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+"I woke up this morning feeling the whole room is spinning when i was sitting down. I went to the bathroom walking unsteadily, as i tried to focus i feel nauseous. I try to vomit but it wont come out.. After taking panadol and sleep for few hours, i still feel the same.. By the way, if i lay down or sit down, my head do not spin, only when i want to move around then i feel the whole world is spinning.. And it is normal stomach discomfort at the same time? Earlier after i relieved myself, the spinning lessen so i am not sure whether its connected or coincidences.. Thank you doc!","Hi, Thank you for posting your query. The most likely cause for your symptoms is benign paroxysmal positional vertigo (BPPV), a type of peripheral vertigo. In this condition, the most common symptom is dizziness or giddiness, which is made worse with movements. Accompanying nausea and vomiting are common. The condition is due to problem in the ear, and improves in a few days on own. Betahistine tablets would help relieve your symptoms. Doing vestibular rehabilitation or adaptation exercises would prevent the recurrence of these symptoms. An ENT evaluation would also help. I hope it helps. Best wishes, Chat Doctor. "
+My baby has been pooing 5-6 times a day for a week. In the last few days it has increased to 7 and they are very watery with green stringy bits in them. He does not seem unwell i.e no temperature and still eating. He now has a very bad nappy rash from the pooing ...help!,Hi... Thank you for consulting in Chat Doctor. 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. 
+"Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you.","Hello, and I hope I can help you today.First, there is no medication that can be taken by the father that has any way to get into your system or a baby if you conceive.  Medications can only affect a fetus if you take it while pregnant. The only issue is that certain medications may decrease a men sperm count and affect fertility, however pain medications like Oxycodone do not have this effect. So there is no reason for you to worry about conceiving while taking this medication.  The best way you can prepare for a healthy pregnancy is to follow a well-balanced diet, limit alcohol consumption and avoid cigarette smoke, and take a daily prenatal vitamin or folic acid, as folic acid supplements in early pregnancy helps to prevent certain types of birth defects. I hope this answers your question and best wishes for your upcoming pregnancy,"
+"lump under left nipple and stomach pain (male) Hi,I have recently noticed a few weeks ago a lump under my nipple, it hurts to touch and is about the size of a quarter. Also I have bern experiencing stomach pains that prevent me from eating. I immediatly feel full and have extreme pain. Please help","HI. You have two different problems. The lump under the nipple should be removed, biopsied. This will help you to get rid of the disease, and you get a diagnosis. Second problem looks a bit serious one: Pain that prevents you from eating-immediate fullness, and extreme pain. I would advise such a patient to undergo the upper GI endoscopy asap. This can be an ulcer with a problem at the pylorus. The exact diagnosis is the most important to start the right therapy. Do not waste time in starting the therapy."
+I have a 5 month old baby who is very congested with a terrible cough. Its rattly/raspy and croupy sounding cough. She started choking on her coughs and the mucous that has come up. She also has a fever and runny nose. Should i take her to urgent care?,"Thank you for using Chat Doctor. I would suggest that you see your doctor. Your baby maybe having bronchiolitis which is a lung infection common to your kids age. It is commonly caused by a virus. Albuterol via nebulization should be utilized in order to alleviate the wheezing and also help with the congestion. A decongestant can also be used for the colds. Also, it would also advise doing a chest X-ray in order to rule out other diseases (ex. pneumonia)sincerely, Mark RosarioGeneral pediatrics/Pediatric Pulmonology"
+"I am F 38 in good shape work out (do triathlons) regular but have had back pain from different reasons throughout my life now I every so often wake up with severe lower back, hip pain for no reason. today the pain is almost taking my breathe away when i move. It is a dull pain when i am just lying down but the moment I make any sort of movement I have sharp and sometimes shooting pain down my legs.","Hi, From history it seems that you might be having degenerative changes in your lower back spines giving pinched nerve pressure. There might be having osteomalacia or osteoporosis as well. Go for x-ray lumbosacral region for osteoarthritis. Physiotherapy like back extension exercises will be much helpful. Take B1, B6, B!2 shots or medicine. Take calcium, vitamin A and D supplements. Ok and take care."
+"sir, MY uncle has ILD-Interstitial Lung disease.from my research over google i found that the cause is important to be known. the cause wat i feel is due to breakage of acid bottle in bathroom which caused lot of smoke and that time he wasnot able to be normal for 15-20 minutes. then he was normal .may be that would have been the reason for this ILD. Please suggest wat we should do",Thanks for your question on Chat Doctor. I can understand your concern. OLD (interstitial lung disease) can not be caused by single exposure of any chemical. Chronic exposure (for years) of chemicals can cause OLD. It is not possible to find out cause for each and every OLD patient. Some patients can develop OLD just because of aging (old age). So your uncle is not having OLD due to breakage of acid bottle. He might be having age related OLD. Better to start Perfinodone and N acetyl cysteine (NAC) for OLD rather than searching for cause. Hope I have solved your query. I will be happy to help you further. Wishing good health to your uncle. Thanks.
+my husband was working on a project in the house and all of a sudden a bump about the size of a half dollar appeard on his left leg inside below the knee. He is 69 years old and had triple by pass surgery 7 years ago. It stung when it first happened. Doesn t hurt now. He is seated with his leg ellevated. Is this an emergency?,"Hello. It could be a blood collection due to minor injury or a vein rupture which is also common at this age. It is not an emergency, but you should apply compression bandage and warm compresses if six hours have past. Furthermore, it should get relieved over the next few days but if it continues to increase or persist then you should see a Doctor who can examine the patient. Take care.  Chat Doctor. "
+hi my nine year old son had a cough and flu symptons three months ago and the chesty sounding cough and green phlegm still remains. it did seem to get better but never totally went and has now picked up again...he has only ever had antibiotics once in his live which suggests he his generally fitand well and active...never short of breath or weezy...so why would this be....,"Hi, If the symptoms persist that long this suggests the presence of an allergic element. To treat that kind of allergy you can give him an over the counter antihistamines once daily before going to bed. A cough suppressant as dextromethorphan and an expectorant as Murine will help reduce the cough. Make sure he Chat Doctor.  If the green phlegm persists he might require an antibiotic. Hope I have answered your query. Let me know if I can assist you further. "
+"gyno problemsfor the past few months, I have been having issues with my vagina. there always seems to be something wrong with me. its either an infection or a yeast infection from the medication used to treat the previous infection or a herpes outbreak as a result of a yeast infection. most recently, I had a uti. I was treated for that and everything seemed fine, until after I finished the medication. it still hurt when I had sex and still is uncomfortable to pee. I dont know whats going on and this has been going on for months.","Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Recurring yeast / final infection occur due to:1. Improper treatment.2. Inadequate treatment3. Wrong diagnosis.4. Not treating the partner. I would advise you to get a Urine examination done for bacteria and fungus. When the reports are available, get treated. Also, treat your partner. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD"
+"I have found that I have an allergy to leotensin. They have taken me off of everything....I found in the information that one side effect if the red skin lensions with a purple center. I was looking to see if there was anything I could do to help the spots go away. I am a dental hygienist and I will be working the next two days. Is there anything that would cover them, so the patients would not be aware???",Cellophane You for contacting Chat Doctor. Allergic reaction takes some time to settle. In the meanwhile you can cover it over the body by wearing appropriate long clothes which can cover most of the body to hide it. If itching occurs then you can take cetirizine once daily to prevent itching. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.
+Hi my name is Wendy I ve been having an issue for the last couple of months or so I been having severe pain in my lower back around the front into the groin area and its radiating down my thigh and so on I am currently a cancer patient nobody seems to be able to tell me what it could be the pain is so bad that it brings tears to my eyes would you possibly know what it could be or might be,"HelloThanks for query. You have not mentioned in your query details regarding cancer you are suffering from. The pain in back radiating down to thigh can be mostly due to metastasis in the spines or in to lymph nodes, You need to consult your treating oncologist and get evaluated by doing C. T scan of abdomen and pelvis and Bone scan. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. "
+"hye, My aunt is having shortness of breath and she is on vent now. Her breast showed some kind of infection that apparently turned out to have black blisters. I could she those spreading. When we went for lungs x-ray doctor said she has accumulation of water in her lungs","Thanks for your question on Chat Doctor. I can understand your aunts situation and problem. By your history and description, possibility of bacterial infection especially staphylococcus is more in her case. She is having pleural effusion and infective skin lesions on breast. Staphylococcus can cause pleural effusion and blister formation on skin. So chances of staphylococcal infection is more in her case. Better to send pleural fluid culture and sensitivity for the diagnosis of staphylococcal infection. This will also tell about effective antibiotic therapy. With appropriate antibiotics and Care, this infection can be treated. Hope I have solved your query. Wishing good health to your aunt. Thanks."
+"i am 28 yrs old, i got married before 6 year, i was infected by pulmonary tuberculosis before 6 years, i took treatment for 6 months after that i statred gainig weigt, my periods was irredulat, i increased nearlt 20 kgs after that, now my weight is 75 kgs, i trying to conceive, i took tsh, other blood test too, but everything is normal, do i have the chances to conceive","Hi, thank you for asking Chat Doctor I understand your concerns No need to worry so much. The chances of conceiving still exist with irregular periods. I don't know if you have been trying to conceive but to no avail. If that is the case, then I think both of you have to be assessed. Infertility within a couple can be linked to a man, woman or both. If everything is fine with you except irregular periods, then I would advise that both of you should see a doctor for assessment and counseling. I hope that helps wish you well"
+"I sprained my foot on Friday. I stepped on what I thought was lawn. Instead I was a bit on the lawn, but the outside of my foot snapped down into a trough. My foot has been swollen since Friday. Today is Thursday. Kept ice on it for 24 hours. Bruising started after that, Now bruising is spreading. It is really dark on my toes. Pain is on outside of my foot, not on my ankle.","Hello, You have sustained twisting injury to foot which may lead to sprain or minor fracture in foot bones. Diagnosis needs to be confirmed by doing x-ray of the involved foot anteroposterior and oblique views to rule out bony abnormalities. If x-ray is normal RICE therapy is needed which means Rest Ice application Compression bandage and Limb Elevation. Tab Diclofenac sodium twice a day for pain relief and tab Choral forte twice a day for swelling reduction is required. If x-ray shows fracture Below knee slab may be given. If X-ray is abnormal please consult orthopedic surgeon nearby your area.  Hope I have answered your query. Let me know if I can assist you further."
+"hi, i have been recently diagnosed with H pylori.. i have been give the triple treatment of calithramycin, amoxxicilin and omeprazole.. is dis something very serious and does this have some long term implications etc.can u plz give some detailed information about Hpylori. thnx","HiT hanks for choosing Chat Doctor for your query. I appreciate your concern towards H pylori infection which normally causes break in the lining of the stomach (peptic ulcer). H pylori is an exceptional bacterium which can survive in the acidic environment of the stomach producing tissue damage result in ulcer. Since this is a bacterial infection, hence antibiotics are used for 2 weeks to kill H pylori. Along with antibiotics Omeprazole is given for a period of 4-6 weeks to suppress the acid production and to increase the healing process of the ulcer. It is not a serious condition, usually triple treatment is sufficient to cure this condition. You must avoid taking Alcohol, hot and spicy foods, NSAID painkiller, smoking, caffeine, carbonated sweetened soft Chat Doctor. I hope all your doubts have been clarified in a simple language,Feedback in this regard is highly appreciated. Take care"
+"I had a alt reading about 2+ months ago of 43 then retested today and got a 60 alt reading my other readings came back normal should I be concerned?Im 40 years 5ft 3 and weigh 192albs have a history of chronic vertigo and insomnia, and chronic sinus problems. I take valium 5 mg 4 times a day, fluticansone 2 puffs each nose once a day, qvair two puffs twice a day to prevent weasing, claritin for allergies, and I do sinus rinses as needed. I am female.My doctor says none of the medicine has liver side effects, and I dont drink alcohol but a sip on the rare occasion. He thinks it could be do my weight and Im working on this with gradual exercise when Im able too. Should I be worried with this test result? I had one other result that was high my triglcyerides read 198 ? WWW.WWWW.WW","Hello and thank you for asking Chat Doctor. I have read your report, and I understand your concerns. First I would say to not worry. Normal Alt levels are 7 to 56 unit (depending on from the kits that laboratories use)In one of your tests, your Alt was 60. This level is almost normal and it doesn't always mean a serious condition of your liver. Here are some reasons why a healthy person might have changes in the levels of liver enzymes:-alcohol-exercise -some medications like aspirin, paracetamol,antibiotics, Cholesterol lowering Chat Doctor. "
+"i had surgery done 5 months ago for scar tissue and adhesion removal. my gynecologist just found a cyst on my right ovary. im still having problems, when my husband and i have sex i get severe cervical pain and afterward i get abdominal cramps severe enough i get light headed, also i get abdominal pain and rectal pain before and during a bowel movement, i also get abdominal pain during urination. im 26 years old. what could it be?","Hi. Thanks for your query and an elucidated history. Understood the history well. You have an obvious reason for pain - the adhesions and scar must have reformed. But the history of Dyspareunia, meaning painful sex indicated the is some active inflammatory process still going on in the pelvis called PID-Pelvic Inflammatory Disease. Cystitis and Procto-colitis are the additional problems causing the pain in abdomen and rectum before and during bowel movements as also during urination. Ovarian cyst can cause problem only if it enlarges fast or gets twisted. I would advise you the following::-Contrast enhanced CT scan of the abdomen.-Enteroclysis-Colonoscopy-exploratory Laparoscopy or Laparotomy which will be of diagnostic and therapeutic value. A proper course of an antibiotic, metronidazole, probiotic may help a bit or more."
+"Hi, I had a subarachnoid bleed and coiling of brain aneurysm last year. I am having some major bilateral temple pain along with numbness that comes and goes in my left arm/hand/fingers. I have had headaches since the aneurysm, but this is different. Also, my moods have been horrible for the past few weeks.","Aneurysm in brain causes headache due to compression of pain sensitive structure in brain. But pain is usually unilateral not bilateral. This pain will not radiate in both upper limb. Bilateral upper limb pain may be due to cervical spondylosis or other causes. You have anxiety of aneurysm, so due to anxiety your mood is horrible because aneurysm does not cause horrible mood change. So your headache may be chronic tension type headache. You may relieve by antianxiety Chat Doctor. "
+"Almost everytime I eat, it burns when I swallow. Not in my throat but in my chest. It burns all the way down. It helps a lil if I drink water after I swallow. I wake up a lot in the middle of the night with heartburn so I chew some tums and it helps for the most part. Why is it so painful when I eat?","Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause burning in chest. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take proton pump inhibitors and prokinetic Chat Doctor.  4. Keep 2 - 3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. Lose weight if you are obese. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"for the pst  6 days  i have been haing  upper  abdome  distress ...  i have had gall bladder  surgery  2 yrs  ago ..in the past  2  yrs  when i get these bouts  .. i go to  emerg  they run cardiograms  xrays ,blood work ,all comes back normal  ...im stressing out  over this  as im  scared every time it happens  im having a heart  attack  wht is it  ?","Hi. Thanks for your query, read and understood your problems. You are getting bouts of pain in the upper abdomen within the last 2 years particularly after the gall bladder surgery. This is great news that cardiac problems are ruled out by the tests every time in the emergency Room. This means that we have to find a local cause in the abdomen itself. I would suggest the following:Get Ct scan and MRCP for the hepato-biliary- pancreatic system. Also go for upper GI Endoscopy to rule out Gastric ulcer. Cancer. Colonoscopy for the possible problem of the colon in this area. If required a diagnostic Laparoscopy may help to see or rule out the intestinal adhesion due to bands or kinking or so and can be tackled at the same time. This way a final diagnosis and treatment plan can be done to get you permanent results."
+I have a hole its about the size of a dime at the beggining of my butt crack (gross I know) but Im just wondering how to get rid of it at home I put anti bacterial on it with a q - tip it sizzles but nothing comes out or changes . What do I do ? (At home ),"**1. Opinion and examination with Surgeon is of utmost importance since hole around butt crack could be :1. Pilonidal dimple not transformed into sinus [beginning stage where pain/discharge is not there], so the best management which can be done at home is: keep the area clean and hygienic2. Do not use a cotton bud to scratch, clean or put into hole.3. It could be pressure sore due to prolonged sitting, or old infected boil which opened and left a big hole, thus Opinion/Examination is needed PS. Take care, not at home, but after surgical evaluation and exploration."
+"Dear Doctor, We are trying to have a baby and gave it a big try this time but as we are planning to go for an Invitro (ICSI) for the next period, my doctor gave me Primolut Not from day 16 to day 25. I am wondering if this will have a negative impact on my pregnancy if I am pregnant because as explained we gave it a big try this time. Thank you in advance for your response. With my Best Regards; Mme Sue","Hellos you are going in for CSI next month, your doctor has given you Primal N for regulating the cycles. However, in case you have conceived this month, it is not advisable to take Primal N, as it causes virilization of female fetus and other abnormalities in the baby. There are other formulations of progesterone like Me Chat Doctor. These can be substituted for Primal - N. Please brief your IVF practitioner about the state of affairs and switch over to a safer "
+"Hello, I am in the middle of a serious anxiety/panic attack as I just became aware that I may have a tetanus infection. I am a senior at Clemson University and to be honest the apartment where I resided in the past four months was extremely unsanitary. One toilet was clogged for nearly two months which I now know could have bred bacterial spores that cause tetanus infections. I cut myself shaving around 1 1/2 months ago. I was out of razors and used a razor that had been sitting in the bathroom with the clogged up toilet I mentioned above. I did clean the razor with rubbing alcohol before use however I had an open wound on my face for a while.. About a week. For about a month now I have been feeling extremely irritable, experiencing lockjaw symptoms, been short of breath, had fevers on and off, heart palpitations, and I have noticed that when I smile my face contorts into what one would call a sardonic smile. Am I going to die? Please let me know your opinion","Hello, Welcome to Chat Doctor, I have gone through your query and understand your concern. Tetanus is a bacterial disease by clostridium retain. There is no cure for tetanus, but it can be prevented by adequate vaccination. Usual symptoms are all due to painful contraction of muscles as it affects our nervous system. Spasms and stiffness in your jaw muscles, stiffness of your neck muscles, difficulty swallowing, stiffness of your abdominal muscles, painful body spasms lasting for several minutes, typically frittered by minor occurrences, such as a Chat Doctor. If you are not get immunized for tetanus, you should start tetanus toxic vaccination now itself. First 2 doses at 4 weeks apart. Third dose after 6 months. After that your immunity may stand up to 10 years. Thank you."
+"Hi hope you can helpive been getting chest pains, not severe but a constant pain, can happen when im just resting but has also happened when im exercising, it continues through to my back as well. I sometimes wake up with chest pains too. i have a strong history of heart disease. grandfather died at 26 from a heat attack and mother had one at 45, also grandmother on the other side had a heart attack. Could you please explain what is happening? Thanks",HelloThanks for posting at Chat Doctor. You have not provided your age on the details. I would have been able to help u better had you mentioned your age. You have complaints of chest pain radiating to back with strong family history. So in your case it is better that we evaluate you for presence of heart disease. I recommend an ECG and 2d echo initially. If both these tests are normal you can proceed for a treadmill test which requires you to walk on a treadmill while your ECG is continuously monitored. This will show if the heart blood supply suffers while you are exercising which indirectly predicts whether you have blockages in your heart. Please do the above tests and revert. Wishing you good healthRegards.
+"Im 28 year old and suffering from male baldness pattern. I started using RICHFEEL tricology centres saw palmetto treatment but it didnt help, then I tried Minoxidil 5%  but discontinued it after 12 days after having some side effects (some tiny boils on my forehead). Kindly suggest me which medicine i should take.","Hi, You may stop it for a few days. Take oral treatment like tab finasteride 1 mg daily with tab biotin 10 mg thrice a day. Cleanse the scalp with ketoconazole shampoo daily. After a few days you may restart the minoxidil. Tiny boils may be folliculitis. Take a course of antibiotic like cap Doxycycline. Avoid stress and worries. Continue treatment for long time to get good result in an Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further.  "
+"I too fell and hurt my left side of my chest. I have a large lump and I am very black and blue. I need to fly out on Sunday this fall happen last Sunday. I have been taking aleve for pain and arnica gel. Should I be worried about the flight? I am 70 Thank you,",Welcome to ChatDoctorYou may be having rib fractures. You have to do x-ray chest as early as possible. Rib fractures can cause pneumothorax/air in chest or hemothorax/blood in the chest which will be seen on x-ray. Only rib fractures needs no treatment except painkillers. But if pseudo or hemothorax is present that needs ICD tube insertion in the chest. In that case air travel should be avoided. Regards
+"I have had a few small hard painless bumps where my cheek goes to my gums. this may sound terrible but they have been there, the same size & number for about a year if I remember correctly (scratch that, I just talked with a friend of mine & remebered they have been there for four years) & I have yet to tell my dentist about them. any thoughts? I am a 16 yr. old male & have used snuff habitually before, for only a few years but none the less.","Taking snuff for a prolonged period is not known to cause cancer, but it may lead to a number of local infections. Also, such people have a number of vitamin deficiencies which may also lead to irregularities in the cheeks and gums. I would advise you to take an antibiotic and antifungal (Tab Ciprofloxacin 500 mg twice daily +Tab For can 150 mg twice daily) plus a multivitamin (Tab B-Complex twice daily), all for 15 days. If your bumps don't improve by then, you should consult a surgeon."
+"my mother is 80 yrs. detected with vulva cancer. vulva is swollen red ,around discolourisation, white growth now extending to rectum. biopsy shows keratinizing squamous carcinoma vulva(welldifferentiated,invasive).she is little asthmatic, has cervical spondeolytis .","Hi, dairy have gone through your question. I can understand your concern. She has well differentiated keratinizing squamous cell carcinoma.  If her general health is good then treatment of choice is wide excision of carcinoma followed by chemotherapy or radiotherapy if needed. 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."
+Suddenly this morning I got really excruciating lower right back pain. I was standing in the kitchen and it came on suddenly. It s the lower right side. It does not go down in the my legs it s just isolated to my back. I have no nausea or no blood in my urine. Any idea on what it could be?,"Hello! Welcome to Chat Doctor ! Lower back pain may cause by right lumber disc prolapse whicChatDoctorpresses the nerve. But exact other causes are diagnosed by physical examination or by MRI. Common causes of lower backache and leg pain is a lumbar ruptured disc or herniated disc. Symptoms of a herniated disc may include dull or sharp pain, muscle spasm or cramping, sciatica, and leg weakness or loss of leg function. Sneezing, coughing, or bending usually intensify the pain. Rarely bowel or bladder control is lost, and if this occurs, seek medical attention at once. Sciatica is a symptom frequently associated with a lumbar herniated disc. Pressure on one or several nerves that contribute to the sciatic nerve can cause pain, burning, tingling, and numbness that extends from the buttock into the leg and sometimes into the foot. Usually one side (left or right) is affected. Take care "
+"Hey I am on my third antibiotic and still coughing and my ribs are killing me especially right side. Doc claims it is viral cough syndrome left over from bronchitis . I do not think so. No fever the whole time. Xray was clear on lungs. Taking mucinex, third antibiotic, inhaler and can not get better. Ulcers in mouth and my face in breaking out bad. Been sick since December 28,2012.","Hi welcome to Chat Doctor forum. The reasons for persistent cough, without findings in the lungs might, Uveitis a growth at the end of the throat, by touching the pharynx cause severe cough. For this type of cough you need to use cough suppressants like dexametarphane, codeine, etc which are present in some cough syrups.  Best thing to get relief immediately is Darling with Luke warm salt water 2 or 3 times a day. Avoid taking fruits, juices, ice creams, ice water to Chat Doctor.  I advise you to consult an E.N.T.surgeon who is the doctor concerned with the causes in the pharynx.  Wishing for a quick and comfortable relief, and thanks for calling."
+"Hi My mrs has this heart murmur, which is causing the blackouts, and she has panic attacks. Yesterday the doctor was quite concerned at how her blood pressure was so high, and then a couple of weeks go when she had her smear, it was too low. She has now got this bruising appearing around her lower back too, and i don t know how its been caused. I m really worried about her. Is this seriouse?","Hello, I would explain that a heart murmur could be related a structural heart abnormality.  For this reason, I would recommend performing a cardiac ultrasound and a resting ECG in order to examine her heart function and structure.  Considering her blackout attacks, I would recommend performing some tests too:- complete blood count for anemia,- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  An ambulatory 24-48 hours ECG monitoring would help examine her heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Hope I have answered your query. Let me know if I can assist you further. "
+"I am on metformin 1000mg bid for pcos & was prescribed Percocet 10/650 for a severely displaced fracture needing surgery. I drink a glass of red wine nightly for heart heglth Bhc cardiac disease runs in my family... Should I be concerned a our elastase liver function test? I am also on Zoloft 150 daily, adderall 30mg bid & clonazepam as needed who I take a few night a a week","Hi, dairy have gone through your question. I can understand your concern. You taken percent, clonazepam, Zoloft, Adderall so in my opinion you should avoid alcohol. It will damage the liver and will put you in trouble. You should check your liver enzymes levels once and also go for ultrasound abdomen once to rule out any alcoholic liver disease. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"I stopped taking microgestin, mid-pack, on 12/5/13 after being on it for 2 1/2 months. I had withdrawal bleeding 12/9/13 - 12/13/13.I was supposed to get my period 1/5/14 but i am late. Before birth control my cycles were always regular and always 28-29 days. My boyfriend and i have been using the pullout method frequently before and after stopping the pill. Could i be pregnant?","Hallow Dear, Since you are no more on the birth control pills now, you are no more having any contraceptive protection. Pull out technique is not a safe and reliable technique for contraception. In this method, the penis is pulled out of vagina before the ejaculation takes place. However, before ejaculation, pre-seminal or pre-ejaculatory secretions (pre-cum) are deposited in the vagina unknowingly. Pre-cum does contain some sperms which are capable of impregnating a woman. Now that you have missed your period, please get your pregnancy test done on overnight morning first urine sample a week after the missed period; earlier, the test may report false negative. Alternatively, you may perform Beta Chat Doctor test on the blood. This will help you detect your pregnancy status. If you are not pregnant, you may take some progestational preparation like Devilry for 5 days (with advice of a Gynecologist). Then within 4-7 days, you should get with Chat Doctor.  However, if you are pregnant, you may opt for medical termination of pregnancy. Since you are regularly engaged in sexual activity and do not want to continue with oral contraceptive pills, please adopt some other reliable contraceptive method like condom or intrauterine device. I hope this clarifies the issue. "
+"I am going through Jaundice due to Hepatitis E, my stomach has gone too much weak, at time a lot of acidity. I was in hospital for 5 days but now feeling much better then before and my Total bilirubin has come down to 5 and liver enzymes are around 1400. Body is too much fluctuating, at times i feel better and at times i feel pathetic. I am on complete rest, at times i walk around else not much of physical work. I am taking monolive but i can see Liv52 is more famous, should i change that?","HelloThanks for asking query on HC. I presume that you have been diagnosed with acute hepatitis E based on the relevant tests. You must know that acute hepatitis E is a self limiting disease, only needs supportive care. You are correctly started on Mongolia (UCA), please continue that, no need to change to Liv 52. Furthermore, you may also require acid suppressing and antiemetic tablets like - Antacid DSR along with some vitamin supplements. Have good quality food with necessary proteins and vitamins. You will become normal in another weak. Mind you bilirubin is the last thing to normalize. So don't worry about that. Alarm signs which one should keep in mind are - excessive sleepiness, bleeding manifestations and inability to eat anything. Take care."
+"My family has recently gotten the scabies mite... WE have cleaned our house top to bott om with hot soapy water, Rid, Used a cleaner on carpet/couch. we treated ourselfs with Permethern cream, Eurax, and i have used tea tree oils, poroxide, etc. Everyone but me and a older son has kicked it. I have went as far as sanding my skin....My question is what do I do to rid it once and for all SAFETLY! I was told Borax in a tub ....is that safe? HELP","Hi and thank you so much for this query. Can be very disturbing to get your entire household infested by scabies. Hygiene is the rule. Treating every sick person, washing and disinfection all linen as well as ironing would ensure that this bug is gotten rid of. So step up your personal hygiene after treating every affected individual and disinfecting all linen. I hope this ad Chat Doctor.  Feel free t ask for more information if needed. Thanks for using this panel for your questions."
+"Hi, didn t expect to get a real person, but since your are here, I will tell you about symptoms I have been having. I think they are panic or anxiety attacks, but who knows. I get a tight feeling in the back of my head that moves to my temples then down into my throat and eventually down the middle of my chest. I get very emotional when this happens and after all that, I can t catch my breath and my heart beats really fast. It usually goes away in 2 or 3 minutes, if I can sit down and concentrate on my breathing. I recently had an MRI and my heart was found to be OK......any ideas????","Degree understand your concerns went through your details. I suggest you not to worry much.  You are mistaken. We are human beings and are here to answer your queries. You can expect answer from a real person here. In anxiety attacks, obsession with a thought brings anxiety symptoms and then comes emotions. Before the symptoms comes, there is always apprehension. Anxiety attack or panic attack is always an after effect of anxiety. What is your reason for anxiety? Any fear, stress, molestation, health related worries? Find out and you shall get the answer. The answer shall help cure your condition. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
+I fell on uneven sidewalk on July 3rd and hurt my knee: I had no problem walking and I didn t have much pain just bruising on my knee with tenderness. Now as the bruising is entering the purple/green phase I am starting to get a lot of swelling in my calf and ankle- what should I do ??,Welcome to Chat Doctor I have gone through your query and understand your concern. You're swelling of foot and calf may be related to edema after injury. It is useful to keep limb elevated. Active toe movement will be useful to reduce swelling. Analgesic such as ibuprofen is useful to get relief from pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
+"Dear doctor, i am 33 male recently i have undergone pre employment medical check up and it was found that i have sgpt- 194 except this all test are absolutely normal test includes 1) CBC2. ESR and liver test 3. Urine Routine 4. Blood Group & Rh Factor 5. X-ray (Chest)6. General Physical Examination7. Fasting Blood Sugar &Post Prandial Blood Sugar8. Total Cholesterol9. ECG10. Serum Creatininenow they have advised me to got my ultrasound done full abdomen. i have got it done today and every thing is normal and they found mild fatty liver. Another thing i want to share that i was suffering from loose motions and was on Ofloxacin-200mg with ornidazole500mg B.D dosage (oflox OZ )medication for 2days and continued ofloxacin-200 B.D dosage (oflox) for another 3days as was suffering cold and cough also.now i need to go to gastro doctor to get the ultrasound reports checked. Just want to know what could be the reason for this elevated SGPT and will i get the clearance for joining new company.what should i do to lower my SGPT levels?? and what diet i should follow i am not a heavy drinker just take drinks occasionally and i am not fond of junk food as well.","Hello, I can understand your concern for abnormal blood report.1) Your symptom of loose motion might be due to indigestion. There is no role of antibiotic in this. Instead, you should take intestinal digestive enzyme supplementation.2) Elevated SGPT level indicate either liver function is weak or liver has too much load to work. Fatty liver is condition in which excessive fat get deposited in liver tissue and affect liver function. This is the reason for elevated SGPT level in your case.3) Fatty liver is due to high level of fat in blood stream secondary to lipid (fat)-rich diet. This might lead to elevated cholesterol level. Thus, it is recommended for you to undergo lipid profile test.4) Mild fatty liver is reversible condition. You should do - regular exercise, intermittent fasting (weekly once), high protein diet, low fat-diet, use of omega-3 fatty acid containing oil in food preparation, avoidance of alcohol intake. Your SGPT level can come to normal range with these measure in 15-20 days. Hope I answered your query. If you have any further question, I would be happy to help you. Have a nice day!"
+"Hello, My name is Wanda I am a 40year old female with type one diabetes (have had it for 7 years ) I have had a tooth infection in my gums for honestly on and off for about 2 years it swells up then bursts with yellowish clear pus above a tooth which needs to be pulled. I have felt like Ive had a sinus cold for the past few weeks and then discovered a sore on the inside of my left nostil.. could they be connected","Hello Wanda and welcome. Thanks for sharing your concern. The roots of upper molars are in very proximity with the maxillary sinus above.Therefore, sometimes it becomes difficult to diagnose whether the patient presents pain due to tooth infection or sinusitis. But clinical evaluation with supporting x-rays makes it clear whether the origin of infection is teeth or sinus.Therefore, in my view please meet your dentist/ENT specialist for a sinus view x-ray. This will make things pretty clear.Meanwhile, do take good care of yourself.ET us know for further doubts. Thanks. Take care."
+"I had a partial root canal roughly 36 hours ago on my lower left rear molar (wisdom teeth extracted years ago).  The doctor drilled out the pulp (noting that it was mostly dead) and put on a temporary filling until the root canal specialist could see me.  Now, about 36 hours later, Im in quite a bit of pain again, both on the tooth that was operated on and in a molar on the top of my jaw and in the back jaw muscle.  My neck is rather swollen too and is tender to the touch.  I have plans to travel tomorrow by plane to see some family and go diving.  Is my condition something that requires immediate attention?  Should I not be flying or diving?","Welcome to Chat Doctor forum. Dead pulp inside a root canal is almost always infected with several bacteria. Now, while removing those dead pulp/ remaining tissue or washing the root canal, there is every possibility that some part of that infected material pushed through the root apex foramen(hole) to the surrounding area. Naturally that area become infected and in many instances the infection expressed as an acute infection of root apex area with pain and may be with swelling. It is called ENDODONTIC FLARE UP. It may happen in 50% patients after the cleaning of root canal. The dentist has no control over it. There is no need of postponing your travel schedule. You should start an antibiotic like Augmenting or same type (Amoxicillin 500 mg + Clavulanic acid 125 mg) 8 hourly for 5 days. Along with that you have to take Diclofenac 100 mg + Paracetamol 500 mg, 3 times a day in full stomach. If you have a history of excessive acidity, you have to take 10 ml of any liquid antacid before taking Diclofenac.  Your pain will subside with in 2 to 3 days. But continue Antibiotic for 5 days. Best wishes."
+My doctor had issue with finding the baby during my transvaginal ultrasound is that because I had to pee she could see the yoke sac and I measured 9 weeks but what she thought was the baby was measuring 7 weeks. I am just worried and want to know if that interfered,"Hello,First, do not panic. As you might be aware that yolk sac is a structure attached with an embryo-baby, for its nutrition in early pregnancy. The reason for not finding the baby and only finding the yolk sac can be small pregnancy duration may be due to delayed ovulation and delayed conception. I will suggest you get a repeat ultrasound done after two weeks. Please start on Folic acid and vitamin B 12 supplements. Option for a healthy diet and regular exercise regimen. Hope I have answered your query. Let me know if I can assist you further. "
+I hit a volleyball this after with the underside if my hand (made a fist) it bent my wrist backward causing pain. Now about 7 hrs later it is still very painful to my hand backwards and all to put pressure on my wrist. These are fairly sharp pains. It does not hurt to pick things up or grip most objects. There is only pain when I move my hand. Thank you.,"Dear patient You must have injured wrist ligament due to extreme stretching while playing and this is leading to pain. Still possibility of fracture needs to be ruled out, and I would advise X-ray of involved wrist with hand anteroposterior and lateral views.  Visit radiology center nearby you and get it done. If report is normal diagnosis is wrist sprain.  Avoid game for 2 weeks and apply wrist binder for 3 weeks. Start tab diclofenac plus serratiopeptodase combination twice a day for 5 days for pain relief. If X-ray report is abnormal you need to consult expert orthopedic surgeon with report.  All the best."
+"I have a pacemaker, due to atrial fibrillation, and have been put on coumadin. It does not seem to thin my blood, and am on 750 mg a day, and it makes me nauseous and extremely dizzy, to the point where I can t function. Are there any foods that help thin the blood? Also, do fish oils help or hinder the thinning process? I would really like to take less medication and get results that are favorable.","Hi, Green leafy vegetables like spinach, broccoli and food rich in vitamin K antagonize the effect of medicine. So these should be consumed in moderate amount, since we can't stop green vegetables altogether. And importantly, daily this intake should be kept constant otherwise effects may fluctuate.  Fish doesn't have significant effect on Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. "
+My younger brother liver & spleen got enlarged. Hepatitis B&C found in blood. Mild ascitis & SOL on both lube of liver found. His age is 15. Weight is 28 kg. He is having serious less appetite. I am attaching the all the reports. Please advice us how to proceed and the exact condition of the patient.Here two doctors said he will need a full liver transplantation...,"Hi thanks for contacting Chat Doctor ... Your brother have both hepatitis b and c positive.... Your brother might have chronic liver affection with it can be cirrhosis liver associated... Morever you are mentioning space occupying lesion in liver... It should be investigated for malignancy as chance of development of hepatocellular carcinoma more if both B and C hepatitis present... For that contrast enhanced CT scan with AFP estimation can be done... If needed for confirmation USG guided biopsy might be needed.... Ultimate treatment for chronic liver problem is liver transplantation... Your report attached cant seen here in public forum questions... For more opinion you can consult gastroenterologist .... You can take follow up advise by using premium questions...Meanwhile, take low fat diet... Fruits taken more... Green leafy vegetables useful.... Take early in morning grinned spinach and carrot juice.... Hope you concern solved.... Take care.... Chat Doctor. "
+"Hi Over the past 2 days I have had a sore jaw on the right side only. Doesn t feel sore on the outside of my face, but extremely tender on the tendon that attaches jaw together. Inside of cheek also appears swollen. Right side of tongue feels strange, and slightly sore to swallow also. I m 40 but my wisdom teeth never came in, could this be a cause?","Hello, I can understand your concern. Usually, wisdom teetChatDoctore in mouth at the age of 18 to 25 years. However, as you have never had them in mouth, it is possible that they might be impacted or locked in the jaw. As right side of jaw is causing you pain, let us focus on that only. Due to absence of physical space to come out in mouth or due to its improper position, it might be possible that the wisdom tooth of that side was locked in the jaw all this time and now might be impinging on the muscle of the mastication or nerve that supplies tongue causing you the pain and discomfort you are experiencing. It is also a possibility that a tooth might be decayed on the side of the jaw that is causing you problems, has developed an abscess that is causing these symptoms. In both cases, you need to visit a dentist to get an oral examination to find out if any tooth is decayed and taking x-ray of the wisdom tooth area to diagnose wisdom tooth related problem. By the time you ET an appointment of the dentist, Ibuprofen 400 mg thrice a day will help you in getting relief from pain. Please refrain from hot water gargles or heat compression as if the pain would be abscess related, it would worsen. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"
+"Hi, Can anyone give me the solution for Aplastic Anemia ? my 4 years old daughter suffering from Aplastic anemia since April 2010. Regards, Vinod","Dear Vinod:Thanks for the query. There are different modalities. The treatments depend on severity of the problem. If it is less severe the immune-modulator medications-Antithymocyte globulin (ATG), cyclosporin (CSA), and cyclophosphamide are useful. She requires intermittent blood transfusions. If it is more severe, she needs Bone Marrow transplantation (BMT) from appropriate donor which is the definitive treatment. She needs conditioning before transplantation with ATG/cyclophosphamide so that the graft (BMT) will not be rejected. You can refer to the article in emedicine.medscape.com: This is the URL of article:http://emedicine.medscape.com/article/198759-overview.  "
+I HAVE HAD SEVERAL TIAS BEFORE THE AGE OF 40 AND JUST RECENTLY I HAD DIFFICULTIES ORGANSIZING MY THOUGHTS AND THEN TRYINGTO SAYING WHAT WAS IN MY BRAIN HAPPENED APRIL 15 AND THEN THE NEXT DAY WHEN I ANSWERED THE PHONE WERE I VOLUNTEERED IT HAPPENED AGAIN; I COULD NOT SAY GOOD AFTERNOON SHIRLEY SPEAKING HOW MAY I HELP YOU. ANY SUGGESTIONS WHAT I WAS EXPERIENCING?,"Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : ANY SUGGESTIONS WHAT I WAS EXPERIENCING? A1 : This is probably Multi Infarct DementiaFurther Course of Treatment depends on Clinical Examination, Funds Examination, MUSE, Radiological Evaluation. Please Consult a neurosurgeon in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask"
+"My son is 1 yr 8 months old...he is not walking on his own...so dr suggested MRI n MRI report shows .ventricular system appears mildly prominent,normal in shape position and signal morphology,cisternal and sulcal spaces are mildly prominent,small faint hyperintense areas noted in bilateral periventricular frontal and Pareto occipital regions.rests things are normal....pls tell me wat does it means","Hi...though I do not have the images of the MRI before me right now, by what you quote, I feel it should be - Periventricular Leukoplakia - a condition which occurs in prematurely or underweight born babies. Their mentation and IQ will be perfect, but they will have problems with their legs and walking. Usually there won't be any problem with the hands. This condition is called - Spastic Diplopia and is amenable for physiotherapy. Please do not worry as the kid will get better with physiotherapy. Regards - "
+"Hi. My 18month old has had red and swollen eyes for about 5 days. I took him to his doctor and they have no idea what is wrong. His eye itself is unaffected. It seems to be isolated to the outside of the eye (eye lid, and beneath. Just last night he broke out in a rash all over his body. I need ANSWERS badly. Can you help?","Hello. I'm a pediatrician. From your description I think he might be having present orbital cellulitis. In this condition soft tissue around eye is infected. Baby will be toxic and having high fever. Eyes may be swollen, it massive be difficult to open eye. Rash on rest body might be due to Chat Doctor.  Consult ophthalmologist and pediatrician. If it is really orbital cellulitis then baby might be needing admission"
+"I fell down three stairs on my buttocks, when I got up I almost passed out I ran to my bed and waited till I felt better. I have been feeling nauseated since then and cant stand for a long period of time without feeling like im going to be sick. It is also painful to sit. Im on blood thinners what should I do?",Dear France pain is from muscular strain due to injury. You can take analgesic like ibuprofen or if severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase with omeprazole/pantoprazole + risperidone to relieve nausea for 2-3 days. This will clear all symptoms. If symptoms are severe consult your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon.
+"Do you take multiple chemical sensitivities seriously and understand how debilitating fragrance chemicals are? Do you think there is always an under-lying cause for scent sensitivity/allergy (yes, I have allergic reactions to dryer sheets like Bounce and Scent Boosters)ie rash hot prickly skin, swelling of tongue, extreme thirst... do you think (my) immune system was already compromised or do you think the neurotoxic petro chemicals in fragrance products alone can cut a person s life down to the knees overnight?","It's a very good question and thousands of people who read it, I fact, can reap the benefits out of suggestions given herein, based on the principles of Ayurveda - the nascent science of life.First there is a principle cited in Ayurveda about how to prevent/ cure a disease. Its NIDAANPARIVARJAN (in Sanskrit language) which literally means avoidance of the cause. Now, in many cases people are not able to change jobs or circumstances are such that they have to remain in such conditions. Here comes the principle of PRAANVAYU (richness of oxygen and fresh air) that is achieved by rhythms of deep breathing exercises called PRAANAYAM. Indias Yoga has spread to the World and people who are aware are enjoying the benefits. It enhances immunity, gives strength to fight allergens and extends life as also betters quality of life. Then there are herbs to naturally support the fight of body against allergens. Simple herbs like Turmeric, Need, Manisha, Gilroy, Quasi (Holy basil) etc. not only counter allergens but detoxifies the blood and also raise natural immunity. The hitch among beginners is its slow pace of action. Yes naturals are slow as compared to man made synthetic and toxic medicines but then what advantage has these fast Chat Doctor.  No doubt modern synthetics have won in emergency situations and saved lives. But lifestyle disorders and the one you are suffering from needs naturals to support you. These do not have side effects, no interaction with "
+"dear doctor, in hot and humid weather my 5 year old get some sort of pimples here and there on her body....i hv put her on homeopathy and also put spirit on it which prevents pimple from growing further....shown her to her paeditrician who saying she just has sensitive skin and hasnt given her medicine...homeopathy is specifically for staphlococci bacteria.....doctor feels i dnt need a blood test....will the problem go away in a few days with homeopathy and spirit application...i worry abt extreme situations like bacteia contaminating blood etc....am i just overdoing it as she absolutely fine and no fever or discomfort....she tuchwud fine and just sweats a lot due to humidity.....pl tell is this common in kids and any cause to worry...hope nothing infects blood as no major medication gvn by doctor","Hi, Is she having fever? How are the lesions-itchy / fluid filled / pus filled? It was helpful if you can send us a picture. In hot and humid climate, most likely this is Emilia- small pimples over the skin due to clogging and blockage of sweat glands. In absence of secondary infection (painful / edematous / pus filled), this does not require any specific treatment other than avoiding direct sunlight and keeping the skin cool with wet moping 3-4 times a day(apart from routine bath). If itchy, I used to give calamine lotion and antihistamine like levocetirizine for few days. In short, if she is not febrile and the lesions are not with surrounding edema / pain / tenderness / pus filled-this does not indicate bacterial infection-hence no need of antibiotics and no chance of blood contamination. Hope I have answered your question. Let me know if I can assist you further. "
+Hello its since 11 days that we had unprotected sex on 7 may though I ejaculated outside bt m feeling tensed about this. Her last period was on 22nd April. She had vomited in these days though it had stopped now. Am very tensed and shes also. What should we do.? Can we avail pregnancy urine test at home now. Its 18 may today n she normally mensturates at 26 days interval......help us.,"Hello, thanks for writing in. I understand your anxiety. The pull-out method is not 100% foolproof. If your partner has a 26-day cycle, it means she would be due around the 18th. A delay does not always mean a pregnancy, it can also be due to the mental anxiety, illness etc. She can test for a pregnancy using a home pregnancy kit about 4-5 days after the date of the missed period (assuming she has regular cycles). Ask her to use a morning sample preferably. If there is a doubt, better do a pelvic ultrasound the week after. Do not worry, seek a gynecologist opinion in case it is positive. All the best."
+My son had fits in his sleep at early morning for the first time. He is 8 years 5 months old. Fits was around 3 minutes and he went to unconsious later for another 2 to 3 minutes. When he got conscious he does not remember any. He was having veeze problems from few days and was on medication. We checked in the family and cleared not a heridity issue. I am very concerned and seeking your help to understand the situation.,"Hi...by what you quote this seems to be a type of seizure called complex partial seizure (CPS) or generalized tonic-clonic seizures. This is not related to wheeze or its related medications. As it has occurred for the first time, without anybody in the family having it, he definitely needs evaluation. He will need a basic blood work up and EEG and MRI brain. Nothing to worry, if he is stable now. The tests will throw light upon the probable cause and then the doctors will be in a better to counsel you on further proceedings and prognosis. Regards - "
+My dog bit my 12 years old son. He had his 0 and 3 days shots he just need to come back for the seventh day does he needs to finish all his shots? And my dog doesnt have a rabis shot yet on he day he bit my son because his only 2 months and 3 weeks but a week later we let him have his rabis shot what are the signs I need to look for my dog and how long do I need to observe the dog,"Hi, Welcome to Chat Doctor Forum. I have gone through your Query & I really appreciate your concern about the problem you are facing. As a physician I would like to tell you that you need to observe your dog till15-20 days. Also, your son needs to take 3rd shot, i.e., of 7th day. Also, you did the right thing by vaccinating our dog. So you need not worry about anything. Thanks for Trusting & Posting your Query on this forum. Hope this will help you. Feel free to ask any further question. Have a nice Day. Chat Doctor. "
+"Hi, i ve been on the Noriday pill for 10 months now (i was on the Depo Injection prior to it), i started having heavy periods at the start of December and i m on my fourth period now. Is this normal for this pill? The reason i went on this particular one was because it was similiar to the Depo Injection. I didnt get any periods with the Depo.","Hi, Thanks for the query. Holiday pill is a mini pill containing progesterone. During the usage of contraceptive pills some amount of irregularity in menstrual flow is common. If you are having heavy bleeding, you can take symptomatic treatment for that and can continue the pills. If same problem repeats frequently better to think of changing the contraceptive method. You discuss this with your doctor and proceed according to her advice. Take care."
+"my father is diagnosed with kidney cancer in july last yr, he got his left kidneyremoved and was given target therapy starting from nexavar .after 6 months PAT scan showed slight increase in disease and was put onsecond med which further detiorated the condition .....causing utter weakness as a result med was discontinuedfor a week which further worsened the condition .....again fluid in lungs and now speech is also not clear ....brain CT was done n some cells were found.....as a result radiation therapy was given for 10 days ....it gave positive results along with med VOTRIENT....everything remained fine for a month but today he had a fit type condition and lost his speech for sometime so Doc pls guide what next PAT SCAN is due in june first week.","Dear Mr. seigneur, I am sorry to convey you that your father has entered a very advanced stage of the disease. He is resistant to all forms of therapy now and is also intolerant to other active treatment. Please give him only palliative management to comfort him. No active treatment is advocated. Please consult your primary physician who will guide you for this form of terminal care and comfort. Truly,"
+"I fell over at work 3 weeks ago and hit the bottom of my back on a wooden floor and I have been in so much pain since, I was signed off work for 2 weeks by a doctor and just got back into work and it has made it worse, I can barely walk now and my back keeps seizing up. what should I do?",HiT hank you for asking ChatDoctorIf you having pain after 3 weeks of fall an injury like fracture should be ruled out. A x-ray should be taken according to the point of tenderness. If wide pain is there I recommend taking a pelvis and Lumbosacral spine x-ray. If no fracture is then it can be due to strain or sprain. In such case I advise muscle relaxants like thiocolchicoside NSAIDs like diclofenac and neurotrophic Chat Doctor. I also recommend doing warm compress on back. Hope this may help you. Let me know if you have any further query.
+"Hi, I have a bump on the top of my helix where usually a piercing would be, but i never had a piercing before, just informing you where this bump is. It looks like a blister, but it doesn t hurt. I don t know how long it s been there. If you could please tell me what it might be that would be great! Thank You.","Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Dear, you need to consult Surgeon for checking other causes of such a lump. But I would alert you to rule out TB with Erythema Nodes which may be missed as a cause of such a lump on the helix. Fibro-chon Chat Doctor. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!"
+At lest once or twice a week my arms chest feel hot and tingling ...times I get just swollen arms and tingling on one side of my face....what causes this ..thanks....I have been on depression medication and blood pressure meds..Never been sick ....used to workout but I am a product of the recession so stress is a big part of my lifethanks,"Hello, welcome to Chat Doctor. Your symptoms are related to stress and depression. Depression can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, palpitation, tremors (shakiness) etc. In history, you mentioned that, you are already receiving treatment for depression. Your current symptom may be related to residual depression. It is better to get re-evaluated by your psychiatrist to investigate and treat these symptoms effectively. Same time do some relaxation exercise like daily brisk walk, yoga and breathing exercise, which will help you in fast recovery. Wish you good health and all the best.  Chat Doctor. 99doctor.com"
+"Hi i am suffering from ring worm on wrist, ankle, groin infection from last 8 months now and had taken medices like TerbestGrisODKenz LevosisAF 150 and used external creams like Cansten SBrutnaskin BMSercos..every tablet has temporary effect one i stop it come back again ....pls help","Thanks for asking in Chat Doctor Forum In Short: Have patience, fungal infection takes long time to be curedExplanation: Some people will have a tendency to get fungal infection again and again. Basically risk of infection raises if the skin is always moist. So if you keep your wrist and groin clean and Chat Doctor.  Otherwise, apply point clotrimazole for local application twice daily for at least ten days. If you stop using it once it gets reduced by two to three days, you will get it again.  Good luck"
+"My baby is 3 month old. She cannot sleep at night.she feels sleepy, so when she is on our lap she is sleeping ,,but when we are trying to put her down in bed , she wakes up.,please let me know the solution of this. We have also checked whether her nose are blocked or not . But she is not having blocked nose.","DearWelcome to ChatDoctorWe understand your concerns went through your details. 3 year child only understands security and care. She clings to anything that provides security and care. Naturally, she is clinging to you. Let her do it. While putting her down, you also lie down with her. Nursing habit also can be imparted while laying down. Such a change of habit, will change her way of looking at security and care. These are related to training. You need to use alternate techniques of training. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."
+"hi doc.. my child is 4 1/2 yr old boy, past 15 days his poops are little abnormal, just after eating or drinking milk he is passing his stools, normally he goes only once or max twice a day, but now he goes around 4-5 times a day, he happened to eat uncooked chicken when he was on vaccation, day next there is this abnormal change and bad smell coming through his mouth. when consulted pediatric, he gave cepodom 100 mg for 5 days, but still the problem continues and today my child happened to vomit this evening. pl suggest as what to do.","Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for kids to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the kid takes feeds, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - "
+"Hi. I have a history of kidney stones and I recently just passed another stone back in December. I woke up today, though, in terrible pain. I feel like Im going to vomit, like something tight is gagging me around my neck. Im very hot. There is blood in my stool and I dont think Im going to leave the bathroom any time soon. Could this be another kidney stone? Or is the blood in my stool from something else? Your response is very important to me. Please and thank you!","Hi, Renal calculus when passes through ureteric wall it irritates it n have severe pain in flank which can radiate to groin thigh umbilicus scrotum /labia major associated with nausea vomiting and other urinary symptoms including hematuria. It never causes blood in stool which can be due to pathology in GIT.  So visit a gastrosurgeon for bleeding PR and Urologist for your Renal calculus. Hope this ll help Thanks n regards"
+"I feel as though there is a liquid near the surface of my upper left chest muscle near the arm pit that burns when I lean foreword in a standing position. The burn is very intense like a white hot iron is slouching in that area. just started 4 hours ago and is increasing in area. feels liquid in nature, but i feel no bump and it may be inside rib at that location? do not feel it by putting finger pressure in general area.","Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should first get done 1. Chest x-ray 2.  Ultrasound examination of local part. Lung infection or skin infection (left upper chest area) can cause symptoms of burning and fluid sensation. If both these are normal then no need to worry about major diseases. Also get done vitamin B 12 level, hemoglobin estimation as b 12 deficiency and anemia can give rise to similar sensation. If any of these are deficient then you need supplements. Don't worry, you will be alright."
+"I have noticed that I ve been getting these sore reddish spots with a white ring around them on my tounge.the spot on my tounge is reddish with a white ring around it and the other 3 are bigger patches on the back of my tounge but there not red,they do have a white ring around them nd they look as if I been eating to much sour stuff which I have not.the only one that is slightly painful is the reddish one on the tip of my tounge,what could this be and should I be worried? They come and go","Hello there, You may have a manifestation of a micronutrient deficiency. You should have a multivitamin once a day for the next 1 week preferably one with vitamin b-12(cyanocobalamine) and then assess whether your spots go down. If they don't the pleasing visit a doctor who would do tests to evaluate any underlying deficiency. Also adding probiotics to your diet like yogurt would help. Thank you for your query, Chat Doctor. "
+"Hello Sir, I have skin allergy to avoid itching i have to take cetrizine alternate day.because cetrize i feel sleepy and cozy , is there any treatment for this permanently. Please advice i am facing this problem for last 5 years i am 32 years old man.","Hi, thanks for using Chat Doctor The only cure for the allergy would be to avoid the source if it is known. There are allergy tests that can be done to determine the source of the response. These can be in the form of blood tests or skin tests. If the source is not known, or you cannot avoid it then the allergy would continue, and would need to continue the antihistamines. Though cetirizine is non Chat Doctor.  You may want to try other non "
+"My cellulitis has existed for about 4 months. The warmth and redness have disappeared but the swelling is still here, though has diminished quite a bit. Tightness still in my ankle and sometimes some pain. I do put my leg up often and use a compression stocking. Antibiotics have not been effective. Used a topical homeopathic ointment which seemed to help. Doesn t seem to be caused by an infection;most probably an autoimmune condition as I had my thyroid removed 5 yrs. ago with resultant fatigue. I m 87, 5 5 . I read recently that I should stay in bed most of the time with my leg up. Is that really necessary? Will this condition go away eventually? How can I improve my autoimmune condition?","Hello Their have gone through your question, I had a same case with swelling in ankle area because of the cellulitis, I have found electro-therapy effective in the treating the swelling caused by cellulitis. We call this machine IT [inter-ferential therapy]. An experienced Physiotherapy will give you IT treatment at a frequency of 70-100 and if pain is there 20-30 frequency current would be used.in the meantime you can start calf stretching to activate ""pumping mechanism"" of your calf muscles as Calf muscle is called as HEART of lower body. So once these muscles get activated swelling would not e a problem anymore. Also try Isometric exercises of calf muscle. I am hoping a speedy recovery for you. Regards"
+"Hi Sir, My mother is 68yeasr old, and from very recently from 1year she got into wheesing and continious coughing, feeling chest heaviness, my mother had check x-ray and PFT which is normal, and she is been adviced to take omnacartil medicine but with this medicie she getting very week. is there any other medicine to get rid of this wheezing and couphing problem... she is also taking Asthalin nebulisation but this was giving her a temporary healing and again the cough and wheezing is back... please suggest","Thanks for your question on Chat Doctor. In my opinion you should start oral bronchodilators. There are many good oral bronchodilators available. 1. Theophylline derivatives like acebrophyllin, doxophyllin etc2. BambuterolYou can also try antiallergic and antihistamine tablet once in night. Better to give her LAB (Long Acting Beta 2 Agonist) and ICS (Inhaled corticosteroids) as they are long acting and gives relief for almost 12 hours, while Stalin gives only relief for 3-4 hours."
+Hi Good MorningI am 33 years old IT professional working in Bangalore India. My wife has some health issue....1. She could not walk much...legs get swell2. hair falling 3. Digestion problem.4. She does not sleep properly.5. we both smoke. 2-3 perday sharing.6. weakness7. and very enger and rigid.Please help me out how to work out to increase her hemoglovin... and other ...?,"HiI understand your concern.1st of all she requires body check up and routine tests like CBC, FT, LFT and thyroid profile. Medical cause need to be rule out 1st. Hemoglobin can increase with medicines which has iron content. There are lots of preparation of multivitamin available which will help in weakness and for general health. For a good sleep following will helpful certain routines and lifestyle modification will help you like fix sleep schedule and stick on it, no daytime sleep exercise that makes you fatigueRelaxation, yoga and meditations avoid alcohol and smoking, avoid heavy meal in dinner, avoid tea coffee soft Chat Doctor. But go for physical check up and get well soon. Thank you."
+hi today like 5 hours ago i climbed a rusty net and i have 3 verry verry tiny scratches on my hand... if im infected by tentanus can i go tomorrow instead of today? because its 1:30am right now...or it can infect me permanently untill tomorrow? i am 15 years old,"Hii appreciate your concerns would like to know about your previous immunization for tetanus if you are well immunized, taken last TT injection within last 5 years you need not worry, as such you had just tiny scratches so It's not so bothersome as well. You can take it tomorrow Hope I have answered your question. If you have any further questions I will be happy to help wish you good health Chat Doctor. "
+"My 3 year old daughter complains headache and throat pain since yesterday. Shes also having a hard time sleeping right now. She doesnt have fever but shes asking for blanket, telling me shes cold but were in a tropical-hot country and its really humid-hot right now, so Im really concerned if shes alright.","Welcome to the ChatDoctorI completely understand your concerns but don't worry. The most likely reason for these symptoms are self limiting viral infections. They just need symptomatic treatment. I recommend the following for such cases:-Acetaminophen for fever spikes and throat pain.-Warm saline gargles with antihistamine such as Chlorpheniramine or Ben Chat Doctor.  This will relieve the throat infection.- since the sinus congestion is most likely reason for associated headache, steam inhalation or use of humidifiers during sleep are useful remedies.- use antibiotics after throat swab culture for streptococcal infection if the symptoms are severe and fever spikes occur. Hopefully this will be helpful. Take care"
+"Hello, I recently developed a very itchy penis which when I itch, leads to red patchs which sometimes become red and glossy. It is very irritable and causes pain when i have intercourse. I also have developed itchy thighs.. It started just at the top and has now developed over most of my thighs. The itching comes and goes and shows in small patches , not lumps but itchy red spots. i am worried that it is an std as i have had a lot of unprotected sex recently (lesson learnt) but the symptoms don t relate to any std so i m puzzled!? i also have what i thought was joggers nipple? very itchy nipple and also my face sometimes has dry patches on the eyelids and near the hair receding line? It has been going on for the last 3 months and as i m still in China and not a native speaker, i can t really find any treatment or diagnosis. please help?","HIT hank for asking to ChatDoctorI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use ""Tab Levocetrizine 10 mg three times in day"" hope this information helps you, have a nice day."
+"Hi, I was just at the dentist and they discovered a black area on the left lower jaw area below my teeth and they called me back and said I should go get a CT scan. I am 23 years old and otherwise healthy, is cancer the only thing this could be? I had a root canal re done last year on that same side but this black area isnt underneath that tooth it is along the other ones next to it.","Hi and welcome to Chat Doctor. Thank you for your quarry. Cancer is the less common thing that could be. Tooth tumors are rare especially in your age, but it must be ruled out of course. It can be any benign mass, abscess, tooth tissue, neuroma, or calcification. CT would show exact size and signs of infiltration but i don't think it would be serious. Even if this is, it can be surgical managed. Wish you good health."
+"Good Morning,When i was cleaning toilet,I have mixed Harpic and Bleach almost 250 Ml,It created  a  fume and i exposed in it,almost 3 hrs i was sneezing and coughing and felt dizziness,Now its almost one moth over,But still i am sneezing ang coughing in the morning and night time with heavily clogged nose and extreme amouunt of puss/cougChatDoctores from nose as well.Is it a disease caused by the exposure.Kindly let me know.","Hello, Thanks for the query to Chat Doctor. Forum. I will try to explain to you that how this occurs. When there was fume (smoke) due to reaction of bleach +Harris, it entered in your lungs through inhalation, and you developed allergy. This fume was a predisposing factor, otherwise your lungs were already sensitive to allergy. Due to this allergy there develops, coughing, sneezing, tears from eyes, red eyes, nasal discharge, itching in eyes and over face. Due to these symptoms you got infection and this produces expectoration (phlegm or pus in your words). Please don't worry, be tension free, this sort of allergy is very common. Consult a physician and take treatment, once alright (cure), forget, again allergy take treatment. Antihistamine + bronchodilator helps in this type of condition. If infection than take antibiotics. Good luck. "
+"Hi, I am 19 year old and have been mastubrating since the age of 8. I am a bit light weight for my age and also, my back pains a lot. Is it due to mastubration? Cause i have a healthy diet and was born very healthy. And how should I overcome these effects.","Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation i not sin or is dangerous. Masturbation cannot make you sick or unhealthy. It is natural and even animals do it. In saying that you started masturbation at the age of 8 is a bit exaggerating. Puberty is attained after around 11. Masturbation before that cannot produce the desired result. Secondly, Masturbation cannot make you thin. But the anxiety associated with it can make you thin. If you are able to take proper nutritious and healthy food, then you should not be thin. Inspire, if you are thin, either you have some anxiety disorders or some wasting diseases like anemia. Consult a doctor to diagnose. For psychological or sexological counseling visit http://psychocure.webs.com. Hope this answers your query. Available for further clarifications. Good luck."
+"I HAVE GONE THROUGH LAB TEST ,THE RESULT SERUM T.CHOLESTEROL IS 229mgs/dl AND SERUM TRIGLYCERIDES IS 304gms/dl what kind of treatment shall i follow to control the cholesterol in my body what are the steps to be followed, pl mail me sir.                                                ThanksK.Ganeshmurthy","Hi Mr Ganeshmurthy After going through your reports, my opinion is as follows1. Your cholesterol is borderline high, and your triglycerides are high.2.  High lipids can affect the blood pressure, so needs to be controlled.3. You can discuss with your consulting doctor regarding stations and other lipid lowering agents, their dosage to control lipids.4. Exercise on a regular basis to control weight as well as to stay fit.5. Cut down on oil rich foods, junk food. Have diet rich in fibers, proteins and lots of fruits and vegetables. 6. Make necessary lifestyle modifications like avoiding stress, practicing yoga/ meditation. Take care"
+"I have been on the birth control Kelnor 1/35 for a few years now and it has work great. Just this past month, my doctor without telling me put me on Zovia 1/35. I read that these two are similar but I am now noticing my thoughts upsetting me, over thinking, and thinking my feelings have changed for someone or something when just a week ago when I first took this new pill, I was fine. This does not feel like myself and I am becoming very overwhelmed and upset.  Do you think it is because of the switch?","Hi. Thanks for asking in Chat Doctor. Both Tenor and Movie contain equal amounts of Ethinodiol acetate and Ethanol estradiol. The acceptability of oral contraceptive preparations in various individuals differ from each other. Therapeutically both preparations are found to be equally effective. According to surveys conducted, the order of side effects reported by people using Tenor 35 is nausea, bloating, anxiety, breast pain and depression whereas for Movie 35 the order is depression, anxiety, bloating, dizziness and breast pain. Since both are hormonal preparations, these side effects are expected. The symptoms of depression you have, is suggestive of movie. Although it takes some time for a person to get adjusted to any new preparation of medication when you switch over from one brand to the other, if these symptoms continue or become severe, then you should consult your treating "
+"Hi, My brother goes angioplasty at the age of 33 years at May-2010. Now he is feeling pain now after 5 month. He consult with doctor, he is saying nothing to worry. Please advice how we can know how much he has block edge know...pls suggest, this is urgent.","Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that considering his past medical history, it is important to investigate for possible coronary artery disease. For this reason, I recommend consulting with his cardiologist and performing some tests: - a cardiac stress echo-cardiac enzymes- a resting You should discuss with your doctor on the above issues. Kind regards, "
+"Isn t it true that sharp pain in one s right shoulder could indicate parasites in the small and/or large intestines (i.e. amoebic dysentery) which could be seen by the host (amoebic cysts and trophozoites...all stages of development) in one s stool, cause bloating, gas, stomach distention, terrible abdominal pain, diarrhea, constipation and progressively get worse if not treated with the appropriate antibiotics and eventually cause the death of the host? Fact or Fiction: Amoebic dysentery has been eradicated in North America. Amoeba and trophozoites cannot be seen by the naked eye. Amoeba generally float on top of the toilet water, easily visible. Standard O&P lab tests cannot detect amoebas and trophozoites. The infected stool must be submitted to a lab that has the special equipment and appropriately trained personnel in order to detect amoebic dysentery disease. Two or more antibiotics will be necessary to eliminate such parasites; long term if the host has been infected over a long period of time. Thank you, Edward DeBusman","Hi, There is no direct relationship between intestinal infection and shoulder pain. Reasons for both are entirely different. The intestinal infection will lead to diarrhea, bloating and indigestion but not shoulder pain. Reason for shoulder pain may be muscular pain or joint abnormalities. A detailed clinical examination is needed to assess the cause of shoulder pain. Hope I have answered your query. Let me know if I can assist you further. "
+i have had many signs and symptoms of pregnancy like a lte period getting sick the veins on my sides are very noticable and on my arms and chest and legs but i took a test it came back negative and then i was a week late but after that i got my period. is there any way i could still be pregnant? i also have leg cramps and pains in my arms too,"Hallow Dear, The first cardinal symptom of pregnancy to appear is missing a period. All other symptoms like nausea & vomiting, frequent urination and the breast symptoms like engorgement with tenderness, dark discoloration of nipples & areola with widening of areola and secretions through nipples appear subsequently, usually 10 to 15 days after missed period. Though you had some vague symptoms, ultimately you have got your menses. Probably after having the menses, the symptoms also might have vanished. When in doubt, urine examination for pregnancy gives clue. That also is negative in your case. So Madam, no missed period and pregnancy test negatives confirms that you are not pregnant. "
+"I normally get panic attacks, but decided to learn to control them without the use of medication . Besides that, I Always feel dizzy, like im floating.. the room will spin out of no where like I got up to fast.. it happens everywhere, Especially if im in crowded or loud places. I hardly drink water. im 5 7 130lbs male. Sometimes, I feel like im so full and its hard to breath , as if my lungs are full of bricks, and I have only a tiny space for air. I get tired really easy.. but I work from home.. on the computer. I don t drink or smoke . ... I am just tired of being dizzy all the time.. I don t feel myself at all and havent been for 8 moths. I do, however have alot of stress in my life as well. any help ?","HI. I AM Chat Doctor. I WOULD LIKE TO HELP. THE WAY TO EXCLUDE ANY MAJOR UNDERLYING MEDICAL PROBLEM IS TO VISIT YOUR FAMILY PHYSICIAN WHO CAN GIVE YOU A PROPER PHYSICAL EXAMINATION AND RUN A FEW BASIC TESTS TO EXCLUDE ANEMIA, DIABETES ETC. A AUDIOLOGICAL EVALUATION IS ALSO NECESSARY IN YOUR CASE. IF YOUR JOB IS A SEDENTARY TYPE YOU MUST ALSO RULE OUT CERVICAL SPONDYLITIS. A LITTLE MORE EXERCISE CAN ALSO HELP BOOST YOUR ""HAPPY HORMONES"" AND HELP YOU FEEL BETTER. A VISIT TO A QUALIFIED CLINICAL PSYCHOLOGIST CAN HELP YOU DEAL WITH YOUR PANIC ATTACKS AND STRESSORS. SINCE IT HAS BEEN 8 MONTHS IT IS NOT ADVISABLE TO IGNORE YOUR SYMPTOMS ANYMORE. TAKE CARE BYE"
+For the past 8 months or so when I start my menstrual period a lump appears in my lower left abdomen. And the lump is very painful at times. Sometimes it hurts so bad I cannot walk. I went to two different ers and they said it was hematomen. If its a bruise then why is it reoccurring? Can you please help me find out what is reallywrong and how I csn get it treated,"Hi and thanks for the query, I am sorry to suggest again that this needs another clinical evaluation. It could really be a hematoma. However, it could be very interesting and informative doing an ultrasound. This would give an idea of the echo structure and borders of the mass. This is important because if there is an associated cyst, it would be important that it should be removed. A possible infection of this mass of hematoma must be considered. Aspirating the mass content and running some tests for infections and inflammation to me shall be very appropriate. I suggest you consult you primary care physician again for reevaluation. Thanks and best regards, Luchuo, MD."
+"My husband started taking Maetanx about 3 - 4 weeks ago, which was prescribed by his dr.  He had not been taking any meds for neuropathy at the time because so far none of the meds he was prescribed helped.  Now, the pain seems to be worse than when he was not taking anything for the pain.  Should we call the dr. and stop taking Metanx or give it more time.  When I talked to  at nurse at the company where we had to get the prescription she said it could take 3 weeks to 4 months for it to take affect but should it get worse before it gets better?","Welcome to Chat Doctor. Metanx is a medical food made that contains L-methylfolate (vitamin B9), methylcobalamin (vitamin B12) and pyridoxine 5-phosphate (vitamin B6). It is a vitamin B supplement. Treatment is on right way for neuropathy, but you have to be watchful for your sugar level. You have to take oral as well as intramuscular NSAID to subside pain. Gabapentin will be useful. Ask your doctor about your pain and further management."
+"I am a 35 year old male and own a landscape business for 2 years, for the last 6 weeks It has become difficult for me to get through half the day without becoming exhausted (low energy that comes on fairly sudden, slightly shakey, foggy mind kinda like im in a dream) I have cut my hours back and have had employees make up the difference, thinking maby I am working to hard, energy still cuts out half way thru the day. I have had some life changes (seperation, moving to new house, extra debt to support expanding business)but nothing I would consider unmanageable. Any advice? I have setup a health exam with my doctor in September? Could this be physical or phsychological? Any advice from past experiencees?Thanks!","Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You have to rule out anemia first by he estimation. I suggest you to investigate with serum calcium, serum sodium, potassium estimation, serum TSH estimation for primary work up. Got, Sept, urea, creatinine also investigated as toxic metabolite accumulation also sometime can lead fatigue. You are absolutely right in a way that fatigue can be from exhaustion, overwork, lack of sleep etc. Revert with above reports to guide you further. Hope I have solved your query. Let me know if I can assist you further."
+"i have  friend that was bitten in his calf about 2 weeks ago by a dog. at first it swelled up and he was barely able to walk on it.  he has been home treating it with antibiotic ointment and peroxide, and bandages. the holes are still open and parts of it are yellowish.  what would you suggest?","Hello, Welcome to Chat Doctor, As your friend was bitten by the dog and following which there is an infection of the wound leading to yellowish discharge following which your doctor has prescribed the antibiotic cream along with HY Chat Doctor. Rabies is 100 % fatal, but it is 100% preventable by proper and adequate treatment. I would suggest your friend to follow1. Take antirabies vaccine as per the regimen2. Oral Antibiotics like Tab Autoclave 625 mg, twice daily for five days.3. Wound "
+"Hi, I have taken a solid hit to my lower back on my left side (I think my kidney) it has been painful for 2 weeks now and is sore mostly when I bend or apply tension to the muscles in that area. I have not urinated blood Improvement in past 2 weeks seems minimal Please advise","Hello, Thank you for writing to Chat Doctor about your query, Brief Answer -Treatment for lower back pain depends upon the patients history and the type and severity of pain, as you described I explained below meditation. Explained Answer -The vast majority of lower back pain cases get better within six weeks without surgery, and lower back pain exercises are almost always part of a treatment plan. If pain persists or worsens, more involved diagnostic and surgical procedures may be recommended.  Medications : A wide variety of over-the-counter and prescription medications is available to help reduce symptoms of lower back pain. Many medications reduce inflammation, which is often a cause of pain, while others work to inhibit the transmission of pain signals from reaching the brain. Each medication has multiple unique risks, possible side effects and Chat Doctor. Also, I would suggest Rest for some time more because Ceasing activity for a few days allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain. However, more than a few days of rest can lead to a weakening of the muscles, and weak muscles have to struggle to adequately support the spine. Patients who do not regularly exercise to build strength and flexibility are more likely to experience recurrent or prolonged lower back pain. Hope You will find it out helpful. Thanks And "
+"yes pleaseiv had broken / abcess teeth since fourteen early fifteen now im twenty three and tooth decay has spread progressively facial swelling and jaw pains have have also been an issue  and I always dealt with it my self impoverished family nother story nother time as I say but all ways self medicated scalpels or suringes grew up on farm animal supplies and had a small knowledge of veterinarian procedures dealing with abcess and lesions and felt I could deal with it but in the last few years most molars or wisdom teeth have gone aswell even with more than average brushing the entire time have about three exposed pulp cores and the lumps below ear have always rehealed once opened and or squeezed out by hand some times with great strain on my hands ""poped like pimple"" but scar tissue gets ever harder and larger about the size of half dollar easily noticed just below ear right next to upper jaw bone could these things berelatedif so should an er dr be able to see this?","Hi, After going through the entire description, I am of the opinion that the cause for your pain is infection. A tooth abscess won't resolve without treatment. Even if the abscess disperses, bursts or Chat Doctor.  Antibiotics kill the germs responsible for tooth abscesses, helping the body to repair the tooth and bone. If an abscess erupts by itself, warm salt-water rinses will soothe, help clean the mouth and encourage "
+"im sick. ive been sick for weeks. two weeks ago, i went to the doctor and they said i had a sinus infection. they perscribed amoxcillin and i took it until my perscription was done. but now, ive been continually sick... right now, my left side of my neck hurts bad and my hearing is funny in my left ear. plus, ill get occassionall really bad pains in my head, like a severe headache",Hi welcome to Chat Doctor. Here you might have persistent sinus infection.... First para nasal sinus x-ray done for rule out sinusitis..... Nasal examination by rhinos copy done for rule out nasal polyp.... Here for congestive symptom antihistamines Chat Doctor. ... Steam inhalation taken with eucalyptus added in water... If cause not clear MRI or CT scan of sinus need for detail investigation... If you are immunocompromised then aspergilli or mucormycosis might rule out ....this investigation helpful for it... If needed endoscopic 
+"Hi, may I answer your health queries right now ?  Please type your query here I am 65 years old and for the past 12 months I have had a persistant cough that is quite forceful. It makes my ees water and I am quite short of breathe for a period of time after.  The secretions I clear and thick with bubbles in it.  I am also very tired.  Please can you give me some insight?","Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic cough, expectoration which are difficult to cough out and breathlessness. All these symptoms are characteristic of bronchitis. So get done chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out other lung diseases. PFT is must for the diagnosis of bronchitis. You will mostly improve with inhaled bronchodilators (formoterol or albuterol), N acetyl cysteine (NAC) and bucolic with expectorant syrup. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+My grandmother who is 87 had an injury to her nose as result of falling out of her wheelchair.  She did lose alot of blood due to blood thinner.  This accident ocurred 2 weeks ago.  She is doing better but her H&H levels are low 8.2 was 8.7 2 days ago and 25.2%   They want to send her for blood transfusions but I have read risks and not confident this is the way to go.  They are taking her blood daily and they took it this morning hence the lower levels and they started her back on coumedin therapy too.  Can her H&H levels be lower in the am?,"Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Both reduced hemoglobin and reduced hematocrit indicates anemia.2. However, 8.2g% is not significant, unless she has associated co-morbidities like cardiac failure.3. If she has cardiac problems or any breathing difficulty, she will require packed red cell transfusion to avoid further complications. Daily blood Chat Doctor.  Continue all medications. She needs to be on blood thinner to avoid heart attack or stroke. Hope it helps. Any further queries, happy to help again."
+"Hi ! Am 29 had endo yrs Severe period pain every month I never much of a life whilest on my period cant work eat or do anything to help myself ,nothing worked , found out I had pulmonary Endometriosis had surgery on my lungs few months ago then 2 weeks ago I had a laparscopy treatment for my end and Fibroid cyst , been married for 5 yrs we really want to start a family now can I get pregnant?","HelloThanks for posting your query. When the doctor performed the laparoscopy, I would think that they would have done a test at the same time to see if the fallopian tubes were all right or not. If the doctor said that the tubes were patent(that is, not blocked), there is good chance of your getting pregnant. If your periods are regular, and you have monthly cycles, it would mean that you are ovulating, and that would mean a good chance of pregnancy as well. However, if you don't get pregnant in the next one year, do go back and see a gynecologist with interest in fertility. The doctor would order a few other tests and advice you if you would need help in getting pregnant like IVF. Best wishes."
+"Hi, I am going through a severe back pain. Actually really dont know where is the pain ? about 3 years back I was performing n i fell from d back stage from that day onwards I have this pain.i have consulted few doctors but no one could find what was the problem,all they gave was a vaccination for pain relief.some times the pain increases few days before i get my periods.the pain is so severe that I cant stand, walk or sit.",Welcome to Chat Doctor as you have mentioned that the pie started after a fall may be it is due to some injury sustained that time leading to some problem in lumbosacral and dorsolumbar joints please consult orthopedic surgery and get a check-up pain increasing few days before periods may due to problems related to pelvic organs' uterus/ovaries.gynecological check up will be helpful pain during periods may be relieved by colonel tablet 1 tab 3 times after meals.severe backache not related to periods may be helped by powerless tab hope you be all right soon
+my son who is 4 and about 38lbs. has been complaining of a stomach ache right around his navel and has thrown up several times( all liquid looking vomit). He has complained some about a headache and at one point it felt as though he had a slight fever though has been hard to tell his whole body has felt hot most of the day. When I gave him a bath to try and help him feel better he got out of the tub with teeth chattering and his whole body shaking like he was freezing but he felt warm to the touch! What is wrong with him. I have given him fever reducer.,"Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - "
+"My brother-in-law aged 61 years old diagnosed with 2 blocks in the heart and also a block in right way of passage to kidney and advised for bypass surgery. He has the history of Hypertention, Diabetics for a decade also suffers from gastric ulcers. Some of our well wishers contemplating on going for KEELEYs method of treatment to avoid surgery. Can you please give details about this method and how far it is successful as an alternative to bypass surgery. Thank you very much. P. Srinivasulu / INDIA.","Hello thank you for posting here. I have gone through your description. Since he has two blocks in the heart arteries, and he is advice bypass, the right choice is to go ahead with bypass surgery. I don't know any therapy named KELLEY, but I suppose you are talking about ch elation therapy. This therapy is of no benefit for the patient. The blocks in the heart artery are embedded inside the heart vessel and any amount of medication or therapy cannot decrease it to make it vanish. Medications can only help to stop progression of the block. Definitive way to treat critical heart blockages is an angioplasty or bypass surgery. Had you been my patient my advice would be to go ahead with bypass? Bypass surgery requires a stay of 7- 10 days approx in the hospital. Patient can start walking usually by day 5 after surgery. It requires a recovery period of 20 -25 days, but the long term results of bypass are very good with patients having a good quality of life. Gastric ulcers can be treated with long term antacids. Gastric ulcers are not a contraindication for surgery. Wishing you good health thank you"
+"hi i m 18 and female and i had sex the 25th and 26th of December..i got kind of scared at first thinking i could have gotten pregnant but once my period came on the 3rd of January my worries disappeared. I thought it was a little strange that it was only about 3-4 days long..normally mine are around 5-6 with spotting afterwards and leakage with tampons no matter the strength..this time however there was no spotting or leaking whatsoever..but i didn t think much of it now about the 17th i noticed a dull cramp in my lower stomach that would come and go and it did this til the 20th, on the 20th the cramp has stayed and increased, i did noticed that i ve been eating alot even when i m not hungry for the past week and my stomach looks bloated and my breasts are tender and i ve been urinating ALOT and usually i only go about 2-3 a day now i don t even have to drink anything and ill go 7 times a day easily if not more..pregnant? or not? PLEASE HELP IMMEDIATELY.....","Hello, If you were due on the 3rd of Jan, and you got your period then you are not pregnant. If your got your period before you date then there is a possibility of implantation bleeding. The rest of your symptoms sound like you have a UTI. First take e test to rule out pregnancy. Then you will need antibiotics for a few days to clear up the infection. Chat Doctor. Avoid sex till you are clean. Hygiene is very important."
+"hi, i have just got bitten to my year old dog 10 min ago. this morning he was seeming like he was panting and panting and breathing very heavily. We gave him water but he still did it. Now the bite feels tingily and its like its beating.I already put poroxide on. Do you know if this is normal or what to do?","Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog which has led to bleeding from the site according to WHO categories it is categorized into Cat III, which requires following treatment1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound.4. In TT, 0.5 ml, I'm. Thank you."
+pcod irregular periods 37x31mm cyst in LT ovary on11july its my first day. 7x7mm inRTovary and 11x12mm inLT ovary on22 july 12day. 11x12mm inRTovary and 8x9mm inLT ovary on27july 17day. 1 what does this mean? 2 IS ovulation happen this time? 3 slow and late growth of follicle as in my case .ISany chance of getting preganant? 4 what to do now? 5 plssssssssssss answer soon,"Hi welcome to Chat Doctor hi Joshi., the above report stating the measurement of the largest cyst is 37by31 in left ovary... .the other follicles are of different sizes respect to the duration. Even though many follicles develop, only one may ovulate or many at a time hence fertilization will be disturbed... you can have coitus with your husband.... and then after a week you need to follow up by USG. Hope I have answered your question. Take care."
+I had a wisdom tooth extracted nearly 3 weeks ago. unfortunately some of the block went into my jaw muscle and I now have trismus. More alarming though is that my facial muscles feel very much weekened and smiling is an effort. Also I have had twitching above my lip and up cheek and under eye. I am very concerned as I am a music teacher. please help,"Thanks for your query, I have gone through your query. The twitching over the facial muscles and Erasmus can be because of the nerve injury to facial nerve while injecting the local anesthesia. The Erasmus is because of the injury to the muscles of mastication while injecting the local anesthesia. Nothing to worry, the twitching will come down gradually over a week. You can take nerve regenerating Chat Doctor.  For the Erasmus, you can take a muscle relaxant like chlorzoxazone. I hope my answer will help you, take care."
+"Why does husband have saggy balls that hang low and can t seem to last long when having sex? Seems like he gets off within 5 minutes and he claims he can t or don t know how to last longer, even though I ve told him some techniques to try but still says he can t and/or don t know how. His balls aren t full and firm either like my ex s were. Also have been trying to conceive for a long time and have not had any success, what is going on??? How to know if he is even ejaculating sperm and not just semen/fluid, what is the difference. Healthy sperm should be white or more yellowish??? Really need some help please......","HelloThanks for query. The scrotal sac differs from person to person and has no relation to conception. The problem of premature ejaculation and less libido are most of the time mind related and due to what is called as performance anxiety. Following measure will help you to boost up his confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. He may take Sidewall (Viagra)as on demand to have sustainable erection to have enjoyable sex. As regards conception get his semen analysis done to rule out any abnormality. Chat Doctor. "
+"My kid is 2 years 11 months old.. She frequently getting cold, cough and ear infection.... I vusited doctor 4 times.. In these 4 months.. Even after using antibiotics it is not completely cured.So i am looking for good medicine for my kid.She is going to day care.i never face this issue before this winter.","HelloRepeated cough and cold is more commonly occur due to viral infection or allergic disorder. But if it is due to bacterial infection(diagnosed after thorough clinical examination and investigation) immunodeficiency must be ruled out. If fever is not associated each time with other symptoms and there is positive family history of allergic disorder;it is more suggestive of allergic in origin. Most of the time upper respiratory symptoms are associated with ear problem, irrespective of its viral, bacterial or allergic. In allergic disorder montelukast/levocetrizine syrup along with nasal Chat Doctor. I would suggest you to consult your pediatrician for proper evaluation and to find out whether it is really bacterial infection(for which antibiotic is needed) or something else. Regards"
+"Hi,I have a toothache pain in my one of my bottom teeth  no dentist open for 2 days can you please recommend best pain killers to take i plan on visiting my pharmacist who may be able to give me emergency antibiotics tomorrow  I have ponstan for my migraines available at home not sure this may be effective","Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have pain in your tooth it can be due to caries or due periodontal problem. Consult dentist and go for investigations IOWA X-ray done if it is carious then go for restoration or Root canal treatment and if periodontal problem then go for Scaling and root planning.  You can take painkiller for temporary relief One tablet Diploma twice daily for 3 days One Capsule vitamin B complex once daily for three daysConsult dentist and go for treatment. Hope this will help you."
+"I have been suffering from a herniated disc for the past 3 years now.  3 months ago I suffered some excruciating pain from this condition.  The pain went away after about 24hrs but ever since then I have been walking with a slight limp, I have very little strength in my right calf and my lower leg swells up every day after walking for about an hour.","Hello, If This disc bulge is not compressing nerve root, so conservative treatment may work. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery.  If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care."
+"very last tooth on the left side bottom had broken also had a cavity it my dentis repair cavity and file tooth down next step will be a crown well i have been experiencing servere pain, June 21 toke two ADVILS right after my stomach became upset chin became numb and little tingling on lower bottom left lip, dentist took exray yesterday and told me my gum is infected put me on AMOX TR-K CLV 875-125MG TAB, I go back on june 25th If infection clear a little dentist is going to open tooth up and put pain medicine down in tooth  is this a good idea.","Hi. Can understand your concern. As per your complaint pain in tooth after cavity filling and preparation of tooth for placing a crown clearly indicates that the nerves of the tooth have been opened up due to preparation of cavity to retain the filling causing inflammation and condition is known as Chronic Irreversible Pulpits . You should consult your dentist and get an X-Ray done, and it will definitely show exposed nerves and blood vessels present in central portion of tooth in a small chamber known as Pulp. The treatment is first to get the filling removed under local anesthetic followed by Root Canal Treatment and the advised antibiotic AMOS TR-K CLV 875-125MG TAB twice daily, along with it a painkiller is to be taken to relieve pain as antibiotics can reduce infection but to relieve pain painkiller is needed. You can take Ibuprofen for moderate pain but in case of severe pain Motorola or Tramadol can be taken. Hope this information helps. Thanks and regards... Chat Doctor. ."
