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My 5 year old son has an extensive history including hopitalizations for pneumonia and bronchitis. I took him to the ER and his SpO2 was 94% upon arrival with a 102.3 oral temp. They stated he had decreased breath sounds and had a chest x-ray performed. He cried throughout the x-ray and was unable to hold still. They stated his x-ray came back normal however the actual report stated that he had crowded bronchovascular markings in the right infrahilar region. They placed him on Omnicef as the dx was bilateral otitis media and fever unspecified. He has been taking the abx for 4 days now. He is complaining of some chest pain and is really not getting any better. Is the bronchovascular markings to be of concern as he is not getting better? | Thank you for consulting in Healthcare, you should go back to hospital and check side x-ray, because his pneumonia can complicate pleuritic or doctor should auscultate his lungs. He needs in antibiotic injections, analgesics, cough syrup, antihistamine. He should be examined with blood test, throat culture and sensitivity to antibiotics, ECG, ultrasound. I am strongly recommended go to hospital Best regards |
I quite often suffer from occasional constipation (about once a month) but now its becoming nearly constant. Are there any natural remedies that might help (apart from water and an increased fibre intake)? Its making me tired and grumpy and Im losing my appetite... | Hello.I suggest the following to prevent the constipation. Cut back on refined food items. Avoid foods that contain white flour like maid, white sugar and other processed foods. In the morning consume one tablespoon of olive oil along with lemon juice. It works best on an empty stomach, so have it before you eat anything else. Eat plenty of Beans, Apricots,Whole grain bread, (AMLA)Berries, Broccoli,Plums, pears, and apples and nuts, raisins. Adding condiments like jeers, HALDE and again in your food while cooking it is a great way to help digestion.mix 1 tablespoon of flaxseed oil with 1 glass of orange juice. Chat Doctor. Or |
My husbands blood sugar is 385. He usually keeps it in a normal range with diet and oral meds, Actomet- plus, Janumet, and Prandin. He was recently hospitalized with acute renal failure due to dehydration and chronic use of Cataflam. The doctor stopped the Actomet-plus, and Janumet. He is continuing the Prandin and added Januvia. Would this warrant a visit to the ER or could it wait until office hours in 8 hrs? | Hello and welcome to Chat Doctor. As a specialist, i must assure you that your husbands sugar is very high.It's not safe to wait for 8 hours. Ideally, he should be getting insulin injections, to control the blood sugar. His age and other medications being taken, should be mentioned. He should be checking urine routine, ketones, and micro-albumin, blood , hemogram, creatinine,HbA1C,FBS, uric acid, sodium,potassium,PP2BS,CXR, and ECG. According to reports, specific treatment will be advised. Wishing him a speedy recovery. Chat Doctor. Manga. |
Hi , I m a fourteen/fifteen year old boy and the bones on my upper back seem to stick out. They kinda look like wings. But I m not sure what to do , like maybe its cos I m growing or maybe because I have a naturally skinny build? I m clueless , and really worried | Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you are finding bony appearances in the back you need not worry. Since you are skinny this is the normal morphological development. You can consume more of the protein and do regular workout as this will improve the muscle fibers growth and also bulk in muscles. Nothing much serious to worry. Just eat well and stay healthy. RegardsJay In Chat Doctor. |
Child suffering from knee joint pain, blood test shows ASO positive. Given Penidure6 la. Right treatment?My son 8 years old suffering from knee joint pain.but it is appearing once in a while.It is only restricted to only knee joint not any other joints. Blood report shows ASO +ve.Doctors saying ? to rhenumatic ... | Hi...you are right...if its only single joint it is highly unlikely to be a Rheumatic fever. More so we should have to consider the possibility of - 1. Reactive arthritis2. Septic arthritis3. Pauli articular rheumatoid arthritis (this is different form rheumatic fever). I suggest you seek your pediatricians help with these tips. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
I have ILD?? and on low dose of sterroid emsoulne tablets 0.5 mg alternate days an Luminac and assurans (Sidanafill citrate) tablets daily. As I have breathing difficultires dr advised me be on oxygen therapy is it very essential to take oxygen therapy or can I postpone mentally i am unable to decide i am confused I am a life science postgaraduate and professionally worked in medical and life science databases hence I know pretty weill about my health condition | Thanks for your question on Chat Doctor. I can understand your concern. OLD (interstitial lung disease) is chronic progressive lung disease in which lung tissue is replaced by fibrotic tissue. This fibrous tissue does not function well. So main function of lung (provide oxygen to the body) is hampered. And hence body remains oxygen deprived and cause worsening of symptoms. So supplemental oxygen is the best treatment for OLD. Supplemental oxygen will reduce your suffering, symptoms and improves prognosis and quality of life. So better to start supplemental oxygen therapy along with other Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi- I have had a rising PSA over the past 10 years. four biopsies during this period all negative...when PSA was 26 urologist recommended a endorectalcoil MRI which revealed susupicious area in the anterior of the prostate...a fifth biosey was conducted revealing cancer Tc1 (cancer nodes were never felt during digital exams througout the periiod) Gleason 3+4=7 with a PSA at present of 54.....bone scan, skeletal MRI all negative in terms of cancer spreading. I have been given the options of surgery (with no guarantee since the urologist who is chairman of the local cancer board does not understand why the PSA is so high.) or hormone/ radiation therapy ....my urologist has conducted over 600 robotic surgeries for prostate cancer and is willing to do surgery however he informs me that there is a chance that the cancer has spread in microscopic form outside of the gland ..he believes this due to the unexplainable nature of the evevated PSA. Therefore the surgery and the risks associated with it would have been in vain ..for the most part Given the crap shoot that I have been offered in terms of treatment options and the serious side effects of these treatments particularly as they cause my quality of life to decline I am seriously considering doing nothing...I am 65 will be 66 in October... I do have an appointment with a Oncologist (non radiation) to discuss other possibilites. Your thoughts..?? | Hi, At 66 with a Gleason 7 cancer without evident spread even with a high PSA needs to be given a chance for curative therapy. Robotic prostatectomy gives the best chance for cure with minimum complications. High chances of node positive disease though. Other option that you are considering of doing nothing will land up in Watchful waiting i.e. hormonal treatment when you develop extensive disease. That option is exercised in older patients or if you have some other diseases making you unfit for surgery. At your age, give yourself a chance Good luck |
My question is quite simple, I am 54 years old, for the longest I can remember I have had a problem with having a hard time with crying. I don t consider myself a wimp, I served over 20 years in the Army, my mother passed when I was 11 and I was responsible for the majority of my growing up, my dad was military, I ve served in combat twice and was the only person who would make the call when my father was terminal in the hospital to remove him from life support. To each of these things I ve dealt with with minimal problems. However in many of the personal situations I ve found myself in I had a hard time holding back tears , same as in a emotional movie, or a situation you may find on tv where a person (etc... kidnapped and recovered, saved from sure death) would cause me to cry. I am concerned about what would cause me to cry so easily in some situations and others not respond except in the way expected. Any help would be appreciated. | Welcome to Chat Doctor Forgather is absolutely nothing wrong in expressing your emotions, weeping. Laughing, being a little angry, feeling happy or sad,,,are normal human emotions. Some people are good at hiding them, or keeping them to themselves, which causes distress to themselves, in the long run. It is good to be expressive, rather healthy. And since you are 54, you can judge yourself that how much physical or any other kind of trouble this behavior has caused till now... Has it? Takecare. |
hi doctor...am now in my sixth monthy of pregnancy..i am taking tablet for thyroid,metformin for insulin resistance and all other vitamine tablets like iron and calcium. nowadays i am having vomiting and fainting.. not daily..i did my 22nd week scan and everything was normal..blood pressure ws also normal.now i am having little emotional stress.. | Hello dear, I understand your concern. Iam happy to know that your BP is normal. In my opinion the vomiting might be due to gastritis. Avoid spicy and oily diet. Take antacids and antiemetic. Check for any fever associated with vomiting. If fever is there along with vomiting then the cause of fever needs to be evaluated. But as per your information there is no fever so need not worry. Regarding fainting, I suggest you to get an HE done to rule anemia. Take food every 2 hourly to maintain blood sugar levels constantly because low blood sugar can also cause fainting. Low BP can also cause fainting but as your BP is normal it might not be the cause. Take adequate fluids up to 3 liters per day, coconut water, fruit juices to combat deny Chat Doctor. Nothing to worry. It will subside. Hope this helps. Best regards.... |
Might have had a mild heart attack, elevated enzyme tested positive, enzyme went back down on second blood test, ecg and ecko read healthy normal heart beat, discharged from hospital by doctor . What exercises can I do? I have cardiologist Friday via private and mri nhs follow up pending . Ecko cardiologist happy to discharge. | Hello Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. With cardiac disease particularly if this is a CAD (Coronary artery disease) so exercise is not advisable till it is not the symptoms CAD is there, first thing is to come out of the risk of cardiac disease then, and then you can go for exercise, it is the cardiac rehabilitation centers are there, and you need to consult it. Hope I have answered your query, let me know for further assistance. |
hiiii me and my gf had un protected sex sex on 12th at around 2 o clock and took i-pill around 6 o clock on the same day.last month also she took i pill because of which she was having erratic periods.. she 3 periods during the perod of 1 month.is there chances of her getting pregnant. | Hello, Emergency pill, when taken within 6-12 hours of an unprotected intercourse, provides 99% protection. This falls to 85 percent as time advances. The chances of conception are very minimal in your case. Emergency pills cause hormone disturbances as they contain high hormone content. This can result in with Chat Doctor. Since she had another pill in the previous month, it is natural for frequent menstruation to occur. Hope your query has been clarified. Take care. |
my son has classic cold symptoms, running, stuffy nose , drainage down his throat , sneezing , etc. He is complaining of chest and upper back pain . He keeps saying it is hard to breathe, but the doctors keep telling us they don t hear anything that would indicate anything more serious when they listen to his breathing. | Hi there, these are classical symptoms of a common cold and usually of viral etiology, so symptomatic treatment should see some relief in a few days. If the doctors have examined his chest and breath sounds are clear then you just need to give him some cough sedatives, six inhalations or steam inhalation and a cough Chat Doctor. An antihistamines will also help to relieve the nasal congestion and sneezing. Take care. |
