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Respected Sir, Iam 54 m. Recently I have done my blod test.lipid and liver function . lipd profile are normal value . My sgpt is 95 and sgot is 56 now. I wanted to know is it normal , If not pl suggest me what steps I have to do . Regards Mohan | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.AST (GOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis\u2019s cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. |
I have had 3 blood test done since October and each time with higher levels. I have an ultrasound of my liver on Tuesday. I wondered if I told you what parts of the test are high if you could tell me what I should be asking my doctor. I dont have very good insur. and my doctors office is a program for newbies. they seem so lostAST/GOT 42ALT/GPT 124ALK PHOS 116TRIGLYCERIDE 274not sure what these stand for I was just told they are high for a 32 year old white female. Please help! | Hi, thanks for using Chat Doctor The ALT is a lot above the upper limit but the AST is only slightly elevated. The alkaline phosphatase is also slightly above the upper limit as well. Triglycerides can be classified as normal, borderline high, high or very high. Your reading would be classified as high. There is a condition called fatty liver where fat is deposited in the liver. It can progress to affect the ability of the liver to work and cause problems. Fatty liver can be called alcoholic fatty liver or non-alcoholic fatty liver. Non-alcoholic fatty liver occurs in persons who are diabetic, overweight, high cholesterol or triglycerides, inactive. It is possible that the liver changes are due to this, but your doctor may suggest an ultrasound to look at the liver to look for any problems.Non-alcoholic fatty liver is treated with lifestyle changes (diet and activity). Medication may also be helpful. I hope this helps |
Hi doctor I ve been having a burning sensation in my penis and it feels like something is wiggling on the inside. I m not having a discharge but I m also getting a slight pain in my testicle and groin area. Can u help me please... I ve been tested and all the test came back negative but I know something is wrong. | Hello and thank your for your question! The burning sensation you describe can be very uncomfortable and cause discomfort with urination and your sexual activity. Usually the burning sensation is caused by an infection of your lower urinary tract. A Urinary Tract Infection happens when bacteria get into your urinary tract. So I would recommend you to do urine examination to check if there is presence of infection. If the result are positive, you should start a course treatment of Antibiotic. The type of antibiotics ang the period of time you should take them depends on the type of bacterium found in your urine. I would recommend using Sulfamethoxazole-trimethoprim or Ciprofloxacin. Best regards! |
i had a period at the end of may. I had unprotected sex in the beginning of june and took the morning after pill and had a few days of spotting in the beginning of june i later then had unprotected sex again and i have not had a period so i was wondering should i wait and see if my period will come at the end of july or should i take a pregnancy test. | Hallow Dear, If you had unprotected intercourse which was not covered by emergency contraception, and you have missed you period, there are possibilities of pregnancy. The cardinal symptoms of pregnancy are |
Hi, I noticed dark wax in my one year old s ear. It was very close to the outside of the ear so I used a q tip to swab it away. I could see the tip of the q tip and was gentle with it. When I took it away there was a spot of bright red blood. He is playing just fine right now and does not appear to be in any pain. He has a history of much ear wax. Should I call the pediatrician to check him out tonight? | Hello. I just read through your question. Wax in the ear is not abnormal. Some produce more than others. Typically, the longer the wax remains in the ear the darker it gets and the more tightly attached it gets. Most likely, when you pulled it out it caused a very small abrasion which produced the small amount of blood you saw. These heal almost instantly, which is why your son behaved fine afterwards. So there is no need to be concerned or run to your pediatrician. |
Hi, I m Susi. I have a very stiff neck, and the left side of my head, near my temple is sensitive to pressure. I have no confusion, no problem with sight or balance. No headache. It hurts to turn my head right to left, up and down, but not side to side. I have no fever. Should I go to the ER or should I wait until my primary doctor can see me on the 24th? | Hello SCSI! Welcome on Chat Doctor ! Your symptoms could be related to tension type headache. Chronic degeneration of the cervical spine can also trigger this clinical situation. The above-mentioned causes are quite benign. So, in my opinion there is no need to go to the ER. I would just recommend taking ibuprofen for the pain and use an orthopedic pillow. It is necessary trying to correct your posture too. If the problem persists, I recommend consulting with your doctor and performing some tests (a cervical spine x-ray study, complete blood count, PCR, sedimentation rate, etc.). Hope you will find this answer helpful! Kind regards, |
I have had a cough for 3 weeks started as really thickly all the time now more flemmy but not as often, I now have quite a bit of pain on my back half way up that I thought was muscular but It feels like I m kind of struggling to breath like being winded constantly? Should I see a doctor? | Hello welcome to ChatDoctoryou seems to be suffering from either of the following three conditions(1) CHRONIC BRONCHITIS(2) PNEUMONITIS(3) TUBERCULOSIS kindly get the following tests done(1) CH with ESR(2) MONTE TEST(3) SPUTUM FOR AFB(4) X-ray OF CHEST once you get these tests done you can either send me a scanned copy of your reports for evaluation or can consult your physician so that a precise diagnosis can be made, and appropriate treatment can be started take care Chat Doctor. |
Well I went to the doctor yesterday because I thought I had a bladder infection. They checked my urine and saw no sign of infection or sugar in my urine. I dont know what it is. Lately when I pee my stomach cramps up right after . Im believing its nothing but I just want to be 100% sure | Hi. Thanks for your query and an elucidated history. The stomach cramps as a reflex mechanism. For the two functions-passing motion and urine the abdominal wall muscles have to work to give an additional pressure. Once you pass out the urine the muscles of the abdomen still feel that they need to press more = so you are getting the cramps. Here you have to undergo the ultrasonography- on a full bladder and again after you are asked to empty bladder. This is to see the residual / post-void urine after the urine has been passed. And I am sure you are going to have this more than the normal for your age. This is due to either enlarged prostate / or enlargement of median lobe of prostate / stricture urethra. There may not be an infection at all. |
I have these black spots on the tip of my tongue--had them for so many years--at times there would be more spots and at times less. I use a tongue cleaner every day, but no results. How do I get rid of these black spots on the tip of my tongue? | Hias you have mentioned black spots, so they may be disclosed papillae due to some adverse affect of any Chat Doctor. It can be due to some sort of nutritional deficiency also. You have mentioned that you use a tongue cleaner with no effect. So it's clear that they are not superficial but deep within the surface. If they are asymptomatic and are not increasing in their size, then no need to worry. If for esthetic purposes, you want them removed, you can contact some dentist with laser specialty. With regards |
Hi Sir,I am a patient of Hepatitis B, Chronic Liver Disease. My CTP scrore is 8/15 currently. my treatment was started from August 2012, Due to Sabio, total viral load reduced to 47 IU/ml. I felt good improvement from October to december 2012. But after from January 2013 this went stable. currently Bilirubin is varying between 5-7 mg/dl, current alubimin count is | Since you are having cirrhosis due to Hepatitis B with poor liver functions as bilirubin and INR are increased and albumin is low. It is not like that Liver transplant is the only option left, however it is the most suitable time to get it. Liver transplant is an expensive treatment and moreover one of your first degree relative has to give half of his liver. However, if it is not an option restart tab Endeavor 0.5\u00a0mg stab Protocol 300\u00a0mg betake high protein diet, don't take any hematologic drugs or Chat Doctor. Also check Antioch antibody for HCV infection. Get in regular touch of a Gastroenterologist and check your LFT regularly |
Hi, I am a her of new born baby boy of 70 days. We had a ultrasound of his head in a normal body check up in Russian, 10 days back. And get to knew that he has extra Cerebrospinal fluid in his head. We do not know the normal baby s measurements of ventricle and fluid quantity. Russian Dr. suggested us to get the treatment for Hydrocephalus. We again get the ultrasound done here in Delhi, India and consulted with pediatrician. He said that sizes of ventricle & head are normal. Hight of baby at the time of birth 56 cm & Weight 4.4 kg Present Hight of baby 67cm & Weight 6.7 kg Please Suggest. | Hi, What is more important to know for me is the present head circumference of the baby. If it was normal at birth, by 70 days I expect around 38 CMS. Anyhow, the pediatrician you last met has seen the baby and said the head size and repeat USG is normal-so no need to worry now. Just see the doctor after 3 months to measure the head size once again. It's common to have some minor abnormality in ultrasound taken soon after birth, and becoming normal when repeated after 68 weeks-nothing to worry here. Anyhow, I advise you to closely watch your baby gaining milestones- if you feel any delay in attainment, get back to your doctor. Regarding the treatment (which you need not worry now), it depends on the cause and findings on MRI brain, but usually consists of a procedure called shunting(VP shunt)Hope I have answered your question. Let me know if I can assist you further. |
back of head hurts neck is swelled shortness of breath i have arthritus and take cardizum cd and degoxin to prevent atril fibulation i am having extreme trouble with vision and my legs give out and i fall alot my chest sems to not expand sometimes and for a day or two shortness of breath numness in arms especally right arm and i see things move before my eyes thats like shadows | Thanks for your question on Chat Doctor. In my opinion you should consult cardiologist first. Since you are having atrial fibrillation, possibility of cardiac cause for your symptoms are high. So get done1. BP monitoring2. ECG3. 2D ECHO. Hypotension is common in atrial fibrillation. And this can be the cause for your symptoms like chest pain, headache, dizziness, blurring of vision and shortness of breath. So consult cardiologist and discuss all these. |
I was using scissors when my grip slipped and I accidentally stabbed the palm of my left hand directly underneath the middle finger. The injury initially hurt and briefly bled, but I put a Band-Aid on it and forgot about it. It s been about two hours since I hurt myself, but the finger directly above the injury is now slightly swollen and extremely painful. Could I have caused muscle or nerve damage? I m mostly concerned because the spot I hit with the scissors is not painful, just the finger above it. I m currently icing the finger, but the pain is not diminishing. | Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. Also, to understand here is hand is a complex anatomy structure with the smaller muscles and the vascular and nerve supply needs to be intact for the hand to function. As you had a cut with scissors which is a metal, a tetanus injection is required in either case. So I will advise to get it checked first as hand is important. If the nerve is damaged than the first reaction will occur is severe pain with no movement of the finger Also, if the nerve is damaged than we only need a proper neuromuscular assessment to understand this. Without having a hands-on examination it will be difficult to judge anything. Nerve injuries usually take longer time if not treated in time. After all hand is all about we have got to deal each activity in our life. Hand is most precious and there is no harm getting it checked by just spending some amount. I hope to see you at good health & I pray you do not have any nerve injury. RegardsJay In Chat Doctor. |
