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Hi, Im a non-smoker, had a cold which hasnt quite gone yet, but have a cough which is quite thorough, not really producing much mucus, but feels like Im constantly breathing through smoke. Hypothyroxic, max dose of levothyroxine 125mg, 45yrs female | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your description, I think you are having exposure to passive smoke. Your symptoms are more suggestive of bronchitis. And passive smoke can cause bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamines. So better to first diagnose yourself and then start appropriate treatment. |
Dear Dr. i m 24 year old i have lower backpain from last 3 months i had taken X-rays for the same as per suggetion of orthopedician but E-rays shown everything is normal but still i,m suffering from backpain. onecs i had collected my urine in bottle after wake up at morning i seen white layer on bottam of bottel. so why is it happened kindly suggest me. | Hello Ramesh;welcome to Chat Doctor The normal X-ray means there is no injury to the bone or any changes of degeneration in bone, but that does not help to locate the problem. Back pain can be due to tiredness after work;calcium deficiency and even a disc prolapse which can be seen on an MRI scan and not on X-ray. In any case please start on a multivitamin and calcium tablets and see you will feel better for support you can occasionally take a painkiller also. Thanks |
Hello. About two weeks ago I had treated an enclosed camp cabin for bed bugs with a heat treatment that involves heating the room with propane heaters to around 150 degrees. I had to routinely( every 10 minutes) for over the next hour, check the room s heat and monitor the equipment. I was entering from outside at a temperature of 30 degrees, to interior cabin temperature of 150 degrees. The following day myself and my co worker that worked with the treatment had congestion and cough. It soon developed to what I believe is to be a severe sinus infection. Is this possibly the reason for the illness both of us obtained? My co worker later told me that it happens each time he treats cabins this way. After research online about temperature fluctuations, most sources say it is unrelated to illness. Yet this was a temperature fluctuation over 100 degrees. Thank you for your help, for if it is found that this is related we will be changing our procedures. | Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered from-Chest Congestion and Cough, due to the temperature fluctuations, which flared up the existing viral/bacterial infections already existent in your respiratory and sinus passages.Hence, its suggested that it is advised to change the procedure used by you to treat the cabins for the bedbugs. Work up on above lines suggested, would help in resolving the issues, in your specific case. Many other causes accompanying, need to be ruled out in planning further care in your case. Second opinion with attending Chest physician would resolve your health.issues in time to come. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http |
a huge lump appeared on my arm just under my wrist very sore painfull didnt hit my arm or hurt my arm in anyway it come up at 8pm i went to sleep lump still there woke up at 5am lump tottally gone but left with a huge black bruise which is getting darker every day instead of getting better | Hi, dairy have gone through your question. I can understand your concern. You may have some insect bite or edema due to inflammation. It will come back to normal within few days. No need to worry. If it remains persistent then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
My 82 yr old mother has severe aortic stenosis, she has had two previous open heart surgeries mitral valve repair and then mitral valve replaced. Her drs do no feel she can endure another surgery and have suggested balloon valuoplasty of her aortic. Ihave real concerns with the risk of stroke as well as possible other complications resulting in having to do open-heart or possible death. Any advice would be appreciated | Hello, 3rd open-heart surgery at 82 years would surely be a risky proposition particularly if she is flail. There is definitive risk of stroke however that is not a major and only concern. It's her probability of sustaining and surgery and weaning off from the Ventilator and Bypass machine. Balloon aortic valvulaoplasy would be decent palliative procedure which can curtail her symptoms to a great extent. I would hereby suggest an alternative of Transcatheter aortic valve replacement (TAR) if the facility for same is available. Do discuss the same with your doctor. Regards |
I am having pain in right lower abdomen since many days on and off. Can it be appendicitis. What should I do? | Hall pain in right lower abdomen may not be appendicitis. Majority of time acute appendicitis(sudden onset, recent onset type) is associated with other complaints like loss of appetite(Inability to feel hunger), nausea(Vomiting sensation), Fever etc. are present. Need not be in all cases.Also, you have not mentioned your age and sex. If you still have pain, then don't hesitate to contact a General Surgeon. Diagnosis of Appendicitis is By History and Clinical Examination. So don't waste time, consult a surgeon soon.... if it's not Appendicitis it will remove your anxiety take good Care |
Hellow doctor,Past 1.5 years i am taking medicine for type 2 diabetics. last one months back i have consumed alcogal etc more and finally the SGPT is 103,and SGOT 51 level .But this one month the glucose range is maintained with in the level and all cholestrol range also with in the limits.I have maintained very good diet. i have to go medical fitness with in 15 days to get resident visa in kuwait. So kindly suggest me ,how i will reduce the SGPT and SGOT levels fast? | Hi!welcome to Chat Doctor!It's good that your blood sugar and cholesterol are well within normal range, and you maintain a healthy diet.SGPT value of 103 certainly needs evaluation. Alcohol is one of the most important toxic agent for liver, but it typically causes a rise in GOT which is more than SGPT, usually GOT is twice the SGPT and you have mentioned that your GOT is 51 which suggests some other cause of high SGPT. Other important causes for elevated SGPT include viral hepatitis, fatty liver, certain hematologic Chat Doctor. Has your ultrasound shown fatty liver? You can consult a Gastroenterologist who can help in determining the exact cause for your high SGPT. Meanwhile, you should certainly stop alcohol. I sincerely hope this will help you! |
My wife went to the doctors seeking relief for the pain she s experiencing in the lower mid section of her back after ruling out all the could be she was informed that the X-Ray showed she was missing a bone in that area . My question is What bone could it be? | Hi, thank you for providing the brief history of your wife. As the x-ray report suggest the missing of the bone this could be either the lower thoracic or in the lumbar region. She needs a thorough clinical examination and an MRI to understand the possible factors. Also, the blood routine to check for the vitamin D and calcium levels in body. As this could be associated with some other condition like scoliosis or anything else. Post thorough clinical examination and MRI the pathology and pathomechanics can be understood. If the bone is missing this can not be replaced as it's a spinal region and only a muscle Strengthening can be performed which can help restabilize the spinal column. Regards Jay In Chat Doctor. |
Hi there I have been suffering with pelvic pain for 4 months, I had to pay for a private operation as doctors believed it was endometriosis which I have had before, laporoscopy performed but nothing found. Still in pain in groin , had to push for a ct scan, scan was done mid cycle. It showed a 5cm cyst on left ovary the side where I get the most pain, bulky uterus, fibroids , gallstones, something on the liver that they believe is insignificant and a small 2cm cyst on right side. Ovarian cancer in the family, what should be the next step as my gp is slightly confused!?!! | I would have liked to know your age and the age at which your relatives developed ovarian cancer. Anyway, what you should do is get a blood test done called CA-125. If it is elevated then the chances of you having ovarian cancer are high (the higher the level, the more the risk). In that case you will have to undergo surgery for ovarian cancer by a cancer surgeon. If it is normal, then the chances of you having ovarian cancer are much less (though not zero)., in which case you should repeat the CT scan after 2-3 months. If the cysts persist or increase in size, then also you should undergo surgery. If they decrease or disappear, forget them. Meanwhile, take adequate painkillers for the pain. |
I have told that my white blood cell count is 0.8 and that i need iron tablets for a low blood count, however i have been taking iron tablets since last July and although it has improved it appears i am still low, what could be wrong?I feel fine within myself | Hello, Good to contact us. If I am your treating doctor I would like to tell you that if you are low of iron you should give us the ferritin level or hemoglobin level, so we can evaluate your low hemoglobin content and advice you further. I would like to know from you a hemoglobin level of yours? I also want to add to you that iron treatment should be taken for long duration. It will take a month to increase your 0.1 gram of hemoglobin. So in my advice you should continue your treatment and monthly or two monthly test your hemoglobin level. If you have anything else to ask kindly contact me. THX Chat Doctor |
Hi there. My 22 month old son has a lump on the left side of his head at the base of the skull. The lump is slightly movable and can only be appreciated when his head is in certain positions. Can t tell if it hurts or not as he can t tell me | These are lymph nodes which you are able to palpate. Lymph nodes are present in whole body. Lymhoidb tissue expansion is present in child Chat Doctor. There is a specific cutoff for size of these swellings as per there location in body. If it is more than 1\u00a0cm size in neck area then it may be secondary to some problem. If it is large or rapidly increasing in size or becomes fixed to overlying skin or overlying skin becomes red, then consult pediatrician |
i am trying to conceive for about one year. I have done my laprascopy done which shows that my tubes are opne. Gemerally the E2 and LH levels are high and thus problems in producing the follicle. I think i might have polycystic ovaries also. Now my doctor is giving me Puergon 150 for follicle.pl advise | Hi there,For treatment of infertility, a detailed analysis of the cause is essential before treatment. If you say you have polycystic ovaries then you will need specific treatment for it. Oregon 150 is a hormone which does cause ovulation induction and help in egg formation in women with PCs, but you also need to take other medications and lifestyle changes such as weight loss, exercise, metformin. I would also like to know your age and if your partners' semen analysis is done or not. These are important as infertility has to be ad Chat Doctor. If you have been trying for a year and all factors are normal then it would mean that you have unexplained infertility. And for unexplained infertility IVF (test tube baby) is the treatment of choice after 2 years of trying to conceive, but do rule out other causes. Get a detailed ultrasound to check for polycystic and also partners semen analysis and discuss these before any treatment. Hope this helps. Regards. |