+"Hi iI have been diagnoed with thymic cancer, I do not like to take the drugs for pain that are prescribed,as they have side effects that are harsh.So instead i have been taking ibuprophen .for abot 4 months ,as dosage recommended, I have beenexperiencing respitory issues lately and wonder if this is the cause.I have been doing radiation and chemo treaments ,it has shown improvement in all aspects except for my breathing .I read an article on cleveland clinic facebook this mourning that said this might be why,,,...Thoughts  on this please?                                                                                                                                                                              ths   ccsc","Thy mic cancer causes respiratory distress. After a thy mic tumor is found and tests have been done to get a sense of its Factors important in choosing a treatment include the type and stage of the cancer, whether it is respectable (able to be completely removed with surgery), and whether you have any other serious medical problems. Because thy mic cancer is rare, it is often hard to accurately predict the effectiveness of treatment strategies, and in many cases the best way to treat this cancer is still not preselecting a treatment plan is an important decision, and you should take the time to think about all of your choices. The main treatments for thymus cancer are:Surgery, Radiation and chemotherapyRespiratory distress can be managed by Stalin nebulization, USG guided pleural fluid tapping and steam inhalation. Regards and take care"
+"My husband had a spinal cord injury in Sept. 2013 which left him paralyzed and unable to urinate on his own for one month. He is now walking with a cane and can urinate on his own but still not properly. He is on Flomax to help. He is also on water pills because his legs will swell up. An emg showed nerve damage. My question is his shins are very shiny and they occasionally blister or split open even when his legs do not look swollen. This is a great concern to me. Even though he does not work or walk around like he used to, he is certainly not sitting around all day like he was when he was first injured. Any ideas?","Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The Blisters can be due to 1. Autonomic Neuropathy2. Vitamin Deficiency3. Involvement of Autonomic Pathways in Subclinical and Lab Evaluation is needed to Narrow down the diagnosis and start appropriate treatment. Please consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask"
+I am a 48 years married woman. My USG shows liver is enlarged with heterogenous parenchymal echopattern. Intra hepatic billary channels are not dialated. No focal solid or cystic SOL seen. Lever span at mid clavicular line is 15.3 cm. what does it mean?,"HelloYour findings suggests mildly enlarged liver and heterogeneous parenchymal echo pattern may indicate liver parenchymal disease. It may be due to many causes like hepatitis, metabolic disorder etc. You may need routine hologram, viral markers, random blood sugar, liver and renal function test, lipid profile, urine RE/ME. Liver biopsy may be needed after evaluation. You may need few medicines after evaluation. Get well soon. Take Care Chat Doctor. "
+"Hi! I just changed into my pajamas and noticed that I have many (somewhere around 15) small bruises on the insides and backs of my thighs. In the past few days, I have done nothing that might cause these. It s happened a few times in the past, but not often. A few days ago, I started having a sore throat and I was wondering if there could be any corrolation. I cannot remember if the last time this happened was during a time at which I had a sore throat. So far, no unexplained bruising has occured on my stomach, back, chest , etc and very rarely on my arms (though I assume that it s only unexplained because I don t remember hitting something). However, the bruises which have just appeared are not in any place I would bump into. I m a 21 year old otherwise healthy female. The only concering aspect of my medical history is that my mother, my half-sister, and my grandfather on my father s side have all died from cancer . Two cases of melanoma and one of colon cancer. Could the bruising be a result of my sore throat? Or should I be seeing a doctor?","Hi!welcome to Chat Doctor!SPONTANEOUS BRUISES point towards some bleeding disorder, coagulation defect or thrombocytopenia that is reduced platelet count. Certain viral infections that cause sore throat may also cause platelet to fall resulting in spontaneous bleeding. They are not related to cancer, but you must see a doctor get examined and tested for platelet count and coagulation profile. Hope this will help you!take care!"
+"Hi, wondering whether or not you think its possible my pregnancy is still viable? Ive neever had any real symptoms other than going to the toilet more. My LMP was 22 October, I did my first pregnancy test on 26th December, strong positive, did another one one new years eve with a clearblue test and it said 1-2 weeks pregnant and said to add 2 weeks on for how doctor would date it. Did yet another test due to no symptoms on 14th January which said 3+ weeks and again to add 2 weeks for doctors dates. I paid for a private scan on the 21st January and they believed by the size it was only 5 weeks 3 days, 10days on and still no crmaping,no bleeding and no symptoms?","Hello, and I hope I can help you today. There are two possibilities of what could be going on with your pregnancy. If you really did conceive back in October, your pregnancy should be about 12 weeks. This would have been found on the ultrasound examination that you had, but instead the fetus measured only five weeks three days. At five weeks it is not normal to see fetal heartbeat so that is not used in the consideration to make a diagnosis. However, it is possible that you conceived later in the cycle after your. In October. If you actually conceived in late November early December it is still possible that the fetus could be viable and that is just younger than it should be by your dates. So the way to tell the difference would be to get another ultrasound examination and approximately two weeks; by then you should see some evidence of the fetal heartbeat if the pregnancy is normal. Contrary to popular belief, the majority of women do not have pregnancy symptoms. The most reliable sign of pregnancy is a missed menstrual cycle. Furthermore, judging the number of weeks of pregnancy on a urine tests is extremely inaccurate. Pregnancy tests are designed to pick up the hormone Chat Doctor from that whicChatDoctores out in your urine. However, your urine can be diluted by different amounts of water depending upon what time in the day you tested and how much water you Chat Doctor.  Most urine pregnancy tests ask that you use your first morning urine, which has the most concentrated sample, however, even within those restrictions there is a large margin of error. So I would advise, in your situation, that you repeat the ultrasound examination in another 2 to 3 weeks. In the meantime take good care of yourself for the pregnancy by: eating a well-balanced diet, "
+Bruised and torn muscles around ribs in auto accident. X-rays showed no fracture or break. Pain is pretty bad.  Does pain radiate to breasts.  When bending which I cannot avoid sometimes I get a shooting burning feeling in the breast on the side that the ribs are bruised,"Thanks for your questioning my opinion you had tissue / muscle injury following that accident as a pulmonologist would like to recheck the X-ray of chest to see if any injury is thereof everything goes fine I would prescribe some analgesics, muscle relaxants and some enzymes so that healing is fast no need to worry that much, I know it's a matter of concern visit a pulmonologist, he can guide youthanksfeel free to ask more questions"
+"HELLO i AM 33 YRS OF AGE, IM 510 AND WEIGH 225 POUNDS. I HAVE AN INFECTED WISDOM TOOTH AND IM CURRENTLY IN THE ER AWAITING TO SEE THE DOC. I AM ALLERGIC TO PENICILLIN, WHAT OTHER MEDS ARE OUT THERE THAT WILL WORK JUST AS GOOD AS PENICILLIN FOR MY SITUATION.","Hello, Thanks for consulting ChatDoctorRead your query as you have infected wisdom tooth infection in tooth can be due to some reason like if tooth is carious or decayed tooth with Periapical pathology may be Periapical Abscess or due to Impacted or Partially erupted tooth with Periodontal abscess. If you have infected tooth I will suggest you to consult dentist and go for its treatment Root canal treatment or Extraction of tooth.  In meantime you can do warm saline rinses, you can take Antibiotic like Ofloxacine by consulting with your doctor and Analgesic like Paracetamol or Diploma if you are not allergic with vitamin B supplement. Hope this will help you. Wishing you good health Regards, "
+I brought my son home from nursery this evening and noticed a red spot on his right leg inner thigh since then i have changed my son again and have noticed there are several more appearing some with yellow heads on theyve grown quiet big n look angry red,"HI...by what you quote I feel that it might be an n allergy like a simple urticaria or a rapidly spreading pyoderma as you quote that there are lots of yellow heads appearing. But I want to stress on something very important - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+Started out with burning sensation after ejaculation and then progressed to burning sensation on and off with slight pains in the penis and groin area that come and go that seemed to be relieved by ibuprofen . also have more frequent urges to pee. The burning after ejaculation is gone but still have the feeling of having to pee constantly.,"Hello appreciate your concernLooking at your description this could be signs of ITII would like further information to help you better libelous age, sex and relevant medical history like diabetes or other metabolic diseaseSince how long you have this problem? I would advise you to consult your doctor for battery of investigations like urine microscopy as well as urine culture and sensitivity testy may require a course of antibiotics depending upon the reportage plenty of fluids which will flush off the urogenital tractMaintain good hygieneThanks for your question wish you a speedy recovery Best wishes"
+"Hi, My boyfriend has been having stomach pains the past few days, he thought he ate something bad, but now hes unsure. He hasn t really been eating the past few days because the food doesn t seem like it wants to stay down. He feels like he may want to throw up but doesn t, its like he may want to use the bathroom but doesn t really get the urge","Hi ! Good morning. I am Chat Doctor answering your query. If I were your physician, I would advise your boyfriend for a general clinical examination of the abdomen, routine stool test for ova and cyst, a liver function test, and an ultrasound abdomen if considered essential by depending on the clinical and investigative finding. Till that I would advise him some anti-emetic, a proton pump inhibitor, a probiotic, and an anti-spasmodic if need be. He should also go for a high fiber diet and enough liquids if tolerated by him and completely avoid food from outside. Further management would depend on the clinical findings and investigation reports. 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."
+"Im in a lot of pain in my stomach, abdominal pain, and chest pain! I woke up this morning with some swelling in my face, lips swollen! Since October 2008 Ive been having breathing problems, cause i was working around chemicals and fumes! I wa put off work in June 2009 and forgot one important thing my gallbladder was removed in August 2009 with gallstones in it and the doctors thought at that time that my liver and kidney was damaged as well due to the fact of how bad my gallbladder was! But Thank God my liver and kidney at that time was okay! Can someone try to explain to me or try to help me on whats going on with me! Ive been to a few doctors and I feel that no one shouldnt suffer like Im suffering!","HI. Noted the history of gall bladder removal and reports about your kidney and liver that they are normal. This is good news. Now : about your problem about pain in the abdomen and the chest, along with swollen face and lips. The probable diagnosis of your problem can be ::You have a pleural inflammation due to something that causes simultaneous pain in abdomen and the chest This can be best diagnosed by CT scan of the chest and upper abdomen. This can also be due to acid peptic disease. Upper GI endoscopy will help. Disc compression in the upper thoracic area can cause the pain of this nature. Please go for all the relevant tests: Get a diagnosis to get a proper treatment."
+"hello recently I have developed a rather sharp pain above my naval. I have looked into a bacterial infection and have been cleaning it with alcohol and to no success. the pain has traveled and hurts in a 3 inch diameter above my groin and to the right a tad. I have also looked into an umbilical hernia but I am a bit skeptical, and I am not sure it is appendicitis.","Hello, Appendicitis is a high probability. The pain in appendicitis begins in the per umbilical region(that is around the naval) and then migrates to an area called as McBirney point that is at the junction of the medial 2/3rd and lateral 1/3rd of a line joining your naval with the anterior superior William spine. This area is roughly the same as you have mentioned. Further evaluation is needed. Blood counts, urine examination and ultrasound scan of the abdomen are required. In appendicitis the blood counts will be high, urine will be normal or show mild hematuria and USG abdomen will show an elongated or enlarged appendix. Treatment is mainly surgical, however in some rare mild cases, medical management with painkillers and antibiotics may be tried."
+My 9 year old daughter is complaining of chest pains.  She says that it feels like something is stuck in her chest. She is pretty healthy although I just took her to the doctor because in the last year there has been rapid weight gain.  She is 95 lbs whereas a year ago she was 68 lbs.  As of yesterday she is 55 inches tall.,"Hi thanks for contacting Chat Doctor... Here your child complaining chest pain... As no specific symptoms like cough, fever etc. present chest x-ray done for investigation .... As she is a small child there might be foreign body ingestion that can lead symptoms .... Auscultation also done . According to cause treatment done ... If foreign body there removed through bronchoscopy if needed ... If no cause identifiable then chance of pain by muscular strain ... As your child gaining weight rapidly investigate for hypothyroidism .... Consult pediatrician for this.  . Take care ...."
+"my wife is in remission for lupus but is still on prednisilone.she now has adrenal fatigue,but due to taking prednisolone cant have her hormones tested.she has been told to up her prednisolone doseage full stop.she has osteoporosis and does not want to incresase her preds.","Good evening sir. It is very common problem that our body stops secreting natural steroids once we are taking it from outside on a long term basis. A Chat Doctor.  If she is not experiencing any problems like pigmentation, low blood pressure, low blood sugar, I am not too sure how increasing the steroid dose would help. Especially if she has osteoporosis one needs to be careful. If you could provide us with some insight on a"
+"What is he progression of mantle cell lymphoma? My 74 year old husband had only 2 treatments when the oncologist determined the treatment was not working...his platelets were 72 and his WBC was 358,000. They basically told him to go home and die. That was a month ago. He has become steadily weaker. He has an appetite, but cannot eat much at one sitting. He has edema in his feet. He is now complaining of a pain in his upper right quadrant; somewhere around his under arm and radiates to the back of his shoulder blades.We are totally clueless.","Thanks for your question on Chat Doctor. Mentle cell lymphoma is one of the most aggressive tumor known till day. It is resistant to chemotherapy and rapidly worsening in days only. In your husbands' case as he is having right sided back and chest pain, I think he is developing malignant effusion. So better to rule out this by chest x-ray. If effusion than pigtail catheter insertion will help him symptomatically. So get done chest x-ray and pigtail Chat Doctor.  Also discuss end of life issues with him. This will give him more support."
+"Hi my left bottom wisdom tooth is coming through and painful but also my lymph nodes are swallen and soar Im sure its perconitus but I also have like a large patch on my cheek which looks like what I can only describe as acny like on my left cheek. , is this normal and can it be treat without a dentist","Hiwelcome to ChatDoctorduring the eruption of wisdom tooth it sometime cause pain. If the tooth is infected then it may lead to enlarge lymph node.  First get your OPG X-ray runabout patch, if its white then depends on weather its cheek bite, leukoplakia or candidiasis etc. Which can also be confirmed by seeing the patch. For both thing visit dentist. Meanwhile for wisdom tooth do warm saline gargles and can get painkiller. Thank you"
+I have been having moderate headaches for quite some time - pain mainly in the back of the head - high on the left side. Is it worth an MRI? Pain meds seem to help but the pain often radiates to other parts of the head. I do have a swelling on the left side of my neck which my physician said was not serious.,"Hi, I have gone through your medical history carefully and can say as following: You are saying to have moderate headaches, manly in the back of the head and high on the left side. Meanwhile, swelling on the left side of your neck is present. If I was your caring doctor would advise running X-ray of neck first to evaluate the swelling. Most probably spondyloarthrosis is suspected especially if such pain is subsided after taking pain medications, however, need further diagnostic tests to run. For the moment, I advise continuing taking pain medications and do not apply anything locally until the real nature of the swelling in the neck is totally elucidated. Hope it was of help! Chat Doctor. "
+"A friend went to the emergency room this past Monday morning with severe flu-like symptoms. On Thursday, she was diagnosed with meningitis. On Friday afternoon, it was determined to be viral, and she was rereleased with instructions to stay home and rest for 1 week. Yesterday she was beginning to feel better, but is not feeling as well today as yesterday. Is this fall back today a normal part of the recovery process, or Is it a sign of a possible relapse? Should she perhaps be gotten back to the hospitals? Thanks for your time.","Hellos you mentioned that your friend is having meningitis (virus, causative organism) . Doctor discharged your patient from hospital because this is self limiting due to antigen antibodies (maybe the type of such virus, that's why patient discharged). So this tiredness is an in recovery phase, if fever is not present then , need not worry. So be careful, take care good nourished diet as well complete rest but remain contact with doctor."
+"Hello, my wife has been dealing with left leg pain and weakness for the past 15 years. Recently my wife developed left arm, face and tongue weakness and numbness. She was diagnosed with a 5mm Chiari malformation and was given steroids to relieve migraines. After seeing a neurosurgeon she was told she was ineligible for surgery and has been told that she may be making up the symptoms in her head. We don t believe that, basically her left leg, arm and now face experiences pain and weakness and we have no idea why. She was tested for MS but with no lesions and multiple side symptoms that was rules out. Any advice you can provide would be appreciated.","Hello! Thank you for asking on Chat Doctor ! I read carefully your question and understand your concern. Coming to this point, I would recommend performing a cervico-thoracic spine MRI study to exclude possible syringomyelia, which could cause her symptoms. This is a common complication of Chary Malformation. Anyway, it would not explain the numbness in her face or tongue. Another option would be starting an antidepressant, especially considering the fact they she suffered from migraines. These Chat Doctor.  Hope you will find this answer helpful! Best wishes, "
+"What does this mean, Delayed planar images demonstrate mild uptake within the left L4-L5 region.SPECT -CT of the lumbar spine was obtained. This demonstrates no evidence of disc uptake however, there is very mild facet uptake at L4-L5 on the left. Hypertrophic facet degenerative changes seen in the region on nondiagnostic CT.","Hi, Thanks for writing in. The uptake seen at L4 - L5 with hypertrophic facet changes are indicative of degeneration because of aging. Such changes occur with age and can cause mild lower back pain and spasm of muscles. A pinched nerve can also arise from this condition. You must consult a neurologist and probably also get a lumbar spine MRI scan done to know if there is a disc herniation or nerve impingement which is not seen clearly on SPENT CT should you experience severe pain in the region. It is important to know why you got a spent CT done and if it is related to any cancerous condition for which you are taking treatment. There is no serious concern for the above findings."
+"I recently found out that I was pregnant, I told my boyfriend about it.  He always jokes about me getting pregnant so was not expecting his answer.  He wants me to have an abortion.  I went through the consultation for the abortion and just strongly disagree with it.  I told him about this feeling and continually have nightmares about it.  He does not want to hear this and is gong ho about this abortion.  I feel even if it was an accident why are we killing this baby, it was not its fault it was conceived and now i feel its my job to protect it but I am scared about just up and leaving, he has threatened that if i leave he will find me and take my baby that he does not want and raise it with his ex.  what should I do","Degree understand your concerns went through your details. I suggest you not to worry much.  The cause of your fear is due to conflict of opinion. That is normal. Also, you have a good human view point towards this issue. But you must also understand your husbands view. He could be compelling you to abort because of some compelling issues. Talk to him about this. Understand his feelings and points. Do not argue. Arguments always provides no result. Discuss. Discussions always produce results, decisions. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"I fell approx. 9 years ago on my coccyx. I now have pain from coccyx area that radiates to both hips when I walk. It happens if I am up on my feet all day, but stops when I sit down. I have spoken to my doctor, but he thinks it may be weak stomach muscles. What is your opinion? Thank you. I am 62 years old.","Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve in this region (also called neuralgia), or a bulging disc in the vertebral column, probably due to the trauma. For this reason, I would recommend consulting with a neurologist and performing a CT scan of the lumbosacral spine, coupled with a nerve conduction study. You should discuss with your doctor on the above issues. Kind regards, "
+Hi..my baby is one month old...he cries a lot at night...sumtimes he s inconsolable...he s on breastfeed n top feed..we burp him regularly Aftr every Feed...still he cries a lot..we hav been suggested by our friends to give neopeptine as a mild dose n colicaid only if necessary ..wht do you suggest ...our doctor refused. Us fr any medicine.,"Hi.... Your doctor is 100% right. I, too, do not suggest any medicine. I will give an explanation why so... This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor.  Unless the air comes out like burping or flatus this discomfort will be there. Next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put her in lying position after feeding till she burps out the swallowed air.2. If she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved. Regards - "
+"Hi, one of the bumps right at the back of my tongue (lingual tonsil area) is a yellowy  colour, not pink like the rest.i was looking because i have a bug at the moment and a congested throat/nose...now i am manically googling tumors! Any idea what it could be?","Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor.  If it burns while eating, you can apply oral anesthetic gel 5 min before eating. Hope the answer helps you. Thank you!"
+"My husband suffered a stroke in Oct 2016. In the beginning his attitude was bad, he cussed at the nurses and physically fought with them, when he was in a acute hospital the Dr gave him Ridlin it helped, then he was transferred to a skilled nurses rehab place. The Dr there gave him SEROQUEL, he is better but looks and is tired and the therapist say he is sleepy and I don t think he gets a good session. The state of Ca will no let them use RIDLIN. Help! he is coming home and I would like a better mood med. Judie Denney",Hi and thanks for question. Many times we see that person with stroke will present with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation. So during that time sedative will give for treatment. you are very much anxious regarding how u controlled when he will come home.I suggest u to continue Seroquel. If he has leg pain along with he has salivation more than prior than consult psychiatrist nearby u.
+"I feel fine in the morning and all day but for the last two days I have been getting very dizzy at the end of the day, around 4:30 to 5:00 and a little lightheaded. I havent changed any eating patterns or anyhing, what is the most common cause for random dizziness?","Hello, If this is only a symptom that has been happening for the past 2 days I would recommend you increase your fluid intake for the next several days using pure and fresh WATER.  I would cut out caffeine and caffeinated beverages.  Make sure you've been getting plenty of rest and I believe you should start feeling better.  You say you haven't changed your eating patterns but do you eat your meals on time or do you skip depending on the need at school or at work?  Otherwise, if your symptoms are not self-limited over the next day or 2 you may wish to schedule an appointment with your doctor for an examination and some laboratory analyses to check on things such as electrolyte disturbances, blood counts that may point to anemia or infection, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+"I have had severe lower back pain around L-5 on my left side. I have been on meds 400 ml ibuprofin for approx. 1 year, now the pain has traveled down my left leg and I have had to increase the meds as needed. Aprox. 5 years ago i fell down a small flight of stairs with approx. 25 lbs in hand. I struck the last step on the right side of my buttox which caused an enormous contusion superficially. However, I have had lasting pain in the area but no one has been able to identify the source. I believe that the injury on the right side has eventually caused the continuous pain on the left","Hi, I had gone through your question and understand your concerns. Pain traveling down your leg and increasing in intensity means advancing of disease. In this case most probably there is herniated disc disease, so I suggest you to consult a Neurologist and to discuss the possibility of imaging study of your lumbar spine. Since there has been trauma you'll need plain radiographs and MRI imaging. Treatment modalities should become clear after this. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions."
+"My Son persuing Engg course is 22 years now was suffering a few years back from low confidence, fear,  self defeat, thinks all are talking about him had recovered, now is back in same mental frame, has confusion, indecision, weird feelings like his pennis is small, shrinking & may severe off, please help","Degree understand your concerns went through your details. I suggest you not to worry much. Low self-confidence, low self-esteem, confusion, indecision, weird feelings etc. are by products of misunderstanding life. He needs to see a psychological counselor who shall be able to impart self-confidence to your son and make him aware of what he is and what he is capable of. Please consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
+I have been very anxious the last couple days and my heart rate has been high. It has been over 130bpm at some points and then as low as 80 when I am relaxed. I have panic attacks but usually my heart rate does not get that high. Could his be dangerous?,"! I have read your question carefully and from that I can say from my clinical experience that the heart rate increases due to stress. However, as you are very concerned, it will help you to get an ECG done, and blood pressure checked. Once these turn to be normal, I think you must meet a psychiatrist and get a detailed evaluation done. Only After listening yo your problem and your current status one can decide the line of management. I have seen that such ceases respond greatly to paroxetine in a dose of 12.5 to 37.5 mg daily.  The doctor may ask you for therapy, which I think will give additional benefit and help you control some part of anxiety and stress. Hope the reply is helpful feel free to ask more questions Chat Doctor. "
+"hi,,,,,i am 32 years old woman....trying to conceive from last 1 year.....got the follicular study done couple of times and was found ok....now my doc has referred me for iui....please let me know what could be the reason for not conceiving after every thing being normal.... my hsg test was also normal..","Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive. Since your doctor has already started treatment I presume that all baseline infertility investigations including semen analysis are normal. Then this is called as unexplained infertility. The cause cannot be found with available investigations. What your doctor has done is right step. Have GUI after induction of ovulation with Gonadotrophin. You can have 3-4 cycles of GUI. I hope and pray you conceive with the help of GUI. If you do not get pregnant with this treatment, the next option would be IVF (in vitro fertilization). I hope this is helpful. If you have further concerns, do contact me through Chat Doctor. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have any further concerns do contact me through Chat Doctor."
+"I have pain in my left arm,feels like muscle when I rotate my arm to the right and lift up its sharp. Shoveling snow today didn t help and now its a steady throb. not sure if a xray will help or if I m going to have to have a mri . it s been going on for at least a month or longer.","hello must attend an orthopedic clinic for proper examination and investigations.it could be supraspinatus tendinitis or biceps tendinitis (inflammation of tendons which attach muscle to bone) or even shoulder joint problem. Do hot fomentation and take Advil tabs after meals thrice a day and rest arm in a broad shoulder-arm sling till you attend orthopedics clinic. A weeks rest to 10 days would be good in sling along with medicines. The final treatment can be decided after examination and X-rays if necessary, MRI, if needed only thanks"
+My mother in law is in remission from limited stage small cell lung cancer and she wants a partial hip replacement. Her doctors gave her clearance for the surgery but I m afraid she won t heal well. will this surgery possibly cause her to relapse with cancer due to stress on her body?,Thanks for your question on Chat Doctor. In my opinion you should not worry about relapse. Partial hip replacement is done under spinal anesthesia and stress level and risk both are less than general anesthesia. And doctors have declared her fit for surgery means she is able to cope up with the surgical stress. So no need to worry about relapse. Get done surgery. And continue her chemotherapy cycles as per schedule.
+I m looking at the effects of low blood pressure starting the day 97/61 with a heart beat of 64. Movement to cerebral biofeed through oxygenated hike in the trails of autumn under rainy and 10 degrees conditions. What I find consistent is; only after a sweated workout do I sense the pathological pain pressures of the left parietal quadrant; that quadrant is completely separated and pain in persistent. The reason for the workout is for picking up the chi energy of the 4 oclock cycle.,"Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that low blood pressure can be associated to different symptoms: - pressure headache-blurring vision-shortness of breath-ear noise-fainting and loss of conscience. It is quite normal to experience low blood pressure after a lot of physical activity. It may be related to sweating and deny Chat Doctor.  Hope you will find this answer helpful! Kind regards, "
+"Dear Dr Candan. I would like to ask you you how you read the following values for my semen? How is the potential for using these values of semen to make an egg pregnant : Volume 1.5 Sperm concentration (mill/mL) 38 Rapid linear progressive (A) 00,0 Slow/ Non-linear progressive (B) 09,0 Non-progressive 08,0 Non-motile 83,0","Hello and welcome to Chat Doctor The analysis for your semen is as follows:Volume is 1.5 ml/ ejaculate-This is low volume as the normal volume per ejaculate should be at least 2 sperm count is 38 million/ml- This is normal sperm counts. The cut-off for normal sperm count is at least 20 million/ sperm motility is less than the normal range. Non-motile sperms are 83 %. Normally at least 50 % sperms should have rapid progressive forward motion. There is no comment on morphology and presence/ absence of pus cells, RBC's and other nucleated cells. On the basis of this report your sample is deficient in adequate volume and adequate volume. It can lead to infertility i.e. inability to fertilize an egg under physiological conditions. However, I recommend you to get semen analysis repeated after three days of abstinence. If, again the sperm count remains low, there are other techniques for fertilization of the ovum. You can get details of which from a fertility expert. Thanks and take care Chat Doctor. "
+Had blood tests and ultrasound done for abd pain - found nothing. Have now got it into my head that I have hodgins disease because i am also slightly itchy,"Hello. Welcome to Chat Doctor, You are presuming a big ailment for no obvious reason at all. The common symptoms of Hodgkin's disease are generalized lymph node enlargement, may be weight loss and hepatosplenomegaly. It has to be proved by special tests like immunohistochemistry on biopsy samples. Itching is totally unrelated to this. If you had homeostasis causing itching, it would have been detected by ultrasound. It would be helpful to have a gastroenterologist work up with endoscopy if the pain is too much and tests like those for typhoid etc. Take care."
+"dear sir/mam, i had my last period on 28th dec 2010, till now i didnt get periods, i undergone pregnancy test its negative, so my dr referred me take meprate 10 mg now i m takiing , last two days i m getting guiltiness and i felt may be am i pregnancy?","Hello dear, I understand your concern. In my opinion giddiness alone might not suggest pregnancy. The pregnancy symptoms like nausea, vomitings, increased urination, sore breasts, giddiness,tiredness might be there with positive urine pregnancy test. Meprate tablets are given for with Chat Doctor. Also, the pregnancy test is negative. The giddiness might be due to weakness.Don't worry. Take healthy nutritional diet. If irregular periods continue get evaluated for thyroid abnormalities, PCOD. Avoid stress. Stress, overweight, obesity might also cause irregular periods. So relax. Best regards...."
+"I had a severe allergic reaction to an ant bite about a week and a half ago. Blood pressure dropped to 70/63 and was rushed to the ER and was given loads of Benadryl, went through 2 bags of fluid and had to be put on oxygen. I m still very tired though, I have this running exhaustion feeling. My question is- how long is this supposed to last? Is it normal for me to be feeling so tired?","Hi, see allergic reaction can be immediate, late and/or delayed from which the later can be last for more than 2 days, so u might have delayed hypersensitivity/Allergic reaction due to ant bite. If this problem remains even after few weeks and u still feel exhaustion or tired then there will be some other cause.u need to see your physician for correct diagnosis but don't worry nothing serious, u will be alright."
+My 13 year old daughter has what appears to be her lower left side rib sticking out.Like a lump where last rib would normally be. She has had it for a few months and it seems to be getting worse. (Sticking out more).She says it is a little tender. She is about 25lbs passed her goal wieght.,"Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. I feel that requires evaluation, that swelling can arise from bone, or it can be soft tissue swelling. You should get her a X-ray Chest, Ultrasound of that area, and if required a FNAC or Biopsy might be required. This is my personal opinion based on details available here.  If you want to discuss your issues further, you may please ask stay Healthy. Chat Doctor, MD"
+"Hi, my daughter has super ventricular Tachycarida. She gets really short of breath when just taking the stairs at school so she used to use an elevator key, but the school took it away. Is there anything that she can do to help her breathing at school and at home?","Hello, Usually supraventricular tachycardia is usually episodic in nature and will not cause persistent shortness of breath.  First thing is that, the type of supraventricular tachycardia should be determined. So get one ECG done and upload it or show it to local doctor. If she is having persistent type of supraventricular tachycardia like atrial fibrillation then only it can cause this type of symptoms. For this rate control Chat Doctor.  Secondly we need to find for another cause, for that she'll need echo, hemoglobin testing.  In general, she should have salt and fluid including water tea milk coffee etc. restriction to minimum. Very good medicine are available so you either upload her reports or visit local doctor. She'll medicine like metoprolol, horsehide etc."
+thankz doc vel i hav an allergy from last five years ma lyf z like hell could u plz sugest how ma swellin vil go bcoz sometime i hav severe headache breathin problem chest congesion ma complexion z gettin dark plz sugest ma nose vz very pointed nw d adenoisz r grown plz recommend somethin n ur num,"Brief Answer:Needs a Proper stepwise approach. Detailed Answer:Hello Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. Allergies in most of the cases stay with us through our whole lives, it is us who have to learn to control them and to live a good quality life with them. Allergy needs a step wise approach :(1) Meeting a Doctor.(2) Blood and other tests(3) Diagnosing type of Allergy(4) Figuring out what causes allergy (allergen)(4) How severe is it, or it can go(5) What med can control kit(6) What med controls it best(7) Sooner of later that med needs to be aided with some other med or have to be changed.(8) What are the risk factors.(9) Does the patient qualify to steroids or not? Suggestions: I have already told you how would I approach this issue, it needs proper check-ups and follow up to be controlled and treated well, for the time being if I were your doctor I would suggest you take an antihistamine for example loratadine 10 mg daily and an over the counter Painkiller+anti-inflammatory like Tylenol(acetaminophen) 325 mg thrice daily, But this is just to buy time till you can have a good contact with your doctor and all you reports are compiled and diagnosis is made...some people also need steroid to suppress allergy.CONCLUSION: Don't be alarmed there are doctors and clinics specialized in Allergy and it's a daily routine matter for them just follow this issue well and soon as you get settled on a med ...just one or two pills a day, and you will live a long healthy comfortable life ..... Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it. Wishing you good health !!"
+"Hi how are you doing? I have a question about my health, I just went to a doctor this afternoon and he found out that I have a h pilori desease, just wondering it can be detect where I might get this? My employer has this kind of desease, is it possible that she gave this to me?","Hello, Welcome to ChatDoctorH. Pylori is a spiral-shaped bacterium present in the stomach of persons. It is commonly transmitted person-to-person by saliva. It can also be spread by fecal contamination of food or water. Crowded conditions and poor hygiene contributes to higher H. pylori prevalence. H. pylori enters the body through the mouth, moves through the digestive system, and infects the stomach or the first part of the small intestine. More than 80% of people will be asymptomatic. But infected individuals are prone to get peptic disease. Hope you are happy with the answer. Thank you"
+"Several weeks ago, I treated myself with over the counter meds for what I thought was a nasty yeast infection.  Then, the following week, my husband complained of itching and a red rash in and on his genitals, but he didnt do/take anything and it went away.  Now, I have what I think is a yeast infection again.  Could we be passing a yeast infection or something else back and forth?  What can I do to make this go away?  I have endometriosis.  Am I more likely to just get lots of yeast infections?","Hello, Welcome to Chat Doctor, Fungal infection is most common in the area around genitals and the fungus are the normal comedians of the genitals which are kept under control by the helpful organisms, whenever there is an imbalance in the environment it will lead to multiplication and growth of the fungus in this area. The fungus can sustain for longer duration of time in the wet and moist areas, it is most common in females compared to males as the urethra is short. I would suggest you to follow1. Keep the area clean and Chat Doctor. Topical antifungal cream3. Oral antihistaminesThese medications will help to control the fungal infection. Thank you."
+"Hi Doctor, I 36 year old male India, suffering from  amobasis since last 17 years. I taken lot of antiboitec but it is not full cure. Now i am toomuch frustarated and i dont want to take any english medicine. If you have any herbal medicine i can take forever to avoid this bloody amobasis. Please help me doctor.","Hi Welcome to ChatDoctorI Have gone through your query regarding your17 years of amoebas It is after OC great concern. I want to know what all symptoms you face , and for how much time they carry on ? Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. Normally seen symptoms are, Sudden weight loss Abdominal cramping & painNausea, Loss of appetite, Flatulence , Tiredness , Dehy Chat Doctor. Treatment also includes certain medications which help to destroy the parasites. These may lead to some side effects such as nausea and a metallic taste in the mouth. Medications to treat diarrhea may also be prescribed. It is important to "
+I was diagnosed with scoliosis when i was in middle school. I am now 23. I have days when my back hurts all day. I work as a nursing assistant. I have a back brace that i bought. Its not a medical brace just a ordinary brace. Do i need to follow up and have it rechecked since its been a while since a doctor last looked at my back.,"Dear-thanks for using our service and will give you my medical advice. It is important to have a follow-up of your scoliosis with an orthopedic. This is a condition that can get worse and give you more symptoms as you get older. You née a medical brace, one that has been made for your specific measurements and support. This is something that will avoid getting worse and will relieve the pain. I hope that my advice has been helpful Chat Doctor. "
+"I FEEL SURE MY HUSBAND HAS HAD AND IS STILL HAVING MINI STROKES. WE HAVE HAD EVERY TEST DONE THAT THE DOCTOR ASK, THE LAST THING SUGGESTED WAS ANOTHER MRI OF HIS BRAIN BUT IT HAS NOT BEEN SCHEDULED YET. WHAT SHOULD I DO AND HOW SOON IS IT NECESSARY. HE CANNOT WALK HIS LEFT LEG IS NUMB AND HE IS HAVING TROUBLE KNOWING WHEN HE IS USING THE BATHROOM, BOTH URINATING AND BOWEL MOVEMENTS. HE STAYS CONFUSED ALL THE TIME .","Hello, Sorry for your distress. The confusion is a sign of a problem with the brain. The leg numbness and bathroom problems can be due to a problem in the brain or spine. A condition which may tie all these in is known as normal pressure HY Chat Doctor. An MRI of the brain should be able to identify this condition and I would advise you to get that done. The MRI of the brain is also a good way to check for stroke. All the best."
+"hello, i am a female, 52 years of age. recently i have bump my arm against a door nob and a large bump appeared on my forearm. a few days later, i happen to hit my hand and yet a bigger bump appeared where i had banged myself. both of these on my same left hand/arm. i am not sure how to make it go away and its not brused, black & blue nor does it hurt... please give me some advise. thank you","Hi! Good evening. I am Chat Doctor answering your query. From the history it seems to be a hematoma (collection of blood) in subcutaneous tissues due to some minor bleeding by the trauma. If I were your doctor, I would apply a pressure Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
+"Hi! I injured my knee at a football game 2 days ago, mechanism of injury=I kept falling on my knees,high impact. No instant swelling that I noted (adrenalin) but did feel pain, I admit I kept playing so did weightbear after falls..first fall of significance in first half. Knee started to stiffen up and get more painful towards end of match, knee noticeably swelling and real discomfort on car home and painful to sleep, ache walking and stairs or kneeling painful...used price technique straight away..iced it straight away, tubrigrip compression and elevated..knee now feels better..widespread bruising tender on palpation of joint line/bruises, knee not as stiff but still an ache at end range flexion swelling has reduced. I think when the bruising goes the dull ache in my knee should go too, I feel I dont need physio or medical intervention as its only been 3 days since injury and to let healing process take its course? Am I foolish or should I check if ligaments/cartilage isnt Injured even though the symptoms/mechanism don t match? Thanks","Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. 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."
+"Im 20 male, 164cm, 53kg. i have sinus on one side, have motion sickness, have more hair fall thn normal but no bald sign. i have 2 prob: 1st is i have almost continuous cold like character from 15yrs where my throat is sore very easily if i get wind in night time; if i dont cloth myslf warmer i start hving heavy mucus, if i warm myself properly it ends about 5 days. its not normal because others near me are not hving cold even when i easily have it. 2nd is my inside-belly prob; i easily have stomach ache after 30min-2hours of major meals (like once every 2 week), where i pass out diarrhoe-like stool and the pains goes after shitting all, i need to give some energy to pass these out at first (it jst dont come easily in beging), i use to take 1 metronidazole and furazolidone tablet, which mom tell. My stomach is always in a very mild discomfort nowadays after i eat something but no diarhoe in this case.","Degree understand your concerns went through your details. I suggest you not to worry much. You should not take self medicines for any health problems. Consult a physician for diagnosis and treatment. Your first continuous cold related condition should be related to allergens and the second one due to stomach and digestion related problems. Please consult a physician for clear outlook. You also might be interested to know that anxiety and obsession and preoccupation with non-present-symptoms can also manifest such symptoms. For such a case, you need to consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck."
+"Hi im george. Ive been having pain inbetween my collarbones and shoulder blade where it meets my neck... I am nearly 25 years old male. It started about 6 months ago and only occurred when breathing in whilst walking up a very large hill near my house. Over the past few days its doing it when relaxed, driving doing anything. Today i have noticed my chest is heavy and just now i noticed my right ear feels a little like ive been on an aeroplane... Please help","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in between collarbones and shoulder blade while breathing in. Well there can be many reasons for symptoms you mention in query like muscle spasm, cervical spondylosis, cervical radiculopathy or working in one pose for long time. I would suggest you to apply warm compresses on neck and on shoulder blades, do not sit in one pose for long time and take ibuprofen or acetaminophen for pain. If condition doesn't get well then consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant along with anti-inflammatory and vitamin supplement for quick recovery. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
+I had a panic attack earlier today and had trouble catching me breath. I m ok as long as I sit still if I do any type of physical activity even as easy as carrying groceries I can feel a slight shortness of breath. My wife.Is currently suffering from bronchitis I m not sure if this a symptom that I may have the same thing,"Thanks for your question on Chat Doctor. I can understand your concern. Stress, anxiety and panic attacks itself cause breathlessness. So no need to worry about bronchitis. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+my friend has been suffering from fever for 15 days...tests for typhoid n malaria negative...fever occurs at night with shivering...almost normal during daytime...blood tests show 19500 leukocyte count and neutrophil count at 88...what should be done...doctors at a loss,"Dear friend you certainly seem to be having an infection or in rare cases chronic myeloid leukemia. If nothing else a leukemia reaction from an infection, but your white cell count does reach the lower limits of CML range. You also need to rule out a lung infection or an Please discuss these possibilities with your doctor and before a diagnosis is made please request for a peripheral smear to be examined by a haemato-pathologist to at least screen for CML"
+"I m a type 2 diabetic. My doctor changed my meds to three pills 5 months ago, Metformin gave extreme gastro side effects. So I have been taking Januvia, Glimeperide and Glipezide. It kept my blood sugar much lower but not perfect. I had 3 episodes of symptoms of low blood sugar but I never got a reading lower than 80. Now my pharmacists has questioned the 3 medication so, as of 3 weeks ago I no longer take Glimeperide. Now I m having mild pressure in my abdomen and sternem, shallow breathing and muscle tension for no reason. Any thoughts?","Hi sir. Usually diabetic medicines with metformin may cause abdominal problems like gastritis, ulcer.make sure that your sugar level is under control especially HE a1c is under control. Pain in lower abdomen and sternum is exactly due to gastritis so it's better to take anti ulcer medicines to solve this problem avoid taking oily and spicy foods avoid taking tea coffee or milk avoid some vegetables like radish cabbage and cauliflower so that it may help to reduce gastritis. Consult a physician for medications, thank you."
+i have a rash on the inside of my bicep and it just so happens it is over the area where i had my implanon implanted. i had it implanted 8 months ago and am just now getting the rash and it looks a lot like the pupps rash i had on my stomach when i was pregnant. i don t know if it is related but i figured i would add that in.,"Hello.thanks for sharing your query Since it is already 8 months since the insertion was done, I won't think that the Implant should be a cause of the rashes you have. You may apply a mild topical steroid for 3-4 days to see if it improves. If you have itching, oral anti histamines may be taken. However, if your lesions persist, you must visit a dermatologist.PUPPY rash is a pregnancy related condition and resolves mostly within a week of delivery. A few women continue to experience symptoms into the postpartum period, but I think this not be related to the present symptoms. Hope this is helpful. Take care."
+"I am 18 years old. I got my period on October 15th and had unprotected sex on October 27th. On October 28th I took plan b. I am on birth control but took it at different times (within a few hours) the few days leading up to October 27th. (8 pm one day, 11:30 pm the next day, and 10 pm the next day) so I was very nervous and took the pill especially because it was around the time Im supposed to be ovulating. Then, I had unprotected sex on November 1st really late at night and the day before that I took my birth control 3 hours later than I normally do. Does plan b push back ovulation so I would be ovulating on the weekend of Nov 1st? Do you think that I have a chance of becoming pregnant??","Hi, Thanks for using Chat Doctor. Contraceptive pills need to be taken regularly at fixed time. As you have taken pill daily but at irregular time, still It's effective in controlling ovulation. Not to worry. If at all you miss your periods get pregnancy test done. Try to take pill at a regular time daily, If you find it difficult to take regularly better to go for other methods of contraception. Hope this helps regards"
+"I had sex with my gf last night, I had no groin pain and my sperm looked normal, today we had intercourse again and my right side above my penis near my bladder hurts and my right testical, also my sperm was dark yellow. What could this be? Please help.","Thanks for asking in Chat Doctor forum Pain might have occurred due to muscle pull/stretch during the intercourse/ blunt injury unknowingly during the act.  So, Muscle relaxant with a painkiller will help you a lot.  Regarding your color of semen, it sometimes varies normally & during infection. So, please for semen analysis if you have any doubts or any symptoms like burning sensation/frequency/pain while urinating.  All the best."
+"Hi, I have been diagnosed with degenerative disc disease since about age 15, I am now 48 years old. My lumbar all the way down through sacral has been fused. I have constant pain in right foot/toes that I have been able to control for about 7 to 8 years, but now pain is getting worse in back above fusion and in the front below belly button. I am wondering if I may now have an issue at T-12 ? I am a male if that makes any difference.","Hi, Thanks for writing in. The spine is made up of an alignment of small bones. These bones have sponge like discs between them and the spinal cord passes along the back of these bones through the spinal canal. There might be pressure on the discs in the dorsal and lumbar spine and this is causing slight pressure on the spinal canal at a particular level and causing pinching of nerve roots leading to severe pain in the area supplied by the nerve. The disc problem which had involved the T 12 - L 1 disc might have affected the discs at other levels also. Besides, you also have fused vertebrae at lumbar levels. As your symptoms are on the right it is possible that the nerve roots on the right side are affected. You require to be examined a neurologist and an MRI of the dorsal and lumbar spine if indicated to know if the nerve are under pressure and the location. There are patients who get relief by doing physiotherapy and taking neurogenic pain relievers. Injections are also given for relief. However, this might not always happen. If your pain is severe and not responding to medical treatment then the disc protrusion needs to be removed by doing a small surgery at the cervical neck region. Presently, laser assisted surgical techniques are also available. If the pain is mild then it appears to be a minor problem that is treatable. Please do not worry."
+"I am on Subutex , Neurontin , Remeron and Zoloft , Plus Klonopin , Plus I am on Synthroid , and Also 2 Blood Pressure pills , I Still Suffer with Depression and Anxiety , My Blood Work says I am Healthy , But Mentally I am Tired but Still anxious , I know this is A lot of Meds to be on , I feel as Though I am Hooked on these Meds now , I went into a Detox 8 Months ago to get off Morphine Sulfate and Hydrocodone , Came out on all these Meds..","Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You may try other antidepressants as well as bupropion or venlafaxine or venlafaxine.etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. "
+"Had a gaulbladder operation on the 11th May 2011 came out on the 12th stiches on the 20th May 2011.  The same night i was addmitted back to hospital i was there for 4 days i was told i have a built up of blood where the drain came out.  Before i came out they took a scan they said it was all right but i was still in alot of pain and feel quite ill they told me to see my doctor so  after a week  i did so he put me on  two courses of antibiotics one was 400 mg the other 375 mg for two  weekes.  After two  i had a rest to see if it was any better but it is still the same, i went back to see the doctor today and he send through to get me a scan  as soon aspossible can you give me any advice be very grateful thank you .","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. This is common complications of gallbladder surgery and may happen if blood vessel is damaged, or it bleeds for the liver bed. You need to do ct scan and check our red blood count in most cases it can be treated without surgery but sometime sit is required do evacuate hematoma and cingulum if antibiotics won't work. 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 FILL TIRED IN AFTER NOON .MY HEART BEAT IS IN THIS TIME ABOUT 65.MY PRESSURE IS NORMAL.MY AGE IS 60.ECG REPORT IS NORMAL.I ALSO FILL WEAKNESS IN THIS TIME. 15 DAYS AGO 1 EPISODE OF VETIGO FOR F1 MINUTE IS HAPPNE.MY SERUM LDL COLESTEROL IS 136mg/dl.I AM FIT IN MORNING.IN AFTERNOON WHEN I AM IN REST I FILL  SMALL PALPILATIN IN MY CHEST.MY WEIGHT IS SLOWLY LOOSING.WHAT IS MY PROBLEM AND ITS TREATMENT.PLEASE HELP ME.HIGHT IS 172.WEIGHT 59 KG.,"Hi, You need to undergo some examinations, such as ECG, serum glucose, carotid duplex ultrasound. Only after these examinations the right strategy may be found out. Your complaints may be caused by different conditions; heart disease, diabetes mellitus and for the episode of acute dizziness narrowing and blockage of carotid arteries should be excluded by carotid duplex ultrasound. Take fearsome back if you have any further questions"
+"I have undergone IVF treatment mid way my doc stop because i have not responded well with antral follicle got only 2 the rest have not grown to the expected, she had given me regestrone 5mg for 10 days , need to know what would the effect of the tablet any chances of me getting pregnant inbetween , my hub sperm count is less than 2","Dear user, welcome to Chat Doctor. With a very low sperm count the only way to get pregnant is through intro cytoplasmic sperm injection (CSI). You should try another time with the maximum dose of HMG (450 IU) or try the short antagonist protocol. If you are obese try to optimize your body mass index (BMI). I can help you more if you mention your age, BMI, day 2 FSH and LH, prolactin, TSH and antimullerian hormone (AMH). I wish you good luck and getting pregnant soon."
+"Hello. I found a lump on the left side of my lower back about 2.5 months ago. It is the size of a dime and is not visible and can only be felt when pressure is applied to the skin. It hasnt grown or changed and is painless to the touch. However, I do have back and leg pain. I am a 22 yr old female. I dont smoke or drink and am relatively healthy. No history of cancer in my family.","Respected user, hi I evaluated your query thoroughly.* According to the narration, it is most likely to be Lipoma (accumulation of subcutaneous fat) which can give rise to local discomfort but not leg pain which seems to be separate entity than this. Hope this clears your query. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you happy healthy life ahead. Regards dear take care."
+my boyfriends semen is normal looking but has chunky pieces in it jello-like in texture and they stay jello-like they dont melt or anything i know he used to do a lot of drugs before we started dating is it just side effects from smoking crack? (hes been clean for a year and half now) or is it infertility? does he have an STD? cause before we started dating i made him get checked out considering his past and he turned up clean on the tests. he says that his semen has had chunks in it for quite awhile but it kinda conserns me like i dont want to catch anything and i do want to have a child someday,"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. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. 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."
+Can i nebulize my child 5 year old with clenil compositum and atem together?? I used to nebulize him with simple clenil compositum and normal saline every winter season .. but now his coughing is not going.. he recently started penecillin day before yesterday because his chest infection was not going,"Hello, Short answer: Detailed answer: You can use clinic composite together with item. Scientific studies show that when clinic composite (containing albuterol) is given together with item (containing ipratropium bromide), the results are better compared to clinic composite alone. Therefore, you can give both preparations together, 2-4 times a day because they will not harm your baby but at the contrary, will help him. Also, you should find a solution for the chest infection, by changing the type of antibiotic for example, in close contact with your doctor, because it is a cause of your babies cough. Hope I have answered your query. Let me know if I can assist you further."
+"My mother is diabetic, has a mitral valve which needs replaced buy she is not healthy enough for the replacement. She has a pacemaker which she, per examine, is working 89% of the time. For the last three weeks she has been dizzy, very weak and has short term memory loss. Her primary care doctor says to let her be. Am I over reacting","Hello! Welcome on Chat Doctor! I passed carefully through your question and would explain that her symptoms could be related to low blood flow to the brain. A stroke or a metabolic disorder can not be excluded either. For this reason, I would recommend consulting with her attending doctor for a careful physical exam. Some tests are needed to investigate for the possible underlying causes: - a brain CT scan-complete blood count for anemia-fasting glucose and HbA1C levels-blood electrolytes- kidney and liver function tests. Meanwhile, I would recommend you to closely monitor her blood pressure values to exclude possible low blood pressure. Hope to have been helpful! Wishing good health, "
+I have been dealing with kidney stones since 1979. Recently I was in the emergency for pain from a kidney stone blockage. The ER doc ordered a CT scan to confirm the stone. When the results came back he informed me that I had stones in my liver and my spleen . My questions are: What causes spleen and liver stones; and is any treatment advised?,"Hi Linda, Welcome to Chat Doctor. Since you have stones in the kidney, liver and spleen, you will need to do thyroid function tests to rule out hypercalcinosis, which is a condition in which there is above normal levels of calcium in the blood, which can lead to stone formation in various organs. If hypercalcinosis is detected, then it will need to be treated. Liver and spleen stones don't need to be treated. If there are stones in the Gall Bladder and if they are causing problem, then surgical removal of gall bladder is required.  Wish you all the best."
+"sir,i was effected abdomen TB last Two years , I complete course and last one years i feel ok not any problem and no medician. Now i feel that my abdomen are large size and tight after food but i have no any symtom like no fever, no pain, no lose wts. I dought for again abdomen TB.","Hi. Thanks for your query. Read your history and understood the problem. It is good that you had been diagnosed and well treated for Tuberculosis of abdomen. Since you were asymptomatic for last year the chances of an active TB of abdomen is remote. The probable causes for belatedness and tightness of your abdomen can be: Intestinal sub-acute intestinal obstruction due to stricture formation of intestine; this is quite common sequel. Can be a mild gastroenteritis. I would advise you the following. X-ray of the abdomen in standing position. This is the cheapest and simplest test to see for intestinal obstruction. Ultrasonography and CT scan of the abdomen to confirm. Routine tests of blood and urine. Enterocolitis if obstruction is suspected, Diagnostic Laparoscopy: this helps in diagnosis and well as therapeutically. One can cut the bands / release the adhesions. Take a course of an antibiotic and metronidazole for 5 days, is there is a response, nothing to worry. - Maintain healthy food habits, avoid too many fibrous foods as they can cause repeated sub-acute intestinal obstructions. If no relief further investigations and treatment will be required."
+"Hi, may I answer your health queries right now ?  Please type your qHi Doctor I am shri 25 years running. I am 3 years married. My problem is i am unable to get pregnant. Last Year i was pregnant but i had aborrtion in the month of 2.5 , after that i am unable to get pregnant. I have all tests like TORCH TEST (IGGM, IGM), Glucose test, Menstrual blood test taht all ate normal. I a test i have PCOD problem for this problem doc, advised me TABLET BIGOMET SR 500 for 3 months i am taking this tablet and this is my last month for taking this tablet, with this i am taking FOLIC ACID tablets also. please doctor advise me what should i do for get pregnant as soon as possible. Regards shri XXXXXXXXXXuery here...","Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  Discuss with your doctor regarding this.  The problem in PCs is with ovulation. So, you have to take medicines for ovulation.  Bigoted alone will not help.  Hope I have answered your question. Regards Chat Doctor. "
+I have a friend that has MS and has to take shots. He took a shot and there was a lot of blood that followed after he took the needle out. I was thinking his blood was too thin.  (I take warfarine and this is why I was concerned) He drinks a lot of Red Bulls drinks too.,"Hi, dear. I have gone through your question. I can understand your concern. You are taking warfarin.  It is oral anticoagulant Chat Doctor.  It prevents clotting of blood.  So it leads to bleeding.  You should test your PT and INR. 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. Don't forget to click, thank you."
+"On Friday I started getting the chills and noticed I had a fever of 102+. I took Theraflu thinking it was a flu coming on. However, I kept getting a fever every few hours. On Saturday, I started getting watery diarrhea. Later that night, my fever spiked to 103.3. I still have diarrhea and have to use the bathroom every 2-3 hours. I took a tylenol last night and the fever has not come back yet. However, I still have to keep using the bathroom and it does not seem to be getting better. Is there anything I can do to stop this?","I warmly Welcome you! Thanks for consulting me at virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. I usually prescribe in such cases Rifaximin (Ibadan) 200 mg per oral 8 hourly for 5 days. Use Mediate for revitalization and fulfil the fluid and electrolyte losses. It seems to be due to gastroenteritis due to some unhygienic/raw food. Only Tylenol can not be effective. You may need to go to your Physician for prescription of antibiotics. Hope it helped you today. If you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. You can also attach Lab reports and pictures directly from the question window, or by emailing it to attachments@ChatDoctor .com with the Subject as, Attention: "
+My baby is of two weeks. First week breast feeding was good enough for him however from last couple of days it has reduced a lot. Hence we started feeding lactogen but he vomits it out very frequently. What we are supposed to do to ensure he is being feed properly?,"Thanks for posting on Chat Doctor. Breast milk is the best possible food for a baby and there can be no alternatives for that. Lactose or any other formula, is cow milk based and difficult to digest for the baby. So, in such a condition, the baby often vomits it out. Try not to go for formula feeds and go for breastfeeding as far as you can. You may express your breast milk and store it in a refrigerator before you bring it to the normal temperature and give to the baby. In case of breastfeeding, insert the entire nipple along with the areola (not only the nipple) in the babies mouth. Feed one breast at a time and alternate breasts with each feed. Breast milk is produced as per the demands of the baby as express through the suckling. In case of formula feeding, the hunger of the baby is reduced, and the baby suckles less automatically reducing the amount of breast milk produced. So, reduce formula feeds as far as you can. The adequacy of the feeds would be expressed with the amount of urine passed. Passing urine at least 5-6 times in 24 hours is to be considered adequate. Hope that helps. Feel free to revert with further queries if any."
+"Hi, I am a 34 year old women, I got sick in December just before Christmas. I went to the doctor 4 times. He told me that I had bronchitus and gave me meds. The cough got better and o did my chest, but I have had a heavy feeling in my chest for about a month now. When I lie down it feels like I have a lump in my Throat. I dont smoke, never have and am not overweight. Can I have Lung cancer? I am really worried","Hi.it is best if you consult with a doctor if you are experiencing symptoms. The possibilities based from just your description are varied. Most common causes of lung cancer are history of smoking, occupational exposure to chemicals or inhalation agents that could be deposited in lungs, hereditary. Diagnostic studies such as chest x-ray, ct-scan of neck and chest area could easily rule-out if you have lesions. Hope this helps. Good day!!~ Chat Doctor. "
+Hello Dr. I have been having depression and intrusive thoughts for five years now. Tried Zoloft for two weeks and was very ill with it. Stomach cramps etc. I am afraid of side effects of meds like tolerance after a whole and other issues. I am now quite tired of dealing with this condition naturally. What help can you suggest.,"Hi, I can understand your concern about side effects after using Zoloft (Sertraline). Loose motions, stomach cramps, headache, abdominal discomfort, sleep disturbance are common side effects in initial weeks of treatment with Sertraline. Other better alternatives are reducing the dose of Sertraline or switching to Tablet Mirtazapine or Tablet Venlafaxine with Clonazepam. Kindly discuss with your treating psychiatrist. Hope I have answered your query. Let me know if I can assist you further. Wish you rapid recovery."
+"from since a young age i always had irregular heart beats. eg i was playing football when all of a sudden my heart started beating alot faster than usual, with chest pains on the right and short of breath. i ocassional suffer these attacks even when i sit down. now i regularly get irregular beats, where my chest hurts and at times short of breath from lying down...","Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind Regards Chat Doctor. "
+"I have IDC Left Breast stage 2 HER Positive, 1.5 cm Cancer was removed, 2 lympthnodes removed, they were negative. I have clear margins. Pathology report states I am in Low recurrence catagory returning and the cancer is confined to the left breast only. It was at 1:00. I am currently taking 33 Radiation. Im on # 17 with 16 more treatments to go. I went to F/up with my Oncologist today. He prescribed Anastrozole for me to start taking. Possibably for the next 5 to 10 years. I am 73 yrs old, in good health and very actice. With all the side effects stated for the medication prescribed, I don t want to take it. My PET showed I had no cancer elseware in my body. My qustion is, If I choose not to take this medication what are my chances of recurrence and would it be ok if I choose not to?","Hayes with Chat Doctor.  Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease (such as history of heart attack), bone loss (osteoporosis), liver disease, high blood pressure, blood clots. I will advise you to take one anastrozole tablet per day for 5 years. Its side effects can be managed symptomatically, Regards"
+"Hi,I had Spinal Fusion surgery in  2001.  From then on I maybe 2-3x a year I would get burning pain and inflammation in my feet and hands.  Lately in about  last 5 mos. the occurrences have become more often and in the past month my feet especially have been in pain... standing, seating or even laying in bed( if any part of my feet would be touching the mattress).   They would feel best raised but I could still feel slight burning and stiffness. I dont know if I should go see my back Doctor because that was a on the job injury or my family Doc.Please help....thank you for your assistance.","Hi, Thank you for posting your query. Your symptoms are suggestive of neuropathic pain. It may benefit to consult your doctor and discuss, as these may be related to your earlier problems. In addition, you may need to do nerve conduction studies to look for peripheral neuropathy. You would benefit from pregabalin capsules. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"
+"Recently we moved from S. Fla. to NC and my husband and I have been waking up every day stiff, achy, and barely able to move. Even my hands and feet hurt. We live in a new log home, so it can t be lead paint or old house issues. Any ideas? Wierd that it affects both of us the same way.","Hello, Sometimes, neurotransmitters in body act differently with changes of places. This may be due to temperature or weather difference of places. Sometimes this can also occur due to excessive fatigue, deny Chat Doctor.  If it is a recent issue then there is no need to worry. Take some times adjust yourself with new place, take adequate fluid and sun exposure. It will go away in 5-7 days. Meanwhile, you may do warm fomentation to relieve stiffness. If there is intolerable pain then you may have Tylenol for relief. Hope I have answered your question. Let me know if I can assist you further. "
+My 16 year old son has a swollen lymph node behind his ear and recently noticed a lump in his pectoral muscle near the nipple. He also has said he has experienced fatigue during the last few weeks. He is active in baseball so it is difficult to assume if this is all related.,"Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. The most common cause of the swollen lymph node in India is the tuberculosis. I also suspect the same in your child. For the confirmation of the diagnosis it is necessary that you should do FNAC and ZN staining from the material received. If the test is positive you should also do the TB testing by Inexpert, It is also diagnosed the common resistance pattern and can help you in treatment part. TB treatment have many side effects, please do not discontinue the treatment as it can create resistance pattern in the bacilli. Complete treatment only cures you but also prevents future relapse. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor.  Thank you, ChatDoctor"
+"My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time.","Hello, Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply Silver Mini cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula. Hope I have answered your query. Let me know if I can assist you further."
+I have high blood pressure and I was told that my potassium level was low so I bought some potassium gluconate pills today they are 595 mg and I am scared to take them after reading about the side effects. What should I do I have an appt. to see a cardioligist next monday?,"Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low potassium can increase blood pressure, however, it is usually not the sole reason. You need to be on antihypertensives with consultation from your doctor.2. Taking potassium tablets is risky. Cardiovascular effects, particularly arrhythmia are dangerous. 3. You can concentrate on improving potassium by improving diet by including items like banana, green leafy vegetables, potatoes, fish, yogurt, mushrooms, etc. Improving potassium will reduce risk of high blood pressure, stroke and cardiovascular disease. Hope it helps. Any further queries, happy to help again."
+hello any OBGYNE doctors or other doctors knows this question pls answer me thanks.. what is the success rate of to prevent pregnancy when using Nordette as ECP ? when took 4pcs within 60 hrs of unprotected sex then 4pcs after 12 hrs of the 1st dosage. thanks,"Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer my opinion. The efficacy rate of an emergency contraceptive pill depends on the time delay after the intercourse before the pill is used. When the pill is used soon after, the protection offered is 98-99 % while it decreases as time goes by. At 60 hours, the protection offered is around 80-85 %. Corvette is shown to have the same efficacy as any conventional emergency contraceptive pill. Please contact your health care provider for further help. Hope this helps."
+I have had a cold or virus for 10 days now.  I have had a bad cough and alot of sinus problems.  I was coughing up yellowish flim and I called my Dr. and she perscribed antibotics for me I have been on the antibotics for 6 days.  My sinuses seem better but still have a cough but not as bad.  I do smoke maybe 5/day.  How long will my cough last?,"Hi thanks for contacting Chat Doctor... If your cough still not improving than digital chest x-ray and spirometry (pulmonary function test done for further work up)To detect causative organism throat swab or sputum collection done and send for culture report ... According to which Chat Doctor. .... You have smoking habit .... So it can lead more cough production ... It is better if you can get rid of smoking habit ....Meanwhile, if trouble some "
+"Hi, I m trying to conceive and I have been taking ovulation tests and last week I got a positive (smiley face) ovulation test, then negative the next day, then positive the day after that, and today (1 week later) I got a positive again! what does that mean? why could that be hapenning?","Hallow Dear, This dilemma seems to be either due to error in the kits or personal error. Delayed positive test could be due to exceptional additional delayed ovulation from the other ovary. In such confusion, I would advise you to take the help of ultrasonography. Ultrasonographic ovulation monitoring has an edge over the kit:1. It gives visual evidence of ovulation.2. It informs us about the size of the follicle when it ruptured to release egg. Follicles between 18 mm to 21 mm size give best results of pregnancy. 3. It informs about the endometrial thickness also. For successful implantation, at least 10 mm thick endometrium is lucrative. I hope this helps you."
+"Family memeber, 85 and living alone, stopped her dialysis; did not have it on scheduled Saturday, talked to her son, Monday evening, then was found she had died in bed later that evening. Blood appeared in and around her mouth. Could you tell me why the blood? I understand she went peacefully.","Sorry to hear about the demise. In patients undergoing dialysis and having stopped there could be multiple reasons for bleeding. These patients have bleeding tendencies, so she might have bled from any ulcer in stomach or esophagus. Or if due to stopping of the dialysis, she might have developed pulmonary hypertension due to accumulation of excessive fluids in lungs and cause bleeding through lungs which might have surfaced during excessive bought of cough containing blood. These could be the main reasons that I think of from what you have told me in your question. Thank you"
+"Hi, my dad (84) has been diagnosed with another bleed on the left side of his brain. He had an annuryism in the same spot 20 years ago and he had surgery to correct the bleed then. He was left paralyzed on the left side. Because of his age we have opted not to have any surgery as he has been through so much in the last 20 years. He has spent 15 yrs in a nursing home. The ER doctor who saw him told us of this second bleed and also that he will die and that all they can do is keep him comfortable. How long do you think my dad will lie like this? The bleed was found on Wednesday of last week. I just do not want him to suffer and he seems to be resting peacefully and even ackowledging us with a nod of his head occassionally. He is holding his own as far as his lungs and heart goes and is passing the fluids that they are giving him now. The only symptom he had to alert us something was wrong was is low oxygen levels and this is why we had him taken to the hospital. Any info you can give us will be greatly appreciated.","Hello, You have most of the information that you should know, and you also have absorbed it the way it should have been. Beyond the present supportive care, there is nothing much that may be required for him. A major part of brain his not functioning for him and at such an old age when organ systems start giving in one by one, one can only try to give him peaceful and comfortable existence as long as he pulls on. Good luck."
+I am 86 years old and having good health till 4 months back. I got psoriatic Arthratis but it was diagonised late. I lost 4 months and got treated by the doctor with Saaz. But I found it not suitable for me. I lost 2 month for treatment. Now I have been treated with folitrax 15 mg injection and I found it is ok for me. Pl advise how to get strength as I am bed ridden and could not walk properly without support. Also my back joints L4 L5 etc are giving lot of pain. Pl advise remedy.,"Hello, Low back pain in psoriasis arthritis have different origin. This pain is mostly due to increase in inflammation. In your case two factors are playing role one is your disease & other is your inactivity with your age. In my opinion if you are facing severe problem with low back pain then you may ask from your doctor about intermittent course of low dose steroid. This is very helpful in such cases. Your doctor is the sole person to decide its pros and cons in your age. You should continue or start calcium & vitamin D therapy. Hope I have answered your query. Let me know if I can assist you further. Take care "
+hi my lft report range are as follow .Iam bit confused regarding the range serum bilirubin(diazo method).....   .93 mg/dldirect                                               .50indirect                                            .43sgot ifcc method                              93.8 iu/lsgpt                                                 148.5 iu/l,"Hellhole me explain to you that, what is got Sept. In your case serum bilirubin level is normal so need not worry. The aminotransferase is sensitive indicators of LIVER CELL INJURY and are most helpful in recognizing acute hepatocellular disease such as HEPATITIS. They include the aspartame aminotransferase (GOT) and the alpine aminotransfearse (Sept). Sgot is found in liver, cardiac muscle, skeletal muscle, kidney, brain, pancreas, lungs, leukocytes, and erythrocytes in DECREASING disorder of concentration. Sgpt is mainly found in the liver. I want to explain to you that any mild disease or any injury to above-mentioned organs may be responsible for high level of GOT. While primarily Sept is in liver, so any cell injury to liver cells may be responsible for liver disease. But this level is not so high so at present need not worry, if you didn't have any other symptoms. Keep regular watch over liver function tests and symptoms. Besides avoid wine, Chat Doctor. Still if you have any doubt get in MRI and ultrasound of liver. Consult a physician and get his opinion as physical examination is also important. Good luck."
+"Hello Doc. I am currently taking meloxicam, and was wondering, can I take tylenol for my muscle pain? I take a half of my meloxicam as needed and the last time I took one was this morning. I ve been having muscle pain on my left side about a week now and I am trying determine my pain level. Arlene","Hello, I have studied your case. Yes you can take Tylenol for muscle pain. Be aware of side effects of Tylenol. Side effects such as dizziness, Chat Doctor.  You can take other opioid analgesic if pain persist for few days. Opioids may have other side effects. 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"
+Me and my gf were fooling around i had gotten cum on my to stop from cuming in her after i pulled out. After i washed my hands with soap and water. About an our later we fooled around again. Could she get pregnant even after i washed the cum my hands?,"Hi their have understood your concern. If you had this unprotected sex act in the fertile period of her cycle then she should take emergency contraceptive pills within 72 hours of unprotected sex act. As you might be aware that pre ejaculation fluid contains sperms enough to cause pregnancy. And it gets deposited without you noticing it. So even if you pull out before ejaculation, it is not a safe sex. It is not due to washed hands but due to pull out method, she stands chance to get pregnant. I hope this answer helps you. Thansk."
+"I had a gastroscopy and was diagnosed with the beginning of stomach ulcers , I was put onto a 2 week course of antibiotics (Moxypen & Klarithran) which I m still taking as well as Topzole, for the last 3 days I have had severe swelling of my ankles and feet and even my eyelids are swollen and I feel flushed all the time, could there be a relation between the symptoms and the medication??","Hi, Thanks for posting your query. I am Chat Doctor. The swelling you have in the ankles, feet and around the eyelids is not related to the stomach ulcers or the medications you take. Swelling like these occurs due to either heart, liver or kidney diseases. Puffiness around the eyes usually occurs in kidney disease. You need to get tests done to see which of these organs is affected causing the swelling of the ankle, feet and around eyes. I hope that answers your question."
+I m on sprintec for few months. I never missed a pill and I always take it on time?But the other day I missed then I took two pills yesterday with one hour in between. Today I took my dose about 2 hours and 10 minutes late. I had sex tonight. Is there any chance to be pregnant? WWW.WWWW.WW,"Hello, Thanks for your query.sprinter is used to prevent ovulation. As you missed one dose and compensated it next day by taking 2 pills. Though you have taken your dose little late but still you have same chances of pregnancy when you use pills promptly/regularly.  So don't worry and read carefully instructions provided with your medicine. If you miss one active pill, take two pills on the day that you remember. Then take one pill per day for the rest of the pack. If you miss two active pills in a row in Week 1 or 2, take two pills per day for two days in a row. Then take one pill per day for the rest of the pack. Use back-up birth control for at least 7 days following the missed pills. Hope it helps. Take care!"
+"i am taking glycomate sr igram at night before meal. my fasting sugar was 150-160 range before medication and PP was 170-180. i have strict diet control. after taking medicine for one & 1/2 months now i am feeling sleepy which i do not had earlier. presently my Fastinf sugar is 129-141 anf PP is 140-150. si do Yoga for i/2 hrs, walking for 20 minutes and Gym foe 15 minutes daily. Should i stop medicine.D .mitra age 55 ,male,kolkata india","Hi Mr. Mira, As you have not mentioned the duration of your Diabetes specifically, let by your narration my interpretation is you have recently detected Diabetes diabetes approximately one and half month back. You have started on Glycogen Sr 1 gm before dinner, along with you are doing yoga, gym, walk regularly diet control. With all these efforts your blood sugar levels are fairly controlled. I would like to advise_1. Strictly follow Diabetic diet regularly. 2. Continue yoga, gym, walk regularly. 3. Continue Tab Glycogen Sr 1gm after dinner. In fact, you can increase the dose up to 1.5 gm and over another 15 days to 2 gm total per day in divided doses preferred to take after meals. (effective dose is approximately 1.75 gm per day) As this medicine rarely decreases blood sugar levels below normal level (rarely causes hypoglycemia) This medicine act on basic pathology of diabetes called insulin resistance. As Diabetes is lifelong disease, as duration of diabetes increases there may need of additional medicines. 4. You have not mentioned your height and weight so that you should target weight loss according to your height. 5. Certain blood test are important like lipid profile, serum creatinine, HbA1C which denote blood sugar level over period of approximately 120 days. Urinary protein creatinine ratio, Endoscopy to rule out diabetic retinopathy. 6. You should also start medicine for lowering lipids despite your lipid level, if it is in normal range start in basic dose and if in higher doses according to lipid level. 7. Also, regular BP checking"
+"My mother is having lightheadiness and heart palpitations and sometimes her hear races. This has been over the last few days. She just checked her blood pressure and it is normal and her pulse rate is 72. Could she still have a heart attack with normal blood pressure and pulse rate? Thanks, Kelli","Hi, Lightheadedness associated with palpitations can be caused by irregularities in heart rhythm.  Heart rate and blood pressure can be normal in these cases, but it is important to know what her heart rhythm is, and what is usually done is an ECG which documents the electrical activity of the heart. It may not be a ""heart attack"" per se, but it is noteworthy that she may undergo tests as part of the work-up.  And I would suggest a consult with a doctor to be able to check other causes of dizziness such as a musculoskeletal problem in the neck, as well as problems in the eyes and ears which may cause dizziness, apart from a problem in the heart. Hope I have answered your query. Let me know if I can assist you further. "
+"I am 27 years old female. I am having right lower abdominal pain for past 2 years. The pain goes away after taking a course of antibiotics but reoccurs after some time. In the beginning the frequency of reoccurance was after 4 to 6 months, but now its occuring again and again within 15 to 20 days. I have the following symptoms. C1)fatigue, Feeling discomfort and tired always2)nausea always. Sensation is more after few minutes of food intake3)severe pain in lower right abdomen4)feeling burning pain in all over the abdomenal area5)Getting constipation for few days and then loose motion for few days Have done abdomincal scan and showed results as1)Left renal stone2)Minimal fluid in cul de sac Have done blood, urine and stool tests and reports showed these1)Haemoglobin is low2)ESR is high - 343)Showed pus cells in stool, occassional and stool is brown in color.4)showed 1-2 leucocytes and 2-3 epithelial cells in urineMenstrual periods  regular(30-32","Hi ! Good morning. I am Chat Doctor answering your query. From your history, and ultrasound report of fluid in the cul-de-sac, I would suspect you to be having a PID (pelvic inflammatory disease) which might also be associated with a UTI (urinary tract infection), which had to be ruled out by a culture and sensitivity test. If I were your doctor, I after a general physical examination of yours would advise you to get yourself assessed by a gynecologist of your area to rule this out specially if you are sexually active. Till then, I would advise you for a course of broad spectrum antibiotics along with an anti inflammatory and a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
+"Respected Sir,My name is Nishanth singh gurung. I have undergone a root canal treatment 8 months back. One of my teeths in the bottom section is growing at 70% angle outwards. It is causing a problem in the gums. I always feel some sensitivity there and not able to study properly. Please tell me what i have to do. Its urgent","Thanks for your query, I have gone through your query. The sensitivity in the tooth can be because of the cervical abrasion(Wearing away of tooth structure) since it is in an abnormal position, more force will be applied when you brush. The other possible cause can be a dental caries in between the teeth. So consult an oral physician and get it evaluated and take a radiograph to confirm the diagnosis. If the tooth is a wisdom tooth, then get it removed. If it is some other tooth, you can get it restored a cement material. I hope my answer will help you, take care."
+"Hi, I m 38 years old and due to a gun shot through the roof of my mouth.I have worn a partial for years. I m 5 1 amd 91 lbs always been very small child like. I had full dentures put in yesterday and they huge! I m gagging,cant close my mouth,color is very dark,and teeth are like hores teeth. I m horrified. I have called him and he said the will fit when I grow into them. I don t think I m going to be doing anymore of that. What to do? He pulled what 10 teeth I had left now nothing and owe him over 5,000$. Help PLEASE","Hi, Thank you for the query.  First thing is you cannot wear a denture which is bigger than the size of our palate. Definitely you will have a gag reflex as the over extension of the denture is into the soft palate area leading to gag reflexes. Coming to the growth part, you are already 38yrs old, at this age there won't be any growth in your body parts. Only thing what can be done is asked your dentist to prepare another set of dentures which are of your size not huge and size of the teeth should be reduced, and your occlusion should be checked thoroughly and extensions of the dentures are important so that you won't end up in gag reflexes anymore. Best thing is to see a prosthodontist. Hope this information will help you. Take care."
+"I had surgery to fuse L4,L5 and S1 9 moths ago and I am experiencing pain in my lower back right side radiating around and into my groin. I had 3 steroid injections in my hip because a recent mri showed a tear in my hip socket. My orthopedist said it was nothing more than burcitis and that the pain I was having was to do with my back. My neuro surgeon say the fusion is fine and healing well. What would you advise","Hello, I have studied your case. You may need to do MRI spine again to see for nerve compression Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. If there is instability then fusion with fixation may help. As per your previous surgery of spine now there is possibility of discuss, which can be confirmed by MRI with contrast or CT pyelogram. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care."
+"Hi, I m using shades like lipsticks , gloss, lips balm for more than 5 yrs,....but for past one year, m getting allergie to those products...I seriouly don t know the reason which is making my lips itch & irritate...now-a-days whenever m using lip shades, it will automatically cause my lips & lipline - dry , itch and irritates....so stop to use lipshades and switch on to use lip balm, since lips became very dry if m not applying any mositure on it ..[ Using products are Lakme & Lotus ]...Previously i don t have this kind of problem...Only recently it is causing....Can anyone assist me the cause of my problem... Thanks.","Hi, welcome to the Chat Doctor forum, the complaints which you mentioned is called as contact dermatitis or chemical irritant dermatitis, it has an allergic component, since you are getting this for the past 1 year it signifies that your immunity which prevents from getting this kind of allergies is getting down to lower levels, I suspect you are under some kind of tremendous stress either financial or mental which is causing this type of hypersensitivity in you, this is absolutely curable with special homeopatChatDoctoredicines.... get well soon ! You can contact me on Chat Doctor. Com"
+"hi sir,my daughter is 4 yrs old and we have been to india last year for christmas and came back on january 13th 2011,right from then my child started spiking a fever. it happens about every three weeks to 1 month. she will be fine in the day, playing, going to school, the only thing is she says her belly is sore but doesn t complain too much. then when it comes to about 5pm she deteriorates very quickly. becomes very lethargic, sleeping, crying but not knowing whats wrong, shivering. her temperature goes up. this usually only lasts that one night and by the next day she s almost as normal...for another few weeks.","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of frequent fever and shivering which seems to be due to poor immunity of body which making your child susceptible to infections. Well this is something you should be concerned about as it could be due to underlying systemic pathology. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should go for complete blood count and urinalysis done to detect level of infection and find out any systemic pathology. Start treatment after proper diagnosis. Till then take Ibuprofen/ Acetaminophen.  Chat Doctor.  You should do tepid sponging if fever is of high intensity. Take diet rich in multivitamins. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
+"Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go","Degree understand your concerns went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also lose your TODAY. I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer. 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."
+"I have heel blisters, that I am trying to let reabsorb, there are white floating objects underneath, what are these? Also, prior to the blisters, I have been having numbness and pain at the back of the heels, it started with a mal fitting pair of sneakers, but that was months ago and I only wore them once.","Hi I did understand your concern. Your lesion may be a reaction to the new shoes and that can cause such problems. The blisters will slowly heal on their own. You can apply Luke warm fomentation on it with a clean cloth and if they burst apply an antibiotic Chat Doctor. In view of severe pain please consult doctor. Numbness and pain over heel can be due to diabetes, electrolyte imbalance or due to nutritional deficiency or Achilles tendinitis and planter fasciitis would recommend you to get evaluated for these lesions step by step as each have different treatment.I hope this yellowish you all the best thank you for using Chat Doctor. I hope this helps"
+"I just had an MRI on thursday, Ive had many MRIs in the last 10 years but this was my first experience in a 3.0 Tesla imaging unit. I have relapsing remitting multiple sclerosis and am on Tysabri as my disease modifying drug, I have tested positive for the JC virus {papovavirus} and so my MRIs are to watch out for possible signs of PML.  My head has been pounding off and on since thursday and I was wondering if this is common in higher Tesla MRIs.","Hi, Thank you for posting your query. It is possible to get headaches after 3.0 Tesla MRI and several of my patients have also complained about that earlier to me. I am not sure of the exact reason, but may be related to noise or higher magnetic field. It settles down in a few days. Wishing you a favorable MRI report. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/"
+"this is the first day of root canal, after coming back from doctors clinic once the initial sensation started i have unbearable pain , i have taken Katrol DT and dic+paracetamol tab together but no releif kindly suggest its 2 AM night and i dont know what to do","Thanks for your query, I have gone through your query...the pain could be because of the tooth infection.the analgesics you are taking is enough for the pain to come down, but you have to take a course of antibiotic like penicillin and metronidazole...if the pain is unbearable then you can take intramuscular injection of an analgesic. I hope injection is not required.just take the analgesics what you are taking and consult your dentist in the morning... I hope my answer will help you.take care."
+"My father in law whois 84yrs of age was rushed into hospital with pains in his abdomen last week, he is being treated for gallstones. When we visited he had a drain attached. he was discharging fluid which was a dark brown? He now has the nor virus so we cannot visit. Is this serious? Thank you","Hello welcome to ChatDoctornoro virus infections are not so serious as you think. These infections occur mostly in crowded places like hospitals, nursing homes, schools. In most of the patients it gets cured unless it has complications like severe deny Chat Doctor.  It is highly contagious infection. Close contact with patient can also spread the infection. Hope I have answered your question, if you have further questions I will be happy to help."
+"Hifenac mr tablet was taken by my wife age 29 due to the pain in her lower waist , the reason is i suppose body cramp due to a massage by a proffesional.now she is suffering a severe pain in her waist and could not able to move and walk. should i go for a injection,pain killer or any spray pain relief ?","Hello, As you are already taking tablet Higher MR still she has severe pain and not able to walk, so I think you should consult with orthopedic for detailed examination. I will advise you today to do x-ray lower back and hip joint after orthopedic opinion. Now, along with Higher MR, you can use Voting spray or apply diclofenac gel. If still symptoms not relieved, I will advise MRI after Orthopedic consultation. I think you are suffering from severe muscle spasm or may possibility of nerve injury, but we have to confirm that. Hope I have answered your query. Let me know if I can assist you further."
+"For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help!","Hello, Thank you for using Chat Doctor. I read your question and understood your concern. This is back pain probably for fiscal hernia or discuss that may need examinations such as MRI etc. In your condition since you do not have any insurance and can not do these examinations, I would recommend starting some exercises at home to strengthen your core muscle, back and abdominal. You can do these exercises in home and do not even need to go in gym. It will need at least 3 months to see and effect but stick with it. I wish you quick recovery."
+"Hi I have noticed a sizeable but painless lump on my right calf muscle, I have been suffering a lot with restless legs lately and put it down to my recent pregnancy but now I have noticed this lump and I feel generally tired and just not myself? Any ideas what this could be? I am 29, 5 7 and 12 and a half stone, I smoke and have used the contraceptive pill since I was 15.","Hi, dear You have lump on calf muscle.  It can be ganglion cyst or some soft tissue tumor.  You should go for ultrasound study to know exact location and origin of lump.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"Hi, im a 27 yr old female and over the past 2 yrs i have been getting left sided chest pain, and pain in my left rib that also radiates to the back. my 3rd rib is protruding as thats what my doctor said. i feel breathless n i get skipped hb everyime i get pain in that rib. I have had x rays done but everything seems normal.","Thanks for your question on Chat Doctor. I can understand your concern. Mild Breathlessness, skipped heart beat, left sided chest pain etc. can be seen in arrhythmia (rhythm disturbances in heart). So first get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. In my opinion, your pain is mostly due to musculoskeletal cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen. Sit with proper back and chest support. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"my 4 year old daughter has had a low grade fever which has spiked usually in the afternoons for 4 days, reaching only 100.5 so our doctor wouldn t see us. She has also had loose stools, some cramping in her stomach, congestion both in her chest and in her nose and a runny nose. Today I noticed a small blister in the corner of her mouth that looks like Herpes. A friend of hers has outbreaks on her mouth all the time that look like Herpes, but all over her mouth and I work very hard to monitor their play. This also seems to be symptoms of hand foot mouth disease except she doesn t have the rash on her feet and hands, only the blister on her mouth. Any thoughts as to what may be going on? There has been no change in appetite or energy level.","Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"I have sciatica pain from a hip reconstruction I had in 2002.  Now Im experiencing weakness when lifting my arms.  FAcial numbess,  mostly on left side but feel a little on right.  Legs are almost numb from knee down, it does travel up my left leg.  Feet numb and tingling too.  My head is almost kinda numb and I cant think straight.  Dizzy on and off.  I feel sick to my stomach. Please help.Thank you, Nancy","Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask"
+"Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me.","HelloThanks for your query, based on the facts that you have posted it appears that you have got Haematospermia (Blood in semen) noticed after masturbation. This is mostly due to trivial injury to urethra due to rough vigorous shaking of your erected penis. Please get Ultrasound Scanning of the penis done to rule out any major injury. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor. Ensure to "
+"I take effexor XR 75 mg once a day. I have no appetite ever. Sometimes i go days without eating and don t even realize it. When i eat, i never want to be eating. Its like im just doing it because i have to. Food never sounds good. Also, i ve noticed i feel almost no emotion. Im always in a generally good mood... but when something tragic happens its like im completely immune to it. I feel no sadness. I feel no fear, no worry. When it comes to relationships.... i can take it or leave it. When me and my girlfriend of four years broke up.... She was devastated. Crying, saying how hard it was emotionally. I felt nothing. I haven t cried or even came close to crying in a very long time. Why is this happening? Is this normal?","Hi Cablejm2 ! You are taking Effector for your depression. Now this medicine give you depression. If you're taking this medicine for long time, do ask for change, cause like other psychotic Chat Doctor.  This medicine made you emotionless, so you can deal with life situation. Now take the advantage leave this medicine, do exercise and make hobbies and live your life. And don't leave medicine at once give gap gradually. And get out of this medicine trap. See you again bye."
+"I m 33 weeks pregnant, and have been feeling really unconfortable. Sometimes when I sit down it hurts or when I try to stand. It even hurts sometimes when I m laying down and go to roll over. It like sharp jabs of pain along my sides and under my belly. Is this normal?","Hello dear, I understand your concern. In my opinion the pain abdomen can be due to various reasons like preterm pains, muscle cramps etc. It needs physical examination to rule out the cause. In case of any preterm pains there can be cervical changes. You might need complete urine examination to rule out any infection. Nothing to worry. It will subside with spontaneous treatment. Avoid stress. Take adequate fluids up to 2-3 liters per day. Best regards..."
+my 14 year old son fainted at school on Monday and afterwards he couldnt move his arms initially he had been watching a documentary on blood vessels in Science when this happened taken to dr who wasn t overly concerned should I be taking him to see someone else,"Thanks for asking. I have gone through your question and I understand your concern. Your 14-year-old son fainted in school while watching a documentary on blood vessel. From information given by you, I am able to understand that he said he was not able to move his arms on but afterwards he is able to move. Chil Chat Doctor.  There is nothing to worry or I don't think there is no need to take your child to some other doctor.  It is normal adolescents hope I answered your question"
+Why do I wake up with my arm or arms in the air?  sometimes they fall and I hit my husband who gets mad.  Is this a neurological issue as Ive had 7 operations on my neck and back?  Is it due to med I take for pain or depression?  Stress induced?  Any ideas to stop this behavior? Thank you so very much for any input you may have.,"Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be a type of parasomnias, but they are not to be bothered. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. "
+"I had a small tumor removed from my bladder yesterday at a hospital 60 miles away. This afternoon I started having blood in my urine. Late today i had another bladder full of blood and after urinating, followed by  a warm flush sensation which took an hour to diminish. I estimate I have bleed about 3 or 4 ounces of blood. Waiting to see if it is less or more next time or should I be calling 911 now to take me to the local ER where there isnt a qualified Urologist available... e-mail    YYYY@YYYY","NamasteWelcome to ChatDoctorGreetings of the dayroom the description given by you, you seem to have clot retention in bladder, bladder is not able to completely evacuate and bleeding from the tumor site may be going on. Would suggest you to call up your emergency number, you require a bladder wash which help solve your problem. A qualified physician is capable of attending to it. I hope it helped back to me if you have any other overtake disregards Chat Doctor. "
+my mom takes spironolactone med due to her current heart problem. This med was priscriber by MD in Ethiopia and she is hear in USA. The Dr. here is doing a lot of test but in the mean time she is running out of this med. So if she stop this med what is the risk?,"Brief Answer:There are no risks from the interruption of Spironolactone, while her blood pressure values are normal. Detailed Answer:Hello, Thank you for using Chat Doctor. There are no risks from the interruption of Spironolactone, while her blood pressure is not higher than the normal. Spironolactone can be stooped immediately without any problem. Meantime your mother should monitor strictly her blood pressure values at least three times a day. If the values are higher than 140/90 mmHg, than she should refer this to the treating doctor, in way to prescribe any other antihypertensive Chat Doctor. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind "
+Woke up with a discoloration on my left hand and some swelling around my middle finger . Now it looks like I have a huge bruise on my hand from knuckle on my middle finger to whole back of hand to the wrist . I do not remember hitting it on anything. I was lifting a canoe while I was camping a few days ago. I am on blood pressure medication and one half of a water pill plus baby aspirin .This is because I only have one functioning kidney due to chemo damage to my left kidney,"Hi, Please get the renal function tests done and if it is normal you need not worry about having single kidney. Usually the remaining kidney compensate for the other non-functioning kidney. The bruise might be because of aspirin. However you have to consult your physician for definitive diagnosis. Take care not to take too many analgesics without prescription as they will have adverse effect on kidneys. Regularly monitor your kidney function. Regards"
+:) hey i got a question .. so yeah i had a root canal on one tooth and  being lazy i forgot to get the permanent filling and as time passed my tooth fell out .. so my question is .. Can i still get infection there even if i had a root canal and forgot to get the filling and my tooth fell out ??,"Thanks for your query, I have gone through your query. The chances of root canal treated tooth getting infected is very less unless it is not properly treated. The fell out tooth structure could be only the crown portion. The Root canal treated tooth becomes weak after RCT, so it has to be crowned immediately. Now the roots might be remaining with in the bone. Consult an oral physician and get a radiograph to rule out the presence of root piece. If root is there then get it removed. I hope my answer will help you, take care."
+hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis.,"Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows:1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc.) can cause her allergic reactions.2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, seafoods, tree nuts, etc. This will help you to identify the allergy, if any.3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, Chat Doctor. 4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IGE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, "
+"I was just diagnosed with multiple organ cancer...nodules in peritoneum cavity, liver, bowel,uterus,lung, pelvis. We do not know the primary cancer. Do you recommend going to MD Anderson, Sloan Kettering or the like. I am a 79 year old female who I thought was in good health.","Hello, Knowing the primary site is essential for treatment. Treatment varies from organ to organ. Site can be known by doing a biopsy from any of the nodules and doing immunohistochemistry (IOC) on that biopsy material. Both MD Anderson and Sloan Kettering are nice hospitals. Please consult a good oncologist in good hospital. Hope I have answered your query. Let me know if I can assist you further."
+hi i ave tb i on medication but now i found a lump in the back of my neckjust at the top of my spine will they take fuilod from it because i dont want them to i had it done on my lung and it was very painful thank u my age is 54 5 foot 8 ins and iam a diabetic,"Thanks for your question on Chat Doctor. I can understand your concern. Yes, fluid aspiration from neck abscess is must for the diagnosis of type of infection. Since you are diabetic, this kind of purulent infection can be seen with mixed infection like aerobic, anaerobic bacteria with tuberculosis. So abscess fluid (pus) culture and sensitivity report is needed. Culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. For this we need abscess material, and it is available only after aspiration. It is not much painful procedure. Intensity of pain will be similar to simple needle prick. If you're really afraid of pain then ask your use local anesthetic agent (lidocaine) before the procedure. Don't worry, this won't cause pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Hello, my friend recently just had food poisoning. He has vomited twice since. Now he is saying he feels cold inside, has a headache, whole body aches and its sore to touch, muscle and joints hurt, gets dizzy if standing to long, and has been falling asleep on and off all day","Thanks for your question on Chat Doctor. I can understand your concern. Food poisoning causes gastritis, vomiting and diarrhea. Vomiting and diarrhea causes loss of fluid and electrolytes (sodium and potassium) from the body. Gastritis and vomiting cause less appetite and decreased oral intake. So overall patient is deny Chat Doctor.  These can cause all the symptoms like headache, generalized body ache, muscle and join pain, giddiness, sleepiness etc. Best treatment for this is oral rely"
+"My husband is having a dull tightness in his right abdomen. He describes it as a feeling of being full after eating small meals and a feeling that his stomach is balled up in one area. He has been very gassy and sometimes a pain or an uncomfortable feeling is there and stays there for a while until he lays down. He states that when he lifts his arms up there is a feeling like it is being pulled because of how tight it is. He has had blood work, stool samples, x-rays, liver enzyme test, pretty much everything except for a CT or MRI and everything has came back normal but he is still having the same feeling. We do not have a clue as to what else could be causing this.","Hi. Thanks for your query. Just to recapitulate: dull tightness in right abdomen - full after eating small meals - balled up in one area-gassy- being pulled because of how tight it is.-everything except for a CT or MRI- I would advise starting with a simple investigation like: Plain X-ray of the whole abdomen in the standing position-this may show air-fluid shadow if intestinal obstruction. Yes, CT will definitely help the diagnosis. In the meantime he should stop all the foods and beverages that you both have observed to have increased the problem. The treatment will depend upon the diagnosis and can be medical or surgical. There is a possibility of an inflammatory process going on in abdomen with added intestinal obstruction."
+"Hello my name is Penny. I got home from work I took my shoes and sock off, changed clothes. I sat down and my toe was hurting, I tried to figure if I hit the toe on something or dropped something on top if the toe but it hadn t happened. I tried to ignore it but in a few minutes I took a good look at the toe, it felt warm, looked to see if I could find if it looked like I had some type of bite but didn t find anything, that s when I noticed a red ring around the big toe.I googled ring around the nail and the first thing I did was soak in warm epson salt and it said to do it 3 to 4 times a day. Will this heal the toe in a few days and it s all healed,","This should be looked at by a foot and ankle specialist. You didn't mention your age or vascular status. In the worst case scenario this can be a gangrenous situation setting it. Assuming you are young and healthy that should not be the case. If your nails are too long they can bang into the front of your shoe causing a separation of the nail from the nail bed or bleeding under the nail which causes pressure and pain. If there is blood under the nail the blood would need to be released to relieve the pain. Another cause of a ring on the toe is ringworm which is a fungal infection-though, that is usually not severely painful as you describe"
+"sir my mother is 54 and is not feeling well these days, she had been a depression patient. is suffereing from ortho has undergone surgery for utrerous removal she is complaining for some pain and unconsiousness these days i got her to delhi for a complete health check up the most worry i have is that in my maternal history many of the family members are cancer patients i want to know what should i do","Degree understand your concerns went through your details. I suggest you not to worry much. The condition of your mother is normal in the population of females whose uterus is removed. This depression could also be related to the depression of menopause. The negative thinking and loss of self-esteem and self-respect during this period results in mild to moderate depression. Motivation is what she needs and provide her with abundant amount of motivation. She shall be alright within around two months. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
+I have started to have little blisters on my ankle after I had an external fracture of the malleolus. I have kept my leg raised above my heart for hours but the swelling does not appear to be going down and teeny blisters have started showing up. What is the significance of these blisters and what more can I do to get rid of them?,"Howell come to ChatDoctorThank for asking I really appreciate your concern, soft tissue inflammation if happens due to fracture of bone then it may give rise to soft tissue as well as tissue inflammation which causes the blister formation, inflammation actually increases the local temperature of the skin superficial as well as internal which is high enough to form the blister, if the inflammation being controlled well then such blister formation can be prevented, underlying cause (Here the fracture bone needs to be surgically managed as early as possible to prevent further tissue damage) till keep the leg elevated hope this information helps."
+"Hi, I just received my blood results, because I am always a bit low on iron. Iron is 16 ( 10 - 250?), but also RDW is a bit high - 14.9 (max. 14.5). I take iron daily, is not helping all that much. Should I be pursuing this with my doctor? How? Many thanks.","Hi, dear. I have gone through your question. I can understand your concern. You have iron deficiency.  You should take iron supplements.  If oral iron is not helpful then you should go for injectable iron therapy.  Because you may malabsorption. Your RDW is slightly high and It's due to iron deficiency.  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."
+"I have been tested for heredity hematochromosis and it came back negative, I have high sugar level from my my diabeties, checked me for hepatisis and it came back negative. I am tire, joints trobs, muscles tingle and numb. blood preassure is fine. I have a fatty liver. high level of iron in liver. now it is to the point they want to do a liver bioposy.","Hello, Thanks for the query. Fatty liver is there, but from, how many days, you are having these problems. High blood sugar level, how many days. Joints pain, muscles pain, numbness all these symptoms may be due to diabetes, if you are a chronic diabetic or blood sugar level is not under control. Liver biopsy is very important as this will reveal exact nature of damage to liver. Hope I have answered your question. If further any question I will help. Good luck. "
+"Hi I am a 25 year old healthy male, since monday 24 jan 2011 I cant swallow anything I find it really hard to drink aswell and each day it has got worse. Pain killers not helping at all and now Im findind it very hard to swallow my serliver. My throat is not swollen on the out side but I cant open my mouth fully wide. I have not eaten In 4 days","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have difficulty in swallowing which could be due to stiffness of jaw joints as you not able to open mouth, and it could be due to raised pressure in lower end of esophagus. Need not panic much. I would suggest you to visit gastroenterologist once and get it examined. You should go for endoscopy as well. You can go for surgery of lower end of esophageal sphincter if pressure is really high. Till then, you should maintain proper oral hygiene. Take antibiotic and do mouth stretching exercises.  You should start treatment after proper prescription from doctor. Take diet rich in soft food and Chat Doctor.  Do warm saline gargles. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
+"help me doctor, 2d, echo, carrotid and several more test were done to me but yielded negative results, my bp rises up, my doctor said io developed nerbyos means im nervuos, she gave me maintenance for the bp, but stlii goes up, help me doctor what is this in exact, and remedy copuld you giv ts been 3 months of suffering, thank u sir may you act on this immidiately, alan de roxas","Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you have done all the examinations, and they result normal. According to this, we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. If you tell that you still have high blood pressure values despite your treatment, it means that you have to rise your medication to better control your blood pressure. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values. After that if they result high I will add another medicament or rise the dosage of your existing ones. Hope I was helpful. Wish you good health. Best regards."
+"Hello and thank you in advance.  Woke up to a horrible itch on my arm - looked at it -  it is swollen, red about three inches around, very warm to the touch, and now bumpy.  Looks like a spider bite... two tiny red marks in the center.  I cleaned it and sprayed bactine over area.  Is there anything else I can do or be concerned about?","Hi, Welcome to Chat Doctor, It seems that you might have some poisonous insect bite giving allergic rash with severe itching. Due to bad itching nail scratches might produce some infection on the part. Go for short course of antibiotic to clear infection. Take anti-histamine like Cetirizine or Levo-cetrizine as and when required. Apply some local triple acting cream. Keep that part Chat Doctor. Ok and bye."
+"Hi there. Ive been having significant drops in my H&H. I dont have my print out with me, but I am reticing. My Iron saturation is 4. Im going to assume I have fibriods? Each month my CBC values have been declining. My question is : Will I need a transfusion if I postpone getting my fibriods removed?","Based on your query my opinion is1. Yes, fibroid can cause a fall in hemoglobin values and parameters related to RBC.2. This is explained by the effect of sub mucosal fibroid which can cause increased bleeding, so blood loss results in decrease RBC counts and Hemoglobin.3. You need to get it removed if it is a large fibroid and sub mucosal in location.4. Transfusion requirements depend on how much your Hemoglobin is. If it's less than 7, you will require transfusion, if not it can be corrected by parenteral iron therapy. Hope this helpsRegards"
+My son is 3.4 years old and weight is 13 Kg. He is having cough from past 10 days along with fever and cold. Fever is down and he is having light cold. We had given ventryl 4.5 ml dose 3 times per days for 3 days. Still the cough is not reduced. Could you please prescribe best medicine for cough?,"Hello, Thank you for asking at Chat Doctor. I went through your sons history and would like to make suggestions for you as follows:1. It is possible that after a viral infection, cough persists for a few weeks. If fever has subsided, please do not worry about cough.2. For symptom relief of cough, I would suggest him a cough syrup containing antihistamine like pheniramine.3. Warm saline gargles would also help him to recover early. Hope above suggestions will be helpful to your son. If you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health ahead. Thank you & Regards."
+"Lately my body feels swollen like I am retaining water, more than what I normally do and both my hands fall asleep at night to the point where I cant feel them when I wake up.  What could be causing this?  I take a pill for over active bladder could this be the cause or perhaps it is damaging my kidneys, Ive been on this medication for two years now.","Hi, Nephropathy that is kidney disease has to be ruled out first. For that investigate with serum urea, creatinine, EFR estimation. I also suggest you to investigate with serum protein estimation, serum TSH estimation, SGPT and GOT estimation.  I suggest you to consult physician for examination. Kindly mention you are on which medication. Hope I have answered your query. Let me know if I can assist you further."
+"Hi, my baby boy is 7 months old, he has had a high fever for the last 36 hours, I took him to GP yesterday she gave me ibuprofen and pamol for him - so far it has been working well, tonight however he is burning up again but still has freezing cold hands and feet - what does this mean and what should i do??","Hi, Thanks and welcome to Chat Doctor. High fever must be controlled irrespective of diagnosis with paracetamol 15 mg/kg every 4-6 hourly along with tepid sponging to prevent febrile convulsions. For cure of the disease cause of fever has to be investigated. Viral fever subsides of it own within a couple of days.Otherwise, consult pediatrician. Hope this answer is OK for you Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam."
+"I have had a bad cough for about 5 months. I have also chronic migraines, I have sleep apnea and I also have hypothyroidism . Lately every time I cough I pee heavenly in my pants :( I have night sweats and also my hands and feet have been sweating a lot. What do I do?",Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having too many health issues simultaneously. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). You are having chronic cough for 5 months. So we need to rule out lung infection and bronchitis first. So chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. Uncontrolled sleep apnea can also cause chronic cough. So better to consult pulmonologist and first diagnose yourself and then start appropriate treatment. You are having stress incontinence (urine problem). So control of cough is needed to treat urine problem.
+"my fiances penis all of a sudden went numb today, he was playing a board game and felt very weird..like his penis started hurting and then slightly going numb. He wants to know if this is caused by excessive weed smoking or excessive smoking in general...","Thanks for your question on Chat Doctor. I can understand your concern. It is a known fact that cigarette smoking in general leads to impotency. Weed or marijuana smoking is highly associated with erectile dysfunction (lack of erection) and both of these in combination are too bad for sexual health in a male. Even otherwise, both these agents are highly addictive, and potentially dangerous as you must know. It is highly recommendable that he stops smoking both these agents as early as possible. He can seek medical attention for treatment of with Chat Doctor.  It is not easy, and you, as fiancé, must persuade him and support him mentally to quit. Take care, Regards"
+"Hi, i experienced anticipatory anxiety this week due to knowing i might have to take an elevator after foot surgery (today). I m Claustrophobic in a big way. I took .5mg of Lorazepan before bed last night (Thurs) and slept fine. Since I had extreme anxiety Mon, Tues, Wed, and Thurs., couldn t eat or sleep well, my question is, can I take another .5mg Lor. tonight without becoming addicted? Also, since this is situational anxiety, brought on by the thought of the elevator, could my anxiety subside on its own now, since surgery is over? bty, they let me walk down the stairs! :)","Dear serve understand your concerns went through your details. One dose of Lorazepam 0.5 mg usually do not have any addictive properties. For addiction, you need to take it continuously. I see your case as actual anxiety disorder which happened after the traumatic event of your surgery. I suggest counseling and if needed therapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."
+"I recently had a 9mm Kidney Stone laser blasted in July.  My CT showed smaller stones in both my kidneys. A week after the surgery I had the stent removed. Later that night I passed a 3mm stone. A recent x-ray showed a stone in my right kidney and minute stone in my left kidney. The stone that was blasted was analyzed. The results were 100% Carbonate Apatite.My doctor gave me a diet to follow to reduce the possibility of new stones and keep the stones currently in my kidneys from getting bigger. I researched Carbonate Apatite stones online and now Im confused. The information I found said most of these types of stones are caused by some kind of infection, most common UTI, but also kidney. Also, any stones should be removed from the kidneys. They called the stones, infection stones.Should I get a second opinion? Im concerned I am not receiving the appropriate treatment. I am female - 51 years oldI do not have a UTI, and my urine is clear. I have never had a kidney stone prior to last month. Thank you for your assistance.","Hello, Thanks for the query to Chat Doctor. Forum. Stone (calculus) in the urinary system causes sever discomfort but why stone formation take place exact etiology is not known. I usually prescribe my patients plenty of fluid in any form with lemon juice twice in day with water on empty stomach. 2 idly I prescribe disodium HY Chat Doctor.  In India only tablet Calgary or near 2-2-2 till stone expel from urinary system. I tried a formula over many patients successfully without any side effects, you can try, Take black pepper chew them one by one 10 first day on empty stomach early in the morning. After chewing "
+"I recently got very sick.  At first I felt like I had a bladder infection, because it was uncomfortable to urinate.  An hour later, I noticed blood clots in my urine and the discomfort continue to worsen. Within 2 hours my urine went from being normal color to solid red and I was in excruciating pain during urination.  The doctor put me on antibiotics and sent the sample for a culture/sensitivity test.  It tested positive for ecoli.  I am wondering if even though I am feeling much better, do I need to seek follow up care to ensure there isnt damage to my kidney, etc.","Hello, It is always good to follow up, and I don't think you will much to worry after the visit. It is just a reassuring visit as your infection has already been resolved, and well treated in time. Yes, E. coli is one of the main culprits of urinary tract infections. It causes bleeding in urine too, along with other symptoms of infection like pain and urgency to urinate. Hope I have answered your query. Let me know if I can assist you further.  "
+"Hi Doctor, I have got some skin infection since 6 months. I have some allergy sort of on my neck and chest. Itching is there only when sweating. I visited near by dermatologist. She told me that its a fungal infection called sobi and prescribed some medicine. what are the causes of sobi? Is sobi completely curable . if so how long it may take ? do i need to take any precautions?","Hi, Thanks for posting in Chat Doctor. Skin infection what you are having is Seborrhea dermatitis caused by yeast Malaysia. It is inflammatory skin disorder which is chronic, relapsing and usually mild dermatitis. It is not completely curable, but can be effectively controlled. Antifungal medications ketoconazole and ciclopirox are both effective for the condition. These medications should be applied tropically on affected areas of skin. You may have applied it whenever it appears again. In case the response is not satisfactory, topical corticosteroids or topical urea may also be used along with it. Hope the information provided would be useful. All the best."
+"My dad, 73, has been diagnosed with Esophagel cancer stage 4 he also has pneumonia and a feeding tube to the stomach, plus a fistula eso/traq. He had a heart attack 30 years ago. Dr has said that cant do anything for him. No chemo, radiation, anything. That chemo wd kill him in a week. Do you agree. What is the time frame?","Hi, dairy have gone through your question. I can understand your concern. Your dad has esophageal cancer stage 4.  No surgery will help. Treatment options are chemotherapy and radiotherapy. Despite treatment prognosis remains poor. Life expectancy is not good. He has not good health, so chemotherapy side effects leads to worsening of life.  There is no major difference between life expectancy with or without chemotherapy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"I started off with a bad cold about a month ago. I seemed to get better about a week or so after I first initially started to feel ill. After a few days it came back and was worse than before. Now 4 weeks later, the only symptom I still have is the severe coughing spells that will sometimes lead to vomiting.","Hi there, Welcome to Chat Doctor. I understand your situation. Your symptom might also accompany a runny or stuffy nose, a feeling of liquid running down the back of your throat, frequent throat clearing and sore throat, hoarseness,wheezing and shortness of breath. You might be having allergic rhinitis or Gastroesophageal reflux disease. Try taking tablet containing montelukast + levocetirizine, cough suppressant syrup before bed at night and pantoprazole 40 mg empty stomach in the morning. If your cough doe snot subside by this you should see a doctor and get a chest X-ray done to get a confirmed diagnosis. In the meantime stop smoking, avoid allergens and reduce acid reflux. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. Hope this helps you. Take care."
+"Hi, My youngest son was sick for two days with a fever. I took both boys to the doctor yesterday and my oldest son got a tb test. He is now running a high fever 102-103. Should I rush him to the hospital? Normally I wouldn t go to the hospital unless the fever reaches 104 but I m just concern because he had a TB done yesterday","Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all.  Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+good pm just want to asko if godex ds is good for fatty liver. because my husband took godex ds for 2 weeks but instead of lowering the sgpt result the fatty liver doubled... in ultrasound my husband liver seems to be normal... what like to be the problem,"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. Godex may not be effective if there is inappropriate dietary and lifestyle habits. So diet should be changed, alcohol avoided and then see will there be improvement. 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. Chat Doctor. "
+"Hi Can you tell me if a swollen ankle and pain across top of foot when using stairs and pain in back of knee when rising from sitting can be connected to thyroid problems? I have not injured my leg, that I know of but back of knee is cagey when sitting at night. N","Hi, thank you for providing the brief history of you. A thorough clinical examination is advised followed by some routine blood test. As swelling in the feet and pain in the back of the knee can be due to any of the factors of which we cannot jump to a conclusion of the Thyroid dysfunction. As most times, due to the signs and symptoms, we need to find a differential diagnosis of the condition and compare the signs and symptoms along with the laboratory findings. Also, if it is thyroid dysfunction the blood test should reveal the possible changes and bases on which the Chat Doctor. Besides, undergoing physical therapy for the swelling and pain behind the knee works well as per my clinical experience. RegardsJay In"
+i get difficulties in breathing when i inhale fumes and dust and when humidity is very high.what is the possible treatment and the cause.am 57 n i have no treatment,Hiwelcome to Chat Doctor forum Allergic asthma or bronchitis is caused due to allergy to some particular substance as u have mentioned as dust or fumes or anything else. The inhalation of these substances causes narrowing of respiratory passage which causes difficulty in breathing and gradually a persons respiratory system is damaged. So first thing is to prevent this inhalation whenever you're in such environment. By covering mouth and nose. Second most important thing is treatment which is best in Homeopathy. So please consult a physician .take care
+"Hi Doc, I hv problem of blemishes on my face n my skin specialist hs suggested Melacare but I don t know for how long should I use it so it won t give me bad effects. I hv pigmentation on some parts of my face so can I use iy there to get flawless skin?","Hello, Welcome to Chat Doctor. From your history, the blemishes on your face could be due to plasma, freckles or even post inflammatory hyperpigmentation. Melacare contains a steroid as one of its components which over long term use can cause side effects like skin thinning, redness and whitish discoloration. It should be used only under the guidance of your dermatologist. You could also benefit from using a broad spectrum sunscreen with SPF 30and above every 4 hours even indoors and in cloudy weather.  You could use a lightening cream containing 2 % comic acid, licorice, albumin and niacin amide which is safer and devoid of steroidal side effects. You could also get glycol peels done by a qualified dermatologist. Hope this helps you. Take care."
+"I am 45, had a vasectomy 6 years ago, 6 1 300 lbs, and had an extremely low T level in May 2013 (120), have periodic bouts of ED. My doctor has me on testosterone injections every 2 weeks 1ML. I take Lisinopril 20 mg 2X daily, Atenolol 100 mg 2X daily, and Amlodipine 5 mg 2 X Daily, for hypertension. Other than that, no other meds. I have noticed that from time to time my seminal discharge is yellow and clumpy (similar to gelatin). Is this normal, or is there something I need to be concerned about. This most often occurs during prostate stimulation not normal ejaculation.","HelloThanks for writing to ChatDoctorYellow color of semen may be due to infection. It may be due to prostatitis, UTI etc. You may need antibiotics if there is infection. Other investigation like routine femoral, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. You should consult your doctor. Hope I have answered your query. Take Care Chat Doctor. "
+"My father met with a road accident on 4th June , 11. He is still in the hospital. CT scan report on 7th June: large acute haemorrhagic contusion with perilesional oedema in the lft frontal para-saggital location. Acute bleed along the posterior aspect of inerhemispheric fissure. Undisplaced fracture of the left temporal bone. He can t talk much. talking very slowly. and has some sense",Ct scan post-traumatic brain injury may show - extra rural or sub rural or intro cerebral hematoma. Wat u have mentioned was intro cerebral indicating with injury with in the brain parenchymal. Associated to that there is surrounding isogenic edema in response to injury. Concerning the site regarding front parietal region centers for speech are located. Services which deals witChatDoctorprehension. And Broad which is motor component which deals with speech production. As there is isogenic edema & contusions located at centers of speech there is difficulty in speaking. As the contusions n edema decreases he will recover to a normal tone which might take was to months.
+"Hi,am 23 years of age and the problem I have is that my gums are unhealthy causing my teeth to be forming gaps which I do not like, besides that my gums form pus and plaque after some time,now can braces work for me @ my age? Looking forward to hearing from.","Hello, Thanks for consulting Chat Doctor Read your query, as you have gap in between teeth, plaque and pus formation in gums that is periodontal abscess, gap in between teeth can be due to periodontal problem may be due to weak periodontal ligaments or there can be bone loss. I will suggest you to consult Orthodontist for examination of tooth periodontal condition if possible yes you can go for Fixed Or tho treatment at your age. Discuss with your dentist, and you can go for braces. Hope this will help you. Wishing you good health,"
+My friend had a pilodontal cyst that turned into a massive growth. He had it almost completely removed but it is deep to his tailbone and about 5in wide. His dr said today he had a rare form of squamous cancer but that is about all he was told. Can you help out. He was also told there was only about 48 cases since 2007 that have presented with this form of cancer,"Hi, Thanks for writing in. A colonial cyst is a condition which occurs in the skin over the gluteal cleft due to low intensity chronic irritation. This is treated by wide excision and I understand that your friend has got it done. The treatment of excising it till the tailbone is as recommended and his doctor gave him the right treatment. Unfortunately it has turned out as a squamous cell cancer in the biopsy report and this might require aggressive treatment. Multi modality treatment approach might be required. Since surgery is done this might be followed up by chemotherapy and radiation therapy depending on the aggressiveness of the cancer. It is being found that radiation therapy works better for squamous cell cancer of the colonial cyst. Please do not worry."
+"Hi, so my mom s been experiencing an aching from her right leg and it kinda has bruises (it doesn t really have the same color of the typical bruise you know, but to the spot where it aches and we can clearly see that her right leg s way bigger than the other, so it has a huge dark spot on that area I don t really know what is it called) so anyway, she s been experiencing it for almost a year now. Before, my went to the doctor she was recommended to go to the dermatologist. When she went there, they just gave her creams and some anti-inflammatory lotions which doesn t work on her. Then after that, she went to another doctor (it was her co-worker, my mom worked in a hospital as a Nursing Attendant btw) so she asked her co-worker if she could do a biopsy on her leg. But the doctor said she couldn t, not unless she undergo MRI testing first to know which part should she do the procedure. So a week after that, my mom went to the other hospital (this hospital is private and a well known hospital in our town) so after a week, she got the result. They told her that it was only a thickening of the leg muscles and that her veins on her leg (right) are kinda loose so she needs to support it, so they advised her to buy their product to support her veins. It s like a stocking but it s thicker than a normal stocking and which is really tight on her. The doctor said that she should wear it on the day time coz and remove it during the night time to let her leg breathe. But, nothing happened. The more she wear that stocking, the more that bruise on her leg turns dark. And btw, that pain she s feeling started as a small lump then over the period of time turns what it is now. So please do help me, because I really love my mom and seeing her like that pains me. Thank you!","Hello, Dark bruise on the leg with chronic pain is commonly due to Thrombocytopenia (Idiopathic thrombocytopenia purpura / Heparin induced thrombocytopenia). She can take Acetaminophen (Tylenol), one SOS when required for relieve from pain. She can apply ointment Thrombophob or Thrombophob gel locally on the area affected to reduce the dark bruise. However, other medical conditions that may cause similar symptoms are Superficial thrombophlebitis (inflammation / swelling of a vein due to a blood clot), Hematoma, Deep vein thrombosis, varicose vein complications, etc. You are suggested to visit ER, get your mother clinically examined by a GP, get Blood & Imaging tests done at the earliest. She may be referred to a Hematologist or Immunologist. Her treatment will depend on the severity of the pathology detected. Let the disease detected & get her treated. Hope I have answered your query. Let me know if I can assist you further. "
+"Hello i have been having a problem with a swollen lump on the side of my neck near my chin. sometimes it will be painful and there will be a sudden ""burst"" of the lump and and i can taste a bitter fluid coming up my throat. is that a swollen lymph gland?","HI. The history of burst of the lump and giving bitter fluid in mouth may be due to the swelling and infection of the submandibular salivary gland. The causes cane : stone in the duct of the gland or a stricture in the duct or infection and inflammation of the gland. I would advise having a clinical examination by the Surgeon or the ENT Surgeon by putting a gloved finger and palpate for the stone and the gland. If there is an impacted stone in the ducts, this can be easily removed and a few stitches to invert the opening so that the complication is reduced. If there is a gland infection with the swelling and stones, this may have to be removed."
+Doctor my baby is 2 months old..From birth she is feeding Lactogen1 no breast milk. I tried a lot of medicines for breast milk but failed.The matter is that the stool of baby is having foul smell. And her motion is too difficult hardly one times in a day. Is there any problem.,"Most formula milks are cow milk based and hence difficult to digest. When the child is unable to digest it, the undigested remains are degraded by intestinal bacteria to produce foul smelling gases. I would suggest getting a stool routine microscopy (including test for reducing substances) to be done. Treatment will depend on the results. In any case, I would suggest changing the formula to a soy based formula and see if there is a difference."
+"Hi, may I answer your health queries right now ?  Please type your query here...My husband had bowel cancer surgery in 2009 and has just had a CT Scan and has been told the cancer has returned to the pelvic area and lymph nodes and cannot have further surgery. Does this mean he is terminally ill?","Hi, Thanks for writing in. Bowel cancer is difficult to treat in some patients and your husband might have had a recurrence lymph node involvement. In this situation there is disease spread to the regional lymph nodes and this make it difficult to operate. However, treatment should be started after COSI Chat Doctor. Many patients can have good response to chemotherapy and radiation therapy and show significant reduction in size of lymph nodes. This can then be assessed again and a staging can be done and if possible then operated at a later date. Bowel cancer is also seen to spread to liver in nearly half the patients, and therefore it will help to check on the liver from time to time by ultrasound scan or CT scan. Lungs should also be screened regularly. Hope he recovers with treatment. Please do not worry."
+"My almost 9 month old has a rash/hives around the edges of her diaper, armpits, belly and backs of her legs. We just started introducing solid foods. We introduced oatmeal yesterday. She had a virus a week ago. No fever, just vomiting for about 8 hours. She s had a bit of loose stool this week. is this a food allergy or a continuation of whatever she had last week?","HI ...this is not suggestive of food allergy. This is classically fitting into eczema as it is involving the flexural surfaces of the body. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor.  For this oil massage and lotions like Hiatus will help. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months of age, and they gradually get better. Regards - "
+"For the past 3 to 6 months, i have been having daily minor giddiness and lightheaded - but not to the point of losing my balance. I am able to do 100% of my day to day basis, however, due to its daily presence (of minor giddiness and lightheaded), it makes me very worried. What could it be and what type of doctor should i see?","Welcome to Chat Doctor! After reading your question it comes out that you are having some giddiness and lightheaded less from past 3-6 months, but it is not affecting your life. Had I been at your place I think I would meet a general physician or medicine specialist?  To me, it appears to be either some blood pressure problem or may be a case of cervical spondylosis. Getting your routine tests and BP checked will rule put some usual causes. You are right in finding for its cause as even though this is not disturbing you life, but this is a symptom, and it should not be there. Anyway, it looks to be only some minor problem, so donor worry a lot, see a doctor. Only after examining you one can pinpoint the reason. Hope the reply is usefulness free to ask more questions"
+"Hello , my 7 year old daughter has a large lump under her tongue . I have been to the doctors but referred to specialist . Im really worried as its stopping her eating as she complains it hurt after eating and her speech is now being effected . I have pictures if you require them .","Hi, welcome to Chat Doctor. A large lump under the tongue in a child should not be ignored and needs an attention of a specialist like a Pediatric Surgeon or ENT surgeon because not only affect the voice but also air entry and respiration and there may be a lot of saliva formation which may lead to aspiration pneumonia. There may be multiple causes like manual, any mucous retention cyst, rhabdomyosarcoma, etc. All of them have different pathology and so, the treatment is also different. Please show it to the doctor and the child may require an imaging modality like CT scans and a biopsy for the diagnosis and once the diagnosis is confirmed, excision may be required after pretreatment."
+"My symptoms started with major fatigue for a few days, then headache, burning eyes, now it is in my throat/chest....not much of a cough; slightly swollen glands.  I also have a lingering ache in between my shoulder blades.  I was diagnosed with mono a few years ago...could this have anything to do with these symptoms?","Hi, thanks for asking question in Chat Doctor. Here is some suggestion for you. You have diagnosed with mononucleosis. These symptoms are because of it. Take enough water. Take nutritional diet. Take more fruits. Take rest for few days. For mononucleosis symptomatic therapy is beneficial. For preventing bacterial infection we can use antibiotic. Take simple analgesic.Don't worry. With the time symptoms will relieve. Happy to help you if any query.thanks."
+My son is screaming with tooth ache it seems to move from his top teeth to his bottom an d hurts when eats and drinks even if it is hot food and drink he has had this on and off for 2 weeks now but last night and today have been the worse and medicine and bonjela dont seem to ease his pain he is only 5 yrs old,"Hello, Thanks for your query. Nonsteroidal anti-inflammatory Chat Doctor.  The cold temperature will help ease the pain. Buy an over-the-counter tooth and gum numbing gel to help ease the throbbing for a few hours. These gels are applied directly to the affected area and usually work for several hours. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
+"The last two weeks i have been having chest pain to my back at about the same time everyday, usually evenings when Im working. The pain is very discomforting like a slow tightness. I have a trainee right now who is also stressing me out. Also Ive been really tired daily. Im in great shape and normally dont have issues like this.  Any idea what the daily pain in my chest is???","Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Anxiety and probably high BP, by evening time, especially after days stress with trainee -lately. You need to check with your Physician and with ECG after BP checks. Though in normal health, work stress may cause chest pain from high BP with thence Other causes-as cited above-need to be ruled out, by verification with Physician/and or Surgeon. Dos-Consult with Physician who would investigate physically and by ECG and other tests with 1 weeks record of BP in morning and evening. Tb Alpha .25 mg x 2 times a day to start with.8 hrs sound sleep. Low salt / low calorie/ diet to control the weight problem if you have it. Physical Gaming would keep the body fit and would increase the stress tolerance in time to come. Add up Antihypertensives with diuretics if need be. This would fix the cause amongst the above or other possibilities. You need to treat it with Physician which should be done on priority and urgently to avoid further complications. This would resolve the complaints of yours. Constant followup with local family or specialist Physician for long term would give you long remissions in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"
+My son has Isthmic Spondylolisthesis.  He also suffers from vertigo and dizzy spells.  Hes had a lot ot testing to ensure there isnt any underlying condition causing the vertigo/dizziness.  Weve never put it together until recently...when I read that spondylol can cause vertigo.  Is this true?,"Hi, thank you for posting. I have gone through your query and I understand your concerns. It is true that Islamic Spondylolisthesis can cause dizziness. This condition causes neck muscular spasm. In patients with Islamic Spondylolisthesis blood flow to the brain base is low due to muscular spasm, and this is the reason why patients have dizziness. The treatment of this condition contains painkillers and muscle relaxant medications. A neck X-ray, a complete blood count and a urine test are necessary in order to check the condition of the patient. If the condition is aggravated non-steroidal anti-inflammatory medications are necessary. Chiropractic procedures can also help. You should contact a neurologist to discuss the treatment. All the best."
+"Hi Doctor,  I need one information. I sometimes get red colored ulcers on my tongue after eating few particular things like Indian gooseberry or something which is sour and tangy.It again goes off immediately after I drink water or something which is cold.Please can you suggest what can be the reason behind this.","Hello, Thanks for the query to Chat Doctor. Forum. Actually few persons have sensitive taste buds over tongue. These sensitive buds react with citric acid present in certain fruits or other eatables particularly tangy and irritant fruits, need not worry. The best way is to avoid such type of fruits. 2nd option is applied local triamcinolone oral gel over tongue immediately after use of such fruits. Good luck. "
+I WENT TO MY ENT DOCTOR AND HE CHECK MY THYROID AND IT WAS NORMAL AND THEN HE NOTICE A BLUG ON THE FRONT OF MY NECK AND TOLD ME IT WAS A MASS AND FOR ME NOT TO WORRY AND I AM TOLD IT NEEDED TO BE REMOVED. WHICH I AM SCHEDULE TO HAVE THE SURGERY THIS MAY. DO I HAVE ANYTHING TO WORRY ABOUT LIKE CANCER OR WHAT? I AM CONFUSED. AND IS IT DANGEROUS? DAWN,"Thanks for your question on Chat Doctor. Mass in neck have many causes. And it can be due to either benign or malignant causes. Benign lesions are1. Lipoma2. Dermoid3. Infective enlargement of lymph node. 4. Benign thyroid cyst etc. Malignant lesions are1. Malignant lymph node involvement. 2. Thyroid malignancy etc. So surgical removal and histopathological examination is needed to rule out these causes. So don't worry, get done excision and biopsy of mass. Further treatment is based on etiology of the mass."
+"hi doctor, my mom did a MRI few days ago and it said tiny t2 abnd flair hyperintensity focus are seen in subcrotcial white matter of both frontal lobe . corresponding area shows iso signal intensity in t1 weighted images i want to is it very serious kind of dieases?? and also i would like to know the causes, treatment and any complications of this situation. i would also like to know what are the things to be taken into consideration for my mom. thank you !","Hi NEA, Thank you for posting your query. MRI brain findings of your mother are common findings, and can occur in a variety of conditions. These include migraine, ischemia of brain (less blood flow) and desalinating illness (where the covering of the nerves get damaged). The most common cause is migraine. There is no need to worry about this finding. Based on your moms symptoms, the neurologist would be able to come to a conclusion regarding the diagnosis. Medical treatment would help her get better. Best wishes, Chat Doctor. "
+"Hello. I got all four wisdom teeth extracted 6 days ago. Ive taken all antibiotics and have been rinsing religously with warm salt water. My top extraction sites feel totally fine, but the bottoms hurt like none other. Its mainly the left side. When I look inside my mouth I can see white bone in the extraction sites..  Is this normal, or is it possible that I may have dry sockets/infection?","Hello and welcome to Chat Doctor forum, I will be glad to answer your query, I would like to inform you that sometimes following extraction a sharp bony spicule(piece) is left behind which hurts. You can see your dentist and if required he may file it down, it is quick and painless procedure, does not take long. If it is a Chat Doctor. I would advise you to see your dentist as a follow-up after extraction. I hope this answer was useful. I wish you good health, take care."
+"Hi I am 51 female ,perimenopausal,for the last 18 months I have suffered with a yellow coated tongue in the morning and it is getting a lot worse.I feel awful in the mornings any way and look generaly unwell.I have a healthy diet.I am seeing a gynocologist for cyst on my ovaries and my uterus had a thicker lining than normal.I have a lot of wind and bloating and pains in my abdomen-I am a bit of a mess. Can you help",Hello:)Welcome to Chat Doctor. A yellow tongue indicates accumulation of bacteria. Your hormonal irregularity can add to this. These bacteria then release certain chemical to make the tongue yellow in color. Have adequate water 3 liters per day. Reduce consumption of caffeinated beverages. Maintain oral hygiene and floss daily. Use a mild mouth wash thrice a week. Cleanse your tongue regularly using a tongue blade. Quit any tobacco and alcoholic habits. Regards.
+"I have just had breast cancer surgery 9 days ago. the margins are clear, but it was estrogen/progesterone positive. They want to do chemo and radiation, but I feel there has to be a better approach in treating this. I work for a naturopath, but his specialty is not chemo or radiation, but would like someone who will work with him in my care.","Hi, Thanks for writing in. Cancer is a difficult condition to treat and treatment differs in every patient depending on the location, size, staging and post surgery biopsy findings. Since you have had surgery only 9 days ago, it will help to discuss with your oncologist and depending on the biopsy report, go for a comprehensive treatment. Even is the margins are clear, there is estrogen/ progesterone positive nature and this requires you to have chemotherapy and radiation. The earliest this is started the best outcome it will have. I wish you reconsider the benefits of chemotherapy and radiation in your case and start treatment on time. Naturopathy can give you comfort and detoxify your system, and it is best to discuss your treating doctor on when to take simple naturopathy procedures and wait until you are done with initial chemotherapy. Even if the margins are clear, there can still be persisting microscopic invasion of cells and this can lead to flaring of cancer an few months. Radiation is precise and specific to the region of cancer. Please do not worry."
+I have weight issues but over the last 12 months  my asthma as changed its breathless all the time feeling of pressure on my chest breathing worse at night waking gasping also legs very swollen also arms and girth sometimes swollen Im exhausted all the time,"Getting breathlessness while sleeping with swelling of feet is an indication that you may be having early symptoms of left ventricle failure or say heart failure. But with the history of asthma, you must mention at what age you started having asthmatic attacks, any precipitant factors of asthma, on what medications you are, and do you have a history of hypertension. You must proceed with your routine check up, blood pressure and blood sugar evaluation, ECG and chest x-ray. Sleeping in a propped up position may comfort you. These symptoms should not be taken lightly, and proper evaluation must be done."
+"i have a doubt regarding sexuall intercourse ,i can go for only once and for the second time hardly after that its very hard i get eraction even if i wanted hav and i am not safisfying my wife . pls let me know how make it possible ! and am just 25 years old !","Hello, Causes of erectile dysfunction are:-1) Psychological2) Stress3) Fatigue4) Diabetes5) Other chronic illness.6) Spinal cord injury. You can table sildenafil, one hour before intercourse after consultation. Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with sex expert. Hope I have answered your query. Let me know if I can assist you further. "
+"I get the depo medrol 80 mg injection for my allergies, and i got one recently a day before my cycle was due to start, which is always on time, and my cycle came a week late, and its been on every since for almost 3 weeks. Is this a side effect? Im 44 years old, no fibroids never had any complicatios with my cycle, no chances of pregnancy.","Hello, Thanks for using Chat Doctor. I read your query and understand your concerns about delayed periods. Although delay in periods is not a prominent side effect of steroid use, but it is one of the side effects commonly observed among middle-aged women. This happens because the menstrual cycle is regulated by hormones which are steroidal in nature. The use of demo me Chat Doctor.  I hope this answers you. Thanks and regards."
+"Hi my daughter age 7 is not breathing right .when she is eating food she needs to stop chewing and take deep breath from her mouth,and she gets uncomfortable,is her nose blocked or is she just not used to breathing from her nose I don t understand what to do","Hello. I just read through your question. The most common reason for what you describe is nasal congestion. Usually this is cleared by simply blowing the nose and perhaps administering saline nose Chat Doctor.  However, this could sometimes be an issue with the lungs (i.e.: wheezing). If she is otherwise comfortable, I don't consider this an emergency. However, I do recommend consulting with your pediatrician."
+"I had itchy scrotum and groin. After two to three days, I got pimple like bumps and there were some small white pimples which did not cause any pain. But that area smells bad and in some places it is sticky. and the places where the pimples were present is peeling off and that region also sticks .","Hello, From your description, it seems that you are having multiple sebaceous cysts on scrotum. Many males are having this. Because of that you are having itch. It won't require any treatment until it covers the most part of scrotum, or it gets infected badly. Surgery is the only treatment option available for it. Some males are undergoing surgery for cosmetic reason. To get rid of itch, you can maintain good hygiene at private parts, take bath regularly and make the area Chat Doctor. Hope this helps you. Thank you."
+"I have a lump by my jaw sort of under my ear, it s like the size of a pea and it doesnt hurt really but it feels kind of like a bruise when i touch it. my friend said it s a swollen gland or something. I was wondering if I should worry about it and why it s there.","Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma.  Or it can be some benign cyst.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"I have had what started as a rash 3 months ago.  I spent the previous night in a hospital, because I took a spill at home.  Soon this rash turned into severe hives on face, thigh, arms (inside elbow) and mainly the right side of my back (which is the side I sleep on) and my breasts (which is where the nightgown in the hospital rested.  That was the end of February and now its May and the itching especially on my breasts and under my left arm (and down the arm to inside of the elbow.The itching and little bumps (like hives) are so bad you wouldnt believe it. Doctor gave me Triamcinolone 0.1% cream, but it doesnt do that well.  I tried Cortiscone from the drug store..not that great either.  Im taking Bensdryl tablets, because they did control the hives pretty well, but this rash and all the little bumps are killing me.","Hello, With such presentations in my clinic, I would first rule out underlying causes responsible for your rash rather treating symptomatically for months. To confirm exact pathological causes I may advise you a blood differential count and total count of blood. Treatment depends upon exact causes. So, no need of all these medications at all. Please let me know if you have further questions before meeting your primary care doctor. Hope I have answered your query. Let me know if I can assist you further."
+"Hi, I recently have been getting a lot of cold sores for no reason. One would show up and then it would heal and then another would show up. But these past couple of days I have found like a small round lump near my jaw. When I touch it, it would move around and it hurts. I can t see it but I can feel it. Is it something I should be concerned about?","Hi, dear. I have gone through your question. I can understand your concern.  You may have some leukoplakia or some malignant lesion.  You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"Hello doctor ! my age is 43, height 177cm and weight is 83 kgs. All the CBC, sugar and LFT parameters are normal. HDL is 37 and LDL is 122.3... ultrsound report says that i have grade 1 fatty liver. Is this is cause of concern? how to get the liver normal. i walk for one hour almost 4 times a week. drink and smoke socially. Any medicine to cure fatty liver ??","Hi and Welcome to Chat Doctor. I appreciate your concern for the fatty liver. You need to have some lifestyle modifications in order to get rid of fatty liver:1. Since you are overweight (BMI is 26.49), your maximum healthy weight based on a BMI of 25 is 78.32 kg. So, continue regular physical activities in addition to walking2. Avoid fatty meals (both vegan and non-vegan), fast and junk foods, salted snacks, Chat Doctor. "
+"Hi. Last night and again today, I ve noticed a large and noticeable pulsation in my neck in the area of the carotid artery. It s especially pronounced when I m supine. This afternoon, while at work, I noticed the pulsations in my neck and then, shortly after, realized my right hand was shaking and the arm felt weak. It subsided after a few minutes. When I returned home this evening, I noticed the beating in my neck and, using a video camera on my phone, confirmed the pulsations are visible and most visible when I m lying down or back on pillows. I feel okay otherwise, although my arm and shoulder again feel a little strange. (Although, truthfully, I m wondering if I m just reading into things a little bit.) I do have a history of heart issues: I had a patent foramen ovale closed in my heart in 2010 due to several years worth of strange symptoms (visual, pins & needles, etc.) that were likely ongoing and sporadic TIAs, according to my cardiologists. I have had no repeat episodes since the surgery, although have had a few cases of pericarditis since then. Otherwise, I am in excellent health/fitness. Weight ~130. Height ~5 6 . Physically active, no drug use, occasional social alcohol use. No family history of cardio disease. The question: should I be concerned about these symptoms and go to the ER, or is it normal? Or, somewhere in between those two extremes?","HIF you see carotid pulsations or jugular vein pulsations and felt weakness of arm simultaneously and with history of heart operation, you may consult a cardiologist for it. You may also watch if you get rapid pulse or irregular radial pulse, some symptoms of dizziness or not.I may suggest an echocardiogram to record the chamber functions, valves and pressure gradients to rule out any abnormalities of atria and ventricle size"
+"Hi, I am 36 weeks pregnant. All my reports have been fine considering baby weight, amniotic fluid & doppler flow. However, my last ultrasound a couple of days ago showed the baby in a head up position with a single loop of cord around neck. Can I still have a normal delivery? can the baby turn on its own in due course of time to engage in head down position, before my delivery date which is 14th Feb.?","Hello, and I hope I can help you today. If your baby is in the head up position at term, it is not recommended that you deliver vaginally, because there is risk to the baby of birth injury. So if you reach your due date with your baby in the head up position, your obstetrician will likely recommend cesarean section. However, there is a possibility that the baby could turn around on its own. Ways to help this to happen is to do what you can to let your belly hang to give the baby a chance to rollover. Going on your hands and knees and arching your back high into the air, like an angry cat, for 10 minutes every day, can sometimes help the baby to turn around naturally. However, the best way to help the baby to turn around is for your obstetrician or midwife to perform a procedure called a version. In the US, versions, which literally are done by the doctor pushing the baby into a somersault is performed under ultrasound guidance in a hospital setting. It works about 50% of the time and can give a woman a chance at a normal vaginal delivery. Regarding the cord around the babies neck, 15% of normally delivered infants have an umbilical cord around their neck. So the presence of the cord around the neck now does not mean that there will be any problems with labor and delivery if the baby is able to get into the right position. If you are considering having a version, I suggest that you speak to your delivering provider about it soon, as the success rates of version decrease significantly after 37 weeks. I hope that I was able to adequately answer your question today, and this information was helpful. Best wishes for the rest of the pregnancy and delivery,"
+"I feel pain and lifeless sort of feeling in my both legs, below knee area. Mostly in calf muscles. I am having this pain for more than 3 years now and 24 hours a day. In the morning, its hard to get up and do something. I am really low  in energy levels all the time. Standing for long, intensifies the pain. I have consulted many doctors, neurologists, they gave many stress relieving medicines along with vitamins but nothing helped even a bit. I want to do exercises but there is literally no energy in me due to these prolonged pain. I feel low and down through out the day at work and at home too. Please advise.","Dear patient you need detailed blood check up for complete blood count with ESR level. Low hemoglobin level may be the reason for lethargy and weakness. Pain in the Lower limbs may be due to spine pathology with nerve compression. First X-ray of the lumbosacral spine anteroposterior and lateral views and them MRI of the lumbosacral spine with screening of whole spine needs to be done. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime with tab attract twice a day for pain relief.  If report is abnormal you need to consult orthopedic surgeon nearby your area with report."
+Am 30 yrs old female I have two kids one is 5 yrs and the other is of 3 yrs and I cancelled my pregnancies with pills thrice after them.am actually scared of infections caused during family planning or any other temporary measures of contraception.am now worried about my health pls suggest any contraceptive measures either temporary or permanent which does not affect my health and not does not cause any infection Regards,"Hello dear. Understand your concerns. You want contraception long term:you can use Copper T, which is available in many varieties like effectiveness for 1 year,3 year,5 year,10 yearMirena implant, demo shooter options for short term are like diaphragms, hormonal injection, hormonal patch, or condom by your partner. So you can choose it by consulting with the gynecologist for better effect and to prevent the side effects. I hope this will help you. Thanks. Chat Doctor. "
+"Hello, I was diagonised with hepatitise B for the last seven months back, my first doctor has put me on antivairal drugs lemuvudine but later i was advise by the second doctor to stop taking the medicine becouse the vairal load was low and it doesn t qualified me for treatment and later liver biospy was done but i don t have the varius in my liver but since then my liver enzyems keep on elevating especially the alt , alkaline, billrubin, total protein , ggt & at times the mentions ones also reduce though HIV B varial load was done later and it was below 25mm in DNA . What could be the problem am so scared of liver concer and chriosis. Secondly can someone grow up with hepatitise B from child hood up to the age of 60s? if so what is the life span of the person having a chronic HIV B?","If you have elevated liver enzymes and hepatitis B you should probably get treatment, but it also depends on the results of your liver biopsy (if there is active inflammation or not). Also getting treated will prevent your chances of getting liver cancer. If you are coinfected with HIV, then you should definitely control the hepatitis B with medications since the risk of liver cancer is higher if you have both HIV and hepatitis B. Keep in mind that some HIV medications also work against Hepatitis B (such as tenofovir, also known as Arvada) reasons why your doctor may have stopped lamivudine."
+"Hi, I am 38 year male suffering from cold from last 3 days. Doctor has prescribed me Allegra 180 and Azee 500 for 3 days. Lately, a very severe pain has started in my right chest and seems to aggravate the moment i breathe or cough. Will the prescribed medicine help in this or do I need to see the doctor again?","Thanks for posting you query to Chat Doctor.Allegra is an antiallergic medicine and AEE is an antibiotic, so both medicine do not use full in chest pain .you need to find out the cause of such sever pain as it could be muscular pain or may be due some cardiac disease.cardiac pain are usually associates with sweating and breathlessness constant pain may aggravate on movement, so if you are having such symptom need to immediately consult to medicine physician .but if it is muscular pain it will receive by taking some NSAIDs with muscle relaxant. I suggest you to contact to your local physician he will do local examination and treat you accordingly. Hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, Chat Doctor. "
+"hello , i am mohammed 32 years old last 3 years before i married that time i am only 3 month sex  with my wife after that i go foreign after  2 YEAR I came from foreign. my wife got 1st month result  possitive (preganancy test) after 3 month  my wife baby  misscarriage and also doctor advice to clean the utrus bag that we  done. after that doctor advice to take  ar wonder tablet for me this is  the right one can you please give me your good suggestion i hope   for your rely","HelloThanks for query. Your wife had miscarriage after 3 months of conception is itself suggestive that you are not infertile.Hence, you do not need any medication being commonly used in treatment of infertility. The cause of miscarriage is due to failure in growth of Zygote (Product of conception) due to many hormonal factors and chromosomal abnormality and are never due to any direct in sperm.Hence, a male partner does not have to take any medication. Chat Doctor. "
+I had a hammer hit me in my right pelvis area where I imagine my ovarie to be ... I have been married 2 years and no luck getting pregnant how can I get this looked at. Can it make me not get pregnant? How much does it cost for in vitriol or to get my husbands sperm tested,"HI, thanks for using Chat Doctor It is unlikely that this injury would have significantly affected your ability to conceive. There are different reasons for infertility. It can be due to male or female causes or due to a combination. In terms of your partner, you are right in assuming that he would need a semen analysis. The cost would vary according to one lab to the next. He can either consider speaking to his urologist, speaking to a lab directly to find out the cost. In terms of your investigations, your doctor would need to assess the different aspect of the reproductive system-the uterus, ovaries, tubes, cervixThis would involve both imaging and blood tests. You should consider visiting your gynecologist or a fertility specialist. Even if issues are found with either of you there are effective techniques available that may be able to help you conceive. I hope this helps"
+"I had a crown put in three years ago.  I had not noticed any pain or problem with it, yet the dentist says he needs to replace it because there is decay under it.  Is this unusual? I thought crowns were permanent.  Should I get a second opinion, and how do I go about doing that??","Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it is possible that if the margins of the crown is not intact and there is a gap between crown and tooth, water and food debris along with bacteria can seep into the tooth and leads to secondary Infection. In this case if the decay has not reached the nerves present in the center of tooth then you may not have pain, but the tooth can continue to decay. If this is the case you will have to get the crown removal, get the tooth filled or Root Canal treatment has to be done followed by replacing the crown. You can take a second opinion if you wish as well as you can send me a scan of the x Ray of the crowned tooth so that I can guide you how you should proceed for treatments. In case if tooth is decayed then the treatment advised to you is appropriate. Hope this information helps. Thanks and regards. Chat Doctor. "
+"I have ESLD and have unremmiting itching. I am unable to sleep at night and am able to take short naps during the day. I have tried all the known OTC remedies but to no avail. If this is what I have to look forward forward for the rest of my life its not much. My bilirubin levels are very high. I am at my witts end. Do you have any ideas or suggestions? YYYY@YYYY Thank you, Marc","Hitching in the end stage liver disease can be quite problematic, there are quite a few things tried for it with limited success in some cases. Anti- histamine like cetirizine, defense Chat Doctor. Some local application lotions a like calamine and soothing agents are useful. Then there are medications like rifampicin and ursodeoxycholic acid. Please consult your doctor to see if any of these work for you. Thanks."
+"19 y/o female 110 lbsI, no significant medical bg.  was hit in the chest with a blunt object right above my left breast about 1 week ago. Now when I breathe in too deeply, sneeze, cough, or move my left arm in a certain way, I feel discomfort/pain. The pain comes from sneezing. Also now there is quarter-size bump and the pain travels to my armpit/side area at certain times. When I press down on the bump I feel some pain. It is a hard bump but no bruising. When my chest got hit I felt winded. Thank you for any answers","Thanks for your question on Chat Doctor. I can understand your concern. You had blunt chest trauma and symptoms you are having at present are due to musculoskeletal injury after such trauma. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3.  Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller and anti-inflammatory Chat Doctor.  5. Apply warm water pad on affected areas. Don't worry, swelling and pain will subside with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+Hi my stomach swells up and I also have a tired sort of gritty feeling behind my eyes for some period of time over possibly the course of the week I start to feel as if my body inside is shaking and I have mild anxiety attacks.over this period of time I have swollen stomach slightly painful sometimes not always and after my anxiety attack I am really tired.throughout I have very low energy.I have had numerous blood tests are which of showed nothing and also I have had blood tests for a thyroids problem botChatDoctore back as ok.my diet is ok but not great and found last year when this happened I ate extremely healthy and it went away.i understand that I have to keep a good diet of fish veg and fruit ect but wonder what is happening to make me feel like this.i occasionally take omeprazole for acid indigestion could indigestion be the problem? Or just a symptom of a problem?,"Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your emotions. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and focused. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+Hi i am 20 years old and I have had stomach aches that feel like cramps in my lower abdomin for about 3 months now and recently its been gas and I have been peeing a lot. Im not sure whats wrong I took a pregnancy test and It said negative.. so whats wrong with me?,"Hi, Thanks for your history - cramps in lower abdomen for 3 months, gases and frequency of urination. I would advise you:: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. This will help to get a diagnosis whether this is intestinal infection of chronic sort like IBS, tuberculosis or Diverticulitis; and urinary tract infection or bladder stone or PID-pelvis inflammatory disease. Proper diagnosis will lead us to a proper treatment. IF required you may need a Contrast enhanced CT scan of the abdomen."
+"Hi, my lower back usually is sore. Im only 17 and already have back pains. But today, Ive been having lower pains by my spin, but of to the right a little, near my butt. Usually when I have back pains, I lay on a hard flat surface and it feels like my back shifts into place, but this time when I did it, it cracked about 7 times, then I felt a major pain so I rolled over to my stomach, cried for a few seconds, and stood up. I thought the pain was gone, til I started walking around again? I already been told my back was mis aligned. but I have no clue what this is.","Hi, Thanks for posting your query. From description, it seems you might be suffering Mechanical back pain. It is a common medical problem. Mechanical back pain implies the source of pain is in the spine and/or its supporting structure. The surrounding muscles and ligaments may develop reactive spasm and pain.1. Lie on hard bed2. Taking muscle relaxants in combination with mild painkillers will help you.3. Hot water fomentation to back 2-3 times a day and applying a local analgesic gel on the affected area will also help in providing a relief.4. Physiotherapy - Inferential therapy (IT) to your back will help you relieve the pain5. Avoid Chat Doctor.  These activities can increase your back pain. You can start with swimming and mild aerobic exercises. These do help a lot in the back pain. Do adequate warming up before starting the exercises daily. Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedic. Hope this will help you. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards"
+"My dad was recently diagnosed with stage 4 pancreatic cancer that has also spread to the liver . The cancer in size are the size of a grain of rice. I have seen charts where cancer starts out like a grain of rice,pea,grape ect.. all the way up to a golf ball. So my question is : Does the size of the cancer mean that he has a greater chance of survival with treatment now because the cancer is still so small? Or in a stage 4 diapnoses the size of the cancer doesn t matter.....","Hi, In some sort of cancer even in stage 4 cancer there is chance of complete cure. But unfortunately pancreatic cancer is not of this category. Stage 4 disease has guarded prognosis. Now some more information will be helpful like his liver function test, no. of liver metastasis, routine blood test to have a more elaborate discussion. Anyway size of primary in pancreas matters little in the setting of metastatic disease. Consult your doctor."
+My neck broken pipe from from the rooftop six and 600 pounds Crush push my head into Manchester airport Halo intrigue me for two days then they proceeded to go into the back of my neck I got 4 rods tutus and bunches screws no mobility two months later I got osteomyelitis real bad case into my bones and blood I feel like I m get again and I m sick all the time why is this happening,"Hi, thanks for the brief history of you. Since you mentioned the osteomyelitis you have been diagnosed at a later stage post surgery then you may have an infection persisting in blood cells as well. There are chances you get infection frequently. Why don't you meet up the surgeon and discuss if you can do some exercises. As EXERCISES will help you to boost your metabolism and help you avoid frequent infections. It is even important that you do exercises under guidance because of the neck injury you had in the past. The improvement in the metabolic and immune system will help you feel stronger and healthier. With the grace of God I wish you a speedy recovery."
+"I have anxiety. At my Dr appt. yesterday my bp was 138/96 and my pulse rate 98. Previous 2 appointments over last year or so was 138/96 and 138/94. Im concerned, but doctor just seems to think anxiety, yet due to anxiety I can feel my heart racing multiple times throughout the day. I feel sick.","Hi, I can understand the distress you might be having due to anxiety. Anxiety disorders can lead to multiple symptoms like worries, palpitations, sweating, tremors, Blood pressure fluctuations, etc. I suggest you seek a psychiatric consultation for the same. Baseline investigations like complete blood counts, thyroid profile and ECG would be required to rule out any underlying medical conditions. Treatment with medications like selective serotonin reuptake inhibitors will be helpful in your condition. In addition, you should start exercising daily. That will help in reduction of anxiety. Hope this information was helpful. Best wishes."
+"Hi , my son is 3 years 3 months old he has allergy and uses levolin puff . His spasm is not acute but often suffers with it during change of season. recently he has been prescribed Budecort 200 two puffs twice daily for three months. I am a little uncomfortable with the use of steroid at this age he weighs 20 kgs and is almost 3 feet tall. Want your advice regarding the side effects","Hi, I admire your positive outlook regarding the query. For asthma management, physicians need to advice various medications which depends on its severity and control.>Leveling acts by dilating air passages and relieves acute breathlessness.>On the other hand, Decor which is an steroid act by reducing inflammation which prevents as well as controls frequent asthma symptoms. It has some side effects like fungal infections of mouth and throat (Candidiasis). Systemic steroid effects on higher doses like mood changes, hyperglycemia, smell & taste disturbances, osteoporosis etc. Your son has been prescribed Decor two puffs of 200 micrograms twice daily that means a total of 800 micrograms which equals to 0.8 mg only. Moreover, very little amount of steroid is absorbed as it is used via inhalation.Therefore, its side effect is almost negligible except candidiasis. That is why your child is advised to gurgle his mouth with plain water after taking puffs which will prevent candidiasis. I presume that a diagnosis of probable asthma has been made and given proper medicine accordingly. Hope this answers your query. Wishing your son good health."
+"I m desperate to find a specialist in the Pittsburgh, PA or surroundings, who specializes in treating black mold illnesses. My daughter is very ill due to spending 1 year in an apartment where the landlord refused to do anything about it. Some of her illnesses include: severe muscle pain, loss of hair, impaired vision (getting worse), breathing problems especially at night, 14 or 15 yeast infection in one year, some bleeding from her rectum, blurred vision, extreme fatigue etc..... I need help and advice. Please help me to help her. Who can we contact. We have exhausted every possibility that we know.","You should meet certain specialist and take their opinion on the same issue. A few I can mention. Meet a dermatologist, a pulmonologist, a cardiologist, a general physician, a physical medicine rehab specialist. Lastly after these people have a proper communication within their own parameters your child will be helped better. Do talk about the fatigue issue. As a physical therapist might help with simple exercise to balance the fatigue issue."
+"So, today me and partner had sex. This is not the first time we had sex and every time we have had sexual intercourse we have been careful and used a condom while I have also been on birth control. This is the first month I have been off of the pill. Today while we were having sex, the condom ripped at the top. We believe that the head of his penis was only exposed for about 1-3 minutes before he pulled out and we realized what happened. 3 minutes being the most. We are absolutely positive that he did not cum inside of me but there is a pretty good chance that there was pre-cum. My period is due in two weeks. What do you think the chances of me being pregnant are?","Hello Welcome to Chat Doctor. Thanks for posting your query. If you are so pretty sure that the semen did not enter, then congratulations you need not worry. We have seen so many such cases and I can say more than 90% of the times, you are safe. And as you say, we shall wait for your dates and once you have periods this time, just forget it. If not, you can contact me. Will guide you on further details. Don't worry. Contact back If you have some more queries."
+I am a 54 yr old african american male. with diabetes. I have been keeping in check lately. For the past month I have had this pain sensation in my r. thigh. The pain is if I have a 1000 + needles stabbing into the front of my thigh. I have a numbness on the outside of the same thigh. I also get this sensation of water or liquid running across the front of the same thigh. What is going on ?,"Hello, These sensations are neurogenic pain. There may be imbalance of blood glucose level which may because for this. High blood glucose may lead to naturopathies. I shall advise you to check blood glucose level frequently. If it is normal then you should consult to a neurophysician for help.Meanwhile, you may have acetaminophen preparation for relief. In our routine outdoor practice for relief of such pain I used to prescribe pregabalin preparations. Hope I have answered your query. Let me know if I can assist you further. Take care "
+"I have seasonal bronchitis whicChatDoctores yearly once or twice in the rainy or cold season. I use ampicillin based tablets ....can you suggest me the best medicine.Symptoms: Running nose sometimes or blocked nose sometimes, severe cough, sometimes body pains (may be due to severe continuous cough) but someitmes occasional cougChatDoctores. SLight fever so I use sinarest tablet.","Hi thanks for asking question. Mostly according to history you have allergic or seasonal rhinitis with respiratory involvement. Continue using antihistamine Chat Doctor. Meanwhile, take more fruits and more water. Green leafy vegetable are helpful. Avoid smoking strictly as it can aggravate condition. Take healthy nutritional diet. Steam inhalation will be helpful in relieving congestion. If condition still severe then leukotrien antagonist "
+"Hi Sir, I have girl child 5 years old,  last 5-6 days she was not feeling well. occasionally she had fever, cough & cold, . now all symptoms gone by using T-minac, Combiflam, & Ampi-Coxicillin. she looks OK other times now, but when given food for eating she coughs and omits the food. & now feeling weakness. please telll me, can I use Ondensetron & Azithromycin & apitizer ?","Hello. I have gone through your question. Yes you can use Ondansetron syrup 2 mg/5ml, 5ml three times a day on empty stomach. Donor give azithromycin as of now. If the condition does not resolve, or she develops some fever, then start with an antibiotic like norfloxacin 100 mg.5ml. 5ml three times a day. You can give an appetizer as well. I hope this helps. If you have any other queries/question please feel free to ask. Thanks and wish your daughter a healthy life."
+"hello, im a 22 year old male, i have had sudden testicular pain in my right testicle, first felt like i was kicked in the balls, now the pain changed, feels like the pain is in the veins, i had a blood test and ultrasound and both tested negative..what can this pain be ? thank you for your help","Hi, dairy have gone through your question. I can understand your concern. You may have some infection like epididymis orchids, or you may have torsion of testis. You should go for examination. If needed to take a course of antibiotics. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health."
+I am 19 After I donated blood i felt angry all of a sudden but i felt really light too not light headed like i could move faster and i noticed that i took notice of every thing around me like myy sense became a bit hightened from the experence should I be concerned?,"Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that blood donation won't cause such a reaction. We had carried out many blood donation camps from many years but we haven't find even a single case of such whicChatDoctorplaints of short leopardess. Donating a blood is a very good and noble cause. Do as much you can give. Also inspire for your known for blood donation. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you."
+"i am from agartala, tripura. last one and half months, i am suffering from right back pain severely. whenever stand-up after sitting a long time in a chair or bed then i feel pain that my nerve is going to be hanged. after few minutes this is going to be normal. when i walking there is no pain in my right legs.i was suggested two-three doctors from orthopaedic specialist ground but no result found at all. please help me","Dear patient First of all what is your age? Have you met with accident or trauma? Any investigation done? Since back pain is for 2 months and not relieved with Chat Doctor.  MRI gives details of disc, nerves and even bones. So visit a radiology center and request MRI asap. Till then start tab diclofenac plus thiocolchicoside combination twice a day for pain relief plus tab vita 12 plus pregabalin 75 mg at bedtime for 10 days.  Both "
+"I have two infected teeth at the moment, swollen glands are present as well. They re abscessed, I m sure. So, my question is this: I have full scripts of both 500mg Cefuroxime as well as 500mg Amoxicillin. I can t get to the dentist until this Friday and I need to start a round of something NOW, because, for obvious reasons, the dentist will not pull teeth as infected as mine presently are. I m sure that the Amoxicillin would be the best choice, even though the Cefuroxime is stronger. But, I ve taken and stopped Amoxicillin so many times in the past that I m sure I ve built up a resistance to it. So, which one do I start? I know I need to get to the dentist, but please, which would you recommend?","Hi, Thanks for posting the query, I would suggest you to take tab almost Cleveland BD and tab diclofenac BD for 3-5 days, instead of the given medications. Antibiotics and analgesics will give a temporary relief unless the tooth is treated with Root canal treatment you will face pain and infection, I would suggest you to consult a nearby Dentist get an x-ray done and start with the treatment. Hope you find this as helpful, Take care!"
+"hi. My 15 year old girl has been waking up sat, sun and today with swelling in her fingers, and ankles and complains of itching different parts of body, feet, hands, and tops of legs, back. I think she has been laying in bed too long, prolonged sitting, and drinking lots of chocolate/banana smoothies, not enough water. I have told her to move around, drink water, and back off on smoothies in diet, I also told he she could take benedryll liquid and apply cream. Any other suggestions?","Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint sudden swelling in fingers and ankles along with itching or Urticaria in different body parts seems to be most probably be due to allergic reaction to some unknown allergen. It can be due to a number of things certain insect/bug bites, poison ivy, skin cosmetics, detergents, foods, leather, latex, medicines etc. It can also be due to mite infestation causing Scabies. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and blood tests can help in confirming the diagnosis and treatment can be planned accordingly. You can be advised to take anti allergic like Allegra or Clarity, apply steroid ointment, do cool compresses over the body and apply calamine lotion. In case of Scabies you can be advised to apply Preterit lotion and take Ivermectin. You can also be advised anti allergic along to relieve itching. Hope this information helps. Thanks and regards. Chat Doctor. "
+I had cervical cancer Stage 2B in 2008. I m now considered in remission even though last years PAP my doctor said came back abnormal. He said that as long as my cell count was below 32 I would still be considered in remission. I m confused. Do I have a new type of cancer? Does this mean I m only considered out of remission when the cell count is high enough for them to treat?,"Hi and thank you so much for this query. It is difficult to tell what your doctors are referring to as remission. What treatment options were to offered after the diagnosis of this cancer? Also, what were the immediate controls after the treatment. Are the counts still same or are they increasing? If they are still same and not increasing, then there is no reason to get worried. However, if the counts are increasing, even below the mentioned 32, it is enough reason to get concerned. I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be."
+"Hi my 2 year old is going for an op to remove a lump in his groin, dont know when as he seen the specolist last thursday but since then his hair has starting 2 fall out alot, went 2 the local doctors yesterday and said leave it for a month and if it gets worse bring him back! Me and my wife a so worrid as they dont know what the lump is or the reson why he is loesing alot of hair","Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"sir i am 45 yearss leady. i am a bp patient, i had my tmt two months back.my dr. told me that after two months again we will go for it. my doctor has told me that nothing is to worry. he has not prescribed any medicine also. now i am afraid ,sir does it mean that i am havin blockage in my heart.jarchana@","Hello, The general validity of a TMT is 12-18 months, so if you have done is just recently, and it was normal you may not repeat it, however your doctor would have planned a review if the last TMT was borderline, or your blood pressure may have shot up, or you were unable to walk to the desired level of activity.  However, you need not worry about it as till now you haven't done a TMT, and the last was good according to the information provided . Even if your TMT comes positive there are still 30% change that the report is false positive.  So don't take unnecessary stress of the future. Hoping I could help. Regards Chat Doctor. "
+"My father (age 75) has mouth disease symptoms like purpule blue colour appreance in one side of toung and gingivitis and pain in chest , he cant able to eat any soild food. pls give me your valuble guidlines and treatment required for this ?","Hi Elumalai, How are your fathers general health? BP/diabetes/cardiac/renal problems? Visit an Oral medicine specialist ASAP to ascertain what the cause of his problems are. Once oral infection is cleared, he will be able to eat better. Meanwhile, use TATUM mouthwash/McCoppin ointment 20 min before meals to prevent discomfort. Oral infection has been known to aggravate chest/heart problems so do not delay the Chat Doctor. Thanks & best wishes to your father"
+"H I. i am 37 yo and i have had abdomanal pain in my right side for about three months now and the pain is really bad at night it wakes me up , it is like a bad stitch. i have my gallbladder removed about 10 mnths ago and i have a cycts on my left ovarie , my mother died from ovarian cancer and im a bit concerned","HI. When you are a diagnosed case of an ovarian cyst, this becomes the most probable reason in spite of the fact that you have pain on the right side of the abdomen and the ovarian cyst is on the left ovary. Other reasons of pain in right side like appendicitis, colitis, nephritis, lymph node mass, salpingitis and ovarian problem can be diagnosed on ultrasonography and be confirmed with CT scan. Once the probable diagnosis is made you can go for a diagnostic Laparoscopy and undergo definite surgery if need be, You can ask for the tumor marker tests since you have a history of cancer in the family."
+"occasional blood spots in my urine, not on a daily basis. now I noted a back pain, it seems like to my left hip, I am feeling the pain when getting up from a sitting position and walking, I am not taking any pain meds, my only medication is Fosamax with Vit D once a week. Please help.","Fullback pain and occasional blood in urine may be due to renal calculus, urinary tract infection etc. You need clinical correlation and investigations like routine hologram, renal function test, Urine RE/ME, Urine culture and sensitivity and Ultrasound of abdomen. Ultrasound is important, and it can exclude many possibilities. CT scan can be done if needed. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. "
+i have arthiristis in my hands which started about a year ago. My hands have gone from bad to worse as there and knots and pain. also in the last 6 months my hands swell to the point it feels like they separate from my arms and the way they feel as well it is like having balloms as hands instead of hands. it was and has been so bad in the mornings when i get up it is also very hard to use them. Now it is happening more though out the day as well. i also have Dystonia which has effected a lot of things as well as my hands for a while now. That was going on before the swelling which also caused a great deal of difficulty with my hands along the way. My speach is also effected to the point so many whom don t know me or have they meet me before believe i have been drinking and i am drunk. I don t drink. Thanks for any answers you can help me with. XXXX,"Hello, Slurred speech is indicative of nervous system disorder (neuropathy). Other conditions can be brain injury, brain tumor, weakness of facial muscles or nerve damage, stoke, Multiple Sclerosis, etc. Since you have arthritis, follow your doctors prescription & treatment. Avoid sedentary life, stay active. Do exercise & take vitamin E supplements so that your joints stay lubricated. For slurring of speech you are suggested not to neglect but get clinically examined by a Neurologist & get Nerve conduction tests, blood tests, imaging tests & nerve biopsy if needed. Take vitamin B6, B12 rich food or supplements. Get treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. "
+"Hello, this is my question. I am a regular plasma donor at a facility here where I live. Every 4 months they take a blood sample to be sent off for a protein analysis, it usually takes 10 days to get the sample back. Normally I know when the sample will be taken so I take 10 days off from donating at all before and the sample always comes back fine (because I am older, 40, weight 153 and I  guess donating lowers my protein levels). I have had 2 samples come back recently with a protein of 5.9 (needs to be 6.0 or higher) and I am wondering what it is I need to be doing/and or changing to ensure that my levels are in range. Also, how is this different from the screening test they do every time I go in to donate to test my microhemocrotit? I have been out of range a couple times recently on that and was told to eat iron-rich foods. I am now including an iron supplement with my daily vitamins. I would appreciate any help or advice you could give, I am frustrated. Thank you!",DEAR SIR/MADAME BLOOD PLASMA PROTEINS INCLUDE ALBUMIN AND GLOBULIN WHICH FUNCTIONS FOR MAINTAINING.1. MAINTAINING COLLOIDAL PRESSURE - BLOOD PRESSURE2. ANTIBODY PRODUCTION WHICH FIGHTS INFECTIONS - DETERMINE IMMUNITY3. ESSENTIAL FOR MAINTAINING RENAL PERFUSION WHICH HELPS IN CONCENTRATION OF URINE AND MAINTAINING URINE OUTPUT.THESE DEFICIENCIES ARE COMMON IN 1. ANEMIA WITH HYPOPROTIENEMIA2. INCREASED PROTEIN LOSS IN KIDNEYS DUE TO FUNCTIONAL KIDNEY DISEASESUPPLEMENTATION OF IRON WITH OTHER MICROBITCOINS MIGHT BE OF VERY LITTLE IMPORTANCE AS THE MAIN PROBLEM IS DEFICIENCY OF PROTIENYOUR VALUES ARE NOT TOO LOW AND ALSO WHEN YOU FREQUENTLY GIVE BLOOD DONATIONS THEN OBVIOUSLY IT VARIES.SO PROPER PROTEIN SUPPLEMENTATION WHICH IS OF ANIMAL ORIGIN LIKE EGG WHITE ARE RICH IN ALBUMIN WHICH RESTORES THE DEFICIENT LEVELS.EVEN VEGETABLE PROTEINS MIGHT BE OF SOME HELP. BUT I PREFER PROTEINS OF ANIMAL ORIGIN.THANKS
+"I have a skin rash that developed on my legs and now is on my arms and wrists, they can be very itchy, they look like red dots, my nuetrophilis is 9.9 my wbc is 12.4 hemoglobinn 115 and rdw is 15.1. could my blood work be a reason this is happening?","HIT hank for asking to ChatDoctorI appreciate your concern the rash that you are having is not because of the blood parameters, but this could be allergic rash that might have developed due to the hypersensitivity reaction, if I would be your doctor then I would treat this condition with the following medicine, 1) Tab Levocetrizine 10 mg three times in day if the symptoms persistence or appears again then this is to be seen by the dermatologist, hope this information helps you, have a nice day."
+"Hi doctor,I had a small growth like in my thigh near anal part.  It was first observed in year 2010 and was slightly increasing its size very slowly.  But it was soft in nature.  Now it is about 1.8 cms in diameter. Today suddenly I felt that it became slightly harder as if it is pressure filled.  I have Piles.  But no treatment has been taken till now.  Is it dangerous that tonight itself should I visit the hospital.  Advise please.  I have high blood pressure also normally.","Hi. This looks to be a prolapsed pile which has gone into thrombosis. No need to worry. Take some painkillers. Have site bath in warm water. It is a good idea to visit a hospital to see the blood pressure. If you have a history of high blood pressure you have to take a regular treatment under the care of a Physician so that if the surgery is required you can be for surgery. Also, you will be checked to see the lump and confirm a diagnosis."
+What is diffuse cerebral atrophy hair sir my child age 2 months and from last 1 week we consulted neurologist after ct scan told it was due to cerebral atrophy sequalae of perinatal ischemia can u explain what is cerebral atrophy can we cure it can my child normal again plz explain,"Hi welcome to ChatDoctorcerebral atrophy means decrease of brain size(fewer cells, neurons etc.). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried. Thanks"
+"Hello, I have developed a dark rash in the creases of my genital area and it itches really bad. I thought it was dry skin, but even when I put coconut oil or Vaseline on it, it doesn t help. The skin also has dry white patches. I have not been sexually active in over 2 years and I noticed it happening when I shaved my genital area completely bald. Please help!!!","Hi, It seems that probably you may be having candida intertwine. Consult the dermatologist for the perfect diagnosis and proper treatment. It may be precipitated by perspiration, wetness and soap. Poor hygiene and poor immunity promote the diseases.  Apply antifungal cream like Clotrimazole cream. Take the Ketoconazole tablet. Cleanse the area with diluted Detail liquid. Hope I have answered your query. Let me know if I can assist you further. "
+"My husband is 66, insulin dependent diabetic and controlled blood sugar who had a 90 minute massage this morning and following the massage, he felt dizzy, was pale, clammy and sweating and felt nauseated. His blood pressure was 148/74 and pulse was 78.","Hello, From the description, it appears like a fairly severe hypoglycemic episode. Was the blood glucose checked following the episode? Sometimes in patients on insulin and with a very strict blood glucose control, there can be such hypoglycemic episodes. It is better to give a closer look at his diet, blood glucose levels and Insulin dosage. So, as to prevent further such episodes. Hope I have answered your query. Let me know if I can assist you further."
+"my son has fallen in love with agirl whose brother suffers from choreia . Isn,t it dangerous for him to marry that lady? I mean the heridatery factor .IS IT POSSIBLE TO FIND OUT IT THROUH ANALYSES? DEAR doctor my son is 35 years old.he wants to mary agirl who has a slight problem in her right hand and also in speech. The thing is that the girl, brother suffers from vivid choreia on left side. What are we to expect if he really marries the girl?","DearWelcome to ChatDoctorWe understand your concerns went through your problem description. You have nothing to worry, I feel. Chorea is an abnormal involuntary movement disorder, and is a neurological disorder. It shows genetic affiliation only with Wilson's disease, a genetic disorder that leads to toxic levels of copper in the body. You can have the girl checked for that. But it is better to give them permission if they are already determined. You cannot foresee what is going to happen in the future and therefore, don't try to foresee their future. That can cause unnecessary anxiety. They know how to live their life. Please understand. Hope this answers your query. Available for further clarifications. Good luck."
+"The night before last night I laid down on the floor and felt as if I had drank too much water. I then continued to go to bed, and once I laid down in bed, I noticed that my upper stomach (about and inch and a half above my bellybutton) was hurting. I then thought it might be indigestion, so I took tums. That didn t seem to help, and I couldn t fall asleep, so I took some advil, and that kind of helped. I was able to fall asleep. It did not wake me up at all in the night. I awoke to the same pain. This has lasted for almost two days now. This pain has also tended to move over to the right side of my stomach, just below my rib cage. I am wondering if this is appendicitis?","Here you have symptoms of pain in stomach from two days daily in night. The cause of this could be related to indigestion, acidity, or it can also be due to kidney stone as well appendicitis. I suggest visiting a doctor if it does not improve with anti acid and change with food habits and timing by keeping it proper as well healthy. Here doctor will ask you for ultrasound of abdomen after proper examination and I suggest going ahead for it for proper diagnosis and plan treatment as per that. Also keep your food habit regular and healthy. Have fruits also in diet. Keep doing daily morning and evening walking for 15-20 minutes. Do not have heavy dinner and keep dinner before 8:00pm daily. I have given here general guideline since the examination is not dine by me, but I am sure this will be useful if you follow it. Take care."
+sir my son has got small pimple on right hand 5 days back now it has grown and become hard & red i checked with children specilist 2 days back he told it is a bite of some bee or ant but it has spread more i am worriying more YYYY@YYYY,"Hello, Five days and it has gotten bigger, harder and red means the area has got some collection of blood with or without pus, and now it is getting infected. The swelling needs to be examined again which may require for the collection to be Chat Doctor.  Ideally by now had it been a simple insect bite the size wouldn't be increasing or getting harder. Hope I have answered your query. Let me know if I can assist you further. "
+"Hi sir, I m diagnosed with Pneumonitis right mid zone. I have cough and when I vomit a white liquid comes out. my chest also pains when I cough and trying to b breath in air. I have a past history of Bronchial Asthma. Is possible to be cure. I m under medication.","Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you should first get done chest x-ray to rule out pneumonia. Because lung infection is very common in asthma patients. You are also having chest pain on coughing and breathing. This is known as pleurisy and pneumonia is the most common cause for pleurisy. So possibility of pneumonia is more. And pneumonia is infection, so it is definitely curable. You need broad spectrum antibiotics, antihistamines and anti-inflammatory Chat Doctor.  Usual time for recovery is 1-2 weeks. So consult doctor and start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks."
+My daughter sears haven been pierced for 10+years. Today when she took one pair of earrings out her right ear hole for her earrings started to bleed but the other did not. What would cause it. She put another pair of earrings in her ears today and then tonight took them out and bleed again. We cleaned with wound cleaner and rubbing alcohol and then it stops. Very weird. Please advise any advice you may have.,Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint bleeding from airhole can be due to infection in the area of ear-piercing while at times tightly packed earrings can lead to lack of air flow to the area of ear-piercing and can lead to inflammation and slight area of necrosis. I would suggest you to avoid wearing the earrings for a few days and clean the area with antiseptic solution and apply an antibiotic ointment over it. Cool compresses can also be relieving. You should wear earrings a bit loosely fastened so that air can flow easily. You should also wear gold or plastic earrings as they are inert materials and will not cause allergic reaction. Hope this information helps. Thanks and regards. Chat Doctor. 
+All night last night I kept waking up to upper abdominal pain. I felt like I needed to burp or get sick. I vomited a few times but havent since. Nothing seems to make it better or worse. Ill be fine for a little bit then all of a sudden my stomach starts to hurt again. its causing my back to hurt right behind the abdominal pain. Any idea?,"Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen and back along with a general physical examination, I would advise you for some routine blood tests like a CBC, blood sugar, serum amylase and lipase, an LFT, blood urea, serum creatinine, an ECG and some radiological investigation like an ultrasound of whole abdomen, X-ray chest and abdomen in upright posture, followed by a CT scan if need be. In the meanwhile, I would relieve your pain with some anti-spasmodic and a proton pump inhibitor Chat Doctor.  Further management would depend on the result of clinical assessment and the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor"
+My 4 year daughter stated she hit her head on the floor. I didnt see it but she has been complaining of a headache. Last night I gave her motrin and she went to bed. This morning she was ok but now she is complaining again and now she is sleeping (nap) which she NEVER does. Should I be worried?,"Hi, Welcome to Chat Doctor. I have read your question in detail and I know that you are very concerned about your child. In case of trauma to head of child if their loss of consciousness, seizures, mouth or nose bleed or persistent vomiting, then there are chances of internal bleed or fracture. If these things are not present, then chances of internal bleeding are minimal. Pain at site of trauma may persist for few days. An examination by neurosurgeon is a must. I hope this will help you. Wishing your child good health. Take care."
+"I woke up last night with my heart racing. I was breathing slowly to calm my heart, but it kepts pumping extremely quickly. My depth perception is off and earlier my vision was blurry. I was shaking through all of this. Dad says its an anxiety attack.","Hello, This can be anxiety attack but will not wake you up from the sleep, I am keeping it lower down. This can be arrhythmia like PSV or atrial fibrillation, where your heart rate suddenly goes up and BP falls. These are episodic tachycardia and your ECG may be normal if you are not having tachycardia during ECG. You will need evaluation like thyroid test and holder monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for this investigation. Also, to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope I have answered your query. Let me know if I can assist you further. "
+"Hi Dr., my name is Amber I was wondering if i should go to the emergency room or not could you please help me? I was at work and I felt a little cold so I went to my car to grab a sweatshirt and i tripped while my car door was open and tried to catch my fall and hit the corner of my left eye between my brow bone and eye... it s swollen so i have just been keeping ice on it but should i be worried i can see fine no black outs just really swollen... please help me thank you, Amber","Hi welcome to ChatDoctorI have gone through you your query regarding swelling in the corner of left eye due to hitting. Dear Amber, as far as you're hitting your eye and swelling is concerned it is a matter of concern. Swelling is natural when you get hurt and goes after sometime. You can apply little hot pad on the affected part ad apply a Chat Doctor. You can see well so you need not worry. If you wish you can take advice from your doctor. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query."
