about it. Treatment of kidney stones depends on size and location. For immediate relief, you can take Chat Doctor. But it gives just pain relief. For permanent cure consult your doctor and plan treatment according to size. Hope I have answered your query. Let me know if I can assist you further. Take care |
Sharp pain between ribs. I has a surgical abortion yesterday and I had no pain medication during or after besides antibiotics, I had normal cramps after the abortion and bled for like a half hour after and with a few clots. Now I have brown discharge and it smells fine. I have no cramping or anything just very tender between the ribs and when I touch its a sharp pain. Please help. Very worried | Thanks for your question on Chat Doctor. In my opinion you are having muscular pain mostly. But better to rule out lower respiratory tract infection (LETI) first, as LETI can be seen as infective complication of any gynecological procedure. So get done chest x-ray to rule out LETI. If this is normal than your rib pain is mostly due to musculoskeletal cause. Try to follow these steps for better symptomatic relief.1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site. |
I am recently found out I m very allergic to Formeldahyde, my face is all red and very blotchy when I wake up in the morning Dr., it just doesn t go away. I just don t know where it s coming from. I took Tamoxifen for two years and then switched to Letrozole. I m wondering if these medicines have anything to do with the flare-ups on my face. My face has gotten very dry...since I ve been taking that Tamoxifen. What do you think? Thank you very much, Carole Novak | Hi sir/madam, Thanks for your question on Chat Doctor .diet advice |
I am a 50 year old white male, who has received an elevated liver test result of | Hello Jeff, Thanks for posting on Chat Doctor, Well they are various causes of elevated liver enzymes (transaminase) which could be infection, Chat Doctor. Stress factors are not known to elevate liver enzymes, but dietary changes can affect. If you are not presenting with any signs of infection probably hepatitis or others then it will be wise to look at your medications. Lipitor is known to increase liver enzymes (adverse effects). You may indicate this to your doctor, who will probably ask you to stop using Lipitor for a while to see if your LFT normalizes. If it does not, then Lipitor is not the culprit. Your doctor will have to also do tests for viral hepatitis and do other liver enzymes such as alkaline phosphatase. Hope this helps and wish you the best |
Hello doctor, I am young lady who suffer from acute allergy and due to it I sufffer from acute sinusitis since young. Recently, I visited a different doctor and he prescribed me to be on medication on a long term to control my allergy. The medications are such as Xyzal 5mg, Crixan OD 500mg, Glemont-IR10mg,Pataday eye drops, Nasonex nasal spray . Besides this, I am also consuming Doxycyxline to control my acne problem.My question here is that will there be any side effects on taking these medicines on a long term? Will it have any effects on my fertlity or development of my babies if i were to be pregnant in future? | Allergies continue for long time and as the grow they involve multiple organs and acne is one of skin problem some medicines are not to be taken in pregnancy advise you to get allergy test and permanent cure as SME of this med will not be contd in pregnancy can give you some medicines you can use in pregnancy tab basting 10 mg stab CPM tab at night apply Aureomycin h eye ointment in nose based water crops 2 crops at night in each nose liquid antacid misapply clindamycin gel on face sand calamine once a day no oily greasy fat food no spicy footage 2-3 glasses of warm water morning emptystomachthese will help you, and you can continue in pregnancy |
Hello, my husband and I are trying for a baby. Firstly I would like to know what is irregular period exactly. I have periods every month but the days change between 28 to 40 days. Does this count for irregular? I am trying to find out my ovulation time but not really possible. So I always count from 10 to 18 days from the first day of my period. Also I would like some advise on the possibility of being pregnant and still getting period. I had my last period on the 1st of May. My husband and I had intercourse on the 6th-11th-13th-18th-20th. Then on the 15th-16th May I had brown dischange. On the 4th of june I started my period which I thought I was not pregnant. But I am feeling tired in the evenning, have sore breasts, bloated, little constipation and little nauseous. This might be only my brain playing with me | Hi, normal menstrual cycle is usually 28 +/- 7 days, means from 21 days to 35 days can be taken as normal duration of menstrual cycle, you can better find out your period of ovulation by using ovulation kits, pregnant woman can show bleeding,-during her regular day of periods,-due to implantation,-due to some friction or injury at local genital area,-in process of miscarriage.to rule out pregnancy you better go for blood test for pregnancy and ultrasound after consulting gynecologist. Take care. |
Good day, I am a 50 years old male that always tried to keep in pretty good shape playing sports. I would say that my drinking habit are in the norm, to not drink hard liquor and rarely beers but love a few glasses of red wine (4 glasses/week) during that week. I always did have problem with my cholesterol problem (treglycerides level and LDL level). In the last 20 years have been carrying an extra 20 pounds for sure. recently I had a Ultra-sound with the following finding | Hello, thanks for writing in. Hepatocellular disease is a broad term for any condition that leads to impaired cell function and death. It is a diffuse parenchymal involvement- this can include fatty liver, inflammation, infection, metabolic disorders, malignancy etc. In your report the diffuse fat deposition is likely the hepatocellular disease. However, I would suggest you talk to your doctor and check your liver enzymes. If there is any doubt of a malignant process, a liver tumor marker test, followed by a CT with SOS biopsy can be done. But a diffuse malignancy seems less likely, so do not worry. Hope I have helped you answer your query. Take care. |
I have a strong family history of breast cancer (mother at 47 and aunt at 49). I am 22 years old, and had a biopsy on a spot in my left breast that they removed completely in 2009. They stated it was a fibroadenoma at the time. In August 2010 I had an ultrasound, and they said that they could no longer see the fibroadenoma. Last week I had another ultrasound and the spot is about the same size as it was when it was originally biopsied. They stated it could be a phyllodes tumor, but want me to wait 6 months to have another ultrasound. From what I have read about phyllodes tumors, if this is one, I dont want to wait that long. Should I see a breast surgeon? | Hi, dairy have gone through your question. I can understand your concern. You may have fibroadenoma or Phyllis tumor or some other lesion. Ultrasound doesn't give perfect idea. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
I have a bad cavity that started as a hole by my gumline. As it got worse, one whole side of my tooth broke away. Now the top of the original hole has gotten to almost up in my gum. People have been telling me this can be be fatal. Is this true? If so, Im broke and cant afford help. | Thanks for your query, I have gone through your query. The decayed tooth might cause infection and result in pain swelling difficulty in mouth opening. Before that consult your oral physician and take a radiograph and check the status of the tooth. If sufficient tooth structure is there then it can be saved by doing root canal treatment. If it is gone completely then it has to go for removal under local anesthesia. I hope my answer will help you. Take care. |
Hi I had a sinus surgery back in January. Now I have been experiencing lockjaw from the back of my ear to underneat my neck. I have also been having problems with my tongue vein,it swells up then something white pops out. Is this all related? Is it serious? Do I need to hurry vack to my ENT? Ms. IN PAIN | Hello, Thank you for consulting with Chat Doctor. Actually the kind of symptoms you are mentioning it occurs in patients who have a history of tobacco chewing or area nut chewing. This condition is known as Oral Submucous Fibrosis in which there will be stiffness of the jaw of oral cavity means cheek. This is not related to sinus surgery, but better you should consult a dentist and get it properly examined. Hope it will help you. |
I was just diagnosed with gall stones. Ive been in alot of pain the last 3 days and vomiting alot. I see a surgon today to talk about gettin it removed. Since Ive been in pain my urine has become very dark yellow, almost orange. Is this normal when you have gall stones? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Gallbladder stone can make urine dark only if some stone from GB has passed into CBD (Common bile duct) and has caused obstruction in bile flow and causing obstructive jaundice. So to confirm that get ultrasound abdomen to see for hepatobilliary system. I hope I have answered your query and this will help you. Wish you a good health |
Hi I have cut spots on my face around four years ago I used to cut my face with a shaving blade or used to scratch it with my nails and then it started to heal but I didnt let my wound completely heal and cut or scratch it again and again I tried many fairness cream and face wash but didnt get any result I m 21 year old and Im male | Hi, Thanks for writing to us. It is beyond my understanding why would someone keep on scratching face or picking at the wound. It could be a neurotic disorder known as dermatillomania.Nevertheless, now to treat the area, you may try using a glycolic acid based face wash daily. Also use of a retinoid and HY Chat Doctor. Use a sunscreen in morning daily. Follow these suggestions and let me know after a month, how much response are you having. Take care |
I have chronic pain issues and my physician has retired and no physician wants to accept my care, let alone prescribe for me.All treat me like a narcotic addict and I am extremely depressed over the entire situation. How does someone with my history find a Dr. with some compassion? I was prescribed norco 10/325 mg, 360 monthly, Tramadol 50 mg 240 monthly and 30 mg methadone daily for 10 years before my physician retired. Since every physician has stated I was narcotic dependent and won,t even prescribe Tramadol. I rarely leave my bed and am severely depressed from chronic pain. I no longer know where to turn. Help please! | 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. The pain can be treated with non-narcotic painkillers as well. In case if your doctor is not prescribing you adequate medicines then cognitive behavioral therapy is a good option to reduce the distress. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. 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 |