my 19 year old niece who is a very capable and gorgeous girl appears to be suffering from depression? she is not diagnosed but is feeling sad easy to tears, anxious at times and difficulty sleeping. she has just finished her final school year and did really well but this year appears at a loss just wondering what would be our first step with her? | Hi, The symptoms that you have mentioned are suggestive of depressive disorder. Adolescence is a very vulnerable age. There are effective treatment options available for depression, right from medicines to psychotherapy. Current lot of antidepressants are very safe. I would advise you to take your niece to a local psychiatrist as soon as possible as it is imperative to start treatment at the earliest for good response and to minimize any long term negative outcome. Wishing you niece a speedy recovery. |
i made a blood test for helicobacter pylori iga the result was 2.9 index while the normal is 1.1 and for helicobacter pylori igg the result was 297 iu/ml while the normal is 15, i hear its not serious and there is effective treatment but iam worried specially of the igg cause it is much bigger than the normal so do i need to worry or it doesnot matter how bigger it is than normal , it could be treated easily as well. | Thanks for posting you query to Chat Doctor.first you have to tell me for what complaint you have undergone such test. As H. pylori causes gastritis, so if you are suffering from such problem then you need to take treatment otherwise you should have undergone arthroscopic examination and do gastric biopsy for H.pylori to confirm it. If you find the test positive you can take treatment.review me with your biopsy report and present complaint then I will suggest you curative treatment. No need to worry as presence of only Egg do not indicate acute infection. Hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. |
My husband and I have been trying to get pregnant for the first time. Everytime we have sex I lay there for a while so that it gives the sperm more time to flow to where it needs to go. When I get up sperm runs out of my vagina and when I pee it comes out even more, if this keeps up how am I ever going to get pregnant? Or what can I do to keep the sperm in me? | Hallow Dear, You need not be as concerned about out flowing of semen after intercourse. Some amount of semen always flows out. The total semen ejaculated in the vagina is about 5 ml of which hardly 1 ml flows out. Moreover, the first bout of ejaculation comes out with a forceful spurt which directly enters the uterine cavity through the cervix. You may monitor your ovulation to locate the day of ovulation. This can be done by ultrasonography or by a home ovulation monitoring kit. Once you locate the day of ovulation, try to have your marital relations on and around the day of the ovulation keeping in mind that the egg has life of 24 hours and sperms are active for 72 hours. I hope this helps you. |
When sleeping I awake to go to the bathroom which is right in our Master bedroom and last 2 nights I am confused and cannot find my way to the bathroom. This has only happened for the last 2 nights and I dont know why. We have lived in this house for 1 year. | HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I would like to say you that if you are suddenly awaking from the sleep then such confusion state is likely to happens, so before you go to bathroom first have sitting position for a while gain the full alertness, then go to the bathroom this could solve the confusion state, hope this information helps you, have a nice day. |
My wife is suffering from excrutiating tooth pain due to lack of dental visits. They are basically rotting away. She says that when she goes to dentist they wont touch her because her blood sugar is high. At what point will the dentist decide it more important to extract the teeth and risk high blood sugar? | Thanks for your query, I have gone through your query. The pain in the tooth could be because of the tooth infection or gum infection. Consult an oral physician and get a radiograph done to rule out the infection. If the tooth is decayed with sufficient tooth structure and bone support, then it can be saved with RCT, Otherwise extraction can be done. Regarding your blood sugar level consult a dietician and get the blood sugar level checked and increase the dose and control your diet. Get a glycocylated hemoglobin level done, if it is normal then get the tooth treated. For the infection you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. I hope my answer will help you, take care. |
i have a hard lump on my first rib right where it attaches to my sternum. It isn;t painful, but sometimes it hurts, sort of a aching feeling. It keeps getting bigger. I had it checked out and and a doctor said it was my skuliosis causing my rib to be higher than the other. But im 21 and i never had that lump there before . | Thanks for your question on Chat Doctor. I can understand your concern. I don't think it is Scoliosis. Scoliosis is related to spine, not sternum. Scoliosis is sideways protrusion of spine. So I don't think your lump near sternum is due to Scoliosis. In my opinion, you are mostly having Costco Chat Doctor. It is inflammation of costal cartilage, and it can cause swelling. So follow these steps for better symptomatic relief in Costco |
Dr i have fundal erosion diagnosed today. Stools were dark after rihaxmine color has improved but i do get unformed stools. i have lost about 2 kg wt in a month. I am 68yrs, diabetic since last 20 yrs, under control. I have been taking metformin for last 20 yrs, I am a bit fed up with this. present wt is 71 kgs. | Hello, Thanks for the query. I have gone through the details and understand your feelings. Unfortunately diabetes is such difficult and lifelong problem, that one has to live with it. To remain fit and healthy strict blood glucose control is a must. In some people in spite of fairly controlled blood glucose retinal problems do develop. In such a situation it is essential to achieve a stricter blood glucose control. You are only 68 years, so please work towards achieving a stricter glucose control. That will help in having a healthier life. Since no glucose levels & HbA1c% are mentioned, it is difficult to how good is the control. Ideally FBG should be <100 mg, PP 160 to 180 mg & HbA1c%<7. Thanks. |
My mother had stage 1a ovarian cancer just over a year ago and had a full hysterectomy. She gets tested every 3 months. Leading up the this past test her ca-125 have been below 10 which is the benchmark her MD set for her. Her last ca-125 elevated to 14. The woman on the phone told her she wants to see her in 4 weeks for another test. The woman also went onto tell my mother that the lab could have made an error, because this was the 2nd call today she had to make today with similar results ands he said it was pretty rare for that to happen(she may have just said this to make my mom feel better?). She had no chemo done since there was no evidence of cancer cells in surrounding lymph nodes. I know 0-35 is an average number for people. Are they still average for a person who previously had cancer though? Her usual levels are 5-8 and nearly doubled to 14 in 3 months. Honest opinion is sought after! Thanks in advance | Hi, dairy have gone through your question. I can understand your concern. She had stage 1 ovarian cancer and treated by hysterectomy. Now her can 125 is 14. Though it is slightly increased, but it is still in normal range and no treatment is required. Such variation may occur due to many factors like laboratory and instrumental variation and many others. But she should repeat is every monthly for early detection of recurrence. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
I have acid reflux and a heital hernia . I have been taking prednisone 3 x day for the past 3 days. I take them in the morning. Tonight I started having tightening in the chest/throat, I used my inhaler , that didn t help, I took an antihistimine, thinking maybe I was having a reaction. That didn t help. I take 1 Laprazole a day. I took a second one. I ve also taken some antacids. My throat seems to be getting tighter and dry, I m having a little trouble swallowing , so I m chewing gum I m afraid to go to bed and lay down for fear it will get worse. Will this pass? I was given the prednisone & inhaler for a sinus/allergy problem I ve been having. | Hi friendWelcome to Chat Doctor You have not stated your age or gender.... The first thing to do will be to go the ER and have an ECG and cardiac markers done immediately. One has to exclude Coronary Artery Disease (heart attack). Reflux and hiatus hernia / Sinusitis and allergy / Steroids - anyone individually and in combination can explain - but one can not be sure. The best thing is to see the doctor... it is better to be safe than sorry. If it is excluded, one is on a firmer ground and the treatment becomes simpler - nebulizers and adjusting the medicines will help Take tarnishing speedy recovery God bless Good luck |
hi i am 23 yrs old male. i have infective hepatitis 1 month ago my sgpt is till high & i am on diet i dont drink & smoke but i eat red meat & food outside its oily too..but now i am taking food from home only..now what kind of diet i must take & dont take..is it so that now i cant drink beer or have meat for whole life | Hi welcome to the Chat Doctor You have not mentioned which type of hepatitis you had... Here for at least month better to avoid outside foods Avoid excess fried and fatty meals and also avoid non veg foods Eat more and more fruits . Following food that are good for liver consumed more.... -beet roots -carrot -lemon juice -aloe vera-grapefruit juice-avocados etc.... Take care Prognosis also depend on type of hepatitis Consult physician for examination |
Hi, I have just been prescribed doxycycline for my acne for a short period to see if it works, however I have the implant, and after an horrendous time last year I need to know if doxycycline can make the implant ineffective? I do not want to fall pregnant unexpectedly again and my doctor was unsure whether doxycycline would interrupt the contraception . | Hi, thanks for choosing Chat Doctor, according to available studies there are a very few chances of getting pregnant while having implant and taking doxycycline(less than 0.05%) so as you said that you will be trying this medicine for few days you need not worry much you can go ahead and discuss with your doctor and decide if you want to continue for longer periods otherwise go for other treatment options available hope I answered your query feel free to contact me for further queries thank you |
I just had high levels of ALT and ALT (2 bloodwork panels in a row). But I also, prior, had urine tests for what I thought might be a urinary tract infection and botChatDoctore back negative. They gave me Cipro anyway - the burning sensation was reduced, but by no means eliminated.... thoughts? | Hi thanks for asking question. Noted you have elevated liver enzymes. You have taken treatment for burning micturition with antibiotic. Take more water. Avoid excess spicy food for it....cranberry extract useful... If liver enzymes remain elevated cause searched by USG for detecting fatty liver and gall stone like condition. Alcohol can also lead its elevation. Celiac disease, muscular problem, heart problem can lead elevated enzymes. If still needed viral marker study done. I hope your concern solved. Take care... Chat Doctor. |