+"I have a smallish red spot on the right top edge of my penis head, as well as a blotchy red area on the dorsal side of the shaft, in the top area where I was circumcised. The spots/blotches are painless, do not itchy, and might be very slightly raised, but not very noticeably so. I currently am in a committed relationship and we do not use condoms, but neither of us have ever experienced any problems or concerns regarding STDs. I assume it is some kind of friction irritation, but am concerned it is something more serious.","HiT hank you for asking Chat Doctor. I have gone through your query. Pain less spots can be STD like syphilis also. In such case dark field microscopy of swab from lesion helps to identify. A visual examination by a dermatovenerologist also helps. If it is that then antibiotics like doxycycline for 7 days will be helpful. If that is clear then ointments witChatDoctorbination of antifungal like fluconazole, antibacterial like Aureomycin and corticosteroid like dexamethasone will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks."
+Dear sir my sister is suffered from fistula in ano from last 6 month..Two operations completed..And last operation was completed through radio surgury.. but sir pus is still discharging..dear sir we r in very tension please suggest whatever is posible.thanks-PANKAJ DUBEY,"Hello, very pleased to hear from you about the fistula of your sister. Fistula is very notorious in recurrence. If it recurred it is very difficult to operate again. It is recurred even after doing with radio surgery. I am afraid that it will recur again and again. If I am your treating Doctor I advised You to take proper and hygienic care of your sister. That is the only way you can prevent the recurrence. THX"
+my grandson 23 was in a car accident and suffered a concussion . He was in the hospital for an hour and sent home to be watched for 3 days. Two days later he set fire to his room and tried to kill himself. He is now in the hospital lock up room and hears voices. No alcohol or drugs in his system at either time. He has been depressed before all this happened and won t tell his parents why. Are the voices and attempted suicide from the accident alone?,"Hi and welcome to Chat Doctor. Thanks for your question... Since you say that he had been depressed even before the accident, it is more likely that his current psychiatric symptoms are related to the depression. When depression becomes severe, psychotic symptoms can appear (like hearing voices, false beliefs, etc.) Moreover, since he was well enough to be sent home after the accident, it is unlikely that he would have suffered from any significant brain damage.  Depression can be caused due to neurochemical imbalances in the brain and need not be stress related always. So, it is not surprising that he did not reveal anything to his parents. With appropriate medication and close follow up he should be able to come out of his depression. Best wishes,- "
+I was diagnosed with hsv type 1 Sept 6th had my first outbreak and it cleared up. Today I have a rash all over outside of my vaginal lip only in the hair area but its all over and itchy like crazy. This is nothing like my outbreak a few weeks ago. I dont have insurance but is this worth an er visit?,"Hello, Welcome to Chat Doctor, As you had an outbreak of HSV 1 infection previously which is known to affect the area around the mouth. As you are having itching around the genital region, there are many conditions which can lead to this problem and one of the cause may be HSV 2, but it should be confirmed by physical examination by your doctor. I would suggest you to undergo physical examinations before you take any medications. Thank you."
+"I have recently had a blood tests and have been given a score of 110 for my Gamma GT, I do not drink alcohol and am not on any medications. What else could have caused this? I am now being told that I will have to have a liver scan which is worrying for me.","Welcome at Chat Doctor... I have gone through your query and being your doctor I completely understand your health concerns... What is your age? Have you tested for gamma GT before? Are the level increasing? Raised level of this enzyme signifies that something wrong with the liver excretory function In my opinion you should Get your complete liver functions tests done.  Also, you should be screened for viral liver infections along with metabolic liver diseases too. It would be better to get your liver ultrasound for the liver texture.  So meet hepatologist for proper workup so that appropriate management can be started in time.  Hope your query is adequately answered... Stay safe Regards Chat Doctor. "
+"I was diagnosed with bursitis, wore a temporary cast, advised to wear special boot. Took a painkiller for a few weeks. Pain has increased beyond toleration affecting my work and home life . I am pretty tolerant to pain but it has now become difficult to function as I endure 17 hour days. Please advise... I stretch before rising, administer ice packs, cortisone cocktails dull pain for only a few days. I lay in bed with pillow propped under foot, I tried Yoga meditation, I take aspirin daily against my beliefs to medicate myself . I experience soreness in my calf as well... Nancy M.","Hello, Welcome to Chat Doctor, Bursitis is inflammation of a bursa. It may be a Trochanteric bursitis frequently causes tenderness of the outer hip and Social bursitis which can cause dull pain in the upper buttock area. The noninfectious bursitis is treated by rest, ice, and medications for inflammation and pain. Infectious bursitis can be treated with antibiotics, aspiration, and surgery. Steroid injection of corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededOnce the pain is down do stretch of hamstrings muscle and performs muscle. The stretches to be done 5 times for the hold of 10 counts 2 times a day. Thank you."
+"Hello sir, i don t know english well so forgive my grammer mistakes. well, actually the problem that the docter prefer some tablets to my mom for some venter problems , after taking the medicine my mom feeling, like something burning in her trachea.please sir if you describe the problem we be very thankfull to you.","Thanks for your question on Chat Doctor. In my opinion your mother is having burning pain in middle of the chest due to HERD (Castro Esophageal Reflux Disease). Many antibiotics and painkiller Chat Doctor.  So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed."
+I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do?,"Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography.  If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination.  Hope I have answered your query. Let me know if I can assist you further."
+"Hi, my names Will, im 14 years old and ive found a white sort of spot attached to my scrotum, this morning it was rubbing and began to bleed to i put a small plaster on to stop the discomfort. I havent a clue what it is and havent taken the plaster off since. What is it?","Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots.  These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care "
+"Hello Doctor,My Father who was alcoholic and is of 49yrs old is in hospital, He is undergoing liver treatment with below conditions: hepatomegaly with coarsened echotexture. Could you please advise if the liver can be restored for damage, if so what will be next coarse of action to stay healthy.And is this is very severe problem.what percent of chances he can be saved?Thank you","Hi, Thanks for your question. After going through your question in your fathers' case there is likely possibility of Alcoholic Liver Disease, though other short term illnesses can lead to similar finding. For better opinion I want to know-1) Duration of taking alcohol.2) Pattern and amount of taking alcohol.3) Presence of any other diseases and treatment for it.4) Current symptom for which admitted to hospital. I would like to advise following tests-1) Complete blood count.2) Liver function test.3) Kidney function test.4) Urine examination.5) Ultrasonography of abdomen.6) In case of fever Tests for malaria, dengue or any other infections if clinically indicated. Depending upon his detailed clinical examination and test reports it is possible to comment whether liver damage is permanent or reversible, and also appropriate diagnosis can be made and treatment can be planned. In general for recovery from liver disorder or to prevent further damage to liver -1) He has to stop taking alcohol in any form permanently.2) Avoid taking oily, fatty food till recovery.3) Taking food containing high carboy Chat Doctor. "
+"Hello doctor,my uncle is suffering from stomach cancer .right now his    check-up going on tata memorial hospital mumbai.there doctor told me first he give the kemo therapy and after that he operate my uncle. so my father is think before operate we consult 2 more doctor.so kindly suggest me 2 best doctor name & where i meet him/her.one favor me also suggest me best kemo therapy doctor in mumbai.  thanks","Hi, Thanks for writing in. Every cancer patient is different and accurate staging is to be done before giving treatment. Tata memorial hospital Mumbai is a research center, and they might have accurately done staging for your uncle. I guess the doctors want to shrink the tumor with chemotherapy and then proceed with surgery. The benefit in this situation is that the surgery is easy and there are better chances of survival. In many cancer hospitals the same protocol is used, and you might take another opinion at any well known cancer center. There is Kiddie memorial institute of oncology in Bangalore and cancer research center in Chennai and driven Chat Doctor.  Your uncle might take opinions at these centers before going for surgery. There is no single best doctor when we consider cancer treatment. It is an evolving field of medicine and I refer my patients to Tata memorial hospital because their set-up is organized and regularly new treatment options are reviewed for research purposes. Please do not worry."
+"Daughter age 12 diagnosed with slight bronchitis and sinus infection. Doc gave her antibiotic and cough syrup. She is suppose to play in a basketball tournament tomorrow at 10:00. She will have had 3 rounds of antibiotics by then. Doc said no basketball, but I have been reading where it s ok as long as she takes regular breaks and drinks lots of liquids. No X-rays or anything and had a very slight fever, but none now. Is it ok for her to play?","Hello, It depends largely on how she is feeling. However, if her doctor, who saw her in person for an exam and listened to her lungs, recommended for her to not play basketball, then I would follow that, as he or she has first-hand knowledge of how her health is.  If you feel she is much better now, you can call her doctor to clear it with him or her. Hope I have answered your query. Let me know if I can assist you further. "
+I get very bad headaches with certain smells. Mostly red onions. I work with a culture of people who don t want to take me seriously when I ask them to omit bringing onions to the office. I can eat them ok if they are cooked well but the smell causes headache and tightened throat and chest. How can I make them understand that this is hurtful when they do it.,"HI, thanks for using Chat Doctor It may be difficult to change the diet of other persons. You may want to print out information on headache triggers to show that your issue is a real and documented one. If possible, you may need to evacuate the area when these foods are brought in. Your doctor would be able to give you medication to help relieve your discomfort, you can keep it with you. I hope this helps"
+"I am 42 years old and my BP was 112/177 and I visited the doctor 30 days back. He examined my ECG and found no fault in it. Then, he suggested me to talk Nebicard SM tablet one per day in the night and revisit after 15 days. I did the same, in my second visit Doctor said your bp is 84/140 and continue the same tablet. Is it right? Can I continue to take the same tablets? ANy side effects?","Hello, Your doctor has prescribed the right medication for you. You can compare the result of your BP before 2 weeks and after 2 weeks.  Generally, it may take 2 weeks to know the benefits of BP medications in blood pressure readings.  Therefore, I suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins).  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+"Sir, can you tell me why I feel this tightness, discomfort and bulging at the front side of my upper stomach just below ribs in the centre? It is related to alcohol, but the feeling is after the intoxication is gone, while Im not drunk. It feels very hot when I touch that area and my breath is hot too. Before at rare occasions when too over-drunk I noticed bit of blood in my stool and today I threw up all that I drank and noticed it is mixed with blood, dark red. Could you please advice me.","Hi. Thanks for your query. Read the history and understood the problems. You have a tightness, discomfort, bulging upper abdomen just below the ribs; increased feeling after the intoxication is gone, feels hot when touched and the breath too is hot. Have history of blood in the stool and vomit. The most probable causes are:Gastric ulcer or cancer. Associated colitis of the transverse colon. I would advise you to visit the ER at once; get the investigations:Upper GI endoscopyColonoscopy. CT scan of the lower chest and upper abdomen Start PPI, Antacids, Risperidone. Further treatment will depend upon the investigations"
+"I have an 8 yr old Am. Pitbull Terrier w/severe allergies. We give him Benedryl & occasionally Sudafed. He s never had any side effects. Today he has two large lumps, one on each side of his windpipe. His breathing sounds a bit labored as well but he s not outta breath or gasping. Thoughts? Thnx, Denise","Thanks for your question on Chat Doctor. I can understand child s situation and problem. Your child is having bilateral enlarged cervical lymphadenopathy. And most common cause for this is upper respiratory tract infection (URI). He is also having severe allergies. This can also lead to URI. So he needs antibiotics, antihistamines and anti-inflammatory Chat Doctor.  Ask him to do warm water gargles 5-6 times a day. Ask him to "
+"sir, i get marry just 5 months ago. my wife took unwanted 72 for birth control . but she got lot of problems like weight loss , headache , body pain, tiredness, n feeling too weakness. and her periods are irregular for one n half months, i mean she did not get periods for 1and half month. last time when she got periods, there were blood cloud from her vagina during periods. m worry due to this. and her body skin is going down and becoming dark. so how her body and face get the previous freshness and glowing face? what should be the diets in her meal and daily routine. plz suggest sir.....","Hi, Thanks for the query. Usage of one emergency contraceptive pill may not lead to all these problems. She may be having some underlying hormonal problem. So once consult gynecologist, get examined. If she recommends go for ultrasound and hormonal profile once. By this the possible cause of her problem can be made out and treatment can be given. She can take nutritious diet including fruits, vegetables, cereals, eggs, milk, fish, meat etc. Taking small quantities of food at frequent intervals is beneficial. For more details you can ask me directly through the premium forum. Take care."
+I am 44 years old female.I experienced this 2nd time in 2 weeks that when I do my grocery shopping and i lift some thing too heavy I started pain in my chest n I become short of breath.it gives me dizziness and bit like num feelings in head.I feel very weak.I have to lay down for at least 15/20 minutes.is it some thing serious?,"Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having symptoms on strenuous work. And you're all symptoms like chest pain, breathlessness, giddiness, dizziness etc. on strenuous work are seen commonly in cardiac disease. So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out respiratory cause for your symptoms. If this is also normal than got done CBC (Complete Blood Count) to rule out anemia as anemia can also cause similar symptoms."
+"Dear doctor, i fell over the other day and landed on all 4s. I grazed my right knee quite badly and a bruise has now developed on my knee around the cut. Since the day after my fall, on standing i get a throbbing in my right knee and it is quite bad and has got worse over the last few days. Its also not too bad on walking, just when standing still. Just want to know if i should go to a doctor or wether it should resolve by itself","Hello welcome to ChatDoctorI am happy to help you outaccroding to your history and description of wound, I feel it's not very severe injury. If such patient comes to my clinic then I would examine knee joint for possible grave injury like ligament tear, fracture then according to finding would suggest further investigations like X-ray and prescribe some analgesic till investigation and educate him about wound Chat Doctor. Such pain may last for 7-15 days but if pain persist then I would suggest you to consult your nearby doctor for proper evaluation and treatment. Thank you"
+"For several weeks I have had left hip pain that increases with sitting.  I have abdominal pain in the pelvic region as well.  Sometimes I have to use a cane to walk. The pain is in my left leg to my foot sometimes and the entire side becomes stiff sometimes.  I can often walk it out but I have to be careful bending, lifting, sitting, or squatting.  I have had a total hysterectomy over a year ago.","Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this severe pain in the left hip joint, This includes. 1 Pinched nerve (sciatica) , diagnosis can be confirmed by C T scan and X-ray of lumbar sacrum region. As you mentioned that there is severe pain radiating to leg, foot, as all these symptoms are an indication of sciatica nerve involvement (pinched)2 Degeneration of head of femur. Diagnosis can be confirmed by C T scan & X-ray of head of femur.3 Osteoporosis, diagnosis can be confirmed by blood examination and bone density test.4 Osteoarthritis, diagnosis can be confirmed by C B C and E SR. Hysterectomy have not any role in this pain. In my opinion consult an orthopedic surgeon and get his opinion. Good luck. "
+I am 46 years old and looking for a solution to a life long problem I have with purple mottled legs  this condition gets worse when it is cold.  I also have a problem with Reynauds disease.  is there any herbal remadies I can take?  is it an auto immune disorder?  Is is connective tissue illness and if so what do i take.  i suffered from recurrent miscarriages betweeen my two children.,"Hello and welcome to Chat Doctor, A history of purple mottled legs and worsening of condition when exposed to cold is suggestive of Reynolds disease. Raynauds disease is an autoimmune disease and is treated with steroids. The disease runs a chronic course with waxing and waning course. Steroids have to be taken as the disease flares up or relapses. Episodes have to be controlled with Chat Doctor. The effect of herbal medications is questionable. You need to stay in contact with your rheumatologist. The recurrent miscarriages appear to be unrelated to the Reynolds disease. Thanks and take care"
+"I have been married since 7yrs n no baby yet..m suffering from  PCOD n weight is 95kg.I have went to so many many doctors all r saying reduce ur weight first, bcoz of which I be depressed most of the time .. I tried so many medicines,diets,excercises but no result..Now my new doc has said tht IUI will work for me..I require guidance please help.","Hi, Thanks for the query. Weight reduction means, there is no need of Chat Doctor.  Reduction of 1 to 2 kg scan also help in regularization of the cycles. Then you can gradually decrease the weight. To do GUI also, you have to ovulate. In GUI during the time of ovulation, your husbands' semen will be injected into your uterus. So for that also ovulation is needed. If your doctor suggests you can go for ovulation induction. Then plan for follicular study to track the ovulation. And you can plan GUI at that time with your doctors' advice. Take care."
+"Hi My Name is Stephanie. I was biten by a copperhead snake on 7-6-14 around 10pm. I was taken to the ER and givin 4 viles of antivenom. I stayed in the hospital until 7-10-14. So I ve been home 5 days and the swelling has not gone done, it itches and sore to the touch. Should i go have it looked at now or wait.","Hello, Thanks for your query. I am happy to help you here. Today is 22nd of July. If you have swelling till today, then it's better to have a follow-up. Usually snakes are non poisonous. But if snakes are poisonous usually its either cardio toxic or neurotoxic & sometimes both. Swelling doe snot confirms that the snake was toxic, but it needs attention further. Although it's rare that toxin will show its action after 15 days but until the swelling subsides u need to be kept on watch. 4 views of antivenom may not be sufficient if knowledgeable symptoms appear, & if no symptoms appear, you may not need anti venom at all, but for that you should be kept in watch for at least three days. Even if just swelling appears its considered safe to administer antivenom, some patient body react to antivenom and can't be continued further. I don't think you are in trouble of having activation of toxin but still you should keep watch on yourself for following things until the swelling subsides.1) If either or both eyelids starts Chat Doctor. 2) or if you develop numbness (decrease/loss of sensation on touch.) 3)Any kind of unnatural bleeding from nose or in stool etc. If any of above complaints develop then It's must revisit ER. At the time being I recommend you to take antibiotics and anti-inflammatory medication to prevent infection, decrease itching and to decrease the swelling. For now, I suggest you to either have a follow-up or you can take some medications as bellow. Chymoral forte once died before food for 1 wk (it will help to decrease swelling)Tab Exocet 5 mg 1 at night before sleep for 3 days (to decrease itching)Tab metronidazole 400 mg thrice daily for 5 days. Tab definite 200 mg twice daily for 3 days. I hope my talk would be helpful. Will be happy to help you father. Thank you."
+"i had a Cbc blood test last week and my white blood cells value is 3.49 which is low, platelet count was 139 , neutrophils 37.6 low, monocytes 14.0 high, eosinophils 5.7 high, basophils 2.6 high and absolute neutrophils 1.31 low... Also creating and bun elevate..... Worried this is something serious... Referred to a hematologist.. What tests will they order?",Your white blood cell count is slightly low (4.00-is lower limit of normal range for an adult). Your platelet counts are almost normal - so nothing to worry about your platelets. 14% monocytes are on higher side though. I would suggest a repeat Complete blood count (CBC) WITH PERIPHERAL SMEAR EXAMINATION. This test would highlight any problems in your blood profile. You have not mentioned your BUN and creatinine values ? Do you have any previous kidney disease ?
+i have a broken blood vessel in my arm i know this cause I looked up pictures to find out what was on my arm. It is about 1 inch by about 1/4 of an inch big and it is slightly raised and there is a kind of a cold/dull ache and almost numb sensation. should i be worried,"Hello, I have studied your case and I do not think that you can have a broken blood vessel in your arm. You may be having hematoma due to collection of blood in skin or subcutaneous tissue. You need to apply hot water fomentation, compression bandage and take govern tablet twice daily. If there is no decrease in size of the swelling then you can get a physician opinion. But I can assure you that it is not a broken vessel."
+"I am a cheerleader so I am flexible and do many different stretches and flexibility training daily, so today during a tryout I went into my right splits and heard three very loud pops and then very bad pain! I continued with my tryout which had several different jumps and kicks and with each I felt even more pain and now I am feeling constant pain on minimal movements. What could be going on?",Hi... As per your narration you had injured your muscle...there could be snapping of muscle over the bone or could be a partial tear in the muscle. Nothing to worry. If I were you... I would wait for a while and.... Apply lot if ice in the injured area... frequently for every 2 hours once for 15mins... No stretching to the injured area for next 48 hours...Don't load for next couple of days. Support the injured area witChatDoctorpression bandage... Once movements becomes pain-free then do strengthening exercises for gluteus and then slowly and progressively load the injured area...like moving your leg from out to inside...etc Hope this is helpful for you... Kindly revert.in case you need any further help in this regard...
+My 6 year old daughters pediatrician is sending us to an endocrinologist for Clatorial Hypertrophy. When looking up research on this I am not finding to much to explain what it is or how serious it is. I would like to know what it means without all the medical terms getting in the way of understanding it.,"Hi, Welcome to Chat Doctor, Clitoris is a part of female genitals which is a regressed meaning shrunken form of male penis ( male sexual organ). Its normally seen as a small bud like thing in the upper part of female vagina. In some abnormal situation, it enlarges(hypertrophy) and looks very prominent then it's called clitoral hypertrophy. Your doctor did right by asking for endocrine consult because there can be a lot of reasons for it, and she needs a detail evaluation. Hope that clarifies your doubt as of now. Happy to help further. Take care."
+"hi, my 4yr old was awake all night with a temp it has gone down since last night.but he seems very dosey + is complaning of a sore troat and stomach pains.2 nights ago he had a bit of a temp again went down with calpol but was complaning about his teeth what could be wrong with him in your opinion any help would be greatly appreciated.","Hi, Look all these are symptoms suggesting of infection. He might be having Pharyngitis/Tonsillitis?  You can do the following things: 1. Just give lukewarm water, vegetable soups. Thus maintain HY Chat Doctor.  2. Need to start giving a course of Antibiotics, Paracetamol, B-Complex Spy., Antihistamines. 3. Proper Rest & healthy diet shall be helpful. 4. Monitor temperature 4 hourly will be helpful to assess prognosis. 5. If required basis investigations: CBC, BMP, RBS can be done. Hope I have answered your query. Let me know if I can assist you further. "
+Hi I have sinusitis I m taking steroids and anitbiotic. A week prior to me starting medication I have a rash purple not spotty but in and area not itchy on inside of my thigh by my knees and just noticed on my butt also it mirrors each other bith legs both sides of my butt . My blood pressure is also elevated 140/100 I am going to get checked tomorrow but I can t see a dermatologist until Monday . I tried anti fungal cream very slight difference . I would think the steroids would take it away .,"According to your history might be you are suffering with frictional dermatitis. This type of dermatitis seen in atomic person or u have Tina infection. Confirm diagnosis can be done after seeing the lesion. Bilateral lesion on both legs n butt favor toward the dermatitis. But if u took steroid for long time Tina infection may be.You are not mentioning the duration of treatment. Soon start steroid self, first done skin scraping for KOH mount confirm the diagnosis the o ahead under supervision of dermatologist. Idont think it is related to your BLD pressure."
+hi dr. im from nkmkab and I want to know abut PARATYPHI BH 1:80 +++ what type of fever is this ? and what is treatment we need. bcos that report is my child. age 3year and 6month im very nurves abut this plz tell me what can I do of my child. my eng is not too good plz try 2 understand my feelings.,"Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that paratyphoid fever is caused by Salmonella paratyphoid B. It causes a fever same as that of typhoid fever but are readily treated as compared to typhoid fever. Your title is 1:80 which I think is not high title to diagnose your child as having paratyphoid fever.  I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."
+"Last night my husband bit me on my arm . I quickly got up and told him to stop. I really got scared i told him what he had done and that if he had realised what he has done. his response was yes . he then got out of bed and went to the toilet. At this point he really sh?? me up.That evening he was watching a vampire movie with lots of blood and guts. He does not sleep well. His bedtime routine is sleeping between 1am and 3am. He gets up for half 8pm. He s got a lot of stress . He speaks jiberish whiles sleeping and makes sudden movements. Once he was having a nightmare until I woke I m up, asking him if he was ok. I think I saved him from his nightmare. Can you please help and give some sort of explanation. Thanks kera","Hello Seethalkaursingh, The problem you have tried to describe, doesn't appear to a nightmare. Its closer to being a night terror. Please understand that sucChatDoctorplains are very common and increase at the time of stress. People generally don't discuss them as they don't cause any problem for themselves. Epilepsy / seizure disorder is another concern, and he should be investigated by an EEG.  There are many unanswered questions in your write-up. But one thing is for certain that your husband surely need some help from a psychiatrist. Please ask him to visit one who would like to explore many his areas. Hope this answers some of your questions."
+"I went into the hospital 3 weeks ago with gallstones and they had to put me on a potassium drip for 4 days to get my potassium levels back up. (6 bags total) My liver enzymes and heart enzymes were high but I tested negative for every test they gave me including all hepatitis. Now, it has dropped again, what could be causing it to drop?","Hi, welcome to Chat Doctor. Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to help."
+"Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise.","Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement.  Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor.  You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling.  Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"
+"Okay.  I am 68, Type 2 diabetes, overweight.  Have been having a lot of phlegm in my throat in the mornings for a couple of years.  Over the last couple of months, I have also developed a productive caugh with upper left chest pain that is noticeable, but not severe and usually is relieved whenever I cough up sufficient phlegm.  What gives?","Hi welcome to the Chat Doctor Your main problem is excess cough... I need to know following details... 1. Do you have fever? 2.are you having chest pain and dyspnea complaint?? 3.smoking history?? It might be allergic cough, chronic infection induce cough, bronchitis, bronchiectasis etc... As far as approach is considered work up done as follows... -Above history asked first -Auscultation -Chest x-ray -CBC -if needed spirometry and sputum cytology examination According to cause I can give further comment on treatment Take care Hope your concern solved Consult pulmonologist for examination and discuss all these with him"
+hi i am   having sinusitis from last 2 months. i had antibiotics for a month... still not recovered . Now i have started taking septilin and nasollerin as per the doctors prescription. how long should i take to get actual results age:34 weigh 70kgs,"Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As you have already taken antibiotic for a month, I would not recommend anymore at present.2. Were I treating you, I would suggest you regular montelukast and levocetirizine for at least 1 month.3. Regular steam inhalations (please be cautious to avoid burns) and nasal irrigation with saline sprays will hasten recovery.4. Please avoid exposure to smokes, dusts and air pollution.5. I would also suggest you plenty of ward liquids and a healthy diet.6. If you have still no improvement, especially if you have nose obstruction or loss of smell or headaches, I would suggest you to consult an ENT specialist who will examine your nose cavity from inside to identify a contributing structural cause, if any. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a quick recovery and the best of the health. Thank you & Regards."
+"What is wrong with me...  Im tired all the time, I have been putting on weight for the past month and nothing helps.  I feel like crying all the time, Im cranky and moody and I feel like I move in slow motion.  People just say to get over it but I cant.","His understand your concern. Sudden change in weight indicate metabolic changes. We have to rule out certain cause like diabetes, thyroid etc. Require certain basic investigation and proper chart of body mass index. Consult physician and do all reports. After reaching paper because we will be able to do treatment properly. Dietary control. Avoid fatty and junk foods. Follow proper diet plan from dieticians. Exercise and walking regularly. Thank you. Take care."
+"Thanks a lotFew weeks back i got a mild pain on my left lower abdomenton consulting the doctor, i was told that there may be a possibility of a small stonewhich could be treated with consumption of water to 3 lts per day (min)i did follow itand now i do not have a painbut out of curosity i did take an ultrasound on my abdomentthe doctor happened to find that on my lower abdomen, there are 2 small stonesand its not obstructing as suchdo i need to undergo treatement from a urologist?or consumption of water will help to resolve this problem?Please advise","HelloYour findings suggests two small non obstructing calculus in left kidney. Treatment of renal calculus depend upon many things like composition, position,size of calculus etc. Small calculus may pass spontaneously with adequate HY Chat Doctor. Initially you may need syrup like sodium and potassium citrate. You are rightly taking plenty of water. You may also need routine hologram, random blood sugar, urine RE/ME. Since size of calculus are small in your case, it is likely to be flushed out with HY"
+"hi!!! my age is 23(Unmarried) i m facing irregular periods from the day of my maturity. i have consulted doctor they adviced me to take CYCLOREG.. from past one year if i would not consume tablet also my periods were regular. but, again now from past two months it is the same. so can u please suggest me weather this leads to infertility?? consuming tablet is good or bad?","Irregular periods mean you are suffering from poly cystic ovarian disease or pod. Cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. The effect of the medicine can continue for some time even after discontinuation. In the longer run people with pod have problems conceiving and should plan an early pregnancy. Cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. Sadly, this is the only treatment for pod. Diet control and weight loss can help relieve the symptoms of pod."
+my sister has been battling cancer.  First she had cervical cancer.  She had radiation and surgery and was in the clear.  months later the cancer had metastisized into 3 masses in her lower body near the site of the original tumor.  chemotherapy has proven ineffective.  the doctors have basically said there is nothing they can do.  they have stopped chemo and now have her on a drug to stop blood flow to the tumors to help prolong her life.  I have read that thioredoxin protects the cancer cells from chemotherapy and radiation.  I have also read some publications about thioredoxin reductase as a cancer treatment.  do you have any information on this subject and can you suggest any clinics specializing in thioredoxin reductase.  I have also read there is a link to the gene p53 as a tumor suppressor.,"Hi, Thanks for writing in. Research shows that redox-sensitive signaling factors such as thioredoxin reductase-1 (TR) and thioredoxin (TRX) may represent central pro-survival factors that would allow tumor cells to evade the damaging and potentially cytotoxic effects of endogenous and exogenous agents that induce oxidative stress. There have been clinical trials which have shown that thioredoxin reductase inhibitors like arsenic trioxide might have role in treatment of cancer. It is important to know your location so that we might suggest you a hospital where this treatment is provided. Please contact your national cancer network as they might have details. Please do not worry."
+"Hi there, i have a lump on the back of my neck, i frequently get headaches, and often these headaches are accompanied by nose bleeds, the headaches can last whole days and im getting worried, im 20 years old, medium height, weigh 65 kg and im male, please help me cheers","Hi, dairy have gone through your question. I can understand your concern. It needs examination first.  You may have some lymph node enlargement, cystic lesion or soft tissue tumor. After examination if necessary go for fine needle aspiration cytology and then 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."
+"hey my name is aya, i live in the states, i have more than a question, my mother had been having frequent heart pulpitations from time to time and she started to high blood sugar since my grandfather died, she had been under medication for 9 months now for her blood sugar but she stopped it because it became normal and 2 days ago she started to have high blood sugar like its level is 210 which is high for her, so what can she do ? and what does it mean to have frequent pulpitations?","Hello, I understand your concern and would explain that the palpitations could be related to possible cardiac arrhythmia.  For this reason, I recommend performing an ambulatory 24-48 hours ECG monitoring for possible cardiac arrhythmia and some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance).  Regarding her glucose levels, she may have diabetes. For this reason, I would recommend performing HbA1C levels to check for diabetes. In case it is elevated, consulting with an endocrinologist is necessary.  Hope I have answered your query. Let me know if I can assist you further.  "
+Just 2 days ago I found a lump under my 1 about to be 2 year old and it got me really worried. I was wondering if i should be concern and get it lloked at?...she has a couple small lumps on her head also (the side of her head).,"Hello, Thanks for the query, Probably you are suffering from lipoma. Your description matches with it. It is a benign collection of fat.Don't worry it is not a serious thing. The only possible treatment is surgical removal, Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you"
+"hi iam 21years age now, not yet married.daily in sleeping my sperm is coming out,it is happening every day.is there any problem if it comes out  daily ?and is there any problem in future with my partner in having a child ? will my sperm reduse by that time ? please give clear solution every day iam worrying abot it.",HiT hank you for asking ChatDoctorI have gone through your query. It is normal to have ejaculation while sleeping if you don't masturbate. You don't need to worry about that. You can have regular exercise like swimming jogging etc. which may help you in decreasing those episodes. That doesn't cause any impact on your future fertility or libido. Hope this may help you. Let me know if you have any further query.
+"hello, i am a girl 14 years of age. 2 days ago i had my first panic attack. i went to my family doctor but she didnt help much. my mother often has panic attacks and she has recently been diognosed with bipoloar disorder. i went back to school today and it seemed like everything that got me upset or just generally got to me was gonna start another panic attack.. any help or advice???","Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your recent problems. The symptom that you are experiencing now, that is, a fear or a feeling that you may get another panic attack is called anticipatory anxiety and this is common in persons who have had previous panic attacks. Since these symptoms seem to be distressing you, I would suggest that you seek professional help. Please talk to your parents or your school counselor, so that they can arrange for you to see a psychiatrist. Wish you all the best."
+"I keep having intermittent twinges in my chest the last few weeks. Under lots of stress.  I have a referral to a cardiac specialist, but Im trying to decide whether to go urgent care today.  the twinge was there when I woke up this afternoon (slept late) but is gone now.","Hi and thank you for asking! I read your query very carefully. You are having chest discomfort (twinges on your chest) for a few weeks now, which may be a sign for new onset chest angina. New onset angina may be a warning sign for future cardiovascular events including heart attack. This is why its essential that you contact a cardiologist for further examinations. You shouldn't wait for the cardiologist appointment and go to ER if your symptoms increase in intensity or become more frequent (signs that the things are getting worse).Otherwise, you should wait for cardiologist appointment. Meantime, wish you health!"
+"Ive been feeling really tired the past 8 months. I was under a lot of stress and just assumed it to be that. As times gone on Ive noticed some other symptoms. my ankles get a little swollen at work (Im not extremely over wieght or anything). My lower back started hurting. Ive also noticed over the past three months that I go to the bathroom a lot more and my urins been really clear. More recently Ive been feeling light-headed and unable to focus. I keep trying to tell myself its just stress and for the most part Ive ingnored it, Im just a little concerned because none of the symptoms have gone away.",Dear patient Considering your case possibility can be 1. Anxiety 2.  Diabetes Mellitus. I would like to advise blood testing for fasting and postprandial blood sugar levels. Get it done from reputed laboratory.  If reports are normal diagnosis is anxiety disorder. If reports are showing high sugar levels its diabetes Mellitus. For DM YOU NEED TO consult diabetiologist.  If you are having excessive stress and anxiety in life try meditation and yoga which are very helpful. All the best.
+"I m a 5 10 female, 25 years old, 122 pounds. I have been feeling a dull and often pinching pain on my right lower abdomen. It presents a small bulge, that I can t push in. Went to 4 surgeons and they don t think its a hernia, but from a bike fall that I had 6 months ago (I did 3 MRIs and 3 ultra sounds, and nothing showed). It really hurts when I am sitting for too long, and I feel discomfort like something is pressuring my abdominal wall. Please help.","Hi, thanks for posting your concern in the Chat Doctor. As you have already been examined clinically and a thorough imaging was performed, my understanding is you may not have any visceral problem. Your doctors have also ruled out body wall defect like hernia.in some cases, fibromyalgia may produce similar symptoms in the absence of an organic disease. Therefore, you should also consult a psychiatrist to evaluate for fibromyalgia. You should also be clinically examined by a second doctor (should be a general surgeon) to rule out any abnormality. For any further information, please write back to me directly or tag me in your question.  "
+"My 6 year old son has been ill for over a week now with headaches, and lumps on the back of his head. Been to A&E and was told it was swollen glands and was given calpol. A few days later he was still very poorly and lumps had got bigger. Went to my GP who said it is a scalp infection and gave antibiotics and antihistamine. Finished course of medicine and lumps are still present and sore! What do i do next!!?","HI, Welcome to Chat Doctor. I studied your query. I understood Your health concerns. Based on the facts of your query, you seem to suffer from-Boil with lymphadenitis, with resolved nodes after antibiotics. Remaining lumps indicates Chronic Amenities with fibrotic changes in it. Reason of antibiotics not giving regression of these lumps is due to the accompanied Chronic fur uncle- lumps with its lymphadenitis.FNAC biopsy / or Excision Biopsy / or CT study -of the persistent lumps, would give the exact cause of these persistent/ non-regressive lumps. Other causes like infectious mono, or viral lymphadenitis/or TB lymphadenitis/ NHL/HL lymphoma-needs to be ruled out. As the facts are very scanty, I would also suggest you to take Second opinion from Surgeon, to rule out other causes which would cause such symptom/complaints, after physical/clinical examination. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!!  Chat Doctor. S. Genl-CVTS"
+I am a 30 yr old female that has been experiencing an irregular heart beat brought on by possible stress of starting a new position at work. Ever since I atarted it my heart has had random episodes of quick beats to where it feels like two at a time .. Its noticeable and im wondering whats wrong. No change if anything other than my job.,"Hi, two beats which you feel in succession may be because of extra beats, the change in job and early anxiety about fitting in new place may increase the stress hormones like a Chat Doctor.  Both the situation is completely benign and just some relaxation techniques would help. If it's too troublesome a 24 hour holder would be the best test to evaluate the same or and EKG during the episode. Also, for your age rule out thyroid as the cause if associated symptoms are present. Regards "
+"Can hyperinflated lungs be normal? I got my x-ray result :Lungs are hyperinflated consistent with COPD, no other any medical  problem concert. I have never had  any illness. I had x-ray last year that result is normal. The doctor said I may can not work in a nursing home.","Thanks for your question on Chat Doctor. I can understand your concern. If you are not having any symptoms (cough, breathlessness, chest pain) then no need to worry about hyperinflated lung field on chest x-ray. If chest x-ray is taken after deep inspiration then hyperinflated lung field can be seen on the chest x-ray. COPD diagnosis is not only on the basis of chest x-ray. PUT (Pulmonary Function Test) is needed for diagnosis of COPD. If you have any doubt then get done PFT.PFT is normal then no need to worry about COPD and you can also work in nursing home. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Hello, I have a 7 year old who has had a fever at about 102 and feels dizzy. She vomited about 8 times yesterday, but that has subsided, and she has this fever now. She s been taking liquids, and she s urinating regularly. The fever is persistent though. What hsould I do?","Hello, I just read your query. The symptoms you have mentioned here persistent fever, vomiting and frequent urination are suggestive of urinary tract infection which is very common in child Chat Doctor. * So perform urine routine examination first and do visit a nearby pediatrician. Because according to urine report he will prescribe you appropriate treatment and if she further requires any investigation your doctor will let you know.* Till then for high grade fever you can give her spy. Paracetamol and can do sponging and give her only liquid and semi-solid diet.* I hope you find my answer helpful. Thank you."
+"Hello I believe I have recently developed a chest cold still early stages yet started having a hard time breathing just tonight. accompanying the pressure and congestion in my chest are chills, and a small fever 99.7 degrees. I was wondering if there were any home remedies to relieve the chest pain and congestion I do have vicks NyQuil and mucinex I am wondering if I should use either of those two over the counter meds or if there was a better remedy for chest pain/congestion/cold thanks in advance","Cellophane You for contacting Chat Doctor. I would suggest you following things:> Take acetaminophen thrice a day for 5 days.> Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Chat Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
+Dear DoctorMy mum has congestive heart failure and has been taking as a diuretic Frusemide 40mg daily.  Just recently the nurse at the heart failure clinic added in Spironolactone 12.5mg daily but the Frusemide dose is the same.  Is it normal that 2 different diuretics are prescribed to be taken concurrently and also will this have any reaction with the Candesartan that she takes as well? How often must her urea & electrolyte levels be checked now?Thankyou for your help.,"Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor.  It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask"
+"Dear Doctor,My cousin,37 years has undergone buccal operation on 20th june 2014 followed by 33no of radiation and 5 no of chemo therapy start from 25th july and completed on 16 th sept,2014. Now he find one small tumor with pain on operated area inside the lip and biopsy found positive.He is financially not sound. Please suggest some idea about what to do now.Thanking You,Regards,D.M.Nath","Hi, dear I have gone through your question. I can understand your concern. He has history of buccal cancer. He took radiotherapy and chemotherapy. But there is recurrence of tumor. If it limited to that area then he should go for surgery. Then chemotherapy and radiotherapy depending on need.  If some part of tumor is left then there is chance of recurrence.  So complete removal is very important. 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."
+"hi doctor, i am a 21 years old female, i fell 1 month ago while i was walking,, my left leg near the ankle hearts me till now, it is not a continueous pain, just when i move it to the right.. i didnt go to a doctor because my legs color didnt change and i didnt experience any swellig.. but this pain while rotating my leg to the right i bothering me.. a week ago, the pain also reached my left knee.. i would really appreciate your help in telling me what might have happened to my leg.. and how to treat this pain. I dont know if it would be helpful to tell you that i am diagnosed with vitamin D deficiency. thanks for your time.","Hello, As you are able to do daily activities, so it is clear that you don't have a bony injury.-Hip joint-Knee joint-Ankle jointThese are the whole body weight-bearing joints, So minor injury or major injury to these joints shouldn't be neglected, and the patient needs absolute bed rest. In your case, it's not a fracture of bone but soft tissue injury (Mostly spring ligament or bursitis). So there should be absolute bed rest with crêpe bandage application. Please see an Orthopaedician for how to apply the bandage. Take good analgesics like tablet Stretford twice daily for five days. Take tablet Circa Once daily for three weeks. Hope I have answered your query. Let me know if I can assist you further. "
+"my daughter is 16...she is having what she describes as severe pain on her left side at her ribs, about 10 inches below her armpit....it hurts when she breathes and the pain is moving down her back, butt, leg. She says it hurts all over now and she has had a headache for a few hours. I have asked her if it is time for her cycle, she says no. she tends to panic at every ache or pain, so I have suggested she try stretching and taking deep breaths to see if helps if it is a muscular thing...this has not helped.","Hi, Thank you for asking question on Chat Doctor. Your history indicates it may be a rib fracture. She might have sustained some injury which she overlooked. Better consult or tho specialist as she may require strapping of ribs on the injured side. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
+"i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female",Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best
+"Hi Can you help? I have a pain in my top front tooth , I went to a dentist two years ago and he said i need a small filling in this tooth and from then on I have had pain. I have been back five times to him also another two dentists and I am told there is nothing wrong. My mother passed away at the time I had the filling so one dentist said it was stress .","Hi, if the filling was done without a proper cavity preparation, which could be by two ways-one, if the carious structure was not cleaned up properly, it leads to caries spreading underneath. Secondly if there is pulp exposure while deep cavity preparation, it leads to persistent pain after the filling. Please take a ray and go for a root canal treatment to get rid of the pain.  You may need a crown also if there is discoloration. Take care!"
+"Hello Chetna, I am Megha (age 28yrs). I had miscarriage thrice earlier within 1-1.5months of preg. This time, I have been lucky and I am 11weeks pregnant now. My Doc has asked me to use corion 5000 from past 1.5 months and for another 2 weeks(once in 4 days) Also Sugest 200mg, thrice a day, and Glycomet 500SR once a day. Now recently doc asked me to use Duvadilan Retard 40mg as well (twice a day) I had 2 Ultra Scans till now and it was normal. Now the next scan is on 1st feb, based on the results my Doc would provide the medication. My query is: Is it normal to use all the above mentioned medicines..are there any side effects on the baby....expecting your response, thanks a lot (0000)","Hello Ms. Mega, All these medications have been used during pregnancy with no reported untoward effects. In view of your past obstetric history, your doctor has prescribed chorionic gonadotropin injections to help sustain the pregnancy until the placenta takes over the function of hormone production. This is why progesterone supplementation also is being used. Metformin is prescribed when insulin resistance is seen as in POD to prevent abortions and gestational diabetes. Nevadian is a uterine muscle relaxant. Please do not worry, you are on the right track. Take care."
+"I have recently noticed that when I am concentrating, I stick out my tongue about a half inch between my lips. This is very disturbing because my mom, now 84 yrs, has always done that, but in the last 10 years, its gotten worse and when she concentrates on anything, her tongue is often sticking out by its entire length and looks creepy. I dont want to get like that. I am a very healthy 58 year old runner and triathlete.","Degree understand your concerns went through your details. I suggest you not to worry much. There is nothing wrong in that. Everyone has some mannerisms. When we overly indulge ourselves in some task, these mannerisms surface automatically. This happens just because we were never aware of it and never tried to overcome it. Here, you want to overcome it just because you do not want it to happen. Fine. The negative feeling about it itself is enough to stop it. Still as an enhancing step, Just put some chewing gum inside your mouth whenever you are doing something. Also, good for your mouth and teeth. If you require more of my help in this aspect, 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 further. Hope this answers your query. Available for further clarifications. Good luck."
+"my wife has lupus and is in extreme pain. she stopped one med because it was causing eye damage and she cant take the other one the doctor recommended because it causes osteoperosis (she is borderline already). we are becoming desperate, so i remembered i had an old prescription of Naproxen. she took a 500 mg and it really helped her - for most of the day. is this something we should ask the doctor to prescribe? she has been to numerous doctors numerous time since being diagnosed one year ago, and none of them have mentioned Naproxen.","Sir the pain in lupus may be due to involvement of joint in the form of arthritis and muscle causing myalgic.Also, there may be associated fibromyalgia as well. For treatment of the same Naproxen may be given for few days to decrease inflammation and hence relief in pain, but it would never cure the root cause of the disease which depends on some immunological markers. Some general measures like use of hot moist towel, sauna bath, hot shower, regular yoga exercises with mediation would be of great help in long term improvement of pain"
+"Have been experiencing some lingering symptoms that i would want to attribute to Candida or acute parasitic infection(protozoa). The symptoms are as follows: Weird bodily sensations that can be itchy, motile, slight spasms, back ache( especially in d mornings), erectile dysfunction( i do have an erection as when due but dont think i retain as long as i should), mental fogginess, digestive discomfort etc Whats your prognosis doc?","Hi, For erectile dysfunction- get relaxed. Avoid stress and stop smoking and alcohol. Try keel exercise. Do NOT take any medicine without consulting the doctor. Get examined by doctor and do the tests as It's important to find out the cause. Take medicines only after having seen by the doctor. The problem can be related to stress, but can sometimes be because of diabetes, heart disease, hormonal problem etc. Hope I have answered your question. Let me know if I can assist you further. "
+past few months I ve been having problems with my lips swelling my tongue swelling on different occasions different things I ve eaten also I ve had situations where like half of my upper lip or half of my lower lip or even half of my tongue not even the whole thing what s well I ve been to an allergist they found nothing I went to a dentist they found nothing I just don t know what else to do thank you very much.,"Cellophane You for contacting Chat Doctor. Such symptoms appear because of allergy to some specific thing. You need to observe that what particular food causes swelling after you eat. Then you need to avoid that. Meanwhile, I would suggest you following things:> Take levocetirizine one at night for 5 days.> Take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
+"Hi, i have been taking iron tablets and i have found that it has made it harder to poo, causing me to strain. When i finished on the toilet, i noticed that my vagina was swollen (lips etc). I am also pregnant. Do you know why this happened? Please help!","Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation:-1) Change the iron preparation- Certain iron preparations tend to cause gastritis, constipation etc. So changing the brand might be tried.2)Take adequate fluids up to 3 liters per day.3)Take high fiber diet daily.4)Take laxatives if needed. Nothing to worry. It will subside by following the above measures. Coming to vaginal lips swelling check for any infection like white discharge or itching or any high BP. The swelling can also be related to excessive straining at stools. If everything is normal the swelling might be considered physiological as some swelling of vaginal lips might be there in pregnancy and subsides after delivery. But iron preparations might not be associated with swelling of vaginal lips. Anyways nothing to worry as such. Prevention of constipation is important to avoid other problems. Hope this helps. Best regards...."
+"Sir my doughter suffering from abdominal tuberculosis.  daiagation done in Asra Hospital, Hyderabad. Daily my doughter suffering from fever every day alleast three times.  wamtings also done by her without pain. please sugust me to treet in best hospital in Hyderabad.  My doughter age is 17 years.","Hi. Thanks for your query. Understood your concern for your daughter. The treatment of tuberculosis anywhere in the body is straight and simple. The standard protocol of 2 months of intensive phase and the next months of continuous phase have to be completed. Since this is abdominal tuberculosis called as extra-pulmonary, you have to give her 3 months of treatment. In addition to the standard treatment, you have to give her the best of proteins, correct anemia, give multivitamins. Whenever she has intestinal obstruction, she may need a surgical correction. Hyderabad - Consult any General Surgeon or Surgical Gastroenterologist."
+"Hi, they put me on cephalexin for infection that I have above my lip, got put on it yesterday 3 times a day and its 500 mg. When will i see results? And its still swollen and red in one area.And is ok to swollow the pill I hope cause they did not say like one of the pages that you should not so I hope thats ok. They said they are not sure what happen  and I think maybe I got bitten or something cause there was a mark there and know like I said still a mark but red around it and I was running a temp also of 100","Hi. Thanks for the query. As per your symptoms of having a red and swollen area above the upper lip and having raised body temperature can be either due to allergic reaction to any bee sting or can be due to infection like Hair follicle infection. As you are being treated with Cephalexin that is an antibiotic, and you have taken 3 doses without any side effects you can continue taking the antibiotic for the prescribed time period by your physician. You can also take Acetaminophen or Tylenol for reducing body temperature. Topical application of steroid ointment can help in reducing inflammation and discomfort. Hope this helps. Regards."
+"I taught dyslexic and hyperactive children for 30 years. Late in my career I suffered multiple head tramas, seiszures, and falls. After menopause began, my memory and attention to details went to severe level. What might be a solution. This is causing marriage problems, loss of friends, total isolation. I have tried psy. and counseling. I just keep getting worse. Help","Thank you for asking Chat Doctor. My name is Chat Doctor. I would like to repeat CT scan again.if it is unremarkable then continue with sodium valproate 500 mg thrice a day for 2 months and then twice a day for another 4 months.Also, calcium along with Vito and regular exercise will help a lot. I hope u will be fits free and your daily activities which are disturbed will be Hope this may help you. Let me know if anything is not clear. Thanks."
+"Hello Dr, I am 45 years female.Have kidney stones due to intake of calcium. Have a hairline fracture on my arm so begun taking calcium for a few days normally I avoid taking calcium tablets.Since yesterday blood in urine but the stone passed.  Today again severe pain unbearable.  Taking Cital.  Took a pain killer for pain.  Should I continue taking cital and pain killer","Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Most kidney stones pass spontaneously and this is usually a painful experience. You should continue with painkillers and Vital and Chat Doctor.  If there is no urination in 24 hours, you should see urologist and do tests to rule out ureter obstruction. Also, you need to avoid high calcium food and high protein food for few days. If fever or pus in urine occur, you should see doctor as well since it may indicate kidneys infection. 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."
+"Cough for a year. Been to three specialists. Nasal wash daily, no mucus discharge either from wash of blowing. Been through all the otc medicines under the advice of these specialist. Done breathing tests,x-rays, cat scans...nothing showed according to doctors. What can I do for cough?","Hi thanks for contacting Chat Doctor.... Noted you have persistent cough and many tests are normal... Organic cause seems less likely.... Cough here might buy chronic irritation... Avoid smoking if you have habit.... Rule out acid reflux disease as it can lead cough. Pentoprazole taken for it.... If chest discomfort feels bronchitis or asthma ruled out by pulmonary function test... You might have allergic cough.... Try to avoid allergen that lead cough. Levocetrizine useful. Ginger, onion, garlic are good for resp tract.Finally, if its troublesome cough take Conan or dextromethorphan... Chat Doctor. "
+I have been using ring guard cream for 18 days. The infection got a little better but after 2 days red spots began to appear on the infection area. So i stopped using the ring guard. So what to do now? The skin infection is still there and severe. Its on the neck and above the thigh area.,"Hi!! According to your history it seems to be a case of ringworm infection as initially you had improvement in your skin lesion after applying ring guard. I would recommend you to take oral terminating 250 mg once daily and apply terminating cream over the affected area twice daily. This has to be continued for 4 weeks so that the infection doesn't recur after stopping the medicine. Besides this don't share your soap and towel, stay in a cool and airy environment and wear loose cotton clothes. Hope for your speedy recovery."
+my father has been going down hill health wise for the last 6 mths maybe even the last year . we took him to the hospital this last time and with in 24 hours they said he had a streap in his bloodstream and it has caused heart valve damage . what I want to know is this an infection that he had for a while or is this something that can happen in 24 hours . I just think it would take time for this to happen to the heart and being that he has be declining for a time now could he have before we took him to the hospital?,"Hello Welcome to Chat Doctor. Blood is usually sterile I.e. devoid of any bacteria or viruses. Bacteria or viruses can appear in blood after a throat infection, urine infection or lung infection. Once the bacteria enter the blood they can infect other organs including the heart. The bacteria settle on the valves of the heart and cause infection and destruction of the valves. This happens over time and cannot happen in 24 hrs. But he must have had symptoms like fever, breathlessness, shivering etc. You have not mentioned any of the symptoms. Here. The treatment of infective endocarditis is long term treatment with antibiotics and some residual damage to valve always remains. Wishing him good health Regards"
+"Past 4 years my AST,ALT AS+bilirubin have been elevated. Lives scan showed mild diffuse fatty changes. Weight, cholesterol, etc otherwise normal. No treatment was suggested. But every time i do an LFT, the Dr ( go to different clinics/Dr each time), the Dr wants to investigate and its a waste of time because we end up not doing anything at the end of it.","Hello and welcome to Chat Doctor, Fatty liver is a reversible condition in which liver cells are replaced by adipose tissue. This fatty change is caused by various causes, some of them are as follows:1. Alcoholism2. Starvation3. Malnutrition4. Diabetes Mellitus These are just few causes. If you have any of these risk factor, you can avoid it/ or treat it (in case of Diabetes Mellitus). There is no treatment for fatty liver disease but only prevention of the risk factors. Thanks and take care. Chat Doctor. "
+"i am a smoker and have had chronic nect pain especially at the base of my neck for several month.s  Lately, I have notice a tight feeling in my neck/throat area and my glands seem a little swollen.  At times, when I just turn my head I get a sharp pain in my neck.","Thanks for your question on Chat Doctor. I can understand your concern. Neck pain and swollen glands in neck in chronic smoker can be due to either infection or cancer. So possibility of throat infection or cancer in neck (vocal cords, pharynx, larynx etc.) is more. So better to quit smoking as soon as possible. Consult ENT doctor and get done 1. Clinical examination of neck 2. CT scan of neck 3. Endoscopic examination of pharynx and larynx. You may need to biopsy if there is any mass lesion. You may need antibiotic, anti histamine and anti-inflammatory Chat Doctor.  Don't worry, you will be alright but first quit smoking. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"hello doc this is Deepak,I am 24 years old, I am having pain in my back and mostly in my neck part..it happens daily.I think this is survical pain. I exercise my neck and back part regularly but it doesnt leave me..In the past I had hernia and hydercele. they have been treated...but now my digestion power is loosed.please help me.","Welcome to Chat Doctor After going through your query I concluded that you are having chronic backache and neck pain. Cause of it is weakness and vitamin deficiencies. You are advised to do your vitamin D3 test. Treatment of it is exercises, Avionic, calcium and vitamin D3 if it is low. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
+"Hi, I have a mass at the top of my left inner thigh which extends to my right hip bone. A biopsy said, no cancer. Doctors at U.C.L.A. don t seem to know why it s there . It s deep behind the groin and they re not sure what to do about it. The biopsy technician only took a half inch of fluid in a tube, The fluid was on the outside of the mass. Would that have shown that the mass itself was non-canceous, and I don t know why he didn t take any of the mass itself. Do you know the answer to that and also what it might be? Thanks. Barbara","Welcome to Chat Doctor I have gone through your query and understand your concern. It may be that mass is a cyst such as simple bone cyst and aneurysm bone cyst. Probably he was not able to get solid tissue. If tissue is proper then if biopsy shows no cancer, then it is OK. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
+"Hello, about 2 months ago a round red puffy and extremely itchy red circle showed up on my inner thigh. Around the time it showed up I was on antibiotics for a uti . I treated the spot with lotrimin jock itch cream which made the itch redness and puffiness go away but the place is still on my thigh although now it feels like dry skin an somewhat resembles a bruise . What could it be?","Hi there, I would have asked you some more questions about your antibiotics that you were taking at the time?and also all other prescribed medication that you are taking at the moment? ANY painkillers?and has it occurred for the first time in your life? But according to your question it seems like you are having Fixed Chat Doctor. The good news is that the rash can be left alone if not bothering but the IMPORTANT thing to remember is to report it to your doctor who ever is taking care of you at the moment because its like a "
+"Hi Doctor, I have been suffering from pain in right upper jaw from quite some time. Now I am having headache and pain behind ear. Last year went through series of surgeries as my lower wisdom tooth and bone next it had got infected both the sides. Later I was diagnosed with TMJ. Now I am not on any treatment. Can you please suggest.Thanks & Regards","Thanks for your query, I have gone through your query. The pain in the upper jaw and headache can be secondary to tooth infection or gum infection. The pain near the ear can be secondary to TMJ disorder. Nothing to be panic, consult an oral physician and get it evaluated. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole. For the TMJ disorder, you can take tablet proximal, You can give hot fomentation over the joint. I hope my answer will help you, take care."
+"My son aged 15 yrs was diag on May 23,2011 for Jaundice with S/Bil Total 2.2(Dir1.0 and Indct 1.2) SGOT41,SGPT 54, Hb;11.2gm.With 7-8 days rest levels came down to normal rgs with marginal raised OT/PT.  However after two wks nd till two months now, the T/Bill is back at 1.6--2.2 with Hb howering arn 11.5 or so. Othervise the boy is active nd asymptematic. Urine o/p is N. HBS Ag nd HCV both are -ve  May I seek ur opinion nd further adv pls.  Regards","Thank you for posting query. Further evaluation needed. Need some test results, get done following blood tests: ESR, CRP, lipid profile, get ultrasound abdomen also. Then post results here or visit treating physician. Further advice:abstinence from ""Alcohol and Chat Doctor.  - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day.- or swimming is alternative to walking-NO sports and NO jogging-""recheck liver enzymes after 6 to 8 weeks"".if any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards,"
+"hello doctor, i am 20 weeks pregnant and my scan report shows the followingA single, live, intra uterine fetus is seen exhibiting active movementsplacenta; posterior       maturity grade.  1amniotic fluid: adequateheart;150 bpmBpd: 42mmAC: 130 mmFL :28 mmestimated gestational age: 18 w 6 daysestimated fetal weight: 0256 gmsis there  any  problems in this report  and what about the growth ?  it is 1 week lowe than the actual","Hi there,This is an absolutely normal findings of ultrasound scan at 20 weeks. The measurements give an estimate of weeks but, a variability from the actually calculated date can be present, as ultrasound only gives a rough estimate. So in effect the ultrasound findings can be plus or minus 1 week in first trimester; 2 weeks in second trimester; and more than two weeks in third. This variability is decreased with newer machines but can't be totally removed. So I would say that this report is absolutely reassuring, and you should not worry at all. A good fetal heart rate and a placenta which is only grade 1 maturity indicates that everything is as it should be at this stage. Do not worry. Hope this helps. Regards."
+my blood test report confirm that i have SGOT 44u/l n SGPT 80u/l...and i have done two test earlier in the period of 6 months n the value keeps fluctuating...and i have a history of jaudice...how do i get it to be normal?what diet should i follow?what will be the complications?,"HelloElevated SGPT and GOT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, complete liver function test, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You may need to take few more medicines after complete investigations. Try to avoid saturated fat. Get well soon. Take Care Chat Doctor. "
+"Hi, My name is Courtney and im 20 years old. Recently i have had a tight chest and sometimes a burning sensation in my upper right quadrent. Every time i cough i get a metal taste in my mouth like im holding quarters on my tounge. I could use some help im lost. Thanks","Hello hope the answer helps you. As far I am getting you are having trouble with burning pain with unexplained metallic taste of mouth, how about your weight are you obese and addiction of alcohol and smoking as your symptoms are suggestive of GOOD. You must avoid smoking, excess alcohol and coffee after food donor lie down immediately. And in sleeping slight head elevation will prevent burning to metallic taste along with spicy food abstinence. Also start Spy Davison 10ml three times along with Santa or Gases for regular 15 days hope it will help if not then be needing Castro consult"
+Every morning when i wake up i have a painful erection. It slowly goes away after i urinate but sometimes that ishard to get started. Its been going on about a month. I have psoreatic arthritis in my knees and have been taking Humira. Could the Humira be causing it?,"Hello, There is no such side effect of Humor causing such a symptom. If you are taking certain antidepressants, it can cause ED or painful erection.  Sometimes, when there is UTI, it can cause painful erections. You are suggested to visit a GP, get physically examined.  You will have to get Urinalysis (R/E & C/S) done. Furthermore, you may have to get some blood tests done. If sexually active, get STD tests done. Get assessed & treated at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+"I ve been experiencing bouts of severe abdominal pain over the past 7 months and admitted to the hospital four times. I ve been given different diagnoses of diverticulitis , irritable bowel , typhlitis and colities. The pain initially presented on my right side and also intermittently included back pain. The stomach pain on a scale of 1-10 is usually 7-8. I ve had an ultrasound, a abdominal CT scan with and without contrast, an EGD, a HIDA scan and most recently a colonoscopy and I m scheduled for a CT scan with and without contrast with a pancreatic window. My History: 49 year old African American female, 5 2 , 220lbs (lost 30 pounds in the last 6 months). I currently take cardizem cd 120mg, losartan 50mg, ferrous sulfate 325 twice a day, protonix 40mg, singulair at night and just finished 500mg of levoquin after my last hospital stay July 21-23. I had H Pylori back in 1989, had my gall bladder removed in 2006, had ovarian masses/tumors removed in 2008 along with a complete historectomy. I also have a mass and cysts on my right kidney (which I was informed was perfectly harmless--been there since 2008). My last 2 hospital stays were because of hypertension, heart palpitations, tightness in my chest, headaches, sweats, pains in the left arm, lightheaded/dizziness. Tests showed a normal EKG, but some tachycardia. The EGD showed a hiatal hernia and a growth that was sent out for a biopsy. Lab reports showed among other things, anemia. The ct scan showed typhlitis , whatever that is. The colonoscopy showed stenotic ileocecal valve. The doctors have come to a concensus...they don t know what it is. Here are the majority of the pieces of the puzzle, any light you can shed would be greatly appreciated.","Hi MEANS, Welcome to Chat Doctor ! Your problem is really very complex. So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100 mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started.  I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health!"
+"Hi I am 16 and have been experiencing panic attacks daily for the past 2 years. However recently more physical symptoms have come on ect. chest tightness, swelled throat, fast heart rate and dizziness. Are these all still panic attacks or could there actually be something seriously wrong?","Degree understand your concerns went through your details. I suggest you not to worry much. Hopefully you visited a physician to clarify your condition. If not, please do it now. Even though I am sure that all these symptoms are related to anxiety and panic attacks, you need to be sure for yourself. After you be sure about your physical condition (leave no stone unturned) you should make sure that you believe it. Then know what is anxiety and panic attack. Then start relaxation and psychotherapy to overcome the problem. I shall help you for sure. First visit a physician. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck."
+I have a hole in the bottom of my mouth near the front very tiny hole but painful ... however my daughter and I were playing and her nail did hurt the inside of my mouth ... this has happened before but never for this long without going to the dentist what can I do?,Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury caused by nail there has been torn of mucosa leading to formation of a painful traumatic ulcer. Due to inflammation there is pain. I would suggest you to start applying a numbing gel containing Lidocaine or Choline Salicylate to relieve pain. You can apply steroid ointment containing Escort or Triamcinolone Acetone to reduce inflammation. You can take anti-inflammatory painkiller like Ibuprofen. You can also take vitamin B complex daily. Suck ice popsicles or do cool water rinses. Avoid hard and spicy food to prevent further irritation and injury. Hope this information helps. Thanks and regards. Chat Doctor. 
+"Hi, I am on my CD 58 and 26 days period overdue. I tested on 6th, 7th, 14th day of missed period on HPT. but all negative. Went to a gyn and took a test again in her clinic. Again negative. But she still asked me to test the next day with early morning urine to be sure. And only then start Primolut-N 5mg tabs for 3 days thrice a day. The next test was also negative taken on preganews. Now its been 3 days have stopped the tab and no sign of periods. We are TTC for past 4 months. So what could be the reason for delayed periods and also is it possible that the HPTs are negative but I am still pregnant. Thanks in advance.","Hi and thanks so much for this query am so sorry to hear about these repeated efforts to conceive without success. 5 months in conception is a very short time, and you would need to keep trying for up to 12 months before we can start suspecting that something isn't going on right with you. From the information you have provided, the chances of you being pregnant are almost zero right now. Not all missed periods are synonymous to pregnancy and this is clearly the case with you. It usually takes averagely 5 days after stopping primal for bleeding to occur. I will suggest you patiently wait for the with Chat Doctor. I hope this helps. Furthermore, I wish you well. "
+"I was given amoxicillin for an tooth infection , I took it for three days then stop taken it as the pain went away. Now I believe I have what appears to be a bladder infection(frequent and painful urination). will I be able to take the medicine again? I am a 68 year old male.","Hello! Thank you for your question. I understand your query, however next time you take antibiotic, I recommend you to complete the full course of antibiotics such amoxicillin if given for 7 days should be followed even though the condition has improved to avoid antibiotic resistance. For your frequent and painful urination I suggest you take an urinalysis exam as you may be having a Urinary Tract Infection. If Urinary tract infection is confirmed, you may be prescribed with another round of antibiotics such ciprofloxacin 500 mg 2x a day for 7 days. Meanwhile, please do take lots of water. Hope this helps, Feedback is greatly appreciated. Thank you and God Bless!"
+About a year ago I came down with an upper respitory infection which caused fluid in my right ear.  I was put on several rounds of anitbiotics which got ride to most of it but still had the feeling that something was in my eustation tube in my ear because it wants to stay closed all the time.  About 2 weeks ago I again was sick and I got two mucus plugs out of my throat.  First on the left side and then about 2 hours later with one on the right side.  The one on the left side was white in color and about the size of a quarter.  The one on the right side was bigger about the size of a 50 cent piece with blood in it.  It still feels as if there is something in my throat.  I have been to so many doctors with 2 CAT scans done and nothing shows up.  Can you give some ideas on what is happening as I am so miserable.  Thanks,"Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have upper respiratory tract infection which is causing pain in ear as well is due to Eustachian tube dysfunction. Sometimes when upper respiratory track infection when left untreated or when occur again and again spread to ear through Eustachian tube and causing pain. I would suggest you to consult ENT specialist for proper diagnosis Doctor may prescribe antibiotics like Amoxiclav at least for 10 days along with decongestant and anti-inflammatory. For relieve of infection take levocetrizine. Doctor may order throat swab test, viral culture test and allergy test to confirm the diagnosis. For now do warm saline gargles, take steam twice a day and apply warm Chat Doctor.  You can apply warm compressors on cheek side near ear as well to relieve pressure. You should take steam and blow cheeks with nose closed. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
+"sir me any my mother have allergy problem,after allergy faces become red and red red pimples appeared.me and my mother too much suffering in this problem. i checked many specialist doctor but diseases is increasing.please suggest treatment for us. thanks and regards","Cellophane You for contacting Chat Doctor. Your description is telling that you have chronic allergy problem. You did not mention your age. If I were your treating doctor then I would suggest you following things:> First and most important thing is that you need to find the cause of allergy. On your part it can be achieved by looking closely at your daily routine. You need to observe what particular thing, food, etc. is causing the allergy to start. Once you find it, you née to prevent it.> In the meanwhile take Montelukast once daily for 1 month. Research has shown that it decreases sensitivity to allergy.> Cetirizine one at night for 1 week in case of allergic response.> try to avoid dust would also suggest you to undergo allergy testing at allergy clinic which will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health."
+"Hi, 3 weeks ago I fell in my wrist & was told I d probably fractured my scaphoid bone. It was put in a Velcro cast for 10 days & told to come back to fracture clinic for it re xraying & they would decide the course if treatment from there. When I attended clinic I was told I wouldn t need an X-ray as they were certain from my original X-ray that I hadn t broken anything, to take my cast off & get it moving again. I mentioned I had a numbness and pins & needles in my thumb but that was put down to the cast I d had on. One week later, I still have a numbness/pins & needles in my thumb & my wrist continues to ache/throb. Is this normal or do I need to go back & be seen again? I don t want to waste anyone s time.","Dear patient, a needles and pins sensation is generally due to a nerve compression/irritation. If it wasn't due to the cast (that's a possibility), probably your trauma provoked a hematoma pressing on a nerve (median nerve? Collateral nerve of the thumb? It depends on numbness distribution). I propose to wait a month from the trauma. If this sensation persist, get an electromyography/electroneurography to objective the nerve injury. If positive, do an RMN of wrist and hand to understand the cause (i.e. hematoma) and project its possible removal. Concerning instead your doubt about a scaphoid fracture, I don't know which X-ray projections you did (scaphoid fractures are hard to be seen in standard X-rays). However, if your wrist remained very painful for 10-15 days after the trauma, a scaphoid X-ray projection or, better, a wrist CT, would solve your doubts"
+"What causes hyper aggregation, Doc? Is that hereditary factor? I am  a male, 46 yeras old, office worker, so far having normal blood pressure, as well as all healthy tcholesterol functions. But my latest laboratory check showed that my ADP and Colagen are hyper aggregattion, while the Ephinephrine is normal. Any suggested diet other than medication can be suggested.  Does sport exercise help to improve my blood condition from that hyper aggregation? I was advised by a friend to take thromboaspilet 100mg a day for life. I am worried with the side effect of that long term medication. Look forward to receiving your advice. Thanks, Minarto","Hi You do not mentioned any clinical condition, are you a normal person ? Do you have some hereditary related disability ? Look, ADP & collagen, are molecules in side the living being has got their complex role right from metabolism to body building work, now aggregation or hyper aggregation is consequences of certain kind of collagen disease or endocrine disorders, or hematological entity, it is not single area of concern, so the way you have asked is not valid at this stage this could be an academic question & need very lengthy discussion which may be beyond your understanding, have nice day"
+Lets say the dog that bit me is positive with rabies. If I am not mistaken i need to get a shot immediately of anti rabies which is followed by 6 shots within 28 days. do i need to have anti tetanus?.. how many shots? is it okay to have shot the same time with anti rabies? thank you,"Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. If you are bitten by a suspected rabid dog, according to WHO categories it is categorized into Cat III, which requires following treatment1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with rabies immunoglobulin around the wound.4. In TT, 0.5 ml, I'm. Thank you."
+"iam 52 years old ,85 kg weight 176cm height.i suffer cervical spondylosis in c5-c6.every day 1 have shortness in breathing  and severe pain in left chest near the heart  with pulseand burn in chest bones near the neck and stifness in shoulderssome doctors dignosed my case(angina pictoris)although i have no problems in heart and  lungs.please help and advice. subhi siddiq-iraq","Hi Dear !! Thanks for your query to Chat Doctor. Read and Reviewed your query in context to your health issues. In the given scenario and history facts, You seem to suffer frogger induced Esophagitis-causing chest pain. This is so because lungs and heart are without any evidence on investigations. Chest bone near neck pains with burning. This is from the high acid contents from upper stomach regurgitating in to neck/ throat, causing chest burning with ? Angina like pains, in your case.Also, other causes of recurrent chest burning behind chest bone needs to be ruled by consults with ENT/ Physician/ Surgeon. Plan Suggested for your treatment-GERD causes need to be ruled out-with Consults from ENT Surgeon / Physician / Surgeon by appropriated tests with these doctors. EKG landholders nuclear stress testing would fix and rule out heart ailment involved in your chest pain. Anti-Acidity Chat Doctor. Lieu. Gaviscon-Alginic Acid-gel- 1 gm x 4 times a day x 2 weeks would control this chest pain-from esophagitis. So treating these causes is needed with proper "
+Theres a sort of ticking sensation in the bottom front of my mouth. Its the bottom front teeth and the gums below them. About a week ago i had a root canal done on the top right side of my mouth (On the right but close to the front of my mouth) Is this normal? And also is there any way to stop this? It is very uncomfortable.,"Hello and welcome to Chat Doctor forum, I would like to inform you that tickling sensation after completion of root canal is sometimes normal and occurs due to the filling material, but if it is associated with pain or swelling that it might need your dentists' attention, I would have really appreciated if you had attached an X-ray of your tooth with your query, anyway start chewing soft food with your treated tooth to check if its normal, also you must be aware that getting your treated tooth crowned is really important to avoid any fractures. Start using antibacterial mouth wash for a week at least, to resolve symptoms, if tickling sensation still persists then kindly visit your dentist or forward me your X-rays so that I can guide you further, i wish you good health."
+"Hi, my 3 yr kid is suffering from 103 fever. I gave him Meftal P 8.5 ml (his wt is 17 KG) but the fever returned after 4 hrs. Earlier Today, the fever returned after 9 hrs and then 5 hrs respectively. What should I do? Should I give him another dose of Meftal P in 1 hr time?","Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+I found a lump under my left armpit it does not hurt at all the size of it a bit bigger then a pencil eraser. In the pasta  few years back I had had a few ingrown hairs in my underarm but they hurt and were tender to touch . this one does not hurt at all.  I do not drink sodas or caffine. I checked my right underarm and there is NO lump there I do have a problem I do not have health insurance or money. What reasons could a women have a lump like this that does not hurt,"Welcome to Chat Doctor. 1. Lump in the armpit / axillary region without pain, tenderness suggestive of lymph nodal enlargement at first place and lipoma, vascular causes on the second place.2. If you are my patient I would have examined first and ask for an ultrasound axillary region - ultrasound will give me the nature of the disease, its source and extensions.3. Lymph nodal enlargement is seen because of the underlying medical conditions any infections / inflammation it can be localized or systemic or possible lymph nodal pathology itself (lymphadenopathy)4. So one has to find out the cause - if required FNAC - fine needle aspiration cytology will gel to evaluate the cause and cells involving.5. I can understand your financial status, but this is the standard procedure one has to follow. Try the way you can do so. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you."
+I am feeling really bloated and cant lay on my stomach as i feek discomfort and pain. The pressure is below my belly button but above the pubic bone . I also feel this when I stretch out. Im not sick or anything so I dont think Im pregnant . What could this be,"Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would still go for a serum Chat Doctor estimation, a urine routine, microscopic and culture/sensitivity test to rule out pregnancy and a urinary tract infection. If both these including a physical examination come out to be negative, and your symptoms continue increasing or persisting, I would go for an ultrasound of abdomen, and also a gynecology check up. Till then, I would prescribe you an anti-spasmodic medicine in case of pain, and also a proton pump inhibitor with a probiotic for your bloating sensation. 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 have just started into full menopause a few months ago . I am on wellbution for the depression I have been experiencing but it seems that I am having so much trouble focusing that it its affecting my job . is vyvanse a drug that could help menopausal symptoms ?,"Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. From what you have stated it is quite clear that you are having a depressive episode. Depression can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. Vyvanse is also a good option.  You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  If you are averse to the Chat Doctor.  This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/"
+"i have lichen planus in my mouth , i had taken some medication for the past one year, last week only i came to know by another doctor it is lp. he gave me the oral past "" triamcinolone acetonide(kenacort 0.1). is it correct medicin.is this disease is curable?","Hi. Welcome to ChatDoctorI am Chat Doctor.  I understand your concern and will give advice accordingly. Looking at your profile I agree that the treatment given is correct. As it is a chronic inflammatory disease and there is no specific treatment available as of now which cures this disease, no one can claim that this can cure completely. You need to do follow up with your doctor at regular interval even if your symptoms subsides as in can relapse, get infected & rarely lead to malignancy. I wish your rapid recovery and will help you further if needed."
+I drank with friends one weekend and skipped my birth control for 2 days and the very next day i got my period. A week later my period stopped and i started getting sharp pains in my vagina and I started bleeding again. Did I have a miscarriage then a regular period or a elongated period with sharp pains?,"HI, thanks for using Chat Doctor It is possible that it is an elongated period. Miscarriages are associated abdominal cramping, clots and the passage of fleshy products. If you continue to have periods with prolonged bleeding then you need to consider visiting your doctor for an assessment. This would include physical examination, hormonal level blood tests and imaging of the reproductive organs by ultrasound.I hope this helps"
+"I have 2 lumps on the outside of my right knee. It doesnt hurt to the touch and it gets bigger every now and again. I have had to have knee surgery before, I hyper extended my knee backwards when I was younger. I have had these lumps for awhile now. Im 42 yr old male.","Hi. Thanks for your query and an elucidated history. These lumps look to be of synovial (membrane which covers the joint and gives the joint the fluid to keep it friction-less) origin. This is confirmed by your history of the swellings getting bigger and smaller on its own. This can be confirmed by MRI / FNAC- fine needle aspiration cytology. If the swellings are not having any symptoms, you can watch team. Surgery to remove for getting rid of the disease and to get a histopathological diagnosis can be done."
+I develope a Salivary Glad Problem over night it is very painful had it 2 other time in the past 5 years but was able to get to a doctor immediately which gave me prescribed pills?  my face is swollen boy did I start the new year offwith tears please advise me!  YYYY@YYYY,"Hi! Welcome to Chat Doctor. I read your query. You have not mentioned the location of swollen glands like lower jaw, behind the ear, etc. Swollen salivary glands can be due to various causes like Bacterial or viral infection, stones, cysts, autoimmune, etc. I suggest you visit a dentist for check up. You need to provide history like recent infection, medication history, any radiation exposure, etc. Get blood test done for infection. X-ray of salivary gland or Sialograpgy can be done if needed. Meanwhile, you can start with the antibiotic course on prescription. Tylenol or Ibuprofen will ease pain. Maintain good HY Chat Doctor.  Warm compresses of swollen area will help. Chew sugarless gums for stimulating saliva. Sialadenitis, i.e. infection of salivary glands starts regressing after 48 hrs with antibiotics. But stones or cyst or other complications need further treatment. Hope the answer helps you. Thank you!"
+"For the past couple of weeks, I have developed intense itching in both groin areas. I have itched it so badly that I have developed fissures. It is very dry and flaky skin is coming off. It is really uncomfortable and just getting worse. What should I do?","Hello, Thank you for posting on Chat Doctor. It seems you have got intertwine. Intertrigo is an infection which occurs over any opposing skin surfaces, mostly seen over groin folds. Its caused due to bacterial or sometimes fungal infection. Overweight can increase the friction and thus predispose to intertwine. I would suggest you oral antibiotics and antifungal tablets for few days along with application of antibiotic cream like juridic acid and antifungal cream like clotrimazole twice a day for few weeks. Use dusting powder containing clotrimazole on daily basis to keep area Chat Doctor. Try to reduce weight and maintain hygiene. Avoid tight undergarments and use cotton garments as far as possible. Hope this will help YouTube care"
+My father is suffering from heart and kidney problem. Haemoglobin has gone down to 6.5 and createnine at 4.2 along with high Uric acid and urea. All doctors were of the opinion that my father needs to go for dialysis but nephrologist adviced to give epofit 3000 and no dialysis. Do you think that a good decision? Please advice,HiT hanks for choosing Chat Doctor. In.profit is nothing but erythropoietin which is released by kidney and in kidney patients as it is released in low quantity and that's the reason why hemoglobin will be low in such patients. So giving that injection will improve he and the symptoms caused by anemia but if you have no uremic symptoms then you can hold hemodialysis and have symptomatic treatment. Thank you.
+Hi my son had a fever lasting roughly 5 days followed by a rash lasting another 4-5 days the drs were concerned he had measles and took routine blood work this was the first time he had a cbc. His palette levels were moderately low (131) after his measles test came back negativeI was asked to bring him back a week from orioriginal date for another cbc this time his levels were quite elevated (644) is there a concern I should have to these results? Is it normal to fluctuate that high out of normal range in a matter of weeks or is this something I should bring to a blood specialists? There is a strong family history of leukemia should I be concerned about that as well ?,"Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Increased platelets level is good and goes against the diagnosis of leukemia.2. So much variation is not possible. Get a second test at other lab or get a platelet count on peripheral smear.3. Along with it, also get a differential leukocyte count to look for immature cells. I would not expect to find anything with normal platelet levels. Hope it helps. Any further queries, happy to help again."
+hi my son was diagnosed with hep c genotype1a about five years ago he has not seen a doctor for this and he had developed food poisoning not too long ago and was admitted in the hospital. For the past two days he has been vomiting is that a sign of the hep c,"Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Yes hepatitis C in advance cases can cause vomiting. Food poisoning can cause vomiting only for some period not more than the period. As your child is having vomiting from long time, it is likely to be hepatitis. It must be advance hepatic stage of hepatitis C which causes vomiting. I advise you should visit nearby doctor to diagnose yourself exactly and treat it accordingly. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist."
+Hi I had the copper coil fitted last may....my body has been fine...ive had heavy periods which was expected but....the last few months I have been suffrreing with the following...extreme tiredness....break out of spots on my face....low sex drive....weight gain..iritated...moody...severe cramps...and pain when having sex...,". It looks to be generalized weakness due to multi vitamin, iron deficiency after heavy period. Go for routine investigations to confirm the diagnosis. Weight gain should be ruled out by thyroid profile. Start B12,folic acid, calcium,minerals, l-carnitine and other supplements. Intramuscular injections of B12,folic acid is advisable. Breakout on face is usually due to hormonal response. Take proper care for face. Consult your family physician for further guidance and medical management."
+Hi I am experiencing some numbness on one side of my face. It started about 6 hers ago and soon after the numbness appeared I got a bad headache. The headache disappeared but after I would loose track of what I was saying and I would be thinking one thing and I would say something different not realizing it. Is this normal?,"Hello! I read your question and understand your concern. I think that these symptoms may be caused by a small stroke. Furthermore, I would like to know if you have measured your blood pressure. Do you suffer from arterial hypertension or diabetes ? The headache is not a common symptom in stroke, but it may be related to migraine, high blood pressure etc. I would recommend consulting the neurologist, have a good neurological examination, a full blood work, a blood lipids analysis and a brain CT scan. Further, tests like cardiac check up and Doppler ultrasound of the carotid vessels may be needed to establish the cause. Hope to have been of help. Best wishes!"
+"i was attached with TB in 1984 & again it relapsed in 2011, I have taken 6months  treatment . My throat coughing & occational fever still remains. After taking penicillin I have develioped imbalance in my legs . What treatment & where can i take my treatment","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Imbalance in the leg after a TB can be serious it requires a CT and MRI of the spine to rule out any lesion in the area. TB won't be treated with the penicillin. TB requires a combination of various Chat Doctor.  So if your doctor has given you a penicillin than it will not be TB, and it can be different infection. But till you undergo the investigation I would suggest you to take the vitamin B complex "
+"i am suffering from intermittent but severe dizziness after receiving a cervical spine steroid injection over a month ago. It scaring me with all the trouble with the lab that sent out the tainted steroids. My doctor claims that she did not use that lot , but I am suspect - what should I do?","Hello, The blood vessels that supply the inner ears and the parts of the brain that are connected with the balance of the body pass through the cervical vertebrae.  Cervical spondylosis which is the usual cause of the pain in that region for which you received the steroid injection also affects these blood vessels and causes alteration in the blood flow which results in dizziness. Physiotherapy along with the use of certain medicines will reduce this dizziness. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+"My 70 yr old husband had diarrhea with 104.7 temp, lack of appetite, very dehydrated but no abd pain. CT showed collapsed gallbladder . He was on cipro for (chronic) ear infection 1 day when this began. Stool culture showed no c diff or salmonella but a blood culture was positive for gram + rods after 3 days. He is now on flagyll, lomotil, and sulpha antibiotic for ear infection. A gallbladder test is scheduled in 2 days. He continues to have fatigue and low grade fever on day 7. Blood culture repeated yesterday. Is this related to the gallbladder? Are we moving too slowly?","Hi welcome to Chat Doctor forum. Dear miss, Positive blood culture is a serious finding. And first thing to do is broad spectra antibiotic treatment, intravenous if possible. Second thing to do is to find the source of infection, it can be intra-abdominal but also urinary or lung infections too. So you should focus on these 3. When the source is found and the right cause identified then more accurate antibiotic can be used.  Wish you good health."
+I am suffering from un rythmic heart for almost an year and take metoprolol 50 mg o.d. 2 days ago i had terrific pulse rate variation and I felt very dizzy my bp became 110/70 and pulse rate 60/min was hospitalised now i am out of hospital but feel very weak and still have irregular heart...in the hospital they adminstered normal saline with Cordarone.. what should be my next course?,"Hello Sir / Madam, Thanks for writing in to Chat Doctor. Un rhythmic heart (Atrial Fibrillation) is usually treated with Amiodarone (Cordon). Hence, you have been given the right treatment. The dose shall change in due course as a when the heart beats stabilize. However, the reason of atrial fibrillation need to be investigated hence you need to consult a cardiologist regarding further cardiac evaluation. Sometimes infections do cause atrial fibrillation whicChatDoctores down as the infection subsides. What needs to be taken care of is incidences of stroke increase in un rhythmic heart beat so kindly take rest and follow your doctors instructions. Donot do stressful work. Continue with the treatment. Chat Doctor. "
+"I went to the beach a few weeks ago out in florida. I came home with really itchy skin. Ill scratch all hours of the day. But sometimes it s unbearable. I have like little red bumps Wherever I scratch. Yesterday while bathing I realize I have 1 on my crotch near my vagina lip. The more I think about the more paranoid I get. The last time I got tested was about a month and a half ago and I haven t slept with anybody since then. I read a article saying they could be bug bites from the beach, but it wouldn t last this long would it!? I really want to know what s going on I m scared only 20 years old.","Hi thanks for your question have developed itching following visit to a beach, few weeks ago. The itching is still persistent and leads to bump formation, on itching think it is due to bug bite may be right, it could be due to bug bite. Bump formation after itching is normal, as this due to histamine release. Have you taken any treatment for itching, I presume no. Take antihistamine and short course of antibiotic (since we presume this is bug bite of few weeks' duration).Hopefully you symptoms will subside in a week time. Consultation with a physician is encouraged. There are negligible chances that it could be an STD(sexually transmitted disease). Hope this answers your question."
+"Hi, I had tripped and hurt a part of my lower right leg (shin bone area) by hitting it against a pice of concrete two days ago. I was wearing jeans, so there was no direct contact between the skin and concrete, but my skin still ruptured and the skin in the area around the open wound got stuck to my jeans (was sort of scraped off because of the jeans). I had washed the wound and applied antiseptic as soon as I had gotten home, but today the skin area which had scraped off seems to be a yellowish-brownish scab surrounded by reddened skin and the pain in my shin bone surrounding the wound (upto 2 inches above and below the wound) seems to continuously increase. Could there be a serious problem with the wound?",Welcome to Chat Doctor I have gone through your query and understand your concern. There is nothing serious about it if there is no fever. So you can keep area open with antiseptic ointment applied over it. If you have fever then it is cause of concern. It denotes infection and needs urgent care by antibiotics and if needed incision and Chat Doctor.  Antibiotics such as ibuprofen are given to relieve pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
+"i am struggling from shortness of breath after walking 3-4 meters. Once seated and trying to take deep breaths i start losing the shallow breathing, slowly after1 minute. This happens regardless of what i am doing. This has been getting worse since the weekend.","Thanks for your question on Chat Doctor. By your history, in my opinion you are having dyspnea on minimal exertion. Common causes for this are1. Cardiac causes like heart failure, ischemic heart disease etc.2. Pulmonary causes like COPD (Chronic Obstructive Pulmonary Disease) , fibrosis, etc. So get done ECG and 2D Echo to rule out cardiac cause. Get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out pulmonary causes. So consult doctor and discuss all these."
+Hi I m 22 year old I had a implanon for 4 years nd had put a new one in April 2013 nd had it removed on June 5th 2014 what I wanna know is can I fell pregnant straight away nd is their a chance I may have a miscarriage nd I have been also having weird symptoms like my belly seems to feel a bit tight at times seem to be weeing abit nd had a day of just spotting I had unprocected sex with my boyfriend on the weekend before my implanon was removed and all so afterwards,"Hello and I hope I can help you today.First, I want to reassure you that it is not possible that you could have conceived if you had unprotected sex before your Implant was removed. Implanon is nearly 100 percent effective in preventing pregnancy while it is in place, and it takes time for you to ovulate again (at least 7-10 days) after it is removed. So if you only had unprotected sex immediately before and after your implant was removed, it is unlikely you could have conceived so quickly. Pregnancy symptoms vary widely between women, and many of the same symptoms we commonly associate with pregnancy such as nausea, bloating, breast tenderness, headaches and irregular bleeding can also happen from an irregular menstrual cycle as well as pregnancy. Many women have irregular periods after discontinuing a hormonal birth control method. So, I suggest you wait for your period, which should occur around 4 weeks after your Implant removal, and if you miss your period, a urine pregnancy test will be accurate at this time. I hope I was able to adequately answer your question today and that this information was helpful. Best wishes,"
+"Hi ,my left arm seems to be getting weaker and sore even in my sleep-most pain in my forearm.I have had a bit of it in my right arm but is not so bad now. I am a machine operator and have not had much exercise this year. I would like to but the pain is too much and I dont know if Ill cause more damage. Any thoughts?","Hello, I have studied your case. Pain in the forearm can be due to weakness or can be due to overuse. You have not told me in detail about your other illness. I would suggest you get a compression bandage for forearm and avoid putting pressure on one side. You can also take Broken tablet for pain relief. Hot water fomentation and Volition gel are also helpful. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks"
+hi I m wondering if radiation for stage 4 pancreatic and liver cancer would be beneficial. the patient is already taking strong chemo and a lot of herbal supplements. Feels good except after treatments. What pills and treatment would you suggest Thank u,"Hi, dairy have gone through your question. I can understand your concern. Treatment of pancreatic cancer depends on type and stage as well as spread of cancer.  In early stage surgery is useful. In late stage chemotherapy and radiotherapy remain mainstay in the treatment. Radiotherapy is useful in some types of pancreatic cancer.  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."