i was suffering from doudenal ulcer 2 years ago. endoscopy done at monipal hos bangalore and found deformed duodenal bulb and prescribed nekisam-40, claribid 500 mg., mox 500, sufrate, esmopazole, for 1 and half month. but now i feel motion tendancy anytime after food. is there any remedy? | HiT hanks for posting on ChatDoctorDuodenal ulcer is mostly caused by or associated with H pylori infection. The reason for which your management took into account the eradication of this germ. Two years after the treatment, it is possible the symptoms you present could be linked to a complication of duodenal ulcer since your endoscopy revealed deformed duodenal bulb or just a digestive infection. A possible long term complication of duodenal ulcer due to H pylori is a gastric cancer. I will advise you go for a stool exam and culture, another endoscopy or an abdominal CT scan to exclude a cancerous evolution will be good. You may see a Gastroenterologist for this. Since motion tendency is only after meal and not acute, I will suggest you just observe and your Gastroenterologist will take care of that after the stool exam. In the meantime, you may Chat Doctor. |
I have been experiencing itching burning crawling sensation on my genitals and thighs mainly. Slight itchiness continues underneath towards the anus. There is no recognizable rash no blisters or sores. The bottom of the scrotum is slightly red and at one point felt raw and looked slightly scaly. I have been tested for std 3 weeks after last encounter all showed negative. I have been using a jock itch cream for a few days which seems to be slightly decreasing the discomfort. The open air also seems to help with the itching/burning. Any idea what this could be? | HIT hanks for posting your query to Chat Doctor. Most likely you are having a fungal Infection and because of scratching an addition bacterial infection over the fungal infection might have happened. Most of the Jock Itch cream contains Anti-fungal medications, so kindly let me know the name of it. Otherwise, ask your doctor to prescribe you a combination of Antifungal medication+ Antibiotic cream and a steroid cream. Use this for around 2 weeks and everything will get cleared. Also keep that area as Chat Doctor. Hope you find this information useful. Any clarifications or Queries feel free to ask. Happy to help you. Regards. |
I am a white female age 56 and recently my blood pressure has been consistently high.Last week, at my doctors it was 140/100 and it has gone up since. In the past few days it has been 158/110, 188/120, 165/114, 150/113/ 179/113 (10 minutes ago as I am sitting at the computer doing nothing strenous). Should I be concerned? My father had many heart attacks, the earliest one at 35 years of age. My mother had several TIAs before having a more serious stroke. Help? | Hello, I saw your question. Most of the values you mention come in the hypertensive range. Considering repeated persistent high values of blood pressure and your strong family antihypertensive medication is certainly indicated. Heart ailments usually occur due to variety of risk factors which include obesity diabetes high cholesterol levels, kidney disease and genetics. Therefore, at age screening is necessary for all other factors. The antihypertensive medication is determined by all such factors. The usual choice of an antihypertensive in absence of all other factors would be a class of Chat Doctor. Hope you start it soon |
ok me and my boyfriend had sex 2 weeks ago and afterwards the condom slipped off inside me. when i went to pull it out it seemed like all the semen was still in there. but the next day we got the morning after pill and everything seemed fine. now 2 weeks later i started spotting which alternated between being heavy and light bleeding, it lasted about 3-4 days. and now my breast are tender to the touch and im starting to feel a little nasuseated. is there a way i could possible b pregnant? | Dear Madam, Though slipping or bursting of the condom during intercourse is known to cause pregnancy, you have very rightly and thoughtfully covered this risk by taking morning after pill; which is very effective emergency contraceptive pill. So the chances of pregnancy due to this accident are very low. Morning after pill contains hormones - Progesterone or Progesterone+Estrogen, which are known to delay periods by few days. Also, due to the effect of Progesterone, breast tenderness and nausea may bother. You have got following options |
Two days ago, a photo frame above my bed dropped about 1 metre high onto my forehead and eyebrow bone. If I try to move my eyebrow around with my hand or touch it there is pain there and it is also sore. there is a small red line across it. It appears to look like where the bleeding was and has now formed a very thin scab. | Hello, You have got bruising on eyebrow with abrasion. Soreness is due to blood extravasation due to trauma. Since scab has started over it healing is in progress. Measures to reduce soreness are 1. Frequent ice packs application 2. Tab choral forte thrice a day before meals. 3. Anti-inflammatory medications such as Ibuprofen twice a day helps in pain and swelling reduction. Hope I have answered your query. Take care |
Hi.. I am 25 years old and married for about 8 months.. From 2 months i am away from my wife and only had sex once 2 weeks ago with a girl friend... From 2 days i feel pain in my penis and a continuous flow of yellow liquid from my penis... It is sticky like sperms but not thick... I feel a lot pain when i go to the wash room...Kindly advise what could be the cause... | HelloThanks for query. Based on the facts that you have posted passing yellow colored discharge form penis and burning urination after sex is mostly due to infection of urethra (Urethritis) and needs to be confirmed by doing following basic tests 1) Routine urine test and urine culture 2) Swab test and culture of a discharge from the urethra. Start taking antibiotic like Cefuroxime and Nitrofurantoin twice daily along with urine alkalizer like Catwalk thrice daily later on switch on to appropriate antibiotic as per culture report. Ensure to wash your genital with warm water twice daily Ensure to Chat Doctor. |
Hello ...I had a tooth canal treatment last year. A month ago it started hurting me , went to dentist care ,had X-ray and Dr said I had an infection .got some antibiotic .After finishing antibiotics , things went good for a week or so than pains started all over . Saw other doctor who gave me penicillin and flagyl. She will extract it next week .Now my jaw looks swollen as if I have ping pong ball in my tooth .is that normal ? | 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 infection in the root canal treated tooth there is pus formation below the root tips of the tooth forming a DENTAL ABSCESS which at times perforates the bone and gets accumulated in the soft tissues leading to appearance as a swelling. The swelling that you are experiencing is not a normal occurrence and is due to dental abscess formation. You should immediately get the tooth extracted, and the pus will get Chat Doctor. . It should be taken care of as if not treated on time can lead to Cellulitis and Facial space infections. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. |
Just received my blood work from my doctor from my physical. I am 52 years old and have been having issues with inflammation for quite some time now. All my blood work is normal except my ESR.I exercise, and have been eating healthier. What do you suggest I can eat or take to get this rate to normal. Debbie | ESR is an investigation which indicates the status of inflammation in our body. High ESR means that chances of active inflammation are there in the body. In my opinion you should continue the treatment for inflammation, cure of inflammation will automatically normalize the ESR. There is nothing in particular to eat by which you can reduce the ESR. I will just advise you to continue eating healthy food and increase the amount of vegetables and fruits in your eatable items. |
my husband when he lays down gets a lot of pain in all his joints such as ankles knees back fingers and toes and when he pops them it relieves the pain for awhile then builds back up again after a few hours but all seems to go away when he is upright tis has beeen going on for many years and has gotten to the point where he has to take a pain pill to sleep | Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered Chat Doctor. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
I m running with high fever since 29th September, 2017.Average temperature reading 101 - 102.doctor said it s viral and will continue for 4 days. So he prescribed dolo 650.After having dolo 650 temperature come down at 100 to 101.Dose effect last till 5-6 hrs only.He also said this viral fever will last for 4 days. If 4th day nothing changes then he will do my blood test so that he can confirm that whtr it s dengue or not.Doctor can I switch my medicine from dolo650 to COMBLIFAME just to see the result With regards Omi | Hi dear.....you can use Coquitlam as alternative to solo 650 safely ...both of them are analgesic and antipyretic.both of them reduce the fever ...but take care if you have history of bronchial asthma or allergy to ibuprofen as Coquitlam contain ibuprofen with paracetamol...solo 650 contain paracetamol only...ibuprofen contraindicated if you have history of bronchial asthma.......if you have not asthma or allergy...you can use Coquitlam safely.....wish you healthy life....thanks for contacting us |
My 18 year old daughter is having cold symptoms, including post nasal drip, and ear pain. Her throat hurts so badly she is crying. She had a negative rapid strep two days ago. She has a very large protruding lymph node on the right side of her neck. In addition it appears that she has a lump in the front of her neck. I am thinking she has a virus and we need to wait it out. Is there anything else I should be concerned about? Anything I am missing? | HI, Thanks for the query to Chat Doctor. Treatment for neck lump with ear pain-In my opinion, its a non-strepto sore throat with acute lymphadenitis. I would advise Anti-inflammatory and antihistamines OTC Chat Doctor. Give plenty of fluids and multivitamin Tab (OTC) to recoup her acute illness. If it responds and reduces-then continue it. Hope this would help you to plan treatment with ER doctor. Welcome for any further query to Chat Doctor. Hit, thanks. Good Day. |