Docter i have problem of continue simen likage...and whn i masburate i lose it with in 30 sec plz help me to over come from this... i also do gyming and physical activites.. plz guide me any exercise or diet... to ovrcome from this... my age is 20 year.. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern.It's your belief that your semen is leaking in the urine. On one can say without microscopic examination of the urine. If you have doubt than you can think of microscopic examination of urine in nearby laboratory. I feel you do not have the leakage in the semen. Premature ejaculation can be possible in you. It requires a good counselling to you. You have to make a strong will to do complete sex. Think that you can do the complete sex. This type of thinking can be good for your premature ejaculation (PE). If PE is still not over than you can take the Chat Doctor. Please take it with due complete physical examination and under your doctors' guidance. Gyming and exercising is good and should be continued. Please eat good antioxidant foods like fruits vegetables etc. I will be happy to answer your further concern on bit.ly/ |
Hi my name is Teri. I have costochondritis but recently have developed a lump on the right side of my breastbone that goes into my right breast, it has tripled in size in the past month and is now causing extreme pain. Could this be some type of issue connected to the costochondritis? | Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I feel concerned about it. In my opinion as per the facts of your query, you are suffering from-Sternal Cold abscess protruding in rt breast -this is because you have Costco Chat Doctor. ? It could be acute-breast abscess-as it has grown in 1 myths time with pain, if you are having-lactating history. Hope this would solve your query. Please contact again, and I would love to attend your queries promptly. Have a good time. |
I have done a tonsileectomy after suffering from tonsilitis for 25 yrs . Then I am facing problems of acute pharyngitis. I am taking medicines like azobact and amoxicylin quite often say in a gap of 2 months . but no heal . please help. I am sinus problems as well. | Hello, As you have episodes of pharyngitis at frequent intervals, I'll suggest please get a throat swab culture and sensitivity done. There must be a gap of 4-5 days between last antibiotic and the culture sensitivity test. Just give a call to a path lab, and they will explain to you the procedure. If your test is positive then you will get the name of the most effective antibiotic and that will have to be taken as per the advice of your doctor. In the meantime please try to do warm saline gargle as many times a day as possible. Avoid spicy food and cold water. Hope I have answered your query. Let me know if I can assist you further. |
i was diagnosed with thalassemia when i was 16, i quit seing my doctor since i dont feel anything wrong with me, im now 18 and im having some sort of skin problems, but its not itchy not at all, if i go out and the sun touches me it hurts, feels like burning same thing when i take a bath using hot/warm water. is it possible that it might be internal? connected to my blood problems? | Hello and welcome to Chat Doctor, Thalassemia does not cause sun burns. However, multiple blood transfusions in thalassemia can lead to deposition of iron in skin. The iron deposition can lead to brownish or bronze colored discoloration of the skin. The burning sensation could be due to sun burns. On the other hand you could be suffering from sunburns unrelated to thalassemia. Avoid exposure to sunlight, use sunscreens to prevent burning sensation. Thanks and take care Chat Doctor. |
hello, hye. i am a 19 years old girl. i am 157cm high, and im not quite sure of my weight, perhaps around 70. i am allergic to dust and dirty water eg | HI n welcome to healthcare site...the burning sensation in your chest is due to excess acidity problem in simple terms...so take your food at proper timings n avoid oily spicy food for few days...take proper sleep for 6 to 8 hrs ....you can take pantoprazole and risperidone combination tablet half hour before food to get over your symptoms & you can have cold milk to get instant relief from burning sensation, also you can have banana to get over it try to use mask covering your nose and mouth so that dust particles don't enter inside. Take care & cut down your smoking habit too... |
Hello, i have been feeling ill the last 10 months, having mild fever, stomach pains, burning sensation in face and icecold hands. My skin is pale and sometimes itchy and my eyes are very sensitive to sunlight. I have had hard lumps spreeding in my mouth the last 2 years, and now they are so big and hard i can feel them all the time in my mouth. I have a constant feeling of tension in my jaws and my teeths hurts sometimes too, 5 days ago i developed a white oval shaped white woun in my mouth. It hurts very bad and its only getting bigger. The area around it is red and sore. Any explanation on what this could be? I am a man at my 24 year. | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have history of mild fever, burning sensation, now you had lump in gums don't worry it can be due to Viral Dermatitis or due to Periodontal problem. Do warm saline gargle two - three times a day Consult dentist and go for radiograph evaluation X-ray if swelling is due to periodontal Abscess then do for Scaling and Curettage. Hope this will help you. |
I cannot lift my right leg very far when trying to dress. I get apain in my hip and my leg will just not do what I want it to. I only have the pain when I need to raise my leg to either dress and pu stockings on. I cannot reach to do this as my leg wont co-operate. | Going the simple way it might be just tight hamstring muscles countered by strong qua Chat Doctor. Go for hamstring stretching followed by strengthen. Also you need to stretch other group of muscles.it would be better if you visit a physiotherapist. Now going the other way round if self treatment doesn't work and leads to more pain probably there's an underlying injury that a GP can diagnose OK only after assessment |
Confused, can t remimber how to do simple task. Like look for chothes in closet, how to turn hot and cold water on , how to eat. No appatite. Just stare at you with confusing but know your name and know where they are. This is a slow leaner 39 year old man. | HAI* if these symptoms present at times without interfering your day today activities ... Do NT worry *Get a Physician opinion and rule out any possible medical cause*In Depressed state a person may experience Memory disturbance which we call us Psedodementia. If depression is treated it will improve by itself.*Hope you donor use any Substance like Alcohol.... as you didn't mention it. If present stop the substance with the help of a Psychiatrist. |
what are some treatments for imetago, for a healthy 21month old. A small red spot with what looked like a white head started on her chin 8 days ago. Now she has several more around her mouth some were draining pus but are now scabbed over. But does not look any better. Have been applying neosporin with no releif | Hello there, Impetigo is very easily treated by applying an antibiotic ointment that is stronger than anything over the counter. Of course is does have to be prescribed by a doctor, so I would encourage you to at least call the doctor. Bactrian, Bactrim and Clean are the main Chat Doctor. Staph and strep are the 2 diseases that can spread from it, so it is very important to start treatment right away. Good luck! |
My mother has internal swelling on her face and head .... she has consulted a neurologist , he suggested to contact a psychiatrist . Now, when she consulted a psychiatrist , he said its cz of tension . He wrote so many medicines . She has so many medicines to eat but the swelling is still there . I cannot see her like this please help. | Hi, Welcome to Chat Doctor Forum Cases for only swelling is not referred to psychiatrist. There may be other issues too, affecting her condition. Many times these cases are difficult to solve. In person history, mental status examination and general physical examination are needed to diagnose and treat such cases. Many times treatment with psychotropic medicines take 4-6 weeks to show response, so if treatment is started recently, then wait for some time to see response. Wish you Good Health and all the best. |
yes i am 33 years old and just a week ago i started having this feeling in the upper part of my stomach just under my breasts it feels like something moving inside of me it doesnt have any pain just the feeing of a bubble or something. I had my period which was a little late this month but it was normal from the first day the last. I just want to know if you could help me and tell what this could be | Hi ! Good evening. I am Chat Doctor answering your query. This could be just a gaseous distension which is causing this sensation in your abdomen. If I were your doctor, I would advise you to avoid any kind of food from outside to prevent any kind of intestinal infection/infestation which could give rise to such sensation. In addition, I would advise you for a stool test for ova and cyst and treat it if positive. An ultrasound of the abdomen would rule out any kind of intra-abdominal pathology. Till then, I would advise you for a probiotic and a proton pump inhibitor for a possible symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
I believe I had a zit on my penis. I popped it and the white dirt came out like it does on my face when I pop it. I looked up if it was possible to have zits on your penis and of course, being online I don t know what is true or not. Sources kept saying it could be herpes...it burns a little where the zit is, but since I popped it the burning is slowly going away. What does all this mean? | Hi, I have gone through your query. Zits you have mentioned are pustules and not herpes. These may be due to ingrown hairs at the base of penis or scrotum and can be bacterial infection on penis. Popping them will cause depression in that area. I advise you to take course of antibiotic like doxycycline orally. Antibiotic ointments can be used for local application. Antiallergic tablets like levocetrizine can be taken to prevent itch. Maintain proper hygiene of the area. Avoid popping them. 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 |
my 3year old daughter was vomiting last night. She does not have a fever, but has had lower energy and resting more today. We are in process of painting our interior and I am wondering if its possible to discern whether the vomiting is viral or related to paint fumes. | Hello and thank you for your question. It would be really hard to sort this out. In general viral syn Chat Doctor. If the painting will be going on for a while, there are air purifiers that remove \"volatile organic compounds\" such as those that occur in pain fumes, so you could consider using one of those. Also depending upon the weather in your location you might consider opening windows and running fans to clear out the odors. Thank you for using Chat Doctor. |
I have a clot in my pro funda vein in my right leg. This is being treated with warfarin. I am done with Lovanox series. I have some old tramadol pills (50mg). Can I use these to help with the pain whicChatDoctores and goes depending on the position my leg is in? | Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have a clot in the vein and is not movable and restricted to one location which gives pain in particular positioning of the leg, I will advise further to do exercises for which the muscles become stronger to allow some more intravenous and intro muscular pressure to allow the internal pressure to be created as to allow the effect of medication to be optimum. As medicines are symptomatic, and the effect lasts depending upon the pharmacokinetics of the Chat Doctor. Also, inducing exercises along with medication provides an add-on effect to the metabolism and allows the release of the clot from its location.in my clinical practice I advise patients with DVT, varicose veins, vascular insufficiency etc. to undergo physical therapy as it helps to allow the physiological system to boost up.regards Jay In |