last 5 days before my father got paralize.he went to neurologist he did head ct scan he observe through scan some problem in stomach like tumer. he send for ultra sound and MRI we did ultra sound some problem in ultra sound report still waiting for MRI report i am away from my father. it is realy relation with paralize with any type of stomach cancer | Hi! Good evening. I am Chat Doctor, a general surgeon answering your query. Stomach tumor per se won't result in a paralysis, but some tumors spread by the blood stream and then cells of the tumor might travel in the blood to any part of the body, brain being one. These transferred cells would then start multiplying in the brain resulting in pressure symptoms, and paralysis could result by this pressure. This is also known as pressure on the brain due to a SOL(space occupying lesion) due to the growth of the cells. I hope I answered your question. 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. |
my question is I took a chest x ray before a month, the result shows some kind of white things on the bottom of my right lung, the doctor send me to test TB. I dont have any kind of symptom TB like cough, night sweat and any other smymptom. Still I am waiting the result it will take 9 weeks to know the result. would you please advise or tell me the possiblity of being TB positive without any symptom of TB? | Hello ! I can understand your concern. If you are completely asymptomatic and doing healthy then it is quite unlikely that you will have TB. Not all white things on an x-ray are Tb. Sometimes even twisted positioning of a normal person while taking x-ray will cause white shadows in the x-ray, which can be misinterpreted as abnormal if we fail to realize that it's rather the rotation of the patient and nothing abnormal. Likewise, if you have not taken a proper deep inspiration while taking x-ray too, there can be white shadows in the lower portion of lung. These are just examples to tell you how even a normal person can, due to technical errors while taking x-ray, land up with abnormal shadow on x-ray. So first thing I would suggest is you review with your physician/ radiologist and discuss again. If in doubt and clinically indicated, you can get a CT chest done to see what the white thing is all about. Hope this helps. Do Chat Doctor. |
Hi Doc. Im 27 year Male. Moderate drinker. Yesterday i went to ultrasound. My result have shows that liver size - 17.5cm, increased parenchymal echogenecity. Impression - hepatomegaly with fatty changes. More over High cholestrol & triglycerides level. If i will stop the drinking, is it possible reverse my liver to normal form. | Hi thanks for contacting Chat Doctor... Here you have fatty liver... The cause is high cholesterol and alcohol. With proper lifestyle measures yes it will revert to normal.... Here are few advise.... It is better to avoid alcohol .... Refined food less. Trans fat food like pizza, butter, non veg, meat, baked pastries avoided. Regular exercise done for 1 hour.... Use less oil in cooking..... Sunflower and canola like good oil taken... Daily early in morning one garlic cloves peeled and taken on empty stomach.... Green leafy salad and fruits more... Take care. Chat Doctor. |
Just noticed in the morning today there is small little movable lump in my 7 yrs old son. It is not much painfull as per him. It is at cheeks of Lower jaw bone. I have checked his mouth properly and nothing found. When he open his mouth it become smaller.Please advise what it is I am very much worried | Thanks for your query, I have gone through your query. The movable lump near the lower jaw bone can be an enlarged lymph node secondary to tooth or gum infection. Nothing to be panic, consult a pediatric dental surgeon and get it evaluated. If there are any infected teeth or gums, then it has to be treated accordingly. Meanwhile you can take a course of antibiotics like amoxicillin. I hope my answer will help you, take care. |
Hi, had a throat problem for couple of days now - sore, painful to swallow. First time had situation like now where just woke up struggling to breath perhaps because the throat is swelling more and more. If this continues I will soon be unable to breath - what is wrong & what can I do | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of see upper respiratory tract infection (URI - pharyngitis) is more likely. In my this, throat is Inflamed and congested which gives you symptoms of sore throat, difficulty in swallowing and breathing. So follow these steps for better symptomatic relief. 1. Do warm water gargles 5-6 times a day. 2. Start levocetrizine and paracetamol combination twice daily.3. Avoid oily and spicy food. Avoid hard to chew food.4. Also take broad spectrum antibiotic like levofloxacin or azithromycin once a day after breakfast.5. Chat Doctor. |
Yes I have been experiencing a chafing situation in my groinarea for a while and I uave tried everything from lotramin to baby powder and nothing has worked and every once in a while I get these blood blisters in between my goinand thigh and when I pop them I am seeing a milkly colored pus/blood didischarge and then once everything is gone there is a crayer where the blister was.... should I be worried??? | HI, thanks for using Chat Doctor The groin, the maxilla and under the breasts in females are at risk of fungal infection because of the moisture, heat and friction in these areas. You would need to reduce both of these to reduce the risk of recurrence. Treatment would involve |
hi doctor my 13 months old kid is having loose motins for 2 days. It started off with vomitting and then it was converted to loose motions, he is passing liquid stool every hour or so. Can we give him formula milk to drink. We gave him Kaplin for loose motions. | Hi... Thank you for consulting in Chat Doctor .YOU CAN GIVE FORMULA MILK. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use 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. |
my 4 year old had strep on the 7th of Feb. her wbc was 13.4 retest on the 14th her wbc was 13.7 she still had nasty cough then and lots of drainage. went back for retest on feb 25th wbc was 16. she had finger stick and fought and they squeezed alot she still has little red trout and a little cough now have to take her for vein draw dr said she wasnt concern but i am | Her WBC count is increasing over 2-3 weeks suggesting that her infection is not resolving. You said she is also having lots of Chat Doctor. These complaints suggest that she might be suffering from sinusitis or pharyngitis, or tonsillitis etc. You should consult an ENT specialist who do detailed examination of hypopharynx and throat. ENT specialist may advise medications like antibiotics, decongestants etc. |
I am having pain in my right forearm. It is concentrated in the muscle on top of my forearm and I have very little grip strength and gripping anything is painful. I first noticed the pain while lifting weights and it was made worse by chopping firewood. | Hello, We have to rule out have to rule out conditions like carpal tunnel syn Chat Doctor. As a first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief. If symptoms persist better to consult an orthopedic and get evaluated. In that case, it is better to consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. |
Am 35year old, i have been trying to get pregnant for the past one year but to no avail. although my husband stays abroad and comes home three times a year. pls can you help me to caculate when i will be on my ovulation this month. my last period started on 10th of this month and my husband is coming by month end. please am waiting for ur reply. stephanie | Hi, thanks for writing. It is important to know how frequently you get periods. In a 28-day cycle periods occurs in and around 14th day. 10th to 16th day is the fertile period. In a 32-day cycle(32-14+18) 18th day ovulation occurs, so fertile period is between 15-21st day. Have intercourse during this time. Moreover, follicular study help to determine the exact date of ovulation through scan. This can be done from day 11 of the cycle on the month your husband comes. Hope I have answered your query. Good day. |
My daughter just called and while she was running, she blacked out and fell to her knees, she was disoriented and nauseaed with a headache. Her heart was beating faster than it ever had. When she was in high school she saw a cardiologist but they didnt find anything wrong. She periodically has minor episodes but never one this severe. | Hi, Thank you for posting your query. I have noted your daughters symptoms. She needs a detailed cardiac evaluation to exclude a cardiac arrhythmia 9an abnormality in the heart rhythm). This can be done by doing a holder monitoring of the heart. The episode of transient loss of consciousness is called syncope, due to poor blood flow to brain. Head up tilt test (HUNT) test would also be useful in excluding a neurocardiogenic syncope. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
I got over bronchitis a few weeks ago.The cough had subsided but I m noticing that I am randomly having these coughing spells that last a few minutes that causes me to gag as if I m going to throw up, but with nothing coming up. I m also feeling like I can t breath and gasping for air. These episodes usually last for a few minutes then go away ending with me trying to catch my breath and clear my throat.What could this be? | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having bronchitis and the acute episodes you are having are due to bronchospasm because of bronchitis. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed to diagnose bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So consult pulmonologist and discuss all these and start appropriate treatment. You may need inhaled bronchodilators and antihistamine Chat Doctor. |
Sir, I underwent by pass surgery during March 1996 for a triple vessel disease. By pass done 1. RIMA to RCA, LIMA to LCA.& OM2. Last month I took CT Angio, it shows RIMA to RCA have block, OM2 has 50% block & LIMA to LCA is normal. Cardiologist was consulted and advised to take aspirn & astravatsin. Pl. advised non surgical methods to remove blocks completely. Bakirathan | Hi, I can understand that one of the graft is completely occluded and other is 50% blocked. In such a case we generally advise angioplasty of the blocked graft which is done non surgically. If you have no symptoms, you can be put on optimized medical therapy and observed. You should continue Esprit and Atorvastatin as advised. Hope I have answered your query. Let me know if I can assist you further. |
i have just been in hospital as as my potassium level crashed to 2.2 could this have been due to me giving birth (8 weeks ago) im really worried as it had caused me to have high blood pressure and heart palputations. they dont know why its happening and im scared its going to happen again | Hello, Welcome to Chat Doctor. Normal potassium level is around 3.5-5 MML/liter. If less than 2.5 causes serious problems for muscle, nerve and heart as potassium required for heart, nerve and muscle actions. There are many reasons of low potassium manly due to loss in urine or stool due to vomiting or diarrhea. Sometimes your current medication also decrease potassium level. You have to change the medicines causing it or find out the disease which causing it. Please consult your physician for that. Treatment is very simple. Just start potassium supplements after consultations. Hope these will help you a lot. Thanks for contacting us. Take care.... |