Hi Keerthi,Im 54 yrs old and i have a cavernoma on my left temporal lobe the size of 1.4cm. Dr said it was incidental findings as my dizziness may not be due to this. It bled and they do not knwo when and how many times it had bled.I suspect that i may have seizures but i may not be 100% sure as only 2 nites ago, i experience my body esp my legs was jerking uncontrollably for a few about 20 secs while i was sleeping whic actually woke mer up and this is my 2nd or 3rd time i experienced that while in bed. 2 Neuro dr suggested for surgery while the 3rd recommended conservative treatment.Dr Keerthi, what are the risk in this kind of surgery? | Hi, Thank you for posting your query. Cavernoma of brain leads to repeated bleeding, causing headache and seizures. If the bleeds are small, then, surgery can be avoided. However, if the bleeding is large, then, it is better to get it operated to prevent further bleeds. Surgery, done by an experienced surgeon is quite safe, with less than 1% chance of death, and about 5% chance of bleeding during surgery. Best wishes, Chat Doctor. |
Hello. I ve been experiencing chest pains for months now. Chest pain meaning burning. Anything I eat like spicy food, triggers it. Did an xray and I was told I m fine but I dont believe that because I m still experiencing the pain. What can I do to help this? | Welcome to Chat Doctor, as per your query, you might be having gastritis or peptic ulcer. Lower chest pain just below sternum is mostly due to gastritis/ulcer and not lung problem. You can take antacids. Chat Doctor. Avoid spicy & oily foods, smoking, alcohol. Eat healthy like raw fruits and vegetables. If problem persist You should visit a physician. In meanwhile, you could also take omeprazole empty stomach in morning. Hope your query has been solved well soon. |
hi, my mother undergo dialysis for almost a month... her friend advised her to take medicine(I dont know the product) after a week she realized that her kidney begun functioning well because she is able to pass urine many urine as normal like she has no failure in her kidney, if this condition continue, is it possible or Ok for her to stop her dialysis? | Hello, Kidney disease are classified broadly in two types on the basis of dialysis. One is Acute Kidney Injury(AKA). Another is chronic kidney disease(CKD). In AKA either no need of dialysis or required for some specific period of dialysis. But in CKD, you have to dialyze the patient at regular interval throughout. As in your case It's difficult to find out. But if you required more than a month of dialysis, it means probably your mother is suffering from CKD. In CKD, indication of dialysis is not only depends on urine output. There are so many factors which decide dialysis |
Ive had this tickly feeling when I urinate. Its mostly right at the end when my bladder is emptying and it wont go away! My urine is dark and smelly first thing in the morning but practically clear throughout the day (I drink tons of water) this has been going on a year and a half now. My dr keeps giving me antibiotics which just seem to make it worse. Ive seen a urologist and Ive had multiple tests done for uti and they are all negative. My kidneys are fine. Could this be fungal? Ive found that if I take supplements that tend to kill yeast I feel much better. (Garlic, ginger, oregano, grapefruit seed extract) this all happened about 7 months after having my son. | Hi, I have gone through your query. Symptoms you have mentioned are suggestive of UTI or cystitis (bladder infection). Since your UTI is ruled out, and you were on antibiotics, this infection may be due to fungal infection. Fungal cystitis is rare but can not be ignored. Candida is most common. I advise you to Chat Doctor. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http |
I am an adult and this is the second time in 3 weeks that I have been sick with a fever over 104 at its high. The first sickness lasted 8 days with fever, headache, body / muscle aches and sore neck. Felt very tired for the Next 2 weeks then started with a headache and high fever over 104 again. Have had this one now for 3 days. WBC was low so they said viral. I know you can not get same virus twice, so I am wondering what this could be. Before this month I had not had a fever in 5 + years. | Hi, dear. I have gone through your question. I can understand your concern. You have fever with low WBC count. So it may be due to malaria, typhoid or viral or may be due to some other disease. You should go for blood test for malaria SND typhoid. Then take treatment accordingly. Once your fever is subsided your symptoms of weakness will also go away. 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. |
hello Dr My self rajnish verma i am 33 year mail.I am experiencing pain in right side of stomach since from last few days it is between the liver and abdomen .It is not a continuos pain some times i feel all of sudden a mild pain will occur and it will diappear in less then 1 minute.Pl suggest me what to do?i am getting worried for my health. | Hi ! Danish, The location of the pain suggests two or three different possibilities. If the pain is related to your intake of meals and is also associated with nausea or vomiting, stomach problems such as ulcer or some form of inflammation of the lining of the stomach called Gastritis ISA possibility. If the pain follows after eating some fatty food, then you have to think about gallbladder problem. I suggest you undergo an upper G.I. series (X-ray studies) and also have a sonogram of your gallbladder to see if you have gallstones. Good luck ! |
I fell on my knee last night and the inside of it is extremely swollen and painful but there is no bruise. I can barely move my leg at the knee now and have a lot of trouble walking, especially up and down stairs. Is this something that I should be worried about or should I be fine to wait it out? | Hello, As mentioned not able to move the knee and pain while climbing up the stairs I would recommend you to take up and MRI of the knee as what I suspect is the ligament sprain. Usually, in certain cases, we get degenerative changes in the ligaments and joints and can be treated conservatively. An MRI will help us understand the extent of the soft tissue injury and guide exercise as accordingly which can help regain the functions of the knee back. In my clinical practice of 12 years, most cases have been recovered with only executed exercises for both the limbs equally to get the desired outcome score. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
My right foot has been swollen for almost two weeks. It was originally thought to be gout. I was put on prednisone but there was no improvement. The second thought, given the lack of response to prednisone is that I have a soft tissue infection. I was prescribed doxycycline hyclate (100 mg 4x/day) and clindamycin hcl (300 mg 2x/day). I have benn elevating my leg and using heat packs, however there no significant improvement. I had a Doppler to check for DVTs that was negative. I had an xray today but have not received the results. My foot is painful to walk on, especially just behind the big toe. | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion the swelling in your foot is probably due to infection, your X-Ray findings are must for us to know, any infective changes in your bones of foot, moreover your blood counts are also must.in case the X-ray does not clear the doubts an MRI of the foot is advised. 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. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. |
Dr. My mother has hospitalized due to broken leg since one week the Dr. Treating her because they said that she has some kidney problem also now they said that she had a week kidney might be cause problem if they start operation for her leg bone please suggest what I have to do in this condition | Hello, It is essential that patient should be fit for surgery from all aspects. If she is having kidney problem then it should be ad Chat Doctor. If treatment for kidney problem is taking long then you may discuss following from your doctor. Discuss conservative treatment (without surgery treatments) and there results for present problem. F not available then about methods which require less time and medication in re and post-operative duration like external fixation or minimal invasive methods. Hope I have answered your question. Let me know if I can assist you further. |
My husband has swelling his hands and feet and also was having pains in his back on the sides. He is 42 years old about 6 2 and 205 lbs. we were wondering if maybe we should take him to the ER if you could give us your opinion we truly appreciate it thank you | Hello I have gone through your question and understand your concern. Swelling in limbs along with back pain in the sides is suggestive of kidney disease. Patients with diabetes, hypertension, cardiac diseases, liver or lung diseases show sudden deterioration in kidney function. It is advisable to seek medical help at the earliest possible. At ER doctor will take up medical history, examine and test kidney function along with other carrying other relevant based on need. Vitals will be monitored and based on test results treatment will be initiated. Good luck. Hope your concern is answered. Thank you. |
Hi,I want to know if elevated lymphocytes can be caused due to a skin infection like eczema. My husband had a bad bout of eczema around 1.5 months back (he has a chronic eczema infection on his right leg). We did a routine blood test, whicChatDoctore back all normal except that lymphocytes were 41.3% (normal range 20-40) and absolute count was 3.44 (normal range 1-3). His overall WBC was 8.3, well within normal - and every other element , Haemoglobin, RBC, Platelets etc were absolutely fine.I am worrying over this, and would be really helpful if you could give me your opinion..Ankita. | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Any chronic inflammation including chronic eczema can cause elevated lymphocytes.2. Overall WBC count, and all other counts are within normal range. 3. Its only mildly increased due to chronicity and not to be worried about.4. Continue treatment for eczema. If overall WBC count is elevated or lymphocytes percentage is above 80%, then its worrisome. Until, then not to worry. Hope it helps. Any further queries, happy to help again. |
My daughter is 8 1/2. She has been complaining of being achy, has a low fever. She vomited a little bit ago and now her legs are shaking uncontrollably. She does complain of stuffy nose. And combined of a bad headache off and on today. She said it was the worst she has ever had. It comes and goes. My son and I had an achy illness a couple weeks ago. Only lasted 24 hours and followed by a cold. Wondering if she could have the same thing or something more serious. | Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - |
Hi, I m having a pain in my lower right side abdomen. It s worse went I get up in the morning and after a bowel movement. My lower back hurts too. I ve been having intestional issues too, constipation. I have IBS, but never nothing like this. What do you think? | Hi. Thanks for your query and an elucidated history. Since you are a known patient of IBS-C (constipation), such type of pain must be related to it. The low backache is due to colitis part of it. Yet to rule out the other causes of the pain in the lower right side of the abdomen, you have to undergo the Contrast enhanced CT scan and colonoscopy. If there is finding of appendicitis or any other cause, you may need a surgical correction. |