Hi,My problem is that when I chat with a unknown girl and try to talk with her, after some time some drops of colorless and sticky fluid comes out from penis. This happens every time when ever I try to be talkative with girls and I fell very much uneasy.Please let me know how can I control this.thanks | HelloYour problem may be due to over excitement during talk with opposite sex. It can be overcome by gradual exposure to such situation. You shouldn't stop talking to females, instead try to talk more for short duration. Gradually you can increase time spent. You should avoid provocative literature and videos. You should try to be calm and try to engage yourself in your job. If condition persists the may need psychological counselling. Get well soon. Take Care |
I am 22 and me and my girlfriend had some sexual activities (not intercourse) and some pre ejaculation fluid might enter in her vagina. that happened just after one day after period ended, and out of fear she took a pill of unwanted 72. Now is there any chance of her getting pregnant? | Hello dairy understand your concernThere is no chance of the pregnancy because1. You have done sex just day after period, and it is completely safe period of the cycle. During this time there is no ovulation, so there is no chance of fertilization2. Again you took Unwanted 72 |
hi my name is cheryl and i am 30 yrs old n just found out today that i have polycystic ovaries. my question is should i get an hpv test or is that test done at the time of your pap. i have been getting lower abdomnial pain off and on and keep on bleeding after my period for weeks on end then stop for a little while and it starts all over again. Also i tend to bleed right after having intercourse and have gone for many internal and external untralsounds which have showed nothing and just recently went to have another untral sound done and this time it showed that i have polycystic ovaries, but that still doenst answer the question to the pain i get or the uncontrolable bleeding or the bleeding after intercourse. | Hello, Thanks for the query to Chat Doctor. Forum. Let me explain that, what happens in POD cases (Poly Cystic Ovarian Syn Chat Doctor. There develops, 1 Dysfunctional uterine bleeding or irregular bleeding or scanty bleeding or amenorrhea .2 Hormonal changes. 3 L H /FST alteration.4 athletic changes in ovarian follicle stoma. Your bleeding after intercourse may be a coincidence, but main reason may be pod. Since your main complaint is menses related so may be due to POD. Consult another Gynecologist and get his opinion and all test required. Good luck. |
I AM 29YRS OLD,MARRIED 2YRS BEFORE,HAD PCOS,UNDER HOMEO TREATMENT SINCE MARRIAGE,HT=160CM,WT=62KG.PERIODS REGULAR WITH 32 DAYS CYCLE.STILL CONTINUING HOMEO MEDICINE.DON T LIKE TO TAKE ALLOPATHY MEDICINES.IT FEELS LIKE VOMITTING WHILE TAKING ALLOPATHY TABLETS.I AM SCARED TO DO COITUS BCOS I THINK IT WAS PAINFUL,BUT MY HUSBAND IS SO KIND & CONVINCED ME ABOUT INTERCOURSE,AND AFTER 6 MONTH SLOWLY STARTED INTERCOURSE,BUT IT WAS NOT ENJOYABLE.NOW AFTER 1YR I STARTED ENJOYING IT,BUT STILL WORRIED ABOUT BEING PREGNANT AND THINKING ABOUT DELIVERY,SO DONE COITUS INTERRUPTUS DURING FERTILE DAYS AND ENJOYED OTHERDAYS.NOW IT HAS PASSED 1YR 10MONTHS AFTER MARRIAGE.THING IS THAT NOW I LOVE TO BECOME MOTHER.READY TO FACE ANYTHING.MY LMP=28TH JULY 2014.STARTED DOING INTERCOURSE CONTINUOUSLY FOR 2WEEKS JUST AFTER PERIOD IS OVER,BUT THEN I HAD A SEVERE LOW BACK PAIN FOR ONE WEEK ,NOW ALRIGHT.UNUSUAL WHITE VAGINAL DISCHARGE PRESENT.NO OTHER SYMPTOMS.DONE HPT 4 TIMES,ALL NEGATIVES. | Hi, I think you can try for 6 months naturally. Be in contact with your husband for every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Take progesterone for last 2 weeks of your cycle. It helps in supporting implantation. Do a pregnancy test if your periods delay. If it doesn't work then you can go for medicines for growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. For the white discharge, you need evaluation by a gynecologist. You may need some antibiotics. Hope I have answered your question. Regards Chat Doctor. |
my 5 year old is in kindergarden likes her teacher likes her peers been to doctor been to counslor but cant get her to stop in class we were punishing her standing in corner making her stand instead of sit taking away resecc then the couslor said no not to punish her to reward her for not doing it in public but nothing is working we have sent extra work for her to do cause once she is done what she is doing she starts again i have sent her favorite books pic of her family im pulling my hair out please give me some advice | Hi, Hiccups are common in newborns. Don't worry they are just due to swallowing of air while feeding. After every feed take the baby on shoulder and pat on back till she burps. Another thing while hiccups you can just breastfeed or give her pacifier it will do. If then also not reducing with decreased feeding then take her to pediatrician to get evaluated. Hope I have answered your query. Let me know if I can assist you further. |
I am 30 years old slim, do not smoke. I have random chest pains on and off for around 6months. I had ecgs, 2decho dopple, stress test and blood tests done. The only issue was that my cholestrial level was a little high...I eat 2 many candys and drink 2 many soft drinks so wasnt that suprising. I still get occassional chest pains, and after reading loads of info on the internet have become worried that waht if the tests missed soemthing. I am now not sure what is wrong with me? | If you are so much unsure, you can go for an investigation called holder monitoring where your ECG is monitored over a day to look for any abnormalities. And also your lifestyle points that you could be a candidate for an increased risk of gastritis. The caffeine in the soft Chat Doctor. Gastritis can also at times can cause chest pains. If that is the case, I would have recommended my patients' lifestyle modifications along with medications like pantoprazole to add |
my mom is of 50 yrs she s suffering from depression since 10 yrs. but nw since a yr she has menopause problem n lot of mood swings sudden change in behaviour agitation anxiety sleeplessness frequent hungerness irrelevant talk not mixing up with family members not carrying out any household chores. she s on olimelt 10 once at nit, risdone plus twice a day and qutan sr twice a day. she s on des medicines since 15 days.......but v r hardly seeing any change in her behaviour.pl help my sister s gettin married soon v want our mom to recover in a mth soon. | Hello... Thanks for your query. I really doubt is she was labelled as a case of depression considering the nature and the duration of symptoms. However, there exists an entity called \"agitated depression\" which fits your description. Also, the number of medication, that of three anti-psychotics seems inappropriate for her age. I would suggest you meet your psychiatrist again to clarify the diagnosis and the reason for multiple psychotropic medication and get back to us for an opinion if required. Hope you find my suggestions useful. Regards Chat Doctor. |
i had unprotected sex with a boy nine years ago. after five days of doing this act i had infection in my penis and was treated d for the same and it was cured, same time i was tested for hiv which was negetive. after one month some blisters appeard on the left side of my chest and back , according to doctor which was a nerve infection . dr. told me that it happenes to the persons whose immunity becomes weak and the same was treated. after that throat infection and fever became frequent for me . my hands started trimbling which went away by itself. i started having infcetion on penis frequently which was also got cured by itself . now after nine years i am getting skin infection , itching in skin, blisters on the sole of my left feet, feeling weakness, vision problems. i know i m hiv positive but i am afraid to get tested. what shuld i do. | HelloThanks for your query, based on the facts that you have posted it appears that you had unprotected anal sex 9 years back and now have varied symptoms. Since you have been getting these symptoms on and off you have to get blood tests for HIV done to be rest assured about it. Please go ahead and get blood tests for HIV done .so that you can take appropriate treatmentPlease note that avoiding blood examination is not going to help you in any way and likely to worsen the situation. Chat Doctor. |
I have pulmonary fibrosis and through a cat scan a mass was detected and i was told there is a 90% chance of being malignant. I have to do a biopsy. My risks are very high. My lungs may collapse and I might die during the procedure. Is there any other way out for me? Can radiation be done on the area without doing a biopsy? Or could they test some nodes to see if cancer is present. I am scared. I need another option. | Thanks for your question on Chat Doctor. Yes there are other ways to diagnose lung cancer. They are1. S.CEA level.2. Sputum cytology3. Bronchoscopy and BAD (Bronchi Alveolar Lavage) examination for malignant cells.4. PET scan to look for metastases in cervical lymph nodes and other organs like liver, spleen, bones etc. If any of the above are positive for malignancy than we can start treatment for lung cancer. But the best and gold standard is BIOS and histopathological examination. So discuss these things with your doctor and try to work out the best possible way for you. |
Hi thereIs it ok to take both a general probiotic (Walgreens brand) and Acidophilius at the same time? I just added the Acidophilus due to recurring minor yeast infection symptoms. I have to take minocycline daily for my rosacea, and have been on that for almost two months.Thank you! | Hello and thank you for your question. Yes it is fine to take acidophilus and another probiotic at the same. Acidophilus is just one of the normal gut bacteria that is considered to be a probiotic. Taking multiple forms of probiotic may help relieve your symptoms. Make sure that your general probiotics does not already contain acidophilus because although it will not harm you to take double doses of it, you may be wasting your money if you are taking acidophilus in two different forms. Thank you for using Chat Doctor. |
for the past 2 weeks I have checked my heart rate and they are between 36 (once only ) and 47 beats per minute and Blood Pressure btw 150/ 81 and 139/77. am in my 60s I did feel a bit light headed and felt better after resting and did not carry out any active chores. thanks | Hi welcome to Chat Doctor. I understand your query and concern. Blood pressure can be best controlled througChatDoctorbination of antihypertensives like Beta blockers and Calcium channel blockers.It's always advisable to keep the blood pressure under 13080 mm of Hg. You are currently prescribed the right kind of Chat Doctor. Avoid overt treatment to prevent lightheadedness., For this I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Reduce the intake of fatty and fried food. One pomegranate a day will help to keep your heart at good pace without clot formation. Dizziness will go away, away once the headache and blood pressure will subside. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. |
i have been on Perlacet for two years for Chronic neck and back pain from an injury, Is suboxtin a choice for me ? I hear some people dont do well on Suboxtin but do very well on subutex, why is this ? Does the additive in Suboxone have side effects in some people and there for they do well on subutex as it does not have the additive / | HiI have a view that physical therapy works well for chronic pains and narcotic or related Chat Doctor. If some nerve is implicated in back or neck due to osteophytes then surgical removal of nerve irritation/compression offers a better choice than to depend on pain medication. It is best to leave the choice of medicine/combination to treating doctor as additives are often necessary in some patientsRegards |