+"I have been trying to figure out why my legs are hurting so much, about an 8-10. Also my knees are hurting and are swollen all the time lately and are week, they give out a lot. I m recoding from thoriac back surgery, my surgeon cut a couple of chunks out and straightened my spine then fused from T8 to L1 were he tied into the 14 screws he placed while fussing L1-my sacrum in 2009, I now have 26 total screws. I m wondering if I injured my femoral nerve because my groin and inside of my legs hurt all the down to my ankles, along with my knee and leg pain?","Hi, Regarding your concern, I would explain that it is important performing some investigations to differentiate between two main possible causes that may lead to your symptoms: - a joint inflammation- a articular pain radiating from your back (nerve compression). That, is why I would recommend performing some tests:- a nerve conduction study to examine your nerves-complete blood count, PCR, sedimentation rate for inflammation. You should discuss with your doctor on the above issues. Hope to have been helpful. Let me know if I can assist you further. Kind regards,"
+Hello my baby is 15montjs old and she is around 7kg she is very week and now its been 2days she got vomiting and also it been 2days she start having lose motion plz advice me what to gave her also is holicks harmfull for her or i cam gave her ..thanks,"Hi, I had gone through your question and understand your concerns. Weight of your baby is very less for age, you have not mentioned her birth weight. Your baby seems to suffering from gastroenteritis give her ORS, zinc. You also need to show her to your pediatrician early as she is weak and prone to severe infection without warning signs like fever. You need to give her a balanced diet with variety, and supplements after consulting your doctor, Cowlicks alone is not going to help , I usually do not recommend it. There is also a need to find cause of her poor weight, was she born with low birth weight, what diet is she taking, is her appetite poor or weight not increasing despite good appetite ? All questioned needs to answered and her diet to be planned accordingly in consultation with your doctor. Hope this answers your question. If you have additional questions then please do not hesitate in writing to us. Wishing your child good health."
+I got my wisdom teeth removed a month ago. I ended up getting dry socket and an infection so the doctor gave me more medication. I started to heal and even flushed out the sockets. Not I have a lump along my jawline that is tender to the touch. Is it possible that food got stuck in the socket?,"Thanks for your query, I have gone through your query. The lump over the jaw line can be because of the infection of the bone that is garret osteomyelitis. Nothing to be panic, complete the course of antibiotics particularly amoxicillin and metronidazole combination. Keep the socket area clean by rinsing with saline. If it is not reducing in a week, consult an oral physician and take an causal radiograph to confirm the diagnosis. I hope my answer will help you, take care."
+I have a golfball sized lump inside the right side of my neck. I have developed some spots that have crusty heads at the back of my hairline also they havent went away for about a month. Im also tired and either feeling really hot ot really cold. Please help. Lynn,"Thank you for asking Chat Doctor. My name is Chat Doctor.  You have mentioned lump at right side of the neck and have some spots that have crusty heads at hair line back, along with that feeling of being tired/hot /cold. You need consultation of your physician for detailed evaluation as such lumps need clinical examination for establishing diagnosis and further management, and you may have to go through some Labs. You can get rid of this by visiting a physician and treatment. Hope this may help you. Let me know if anything is not clear. Thanks."
+hello my father has oral cancer and its of 4 stage he has recieved 3 chemotherapy sittings 2 operations and 1 month radiation treatment .he has also recieved target treatment and now he is undergoing ozone therapy but still has 5 tumors on his face age43 help him,"Your father has received almost all possible treatment modalities available. At the moment only palliative treatment looks possible. If the tumors on his face are respectable then surgery should be done. Otherwise, palliative chemotherapy should be given. For details regarding the chemotherapy options previous chemotherapy given, current performance status of patient, age of patient and baseline lab investigations would be required. Please discuss it with the treating oncologist and if you have any further query I would be more than happy to answer."
+"Hi My three year old son has had Diarrhea and vomiting with extreamly high temp (104+), this was 6 days ago but his stools are still very lose (Liquid) and his urine is cloudy, we are Hydrating him as best as possible but he will not drink enough himself and is getting pains in his abdomen??? most of the time he is his normal self but then goes down hill as the day goes by....Longer, more frequent naps and becomes very soukey.. Can you help as we have spoken to a Dr who told us that this will need to run its course and to keep him hydrated this is now becoming a worry for both of us and he has droped quite a lot of weight?","Hi according to your information your child is having some gastrointestinal problems mostly due to viral causes and settle by it own, but distinguishing features from bacterial illness is mucus containing stool or blood if it, so it might need antibiotics check your child s stool full report and channel a doctor you also mentioned that his urine also cloudy so better check his urinalysis as well thank you"
+"Took Keflex for an infection on my eye lid, now I have a horrible red rash on my chest and it is slowly going away. But this morning I woke up with a red rash under both breasts.  When will it clear up?  It has been  5 weeks now. I stopped the Keflex two and half weeks ago. I have Triamcinolone Acetonide Cream 0.1%, will this clear it up?","Hi, It seems that you are having candida infection. Do not apply triamcinolone, it is steroid and will exacerbate the infection. You apply clotrimazole or fluconazole cream at night and clotrimazole powder during daytime. And orally, take itraconazole cap. Daily for two weeks. Do not apply soap at bath. You can use detail liquid for bath, pour few Chat Doctor. Wear cotton clothes. And have blood test to rule out DM. I think, you will be alright . I hope you got my answer. Thanks."
+"Hi,2 days before i went to Sehat Clinic (Chennai, India) for hair loss problem. The doctor witnessed me and prescribed two tablets named ""Nano Hair Revitalizer & VB7 Forte"". I have not yet started taking those tablets, i have a question whether is there any side effects taking those tablets?Please answer my question..Thanks,Suresh S","DearWelcome to Chat Doctor ! Your details have been evaluated, and I find that certain vital details are missing. If I were your dermatologist, I would have asked you detailed history, examined you and the affected hairs, got some investigations done to substantiate your diagnosis. Most common causes of hair loss are halogen effluvium in which there is diffuse hair loss from all over scalp and the other one is An Chat Doctor. These two are common causes, but other diseases have to be ruled out by history and examination. In my opinion, it is recommended that first a diagnosis is made, and then proper treatment is instituted. I request you to provide the other required details so that your hair can be as healthy as those of normal person of your age. In the meantime, please avoid massaging too vigorously, have a healthy diet, adequate rest, and use a mild shampoo once or twice a week. This will surely aid in early recovery. Best wishes."
+"Hi I have cushing disease, lyme disease, fibromyalgia, occipital neuralgia and have been treated with antibiotics for over a year now and wbc and neutrophils are still elevated and dont understand why if being on antibiotics for over a year could this mean something","Cushing's disease itself can cause elevated WBC, so this may not necessarily be related to an infection. Certainly a year of antibiotics should have taken care of most infections, depending on what antibiotic was used. Unusual infections or internal infections (e.g., abscess in a muscle or organ) might cause a persistent elevated WBC, as might a chronic inflammatory condition. You would probably be having other symptoms, such as persistent fevers, pain, or weight loss, if that were the case. You don't say how high the WBC count is, so it is hard to assess its severity.  Be sure the Cushing disease is well treated first. If you are still having elevated WBC, you might need further evaluation or need to see a hematologist to get a specific diagnosis. Hope this helps."
+"My boyfriend put nair on his penis and left it on to long, he has burns on his p enis. On one particular part the skin is peeling, he says now that everytime he touches it it burns. Does it sound like a std? We are having unprotected sex and I dont hve any symptoms",HelloThanks for query. Your boyfriend has developed peeling of skin over shaft of the penis after applying hair removal cream. This is mostly due to allergic reaction to hair removing cream. He needs to take broad spectrum antibiotic like Definite and anti-inflammatory Chat Doctor. Along with topical steroid cream like Renovate for local application twice daily. Ensure he washes his genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. Since both of you are known to each other and have in sexual relationship since a long time and absence of any symptoms suggesting STD there is no possibility of STD.
+"My mother aged 61, has Tripple Vessel CAD with two blockage 100%. Doctors advised Medical management over bypass and Angioplasty as She is Diabetic, Hypertension as well as her arteries are vary narrow. What should we do, as even on hugh medicine, she contineously has breathless ness entire day.","Thanks for your question on Chat Doctor. I can understand your concern. She is a ideal candidate for bypass surgery. Triple vessels' disease with hypertension, diabetes, high cholesterol are an absolute indication for Coronary artery bypass grafting (CABG). She is symptomatic (breathlessness) despite medicines. This also favors surgical management more. So better not wait and get done CABG. Consult cardiothoracic surgeon and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
+"I had a grand mal seizure about 3 weeks ago, I am 72 years old and had never had a seizure before. I was under severe stress, no sleep for many days and was caring for my husband who died a week later. Anyway I was kept in the hospital for three days because I had developed before the seizure the ability to carry on a conversation and my words were staggered. Tonight I think I took my afternoon Dilantin and I took my night time one because my pill box for the afternoon dose was empty. What do you think is the right way if this happens again?","Hi, Thank you for posting your query. First seizure needs evaluation to find out the underlying cause of seizures. I presume you underwent MRI of brain, EEG and other blood tests. Regarding Dilation, you need to take 5 mg per kg body weight. So, if your weight is about 60 kg, then, a daily dose of 300 mg is needed. A capsule of Dilation is 100 mg, so, you would need three capsules daily. Since the duration of action is 24 hours, for convenience’s sake, you can take the entire three capsules together at night. Other options include taking one in morning, after noon and night each OR one in morning and two at night. Best wishes, Chat Doctor. "
+Hi i am from chennai. i have few black spots in my face which makes me look dark. This is my only problem pls help me with a good solution,"Hi prithiWelcome to Chat Doctor Black spots on face or hyperpigmented spots which have developed later on in life could suggest hormonal imbalance or due to excessive sun exposure best results it is advisable to consult a dermatologist cum cosmetologist who can study your skin type and provide appropriate remedial then try to have a balanced diet, plenty of water and exercise for at least half an hour. Use only mild glycerine soap and sunscreen daily.avoid the afternoon sun 10am to 4pm if possible. You can try fresh lemon juice or natural lover application to decrease the black spotsThanks W"
+"A couple of months ago l discoverd a very large blood blister on my large toe, l went to our local center for them to look at it they decided to cut away the skin and release the blood. Then they cut more skin away and dressed it. l was told that it must be dressed every day that has happend with my wife cleaning the wound and making sure that it stays clean. Now after two months the hole where they cut away the skin has not improved at all, being a diabetic on insulin l am beging to worry about gangerine. please advise me as to my next move as l live in spain and do not have access to a doctor as yet, we are going through the proccess now, sincerly Paul Wintershausen.","Hello Mr. Paul Wintershausen Since you are a diabetic and taking INSULIN and wound is not healing in spite of the treatment. This is a"" diabetic foot"" :Presentation of diabetic foot is of three type :1 Neuropathic foot in which neuropathy dominates .2 The neuroischemic foot, in which occlusive vascular disease is the main factor .3 Non-neuroishemic but purely infected foot. Since you are a diabetic patient, so any of above possibility may be the reason of NON-HEALING DIABETIC FOOT. In my opinion you must consult a PLANETOLOGIST and get his opinion. If color of infected toe is reddish bluish and foul smell is there then you may have developed GANGRENE. So at earliest consult a PLANETOLOGIST and get his opinion. Hope this will help you."
+Hello. I dont know if i do have an allergy? because at every beginning of winter season I get cold and i start to caugh and this would ended until the coming of spring. I suffer a lot from caughing and my eyes? my throat and nose would never stop itching all  the time. please doctor help me at least with a piece of advice,"Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Although more details would help, from your current symptoms, I would first think of allergy.2. Were I treating you, I would suggest you montelukast and levocetirizine regularly during your ""bad"" season. You can also start montelukast 1 week before onset of ""bad"" season which may reduce your symptoms.3. If still you have cough, I would suggest you to get your chest examined by a doctor who will listen to it with a stethoscope and may identify the cause of cough.4. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards."
+"i have stage 3 ovarian cancer I have had surgery chemo for a year the growth has slow down I was told I would not be cured. Therefore I stopped chemo. What well happen or what symptoms will I see next or how soon I am feeling more tried. Eating least, feeling full easily.","Hi, dairy have gone through your question. I can understand your concern. As you stop chemotherapy, your tumor will grow at faster rate.  You may develop abdominal pain, vomiting, anorexia, weight loss, ascites in short time. You should not stop the chemotherapy. 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."
+"hi mam, im 23 years old got married 3 months. I wanna to get pregnant faster im getting my periods regularly now but minimum flow and getting spotting 15 days back is this an ovulation time? I got pcod 1 year back i took crimson tablets is there any problem to conceive? Pls reply me thank u.","Hello dear, i understand your concern. In my opinion there might not be any problem in conceiving if your cycles are regular. The cause for minimal flow like thyroid abnormalities should be ruled out.Also, as you have a history of POD previously an ultrasound might be needed to check for the POD status. First and most important is avoided stress and anxiety related to pregnancy because they cause hormonal imbalance and delay the conception further. If ultrasound and thyroid profile are normal then nothing to worry. Practice regular intercourse to increase the conception chances. Best regards... Chat Doctor. "
+"I had spinal fusion and disc replacement in my c56&7 in oct 2011 now have a lump on the leftside at the base of my skull close to the spine,I ve had an mri and was it was real bad with osteoporosis and he couldn t even read the mri (which he does on all of his cases) I have very severe headaches and dizziness blurred vision and confusion please help. DeeDee","Hello, I have studied your case. As per your history it looks swelling of soft tissue which can be lipoma or benign tumor. I will advise consulting surgeon for clinical examination. Bone scan may help for diagnosis. Benign swelling giving rise to pain can be excised. Osteoporosis needs to be treated adequately. 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 am 24 years of age. I had a tumor surgically taken out. After its biopsy it was found to be pure dysgerminoma. The tumor was confined to one overy. It was a conservative surgey. Do i need a chemotherapy? What is the survival rate with and without chemo. 5 year survival rate means the person only has 5 years to live?,"Hi, Thanks for writing in. It is important to take chemotherapy for dysgerminoma after surgery. Stage 1 requires only surgery because it is immature teratoma. However, higher stage is best treated with chemotherapy. Dysgerminomas are usually very sensitive to chemo, and can sometimes be treated with the less toxic combination of carbonation and topside. Giving chemotherapy will control the disease and prevent recurrence. Recurrence takes place in few patients even after surgery. That is why probably your doctors have recommended chemotherapy. With chemotherapy survival rates are high in the early stages. Almost every patient will respond to treatment. In cancer survival 5 year is considered a benchmark for treatment. If a patient survives for 5 years then their cancer is considered treated. Patients can live for a lifetime. Please do not worry."
+I have a small white pain painful lump on the bottom of my foot. It is surrounded by red infected type colour. I first thought I had something stuck in my foot but I cant find anything. Its getting more painful every day and getting quiet hard to put any pressure on my foot.,"Hi, Dear,These painful foot lumps need to be reviewed and consulted by your ER Surgeon. The lump in the throat seems to be abscessed of the plantar tissue of the foot. Take antibiotics / anti-inflammatory Chat Doctor. So consultation with ER Surgeon would fix solution to your intriguing lump problem at the site. This would resolve your query. Write excellent review if you feel that this reply has helped you a lot. Welcome for any further query in this regard to Chat Doctor and to ME. Have a good Day."
+"Hello, I have extremely sore and itchy nipples. I have been using anti fungal cream for a month and its not helping and I also had an ultra sound on my breasts 2 weeks ago and it came back clear. My ex used to cheat on me alot so could it be a symptom of an STI ? Any ideas what it could be? Thanks","Hello, Welcome to Chat Doctor, Sore and itchy nipples are not the signs and symptoms of Sexually Transmitted Infection. I would be due to some other infections preferably of fungal origin. The fungal infection will be more common in this area because the fungus can survive and grow in the wet and moist area. As you are having the symptoms of itching and soreness it sounds like a fungal infection. I would suggest you to follow1. Keep that area Chat Doctor. Topical Antifungal cream3. Oral Antihistamines4. Oral Antifungal "
+I have a red spot on my left knee that at first looked like a mosquito bite but came to a head yesterday and then started oozing yellow pus. Now I have another sore starting on my right calf. Both are itchy. I ve been fighting a bad cold for 10 days and am concerned that these may not be bites. Thoughts?,"HI, thanks for using Chat Doctor It is possible that they are bites that have become infected. Bites can become infected when bacteria are introduced from under the nails during itching. It is not likely that they are linked to the cold that you are currently fighting. The use of topical antibiotics may help but if they do not resolve with topical treatment then oral antibiotics would be needed. You should also consider repellent to prevent further bites. I hope this helps"
+"In the past couple months I have been having an extreme sharp pain in my left abdomen. The pain causes me to be unable to breath and I fall to the floor unable to move because of how severe the pain is. I went to the doctor for it and gave them all my symptoms, period for 6 weeks, fatigued, headaches, heartburn. All of my tests came back normal, but I have still having this pain and when it hits it is very scary.Do you have any idea of what it could be or what my next step should be?","Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would go for an ultrasound abdomen to rule out any pelvic adnexal disease or a urinary stone disease on the left side. Apart from it, any kind of pelvic infection or an UTI could also give rise to such pain. To rule this out, you have to get yourself examined clinically by a gynecologist, followed by a urine routine/microscopic/culture and sensitivity test and also an ultrasound of the abdomen. Therefore, I would advise you to take appointment with a gynecologist if not done already. Till then, you could go for an antispasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor"
+I had a tooth filled sept 24 it abcessed I developed a cough shortly after was put on antibiotics had to have tooth pulled last wk but still had chronic cough ..Im very asthmatic nothing is working for cough a d now metallic taste aftertaste when I cough,Thanks for your question on Chat Doctor. I can understand your concern. You were having infected tooth and this can cause aspiration of pus in the lungs and development of lung Infection. So we should get done chest x-ray to rule out lung infection as a cause for your coughing. Your metallic taste is due to antibiotics you are taking. If chest x-ray is normal than no need to worry much for cough. Take antihistamine and anti-inflammatory Chat Doctor.  Hope I have solved your query. Wish you good health. Thanks.
+My mom has underwent surgery in her intestine. Now she is having urinary infection. Report says that few pus cells were seen. Moderate Gram Positive Cocci were seen in pairs and chains. Enterococcus faecalis 10000 cfg/ml. Is this a serious condition?,"HI, thanks for using Chat Doctor Enterococcus females is a type of bacteria that can cause a variety of infections though urinary tract infections are most common. It is treated with antibiotic therapy. The infection can sometimes be difficult to treat because the bacteria can be resistant to antibiotics. This does not occur in all cases, and it is quite possible that your mother would respond to her treatment. I hope this helps"
+Hi my question is ive been experiencing for a few years now a variety of strange symptoms and they are as follows muscles aches mostly on the left side of the body as well numbness and tingling on my left arm and muscles twitching all over my body. Also a tension that runs down my left leg as well as pain at the top of my left foot left knee and left upper shoulder. And lastly at times full body numbness and dizziness. So my question is what do all these symptoms mean? ive been to my primary care doctor and he performed blood work for fibromyalgia as well as rheumatoid arthritis but everything comes out clear.,"Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: a bulging disc in the cervical column, vitamin D deficiency, fibromyalgia, etc. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a cervical spine X-ray study-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance-vitamin D plasma levels.  A cervical spine MRI study may be needed, coupled with nerve conduction studies.  You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further."
+"I think I may have broke my foot near the navicular 4 weeks ago. Regular X-rays said no but it s has a protruding of bone where I hit it and now I m having burning, numbness and tingling in foot. Not to mention it seems like my great to is crossing over the one next to it. Should I go for a second opinion or is this normal.","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation, numbness and tightness in the feet. Well there can be many reasons for symptoms you mention in query like chronic alcohol use , athletes foot, diabetic neuropathy, hypothyroidism, nerve injury or vitamin deficiency anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain tests like blood test, nerve conduction test and take history. Doctor may prescribe iron supplement or refer you to endocrinologist for thyroid problem or orthopedic surgeon for nerve injury. Hope your concern has been resolved. Get Well Soon. Best Wishes,"
+I have been diagnosed with a cyst on either my esophages or my Bronchi (they aren t sure yet). I have had an MRI and a CT scan both with contrast. I am now being told that I need another gated MRI. I am being treated now for stomach ulcers. I cough all the time. What are the chances that they will be able to fix this without major surgery?,"Hello dear, thanks for your question on Chat Doctor. Esophageal and or bronchial cyst if symptomatic than should be removed surgically. Surgery is the treatment of choice for such cyst. And it is better to remove this cyst as chances of following complications are high if these cysts are left untreated.1. Infection2. Rupture3. Fistula formation.4. Pressure symptoms on surrounding structures. So better to remove this cyst surgically."
+"I just had my teeth pulled and am wearing temporary dentures.  My teeth were pulled on 10/25.  I was given  chlorhexidine gluconate oral rinse.  I have been out of that medication for a week.  My tongue turned a chocolate milk color during using the rinse.  Now that I havent used it for a week, my tongue is still turning that color.  Infection or side effect?","Hello, Yes. It is one of the side of chlorhexidine gluconate mouth wash. It is not due to infection. Some other usual side effects.1. Tooth/tongue staining 2. Increased tartar3. Mouth/throat irritation4. Change in taste of food/ Chat Doctor. 1. To decrease staining of teeth and mouth surfaces, brush with toothpaste 3 times daily, brushing more on the stained areas2. Use of a ""tartar control"" toothpaste and electric toothbrush may be more effective.3. To decrease the effect on how food tastes, eat first, followed by tooth brushing and then chlorhexidine rinse.4. See your dentist at least every 6 months for tooth cleaning/tartar removal.5. Staining from this medication that may occur on dental work (such as crowns or veneers) usually can only be removed by a dentist/hygienist. Wishing you good health."
+"Dear Dr Prasad. I had frequent break outs on my skin. A lot of pimples suddenly.As an aside, I also had severe throat swelling and ear pain, unlike the symptoms of tonsilitis.My GP told me it was because of a lymph node infection.Can pimples break out because of this? And what is the treatment?","ALWAYS MENTION YOUR AGE & GENDER.LYMPH NODES OCCURS DUE TO INFECTION. NOT DUE TO PIMPLES. FOR PIMPLES .KEEP THE FACE CLEAN WITH FACE WASH TWICE A DAY.AVOID OIL FOR HAIR & FACE.USE OIL FREE MOISTURIZERS .WASH YOUR HAIR. WITH SHAMPOO TWICE A WEEK.AVOID HOT & HUMID.FOR THROAT SWELLING USE HOT SALINE GARGLES TWICE A DAY.YOU CAN TAKE PARACETAMOL/IBUPROFEN FOR PAIN.USE BOYLE BENZOATE CREAM FOR PIMPLES.DO NOT PINCH OR SQUEEZE PIMPLES, IT LEAVES SCAR."
+"Hii,I recently had sonography & report says liver enlarged with mild coarse un echotexture , it measures 16.4 cms in spam.Subsequent liver function showsrange of Bilirubin as 0.61 & Albumin as 3.60I would like tomention that I am 41 year old Male with regular intake of alchol.Is my condition bad enough & please suggest medication & course of treatment.","Hi welcome to the Chat Doctor Your bilirubin level and albumin levels are within limit... Hence, chance of jaundice and chronic liver disease is less here... Your further evaluation for enlarged liver should be done with following... -CBC and peripheral smear examination, If target cells seen hemoglobinopathy ruled out by HPLC -Serum viral markers if suspected from history like bag -Serum SGPT, GOT According to cause found further management planed... Alcohol intake should be kept limited. Heavy Chat Doctor. "
+"hi doctors, my name is anita and im inquiring regarding chronic pain ( as of yesterday evening ) in my tail bone, i did not fall just almost tripped from behind but caught myself, since then from my knees down i feel numbness or tickling sensation and the pain is not aliviating, can i get your input and do i have to seek immediate help or home excercise is okay ?","Hello, I have studied your case and most probably you are having disc herniation with nerve compression in the spine. I would recommend you to get some rest. Take hot water fomentation in the back and also keep your leg elevated over pillow. You should also take tablet Pregabalin M one daily. This will decrease nerve edema and also take care of the pain.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks"
+I have a lump on the right side of my vagina it started out on the outside now it has gotten swoll and sits on the inside of my vaginal area it looks like a hair bump but it only hurts a little when i wipe or when i lay down it itches a little. I thought it was a cysts.,"Hello and welcome to Chat Doctor, A lump in the vaginal wall could be due to cystic lesion. A Catholics gland cyst, a Garden cyst, soft tissue swelling, etc. Inflammation of Catholics gland is quite painful. However, the Catholics cyst lies at the junction of anterior two thirds and posterior one third of the labia minor. You need to consult a gynecologist for clinical assessment. Depending on the type of lesion, further management will be planned. Surgical removal of the cyst will be curative in most of the cases. Thanks and take care Chat Doctor. "
+Hello sir!! Im 23 years old and im having problem in my stomach and intenstines since last 3 years.. After every 6-7 months. Im on proper medication but still there is pain in ma extreme right of stomach. I only take 2 meals a day. I sleep in early morning like 4/5 nd get up around 2. It is actually bothering me too much now as my work is suffering and twice I had to leave my job . So what can I do to make things better!??,"Hello, By history it seems like you're suffering from acid peptic disease. Your food habits and your stressed life and work pattern has a role to play.you're on regular medication but you're not ad Chat Doctor. If uncontrolled you may develop gastric acid reflux, gastric ulcer and duodenal ulcer. Avoid spicy food, tea and coffee.Don't skip any meal. Have frequent small meal. Keep yourself stress-free. Sleep should be adequate. Take Proton pump inhibitors"
+I have neurological symptoms pinching burning numbness weakness high pitched sounds in head titching kicking muscle jumping tingling and other sensations and ect my symptom s come and go. my first emg was positive for Peripheral neuropathy lower legs and feet symptoms spread threw body had a second emg was normal even though i still have symptoms in feet lower legs and now threw out my body I also have a lesion on my cervical spine does a emg diagnose multiple sclerosis,"His read your problem, actually peripheral neuropathy is a disorder that occurs when nerves malfunction because they are damaged or destroyed. Causes of peripheral neuropathy-Generalized diseases nerve damage caused by diabetes is one of the most common forms of neuropathy. The risk of neuropathy increases for people whore over weight have high blood pressure are over the age of 40 have diabetes other chronic causes airline disorderHypothyroidismDeficiencies of vitamins E, B1,B6, and B12, which are essential to nerve health NAD functioning. InjuryPhysical trauma is the most common cause of injury to the nerves. Alcholhol and toxins infections and autoimmune disorders. MedicationsTreatment options for peripheral neuropathy again medicationsAcetaminophen and non-steroidal anti-inflammatory Chat Doctor.  Medical treatment-TENSErgonomic casts or splints. And you have multiple sclerosis and there is no cure for multiple sclerosis. For the further treatment or investigation consult the orthopedic or euro."
+"Hi I am on 300mg of Effexor for ocd, and I am always exhausted and very vacant. My memory is hopeless, I can give a shop assistant my card and then stress straight away wondering what I have done with it. I know I have to be on medication because I really struggle otherwise but was wondering if I can decrease my dosage or try another medication. Thank you. Wendy","Degree understand your concerns went through your description. I suggest you not to worry too much. If you are a typical OCD client, then you should have been advised about OCD fully. It is mandatory. The stress goes with OCD, and it is easily overcome. As long as your memory is concerned, it is not failing. It actually is overwhelmed. You are preoccupied with obsessional thoughts which fails your memory. OCD clients should learn how to tackle this, how to think away from obsessive thoughts. You might need OCD therapy and other behavioral therapies. I am more than happy to provide telephone psychological help through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this clears your some doubts. Available for further clarifications. Good luck."
+"Thanks... a bit confused about treatment options and correct sequencing of frozen shoulder Orthopedic Surgeon 1st - Radiographs (?) - Steroid injection into the joint area - Physical therapy sessions (?) for How long ? or exercise/flexibility/yoga/pranayama at home. OR O.D. 1st - Trigger point injections into 1/2muscle with lidocaine, no epi - multiple appts.(unknown amounts of time and money), some manual adjustments , some exercises to open up hips (connection of pain in shoulder to posture etc), some arm exercises but unable to do because of pain My questions are 1. What is the most effective procedure? 2. What is the best sequencing of treatment? 3. Are alternative treatment modalities necessary always after steroid injections and exercise if relief is present? 4. To prevent this issue from reoccurring are there certain exercises/life management and/or dietary adjustments that have proven to be helpful? Thanks","Hi, thank-you for providing the brief history of you. A thorough clinical assistant is advised. As per your query you need to first meet an or tho for the clinical assessment. Post than may be an MRI will be guided to see the soft tissue Injury. Later, with physical therapy the use of ultrasound therapy and TENS therapy will help reduce pain and inflammation. Later stages, exercises and mobilization will be performed to get the strength and ROM of the shoulder girdle. In my clinical practice, it takes about 3-4 weeks of time for recovery to attain. 99% of patients recover faster if the blood glucose level are under control. RegardsJay In Chat Doctor. "
+"Doctor, my young brother has cycle-cell, he is 30 years old, height 5,7 and weight 59. He has been experiencing abdominal pain, after diagnosis it was found that his liver is swelling. and his stomach is swelling of water. Doctor help us we are poor we cannot aford expensive treatments.","Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that there is no treatment of sickle cell disease. Only thing you have to do is prevention. Prevention is by preventing low oxygen tension to your brother. If he is on low oxygen tension than he feels attack but if he is on good oxygenation nothing will happen to him. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."
+"I have a degenrated disc at my L4/L5 level. It is at about 25% degeneration. My L5/S1 also has some slight degenration. I found out after pulling a muscle in my back 4 years ago. My right leg is about a centimeter shorter than my left, which is the main cause of the degeneration. I have shoe inserts which leveled my hips and legs. I recently pulled a muscle in my lower back. I have been experiencing lower back pain and stiffness, along with sciatic pain. I have also been experiencing intermittent pain in my left testicle. It comes and goes and sometimes moves to the right testicle. I have also noticed a frequent urge to urinate. I have noticed that not as much urine comes out and I still feel like I have to go shortly thereafter. If I massage the area near the rectum and behind the scrotum, it provides relief. Movement also provides some relief. The pain moves around between the testicles and base of the penis. Sometimes it disappears completely. I have not been tested for an STI, mainly because I have been married for over 5 years and have no other sexual partners. There have also been no physical signs, i.e. discharge, burning/pain while urinating, cloudy or smelly urine, blood in urine/ejaculate, etc. I have had issues with urination for at least 10 years. They include constant urge, inability to urinate when I feel the urge. I am currently uninsured, so I am trying to find some possible answers before I make it into a doctors office.","Hi, In my opinion the radiating pain in your testicles isn't coming from the herniation or the medications you take it actually came from you renal system which is mentioned of having history of issues for the past ten years, so I think you have some sort of renal stone or a gravel in your ureters that prevents you from urinating freely to the end. You will need some investigation like SUA, RH factor, ASCOT Title, urinalysis and U/S of your abdomen and pelvis to know exactly where is the pathology exactly for specific treatments.  I would recommend higher fluid intake, low proteins and carboy Chat Doctor.  Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask."
+i am 34 yr old male i exercise regularily  i m 6ft tall and weigh 95 kgs  i am a regular tennis player for last one year or so i am having frequent chest discomfort no pain . i got my tmt and echo done 3 times in last one year both are absolutely fine with my tmt results going better than 100% whay is this frequent chest discomfort,"Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your 2d echo and TMT (trade mill test) are normal. In my opinion, you are mostly having musculoskeletal cause for your chest discomfort. Your chest discomfort is associated with exertion (playing tennis), so musculoskeletal cause is more likely. So follow these steps for better symptomatic relief in musculoskeletal discomfort. 1. Avoid awkward movements. 2. Sit with proper back and chest support. 3. Apply warm water pad on affected areas of chest. 4. Avoid heavyweight lifting and strenuous exercise. 5. Avoid bad postures in sleep. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"I have been on a diet using ChatDoctor drops. I have been experiencing a bit of unexplained bruising and other areas that are the same pain as a bruise, but no bruise or injury is present. Could this be a side effect of the ChatDoctor? Is this a safe thing to take?","Hello, I will suggest you to discontinue the hormonal method of weight loss. ChatDoctor Chat Doctor.  Lack of vitamin C in diet and other important micro nutrients can lead to browsability. Chat Doctor has also many side effects, one of which a rare one is browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist.  Hope I have answered your query. Let me know if I can assist you further. "
+"My husband has had stomach issues for 2 years now. When it first happened he complained of severe stomach pain in his upper middle to left abdomen. He also had a fever. We took him to the E.R. and he was diagnosed with Diverticulitis after a CT scan with contrast. Due to not having insurance at the time, we never followed up until this past month. He had a colonoscopy done and they found nothing to even suggest he has diverticulitis. They also eliminated Crohn s and Celiac disease. The only thing we have noticed that aggravates the pain is steak so he avoids it but still has the pain. He describes it as a bruised feeling. It s a dull pain unless he eats something that aggravates it or if the area is touched then it is a sharp pain, and he says it s not a cramping pain at all, just a very bad bruised feeling. It also causes him weird bowel movements that range from diarrhea one day to close to constipation the next. His doctor is treating him for Irritable Bowel but the medicine hasn t helped at all.","Hi. Thanks for your query. Read the history and understood the problems of your husband. The diarrhea, constipation sometimes, pain in abdomen, CT scan which showed diverticula in the past, but the recent colonoscopy is absolutely normal. Yes, he is suffering from the Irritable Bowel Syn Chat Doctor. If the medicines are not helping, the probable causes and the treatment area as follows:-Notice more than the steaks, which food stuffs and beverages cause / increase his problems. -Increase the dose of the medicines o give more effect or may be change over to another medicines. -Stress and anxiety are the biggest contributory factors, and he has to keep them under control at any cost, with yoga, meditation and / or medicines."
+"Rught after hurting my lower back yesterday, both my legs became extremely weak and shakey feeling as though they couldn t support me anymore. My lower back feels very very weak now too. What s wrong with me? Do i have to pay to continue to consult I m sorry, i just read that I have to pay. I have no money at this time. Thank you anyway for taking the time to read my question.","Dear patient You have got para paresis due to back injury. This is serious issue, and you need to consult spine surgeon as soon as possible. Spinal cord and nerves travels through spinal canal and back trauma may lead to vertebral fracture or disc prolapse with spinal cord compression.  Spinal cord compression leads to weakness in both legs and loss of bowel and bladder control. This if not treated in time may not recover. So the need of urgent consultation. I would advise MRI of lumbosacral spine with screening of whole spine to confirm diagnosis.  Visit expert spine surgeon with report. All the best."
+"My 10 month old has had a bad cold and hacking cough for the last 5 weeks. Almost continual streaming nose and lots of phlegm. This morning he projectile vomited up all his milk. I then tried him on solids, but half an hour later he projectile vomited all his solids up. Any advice on next steps? He doesn t have a temperature and seems happy otherwise.","Hi! I'm sorry to hear that about your child. His cough and colds can trigger the vomiting. You said he has lots of phlegm, the body will try to eliminate it. You can try small frequent feeding, in that way the stomach is not full when he coughs. Also, when you feed him, keep him upright. We want to prevent the risk of aspiration. Monitor him for any signs of difficulty in breathing and or deny Chat Doctor.  If any of these appears, bring him to his doctor for proper assessment. I hope I was able to help you. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrics"
+"My dad has lung cancer and just in the last two days he has become very confused and cannot put sentences together, cannot feed himself, walk, or go to the restroom on his own...does this appear to perhaps reached his brain or could this be from the strong pain patches that he has been on for just a few days now? Thanks",Thanks for your question on Chat Doctor. I can understand your situation and problem. There are few causes for altered mental status and confusion in lung cancer patients. 1. Spread of tumor in brain.2. Electrolyte imbalance especially hyponatremia (low sodium).3. Acute psychosis from the fact of having incurable disease. So get done MRI brain to rule out brain metastases. Get done S. Na+ to rule put hyponatremia. If both are normal than consult psychiatrist to rule out acute psychosis.
+"My 8 month old has HFM, and is in a lot of pain. Blisters everywhere, barely able to sleep and is inconsolable when awake. Other than giving him Tylenol and offering cold things to chew on I m not sure what to do to keep him comfortable enough to sleep?","Hand, foot and mouth disease is a viral infection that is frequently seen now-a-days. Viral infections do not respond to antibiotics and resolve spontaneously in 5-10 days. Management is supportive. Giving Tylenol should reduce the pain and help. Use lidocaine oral gel over the oral lesions, and it will help in relieving the pain. You may give pedicloryl syrup and help the child sleep. I am sorry that you would need to be a bit patient."
+my father is having bad stomach pain. he had this pain before and was told it was alcoholic gastritous. he hasnt drank any alcohol and woke up in pain this morning that has gotten worse. he too a ranitidine at 9am. will an ibprofen help with the pain or be safe to take?,"Hellos your father stated that this pain is due to gastritis (caused by alcohol intake) , sanitizing is not working. When such case visit with excruciating pain, patient need to take antacid (if it contains tetracaine, better)4 T S F (until and unless contraindicated) according to necessity. Also give your father diclofenac 100 mg+ Chat Doctor. Ibuprofen will further produce (aggravate) gastritis. Your father will get relief immediately with this treatment. But this is a prescription treatment so take a prescription from a doctor. Still, no relief within 4-5 hours then consult a physician and get his opinion. Good luck."
+"I have general gum recession on my bottom teeth and slight recession on my upper canines. Im thinking about getting gum grafts to cover the exposed root surfaces. But as Im currently wearing braces, Im not sure what I should do. Should I wait until the orthodontic treatment is over and then get gum grafts? Or is during the orthodontic treatment fine?","Dear friend. Thanks for sharing your concern. As you are wearing orthodontic braces for teeth alignment, your teeth will take new position due to it root movements.Therefore, it is best to go for gum grafts only after that. Also remember mild recession can itself get corrected after orthodontic braces removal. It is only in severe recession cases you need to get your gums covered with tissues through grafts. That will reduce your teeth sensitivity as well as enhance esthetically. Meanwhile, it is advised to get your teeth cleaned once, upon consulting your orthodontist, because deposition of calculus and stains also leads to gum recession. Maintain very good oral hygiene, and you can use antiseptic mouth rinses too. Hope it helps. Thanks. Take care."
+"I have a daughter who s hair is starting to fall out since she was a baby. I thought it s normal until 2 months ago, her hair falls double. I went to different dermatologists but they can t give me an answer to what is causing for this hair fall. I thought it s due to malnutrition for she s thin and never had a regular milk to drink for she s allergic to milk. But I have been giving her powder milk and she seems to be gaining weight but the hair fall doesn t stop. Please help me find out what is causing my daughter s hair fall before her hair starts receeding in front. Thank you so much.","Hi, Hair fall can be due to zinc and protein deficiency. Give her zinc supplements like Sure and high protein diet like meat, eggs. You didn't mention the age, so It's difficult to counsel regarding diet but make him eat good diet according to age and get a check-up from dermatologist for some fungal infection causing hair loss. Hope I have answered your query. Let me know if I can assist you further."
+"Hi there, I have been having problems with my stomach for the past few  weeks! I feel bloated and vomit after food but I dont throw anything up. I have also felt some lumps on my upper stomach right under my chest bones mainly my right side. The lumps are getting more and when I touch they hurt! Can you please give me some advice.","Hi and welcome to Chat Doctor. Bloating and vomiting are nonspecific symptoms, but these lumps you're feeling are definitely something that must be evaluated! You should do at least ultrasound to rule some serious diagnosis out. Usually such symptoms are caused by gastritis, gErd or hiatus hernia, so gastrostomy should be performed too. There is no specific cure. If you have only gastritis this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. But as I said, I really suggest to DI some imaging tests do investigate these lumps. Wish you good health."
+I noticed bruising on both left and right legs after driving 12 hours straight (took four 1 hr breaks in between to get gas and food). Is this unexplained bruising related to sitting down too long in the car or it is something serious that I need to see my doctor.,"Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult your doctor and get done blood investigation to rule out any disease. Skin bruises on bilateral lower limb after prolonged Chat Doctor.  So get done PT (prothrombin time), APT (activated prothrombin time) and bilateral lower limb venous Doppler. If all are normal then no need to worry. Hope I have solved your query. Wish you good health. Thanks."
+"My 2yr old grandaughter has always had trouble wth constipation and has been under her famly doctor, she has been taking medicine for quiet a while. My daughter in law is worried about her taking the medicine and asked for a Consultant to look at her. The first visit he said try a dairy free diet, this did not make any difference. Now she has a very swollen tummy and has lost weight. She has also been off her food the last couple of weeks eating very little. She has also cut another couple of teeth so we thought it might be that. The hospital have taken xray of her stomach, and she will be having some blood tests in the next couple of weeks. As you can imagine we are very worried, have you any idea what it may be?","Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor.  Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"Hi my name is sahira, 29 age, my husband is 31 yrs old. We are trying for a baby now I am taking Menogon 3 inj on alternate days and 1 pregnyl inj, how many chances of conceiving are with this inj? My hormones and my husband tests are clear. O have 2 fibroids in my uterus, does conceiving effect it?","Hi, Welcome to Chat Doctor forum.  As you describe both of you are perfect in the tests of gynecologist, you need not have this treatment. But if 3 years passed after the marriage, most of the doctors use this treatment.  Mention is a purified combination of follicle stimulating hormone and luteinizing hormone. To induce ovulation and enable pregnancy in women.  In women, Chat Doctor is used together with other hormones called follicle stimulating hormone (FSH) and luteinizing hormone (LH) in the treatment of infertility.  So there is every possibility of getting pregnant. It needs per vaginal ultrasound scanning at the time of expected ovulation, to see there is maturation of the follicles, and ovulation.  If you don't get pregnant in the first time, you may become pregnant you will become pregnant in the second cycle. So never get confused, or get anxiety, as they may spoil the process.  Wishing for a quick and complete recovery. Thank you."
+"My grandson has a bad case of acne and seen Christa Heard CRNP today. She recommended antibiotics and a cream to be applied morning and night, to make a long story short the medicine was 600. dollars and I am a single woman raising my grandchild needless to say he was very upset when we left the drugstore what or where do we go from here? Sandra","Hello and welcome to Chat Doctor. Thanks for your query. I understand that 600 dollars is a huge amount and it's even puzzling to me why a course of antibiotics and a cream would cost that much.  I presume that you don't have insurance, so the only option would be to be prescribed more cost-effective medication.  Furthermore, I would suggest that you can let the CRNP know that you cannot afford the medication and request her to prescribe something else more cost-effective and affordable. Since acne is not a serious condition, I don't think your grandson needs a very strong antibiotic or other expensive medication.  Wish you all the best. "
+"I am getting frustrated w/ my doctor. I have Hep C so he blames all problems on that. I have had a hysterectomy and now have terrible hot flashes but because I am a smoke he will not give me anything for that. I have a dozen nodules in/on my thyroid but my blood levels are in the high side of normal so I do not take a thyroid medicine. I have fybromalgia that I take gabapentin and tramadol for. For well over a year now I have been having these episodes where I become very hot, shaky, nauseous, and feel like I am going to pass out. They are getting worse. I am having severe headaches. They say I am not diabetic. Twice in the last 3 weeks it has felt like someone flipped me sideways and I have about fallen. It only happens for a few seconds. I am becoming very frightened by all of this. I have a doctor appt. tomorrow. But I don t know if he will listen to me","Thanks for your query at ChatDoctorAccording to your history you have undergone hysterectomy that could be a possible cause of your hot flushes, etc. You seem to be having some hormonal problem. You must visit a gynecologist and get investigated for hormonal tests. Furthermore, you might need hormone replacement therapy. I would like to add Chat Doctor.  But you get you viral title done at 6 monthly basis and regular follow up. Can you guide me on your prior treatment? Take care!"
+Hi I have just been diagnosed with gallstones and awaiting an op. When I sneeze I get a very sharp stabbing pain in my lower Left hand side of the abdomen that travels 2 inches towards my belly button and then goes off . Is this likely to be part of my gallbladder problem or something else,"Hi thanks for contacting Chat Doctor ... You have abdominal pain while sneezing ... Yes it could be by gall stone ... Here second possibility could be muscular strain also.... Avoid strenuous activity for it... Heavy weight lifting avoided. Take proper sleep posture while sleeping...If you need for pain simple analgesic can be taken... If your gall stone small and single then Adílio tablet that is made up of ursodeoxycholic acid can be taken that help in dissolving cholesterol in bile...Meanwhile, take low fat diet...fruits more... Take care... Chat Doctor. "
+hi i m 25 years old male and i m having problem with my hair as my hair suffer a substantial loss in the frontal and anterior over the last year when i consulted with a doctor she prescribe me with morr F solution and curlzvit tablet plz let me know the effectiveness of these medicine and their side effects. thanks,"Hello, It may be used for hairless. It will work by increasing the blood supply to the scalp or affected area. Possible side effects are: 1. Dermatitis.2. Excessive hair growth on face.3. Headache.4. Itching. Culprit is a multivitamin tablet may be useful to avoid the hair fall. So I think I answered your questions still have queries please feel free to ask. Hope I have answered your query. Let me know if I can assist you further. Take care "
+My resting heart rate at the doctors office today was 132.  I have narcolepsy and am on Adderall XR 30mg bid and Adderall IR 10mg tablets 2-4 times daily for afternoon sleepiness.  My blood pressure was normal 120/77.  Should I be concerned about my heart rate?  The last time I was in the office it was 110 just sitting in his office.,"Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your resting heart rate values are a little high, but they can be related to Adderall IR adverse effects (it is known to increase the heart rate by stimulating the sympathetic nervous system). As your blood pressure values are normal, the situation does not seem to be really concerning. But, I would recommend performing some other tests to be sure that everything is OK: - an ambulatory 24-48 hours ECG monitoring to examine your heart rate values for a prolonged time-complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for electrolyte imbalance. If all these tests result normal, there is nothing to worry about. If your heart rate is persistently high, I would recommend discussing with your doctor on the possibility of reducing the dose of Adderall. Hope to have been helpful! Wishing good health, "
+My blood pressure has been low for the last month. 88/58. Now I just noticed 2 marble size lumps on the side of my neck. I had a fever earlier in the week and problems with allergies. Lost 55 pounds recently and lowered salt intake. Nor sure if all is related.,"CLUMPS IN THE NECK CAN BE A INDICATOR OF INFECTION OR IT CAN BE ANYTHING SERIOUS LIKE CARCINOMA(cancer)sides of the neck has many nodes called as lymph node, its function is to trap any infectious agent in the body, swelling in lymph node indicates that there are infectious agents in body, as your lymph nodes are trapping those infectious agents, the size is increasing however in some case swollen nodes are an indicator of carcinoma its very possible that these enlarged nodes are pressing the vagus nerve which passes in the vicinity, vagus plays an imp role in maintaining blood pressure, increased pressure on vagus can lower the BP due to overstimulationbut a fever is indicative of ongoing infection would suggest you total leukocyte countdiffrential leukocyte count complete blood count test to rule out any ongoing infection if its normal then a Fine needle aspiration cytology of enlarged nodes should be done to rule out carcinoma"
+I m very terrified. I just noticed a very dark purple almost black lump in the back of my mouth about half an inch or so after my moler. Causes no pain unless messed with. WHAT IS IT?! Is it deadly?! Can I cure it at home?! Please say yes! WHY IS IT THERE PLEASE HELP!!!,"Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark purple lump next to molar tooth can be due to a dilated vein also known as Varicose vein or a Varix. The lump might be due to formation of a small blood clot that got lodged in that area forming a Thrombus. It is not AA serious condition and will not cause any serious problem. It can gradually reduce in size on its own. If it is not ruled out as the cause other causes can be like mucous cyst or Muscle, Hematoma or a Hematoma. Confirmation can be done by getting a clinical evaluation done by an Oral Physician or an Oral Surgeon. Hope this information helps. Thanks and regards. Chat Doctor. "
+"I have been experiencing hip pain/upper thigh pain that was intermittent and now is consistent.  It is more of a burning type pain.  The pain disrupts sleep and is painful while sitting still. I am a 53yr old female, 175lbs.  Last year  blood work shows my white blood cell count to be slightly elevated but I have seen a oncologist who didnt find anything.  I also have been very tired and have been getting frequent headaches.  I was recently diagnosed with a autoimmune disease Vitilago.  I have seen a dermatalgist and endocrinologist.  No one has any answer.  Where do I go now?","Hi, thanks for writing to Chat Doctor. Hip and upper thigh pain which is of burning nature and is occurring more in sitting position especially in obese individuals (as in your case) is suggestive of NEURALGIA PARENTHETICAL. This condition results due to the compression of Lateral femoral cutaneous nerve (pinched nerve) at the level of groin fold. A few conservative measures which are effective in treating this condition includes - wearing loose clothing (avoiding tightness at the level of the waist and groin fold), Losing weight, taking OTC pain relievers such as acetaminophen (Tylenol) ibuprofen (Advil) or aspirin, Physical therapy to strengthen the muscles of the legs and buttocks etc. Other causes arising from the Hip joint are also to be excluded by having X-rays and MRI scans, which may also present with similar picture. So, I suggest you to consult an orthopedic surgeon for a detailed clinical examination and further management. Hope this information is helpful. Good day"
+"Hi, my bf is experiencing syomach & adominal pains, lower back pains, pennis & balls hurt, anus hurts, trouble getting hard. He doesnt wanna move cause its that painful & this all occured after we had sex. What could be the cause & how can we make it stop for now until can see a doctor",Hello appreciate your concern for your boyfriend. Looking at your description this might be related to inflammation due to infection or injury during sexing my opinion you should ask him to have plenty of fluids with glucose water and fruits juices if he is not diabetic. You can also give him ibuprofen with pantoprazole for symptomatic reliefs him to take rest until he recovers fully Hope this answers your question please feel free to ask for further clarification I will.be happy to help you Best wishes
+"Hello im a 36 year old female and two months ago, ive been starting to have a lot of dizziness everyday and i feel tired all the time. even when im in bed, i feel nauseaus and dizzy. i m pretty sure im not pregnant, i excrsize regularly and i am eating right. what could be wrong?","Hi, First, you should measure your blood pressure and if it were high, you should receive a medical treatment, take Aspirin 160 mg, decrease fat and salt intake, do Lipid profile and do an ECG and an ECHO on your heart. Second, if you take oral contraceptive pills or a hormonal replacement therapy you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further. "
+"I had a skiing accident that caused a hematoma on about 50% of my hip a little over 10 years ago. My hip started to bother me when I laid on it about 6 months ago. Now the pain is to the point I cannot sit for more than 15 minutes with out my hip, knee, leg, and feet aching and sometimes get a warm sensation where the hematoma was. There is still a bump on my hip where the bruise was. I also never had any procedure for the hematoma. Should I see a doctor asap or am I ok waiting for my appointment with my general doctoc?","HelloWelcome to Chat Doctor, Due to blunt injury there can be hematoma collection. The bleeding that occurs result in hematoma collection. Over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. I would suggest you to apply ice and thrombhophobe ointment will help and take adequate rest. If required you may need to do blood investigation for prognosis and recovery. Take precaution to avoid infection around hematoma. If it continues to trouble I would suggest you to consult orthopaedician for further evaluation and treatment. Thank you."
+i have chipping L5 L6 in my neck i was wondering if this could cause swelling around my neck even in the front. i am supposed to go for surgery but haven t heard from the surgeon yet. i am in a lot of pain in my arms and tingling down my arms to my finger tips.,"Hithank-you for providing the brief history of you let me make a correction that C5-C6 comes in neck region and not L5-L6?.as you mentioned your history what I can understand is that you have pain & tingling in the arm up to the fingers.these symptoms arise due to Cervical spine disc pathology. For which I can recommend you to take physical therapy. This will help you reduce the pain and tingling sensation. Also on a later stages exercises will be introduced.in my clinical practice, I have seen many cases with similar issues and all response well to physical therapy.regards Jay In Chat Doctor. "
+"My husband has a large, hard mass in the sternum. It has been there for about a year however in the past few months he has developed severe stomach pains, nausea immediately after eating and severe heart burn. His stomach constantly feels full and he spends a lot of time in the restroom. Is should also mention that about 8 years ago he was diagnosed with pre cancer of the stomach. This weekend the stomach pains were so severe that he could not get out of the bed. Could this be something serious? He is 44, 5 10 and weighs 210.","HI. This is definitely a serious matter as he was diagnosed to have a pre-cancerous lesion in the stomach. He needs upper GI Endoscopy. The mass on the sternum is not related. I would advise for this HERD like symptoms the following: Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you, hopefully."
+"I was just diagnosed with crohns desise a few months ago. Im also taking medicine for indigestion and heartburn.  a few weeks ago I started this pain in my upper left abdomen, my gastro didnt seem concerned and my family doctor said it was a pulled muscle from coughing. pain has subsided for now. Last night I was woken up to severe stomach pain/ burning sensation in the middle of my stomach and severe nausea and started sweating. I could feel my heart racing. I did throw up a little and it calmed down a little bit but am still nauseated this morning.","Hi. Thanks for your query. You are suffering from Crowns, this is a recurrent problem and most probable be the reason or the pain in abdomen you have. It is better to get re-investigated for the fresh attack of pain, nausea, vomiting, sweating you had as there may be another problem associated. I would advise you the following:Get the blood, urine and stool test done. Standing X-ray of the abdomen and Ultrasonography. Get a course of additional medicines if advised so. Get PPI, Domperoidone, antacid. Alter the diet to suit the intestines. If required you can always take a second opinion of another Doctor or Gastroenterologist."
+I have suffered from what seemed to be RA for five years now. I was treated with methotrexate yet continued to suffer joint pain at times when having allergic reactions. I was tested by an allergy doctor and told I did not test positive to any known allergens on tests. Yet continue to have knee joint pain and itchy tattoos that turn bumpy throughout the year. On and off. I discontinued Methotrexate treatment and I went on a hunch and was treated for Lyme disease. I am around rescue dogs as a hobby not all the time. I got better and was able to walk again. However now I find whenever I have allergic reactions itchy tattoos sinus issues my knees become painful again. Any ideas? Tatto related?,"Hello, I can understand your concern for side effects of tattoos. After analyzing your query it appears that you are quite stressed regarding the tattoos and its side effects. Though in general if the tattoos are made in sterile procedure then there is no any harm of the same but in case if the tattoos are carved by unsterile needle or is made with infected needle then can transmit multiple infections. Temporarily it can cause secondary infection and later on the tattoos can cause permanent darkening of the skin which is actually difficult to be managed. You can take further guidance from a family physician. Take care."
+"Hi, my 79yo mother noticed a lump in her neck on the left side, mid jaw line, extending from just below the jaw to the middle of her neck.  It is soft, no pain.  She has been running a low grade fever and has been very tired.  The doctor ordered a ultrasound which was inconclusive and sent her to a surgeon.  She is getting a CT tomorrow as the ultrasound showed a nodule on the right and a mass on the left.  The surgeon said whatever it is it needs to come out.  What are they suspecting?She does not smoke or drink, has a history of atrial fib and was on amiodarone until her doctor discontinued it 2 months ago due to high liver studies.  she is now on only beta blockers.  Her thyroid studies at her last physical 6 months ago were normal.","Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, your mother is mostly suffering from thyroid cancer. Her CT report clearly mentioned left sided mass and right sided nodule. So possibility of papillary thyroid cancer is more. Old age is an independent risk factor. It is usually painless and present only as enlarged mass in the neck. So better to get done fine needle aspiration cytology (FNAC) for the confirmation of papillary thyroid cancer. Consult oncologist and plan future treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
+since i made a fall last year i hVE RECOVERED HOWEVER/ FOR THEPAST MONTH IT STARTED WITH MY TOES GOING NUMB and now it feels like IT IS TRAVELING UP TO MY ANKLES. AM ON VARIOUS MEDS MEDS FROM MY G P BUT THIS NEW ONE IS DRIVING ME CRAZy i can NO LONGER WALK WO A WALKER nEED HELP IN ORDER TO WASH AND DRESS LET ALONE KEEPING HOUSE AND DRIVING MY CAR ID THEREANYTHING I CAN DI TOI HELP ME OR WILL THIS GET WORSE UNTIL IT KILLS ME THANKS. AUDREY,"Hi, Thanks for your query. Numbness in the toes indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
+Hi sir!I am sekhar and 33 years of age.I have a pimple in my head of penis and a hard lump in my groin area since last 10 months.Recently i have examined those by 2 doctors(surgeon) and they told me that the lump is a cyst and it is now too tiny to remove.Sometimes i feel slite pain(rather irritation) from the lump but the pimple is painless.what should i do?,"Hello, It would be of great help if you could share the picture of your cyst so that I can comment over its treatment.  Cysts are usually fat deposits below the skin or a clogged hair follicle. If its causing pain go and see your doctor again to see if It's infected or not and get your treatment accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+I had a complete hysterectomy 8 yrs ago. I WAS PUT ON A NUMBER of ssrs and finally found Prozac to work. I was put on Xanax for anziety. having more issues with panick attacks due to high stress last year. dr is talking mood stabilizer oxcarbazepine. will that help,"! If your diagnosis is just anxiety disorder and not bipolar disorder, then oxecarbazepien will be best avoided.  There is many milder and better molecules which can help you and will not require many dosage level monitoring (like oxecarbazepien). You may go for venlafaxine or paroxetine, or combination with Aquitaine. These all are good at handling anxiety and panic attacks. Your doctor will know about them. Hope this helps you please feel free to ask more questions for clarification"
+I am experiencing server pain from my crotch to my feet. I ve had a triple by pass in the past. In the last 6months I ve had swelling and extreme pain throughout both legs. The pain often brings me to tears. What caI do to comfort my legs until I see the doctor on Monday. I need relief.,"Hi, It's likely a sciatica.  You're It D level, x lumbar spine AP/ Lat view and further may need MRI if x-rays are not informative. The treatment for this is physiotherapy to release the nerve compression so may visit the nearby physiotherapist. Till the time you can have tabbed Neuronion forte once a day which is a nerve vitamin and Diclofenac/Ibuprofen. Also, you should get nerve stabilizer prescribed like Tab Pregabalin will stabilize the nerve and reduce pain. Etc. You need to visit orthopedic for all these investigations. Hope I have answered your query. Let me know if I can assist you further."
+"Hi, I got a flu shot a couple days ago. For a few days my arm was very sore (that s usual, I know) but then three days ago I realized my pain moved up to the base of my neck where I know feel a lump under my skin. Is that normal or should I seek Medical Attention for it? If it is normal, how many days do you usually keep it?","Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a side effect of the shot. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. The symptoms may last for a few days. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor. "
+"my baby is 6 months and has a red rash behind his ears and redish eyelids, he is more tired than usual. Noticed the rash 24hrs ago and now it has spread over his back of his head and little on his cheeks and under his chin. It is red slightly raised, does go when you add pressure thrrough the glass test - He is very alert and responsive and no change in himself, Nappies are normal and no vomitting. temp 36.4. Any ideas or help you can give Dr is helpful.","Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"6 year old male diagnosed with high lead levels. has been treated with chelation intramuscularly and then with the medication given by mouth. level receded to high normal level for one month. current blood test shows a significant elevation and the chelation medication is to be started again this evening. are there any other suggestions that you can make as far as treatment to permanently diminish this problem to a safe level. surroundings, toys, etc. have all been tested and show no lead content that is harmful.","Thanks for your query on ChatDoctorFrom history its seems this child is having chronic lead exposure and lead toxicity. Its treatment include 1. Identification of source of exposure. It may be due to eating soil, paint, some herbal remedies etc.2. Behavioral modification to reduce non-nutritive eating habits.3. Dietary counselings to insure sufficient intake of essential elements calcium and iron.4. Chelation therapy to decrease lead level Hope this information will help. For more queries you may contact me at this site. Regards- Chat Doctor. "
+Does an ECG show up any potential heart problems. I had one last week for ectopic beats Ive been getting as a part of anxiety and it came back normal. I have had 3 in the last 8 years all normal. I had a weird sensation in my chest almost like my heart bubbled or flip flopped whilst I was vivid dreaming. Wondering whether I should be comforted by the recent ecg and its scaring me and making my anxiety worse.,"ECG is the representation of your heart activity for that 30 seconds.  Like all test it helps us detect many problems of your heart, however like other test It's not always true. If at all you want to investigate for ectopic beats consider below. I'd the symptoms do occur every day, get a 24 hour holder.  If they are very rare once in a month or so and troublesome, an event recorder is a better investigation .  Before you embark of such a tedious job let me assure that 85% population has at some point of time in life ectopic s, however most 99% of there are benign and not relevant clinically, so you should be worried it there are no associated symptoms Regards "
+I have been using Tobi in my Nebulizer for months. One week on and one week off. The side effect I have noticed is that texture of my hair has changed and it is falling out a little each day. My hairdresser noticed how different my hair is. Is there anything I can do?,"Hi,welcome to ChatDoctorTobramycin is an aminoglycoside antibiotics which is used to combat infection....though textural change is not a well known side effect of the Chat Doctor. . Take a protein rich diet and eat fruits and veges rich in all the vitamin and minerals... Exercise daily... Do frequent hair massage with tips of your fingers with lukewarm olive and coconut oil in equal proportion,this will increase the circulation of scalp and improve the texture of hairs too... Conditioning of hair is a must think after wash... You can opt for hair spas or use fenugreek hair mask to combat hairless... Hope this will help you."
+"Hi, My mom had grade II breast cancer and every thing is completed including chemo and radiotherapy. Now she is having vitamin D deficiency. Doctor is recommending vit D injections. Is it okay to take those injections because i heard injections are painful and have side effects apart from its cost.Thank you","Hi, dairy have gone through your question. I can understand your concern.  She had breast cancer. She completed the treatment.  But if she has vitamin D deficiency then she should take vitamin D supplements.  Because low level can lead to weakened bone. So go for vitamin D level once and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"I have an ALT (SGPT) of 61, but my other Lever function tests are within normal ranges. Should I be concerned, or is my old physician right that it is no big deal? He is significantly older and seeming dismissive in general since I don t look sick.","Thanks for posting your concern on Chat Doctor! I appreciate your concern towards the high ALT (SGPT) level. Age, gender, problem for which ALT is advised, and its duration, alcohol intake if any are not mentioned. Normal Adult Range for ALT : 0 - 48 U/Therefore, ALT in your case is slightly elevated. So, as your old physician suggested you need not have to worry about it. You need to have some lifestyle modifications to reduce the level of ALT. Daily physical exercise, eat healthy balanced diet preferably fresh fruits and vegetables which contain several anti-oxidants that help in reducing the ALT, AVOID ALCOHOL if any, avoid fatty vegan and non-vegan meals, fast junk foods, take plenty of oral fluids. INSA Allah, in due course of time your ALT will be normal. Wishing you best of your health."
+"I have sharp, excruciating pain in my lower left side of my mouth from a bad tooth. Its the 2nd one from the back. It has a cavity in it. I had tried various home remedies to be rid of it, and nothing works. My funds are all but nothing, so I am worried a dentist may not help me....What can I do?",Thanks for your query. I have gone through your query. The pain could be because of the infection in the root tip of the tooth. The home remedies will not help. We have to treat the cause by treating the tooth with root canal treatment or extraction. Consult your oral physician and get radiograph done and start with the treatment. You can take a course of antibiotics and analgesics like penicillin and diclofenac(if you are not allergic). I hope my answer will help you. Take care.
+"HI I have depression from last 5 year. I am not able to find a job for me. Whenever I feel that I should get a job and apply for it I feel stressed out and I never apply for it. I feel traped,low sad and in fear whenever I think of applying for a job and feel that its not possible for me to attend an interview. Also I have sleep problems. I hardly get any sleep at night. Its sleepless nights and in the early morning I get a sleep of 5-6 hours. For this I have consulted a doctor and he has given me depran forte at night and I am using it since last 3 years. I get sleep almost at 3a.m. at night and wake up at 12 a.m. In morning. I take medicine at night around 9 p.m. although I have taken this medicine for 3 years I have not been able to apply for job until now as I still feel fear and I feel I cannot do it. Why is that the case still when I am taking medicine from last 3 years. Help me on this please.","I guess the dose of medicine is not enough for you. I wonder why your doctor did not increase the dose. Also I prefer using Escitalopram and clonazepam as separate medicine not as combination like you are taking. Escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep, fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals. Onces Escitalopram starts showing its effect. Clonazepam should be tapered and stopped. As long term use of clonazepam may decrease your thought process. Hope this would help you"
+"I have a male friend who is 30 and has borderline personality disorder and borderline intellectual functioning who swallows spoons and pens when he is depressed, I m afriad that when he notices that I m concerned that I am reinforcing his self-multilating behavior can this be true?","Degree understand your concerns went through your details. I suggest you not to worry much. borderline personality disorder guys do not trust others. In this case, please stop watching him directly. He needs medical treatment immediately. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck."
+A friends family dog bit my daughters top lip today. It bled for less than a minute. I immeadiatly applied pressure with an ice pack and applied antibiotic ointment. It doesnt look deep at all. Lip is swollen. Dog is up to date on all vaccinations and rabies. Should I do something else?,"Hello, Welcome to Chat Doctor, Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. As your daughter was bitten by a vaccinated dog over the lip which has led to bleeding from the site, according to WHO it is categorized into Cat III. Even it is a vaccinated dog you need to doubly check whether it is properly and completely vaccinated, because the bite is on the lip which is closer to the brain and the virus can ascend easily and reach the brain and can affect it. So I would suggest you to take 1. Active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with Rigs around the wound.3. Oral antibiotic like Tab Augmenting, twice daily4. Topical Tract ointment.Don't take any risk with this disease, I would suggest your daughter to take aforementioned treatment. Thank you."
+"Sir , i have a problum,  i am 23 age young ,, i strated on masturbate up to 16 th age, now my masturbite timing maxmum 2 minuts ,so what i do sir , i want to increas timing sir bcoz i am getting married after few month ,i am worried about the sex may be wife cant satisfide my sex, so pleas advise me ..","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. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. 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 saw a white flake in my pubic area and there are a bunch of bumps around the base of my penis and all round my ball sack. My my ball sack is reddish pink skin. Every now and then i would need to itch and itch the area near my buttcrack. They were really white flakes, and I saw them near the tip of a few of my pubic hairs.Im just wondering could it be crabs, or lice, or scabies.","Hi, thank you for asking Chat Doctor. With this presentation, I think it is scabies. You may try Permethrin cream, lineage cream or benzyl benzoate solution. In addition to this treatment, you also need to some antihistamine for itches and sterilize your Chat Doctor.  I hope that answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. We will be delighted to answer more questions from you. I wish you good health"
+"Blood tests showing neutropenia and lymphopenia? Positive for Esptein-Barr virus at Igg but negative at Igm. Symptons started 6 months ago but just got blood tests back today, Symptons have included sore throat, reoccuring infections, body aches and pains, sharp pains in glands that come and go, headaches, dizzines, hot flushes, frequent urination, fatigue, uneasiness, anxiety. I have been on around 10 courses of anti biotics in last 6 months for different things. Sore inflamed throat and aches and pains constant with fever sensation over the last few months! Advice please? Vitamins not helping much! P.s Ct scan, Cardiac assement and cystoscopy all normal in last few months.","Hello dear thanks a lot for your question there is no specific medicine to treat Epstein-Barr Virus Infection. Some physicians use corticosteroids to treat significant swelling in the throat or an enlarged spleen, but steroids are not needed in most people. Antiviral medications are available to help oral hairy leukoplakia, including acyclovir Oral: 400 mg orally every 8 hours for 7 to 14 days(Viral), penciclovir (Cytosine), and scarlet (Oscar). Please you can meet your local Doctor for more on to use the Chat Doctor. "
+"hi iam 18 year please tell me solution anyone cant tell me solutions i have pimples on my face that disturbed my life please tell me solution dont coment tell exat solution tablets,exercise, yoga ,pranayam,food also if possible tell solutions for ED and glow on face","Hello Shubham;welcome to ChatDoctorAcne are common for your age, and they increase with dirt;pollution, so first you need to clean your face with soap and water you can use Detail soap. Secondly you need to differentiate the pimples whether they are simple or big;pink and hard which are called acne rosette. If it is acne rosette then you can use ointment called Kremlin it is an ointment with antibiotic and will help treat it, but there is no complete cure as it will keep on coming till a certain age. As for food avoid excess oily and spicy food, and you should be fine. Thanks"
+"Yes.  Recently, Ive had 3 blood tests showing low WBCs and some other abnormal counts.  I sometimes take pamabrom when I feel bloated.  Could this cause leukopenia and neutropenia?  Im also definitely iron-deficient/anemic and that is being treated.  The low WBCs is still a mystery, though.","Hi, dear. I have gone through your question. I can understand your concern. There are many causes of low WBC count.  Even simple viral infection, typhoid, malaria can lead to low WBC count.  If you have any symptoms then consult your doctor and take treatment accordingly. If you don't have any symptoms then no need to worry at all.  Your Chat Doctor.  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."
+"from usg report the liver appears enlarged measuring 154mm in mid clavicular line. evidence of a well defined hyperechoic SOL measuring 16.6mm in diameter in right lobe. intrahepatic billiary radicles are not dilated... the patient details... 71 years, female , height: 5ft. 6inches..... i just want to know details about the disease...whether it is malignant or it is curable....... tne way of treatment... please help me out to treat my mother......","Hello Enlarged liver(hepatomegaly) may be due to many reasons like hepatitis, fatty liver, tumour etc. Hepatomegaly is most likely related to mass(SOL) in your mothers case. SOL may be due to many reasons. It is due to both benign or malignant reasons. She may need few more investigations like routine hologram, random blood sugar, liver function test, renal function test, viral markers, contrast CT scan of abdomen. Contrast CT scan is most important, and it is very helpful in diagnosis and extent of lesion.FNAC/Biopsy can be done if needed. Treatment depend upon findings. Take Care Chat Doctor. "
+"Hi doctor I have lost a stone in weight over the last month, last time I had any form of sex was around 8 months ago. Pregnancy test revealed i wasnt pregnant sfter doing snout 10 of them When I eat little my stomach feels full and is extremely bloated , constant aching stomach until I lay down. What could this possibly be","It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor.  1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise if overweight. Wish you good health."
+"My mom recently fell hard, hit her head and received 2 staples. The CT head/brain without contrast reads...Moderate white matter hypodensities are seen in the deep, periventricular and subcortical white matter with volume loss and old lacunar type infarcts in the basal ganglia. There is mild global volume loss. Chronic microangiopathic changes in the old lacunar type infarcts and mild global volume loss.","Hello, In relation to the fall that she took the CT scan doesn't show any damage due to the hit, none of those findings are related to the trauma, they were already present before she fell and hit her head. The findings are due to chronic changes in the brain matter and its blood vessels. Chronic microangiopathic changes are changes to the small blood vessels. To a point, they are genetically determined and are found in many people as they age. They are accelerated by factors affecting blood vessels such as high blood pressure, diabetes, smoking, high cholesterol etcetera. So the only thing that can be done to slow down this process is checking for the presence of those factors and ad Chat Doctor. As for the mild volume loss that means the mild shrinking of the brain. Again that is part of aging, all of us start to lose brain cells after our thirties, so as we age volume loss accumulates. So that finding depends a little on her age which you do not mention, the older she is, the more such volume loss is expected. The report speaks of mild volume loss so no reason for major concern on that regard, the blood vessel changes which I add"
+"hi, i have knee pain since november. it pains while sitting and standing but no pain during walking. ccp antibody test was positive(6u/ml).i ws prescribed winflam. is this medicine beneficial? i had pain in my fingers also but not on regular basis. the knee pain is continuous.","Hi, i appreciate your concern.it seems you are having arthritis affecting more of your patella femoral joint, where space is seems to be reduced, this is causing you pain while sitting and standing. Since u have not mentioned your age, still there seems to be possibility of ?OA, or crystal arthropathy.i arise my such patients to change in lifestyle for daily routine activities, do not sit on knee flexed fully, rather 90/90 position even in toilet also.nowadays good medicines are available for such problems without painkillers.be in touch your or tho expert.I will be happy to answer anymore ants."
+"I have been in extreme pain from a brachial plexus nerve avulsion C 7,8 ,T1,2 and spi.since 2003.  The meds Ive been taking 3600 mg.Gab, 100 mg. Methadone, 40 mg. Baclofen and 30 mg. Cymbalta cover about 50% of the pain. My Pain Specialist has been pressuring me for years for a scs implant for years and I finally agreed, however I then find out I have to wait 1 year to see the Neurosurgeon. This is suppose to be the best pain clinic in Ontario St. Josephs Hospital London Ontario. Problem is all or most of the info from people on online forms who have spinal cord stimulator implants are not as positive as the Doctors. Do any Doctors available have any direct knowledge on this subject ?","Hi, Thank you for posting your query. It is unfortunate that you have been suffering from neuropathic pain for more than 10 years, and various pain medications have only partially helped you. I did not see pregabalin (lyrics) in your list of medications used. If that is the case, you can give pregabalin a try, as many people improve with that. Regarding spinal cord stimulator, it is an excellent option for pain control, however, just like other pain relief measures, it succeeds only in a proportion of patients. In the best pain centers, ACS implant may succeed in only about 60-70% of people. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/"
+"My husband had a ct of his chest and found there is calcified plaque within the thoracicaorta, proximal great vessels and coronary arteries, with ectasia of the ascending aorta to a diameter of 3.9 cm. Borderline enlarged mediastinal lymph nodes measure up to 11 mm short axis in the precarinal region. 10 mm short axis inferior the left mainstem bronchus and 11 mm posterior the right atrium. There is a lobulated masslike consolidation in the anterior right lung apex measuring up to 5.0X2.9X1.8 cm in maximal dimention. There is a 7mm subpleural lateral right middle lobe nodule and additional tiny subpleural nodule is present. Can you tell me what they are saying in laymen s terms?",Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. This report suggests that your husband is having lung infection. He is having right upper zone consolidation (pneumonia). So give him antibiotics and get done repeat chest x-ray to rule see if this consolidation is improving or not. If it is improving then no need to worry. But if it is static or worsening then possibility of mass (cancerous) is more likely. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
+"have a hard pea size lump at the very top of my left leg on the very outside of my body, any ideas? Possibly cold have bumped it in the past, its close to tensor fascise latae. I can only feel it when i am lay on my rightt hand side. An issue seeing a doctor is, im travelling around laos, vietnnam and southeast asia til october when i return to england, but i do have a good travel insurance, they may charge me as i could have had it previous to march when i first started travelling. A big thankyou for taking the time tto read my email.","HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the cause of hard pea sized lump on upper left side of leg. Cause of the hard lump on left top of leg-The facts of your query indicates that you had ?hit in the past to left knee, and it is felt only when on right side-these two facts indicate it to be left outer meniscal tear, which becomes prominent on right sideways position. As many other causes need to be ruled out by Second opinion from ER Ortho-Surgeon and hence your doctors second opinion is suggested. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist"
+"Sir my father got stroke a month back.His right side is paralysed,cant able to speak,having difficulty in understanding.From his behaviour we think there is loss in memory.Dr prescribed , Telday20,Avas 20,Diapride2mg,Clopitab75,meconerv plus.He is diabetic type2 . How can we improve his memory and  speaking skill?","Hello! Welcome on Chat Doctor ! I understand your father clinical situation and agree with the medication prescribed by his doctor. Unfortunately there are not any specific Chat Doctor.  But, I would recommend taking paracetamol or Catiline. Consulting with a logopedist for his speech disorder and performing a lot of physiotherapy for his limbs, is the main treatment in the next months, which will help improve his situation. Hope you will find this answer helpful! Best wishes, "
+"My father just started having dialysis after his creatinine level reached 15.4. Since then he also found blood in his urine. The doctors did cystoscopy today and found a tumor present. They said that they had removed the tumor and sent for some examination. They also said that if everything goes well, he will not have to undergo dialysis. Is this possible??? Till today, he has got 5 dialysis done.","Hello and welcome to Chat Doctor, The need for dialysis depends on the clinical status of the patient and blood creatinine levels. Dialysis also depends on the underlying cause of raised creatinine levels. If the creatinine was high due to obstruction caused by bladder tumor, removal of tumor will reduce the creatinine levels. However, if the high creatinine level was due to primary kidney disease, the status of the kidneys has to be assessed to know the requirement of dialysis. Thanks and take care Chat Doctor. "
+I am a female of 49 years. Suddenly my front portion of throat have swollen with a lump (approx 15cm radius) and on one side of the neck. Doctor advised me  certain blood and other tests to test forThyroid diseases. But reports came normal. This symtom has developed for the last three days. What could be the disease? I am on medicine for Arthritis for 10 years and have no major problems. Please help.,"Hi! Good morning. I am Chat Doctor answering your query. Even though your thyroid blood reports are within normal limits, still the swelling could be related to thyroid apart from other swellings of the neck. However, it might not be possible to diagnose the lump without a clinical examination, and a confirmatory test like an FNAC/core biopsy along with an ultrasound of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
+"Hi, my brother has dengue and his platelets count went on 93K when he was admitted. Next day count raised to 1.6K but now it has come to 43K on third day. Do I have to worry as he is hospitalised and seems doctors are not taking it serious. Please advice.","Hi, Sorry to hear about your brother and also appreciate your concern. The number of platelet count in dengue is of prognostic value;it means that it tells us how the disease is progressing and if platelet count has come down to 43K from 1.6K in one day, it should be followed up keenly although in my opinion a retest is a must. If it goes down further, he may need platelet infusion. Please talk to the doctor and keep an eye over the platelet count and the overall condition of your brother. I hope this answers your question. Please feel free to ask another question if there is another query. Thanks, Chat Doctor. "
+"Hi there, I had an abscess drained about four weeks ago and my wound was packed. Have seen the nurse every few days and have been advised wound is fine and has healed. However since Saturday I have a hard lump attached to my scrotum and it is the same as previously had before drained. Can you advise what I should do? Is this normal for abscesses to come back so soon?","Thank you for your query. You are probably suffering from Sebaceous cyst of scrotum, which are getting secondarily infected, resulting in abscess formation. The infected ones are operated, as because they are multiple, and the symptomatic ones are left alone. Hot fomentation, local antibiotic ointment application and oral penicillin are the main stay of treatment. Please do also check your blood sugar levels, and ensure that you maintain personal hygiene. Take care and get well soon."
+im 41 had two ablations for afib been normal rate for almost two years.have had several test on gastro side normal with gerd they say but lately have pains in left arm and chest that comes and goes with head aches bad sometimes pains last mins to hours my heart rate at rest is 65 blood pressure 137/81,"Thanks for your question on Chat Doctor. I can understand your concern. Your blood pressure and heart rate are normal, but since you are having history of atrial fibrillation and ablation, better to first rule out coronary artery disease as a cause for your left arm and Chest pain. So first get done 2d echo, stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Musculoskeletal pain can also cause similar symptoms. So avoid heavyweight lifting and strenuous exercise. Take painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"I am 58 year old, suffering from persistant cough for last three months, x ray shows a triangular opaque shadow in mid lung right side which is persistant for three months. Treatment taken,culture is negative, bronchoscopy normal tb tests normal advise further way",Thanks for your question on Chat Doctor. I can understand your concern. Persistent shadow on chest x-ray despite taking treatment suggest possibility of lung cancer. Bronchoscopy and culture are negative for infection like TB. So better to get done CENT thorax (CT scan with contrast). If this shows mass lesion then CT guided biopsy from the mass is needed forecourt diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
+"My daughter is 5 years old, she has never had this issue before but for the last 4 days when she wakes up in the morning as she is eating breakfast she throws up. After she throws up she will continue eating and will be fine for the rest of the day until the next morning. I dont know why this is happening, she is not running a fever nor is she complaining of stomach pains.","Our stomach secretes acid which helps in digestion. It is secreted throughout the day. Throughout the night, the acid gets collected. This acid irritates the inner lining of the stomach. So, in the morning when your child takes in the food, the already irritated gastric wall revolts, and she vomits out the contents of her breakfast. But in the process of digesting the breakfast, the gastric acid becomes utilized and such a situation does not arise till next morning. Hence, she remains fine throughout the day."
+I have been drinking several red bulls. Was recently told I had a heart murmor. Somtimes my eyes burn.also I have had very frequent uti since drinking them. Basicly I have realized I need to stop. Also having high blooid pressure. Will every thing return to normal if I do and the murmor I never had go away? I am 47,Hi There After going through your query I Understand stand your concern. I would like to tell you that Red Bull contains Caffeine and excessive use of caffeine leads to high blood pressure and high Blood pressure can cause LV dilation or LV failure which results as a murmur.It's advisable to limit use of Caffeine n Caffeine containing products and personally consult a Cardiologist to evaluate the reason or Murmur. Get one ECG and an echocardiography done and see a cardiologist with reports for proper treatment of High BP and murmur. Hopefully this will answer your query. Kind Regards Chat Doctor. 
+went to the ER with severe abdominal pain just below the sternum. Fells like theres something stuck there.  They ran x-ray and ultrasound and found nothing. No gall baldder or ruptures.  Im still in lot of pain as before and constantly feel like i need to use the bathroom for #2 but nothing. please help.,HI. Read the history carefully. There is a possibility of colitis and/ or enteritis. X-ray and ultrasound may not detect such problems at all. I would advise you to undergo upper GI endoscopy and colonoscopy if medical treatment does not help you. You may need an antibiotic and metronidazole and Sanitizing and supportive treatment to get a relief and cure. Use antispasmodic tablets to get a relief of pain
+I have a lump on my leg and the doctor just told me its was a gland with fluid in it and right above it was another gland and the gland that was bigger seems like its got smaller and the one above it seems like it has gotten bigger. Could the fluid just be draining up to the other glad or should I go back to the doctors?p.s. it sort of hurts,"Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Varicose Veins with perforator Vein Lumps, which hurt a bit.or/ this could be Sebaceous Cysts caused due to the blocked sebaceous glands in the hair follicles. Other causes need to be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist"
+"For the last year I have been having WBC with diff done every 3 months due to a high WBC of 19,000. This count has fluctuated throughout the year, but never been normal, also no illness to account for. I do have symptoms of fatigue, petechiae (hands, arms, and chest-occasionally), HTN, and some diarrhea. EKG from 5 years ago normal, LFT normal, CMP normal, Rheumatoid normal, kidneys normal. Been to an allergist and told I do have even more allergies, but would not account for the high WBC. Sed rate slightly elevated. Please advise. Jen","Hi and thanks for the question, Chronic elevation of the ABCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechial suggest exclusion of a bone marrow malignancy, especially a leukemia. A bone marrow biopsy might be compelling. Secondly, I would to suggest carrying out Anti-nuclear antibodies, HLA27 and autism antibodies for your symptoms are also very compatible with systemic lupus erythematous, which is an autoimmune disease. The symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint. I suggest you book an appointment with the hematologist, to rule out a leukemia or any possible blood malignancy, and possibly systemic lupus erythematous. Thanks for your question and hope this helps, Luchuo, MD."
+I was born White(Wheatish brown).Now I have become brown in Complexion.This Happened for Lots of Reasons.How can i Get back Fairer as I was??.Suggest Home Remedies..Thank you!!,"Welcome to Chat Doctor You need t apply sunscreen lotion of SPF 25 at least for protection from UV rays from sun. Try to avoid sun exposure. Use colored umbrellas for protection from sun. Eat fresh fruits and vegetables every day as they have antioxidants and vitamins that prevent damage to skin.  Chat Doctor.  Exercise every day for 40 minutes by brisk walking which is enough to improve blood circulation to skin and make it glow. If you have any pigmentation on your face that can be removed by many methods like bleaching creams, laser etc. Consult your Dermatologist to get further information."
+i just found a lump in my groin area its very close to the inner leg joint so im not sure if it is a normal part of the body as i have another lump on the other side on the exact same spot but it is a little smaller. you have to push deep to find it and moves around freely esp when walking  thankyou,"Hi, Welcome. Based on the facts of your query-You seem to have normal lymph glands in the groin. And they become specially felt while walking. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS"
+"My name is Tamara.  I am a 32 year old white female with class V membraneous lupus nephritis.  I also have multiple comorbidities including compartment syndrome in my lower extremeties with gross edema.  Recently, I have had boughts of severe swelling that results in massive water retention, to the extent of 40 pounds gained in less than a month.  While kidney function is fine during this increase and I can eventually pull off the fluid with crazy diuretic therapy, after the output, it seems that all of my muscles from mid calf to ankle are now hardened and very tender to touch.  I have waited several weeks in the hopes that the tissue would return to normal, but no avail.  What could have caused this, what condition is this called, and is there any way to reverse this as it is very painful (I doubt there is in my experience *I am an RN whos specialty is Renal Transplant/Nephrology* ).  Any information regarding this would be very much appreciated so that I can continue on this side.  That you!  Tamara.","Hi, Thank you for choosing Chat Doctor, Look mam you have pretty tough condition in the sense of medical ground, in my opinion such case needs team work, this could be chronic nephritis, I personally ask lots of investigations to come online of treatment and to know the prognosis, without this, it is not possible to come on any decision, you batter have words with your treating Doctor, meanwhile cut down the salt,take care of your self, Have nice day"
+"Dr. Mild pain started below neck on C6/C7 a week ago. While I applied some ointment or Motrin it is subsided, yet reappeared after a day or day. I feel pain when I touch on the upper exterior of C6/ C7. However, I have no shooting pains on my hands or elsewhere. My routine is not affected that includes my daily exercises and walking. I can turn my head/neck at all directions without any pain. Nevertheless, while I stretch my right hand in particular to pick things in front of me, I feel dull pain at the side of C6/C7area especially to its right . I am not diabetic, my BP is between 70/110 - 120/80 all through. My weight is 147 Pounds and height is 171 CMS. What is your advise doctor. Well, I may consult a orthopedic in this regard","Hi, Thanks for your query. The herniated discs compress spinal nerves or spinal cord. Symptoms are experienced along the area of distribution/path of that particular nerve. This has happened at level of C6-C7 in your case. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Methylcobalamin supplements are also recommended for nerve compression symptoms.4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 5. Hot fomentation helps in relieving acute symptoms. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care"
+"Dear Sir,I am 23. I am  feeling pain in my stomach (left side) since last couple of days. Pain is not more but light. I would like to share hat days back around 2008 i had a pain in my stomach and i checked it and found Appendicitis. it was small in size around.2mm so doctor  recommend me to take injection. I took that and felt relax. Now i am feeling same problem. so please recommend me that what to do now?i am quite afraid that whether i got that problem again?what is the probability of severity on this??I ll be grateful if you will give me some solution on that.Best RegardsDharmendra Tripathy","Hi Carmen Chat Doctor. It looks that you have got colitis. A proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. This is most important to lead to a proper management/ treatment. So visit a Doctor, preferably general surgeon. All you need is a 5-day course of antibiotic, metronidazole and supportive medicines, and you will be fine. Do not panic and do not think this as a serious problem."