Im an unmarried 23 yrs old girl and im having Pcos...My doctor have prescribed me Rejumet 1000 for 6 mnths..will it be effective?? Does the polycystic ovaried will be cured after 6 months?? In future wil there be any problem of me getting pregenant? Pls help me out? | Hello dairy understand your concerns is very complex disease and treatment response is variable. It causes hormonal imbalance, insulin resistance, weight gain and menstrual irregularity. Treatment should be taken under advise of authorized gynecologist after proper investigation. Rejumet will decrease the insulin resistance and induce the ovulation. But it should be taken along with medicine likeProgesterone pill in the second half of the period birth control pill |
10 months ago I was diagnosed with metastaic colon cacer (stage 4) The tumor had blocked the colon an spread into the peritonial membrane...The surgeon had to arrange for an illiostomy and referred to an oncolgist.I am on chemotherapy since then ....my recent CT san showed no tumor left except a minor nodule in the pertonial membrane...I am meeting the surgeon to discuss the pros and cons of reversing the stoma and cleanup the pretonial membrane....I feell this is not a simple operatrion please give me some comfortMnay thanksJack | Hi and welcome to Chat Doctor. If this is just peritoneal tumor excision and stoma reversal then this is relatively simple procedure, more simple than the first procedures. But if there is a plan of so called peritonectomy then this is complex and more serious procedure so consult your surgeons about this.IT is hard to say for stage IV colon cancer that it is cured and usually we don't recommend stoma reverse because of possibility of relays and then stoma is needed again. But if there is no sign of malignant disease then it can be performed. Wish you good health. |
My aunt met with an accident on 24 nov 2010 and got a fracture on her left side hipbone. a rod has been placed on the left side through an operation on 25th nov 2010 and the following medicines were given post operation | Hi. Thanks for choosing Chat Doctor. I am pleased to answer your query. From the details you have given, I understand that your aunt was hospitalized and treated for fracture hipbone. It is likely that the stomach ache and intractable vomiting that she experiences now, are due to gastritis, probably induced by painkillers/iron preparation(Limoges Z). I suggest that Limoges Z may be stopped for a few days and Velez D may be continued, which will help in relieving her symptoms. Tab. Attract may be taken only when needed. i.e. if she has pain in her hip. But if her vomiting is so severe, she needs i.v fluids. So please get her admitted in a nearby hospital. Hope this helps. |
My Granddaughter had a baby girl on September 5, 2013. The family (Grandmother, Great Grandmother and other relatives have been anxious to see the baby and her Mother. She says she is too tired and too busy to see us. She also has a 2 and a half year old daughter. I feel that she may have some Post-partum depression. Could this be possible considering what she is going through? | Hi and thanks for the query, I am afraid she really does not present with the classical signs of postpartum depression. This should not be a worry at this point in time. Postpartum depression rarely has anything to do with affecting the relationship of the woman with her parents or immediate family. Isolation and feeling sad, failure to communicate and sleep disturbances are generally the commonest signs observed. In this case, it is difficult, and almost impossible, in my own opinion to think f postpartum depression. It might be interesting if you could move towards her where she leaves and works, or have someone persuade her you really need to see her and talk to her. I really do not think you need to worry for now. Feel good and kind regards. Bain LE. MD |
hi i have been on finasteride for years have breething problems shortness of breath,testcale pain,swollen and painful breast weak ejaculint. have been to lung doctors.never considered it could be from medication have been complaining of beathing and chest pain for years.is it the medication | Hi thanks for contacting Chat Doctor... Here you have to examined in detail and respiratory examination needed by auscultation.... As you have pain since years rule out chronic obstructive pulmonary disease, restrictive lung disease Or other resp causes by chest x-ray ad spirometry.... According to cause treatment needed.... You might be prescribed with bronchodilator or steroid according to cause.... Avoid aggravating factor for chest pain like stress..... Avoid smoking if habit. As you have muscular breast pain with some soreness viral infection can be there it might lead testicular pain as well.... Maintain HY Chat Doctor. ... If condition worsen and no cause found then CT scan or MRI like higher investigation done.... Take care |
My daughter has a lot of symptoms but no one can figure it out. She has had her gallbladder removed and her thyroid. she is experiencing diarrhea after everything she tries to eat. She has lost over 20 pounds in a couple of months. She isnt eating much at all. She has been to the ER this week with stomach cramps. She has had the standard tests. What is next. She is a teacher and is missing some school. Any suggestions? | HIT hank for asking to ChatDoctorThe number of passing stool (defecation frequency) and consistency is matter, the stool must not be watery, and does not go beyond two to three in half an hour (remember with watery diarrhea), the stool should not contain pus, mucus, blood undigested food, parasites (Ovid larvae) bacteria, if these are the history then it needs treatment accordingly and if such history is nil then you need nor worry take care of your daughter have good day. |
I m 14 weeks pregnant, and at 3 am, for the past 3 nights I ve been bleeding. The first night was the worst, but the 2nd night was less and, at 3am this morning it was not enough to get onto underwear. I ve been to the ER and they listened to the heartbeat and the baby sounds fine. My cervic isnt open, so I did not have a miscarraige. why would i be bleeding at the same time for 3 nights in a row? | His have gone through your complaints. You are 14wks pregnant and bleeding during time needs to think of miscarriage, placenta prefix and cervical congestion. In ER, says everything regarding baby is fine by hearing heart beat and cervix closed .but It's important to go for scan how is placenta. If its low-lying or covering OS It's important to take rest. If all this is normal then you can think of cervical congestion. Thank youRegardsVasundhara |
GOOD AFTERNOON DOCTOR, Dear doctor, This is Shashi Mishra here. I would like know that am having front teeth gap i would request your suggestion that, is there any treatment to close this gap n also i would like to know where i can have treatment & about the charges. | Hello, Thanks for consulting ChatDoctorRead your query, as you have gap in your front teeth don't be worried so much this space is corrected by orthodontic treatment. As I would like to tell you that timing for orthodontic treatment is teenager period after that treatment takes more time and braces are placed for one to two year for correction. Treatment is planned on basis of visual examination and evaluation. Hope this will help you. |
I am having worm moving kind of irritation under my back. Could not find out why even with endoscopy. Currently using Ornidazole which is giving some relief but not getting cured completely. Have used abandazole tablets but only getting temporary relief. Not getting cured. Kindly let me know what treatment should i take. | Hello thereWelcome to Chat Doctor. The kind of problem you are facing, from what I could understand is that you have itching around perianal region. Well its cause can be various like having a fissure, a fistula, a colonial sinus You might even be having worms, for which you said you are already under medication. But I would suggest you consult with a surgeon/ proctologist as well, get evaluated and then treatment. |
My brothers 17 yr old girlfriend developed a brain anuerysm on monday from coughing. They did emergency surgery on here that same day. SHe still has not woken up. They did however pull her draining tubes on thursday. How long does it take ususally for the pt to wake up? | Hello, She probably had the aneurysm for a long time that steadily became larger and one day burst open causing bleeding inside her brain. The recovery after treating a ruptured aneurysm depends on the amount of bleeding that has already taken place and the patients condition at the time of admission. For example a patient with just headache will recover quicker that a patient in coma and unarguable. If she was unconscious when she was admitted and had a big bleed, then the recovery can be long and can leave residual neurodeficit if the patient survives. I hope this helps you understand. Chat Doctor. |
Hello. Im 19 years old, and Ive had a problem for the past few weeks. Every single night, I have had the same dream. In this dream my 1 year old son dies, and everyone keeps telling me that Im responsible, and I wake up each night in tears. It sits over me all day, and its pretty much all I can think about. I havent spoken to my partner about it, as I fear he will probably just tell me to think about different things. Do you think you can help me? Emma | Hi dear. I had gone through your query. I understand your concern. Chat Doctor. It has nothing with real life. Sometimes constant thinking about it will lead to anxiety symptoms. Usually it doesn't require treatment until it affect your daily routine. It can be treated with mild anxiolytic. Sleep remedies like benzodiazepine can also help to reduce it. For detail evaluation you can consult psychiatrist. Still if you have a query then feel free to ask. Thank you. |
My daughter is suffering from fever since 25th June. She is 6 years old and 20 kg in weight. I am Pharmacy post graduate and initially I start administering Paracetamol + Ibuprofen suspension along with Cefixim tab [100mg] Fever was continuing throught day and night and every 4 hrs I am administered Para + Ibu. suspension. Since there was no improvement I have taken her to my family pediatrician [M.D-Pediatrics-with 30 years of service] He diagnosed it to be the viral fever and changed the antibiotics to ROXITHROMICIN [100 mg-morning 1 and night 1 tab] + Paracetamol tab. -375 mg once 6 hourly. But fever keep coming [with rare cougChatDoctorplain of headache -no vomiting/diarrhea/rashes/running nose] and every 6 hourly I was administering Para. tab. Even after 3 days [Fever started on 25th; continued till 29th] once again we consulted the same paediatrician and he said to continue for 2 more days. Today[30-6-2011] early morning fever came[100 F] on 2.15 am we administered paracetamol 375 mg and after 10 hours of gap again fever came on 12.15pm [99.8 F] again we administered one more dose of paracetamol. Till now fever didn t turn up [Apart from paracetamol we also administering ROXITHROMICIN [100 mg-morning 1 and night 1 tab] my daughter is active except during fever time and she took bit less food than her regular amount. Is it is viral fever? What should I do? Pls. through some light Sincerely Dr. N.Anbalagan M. Pharm., Ph.D | His if the child is well in interfebrile period, if so most likely it is viral fever. Then you will need to give symptomatic treatment in form of paracetamol, and tepid sponging with tap water. Tepid sponging |