Hi im a 19 year old female and for the past 3 years I ve been having the same problem. When I wake up in the morning my body is severely shaking and I can t control it. I m still alert and responsive but it just shakes. I get a feeling of nausea , increased heart rate , my hands & face turn white, my breathing gets heavy, and I get this overwhelming feeling of fear. This only happens on days I have to go to work because when I m home I sleep perfectly fine. It s become hard to even accomplish the smallest things. It s taking a toll on me and I just want to know what it could be. | Hello welcome to Chat Doctor It seems from your description that you are suffering from \"panic disorder\" which is one of the anxiety disorder and characterized by intense anxiety attacks associated with impending doom. However, you need consultation with a general physician once to rule out any medical etiology. For that, you might need some investigations. You have the following treatment strategies for panic disorder-1) Chat Doctor. |
Hi, My daughter is about 1 year 6 months and since yesterday she is passing her stools which is watery and bit smelly....Yesterday morning she had it about 5 times, then we gave her Curd and Mashed Banana after that till evening she didnt pass but at night after taking bit of rice she passed her stools which was not wattery and there wasnt smell even. But today morning again she started passing wattery stool it is about 2 or 3 times now. What would be the best medicine I can give till I go to the doctor? | Hello, It seems your kid have viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
Hi, I and my girlfriend had sex 10days ago and she complained of pain in her lower abdomen yesterday and she vomited a couple of times too it seems. As far as my memory goes, it was a fortnight that her periods were over and we had an unprotected sex, but I had not ejaculated in her vagina, and also we had a foreplay session before getting into the act. Today She fears that shes pregnant. Can it really happen so that she may be pregnant? what are the possible probabilities? | Hi as you told that the contact happened on 14 day of periods there might be a possibility of pregnancy. But if her periods come on time then there is no chance of pregnancy. If periods get delayed then you can do a urine pregnancy test at home. If positive consult a doctor if you don't want pregnancy. If negative wait for your periods as sometimes stress can lead to delayed periods. Hope I have answered your question. |
my son has been asthemtic since birth. he s been using steron, ventilin nebulizer and seretide puffs all these years. is there any medicine that would relieve him of his asthmatic conditions for more than 6 hours? plus, he s 7 years old and his height doesnt match his age, also he s underweight although God knows how much he eats. his teeth havent fallen out either. i need consultation and maybe a different diagnosis which relate all these symptoms together. | Is there family history of asthma? You have not mentioned the investigations. Is he suffering form eosinophilic? Try to avoid exposure to dust and smoke as far as possible. If there are pet animals it is better to avoid contact with those. See whether the attacks are precipitated by any food. Avoid artificial flavors and preservatives as much as possible. Encourage him to do yogasanas. Reduce intake of dairy products. Long term use of steroids can cause growth retardation. You may try BRISTOL syrup after thorough evaluation. |
y hairfall?im 19 and got hairfall can u tell me reason?i think its one of these reasons.1 i use capsule like oratane for pimples 3 months 1 year before 2.our area water is poluted 3.deficiency of iron?like that? tell me reason pls and suggect gud thing for me | Hi, You seem to have halogen effluvium . You may be having some cause. As you said. You were on octane, you are anemic. Both can cause hair fall. Poor hygiene and poor nutrition are responsible for halogen effluvium. You consult dermatologist for firm diagnosis. For acne avoid isotretinoin cap. You may take antibiotic like azithromycin. Fir anemia, consult physician and have treatment. To control hair fall and to improve hair growth you may take biotin 10 tabs daily for few months and apply mild steroid lotion on scalp at night daily. For hair oiling and shampoo use herbal preparations. I hope this would help you. Thanks. |
I am having MELASMA from last 2 years. Have met many doctors but nothing working properly. From last 3 months , I am using DEPIDERM which has worked a lil and the dark brown spots have reduced. Can It be cured completely? Someone also suggested to use BAN A TAN. Pl help. | Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor. |
What is it when suddenly your entire waist is wacked with pain, and attempting to stand you get severe pain also, and sitting is the same. Goes on 24 hours hurting like crazy and sometimes very severe even when sitting? I pray you will be able to enlighten me relevant to the causating factors involved? | Hi, Thanks for providing the brief history of YouScience you mentioned that the pain is constant, and it is making it difficult to stand, sit, turn etc. you need to first lye down on your stomach and keep a hot water bag wrapped up in a towel to provide deep heating, by which muscle spasm comes down. If you do not have any pain in the hip, thigh, calf or feet than you should not worry much. This kind of pain occurs due to either muscle spasm in the lower back or sacro-iliac-joint dysfunction. Usually it takes 5-7 days for inflammation to come down if proper rest is taken. In case if the symptoms don't come down for a safer side you can take an X-ray or an MRI for finding any soft tissue injuries. If the pain is slowing down then you can proceed to meet a physical therapist who can teach you some core strengthening and spine strengthening exercises which will help you more. Never ignore a simple back pain also, as we never know how big it can be or may become. Sometimes due to ignorance the soft tissue injury becomes big and pain level raises.Also, the core muscles and spine muscles are in constant use all the time and their strength is more important for future to avoid any major injuries. I hope I have answered your query. Feel free for anymore queriesRegardsJay In Chat Doctor. |
Good noon Doctor, My father is a patient of Hepatitis B and due to which he is always having problem related to Acidity. Some Doctors said that he has Lever problem. Kindly prescribe something for him. He is still having same problem, like pain with acidity. Thank You | Hi, I had gone through your question and understand your concerns. What I can make out is that your father is suffering from hepatitis due to infection with Hepatitis B virus, probably chronic hepatitis B. It would have been great had I examined your father on my own. Yes, he definitely does have liver dysfunction. He needs a thorough evaluation. Do not panic. With proper treatment, it can be kept under control. I would suggest you to ask him to - Avoid oily, spicy food- Chat Doctor. Your doctor can guide on the exact dosage.- Get an ultrasound abdomen done-Get a blood hemoglobin, total blood count, platelets, ESR, liver function test, Hepatitis B serology (Bag, Anti HBS, Anti HBC Egg and IGM, Head), ANA, Anti LKM 1, 2, 3, HBO DNA. They will help in the diagnosis and prognosis of the disease. There are plenty of medications like Endeavor, Interferons, Lamivudine, Tenofovir etcetera. Take him to a gastroenterologist. He/she can examine him and correlate clinically. 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 your dads good health. |
I finished my last pack of birth control pills when I started my cycle in January. My husband and I are trying to conceive and I am so anxious to know if I am pregnant. The first day of my last mentrual cycle was 1/23/14. Is it possible for me to be pregnant even if I havent had my first normal cycle after ending birth control? We had sex on 2/2/14, 2/6/14, and 2/9/14. I have be feeling weird like I may be pregnant. I have cramping on one side, slight nausea, tenderness in my breast and discomfort when my bladder is full. If I have conceived, this will be my third pregnancy, my youngest child is 5. When is the earliest I can test by urine and blood? Thank you | Hi, Thanks for the query. It is possible to get pregnant even before you get a normal cycle after stopping birth control pills. You have not even missed your period yet, so it is very early to say if pregnancy has occurred. The breast discomfort, nausea and tenderness are non-specific. They may be due to pregnancy or even premenstrual syn Chat Doctor. The earliest that pregnancy can be detected is by a blood test after about 28-30 days or just around the missed period and by a urine test 7-10 days after the missed period. Please do not be so anxious. You have been through all this. Just relax. I suggest that you start tablet folic acid as it helps in the babies brain development. Hope I was able to help you. Thanks for using Chat Doctor. I would be happy to answer any further queries. Have a nice day and take care. |
What is the normal heart rate of a 20 month old? Note, he also has pectus excavatum and his heart has not been checked yet to see if the PE is effecting his heart in anyway, only xrays have been done. His heart rate runs around 130-150 at all times, I am worried about him, can you give me some insight on this please. | Hello, It is from 70 up to 110It is very imp to check why there is increasing in the heart rate period is usually accompanied by increased heart rate according to its degree ECG and echo will rule out any consequent problem in the heart, also its imp to do MRI to check the degree of CBC is imp because the child may be anemicBesides, its imp to rule out any signs of rickets as PE can be caused by Rickets. |
Hi, I have a small bump corner of my left knee and i feel like it has slightly reduced in size when compared to last month. But when i kneel down at a certain point below my knee cap i feel like needles are pricking and it feels very bad for few seconds. I also have pain around my knees when i stand or walk for few mins. Pain is not severe. What could be the problem. I didnt have any issues in my knees or legs so far. Im 30 yrs old homemaker, 5ft6inch and 58kg. Please help. | Hello, From what you have described it seems you have bursitis around the knee joint which is secondary to osteoarthritis of the knee. It is a common condition in which the fluid contained sac around the knee which is present to decrease the friction when you are moving the knee joint becomes inflamed All you need rondo is to take it easy for a few weeks and avoid kneeling and squatting. You can apply a local pain relieving gel and hot fomentation. If it does not decrease in a few weeks, get an x-ray of the knee joint. Hope I have answered your query. Let me know if I can assist you further. |
i am 21 years female. Have spikes of fever up to 39.5 c. associated with Loose yellow stools, vomiting, abdominal pain since 9 days after eating food out side. I have cholecystectomy & appendectomy done many years back. No other past medical history.. No leukocytosis, Wedal Test negative but Blood culture came Salmonella Typhi and Mono Spot test is positive. AST 210 u/L, ALT 247 ALKP 258 HB dropped from 11.6 to 8,4 gm/dl. First took empirically CIPROFLOXACIN but no response. Lattea,As per culture blood sensitivity, took Ceftriaxone 1 GM I/V for 4 days but no response in fever. Now antibiotic has changed to second drug I/V Augmentin as per blood culture sensitivity report. My question is with Salmonella Typhi, Mono Spot can be positive? And what shall i do next? Now i do not have abd pain nor vomiting but still have high spikes of fever 39c, no joint pains, no skin rash, no headache, no dyspnea etc. | Hi ! The liver function test can be upset both in enteric fever and in infectious mononucleosis with positive mono spot test. However, with a history of eating outside and bowel disorders, and blood culture report it goes more in favor of enteric fever. In case of infectious mononucleosis, there is no specific treatment as such excepting for symptomatic treatment. I would suggest you to go for a repeat monospot test along with some special tests for infectious mononucleosis if suspected strongly by your treating physician. Any type of chronic fever (high grade) will cause anemia and this can occur in Enteric fever. You can go again for a culture sensitivity after consulting your physician, and a peripheral smear to look for malarial parasite, and any abnormal cells. After all these repeat test, your treating physician can re-examine you, and decide on further course of action. Wishing you a complete recovery. |