+Thanks. I have had knee pain for about 2 months now. No blood clots found and no broken bones. After about a month of the knee pain I noticed a lump on the top left of my knee (left knee). The lump is soft and does not hurt to touch. Please help. What is goin on with me?,"Hi! Thanks for sharing your health problem with Chat Doctor! After going through your problem of knee pain with lump on the top, I would like to consider following possibilities AS PER MY ROUTINE CLINICAL EXPERIENCE:1. Benign cystic conditions like bursa, ganglion cyst etc. possibility 60% 2. Inflammatory like synovitis, synovial herniation, patellar dislocation, synovial effusion etc., possibility 20%3. Benign solid tumor or tumor-like conditions like giant cell tumor, lipoma, neurofibroma, dermatofibroma, cysts possibility 20%Therefore, it could be a cause for worries in the future!. And you must confirm the diagnosis by ultrasonography and needle biopsy as advised by your doctor and thereafter discuss with him the possible treatment options."
+hi my name is juliaI have 2.5 yrs old boy he had temperature at 7pm 101.4f.  I gave him 4cc chilren tylenolthen I gave him another dose at 9.15pm 4cc his temperature droped to96.7f and last one at12 midnight and his temp now is 96.4 ist ok he had a case of ceasure at age 1,"You can safely use Tylenol in the prescribed dose 4-5 times a day for a child who is running fever. However, it seems that you are using it even when there is no fever. Stop using it by the clock, and use it only if there is fever above 99.5 degrees F. Why did the fever occur? Most likely a virus, but it is safer to go to his pediatrician in routine hours within a day if possible. Use sponging as a tool to reduce fever - as your child had a fit in the past, don't allow the fever to rise beyond 100 F. I hope that helps. Best wishes."
+"Hello, my grandma is 71 turning 72 in July. She is basically in the end stages of liver failure. She had a tube that was drain excess fluid but she pulled it out because she was frustrated. Now she has a chest tube that is draining all the fluid because her lung collapsed. Her voice was going away for the past couple days but now it is completely gone. Is this associated with the liver failure or is there another explaination?","Welcome at Chat Doctor !!  I have gone through your case and being your physician I completely understand. Your health concerns... Based upon the history you have provided it is rather difficult to pinpoint the diagnosis since your grandma has the variety of issues. End stage liver disease do presents with loss of speech that is called HEPATIC ENCEPHALOPATHY grade 4...... It is the most common cause of loss of speech in chronic liver disease.  Second probability is hypoxia leading to carbon dioxide retention leading to acid base imbalance that too provokes hepatic encephalopathy and also one of cause of loss of speech.  You better take her to hospital so that appropriate workup has been done, and proper management should be provided to her.  May she get well soon, if u still have any query feel free to ask anytime regards Chat Doctor. "
+"sir, fifteen dayes back i felt pain above right testicle. on ultrasound found.my prostate is 24grms and post void urine is 140cc.feeling burning sensation in urinary passage. my age is 64years.whether i have to go for long treatment or for a short period.height-5ft-6inch,weight-79kg,diabetic-but controled by diet.",Hi thanks for contacting Chat Doctor. Here you are having high post Vidal residual urine... Here according to report it could be prostate enlargement with infection.... You have to consult surgeon for per rectal prostate palpation and subsequent investigation. Urine also should be examined which will mostly will show presence of pus cells ... For infection antibiotic given with more fruit juice and more water..... After controlling infection if prostatic enlargement there biopsy or PSA done to reveal nature of prostatmegaly... Then accordingly treated like with that of tamsulosin or prancing... Consult surgeon for proper examination and treatment. Take care ....
+"I have sharp stabbing pain in my upper left abdomen. It started Sunday night, I was uncomfortable no matter how I laid in bed Sunday night but the best was to lay on left side on a heating pad. Yesterday during day the pain was not nearly as bad while I was working but started up again after I ate dinner and has not ceased since.","Hello dear , welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different possibilities for this pain in left upper abdomen as @ Abdominal wall related as muscular.  @ Intro abdominal left Hyperion Chat Doctor.  @ Diaphragm related.  @ Left lung lower lobe pathology as pneumonia, effusion or other.  @ Referred from kidney as calculus or other. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care."
+"hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy","Hi welcome to the Chat Doctor I need to know cause for elevated Sept level Don't try any self-medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Bag ELISA _CV ELISA _Serum cholesterol If you are having fatty liver or non-alcoholic steatohepatitis then Adílio can be prescribed, and low fat diet consumed So depending on because I can give further comment Hope your concern solved Take care"
+"Hi! I have extremely dry skin where my two butt cheeks meet, like in the crack of my butt. It itches terribly, and often leaves a burn of flakey dry skin in my underwear. I know that I have psoriasis on my scalp. I was just wondering if it can affect my butt cheeks and also my genital area? I ve had vaginal itch since I was young. Yeast infection medicines dont work, rarely will an anti-itch cream work. It was localized on one side of my vagina for 10 years and had since spread to both sides. My family doctor just says to use anti-itch, but I think there s a bigger issue or a better answer. The left (original) side had turned a darker color and is thicker. What exactly could be the issue?","Hello and welcome to Chat Doctor Psoriasis is a likely possibility as it can very well involve the body folds. Psoriasis classically involves the extensors like scalp, elbows, knee, shins and lower back, but sites like maxilla, groin folds can also be involved either together with the extensors or solely, where it is classically known as inverse psoriasis would advise that you see a dermatologist for a confirmatory diagnosis. Psoriasis in the body folds responds very well to topical steroids as well as topical immunomodulators like tacrolimus/pimecrolimus ointment. An OTC antihistamine once daily e.g. cetirizine would help you symptomatically with the itch. Regards"
+"I have a slightly elevated liver enzymes, very low vitamin d. My thyroid checks out fine. im fatigued, hair loss, dry skin. I also had a vaginal biopsy and they found hyperplasia . Is the liver enzymes and low vitamin d related. the doctor said not to worry about the liver enzymes. she put me on 50,000 units of vitamin d.","Hi, Thanks for writing in. Liver enzymes might be elevated due to disease and this can lead to reduced synthesis of vitamin D. It will help to know by how much your liver enzymes are raised and then treat any condition that is causing it. Since the doctor has told not to worry therefore I think the liver enzymes are not very high to cause a concern. However, you might have vitamin D deficiency and this requires you to take supplement. The pap smear showing hyperplasia requires discussion with the pathologist. Hyperplasia itself does not indicate cancer but might be a precancerous stage. You might vitamin D for now. Please do not worry."
+"I have a sore lump (quarter size) on my lower, inside arm and I noticed it 4 days ago. It s getting no bigger but still sore. Should I wait a week after applying ice and taking anti-inflammatory to see if it goes away. It s mid way, between elbow and wrist on inside of arm. I may of hurt it but don t remember doing it.","Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like Desmond cyst.  Or you may have some soft tissue tumor like lipoma or neurofibroma. You should dot wait because it doesn't look like inflammatory lesion. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+Hi I am 30 yrs old and my husband is 33. We are planning for a baby since 2.5 yrs . In Oct 2010 we got to know that i am having a cyst which was constantly present for 8-9 mionths and our gyn said that it might be a chocolate cyst and endo. So we had laproscopy done in Sep 2011 and after that tried for iui for 5 months but unsuccessful. Then our gyn said to go for IVF wherein we still are thinking as it is very expensive. We went to another doctor in March 2012 and she prescribed Lupron depot inj for 3 mths and I got my mensus in Aug 2012..I want to know what are the chances to conceive with endo and should i wait for sometime and try iui or what else can be done..please help..Regards Neha,"Hi, As you have already tried 5 cycles of GUI after laparoscopy, it's better to try for treatment which gives better pregnancy rate which is IVF. As you have already received In Lu pron Depot for 3 months, it would have been better to go for IVF immediately after 3rd dose of Lu pron as it increases chances of pregnancy in IVF. But still It's not too late. You can go for IVF straightforwards or can again take Lu pron depot for 1-2 months & then go for IVF. IVF is definitely the best treatment for you. Wish you good health."
+I have had a very bad cough of an on since Sept. It just recently got bad about a month ago. My Dr has been treating me for pnemonia and I have been on 5 rounds of antibiotics a shot of one and Im on my 3 rd round of steriods. I also got a shot of one in the office yesterday. My symptoms are getting worse and I started to have a sore throat n swelling of my face within the last 3 hours. Im wheezing really bad and my bp is 138/86 and pulse is 98 should I go to the er? I am very scared n shaking. I have had xray of chest and than yesterday a Cyst scan with contrast of my chest. I am very concerned and am just getting worse,"Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Steroid Induced Facial Swelling with Asthma. Remedy-Recheck with your Doctor and review the steroid doses. More info on antibiotics for Pneumonia is needed to suggest on your current health issue of sore throat/ swelling and wheezing. More info on Cyst Scan is required to know why steroids are used in Pneumonia with 5 rounds.And to your query on ER visit? Yes, you should visit ER and check up for various possible causes for such a complaint, witChatDoctorplicated illness over last 1 month. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS"
+"my mom s blood pressure over the last hour has been very low, mostly the bottom number. the last reading was 145 over 64 but was as low as 51 on the bottom number. her question is should she take her blood pressure medicine as normal. She s kinda worried it may make it drop in the night too low.",Hi Welcome to Chat Doctor. I understand your query and concern. Yes she certainly needs to continue her blood pressure medications. Low number of the denominator need not be worry at the moment. All she need is good HY Chat Doctor. Reduction of daily salt intake to less than 6 gm/day will help. Monitor the blood pressure daily over 2 weeks to adjust adequate dosage. I advise you to have a baseline 2D echo and ECG on semi-annual basis for better cardiac assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you.
+"I have been experiencing cold rushes down my left leg from time to time.  I do have five hyrneated discs in my lowerback for over forty years.  When that happens my leg sometimes goes numb briefly, nothing has to be going on at the time that happens. I had hip surgery on my right hip three years ago with a replacement hip.  The problem with my leg is with my left leg and started after the surgery. It causes no discomfort at this time but, Im just wandering if this is a precusor to what may be to come.I am a sixty- six year old woman, retired and in fairly good health. I am a make up of many cultures.and tat","Hi, thanks for writing to Chat Doctor. Your problem in the left leg is no way related to your Hip replacement surgery of the right hip. As per the description, all your symptoms suggest a degenerative disc disease of the lumbar spine witChatDoctorpression of the neural elements. The conservative management of degenerative disc disease is as follows -* avoid lifting heavy weights as it imparts more strain on your back* avoid forward bending activities as it will worsen the disc protrusion* Use a lumbosacral back support to augment your spinal muscles* Intermittent pelvic traction to cause a regression of disc* Maintain optimum body weight, if you are obese* Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided.* Judicious use of analgesics and muscle relaxants. If all these measures fail to provide you relief, then surgical decompression may be an option. Hope this information is helpful. Good day"
+hi. i m 26. for past few days my mouth is notopening fully. i had pain in my gums n look like dey r swollen. may b wisdom tooth is formating. i dont consume tobacco or smoke . n it all started after i start dieting . i eat less than before. i also take herbal pills of active fibre. i just want to know what is wrong with me,"Hello Welcome to Chat Doctor I went through your history & it suggests that you are suffering from Peritonitis i.e. inflammation of periodontal tissue before eruption of third molar. It occurs due to food lodgment & bacterial accumulation in that area. Its Symptoms are:- -pain -swelling -difficulty in mouth opening -fever -malaise -regional lymphadenopathy Get an IOP AR done & consult your dentist. If flap is interrupting in its path then go for flap removal i.e. operculumectomy. Otherwise, if sufficient space is not available then go for extraction since it is vestigial & has no role in mastication. For temporarily relief do warm saline rinses 3-4 times a day. Start with Tab Amclaid-625 twice a day along with Tab Aerosol -SP thrice a day for 5 days. In Case of gastric problem take rabeprazole-40 mg once daily. Your herbal pills won't be of much use. Do Betadine gargles twice a day.  Take Care Regards Chat Doctor. "
+I have been a ocd sufferer for over a decade now i did not know of it for many years but later on underwent therpy for close to 2 yrs i was prescribed F-tin along with certain occupational therapies And it helped to certain extent but came a time when i realised that no pill is cut out for my specific forms of symptoms & i stopped Now the prolem is that though i am aware of my problems but can not help much Actually its hampering my studies by making my productivity low  I have been trying a lot but pl tell what should i do as per your insight,"Hi, I can understand your distress and concern, specifically since you are able to attain much benefit with treatment. OCD can be occasionally difficult to treat, but with right approach, can be dealt with effectively. Had I been your treating psychiatrist, I would have considered treatment with medications from selective serotonin reuptake inhibitors (SSRIs) like fluoxetine or sertraline together with behavior therapy in form of exposure and response prevention. Depending on the initial response to the 1st medicine tried, further course like adding clomipramine or an atypical antipsychotic like risperidone, etc. can be tried. You can discuss regarding these option with your psychiatrist. I am sure that with adequate treatment, you will respond well and get better. I do hope that I was able to answer your query. Best wishes for a speedy recovery."
+"Hello... iv rashes on my face n neck almost 5 days now, and its really itchy. My eyes are swollen. I ve done blood for lft n blood for r/examination,all are normal.my doctor prescribe ursokem-plus n litina- a Bt still no improvement..so please help me what really is it","Hi, Are you applying any over the counter face cream?  Steroid containing over the counter creams may cause redness and rashes on face. Allergic reaction to hair also may present with swollen eyes. Superficial bacterial infection of skin such as erysipelas can also cause similar rash.  So, I request you consult your Dermatologist for arriving at a final diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further."
+"So my boyfriend and I were messing around. We had a condom on, and I was on top (Sorry for information ). However, he had already ejaculated... he still had that condom on while I was on top on of him. There was No penetration throughout everything . I was just like rubing the outside of my vagina on his penis ... now my period is late. Almost a week.... Could I be pregnant? Please help...","Hello dairy understand your concerned have non-penetrative sex and used condoms rubbing of the penis with condom on it does not cause pregnancy. To become pregnancy penetrative unprotected sexual intercourse in the fertile phase of the period is required. So there is no chance of the pregnancy. Your period can be delayed due to hormonal imbalance, ovarian dysfunction, excessive stress, change in lifestyle and dietary habitat for the period for next 4-6 days. If period will not come then consult the gynecologist and period can be induced by the progesterone pillMeanwhile avoid stress, take healthy diet, Chat Doctor. "
+"42 yr old, female, Wt= 57 kg, Ht= 5.18 ft no positive past medical history used to wear shirts tight in axilla for a while just a couple of years ago, I have got hyperpigmentation on anterior border of my axillae, I use alcohol free roll on or spray. How can I treat my Axillary hyperpigmentation?","Hi............. axillary hyperpigmentation can occur due to friction with tight clothing(as mentioned by you)Even the use of deodorants and antiperspirants can cause it waxing.shaving, or hair removal creams can cause IIT can be post inflammatory after a bacterial or a fungal infection To treat this peeling- TCA peels or glycol or mixed peels can be done apply segmenting creams like comic acid or glycolic acid or HY Chat Doctor.  Deodourants and sprays should be avoided."
+"My husband is 36 years old.he smokes 4, 5 times a day.his sperm count is 100 percent but his sperm motility rate is 50 percent only.is this motility rate okay?we have not been able to conceive for the last one year.my all reports are fine.Mona Sharma age-32 years","Hi, Normal sperm motility is considered to be greater than 50 percent. When the motility falls between 25-50 percent on a single ejaculate, this may not reflect a real problem. When the motility consistently falls below 25 percent, the chances of a problem are much higher. When the motility consistently falls below five to 10 percent, the chances that fertility is normal is highly unlikely. However, you should not worry as your husband has sperm motility of 50 percent which can be taken as normal."
+"My father had right sided Brain hemorrhage and was operated for SDH and ICH because of fatal road accident. He is taking Leviteracetam since that accident and at present he is recovered well except some problems with memory. He is having some hallucinations and psychiatric behaviour, does leviteracetam causes such side effects?? In our last meeting with the neurologist, he had started Oxcarbamazepine. Current Medications : Leviteracetam 500 mg BID Oxacarbamazepine","Hello, I have gone through your query and understand your concern. It is very difficult to predict these symptoms like memory loss, hallucination and psychiatric behavior whether due to Hemorrhage or Levitaracetam.A few people who take Leviteracetam for any condition (may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Brain hemorrhage also cause the similar symptoms even after recovery. In brain hemorrhage, the complete recovery is very rare, and the patient may have symptoms occasionally or regularly.Thus, to find the cause thorough neurological examination is vital. If the neurological examination is normal, then switch over to other Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health."
+I have a painful lump on the right side on my buttocks just inside the crack. I ve had it once before and used iodine on it to help it go away. Surgery is not an option for me as I do not have insurance. What exactly can I do to get rid of it. I cannot function like this?,"Hi, dairy have gone through your question. I can understand your concern. You may have some perianal abscess or fistula.  You should go for examination. If abscess is there then go for incision and Chat Doctor.  If fistula or piles are there then it needs surgery. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"Hello Doctor My child having 3years suffering from frequent fever from 15 days due to swollen glands on the neck .our doctor prescribed us delcon plus , new deletusP syrups and nutocef50 tablets ...is this a proper prescription even though he is getting fever for every six hours severely..please prescribe proper medicine. Thank-you Swaroopa.","Hi... Recurrent fever with swollen glands in the neck for the past 15 days could be ABV infection or otherwise called infectious mononucleosis. It is a self limiting prolonged viral illness. Rarely it can cause complications. I will suggest you how a viral illness behaves so that you will be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - "
+"I am 34 years old I have a acidity problem for last 6 years I have used lot of medicine but stil in a same position I lost my weight also I did my ultrasound test report showing that my liver is little bit big and lot of gas in my stomach and lower part of the abdomen . When I use medicine I am feel better and when I stop to eat medicine it starts, kindly advise me medicine .",Dear .... Many thanks for the mail. A slightly big liver usually does not mean anything serious unless the liver function tests show some abnormal readings. So an LFT needs to be done. Like wise ultrasound evidence of gas in the stomach also does not mean anything. You will require an endoscopy test if not already done and I need to know the report. If you feel better while you take medicine denotes that you have some acidity problem. I suggest you continue the same medicine till you send me the reports I asked for. Taking these medicines for a long period of time will not cause any harm. Rgards
+"How is it that a medical expert could use the 1990 ACOR criteria for Fibromyalgia in July of 2009, when was the preliminary available? I don t have any money, I am now disabled and not working, I need help and some answers. Is this questionnaire set up to help or to make money? Sorry about the attitude but I am tired of trying to find the truth about my case and because I am unable to make the living that I once made because of the Fibro, I am left in the dark.","Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised.a little knowledge about the fibromyalgia is needed. Fibromyalgia is a condition where the pain is in the fibers of the muscle. Each muscle is composed of multiple muscle fibers and inflammation happening there will lead to the dysfunction in the circuiting of the muscle fibers to produce the contraction and relaxation. Also to understand here that the medication is a symptomatic relief and not a long term solution as the body is a medicine of its own and medication used acts as a supportive therapy to allow body to heal on its own. Also, in my clinical practice most Fibromyalgia cases we recommend physical therapy, meditation and breathing exercises. As physical therapy will help improve the muscle refunctioning and also improve the metabolism and immune system to reduce the inflammation. Also, Therapeutic ultrasound therapy and TENS therapy have been useful to reduce the pain, but importantly exercises are the choice. Meditation helps improve the control over the anxiety and leads to cooling of aggression. Breathing exercises helps to improve the oxygen carrying blood cells which acts as a fuel in the metabolism and reduce the metabolic waste as well. RegardsJay In Chat Doctor. "
+"My grandson has to have a liver transplant,he is having to have all his injections within the next 8 weeks because when he has the op he will not be able to have them, he is 9 months old and within the next 8 weeks he will be on the transplant list, my grandson and my son and partner were at kings college last week for three days digusing all that was going to happen, my son has put his self forward as well to be a donor for his son which is my grandson which is a scary for me to think about as i do worry about them both, is this operation safe for them both i know if ralph dosent have it he will not be here but just need to know as my son only tell me what he thinks i should knowCan you please answer these questions for me thankyou","-Hi and welcome to Chat Doctor. Thank you for your quarry. This is complex surgical procedure, very complex. But it is very safe for donor and less safe for baby. If your son is in good shape and health then he will recover very soon after transplantation. Transplantation is obviously the only possible treatment for your grandson, so I am sure that you can ignore all possible risks of surgical treatment and give your best. Hope I have answered your query. If you have any further questions I will be happy to help"
+I have notice very slight traces of blood on the toilet paper after my 4 yr old son has a BM. It is not every time and it is slight. It has been inconsistent over the last month. Stool does appear pretty hard. No trace of blood in or on the stool. I plan to speak to our pediatrician next week when we are there for a flu shot. Should I be worried?,"Thanks so much for consulting in Chat Doctor. Your son has usual problem because his stool is very solid, don't worry, but pay attention to his anus, it seems he has fissure there, it looks like as scratch in red color, you can give him call suppositories 1 CBPP before night per rectum 5 days for healing, also you can do oil enema- 10-15 ml usual sunflower or olive oil after bowel movement, but he should lay in the bed 15 min for resorption. Please start to give him boiled blended beet roots with a little salt, garlic or onion and sunflower or olive oil for laxative effect. In addition, you can give him carrot and beet roots, orange fresh juice, apples, more fiber food and raw vegetables-tomato, cucumber, he should Chat Doctor. "
+"Hi,Im a 30 year old woman, Ive always been healthy but I have this problem since my 20s. Whenever Im nervous, anxious, emotional, really unhappy about something or really happy about something, I start sweating, my chest and neck become very hot and red blotches appear mainly in my chest very rapidly. Is is very disturbing in social situations. What can I do to solve this problem? Thanks","Blushing is a common reaction. It may be a part of social anxiety disorder or social phobia. If blushing, sweating, along with possibly tremors or stuttering occur when you are in a social situation; you may seek the help of a psychiatrist. The other features of social phobia which you may be having are:1) Fear that people will evaluate you/ judge you negatively when you are in a social situation. Such fears are more likely in public speaking, talking to a crowd, or meeting many people at a party or social gathering.2) Many people have symptoms described in 1) above. But they should be severe enough to cause limitations in your functioning. Or you find the anxiety so severe that you avoid situations completely. This then leads to further social problems.3) You think this fear is excessive, but seem to have no control over it. There are medications as well as Cognitive Behavioral Therapies (CBT) for dealing with social anxiety. The disorder is sometimes almost a part of your personality, that it stays throughout life. However, medications or psychotherapy will help you deal effectively with the symptoms. Do seek a psychiatrists' opinion on it."
+"Hey there I ve been having these slight heart burns for two weeks after taking mdma mixed with weed & a little bit of alcohol & I was wondering If I am gonna recover from this? Parts of the day I feel normal & then the heart burn creeps up on the random. I feel lost, no sense in reality, low energy, & I start to get quiet. Most of the say I feel like im dieing slowly.","Hello! Thank you for asking on Chat Doctor! Coming to this point (facing your actual complains and overall clinical scenario), I strongly recommend you to consult immediately the nearest ER service in your living area, as those cocktails (MDMA, weed, alcohol, etc.) are very dangerous for your health, especially for your heart. They may exacerbate form mild blood pressure fluctuations, to serious arrhythmias, sudden heart attack, and even cardiac arrest and death. So, do not lose any more time, but ask medical help, to undergo a careful physical exam, resting ECG, several lab tests (like complete blood count, CK-MB, troponin, AST & ALT, renal function tests, blood electrolytes, etc.), and rule out serious health conditions, as well as start an appropriate therapy for your health status. I strongly recommend you to avoid having such dangerous substances in the future, to protect your health and life. Hope to have been helpful! Greetings! "
+I am experiencing a right side dull pain in my temple and at times sharp. My right side cheeks and face feels kinda tender when touched. I know I have been experiencing headaches and neck pains as well. Im just concerned due to a previous aneurysm on right side in back of my head lower to neck.,"Hello, I can understand your concern. It is logical that you can assume it to be aneurysm again as you have had it before. However, if it was aneurysm, you should be feeling symptoms like pulsations, numbness over the area etc. What you are experiencing is a sharp and dull pain episodes in the cheek area which seems like pain from infection of the oral cavity or due to sinusitis. It could also be pain related to Trigeminal or Facial nerve. I would advise you to visit a dentist for examination of the oral cavity to look for presence of infection in the area. If dentist clears you for any loci of infection, an ENT specialist or physician can examine you for sinus or nerve related problems. By the time you see a doctor, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice day to have relief from pain. I hope this information helps. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,"
+"Hi, and thanks for checking up on me. I have not yet figured out why I cannot move in the daytime, but in the dark and at night I can. I considered hemochromatosis, but the symptoms don t really fit. I have started an herbal tea medicine to work on the bone marrow, and it seems to be very slowly improving. But I still can t explain why it happens in the first place. Thank you for your help. It is very appreciated. - elaine silverman","Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again."
+hi my name is Ashish and I am a student.I having some problem in my head. my mind is always go out of world thinking useless.I cant stop even if i want due to over thinking my head from back start paining.This always happen when I am not doing anything or when I am studying.If this is a kind of any disoder or dieases then let me know.I forgot to tell u that sometimes thingking in nights do not give me good sleep,"Hi there! Mind is not vacuum, it cannot remain empty. Being young, you have a lot of energy, please channelize it in proper manner, please do at least 30 mins of any aerobic exercise, not only for physical fitness but also for mental peace, it releases happy hormones. Please form list of goals, short term and long term too. Keep the track of every hour may be at least 6-8 productive hours a day in Excel sheet, to know what you did in that hour. Have half glass of hot milk an hour prior to sleep, this will ensure good sleep and will boost generalized wellbeing in you. From the information what you have given i don't feel It's something serious to worry., but please consult a Psychiatrist/Counselor if you don't improve with above measures."
+"hihiFrom last one and half year am trying to get conceive... but still got not any positive result ..Done every test likr HSG,Hysteroscopy,thyroid profile, also done husband test...that all tests are normal.... Last month once again done Prolactine level,thyroid profile and AMH Levels test done, In that prolactine levels and thyroid stimulating hormone are high so how to move further on this... Please advise me on this","Hi, The cause of your infertility is hormonal as is evidenced by the high levels of Prolactin. You should see an endocrinologist and get further management to attain normal hormonal status. Meanwhile, please maintain a healthy weight, healthy diet and regular exercise. Do not go for ovulation induction prior to achieving normal hormonal status as this may not be successful. You would need Chat Doctor.  Hope you find this information helpful. Take care."
+Every now and then...every other week or so....i have a knot that shows up right next to my spine and it itches....in my lower back....by the end of the day it is gone....what could it be?,"HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the shin lump. In my opinion its -Urticaria-CIU (Chronic Idiopathic Urticaria)Treatment-a-Take opinion from your ER physicianb-He would do Blood test for eosinophilic / Stool for the worms and amoeba. Hope this would resolve your worry. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!"
+"I am 6 1/2 months pregnant. Woke up this morning having chest pain. I didnt pay mind to it and continued with my day. Afternoon I took two Tylenol thinking the pain would go away and it hasnt. The pain is my dead center chest, in between my breast. Feeling like I cant breath. Like my chest is Caving in and someone punched me there a few times. What is it?????","Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. But better to rule out cardiac chest pain first. So get done blood pressure monitoring and ECG. If both these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Avoid movements causing pain. Take painkiller and muscle relaxant Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"I have had severe right side pains that have been going off and on since yesterday, but tonight they have been pretty unbareable. I have taken Ibuprofen at 9:30 and again just now. I have no swelling and no fever, just pain...I am guessing in and around the 11th and 12th rib. Pain seems to be mainly in the back. I feel better when I stand up, however around 12:00 this morning I took a warm bath and followed up with a warm shower and pain was gone completely! I was able to sleep till now where pain is back, same place and is a dull stabbing pain. Looking at symptoms could this pain be kidney stones?","Hello, I read carefully your query and understand your concern. The symptoms can be related to kidney stone. I suggest doing an abdominal ultrasound for further evaluation. Meanwhile, I suggest using a plasmolytic such as Tuscan to relieve the pain. Warm compresses can also be helpful. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor. "
+"I have been told I have bilateral renal cysts. nothing has ever been done about them, but for the last moth or I have had pain all throw out body includeing to the tips of my fingers. this happens prior to voiding of which I have no control. could this be do to the cysts ? I also have very sharp pains off and on in the lower left back gem18@","HelloMostly simple renal cysts are asymptomatic, and it is an incidental finding. It may cause symptoms if there is increase in size or infection inside the cyst. Pain may be due to many other reasons like urinary tract infection, musculoskeletal reasons etc. Your condition need proper clinical examination and further investigations. X-ray of L/S spine and urine RE/ME, C/S should be done. Treatment depend upon findings. Get well soon. Take Care Chat Doctor. "
+"I had mirena inserted a littles over 3 weeks ago. I ve had some minor on and off cramping which I know is normal. However, since Monday I have been experiencing severe sharp pains in my lower right abdomen . Usually in the morning shortly after getting up. I have an apoinment with my obgyn Monday to have the mirena checked. Is it okay to wait that long of should I seek immediate attention?","Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be:1. The uterus cannot get adjusted with it and is trying to throw it out. This is more commonly observed in women without any previous pregnancy.2. There is infection in the uterus and the device.3. The device is trying to perforate through the uterus. You will have to report to the Gynecologist at the earliest. Ultrasonography/X-ray can reveal about the perforation aspect. Rest two will have to be evaluated by the Gynecologist by clinical examination. You may have to get the device out if it is not tolerated by you. If there is infection, you may require a course of antibiotics. I hope I have guided you with sufficient information."
+"Hi, what is the name of the muscle/tendon/ligament/structure that is very thin on either side behind the knee. You can feel it. I have pain there and felt it pull a few weeks ago. Now I also have pain in front of the knee but this was the start of it so I m wondering what it is.","Welcome to Chat Doctor I have gone through your query and understand your concern. These structures are called hamstrings. These are semitendinosus and semimembranosus. For pain, you can take analgesic such as ibuprofen. Vitamin B and C help in recovery. For details about injury you can get MRI of knee joints. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
+"I ve had a white coating on my tongue that tastes chalky when I scrape it off for 2 months at least. I ve been through all the tests and have been told that the culture result shows definitively no sign of yeast or strep bacteria, both respiratory and oral smear. I went it after noticing my breath was not good. I have a PDA so I have very strict oral health. I was on antibiotics for many years, 100mg Doxycycline 2x daily for acne. The initial thought was thrush. It is not the case. My boyfriend now has it, he developed it about 2 days after the bad breath. The white does scrape off and looks a bit like shaggy white carpet.","Thanks for your query, I have gone through your query. The white chalky coating on the tongue can be because of the food debris, or it can be because of hyperplasia of the papillae. Nothing to be panic consult an oral physician and get it evaluated to rule out hairy leukoplakia. The bad breath can be because of the gum infection secondary to deposits, or it can be because of the food lodgment secondary to decay, or it can also occur in respiratory or gastrointestinal tract diseases. Consult an oral physician and get all this thing ruled out, get your teeth cleaned and use mouth wash like chlorhexidine. Once the cause is found out consult respective physician and get it treated. I hope my answer will help you, take care."
+"Okay so the past two months I have missed my first birth control pill, I finally got back on track this month and I am 10 days into the packet. I had intercourse last tuesday and have been feeling more than off. Nausea, fatigue, headaches, slightly sore breasts, cramping, a bittle bit of being emotional, dehydrated. Just all out deeling horrible. Ive taken pregnancy tests but I feel it could be too soon. And would I be feeling these pregnancy symptoms so soon after? Also, could it just be that I am finally back on my bc regimen?","Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy:a) Missed period, nausea, vomiting, tender and swollen breast.b) Increased frequency of urination, fatigue, food craving.c) Slight vaginal spotting, cramping, mood swing, constipation etc. Hope, I have answered your query. Good luck and take care."
+"hello doctor..... my children , son age 7 yrs and daughter age 3.5 yrs....both cough all night, have mucus...during the day they are fine....but when ever they have some fizzy drink , candy, ice cream...etc...we have a terrible night..........they take seretide evohaler and aeroline inhaler with a spacer once in the morning and once at night.........i ve given them myteka many times for a few weeks but i feel it doesnt make any difference.....am i doing the right thing ?...are they actually asthmatic ?.....or is there an easier treatment?...please help i am very worried now","Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+My 8 year old son suffers from allergies. He gets severe reddness under both eyes and across the bridge of his nose. His skin looks blistery in the red areas. The skin is bright red like the color of a sun burn. He says in only itches now and then. The rest of his face in normal colored. Please advise.,"Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"I have high BP and recently prescribed a water pill, low dose hydrochlorizaide, I have been suffering from dizziness and think it may be low potassium, I feel better after I have eaten a banana and some electrolye drink, such as Gatorade or Vit Water. The dizziness only lasts till afternoon, so I think it must be dietry related?","Hi, first I want to know whether you are a diabetic or not. If you are a diabetic and on insulin or oral medicine then it may be due to hypoglycemia. The dizziness may be due to thiamine induced hypotension (excessive fall of BP). Low potassium and sodium can happen with thiamine intake, but less likely with lower doses. Next time please check your BP when you feel dizzy, and also get serum sodium and potassium level done. If the dizziness is due to excessive fall of BP then better take the medicine at bedtime. Thanks"
+"Is ventorlin good for child cold and cough ?hi,my 11yearS 4months old daughter was prescribed ventorlin syrup.ventorlin 5 ml 6 HOURLY ONCE times 7days ,she was first having cold with runny and blocked nose.i just wanted to know that dr.prescribed her a correct medication or not because ventorlin is a bronchodilator?it will have any side effect or not?she had no wheezing.it is dry coughing i think.","Ventolin (Albuterol) is a bronchodilator and your doctor has prescribed it because often in case of such cough, bronchospasm occurs. He has not prescribed the wrong medicine. But if you feel that she does not have wheezing, you may skip giving it and reserve if for times of respiratory distress, if it occurs. The side effect of Ventolin is increased heart rate but let me assure you that this is a very widely used medicine and well tolerated and so you need not worry about the side effects. Give your child steam inhalation twice or thrice a day and I think that she would get some relief. Also add some antiallergic syrup like Relent which will also help in diluting the cough. The cold has been caused by a viral infection and generally takes 5-7 days to recover. Please be patient till then."
+"i am 33 yr old unmarried girl, weight 45 kg, height 5.3, my skin seems to be very dull and blackheads on face appears, what to do","Hi, Welcome to Chat Doctor. You seem to be underweight due to which your skin is dull. You need to have lots of fresh fruits and vegetables along with healthy nutritious food which help you to improve your skin texture as well as your hair. Consume a lot of water which will HY Chat Doctor.  You can also use based mixed with HALDE or lemon with honey on your face. A facial scrub will help you remove blackheads. Have a good health."
+"I went get a chest x Ray. All I have is hyper aerated lungs. The doctor prescribe me antibiotics for my cough. The few months before I have had chest pains that come ang go like a heart attack, I think it may be pleresy but would of a chest x ray found it ?","Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Hypermarket lungs can be seen in following conditions. 1. Normal individuals. 2. If chest x-ray is taken in full end inspiratory phase. 3. In smokers4. In emphysema. So if you are smoker or having emphysema then you need to get done PFT (Pulmonary Function Test) to diagnose the obstructive airway pathology as a cause for your Hypermarket lungs. Smoking cessation and inhaled bronchodilators are the treatment for this."
+"my mother is suffering from continuous swelling of lower portion of legs. Her Amlodipin medicine has been changed but swelling persists. Uric Acid normal. ESR and CRP is high. Doppler normal - no stenosis, dilation or constriction of arteries in leg - in short doppler normal - no thrombosis. BP high controlled by medicine. No infection - have gone thru anti-biotic treatment. other blood profile normal - shown many doctors - swelling still persists and reduces slightly during night rest (when feet are up) but throughout the day the swelling increases. Totally foxed - pls suggest line of action.","Hello, Next thing is she should undergo renal and liver function test, serum albumin levels, echocardiography of heart to look for the cause.  She should consume low salt diet and water restrictions. She should also be started on medicine like Tab Dy tor 5 mg once a day in the morning. Get potassium levels five days after starting this medicine. Hope this helps you and get back if you have any doubts."
+"respected doctor, i am a mother of a son name XXXXX he is in a age of 8 year he is suffering from some brain problem my doctor had asked me that there bug in his brain and it comes from some food they have prescribe him valparin in medicine. i want to ask you that is it possible can any bug can go through stomak to brain from foods.","Hi, Thank you for posting your query. Your son is most likely suffering from neurocysticercosis [NCC], which is caused by tape worm infection. This infection comes from the infected food, and enters the brain in some cases. In most cases, the worm passes out of stool.  There is no need to worry, as it is fully treatable with medications. Please follow the advice of your neurologist. Best wishes, Chat Doctor. "
+"My son has been getting a rash periodically when we take him to the doctor with it they think it is viral. But he keeps getting them. I just cant see a virus lasting for years off and on. It doesnt flake, puss, or create any pimples. It is only on his face and it will spread all over his face. What could this be","Hi and welcome to ChatDoctorGiven that the rash is periodic, it is more in favor of an allergy. It could be atomic dermatitis, basically allergic causing rashes over the face, in the creases and also other body folds. Did he have similar complaints from a very young age? It could be an allergy which increases with weather changes, dust, exposure to sun, certain plants, animals etc. Also, certain foods like nuts, seafood, processed foods, etc. You will need to keep a track of when exactly the rashes come up and if there is a common cause each time. Allergies generally reduce as the child grows, but repeated exposure to the cause can make it recur often. Use a mild sunscreen when outside. When rashes appear, apply a demonize cream on the face for 5- 7 days till rash subsides, no longer. Use an antihistamine like HY Chat Doctor. To confirm you can consult a dermatologist and run tests to check allergy levels in blood, also skin tests for possible causes. Hope this helps."
+i fell 3 weeks ago and landed on the front of my hand and rolled it inward it swelled up and has scince gone down i had an x ray and showed no fractures although even after three weeks it still hurts to touch if i move it wrong i get shooting pain below my little finger nuckle to my wrist and it aches all the time.,"Hello, What I can infer from your complaints is that you have had a soft tissue injury to your hand. If the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. I would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. Hope I have answered your query. Let me know if I can assist you further. "
+I have unregularly period because I have PCOS I had took birth control for 12 months but when I had stopped taking them my period was regular for just three months my 4th one is late now.. I  was wondering if I should take something else now ? and if the total fertility supplement PCOS will help in my case ? I will appreciate your kind answer Im  really tired because of this ...thank you,"Hi. Treatment for PCs begins with weight loss and metformin, if either or both are indicated, and then is individualized depending on the patients reproductive needs: oral contraception supplemented with Kantian Chat Doctor. To reinforce weight reduction+/- metformin is the recommended therapy. Role of fertility supplements is questionable. Consult your obstetrician for further management. Hope this helps. Take care."
+"I have gurgling, wheezing noises when I lie down to sleep, cannot clear it with coughing.  Do have pnemonia, was given antibiotics, albuterol inhaler and told other meds to take.  Have been sleeping last 2 nights sitting up due to the noise.  Any suggestions to get rid of the noise?","Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty, wheezing during lying down (sleeping) are seen with bronchitis and heart failure. So better to consult doctor and get done blood pressure monitoring, ECG, 2d echo, chest x-ray and PFT (Pulmonary Function Test). ECG and 2d echo are needed for heart failure. Chest x-ray and PFT are must for the diagnosis of bronchitis. Treatment is based on diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Dear sir,Recently my Father-in-law(FIL) saw the Heart doc for ByPass related surgery. Doctor suggested to go for ""Ultra Sound Abdomen"" and ""Dopler study of renal arteries"" first as my FIL has very high BP(200/100).  ""Ultra Sound Abdomen"" report says ""Inter Polar cyst measuring 12 MM noted in the right kidney"" and ""Prostatomegaly"". I am worried, what does it mean?  Your guidance is highly appreciated.Thanks In Advance","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Cyst in the kidney and high blood pressure is suggestive of the damage caused by the high blood pressure. High blood pressure in the kidney can cause damage on the renal calyxes and can cause cyst. It requires surgical correction. Further management of the blood pressure can also prevent further damage to the kidney. Prostatomegaly means enlarged prostate. Enlarged prostate usually occurs with being prostatic hypertrophy. This needs to be confirmed with the PSA level in the blood. It will be higher on the carcinoma of the prostate. If its carcinoma it needs to be managed as per the malignancy. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."
+"Hi,Ive been having a tootache for (approximatley) a week following a filling I hid. At first the pain was in my tooth and spread to around 3 other teeth to the left. However, the pain soon reached the gums like a throbbing pain or heart beat when Im lying down and is getting really painful and unbearable at times. I can now feel a small bump on my upper lip near the teeth. What could it be? (Im seeing my dentist today after I though I could deal with the pain)Thanks,","Thanks for your query, I have gone through your query. The possible cause of plan is because of the tooth infection. The type of pain what you are getting is characteristic feature of pulpits. The lump could be because of the abscess formation. The normal filling will not solve the issue. The tooth has to be treated with RCT or extraction. Take a radiograph to rule out the infection. You can take a course of antibiotics like penicillin and metronidazole combination after consulting the physician. I hope my answer will help you. Take care"
+last night while eating an orange I started to choke.  Iwas coughing quite hard and then I could not get an air. My chest was suddenly very painful and the pain radiated down both my arms. I blacked out and when I came to the orange piece was on the rug beside my mouth and the pain was gone.  What happened to me.,"Thanks for your question on Chat Doctor. I can understand your concern. You had choking and aspiration of food particles in trachea. Your symptoms are associated with eating. So by mistake when we aspirate food particles in trachea (wind pipe), it gets blocked. Due to this, we can not get air and hence we feel breathlessness. During this episode our body is deprived of oxygen and so black out is seen. To overcome this, violent coughing (reflex) is done by the body to cough put food particle. Once food particles are out, wind pipe is open, and you can breathe normally. So better to chew properly while swallowing. Do not speak much while eating. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"I have just had a piece of tissue removed from upper gum due to bad fitting dentures a large mass of excess tissue has grown,  dentist wants to biopsy it before going ahead and removing it all. He put in some stiches and said they would dissolve. I am worried because of language barrier, I am in Taiwan. I am healthy 50yrs old woman. any help would be great.  Thanks",Thanks for using Chat Doctor. Read your query. Excess tissue growth with ill-fitting denture as you have described is usually harmless referred as Ellis fissuratum. This is usually cause by chronic tissue irritation by an ill-fitting dentures and its response to the soft tissue. Biopsy is usually done to rule out any other lesions including neoplasm. I would suggest you to go ahead with surgical removal of the tissue. After the healing get a new denture done with proper fitting and proper maintenance of the denture. Hope this was useful. Thanks and regards.
+"Hello Dr. I have lower back pain on the left side. I do not get constant pain. It is only when I sit on the floor or do some exercise. I just took tylenol last night and am experiencing relatively less pain, but do have some stiffness. Please help me. Also, I am a little drowsy since morning and am not sure if that is because of the medicine.",Hello and thank you for the question. The reason you have back pain while sitting in the floor or exercising is because in those conditions the back muscles maximally come into play. To answer your other question yes one of the known side effects of Tylenol is Chat Doctor. Here are my suggestions:1) switch from Tylenol to flexion MR 500 mg twice a day2) Avoid rigorous exercise for 3 weeks3) Ice pack to your lower left back after exercise hope it helps.
+"My dad caught a virus in his bloodstream staph aureus which is being treated with antibiotics, however he is a dialysis patient for 9 consecutive years with 2 kidney transplants in 20 years. His heart condition is weak functioning at 10 percent, what are his chances of survival and if not much how long does he have.","Hi, thanks for using Chat Doctor Star aureus bacterial infection can have varied severity from mild to severe. The presence of reduced kidney and heart function would significantly affect his ability to respond appropriately to treatment, but it is possible that he may recover. Unfortunately no doctor can absolutely accurately predict how long any patient would live but his doctors with daily knowledge of his blood tests and examination findings would be in a better position to determine his prognosis. I hope this helps"
+"My butt is really sore bumpy and itchy around anus and cheeks even surrounding vagina, is it bcoz I shaved it when I felt it was itchy??? I m scared! I just suffered from hair dye allergy and my armpits are sore and red too! Also couple times my bowel movement had fresh blood in it!!!!! Help!!!!!!","Hello, Welcome to Chat Doctor, You should test your stool sample for the parasitic infection, some parasitic infection can present the symptoms of blood in the stool and the itching around the anus and vagina. As you are having allergy to hair dye better to avoid that product otherwise it will worsen your condition. I would suggest my patients 1. Oral Albendazole 400 mg, single dose2. Oral Antihistamines3. Topical Anti-infective creams. Thank you."
+"I have had oral thrush now for 5 weeks, I have already swished 3 bottles of nystatin and it does nt stay gone. the aluminin taste is horrible and cannot eat anything spicy. I had been on an antibiiotic and had 2 cortisone injections in shoulders and within 3 days the thrush showed up. The only meds I take ar elavil and ativan .","Hello and welcome to Chat Doctor, there are several treatment regimens for thrush.1. Nystatin as you are already using it2. Fluconazole once a day for 1-2 weeks is the last resort in medication environmentalist from this some self measure are very helpful1. Maintain proper oral hygiene2. Stop mouthwashes as they destroy microbial balance3. Quit smoking if you do. Visit the dental surgeon(oral medicine specialty) asap. Thanks"
+"I am a 30 yr old female with severe anxiety and depression,am taking zoloft, and nuerontin. I have not had a ciggarette since yesterday.i dosed off and it felt like my heart stopped or my breathing one. It was not the same flutter feeling of a palpitation . Any ideas?","Degree understand your concerns went through your description. I suggest you not to worry too much. You are already suffering from depression and anxiety. The symptom you mentioned here seems to be panic disorder. Panic disorders are usually associated with underlying anxiety disorder. Anxiety is fear of a future event which may or may not happen. Stress and depression may also cause panic disorder. Proper assessment is required to have proper diagnosis and treatment. Please consult a psychologist for psychometric assessment and advise on further treatment methodology. Don't worry about the present symptoms and work with your psychologist for a long term goal and cure. If you need more of my help in this regard, please post a direct query on this portal. I am happy to help you. Hope this answers your query. Available for further clarifications. Good luck."
+HiI have a problem I am addicted to mastrubation since I am 18 year now I am 32 years old  I stop doing this.the problem is my penis turn left side around 10oclock clock wise and I am married a year ago.my testicles are up and down the left one is down . I am getting problem during intercourse it wont be last for 3 minutes it ejaculate after that it drop down any I feel very tired cant able to get back erection.One more question it is good to go with herbal medicine or English medicine I am not sure thats why asking thanks in advance for helping me out from this situation Any information for the issue will be appreciate I live in Chicago city if there is any better doctors please send me the details,"Hithanks for choosing Chat Doctor Doing masturbation is not harmful, but if u t feeling it is effecting your act with your partner and feeling to hold the ejaculation, then u need some Chat Doctor.  U can start with tab XXXX 12.5 mg once in day and gradually increase the dose up to 37.5 mg. It would cause delay ejaculation, that would increase duration of sex. When u will enjoy sex with your partner, your masturbation habit will decrease. Thanks"
+"Age-28,Height-5.5,weight-73,i miscarage of 2 months in Jan 10 due to not aware of such.Planning for last 6 months but not yet conceive.Periods are regular cycle of 30 days consulted doctor this month itself she has prescribed the Folic acid and productive F to me and productive M to my husband.Plz help would this will result in positive and i conceived this months or what treatment i should go for.","Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. Only productive M and F and folic acid will not work.  When follicles reach a size more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. You can do a thyroid profile and prolactin levels just to rule out any other problem. Hope I have answered your question.  If you have any other query I will be happy to help. Regards Chat Doctor. "
+"my father is suffering with fever for past2 weeks.crp,liver enzymes are high and rest of the blood test are normal.there is mild pleural effusion.fever will start in the evening and early morning and relive with antipyretics.so doctors cannot able to make a clear diagnosis.please help me doctor","Hi, Viral infection can lead elevated liver enzymes. But here fever and pleural effusion present. Hence, pneumonia consolidation and tuberculosis has to be ruled out. For that investigation needed wit:- Chest x-ray digital - Sputum examination- Auscultation - CBC-ADA estimation needed If specific cause found than treated accordingly. For bacterial infection antibiotic needs to be prescribed If on examination yellow sclera found than serum bilirubin estimation done and management for jaundice needed. With keeping my answer in mind consult physician for examination. Hope I have answered your query. Let me know if I can assist you further. "
+"Curious...I just learned that Im in perimenopause and am deciding if takign a low dosage birth control is my answer to deal with symptoms such as occasional hot flashes, irregular cycles and weight gain?  Not sure how I feel about taking prescription anything but what about natural herbs from an acupuncturist?","Hello. The symptoms of menopause are secondary to declining estrogen levels. The most effective way to treat menopause symptoms is hormone replacement therapy with estrogens. However, hormone replacement therapy has to be prescribed with precaution because it can increase the risk of some cancers. Tibolone used for a few months, is a Chat Doctor. Go to your gynecologist for asses and for prescription. I wish you good health.(If the answer has helped you, please indicate this)"
+Hi .. im a fit 35 year old ... i am 62 and weigh approx 84 kgs .. i workout regularly .. lately at night ( last 2/3)  i feel uneasy .. its more mental than physical and i feel kinda awkward .. ive been diagnosed with high bp 140 / 110 ... what could be the reason ?,"Hi. Good to hear that you are fit and leading a healthy life. High BP can be due to Multiple Factors. These include :-Eating junk foods-High Cholesterol levels-Lack of Physical activity-Diabetes- Sedentary lifestyle In case of patients who are young and have a healthy lifestyle, there may be following possibilities:-Increased Cholesterol levels that run in families-Some problem in Renal Artery suggest you to see your Medical Specialist and undergo a battery of tests to check your Cholesterol levels and get your Renal Artery Doppler Ultrasound. Wish you good health..."
+"I ve been having trouble with my breathing for the past year, my doctor thinks it might be asthma, but, I m not too sure about that because I keep having dizzy spells and sharp pain in my chest, ribs and stomach. I don t know, I guess I just wanted to know a second opinion.","HI, thanks for using Chat Doctor Asthma is normally associated with Chat Doctor.  Some persons may only have the cough. It is not likely, based on the symptoms that you mentioned, that asthma is the cause. Chest pain can be due to any structure in the chest from the skin inwards. This includes the skin, muscles, bones, lungs, heart, esophagus. The dizziness may be related to different causes including-heart, anemia, ears, brain. This may also need reassessment. I hope this helps"
+I have my periods mostly the third week of the month ever since I got an abortion . They gave me birth control and its supposed to make me have my periods the fourth week. The first month I took it I got it the third week and now its month two and no period. I had unprotected sex and I missed my period. I sleep a lot some days and less somedays. At first I had a nightmare of a ghost haunting me woke up crying then the next night of my family killing me. Me and my boyfriend have been fighting. I think im getting mood swings I dont know. My boobs arent sore. I get very bad headaches . And I feel extremely dizzy most of my day. I took two pregnancy tests and they came out negative and I also cant see a doctor. What is your perspective on this?,"Hello, Oral contraceptive pill has some side effects like irregular period or bleeding, headache/ migraine, nausea/ vomiting, breast tenderness, fatigue, irritability, decreased libido, weight gain & mood changes. These will overcome gradually until your body is adjusted with hormone. However, I suggest undergoing one blood test for beta-ChatDoctor (most reliable) to exclude or confirm pregnancy. Take healthy diet, Chat Doctor. Good luck."
+i had tonsillitis with some bronchitis almost 4 to 5 weeks ago and i still get a cough every now an them from laughing or running but i dont smoke but in the past i been around smokers also i took antibiotics and i am pretty sure i dont have asthma considering this never happened to me before.,"Hello, thank you for posting your query in Chat Doctor. Passive smoking has harmful effects same as the smoking that cause health hazards. Tobacco smoke contains 200 to 4000 toxic chemicals including nicotine, carbon monoxide, formaldehyde which cause heart diseases, lung diseases like bronchitis, asthma, middle ear infections, tonsillitis and symptoms like cough, sore throat, nose irritation. If I were your treating doctor I would like to get these tests done.1. Blood tests to rule out infections2. Chest x ray3. ECG to rule out cardiac causes. I would come up with following possibilities like asthma, bronchitis, I would suggest you to consult a pulmonologist for further evaluation.  Wish you good health."
+"My mother was told, after having brain scan, that she has some calcification on her frontal lobe. She has to go in for another scan soon. We are wondering what kinds of things (diseases/conditions etc) could be diagnosed? The doctored seemed to change the subject, clearly wanting to wait (understandably) for another test.","Hi, I had gone through your question and understand your concerns. There are different brain lesions that may have as their part calcifications. These include low grade glial tumors, benign Meningiomas, cavernous (vascular malformation), or may be simple calcifications of brain parenchymal related to age. Cerebral MRI with gadolinium is needed to evaluate the true nature of the lesion. Hope this helps. If you have further questions feel free to ask."
+I believe I am 5 weeks pregnant and have been taking tetrasyl for several months. We had IVF to conceive our first child so did not believe it was possible to fall pregnant naturally otherwise I would not have carried on taking tetrasyl. How dangerous is this to our unborn child? Very concerned and would appreciate some advice.,"Hi there,Tetras is an antibiotic which is not recommended to be taken in pregnancy, but it is not known to cause any major defect in the baby if taken during the first trimester. Studies have shown that it effects the baby if taken after 4 months of pregnancy, causing the babies teeth to be discolored and can cause hardening and cause excess calcification of teeth and bones which is irreversible. But, since you are exposed to tetracycline at such an early gestation it is very unlikely to have affected your baby. Only minor abnormalities are known to occur in few women. Do not be overly concern and get a NT scan at 11 weeks and an anomaly scan done at 20 weeks to check for anomaly. Hope this helps. Regards."
+"My husband of 17 years has changed his personality over night, he has shacked up with a known whore and his values, morals and responsabilities have gone out of the door.  He has parrots he has had for 30 years that mean nothing to him, he acts like him and I never existed.. He use to come home from work, eat, watch tv and sleep for 17 years and now he goes away every weekend, goes out to dinner every night, the whore has six kids and grandkids (he hates kids) and she has nine dogs that he is allergic to.  He has shuned his foster family, his parents, his friends and my parents. For t his one white trailer trash person.  Nothing makes sense.  I am concerned he maybe doing something illegal - over night he changed. Is this possible.  nancy","Degree understand your concerns went through your details. I suggest you not to worry much.  From the description it could be seen that the person could be suffering from borderline personality disorder. Early diagnosis and treatment could clear the problem. Please consult psychologist or psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"Hi I am 36 years old and a mother of two daughters, I am trying to conceive since last four months but I am unable to, my ganache has suggested me to take Fertyl 50 mg from the 5th day for 5 days, EV Tab for 10 days and also use susten 100 mg twice a day. Along with Folnew tab will all this help me in conceiving ?","HelloAssumed that everything is all right, because you got two pregnancy before this. Now your gynecologist advise you to take clonidine or ferry 50 mg for s days from 5th day of menstruation, as this Chat Doctor. While Austen (progesterone) will help in pregnancy maintenance (avoid miscarriage) . While E V and fol new will act as supplement for pregnancy. So, if everything will be in right direction, you will get pregnancy. Good luck."
+hello po doc... i am weng from the Philippimnes. i hav a 6 mos old baby girl n starting to feed her with cerelac and i noticed rashes on her face n body...is it because of the weather or from cerelac baby food?hope to hear from u soon. thank u so much,"Thanks for consulting in Healthcare, your daughter has allergic reaction, you should give to her antihistamine medicine. Pay attention when rash appear after Carla or other ? Then exclude it. Wash her face with boiled cooling water. If she has Chat Doctor.  You also check analysis-blood test, see especially eosinophils, stool analysis, stool for disbacteriosis for bacteria and sensitivity, stool for ova and cyst Best regardsGrow quicker"
+"I have a 39 year old son, who 6 weeks ago had a lower wisdom tooth removed. He now has bad painin his lower front 2 or 3 teeth and sometime only one and under his tongue. sometimes tip of tongue burning.he has been back to dentist twice, and to 2 oral surgeons, one numbed his front teeth, and alvorie and lingualnerve to try to find out where pain was coming from, he hit the lingual nerve with needle, said it was up higherthan normal, said the alvore nerve looked ok from x ray, Cant find any one to diaganose problem with mri or anything, no one knows what to do, other than give pain killers, ambient to sleep, steroids, he still cant sleep for the pain.Help!","Hi, it appears that the pain is only due to the infection. The removal of the wisdom tooth is a lumbar some process, with the breaking of the alveolar margin of the jaw bones, which may damage the nerves and vessels of the jaw. It also may be due to pressure on the trigeminal nerve, so it may cause trigeminal neuralgia. So I advise you to consult a neurologist for diagnosis.  I to my patient with such symptoms prescribe ofloxacin, ornidazole, serratiopeptidase, and anti-inflammatories. Thank you."
+"I ve been experiencing sensations as if my brain is shaking inside. When this happens, I ve noticed that my vision is clearly moving in a rapid up and down motion. I had an MRI and CT and EEG, an there were no adnormalities. I have also been diagnosed with Vertigo resulting from the inner ear.","Hello, You may have a condition known as OSCILLOPSIA which refers to fields of vision that are in motion with head movements.  The underlying pathological mechanism involves a loss of image stabilization by loss of reflex control of eye muscle control when a person has their gaze fixated.  Things such as toxicity, infection (most importantly meningitis) or side effects from antibiotics can cause the condition.  Desalinating disease such as MS can also cause this condition, as well as abnormal movements of the eyes referred to as nystagmus. I recommend you seek an opinion from a NEURO-OPHTHALMOLOGIST.  Vertigo from inner ear problems will not produce this phenomenon. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+Hi i got kicked by a horse 3 days ago my elbow. Its still swollen and it hurts to touch. I can move it in all directions but does hurt when doing so and is stiff. My lower arm ( just under the elbow) aches aswell if i dont keep busy and takes me a while to get to sleep be ause of the achey pain. Could i maybe have a hairline fracture.,"Hi! Good evening. I am Chat Doctor answering your query. The lump on your elbow could be due to collection of blood caused by the kick by the horse. This would normally get absorbed in a few days if there is no more active oozing. If I were your doctor, I would advise you for an anti-inflammatory Chat Doctor.  Also, a cold compress and rest to the elbow with a supporting sling would add to hastening of the improvement. If it persists or the pain increases, I would then advise you to consult an orthopedic surgeon in your area for a possible radiological investigation and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor."
+"Hi I have something hanging off the inside part of my upper lip in front of my front two teeth . It is hanging superficially and I noticed it a couple days ago, but it has become more prominent. It is nonpainful, easily move-able, and is flat, smooth and kind of circular. When I left my lip it I can see it pretty clear, I thought it seemed cystic but I am not sure anymore. Please let me know what it could be. I brush regularly but havent dont anything else to it.","Hi, Welcome to Chat Doctor ! On your description - not painful, hanging (which I assume you mean not firmly attached but mobile) and the recent onset - I can tell that there is no likelihood of serious infection or dental cyst/tumor. It could be a granuloma or a papilloma. All conditions are self regressing and you don't have to worry. Try not to disturb it though, and if you develop signs of infection (reddening, fluid discharge, multiple sores in mouth etc.) get it attended immediately. If papilloma or granuloma increases in size and interferes with normal oral functions, it can be surgically removed under local anesthesia. Hope this helps! Thanks."
+hi my name is raja and i am 27 years old from mumbai...i got these frustrating problems of pimples and acars with pores for 12 years...i have never been to any doctor ...so now i am trying to permanently solve this problem...i need suggestions on which is the best dermatologist in mumbai for treatment,"Hi!, Welcome To Chat Doctor forum, Raja its important that you first take treatment for your acne and then try for the scars. I am not in Mumbai, but have friends in Mumbai who are doing good in dermatology. They even have lasers in their practice. One of the dermatologist whom you can contact is Chat Doctor. .his contact number is 9820980639... You can give my reference if you want. He is quite a busy doctor as he has his branches in Mumbai, bangalore, UDP and Mangalore. You can contact hi’m and discuss in detail. Regards,"
+Im 17 and I am not that much sexually active. My young mind I believe is just scarring the living crap out of me! About 2 months ago my penis was just fine. But now I see changes. The head is missing minor layers of skin(really small) and Im starting to get brown looking skin patches on my penis please inform me so I can calm down. My partner has went to the clinic and got tested and we had unprotected sex but the results came back negative.,HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely due to fungal infection. If you send a picture of it then it will be more helpful to analyze the condition.  For such cases in my patients i advice ointments witChatDoctorbination of antifungal like fluconazole and corticosteroid like quinolone for local application. Hope this may help you. Let me know if anything is not clear. Thanks.
+"I am 17 years old and I haven t had a period in over a year and I still had a pregnancy scare recently and took 4 pregnancy tests all said positive except for the last one and it was negative. Now, about a month has passed and there is this lump towards the left center side of my stomach, it was sore for a while but isnt all the time, but it usually hurts when i get a cramp. what could it be?","Hi, Dear thanks for the query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-The lump which is sore and hurts when you get the cramps, could be due to IBS with spastic colon, as its very common. This lump is towards the left center side of your stomach/abdomen. As I don't have any direct photo of the lump / or not many details from you, I would advise you to consult ER surgeon who would rule out other causes as Femoral hernia, Inguinal hernia/Spiegelman hernia. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS"
+"Dear doctor, I am chandra shekar from bangalore. Sir my 1yrs old child is not eating properly at all he will take atleast 1 or 2 hours time to eat & in some times he wont eat anything pls tell any solution which makes every children eat s time to time properly. Thank you","Dear user about your question I would like to tell you that loss of appetite in infants has some causes, and we should find your possible cause of them....we have two common possibilities of that....first is psychological factor .if the infant has psychological or emotional troubles that will lead to loss of appetite examples of psychological troubles is being punished for eating...if you tried to force him to eat his desire for eating will decrease as there is someone always try to feed him even if he wants and so his sense of appetite decreased because of that......2nd cause is your infant may have iron deficiency anemia and this anemia always causes loss of appetite ...this anemia is common at that age as iron administration not enough in milk, so we always give prophylactic iron therapy to infant at age of 10 month as the anemia will begin.........wish your baby healthy life"
+"I have heaviness on the left front side of my head. I get continuous infection on ear nose and mouth(inside cheek getting thickened).This is there for the last 5 years . I tried allopathic ,Ayurveda and homeopathy. The first two are giving relief but not getting a cure. your advice please,","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have constant infection in ear, nose and mouth . Mouth infection can occur due to condition like canker sore. Canker sore is mucosal reaction to various things like hot and spicy food, acidic food, seafood, dental appliances and nuts. There can be other reasons also like deficiency of vitamin B12, folic acid and some underlying disease like crowns. Sometimes infection can spread from ear to upper respiratory track and vice versa and spread to oral cavity also or post nasal Chat Doctor.  I would suggest you to :-- Find out what exactly causes these ulcer like food allergens.- Maintain proper oral hygiene and do mouthwash rinses (Listerine) twice a day.- Rinse your mouth with HY"
+"I took a fall on the ice but did not hit my head, I just stretched my back and neck which I felt the next day. But the following day I had dizzieness and loss of ballance. Then it went away for a day and came back worse the next day. I am still experiencing it four days later. what is the problem?","Hello! I understand your concern. In my opinion the dizziness and imbalance you have may be related to a cervical spine problem. It may be just degenerative changes of the bones or the disc, pressing on your vertebral artery which supplies the brain. I would recommend you a X-ray of cervical column. Heat procedures and a cervical collar would improve your situation. I would also recommend betahistine twice daily or finalizing for the dizziness. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes "
+"Hi, I m 22 and have moderate to severe plaque psoriasis on my face, scalp and torso. I ve exhausted most topical creams and ointments, taken courses of steroids with no real results. Would phototherapy be my next course of action. Is thinking about biologics too radical?","Hello. Thank you for writing to topical treatment with ointments and lotions is usually combined with systemic treatment/ oral treatment for psoriasis involving > 20% body surface area. Phototherapy, though is a good choice for extensive body involvement with plaque psoriasis, however, certain body sites like scalp are resistant even to phototherapy. Apart from phototherapy Oral methotrexate is a well known treatment for plaque psoriasis and can be considered in a healthy young adult. Biologics like golimumab, ustekinumab are not first line options in a young patient with limited involvement with plaque psoriasis. Scalp involvement responds well to topical steroids lotions with or without salicylic acid. Vitamin D analogues e.g. calcitriol/ calcitriol lotions are also effective in scalp psoriasis. I suggest that you visit a dermatologist in your region. Your dermatologist will assess the severity of involvement and advice accordingly. Regards"
+"dear sir, i have some question regarding my lil sister which is suffering from chronic ulcerative colitis, loose motion, indigestion,abdominal pain, stomach pain, anxiety. we have done with all the necessary test which are LFT/KFT typhoid test, thyroid test, endoscopy, colonoscopy, and everything and all the test shown negative. Doctors of our place are unable to find diagnosis and she had several medicine relating stomach, colon, antibiotics, anxiety but no use at all. so plz tell me your comment and recommendation if you have any clue regarding this unknown disease.","Hello, Actually, it is very difficult to find the cause for Ulcerative Colitis. We have looked hard to find either an infection or something in the diet that might be causing the disease, but have Chat Doctor. For a while it seemed that Ulcerative colitis might be one of those diseases where the body seemed to be attacking itself. We now think that very unlikely, but there is no doubt that something must be causing damage to the lining of the large intestine. As the cause is still not identified, there is no cure for this disease. All treatments available at present are directed towards reducing the amount of inflammation in the bowel. Fortunately, for most patients with Ulcerative colitis, medicines prove effective, although it is possible that your treatment may need to be varied to find the "
+"My 12 month old son suffered a skull fracture when he was just a 11 days old. He went to a neuorologist had all his follow up visits. I was told he was fine and I should have nothing to further worry about. Yesterday, I noticed an long indentation on the side where the fracture was. I do not recall feeling this before. He doesn t act like he s in pain or anything but now Im worried something is wrong. Can you help?","Hi, since your child has fracture skull at 11 days of life, and you have neurological visits at that time this doesn't seems alarming. It may be an old impression of the fracture. If the child has achieved all the milestones normally and there is no history of recent trauma, it will not be a matter of concern. However, an MRI should be done to see if there is an intracranial abnormality and a visit to neurologist should be done so that we don't miss any findings. I hope this will help you. Take care."
+My wife has: severe back pain in kidney area (test showed no stones); elevated white blood cell count (test showed no tumors in abdomen); foot and toe cramping; pain has went from 2 to 9 on a scale level in 4 weeks.  (no injury has taken place); Blood in urine (diagnosed).,"Hi, Looking to the history it seems that there might be having acute urinary tract infection giving rise high W B Count backache and generalized body ache. Having blood in urine possibility of having stone in kidney is likely. Go for Ultra sound kidneys if you required. Go for one antibiotic medicine course for 5 days.Meanwhile, take ibuprofen type medicine for pain and backache. Take plenty of water. Ok and take care."
+My father has multiple stones in his gall bladdr with severe pain.after ultrasound we came to know.there is also swelling on the wall of it.i want to know is it dangerous? Can the gal bladdr burst? Doctor said we will do surgery after 4 to 5 weeks when swelling will end,"HelloYour father is rightly advised for surgery after 4-5 weeks. Findings suggests acute calculus cholecystitis means acute infection of gall bladder due to calculus. Definitive treatment in this condition is surgical removal of gall bladder, but it is wise to operate after control of infection. There can be more complications if it is operated at this stage. Surgery can be done microscopically. Recovery is fast by this procedure. Present condition can be managed by antibiotics and analgesics.Don't worry about this. Get well soon. Take Care Chat Doctor. "
+"My boyfriend tripped and hit a edge of a wall, inner bruising on arm and leg, both swelling, Knee feels like it popping, constant burning sensation above inner calf muscle unable to straighten or bend knee. What should I do to help ease the pain? Does he need to go to the hospital?","Hi, Thanks for your query. From description, it seems to be soft tissue injury. Swelling might be due to hematoma formation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. Hope this helps. Let me know if you have any more concern. Warm Regards."
+"I also have been experiencing a lower left abdominal vibration, no pain. Started on July 18th. I had been painting and scraping the garage, on a ladder. thought maybe this triggered something. It went on, off and on for 2 weeks. We went to visit our son and NYC. Put on 45 miles walking. no problem. Came home. Off and on vibration started again, then stopped completely for ;7 days. Now back again. I am 64, weight about 148, take advair for asthma. The vibration is annoying and scary because I don t know what is causing it and hoped after it had stopped for 7 days that it would go away on its own.","Hi. Regards. Thanks for an elucidated history, which say you have walked 45 miles too. This indicates that there is no intra-abdominal problem. The vibration in the left lower abdomen looks to be due to the tics of the musculature of that part of the abdominal wall possibly due to a pinched nerve, or an automatic discharge of the nerve or may be a disc in the thoracic region. Get examined by an Orthopedic Surgeon / General Surgeon to get a physical examination done, an ultrasonography of the abdomen and an MRI of the thoracolumbar spine. Relax, this is not a serious problem, although it is definitely an irritating one."
+"i have started having mild memory problems, constant headaches, ranging from mild to severe, and have started stuttering when i ve never stuttered before in my life. I m worried because Alzheimers runs in my family, although i am a nineteen year old woman with bipolar disorder and ptsd. what s going on? should i be worried?","Hello You are a 19 years old female with family history of Alzheimer's disease. You have complaints of memory problems and this is causing severe stress in you. You are a known case of bipolar disorder and PTSD. Most likely the memory problems are not related to Alzheimer's disease. You already have BPD, so such symptoms may occur due to depression and anxiety. Such symptoms are also called pseudo dementia. I would advise you to consult a psychiatrist for expert opinion. Hope this helps you, thanks"
+"good evening Dr.My self Sujaya Deb,29yrs old.I m in under Drs treatment(Infertility)from last 1yrs.I dnt hv any children till nw.Dr has given me Decdan(1st day of period) for 10days,ovofar(3days of period)for 5days and gestin(19days of period)for 7days.I want to know can i get pregnant?","Hi, I think you should go for evaluation first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also, a semen analysis of your husband should be done. If everything is fine, you can take these medicines.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days.  Take progesterone for 2 weeks after the rupture. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. "
+Hi my name is cj. I have been struggling with anxiety and depression for a couple months now I self medicated myself a couple times and it worked but I ge get so paranoid getting them without a prescription I really need advice on how to cope without this or maybe I legal supply of meds I feel like my anxiety is ruining my relationships because I always think something is wrong even know nothing has been done in public I feel everyone is starring at me can someone please help,"Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Persistent anxiety and depressive symptoms that impair day to day functioning should never be ignored. Self-medication, relaxation exercises can help but if the anxiety is causing problems in functioning and relationship then there is need to see a psychiatrist. For anxiety medicines like SSRIs as Fluoxetine, Paroxetine, Escitalopram etc. are used commonly. These medicines will help to decrease persistent anxiety and will improve the depressed mood. Apart from this for relief of symptoms of anxiety benzodiazepines or other Chat Doctor.  These medicines can help to reduce symptoms in acute anxiety situations. Continue to do relaxation exercises and mediation and this will supplement the actions of medicines. Please visit a psychiatrist for evaluation and help. Thanks, Take care"
+"dear doc, me & my(28years) wife had sex on December 24, 25, 26(protected).she had her period on January 16-22, a heavy one like regular(no sex in between as we work in different countries) . now in February, she is 13 days late. should we worry about her being pregnant or other health issues? we re not trying for a baby so early in our career.thanks in advance.","Hello, Thanks for letting us know your health concern. If you did not have any further intercourse after your wife had her natural period, there is no need to worry about pregnancy. This delay in menstrual cycle could be due to a transient hormone imbalance often caused by sudden weight changes, stress, infections etc. Please ask her to see her health care provider to detect the cause and plan further management. If the sonogram of the pelvis shows normal study, hormones can be given to induce the period. Hope this helps."
+"yes my son n law was puching my daughter in stomach to abort baby my daughter had been haing severe pain for 2 weeks through her body took her to 2 hospitals they refused to treat her due to her being pregnant so he calls said she need to go to doctor i got her to a hospital they took her in was not for sure what was going on and after she passed they said endocarditis which after she was buried when we find he been punching her.the baby did not have fluid around it,my daughter had infection over her entire body was coughing up blood chest pains rapid heart rate of 228do u think him punching her could cause the endocarditis?","Hi and pleased to answer you. Throughout pregnancy, the fetus bathes in a translucent pouch that gradually fills with amniotic fluid until the 35th week of amenorrhea where the amount of fluid is at its maximum with about 980 ml. Then the amniotic fluid decreases to the end to reach a volume between 600 and 800 ml approximately. The flow of the amniotic fluid signals the rupture of the membrane, and the risk of premature delivery if the term of the pregnancy is not reached. When the amount of amniotic fluid is abnormally low compared to the term of pregnancy, it is called oligoamnios. During oligoamnios, infection rate is higher. The premature rupture of the membranes (rupture before the beginning of the work) concerns 5 to 10% of the pregnancies. Its risk factors are the same as those of spontaneous preterm birth with intact membranes. This patient received a punch on her abdomen, which caused a premature rupture of the membranes and then a loss of the entirety amniotic fluid then an oligoamnios was created, and during the 2 weeks before the hospitalization, there was infection of the genital and baby components and infection dissemination by haematogenous route Causing endocarditis. Sorry for your daughter and may god has his soul in peace."
+"my mother has been in the hospital for 16 days, they first said she has breast cancer, then they said Lymphoma, then they said Non Hodgkins Lymphoma, now saying she has Leukemia - they keep saying they are 95% sure but then come back and say they were wrong, do you have any suggestions for me as to what to do from here?  We are in Richmond, Virginialisa","Dear, First we need to have full history and examination of the body report. Then a blood picture with peripheral smear examination to arrive at some provisional diagnosis. If she has a lump or swelling on any part of the body a fine needle aspiration biopsy report. This will definitely give a diagnosis. I think your primary physician will definitely do what is necessary to arrive at final conclusion. The different diagnosis conveyed to you must be provisional on the basis of simple general physical examination. Lymphoma, Hodgkin's or non Hodgkin or leukemia is confirmed only by biopsy. Truly,"
+I have a very large distended stomach with pain n upper left quadrant n lower abdominal pain . I hat a CT scan out of town said my uterus has falling out of place layoffs on my small bowel n the fluid in my abdomen where the pain is in the upper left quadrant where my colon descends seems to be kinked I was also told my cervix was already down on my vagina. I cannot use the bathroom only having 3 bowel movements in almost a month which were so painful I broke out n a sweat I ve taken stool softeners fleets n several other things just causes mote pain bloating n cramps I take take gas pills n no relief either and do not pass a lot of gas or feel the need to. I can t eat much very small amours n mostly liquid or soft foods. I often lose control of my bladder n sometimes feel I need to go so badly bit just trickles out or none at all. I was told I had a hiatal hernia a few weeks ago and last night I got the hiccups so very bad n couldn t stop the pain increased my husband said o kinda slumped over on the couch n was unresponsive for about 30 to 60 seconds. Do I need to go yo the emergency room or can I wait to schedule an appointment and with which h Dr do o need t,"Dear madam, you need to go to ER if you feel constant pain, fever, breathless, vomit blood or feel fatigue but your symptoms definitely means something and detailed work up should be done. You obviously have some kind of intestinal passage disorder caused by either mechanical or non-mechanical causes. YOUR GYNECOLOGICAL PATHOLOGY U VE DESCRIBED COULD affect your intestinal motility and if there is a certain cause then pills won't be helpful. The best way to rule this out is to the colonoscopy, barium swallow or diagnostic laparoscopy and everything should be clear. Wish you good health, "
+"Hi . Im concerned about whats going on . I think Im pregnant , but Im nervous to find out because I dont want to be devastated that Im not . My last normal period was Jan 21 . I always have normal periods . ALWAYS. I have a calendar that I go by . It said that my next expected period was Feb 18 . On Feb 17th I started spotting . I only seen it when I wipe . I never had this happen to me before . When my period comes on it flows and its never light . This went on for the remainder of the day then the next day it got darker , but it filled up half of pantie liner . After that I used tampons to see if he will be regular and it wasnt . It was just little spots of blood . Im nervous to take a test . Could I be pregnant ?","Hello, In the current scenario, please do get the pregnancy test done as you definitely need it and hope for the best. If you cannot read the urine test properly, you should go for the serum beta-ChatDoctor titles along with a trans-vaginal sonogram to clarify the issue. The spotting could possibly be due to an implantation bleed, but, it needs to be clarified. If pregnancy is excluded, you could be having slight hormonal imbalance which is common now and then whenever there is some stress, infection, weight disturbance etc. Such a disturbance usually gets corrected spontaneously. Hope this helps."
+"hi  i am  janti lal amersi from karachi pakistan, just come to knw by a mt test that my wife got a tuber clauses what are the precautions we should take like she stoped feeding milk to our daughter what else can you suggest to better ment of her health except medication from doctor","Hi, I understand your concern.  - First, 6you have to get her fully investigated from a chest physician & know about the extent of her infection. If its active tuberculosis passing the infection to others via coughing, sneezing)& she needs isolation or her disease is non infecting & under control. She can be treated at home & she can feed her baby at this stage.  Speak to her doctor & decide - Medicines, regular consumption & regular follow up is a must. Tuberculosis can be fully controlled & patient can lead a normal life if she follows treatment plan exactly.  - Apart from this personal care in form of- - cleanliness, - high protein, vitamin, iron, mineral diet.  She needs high proteins in form of milk 2 glasses in a day, boiled egg/ protein powder available in pharmacy mixed with milk./ fresh vegetables & salads at least 10 glasses of clean water . Apart from her routine meals.  - light exercises (yoga/ walking/ respiratory exercises) . To help good appetite & digestion -Iron & vitamins in form of tonics as per doctors advise.  Thanks."
+"HELLO I AM OM AGARWAL FROM SURAT (GUJ) INDIA. I HAVE A BABY OF ONE YEAR OLD. HER WEIGHT IS APPROX. 8KG AVERAGE DIET OF MY BABY IS 3-4 200(ML) EACH BOTTLE OF MILK AND EATING FOOD EVERYTHING WHICH WE TAKE,LIKE RICE OR DAL, WHEAT CHAPATI ETC.BUT FROM LAST ONE MONTH SHE IS NOT TAKING MILK OR FOOD BUT SHE IS FEEDING MILK FROM HER MOTHER. SHE IS CRYING VERY MUCH. SO PLEASE TELL ME WHAT TO DO","Hi... Thank you for consulting in Chat Doctor. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards - "
+I am 36 yrs and pregnant with 12weeks I have a daughter 11 yrs I have a history of pcod and endometriosis I had a miscarriage in my first pregnancy and it was triplets. both my pregnancy was with treatment but this time with the grace of God I conceived naturally I am being given fertygen injection twice a week progestrone capsule and now asa tablets but yesterday I was bleeding with big clots after scan the baby was fine internal os closed placenta posterior mid segment dont know the reason for bleeding can you please tell me why is this happening and why is asa tablets prescribed in pregnancy I would be very grateful thank you,Hello and welcome to Chat Doctor. Early pregnancy may naturally have periods of episodic vaginal bleeding with clots. This is caused as the baby with the sac in early pregnancy is too small to fill up whole of the uterus. The exposed inner lining of uterus may degenerate and bleed just like a normal menstrual cycle. I am assuming that your ultrasonography after the gush of bleeding showed a live baby with evidence of fetal heart beat. In that case chance of abortion is minimal. ASA or aspirin tablets are given in pregnancy to help in free flow of blood between mother and fetus. Please write back if you have any more queries.
+"im 18 and I have 2 questions. my first question is i suffer from endometriosis and for the past week my left and right ovary area has been having burning/stinging pains and my lower pelvic region is sore to the touch. what could this problem be? my second question is i had my hormone levels checked and i was wondering if they are normal? FSH- 1.2 LH-3.1 TSH-1.570 Estradiol-182 Testosterone-32 Glucose-74 Prolactin-19.8 thanks, sabrina","Greetings HOPE you are aware of endometriosis. It means the inside layer of uterus called as endometrium is present outside the uterus, and it responds to the cyclical changes as inside uterus causing bleeding. As you have menses, there will be bleeding from this endometrium which can be present anywhere in the abdomen.the commonest site is ovary and all around outer side of uterus. So premenstrual there will be pain which depends up on the organ involved and the extent. So you can consult a gynecologist and get an ultrasound scan to rule out any cysts in ovary which is causing problems for you. Coming to your reports everything looks normal if done on day 2 or 3 of your cycle. Hope my answer helps you regards"
+"My husband was on hemodialysis for about a year.  Last December we began with peritoneal dialysis at home and have been doing this for almost a year.  He had his catheter moved last June as it was much too low.  Since then he has been retaining fluid in his abdomen.  He recently had a CAT scan and a ecocardiogram which showed a heart problem which his doctor said could be controlled with medication.  While in the hospital, his blood pressure dropped so low he was given a bag of saline solution which raised it but he was taken off this medication for his heart.  Now he is at home and has a physical therapist come to our home twice a week and he is doing light exercises but his biggest problem, which has been with him for about three months, is shortness of breath.  It is from all of the fluid in his abdomen pressing on his diaphram, etc.  He has increased his trouser size by two inches.  I called this to the attention of his nephrologist as his stomach is like a big bowl of jelly.  Nothing is being done to take care of this fluid except the doctor has put him back on hemodialysis with no reduction of fluid.  Is there a possibility that there is a leak inside from his catheter or could it be a buildup of fluids from the peritoneal dialysis which I understand does not always completely flush all the fluids out of his body? Sorry about this being such a long messge but we are at a wits end as to finding out what is causing this problem.  Could you possibly help us by offering your guideance about the fluid. Thank you in advance.","HIT hanks for your query. If there is no active peritoneal dialysis going on, then the abdominal fluid collection is unlikely to be related to the Peritoneal dialysis catheter. Ascites or fluid in the peritoneal cavity can be due to a weak heart or liver problems. I would recommend a 2D Echocardiogram, Ultrasound of the abdomen and a diagnostic ascetic fluid tap. Based on the results we could make further recommendations. Hope this helps Good luck."
+Hi i am 33years old and have been diagonised with jaundice last 3 monts. My current sirum Bilirubin report is 1.20. I had indigestion and related problems in stomach of right side.Question is how long does it take? how can i know that am completely free from jaundice?,"Hello, welcome to Chat Doctor. It may be due to liver infection, alcohol or Chat Doctor. Please consult your doctor for examination and ultrasonography of whole abdomen including liver. Jaundice can cause indigestion, vomiting, nausea, fever, fatigue etc. Normal range is 0.5-1.5 mg/DL. More than normal range causes yellow discoloration of sclera, palms, urine etc. First find out the cause of disease and treat the cause, will remove jaundice. When your bilirubin within normal range; urine, sclera become normal; no or minimal digestion problem than jaundice over. Please avoid fatty diet and fast food. Take fresh fruits, juices and green veg diet more. Hope these all will help you a lot. Thanks for contacting us. Take care...."
+"I have married in 2 year.my age 25 husbannd age 27 i have trying to a conceive .i have take pfofrt f tablet for 3 month.but not conceive.i have already checked my harmones,thairoid also.but no problem.all very good & normal.but why naot conceive.please help me","Hi I think you can go for ovulation induction with timed intercourse for conceiving. Track your follicles' growth by repeated ultrasound and when follicle is more than 18 mm, take injection for rupture of follicles. Be in contact with your husband for next 2 days. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles. Hope it helps"
+"Hi, may I answer your health queries right now ?  Please type your query here...Hello.  My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days.  This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue.  Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer.  He is on a number of medications now and is taking Lisinipril and cumodin and other meds.  His cumodin level was high this week.  He walked to the store the other day and had to ask for a ride back as he wasnt feeling well.  The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50.  She said that he should get checked out again soon as something does not appear right with his meds.  Any advice you might be able to give would be appreciated.  My father is 79 years old.  Thank you.  Melinda","Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor.  Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased.  Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. Hope I have answered your query. Let me know if I can assist you further. "
+"Hello, I have a persisting infection in my pubic groin area. For the past year it comes and goes regularily and almost always is infected. I believed it to be an ingrown hair but most recently I went to the hospital because a hole appeared there and I was told it is a cyst . This keeps happening in the exact same spot and I apply warm compresses to it and blood like pus usually oozes out of it. It pains a bit as i were my pants exactly same place. Kindly suggest me what to do","HI, I understand your concern.  The prolonged & repeated infection indicates healing.  -low resistance - inadequate treatment/wrong choice of antibiotic - unhygienic condition.  - Uncontrolled diabetes You need investigations like-CBC, fasting & post meal blood sugar, culture & sensitivity test of the exudate from infection. Along with complete physical check up.  This would pinpoint the diagnosis & treatment plan.(best advised by a skin specialist) Apart from regular medication for prescribed period, you will have to take - tonics/nutritive diet for raising resistance.(proteins, iron, vitamins specially it. B&c)would help.  - good control of blood sugar in case you have diabetes - adequate local management in form of removal of hairs, keeping the area clean, Chat Doctor.  Thanks. -"
+Hello: I am a 36 year old man. After having a terrible attack of stomach flu in february of this year I beganto suffer from pain in my upper left side. the bloodwork showed slightly elevated lypase -but all other  tests ngative-what can this be -stomach feels bloated all the time,"Hello there, I am Chat Doctor. Hope I have given appropriate guidance to you. I think you have loss of some of your intestinal flora, that is beneficial bacterial organism found in our intestine, and you have some damage to intestine in form of small many ulcers. So til this ulcer got heal you may have some pain in your abdomen. And for bacterial flora you take some probiotic food it will replace your flora to normal one. For some periods take care you DNT eat spicy food. If you have any query you can consult me anytime. Give me star rating, helpful vote & thank you according to your satisfaction level. Thanking you."
+"Hello, i have a question, i had pain for almost a week on the left lower side of abdomen, approximately where the ovary is, then i went to ultrasound to see what is going on, i did not get results yet, and i am scared, because i really wanted to get pregnant, i overheard  ultrasound technician and other technician, they were saying something like follicle burst and small amount of free fluid, what does it mean, that i did not get pregnant and probably instead maybe it is ovarian cyst now..i just dont know what to think... i asked them but they are not allowed to tell diagnosis i guess, they just said you dont have to worry everything is fine","Hellos you mentioned that there is pain in the abdomen in the left lower region. Ultrasound done but report is still pending. Pain may be due to these reasons.1 Cyst around or in ovarian stoma. Need not say that the report of the ultrasound will find out the reason .2 Such pain may be due to left renal colic. Diagnosis can be confirmed by Ultrasound (. Already done).3 Amoebic colitis is the next most probable reason of such pain. Stool examination will find out amoeba history, if present. Since ultrasound report is pending and pain is not so severe, wait for the report and deal according to ultrasound report. Possibilities I have mentioned. Good luck"
+"I have had numerous UTI S and I requested a copy of my last lab report, 1) for vaginal culture, and 1) lfro urine culture, final report on the urine culture was Morganella MorganII, b colony count 30,000, but no antibiotic was prescribed. Can I get over this on my own?","Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that urine culture with colony count of less than one lac is not UTI. It won't requires a treatment. Organelle organic many a time isolate as a saprophytic organism or Laboratory contaminant. So if the colony count is less, it is not UTI and treatment is not required. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease."