my daughter has cellulitis on her ankle and lower left leg she was diagnosed 2 days ago and is on Kephlex it does not appear to be better but she is still itchy and let is somewhat sore. she has a soccer game tomorrow can she play in the soccer game or is it too risky | Hello, Welcome to Chat Doctor, As your daughter is diagnosed to have cellulitis of lower left leg, which is a bacterial infection of the skin, subcutaneous tissue and fascia. It is swollen, red and the surface shows crusting. Minor trauma or cracks/breaks in the skin provide a portal of entry for the bacteria. Stasis dermatitis predisposes to infection. If I was your treating doctor I would have advised an oral antibiotic for a week (preferable penicillin group e.g. Amoxicillin in combination with clavulanic acid, 375 mg thrice daily for a week). A topical antibacterial like 2% mupirocin can be applied at the site of blisters. An OTC painkiller like ibuprofen twice or thrice would help you with the pain. Thank you. |
Hi, yes, I just notice that im having a hard swelling on the left side of my neck! First I was just sensing a like a pressure in my head, and then I just check now again and feel this hard thing on my neck! How serious can that be? Im feeling like dificulty with breathing as well. | Hi! Thanks for writing to and sharing your health problem in brief! In such cases of hard lump beside the neck with some breathing difficulties, if I were your family physician, I would first examine it carefully regarding its origin, mobility, any more lump in the surroundings and the status of thyroid as well! As per my experience of biopsy from neck lumps, I could suggest you few possibilities as listed below |
I bumped my foot to a chair last night. Now my right fourth little toe is painful that it kept waking me up all night. I can t curl my toes on my right foot like I do my left. It hurts to walk on it. I did ice it last night but do i still need to see a doctor for the ongoing pain? It does look a little swollen compared to my left toes. | Hello, On a safer side, an x-ray is advised. Firstly stabilize the injured joint. As the movement will happen and also due to weight-bearing the inflammation at the ligament will not subside. So stabilizing is of utmost importance. Do hot water fermentation and slow passive movements of the toes. Don't perform the active ones. Within 6-7 days of the time, the pain will subside if there is no fracture. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
Hi, I have been getting canker sores quite often but i use to be told its from orange juice and too much acid well now i dont drink much and i havent been i have two canker sores and feels like one on my tongue but think it might just be a swollen taste but also have a terrible sore throat not so much hurt kinda tickles unless i swallow my spit and only hurts on one side i have had my tonsils and adnoids out currently takin amoxicilllan and garling salt water as much as possible also just brushed my teeth and my top upper gums were sore and started bleeding . PLEASE HELP!! Hilary | Hello and welcome, the problem is due to authors ulcer. This commonly occurs due to vitamin deficiency. Please do visit your dentist and take treatment according to that. Please do not take antibiotics without medical supervision. Take tab.flanzen-100\u00a0mg,thrice daily for 3 days and tab.wysalone-5\u00a0mg twice daily for 3 days. These tablets after consulting with your dentist. Also get your teeth professional cleaned as your gums are bleeding due to gingivitis. Check also whether any of your impacted wisdom tooth is inflamed i.e., pericoronitis.if present, get operculectomy done or extraction.peritonitis can cause sore throat. Continue gargling salt water. Maintain good oral hygiene. Take care. |
Hi, I have been taking (ro)accutane for just over 6 months now and have never had an issue with it. Recently (about 6 weeks ago) I also started taking Nexium due to GERD and inflammation in my esophagus (unrelated to the (ro)accutane). I had a blood test done this week and my liver enzymes are higher than normal and my dermatologist wants me to stop the (ro)accutane. Could the Necium be affecting my liver?? I dont want to stop the (ro)accutane as I still have 2 and a half months to go before my treatment is ended. I am also almost finished my dose of Nexium. Thank you. | Hi, Welcome to Chat Doctor forum. You are using accurate since 6 months, it has a side effect of hepatic toxicity. More over on long term usage. That is why the doctor has stopped accurate, to prevent the liver damage. You have developed G.E.R.D. also due to the accurate only, so for that you have to use the medium till you get the relief of the G.E.R.D. Avoid taking spices, junk foods, and oily foods. Also avoid UN timely foods to avoid the gastric irritation. Wishing for a quick and complete recovery. Thank you. |
My name is Serena. I suffer from anxiety depression bipolar and ptsd., I also have physical chronic pain. My doctor recently lost his practice. They took me off my meds all at once because they were not allowed to give any more medications out. I was on Xanax. I am on Prosaic, but I have no doctor and no health coverage. I need help. I cant cope with everyday life issues. I am a full time student online, but I am having trouble concentrating. | Hello. Bipolar disorder is a chronic pathology that requires medication for life. Never can stop the medication abruptly. You need to take an anxiolytic, an antidepressant and mood stabilizer. Alprazolam, Fluoxetine and Oxcarbazepine taken combined are widely used in the treatment of Bipolar disorder. Please go to your local specialist, as soon as possible, for a prescription. I wish you good health.(In case the answer would have been useful please indicate this) |
HI SIR , MY FATHER IS ON DIALYSIS IN 2 TIME IN WEEKLY... HE IS A DIABETIC PATIENT AGE IS 58 AND ACCORDING TO DR. HE HAS A KIDENY DISORDERS . CREATININE LEVEL AND UREA LEVEL IS HIGHFOLLOWING SYMPTOMS ARE SEEN | Hello. Welcome to Chat Doctor. I have read your question and understand your concerns. Once END STAGE KIDNEY DISEASE occurs there are only 2 options available to the patients.1. Regular maintenance dialysis for lifetime.2. Kidney transplantation. My advice to you is-1. If you can find a suitable donor for kidney transplantation then it will be the best treatment available.Meanwhile, maintain regular dialysis is essential for continuation of life. We can't stop dialysis of a failing kidney otherwise person cant survive more than few weeks.2. The symptoms you have mentioned are all due to kidney failure. Just ask your doc about in.erythropoietin to increase his HE levels. Avoid excessive salt and water use. Avoid any type of painkillers and excessive protein diet.3. Do his kidney profile every monthly and keep in regular followup of your nephrologist. Thank you. |
My 27year-old daughter has what appears to be coxsackie virus. It starts 8 days ago. She has had horrible mouth sores, itchy spots on her heals, a 3X3 inch section of blisters on her shoulder (which she had sunburned a couple days before), lesions on her genitals, and under her arms. She has been running a fever. For the last couple days it has fluctuated from normal to mid-99s. She has had five doctors appointments, including seeing a dermatologist and an infectious disease specialist. HIV, herpes and shingles have been ruled out by cultures. We have more tests pending. So . . . heres the question | HiT hanks for posting on ChatDoctorCoxsackie also called hand-foot-and-mouth disease is a viral disease. It usually occurs in child Chat Doctor. It may give you all the symptoms you just described and even more. No specific treatment is available for this infection. Symptomatic treatment is given to provide relief from fever, aches, or pain from the mouth ulcers. I will suggest she tries the following |
Good evening Sir,I am a 62 year old male. I had angioplasty around 7 years back. I have no problems now, except for BP 130/100. I am taking Telma 80 morning and Amlopress 5, Atorva 10 and Clavix AS 150 evening all once a day. My triglycerides are 222 and LDL is 80, HDL is 32. My doctor told me to add Embeta XR 50 and Stanlip 145 ; and replace Clavix AS 150 with Ecosprin 150. Kindly advise. | Hello, yes the medication you are taking is perfect, now going to the changes. 1) Plavix A contains two medication aspirin and clopidogrel. As only one of them is needed as blood thinner your doctor changes to esprit which contains only aspirin. JUSTIFIED2) Em beta. Since your pressure are on Bowland high (diastolic 100) am beta would be good addition as apart from controlled the blood pressure, it has ever all protective action on the heart. However, 25 mg to start with would suffice. 3) strip is for higher triglycerides. I would wait before starting as its just borderline high and Plain diet modification would help. Other components of lipid profile, LDL and everything is perfectly normal. Hoping that would resolve your doubts. Regards Chat Doctor. |
I am suffered from hepatitis e since 25 days my bilirubin 12.07 sgot 1990 sgot 1325 on 19.08.2017.Doctor advised me to take udiliv300 2 times sorliv syrup 3times and liverex forte 2times.On 2.92017 again check my volition 8.08 sgot 101 sgot 182 .Doctor advised me to take udiliv150 2times liverex forte 2times sorliv syrup 3times liverex forte 2times . Now I am feeling some better but after solid diet my stomach feel heaviness. Kindly advise me precautions and how much time I have to take medicine. | Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* The heavy feeling in stomach is due to associated gastritis and altered hormone levels with indigestion issue.* It usually takes 4 - 6 weeks total for parameters getting in range and 6 - 8 weeks symptomatic control.* Guidelines for early better outcome- Chat Doctor. - Prefer soft, light, bland, vegan diet.- Avoid all oily, spicy, non veg, dairy fat, junk foods, beverages.- Continue current medications, along with which addition of PPI has to be discussed with the doctor.- Avoid smoking, alcohol if using.- Be in regular follow up with the doctor and get parameters evaluated. Hope this will help you for sure . Wishing you fine recovery. Welcome for any further guidance. Regards . |