Hi, over the last few days I seem to be having a short coughs but lots of them throughout the day but it is more concentrated after eating, today I have been having a shortness of breath as well. I do have mild asthma and it is just going into autumn here, Ive just started to go to the gym and just started taking some pills for acne prescribed by doctor but I dont know if any of those relate. Ive read some stuff on lung cancer and I hope its not that even though shortness of breath is a symptom. I am 16 and have never smoked.Thanks | Hi, thanks for using Chat Doctor Coughing after eating may be related to gastroesophageal reflux or HERD. This would also be associated with other symptoms such as burning discomfort in the chest, bloating, feeling of regurgitation of food. It is treated with lifestyle modification and medication. The lifestyle modification requires decreasing the use of fried/fatty/acid or spicy food. Weight loss, if this is an issue, use of small meals and waiting at least 2 hrs after eating before laying down. The shortness of breath may be related to your asthma, and it would be best to make sure that this is not the causative factor first. Other causes of shortness of breath would be anemia, infections of the lungs, heart disease. It would be very rare for lung cancer to present at your age. If the shortness of breath does not resolve with the use of your inhalers, worsens or additional symptoms develop, then it would be best for you to visit your doctor for an assessment. I hope this helps |
I am having Hodgkin disease and it was cured after the treatment. Now my age is 40 years. As a part of regular checkup I went for the blood test. ESR is 26 mm per hour. It s means is that disease is in my blood. Please give me the information. | Hi. Good to know about your concerns about your health. Also, I congratulate you on a wonderful journey of getting rid of Hodgkin Lymphoma. So far as your question is concerned, first let me tell you something very basic about the ESR, it is a very non-specific test, and it shows that some inflammatory or infectious process is going on inside the persons body. It, if elevated, by no means can indicate that Hodgkin's disease is back there. So you don't need to have a worry about that as far as you don't have any symptoms for a hematologic problem (fever, fatigue, weight loss, enlarged lymph nodes or enlarged liver or spleen). For a further confirmation, you may need to visit your primary physician to get yourself examined and investigated further if indicated. Wishing you the best of health. Regards. |
Im 29 years old,60 kgs and having pain on the left abdomen,I could even wake up too early because of the pain.I have tea colored like for my first urine in the morning.When I eat or drink I could feel pain too on my left abdomen that its like affecting it.When I cough or sneeze or even breath its painful. | Hi! Good morning. I am Chat Doctor answering your query. Possibly your symptoms are pointing to a calculus in your left ureter which is partially obstructing the urine flow giving rise to the pain on the left lower abdomen. The color of the urine could be due to the friction of the calculi with the inner wall of the ureter giving rise to some amount of bleeding in the system. If I were your doctor, I would advise you for plenty of fluid intake, a urine routine and microscopic examination followed by culture and sensitivity test if need be, and an ultrasound abdomen to confirm the diagnosis. Further management would depend on the results of the clinical examination and investigations. 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. Wishing you an early recovery. Chat Doctor. |
Hi Doctor, This is XXXXXX, 28 yrs old. We are trying get baby from last 18 months and not succeed. I have have gone through Semen test and need your help to understand. Volume | Hi Mr. Rameshthe results you have got all is normal to expect for few things which you might have mixed with urinalysis. You semen analysis revealed normal values. However the pus cells and the RBC's shows your urinary tract infection which can be easily treated with antibiotics. Now for your concern about your fertility is that you a fertile male however if you and your wife still fail to conceive then it's better to also evaluate your wife for infertility and conduct her ovulation studies. Therefore it is better to consult a gynecologist.thanks with regards Chat Doctor. |
Dear Sir/Madam ir/Madam, I m 55yrs old. Height 5 6 , weight 85kg. About six months ago, i had an inflammation and tingling and foot portion in my left leg with hight BP 180/120 (now BP under control with medicine) thereafter tingling in right leg also sometime light pain left of liver . Cause? Sugar Fasting-88 PP-100 HB-16.gm% (e-mail - .. | Hi, its imperative you visit your physician for what you consider the liver might not actually be a liver region. With hypertension, some patients evolving towards some kind of heart failure might have some liver distension and pain, but with a well controlled BP, its worth controlling. In your case, it shall be very unlikely, but you juts need to control. However, a proper clinical examination, an abdominal ultrasound and liver function tests could help detect whether you really got a liver abnormality or not, or detect something else if it really does exist. Depending on the clinical evaluation of the physician, other causes of referred pain, which might not actually be coming from the liver or region described shall be excluded. Propose you meet your internist for a proper evaluation., Thanks and hope this helps, Luchuo, MD |
Hi, I am having numbness on left part of my body. Ten years back during my graduation, I was getting left eye pain, when I had to sit for 2 to 3 hours in front of the system, but my right eye was normal. This was the first symptom I had. Later five years back when I was working for a financial service company, I was getting left ear pain as I had to do lot of Phone calls over the mobile. Apart from this I am having allergies for dust & smoke, which is causing cold, cough & headache. During this time my left nostril will be close most of the time & head ache in the left side. Last two years I am working in Office job, where I have lot of work pressure, to over come this I was doing static cycling. This cycling caused pain in my left side of trunk. I felt that it is due to some other reason & continued cycling for 3 more months, but gradually pain increased. So I stopped cycling, but later I realized that apart from the pain, there is numbness in my left palm, toe, thigh, including testicles. Now it is common if do some physical exercise/ Yoga/ walk. Along with this, I had some financial as well as financial problems. These increase my stress along with work stress. Now this problem of numbness has got associated with stress & giving the same as that of Physical exercises. I once visited NIMHANS for this problem, they suggested with some medicines, but no result. I am suffering severely from this problem almost from 1 year 3 months. Kindly suggest a solution. | Hi.you have numbness of body left side, and you say u, always have problem on the left side (left eye pain, left ear pain). Actually the innervation of eye, ear, face are because of cranial nerves which is controlled by the same side of brain, but the same side body is controlled by opposite side of brain. So you please understand both cannot occur. A rare possibility is thalami syn Chat Doctor. SIMIANS is quest a good center, and you can take up MRI brain and get a neurologist opinion. As a general measure take up yoga and attend counselling to relieve the tension |
I tripped and landed on my chin it was scraped a bit from the carpet and bruised within 8 hours. there is a hard lump on the tip of my chin now and was wondering if the bump is just tissue or possibly a chip it is moveable but not a tone of pain unless i press on it what do u think | Hi Dear, welcome to Chat Doctor. Understanding your concern. Thanks for your query. The lump after injury is a common thing. The most probable reason for the lump is soft tissue injury and formation of hematoma. It is the collection of blood under the soft tissue due to rupture of blood vessels. I would suggest you to give cold compresses to your chin to relieve the selling, elevate you head above your heart while sleeping and take ibuprofen (if not allergic) or paracetamol for pain and swelling. Also get a tetanus injection. If condition doesn't start getting better than consult doctor or surgeon for proper examination and treatment. Doctor may perform physical examination or order X-ray to rule out cause like fracture or infection and treat it accordingly. Doctor may prescribe antibiotics or fix the fracture if it is there. Hope your concern has been resolved. Get Well Soon. Best wishes, |
Have sciatica pain down left buttocks and leg into the calf.Have had surgery on l4 4.5 years ago. pain is back and I am unable to run and exercise like I like to for the past year.Putting on weight and not happy, pain when I try to sleep or walk or run any distance. | Hello dear, thanks for referring to Chat Doctor.I understand your concern regarding the pain. Since you have mentioned that you have back pain extending to your calf, it is most probable that your past condition has aggravated. This can also be due to other conditions like our lifestyle habits like usage of computers, watching a lot of TV, bending while reading.1)if your problem is severe you need to some painkillers after a prescription only. 2)donor take analgesics excessively.3) you need to keep an erect straight posture of your back .4) donor lift heavy weights.4) do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in an arc like position and then lie down slowly. Repeat his at least ten times daily. This will surely relieve back pain. You can watch online videos for such exercises.5) if your problem aggravates you need to get yourself physically examined and investigated through radiological methods like X-ray and MRI.hope this suggestion help you. Contact for further follow up. Thanks With Best Regards Chat Doctor. |
I have done four teech filling. After two days I felt unbearable pain in the footh. Dr. suggested me to take two tablets of Ketoral DT at a time followed by DOXI-1 L DR two times a day daily for five days. I am taking these medicines daily. Pain still persists. The pain killer affect only for 8 hours. What should I do. My E-mail address is YYYY@YYYY . | Welcome to ChatDoctorI would like to tell you that once you have got your teeth restored & still if problem persists then it means that its irreversible pulpits & needs Root canal treatment. Still I advise you to go for an IOP AR of that tooth & get it diagnosed properly. It can also be due to some high point in restored tooth. Medicines can give you temporary relieve. Better consult your dentist & get it treated. Take Disregards Chat Doctor. |
Hi I have been under a lot of stress lately and I keep getting a nauseous feeling in my stomach along with bloating.I havent really been ill, just had a lot on with work (run my own business) and lately when i eat i just feel sick. i kind of feel hungry, but then just ill. I often find that i skip meals just because i dont get time to eat. Is stress causing these tummy issues?My digestion is fine and stools are normal. I am female 28 year old.Thanks | Dear friend. Thanks for sharing your concern. Stress leads to production of some chemicals like catecholamines, more than required in our body. They can very well cause gastric disturbances.Also, excessive production of acids leads to hyperacidity and damages gastric mucosa. Therefore please take food in time and adequate rest. Also remember physical and mental well-being is very important for good health. Hope it helps. Thanks. Take care. |