+"I recently had a scan that showed a 8.4mm cyst on my left kidney. However as I was being scanned for gallstones, the cyst was never mentioned (the scan was done overseas and so they type up a report of their findings). I am now worried that it has been disregarded. What could it be?","Hello Thanks for writing to simple cortical cyst in kidney is a benign lesion of unknown etiology arising from renal parenchymal, and it rarely causes complications. It may be the reason for omission of small renal cyst in previous reports. Renal cortical cyst is a very common type of kidney cyst, and it is a fluid-filled sac. Small cysts generally doesn't causes symptoms, and it is found in a routine examination for other issues. When cyst grows larger, patient may feel pain or pressure in back or sides, which often radiates downward. Renal cortical cysts usually doesn't require any treatment. Take Care Chat Doctor. "
+at night when I get ready for bed I begin to cough uncontrolledly and my neck and chin get really itchy. this only happens at night and I don t know what to do about it or what it means. I read that it could be signs of asthma but I ve never been diagnosed with it. But I do spend a total of 9 hours or more 5 days a week moving and running around.,"Hello dear, thanks for your question on Chat Doctor. In my opinion you are having allergic bronchitis. Coughing and itching are characteristics for allergic disease (process). Since you are having symptoms mostly at night, you may be allergic to your night clothes or bedsheet or pillow covers etc. And these act as allergen and cause symptoms. So better to consult pulmonologist and get done PFT (Pulmonary Function Test) to diagnose bronchitis. Change your bedsheet, pillow cover and night clothes. Start using new cotton ones. Also take antihistamine Chat Doctor.  You will mostly be alright by these changes."
+Im asking because I was tested for diabetes & the doctor asked if it ran in my family? It does on both my mother & fathers side & I have always had a sweet tooth but I am not overweight (Im average) & try not to eat fatty foods that much. I do however tend to splurge on the sugar. Can too much sugar cause diabetes? Thanks everyone.,"Hi.no too much sugar doesn't lead to diabetes. There r 2 types of diabetes. Type 1 which is due to deficiency of insulin secretion from beta cells of pancreas and in type 2 diabetes there is problem in the insulin receptors. Diabetes may result from genetic alterations, obesity, sedentary lifestyle. Ones u have diabetes, increase intake of sugar may increase the blood sugar level but sugar itself doesn't lead to diabetes. Wish u good health"
+"I take microgynon 30 3 weeks at a time and then break for a week and always get a period during this break. I took the pill for around 5 weeks without a break and now that Ive taken a break from it Ive not experienced a withdrawal bleed and Im getting very worried. Could you offer me an explanation? Ive taken one test and it was negative. Just want to know whats going on with my body, Ive been taking the pill almost 3 years with no problems like this.","HI, thanks for using Chat Doctor Microgynon is a commonly used oral contraceptive. There is a form of oral contraception where essentially it is taken for 3 months so that these women have only 4 periods a year. It is likely that the prolonged use of the medication resulted in the delay you are experiencing. Though it is understandably alarming to you, it is a result of a slight hormonal imbalance and your period will return. I hope this helps"
+Since October 2013 I have had spasmodically pain in the right side of my head in the ear area - approx radiating into an area of my hand if held over my ear. The pain will go after anything from a few hours to over 36 hours. Today it is particularly painful hence the search online,"You probably mean throbbing headache affecting one side of the head, right in your case. You have not mentioned whether you are a male or female. Based on that, I would consider three possible causes, a) migraine b) cluster headache and c) temporal arthritis. Irrespective of whatever be the cause, you should be relieved by taking naproxen 500 mg one or two tablets together as per your requirement. Take it in full stomach. Also get yourself examined by a doctor and subsequently intervene as per the cause diagnosed."
+"Im 62 years of a age, and on a routine lab exam PSA level was 6.5, Digital rectal exam was normal, echography shows enlarged prostate with calcifications and all the rest was normal.. FREE PSA/TOTAL PSA was about 22.5 and according to the lab this result is normal, urine analysis shows RBC levels of 20 - 22 and WBC 2, can we know from these results if it s a gland hypertrophy or it s prostate cancer? thank you",Thanks for your question on Chat Doctor. In my opinion you should not worry much about cancer. As calcification is 100% benign. It is not at all seen in malignancy.  So you should not worry much about cancer.  Your other lab reports are also normal for cancer. You are having BPH (benign prostatic enlargement) which is causing red blood cells in urine. So better to consult neurosurgeon and get done removal of prostate.  This will cure RBC in urine. And no need to worry about cancer.
+"hello,my 2 and a half year old has been having tiny amount of blood at the end of the stool...my pediatrician ordered an ex ray and said she was constipated evan though she poops quite regularly.He said most likely the blood comes from a scratch at the end of the bowel that continually gets irrataded and then today the stool turned gray! half of it came out brown then gray and two hours later more grey poop what could this mean?","Dear Parent, The gray color stool of your child can be due to different causes. Commonest one if your child is on a milk only diet. Other serious cause is blocked liver ducts (however in this condition your child will give yellow of eyes, skin). I suggest that you see a pediatrician if the gray stools occur 2 or more times, lasts more than 24 hrs and lasts more than 48 hours after changing from a milk only diet, and you notice yellow discoloration of eyes, skin."
+"I have a hard non-movable lump on the right side of my neck about the size of a pinto bean. It feels like it may be attached to the larynx? I have been suffering from joint pain (knees, shoulders and right large toe) and swelling mainly in my knees. I seem to have lost strength in my knees due to swelling and muscle tenderness around joints, I am loosing more hair than normal, awful cramps in right callf at night, I get hot flashes but then I get cold and can t get warm, I have no energy, my skin is very dry to the point of tingling.","Hi, Thanks for the query.1-Its very interesting story. In my opinion small lump on right of your larynx needs to be investigated with thyro-profile tests.2-Your general health have derailed over a period and suggests that you have-hypo-thyroid with associate rheumatic complaints in knee JT and muscles surrounding it.3-I would advise you to have your thyroid test done with other blood tests.4-I would advise medical treatment with the physician nearby.5-Thereafter-If the lump doesn't regress after the specific thyroid treatment, the lump-may need excision-in the later period....but don't worry about it-as it's a remote possibility.6-So concentrate with treating the thyroid disease-which is the most probable solution for your problem to resolve. Hope I have solved your query. Any more queries in this matter are welcome.!! Thnks"
+hello In my report it shows like this Rt.Kidney (8.9*3.5cm) cortex:13mm Lt.kidney (9.5*4.1 cm) cortex 14mm Normal insize size with diffuse increased Echotexture(grate -2) No calculi/Hydronephrosis.Is there any problem in my kidnies.Please help regarding in this matter.,"Hi, Thanks for writing in. There is a mention that the kidneys are showing increased cortical echo texture. This means that the kidneys are lighter than expected and might be due to a problem in the filtration capacity of the kidneys. Please do blood test for kidney function like serum creatinine and serum proteins. Urine test for kidney function like urine proteins and 24 hours protein and creatinine are also important. Please consult a nephrologist for proper treatment guidelines. Your kidneys are normal. The kidneys are normal if they measure 80 to 120 mm in length. Therefore, the kidney problems if any are still reversible. Please do not worry."
+"Hi my name is angela im 20 years old and on June 9, 2015 I went to an oral surgeon to have all four of my wisdom teeth taken out. Ever sense the day after surgery I haven t been able to open my mouth I have gone back and they put me on some arthritis Tylenol, naproxen medication, and also voltarin gel. I ve also been doing jaw excersises religiously. Nothing has helped and I am no worse I can t fit my toothbrush in mouth and it s almost to the point I can t fit my pills in either. I m terrified and just want this to end.","Hi. I have gone through your query and can understand your concern. As per your complaint at times after wisdom teeth extraction the muscles of mastication becomes tensed, swollen and sore leading to restricted mouth opening and pain. You should do warm compresses over the check and continue till the sides of neck. You should massage the muscles with your fingers starting from the front of ear progressing down the jaw reaching the chin. Try to open the mouth with fingers by pushing front teeth apart. You should also keep doing the jaw exercises advised by your dentist. You need to take Muscle relaxant like Flexion MR for relieving the spasms of muscles. Take soft diet and more. Of liquids but do not stay hungry. If still it doesn't improve consult an Oral Surgeon and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. ."
+"bacterial bronchitisIm a 30 yr old female. I was recently seen at the ER  and had two bags of fluids ,morphi.e and xrays for what I was told was bacterial bronchitis and was given a Zpack to take. Im on my 4th pill and I feel im getting worse. The cough is bad, im coughing up dark green and yellow mucus. I have a major headache that wont go away. Im also running a fever off amd on... Could this be something else or have turned into something worse?","Thanks for asking your question completely understand your problem in my opinion you are suffering from lower resp tract infection. Green sputum is mostly seen in cases of pseudosocial infections so specific Chat Doctor. Antipseudomonal antibiotics like floroquinolones should be given.to fix the diagnosis of pseudosocial infection u need to consult a pulmonologist who will request for a sputum myogenic culture and sensitivity, which will tell in detail about the causative organism. And accordingly "
+"I am boy age of 30,but my sprem is thini want thick spermi face problem when I watch any sexy movie I get wet because my spram come automatically come out of my pienskindy tel me any fruit or food which help me.l am poor I have no money to snd you","Degree understand your concerns went through your details. Please stop worrying about these sexual matters because all these are normal. Sperm thickness or color is not the determining factor of your fertility or your ability to produce child Chat Doctor.  On an average, semen is almost 95% water. Therefore, don't be anxious about it. When anyone watches porn movies, their penis discharge a liquid called pre-cum which is used for lubrication during sexual intercourse. This is also normal. I suggest psychological counseling to you. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care."
+Hi sir  my wife is in 7th month pregnant and she has been facing gestational diabetic in early stages(3rd month) and doctor suggested insulin and slowly increasing the lots now. she is taking novomix 30 penfill. Morning 18 lots and evening 10 lots. Every week we are taking test by using glucometer. bayer product. But some time test results are showing 84-98 and 112-158. she was getting fear kindly give your suggessions,"Hello and I hope I can help you today. Insulin is used to treat diabetes during pregnancy at all stages and is safe and effective. The disease of diabetes and high blood sugar is the part that is dangerous for the baby, and good glucose control is the best way to ensure a healthy child. Good blood glucose levels should be less that 95 for fasting levels and less than 120 after meals (2 hours).  If this is the way your wife checks her sugar, and you test at least 4 times daily, she is under very good control and should not need further adjustment of her insulin if her levels stay at the current level.  She should be checking her sugar fasting and then 2 hours after every meal.  So in summary, insulin is safe and absolutely necessary for the health of the baby if your wife has diabetes.  Please discuss the dosing regimen with your treating physician on a regular basis and make sure your wife checks her readings at least when she wakes up in the morning and then 2 hours after every meal.  She should also write down what she eats, so her doctor can also know if any changes need to be made in the diet. I hope this information was helpful and answered your question adequately. Best wishes to you and your wife for the rest of the pregnancy. Sincerely, "
+"hello doc...i have a lump between my scrotum and anus its hard size of a pea, it sometimes disappear and reappear, also another painless sort of a pimple on my pubic area, yellowish, disappear when emptied and to re-occur in near and itching urethra....what is these","Hi! Welcome to Chat Doctor, and thanks for giving us an opportunity to discuss on perineal infections! So, your perineal lump is recurrent, small, nodular and accompanied by another yellowish nodule in the pubic area! I must consider, if you had visited my clinic, that these two are same in pathological terms; they are sebaceous inclusion cysts getting infected and resolving due to bodies immunity power! These needs a simple needle biopsy for confirmation and surgical excision / antibiotics for cure...Therefore, please see a surgeon for a clinical examination and necessary management.don't worry, ..."
+"HI I M 17 YEARS TEEN GIRL.,I HAVE BIG DARK SPOT SIMILAR TO A MOLE ON MY FACE ...HELP ME....WIT GOOD SOLUTIONS","Hi welcome to Chat Doctor forum the dark spots might be due to high melanin synthesis and has many causative factors. That could be plasma, dermatitis so on. The first thing to do when seeking treatment for dark spots on face is to talk to a dermatologist. He can give you a diagnosis for your particular condition. Then you can choose for any treatment. All treatment including homeopathy needs a proper case study then treatment. Thank you"
+I work for a company in the backroom and I stand for anywhere from four to seven hours at a time along with lifting really heavy boxes and was wondering if there was anything I can do to help me with my lower back issues they are very minor but I want to avoid them getting any worse.,"Hi welcome Chat Doctor. Age2.sex3.duration, type and severity of pain4.mid or para spinal region of pain5.height and weight.However, steps can be initiated in the meantime preventive aspect is provided. Low back pain is common among people who stand or sits for long time. Proper ergonomics, exercises diet plays' role in prevention the same.1.ice massage and hot water fermentation alternatively 3 times a day, for minor pain u mentioned2.maintaining proper posture While standing While lifting weights(never bend your waist, instead bend the knees)3.stretching exercises which helps to reduce pain and also prevent further strains.(can be done in between work or during prolong posture)4.maintain BMI (proper diet and exercise)5.proper use of shoes6.once you are feeling better regular aerobic exercises like swimming, walking, bicycling Can keep your back in good condition. 7.prevention of episodes of back pain can be done by strengthening back hip pelvic abdominal muscles, however heavy abdominal crunches must be avoided. If pain aggregates or any numbness of hip or leg you can consult your doctor for further assessment."
+"What is treatment for piaderma? I am 61 yoa, 5""6, 155, had ulcerative colitis for approx 20 yrs.  Recently had surgery for colon removal and developed piaderma.  Have been referred to a dermatologist but until then, is there any remedy I can do?  Is getting progressively worse, ulcers increasing and bleeding.","Hello, Welcome to Chat Doctor, Pyoderma means pus in the skin and can be caused by infections, inflammation and neoplastic etiologies. Any condition that results in the accumulation of neutrophil exudate can be termed a pyoderma. But in general practice most commonly pyoderma refers to bacterial infections of the skin. Normal resident bacteria of skin such as staphylococci, streptococci, Micrococcus and Acinetobacter can lead to this condition. The treatment of superficial pyoderma is with appropriate antibiotics for not less than 20 days. Fluoroquinolone group of Chat Doctor. Topical antibiotics may be helpful in superficial pyoderma. Bacitracin and polymeric B are more effective against gram negative bacteria, if it is the cause of infection. Thank you."
+"I have a background of hay fever which gets quite severe with an almost contantly runny nose and mild asthma. I find it quite hard to tell the difference between allergies and a cold. for a week now i have had varying symptoms which started with sneezing, a runny nose (extremely so!), there was a slight sore throat with it, and i now have a slight cough and a little breathlessness. There has been no fever but i do work in child care, germ central. unless i have a fever im never sure if i have a cold or allergy and im not sure if the breathlessness is asthma symptoms or not. thankyou","HI, thanks for using Chat Doctor Allergies and common cold can be associated with similar symptoms. The main differences would be fever, change in appetite or energy level that may occur with the common cold. The time frame would also vary, if the symptoms are acute then it is more likely a cold, if they are long term-allergies. The treatment of both would be the use of decongestants (topical or oral), oral antihistamines and cough suppressants if needed. I hope this helps"
+I have a circular rash on the palm of my hand which is now on the sole of my foot. They come and go but are very itchy. I have now found a raised rash in the pubic line which is not itchy. The rash seems to be like an insect bite and is more yellowish in the middle. Im male 28 and have not had any problems of this klind in the past and have not yet tried to treat this problem.Please help thank you.,"Hi, As per your descriptions, it could be due to eczema, tinea, psoriasis, insect bite etc. You will require topical corticosteroid like beclomethasome or clobetasol or mometasome with antifungal cream like itraconazole or fluconazole with oral prednisolone and fluconazole with antihistamines. This type of skin itchy rashes are required to be seen by naked eye of a doctor for confirmed diagnosis. So, better you consult dermatologist and start the treatment. You will be alright after that. Thanks."
+"I had wisdom teeth extraction four days ago. Was running a temp today, which has now come down, and feeling unwell. Aches, headache and very tired . These symptoms appeared about two days after my surgery . I has Iv sedation . Im worried about septicemia or endocarditis? AmI over reacting . I saw my dentistToday to address my symptoms and he didnt seem worried . Stated my extraction sites were not infected . ShouldI see a MD?","Hi, Thanks for writing, All you need to do is relax. These symptoms are sometimes seen after a normal minor surgery. As you told, you were given general anesthesia, please give some time for yourself to recover.  Fever can also normally occur after a stressful procedure, and just as it came down, you will recover with other problems also with time.  Just continue with the antibiotics or analgesics whatever are prescribed by your dentist.  Septicemia or endocarditis are risk factors if you have undergone any previous surgeries or have any congenital heart problems or valve replacements. In that case the doctor prescribes you with antibiotics before the procedure itself.  Take sufficient rest and relax to have a fast recovery. You only need to see a physicist if symptoms persist even after taking adequate rest.  Stay healthy, Thank you."
+Hi just wondering my husbandmay have an infected tooth. Our ine yr old sun had a tiny cut on his finger and my husband put it in his mouth it is now infected could this have caused it? Can other infections such as throat infection also be passed on through kissing someone with a tokth infection or abcess?,"Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint in case if someone has an infected tooth, infection is commonly not transmitted to another person by coming in contact in saliva, although throat infection can be contagious and when there is active infection it can be transmitted to other people via close contact like kissing, sharing utensils and napkins and especially viral throat infection is very quickly transmitted. In case if your husband had an abscess in his tooth and if it would be Chat Doctor. . So you need not be extremely worried. I would suggest that your husband should consult a Dentist and get evaluated and an IOP AR [x-ray] can help in diagnosis. In case if tooth can be saved root canal treatment can be done while if there is gross decay extraction followed by antibiotics and painkillers will be advisable. Hope this information helps. Thanks and regards."
+"Hi, i have mild sharp abdominal pain. I have had it for more than 24 hours. My bow movements have been a little irregular as of late. I have had some prunes today to try and improve that. I have also been passing a lot of gas. Please lend me any advice you have?",HI. Thanks for your query.The most probable cause of severe pain in abdomen with irregular bowel movements and gases can be a form of gastroenteritis. I would advise you the following:Take a course of an antibiotic and metronidazole and supportive and symptomatic treatment This may resolve your problems sooner. If no relief you have to undergo the following tests:Blood-routine and WidalUrine and stool tests in details. Ultrasonography of the abdomenEndoscopies if required.
+"Shortness of breath and harsh cough. Ex ray showed inflammation around my lungs. Dr. said a virus. Light smoker, but Dr. said lungs look beautiful. 80mg prednisone for five days brought no change. On my 3rd day of another 5 day prednisone script plus and inhaler, and still no change. Any ideas?","Hello appreciate your concern Shortness of breath and harsh could be related to Inflammation of the airway or lung due to allergic reaction or infection. Another possibility is obstruction in airway or collection of fluids in lungs or pleural cavity. If I were your treating doctor I would have advised you for a battery of tests after clinical examination in order to ascertain diagnosis like blood for hemoglobin, CAN, ESR, AEC (absolute eosinophil count), an X-ray chest or an CENT scan in case of chronic and refractory cough Meanwhile you should take steam inhalation and do deep breathing exercises. Continue with inhaler and anti-allergic Chat Doctor. Prednisone is a steroid and its doses to be tapered gradually like 40 mg than 20mgand slowly 10, 5 than twice a week followed by once a week and then stop. Hope this answers your questionPlease do let me know if anything is not clear. I will happily answer you Wish you good health and speedy recovery"
+I have a lump on the back of my neck and I have had this for almost two years. Ive told doctors but they say its nothing to worry about. But when I got blood clots In my left arm ive just been getting sicker. My legs and feet swell up and ever since thats happened my lump on my neck has swelled up and gottn larger.. Could this mean I have can cancer or leukemia?,"Hello, Lump in the back of the neck can arise from the skin, subcutaneous plane (deep to the skin) either from fat or fibrous tissue or bone.  Because of the consistency and mobility we can differentiate each. It is there for 2 years now increases in size. Clinical examination and CT will differentiate the cause of swelling. The blood clots and pedal edema needs investigation of your vascular system. The swelling increases in size recently and your vascular system involvement need investigation immediately. As per your statement both are not cancer or lukemiaTreatment is as per the results. Best wishes"
+dr.  i have been using rmd gutkha for the past 2 and half years.  I used to take one or 2 small pouch daily.. nowadays i could not take any spicy or hot food. I could see few sores in the edges of my tongue.  will it lead to cancer.  I have applied few ulcer gel/madicines but still it is not cured. please help to recover from the above,"Hi, dairy have gone through your question. I can understand your concern. You have history of tobacco and non-healing ulcer.  So there is HGH chance of having squamous cell carcinoma.  You should go for punch biopsy of that lesion and go for histopathological examination.  It will give you exact diagnosis. Whether it is cancer or not. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+hello my name is myrna lafreniere...my son is 15 yrs old and hes had this problem before..he has a very hard time to have a bowl movement..this time its been over a week now that he hasnt had a bowlmovement..is there anything at home that I can give for fast reliefe..and hes not in any pain...but I dont understand why he goes like that..,"Hello and, Thanks for writing to us. Begin each day with a cup of boiling water poured over half a lemon. Consume about 25 to 30 grams of dietary fiber a day, to promote regular bowel movements. For an effective treatment of constipation, add 2 tablespoons of Apple Cider Vinegar into an 8 oz glass of water, and Chat Doctor.  The Apple Cider Vinegar can also be mixed with apple juice or grape juice to make it more palatable. Take 1 teaspoon of psyllium mixed into a glass of juice three times a day until your constipation is relieved. Hope this helps you. Wishing you good health... Regards."
+"HI, I have been on implanon for over a year, no period for 7 months. I have had negative urine pregnancy tests, cravings, nausea, mild pelvic cramps, jaw pain and gained about 4kgs. Today I felt fluttering in my stomach, and I m confused because I know you can have pregnancy symptoms as part of the side effects.","Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) As you have missed your periods and your home pregnancy tests are negative, then please get blood beta Chat Doctor test to confirm or rule out the pregnancy. 3) If you have negative pregnancy test results, you need not worry about the pregnancy. Implant can cause all these symptoms per se too. It is not a reliable sign of pregnancy.4)If you are still worried, get a pelvic ultrasound done too. I hope this answer helps you. Thanks. "
+"hello, my husband was bitten by our dog on july 1, 2011. does he need to  have a anti rabies vaccine now? I cannot remember the exact year when our dog had  antirabies vaccine may be about 4 years ago. Our dog is ok right now. What should we do? my husband is 52 years old. not hypertensive, 5""8 in hieght.","Hello and thanks for your query. If your husband was bitten by the dog in 2011, there is no point in taking the injection now(it should be ideally taken with 24 hours or in the shortest possible time after a bite). But since you still have the dog, you should definitely do the following:1. Take regular vaccinations for the dog as recommended by your vet2. Both you and your husband take the preventive vaccine against rabies so that you will be protected if ever the dog bites again. Ask your doctor for the pre-exposure prophylaxis vaccine against rabies. If you follow the above steps you would be fine. Hope I have answered your question. Good day and take care."
+My father is 78. He is taking clopidagril as he had a stent put in last year. He also inhales albuterol sulfate and ipratropium bromide. He has COPD. His trouble is thick mucus and expectorating. Can he take a 400-800 mg. Mucinex DM OR guaifenesin only several times per day? I haven t seen any drug interactions on line at Dr. websites. He is in above average health considering the COPD and has no other conditions which require medication.,Thanks for your question on Chat Doctor. COPD (Chronic Obstructive Pulmonary Disease) needs simultaneous implement of following treatment methods for better symptomatic control. 1. Quit smoking if he is smoker. 2.  Continue his inhaler according to the advice given by his doctor.3. Enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. 4. Take adult respiratory vaccines like pneumococcal and influenza vaccines for prevention of future lung infection. And yes you can definitely give him Mackinac or gunaphesin as both are expectorant and bucolic. But better to start pulmonary rehabilitation. This will help him more.
+I have had numbness in my right hand for about a month or so. It comes and goes and usually comes when I am using that hand or the opposite when I am sleeping it goes so numb that it keeps me awake and is actually quite painful. I have seen my doctor and he thinks it is related to arthritis that I have but no other place that is irate by my arthritis is affected.,"Hithanks for writing to Chat Doctor .you seem to suffer from carpal tunnel syn Chat Doctor.  it's a condition in which a major nerve supplying the thumb, index middle and part of ring finger gets compressed at the wrist level. Please do the following1. Use wrist splints, especially while sleeping2. Avoid bending your wrists too much3.avoid keeping your wrists under your head while sleeping4. Give rest to your wrists, avoid typing too much on your computer or mobile phone.5. Apply ice packs4-5 times a day6.use a mild analgesic like acetaminophen it will take 3-4 weeks for complete recovery. Hope I have answered your query thank you"
+"Hi my name is April,Just recently I had an MRI done on my breast and the test results came back that my breasts were ok, but I have a cysts on my spleen. This morning I got a Ultrasound done on my spleen. Can you please tell me what I have to look forward to? Is it cancer? Right now I have no symtoms of soreness in that area, but I tend to get very bloated at the end of the day. I m very scared right now and I will not hear from my doctor until some time next week.","Hello Your report suggests splenic cyst. It is not necessarily a cancer. It is the most common focal lesion of the spleen. Splenic cyst may be benign, malignant, or it may be abscessed also. It may be developed due to trauma, parasite infection etc. Usually splenic cysts are asymptomatic and incidentally discovered during imaging. You may need CT scan of abdomen. Small and asymptomatic cysts do not require treatment.Whereas symptomatic cysts are managed surgically. Take Care Chat Doctor. "
+"HI, had hip replacement surgery 9/23 and 58 yrs old. through a process of elimination the crazy pain I have is a pinched nerve in my lower right back.  Dr. says next step is to MRI the spot.  I have to work what can i do for myself to help remedy this?Thank you,Donna","Hello! Welcome and thank you for asking on Chat Doctor! I agree with your doctor that an MRI would help examine better the nerve compression. A nerve conduction study may also be helpful. Meanwhile, I would recommend starting therapy with Gabapentin or pregabalin for the pain. These two antiepileptic Chat Doctor.  They are usually well tolerated in every age. Physiotherapy may also be helpful. You should discuss with your doctor on the above issues. Best wishes, "
+"Hi Doctor, my brother wilson met with an accident on 10 Oct 2012 and he suffered from diffuse axonal injury , 7 days he was in unconsciousness , after 10 days they shifted to general ward on that time his left side parts was not woking proprely like(strock) after doing oil massage and physio treatment now he can able stand and walk. now his condition is his suffering from short term memory loss . his unable to recognize what is going on surrounding him and nowdays his behaviour also changing rudely talking & beating every one. is there any treatment is there to recover completely how earlier he was, please help me on this sir am having one and only one brother in my life.","Hello, welcome to Chat Doctor.  I am sad to hear about your brother health. Neuronal injuries are often permanent, so complete recovery is rare in such cases. Over a period of time some improvement in memory and behavior is possible.  After brain injuries some personality changes are possible which can lead to aggressive behavior. In such cases low dose anti-psychotic medicines are helpful. For that you can consult some nearby psychiatrist. Wish you all the best.  Chat Doctor. 99doctor.com"
+Hi so I m pretty sure its my first molar on the bottom right side that i got extracted on Monday Feb. 11th. For the first 2 days I slept and took the painkillers and Ibuprofen that they had prescribed but since then my gum on the outside feels sore and kind of raw. As if my cheek is rubbing against it and the second premolar feels like its shifting downwards a little bit. Sometimes it still feels like i have a massive tooth pain there and also my teeth on the other side of my mouth are starting to hurt a little as well(Also the tooth they extracted was abscessed). Is this all normal? I m 21 and haven t had a tooth removed since I was 5 and it s kind of freaking me out that my mouth hurts this bad still since its been 5 days. Also I was curious on why I m 21(22 in may) and haven t gotten my wisdom teeth in yet.,"Hi and welcome to Chat Doctor, As you have mentioned the first molar you got extracted was involved with abscess. So after extraction the socket needs to be curetted to remove the pus pocket and all the debris and irritants, disinfection of the socket is done, and then the wound is packed with cotton gauze .any remnants of abscessed tissue in the socket may lead to infection and pain. Secondly you may have developed a condition of Chat Doctor.  You need to get it clinically examined by a dentist to confirm and make a diagnosis. Pain the other teeth may be due to gingival infection which can be cured by scaling and root planing. About wisdom teeth, they normally erupt at the age of 18 to 27 years, so you can still wait as you will get the eruption signs once they appear. I would suggest you to get an OPG radiograph done which will show the wisdom tooth appearing as well as infection in other teeth if any, will help in deciding treatment. I hope I answered all your doubts, take care."
+"For the past 2 or 3 months, I have had very strong, pulsing heart beats and trembly feeling inside my chest that will not go away. Also, I have severe hypertensive periods, vertigo, and tinnitus. I have a history of Hashimoto s but TSH is normal, now. I have had brain MRI, Ct scans, EKGs, carotid dopppler, blood chemistries and all appear to be within normal range, with the exception of Vit D, I have added 5,000IU/day. However, about 2 weeks ago, I had an episode of hypocalcemia, confirmed by Trousseau s sign, periorbital parysthesia, etc.. (but total serum calcium was normal). I have since added calcium supplements. I am currently on 60 mg Cardizem 3x/day but BP is still 150/90. (I had an allergic reaction to carvedilol - hives, swelling.) Have been to ER 3x recently with hypertensive episodes 200/115 and palpitations. Have been to a cardiologist, endocrinologist, and PCP. Should I go to a neurologist? What other things can cause these conditions?","Hello, I passed carefully through your question and would explain that these symptoms do not seem to be related to any neurological conditions, especially considering the high blood pressure values.  Coming to this point, I would recommend checking cortisol plasma levels, aldosterone plasma levels and urinary metanephrines in order to exclude a possible a Chat Doctor.  A panic disorder cannot be excluded either. For this reason, I would recommend trying low dose Alprazolam during these episodes and see if your situation improves.  Hope I have answered your query. Let me know if I can assist you further. "
+"Hello, I am a 41 year old female.  I fell down the stairs this morning and have tremendous pain in the top of my arm/shoulder. I  am unable to raise my arm or lift anything, The pain is going round into my shoulder blade but is generally within the section at the very top of my arm, I live alone and do not drive and really cannot get to a hospital this evening. Will I be ok to wait until the morning and do you feel I may have a fracture? Many thanks for your time. Charlotte","Dear Charlotte, there are three things that may have happened to you:1. Contusion of the shoulder, treatment only ice and painkillers2. Luxation of the shoulder, treatment go to the hospital directly need reduction3. Fracture of the bones of the shoulder, the treatment varies depending on from the damage you have sustained, conservative to surgical. So the conclusion is that you should go directly to the hospital. This is the best for you."
+"I went to emergecy room because of bad sinus infection and they took me right away. THEY ASKED ME what was my problem . I could not remember anything , they took my BP, IT was 230/120. They took me 2 a room and gave me chest exray. Doctor told me I had nodule on left lung and i need 2 get it checked out. BP drop down some and he released me. i asked for a refferal, he told me to find one because i had sinus problems. what should i do","Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -Chronic Sinusitis with left lung nodule, with high BP. Seems mostly to be a case of -Aspergilli with APA with sinusitis with high BP. Bronhcoscopic Lavage with aspiration and biopsy-would fix it from other causes-like-TB /Cancer etc. Remedy-Check up with ENT and second opinion from Chest and allergy specialist would rule out cause of accompanied high BP with it. CT Chest with CT -PNS(paranasal sinuses)would resolve the complex health issues in your case. Depending on causal confirmation of the lung nodule, attending Physician/chest specialist and ENT Specialist team would plan further treatment accordingly. General antibiotics/with enough HY Chat Doctor. Commonest cause in your case would be Bronchopneumonia with aspirations from Sinusitis. Other common cause -TB bronchopneumonia- needs to be ruled out and treated with anti-tb medicines accordingly. Steroid with Itraconazole(Strong)-would resolve the nodule -is from aspergilli. Simultaneous treatment to control high BP with antihypertensive medicines would be needed in your case. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!"
+"i have a little bit of blood in my urine, what could it be? i wiped some on toilet paper and it was a faint orange color, so it was not much, i 1st noticed it this morning when it hurt to pee, the pain was a decent amount, i got back from school and went to the bathroom again and it hurt again but a lot less than this morning. there is no one with diabetes in my family, so it might be UTI (even though i have never had sex).","First get your urine examination done to confirm whether it is urine in blood or something else. Most common cause for blood in urine is calculus. Common cause varies from male to female. UTI can cause blood in urine, but not the commonest cause. So to know the cause complete urine & sonography is required. Treatment depends on the cause. Start taking plenty of liquids it will definitely help you.  Disclaimer"
+"my mother had cerebral at last thursday 11/09/2014, her right side left, high bloode sugar detect 180 fasting & 300 pp tested. running medicine are decdan injection, amlokind 10 for pressure, vogomate v .3 for sugar , now last two days we noticed that she had bedsore back position what can we do?","Hi, Thanks for writing in. Bedsores are the first sign of infection in a person who is immobile. Please inform her doctors and make arrangement for her to sleep on water bed to avoid more bed sores from happening. Since she is diabetic, there is possibility of the bedsore developing an aggressive infection. First medications are to be applied in the region of bedsore. A nursing attendant must be put in charge of turning her posture regularly and keeping the surface between the skin and bed Chat Doctor.  This will prevent sweat from accumulating and preventing new sore formation. Attempts are also to be made to lower her blood glucose. Diabetes causes infections to spread quickly to other areas and this must be prevented. Please check the bedsore wound every 6 hours and change surgical "
+yes hi there i have a back tooth that has been sheared off to the gum line and has an exposed nerve a friend of mine gave me a couple of CLINDAMYCIN HCL 150mg. capsules  i was wondering if you think these will help my tooth till i can get to a dentist on Monday since the ER said there really isnt anything they can do and i should see a dentist thank you for your time and help in this matter Rich.,"Hello there, Thanks for writing your query, Your clinical history suggests you are suffering from a severe periodontitis.  It is a condition where gum line with respect to the tooth shows severe recession and exposure of the root surfaces of the teeth.  It is caused due poor oral hygiene, improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.  Yes CLINDAMYCIN is an antibiotic which can be used to prevent infection and suppress further damage, but antibiotic will work better when you get the gum treated by dental procedures. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics.  I hope this helps, take care."
+I have been diagnosed with Syncope and want to know exactly what it is. I also suffer from kidney disease and was on dialysis for 2 1/4 years. Now my creatine level is at 1.9. What is a normal level? I lost both legs and the majority of fingers on my dominate left hand due to Thrombotic Thrombocytopinia Purpura. (T.T.P. in 2003,"Hello! Thank you for the question! I understand your clinical situation. A syncope is a sudden loss of body tone, with loss of conscience which lasts for some seconds. As a result the person falls sown immediately without understanding what happened. This is caused by a disorder called autonomic dysfunction which causes episodes of low blood perfusion to the brain. Have you had Chat Doctor? Renal failure is a common complication of these disorders. Syncope too. Renal failure can also cause syncope. So you have two RISC factors for syncope. The normal levels for creatinine are 0.5-1.5 mg/dl for men and 0.6-1.2 mg/ml for women. Your level is not too high. Hope to have helpful. Thank you for using Chat Doctor! Best wishes "
+49 yr old F. Yellow patchy skin on lower breasts and fold of thigh groin joint. Have not been sexually active lately,Welcome to Chat Doctor You could be having intertwine which is destruction of skin along with sweat accumulation and possible fungal infection. It is seen usually in obese patients. It is best to eat healthy and exercise daily to reduce weight in such a situation. Get your blood sugar and blood lipids tested. Consult a Dermatologist for possible antifungal medication like Clotrimazole which will work best.
+"Hello, I noticed a large dark purple bruise on my boyfriend s lower right abdomen. He has not been hit or otherwise injured, and there is only slight pain to the touch. His gallbladder was removed two months ago, if that is any help. I am worried because the bruise came out of nowhere and seems to be getting bigger.","Hi. Thanks for your query. Read the history about your boyfriend and understood it. There is a history of gall bladder removal 2 months back. And now a bruise on the same - right side of the abdominal wall for no apparent reason. The possible cause can be reactivation of an infection in the abdominal wall post-surgery. Get an ultrasonography of the abdominal wall, X-ray to see if there is any Gas shadow. This indicates infection. Consult a General Surgeon and start on the treatment of antibiotics. If this does not settle with medicines, may need a Chat Doctor. "
+"My 76 year old mother fell out of bed for the thirds time this moneth.  Her recent fall was this morning and she has a huge lump on her upper arm, there is no bruising as of yet and she can raise her arm without much pain she is just tender and achy.  The lump is about the size of a tomato.  Should we be concerned.  She is also on warfarin.","HI, Dear Carson-Very Good Morning from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise your mother not to worry. In my opinion its -post-traumatic HEMATOMA.-Treatment-l you need to consult ER Surgeon to avoid any infection in it and pus formation, which needs to be avoided.-He would treat it- by-a-Cold compresses-b-Tb Antibiotic, c-Tb NSAIDs, and would adjust the dose-of warfarin accordingly d-Watch for any increase in Size of the arm lump. This would regress in next 2-3 was time.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day."
+"i recently started playing girls water polo at school and yesterday whale i was showering and cleaning my body i found a bump on my butt and when i touched it, it hurt. and today at school when i would sit it would hurt i have no idea what this is or what it can be i have never had anything like this before","Hello! Thank you for the query. If this lump is in the butt cheek area, infected colonial cyst is the most probable reason. If the lump is somewhere else on the butt, skin infection and small abscess it is. In both cases you need to have it incised and Chat Doctor.  Otherwise, it will get more painful. In case of colonial cyst you need to have it removed when the acute inflammation will be gone. Please consult general surgeon with this issue. Hope this will help. Regards."
+"I have enlarged foliate papilla on the right side of my tongue.  I have them for quite some time now.  My dentist did a ""brush over"" cancer test and it came back negative.  However, they do not seem to be going away.  They are also associated with a burning feeling in that area.  Any comments or suggestions?","Hello, Welcome to Chat Doctor . I understand you concern there is nothing to be worried, this is enlarged papillae is seen this can be due to deficiency of vitamin supplements, iron deficiency, or due to acidity also. For this you can take some medication by consulting you doctor one tablet multivitamin once daily for 15 days. One tablet metronidazole once daily for one week One tablet Antioxidants once daily for one week. If you don't get relief then consult physician for complete mammogram.  Hope this will help you."
+"I was prescribed the following drug clindamycin 150mg capsules due to an oral medical issue. I have oral implants with a bridge. The screws broke off in my jaw. The attached bridge has come totally undone, leaving the open gum. The prescription has been prescribed as a preventive measure. I have no pain and no sign of invection as yet . After reading the warnings that came attached with the prescription filled at Walgreens I am extremely hesitant to take the drug due to the severe side effects. Possible death due toStevens Johnson syndrome ... I live alone so I not going to take the drug and take my chances with invection. Is that a wise choice?","Hi. Thanks for the query. I have gone through your query and can understand your concern. Well taking Clindamycin does not always cause side effects and that too are not always life-threatening, so better first relax. If you go through the side effects of any antibiotics you will always find a long list but all the side effects are not always seen in each individual who take the Chat Doctor. . So my suggestion is to continue taking Clindamycin. If you still doubt you can go for Allergic testing and once confirmed you can take safer antibiotics without fear of fatal side effects. Hope this helps. Regards."
+I have an issue with my right knee I have a slight raised place on the lower outside part of the knew and have had for about 2 weeks it doesn t hurt down deep like a joint or tendon but rather the skin hurts to the touch or when i have pants on I certainly have never had anything like it before Any Thoughts??,"Hello, As I understand with the query is all about the burning sensation. Now, this is not related to the knee. As you never mentioned the injury, so I suspect that you haven't had any. This burning sensation is related to the nerve root. Due to weakness in the spinal region, the nerve root gets impingement. As the nerve has the function of carrying the sensory and motor, any impingement of the nerve will cause the dysfunction in the normal functions of the nerve. I think if you do core strengthening exercises then your symptoms will subside Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. "
+"hi there , im 6 weeks pregnant and since yesterday morning i started having pinkish discharge on wiping with no pain i did na ChatDoctor level it was 1280 . today it was repeated and became 1450. they couldnt find a sac on transvaginal u/s intra or extrauterine . the bleeding has become less today . i had cramps in the morning through the afternoon but they r resolving . after taking IVFC injection","Hi, Welcome to Chat Doctor forum.  In such a case it is difficult to determine the cause, It may be an inevitable abortion in the very early days of pregnancy, and presented at this date, H.C.G. may be positive for some more days, and the cramps could be due to the small mass of the sac, to be expelled, or may be due to infection. Ultrasound will be the final finding to rely upon. Still your doctor will be the better judge.  Wishing for a better health. Thank you."
+"Last Sunday i passed out. when my friend checked on me, i was unresponsive. when at the hospital my blood pressure was 76/48. after regaining conciousness, i couldnt speak correctly or move my right leg and arm. within a day, i was back to normal and prescribed nothing and given no answers. what happened to me?","Hello, There could be a few reasons to your symptoms. Since your blood pressure was so low, the first thought is that you were simply not getting enough blood to your brain. From you symptoms it sounds like your left hemisphere of the brain was affected given that you couldn't move your right leg and arm. Language also resides most commonly in the left hemisphere, so speaking would also be difficult. You didn't mention your age, but when symptoms are isolated to a side of the brain, what needs to be done is an MR-Angiogram (blood vessel imaging with MRI) or CT-angiogram (blood vessel imaging with a CT) of the arteries in the neck and brain to make sure that there is no narrowing of the blood vessel that could result in the symptoms just affecting one side of the brain. If neither of those tests are possible, then as a bare minimum a carotid ultrasound should be done. Alternatively, but much less likely is that you could have a migraine that caused paralysis and focal neurological symptoms. They are very rare, but still a possibility. The symptoms usually resolve in a few hours to a day. Lastly, a seizure could have also occurred which caused you to lose consciousness. There is a condition where after the seizure, it takes the brain time to recover and there can be difficulty with movement and language. Again, I feel that that is less likely. None-the-less you need more testing done to make sure the blood vessel are open. Also, they need to investigate the cause of your low blood pressure. It can be due to a Chat Doctor.  You should definitely speak with your primary care physician to have all of that investigated. I hope this helps. Sincerely, Kristoffer Mission"
+"I have been having issues with my stomach,  I feel bloated or my stomach is swollen, I also am having problems with my digestion my food sits in my upper stomach for days with this is very painful.  With this comes constipation .  I have tried fiber and yogurt and digestion enz, lots of water cutting down on my food .  I might feel better through the day but it comes right back.  Any suggestions.","Hello and thanks for posting. First, sorry to hear about your trouble. Second, there are many potential issues that need to be ruled out, and you should see a gastroenterologist to assist in this before anyone just states it is just irritable bowel syn Chat Doctor.  I do not know your age, but there is a website called breakingtheviciouscycle.info that you can look into to make some changes in the diet and eliminate potential contributing factors. Best of luck"
+"after echo test docter asked when i get my heart attack before then i approched hospital where echo and tmt test are done and found positive i am taking medicen ;mrtoprolol,ecosprin-100mg,crestor-10mg,isosorbide-20mg,please advice how to cure my heart is by yoga it can be cure.after taking these medicen my stomak is up set.","Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would recommend performing a coronary Anglo CT scan or coronary angiogram in order to examine better the coronary arteries. Stent's implantation or bypass surgery may be necessary based on the coronary angiogram. Meanwhile, I would recommend continue on these Chat Doctor. ). Regarding your stomach, I would recommend using omeprazole twice daily. You should take esprit only after meals. Hope you will find this answer helpful! Wishing good health, "
+iam 41 yrs old recently the dark pig mentation around eyes and mouth are very prominent. i consulted kaya skin clinic they suggested skin lightening alternated with mesoglow treatment once amonth for 4months. but they gave partial success in the whole process.iw ould like to go for second opinion. is there any other alternative procedure for my problem.,"Hi, Visible pigmentation in human results from the synthesis and distribution of melanin in the skin, hair bulbs and eyes.Hyperpigmentation can result from excessive sun exposure, use sunscreen with SPF 30. Some natural remedies are-mixture of lemon juice and cream; apply on face. Put lemon juice onto basil leaves. This is great for getting rid of pigmentation marks and dark circles that may have been a long-time problem. Apply lime (NIMBY) to the affected area, and after 15 minutes wash it off. This needs to be done on a daily basis. Other remedy is Comic acid cream which lightens up the dark spots but takes some time. However, mellow is a facial treatment using Vitamins and Mineral injections to add that healthy glow to skin which radiates energy and vitality. Subdermal vitamin injections rejuvenate the cells, making them more active and thereby stimulating the production of collagen and elastin. Overall it reduces dark spots; effects seen faster than comic acid. You can continue same treatment for dark spots along with natural remedies and sunscreen creams. Take care. Best regards,"
+my 26 year old son is for past 3 weeks is complaining about tighness tingling and numbness under his left rib cage. No pain. He says it comes and goes and he doesn t feel it at all when he is lying down. He is very atletic and plays major basketball and baseball. Is this a common problem,"Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart diseases for his symptoms because left sided chest discomfort is common in heart diseases. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes in young age, stress and anxiety can cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor.  Don't worry, he will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
+"Hi I have had insomnia for about 18 years now, no I am not depressed, yes I have tried melatonin and I think all other supplements to try and find a good solution. If you could help me with a good solution for this you would then become my new best friend.","Degree understand your concerns went through your details. Insomnia definitely will be having an underlying basic factor which needed to be identified. You did not provide many details about the factors and other investigations carried out by previous doctors. You should provide this information. Secondly, provide previous treatment options. Provide emphasis on psychological aspect too. Psychologic origin insomnia is totally curable. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck."
+I have been bleeding a little when I go to the bathroom out my anus. And the crack area has been burning I went to look today anmean have a red ring around the anus and down the whole crack is red n purple any idea what it might be or if its seriouse?,"Howell come to ChatDoctorI really appreciate your concern. Discussion:- Looking to the history given here chances of fissure is very likely, constipation need to be relieved for further damage, and in case of profuse bleeding fissure should be treated surgically but in minimal or less bleeding no specific treatment required. Medication:- Local application of hemostatic agent can be tired, with ""Provide Iodine"" cream. Advise:- Have more fiber diet, Chat Doctor. "
+i ate chips then licked my fingers then pulled back my foreskin and wiped the area with the spit covered fingers. After a month or so i noticed white clustered bumps along the area i wiped the spit on. Please help me I dont know what to do is it a stdNo itching No redness just a little burning very rare,"Hi, Thanks for posting in Chat Doctor. What you are complaining of appears that you have a mild bacterial infection of the foreskin. Nothing much to be worried about it. This can be managed in the following way: 1. Wash the area with warm water and mild antiseptic like Salon solution twice daily. 2. Apply Aureomycin Skin cream following washing after it Chat Doctor.  3. Wear loose fitting underwear till the lesions heal completely. Keep the area clean and in good hygiene. Hope the information provided would be helpful. All the best."
+I have a 22 month old that keeps getting large red bumps off and on around the out side of her private area. It almost looks like an infected pimple. When I wipe her after taking her diaper off she shakes in pain and says it hurts. What do you think it could be?,"A picture of that rash will help me in diagnosing the disease. It could be Nappy rash, Candida (Fungal) infection or bacterial infection. If the rash involves inguinal Fleur, most likely it could be candida infection. Is your children rash associated with fever? How frequently do you change the diapers? If you keep it for longer periods, child might develop those nappy rashes. And you ought to keep the surface Chat Doctor. A local application of Fluconazole will help you out with candida infections. And Emollients with nappy rashes. You can even try Happy Nap cream. Thank you!"
+hi dear my son is 1year and 9 mth old and till today he caughted by fever so many times.now he is also fighting with fever from last night.and i given him first mafenamic acid suspention 60 ml with the antiboitic secef and he got fever in the morning and i given him calpol with secef at 10 a.m. but still he have fever 101. pls help me what to do am very worried.,"Welcome to the ChatDoctorI have gone through your question and understand your concern but don't worry. Most common cause of such fevers in toddlers is self limiting viral infections. They usually improve with in a few days. So, I would recommend you to give symptomatic treatment to your child. You may give Cal pol or metonymic acid for fever spikes. You may repeat the dose after 6-8 hours if the fever doesn't improve. There is no need for any antibiotic at present. So avoid giving see. Also, offer regular feeds and fluids to avoid weakness and deny Chat Doctor. Hopefully this will be helpful to you. I would be glad to help you for any further questions. Take care"
+"what would cause a crunchy pop noise and feeling in my spine when I move a certain way or sit down in a car followed by a severe pain that shoots up my neck and down my back to the point where it makes it hard to breathe?, it has been going on for a couple years","Thanks for asking. From your history it seems that You are probably having permitted sign which is most commonly seen in advanced cervical spondylosis. 1. Get a Straight X-ray of cervical spine (AP & LAT view)2. If it's suggestive of spondylosis, start using soft cervical collar of proper size.3. See a physiotherapist for neck excercise4. Avoid activities which require forward head bending or excessive neck movement.5. For pain relief you can use Tab. Gabapin-NT (400/10) once daily at night. Hope it is useful. Review if needed."
+"I am 22 weeks pregnant and in hospital with suspected appendicitis I am receiving antibiotic treatment and not surgery right now as am pregnant, am getting IV aztreonam and metronidazole will these work to treat appendicitis or am I going to need surgery whilst am pregnant? I had extreme pain 2 nights ago in right side, am still in pain but doesnt seem as bad, my temperature an white blood count are normal too, am so worried about the thought of surgery and does this sound like definitely appendicitis?","Hi. Do not worry. Relax. This one of the needs for the better outcome in any disease. 22 weeks is second trimester. You are on a correct antibiotics and appendicitis may very well subside with these medicines. Just follow whatever your Doctor advises you. Since your counts and temperature are normal, you may not surgery now. Please post the symptoms and findings chronologically for us to tell you about appendicitis (you have not put in symptoms here). Review ultrasonography / MRI to confirm the diagnosis and see the progress is a good way to follow the disease as well as improvement in your symptoms as abatement of symptoms, a good and sound sleep, good motion in the morning and feeling hungry are the best symptoms to judge the progress."
+"Hi, I just recently lost my son while I was 23 weeks pregnant. I hadn t felt him move so I went to the doctor and found out there was no heartbeat. When he was born he looked absolutely perfect. What s even more upsetting is that I was in to see a specialist 3 weeks earlier and they said according to the u/s that he was a very healthy little boy. How and why is my son gone 3 weeks later?","Hello, I am so sorry. Please accept my sympathy for your loss. There can be infections, birth defects, complications of pregnancy such as high blood pressure.  Mom can be a smoker, alcohol, overweight, African-American, have diabetes.  Many times the cause of a stillbirth infant is unknown. Most women become pregnant again, have a healthy pregnancy and a healthy baby. You may wish to contact a group of other women who have also lost a baby. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+My 7 yr old son is adopted from Guatemala. We have recently noticed a faint white line in the middle of his chest from just below his nipples almost all the way to his belly button. Is this normal? Anything to worry about? Any indicator of any kind of health problem?,"Thanks for your question on Chat Doctor. I can understand your situation and problem. This white line can be normal finding, but better to get done following tests. 1. CBC (complete blood count). 2. Vitamin b 12 level 3. Calcium and vitamin d3 level. 4. Thyroid function test. Anemia, vitamin b12 deficiency, low calcium and vitamin d3 and hypothyroidism can cause similar skin changes. So get done above-mentioned tests. If all are normal then no need to worry much. This line will gradually go away with time. And if any of the test is low then your child needs supplements."
+"Hi Dr. Mintz. Last week I experienced shortness of breath and a chest x-ray was ordered. The findings were that 1) bilateral hilar prominance was noted due to vasculature as opposed to enlarged lymph nodes. 2) septal thickening of both lungs Do you know what causes this? I no longer am experiencing shortness of breath, but I still have weasing in my bronchial tree. I am not a smoker. I am 51 and have been battling osteomyelitis in my great toe which was recently removed. I now am on six weeks of IV antibiotics administered through my PICC line. Thank you, Bri","Hello dear, thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis. Age more than 50 is an individual risk factor for bronchitis. You are also having wheezing with shortness of breath, these also favors possibility of bronchitis more. Bilateral septal thickening is also seen in bronchitis due to inflammation. So consult pulmonologist and get done PFT. PFT will not only diagnose bronchitis, but also tell you about severity of the disease. And for treatment severity is important. You may require inhaled bronchodilators. No need to worry much for septal thickening in both lungs."
+"Hi, I am 22 years old and I have lost 50 pounds on the ChatDoctor diet in the last 70 days, 5 days ago I was having some chest pain for about 3 hours, than today I had the same thing could it be from eating broccoli? It sure feels like a gas problem because I feel like I just want to belch all the time. Also when I bend over sometimes I get a small pain on the right side of my chest on my rib cage? Any answers?","Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of acute gastritis and gaseous bloating is more likely. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole and levosulperide combination on empty stomach twice daily.4. Go for walking after meals.5. Keep 2-3 pillows under head in bed to prevent gas reflux.6. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"hii..i had my last periods on 16 jan.. we had sex on 23 jan and condom leaked inside. i took unwanted 72 on 25 jan..still not got periods... normally cycle is 28 days.. i neither have symptoms of pregnancy like nausea, tenderness in breast or other common symptoms...only sometimes having feeling same as pre-menstruation cycle...m i pregnant??","Hello, Thanks for writing to us. You did safe sex on 23rd Jan as per last period date and took Unwanted 72 pill on 25th Jan, which will give extra protection. In this case, your chance of pregnancy is NIL due to safe period. Your late period is MOSTLY due to hormonal imbalance (effect of the pill) and mental stress. Period may be delayed for 1-2 weeks. On negative test, you have to wait for coming period naturally. If your period doesn't start within 2 weeks, you must undergo one pelvic ultrasound scan and hormone test to pinpoint the diagnosis. You may require progesterone pill to induce period. Kindly, consult with your gynecologist and take complete prescription. You should control body wt, avoid stress, take healthy low carboy Chat Doctor. Good luck and take care. Be well."
+Hi I m 25 years I had a miscarriage in February 2012 and I got again in July during period I had sex and got pregnant and in march 2013 I had the at 8 months by c section the baby had abnormal heart kidney and liver problems baby stayed in nicu for a month died on April 12 2013 and 9 months later I m having trouble getting pregnant help please,Don't be in a hurry to conceive so down after cesarean. ...you need ample of time for your body as well as uterus to be capable to handle a new pregnancy. ....the scar of cesarean takes 1 year minimum to be able to carry a next pregnancy safely...since you had a baby with birth defects....get your tests for congenital anomalies done and start taking folic acid 5 mg along with multivitamin to cover up for any internal deficiencies for at least 3 months
+"Yes, I just returned from the Emergency Room! The ER People did a great job! My main Complaint was Severe Chest pains on my left side, Radiating from my Sternum up and around my upper portion of my left chest, close to my collar bone, then down the left side of my body! Stopping at the bottom portion of the left side of my chest! The People at The ER drew Blood samples, did an EKG, ran X-Rays And said I was not having a Heart attack! Which I Trust and Believe is True! Even after all the Pain Medication they gave me at the ER, I had no relief from the Severe pain! I am not worried about the pain, as much, as to what this Ailment might be? I also have Numbness from my Elbow down to my finger tips! I have not had any recent Injuries! No Severe Coughing fits? I have quit smoking about a month ago? I have no Dizziness, nor am I lightheaded! Just the Severe Pain on the left side of my chest, with numbness from my left elbow down to my finger tips! Any Suggestions, of what it could be?","Howell come to ChatDoctorOf course this is typical symptoms which may be suggestive of cardiac disease could be because of ischemia, if the EKG is unremarkable then this does not rule out the possibility of ischemia but this need to differentiated with the help of trade mill test, ECHO, and if possible coronary angiography need to be done, if these test are unremarkable then it can be said that this is not the cardiac disease, till then condition can be treated with Tab Omeprazole 40 mg and Tab Risperidone 30 mg once in day, hope this information helps, take care."
+"I am a 24 yr old, healthy and active woman. In July, I was cleaning and took quite a hard fall and hit my back on the side of the bathtub. Ever since, my thoracics and lumbar has been a problem. I have been to the chiropractor repeatedly since and the problem always seems to come back within a week. I went to my doctor and he diagnosed a muscle sprain and put me on somas, but they do not help. Also, a few weeks ago I was putting on a pair of boots and heard a snap in my very lower back...followed by alot of pain. What should I do?","Hi, It is quite common to have these types of pain persisting for quiet a lot of time in absence of proper treatment. All you need to do is to give rest to your back, avoid over exertion and lifting heavy weights. Along with warm saline fomentation twice a day, consult a physio also for ultrasonic therapy. If all these doesn't proves to be effective then get an X-ray of the affected part done. Take care. Hope I have answered your question. Let me know if I can assist you further. "
+"i am having pain between shoulder blades to the point its spiking bp. i am on blood pressure meds and the local drs are stumped as to what could be causing it. i am non smoker, run frequently, exercise daily (until recently). my systolic blood pressure has stayed high","Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Pain between shoulders blade can be due simple muscular or can be due to aortic dissection with sharp pain ... if u were my patent I would like to ask detail history with examination n run test ESP X-Ray to look for mediastinum widening to rule out dangerous condition n if it is culprit then TX by surgeons ...in case muscular pain need simple analgesic n muscular relaxant ... I hope this answered your question, if you have more feel free to ask. Regards."
+I have barrel chest and went for a checkup to see if i have asthma but the doc said no. I am having severe shortness of breath and even though i sleep more than average i still seem to be extremely tired. What should i do?,"Hello and welcome to Chat Doctor.barrel chest has been associated with lung and heart pathology, but not necessarily. If you have shortness of breath and tiredness, please consult a medical specialist to use out valvular lesion associated. Ideally get your lung function tests (spirometry) and an ECHOCARDIOGRAPHY . Get an x-ray chest done also. Hope your question is answered. Take care and wish you good health."
+"Hi, I have a brother that is diebitic and has a cute on his foot. it is swollen. He went to the doctor and the nurse said for him to go the the hospital to have it check out and make sure is not gangurring. cant spell it. He has been cleansing it and putting Iodine on it and soaking it. He says the bubble that in side cute busted and its draining out. He says he cant hardly was on it. I trying to get him to check in to the hospital, but no luck.in the mean time he tring to keep it clean. Is there any good medicine I can get to keep it clean, untill I can get him to go to the hospital and check it out.","Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor.  Consult a planetologist when you can. Good luck"
+"hi, I am a 25 year old woman and I am concerned that my hair is falling out too much. I always had thick hair. I recently noticed that my hair drops a lot in the shower and when I am casually running my hands through my hair. I also noticed my scalp has been itchy. could this be alapesha?","Hello, thanks for posting in Chat Doctor. In general there is loss of 100 hairs per day which is considered as normal. Excess of that leads to halogen effluvium which in which significant amount of hair is lost. Many internal conditions have to be ruled out to control it. Following investigations are advice for hair fall:1.CBP2.SERUM FERRITIN3.SERUM IT B12 AND IT D34.THYROID PROFILEItching of scalp occurs in Dan Chat Doctor. Use an antigen"
+how to get of dark spots on legs which have been caused due to injury....is there any cream or home remedies for the dark spot to disappear in few days or weeks....,"Dear Latham, Thanks for contacting Chat Doctor. As per your query it would be very much required to know how long back was the injury and how long it took to heal. Are u using short Chat Doctor.  You might need a combination of treatment crèmes to get rid of your problem completely or partially depending upon the above factors. I would suggest you post some pictures to your plastic surgeon or a dermatologist with special interest in cosmetology for getting the right treatment"
+"Dear Sir,I am 33 years old of weight 79 kg and height 1.74 m. I have been following  my doctors prescription of taking  1 no of Udliv 600 mg each before lunch and dinner , 1no  of Atocor 10 mg after dinner and 1 no of Rablet 20 mg before breakfast since last 4 months. Before 4 months my SGPT was 107 and SGOT was 67. Recently I have found my SGPT and SGOT to be 62.2 and 54.4 . However, my triglyceride level is 204.2 mg/dl. Is my treatment going in proper direction? Moreover, I have been using Neurological medicine Desval-ER-500 since last 5  years due to epileptic disease. Does this medicine has any adverse effect in lever function? Please help....regards,AAAA","Hi, Welcome to Chat Doctor. Most anti-epileptic medications including Deal (Valerie acid) affect liver function, however, based on the information you have given your liver function is certainly improving (decrease in SGPT and GOT) indicating that your treatment is going in the right direction. However, your triglyceride level is still high. I recommend increasing the dose of Amoco and repeating your lipid profile after a couple of months. In this regard I will advise you to consult your primary physician and monitor your lipid profile as well as liver function. Hope this helps."
+"Hi Doctor, shall I use flutivate cream for my 1 year baby? She is having rashes in her legs and when we consulted the doctor he told that because of milk only this kind of allergy will come. And also he prescribed flutivate cream.. When I check the internet it shows some side effect and also mentioned not used for children (Fluticasone Propionate). So, I m in confusion. Please clear it.","Thanks for posting on Chat Doctor. Cultivate contains a steroid called fluticasone which is intended to reduce an inflammatory allergic manifestation as exhibited by the rashes. Apply it as per your doctors' advice. It is hard to comment without looking at the rashes but might be needed. It can be used in child Chat Doctor. Such allergies may occur not only in response to milk but also practically anything that we are exposed to, things like dust, pollen etc. If your doctor advises milk free diet, you can include formula like Zero lac. But after semisolid have been introduced in the diet, milk can be avoided anyway. Hope that helps. Feel free to revert in case of further queries if any."
+my brother is 44 years old two days ago he passed out no breath pale and he remained like this for 2 minutes or may be more or less . his echo graph is normal and doctor found a cyst on his kidney .his blood pressure was  160/ 10..can you please let me know why he passed out like this .,"Hi, I understand your concern and I'll try to help you. The sudden loss of frame of consciousness that you reported is compatible with syncope. There are several causes of syncope is the most common type is the vasovagal syncope, but there are also syncopation of origin for cardiac arrhythmias and neurological diseases. The picture of your brother has several characteristics of vasovagal syncope, but the information you reported is insufficient to confirm the diagnosis. This type of syncope is often triggered by stress such as fear of needles, fear of heights, long periods of standing and in the same position, hot and stuffy places. Usually there is complete loss of consciousness, which can last a few seconds and the patient wakes up slowly, often with nausea and dizziness, and skin pallor and general ma-being. After a few minutes the person is totally normal. This all occurs by stimulation of the autonomic nervous system that causes bradycardia (reduction in frequency of heartbeat and Chat Doctor. To confirm this diagnosis and away from others is necessary look for a good Cardiologist to make a detailed medical history and discard cardiac and neurological causes. So I use some additional tests beyond echocardiography, holder as 24 hours, exercise testing, in some cases the tilt test and if there are signs of neurological causes, request a cranial tomography and evaluation neurologist. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health."
+"sir, I am feeling burning/pinching and twisting in my nervous and muscles in left side and in chest area. I have shown to doctors, they did ECG and told that it is not heart problem...and asked me to apply pain gel to reduce it..but the problem persists...please advise..","Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be related to a musculoskeletal pain. Inflammation or an electrolyte imbalance can not be excluded either. For this reason, I would recommend performing further tests: - PCR, sedimentation rate for inflammation- blood electrolytes including calcium to exclude possible imbalance. Meanwhile, I recommend taking ibuprofen. I would also advise you to closely monitor the skin in this region for possible eruptions. Shingles can cause similar symptoms before eruptions.  Hope to have been helpful! Kind regards, "
+"hi i have a 4 month old son who has a welt like bump on his spine, on closer inspection i noticed that it is hairy, i have concerns due to the fact that while i was pregnant with him during an ultrasound the noticed that i had an increased risk of nueral tube defect - in particular spinal bifida was wondering if i should be concerned about this lump  it is about 4cm long and 2cm wide not raised too much??","HI. Thanks for your query. Yes, the hairy lump on the spine is a telltale sign of a neural tune defect. In your case suggestive of an underlying spina bifida. Please confirm this by X-rays. Also get confirmed his movements of the lower limb. Consult a Pediatric Surgeon or a Neurosurgeon. And if the nerve supply to the lower limbs is unaffected, you have to observe for any further development as your child grows to adulthood. In later age he may need surgical interventions if there is development of neurological deficit."
+"I am argho 32 male. Recently i came to know that i am azoospermic. My Semen volume is 4.6 ml. Cloudy white color, LSH 16.4, FSH 8.5. Sex is Normal. I have very bad checken pox at the age of 16. No other serious illness. Can u answer me?. Can i be a father?","Dear sir, there are two types of azoospermiathe first is obstructive azoospermia in which production of sperms are normal, but there is an obstruction to the pathway. This can be cured by removing the obstruction the second is non-obstructive azoospermia in which sperm production is impaired. In this case the only way for parenthood is to take a testicular biopsy and extract sperms from it and undergo an assisted reproduction cycle by CSI"
+"Gallbladder taken out April 2011, appendix 15 years ago. Had vasectomy October 2011.  I have been having issues with stomach discomfort, feels warm, stool is mushy.  Taking align probitic. Some days I have to run to bathroom to move bowels because instant pain.","Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. There are no significant side effects of vasectomy and especially not such that you describe, and you should find another causes of abdominal discomfort, and you should do colonoscopy and abdominal Ct scan. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health."
+"hello. I keep getting a strong metallic taste in my mouth, especially behind one tooth, and the tip of my tongue tingles as it would if I had burned it on coffee, but I havent had anything hot. I have not had a change in diet and I am not taking any new medicines. I quit smoking two weeks ago. Any ides on what this might be?","Helllo thanks for consulting at Chat Doctor.usually metallic taste and tingling sensation results from various vitamin deficiencies.like iron, it B12 ETC, so please consult a general physician for a complete blood check up and treatment,,,If YOU are middle-aged, with stress factor-- it might also be because of burning mouth syn Chat Doctor. .so maybe you are having relapse episode???either ways please consult an oral physician and general physician for a check-up and treatment,hope it helps,take care,"
+"hi! i would like to know what is the main problem of my husbands semen analysis and what would be the solution. we are trying to conceive for the past 2 years.. here are the results:Volume - 3mlReaction - alkalineViscosity - hyperviscousTotal Count/ejaculation - 55,200,000Liquefaction - >180minSperm Vitality - 35%Motility:     after 30mins (PR+NP) - 30%     after 1 hour                 - 25%     after 2 hours               - 20%     after 3 hours               - 15%Sperm Type of Motility:1. Immotile - 0% 2. Total Motility (PR+NP) - 5%     Progressive motility - 25%     Non progressive motility - 70%Total Abnormal Forms (Krugers Clasification) - 30%     a. Abnormal Head forms - 15%     b. Mid-portion abnormalities - 10%     c. Tail Abnormalities - 5%Spermatogenic cells - 1-2/mlPus cells - 1-2/mlRBC - 3-4/hpf","Hi greetings. Mainly 3 important parameters. 1. sperm density is normal .we need only 16million /ml2. Motility. Rapid progressive motility is below normal, but moderate is ok3.morphology of sperms seems to be normal. Another findings are prolonged liquefaction. I suggest your husband to consult an Chat Doctor.  If so treatment can be taken SND motility and liquefaction might improve. Need not worry about single report. There will be variations always. A repeat analysis after 2 months can be done. Hope my answer helps you. Regards"
+"I am married and it s been two years we are trying to conceive.. I have taken letrozole for 6 mths and for other two months I hav been induced to ovulate by hormone injections, and I have taken rubella vaccination also. Wat further treatment shud I pursue to conceive fast","Hi, Thanks for writing to Chat Doctor. You will conceive soon. Be stress-free. Along with ovulation induction I suggest you to get your tubal patency done and if that is normal go for GUI.  It is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus. This will increase the chances of conception as problem in ascend of sperm is solved. You can try for 3 to 4 cycles of GUI before proceeding further. Hope I have been helpful. Regards Chat Doctor. "
+"hi i had my wisdom teeth pulled out five years ago. i recently went for a dental check up and the dentist said i have an abnormality on my bottom right side where my wisdom tooth was removed,like a bump he said.so he referred me to a specialist..i have no pain and the bump is not visible when i see inside my mouth..what could this be?","Thanks for your query, I have gone through your query. The bump over the wisdom tooth region could be a flabby soft tissue or irrational fibrous secondary to irritation from the opposing tooth. Nothing to worry, if it becomes symptomatic then get it surgically removed. It can also occur secondary to any root pieces left while removing the wisdom tooth. Get a radiograph done to rule out this condition. I hope my answer will help you, take care."
+My 6 week old fell off the couch. After a few seconds of crying he started falling back asleep. I started feeling parts of him to see if he d react like he was injured but he didn t. He just went back to sleep. What else can I do to make sure he s ok? Is it ok for him to be sleeping now?,"Hi, in cases of head trauma there is high chances of brain injury. There are some symptoms which are found When brain injury occurs like persistent crying, seizures, persistent vomiting, bleeding from mouth or nose. If above symptoms are not present, then most of the time child does not have brain injury. However, it is better to get the child examined by a Euro surgeon, and if required a CT scan of head should be done. I hope this will help you. Take care."
+"I am a 41 yr old female, weight 230, 5 5 tall. I have been having a tightness in my chest which gives me a slight cough. I go an hr or so coughing slightly and with the tightness and it goes away and then comes back hrs or days later. My over all health is good. I don t smoke and never have. I don t drink or do drugs and never have. Can it be anxiety or from being over weight?","Hello Chest tightness need proper evaluation. It is important to rule out cardiopulmonary reasons. It may be due to psychological reasons also, but other factors should be screened first. You need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, lipid profile, liver function test, renal function test, chest X-ray (PA view)ECG in all leads, TMT,ECHO. Further investigations can be done if needed. It is also important to exclude musculoskeletal causes of pain. Proper treatment depend upon findings. Take Care Chat Doctor. "
+"Hi Dr. P.Koregol, I am Dick Lim age 67. Thank you for looking into my query. These result dated Apr 14; bracket was Jun 2013. My Cholesterol- LDL 64 (144). High HDL 156 (68) mg/dl n yet Total Cholesterol 240 (227) mg/dl. T 99 (75) mg/dl, Total Chol/HDL-Chol 1.5 (3.3); Ph 8.0 (7.5). Blood Monocytes 7% (6&); Lymphocytes 880 (882)/cmm. BP- 140/85 (below). Blood sugar fasting- 100 (86) Free T 0.96 (0.99) ng/dl. Bilirubin 1.7 (2.1) v mg/dl Exercise 2 to 4 times a week about an hr. each time. Kindly give whatever advises you can offer will be much appreciated.","Hello, All your blood investigation are in normal range except the lipids.  Now for you, we will want total cholesterol under 200 and LDL cholesterol under 130 at least and preferably under 100. The good cholesterol HDL is normal and we shouldn't worry about the same.  Low how would we do it? Atleast 45 mins of aerobic exercise Daily Cut on oils, red meat, egg yellow, fried and preserved food.  May shift to healthy oils like olive, 2 serving of fish /per week.  Supplement like omega 3 fatty acid 1-2 GMS a day, flax seed may work No medication required for any of your reports including lipids. After all lifestyle changes repeat a lipid profile after 3 months.  Regards"
+"Hi, may I ans                                                                                                                                doctor am 24 years, i dont have any problem healthwise but i just want to know about the disease called staphyloccocus and the ways it can be contacted, Thank you.",HI Thanks for posting your query.  Staphylococcus is not a disease it is the name of bacteria that causes infections(disease).  These bacterium are normally present in the skin and in the nose. So any breach in the skin or any inflammation in the nose these bacteria gains entry inside the body and causes Infection.  The other possibility of contracting staphylococcus infection is by eating rotten food which would have been contaminated with these bacteria. Hope this information was useful to you. Any clarifications feel free to ask.
+"I m 56, female, a tad overweight (otherwise known as fat . lol), and my Dr. has diagnosed a lump between my stomach and the base of my rib cage, right hand side, as being a protuberant muscle. It hurts like crazy! And the pain shifts from side to side, even though the lump stays on the right hand side. Doesn t matter if I lie down and nothing much seems to help in terms of pain killers or even horse liniment. Have you any ideas as to what I can do to relieve the pain, please? Thankyou, Dr. Agarwal. Sorry, didn t realise it costs. Thankyou for your time and trouble. God bless.","Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Epigastric Ventral Hernia with entrapment obstruction which is causing shifting pain from the adhesions of the chronic lump there. I would advise consulting ER Surgeon, who would treat it by Surgical Repair after study by USG scan.Don't guess more. I would advise ER Surgeon Consultation to avoid further complications with it. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."
+"Hi, I m a 14 year old black girl . I used to have acne for 2 years but it has gone now but I have been left with hyperpigmentation on my cheeks, upper arms and upper back. I am currently using Lush products (only cleanser, toner and moisturiser) which have been working well. However, I would like a very effective solution that would hopefully solve my hyperpigmentation please. Thank you.","Hello thanks for using Chat Doctor .  I would be pleased to answer your question For the hyperpigmentation, the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days. A better option for you would be to visit a Dermatologist to avail of these peels. Alternative peel treatments like trichloroacetic acid are also very useful. I would suggest you get your skin examined by the dermatologist.  For a home based treatment, Application of vitamin C based serum can be safe over long run. Thanks and take care."
+"I used nair for my bikini area and got some on my genitals as well.I have a stinging and burning sensation especially when i urinate.Uncomfortable feeling all around,sitting,walking.How and when will I have any relief? What can I do to help myself heal and what should i steer clear of (obviously razors and depilatories) till i heal?Thank you.","HI, thanks for using Chat Doctor It can take 2 to 3 days for the symptoms to decrease. You can use site baths to see if it helps. This would involve sitting in a site bath with warm (not hot) water for 10 to 15 minutes, 2 to 3 times daily. Normally table salt or Epsom salt is added to the water. The use of anti-inflammatory painkillers would also help e.g. naproxen, ibuprofen or Catalan hope this helps"
+"Embarrasing to ask...my rectum burns and itches really bad. For a year now it gets really sore after a movement. I wipe really hard, so I may have caused damage.?? I can wipe until clean and an hour later I burn and itch and wipe again and it s like I never wiped the first time....","Hi, From history it seems that there might be having some local skin infection like dermatitis or yeast infection. Due to lack of personal local hygiene this problem might be there. Clean the part gently without giving more pressure and apply triple action cream. Take Cetirizine or Levi cetirizine for itching. In absence of itching there will be speedy healing. Take plenty of water. Avoid constipation. Clean local part with running tap water thoroughly. Ok and take care."
+Hi..i m Itishree sarangi 28 years old.i have done my follicular study.but i think..i have some problem.my test started on 02/09/14 with 14th day.the size of follicle in right ovary and left ovary both are small size. Even no development for next test.but the endometrial thickness is increase slowly..22th day it is 9.1mm.plz suggest me...what can i do?,"Hi, I think you should take some medicines like camphene for the growth of your follicles if they are not growing naturally.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question.  If you have any other query I will be happy to help. Regards Chat Doctor. "
+"Hello, my son is 5 yrs and 6 month old. Every 2-3 days he develops balgam and coughs badly until he vomits and takes it out. Once he spits it out, he does not cough for next 2-3 days. We have observed this pattern for few months now and wanted to seek your expert advice.","Hi, thank you for choosing Chat Doctor. Kindly get your child examined when he has the cough to rule out any wheezing and also to check his sinuses to rule out any sinusitis as these lead to episodic cough. If he is fine in between cough episodes and his general checkup is normal no need to worry. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care.  Chat Doctor. "
+i have a good friend with multiple myeloma.  he suddenly has developed a raspy voice.  He has multiple hairline fractures in his spine and ribs and has become quite stooped and seems to have difficulty breathing.  Is the raspy voice related to the condition of his spine,"Hi, Thanks fir writing in. A raspy voice is due to stimulation of the recurrent laryngeal nerve which supplies the vocal cords. It is possible that your friend has a lowered immune status after taking treatment for multiple myeloma. This might cause him to have infection in the throat which is causing irritation to the recurrent laryngeal nerve. Any infection or condition in the throat might cause the raspy voice. It is suggested that he consults the ENT specialist immediately and has a clinical examination of his throat done. This will show any inflammatory changes in the region and whether it requires treatment. Please tell him to do throat gargle with warm water twice daily to soothe the throat. The raspy voice is not related to his spine but might have an indirect association to his treatment which he is getting right now. Please do not worry."
+"HI, my mother is 56 years old and has been having darkly pigmented patches on both the cheeks for almost 5 years now. is it safe to use candid B cream on the face or any other medication for it? have tried alot of ointments but none have been effective.","Hello, i would strongly recommend you not use Candid B cream for the dark pigmentation on your mothers cheek. Candid B cream is an antifungal cream with steroid. This cream is used only in specific dermatological conditions as prescribed a qualified physician. There are a variety of skin disorders causing dark pigmentation. The commonest cause of dark pigmentation on cheeks in an elderly lady is a condition called Plasma. The cause of plasma is complex. There is a genetic predisposition to plasma, with at least one-third of patients reporting other family members to be affected. In most people plasma is a chronic disorder.  Sun exposure, pregnancy, hormonal changes, photo-toxic reaction to Scented or deodorant soaps, toiletries and cosmetics or medications are the commonest triggering factors of Plasma. There are different modalities of treatment for Plasma and I would recommend you to consult a qualified Dermatologist for an expert opinion regarding your mothers skin condition and treatment."
+"Hi iam 34years. We are trying for a baby for the past 1 year... my periods were regular and my doctor said my ovulation is normal. I had been taking folic acid supplements only. I did foliicular study for about 5 months ina row and everything was normal. Recently my last cycle ended up being an anovulatory cycle. I got my regular periods without any delay. My bleeding was also normal. My husbands reports are normal too. All mu harmonal blood tests were normal, the same month i had anovulation. Is thus possible. What is happening to me?","Hi I think you can take some medicines like camphene for inducing ovulation.  Track your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles.  Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks after rupture is confirmed on ultrasound. Do a urine pregnancy test after that. You can try like that for 3 to 6 cycles."
+"I had been experiencing lower back pain for over a week. Initially, I though it to be a muscle strain/pull. I have alternated ice/heat/stretching (after icing the first two days). The pain has now progress to my rip hip and pelvic area and even to higher portions of my back. I am also feeling nausea, lightheaded ness, and numbing/tickling sensations in my lower legs. Please advise.","Well...the lower back pain...it can be arisen from different structures at the back from skin to the bones depends on age and other factors. The being pain can be settled by taking painkillers and physiotherapy. In elderly patients this pain could range from osteoarthritis to metasis. But pain in young patient not improving with medications...then it is alarming... But you have alarming symptoms.your pain is radiating to the pelvic area .the lesion looks like to be in the L5,S1 disc... You better do a CT scan of lumbosacral area and consult a neurosurgeon."
+"Hi Dr. Good afternoon,I am a survivor of Squmousa cell carcinoma of the tongue two years back.  Recently there are two neck lumps visible and MRI scans confirms the enlargements.  Is it a sign of metastates??? What should I do further to confirm it?","Welcome to Chat Doctor .1. Possibilities of metastases can not be ruled out (in your case) without an FNAC - fine needle aspiration cytology of an enlarged lymph nodes.2. Generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. And ease off after treatment.3. You have done MRI - it would have given you the status of the old treated tongue malignancy. A computer tomography with contrast will help to see the status of previous malignancy.4. Get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5. Get an FNAC of lymph node for confirmation and treatment to commence. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you."
+"I am 64 years of age but still interested mating wife.But if a gap of one week persists for mating, I occasionally  feel early ejaculation. If I can control this moment, I continue for a good long period. Because of this unsure intercourse, I feel of the fear that I may not satisfy my partner .Can you mention the treatment for this type of early ejaculation .I am free from any ailments.Frequently I ride Stationary cycling. Thank you very much,,,","Dear sir, thank you for writing in. Welcome to the forum. You can try the squeeze technique, start stop technique or use an anesthetic condom. A number of medications such as Dallas, flu nil or next are also useful. Please remember that while using the squeeze or start stop technique, the key thing is to initiate action when a mild sense of ejaculating occurs but well before you sense a loss of control. It is better to err towards the former. Thanks."
+My umbilical hernia feels like it is getting worse. I cant see a surgeon until tuesday .my lower back muscles Are very strained and seems to be related. I dont have any classic symptoms like it is strangulating but my abdomen is extremely bloated and the actual buldge of the hernia seems larger than yesterday.,"Hello, For now, you can do icing for your hernia and hot water fermentation for the lower back to relieve the symptoms. Post this take good bed rest and repeat the procedure for 3-4 times a day. Only if you are diabetic then icing is contraindicated. Post meeting the surgeon please do let me know what are the next calls considered by the surgeon.  In my clinical practice of over 12 years, most umbilical hernia issue is resolved by exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. "
+"Hi Doctor, I have some problem relating to my behavior/ personality or I don t know exactly what you call it. I cant be able to concentrate on my work as lot of destruction keeps on hitting my mind away from the work. I discussed about it with my friend earlier through online chat, she asked to consult a female psychiatrist as my problem is related to females. So please advice me a doctor to look after my problem and it shouldn t be expensive as I don t possess lot of money.","Degree understand your concerns went through your details. I suggest you not to worry much.  You have not mentioned your age. Concentration problems do arise to people at every stage, but it is more present with young adults. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. Concentration comes only when you are interested in what you do. So please be passionate towards what you are doing or do only those things which you are interested in. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"Hello Doctor,I am 7 weeks pregnant although when did an u/s scan it came out as 5-6 weeks of pregnancy.(My periods are normal 27-28 days cycle). There was no fetal pole and heartbeat but a gestational , yolk sac is seen. Doctor has advised scan after 10 days and said this will be the max waiting time for a fetal heartbeat. I am advised to take hormonal tablets (Conest). I am very much worried and really hoping the best for my baby. Can you please tell me how much possibility is there for a fetal heartbeat and fetaql pole after 10 days. Thanks in advance.","Hallow Dear, Usually by 6 weeks or so the fetal pole and fetal cardiac activity is detectable by ultrasound. If by 7 weeks, it is undetectable, there are following possibilities:1. The ovulation and conception might have occurred late in the menstrual cycle, which otherwise happens 14 days before the next menstrual period.2. There could be mistake in calculating the duration of pregnancy.3. The pregnancy could be without embryo (baby). This is known as blighted ovum. In such case, the ultrasonography image shows corrugated margins of the sac. If the margins of the sac are well-rounded, in order to exclude the first two causes, it is a good option to repeat the scan after a week to 10 days. If still the sac is empty, then the diagnosis of blighted ovum is confirmed. However, if the edges are corrugated, it is blighted ovum. Pregnancies with blighted ovum do not grow. If such pregnancy does not abort spontaneously, termination is the requirement. I hope this helps you. "
+"my son is 10,51 inches, and 79 pounds and had a fever Sunday morning of 103.3 with fever reducer it went down to normal temp. It then came back around 6 in the pm. and took a second treatment of fever reducer and it went down easily.About 10pm i took his temp and it went down to 96.3 I have been keeping an eye on him and he has been sleeping, sweaty and his body cold.I currently took his temp and it is down to 93.8. His temp has never been low before.  I have 2 blakets on him to try and get him warm. He has been on antibiotics since friday for double ear infection and has been complaining about his trout hurting, stomach hurting,a bad cough, he has mouth sores and cant eat. What do I do? what could it be? whe do i worry about hte low temp?","Thanks to ChatDoctorI can understand your concern don't worry, fever in most of viral infections have sudden rise and fall below normal once we have taken medicine if there are no chills and rigors don't worry, it won't cause any trouble anyway ear infection will be controlled by antibiotics to prevent secondary infection just undergo some investigations like CBP. TIDAL, FEVER PROFILE CHEST X RAY FEVER NOT SUBSIDE Let him continue antibiotic till reports comes and antipyretic like paracetamol along with above Chat Doctor. Gentle doing mouthwash will help to relieve soreness of mouth . Ok plenty of liquids orally is better than solids low temperature generally up to certain extent nothing will harm the body. Clean the ear with chosen buds if there is discharge , keep it clean he will be normal shortly .ok"
+hi there after being bullied at  work some  5 months agao by two of my colleagues I was told last week that I would I would be being moved out 2 days later I felt dizzy and have been told by my gp that I have vertico could this be work related Regards Alan,"! After read your use question carefully I can understand that you have been facing a lot of issues at work lately. As you have mentioned that you developed vertigo after all these problems s at work, it is possible that stress is behind all of them. We see such cases daily, when a person is under lot of stress, which he feels that he is trying to handle, but unconsciously, the mind is troubled and person develops variety of symptoms. I think you should listen to your doctor, as your vitals and basic test if done, are within normal limits. I have seen such patients responding greatly to combination of cinnarazine and dimethyl Chat Doctor.  Day) for some days for vertigo. Plus, try to get a good walk daily, and eat healthy. If vertigo still persist, you may get an X-Ray neck to rule out cervical. If along with vertigo, you have sadness or anxiety, please meet a psychiatrist for complete treatment.  Hope the reply helps you in getting well soon take care, and feel free to ask more questions"
+I was first diagnosed with 1 nodule on half of my thyroid (I had left side removed /tumor in thyroid had to remove to do biopsy in 1989) then it became 2 and now 4. Three are solid and 1 with fluid. Had biopsy done early in April of this year and they were benign. My question and concern is can they eventually become cancer if they are not taken care of?,"Benign nodules of the thyroid if left untreated can become malignant over a long period of time. Roughly 10% nodules become malignant over 20 years. The features of they're turning malignant are sudden increase in size, pain, appearance of other nodules outside the thyroid, change in voice, difficulty in breathing or swallowing. Any of these changes should prompt you to consider removal of the remaining thyroid."
+"hi. my name is laila, and my husband and i made love about 2 1/2 weeks ago. its been almost 4 weeks since my last period. i have poly cystic ovarian syndrome, but i have taken hormones in the past that has allowed me to have a normal cycle every 3-4 weeks. i am getting a few cramps here and there, but i dont have any symptoms of a pregnancy. i dont know if my cramps are from an upcoming cycle, or if its the beginning of a pregnancy, a little help please ?","Dear Leila, You are indeed having a peculiar situation. Usually, PCs (Polycystic ovarian syn Chat Doctor.  However, since you were on the treatment, it is likely that you might have ovulated and have become pregnant. Missing a period, which is the first cardinal symptom of pregnancy also may misguide in your case. In PCs also, there is delay in menses, many a time for few months also. I would recommend you to get the confirmation of your status of pregnancy by Chat Doctor test. At this stage, Beta Chat Doctor test will be quite useful to you. This is a very specific and sensitive test and gives reliable results within 2-3 days of missed period, or even before that. I hope this will solve your dilemma."
+I have an itchy sore on my back that scabs over very quickly (4-6 hours) and the scab is very thick and feels like wood splinters. I m always tearing it off when I scratch the itch. There is a hard lump way under the skin. I ve had this for over six months now. what might it be?,"Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type). These lesions can occur anywhere in the body and have the tendency to recur. Medical (proper antibiotic regimen) and surgical (excision of the lesion) management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. "
+"I had what I thought was an ingrown hair in my armpit pop up. After a few days it grew the size of a golf ball and continued to get bigger. It was so painful I couldn t move at all but put my arm in bent position curled against me. After going to the doctor she said it was a MRSA infection and opened it up and drained it. (I received the lab results back stating it was MRSA) Now, two weeks later, the bump under my arm is gone but I have something string like enabling me from fulling extending my arm above my head. You can feel the strings from my armpit past my elbow. I went back to the doctor and saw one of my doctors associates and he said I have something called Sporotrichosis and will need to be on an antibiotic for a couple of months. Does this sound right? I ve looked up Sporotrichosis and my arm doesn t look like that but I found AWS (Axillary Web Syndrome) and my arm does kind of look like that but I did NOT just have any breast cancer surgery.","Hi.Thanks for your query. Noted the history of enlargement of axillary lymph nodes with strings radiating from elbow to the maxilla like a web, axillary web syn Chat Doctor. With the history you have provided, this looks to be lymphangitis causing the strings under the skin from the elbow to the maxilla which has now enlarged lymph nodes. I would advise you the following in such a case as definite cause may not always be found and hence also called as Idiopathic. Blood smears to be prepared at midnight and examined for elephantiasis that is filariasis. Blood to be tested for CBC and other routine reports like sugar, kidney and liver functions. A course of an antibiotic and Albendazole to be started asap. A 3-week course of Genocide forte that is diethylcarbamazine helps. Give rest to the affected arm. Plenty of oral fluids orally to combat deny"
+How to treat hepatitis B surface ab and what the best way to prevent that? Does hepatitis surface past infection or become worst? How to healing or treat hepatitis surface B core ab? What kind med need to take? Need to see a doctor with treatment or can self treatment? Please explain to me all the reasons and all the information about the hepatitis B surface ab and hepatitis surface B core ab.,Hi far. It is obvious that you need information. You cannot treat antibodies. Antibodies are products of our immune system which helps us to fight against viruses and sectarian. You need to treat hepatitis. These antibodies just can tell us is there any reaction on infection in our organism. Soyou have obviously been infected in your life because you have these antibodies. Question is your infection active and symptomatic. To know this you must find antigens levels(Ag) and viral RNA polymerase test. If you have HBS Ag and HBC Ag positive then you have infection which persist and can cause liver damage and should be treated. If not it means that you passed through infection and there is no risk for liver damage. Hope i ve been helpful.