Hi over the past couple of days Ive been having pain in my lower abdomen and also in my back. I am two weeks late for my period but the tests come up negative. Also every time I stand up I get this sharp pain in my head and I feel like I am going to faint. Lastly, I have recently started to get sulpuric burps. Whats wrong with me? | Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. As you describe You have pain in the lower abdomen, backache, and spreads up to the neck when you stand up, and feel like fainting. You are also getting sulfuric burps. The smelly burps suggest something wrong with the intestines. May be amoebic colitis, Ulcerative colitis etc. Other possibilities are urinary tract infection, or stones in the urinary tract, which can show effect on the pull of the body. The Chat Doctor. I advise you to consult a urologist for diagnosis and treatment. You may have to go for M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards. |
Sir,i am 21 years male..and i am having breathing problem and previously i was diagnosed with bronchitis...whenever winter approaches i always face this problems.it becomes more severe at night...doctor has provided me the following medicine will this help me?1)levokast -l2)doxolin-400mg3)azitromycin-500mg | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are mostly having seasonal bronchitis. Your treatment is partially correct. According to standard guidelines, instead of domain 40000, you should start inhaled bronchodilators and inhaled corticosteroid. Domain is having doxophyllin. It is a oral bronchodilator. Inhaled bronchodilators are the treatment of choice for bronchitis as they are having very less systemic side effects and quick onset of action as compare to oral bronchodilators. So discuss this thing with your doctor and get prescription for inhaled bronchodilators and inhaled corticosteroid. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I am having tingling bordering on numbness in my legs and feet. I have had hot feet on and off for several years. The tingling now happens whenever I sit. I has been occurring for about 5 days. I had a T12 compression fracture about 2 years ago, so it may be related to that. My question is - what specialty of doctor should I visit? Orthopedic? Rhuematologist? Pain specialist? Interventional spine? | HelloYour symptoms may suggest nerve involvement in lumbosacral region. You may need clinical correlation and few investigations. Investigations include routine hologram, random blood sugar, serum calcium and vitamin D level, thyroid profile, X-ray of L/S spine (AP/Lateral view), MRI of L/S spine. It is important to assess nerve compression etc. I suggest consulting neurologist. Its treatment may be both conservative of surgical. It depends upon clinical evaluation and investigation report. Take Care Chat Doctor. |
Hi, My youngest son was sick for two days with a fever. I took both boys to the doctor yesterday and my oldest son got a tb test. He is now running a high fever 102-103. Should I rush him to the hospital? Normally I wouldn t go to the hospital unless the fever reaches 104 but I m just concern because he had a TB done yesterday | Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
Hi, I misscarried in early november last year. and went straight back on the pill had one break and a period came. now im on the pill witha week to go and i have been experiencing brown discharge for 1 week now and i also noticed i have more saliva which was the first sign i noticed when i was last pregnant. is it possible im pregnant again? | Hi, thanks for using Chat Doctor. Birth control pill, if taken regularly, are effective in preventing pregnancy. Irregular bleed may be seen in few women taking oral pills for the initial few months, not to worry. Less likely to be pregnant in this cycle. You can get urine pregnancy test or blood Chat Doctor test to confirm or rule out pregnancy. Consult your doctor for examination Hope this helps you. Regards |
I m a 44 year old male, six foot, 186 lbs, who works out everyday with free weights and cardio. I m the type of weight lifting enthusiast who works opposing muscle groups equally striving for symmetry in strength and size. For the most part I eat very healthy including fresh squeezed juice daily. For the last month I ve noticed a pea sized bump on, which I believe to be, my coratoid process. The pain has a soreness to it perhaps resembling an arthritic pain and has become progressively more noticeable. It is located on my left shoulder and hurts more if I lay on that side. When I tighten the skin in that area it becomes very obvious in it s shape. I was going to get it checked out later on today and as you can imagine am very concerned about it. Any thoughts? | Hi, Thanks for the query to Chat Doctor.-I studied your query in depth and understood your concerns.-Cause and Treatment-of the lump on shoulder is--In your case it is due mostly because of -the ? Coraco-acromial ligament injury? OA of the coraco-acromial joint. But other causes need to be ruled out like ? Gout ? Rh. Arthritis. Remedy-a-I would advise Dry of the coraco-acromial joint and would advise b-Consult an ER orthopedic Surgeon-if it does not respond to painkillers / anti-inflammatory/ local gels / for 10 days time. This would help you to plan treatment with your doctor.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good review ASAP. Have a Good Day. |
I had a uterin ablation and tubaligation 2 weeks ago. In my belly button I have pain to the touch. Today when I touched it a very small amount of white discharge came out with little blood. There was no swelling or redness before I touched my belly button. Do you think its infected? | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should avoid touching it.It's been two weeks and you are still having discharge from the button. Normally discharge can be seen only for the two to three days. But since its two days it is likely to be infection. I advise you to take Ampicillin and sulbactam under your doctors' guidance. You can apply newsprint powder over the discharge. Please maintain the local cleanliness by frequent Chat Doctor. I will be happy to answer your further concern, you can ask me on bit.ly/ |
I have a white hole at the connecting line between my gum and lower lip. The area around it is swollen and tender. It also looks like it may be a cut. It is very uncomfortable, especially if I try to pull my cheek out to look at it. I have no idea what it is. Any ideas? | Thanks for using Chat Doctor. Read your query. The lesion described at the junction if the lower lip suggests the formation of an authors ulcer, which is very painful initially. I would advise you to apply McCoppin / mucosal on the affected area two or three times a day. It should reduce by a week. For pain, take a paracetamol. Avoid spicy food and reduce stress levels. If still persistent, consult your local dentist. Hope this was helpful. Thanks and regards. |
My 6yo has had a cold for the last several weeks - cough, congestion, sneezing...yellow mucous. Today, he barely drank any water while at school, came home and took a nap (not typical for him), and says that it hurts to breathe. Im concerned as asthma runs in the family. | Hi, These symptoms can be due to asthma but more suggestive of acute viral infection turning to bacterial. So no need to worry about single episode of infection. Treat it with antibiotic and other supportive medications (based on examination). Also get tested for bronchi dilators challenge test and spirometry. These will help in diagnosing asthma. Hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them. Regards |
Hi Doc,My baby is 5 1/2 months old. i need to go to work from next month. till now i have given her breast milk, little juice every day as well as nestum rice (with water).instead of mothers milk, can i give her cow or buffalo milk, or what do u suggest. i understand that there is no replacement for mothers milk, but still kindly suggest the second best.Sue | Exclusive breastfeeding is recommended up to 6 months of age in our country and that means nothing other than breast milk. However, sometimes weaning can be done from 5 months of age. Mothers milk is best. If not possible you can give a formula. I will not endorse any particular brand on this forum. Only try to find an economical one. They are more or less same. Maybe some formula with pro bionics, nucleotides and DHA is better if money is not an issue. Cow milk, buffalo milk or any other animal milk should not be given before 1 yr of age. |
I ve had bad anxiety for the past 3-4 months and it s gotten better recently but today and yesterday some of my symptoms have come back. Now I feel tightness and pain in my chest randomly. I am prone to getting acid reflux as well I just have no I dew what it could be | Thanks for your question on Chat Doctor. I can understand your concern. Anxiety is common cause for acid reflux disease. And your chest pain and tightness is mostly due to acid reflux. So treatment and control of anxiety is must in your case. In my opinion, you should 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. Newer anxiolytic |
Hello, this past year Ive suddenly been having major health problems. A couple months ago, I had mono, found out I was allergic to penicillan because I had a severe allergic reaction that left me in the ER. Now for the past month or more my left foot had been swelling every other day or so. Then the swelling stopped but Im having pain on the top of my foot. The dr did an US, lab work for auto immune diseases, even monitering my sodium intake, which wasnt abnormal anyway. Im still having pain a couple days a week. Now all of a sudden Ive been having chronic canker sores for the past three weeks. Mutltiple at a time and as soon as one is gone another will come, sometimes in the same place before. I take vit and a multi vitamin almost daily... whats happening to me? | Hello, I have read your inquiry and understand your concern. I can only suggest treatment of symptoms for your mouth ulcers since you are experiencing a wide range of systemic affects. I suspect you have activated a viral type of reaction in your mouth. You are correct to have balanced vitamins and proper nutrition. Avoid irritants such as smoking and alcohol. Make sure you have adequate vitamin B complex. Warm salt water rinse cleanses and soothes your gums. Maintain good day dental care and include brushing your tongue. See your dentist to rule out dental problems such as broken teeth, infections and periodontal conditions that need treatment. A Chat Doctor. Your dentist can examine your mouth and diagnosis any of these conditions. Keep well HY |