Hi,I am having a follicular monitoring this month. The formation and growth of the egg showed normal till Day 14th with a size of 21.5mmX19mm. Doctor suggested Corion 5000 injection. We took that too on the 14th day. But when we did the ultrasound on 15th day the size of the follicle increased to 23mmX20mm with slight streak of bleeding but unruptured. Now the doctor has suggested to take Betnilan. Is there any chances of it being ruptured? I have an ovarian cyst (perhaps endometriotic) in the right ovary measuring 3cmX3cm, where the egg has formed. There is another cyst in left ovary (2X2cm). Please suggest! | Hi, Thanks for using Chat Doctor. Clearblue ovulation sticks and fertility monitor are more reliable and accurate in predicting the ovulation as compared to an ultrasound scan. A fully grown mature follicle on an ultrasound does not necessarily mean that it will definitely rupture and a healthy ovum will be released. The follicle ruptures around day 14 15 in a regular 28 30 days cycle. However in longer duration cycles it may rupture slightly later. Do not worry. As size of follicle is progressing continue follicular study and injection done which helps in follicle release. The ovulation sticks indicate the level of LH in our body and an LH surge is diagnostic of ovulation. So, if ovulation sticks are not showing the positive result it means ovulation has not occurred yet. Hope this helps you. Regards |
My daughter is 24 yrs old. She has been feeling unwell for a few weeks now - tired, sick in the mornings (she s not pregnant), nauseous during the day at times, fatigue. Last evening she developed a pain below her left shoulder blade and her left arm felt heavy for a time although that resolved. The pain was quite severe and she took ibuprofen which may have helped a bit. She remembers the previous evening she felt agitated and when she was sitting just didn t know where to put her legs. She wouldn t see a dr last night. She slept for 8 hrs and felt better on waking but now 2 hrs later has returned to bed feeling sick and very tired. Her back has started feeling painful again. All she says is that she feels really unwell. She drinks plenty of water and has been urinating. Bowels seem ok too. Was worried about her heart as she tends to play around with her diet ie goes on stupid water diets and restricts her calories then gives up after a few days and binges. | Hello, I have studied your case with diligence. As per your symptom and history there is possibility of acute muscle spasm in neck or there can be cervical disc compression. Due to compression of this nerve root there is pain associated with it. For these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. Till time take rest and continue analgesic available over the counter take rest, and hot fomentation. Physiotherapy like ultrasound and inferential therapy will give quick relief. You may need to do MRI cervical spine if symptoms persist. I will advise checking your it B12 and it D3 level. Hope 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 had my gallbladder removed in January of this year laprascopically. The surgeon was unable to remove some impacted stones in the bile duct adjoining the gallbladder. Instead of calling in a gastro doctor, he closed me up and said I may or may not have problems with them. I ve had problems ever since. I have soreness and pain in my upper left side and horrible sounds. My bowel movement is often loose and yellow in color. Are the stones still there? He said the duct was impacted full and he could not get them. | Hi, Yes, impacted stones in bile duct might because for your pain and diarrhea. I would like to advise -1) Consult Gastroenterologist. 2) Blood tests |
I was with my five year old son in the hospital for two days - he has RSV. I was awake for two days and came home exhausted. Hours after coming home, I started feeling achy and feverish. I have had fevers ranging from 100 to 102. My muscles and joints hurt so much - beyond the usual RA and Fibromyalgia pain Ive dealt with. I also have a sore belly - its tender to the touch all the way across, but very sore on my right side. I dont have congestion or a cough and I had a flu shot this year. Should I be worried?? | HIT hanks for posting your query. It seems like a Viral infection which you might have got from your kid or in the hospital. Most of the viral fever are self resolving. You can take tab Coquitlam 1-2 times a day and HY Chat Doctor. But if your soreness in the belly persists for more than 2 days or if the intensity increases then you need to get Ultrasound scan done and consult your doctor. Hope this information was useful to you. Any clarifications feel free to ask. Regards. |
I have Sarcoidosis. They are now looking at other auto immune illness. The joints in my arms and hands have had a lot of problems this summer. What does the TPO AB 116.2 mean? I know the standard is =5.5 IU/ml . What is it?this says free. I won t pay. Do not send emsils | TPO DAB is thyroid peroxidase antibody. It is usually seen on a higher side with people who have inflammatory hereditary condition like Rheumatoid arthritis, graves disease etc. Here basically your body immune system will be always active even against your body cell and so that there will be ongoing damage happening at cellular level. TPO DAB test results are also high for people who are with long term thyroid gland problem like Hugo or hyperthyroidism. Your test result is 116.2 indicates there is ongoing damage happening for your thyroid gland cell by your body immune system. And there is only one way to reduce this is consulted your treating doctor talk to him about this. And take appropriate medication to reduce the damage. As well do regular walk and also check with dietician on anti-inflammatory diet for thyroid patients. Follow the steps given properly, and it will be really useful for you. Take care. |
i have low sperm count and doctor has given me 2 month medicine carnisure500mg and evion vitamin e and b complex .it is sufficient my semen after test is 22 only please give me advise what to do,after2 month doctor again called me to test my semen again whether it is increased or not | Hello you can write back to me with following details like your complete semen analysis report, your age, whether you smoke or consume liquor, I will be told you more accuratelyMeanwhile your sperm count is towards lower side so continue with medicines your doctor advised, all these medicines are health supplements, and it will help you in achieving good quality sperm and semen. You should follow these guidelines as wellComplete abstinence of smoking and alcohol is requiredHave lots of fresh fruits and vegetables should enjoy your life, try to avoid excess stress and anxiety Hope this helps you please feel free to converse further with more relevant history so that I will be able to tell you more precisely. Best wishes |
Hi im a working woman and my baby is 3 years old, is it safe to give her breast milk which is saved in refrigerator? My baby is not taking lactogen. She is taking my milk in bottle but giving her breast milk through bottle cause motion. Kindly suggest me formula | Hi, I am Chat Doctor. You should train her to take milk by spoon. Any approved formula available in market which suits her taste can be given. One more question, is she 3 year or 3 months old. In case of 3 years she should take directly by glass, and no need of formula, she can be given same milk as used for adults. She should also take other diet apart from milk. 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 questionsTake care. |
my husband has been diagnosed with stomach cancer but it did not show up on pet scan but did show in pathology report. pet scan showed mass between windpipe and right lung . He has had EGD,EUS,CT SCAN,UPPER GI,PET SCAN he has seen 7 doctors and still no definite answer as to how to treat him. Stomach hard as concrete very thickened stomach wall,has lost 20 lbs in the last year,can only eat small portions several times a day.Any suggestions | You need to understand that PET CT scan means PET and CT fusion imaging. PET is functional imaging and is positive only if the cancer cells or infectious cells take up the tracer. Understand that not all the cancers take up the tracer. That is why the scan is not routinely recommended for all the cancers. It is not 100% sensitive in picking up the disease. If there is mass on CT scan and biopsy has proven that ITIS cancer, there is no doubt that it is cancer and that requires treatment |
Hi Doctor, My Father is suffering from liver cancer, he is 64 years old , we are currently checked in CMC velllor(Tamilnadu ,Indai).Now Doctor said it comes under stage four liver cancer with Hepatitis B. Doctor said no need to take any treatment just live it as it is. Pls advise what should i do . he is normal now but little bit sick. | Hi, I am sorry but stage 4 of liver cancer is a highly advanced stage where the cancer has metastasized to various other organs and parts of body, on top of that viral infection with Hepatitis B has further complicated the things. Therapeutic approaches for the treatment of HCC can be classified into three categories |
Sir, I have undergone ECG today, the report says \"ST & T wave abnormality consistent with anteolateral ischemia[-0.5+MV T wave in I/AVL/V3-V6] ST & T wave abnormality, possible inferior ischemia [-0.1+MV T wave in II/AVF] Treadmill effort tolerance is good. I take BP medicine (Covance 25). I drink alcohol. I have no chest pain but some times slight giddiness experienced.What is your advice please? | Hello welcome to Chat Doctor. Your ECG reports suggests possibility of lack of blood supply or ischemia of the anterior and inferior walls of the heart. So you should get evaluated for the same. As you mentioned TMT effort tolerance is good. But what is more important in a treadmill test is whether it is positive or negative. A positive treadmill test increases the possibility of heart blockages. A negative stress test implies no detectable blockages in the heart. Please also do a 2d echo to see the contractile function of the heart, the valves and the flow between the valves. Please specify the treadmill result, and do a 2d echo. If treadmill is negative and 2d echo is normal then you need not worry about it. If either treadmill is positive or 2d echo shows regional wall motion abnormality, you should visit your cardiologist and get an angiography done. Wishing you good health. Regards |
Hi, my daughter is 4 years of age and has been treated for scalp ringworm5-6 times. No one else in the family has gotten a ringworm and I dont think she has gotten it from anyone at school because she has since changed schools and yet they persist. I am a nurse, so I make sure she takes her full regimen of griseofulvin as prescribed, but yet the ringworm returns. This last time she went approximately 1.5 years without the ringworm because the doctor suggested taking the med twice a day to keep the levels in her system steady and give with whole milk, since we drink soy in the family. And this worked, and i thought it was gone forever, until this week when I noticed a new lesion in her scalp. Can she possibly have a genetic predisposition. Why does she keep getting this scalp ringworm? Im starting to wonder if she has a problem with her immune system. | Hi repeated scalp ringworm infection could be due to any of the underlying disease mentioned here.a. Type 1 diabetes decreased immunity doe to continuous intake of steroids/ any other immunocompromised state-HIV, cancers etc or it could be due to some pet animal in the house which is infecting her repeatedly. Try keeping her scalp Chat Doctor. Try leaving her hair and not tying a pony/ plat, to avoid any sweat accumulation in scalp. Use anti Dan |
I have a question, ok I noticed I have spots on the underside on my penis. I know it s not herpes, got tested. They are blood filled, almost like a blood blister. They don t hurt, they are barely raised above the skin, and they don t pop on their own so no scabbing, unless I popped one because I wanted to see if they were blood filled. I thought it could be thrush . Any answers | Hi, There is nothing like blood filled blister except a hematoma following an injury or an arterial malformation. As you guessed, possibility of yeast infection is there. Reddish tiny eruptions along with some white collections if uncleaned are signs and symptom of yeast infection. After confirming the diagnosis by a Dermatologist, with topical and oral antifungals for a period of 3-4 weeks will solve your problem. Your sex partners are also to be treated simultaneously. Get well soon. Chat Doctor. Morgan |