Hi, I slipped on wet seaweed and fell down concrete steps yesterday. I fell on my back and side. My back is very tender (I have back problems) but my left side is very bruised and my ribs just below my breast are agony when I breathe deeply or sneeze etc. I can t lie down as it s too painful so am sleeping upright on the sofa but the thing that I don t understand is that my feet and ankles are swollen - why would this be? | Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache after injury. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can discuss with your treating Doctor. There are two possibility, one is simple muscle injury, second is possibility of rib fracture. To further investigate chest x-ray and MRI of the region is advised. Your feet and ankle are also swollen. It may be due to prolonged upright position has made feet and ankle dependent leading to edema. However, you should check your circulatory system checked if swelling is consistent even on lying down. I think your query answered. Welcome to any follow-up query. |
Hi I thought I got bitten by an insect but my arm swole up so I could not bend it. I had around 20 largish blisters around the area. Is there a weed that may have caused this, there were stinging nettles there that pricked my other arm but that was fine after a few hours. | Cellophane You for contacting Chat Doctor. These symptoms are due to allergic response from the insect bite or weed plant. I would suggest you following |
I am experiencing pain on my right side back area on the side of my body. I have trouble breathing deeply, coughing, sneezing, bending, laying down. A month ago I had the same problem and went to emerg they found nothing wrong. The Xray taken on my left side also revealed nothing. They gave me Naproxen. I went to the clinic a few days after and they gave me a puffer. I also hear rattling in my side when I am breathing as if I have a chest cold but its not in my chest its actually in my side. The day I went to emerg I had sharp pains in my chest but on the right side only. My right side ribs feel as though I have been coughing for a week or have been punched repeatedly, its that sore. Where do I go from here. | Hello ! Sorry to hear about your pain, and can understand how disturbing it could be. Basically, if investigations pertaining to chest and heart and blood have come out normal , it could be possible that the pain is originating from a muscle. Is it exactly in the upper middle back , close to you shoulder blade? A deep-rooted trigger point, when activated can cause agony. I strongly suggest you seek opinion from a physiotherapist to check out stiff muscles / trigger points, joint dysfunction. Your physio if required may also refer you back to the orthopedic for investigations or medications. |
Colour- Milky whitish Volume- 2 ml Reaction- Alkaline Liquidation time- 35 min Total sperm- 68 millions/cumm Active motile-36% Sluggish motile-18% Non motile-46% Morphology Normal-84% Abnormal-16% Others | Hi, Your non-motile sperms increased in numbers. There is also the presence of pus cells in semen. So infection is present like in the form of vasculitis or prostate infection. A course of antibiotic can be prescribed for that. Then you have to repeat your semen analysis after completing the antibiotic course. You can consult a urologist for examination. If needed urologist will suggest you further tests like ultrasonography and semen culture. Hope I have answered your query. Let me know if I can assist you further. |
My mom is 67 and was in a serious car crash. She had orthopedic surgery on her left leg to fix two breaks in the femur . Blood loss was 250cc. The day after surgery, hemoglobin dropped to 5.4 and 2 units of blood were transfused. Patient felt better and hgb went up to 8.2. The next day. It dropped down to 6.2 and 2 more units were transfused. CT scans were taken and no internal bleeding . Pts has excessive urination that is dark. hA1c is normal. Creatinine is normal. Pt is tachycardia and BP is stable. Pt is not vomiting blood. Pt is not Urinating blood. Why are the HgB levels dropping? | Hello and welcome to Chat Doctor, Road traffic accidents cause profuse loss of blood. The loss of blood in fracture of femur is even more profuse since it ISA very vascular compartment. Repeated blood transfusions may be required, however, there is nothing to worry. The healing of the fracture site requires formation of blood clot and thereafter callus formation.Dark-colored urine is probably due to myoglobin in urine. Crush injuries cause myoglobin from the muscles to be sequestered and is excreted in urine. The excreted myoglobin in urine can be toxic to the kidney tubules. However, creatinine levels are within normal limits indicating that kidneys are functioning normally, and no damage has occurred.Don't worry about fall in hemoglobin levels. Thanks and take care Chat Doctor. |
My left arm is hurting a small bit enough to notice it has a small pee size lump i can feel through the skin my skin is a small bit tight in the elbow bend on top it kinda feels like if I were to get infiltrated when donating plasma it did come earlier this afternoon then went away now its back | Hi, Good Morning, Thanks for your query to Chat Doctor online Clinic. I have read your query in details.-Dear In My opinion, the cause of the lump is-Boil on the elbow-and there is no relation to the plasma/blood donation done by you. Causes-Moslty a bruise /insect bite-leading to boil of the elbow skin is the cause. I would advise you to Consult a doctor who would treat it with-Tb NSAIDs, Antibiotics if need be and this painful elbow lump would regress and go in few days time.Don't worry.-Hope this would resolve your query. Wellcome for many more queries to Chat Doctor from your friends and you in time to come. Have a Good Day. |
Hi doc, my baby fell on our bed last Saturday morning, the height of the bed is about 2ft. Just this afternoon, i happened to touch a soft part on the right side of his head just above his right ear. Am a bit worried about it. Is this normal for 6 months old baby? | I share your concern, If you came to clinic, I would ask you if he had any loss of consciousness or fits like movement. If there is nothing like these a serious head injury can be clinically ruled out. FHE feeds normally and is otherwise playful I would advise observing and send home with analgesic medication to be given if there is pain. This swelling is contusion (soft tissue swelling from the fall) and does not worry you. If you have any further doubts better to show your pediatrician who will decide on other tests like X-ray or Ct and take care. Regards |
Hello, I feel pain some times in my penis, especially in the left-hand side of it. This pain comes for a second and go, then come again for a second and go. This rotation however doesnt happen all the time but its really painful sometimes. I feel its related to masturbation. I noticed that I have it more often few hours after masturbation but I am not sure. Can you help me? | HelloThanks for your query, based on the facts that you have posted it appears that you have pain in your penis after masturbation. During erection the blood flow to the penis is increased to 15 times more than normal resulting into congestion of the entire penis. This congestion remains for few hours and that is the reason you get pain in penis. Do not worry just make it routine to Chat Doctor. If pain is severe take painkillers like Broken. |
Hi, I am 49 year old woman,mu husband is 36 now.I would like to know whether I will be eligible to have IVF treament? I had my regular peroid till last sept-2010.Now is is been irrrgular.How long the treatment procedure will take.Am I allowed to travel after that.Will it be successful in 1st attempt? Kindly advise us? | Hi, Readiness for IVF will depend on a number of factors. Male factor will be checked by semen analysis. Your ovaries at 49 years may not be having enough reserve of eggs. This has to be confirmed by AMH levels. Also are you open to oocyte donation and does the IVF clinic you are planning to go to offer it? Your lining of the womb needs to be checked by ultrasound and hormonal support needs to be given to help the embryo to stick this will require a lot of planning. Also, any other factors like fibroid and endometriosis needs to be ruled out. The likelihood of successful IVF is inverse to the age of the mother. So, for you the chances are much less compared to a woman less than 35 years. Actual figures depend on the clinic. Yes you can travel a day or two after IVF. Hope this helps. Regards. |
hi im 10 weeks pregnant and have had a very bad smelling discharge coming from my vagina it smells of rotting flesh its very embarrasing i have tryed using vaginal sprays ect but it doesnt work the smell is present within half hour of bathing. Please help | HI, I have read your query & understand your concern. A foul smelling discharge in pregnancy indicates infection. It can be bacterial vaginitis / fungal infection. Both suggest carelessness in vaginal hygiene/ use of bubble bat hot vaginal sprays . Which alter vaginal pH & facilitate infection & foul smell. - Visit to a gynecologist. & get specific treatment, ( metronidazole/ clindamycin) - Use of vaginal pills with lac to bacilli (to normalize vaginal flora & pH - Utmost care to maintain vaginal cleanliness (no use of cosmetics please) use plain clean water for washes & mop it Chat Doctor. Thanks. |
I am on birth control and take it usually at 10 on every night. Last Friday I had unprotected sex with my boyfriend withdrawing and didn t take my pill that night, but instead at 9 am the next morning, and took my Saturday pill at the normal time. (This was on my third week of pills) I am now on my placebo pills and am late for my pill, is there a chance of pregnancy? | . It is my pleasure to assist you today. There are fewer chances of pregnancy when on birth control pills. As far as the missed/late dose is concerned it is ok as after unprotected sexual intercourse you have 72 hours to take the contraceptive pill. And you did in that window period. If you are still worried or in doubt, better option is to go for an ORGAN visit who will confirm for you the chances of pregnancy after going for an Ultrasound abdomen and pelvis. I think it is all you needed an answer for today. If you have more health related issues you have the option to contact us anytime. We, the Chat Doctor team will be more than happy to ad Chat Doctor. Healthiest Regards! |
Joint cracking, stiffness, pain allways. Joint swelling once and a while. Fiberous nodule in lower back behind hip size of large marble causing pain. Hissing in ears like air escaping. Bad headaches often. Short term memory loss. Some long term memory loss such as forgeting a pets name. Frequent heartburn. Chest pain 2 to 3 times a week and lasts about an hour. Age 34 and I am male. 5 foot 10 and 185lbs.Symptoms started about 4 years ago and got worse over time. One positive ana with low white count and one neg ana. No RA factor. Decent sed test. Neg lymes. Some spyder blood vessals near joints. Always tired. Joint problems increase with activity. | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to osteoarthritis. I suggest using an anti-inflammatory medication such as Acetaminophen to relieve the pain. I also suggest physical therapy. If the symptoms continue, I suggest consulting a rheumatologist for a specific treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