A young female who had a sensitive gallbladder all her life, and ate accordingly, had normal/quick digestion regularly and everyday. Had a traffic accident in 2011. after which an abdominal ultrasound was done in January 2012., and the results said that the gallbladder was bent and partially septated, without any dilatations or concrements, but a slightly inflamed membrane. The person had no issues related to that, ate according to needs, had no problems. There has been stress in the persons life for the last six months, the person had high cortisol and strong reactions to gluten and sugar foods. The person has been eating loads of food for months, yet is not gaining weight, and has eaten both gluten, sugars, vegetables, meat. No visible signs of irritation anymore, yet the cortisol is still high. Is it possible for an abdominal ultrasound done this week to say that the gallbladder is smaller, perfect in shape and has no inflamation whatsoever? And that in spite of the massive food intake and the normal level of physical activity, the person lost weight/is gaining none, the food comes out undigested every 5 days or so, with no signs of bloat, inflamation and all the laboratory results being in a normal range? | Hello there! Thank you for asking. The gall bladder is fine. Over cautiousness is making you worried and no need to be. Not gaining weight despite food intake with no complains of GIT except undigested food coming every fifth day out. Well that is an issue and needs workup. Why is the food not being digested a question needs to be answer. Starting to assess pancreatic functions would be a good start. And what patient perspective of not gaining weight could be ideal one for a doctor. If the BMI is below 25 and above 20. You have nothing to worry about. See the gastroenterologist and see a dietitian for dietary plans. I am sure they will sort out one for you hope you get well soon and I am sure you are well regards Chat Doctor. |
Hi Dr. Good afternoon,I am a survivor of Squmousa cell carcinoma of the tongue two years back. Recently there are two neck lumps visible and MRI scans confirms the enlargements. Is it a sign of metastates??? What should I do further to confirm it? | Welcome to Chat Doctor .1. Possibilities of metastases can not be ruled out (in your case) without an FNAC - fine needle aspiration cytology of an enlarged lymph nodes.2. Generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. And ease off after treatment.3. You have done MRI - it would have given you the status of the old treated tongue malignancy. A computer tomography with contrast will help to see the status of previous malignancy.4. Get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5. Get an FNAC of lymph node for confirmation and treatment to commence. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. |
60 yrs old hardworking diabetic, started tribet 2 since 3 months. contracted hiv thru blood transfusion.diagnosed in may 2011.on Viraday since then. CD4 increased above 200 about 2 months back. wife passed away in may 2011 and also lost grandchild 2 days later during delivery. I suffered a shock (may be a stroke) and was not able to focus properly and admitted to hospital for 2 days in may 2011. Since then diagonosed with small clots in brain (right occipital lobe) thru brain mri since feeling numbness in left half of body. now taking ceruvin A, rozat f. 25% improvement. but after starting ceruvin A and rozat F for 2 weeks i am now suddenly suffering from high blood pressure 190/100,180/100 etc. I did not have high bp.taking staml 5 and losar h once in morning. What could have caused high BP? (Ceruvin A , Rozat f ????) Whats your advice please? | Hi, Certain A and Road f that you use for preventing further blood clot and stroke does not increase your blood pressure. In fact many studies show that they reduce blood pressure. There are 3 possibilities to your recent rise in blood pressure1. A new onset renal failure either due to HIV or blood clots in your renal artery or vein. You will need to do bloods for creatinine and urinalysis and also Doppler of renal artery and vein.2. There could be a new valvular heart problem that comes with age called aortic stenosis, so you will need to evaluated by physician for the same. He/She may want to do Echocardiography for the same.3. There is also a possibility that your blood vessels have become stiff with age called arteriosclerosis and thus causing hypertension. While you will need to continue your medications you will also need evaluation to find the cause for the same. Will be happy to review further. |
i Have been taking this drug for quite a while ,for bipolar. i have headaches, i already have back trouble.have had 2 major surgeries and still have a lot of pain and one of side effects is added back pain. should i try something else? ok answer please | Dear serve understand your concerns went through your details. As you are already aware, bipolar disorder is psychological disorder which is characterized by mood swings ranging from depressive low to manic high. Proper diagnosis is required for treatment. The symptoms could point to even uni-polar disorder for which treatment is different. Usually treatment using Chat Doctor. Do talk to your therapist. If you require more of my help in this aspect, please use this URL. http |
I have a pressure in my temple it doesn t hurt but sometimes it feels like a movement of pressure under my left temple. Like something is crawling under the scalp. The only other symptoms that come with it are dizziness and i feel light headed. It s been going on about a week. | Thank you for asking Chat Doctor. My name is Chat Doctor. Dear it seems that you have some sort of stress, or you are quite busy and overloaded with your work...just keep yourself relax... Make a proper plan and do one thing at a time so that it will be easy for you and mental burden will also be not too much...dizziness and lightheadedness might be due to these problems...Also, I would like to know your sleeping status and your occupation so that I can guide you if these are not of stress. Keep calm and enjoy what you do. Hope this may help you. Let me know if anything is not clear. Thanks. |
I have been feeeling very rundown a few days a week, a couple of weeks ago it was so bad i thought i might pass out at work, we called ambulance as I couldn t drive home (45 min drive) I got IV fluids and EKG because my arm had been numb for a few hours. I have been having trouble on my drive almost falling asleep at the wheel. It happened again today and i am scared to drive. I am 34y F, recently i ve had ovary problems that cause me a lot of back pain and lower abd pain. I take meds daily but since some make me drowsy i didn;t take anything today and i still almost fell asleep at the wheel several times. The only things that have come up was elevated WBCC for which they gave me antibiotic and came down. On my last visit to ER the bloodwork came back good the only comment was 0.2 Comment | DEAR FRIEND I UNDERSTAND YOUR CONCERNS, SEE SO MANY POSSIBILITIES may be there, as you mentioned only few laboratories finding so WR cannot reach to one conclusion, see you may have infection to body, so you may feel Chat Doctor. And back pain may be due to spasmodic contraction of smooth muscles of uterus and very. Or may be due to spasm in back muscles. Don't worry apply ice for that you will get relief. |
My partner and i have been trying to get pregnant. i stopped taking the pill on the 4th of may and bled on the 7th for around 5 days ending on the 12th . i then had sex on the 12th 15th and 16th of may. i did and ovulation predictor on the 16th which was negative but positive on the 17th. could i get pregnant and do i need to have sex again? | Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that Unprotected sex act on and around the day of ovulation can help you get pregnant. Also, sperms are alive and active for 24 to 36 hours after the intercourse. So with positive prediction test within 24 hours indicates that your sexual activity was around the day of ovulation. So you stand chance to get pregnant. You may opt to have sexual activity again, if you feel like having it. So please do not worry. Think positive. Start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. May God bless you with a bundle of joy. I hope this answer helps you. Thanks. |
My MRI reads | Hi, thank you for providing the brief information of the report. A thorough neuromuscular assessment is advised. As the report suggest you have degenerative changes in the facet joint - the facet joint is the one which supports one vertebra over the other and below it. The L5-S1 disc herniation is noticed - the disc is a soft tissue placed between the two vertebrae, this disc act as a shock absorb-er in the spine. As due to over use of misuse or aging factor the disc becomes weak and ends into herniation. So, this report has to be correlated clinically and the symptoms like - tingling, numbness, pain radiating in the leg etc. may be present. Treatment of choice will be simple painkillers and physical therapy. Also, with physical therapy, the optimum strength in the muscles will be attained in 2-3 weeks * based on the extent of the symptoms and soft tissue injury. In my clinical experience, I see cases with such injuries, and they recover well with 99% success rate. RegardsJay In Chat Doctor. |
My taste buds appear to very red, tongue almost feels swollen. Mouth tastes very bitter. Seems like the same thing that happened when I was using tissue paper a lot during a job, and putting my finger to my mouth to moisten it. Althougt since realizing this, have obviously stopped. It seems to only happen at work when Im in the back room lately. I work at a shoe store. After being home for a few hours, it goes away but returns when Im at work. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen tongue and red taste buds which seems to be due to allergic reaction. I would suggest you to consult allergic medicine specialist and go for complete examination. You should get a blood investigation done for allergic testing so that the exact irritant causing allergic reaction can be ruled out. Till now, you can take Cetirizine or Defense Chat Doctor. You should avoid hot, spicy and sharp food substances. |
My wife (59 years old) has had a sharp shooting pain in the head for 3 days now. Nothing touches it. This evening she says she smells Clorox, but there is no Clorox in the house. And she has been agitated and angry recently (last 2 months) out of proportion for any particular cause. Also she s had 2 very heavy nosebleeds in the last 10 days. Does she have the beginnings of a brain tumor? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe shooting pain in the head. Well there can be many reasons for symptoms you mention in query like trigeminal neuralgia, cluster headaches, migraines, meningitis, sinus infection, encephalitis or tumor. I would suggest you to consult neurologist for proper examination. Doctor will take history and order CT scan. Doctor may prescribe vasograine, diuretics, calcium channel blockers along with that sometimes doctor recommend alcohol injection in root of nerve and surgery in case of tumor. For now take ibuprofen or acetaminophen for pain and do mind relaxing exercises like meditation. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