i just did an albuterol treatment for my asthma and my left hand is tingling is this something i should be worried about? im used to the normal jitters afterwards but this is new. also i havent had my advair for the past 4 days so ive taken my inhaler about 60 times. (i had 136 puffs 4 days ago now only 90) | Hello, Welcome to Chat Doctor, As you are a known case of chronic asthma, for which you are on albuterol and adverse (fluticasone/albuterol) which are used to prevent asthma attacks and to treat COPD. Albuterol is used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Similar to any Chat Doctor. It is known to cause tremor and nervousness, but the tingling sensation is not its side effects. You should be thoroughly examined for the causes of your symptoms, the nerve supplying that area may be having some injury, the it deficiency can also lead to this problem. So I suggest you to consult your doctor who is treating you and inform him regarding the medicines which you are on and the symptoms. Thank you. |
Left kidney measures 12.6 x 5.5 x 5.1 cm - no evidence of hydronephrosis or renal calculus. Within mid pole of the left kidney, there is a 2.5 x 2.1 x 2.2 cm simple parapelvic cysts - impression | Hello have benign findings. There is nothing to be worried about. Parapelvic renal cyst is a relatively common finding on routine urological examination, and it rarely needs treatment. Para pelvic cysts are clear fluid containing simple cysts.However, it may require treatment if it is associated with pyelonephritis, symptomatic renal stones, back discomfort etc. So, you may need follow-up ultrasound scan. Take Care Chat Doctor. |
hello, my pointer fingers are pointed sideways, when I close my hands ..I cannot make a fist anymore DO NOT TYPE EITHER .. SORRY . IS ARTHRITIS? I DO HAVE DEGENERAIVE DISK DISEASE ARTHRITIS I AM 61 YRS FEMAILE/ JUST HAD CEVERICAL SPINE SURGERY LAST OCT FI | Hi, Thanks for your query. It could be arthritis. I would suggest you to get yourself examined by an Orthopaedician for multiple joint pains. You would be asked to undergo few blood tests like He, RBS, TLC, DLC, ESR, RA factor, CRP and Thyroid profile along with routine urine examination. These investigations will help us find out the exact cause. Discuss with your doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
A boy child, aged 8 years, has a 3 cm circular white spot on his chest. Is it possible to stop Vitiligo from spreading beyond this area ? What are the chances of success in arresting the spread of this condition ? | As such treatment of the vitiligo is difficult, and the success rate is very low. Since there is only one patch that to on chest, which is usually covered area. Local steroid creams can be used to restrict the expansion of the lesion. There is home phototherapy using UVB lights that can be tried. If there is a chance, as the skin lesion is small, 3 cm, surgically the white spot can be removed as the spot is on the chest with a minimal scar. My vitiligo spot was 2cms and 3 cm son the knuckles, I got it removed and now even the scar is not visible, I think surgical removal is the right way to treat if the option is possible to prevent the spread! |
I am very confused dont get me wrong I have had 4 brain and 4 spinal cord surgeries and have lost my husband to a glioblastoma multiforme. My oldest got in trouble by a woman who was younger than him at the time on matcChatDoctor he went through the usual misdeamor thing. right when it was done he married her. It gets much worseHer mother has threatened the heck out of him. He hasnt lived with her for a year since they married. Now he is going to live with her and her mother oct 20th which confuses me they told him not to tell me where he is going. He will move out to arizona with him in a year and I will not know where he went than either. I am the one who bailed him out I am the one who paid for a lawyer for him when I could not afford it. They wont help him get the misdeamor off his record when it should not have gone on there because of her lies to begin with. How are they so easily destroying this family? | Hi, Thank you for posting your query. You seem to have personal and psychological issues, that need to be discussed with a psychologist. Regarding your multiple surgeries of brain and spinal cord (eight in all), it is not clear what they were for, and when they were done. Also, do you have any brain or spine-related symptoms? Please get back with these details. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
Can rolling off a pelatius ball during a gym workout cause serious damage especially if the person hit the back of his head against a iron clad wall edge - person got hit at the medulla oblongata area. Did not show any visible signs for over 5 days before succumbing to an attack resembling a brain stroke. The person experienced a sense of paralysis in his left hand and leg during the workout at the gym? He managed to walk 20 minutes away from Gym and went to sit down at local juice bar before passing out. | Hi, The person whose condition is detailed above needs immediate neurological consultation. You have not mentioned if the person had any other features of brain injury like loss of memory, vomiting, loss in balance while walking, visual disturbances. It may need to be investigated thoroughly through CT scan/ MRI scan of the brain. The medulla oblongata is very much within the head and unlikely to be damaged, but other areas of the brain need to assess. Hope this helps. |
I have had two esophagus bleed out and banded twice along with two tips procedures to my liver . The question I have is how often do I need to be re banded? So that I dont bleed again? | Hello! Thank you for the query. It is hard to answer how often you need to be banded. As long as the liver will generate portal hypertension, the risk of bleeding from esophageal varices is high. Luckily you have had TIPS procedure which should prevent from further varices' appearance. So it may happen that you may not need any other banding. Just remember to have regular endoscopies every year or two. Hope this will help. Regards. |
Hi doctorMy husband sometimes behave very abnormally. He use to get angry in every small thingand after some time he will get cool. next moment he again will become hyper.not taking sleep properly and said there is no necessity of sllepI have to do lots of work. i cant afford sleep or take very less sleep | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Well, I am not sure, but the symptoms that you have stated suggest that your husband could be having a manic episode. This is accompanied by increased irritability, reduced need for sleep, doing excess work etc. So these fit into your description. He will require treatment with olanzapine and valproate. This will improve the symptoms in 2-3 weeks. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link |
I have had A Fib several days a week since 2003, and when I get it I feel like I haven t had any thing to eat in hours even after I have had a meal. In 2008 I had Lap Band surgery and lost 80 lbs. It seems this pain began after that surgery. Any thoughts as to why this is happening? | Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Atrial fibrillation can be due to many reason n one of dangerous condition. HAN, HD, electrolytes abnormalities etc. can cause atrial fibrillation. Atrial fibrillation is condition in which heart beat faster than normal n irregular n result Dec CO n this lead to feature of Hui perfusion, SOB, pain ... if I were my patent I would like to ask history how often it occurs n when mostly n do detail exam, listen heart beat n chest to see is there any Pilate Emma indicate heart failure n ten run some test like s/e BCS these can cause, echo to look for heart function n diameter BCS atrial dilation can lead to atrial fibrillation, holder monitoring BCS it can record AIIB which occur some Tom n my miss in simple ECG . After it Ill try it with rate / rhythm controlling medicine depending upon the situation ... I hope this answered your question, if you have more feel free to ask. Regards. |
dear sir my name is vikram my brother suffering from mental illness since six years his symptoms are like this he wont take both, brush etc. he getting angry on others, destroy all the things in house these are the few about him. please give me suggestion.thanking you sir | Hello Viral. Thanks for this query. How old is your brother? From your narration I get the impression that this behavior is ongoing for last 6 yrs or so. Have you also noticed your brother to be smiling, muttering, gesturing while alone? Does he get excessively suspicious of everyone including complete strangers? Does he talk complete illogical or nonsensical things? If answers to these questions are affirmative, then he may be suffering from a Psychotic illness probably Schizophrenia. This illness if detected early can be easily manageable & treatment with Antipsychotic Chat Doctor. So that patient can resume/lead a normal to near normal life. Hence, it is imperative on your part to consult a Psychiatrist as early as possible for a detailed evaluation & promptly starting treatment. Good luck & wishing your brother a speedy recovery. |
first of all thank you for your kind attention. Last 20 dys(November 06) ago my S.Bilirubin(Total) was 1.86 then i consult doctor and taken bed rest with medication , on November 10 i have tested & S.Bilirubin(Total) was 5.72, on November 18 i have tested & S.Bilirubin(Total) was 2.81. How long i need to take rest more? | Hi, Welcome to Chat Doctor, You have tested for on bilirubin or other liver function and viral markers were also tested.Maybe you have viral hepatitis, and it is showing decreasing trend, so it should clear of in 2 weeks time. If there is no other problem and taking normal diet you ma y resume light work. If there is any supportive therapy given continue to take the medicines. Viral hepatitis should be tested for HBS Ag to know it is Viral Hepatitis B or not as it has propensity to go in chronic hepatitis. If it is Hepatitis E it should resolve in few days. As Hepatitis is water born take care of water and diet. Good Luck |
I have COPD, I have been sick for about 2months now. I had a sputum test and it came back Staph. My lab work was Immoguloblun G 654, Red blood count 3.90, Hemacrit 36.8, Eosinophils 8.7. I also have a mass in my chest that showed up on CT scan. Your opinion? | Hello dear, thanks for your question on Chat Doctor. In my opinion you should get done fine needle aspiration cytology from lung mass to rule out malignancy. Because COPD (chronic obstructive pulmonary disease) patients are at increased risk of lung cancer. So first rule out lung cancer. Treatment of COPD is as follows. 1. Smoking cessation. This is the most important step.2. Inhaled bronchodilators and corticosteroid. 3. Pulmonary rehabilitation program. In this chest physiotherapy and deep breathing exercise are done. These will improve your lung function and decrease the symptoms. 4. Adult respiratory vaccines like pneumococcal and influenza to prevent future respiratory tract infection. So better to consult pulmonologist and discuss all these. First rule out malignancy. |
Hi, this is quite embarrassing but i have a swollen bump on my butt. its really hard all around the outter part and then has a blister like center. I had one before on my leg and when i went to the hospital they said it was a spider bite. this was a year ago. what would it be? | Hello! Thank you for the query. It is really hard to give precise answer not being able to see it. Hard lump usually indicates some inflammation. If there is a redness and pain in the lump area, some small abscess can be the reason. If it is only hard, but painless, it may be allergic reaction to some bite indeed. The best way is to consult dermatologist or surgeon with this lump. If it is an abscess, you should have it incised and Chat Doctor. As it is similar to the lump you have had before, swab test of it should be also done. Hope this will help. Regards. |