I have been having right lower back/hip pain for months that is severe. Worse at morning, night, standing, sitting. I have high potassium. Diagnosed with Clark s Level 4 Melanoma of right thigh in 2010. Surgically removed. No chemo or radiation. MRI of back l spine shows synovial cyst at l4-l5. PET scan of whole body shows suv uptake of 4 in right jugular chain lymph node. Please help! | Hi, Synovial cysts are not believed to be a significant contributor to the symptom of low back pain and should not be aggressively managed unless they are known to take up gadolinium contrast dye in which case surgical removal of the cyst with pathological examination may be warranted. If the PET scan does not show any increased activity in the hip region on the right then, it is not likely to be due to any type of metastatic spread of the melanoma. Conservative exercise and PT regimens are your best options to treat the pain along with OTC analgesic relief such as ibuprofen or Tylenol. Hope I have answered your query. Let me know if I can assist you further. |
I can run my hands down my thighs when laying on my side and it is very very tender and I feel hard like knots. I have been told I have fibromyalgia back in 1992.. Could these be nodules? At times it s so hard to get a good night sleep. YYYY@YYYY | Hi, dairy have gone through your question. I can understand your concern. You have fibromyalgia in the past. Your lump may be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for biopsy of one of the 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. |
recently diagnosed with osteoporosis. -2.6. had calcium oxalate stones removed years back that s why i ve never taken calcium supplements. taking eltroxin lifetime maintenance since toxic thyroid surgery 40 plus years ago. what to do? should i see an endocrinologist? is it true thyroid and osteo medications are not good together? had cortisone injection on planter fascitis on right heel 3 years ago,is this caused by osteo? | Hi, Yes, it is not advisable to take thyroid and osteoporosis medications together. To ensure adequate absorption for the intestines Elton should always be taken on an empty stomach 2 hours before breakfast. If taken along with osteoporosis medications, Elton absorption will be reduced thus lowering its therapeutic usefulness. Hence, osteoporosis medication should be taken 3-4 hours after Elton. Plantar fasciitis is one of the most common causes of heel pain due to inflammation of a thick band of tissue that runs across the bottom of the foot and connects your heel bone to your toes (plantar fascia). It is not caused by osteoporosis. Hope I have answered your query. Let me know if I can assist you further. |
I am 37 year old and no any child after check up doctor declared of low sperm count and molarity problem and get advice to take maxoza and virolon tablet till 3 month and also said that aftet 3 month your wife will be pregnant but my wife is pregnant after 45 day to take medicine regularly .i am worry about that safe pregnancy or not or abortion pse proper advice | Low sperm count is not the hindrance to cause pregnancy. Sperm should be active and motile. A proper check up of pregnancy by obstetrician will clear your doubts.However, for virility and vigor, herbal aphrodisiacs are the best option. Its safe, non-toxic and no side effects. In my career of three decades, many dismal couples have become happier after opting for herbal approach. Need further advise, treatment or package? Pl ask direct question. |
My husband and I have been trying to conceive since Sept 2012. My past period started on 1/2/13. We had sex once a day from 1/8-1/16. On 1/17 I had severe cramping-which I don t recall ever experienced in the middle of my cycle (only during my period). Then today (21st) I noticed a puddle of slightly white/clear discharge on my underwear. I thought maybe this discharge was a sign that I am currently ovulating...took ovulation predictor test-came back negative. What do you think this discharge is? | HelloThanks for writing to us with your health concern. See, the ovulation predictor kit is not always 100 % reliable. Also, the discharge increases AFTER ovulation. It is at its peak just before your period is due. That could be one reason you got a negative test. You had ALREADY ovulated. However, you are still in the clear since you were sexually active during the requisite time. Being sexually active well past your expected ovulatory dates will also increase chances of pregnancy. Another possibility is conditions like POD which are keeping you from normal ovulationTake care. |
Do you only diagnois a patient with abdominal migraines when you want them to take the tripans to see if it works--if so--then the patient must have abdominal migraines? I am searching for answers for my teenage daughter who has been dealing with abdomen pain and vomiting for a year now. This is crippling her life. Any suggestions? She has been hospitalized and had so many diagnostic tests which only ruled things out. Help, please. | Halloween everything (tests) is within normal limit then we should focus on eating habit of your daughter as well her way of life. As she is having abdominal pain as well vomiting, so these symptoms may be due to these reasons, This includes. 1 Hyper acidity or gastritis as we don't find anything in the test (upper G I endoscopy), only medical history of patient and clinical examination by a doctor find the gastritis. Following measures may help you daughter. Try raising the head of your daughters bed about 4 inches with blocks. It also might help to avoid eating or Chat Doctor. To help control stomach acid one should not |
I have a bulging disc and have had it for eight months, it is on the L4 L5 and also have a slipped spine on the L4, the doc will be doing surgery to get the L4 nerve out of the way since it is being compressed between bone and the disc. This is on my left side and have noticed since this happen that on the same side below my shin there appears to be a dent that goes across the bone. it is quite significant and I did not mention this to him.....should I be concerned? | Hi, Thanks for your query. You are having degenerative disease with L4 disc prolapse. If you are having tingling and numbness or weakness of legs, then you may need to get the offending prolapsed discs should be operated. This prolapsed disc causing pressure over your nerves. Along with that conservative measures are a must |
My Wife age 32 years suffering from dry cough. Blood count more than normal. She is always suffered, mostly when weather changed. Treatment on the way some doctor given citrazine, brohmexine, (syrup), asthalin and Bcomplex. She doesnt slept from two nights. Kindly suggest proper medicine and precaution. | Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if your chest x-ray is normal, no need to worry about lung infection. Possibility of bronchitis is more in her case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, she will be alright. Hope I have solved your query. Wish you good health. Thanks. |
For the past 6 years I have had recurrent lower right sided abdominal pain (which feels like a hot poker) which has got worse and worse. I am now on Oral morph and tramadol for the pain wChatDoctor doesnt really help when it is at its worse. I have had my normal appendix out. CT scan was normal except Polycystic Ovaries. Symptoms include yellow and sometimes green bowel movements which ranges from diarrhea to constipation very quickly, recurrent UTI s, back pain, extreme fatigue . I also have an Underactive thyroid which when tested several years ago was 81!!!! A colonscopy was normal except for mild colitis . Two laparoscopies showed nothing except PCOS. I am so desperate to know what is wrong, I can t live my normally active life | Hi. I need to know a few details |
I am having severe back pain. My doctor had me on m-eslon for 2 years and now wants to stop, considering he knows of my back pain and me waiting for surgery. What are the reasons he may want to do this? He said he will not be putting me on anything until after surgery considering I am already in pain and using a caine? | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think he wants to put of the painkillers simply because the painkillers may be affecting your other systems like the kidneys. I would probably have suggested the sameHowever, I would probably also suggest a prescription of methylcobal and pregabalin while you await the surgery(I wish you had mentioned what the surgery was for, and how long do you wait approximately before it would be done)I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. |
i have severe distension of my stomach that never goes down, i look 8 months pregnant and i am 5 | Hi, Thanks for posting your query. With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility. Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound, excessive flatulence. Dyspepsia could be due to peptic ulcer disease, bile reflux disease and functional in nature. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar, thyroid profile, and renal function test. Furthermore, you should also go for urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should also take proton pump inhibitors along with prokinetics and advised antidepressants. Take care, |
A few days ago i had a pain in the right side of my stomach i could feel it when i walked, and when i coughed, and when i moved. It was kinda gone the next morning i could only feel it a little bit. And now i can feel it again kinda ..i cant realy feel it when i walk , or cough, just when i push , like if i were on the toilet , its not like it really hurts ..i was hoping it would just go away ..as im only 14 ..and its deffenitly not periods...its mostly gone i think | Hi. You have to inform your parents and consult a Doctor, preferably a General Surgeon. Your history of right sided pain in abdomen which got subsided and to recur again is suggestive of appendicitis. You have to get |
My daughter is 4 year 6 months old and she has started having breathing trouble for last 6 months. She has got severe wheezing problem three times in last 4 months and we have consulted the near by pediatrician who has suggested nebulization with astalin and budecort. Both myside and my wifeside has history of Astama and I have minor breaching issue though I have never got a severe astama attack till now. Given the frequency at which my daughter is getting the wheezing problem and astama attack, we are worried about her education and other activities. We stay in Bangalore-East and looking for a good pulmonologist who can suggest how to control our daughter astama problem. Please suggest how we can control the astama issue of our daugher and whom can we consult(preferably in Bangalore-East). Is Astama permanatly curable or preventable? | Asthma is preventable. If we avoid allergen responsible for it as it is an allergic response. Even if we identify the irritant and avoid those we can prevent it. For permanent cure we need to identify the allergen by sensitization test and by immunotherapy we can cure it. Asthalin nebulization should be given as required and decor daily to prevent the occurrence of symptoms. If not controlled then consider adding plain montelukast 4 mg (till 5 years). These will help her. In Bangalore Chat Doctor. You can get help from him. Hope this information helps you. Feel free to ask if any further queries and I will be glad to answer them. Regards |
Dear Doctor, my son is 14 months old, he is having recurring fever for past 6 days, his platelet is 446000, but hemoglobin count is 8. I am giving him distacolor syp, mepthal p, ibugesic, for fever. After medication fever is gone for 5/6 hrs, but again his fever rises to 102. What treatment do u suggest? his dengue and malaria results are negative. | Hi... 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. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. I have publication against the use of Metonymic acid in a renowned journal. I am attaching the link, please go through it.medind.nic.in/ibv/t10/i5/ibvt10i5p453.pdfRegards - |