I m taking Amlodipine 5 mg and Losartan potassium 25 mg My blood pressure ranges from 149 77 pulse 60 most of the time mid 140 also sometimes will be mid 130 my age is 80 Dr.states that better little high so don t become dizzy.Im pretty energetic and feel good. WAS ON LISONPRIL FOR YEARS WORKED GOOD BUT DEVELOPED COUGH. Still have COUGH. Wondering if i should suggest to my DR.to try a different med.for blood pressure.I have an appt. To see her this Tuesday. Any ideas would be appreciated Thank you e hi | Welcome to Ask a doctor service. I have reviewed your query and here is my answer. Donot change the doctor or medicines. Let them continue. As 149 is not a too worrisome figure. Just avoid smoking and coffee consumption and alcohol. Avoid salty and fried foods. Go for morning or evening walk at moderate pace at least for 30 minutes daily. I hope I have solved your query. Let me know if I can assist you further in this query. With regards Chat Doctor. |
I had my copper t removed on aug 1 2014 after 2 and half years of insertion.usually i get my periods 26 to 28 days.this time till today i havent got my periods . last time i had periods on july 17 but this time its 13 days delayed and i had contact with husband only once in a safe time. i have also cheked pregnency test using ChatDoctor . it says not pregnent. My age is 32 .n weight is 45 kgs.no health issues. my first delivery is normal....Please suggest | HelloChatDoctor user I understood your concern and My opinion is that There is a no severe side effects after removing copper T, but due to hormonal changes your period is delayed you are not pregnant because pregnancy test is negative so nothing to worry please take following medicine to get your period Progesterone 5 mg BD for 5 days, after stopping you will get your period in 2-3 days hope my answers help you Thanks |
hi. since i lost my jobi have been awakning the past month or so during the nyt because i have been doing alot of sweating during the nyt so i have to get up to change my t shirt. but the last 2-3 days i have had the flu and it has become worse.( every hr or so) i am also remembering my dreams alot more and they arnt right aswell. really weird and sometimes scary. what do you think might be causing it? thanks. | Hello and welcome to Chat Doctor. Thanks for your query. Unpleasant Chat Doctor. You seem to be going through a stressful period currently, due to the loss of your job. So, it is quite possible that your sleep problems are being caused due to your stress. The night sweats can also be a manifestation of nighttime anxiety / panic attacks. However, there are also a few medical conditions which can result in frequent night sweats like hypoglycemia, certain infections, hormonal imbalances (such as in menopause), etc. The recent worsening of this sweating could also be due to the flu and the associated fever and chills. So, I would suggest that you try stress management and relaxation techniques in order to tackle your stress. If you are feeling overwhelmed by your stress and the related symptoms, then you need to seek professional help from a psychiatrist. There are effective treatment options available - in the form of medication or counselling / psychotherapy which will help him overcome your stress-related problems. Wish you all the best. |
Hi, Am Rajeswari aged 25. I had a miscarriage in Feb 2009.My baby was just 2-3 months.The foetus heartbeat stopped suddenly and hence i underwent a D&C. Again i was pregnant in October 2009.Last month i had bleeding and severe abdominal pain.Upon hospitalization , the doctors told me that my placenta had abrupted and labor pain had started for me.My baby was just 23 weeks and hence we lost our baby.Please let me know the reasons for palcental abruption and guide me on the tests/procedures i need to follow to ensure for a healthy and safe pregnancy the next time. Thanks | Hallow Dear, Placental abruption is premature separation of placenta due to which the oxygen supply and nutrition of the baby gets affected leading to fetal death. Placental abruption is always due to some cause. High blood pressure, Pregnancy induced hypertension, clamps, Folic acid deficiency, diabetes, trauma on the abdomen, severe anemia, severe psychological trauma, too much or too less water around the fetus, Rh incompatibility are some of the commoner conditions which can cause placental abruption. You may get investigated for conditions like diabetes, blood pressure, blood examination, etc. before the next pregnancy. Please start Tab. Folic acid immediately for protecting the future pregnancy and the baby. Please report to your Obstetrician with a detailed history so that proper steps will be taken to evaluate you and manage accordingly. I hope this gives you initial guidance. For more detail guidance, you may ask me Direct question. |
My 8 year old granddaughter has recurrent tummy aches surrounding the belly button, but has normal bowel functions, ruling out constipation. Her diet is healthy, drinks plenty of fluids. This has been happening for about 4 years, her physician can fnd nothing wrong. I was thinking it might be a food allergy? My first cousin experienced the same symptoms for years and she finally had appendicitis occur as an adult and she was told those were pre symtpoms all along. | Hi, Indeed you have picked up the real point. * year old can have appendicitis and is under-diagnosed due to inability of a child to give proper history and misleading findings on examination. Other than appendicitis there are other reason of this type of pain, like abdominal lymph node enlargement, worms and so on. The best diagnostic investigation in such a child is High Resolution Ultrasonography examination by an expert Ultrasonologist. Sometimes the contrast enhanced CT scan of the abdomen can give you better diagnosis if ultrasonography can not. Food allergies causing such pain is rare, they would cause associated vomiting, distension, loose motions or so. |
Hi, a dog bit me 23 days ago. I didn-t get the vaccine because we were waiting for the owner to hand over the dog for examination. Long story short, dog was never examined and I never got the shot. Dog is alive. Should I still get the rabbies vaccine anyway? | Hello, Welcome to Chat Doctor, Rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog 23 days for which you have not taken any treatment. Don't take any risk with dog bite. Incubation period in case of dog bite is 2 weeks to 6 months, so I would suggest you to follow 1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. If there is any bleeding, I would suggest you to take passive immunization with Rigs around the wound.3. Inj TT, 0.5 ml, intramuscularlyThank you. |
I am a heart patient underwent open heart surgery 7 years back. I am a male aged 63 years. I am very tired and feel very weak. Unable to take my food and have vomiting sensation . My liver function test indicates my Bilirubin total is 2.1 Mg/dl and Bilirubin direct is 0.6 Mg/dl. Kindly advice me what should I do now ? Thanks | Hello welcome to Chat Doctor Elevated bilirubin levels indicates that your liver is not functioning properly, or it may elevate because of increased breakdown of red blood cells. You didn't mention other symptoms like pain in the abdomen.it is unrelated to your previous heart surgery.kindly consult physician and do all the liver function tests.and according to him do an ultrasound.hope you get satisfies with my answer. Thank you Chat Doctor. |
I have been taking generic Norvasc for several years now. Soon after I started taking it my ankles swelled and along with itching. I cut back my pill to half, and I don t seem to experience the swelling so much. But every several months the swelling and itching act up and by morning of course swelling is gone and with lots of itch cream and moisturizers the itching goes away. I do have terrible dry skin also. When I started seeing brownish red spots on the top of my foot and around my ankles I asked my Pulmonologist about them and he said I should ask my primary doctor. I went to a new primary doctor and when I asked her she abruptly told me it was a circulatory problem and I should go to a Cardiologist. I googled the problem and it seems like it could be Petechiae; if so do these spots ever go away? I am 69 yrs old and have had Pulmonary Fibrosis for 10 yrs now. | Hi, thank-you for providing the brief history of you. As you are having peripheral edema after taking the medicine novas, it is one of the adverse effect of the Chat Doctor. Also, this medication is given to reduce the blood pressure. Besides, your cardiologist you should meet and get a thorough cardio assessment done once again by which some change in medication can be possible, so you do not develop peripheral edema.Also, If you have Pulmonary fibrosis you need to do regular breathing exercises as Pulmonary fibrosis needs to be controlled by active breathing mechanisms in my clinical practice, patients with Cardiorespiratory problems and vascular issues are commonly assisted with the help of physical therapy and a proper Cardiorespiratory endurance training and general body conditioning helps to a majority of them.regards Jay In |
My father has been diagnosed with secondary spinal cancer that has spread from prostate. They have given palliative radiotherapy just 1 dose and have told us they will do no more and there is no treatment-please can you give an estimated life expectancy. He is 79 and his legs have been affected already. They wanted to put rods in his spine but were unable to do so and opted for pain relieving decompression instead. it sounds pretty advanced to us. Any estimation of life expectancy would be helpful, Many thanks | Hello welcome to Chat Doctor. Bone metastasis in spine is common problem in prostate cancer, It is staged as stage IV which is advanced stage as you rightly mentioned. Radiation therapy has been reported to be effective in palliating painful bone metastases with response in 80-90% patients. Apart from this hormonal therapy are very effective in prostate cancer which control growth of tumor and receive symptoms. Survival depends on so many factors like general condition of patient, type number and distribution of metastasis etc. Studies report that around 25% patient with stage 4 disease will survive 5 years or longer. |
Hi, I am 38 year male suffering from cold from last 3 days. Doctor has prescribed me Allegra 180 and Azee 500 for 3 days. Lately, a very severe pain has started in my right chest and seems to aggravate the moment i breathe or cough. Will the prescribed medicine help in this or do I need to see the doctor again? | Thanks for posting you query to Chat Doctor.Allegra is an antiallergic medicine and AEE is an antibiotic, so both medicine do not use full in chest pain .you need to find out the cause of such sever pain as it could be muscular pain or may be due some cardiac disease.cardiac pain are usually associates with sweating and breathlessness constant pain may aggravate on movement, so if you are having such symptom need to immediately consult to medicine physician .but if it is muscular pain it will receive by taking some NSAIDs with muscle relaxant. I suggest you to contact to your local physician he will do local examination and treat you accordingly. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. |
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