hello doctor, i have a 10 month baby.his weight is 7.5 kg and height is 69.5 cm.i am very much worried about his weight.i give him formula milk and other normal food which other babies eat.so please suggest me how can i increase his weight and height. thank you. | Welcome to the ChatDoctorI have gone through your question and understand your concerns. Don't worry the weight of your baby is not that bad. Usually weight at this age should be around 3 times the birth weight. The best food at this age is 4-5 bowls of complementary feeds along with breastfeeds or formula feeds. It's advisable to eat from family pot I.e. make your baby sit and eat when whole family eats at least 3 meals a day. Offer all the staple food that you eat routinely. Do not reject any food unless and until you feel that the child is allergic or rejects it constantly. Complementary feeds should include mashed and buried food which includes cereals, pulses, fruits and vegetables. Hopefully this will help you. I would be happy to help you with any further questions. Take care |
sir/ madam, my age is 31. Undergone Cardiac stress test reveling out mild positive for IHD..... triglycerides- 201, HDL-31, HDL/ LDL ratio- 5.31... rest all factors are within limits.... Both parents have HT and Diabetes.... Father is having CAD (triple vessel) at the age of 67..... No other history known..... whether angiography is essential or excercise and diet and overcome this.....Kindly advice. | Hi!, as you are just 31 yrs, your Lipid profile report really looks bad, and you have family history of HD as well. Although you are young, we do nowadays see youngsters having heart problem as well. Since your TMT report mentions Mild Positive, I would suggest you to further evaluate. Coronary angiogram only is not option, there are other testes as well. Yea defiantly you have to get back into a good Lifestyle habits - Diet & exercise is a must, and repeat Lipid profile after 2 months. |
Alright, I am a 5 7 and a half feet tall individual. I am 17 years of age, I weigh 152.6 pounds exact. Have an extremely healthy diet however,recently I have noticed and have even timed it when I am standing for minimum thirty minutes the blood rushes toward my legs turning my shins purple in color and my feet as well. My thighs appear to be fine however. Additionally, when the purplish coloring appears I realize that is from the blood collecting in my legs, it sends a pain to my legs and my veins become prominent on both of my legs. I have a history of diabetes in my family, however, nothing else in the family tree medically relevant. I generally eat very healthy to be even categorized as a diabetic, as well as, I routinely monitor my blood sugar and it goes not match that of a diabetic individual. Anyways, I realize this is a paid website but I was wondering if there was any over the counter medication that I can take to reduce my symptoms as well tomorrow I am going to start exercising again so that ll probably activate my blood flow as well. | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It appears to be varicose veins.2. Individuals who stand for a longtime are very much prone to it. The veins in the legs, due to long-standing fail and hence blood stagnation becomes common. A color Doppler of the veins will confirm the diagnosis.3. It is not related to diabetes. Once, it starts, lifestyle modifications and medical line of therapy can be tried (venous stockings). However, as it increases, surgical treatment (vein stripping) is the best option. Edema, venous ulcers are common complications. Meet a vascular surgeon for treatment purpose. Hope it helps. Any further queries, happy to help again. |
Pls I have a lump on my mons pubis. Came out like three days back and I thought it was the normal after shave effect. Two days later am feeling an excrutiating pain within the region that I find it difficult to walk normally. Pores have started coming out but its so painful that I can t even press it or get my wife to help. Can I take an intramuscular injection lidocaine (anastesia) to numb the pain for me to press the pores out. This pain is killing plss. | Hi. Thanks for your query. First you should get your Blood sugar checked as the lump at the mons' pubis has developed many pores, indicating this has turned into a carbuncle occurs in diabetes. Consult a Doctor, get a clinical check-up done, get the correct antibiotic and anti-inflammatory medicines and an appointment of a Surgeon for proper care. You can not take such injections as Lidocaine on your own for fear of reaction and intramuscular works in the muscles not at Mons. |
im 26 years old and female and ive got nephrotic syndrome..the doctor already give me prednisolone and other medicine but the urine still the same..but the swelling is decrease already..sometimes i feel tired.but i never got fever .is it normal for the nephrotic syndromes patient like me? | HiT hanks for choosing Chat Doctor. I am very happy to answer your question as I see so many of my nephrotic patients complain the same but if your treatment is going correct then you need to have 24hr urinary protein test and see the level of it is decreasing then your dose of prednisolone is correct. If not then you consult your doctor who prescribed you the medication with latest 24 hr urinary protein report. Take care. Thanks Chat Doctor. |
My SGOT is 65, SGPT is 71, GGT is 44 and bilirubin 25. For further info, my weight 42kg, height 149cm, muscle mass 17.9kg and fat mass 8kg. I am very active athlete age 51, never take any medication or oily not even fried foods. Actually what cause make my SGOT, SGPT, GGT and bilirubin so high? Non smoker or non alcohol and sleep early at least 8 hrs a day. | Hello, Yes, you need to concern as the direct bilirubin level has raised along with GOT and SGPT. This may be due to insult to the liver. The cause may be lipid-lowering Chat Doctor. Get checked for HAD, Bag and urine urobilinogen and urine bilirubin once. Abdomen scanning is required. Since the enzymes are slightly raised with good nutrition and avoiding fatty food and removing any insult to the liver will get back the values to normal. No extra medications are required for now. You ECG looks good. So get back with the reports for further discussion. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi I am healthy 56 year old female I have started to get pain in my groin after walking or being on my feet for a while when the pain is really bad I can hardly lift my leg but I also get like the feeling that I ve got diarreah and need the toilet badly but I only get that when the pain in my groin is unbearably bad . By the I ve been to my gp he says it groin strain . | Ok here are the factors specifically tailored to your case1) 56y/o2) groin pain when walking or standing3) only one side (one groin not both)many groin pains for your age group is mistakened for a muscular strain etc. but in fact they are actually one of the most consistent symptoms of often arthritis. Based on the 3 factors above, it's a classic textbook definition of symptoms of hip osteoarthritis best course of action to do is to have the X-rays taken first(pelvis app X-rays, frog leg X-rays) I have specified there the best X-ray views to diagnose your problem. You can write it on a piece of paper and show your doctor next time. Treatment for this problem once confirmed |
I AM TRYING TO CONCIEVE SINCE LAST TWO YEARS THEN 3 MONTHS BACK MY DOCTOR DIAGONISED ME HAVING ENDOMETROSIS AND STARTED INJECTION LUPRIN , I AHVE TAKEN THE INJECTIONS FOR TWO MONTHS BUT WHEN I GOT MY ULTRASOUND DONE THERE WAS EFFECT ON THE SIZE OF THE CYST , POST THE SAME I WENT TO ONE INFERTILITY CENTER AND THEY ADVISED TO GET SOME TEST LIKE AMH AND FSH , IN THE SAME IT WAS DIAGONISED THAT MY AMH LEVEL IS LOW 0.49, MY DOCTOR HAS ADVISED ME TO TAKE EEMA-D & FOLIC ACID FOR THREE MONTHS AND ADTER THE SAME I NEED TO VISIT HER IF INBETWEEN I DONOT GET PREGNANT, KINDLY ADVISE WETHER I AM GOING UNDER CORRECT TREATMENT OR NOT | Hi, Endometriosis is the most commonly seen condition, more so in women trying to conceive. Yes it can be one of the reason for infertility. AMH(ante mullein harmony) indicates your egg quantity and FSH is a harmony for predicting the quality of egg. However, these test are not the definitive test. AMH decreases with increasing age. Any treatment is unlikely to increase your AMH level significantly. Your medications are appropriate and do continue with the treatment with your doctor. My advice is to start treatment by end of 3rd month and not loose much time as endometriosis can recur. Hope I have answered your question. |
Hi my name is Helen I have been suffering from server bloated ness and uncomfortable left side of my neck as well as feel like throwing up because something is stuck in my throat .tightness in my chest I take ozmep 20 mg for stomach ulcer , but this is happening more regularly after eating or just at any time resting or doing things | Hi and welcome to Chat Doctor. It sounds like stomach issue. All this is caused by high acid secretion. Hiatus hernia can cause such difficulties, and you should do gastrostomy to evaluate this. There also can be obstruction or stricture in esophagus. Till you do it you should change your dietary habits. Avoid alcohol, coffee,smoking, fats and fast Food. You should eat more milk and milk products, fruit and vegetables, boiled food and natural teas. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. There are other medicines which can be prescribed, ask your GP about this. Wish you good health. |
Hi Samuel,I am Pradeep, my son is suffering with watery motions from 3 days, so I would like to know what is the medecine to stop Watery motions. could you please explain and tell me the precautions as well. I am waiting for your reply.Regards,Pradeep | Hi, Thank you for asking question on Chat Doctor. Your son is suffering from diarrhea and common in child Chat Doctor. Sporadic one sachet daily orally, plenty of fluids including ORS solution and continue feeding as usual. You may try ofloxacin+ornidazole combination 2 times daily in consultation with your doctor. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care |
I have a white hard dime sized bump on the side of both my big toes, I don t know if its the steel toe boots I m required to where at work or the fact I m standing and walking throughout my work shift. I would like to know what they are and what I can do to get rid of them. Oh and they Don t hurt or anything just feels like dead skin | Hi you have a dime sized bump on the side of your great toes both sides which do not hurt. In my opinion these are called Bunions- Callosities formed on the sides of big toes usually due to deformity at the big toe called Hal lux Valgus. Sometimes they can also occur irrespective of toe deformity. I suggest you get an X-ray both feet View and post it. The treatment is generally operation which is done along with corrective surgery for deformity. |
HelloI have a questionI took a physical for the job I going forThe ekg was bad sinus trycarcaI was drinking 4 cups of coofee about 2 days before the examThe doctor there took my heart rate pulse again it ddidint go downShe stated to go to my doctor qith a note stating that I have a high heart rate. So far I havent had any coffee since then | Your heart rate is usually a sign of something else. It goes up if you are worried, excited or scared. It may also change when you are sick. Rarely, the normal leader of the heart has lost control and the rate signals that. Coffee changes heart rate very little and for a very short time. If the doctor observed something abnormal, it's best to have your doctor follow up to see if looking further is worthwhile. |