Sir, My open hear surgery was done on 26th August, 2008 and my AORTIAORTIC VALVE REPLACED DUE TO vegetation. Since then I used following following medicine on daily basis | Hello .dear in all patients with aortic valve replacement ... Warfarin is used life long. So unfortunately you have to use through tout your life... its so used as its blood thinner. Let me explain to you what our cardiologist taught .as your value is artificially placed in your heart it has the tendency to form blood clots and Warfarin will reduce blood clot formation. Secondly- Asgard used to relive the chest pain and also REDUCE THE TENDENCY FOR BLOOD TO CLOT whicChatDoctormonly occur in valve replacement cases you can reduce the doses ONLY UPON ADVICEThirdly- carved is used for high blood pressure and also increase oxygen demand for heart muscle which is necessary for valve replacement patients like conclusion |
my mother has been recently having seizures. she had polio when she was 2months old. she is now 54yrs old and she has been to a neurologist. how ever she is slow minded and not in the best of health. she has fibromyalgia and alot of joint pain. can this polio cause her seizures and if so why? | Hello, Polio is recognized in association with epileptic disorders that usually develop years later on the order of about 10-12% of affected polio victims. The study that demonstrated these statistics was rather small (only 200 cases) and only looked at in a retrograde fashion. The mechanism by which polio should be associated with an increased risk of seizure disorder is unknown at this time. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
Hi, I was not conceiving after i had a missed abortion on August 2010. Now the fertility specialist have recommended me to undergo a laproscopy and DYE test together. I m pretty confused if this will lead to any problems in the future like tube blocks. Further I would like to know if the period or the ovulation be early or delay after laproscopy ?Kindly help. Thank you. | Hello Nasreen. Thanks for the query. Laparoscopy with dye test is done for definitive diagnosis of patency of Fallopian tube. Dye test removes any debris like small mucus plug. Dye contains iodine which further increases the ciliary movements of the Fallopian tube and thus improves your chance of pregnancy. So I recommend you to go for laparoscopic dye test. Your ovulation or periods will not change because of laparoscopy. Regards and good luck. Chat Doctor. |
after 2 ceaserians(LSCS) 1 of which was last year since then whenever i carry my baby for long i feel pain in the lower abdomen.my daughter weighs 9 kg.she walks.for past few days even without load ifeelpain below the belly button and on left side of lower abdomen ,i also feel as if there is a swelling in my stitched parts | Hi., Thanks for your query and an elucidated history. With the history of LSCS and pain below the belly button and to the left lower abdomen, with a feeling of swelling in your stitched parts I can think of the following |
Hi, This is Raja. I am 32 years old. I have a long history of allergies like food intolerance, sneezing,breathlessness, eczema. When i was 18 i was diagnosed with fatty liver. I am a teetotaller. Recently performed liver function test. The bilirubin is at 3. The ultrasound scan showed liver as normal. I have no jaundice. Doctor prescribed liv 52. Is high bilirubin dangerous?. What should be my next course of action | Hi, high bilirubin is not usually related with allergies, but to firstly calm you I'd say that the value above mentioned 3 by you is not at all dangerous for you. It seems for more that you have normal transaminase and no problems with the biliary tree. I'd recommends next time when you'll repeat bilirubin to have the two fractions direct and indirect done, to judge a little more over the causes. Indirect fraction may be increased even in some blood diseases and in case a hologram with the reticulocytes count would be next step, to exclude them. |
lower stomach pain i am gonna 22 year old female yesterday had a fever over 102. the fever is gone so far but the lower right of of my stomach keeps throbbing like spasms. it hurts really bad. i also cannot stand for long periods of times or i will get dizzy and feel really sick. i have never been this si k before | Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, presuming that you do not have any gynecological problem, I would go for a clinical examination of your abdomen, followed by a urine routine & culture sensitivity test, a complete blood count, and possibly an ultrasound abdomen if need be. Till that I would prescribe you an anti-spasmodic, and a proton pump inhibitor. Further management would depend on reports of all the 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. |
I am a 53 year old female who has developed a gripping intermittent pain in the left side of my abdomen. It is worse on movement and when I breath deeply. I am constipated and having difficulty in passing wind. I also feel generally unwell and have a persistent headache. This has been going on for approx 2 days. | Hi and Welcome to Chat Doctor, Do you have stepladder type of temperature? Do you have nausea, vomiting? Please check blood tidal test. It may be due to enteric fever. If you don't have temperature you can rule out. Do ultrasound and chest x-ray. This may also occur in abdominal aneurysm, food poisoning, premenstrual syn Chat Doctor. Detailed assessment is necessary with doctor. Wish you speedy recoveryThank you |
Hello its probably nothing but im curious to find out why im having chest pain while walking, that started on sunday and this evening ive been having sharp pains when i take deep breaths its mainly on the right side. Ive no shortness of breath, should i just keep an eye on it for now? im 27 and theres no history of heart problems in my family. | Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems more in relation with muscular ache due to some sort of sprain or strain.* Guidelines for better recovery - Local application of analgesic spray or ointment 3 times a day after applying heating pad for 5 minutes. - Tab. Ibuprofen (400) mg 3 times a day after meals preferably with antacids. - Deep breathing exercises, YOGA will support great.* Consult later doctor if required only. Hope this will help you for sure. Wishing you fine recovery. Welcome for any further guidance. Regards . |
Hi I have a 7 week old baby girl. She always falls asleep on feeds and most evening when she vomits its slimy. Sometimes her poo is also slimy. She is always crying and hardly ever stays asleep in her back or even on her bed. Please help. Email me on YYYY@YYYY | Thanks for asking I have gone through your question and understand your concern Falling asleep on feeds is normal for infant. you should interact while feeding. Your one hand should be free while you feed. With the free hand you should massage highly on scalp and soles. But this interaction infants take good feed (approx 10-15 min) and good nap for 2-3 hours. Slimy vomit and stool is normal. When she feed for good time (approx 10-15 min) she should sleep for 2-3 hours. Hope I answer your question wish happy parenthood. |
my 3 weeks baby suddenly stops responding, what could be the problem? this has happened 2 times now, once in the 2nd week and once in 3rd week. She either doesn t open her eyes nor her body parts. We try to give her little pinches, beat her a little but she doesn t react. This happened for a span of few minutes but by the time we rushed to the hospital she gets normal. Doctors there at hospital checked her thoroughly and didn t found any problem. We did few blood tests and serum calcium tests too which were normal. Kindly help or suggest as soon as possible. | Hello, After going through your history, one of the differential diagnoses can be a seizure. In child Chat Doctor. When a neonate presents with similar complaints septic workup and electrolyte are done to rule out infection, or electrolyte imbalance which your doctors did. I would suggest neuro-sonogram, and if required an MRI just to rule out CNS causes and based on those reports further detail investigation to rule out Inborn errors of metabolism. Hope I have answered your query. Let me know if I can assist you further. |
I had a bartholin adenocarcinoma removed in March 2008. I had a radical vulvectomy. No cancer in the lymph nodes. This year four nodules were found in my lungs that indicate the same cancer. I have had chemo consisting of carboplatin and taxol. The first series decreased the nodules. The second did not. Have you heard on any other treatment? | Thank you for posting your queries. You had a vulval carcinoma which is now spread to lung. Paclitaxel (Taxon) and Carbonation are commonly used chemotherapy regimen in this scenario. Ideally response should be assessed after 3-4 cycles which guides continuation or change of regimen. According to you probably your disease is not responding well with the above regimen. Actually there is no other treatment option except chemotherapy in metastatic vulval cancer.Your oncologist may change the chemotherapy regimen with some other Chat Doctor. But there is no role of surgery, radiotherapy or any other medication except supportive |
Hi, i recently had a laporoscopy to drain 3 cysts (2 on the right tube and 1 on the left) and i am due back in 5 weeks to unblock them. i have been back to hospital 3 times since as pains no better they did another scan and said the cyst had shrunk and i would have to just wait for the appointment as there is nothing more they can do, they said that the second appointment may not even be surgery as its a clinical appointment. I have also noticed on the discharge note under procedures it says Hydrosalpinx and this was never mentioned in hospital (i now know what it means after researching on the web). I am so confused and now have no idea what the laporoscopy was for?? please help Thanks | Thank you for your query. Would you please clarify a few things for me?1) how old are you?2) have you had any abdominal or pelvic surgeries?3) have you had any pelvic infections?4) do you have child Chat Doctor. I will do my best to clarify this for you. The ovaries and fallopian tubes are paired structures (one on each side). The ovaries and the fallopian tubes are in proximity (to facilitate retrieval of the released egg) and the tubes connect to the Uterus, one on each side. During each menstrual cycle, follicles (in the ovaries) develop, one of which will release the egg(ovulation) which is collected by the fallopian tube and transferred into the uterus. If it meets sperm on the May, it may get fertilized and develop into an embryo and implant in the uterus, resulting in pregnancy. While the egg develops and is released, the inner lining of the uterus (endometrium) also develops and prepares itself for receiving an embryo. In the absence of pregnancy, this lining is shed and a period/menstruation results. Endometriosis is a condition where this lining grows elsewhere (other than inside the uterus), like on the ovary, tubes, abdominal organs and wall. Chocolate cysts (due to the chocolate colored fluid in the) or endometriosis cysts form and can be problematic (cause pain, inflammation, infertility)Ovarian cysts include different types of cysts (functional, Desmond, endometriosis, tumors)small (less than 5cms) functional cysts are mostly benign and go away on their own in a couple of months. Large & persistent functional cysts, Desmond and complex cysts, need to be removed and examined assess underlying pathology. Endometriotic cysts need to be decompressed and the condition medically/hormonally controlled to preserve and enable fertility. Hy |