my daughter about 10 yrs having high fever since 5th june 2011. i could know it is typhoid. i got bl test on 7th confirming typhoid and paratyhi present. treatment started with cefuroxime 250 m bd. no results seen till 13th june. then cefixime 100 and ofloxacin 200 started on 14th till 26th june. even intensity of fever lowered but on 26th fever was 101.5 deg centegrade. hemoglobin is 10.2%.now amoxycillin and clavulanic combination along with ofloxacin 200 is started since 26th night. child is not cheerful and fever is not coming down.it is now more than 22 days. i am worried. child s weight is 30 kgs.approx. pl advice | Hi, Welcome to Chat Doctor. Your child has fever for 22 days, and you have given cefuroxime for 7 days followed by definite and ofloxacin and now child is on amoxyclav and ofloxacin and still child has fever. In typhoid, complications of gastrointestinal system starts appearing in 2 to 3 weeks and central nervous system complications in 3 to 4 weeks. This is an alarming situation. You should immediately admit the child in hospital. Intravenous antibiotics and blood culture will guide further treatment. I hope this will help you. Take care. |
I have a very deep wound just under my knee, i didnt go to my doctor until 4 days after it happend. He said i should have got a stitch in it and that it has now become infected. Since then the cut hasnt started healing at all and is still bleeding. Why is this? | Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. Yes doctor was right deep wounds who usually need a stitch should not be left open they catch infections. According to your history you seem to be having an infected wound in which there is ongoing infection. I hope you are taking antibiotics suggested by the doctor regularly. This wound is not healing and still bleeding because when there is infection and inflammation in the wound it delays the healing process, as infection settles down healing will start to speed up automatically. I would suggest you to take care of your wound, keep a good hygiene, don't let it get wet, take antibiotics regularly, if you were my patient I would have suggested you to take Augmenting 1 gram twice a day, I hope you are already taking antibiotic. For pain, you can take Tylenol or Broken. Daily cleaning and |
Doctor,I Subha, 28 years old. From last 2 days Im suffering breathless problem. already I had medicine, (Muscadol & salbutamol inhel) before I was suffering chest pain also, now no painning more, but still having breathless. (Im working in a Laundry & there are more dust also) from my child hood I have little allergic with dust. but I never suffer asthma or sevier breathless problem | Dear Subha, Allergies to dust mite increases when you are in a humid atmosphere, and of course with working in a lawn Chat Doctor. I would suggest you also avoid bleaching agents as they release nascent chlorine on contact with water and asthmatics tend to cough more or get an acute attack on such exposure. For the asthma, you need to see a Chest Specialist to start on Budesonide 2 puffs twice daily inhaler or Fluticasone 250 2 puffs twice daily. You need to keep Stalin inhaler for emergency use. Testing for allergies to know what exactly you are allergic to will be required. Best Wishes. |
SIR WE HAVE DONE FOLLOWING TESTS (CASE HISTORY) PATIENT NAME-PREMALATA BISWAL,AGE -76 YRS,(FEMALE)HAVING LONG STANDING DIEBETIC TYPE-2,COMPLAINED ABT ASCITIC FLUID RETENTION.1ST WE DID U S OF ABDOMEN & PELVIS .RESULT OR IMPRESSION | Her ultrasound findings are suggestive of chronic kidney disease (CKD) however there are many tests which are needed to confirm it.1) Hemoglobin and CBC2) Kidney Function Tests3) Urine routine and 24 hours urinary proteins4) HbA1c levels5) ECG6) EchocardilographyAlso the sugar levels in ascetic fluid are very high indicating that her diabetes is uncontrolled. Accumulation of fluid in abdomen can be a part of diabetic kidney disease as well as of associated heart disease. All these reports are required to know that. Meanwhile, she should reduce her sugar, salt and water intake and take medicines like Las ix or Dy tor if not taking already. Should get in touch of a nephrologist in your city. |
knee pain on and off 2-3 months. limping got worse due to the pain. went and had cortisone injection 5 days ago. unable to walk at all on it 3 days later. received another cortisone injection 2 days ago, still can t walk. On oxycodone for pain. pain med helps with the constant pain, but still can t walk. had xrays---dr says mild arthritis. on complete rest with no weight bearing x 2 days now. only 47 years old. a nurse. no known knee injuries in my past or recent several months. i m thinking a scan needs to be done, that something so much more is going on. could you share your thoughts | HiI think you may see a rheumatologist also for complete arthritis profile with tests for Rh factor, anti-ccp, CBC, ESR AS etc. to know the nature of arthritis. Diagnosis is necessary to rule out any specific disease arthritis so that definitive treatment be given if necessary. Meawhile Keep on physical therapy, heat,massage with Voltaren gel local application. Mri may be advised if required after preliminary tests best wishes |
A few days ago I noticed my 5 1/2 year old s skin was covered with red blotches in kind of a mottled red and white pattern that looks a bit like a two toned ariel map. It appears raised to the eye but I can t feel anything out of the ordinary when I touch her skin. The blotchyness is not unique to either a sun exposed area or an area that would be impact by a detergents, etc. It is on her arms, tummy, rear, and legs. Her face, back, and feet don t seem to be blotchy at all. No itching, pain, exposure to new foods, or environments either... no notable health history to report. I assumed it would pass when I first noticed it but we re going on five days now... | Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
hi i m suffering from Dermatographic urticaria ,,,, could you please help me on how to recover from this alergy | Welcome to Chat Doctor There is increased skin sensitivity to pressure which causes the typical lesions. You will need to understand that this is aggravated by stress and pressure on skin. Avoid stress, do relaxation exercises, avoid wearing tight watch, clothing. Avoid sun exposure. Take cooler showers. Eat plenty of fresh fruits and green leafy vegetables. Chat Doctor. Exercise daily. You can use Cetirizine or other over the counter antihistamines for relief and prevention of attacks. It may be combined with Sanitizing which works better in treatment. |
I recently discovered around 1 today that i had a lump IN my tongue. The thing is, this wasnt on my tongue yesterday, or at least for the most part I didnt feel it. It is quite painful and feels like a little cyst near the tip of my tongue. It is internal and I feel like it has been getting larger because I have beenagitating it, so I dont know what to do. It isnt really visible when I try to look in a mirror, its just visible because it feels like a little sphere is there.Can you help? Thank you! | Hi!welcome to Chat Doctor! Tip of the tongue is sometimes painful and red due to Transient lingual capsulitis. It occurs as an inflammatory condition of the fungi form papillae. The condition is the result of an injury or irritation to the front of the tongue, causing one or more bumps on the tip that are painful and inflamed. Transient lingual capsulitis typically resolves on its own after one to two days. It may develop again after another triggering event, including trauma to the tongue or other circumstances, such as stress. If it doe snot subside then it may be infection .you may need antibiotics. Hope this helps!take care! |
Hello, my husband and I just decided we wanted a baby and we dont want to wait. The only problem is I just got my Depo at the end of February and I have been on it for quite some time. Is ther any way to get pregnant on it or an tips to help increase the chances? I heard if you take another birth control they cancel each other out, is this true as well? thank you. | Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that whenever demo injection is given en it works for the duration for which in is supposed to work for. Usually, demo I section of me Chat Doctor. The body for 3 months. As the medicine can not be taken out of body, its contraceptive effect will last for 3 months from the date of injection. So I will suggest you to wait for 3 months from your last injection for your fertility to return. Till then please start on Folic acid, vitamin B 12 and Omega-3 supplements. This helps to prevent many problems during pregnancy and delivery. . I hope this answer helps you. Thanks. |
I have had a haemotomer which appeared to heal about 4 weeks ago. I am now in such pain but my doctor says that this cannot be a DV thrombosis as the leg is not swollen , is it possible to have a dv Thrombosis iwht out external signs. I am in intense pain and can hardly move | Hi, As mentioned by you, that you are having a doubt about DVT then getting a Doppler scan will be advised to rule out the DVT factor. Also, if the pain is in the lower limb as a whole then getting an ME of the lumbar spine will be recommended to rule out any pathology of the lumbar spine. Usually due to the nerve impingement there will be symptoms of pain and can be misdiagnosed with DVT or any other issue. But getting a scan done will help understand the extent of the lumbar disc degenerative pathology. As the spinal nerves works as dual functions of motor and sensory, any compression on the nerve will lead to abnormal motor or sensory symptoms. It is never compulsory to have all the symptoms. Having a provisional diagnosis and differential diagnosis in mind and step by step ruling out the pathologies will help come closer to the root cause. Usually 99% of patient recover with physical therapy, this is my personal experience in clinical setting. I recommend undergoing MRI of lumbar spine and also the Doppler of lower limbs to come close to the root cause. RegardsJay In Chat Doctor. |
Sir, My mother is suffering from PD, backbone from 2011. We have consulted with many doctor s of neurologist & neurosurgeon. Doctor advice to take syndropa, pacitane & many other medicine....but she is not getting recover. Her conditions going day by day down. Now she feel whole body with pain. Its a high level of pain. Please sir suggest me what to do.... | The complaint of pain is uncommon in PD. we need to evaluate in terms of kind, site involved, severity, and duration of it. The pain could be due to a cerebral condition, or involvement of nerve, etc. Brain imaging investigation could be required. It is suggested that you discuss this attests with your treating consultant. PD has poor prognosis therefore It's rare to obtain satisfactory improvement in it. Regards |
My husband and i have an unprotected sex.. i was expecting my menstruation last june 15 ..but doesnt come.. i have been feeling a bit nauseated.. and now i am experiencing spotting and some cramps.. i have taken pregnancy test three days ago, and the result was negative.. my menstruation was irregular.. i am really confused.. should i take another urine base pregnancy tesy to be sure? | Hello dairy understand your concerning pregnancy test will give true positive result 7 days after the delay in the period. It has 98% sensitivity. So if you did not perform test after 7 days of delayed period, then go for repeat test. Better to go for blood Chat Doctor test as it is more accurate test and give positive result even 10 days after the sexual intercourse. Spotting, nausea could be due to hormonal imbalance, premenstrual symptoms, implantation bleeding/pregnancy. So you can repeat the test if you had did test 7 days before the expected period date. But I would suggest going for blood Chat Doctor test as your period is irregular.Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help you Best regards |