Age 25, height 5 ft, weight 98lbs, female (experiencing pain and cramps in lower abdomen simultaneously with cramp-like discomfort up the rectum, whether standing or sitting. Its along the c section area, and also my girdle area as if splitting sagitally. Recently took postinor 2.), could I be ovulating? There is no unusual discharge or burning during micturition. | Hi. The pain which you described is more suggestive of PID-pelvic inflammatory disease. Ovulation does not cause such pain unless there is more bleeding than the usual. Ultrasonography and per-rectal / per-vaginal examination by Gynecologist will help you to get a proper diagnosis of PID / Tubo-oavian problem. The treatment may comprise an antibiotic, metronidazole, bed rest, good follow-up and continue of the treatment till cure. |
what is the difference between Kaposi s Sarcoma that may be caused by HIV and normal falling abrasions? i have a strange abrasion on the front of my right leg, and i didn t notice it before it started to sting when my pants were rubbing against it 3 days ago, now it turned into this strange dark red color, it looks like a normal abrasion, the scab even came off when i went to shower, could this be KS? to my knowledge i am not HIV positive according to my last two ab/ag HIV tests (3 month and 2 years after my last possible encounter) and i had no other encounters since then, but every now and then i think maybe some body screwed something in the labs and i am going to end up being screwed my self! please clarify the difference between abrasions and KS | Hello Kaposi sarcoma can develop in HIV Positive patients and then its called as AIDS (When HIV Positive patients immune system is damaged and person is prone to get other infections also because of decreased immunity). But as you told Your lab reports are negative for HIV So its unlikely that you have Kaposi sarcoma. More over with HIV AND KAPOSI SARCOMA usually patient will have another complaints also like lymph node swelling, cough, bleeding, abdominal pain etc. Kaposi lesions are mostly non-itchy and not painful in early stage compared to abrasion. Your symptoms are more likely to be allergic or some insect bite. Hope this answers your query. Thanks for posting. |
I have a lump outside of my genitals, between my vagina and anus. I noticed it couple months ago and it doesn t hurt, it s just there and rather embarrassing. I thought it would be gone, but it s just there and it s not really hard just rubbery. What can it be? | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Ano-Genital Warts caused from HPV virus of special strain. Treat by dermatologist with Iroquois cream locally or by Co2 laser/ or by Cry Surgery. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist |
I am 35 years old. For past one month i have cough . I am recently developed chest pain. I consulted doctor and get for a chest X-ray, blood test and mantoux test. In my reports- X-ray was clean but low immunity Blood test ok and montaux test positive. However when i consulted doctor she says i have allergic problem and given antibiotics. My cough is almost gone after taking antibiotics. I would also like to mention that i am also under medication for cist in uterius. Pls suggest if i need to consult any other doctor as montaux report was positive. | Thanks for your question on Chat Doctor. I can understand your concern. If you are from India there is no need to worry about a positive manitou as we all are exposed to tuberculosis one way or the other, and it does not mean you have TB. As in India TB is an endemic disease. If your cough is settled and x-ray is normal do not worry.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
I just wanted to know if you thought i was fat, and how ugly i am, idk i just don t think very highly of my self and i want to see what other people think of me and how i can improve my self. Pics | Degree understand your concerns went through your details. I went through all the photos. They are amazing. From those photographs, I don't think you are fat. You must have given your age and height. You seem to be of good height. Furthermore, you can see the height and weight chart which are available online aplenty. Furthermore, you can analyze yourself. +/- 10% is tolerable limit. In any case, you should not worry about your weight, because, the more you worry and stressed, weight gain results. Exercise, take nutritious food, include plenty of fruits and vegetables in daily food. If you require more of my help in this aspect, please use this URL. http |
During the night I woke with cold chills and couldnt get myself warm. I felt like I was freezing and couldnt stop shivering. Along with the chills, I had bad pain in my lower left abdomen. When I finally got back to sleep and woke in the morning, I felt fine. Should I be concerned? | Hi. Thanks for your query and an elucidated history. Yes, this is alarming, and it is imperative to find a reason. The probable causes can be UTI- urinary tract infection, very rare but colitis. I would advise |
i recently found that i had paracardiac pneumonitis and i was coughing blood. i went under treatment with antibiotics and i am a smoker. the coughing up of blood stopped and i felt better i suddenly started coughing blood again with very little mucus. what do i do? | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having hemoptysis (blood in sputum). Common causes for this are lung infection (pneumonia), bronchitis, lung cancer etc. You recently had pneumonia, and you are smoker too, so we should re-evaluate your case to rule out above-mentioned causes. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). 3. CT thorax with Contrast. PFT is must for the diagnosis of bronchitis. CT thorax will diagnose if lung infection or cancer is present. So consult pulmonologist and discuss all these. Quit smoking as soon as possible. It is not a good habit. Hope I have solved your query. Wish you good health. Thanks. |
My husband was rushed last night to the ER for severe stomach pains on his upper abdominal area. the doctors were able to rule out appendicitis. he was given a few antacids and was released when the pain subsided. today, the stomach pains are back and he is getting chills, but with no fever. he does not have diarrhea and no nausea, but he said he feels flu like symptoms without the diarrhea. are these symptoms of either gal stones or peptic ulcer? how do we narrow it down and what to do from here? | Hi. Thanks for your query and an elucidated history. Gall stones and many other diseases are easily ruled out by ultrasonography. Peptic ulcer is ruled out by typical history and upper GI endoscopy. Chills can be due to flu but also by a closed cavity infection like urinary tract, liver, large intestine and so on... This will be easily by clinical examination, relevant investigations and response to antibiotics. Blood and urine culture before start of antibiotic can help in some cases to get a proper diagnosis. |
I have a very hard lump just above my left temple. It is the size and shape of an almond. I noticed it a couple weeks ago. I did not bump my head. Does not hurt to touch. Might cause headaches. 35 yo female. No previous head injuries. Any ideas? Thank you | Hello! Welcome to Chat Doctor. This can be an asteroid Osceola most likely as you said It's very hard in consistency. This is a benign lump.Also, it can be very tense cystic swelling perceived as hard, a Desmond or sebaceous cyst. Clinical examination is necessary for diagnosis, also FNAC - fine needle aspiration cytology is advisable for diagnosis. Treatment is done accordingly. Hope this helps. Wish you healthy life. Thanks. Regards. |
Hi...Doctor. I am 30 yrs old and we are planning for a baby. Doctor prescribed me Productive-M tablets for two months. But in the kit I found two types( White-Clomifene 25 tabs and Brown-Multivitamin 30 tabs) of tablets .Now I am confused in which schedule I should take two types of tablets.If you kindly tell me the dose schedule I will be highly grateful. | Hello dairy understand your concernClomifene citrate should be taken from day 3rd to 8th of your cycle. You can take multi vitamin tablet daily. Clomifene should be taken for only 5-6 days before ovulation on starting days of cycle for maturation of follicle and induction of ovulation. Multivitamin help in maintaining reproductive health and oxidative stress. So you can ask your doctor to share my opinion. Regular monitoring by USG scan/ovarian follicle study is required. Avoid stress, take healthy diet, Chat Doctor. |
My toddler has very fluffy loose yellow stools that are extremely foul smelling. It has been going on for 3 days now...&the won t eat much. A bite of a banana and maybe 5 saltines over the past few days. He has been drinking coconut water, water and milk. No fever & acting his normal rambunctious self....should I take him to the dr? | It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use 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. |
my 25 year old daughter is experiencing shortness of breath numbness in her extremities, clammy hands ,dizziness,and difficulty swallowing, she had what was thought to be a very mild stroke 2-3 years ago, could this be the same or spider bite or what else? | Thanks for your question on Chat Doctor. In my opinion you should consult doctor immediately. As all these symptoms can be due to re stroke. As swallowing difficult, numbness in extremities, breathing difficulties can be seen in stroke. So you may need MRI to confirm it. If MRI is normal than we have to rule out cardiac and pulmonary causes. So get done ECG and 2 D Echo to rule out cardiac causes. Get done chest x-ray and Pulmonary Function Test (PFT) to rule out lung disease. If all these are normal than anemia and thyroid diseases need to rule out. So consult doctor and discuss all these. |
Hi Doctor.My father has kidney problem.Creatinine is at 8.He sleeps whole day.Skin has changed the color & its looking black.We are thinking of starting Diaysis but can we stop Dialysis & come back on medicines?Our nephrologist said if he gets more side effects then we will stop the Dialysis & start medicines. Is that really possible? | Hello, creatinine levels of 8 means there is already 80%+ damage to the kidneys. Sometimes some patient after doing 1 or 2 dialysis can revert to better functioning of the kidneys and they won't require any further dialysis and can be managed only on medicines. But great of 8 does need dialysis to get the accumulated toxic products out of the body, so kidneys could restart their functioning. So I would suggest going with the advice of your nephrologist and undergo dialysis and then follow up regularly. Thank you |
hi my 19 month old boy started with a fever a week ago which subsided after 2 days then i noticed a foul smell coming from his mouth and i thought he may be teething ,i looked into his mouth and his gums all appeared swollen there were no signs of thrush , i started to brush his teeth and he started to bleed on contact with the brush, this has been going on for three days . i started antibiotics today thinking this may be gingivitis bc of the foul smell swollen gums and bleeding with brushing , on two occasions he has cried and his gums started to bleed during the crying episode .. is this gingivitis ? i have been using chlorhexidine spray and the swelling has settled a little along with the antibiotics, but because of the bleeding i just wanted to make sure i wasnt missing anything | Hello there, Thanks for your query. At the age of 19 months swollen gums are sign of eruption of deciduous/milk teeth, pain is because of pressure exerted by erupting teeth on the gums. Therefore, there is no point to get worried. But during this period child Chat Doctor. Fever may be because of viral infection, so do not give any medicine yourself, consult with a child specialist at the earliest and take a proper treatment. Hope this will be helpful. Take care. |