I have a very large hematoma that made a large lump on the side of my leg just below the knee. This was caused in a car addicent 11 days ago. The bruising has now gone down into my foot and I still have extreme pain when I first stand up on my leg after a reclining position. Is this normal. | Dear thanks for the question. Firstly I would like to say that the information you have provided is not enough as you didn't mention treatment taken. If I were your treating doctor I would have taken x-ray of leg including knee and ankle joints, from both sides. This would have helped me to make the correct assessment of your injuries. You need to visit a general surgeon immediately for detailed examination as your pain has not subsided even after 11 days and bruising is spreading towards ankle joint. You may require to undergo a surgery to remove hematoma if it is large. I hope I have clarified your queries. Please do write for follow-up queries. Please rate my reply. I wish you rapid recovery. Thank you. |
Hello my son is a starting to walk. Today when he was walking he hit himself on his forehead with the door because he was walking towards his dad. He got an immediate bruise but had no concussion he cried for quiet a while (understandable right). I am concern if something bad will happen to my baby cause of the fall. Should i be concern? This was the first time this happen too. | Hello. I just read through your question. The most important part of your description was the fact that he didn't lose consciousness. This is a time when we actually do want to hear the child cry. He cried appropriately. The bruise is expected. In fact, it might get worse over the next day or two. This is not a need for concern. The bruise will heal on its own with time. There is no need to be concerned that there is anything going on neurologically. He will be fine. |
My husbands elbow started swelling yesterday. It looks like tennis elbow but its soft and feels like its full of water just like a blister. Its about 6 diameter. He hasnt banged his elbow or injured it in anyway. He is getting pain down his arm and his fingers keep twitching. | Hi there. It looks as though he has developed a fluid collection possibly because of arthritis of the elbow. Pain down the arm and shooting sensation is due to possible compression of the ulnar nerve behind the elbow which could be due to the swelling. I advise you to perform cold sponging in the area. He can take anti-inflammatory like Tablet Ibuprofen 200\u00a0mg twice a day after a meal. Kindly get him seen by an Orthopaedician or Hematologist who may need to aspirate the fluid and check for the cause like Rheumatoid arthritis, Gout etc. |
Hi my mum had a bad fall on a bus years ago. A few days later she was rushed to hospital where they told us she has had a spinal bleed and they did not think she would make it and if she did she will not be able to walk again. Now years later she is still with us today. She is stil in a lot of pain and has had cellulitis. It keeps returning. This time she has had it for over 4 weeks and now they are saying that they dont think that it is cellulitis. She has got a very red foot and has swelling in her leg and groin area. Do you have any suggestions as her doctors are not sure what it is and I hate seeing her in so much pain. Thankyou | Hi, welcome to Chat Doctor forum. Your mother had a fall from a bus, long ago, still is suffering with pain. The pain is unbearable. I usually prescribe to my patient with such a pain neurotrophic injections for 10 consecutive days, and then one injection every week, fortnight, and then every month. Along with pain medication. Avoid taking more of potato, other tubers, tomato, egg, chicken, and seafoods. Wishing for a quick and complete recovery. Thank you. |
A ct scan of my brain stated I had mild generalises enlargement of the ventricles nas surface CSF spaces, consistant with involutional changes. As well as a 2.5 cm/ 2.4 cm cyst polyp mucus retention polyp in my left maxillary antrum. I dont see my doctor until next week. | Hello, The CT scan findings are consistent with the brain atrophy (or brain shrinking) mainly because of the age-related charges. In younger people, these findings may indicate brain hypoxemia, early-onset degenerative disease, etc. These findings should be correlated with neurological examination findings. The polyp into the maxillary sinus is probably an occasional finding. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I had a blood clot in my leg a year and a half ago and this resulted in pulmonary emboli as shown by a CT with contrast The CT also showed a nodule in my right lung. I was placed on Cumadin. I had a second CT a year ago and the only notation was a small nodule in the right posterior costophrenic sulcus of the right lung which did not appear to contain fat or calcifications and this finding did not change over the year. I recently had a 3rd CT with contrast which showed mild diffuse fatty infiltration of the liver. Visualized portions of the spleen and gallbladder were unremarkable, however there is a 2.2 cm cyst withing the posterior upper pole cortex of the left kidney. It has internal Hounsfield units consistent with water. There is no evidence of ascites seen and the remainder of the upper abdominal structures are unremarkable. What can you tell me about the mild diffuse fatty infiltration of the liver and the 2.2 cm cyst on the left kidney?Thanks | Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Cysts in the kidney are very common finding on scans of the abdomen. As long as it is not enlarging in size or causing any symptoms, it is a totally normal finding. I would not worry about it. Hope this helped, and please do not hesitate to contact me for further details - rxsuresh@gmail.com |
Dear doctor,My husband recently did a sperm count and these were his results | Hi, Welcome to Chat Doctor. Following a varicocele surgery, that too after 4 months, your husbands' sperm count increased from 1 million to 38 million is a very good response. As far as your husbands seminal analysis, all parameters including liquefaction time and total count were within normal limits except that of the motility of the sperms which is very poor and has to be improved. With this motility it is unusual to make you to conceive spontaneously. Your physician will help in this regard. Good luck to you. Chat Doctor. Mulligan |
i had one (1) SI Injection for lower back stiffness and pain 6 days ago. it is one of series of three. the next one is to be injected on August 20th. my question is about the drug piroxicam, i was taken it up to four days before the injection then i had to stop for the injection. my i now resume the medication until four days before the next injection. | Hello, I have studied your case. You can hold proximal and start after taking injection. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given. Diet rich in calcium and protein will help. Osteoporosis can be associated, so you may need to take calcium supplement. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
My Mom just called me complaining of stomach pain that extends up to her chest and back. She had this same pain last week and I took her the er. they checked her heart and said things were fine. She had been on an antibiotic and the doctor thought that that was giving her the pain. She switched the antibiotic and still has the pain now. Pain is bad enough to keep her up at night. What do you think? | Hi and Welcome to Chat Doctor, This condition may be due to acid peptic disease or due to renal stones. Do you have vomiting? Detailed ultrasound study will reveal the diagnosis. Also, Barium meals and swallow series is required in order to rule out Acalasiacardia, gastroesophageal disease and hiatus hernia. Finally, if necessary do endoscopy for further management. Take more fiber diet, green vegetables and avoid spicy foods. Wish you speedy recovery. Thank you |
Doctor sir my ultrasound report gives opinion that i haveMILD HEPATOMEGALY WITH GRADE 3FATTY INFILTRATION andENLARGED PERI PANCREATIC LYMPH NODE my blood sugar fasting is 156 SGPT (ALT) serum is 136 andSGPT( AST)serum is 92 kindly advise me its cure dos and donts my age is 35 yrs weightc86 kg waiting for ur response Thank u | HelloIncreased SGPT/ALT indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to fatty liver in your case. Excess fat damages liver cells.GOT is non-specific, and it increases in many conditions. You may need few more investigations like routine hologram, lipid profile, viral markers. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Fatty liver is a reversible condition. You need to change your diet and lifestyle. You should avoid fatty food and go for brisk walk. Your fasting blood sugar is also raised. You may need to take oral anti-diabetic medicines like tablet metformin. You may need contrast CT scan of abdomen as peripancreatic lymph nodes are enlarged. Get well soon. Take Care Chat Doctor. |
I think I have a cracked or bruised rib, although I don t remember doing anything to cause this. I have servere pain under my right boob and it is very tender to touch. It also catches my breath sometimes. But I have also noticed a small red spotty rasChatDoctore up in the same area. I have exzema but it is not itchy and feels different. | Hello, The small red spotty rash may be due to inflammation. It looks from your details that present tender area may be due to an inflammation which can be due to a small trauma or due to a mild infection. You should do following to have relief in this |
I have a blood clot in leg,spent one month in hospital after a clot traveled to my lungs. The day I was released the swelling was gone, but within a day of being home and up moving around it swelled up almost twice the normal size. Question is can I do hot bath, or at least warm bath with epsom salt? | Hi, dairy have gone through your question. I can understand your concern. You have thrombus in your leg. There is chance that thrombus detached small pieces of blood clot in circulation and goes to lung. It is known as thromboembolism. You should take warfarin to prevent embolism. You can take hot bath. No, any harm in that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
This is for my mom whose is 59. Since last 5 weeks or more she is getting nausea . She has become very sensitive to the smell of certain products like cooking oil and she nauseates on eating fried foods. But she does not vomit or show any other symptoms. She has her upper endoscopy done and ultrasound too. Everything looks ok. What could be the reason for such symptoms and whom to approach for? Worried!!! | Hello Welcome to ChatDoctorYou didn't mention her complete medical history like was she suffering from any chronic infection? Has she got some problem with gall bladder like stone?? Is she on some medication?? I would suggest you to give her green leafy vegetables & fruits. Ask her to take more salad. Avoid spicy & oily foodstuff. Increase appetite. Take oranges as theyConcern general physician for further opinion. Take Disregards Chat Doctor. |
I was diagnosed as having a hematoma on my inner left thigh by an orthopedic Dr. The first thing he asked was if I was on blood thinners. At that time I had just gotten off xarelto a couple weeks ago. I had a successful cardio version which allowed me to stop the xarelto after being on It for 2 years. Apparently this hematoma was an after effect of the xarelto. I asked him how long would this conditions last he said probably 11-12 mos. Other than that he said I could wear a compression sleeve. How serious is this? I know at this time there is no antidote for the drug. Is there anything else I can do to help this? | Hello, I have studied your case and I do not think that hematoma stays for such long time. Most of the time they get absorbed in three weeks to three months. As you are no longer on blood thinner I would suggest you to get ultrasound guided aspiration of the thigh and Chat Doctor. If there is again recurrence then you need to check your blood investigations. I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks |
I just had a bout of Afib that lasted 24 hrs. I went to the ED and was put on metoprolol and had a follow up ekg to establish that my heart was back in sinus yesterday morning. Last night and still this morning I have a very mild pain or tightness in my left chest. It is mostly noteable if I take a deep breath and reminds me of the kind of muscle pain I might get in other muscles a day after a work out. Would 24hrs of Afib cause this kind of a delayed ache? I also walked and rode my bike yesterday following the \"all clear\" on the ekg. I would not normally even pay attention to this amount discomfort but following the Afib, I guess I wonder if I should back off the excercise regime. | HelloWelcome to Chat Doctor. Your Aphid episode is controlled with the metoprolol which slows down the heart rate and inhibits extra beats from the atrium from being conducted to the ventricles. The muscle pain which you are having is not related to Fib in any way. But it can be related to associated underlying heart disease. Also, the cause of the Aphid must be established. I suggest you undergo a 2d echo test which will show whether the atria from which the Aphid arises are dilated. It can also show presence of clots in the atrium which can form post Aphid. Additional information like pumping function of the heart, functioning of the valves can also be derived by a 2 D echo. Exercise increases the heart rate and hence it may precipitate a recent Aphid. You can do non-strenuous exercises like brisk walking and cycling at slow speeds. But strenuous exercises should be avoided at this point of time. After a month you can gradually step up the duration of your exercise and also increase the workout. The body gets accustomed to any slow process but if it is subject to sudden conditions of fast heart rate, the Aphid may precipitate. So please continue with non strenuous exercises and increase gradually. Wishing you good health. Regards |
hi, im 40 yrs old, female, have suffered from hayfever (allergy to ragweed pollen) since i was 13. i was wondering if there is any scientific explanation for why my hayfever would get so much worse when it rains. it doesnt make any sense to me but my symptoms are 100 times worse when it rains. and, no, im not allergic to mold. | Hi and thanks for the query, There are only two conditions for the allergic condition to increase. First, may be rainfall increases the quantity of the substance you are allergic to when it rains (allergen), or your system is allergic generally to rainfall conditions (moisture or temperature associated. It is difficult to think rainfall could have any severe physiologic influences on your immune system. Kind regards |
Hello Doctor, an employee of my husband (male around 40 yrs) has been sick over the past 2.5 months. He has come in to work at least 5 times saying he can t stop vomiting. He can t breathe and doesn t stop coughing. his doctor doesn t seem to be helping him. Any idea what could be wrong with him? | Hello, He is suffering from irritable bowel syn Chat Doctor. If his cough is also accompanied by the fever or weight loss then his chances of been infected by the tuberculosis is high if its without the fever, then he might be suffering from the IBS its like the intestinal disease but along with vomiting it is also accompanied by diarrhea if neither is the case then he must be suffering from asthma for its confirmed diagnosis an x-ray should be conducted. Hope I have answered your query. Let me know if I can assist you further. |
I just got in a car accident, my car was hit and spun completely arround, i didnt sustain any serious injuries, but i was the driver and felt the shock of it all hit me through the steering wheel. I appear to have blood in my stools, what would that indicate? | Hello, Thanks for your query. After going through your query I came to know that you had some injury in intestine leading to internal bleeding. It can be confirmed by endoscopy. As per your statement you are OK. So no need to worry. It will heal gradually and will stop. You can take vitamin B-complex and C to promote healing and iron capsules to compensate for blood loss. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. |
hi i was in the hospitol for a bad kidney infection and i have been in pain and now i have a burning feeling in my back i am also having trouble walking i get tired real fast i am a 52year old female i told my dr.about what was going on with me and he keeps giving me pain meds. and he also told me that he let me out of the hospitol to soon because if the insurance what would you reckmond that i do | Hello, Thanks for the query to Chat Doctor. Forum. Burning sensation in the back with tiredness just due to walking, it means you might have vitamin B 12 deficiency or anemia. One more reason may be renal infection not treated completely as you have not mentioned the condition of kidneys. In my opinion get in an Ultrasound of both kidney as well urine culture and sensitivity test. Serum creatinine level will help in evaluation of diagnosis of kidney disease, if any. Your history of illness is not complete so please upload the urine report as well as ultrasound report of both kidneys with blood report. Good luck. |
Often when I exercise I get a sharp pain in my right abdomen, then my mouth starts watering like crazy and sometimes I vomit. I am 34 and somewhat healthy. I am taking Paxil and have had kidney stones and ovarian cysts in the past. Help, I am desperate to finish a run. Thank you. | Hi. Thanks for your query. After reading your history carefully I can suggest the following |
I fear going in crowds anywhere I will go for a drive with my wife and on the way home she will want to go to the mall of food shopping and I get so much anxiety . She thinks I am just making this up but it really gets me to the point that I start to hate her a n d just dont want to go out. | Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety in public place, if the symptoms and description given by you are perfect, is termed as agoraphobia. Agoraphobia is an anxiety disorder characterized by anxiety in situations where the sufferer perceives certain environments as dangerous or uncomfortable, often due to the environments vast openness or crookedness. Anxiety disorder is just a disorder and not a disease and requires no medications. Some lifestyle changes and relaxation techniques along with psychotherapy should cure you. You can post a direct question to me in this website. Include every detail about you. I shall prescribe some psychotherapy techniques to treat your problem. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. |
Yes my 31/2yr old had 101 temp this am, some vomiting, then played with no fever as if never sick. Then fever spiked 5-6 hours later. Gave tylenol& then Motrin (per Dr.). Played again even played outside. Gave a bath then fever showed 101. Tonsilitis or strept throat? He has he water, jello with fruit, Popsicles, Cheerios, crackers with peanut butter. Brushed his teeth & said his throat felt better after brushing. Solution? | Thanks for following up. I understand your concern. It seems your daughter has viral infection. 1. For fever, we have a number of brands of Ibuprofen, Paracetamol available in India, if child vomited you can use rectal suppositoria-adol-250 mg2. Your girl is very smart and pointed that after since she felt better. Solution? Rince gurgle with chlorhexidine 1 |
i am 48 years old male i weigh 173 lbs ive lost 30lbs over the last 6 months when i run more than 3 miles my nipples slightly bleed i see no problems no soreness no issues i am on e few meds from my doctor other than this i feel great what do you think? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Running and bleeding nipple has no connection. It may be possible that you may bleed because of the Chat Doctor. You can get the chest X-ray done. This will help you diagnose any tumor or any other pathology. Once the pathology is diagnosed you can be treated as per the pathology. I will be happy to answer your further concern on bit.ly/ |
I have a constant stuffy nose, chesty cough that makes me heeve when i cough too hard, buzzing ears and i feel as though my throat is closing up and i cant breath as good. I think it maybe my hayfever, or i have allergies? which i take tablets for. I dont go out that much, and i dont sleep until early hours in the morning.. could i have depression also? Lastnight, i woke up as though i had been holding my breath or something... it really scared me. Please help! | Hello, You have allergic bronchitis as well as stress-induced dyspnea as per history. For respiratory check-up the following workup needed. -Auscultation -Complete blood count (CBC) with absolute eosinophil count (AEC)-Chest x-ray -Spirometry if needed Is CBC shows eosinophilic then montelukast plus fexofenadine tablet course prescribed for ten to fifteen days. For anxiety, fluoxetine course can prescribe and behavioral counseling useful. Consult pulmonologist for examination and discuss your case. Hope I have answered your query. Let me know if I can assist you further. |
I m small chest pain like small needle is poking at it and breathing is a bit difficult and my throats a bit scratchy... Not too bad. But I m worried cause today I dealt with glacial acetic acid in lab and I suffer from mild asthma should I go to the emergency room? | Thanks for your question on Chat Doctor. I can understand your situation. In my opinion you are having worsening of underlying asthma due to viral upper respiratory tract infection (URI). The most common cause for worsening of asthma is viral infection. And sore throat in your case is suggestive of viral URI more. So this might be the cause for your breathing difficulty (worsening of asthma). So better to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection.PFT is needed to know the severity of asthma. And treatment is based on severity only. So PFT is must in your case. You may need antihistamine, antibiotics and inhaled corticosteroid and bronchodilators. So consult pulmonologist and discuss all these. |
I am 18 years old, I find a gloopy/lumpy discharge when I ejaculate. I m pretty sure I don t have an STI , as i have safe sex , and this has been a problem before I had any sexual activity. Reading other article it was suggested that this could be diet related or even due to diabetes , I don t have diabetes and restricted my diet to low sugar, and this had no effect. It is an inconsistent amount, and somedays there will be none at all. Infact I often find the day after a sexual encounter I no longer have the discharge, but then later returns as time passes. | Degree understand your concerns went through your details. I suggest you not to worry much. You are just 18, and you are being more exaggerating. The lumpy semen is a sign of health. It comes so because of your masturbation habits. Those lumps are clusters of sperm cells, ready to more forward inside the vagina and inseminate female eggs. Don't worry about your sexual health. The amount and viscosity of semen depends on so many things like, stress level, water intake, time of sex or masturbation etc. Do not worry about that too. You are a teen ager. Don't succumb to anxiety and think too much about sex or sexual matters. Concentrate on studies and career. For sexology solutions Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. |
Hi, I m a 43 year old male. I have an elevated ganglionic neuronal antibody. I was told by my neurologist not to worry about it. Should I be worried? What is normal procedure upon this finding? The antibody is .05 I have had unusual symptoms. Slight dizziness, low vitamin d2,low testosterone, arm weakness, anxiety, low libido. Are any of these conditions related to this antibody? | Hello. I understand your concern. The antibodies you have been found can cause a disorder called autonomic neuropathy. This is a rare condition, difficult to be diagnosed. The anybody level is not too high, but it is The dizziness, sexual dysfunction may be related to this disorder. The weakness too. But the level of testosterone and vitamins D2 are not related. Anxiety is not a common symptom but it fan be explained by autonomic dysfunction. I would like to know if you have had any problems with your blood pressure and heart rhythm lately. Or bowel dysfunction. These are common symptoms of this disorder. I agree with your doctor. You shouldn't worry about the moment. The treatment with imunosupressor is not worth, because you have light symptoms. And the side effects of this therapy are severe. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes Chat Doctor. |