Good afternoon, I have a question , I fell in my coxcis and then flat in my back. I have sacroiilitis and now for the past three month I have a pain and stiffnes in the back of my neck and heavyness in back of the head and pain in the middle of my spine when I bend over. What should I do since I dont have medical insurance. Thanks for responding I dont know what to do please help | Hallo dear friend i he studied your case use ring cushion for sitting, it will release pressure on coccyx with some medication [like enterotoxin 60 mg]local injection therapy will also work calcium supplement with it D take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back take silt bath [sitting inleukwarm water]physiotherapy - USG for further query contact on Chat Doctor. Com |
My daughter had been bitten by a Stray Dog yesterday in the Calf region, it looked like a laceration, and my Family Physician MD had recommended RABIVAT Injection which was administered immediately within one hour of he bite and the wound was thoroughly cleaned.Pl. recommend if any other injections are required besides this 0,3,7.... sequence. | Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your daughter was bitten by a stray dog in the Calf region which resulted in laceration of the calf muscle and this has led to bleeding from the site of bite. According to WHO categorization it is a Cat III bite which requires1. Wash the wound thoroughly with soap and water2. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin which is administered in and around the wound.4. Oral Antibiotics like Tab Augmenting, twice daily for 5 days.5. In TT, 0.5 ml, These aforementioned treatment helps to protect your daughter from getting the disease. Thank you. |
I have had unprotected sex with my partner, my last period started on the 20th December so due for next one till 17th jan, pregnancy test came back negative but then its probably too early to tell, is it possible I may be pregnant, I am 38 years old but always been fairly fertile | Hi, If you did unprotected sex during fertile phase of period then there is high possibility of pregnancy. But it should be confirmed by diagnosis test. Most common and confirmatory sign of pregnancy is absence of period. If period will be delayed by more than 7 days then go for urine pregnancy test and or blood Chat Doctor test to confirm pregnancy. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards, |
I had my ear pierced for nearly a year now and i took my ear ring out and put a real silver one in but over time i checked and the hole has dirt in it and it looks bigger and it has a lump when i feel the hole and it really scares me my old piercing of 14 years is now getting dirt in it as well, im 15, please help | Welcome to Chat Doctor .1. Its infection caused to the pierced area.2. That infection is causing pus collection which seems like a lump with pain.3. Do not wear any rings for some time - leave it free. Clean the area with antiseptic liquid and local anti-inflammatory cream will be helpful.4. A course of antibiotic treatment also helps in better healing.5. Get an appointment and examined and get treatment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. |
Hi my my name is francis 28 years old.. I have taken blodtest in a Alpha medical clinic november 19 2013 i have conducted hepa a, b,c screenting test and the results were negative. My sgpt was 89. After a week i go to a company hospital to check again my sgpt level in it becomes 157, the doctor told me to do exercise and eat a lot of fiber and also take sylimarine after 10 days i went back to the company hospital to conduct hep a and b screening and also to check my sgpt level the result for my sgpt is 101. Then hepa b negative for hepa a 1gg positive igm negative the doctor told me that i am infected by hep a but im on recovery stage. After 5 days i went to beta medical clinic to check my sgpt and the result is 130. I was worried i came back to the company hospital and conducted ultrasound for my abdomen the result were suspected fatty liver.. i stop drinking alchohol for seven weeks since november 19 2013. I took sylimarine 3 times a day and avoid eating meat. I also eat oatmeal tuna with veg oil try green leafy vegetable but continue smoking and eat spicy foods. On january 7 2014 i came back to alpha medical clinic to test again my sgpt the result is 114. Please give me advice or activity that i must do in order to lower my sgpt and how long it will took to lower it.. thank so much.. | HelloYour findings suggests raised SGPT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. Increased SGPT may be due to fatty liver in your case. You may need few more investigations like routine hologram, random blood sugar, lipid profile. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. It is good that you have stopped alcohol intake. You should go for brisk walk and do exercise. Fatty liver is a reversible condition. It will reverse with diet and lifestyle changes. Get well soon. Take Care Chat Doctor. |
Hi, may I answer your health queries right now ? Please type your query here...I had a difficult tooth extraction on Monday, the dentist put me on amoxicillen and I was sick and nauseous and dizzy the day after; could not get out of bed. He changed my prescription to amox-clan; but it still has not helped; I have headache and overall sick feeling. | Hello, Please contact your dentist to update your symptoms. Make sure you have ruled out any allergic reaction or intolerance to Amoxicillin. You may need to change the antibiotic again. You need to control the spread of infection into your blood stream that can give you systemic affects. Follow all instructions provided by your dentist. Try to take a combination of two Advil and two extra strength Tylenol at regular intervals (as long as you are not allergic and can take these anti-inflammatory pain relief medications). Were you given any prescription medication to control pain and inflammation? Your initial healing will be uncomfortable with a more difficult extraction and medication to control the inflammation will offer some relief. Prescription medication for relief may be required. Possible use of a steroid for control of intense inflammation may be recommended by your dentist. Thank you for your inquiry. I hope you have some improvement soon and recover quickly. I hope my recommendations are helpful. |
Have a menegioma and Dilantin level lowered to 200 mg pm 100 mg am. Down 800 mg per week. Level is 6.7. Am lightheaded (not dizzy) balance off once in awhile. Is this level to low. Dr. wants to lower lever 100 mgmonthly. Had a grandmal sizure 5 yrs ago. Previous dr. kept my levels between 10 and 20. Lately levelshave been inconsistent 6.7 to 24. Previous dr. would change amt taken to keep it balanced. New dr.says 6.7 is fine and I should consider surgery. She want me to go off Dilantin totally. Im 74 yrs old withfairly good health. By the way... want a excellent neurologist in Menifee/Murrietta/Temecula calif. area | Hi, Thank you for posting your query. There are two issues here-1. Whether we should do surgery for meningioma?2. The appropriate dose of dilation. Meningioma can only be treated by surgery. There are no medicines to make it disappear. So, if the tumor is large or is in a critical part of brain, or it is growing in size, we should do the surgery for meningioma. The correct dose of dilation (phenytoin) is 5 mg per kg body weight. So, if your weight is about 60 kg, then, you should be on 300 mg per day-either 100 mg three times daily, or 200 mg pm and 100 mg am. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
Hi, my son had swelling and rashes two days ago, the pedi prscibed stereoids and benidryl to help bring swelling down, and referred us to allergy clinic. I was wondering why his swelling was mainly on the left side, if it s only an allergy, why wasn t it same throroughout? For example, both eyes were solle, but you could barely tell it on the right eye, and the left eye was nearly shut... Same with hands, feet, rashes appeared more severely on left as well | Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
My wife is 29 yrs old. She got a fit attack last night. We did CT scan and there findings were Findings are suggestive of inflammatory granuloma , neurocystercosis with calcified dot . Regarding past history | Hi, Thank you for posting your query. Neurocysticercosis (tape worm infection of the brain) is one of the commonest causes of fits in India. Treatment prescribed by your doctor is correct. These medicines would not have any adverse impact on the baby. She should take these medications for a long time, under the supervision of a neurologist. In addition, adequate sleep (7-8 hours per night) and timely food intake are important. Best wishes, Chat Doctor. |
Hi, I ve been wondering about this for over half a year now and I have not told anybody except for a best friend who is also my lover.. I ve been searching over the internet for anything that i could be experiencing. I live at home with my Farther who leaves at 6 am and returns home anywhere from 3pm to any later then the next day. When he is home we don t speak. I find it difficult to make conversation with anyone in general. I get shaky and feel like burtsing into tears when anyone even greets me with a Hello . I feel very loanly and I ve started seing things from the corner of my eyes. I ve had experiences with alot of night mares and sometimes I wake up moody, as if I could go on a rampage and break everything, but then I ll sit down and have a think about and feel like burtsing into tears again because nothing seems real- Once I locked myself in the bathroom for about 2-3 days because I thought there was someone waiting behind the door ready to stabb me. I have abit of a fear of Windows, during the night and of closed doors. I hide all this frm everyone around me. People call me the girl that never crys . I feel so depressed and the only thing the internet tell me is that I may have an anxiety disorder .. That makes me feel so stupid and really freaks me out. I just would like to talk to someone who can help me work this out for abit, I don t exactly know if i would have an anxiety disorder, but everything seems to link to it. Can someone please tell me if I have an anxiety disorder or not, or if it s just something every teenager goes through. Thankyou, Jael. | Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms could be anxiety-related or even indicative of a psychotic disorder. You need a detailed psychological assessment to ascertain what psychiatric problems you are suffering from. I would advise you consult a psychiatrist for a detailed evaluation and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which can help you overcome your problems. Wish you all the best. - |
Hi I have had painful headaches lately and I think it s caused from my ears always feels like its full of liquid in there I have allergies so I take the nasal spray for that and I m waiting to go see the ear n throat specialist but that s takin a while how can I keep clear from gettin the headaches | Hello, Welcome to Chat Doctor, The allergic manifestations can result in wide range of symptoms from generalized hives to Anastasia. You have to confirm first that whether you are having allergic reaction by testing for absolute eosinophil count (AEC) and then you need to identify the allergen causing these symptoms. The allergen should be identified by skin prick test. After identifying the allergen then we can decide the further mode of treatment. Immunotherapy can be considered is there is a known allergen. Thank you. |
I stubbed my big toe last night and my nail came up but is not completely detached. I washed it with hot water and let it soak for a few min. It was immediately bleeding and pussing. The bleeding has stopped but it is continuing to pus a clear liquid. What would you recommend for treatment and do I use a bandage or does it need to breath? | Hi. Thanks for the query. Due to traumatic injury there is partial separation of the nail plate from the nail bed and due to soft tissue injury there is bleeding. Clear fluid discharge can be inflammatory fluid due to injury. So my suggestion is to clean the toe with antiseptic solution and apply antiseptic ointment over it. Cover it with a bandage to avoid further injury and also protect the toe from fungal infection that is common after toe injury. Change the Chat Doctor. . You should let the nail grow and gradually cut off the separated toenail. Hope this helps. Regards. |
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