Hi, I was suffering from Obsessive Compulsive Disorder (OCD) since 2006 and I was under medication for 3 years (anti depressent and sleeping dosage). During this period, I have gained weight from 50 Kgs to 75 Kgs. Currently I am 70 Kg. Over the past 2 years, I got severe knee pain as well as in the heel (both legs) Also, I am getting tired sooner and pain persist in my hands as well. Doctor advised me to take RA test and it was well within the limits. I have tried different medication but no use so far. Recently my doctor advised me to take Vitamin D and Vitamin B12 test and the results as below | HiT hank you for asking Chat Doctor. I have gone through your query. For OCD, you should get a proper counselling by psychologist. Medications are added if counselling alone not helping. A proper follow up should be taken also. Low vitamin D can give skin problems like psoriasis. Get sunlight exposure when intensity of sunlight is low, like in the evening time. You can also take D3 supplements with the advice of your doctor. Decreasing of physical activity is not a good thing. It can decrease your strength. Have a regular exercise. Jogging or brisk walking is good. Absence of physical activity can also weaken and cause qua Chat Doctor. Qua |
hi im pregnant for the 3rd time.my previous pregnancy i had complications had pains had to have lacroposcy as thought i were having eptopic but happened to be twins. im now pregnant again to the same father and am having pains again im only 2-3 weeks.can u give me advice on wat it could be. | HI, I understand your concern. You are scared of pains because of your experience. But please understand it need not be the same condition in every pregnancy. Mild cramping is normal in early pregnancy But if its unbearable you should consult your treating gynecologist. Inform about your experience. I am sure with some hormone replacement & pain relieving medicines you would be alright. Again diagnosis of position of pregnancy can be by USG with vaginal probe at 5 weeks pregnancy. So, do not be tense but be careful & take doctors help to alleviate your problem positively. Thanks. |
have had a cold for over 4 months, have been to an er and 2 Drs. I have shortness of breath.I have had a severe cold for 4 months, have been coughing up severely gross gunk that looks like dead lettuce. I have had 2 chest xrays, saw nothing, they gave me amoxicillin, and one that was stringer that begins with an l (sorry) I AM exhausted ? any ideas? | Hello! Looks like you might be having bronchitis with infection . Do you wheeze ? Is this the first time you are having such symptoms, or you have had them anytime earlier too ? Was it exposure to cold or rain that precipitated these symptoms ? Do you smoke ? Kindly consult a physician in person, get yourself examined and get your sputum examined for culture and sensitivity, the test that will tell what organism has caused your Infection and what Chat Doctor. For your breathing difficulty you might need bronchodilator |
Hi I am 34 years old and I had a scan done on my thyroid as it has a lump. they say it is a nodule and want to re-scan in 3/12. I also have a hard lump on my leg about 3 inch above the top of my knee. can this be linked. I am starting to worrie a little now. jmjc | HelloNodule in thyroid gland and hard lump over leg are most likely not related to each other. You are rightly suggested for follow-up ultrasound. It is important to see progression of lesions. You may need FNAC of thyroid nodule. It is very helpful in further management. Hard lump over leg may be due to many reasons like fibrous, neurofibroma, hematoma etc. You may need clinical examination, X-ray and ultrasound. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. |
My husband has increased SGPT 102 and GGT around 180. He is negative with Hepatitis B and he does not drink alcohol. He was giving medicine, Essential forte for his liver for a month but it turns our that his SGPT increased to 150... He has large body frame, muscled man, standing 5 feet 11 inches and weighing 214 lbs. Cholesterol is slightly elevated, 210 mg/dl... | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. I would suggest you to get following investigations to see for the cause of this problem |
hi iv just discoverd a bump at the back of my mouth on my gum next to my my tooth and when i poked it really bad smelling puss came out its the same sort of smell my breth had when i had a throte infecion once im not sure what it is? im 20 and have had teeth out in the past and braces and this week i have been to the dentist she said i had a cavity but that was on a different tooth and iv only found this bump a second ago feels like an ulser but really smells | Dear friend. Thanks for sharing your concern. The bump at the back of your mouth could be due to periodontal pocket, an abscess that contains bacteria and pus in it.Also, due to presence of braces many a time it is difficult to maintain hygiene and results in decay.Therefore, in my view you must seek your dentist help in this regard and get the suitable treatment done. The earlier, the better it is, in case of gum problems and tooth decay. Hope it helps. Thanks. Take care. |
I had a serious accident two years ago which involved traumatic brain injury , many injuries and my treatment required a tracheostomy for over 5 months. After removing tracheostomy tube I started having very strong cough and my throat is constantly itching. I was hoping that this condition will disappear after few months but it continues for over two years. The coughing and itching is very strong and it became stronger during the last few weeks. I would like to find out if this could be the side effect of the tracheostomy and what are available treatments. Also, what test I should perform to learn what causes the coughing and strong etching. I will be very grateful for any suggestions | Hi, Thank you for posting your query. Long term tracheostomy does cause certain adverse effects and minor complications. These may include traumatic (inflammation over the trachea) and narrowing of the trachea. Your symptoms could also be related to infections of the upper respiratory tracts, either by a bacteria or virus. Lastly, it could be allergic symptoms. You require a detailed evaluation by an ENT surgeon to establish the exact diagnosis, so that the appropriate treatment can be suggested. Wishing you good health, Chat Doctor. |
Hello Dr I am 27 year old man that has extreme fatigue weakness some blured vision on and off headaces on and off. I stay thristy alot Ive had som test ran and so far only thing that came back out of range was low testorone which was 243 also today I have had alot of sensitivity in my right nipple. | Hi, I understand your concern and would explain that your symptoms could be related to low testosterone levels. You should know that this hormone is necessary for a normal physical performance. I would recommend consulting with an endocrinologist on the above issue. Further tests may be needed to investigate for the cause and possible treatment options. I would also advise to closely monitor your blood pressure frequently during the day to exclude possible low blood pressure. Hope you will find this answer helpful. Let me know if I can assist you further. Best wishes, |
Hello. I m concerned about my body. Everytime I wipe my butt it really hurts. It feels alittle swollen bone or some sort as misplaced itself I m not quite sure nor what the pain is coming from. It happened out of no where and it is worrying me because it s very painful. Thankyou. | Hello, Cannot say in your particular case, without directly examining, but these symptoms can easily come from an infection that is deep inside the buttocks. This is a very bad place to get an infection and is difficult to get the germs out. Certainly, it is a reason to have the area looked at soon and to see if there is something that could be operated upon to remove an infection. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
Hello, about a week ago, I was given oral sex. Right after, up until now, there has been tenderness and pain upon touch on a part of the glans. This area looks fine, I thought I saw small red dots one day, but was being paranoid I believe. Everything is normal except for this pain. Can you please help? | Herpes can occur, and it can cause nerve irritation without lesions. But a week is really long for that. In theory, antivirals would help in about 5 days. But it probably is NOT herpes. Yeast infection, boils, just plain skin irritation can occur. MORRISON is a bit helpful for any of those but boils, and it might make herpes worse (probably NOT), but it is an alternative. Lidocaine jelly might work, but at the cost of lowering sensation. |
I have stage III colon cancer and have had surgery. They did a CT scan and found nodules in my liver. Would you say with treatment my prognosis is good and if so what percentage would you think my chances are? Deciding whether to have treatment or not. I have no insurance and there is not much out there for colon cancer. Thank you | Hi and thanks for the query, I do understand how difficult you can feel at this point in time. I suggest to my patients, especially when there are nodules in the liver, to get a complete review of the liver function and structure. The opinion of a gastroenterologist/hepatologist is usually very helpful. It is not the right thing at this point to discontinue treatment for colon cancer. This could lead to relapse and facilitate spread to other areas. A complete review by your treating physician and the gastroenterologists' opinion, to me are very important. Thanks and kind regards as I wish you good health. Bain LE, MD. |
hello i am wondering if any one can help me? im trying to concieve baby number 2 for 2months nowi have been having periods and i took a test 2 weeks ago but came out negative.but for the past 2months i have that pregnant \"feeling\" sounds silly, but i have been also for the past 3weeks keep being sick over certain stuff, (sorry to much infomation) i have been having aloy of white discharge, sore breasts, and my stomach seems to be getting big.! i usualy have a flat stomach, and last night i thought i could feel baby movements in my belly, and iv been feeling this alot more today.any help of what could be going on ? thank you | Hello, If you have had regular periods and did not miss any period, it is unlikely that you could be pregnant. Feeling pregnant is a term often used when there is anxiety to conceive. Here, one can perceive all symptoms of pregnancy including absent periods and feeling fetal movements and also a distended abdomen, often due to gas. What you need to do now is to see a specialist for a proper clinical appraisal, go for a trans-vaginal sonogram and a blood test for pregnancy to plan further management. Even with a second pregnancy, perception of fetal movements may not happen earlier than 16 weeks. Hope this helps. |
My son has a blotchy rash, it started as rings and moved in ripple effect on his legs. It has spread over 36 hours to arms, hands, fingers, stomach, back, neck and face. It disappears when he goes to sleep and reappears in a different place. He has been vomiting daily, once it twice a day for 6 days. No fever. A&E did blood tests, CRP is 40. Consultant said its viral. Im not convinced, his stomach was very bloated yesterday, he is lethargic at times and generally not himself. He was born at 29 weeks he is now 16 months. Medication is ventolin, clenil. Singulair & ranitidine have been stopped as these are new meds. | 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. |
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