Hi.. please help... i was in the bathroom for 1/2 an hour and was cleaning the bathroom with Tilex Mold and Mildew... Although, I was coughing and my nose and eyes were watering in the bathroom, now I have just an irritation in my throat and my chest feels a little itchy... am I in any danger and did i cause any permanent damage to my lungs? | Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* This is in relation with allergic bronchitis induced by chemical cleaner.* Do not panic, you do not have any permanent damage to lungs, effects of this are reversible with proper care and medications.* Current suggestions - Take an appointment with your PCP on priority basis.- Till then take deep breaths, plenty of liquids, inhale fresh air in outside atmosphere Hope this will help you better. Always welcome for further questions. Wishing you fine recovery. Regards. |
Hi, may I answer your health queries right now ? Please type your query here... My 2 year old is having high fever and phlegm from the christmas party. He didn t Hv his dinner and he is complaining of a pain on the right side of his stomach. What can I do to relieve him of his pain? We just gave the rectum insert for his fever. | Hi Dear, Understanding your concern. As per your query your child have fever and stomach pain which seems to be due to acute gastroenteritis. Need not worry. I would suggest you to take acetaminophen for fever in dosage of 15\u00a0mg/kg. You should take proper rest. You should take plenty of fluids to rely Chat Doctor. Furthermore, you should do tepid sponging as well. Visit general physician once and get it examined. You should get blood tests done to find out underlying cause of fever whether bacterial or viral and start treatment accordingly. You can take paracetamol along with antacids/ proton pump inhibitors. Avoid taking cold carbonated beverages and hot and spicy food. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
So I have been feeling extremely dizzy for the past 4 days, mostly if I sit or lie down. I feel light headed when I m awake. I went to the doc and had my ears checked. Nothing looked wrong... there is a rare blood disease that is dominant on my mother s side called spherocytosis. Dizziness is a symptom and I also had to have my gallbladder removed when I was 16. I have been tested before when i was younger and the test came back negative. Could I possibly have this disease now? | Hello dear, Considering the fact that you have a family history of Phagocytosis, the symptom of dizziness as mentioned in your post can be attributed to anemia (most probably hemolytic anemia due to destruction of red blood cells). Investigations like complete blood count and peripheral blood smear will be helpful in clinching the diagnosis. Other causes can be |
Hi Me n my wife had a sexual intercourse without protection last night . Since we have a 7-month old baby, we are not planning to have a new baby soon. My wife is not on any pills or other contraceptives. Her last period started at 02-Nov and lasted for 5 days.Her normal Menstrual cycle lasts for 30-31 days.Since we are located in UAE, we do not have any access to emergency contraceptive pills. It is banned in UAE.Is there any chance of she getting pregnant due to this?does any birth control pills will help ? or any other alternatives? | Hello, Unprotected intercourse soon after a period is relatively safe, as ovulation usually occurs two weeks prior to the onset of the next cycle. Risk of conception is high around mid-cycle. Birth control pills used on a regular basis help and are advised if she is not feeding the baby. Emergency contraception can be availed by insertion of an IUD also and this is more advisable than the pills in view of the safety and longevity. Hope you find this information useful. Take care. |
I am having numbness in my left arm and hand. I have a history of neck problems. I jammed my head into a low hanging pipe at work this week sending my head between my shoulders. My previous diagnosis was a strained muscle. I get pain in my neck about 2-3 times a year that starts around the big knot in my upper neck. | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a pinched nerve in the shoulder. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest maintaining the arm and hand immobilized to prevent further damage. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
MY 5 yr old daughter is suffering from cogh for past 8 months. Doctor disgoned her in last winter with enlarged adenoids+Slight Wheezing. Treated with Nasal steroids and Budesal Nebulizsation +Montair for few months. medicine didnot improve the condition much..after stopping medcine...she again has frequent cough especially from evening + night...and she is fine in morning+afternoon...something triggers her in evening and she start having continuos cough (evey 2 minutes or so till she sleeps)..pls help..she is suffering...have already seen too many doctors..even tried homeopathy | Hi, welcome to Chat Doctor forum, well as you have mentioned that you have tried many treatments even Homeopathy, but I will again advise you to go for Homeopathic treatment as it is the only mode of treatment where you can get cure for your child, I do not know why my fellow Homeopathic physician failed to give your daughter cure, but it is not the dead end, you should concern some other Homeopathic physician, as it is the safest treatment with no harm full effects, as in case of other treatments, also there will no re-occurrence of the disease once after cured. For more info mail us at info Chat Doctor. Com or visit us at WWW. |
DCTR I FEEL PAIN IN MY RIBS ON LEFT SIDE JUST ABOVE HEART WHICH MOVES IN MY LEFT ARM AND MUSLES...WHEN I TURN ON LEFT SIDE ON BED I FEEL THAT PAIN STRONGER....ON TOUCHING THE RIBS IT LOOKS MORE PAINFUL WHAT IS IT?MY AGE IS 24 ,HEIGHT 5.7 AND NO MEDICAL CHECKUP FOR THAT | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to Malia which is a muscle pain. I recommend doing an electrocardiogram to exclude other causes. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using warm compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
can clarithromycin be given together with children advil to reduce fever (39.6). My son is 5 years old and is been running fever of 39.6 for the last 3 days. I have been giving him advil for fever. I have noticed dark circles arround his eyes and swallen eyes. Is there any and what are side effects when this medicine taken together or shortly after?Thank you very much. worried mom | Hi... Fever of 3 days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - |
I had unprotected sex with my Girlfriend after 2nd day of her period is over 13dec.n she had taken I- Pill 4 day later 17dec.after 5 day of i-pill taken she got bleeding for 5 days 22dec to 27 dec.after tht.now its 31 Jan.her regular period is on 8 Jan.but its 31jan she is not having her period.Mean is she Pregnant?plz help me.. | Hi thanks for your question. You had protected sex with your girlfriend two days after her periods. She cannot get pregnant from this sexual act, as on one hand it was protected sex and on other hand it took place during her safe period. Reason for not having next cycle in time is simple. She had taken I Pill which disturbed her hormonal profile, and she bled for 5 days from December 22 to December 27. So now you calculate her next due period from December 27 onwards. This is normal, menstrual cycle does get disturbed after emergency contraception, there is nothing to worry. Hope this answers your question. |
I feel like a loser. Whatever field I m in i have face only problems be it be school, home, friends and now on professional I m facing the same problem. I get caught every time in every single mistake and I m blamed even if all the people are doing it. I want to change this. Please help | Held Dear Do not call yourself as looser that give a negative feeling within which will hinder your treatment Basically it is your Dysthymia personality which is a type of chronic depression with low mood where a person evaluates himself always below the benchmark and consider his own performances bad and much below the others A Clinical Psychologist will be an of great help. Many treatments are available. Cognitive Behavior Therapy (CBT) is one of them available almost all over being performed by the therapist and patients improves. Be sure the therapist is trained in CBT On your part you try to develop positive out look about self Chat Doctor. |
Hello, I awoke one morning with the area around (what seems like) my tailbone hurting a lot. To the point where it is extremely difficult to walk (as in excruciatingly painful). I m not sure if it is the bone itself that hurts or it is the muscle around it. When I lay down for extended periods of time, it restores minimal movement but soon after getting up, the pain is back to the usual level of extreme. | Hellowelcome to ChatDoctoryour symptoms points towards a clear-cut diagnosis of DISC PROLAPSE i.e. bulging of intervertebral discs from their normal position...you should get an MRI OF LUMBOSACRAL SPINE and consult an orthopedic for prescribing you the required treatment....for immediate relief you should visit a physiotherapist for SPINAL TRACTION and other modalities which will provide instant relief from painregardsChatDoctor |
my father inlaw who is 74 was sent home and told not to take his insulin on Tues , until he consults his doctor who then said he was to only take 10 units a day ( was 56 and 58 units) his levels are at 17.1 now yesterday was 14.9 at 7 pm , day before 15 at 7 pm his doctors apt isnt till tues afternoon should we be concerned , he just got out of hospital ( kidney were 1000) and his heart is only pumping 25 % ( past couple years | Hello and thank you for asking! I can understand your concern regarding your fathers' health. The dose of insulin should be increased because the blood glucose levels you reported are too high. You should report the type of insulin he is taking actually and the number of injections per day, so I can help you to increase the doses depending on glucose level. You should not wait too much as this high levels may be problematic for his situation. Will be a pleasure to help you further. Best wishes, Chat Doctor. |
I have had pain in my left jaw joint for some time now, and I am unable to open my mouth all the way. I also feel pain whilst biting into solid food, like apples, and my teeth appear to have changed position slightly. This first occurred after a period of my jaw clicking, and moving out of place, meaning I would be unable to move it back, however it would usually right itself within a couple of days. One day, it stuck, and has been like this ever since. I am also going on a plane in a weeks time, and I am concerned as to the effect this may have. | Hi! Welcome to Chat Doctor. I read your query. Your symptoms correlate with TMJ disorder. This can be due to no. of reasons like jaw or teeth MAL alignment, oral muscles' problem, joint disc problem, clenching teeth, stress, etc. I suggest you to visit a dentist and get TMJ and teeth checked. Dentist may take x-rays or ask you to get MRI or CT of TMJ done. In case of joint or capsule disorder, corrective surgery can be planned if required. In addition, get teeth alignment correct if required. This can require braces, bands, crowns, etc. Get all fillings done. Use cold and warm compressions on joint and oral muscles. Ask your dentist for oral stretching exercises. Do them 3-4 times a day. Avoid opening of mouth too much. Use small and soft bite of foods. Avoid stress. Use bite plates to dissipate mastectomy forces on all areas of mouth. If you face any pain, ask your dentist for a prescription of painkillers or low dose anti depressants. Laser therapy is also helpful. Hope the answer helps. Thank you. |
I have chest wall pain.. I was told it was inflammed and was given meds to help. Along with that I feel light headed and dizzy.. I am aware of a heart issue I have.. I throw a lot of extra PVCs but have gone through a stress test and worn a king of hearts and the docs wernt concerned. But I am worried because I continue to have pain in the chest if I stop the pills and I hate the light headed feeling .. what is wrong with me ??? Please help | Thanks for your question on Chat Doctor. I can understand your concern. You are having premature ventricular contractions (PVC's). This is known as rhythm disturbances in heart. And it is mostly due to arrhythmia. Stress test is for Coronary arteries. It will not diagnose arrhythmia. And arrhythmia can cause chest pain, dizziness, light headdress etc. So in my opinion, you should get done Holder monitoring (24 hours continuous recording of ECG) to find out the type of arrhythmia. You may need anti arrhythmia Chat Doctor. If this report is normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic |
I have had back surgery in 2007,L4 and 5 and 2 screws and a rod in my back.Still have pain in lower back and buttox and pain down right leg and into foot and foot ,and toes tingle.I also have pad in both legs below the knee.Lately I have been nauseous and have had severe back cramps all over my back top to bottom and sometimes it wraps around to both my ribs with cramps,and lately when I walk my legs feel heavy.What do you think it could be,my back or the pad? | It clearly indicates compression on nerves again developed in back region post surgery. It could be due to many factors such as arthritic conditions developed, any reduction in intervertebral gap because of TB if bones, arthritis, local lesion etc. Furthermore, it all and many others may press the nerves. Since screws are already there and operation of vertebral columns, spinal cord etc. is not advisable to be performed again n again, painkillers to have limitations. In such cases, I would firmly tell my own patients to get additional support of Ayurveda's pain management oils such as classic Mahavishgarbh oil, Guduchyadi oil, M. Narayan oil or Patent Rumply liniment by Himalaya herbals to be applied lightly over back after hot fomentation. There may be some oral anti-arthritic or pain management medicines. These collectively relax muscles, work as anti-inflammatory and nerving tonics. Selection of oils or oral med. Will be done by your local Ayurveda physician on the basis of current conditions. Absolutely safe. May be little smelly. But if you get unprecedented relief, you should be ready to tolerate little smell too. Physiotherapy exercises to be asked by experienced professional to avoid any damage to screw sites etc. |
Good afternoon, Are there any natural over the counter vitamins/herbs to take to jumpstart ovulation? My husband and I just had a baby in February, but she passed away at 17 days old, and we are trying again. However, my period hasn t returned and I stopped pumping fully close to 7 weeks ago. Also, when should I get concerned that my period hasn t returned? Thank you. | Hallow Dear, Usually the period starts within 5-6 weeks after discontinuing the breastfeeding. Even after the discontinuation of breastfeeding, if you continue to squeeze the milk from the breasts, the effect on the hormones is the same as the breastfeeding. When expression of the milk by natural or artificial way has been totally discontinued, within 5-6 weeks, the menses should return. However, in many cases, the menses do return even while the breastfeeding the child. Sometimes, during this period, conception may take place which is known as pregnancy in lactational period. Therefore, before taking any steps to induce the menses, it is advisable to look for the possibility of pregnancy by pregnancy test. If you fail to get the menses within this stipulated time, you may report to your Gynecologist. After ruling out the pregnancy, probably some progesterone preparation would help your menses to return again. After returning the menses, it may take few weeks for the ovulation to return. I hope this helps you. |
Hi I have a three old kid he is having sticky stoles with smell and undergoing homeopathy treatment for last two months , he is having two to three motions of (semisolid to solid) consistency vary from time to time . one doctor has suggested me Zenflox oZ 7ml for 5 days is it fine? | Hi...this us not diarrhea and this doesn't require antibiotic like Influx OZ. Unless there is blood in the stools antibiotics are not required. The frequency and consistency of motion which you have mentioned are not suggestive.... Bacterial dysentery. 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. |
Hi I m isdro. I have a female friend her mouth its twist to the left side Her chick muscle didn t work she feels litle bid and she don t Have any problems to talk or to eat but her mouth its not Straight so she s don t know what kind of clinic or doctor to look for to ask what surgery or medicine needs to take | Hi, If it is present since birth then it's just a normal variation of the anatomy and nothing needs to be done apart for cosmetics purpose. If it is acquired later in life and is associated with other complications, it is then suggestive of facial nerve paralysis. Whatever is the cause you need a plastic surgeon to look after them. Take care. Hope I have answered your question. Let me know if I can assist you further. |
Aloha; My son went to emergency last night after he vomited blood. He had been sick with a headache for more than a day. they suspected meningitis and wanted to perform a spinal tap, which he declined. He was given 3 bags of fluids and sent home and told to take tylenol. He feels better today and has eaten. He often suffers with debilitating headaches. What symptoms should I watch out for? We will try to get to our DR tomorrow. | Hi, Thank you for posting your query. Blood vomiting is due to problems in the gut, most often due to ulcer in stomach. An evaluation by a gastroenterologist would sort out the issue. Recurrent headaches may be due to migraine. In meningitis, in addition to headache, there would be fever and vomiting. A clinical examination would show neck stiffness. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
hello doctor,I am suffering with abdominal pain at right iliac fossa since 3 days back i took usg abdomen they told i have stone in rt kidney, later i consult with urologist he suggested X ray KUB from that report he told those may be sodium stones further he suggest cue and sr.uricacid now he advise to take syp potrate for TID.Now my doubt is for this tests are enough are any other tests is required... | Hi, Ultrasonogram and X-ray PUB are the basic tests which are done to detect kidney stones. A computed tomography (CT scan) with biography (injection of contrast to visualize the structure of urinary tract and functioning of kidneys) is required if there is any doubt about the presence of stones (especially ureteric stones), anatomy of urinary tract or when a surgery is planned. Some routine tests include |
My son has lower back pain when he jumps off his right leg and pushing off the right leg. The pain is on the right side. He is very athletic, however he cannot participate fully for an extended period of time. What can this be and should I see a pediatric doctor or a specialist. He is 11 years old. | As he is very athletic, during some sports activity he could have sprained his right hip leading to a dull pain which increases on straining his right side. You can give tab Moon MR one tablet (if body weight more than 30 kg) after food twice daily for two days and see the result. If the pain continues to do a X-ray right hip with lumber spine and post it to me or consult a pediatrician. If the pain goes away nothing to worry. |
I just had an MRI on my rt knee, ( with 2 knee replacements) for a huge growing HARD SOMETHING that has gotten bigger than my knee! it hurts, it swells, it rubs when i walk, can be seen thru my pants....a hemotologist was seeing me for iron IVs, b/c I ve been so anemic for quite some time and know one knows why! so I had complained about my knee while there, well, someone from his office called me today, to say it was a benign cyst, and that my dr would talk to me more about it at my next appt, which is in July. I m no doc, but don t you have to have tissue to be examined to determine if something is benign or not? what should I do? | Hello, I have studied your case. Cyst may not require biopsy to confirm. If cyst is small it can be managed conservatively with medication. If you have persistent pain and large swelling then you may need surgical excision. Do not worry about rupture of cyst. If on rupture pain has reduced then do nothing. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
I have recently noticed this shooting pain in my lower abdomen. My menstruation is normally very regular and lasts for almost 6 days with first two days heavy flow. but this month, i got the pain but no menstruation. also i get this feeling sometimes as though my uterus is coning down?Im 45 years old. | Hi. Thanks for your query. Your history is very much suggestive of a uterine prolapse. I would advise you to have an examination by the gynecologist, wherein she should examine by per-speculum examination while straining to see if there is descent of uterus with / without that of urinary bladder and / or rectum. She would also find a cause for the pain without actual menses. Ultrasonography and other blood and urine test will help in proper diagnosis by ruling out other causes of your feeling and problems. |
hi, i am looking at everything with disgusting feel that its not clean or hygienic. Always keep washing my hands whenever i touch anything that i dont prefer to do. i am not able to move with colleagues like normal persons. Hesitate to travel in buses. Feel like no body should touch me or sit near me. Even if dust on road side flew away i start crying and if it rains and muddy water splashed on me i feel like i will die. Even i cry sometimes thinking whether i could commit suicide . | Hi there ~ There seems to be a problem with your obsessions about dirt, and you are compulsively trying to avoid the problem with dirt and unhygienic habits with avoidance behaviors. It is going to the point where it is affecting your life. I hope you recognize this as a problem that can be treated both with therapy and medications. Please consult your psychiatrist to get medications prescribed. OCD is common and therapy, both medications and counseling are helpful. I hope this helped. Take care and have a good day ! |
would like an opinion 1) should I see an orthopedic or neurosurgeon 2) Have to climb stairs 20 x a day, make it worse? Will try to make this easy to readCervical.................C4-5 mild loss of the normal cervical lordosis with a mild focal kyphosis. C3-4 mild posterior disc bulge without evidence of significantspinal canal or neural forminal stenosis C4-5 posterior disc oesteophytic complex which result in mild spinal canal narrowing. Minimal bilateral neurall foraminal narrowing C5-6 small posterior disc complex and uncovertebral hypertrophy resulting in mild bilateral neural foraminal stenosis Minimal spinal canal narrowingLumbar...................Osteoporosis L3-4 diffuse bulge. worse on right questionable slight mass effect on right l4 nerve root L4-5diffuse disc bulge, small broad based central and right posterior paracentral disc herniation with extension to right neural foramen slight mass effectt on right L4-5 nerve roots is posible L5-S1 posterior annular tear and small broad based posterior central disc herniationALL of my pain is in my muscles,total bilateral down to feet including feet, walk flat footed.....Knuckles in hands enlarged mostly pinky and thumb knuckles again bilateral.Muscles in neck stiff 24/7 Can all of this derive from the spinal situation.....or a muscle disorder. dr did blood test for MS, came out positive. He said only way to tell for sure is a brain cat scan looking for lesions. 35 yrs ago diagnosied with hydrocephlaus with lesions and report had the word blockage. At loma linda and night before surgrey was cancel.I am 68 so really dont want surgery. lumbar is 24/7 cervical when pain occurs is on a scale of 9.9 Would like your opinion and I know its hard without seeing me. Thankyou Also numbness, tingling twitching burning charly horse, Numbness entails both legs and fingers on both hands. sorry this is so lengthy C4-5Posterior disc complex and uncovertebral hypertrophyresulting in mild bilateral neural forminal stenosis. mimimal spinal canal narrowingLumbar............... | HelloFindings suggests multi-level degenerative changes in cervical spine. Degenerative changes are generally age related findings. It is due to chronic stress on annulus fibrosis. At C5-6 level, there is disc complex with hypertrophy of uncut which is causing mild narrowing of neural form amen in both sides. Minimal narrowing noted in central spinal canal. In lumbar vertebra there are more degenerative changes. There are diffuse discs bulge at multiple levels. Majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. Surgery is advised in non responding cases. Physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. Since you have mild findings, most likely you will need physiotherapy only. Get well soon. Take Care Chat Doctor. |
my wife had two normal abortion due to not planning baby at that time. this is story of 2009. now we are planning for baby. she is having normal periods but not able to conceive. as a treat ment she is not clomid since last 3 months and taking injection on 14th day of period. but till she si not able to conceive. Docotor did all the test before starting clomid. i also did spem count test and that is also normal. egg size was 12 ( with 50mm clomid dose),19 ( with150mm clomid dose),24 (150mm dose) respectively on 1,2nd and 3rd cycle of clomid. Doctor told to continue for total 6 months. Here my question is after having too good size of egg why she is not able to conceive? pls suggest. | Hello, Several factors come into play for not being able to conceive. Here, it appears as though the follicles are failing to rupture and if there are any ovarian cysts, puncture will always help. At the time of rupture, follicle reaches a size of 18 mm. and if it grows bigger than that, it turns into a cyst. Treatment should be continued for a maximum of six months with proper monitoring. Addition of Metformin, helps in many cases. Please contact your consultant and get regular follow up. Hope this helps. |
I am eight weeks pregnant. I have been having slight cramping on my right side not super painful but it worries me. It feels similar to the pain I have had on and off for a little over a year that is normally triggered by stress. doctors dont know what is wrong with me or ultimately what causes the pain. I havent had any bleeding but I cant help but worry a liittle | Hi, Small cramps and aches are common in pregnancy. If you have had no bleeding or spotting then you need not worry. If you have recurrent pain on one side, it could due to a cause other than pregnancy, like renal or appendix. These should also be kept in mind If pain continues or worsens please see a doctor to evaluate fully, including abdominal ultrasound, blood test including renal function test, liver function tests. Also rule out any urinary infection which could be chronic. Hope this helps. Regards. |
Concerned our teenage daughter started this summer with when getting overheated she develope a rash. Now instead of a rash it is itchy welts the size of a breath mint. It only occurs when she does a physical activity or from taking hot shower. Our doctor prescribed singulair this summer which didnt work so we discontinued, now she is trying zafirlukast 20mg. She has only been taking it for one week, but I see no difference. To be quite honest, the only thing that actually works is products like benedryl (which sometimes make her drowsy). I did give her a generic form of antihistamine yesterday which worked well, without the drowsiness. I would really like to know what this is and how long it will last as I really do not want her on meds. | Hello. Thank you for writing to us at Chat Doctor This condition is known as cholinergic urticaria. Cholinergic Urticaria classically presents with itchy, welts which are small and uniform, distributed all over the body. The reaction is intense and sudden but short lasting. The reaction commonly develops in response to certain stimuli which raise core body temperature e.g. exercise/ physical activity, hot shower, spicy food Or in response to strong emotional reactions like anger etc. It is a type of physical urticaria and is usually chronic and recurrent. Apart from avoiding activities that trigger this type of urticaria, treatment is symptomatic with Oral antihistamines e.g. cetirizine or loratadine. A single dose once daily is usually enough. Topically she may use a soothing lotion e.g. calamine, during an episode of cholinergic urticaria. Regards |
M 69 year old husband takes lisinopril 20 mg each morning. Weve been taking his blood presure at 7 | The blood pressure you have mentioned is on the lower side, and it explains the tiredness he is feeling. Maybe lisinopril at 20 mg is more powerful for him and the erratic consumption OD medication may add to the fluctuations in blood pressure is far worse than not taking any medication. I would suggest you take 10 mg lisinopril every day at a foxed time, if th3 blood pressure is still more than 140 / 90 than only increase the dosage. Regards Chat Doctor. |
Back of knee hurts, swell and legs hurt. This happens after being on feet for several hours then continues to worsen to the point I have to sit. I ve gone to orthopedic Dr, one said I have arthritis and second opinion says no sign of arthritis at all, and is sending me to neuro dr. I also have pain in hips. | Hello, As the pain is radiating in nature I suspect it to be nerve impingement in the lumbar Spinal level. Having an MRI of the lumbar spine should help reveal more about the soft tissue. Once done using a lumbar spine brace and doing exercises for the core, spinal muscles and lower limb whole Strengthening will help ease the symptoms. In my clinical practice of 12 years, most patients have been better with conservative therapy after the clinical examination and required rehabilitation plan. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
so iv never consulted an online doctor before so obviously im a little skeptical but i am slightly embarrassed about my question so would rather be discrete with it. im worried i may have peyronies disease and was hoping to explain some of the symptoms to get your feedback.thanksks | HelloThanks for your query. The Parodied;s disease is characterized by developing calcified plaques in Tunica Albania an envelope that covers erectile tissue. The symptoms due to Parodies disease are 1)Painful ejaculation 2)Bending of the penis 3) Difficulty in penetration of vagina during intercourse (In severe cases)4) Palpation of hard lump along the shaft of the penis. If you have doubt of having it consult qualified Urologist for clinical examination to confirm the same. Chat Doctor. |
My baby is 1 year and 4 months , she suddenly gad fever yesterday fo bi reason at all, il visit her doctor this morning and dine urine test m the result is pus cells 3-5..is this very high for a child? The doctorvgave an antibiotics,,thank u, please give me advise | Welcome to the ChatDoctorThere is no need to be worried about 3-5 pus cells on urine examination. It needs no treatment unless and until a child is symptomatic. I would recommend you to go for urine culture and sensitivity report before starting antibiotics as it is a more definitive test for urinary tract infections. As such, most common reason for fever in this age is self limiting viral infections which need just symptomatic treatment like acetaminophen for fever. Hopefully this will help you. I would be glad to help you for any further child health related query. Take care |
For the past few days Ive had bad hunger like pains in the pit of my stomach to my chest. I feel hungry, and my stomach growls, even after Ive consumed food. Although I never consume much. Ive felt lightly nauseous at some points and headaches too. Extremely bad sore throat, it feels tight. Ive also been coughing up bloody clotted phlegm. I havent been eating very well. Not much in the past week really. I just went through a bad breakup and I have past problems with Bulimia. Could that be a factor in why Im having these symptoms? | Hi. Thanks for your query. Yes, stress and anxiety are the most major factors for such problems like bad hunger pains, stomach growling, nausea, past history of bulimia. Get an upper GI Endoscopy done to see if there is an ulcer or cancer in the stomach. Coughing with bloody phlegm can be due to severe infection in the nose and throat or a mass. ENT examination will help to get a proper diagnosis and treatment., |
H,i I had plif at l5-s1 due to disk herniiation and ddd in 2009. i now have chronic lumbar pain with sitting, standing, walking more ten five minutes,or sleeping flat. i just had a mri with contrast and it showed mild disk bulging with spinal stenosis, and spurring. Im having problems with bladder and bowels now. Oh one more thing i have server pain that comes and goes ankles/feet I get server shooting sharp pains. what must i do?? I cant stand this pain any longer... | You had L5S1 fusion in 2009, and now you have severe pain in back and legs. This needs to be investigated. First we need to confirm if the L5 S1 level fused or not? Any implant related problem? It's likely to develop disc changes at the above level L4-5 and which may cause leg pain with bladder issues. Which level is the problem on fresh MRI? Also, a CT scan helps to check for the fusion. If you have bladder and bowel issues then it may indicate sever stenosis in the lumber spine. Are you on morphine or any other opiates? These may disturb bowel and bladder habits. Need to see the fresh MRI images to guide you more. Thanks. |
I have had strep throat too many times to count but about 5 years ago I had the worst strep infection yet (throat so swollen that I was having difficulty breathing and took 3 types of antibiotics to get rid of...) after that infection I was referred to a specialist to follow the infections to see if my tonsils should be removed (b/c of repetitive infections) however they just said if I had one more infection they would remove but since then I have not had any. It is so weird b/c since I was young I had 2-5 strep ouinfections a year but since that last crazy infection - NONE! Also about a month or so after the last infection I noticed somewhat of a whitish/grey spot (about a 1/2 inch in size) on my right tonsil, not concerned I just thought it was maybe scar tissue or something. Recently, I noticed the whitish area has turned a purplish/black color. Any thoughts? I have a history of smoking - should I be worried or no. There is no pain surrounding the area, just an abnormal color. | Hi I did review your concerns would advise you to consult a ENT doctor and get the lesion evaluated. The purple lesion which is localized can be anything from a blood vessel problem to that of melanocytes. Common lesions that can present like this include smokers Melanesia (since you have smoking habit) and also hematoma(blood vessel proliferation) or nevus. The doctor will examine it clinically and if required will take a tiny biopsy to rule out anything worrisome. I would meanwhile recommend you to quite smoking as good as you can. I hope this yellowish you all the best. Thank you for using Chat Doctor. |
hello doc,am having ance scares in ma face .is it worth buying meladerm cream to reduce scares?will they cause any side effects ,if so tell me about that. | Dear Ms PragaMeladerm cream is used for pigmentation marks. Acne can cause scars as well as pigmentation marks. You need to understand the fact that only commentary problems can be treated with cream mentioned and for deep pitted scars you need a treatment like Fractional Laser or Dermaroller. The laser option gives a better result in comparison to dermaroller. 2-5 sittings might be required depending upon the depth and extent of scarring. In my advice you must visit a qualified dermatologist for the same. Happy Healing Chat Doctor. |
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