+"Hello,I just went to the dentist for a crown and not sure what happen, but when the doctor was putting the anesthesia I felt a sharp pain in my eye, the same side he was working. When he was done I felt my cheek was different, and yes, I have a big lump. Should I be worried it could be an infection? Is there something I can do to relief the swollen?Thanks for you help!","Hello and welcome. Thanks for sharing your concern. The lump that you are experiencing now, could be due to locally deposition of local anesthesia. It should diffuse within a few hours or so. Then the lump should go away. It is not an infection. Regarding sharp pain in the eye, it appears unrelated. But if you find persisting symptoms in relation to eye then please revisit your dentist.Also, please mention in which jaw the crown was placed upper or lower?so that I can suggest better in this regard. Hope it helps. Thanks. Take care."
+"sir,i want to know about hbsag levels i tested first time on 22nd december 2009 and the result was hbsag ............reactive (250)test performed by ecliathen on 29th march 2010 and the result was hbsag...............reactive (5471)then on 26th april 2010 and the result was hbsag........... reactive(569.2)then on 12th may 2010 and the result washbsag .......... reactive (125)then on 30th may 2010hbsag ......... reactive (26.27)then on 10th june 2010hbsag ......... reactive (8.16)and then recently 23th june 2010 and the result was hbsag ........... reactive (4.29)                                           sir, i want to know that am i going to resolve the infection or am i now a chronic hbv patient, and is this normal the slow decline in hbsag levels in the end. with regards                                                    MUHAMMAD IBRAHIM KHAN","Hi.thanks for posting query. HepB can not be eradicated completely in patients infected with it. However, complications can be prevented with proper care and treatment. Treatment is advised if AST and ALT are > URN and HBV DNA count on PCR is very high. Liver enzymes and Bag status and HBV DNA PCR maybe done regularly every 6 to 12 months, Visit hepatologist for proper interpretation of results. Hope to answer concern regards Chat Doctor. "
+When I work out it starts to feel like im getting needles pushed into the back of my brain. its sharpe and quick continuous pain. My chest ( not as often as my head) starts to feel like someones sitting on it. I can still breathe okay through all of this. the more often I work out the long the needles in my brain lasts and the worse it gets. I have just recently started working out 4-5 times a week.,"Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you have described signs of Ischemia When you exercise, too much blood is shunted out to the muscles so that the other parts gets less blood supply and hence you get the symptoms you have mentioned The solution would be to reduce the Weights / Counts of your exercise for few days and then gradually increase them This is easily manageable :) Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care."
+I have a raised region on left side just below ribs. I went to the doctor he felt my abdominal region said there was nothing to worry about. However I still have this lump or swollen area. It s not painful but sometimes uncomfortable I have to lift my left shoulder up. I m thinking it could be my posture but this wouldn t cause swelling. It s slightly noticeable what could it be??,"Hi, as mentioned by you, about the swollen or lump area, and also examined by doctor where he said It's nothing to worry.of course I agree to you that how come something comes up like this and is painful. And also how come the swelling is persisting. What I would suggest is to undergo an x-ray and check as it may reveal something with it. Maybe a fluid accumulation. Also, later on an MRI will guide to see what soft tissues are involved in that area leading to swelling. Until we get a picture of the soft tissue abnormality it will be really tough for anyone to examine and comment. As diagnostic holds the strong ground for assistance. I wish you get an MRI done, so we can come to know what sort of soft tissue is involved a muscular or a lung tissue. With the grace of God I wish you a speedy recoveryregardsJay In Chat Doctor. "
+"Last year I was operated for cholecystectomy the year after I again had that severe abdomen pain and was hospitalised for 15 days in ICU , diagnoised with CBD sludge thereafter on udiliv.  After 3 month I again had blood test and amylase was quoted 407.3 after 3 days again the same test was taken and amylase reading was 242.9 and lipase 37 .  Doctor has advised for ERCP.  My question is if the sludge is still there does not udiliv help in flushing it out, if not for what purpose has it been recommended to me.  Whether ERCP is the only cure?","Hi ! Good afternoon. I am Chat Doctor answering your query. Udiliv is a Chat Doctor.  However, this is not a 100% cure for it. Even though the pancreatic enzymes have come out to be within the normal range or of decreasing level, there possibly is a suspicion of pancreatitis by your treating physician, and also to know the complete anatomy of biliary tree along with the pancreatic duct, an ERCP is advised. This would be a near confirmatory investigation to rule out the biliary tree and the pancreatic system as the cause of your abdominal pain. ERCP could also be of therapeutic nature if the sludge/calculi in any of the biliary tree is endoscopic-ally removed. Till then, you could go for some anti-spasmodic and a proton pump inhibitor "
+"hello sir,i m 27 years old single male.i used to masturbate very frequently n the frequency was nearly 4 to 5 days in a week.now i feel the erection is not that much hard as it was before n even suffering PME. i  even afraid regarding less sperm count n cum (sperm) is also not thick.please suggest me as what step should i take.Plz help.Regards...","Dear, We understand your concerns went through your details. Let me assure you, masturbation is not unhealthy. Masturbation is normal and natural. Frequency of 4 or 5 times a week masturbation is pretty normal and not in excess. Therefore, masturbation is not the reason for your present problem. I think you are obsessing with your sexual ability and sexual organ. Unless you are actually in sexual intercourse, you cannot judge your hardness. Secondly, when you try to test your hardness, the hardness comes down, because at that moment, you are diverting from sexual thoughts. The reason for your present problem is simply psycho-logic and never organic. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. Take care."
+"Dear Doctor, Last few days (4/5 days) I feel head dizzy, I could not think anything properly, Basically I feel, my back side of head has been zam. My blood pressure is normal. Age 34 yrs, Male and I was passing a serious brain stress in 20 days due to illness and death of my mother. Please suggest me, what can i do.","Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. These could be a manifestation of depression. You will need some benzodiazepine and SSRI medications like Escitalopram or mirtazapine to help with your problems. Some psychotherapy will also help. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. "
+"My wife age 38 is HBV positive with acute measure and Dr. has told that she is not in carrier stage and does not need any treatment. The quantitive test result somewhere 625. Can this HBV get removed completel, does this quantity increases in future, what could be the effect on liver functioning in future. Please explain.","Thank you for posting query. Carrier state means that your wife is infected with Herb (Bag positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in ""dormant"" phase. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about her status. The viral load should be monitored, and she needs to repeat test every 6 month or at least once a year. You should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for Herb virus. However, all relatives of your wife including you need to be vaccinated against Herb (if not done yet).wish her good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. "
+"I am a woman in my 30s that just got off of birth control about a month ago. I have taken 2 pregnancy tests and they botChatDoctore back negative. For the last week I have been afflicted with constant urination, pelvic/lower abdominal pain, bloating/swelling, and nausea. What could be causing this is I am not pregnant?","Hi ! Good afternoon. I am Chat Doctor answering your query. From history, it seems like you have got a UTI (urinary tract infection), if pregnancy could be excluded with certainty by the way of serum Chat Doctor estimation and an ultrasound abdomen if need be. I would advise you to go for a routine/microscopic and a culture sensitivity of the urine, and show it to your family physician for further management with appropriate antibiotics after a physical examination of your abdomen. Till then, you could go for an anti-emetic, and a proton pump inhibitor Chat Doctor. 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."
+"Dr. Agarwal, is wrong, I have an MRI that says that I have a S1-S2 intervertebral disc space. My Question is how much does this affect my lower back pain? I have very bad pain (level 8+) almost continually, and difficulty with other functions. I Know that I, have some pretty serious disc damage from L-5 through T-12. But here lately it s gotten much worse.","Disc degeneration may lead to back pain however there are too many pain generators in spine, so we need to know more about your complaints and the MRI images to tell you exactly what is the possible reason for back pain. Although you have disc space at S1-S2 but it's not necessary that it is the pain generator. Usually there is no motion at this level, so it may not cause any back pain. Few other reasons could be last mobile lumbar level disc prolapse or sacroiliac joint inflammation. I would suggest getting back WTH more detailed history and your MRI images. Thanks."
+hi my daughter is 5 year old.She is vommiting in the morning after breakfast.After that she will be ok. she will have her breakfast very little amount and not interested to eat in the morning.she is 13.500kg wt only.we consulted a doctor and he gave Emeset and junior Lanzol.sir pls advice,"Hi, Thank you for asking question on Chat Doctor. Your doctor gave the right prescription. But your children weight is less, as 5-year-old child is expected to weigh 18 kg. Better consult pediatrician and thoroughly investigate for the cause. It may be malnutrition, urinary tract infection or even primary tuberculosis. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics"
+I m 76 years old and about 5 days ago I started feeling a really sharp pain on the right upper part of my knee. I ve been limping because walking is extremely painful and if I sit for too long I have to stand and wait a while before I can walk....what might this pain be or mean and what should I do?,"Hello, As you are 76 and having pain in the upper part of the knee, have you ever taken an x-ray. Because there should be some degenerative changes of the knee joint and the ligament injuries.  Having an MRI or X-ray will be of God choice to understand the pathology.  As this pain makes you slow down and locks you up while taking instant movement I will advise you to use the knee brace and do hot water fermentation.  Because the muscle spasms need to be corrected, and also the weaker muscles needs support, so the inflammation over the knee joint internal structures do not go high.  Also doing some simple exercises like - static Qua Chat Doctor.  Additional exercises like straight leg raise on supine lying and side lying will be of benefits. In my clinical practice of over 12 years, most geriatric cases reported with similar pain are advised for exercise in low intensity. They respond well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In"
+"I lost my significant other 3 years ago and can t seem to get through grieving. We were having quiet time together and then he went to sleep on the sofa and I went to bed. The next morning I found him dead. I keep reliving this over and over again. I feel I might have missed something or he tried to get to me but was unable to. I cant get this picture out of my head and I can t see me loving someone else. I dont know how to move on. I feel my life has been turned upside down since then. I have family I am around yet I feel so alone. I feel like I don t belong anywhere. I am not suicidal; I cannot do that to my 3 children and grandchildren. Yet life is hard for me. I am also unemployed and having a hard time finding a job. I am experiencing things I have never dealt with and am having a hard time. What can I do? I am already taking antidepressants, which are not working. I have talked to my physician and she is trying to get it changed. But due to this new Obamacare, my old medication is not on the list and the new one is not working.","Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are doing great. You went through a traumatic and depressive ordeal. For sure. No amount of consolation can equal your fate.  But you also should understand that such things happen with almost everyone. Everyone loves their better half or spouse. When such things happen, even when they were at young age, it is normal for them to go through some depression. But they shall understand that they have to move on. They have duty to do. Secondly, you were doing the same for the last three years. That is great. If you have any mental disorders, you cannot do so. You must add to your self-confidence. What you can do now is, understand what life is. Even you are a guest here. Your spouse went because his time had come. When your time comes, you shall also join him. That is life. Depression is normal, but we should overcome our emotions. Everybody, every human being does. Then why not you? If you require more of my help in this aspect, 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 further. Hope this answers your query. Available for further clarifications. Good luck."
+"Hi,I am 24 years old.i had my last period on the 2nd of july and it lasted about 4 days. I had unprotected intercourse on the 12th of july and I used postinor 2 1 hour after.i dont keep track of my menstrual cycle but I am scared of getting pregnant. I dont have any symptomsjust being having cramps.pls help me.","Hello, please do keep record of your menstrual cycle to predict the day of ovulation and decide the safe and unsafe period for yourself. If you had regular cycles then ovulation takes place 14 days prior to the start if next menstruation. 4 days before and 4 days after ovulation is the unsafe period in which couples should avoid having intercourse. If you have a regular cycle of 30 days then you had sex in safe period plus you took posting 2 within 24 hours which means very less chance of getting pregnant. Posting has its side effects as well, so these cramps might be due to the medicine."
+"I have just returned from Venice and have multiple bites. they started on the last day, but now im home, i am continuining to be bitten. The lumps are small pin prick bites and when scratched, the area around it goes white and hard. please help. have i brought something home with me?","Hi, dear. I have gone through your question. I can understand your concern.  You need examination. What kind of bite marks are there. It may be some skin disorder or may be some self-inflicted mark in psychiatric disorder. So consult your doctor and go for examination.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"What causes shingles (other than the compromised immune system)...poor nutrition, stress, lack of sleep? My 76 year old man friend just broke out and he will see a doctor tomorrow, but I would like to know the why and how we treat it. Am I liable to become infected if we are intimate? What is the incubation period? What is the standard treatment, please? Is the condition likely to return again? Thank you. Gina email: YYYY@YYYY","Hello, Thank you for asking at Chat Doctor. Shingles generally happens due to a virus that sleeps in the neurological system on a person that has had chicken pox before. This is very common especially in cases you mention, but elderly age is a reason also. It is generally self limiting but very uncomfortable meanwhile. There is oral acyclovir he might use to speed up healing, it should be started as soon as possible and there are Chat Doctor.  Local cold compresses can help with pain also. As for you, you are not in risk if you are not in contact with the fluids that come from the vesicles. Very little chance it will spread to you by contact, it generally comes from the inside of the patient (the sleeping virus) but to be safe please try to avoid contact with the area that has the vesicles. I hope this is helpful and answers to your question, but please feel free to write us in case more clarification is needed on this. Kind regards, Antoneta Total, MD"
+I was doing some sweeping of my house yesterday. Ever since the I have been extremely dizzy. I have had at least 9 concussions and have neck issues. I also have 2 buldging discs and have had a compression fracture of my spine. I have done some research and think it could be Cervical Vertigo.,"Hi, From history it seems that this problem might be due to pinched nerve pressure due to problem in your cervical spines. While giving uneven pressure on neck like sweeping or nodding movement at neck might give pressure causing nerve irritation producing pain or vertigo. Go for neck exercises, cervical traction, short way diathermy etc. Avoid putting pillow under the neck while sleeping. Ok and take care."
+"I have a bad smell coming from my nostrils it the smell you get usually when your sick and you have a congested nose or something, but I have the smell all the time and wont go away no matter what the doctors at my clinic tell me to do. My nose gets really stuffy at night only in one side. But I also have bad breath I can brush my teeth and an hour later it wont smell fresh anymore. And sometimes I have postnatal drip.","Hello and welcome. Please let me know when did you last visit your ENT specialist?There could be a sinus infection. Why do not you meet ENT specialist and get an x-ray done for sinus. Once you get the reports, start with decongestants. It does not appear to be dental infection as per the history posted here.Meanwhile, you can do warm saline rinses and do steam inhalation for immediate relief. Hope it helps. Thanks. Take care."
+"I do masturbation in prone way by lying down against pillow of floor. I never had any problem with this method. However, I have read that doing masturbation  in this method puts pressure on penis and people who do that will not have good pleasure during normal sex. Is it true?","Degree understand your concerns went through your details. I suggest you not to worry. The position you are taking is safe and normal. People invent numerous methods and most common are hand masturbation and your style. This method is adopted by millions across the globe and none of them had this problem. You can enjoy sexual life for sure. There is one advantage with hand masturbation. After some time, the penis slightly bends towards right or left. This bend penis shaft gives more pleasure during sexual intercourse than straight penis. Hope this answers your query. Available for further clarifications. Good luck."
+"My son is 21 and healthy. He came to me last night feeling dizzy and nearly passed out. When he felt a bit better, I took his BP. It was 116/53. THat seems low.Could that have triggered the dizziness? He seemed to be fine after he ate CHerrios with bananas and sugar.","Howell come to ChatDoctorI really appreciate your concern, the dizziness may not be significant because no associated history is there even the blood pressure may not be the cause, the most common cause at this age is hypoglycemia, if this is being happened first time still condition needs to be kept under observation for further episode because it could be let onset of epileptic seizure. Advise:- Ct brain is must, with routine blood work, EKG. Hope this information helps."
+"Hi, I am a 54 year young lady and in 2002 I was diagnosed with invasive squamous cell carcinoma in my righr sinus cavity. After my face was layed open and tumor removed then went through 29 radiation treatments, and all has been great until a few weeks ago I have started having simular symptons and I waterpick sinus cavity now at least 3-4 times a week. Any suggestions? Thanks,Robbin","Hi, Thanks for writing in. Squamous cell cancer of the sinus cavity might become recurrent in some people. It is important that you follow up with your doctor and then get evaluated for possible recurrence. Medical literature says that squamous cell cancers have definite metastatic potential, and patients should be followed regularly after initial treatment. Overall, local recurrence rates after treatment of primary cancer ranged from about 3% to 23%, depending upon anatomic site. About 58% of local recurrences manifest within 1 year, 83% within 3 years, and 95% within 5 years. Please consult your doctor at the earliest and take treatment should there be any recurrence. Please do not worry."
+"i quit smoking a little over a month ago.  for a month now i have had the strong, uncontrollable cough with phlegm and i am always out of breath which makes me lightheaded.  i also have had some fevers here and there.  also my nose is stopped up a lot.  every time i blow my nost the back of my head and neck hurts so bad.","Thanks for your question on Chat Doctor. I can understand your concern. Since you were a smoker, we should rule out lung infection and bronchitis in your case. Both these diseases are common in smokers and cause similar symptoms like cough, expectoration, fever and breathlessness. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will mostly improve with antibiotics, inhaled bronchodilator, inhaled corticosteroids and other supportive Chat Doctor.  Don't worry, you will be alright with all these. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Hello, I have been having problems with my feet and ankles retaining water, for at least two months now. Went to the doctors, he gave me water pills but they aren t helping. My mother has a thighroid problem and I was told it could be passed on from mother to daughter and so on. I have been putting on weight all of a sudden, and usually I can control the weight but now I cant. Could all of this be caused by a thighroid problem?","Hi, thank-you for providing the brief history of you. As you have thyroid problem I think it should be hyperthyroidism, since due to This there are chances of adding on weight and also the legs feeling fluid retention. The first foremost thing required is to check the thyroid levels in your body. Undergoing a TSH test should help understand the levels. Post which the medication has to be used to control the levels of thyroid in blood. Also, along with medication you need to perform regular physical exercises as the combination of Chat Doctor. There will be a slowness in the physical activity of your muscles due to thyroid issue leading to early fatigue and reduced metabolism. Having a combination of "
+I have been to the doctor several times for recurring pain in my chest. Its right in the middle sternum and it feels tender to the touch and comes and goes for months now. It hurts when I move like standing up from sitting down. What else do I say to get some kind of response ?,"Hello, Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorders. A musculoskeletal pain (including Costco Chat Doctor.  Coming to this point, I would recommend taking ibuprofen for the pain. If the chest pain persists, I would recommend performing some tests: - a resting ECG and a cardiac ultrasound- a chest X-ray study-complete blood count, PCR, ESR for inflammation. Hope I have answered your query. Let me know if I can assist you further."
+what should i do about severe body /arm and leg tremors. Im scared to take any medications that i was prescribed for sleep/depression/anxiety because of this severe tremoring . I have been basically totally inactive for weeks and lost about 4 kilos and i think this may have caused the tremors because my heart feels extremely weak. I dont want to cause a further problem by taking a medication for 2 weeks. Should i get my heart and cardiovascular system checked before taking and medications. It feels like i am almost going to have a heart attack when i lay down and my whole chest tremors.I even fear i may have already had a small heart attack or something. im 37 and my appearance looks normal/a bit thin. What specific tests should i get done?,"The tremors in arms/legs and chest tremors (palpitations) are likely to be due to anxiety. You should give a trial to the medicine prescribed by your doctor. At this stage, in my opinion, the symptoms are likely to be due to an anxiety disorder. When you follow up with your doctor, you may ask questions you may have about specific medicines. You may consult a psychiatrist if your doctor is a general practitioner. A psychiatrist is a medical doctor specializing in psychological and behavioral disorders (including neurological disorders with psychological symptoms). A psychiatrist is in the best position to judge what tests to order in the beginning and whether to seek additional consultation of a cardiologist or any other specialist. I hope this answers your question."
+HAVE BEEN EXPIERENCING WHAT THEY CALL BRAIN ZAPS FOR ABOUT A WEEK NOW. ON 40MG OF SELEXA AND 150MG WELBUTRIN BUT STARTED WITH THE ZAPS SO WENT DOWN TO 20MG SELEXA AND KEPT SAME DOSAGE OF WELBUTRIN. GOT A COLD AND HAVENT TAKEN EITHER FOR TWO DAYS NOW AND AM GETTING ANXIETY BUT ZAPS HAVE MINIMIZED. SHOUL I PROCEED THIS WAY AND BREATHE THROUGH ANXIETY?,"Hi, Welcome to Chat Doctor forum.  It is confirmed the brain zaps are due to the Selena, you have stopped it now. Welbutrin alone may be sufficient, if your doctor feels it is not sufficient, he can prescribe some other medicine from the thousands of other Chat Doctor.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health resistance against the infections.  Practice yoga, meditation, reading books, and hearing music as diversion procedures.  Wishing for a quick and complete recovery. Thank you."
+"I was suffering from impetigo due to a bacterial infection on my face and it spread to many areas of my face which caused the skin to peel off and become raw. After taking oral antibiotics and applying triamcinolone acetonide 0.025% ointment on my face, the skin healed. However, they healed brown. Why did it heal brown and how can I make them fade away quickly?","HelloWelcome to Chat Doctor, Impetigo is a skin infection caused by the bacteria Staphylococcus aureus or Streptococcus Diogenes, and it causes fluid-filled spots or blisters. Usually it will be a small fluid-filled spots that are about 1 to 2 cm in diameter and rarely be able to see these because they will quickly burst and then crust over and turn yellow and honey colored. The spots will eventually Chat Doctor. You will normally need antibiotics either as a cream or orally to treat the infection and to prevent you infecting others. Antibiotic cream called juridic acid are effective in clearing up most impetigo infections within seven days, and you will need to use it two to three times a day. If the infection doesn't clear and widespread you may require oral antibiotics like flucloxacillin and azithromycin. Thank you."
+"My 4 and half year son got the USG report of whole abdomen, it is mentioned that Liver is slightly enlarged in size homogenous parenchymal echotexture. No sizable focal lesion seen. Infra hepatic biliary radicles are not dilated. Portal hapatis measures 7 mm. kindly suggest for this. Kindly not that he doesn t want to have any meal at any time. We have to forcefully feed him and it takes more than one hour to feed him every time. Moreover sometimes he vomit too. kindly suggest.","Hi and welcome to Chat Doctor. You should do liver enzymes findings. The most common liver disorders which is found by ultrasound is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. Wish you good health."
+Every time I cough I feel excruciating pain in the middle of my chest. It feels like something is going to explode in my chest. I also have the chills then the sweats. I do have asthma but it does not bother me. I am taking 2 I hailers ( Advair and salbutamol ) iv also been taking clonazepam to help me sleep. I have no appetite and am feeling very weak. When I cough I cry from the pain. Nothing comes up when I cough. It s just a dry cough. Please help me,"Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For Chat Doctor.  I would suggest that you should have following investigations done :-1. Complete Blood Count(CBC).2. Absolute Eosinophil Count.3. Chest X-Ray (PA view).4. ECG. Steam inhalation can also help in relieving your symptoms. You should eat fresh fruits and vegetables for increasing the immunity and regaining health. If the problem persists, get yourself examined clinically. I hope this is helpful to you. Thanks."
+"Hi,I am 31 years old and trying to get pregnant since 3 months now. Have done all the tests for myself and husband and everything seesm to be normal except Prolactin level shown as 26mg which doctor said is slightly high. I have taken 2 tablest of caberlin .5mg as prescribed by the doctor. Do you see any issue for me to concieve. I have perfectly regular periods of 30 day cycle.","Hi, Please repeat your prolactin levels after 3 months, although I do not see a marked rise in it now. This may interfere in your conception. If you are keen on knowing the cause of high prolactin levels, you could probably get an MRI of the brain. But, I am not sure how beneficial it would be for you. My gut feeling says, your levels would be normal after 3 months and that you should conceive soon as well. Wish you good health."
+"Department of PulmonaryDear Sir/Madam,I am writing you from Dhaka, Bangladesh. I want to make online help with a senior Pulmonolgist.Patient is my wife. She is 37 and her name is AAAA Her symptoms are as follows01. Allergetic Rhinitis02. Allergent to dust  03. Sneezing & Running Nose frequently for 10 years.04. Bleeding from nose while taking nasal spray ""AVAMYS nasal spray""Summary of her Diagnosis areTest                           Result* Cir Eosinophil Count  165 /cu mm * Serum IgE                 83.60 IU/ml* Skin Allergy(Hypersensitivity) Test  Name of Allergen=Coconut-4, Beef-4She is Taking the following medicines01. Avamys Nasal Spray 0+0+102. Tab Provair 10 mg  0+0+103. Tab Unicortin 400 mg 0+0+1/204. Seretide Evohaler   1+0+1In this circumstances i would like to help you better consultation and diagnosis.Waiting for your reply eagerly.With",THESE ARE ALLERGIES ALLERGIES ARE CONTROLLING FOR DISEASE BUT NOT CURING YOU ALL SYMPTOMS ARE OF ALLERGIC RHINITIS SINUSITISWHEN DISEASE GROWS THESE MEDICINES CANNOT CONTROL DISEASE SOMETIME AND GO INTO NEXT SYSTEM SUGGEST YOU TO GET SKIN PRICK ALLERGY TEST IN WHICH YOU CAN FIND OUT TO WHICH THINGS TO ARE ALLERGIC FOODS CLOTHES POLLEN AND DUSTSELIMINATE FOOD AND FOR DUST AND POLLEN GO FOR IMMUNOTHERAPY WILL HAVE PROMISING RESULTS BECAUSE YOUR AGE IS GOOD FOR RECOVERY
+"Hi, i m 21 yr old male . I have bump in my left groin area . There is no pain as of now . I think it is inguinal hernia ( as far i have get from other online sources i dont know whether i m right )  . Can you tell me more about it and suggest the treatment","Hi, dairy have gone through your question. I can understand your concern. You may have inguinal hernia or some other mass.  You should go for examination.  If attire of coughing or straining your lump increase in size then it is hernia.  If needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hernia repair by meshplasty is the treatment of choice. 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."
+Hi how are you well my mothers 85 years old she had sever stoffmach pain so my sister who lives with rushed her to the hospitals emergency room they ran many tests and found a small spot on her spleen that might be cancer a and in the pass  she complained that most foods for the exception of foods that sugary and sweet have hardly any tast so she prefers mostly sweets now recently she tells me that all food tast sweet could this be a side affect of cancer and if so what are her chances of serviving this could the right diet revers this give us your best advice we really would appreciate..,"Hi.First there cannot be a cancerous spot on the spleen. IN a patient who is 85 years this can be due to an infarct or hematoma. And cause severe pain. Since you have given history related to food habits and taste, it is possible she has other forms of gastrointestinal disease, which needs a thorough investigation. I would advise CT scan of the abdomen, upper GI Endoscopy and tests of blood, urine and stool. I can understand the feeling you have about your Mother. If there is no cancer, she can live much longer."
+"hello doctor I am 33 yr old woman with one failed ivf result A,M.H is 1.1 right now going for another IVF cycle again this year. what all medicines and how long to prepare my body with best supplements to have ? does COQ10, l Arginine and dhea works wonders in low amh values ?","Hi, Thanks for the query. I understand your concern.  Before planning for IVF, plan for minimum 3 months before., - Get your & your partners' health check-ups done & get treatment for any health problem you have. .  - have healthy lifestyle along with nutritive diet, exercises, sound sleep.  - Take vitamins .specially B6 & vitamin E.  - Prevent contacting any illness to either of you.  - Get Rubella vaccination 5-6 months before planning for a baby.  - Join IVF support group - Know about IVF in detail & be prepared psychologically, Understand how complicated the procedure is & how failure can be there, but always there is a positive result.  - A positive attitude helps.  - Follow doctors advise strictly after the procedure.  Thanks."
+"i took a abdominal scan in which i got a liver measuring 13.0 cms with impression of mild hepatomegaly with fatty changes and divarication of recti with small umbilical hernia defect size 8 mm, anteverted and bulky uterus. what is my problem exactly? I have abdominal pain for past 10 days in my upper right stomach and around the navel.","HI, thanks for using Chat Doctor The ultrasound found mild enlargement of the liver (hepatomegaly) with deposition of fat in the liver. Fatty liver is one of the more common causes of liver disease presently, it may reverse if lifestyle changes are made or progress to inflammation of the liver. The lifestyle changes would be increased activity and dietary changes such as reduced carboy Chat Doctor. Variation of the recto refers to separation of some muscles in the abdomen (the rectus abdominis). An umbilical hernia is a protrusion through a defect in the umbilicus. The anteverted uterus is not concerning and would not cause any issues. A uterus can be bulky for different reasons such as fibroid, pregnancy, endometriosis, adenomyosis, molar pregnancy, cancer. It is possible that the hernia is the cause of your pain particularly since the pain is around the navel. I hope this helps"
+"hi,sorry to bother you.ok, sle, spinal cyst , low pain tolerance, lots of drugs....    4 red areas on skin, like a critter crawling up leg:  chilicerra just under 1cm apart, from what i can tell, 4 spider bites from yesterday  ..  live a mile as crow flies from lake superior, brown recluse just moving in.  slight ulceration starting at entry points of first bite    i am sort of into nature, did not see the spider but pretty sure these are spider bites. had flood last year and had an adult in basement that came with the flood.   they dont hurt......   so/?  mycitracin, benadryl, asparin, baileys ?   just watch?  it is rather fascinating   thank you gwen","Hi and thanks for the query, A spider bite generally produces an acute inflammatory reaction or allergy. This shall require use of anti-allergic Chat Doctor.  Anti histamines are generally effective in stopping itches and swelling. Steroids, either or local or injectables could also be useful in the management process. A key aspect in the management is surveillance. This important for failure to respond or aggravation of symptoms might require other "
+I have been having a slight pain on the right side of my lower abdomen approximately 6 inches right of navel and have been constipated for 3 days. The pass 4 months Ive been drinking alot more do to a break up but have stopped and now im scared i may have appendicitis or something cause from drinking. I have been on web md all day. please help!!!!!!!,"Hi. Thanks for your query and an elucidated history. Web MD will confuse you more as there is no interaction with the Doctors. The cause of mild pain on consuming so much alcohol on the lower side of abdomen can be due to Colitis or syphilitic or appendicitis. I would advise you the following:Tests of blood, urine and stool. Physical examination by a Surgical Gastroenterologist. CT scan and colonoscopy will help in the proper diagnosis and for planning the management ..."
+I WAS GOT DEPORTATION  FORM 2 YEARS AGO WHEN I WAS ON CANADA AND I DIDENT GOT ENY QUIRE NOW I FEEL LIKE I LOSE MY MIND AND I WAS BE SO ABSENT  I LOSE MY WIFE AND MY WORK EVRY THINK AND EVERY DAY I WEAKD UPLIKE NEW MAN WHAT SHOULD I DO I WAS GO 2 Psychiatrist FORGET UR WIFE AND UR LIFE AND FORGET CANADA I LOVE CANADA SO MUCH IT WAS THE FIRST TIME ON MY LVE I FEEL AIM HUMAN HERE IN CAIRO EGYPT AIM NOTHING SO I TACE SOME MIDETION AND AFTER THAT I FEEL EVRE DAY IAM NEW MAN LIKE NEW LIVE I HATE MY FAMILE MY DR EVREY THINK HERE EVEN TALK ARABIC I HAT THAT WHAT SHULD I DO AND MY FAMILY THEY ARE RESESS THEY DOESNT LKE AMRCAN OR CANDIAN PEAOPLE AND I HATE THAT I FEEL LIKE AIM BABY HERE I 31 YEARS OLD,"Degree understand your concerns went through your details. I suggest you not to worry much.  From the given description it is very difficult to diagnose your problem. It does not seem like amnesia or memory related disorder. This could more be like some sort of anxiety disorder or depression. You need to work with your psychiatrist to have a proper diagnosis and treatment. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"hello doctor, I am physiotherapist. my query is about consanguineous marriages, My parents are arranging marriage to my cousine only, i have a doubt about children health.Please guide whether their will be any physicall or mentall disabilities in the children.",Hi...scientifically seeing consanguineous marriages are not advisable as the kids may be prone for some inherited disorders which might be running sub-clinically in the family line. Another issue is that it can lead to pregnancy complications and birth weight issues. But at the same time it doesn't mean that all consanguineous marriages will lead to defective babies. It is not so. The best way for you will be that - Consult a genetics specialist (both of you) and get evaluated and then take a decision of the marriage. Regards - 
+Hi. I am 32 years male and suffering from itching since few months. I also have fatty liver (mild) with high cholestrol.After checking blood reports and symptoms doctors said this is due to some food i have to find. But Still i was unable to find the root cause.,"Hello, Welcome to Chat Doctor, As you are itching following intake of some food, it should be identified. Mild fatty change in the liver is May due to alcohol, diabetes, hypertension, obesity, and dyslipidemia. As you are having high cholesterol it may be leading to fatty liver. Itching and rashes for few months may be due to allergy to food, dusts,chemicals and mite. Reason for the itching should be identified by undergoing Skin prick test for different allergen to which you are being exposed. Thank you."
+hi I am a 14 year old girl who has been sucking her fingers since she was in her mums tummy.. i cant seem to stop and i have tried everything.. no creams can make me stop because i just seem to suck the stuff off. and hugging pillows or blankets doesnt give me the satisfaction of my fingers.. im really worried for my teeth .A dentist has told me before that the way i suck my teeth isnt harming the way they are.. but i still want to stop and i just dont know how. My fingers sooth me and keep me calm so i can sleep in a way nothing else can. i only do it at night and when im really tired.. please help,"Hi and welcome, Finger sucking and thumb sucking habit is very injurious as dental health is concerned. Although thumb sucking is a normal habit it causes serious teeth problems if it continues long after the eruption of permanent teeth.  Prolonged finger sucking can create crowded, crooked teeth and bite problems.  You may also develop speech problems or problems with swallowing properly.  Protrusion and displacement of front teeth are usual results of thumb sucking. This can affect your facial appearance and cause further emotional problems. You can follow few steps to avoid the habit :Ask your family member to carefully remove your fingers from mouth during sleep Don't be in anxiety or fear. If you have any emotional problems, or under stress, and you need comforting, you may need to resolve those issues first before successfully stopping the habit.  Use a finger sucking guard. - your dentist might suggest the use of special devices to stop thumb sucking, called finger guards. A finger or thumb guard is a device with a plastic cover of the thumb that is attached to wrist. . Treatment with thumb guards usually lasts four weeks and helps to stop thumb sucking successfully. I hope this helps, take care"
+"I have been diagnosed with biceps tendinopathy and supraspinatus tenosynovitis of the right shoulder following a vehicle accident over 7 months ago and despite a steroid injection and months of physical therapy, I can barely move my right shoulder, is there any real help for this?","Hello, As you met an accident where you were diagnosed with biceps retinopathy and supraspinatus tenosynovitis I wonder why the shoulder functions have not resumed even after 6 months. Have you taken an MRI of the shoulder? If so what was the reports? If not then please do take it. I suspect this to be a rotator cuff injury. Because any injury happening to the shoulder with two muscle injury falls in the group. The rotator cuff muscles are weak. You need to work out behind it. Shoulder function can resume only when we have good range of motion in passive for all the movements and also if we overcome the pain.  In fact, I should share one of the rotator cuff injury cases of mine. It was a case of 65 years old female with the above-mentioned injury. No passive or active shoulder movements. But to overcome the problems, I use to make the muscle tire by active ROM exercises and no weights. Just gravity assisted and gravity resisted ones. In fact all the shoulder movements like - flexion, extension, rotation, abduction, adduction and circumduction. At the end of the 12th week, she had the best movements without any kind of pain and shoulder was much stronger than before. I will advise you to look for a competitive physiotherapist who can help you get the best outcome score. If left untreated it will lead to other pathologies which are not accepted. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. "
+"Hi,I  have had severe pain in my back near my lungs when i breathe deeply for the past two days and ive been coughing up green mucus.I went to the emergency room today and had tons of blood work and chest xrays and everything came back normal aparantely.They said i have bronchitis and they cannot explain to me what is causing my pain in my lungs when i breathe.they put me on antibiotics for 5 days and said if im not better then to come back.I just wanted to see if there could be any other explanation on what is causing my lung pain.Im a very healthy and active 21 year old female who doesnt smoke.Thanks if you have any helpfull advice.","Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis causes pleurisy (inflammation of pleura). And this pleurisy is the cause for chest pain during breathing. You should apply warm water pad on affected areas of chest. Take simple painkiller and anti-inflammatory Chat Doctor.  Don't worry, pleurisy with gradually subside once bronchitis is cured. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+Hell doc I am a male I had some book test done for std and I had not had intercourse in 2 years I got a call about my test results the nurse said I was clear of std deases but I had a form of herpes now how does that happen when I have not had intercourse in about 2 years?,"Dear user feel your quarry and I would like to tell you that genital her peal cavity then touching your genitalia cause you to get infected you have may be because of another factor rather than sexual contactalthaugh sexual contact is the main method of transmission of genital herpes, but genital herpes may be caused by indirect contact methods you may have hsv1 infection and then touching mucus membrane or oral cavity then touching your genitalia causing genital herpes also you may touch another person who carry the virus through hands or kissing then touches your genitalia that causes genital herpes so sexual contact is not the only method of transmission, but you should refer your doctor to confirm diagnosis clinically you need not get worry wish you healthy life"
+"Hi, may I answer your health queries right now ?  Please type your query here... I weigh 100 lbs and I am diabetic ---- last month I was diagnosed with MRSA ----- I had a sore on my back that got infected and grew to over half the size of an orange ----- since then I have lost 4 lbs and have had a severe pinch under my right rib and some swelling ----- I do not have a gallbladder anymore it was removed in 1996 please advise what I should do and dont tell me to go to the hospital I will not step foot in one again that is where I got MRSA from in the first place thank you Chrystal",Thanks for posting your query to Chat Doctor. MRSA is a bacterial infection found resistant to many of the antibiotics mainly to beta lac tum group of antibiotics. If not treated properly may lead to serious systemic infection. Vancomycin is the Chat Doctor. You should contact to your physician and advice him to give to full course antibiotic treatment as per your culture and sensitivity report .take care .
+"MY 29 yr old son went to the emergency room 1month ago with a quarter size lump in his neck below the ear. they tried to drain it because they originally thought it was a cyst or an infected hair follicle. With in 4 days the lump was the size of a hockey puck and extremely painful. They did surgery to remove it, but didn t take it out 2x s. Once before a mri and petscan, and once after, but both times they just sewed him back up and said if they removed it, they would be doing more damage than the tumor. He says he has a non-cell malignancy. He told me today it is stage 4 melanoma. He is in his 4th week of daily radiation, but he said that he has been told he is inoperable, uncurable, but manageable. He originally told me that the tumor was solo, and not attached to anything when he had an ultrasound, but 4 days later when they did the 2nd surgery it has wrapped itself around things in his neck. What kind of cancer does this? Is he terminal?He lives in another state and I think he is keeping information from me to spare my feelings?","Hi, Thanks for writing in. It appears that your son has a melanoma that might have spread to neck lymph nodes. This is a possibility and has to be confirmed by doing a biopsy. What happens is that lymph nodes are found in many regions of the body and are small unless they are stimulated by disease process. When there is a disease in a person then the lymph nodes of a particular region get enlarged and this is a reaction by the immune mechanism. Since your son has been told that he has a melanoma, it has probably involved the neck lymph nodes. The lymph nodes in the neck are close to the carotid artery and internal jugular vein, and it is possible that the lymph nodes have wrapped around these. Doing a surgery in this condition is not possible and radiation usually works. It is suggested that you spend some time with your son by going over to his place and know more about the treatment he should be taking for his condition. Please do not worry."
+"Hi, I have just been prescribed Pexep CR 12.5 mg (1 tablet per night). Off late I have felt very burnt out due to work stress, have had lot of mood swings (there are days when I feel depressed, feel like crying), cant get any work done. I also suffer from poor quality sleep (for the past 1 year) & the doctor gave me some sleeping pills (Lonacen 0.5 mg). He has told me that both medications will be stopped at the end of 2 weeks.He has also put me on a multivatimin tab & Omega-3 supplement. Do these medications sound correct for my problem? What are the side effects & withdrawal symtomns? Vikram","HiT hanks for using Chat Doctor I think, you have adjustment disorder or depression. In that case, you need antidepressant with low dose benzodiazepine. Paper contains paroxetine and it is an antidepressant. Better to take these Chat Doctor.  That would help you more. It has some minor side effects like delayed ejaculation, gastritis, anxiety symptoms etc., but that resolve in few days. In case, you need further help, you can ask. Thanks"
+"hi i am a 33 yr old fem. and have a kidney infection caused by proteus and I am on my 5th day of anitibiotics (Cipro). The pain is almost gone as well as the high fever, but i have been extremely dizzy. I was expecting that to subside with the other symptoms, is this normal? i just dont quite feel right.","Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor.  You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor."
+Ive given my son his first 5ml dose of Zithromax for an ear infection before bed. His ear has been sore & Ive been regularly giving him some calpol too (well within recommended dosage). Now Im reading the small print & noticing I should have consulted the doctor if my child is taking or has taken any other medication recently along with the Zithromax. Im just checking that the  calpol & Zithromax combination are ok?,"Hello! I have been through your question. Related your concern you shouldn't worry because that it is known that azithromycin and paracetamol don't exist any data to have interaction between them. So, what I suggest is only to give your child Cal pol not less than 4-6 hour between, if need it and continue to give the dose of Zithromax based on your son weight. I hope my answer help you. I wish your son a quick recovery."
+"Hi, can I answer your health question ? please type your question here....Gestational Age :BPD : 8.7 cms .... 35weeks 1dHC : 31.1cms .... 34weeks 5dAC : 30.9 cms .... 34weeks 6dFL : 7.2 cms .... 37weeks 2dweight  : 2693gms + /- 224gmsLiquor : Adequate{AFI:: 11.2cms}","Hello, Thanks for sharing your health concern with us. I have gone through the query and would like to offer my opinion. The sonogram findings indicate a gestational age of 34-35 weeks. The disparity in the femur length is perhaps due to the fetus being lengthier than usual. You may repeat the sonogram after a week for a proper appraisal of the situation and plan further management. Hope this helps."
+"HI my 18 month old daughter has red eyes for 4 days, they are not overly red so I don think it is pink  eye, however she is rubbing them as if they itch, it started with one eye and now appears to be both, thus far she has had no other symptoms and is eating, drinking and playing as normal","HI...by what you quote I feel that she might be having a viral conjunctivitis. Usually it will start in one eye and the spread to another. Sometimes it can get secondarily infected with bacterial infection and hence might need antibiotic eye Chat Doctor.  I suggest you consult your ophthalmologist because - EYE conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - "
+"Started as an yeast infection,cleared up. never had one before.Have flaking skin on but.peels,iches,oozes,look like it almost heal up.starts the cycle over and over again.now on one of my finger.can t get rid of it.have it for several months.please help.","Hi, It may be a contact allergic dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream on the lesions. Take antihistamines like Levocetirizine. Take oral steroids like Methyl Prednisolone in a tapering dose. Avoid contact with soap, detergents, dust, grass or other suspected allergens. Hope I have answered your query. Let me know if I can assist you further.  "
+"My boyfriend was recently diagnosed with Wolff-Parkinson-White Syndrome. I did some research, and discovered that he has nearly all of the symptoms of heart block and many of the symptoms of heart failure. Whenever he has an episode with his heart, he gets very dizzy, nauseous, has chest pain and cold sweats, and eventually has a blackout. Is there anything that I can do to alleviate his symptoms when they occur?","Hello, thanks for reaching out to us. I understand your worry towards your boyfriends' health. For treatment of patients with Wolff-Parkinson-White, it depends on lots of factors like presence of other diseases that might be present, the degree of severity etc. The best advice I have for you is to encourage him to see his cardiologist to know the best treatment possible in his case. I hope he gets better soon. Warm regards"
+"Dr., This is Himadri Dhar, my son Adriz is 3 years old and today around 4-5 hours ago we have taken cheese popcorn from outside stall and right now he is crying like anything for stomach pain. We are also suffering from gas formation. He does not have any other problem and not taking any other medicines at present. Can you please advise medicine for him?","Hi, welcome to Chat Doctor. I see similar cases in my clinic every day. Your child probably has food poisoning. If I was your treating doctor, I would have given syrup Cyclops 5 ml PO three times a day for 2 days and syrup zoxakind-O 3.5 ml PO three times a day for 3 days. However since this is a prescription medicine, i advice you to meet the local doctor to confirm the diagnosis. Also, avoid food from that stall to prevent similar problem in the future. I hope this has helped you. Take care. Regards - Chat Doctor. "
+I have very frequent uti and my Husband and I are trying to conceive so we are having intercourse more frequently. I know this could be the cause of the uti but lately sex is pain full and there is a lot of discomfort with Oder just in the urin. And when I pee I feel like Im never done what is wrong,"Hello dearWelcome to Chat Doctor.come have gone through your concern in depth.@ Pain may be associated with or without urinary infection as inadequate relaxation of vagina, anxiety induced spasms @ Causes of frequent UTI during intercourse are - transmission of bacteria as E.cold and others - use of certain irritating feminine products as powders or sprays - retaining urine long time after intercourse - organisms of herpes, gonorrhea, chlamydia, cytoplasm etc. - improper hygiene of private parts - inadequate water intake in much hurry of conceiving - others Hope this will help you definitely. Feel free to ask any further queries in future anytime. Thanks for so much peaceful evaluation of my answer. Regards dear take care."
+"Hi, my daughter age 19 just returned from Uganda. She is experiencing pain at her back rib on lft side. A phys therapist that was on the trip thought she may have popped a rib. She has no insurance. We can go to an urgent care facility but they dont have xray. Would that be required for treatment?  Thanks.","GREETINGS! ANSWER : Fracture or dislocation of the rib can be only confirmed through X-ray. If it's a fracture or dislocation then, There is no specific treatment for rib fractures, but various supportive measures can be taken. In simple rib fractures, pain can lead to reduced movement and cough suppression; this can contribute to formation of secondary chest infection. Adequate analgesia can avoid this! Flail chest is a potentially life-threatening injury and will often require a period of assisted ventilation. Flail chest and first rib fractures are high-energy injuries and should prompt investigation of damage to underlying viscera (e.g., lung contusion) or remotely (e.g., cervical spine injury). Other treatment includes internal fixation of rib!"
+"My 2 year old has had a rash / hives in her diaper area front and back chronically, but has been worsening over the last 6 weeks. She does have a dairy and egg white allergy, but it has been eliminated from her diet all together although she has had 2 very minor exposures. Now the rash is visible red raised welt-like hives that flare and we treat with Triamcinolone that was prescribed by her pediatrician. Should we be looking for another cause of the hives? Her diapers or pull ups? She has no other symptoms except she get s a small patch below her mouth and on her cheek at the same time.","Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health."
+"Hi, I have had pneumonia for a number of weeks now & am on my 3rd round of antibiotics. Although I am feeling a lot better I still get very tired & am experiencing a lot of discomfort in my chest around my right arm pit. The x-ray showed the left lung was most infected. Is this something I should be concerned about or just continue to ride it out? Thanks you","Thanks for your question on Chat Doctor. In my opinion you should get done repeat chest x-ray to see whether1. The lesion is improving2. The lesion is static3. The lesion is worsening. In pneumonia identification of causative organism is very important, so that we can give proper antibiotics. So if your lesion is improving than no need to worry. But if it is static or worsening than get done CT Thorax and Bronchoscopy with BAD (Bronchoalveolar Lavage) analysis for culture and sensitivity. By doing these we can start the specific therapy and titrate antibiotics too."
+"Hi I had an ubaliacil hernia operated on, on the 15th September. It started oozing puss a week later through the wound. The wound stopped oozing out of my wound and then the same day it started coming out of my bellybutton. I put up with it for 7 weeks then my specialist did an exploration and left a 2cm cut just inside my bellybutton and said that there was just a pocket of the puss and that it would dry up it s been over a week now and it hasn t stopped and is getting more green every day what should I do ?","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. This green pus is suggestive of severe infection. I advise you to do Grams staining, culture and sensitivity from the pus. It must be antibiotic resistant bacteria that is causing healing more difficult. I advise you to take the Chat Doctor. This will make the treatment more effective, cheap and rapid. Please maintain good hygiene of the wound by frequent cleaning and "
+"Hi doc, I have pcos and i am 30, my doc recommended me taking mephrate its been more than 10 days but still i havnt ha my periods also i have lot of stress related to personal and office life...please can you suggest i always have negative thoughts because of this. What can i do to releive myself from stress and other tension.","Hi, You can expect a with Chat Doctor.  For the specific treatment of POD, there is a protocol of investigations to be done and treatment is planned according to the specific problem detected. These include a complete hormonal assay, glucose tolerance test, RHEAS levels, tubal patency if trying to conceive, trans-vaginal sonogram to view the uterus and ovaries. Maintenance of a healthy body weight, regular exercise and a healthy diet go a long way in the treatment. Meditation can help ease out the stress; please take the support of a psychologist if needed. Take care."
+I have a very swollen cheek along the jaw. I visited the dentist on Tuesday morning and was told I have an abscessed tooth where the infection has gone into the cheek. I have been on the prescribed medication since Tuesday lunchtime and today the swelling is far more prominent and I am having difficulty opening my mouth.,"Hello, Your infection is not under control and symptoms are increasing. Call your dentist to report that your condition has not improved and is worse. Your dentist will need to increase the dosage or change your antibiotic. Make sure you are following directions on taking all medication. I usually recommend Amoxicillin 500 mg or 875 mg depending on how often you take the antibiotic. Your dentist will recommend the next step for treatment of the abscess. You may need other oral conditions evaluated as well. Take anti-inflammatory medications in addition to the antibiotic. Tylenol and Motrin are effective choices. The choice of the antihistamine Ben Chat Doctor.  Keep well HY"
+"I underwent stone operation( laser technique) in the month of october, the stone blobked the right ureter and one stone was in the right kidney, the kidney stone was not removed..one month later the DJ stent was removed. But since that day till date I am feeling pain in the operated area. After ultrasound a month ago the right kidney stone was not there and the reports were normal.","His your kidney stone is not seen in the recent Ultrasound abdomen, pain due to stone can be ruled out. Most probable cause is Injury to the Urinary tract during the procedure. If the pain is not relieved by Anti-inflammatory Chat Doctor. Most common cause is Chronic Appendicitis. Unless it is grossly enlarged, it cannot be seen in ultrasound. You have to go for CT scan abdomen with Contrast to rule out other causes of pain abdomen. I will be ready to answer your query once you come back with CT scan abdomen. Wish you good health"
+"My son is 21 years old and is basically healthy. Over the last couple of days, he has developed what looks like canker sores on the sides of his tongue and he says it hurts and difficult to talk and eat and it feels a bit swollen to him. He thought it might be allergies, but Benadryl did nothing to help. His medications are Cymbalta, and naproxen and Imitrex as needed for migraines. Suggestions please?","Hi, As per your complaint it seems that ulcers on sides of tongue can to be due to Pathos Dermatitis leading to inflammation inside mouth and along with it there seem to be pathos ulcers or canker sores. It can be a side effect of the medication, other causes can be deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now, you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope I have answered your query. Let me know if I can assist you further.  "
+"my daughter has been diagnosed with pollen allergies since she was 3...she is 6 now....we ve been on different medications, but the longest she took something was l-montus kids, for a yr.....she gets congested, irritable nose and redness around eyes from the pollen...rt now its winter in georgia, USA....pollen levels are minimal...but I still have to give her the medicine or her eyes get red and swollen....any suggestions?...want to minimise medicine usage","Your daughter seems to have quite a severe form of pollen allergy, normally called hay fever ---it appears that there is quite a lot of discomfort --inspire of montelukast medication in addition to symptomatic decongestants ---at this point the main idea is to take her away from the allergen --pollen --sometimes when this irritating agent can be given in small doses may desensitize. The plan of management includes --keeping away from pollen, decongestants, creams, she may need steroids short courses to help her during acute discomfort or pain. The good news is her airways seem to be free and no cough"
+"Do u charge a fee? Leg pain fem top right side of tail bone down,,,,, for past few years. seems to be a problem, Every time my shoulders go off. one is higher than the other as if out of alignment. Also I can.com.com feel some lumps on muscles of leg. What is this?","Hello, As per your history, it may be due to thrombophlebitis. For further assessment you may require ultrasound Doppler of both legs, complete hologram after consultation. Along with that keep yourself HY Chat Doctor.  Take balanced diet. Till then for pain you can take tablet acetaminophen. Apply diclofenac gel or ointment Hope I have answered your query. Let me know if I can assist you further.  "
+"i am a lactating mother and am experiencing slight tightening in my middle of the chest for a week now. no pain or great discomfort but a feeling of tightening throughout the day? i am 34yrs old, 5ft 4"" height 72 kgs weight, have no major healtChatDoctorplaints, sugar BP all normal.","Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart and lung related diseases because you are young and having normal blood pressure and sugar. Sometimes, stress and anxiety can cause chest tightness. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+I have been having lower back pain with shooting pain in both legs. Also have been having bouts with diarrhea several times weekly with pain in the lower part of belly right above the pelvic bone. I am wondering if these two things might be related.,"Hi I am Chat Doctor. .  In my opinion you have a kind of sciatica due to nerve compression, actually these two symptoms are not related, but bowel movements may exaggerate the pain sensation.  For my patients I may recommend physiotherapy, hot massages, spinal straightening exercises will be helpful, painkillers like Advil tabs when needed, gentle massaging with anti-inflammatory gels, B12 vitamin supplements, muscle relaxants will be effective for most of the cases, in more severe and chronic cases steroid tabs or injections are prescribed.  If pain persists I recommend MRI scan on your spine to exclude any spinal disc herniation and follow them up with your neurologist for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask."
+"my father experience numbness in his right hand after CABG 8 month ago. Doctor said it is normal side effect of post CABG. But my fther not happy with the numbness. so last week he start smoking ( he is a heavy smoker before but quit smoking after the CABG. he quit smoking for 8 month until recently ). He said the numbness gone after he start smoking. My question is, is nicotine or any substance in the cigarate have some effect on the the nerve or what so ever that can reduce or heal the numbness.TQ","Hello No it doesn't have any favorable effect on nerves, it's just his psychology and the urge to smoke in his subconscious that is making him feel in a better way. Smoking even after a CABG is highly inappropriate as smoking promotes atherosclerosis and can lead to a very early graft failure that could ultimately lead to a heart attack. So you have to make sure that he should stop smoking completely. Wish him good health Regards"
+"Hi,I am Aditya 22 years old working professional and I am suffering from hair loss kindly suggest me some steps or any medicine to stop it and to regain the same. I have heard about biotin capsules if its good for hairs so please let me know in bangalore where its available.","Thank you for the question. Hair loss is associated to many factors. But hair loss due to heredity is usually seemingly get yourself first checked for routine blood investigations such as hemoglobin etc. If all the tests are normal, then you could start applying Minoxidil solution 2% or 5%. This should be supplemented with multivitamins. Biotin is usually found in multivitamins. Regular exercise/yoga, street free lifestyle and balanced diet will all be helpful in reducing hair loss. You will begin to notice hair growth after a period of 6-8 weeks after following all the steps which is advised Best Chat Doctor. "
+I have been told that I have a chest full of lympnoids  some people say you dont get lympnoids in your lungs but my c- scan says otherwise i am scheduled for a biopsy sometime in the next couple weeks and I am very nervous and scared of what is happening..,Thanks for your question on Chat Doctor. I can understand your concern. Chest cavity has mediastinal group of lymph nodes. And common causes for mediastinal Lymphadenopathy are 1. Lung infection 2. Sarcoidosis3. Tuberculosis4. Histoplasmosis (fungal infection)5. Lymphoma s (malignancy). So biopsy is needed to confirm the diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
+basically i have been repeating myself alot lately i used to do it in the past but its been more common. its not like a stutter or stammer its only with one word out of a sentence. i will be speaking normally and then it hits me and i find my self repeating the word or sentance over and over sometimes even up to 20times. the wierdest thing is i can break away from saying it but to carry on telling the story i have to repeat it again. i was wondering if you have any answers as to what could be happening.,"Degree understand your concerns went through your details. I suggest you not to worry much.  From the description it is not easy to diagnose you properly. But I see a case of obsession here without any underlying physical / physiological cause. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"32yo female,smoker, taking 90mgs of generic adderall for the past 6months, got EKG came back normal-no other health problems. having heart palpitations since starting meds, feels like its skipping or stopping then goes back to normal, ck my BP numerous times a day- its always between 80s -90s.. now my left neck vein feels like it is throbbinig or something- and sometimes i can feel it in my left arm veins too. worried my heart is going to give out or something!!","Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You must know that Adderall is a stimulant of central nervous system. It affects chemicals in the brain that contributes to hyper reactivity. Through stimulation of nervous system in a secondary way it stimulates the electrical system of the heart. This stimulation might cause fast heart beats over 100 or generate other electrical impulses in parts of the heart different from normal sinus Rhythm. This causes premature heart contraction that we call extra systolic beats. In this situation you feel your heart like running, making pauses or skipping beats. You might feel anxiety, difficulties in breathing deeply, palpitations or pulsations to your veins all over. Every kind of stimulation of nervous system might cause this rhythm issue to simple emotional stress, coffee consumption or pathologies like anemia, hyperthyroidism, this kind of medicine that act directly to the system. So, nothing serious is happening to your heart. it's a reaction to this stimulation. My opinions is to discuss this effects with your doctor and decide together what to do with and fit is possible or allowed to stop it. Hope I was helpful. Best regards."
+Doctor I had problem regarding my foreskin . Generally my skin is over my penis & when I am not in stage of erection i was able to move it back but last month i got infection and cracks on it which later i treated with some soap and cream . right now i am unable to move my skin back and unable it to clean with water which i generally do while bathing. I am feeling little itchy inside it. I am practicing it to move back it is not so and feeling uncomfortable while sitting and relaxing,"This is a condition of inflammation of foreskin, as per your explanation. Possible causes can be contact with any allergens, fungal or bacterial infection etc. It is very important to diagnose the problem exactly. Sometimes if you have this issue, using of soap and other creams can aggravate the issue. It is advisable you contact a dermatologist and get treated as soon as possible, and if it is due to any allergy (some people will even have latex allergy), avoid the contact with such allergens, and if this particular problem started after a sexual intercourse with a particular person, inform that person also to get treated. TC"
+"hi sir, My mother is 70 year old femal suffering fever for a week . he has seen both lung markin with old fibrocalcifiedlesion in both upper zone. no active tuberculosis, consolidation or effusionis seen on eighter side heart size normal no pulmonary congestion is seen no lymphadenopathu is seen bony thoracic cage is normal tell me about her. is it serious ?",Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. I have gone through the CT report you have mentioned. Fibrocalcified lesions are suggestive of old healed lesions. These are mostly due to previous lung infection or tuberculosis. No need to worry about these lesions as they are scarred inactive lesions. Rest of the report is absolutely normal. So no need to worry about lung related cause for her fever.  Hope I have answered your query. Let me know if I can assist you further.
+my husband recently got examined for company meedical test (age 37/ height 170/ wt 60) . his cholestrol level is 238 & LDL cholestrol was 152.6. also when tested for cardiac ischemia it was positive(the stress depression > 2 but it was recovered later). i jst want to knw is this a severe problem & can it be brought to normal?,"Dear Mrs, If he has a positive stress test for ischemia, it means that one of the vessels with supply blood to heart is narrowed. It is not very common in his age, but possible. The risk of this disease is that such patients can develop a heart attack. The next step should be coronary angiography, it is an examination, when heart arteries are imaged, it will show the exact vessel and the percentage of narrowing. And if there is a need doctors may intervene and open the vessel with stent. His doctor will prescribe him medications to prevent further blockages, and he should follow healthy lifestyle: avoid food containing animal food, not to smoke and Chat Doctor. Hope this was helpful for nourishing a good health to your husbandmen back if you have any further questions"
+"Sir, Is there any possibility of the wisdom tooth having cavity causes tinittus and hearing loss ?I am 48 years old,165 cm ht. 68kg wt. For the last 1 year I feel some symptoms like that of tinittus in my left ear and 60% of hearing loss. One of my wisdom teeth (left lower jaw) is having cavity and pain.","Hello, Thanks for consulting Chat Doctor, Read your query, as you have tinnitus, hearing loss this is not related to cavity in wisdom tooth.  Due to cavity there can be referred pain in ear, but this tinnitus and hearing loss can be due to ear problem for this you should consult ENT surgeon and go for its treatment. For cavity in wisdom tooth you should consult dentist and go for IOWA X-ray of tooth if possible go for restoration of tooth or extraction of wisdom tooth.  In meantime do like warm saline rinses, you can take analgesic for pain like Painted or Paracetamol by consulting with your local doctor. Hope this will help you. Wishing you good health.  "
+HEY I ALWAYS WATCHING BLUE FILM AND I ALWAYS FEELING HIGH AND SUDDENLY I WASTE MY SPERM AND I WEEK I DO THE SAME AND NOW I CAN THAT I HAVE LITTLE WHITE SCARS IS ALRIGHT FOR ME OR I NEED TREATMENT??  SIR PLEASE REPLY ME SOON I WAS SO DESPERATE WITH THIS THING :(,"Degree understand your concerns went through your details. Please understand, there is nothing called wastage of semen or sperm. Sperm is produced whenever you are sexually aroused. Such produced semen is stored within your body and is a waste product. Body should throw the stored semen out. Body does it through urine, nocturnal ejaculation or through masturbation or sexual intercourse. You do not need any treatment except correct knowledge and awareness. I suggest psychological counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care."
+"Hi Doctor,I am 24 yrs old and my Husband is 30. I am trying to conceive from last 3 -4 months. I had a abortion in May2012.reason came out is Tourch was -ve. I have completed the Tourchnil tablet course for 3 months as well.Currently taking the Furtisure from 3 weeks. Are there any side effects for those tablets?. What other tablets/ supplements would help me to conceiving soon?.","You should not worry much at this moment, as you are trying to get conceive only for 3-4 months .we do not categorize it as secondary infertility. As you have mentioned that you are taking furniture I think it is a herbal vitamin supplement, you can take another tablet which helps in fertilization that is-tab Along(pyridoxine+folic acid tab) and increase your frequency of coitus in mid-phase of menstrual cycle. If even after 2-3 month you are unable to conceive than consult your doctor for complete evaluation. Thank you."
+"I was told I have allergies to things out side & I was taking allergy medicine.it helped till about 3 months ago.now my nose drips every day nothing is working! I have nose sprays ,i have done salt water & medicine . I dont know what to do now .I also have breathing problems now too.I cant work because I am to sick. I have no life because of this .",I give you temporary solution of medicines you can take off and on for as many number of days and as many times without any side effect but eventually you have to consult allergeologist to get allergy tests to find the cause and desensitization therapy for permanent cure tab montage FX(combination of montelukast 10 mg and fexofenadine 120 mg)apply newsprint h eye ointment in nose but seawater Chat Doctor. 
+yes please I found a lump about the size of an egg and it seems to sit right above the rectum but I feel it in my abdomen it is hard and it is painful to bend at waist. I had three abdominal surgeries three years ago and I have three fistulas. I have also been running a fever between. 100. and 103.,Hello lump of the size of an egg is a matter of concern particularly in perianal await could be any of following perianal or ischiorectal abscess Large hemorrhoids Rectal polyp Cancer growth in rectum or anal canal I would advise you to consult a gastroenterologist or proctologist for colonoscopy/ photocopy for confirmation of diagnosis have plenty of fluids lots of fruits and dietary fiber avoid constipation by taking liquid paraffin at night smoking and alcohol to be given up hope this helps you regards
+"My 9 year old boy complains of headaches in the eyebrows.  He gets it after watching a movie where it is dark than light and when going to bed, going from light to dark.Sometimes he has stomach upset and dizziness as well.  We use homeopathic remedies for dizziness and headache.  Is there anything else we can do?","Thank you for following up. We should do differentiation diagnostic of your child headache: Acute single episode:- with meningismi, accompanied by neck stiffness-head injury-sinusitis(dull ache over frontal or maxillary sinuses)- tropical illness:malaria-low blood pressure Recurrent acute attacks of headache:-migraine-cluster headache-trigeminal neuralgia Chronic headache:- Tension headache:stress relief, massage may be helpful-Raised intracranial pressure:typically worse on waking, lying,bending forward.- Medication overuse I suggest -1. Consult your pediatrician and pediatric neurologist2. He might require an ECG For prophylaxis of stomach upset I recommend probiotic- Darla 1 capsule 1 time 1 month Best regards Chat Doctor. "
+"really quite bad gallstone pain, wonder if stone in bile duct, waiting 17 days for ultrasound to confirm docs diagnosis, dont know what to do if pain gets worse tonight, have some pain meds but if I sweat with pain plan to get husband to take me to ER, hope it doesnt happen, any help?","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. In acute phase, you need to take plasmolytic, avoid fatty food and rest. In case of progressive pain, go to ER. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition.  You need to change your dietary habits first.  Need to avoid fried food, carbonated Chat Doctor.  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. 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 was poking my teeth when suddenly a piece of my front tooth yanked-out. At least, I think it was a piece of my tooth. I can feel a whole in the back of my teeth, but you cant see a whole in the front. The piece I pulled out had somewhat of a chalk-like feel to it.","Hello, Thanks for consulting ChatDoctorRead your query as you have broken front tooth from palatal aspect don't be worried so much chalky tooth can be due to condition like fluorous or due to nutritional deficiency. I will suggest you to consult oral surgeon for examination of teeth and go for oral prophylaxis. If this can be restored so for tooth colored composite restoration. Inmeantime maintain proper oral hygiene. Do warm saline rinses 2 -3 times a day. Hope this will help you."
+"My 86 year old father just got out of the hospital after being diagnosed with anemia . His hemoglobin was 7.6 hematocrit was 23. He had a small bleed , I think they called it an AVM. They cauterized it, gave him one unit of blood and also gave him I ve iron. On Wednesday his hemoglobin was 8.8 and his hematocrit was 28.8. He had another 2 units of blood. He has experienced some foot pain lately, but this morning he got up to go to the bathroom and almost fell. He said the pain in his right foot was bad. I was reading up on and came across information that it could be from a B 12 deficiency. If this is so, Would they have seen this B 12 deficiency on his latest CBC or BMP?. He has has B 12 shots in the past, though I couldn t say when the last one was","Thank you. There are many causes of anemia. Among them the most common are iron deficiency, chronic blood loss, vit b12 & folic acid deficiency etc.in case of vitb12 deficiency peripheral neuropathy may occur which may causes pain in the hand & feet & other features.it is easy to diagnose. Examination of peripheral blood film show megaloblastosis. As there is history of it b12 deficiency, so it is better to exclude megaloblastic anemia. Take care."
+Hi! My husband has a problem. He used a Veet Hair removal cream for all his body on saturday.(including the balls under penis) And next day he saw a blood in his urine. He told me is soo much:( When he wake up on Monday morning he saw a blood in his boxers. Is it possible to be reaction from Veet cream?Thank you,"Hello, I can understand your concern for the blood in boxers of your husband after applying the meet cream. It appears that your husband has developed irritant dermatitis after applying the meet cream over the genital area. These creams are quite prone to cause the burn on the skin and therefore can cause damage leading to oozing of blood from the affected site. I suggest you to ask him to do cold compression over the affected area. Till the time you meet a family physician you can ask him to apply an antibiotic cream such as funding cream or mupirocin cream over the affected area. Ask him to wear lose cotton clothes so that it should not irritate the scrotal skin. All the best."
+"I have had very heavy and painful periods for many years.....I am trying to conceive right now (miscarried in November, ectopic in March which resulted in losing my right tube.....is there any chance for me and could the cause be rooted in my heavy, lumpy and painful periods?","Hallow Madam, Since you have conceived twice in your life, there are very good chances that you will conceive again. However, the history of ectopic pregnancy cannot be ignored, and you will have to be on the guard for it. The best option is to monitor the ovulation by ultrasonography and time your sexual intercourse on the day of egg release. You will have to submit for the ultrasonography day 9 onwards for about 5-6 days. This should give you better results. If you choose to have pregnancy when the egg from the side on which tube is intact is selected, the chances of pregnancy will still be higher. I hope this helps you."
+"my husband had a half gallon of brownish fluid removed yesterday from his peritoneum cavity, it distended almost to the same size within two hours. could he have internal bleeding? they, the doctors sent a sample to the lab how long should it take until we know the results?","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You will receive the report with in a day. The fluid collected from the peritoneum is the ascites fluid. It is an interstitial fluid of the body. But it is not the bleeding. But it won't be filled with in a day. You should be investigated for such a fast filling.USG abdomen is very helped full in such a diagnosis. There are many causes of the collection of the fluid most common one is the liver failure, some malignancy etc. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor."
+"I have noticed for about the last 6 or so months when I sit down in a hard-back chair there is an area in the middle to lower section (about where my belly button would be) of my spine that begins to hurt. I have a bruise at the location of the pain -- probably because I am a student and my back is constantly being pressed against hard desk chairs. When I run my fingers along my spine, I do notice a slight protrusion at the source of the pain -- I m not sure if it can be seen, but I can feel it. I don t have any serious history of either back or muscle issues. I do feel quite restless when sitting down -- I am constantly shifting. I also get the urge to crack my back at least two to three times per day. Any ideas about the pain in the one spot of my spine? Why is it sticking out? Thanks!","Hello ! I understand your concern. In my opinion a disc bulge in that level of your column may be the cause of these symptoms. The protrusion may be an inflammatory lesion, or just the bone related with your spinal nerves at the point of the column where they get out from the spine. Other possible diagnosis, more rare may be lesions of the spine like tumors, cysts, etc. I would recommend you see a doctor and have a lumbar column x-ray and a blood routine test to rule out this diagnosis. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, "
+I have been taking the contraceptive pill for over 2 years and have never missed a gap week. i am on my gap week now and still no bleeding? i was sick and had antibiotics and pain killers for my back during my last 21 days but used condoms as extra protection. should i go to my gp?,"Hello, The company which you are saying suggesting me to rule out pregnancy first so for that reason opt for urine pregnancy test but at the same time chances of it to come positive is very less but still would like to rule it out first, then if its negative it means because of your recent illness your periods have got delayed so start taking multivitamin and iron tablet because many times because of nutritional deficiency also periods dates may get altered. Hope I have answered your query. Let me know if I can assist you further."
+"Hi , myself celina age 26, my relation never worked out with anyone and now I am in a situation that I scare to bring a new person in my life I am not able to trust any body and always think that people are doing conspiracy for me , what should I do ? Now recently I deeply and seriously feel in love with a boy but I never got the attention and concern that I should deserve from him and it made me more insecure though our relation was for two years I never had physical relation with him because my past relation was not good , and I always felt that boys just come for sex and they are never serious with any one .When I was 11 years my mom and dad got separated and I always blamed myself for this I do not know why , and I used to hate the opposite sex , because even in my family my uncle tried to have sex with me , this is the main reason I used to hate boys , now I am in deeply love with this guy but he neither understand my situation neither co operates with me always tries to dominate me I want to come out of this but i feel very insecure due to my experience I cant take it any more , recently after this break up I feel that I am not good enough to handle relationship and also scared to go for any new relation totally lost don`t know what should I do , there is something wrong and I want to correct it please help","Hello Bad childhood experience, troubled relationships between parents are causing the disturbances in your behavior and relationships. Your close uncle tried to approach you and this resulted in fear of males. But presently you had relationship with a boy, so you have to move on. Childhood trauma results in conflict in mind, and it causes severe distress, and it can cause serious effects on personal and social life. I would advise you to please consult a good Psychiatrist for expert opinion and get your Psychotherapy done. Psychotherapy will resolve the unresolved conflict and will improve your condition. Life skill training is also needed. Try to do relaxation exercises and this will increase your confidence. Hope it solves your query. Thanks"
+"Hi Dr Grief, My name is Sarah. I have been in the hospital the last three days and have been give Heparin injections. My last injection was this morning and I am continuing to bleed from the site. How can I stop this? I have applied multiple band aids and it soaks through and onto my clothes. Thanks, Sarah","Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that heparin is anticoagulant and should not be taken if the bleeding is continuous, I advise you to take consultation with your doctor and stop the heparin. Heparin has action of thinning the blood. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor."
+"My husband is 52.  He has had diabetes since the age of 12.  In April, 2010 he had a stroke leaving him with right side paraparesis.  He  started dialysis in May, 2010.  He has a lot of pain in his lower back and woke up last night with chest hurting and the night before with stomach and lower back hurting.  What do we need to look for?","Welcome to Chat Doctor .1. There are few reasons for back pain in this case, due to the underlying paraphrases if the patient is less mobile.2. Underling Diabetes - If it is uncontrolled.3. Age related degenerative changes do may cause the back pain.4. I would recommend an MRI spine to find out the status of the disc and cord involvement, at the same time a plain radiogram (X-ray) spine for bony changes. Hope it helps you. Anything to ask ? Do not hesitate. Thank you."
+"i get cold that is in the form of allergy (that is running nose and sneezing) almost after masturbation or even if i get night fall. I am 100 % sure about it , if i dont do masturbation for say 7 - 10 days then i dont get cold (allergy that is running nose and sneezing) for that period of time . Sneezing continouly for 20-25 times is too much to handle for me","Hello, thanks for your query, I think u have honeymoon rhinitis, any way, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care."
+"Hi,The inside right cheek of my mouth does not feel smooth as the left cheek, something like a very fine sandpaper feeling. I looked with a flashlight and it looks different than the left side. Gray cast rather than pink like the left side. It is hard to see close because of the limitations of my glasses and the mirror. Do you have any ideas? What kind of doctor would I make an appointment with. Would it be a dentist, GP, or something else?",Hello. Thank you for consulting Chat Doctor. You need to consult dentist for diagnosis of this lesion. According to symptoms you mentioned you can have leukoplakia/keratitis / lichen planes/ oral keratinizing candidiasis. I need to know your tobacco habits. I also need to know your gender and mental status either you are under any stress ? I also need to know are you taking any medicine regularly specially steroids ?perfectly the lesion can be diagnosed with microscopic examination of the infected tissues.
+"A few days ago, I pulled my lower back quite badly. Since then it seems to be healing with rest, ice and gentle exercise. However, a simultaneous problem has occurred that is causing a great deal of pain. I noticed that my bottom was also very painful, and when I looked there was a red and painful lump at the entrance to my anus. I took this to be a haemorrhoid. However, it is a very swollen and red perineum that is actually causing the pain. Is this related? Are they related to my back? And how can I treat it? At the moment, the combination of injuries means I can barely sit or sleep.","Thanks for your question on Chat Doctor. I can understand your situation and problem. I don't think your back pain and swelling at anal region are associated. By your history and description, your anal region swelling is mostly due to boil (skin infection). It is common in diabetic patients. So first rule out diabetes. Also consult surgeon and get done clinical examination. You need incision and Chat Doctor. "
+"Hello, I heard gargling hydrogen peroxide makes teeth white. I tried it, but shortly afterwards my nose started bleeding and also a little through my mouth. Is this a side affect of gargling hydrogen peroxide or may this be caused be something else?","Hello, Thanks for writing to shy Chat Doctor.  Less complex molecules that reflect less light lead to a reduction or elimination of the discoloration of both the enamel and the dentin. The length of treatment depends on the level of discoloration and on the whitening product used. It ranges from short interventions in the dental office to applications at home lasting minutes/hours per day and repeated over a number of days. Single dark teeth can also be bleached successfully. Heavy tobacco stains may need as much as three months of treatment. Whitened teeth generally do not darken after treatment or darken only slightly, and when they do, retreating the teeth can easily be done. Hope this helps you. Wishing you good health... Regards."
+"My 24 year old son was diagnosed with strep throat saturday and started antibiotics.  By Tuesday his stomach hurt so bad he went to ER....They said after an ultra sound that his gallbladder was swolen.   On the IV with antibiotics he felt bettter, now 12 hours later his stomach is bad again, he thinks its the antibiotics.  Im wondering if it is just anything he puts down his stomach affects his gallbladder????? Help I dont want another trip to er","Hello! Thank you for the query. Antibiotics quite often cause some gastrointestinal issues. Like every medicine they can irritate stomach causing stomach ache. Usually it is nothing serious, however if it starts recurring, some diagnostics is necessary. Swollen gallbladder should rather get better after antibiotics. So it is hardly possible that antibiotic itself has caused such issue. More possible is that your son has peptic ulcer which get irritated by antibiotic. In case of peptic ulcer, ultrasound is usually useless. I suggest your son to visit a doctor once again. CRP, and blood work should be done along with an ultrasound. If nothing will be found, gastrostomy should be next. Hope this will help. Regards."
+"My boyfriend and i went to the building store about 1.5hrs ago and he started feeling really hot, he started sweating really badly and felt really light headed, hungry and thirsty. He is 19 years old what is wrong? he still does not feel like himselfhe gets hot and then cold and shakes and sweats","**1. Going by the time period and symptoms it could be acute stress reaction, viral or bacterial infection, heat or cold exposure.2. Visit your nearest physician to check with his blood glucose level [low blood sugar level causing hunger, thirsty, light headdress, sweating] and for EKG [electrocardiograph] to exclude any heart abnormality.3. After necessary examination he may ask for:. Blood culture for malaria. Sputum culture. Urine culture. X-ray of the chests. Since chills are natural response of body to variety of conditions thus prior to opting for any medication kindly visit your health care doctor."
+"I was bitten two days ago by a fire ant, three times on my middle toe on my left foot. It became inflamed and red very quickly. I used benadryl, it stopped the itching. Yesterday morning the swelling had spread to all 4 small toes and into my foot. My doctor prescribed prednisone and topical steroid cream. Also told me to take zyrtec or clariton over the counter. I took the steroid and it seemed to reduce the swelling but by the evening two of the insect bites were black and the surrounding area was also black and swollen. I soaked my foot in epsome salts that helped the pain and reduced the redness and swelling some. Today the bites are still very black and swollen but not exceptionally painful. Should I be concerned? Should I lance them and soak again?","Hi, thanks for using Chat Doctor It would be best not to puncture them because they can introduce infection if the technique is not sterile. You may want to add anti-inflammatory painkillers to your current regimen. They would help with pain relief and also reduce the inflammation due to the bites. Examples are ibuprofen, naproxen should continue your other medication and can also the foot baths. It is possible that the bites may become infected so if there is no improvement you may need a course of antibiotics. I hope this helps"
+"I am a 25 year old female, weight 130. Generally I am pretty active(going to the gym at 5-7 per week). However, in the last month or so I have been exhausted and sore which made it difficult to work out.  I blamed in on worsening allergies(I live in the northeast) and everyone seemed to have worse allergies this year. However, my ""allergies"" were not relieved by over the counter medications and perscription nasal spray.  My symptoms have been getting worse and have been present for at least a month and are flu like.  I have had an intermittent fever for at least a week and have chest pain and a cough.  I was seen by the doctor yesterday and she ran a lyme disease test and a CBC, I had a fever but my ears, throat and nose looked good and my lungs were clear.  I have no relief for my cough, but advil does relieve some of my chest pain.","Hi, Welcome to Chat Doctor, Fever with runny nose and soreness could be due to rhinitis (allergic or infective), sinusitis,common cold or may be URI. Runny nose is mostly due to viral infection because of our low immunity. You may need to do complete hologram, ESR,electrolytes and X-ray of face to check for sinusitis. You must go to ENT specialist to get properly diagnosed first as there is fever and cough. So, better to consult doctor."
+"Hello, I am 35 yrs old female, I m having hard time to get going, I feel tingles in my face, my both hands, arms and my back. Also having squeeze in chest area, mainly where heterial hernia. also feels dry mouth requires drinking lot fluids. Any advice would be greatly appreciated. Thank you","Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to an electrolyte imbalance, diabetes or any other metabolic disorder. That is why I would recommend consulting with your GP for a physical exam and some tests (complete blood count, PCR, ESR, iron levels, fasting glucose, kidney and liver function tests, blood electrolytes, vitamin D levels). You should discuss with your doctor on these tests. Meanwhile, I recommend taking plenty of fluids. Kind regards, "
+hi i have taken 4 ipills from 2nd june onwards till 2nd july and inbetween i got my periods but again i got them on 6th july which was only spotting till the 8th july and then the normal flow started and till now i have spotting ...my gynac gave me etosys mf and celin for 5 days 3 times a day to stop but its increasing my flow and then gives a relief for some time so what is this ?? and she asked to get a beta ChatDoctor test done for what reason ? im scared i hope its not aids or cancer ...,"Hi and welcome to Chat Doctor, thank you for your query.Aids and cancers are the last thing to think of. There are many causes of such difficulties and most of them are benign and treatable. You should check your hormonal levels and do ultrasound of uterus and pelvis to see is there cyst or endometrial pathology. Also, you should check your coagulation factors. Usually such bleeding scan be regulated dwith hormonal therapy, so I am sure it will be possible in your case too. Wish you good health. Regards"
+"Hi I have a small bump on my stomach, kind of looks like what a mosquito bite would look like, but it does not itch. I had it for one day a week ago, and than it disappeared and reappeared today. When I touch it I felt the urge to use the bathroom, what could it be?","Hi, Dear,Good evening. Thanks for your query to my virtual Chat Doctor Clinic. I studied your query in-depth. In My opinion-diagnosis is-Bed-bug bite / or-spider bite/or insect bite.-Urge to bathroom, may be just coincidental to its touching and I don't feel any relation is there. Still I would advise taking ER Surgeons opinion, who would treat it appropriately. Hope this would resolve your worrying query. Wellcome for more query from you. Good day."
+"how long does an i-pill take action, say i had sex with my wife on thursday the 23th of may, will the pill still be effective if we had unprotected sex after four days from the date of consumption of the first pill, if not then for how many days does the pill takes its action?","Hi, I have gone through your question. I pill, or the emergency contraceptive pill has its action in preventing only that pregnancy which can occur by the last intercourse episode. It does not have contraceptive effect for the next unprotected intercourse. You need to take a repeat course of I pill for this act. I would suggest you to use regular contraception, as repeated I pill intake have side effects and have increased failure rate. Hope you found the answer helpful. Wishing you good health."
+"Hi, may I answer your health queries right now ? Please type your query here... My 3 year old boy has just currently started not sleeping and is worried that im going to leave him, he is not going off to slepp well and it takes ages to settle him. Also he is up a lot in the night, help?","Hi, A common cause of sleeplessness in a healthy 3-year-old is mostly due to frequent nap in the noon or in the evening. They also have the fear that they will be left alone at night, in that scenario either of the parents should be with the child, till they go into deep sleep.  I would suggest you make the child play well in the evening and lessen the duration of sleep in the noon and avoid caffeinated Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care "
+I have developed numbness and tingling in my finger tips. Have lower back problems as I broke my back as a teenager and have arthritis. I am on thyroid meds for Graves Disease which was treated with radioactive iodine in 2011. I also have a low immune system (low igg antibody) and have frequent infections. Should I be concerned with my new tingling sensation in my fingers and feet.,"Hello. I have been through your question and understand your concern. Tingling in the extremities are a common feature and usually temporary and benign. Still, since you have a rich medical history I recommend you to schedule a Neurological consult and an electromyography plus a nerve conduction study to better evaluate if the tingling is a serious feature. Basically you should not worry because it is very common but still you should consider a neurological consult. Hope this helps Wish you the best health"
+"hey doc,i am a 20 years old girl.i just dont know what happened to me during the last two year, my blood turned actually thick and purplish red as if it is some old blood. and now i have so many acne scars on my face and a dead skin. really worried please help","Hello and welcome to Chat Doctor, Thickening of blood and development of acne are most probably unrelated to eacChatDoctorplete blood counts and red cell parameters are required to look for polycythemia. Polycythemia is characterized by raised red blood cells and high hemoglobin. Acne need to be managed conservatively with antibiotics and sufficient time should be given to allow the acne to heal. Thanks and take care Chat Doctor. "
+"Hi,Iam kellie im 25 year old my health question is im shortness of breath, i cant really breath that well its been like this for 2 weeks now, i do have an heart murmur which ive had since i was about 12 years old, and i have had 2 depo conception injections but ive stopped them now i didnt go back for my 3rd shot which was suppose to have been 2 months ago, could u please give me some information to why im feeling like this, because i do feel very unwell. thank you for your time.","DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN.HEART MURMUR USUALLY INDICATES A UNDERLYING VALVULAR HEART DISEASED EPO INJECTIONS CAN INCREASE CERTAIN HEART PROBLEMS BUT AS YOU HAVE NOT PROVIDED INFORMATION OF THE EXACT DISEASE YOU ARE SUFFERING IF YOU COULD MESSAGE ME THE DETAILS OF THE DISEASE OR CONSULT A CARDIOLOGIST FOR THE SAME HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS"
+"Hi, I have been experiencing back problems for several months. It started after i got back from Drum corps which is marching band across the country fro 2 months. We have to hold our bodies differently then normal, I heard that it is common for back problems. Today it was the worst its ever been. I couldn t stand up for an hour.","Yes it is common .and is because of constant stretch of lower back muscles. That we call as lumbar muscle strain. It will slowly resolve .you need to avoid further injury to back muscle by not doing any activity that aggregates your pain. Consult a physiotherapist for low back exercises. You can use lumbar belt that will help in pain control and will prevent further spasm and injury. If pain is severe, causing problems with your day-to-day activities then you can take some painkillers with muscle relaxant in supervision with an orthopedic surgeon."
+"I am getting loose motions with abdominal pain, please help me",Hello Gurkha;welcome to Chat Doctor Loose motions with pain in abdomen can be due to infection of the intestines. If you are not pregnant and if you are not allergic to any of the medicines then you can take tablet-Oflox-TZ 1 tablet 2 times a day for 3 days which is a combination of Ofloxacin and Tinidazole both antibacterial and antiprotozoal. Also since it can cause acidity and nausea you have to take antacid tablet like Zinetac-300 mg along with the other tablet. Chat Doctor. 
+"The vein over my left temple is pulsating.  No pain, but slight pressure on the edge of my left ocular cavity.  I have a history of panic attacks, and this occurs during them, but at the moment, I am not having an attack.  Could this be something other than stress?","Hi, Thank you for your query. I can understand your concerns. It is not a vein but an artery, more specifically, the superficial temporal artery which pulsates. It is a branch of the external carotid artery. Furthermore, it occurs in anxiety disorders. Pulses can be abnormally strong when the patient has an elevated pulse pressure.  This would result in a strong, bounding pulse that could also be asymmetric due to anatomic variation. Bounding pulse -commonly seen in hyperkinetic circulatory states where there is vasodilation and increased stroke output. The pulse volume is high (due to high pulse pressure) with increased blood flow. Hyperkinetic circulatory states may due to excitement/anxiety. Other causes of hyperkinetic circulatory states giving rise to bounding pulse are Hyperthyroidism, Severe anemia, Beri Berg (thiamine deficiency), Arterio-venous fistula (e.g. Pages disease or hepatic failure). The most rapidly rising bounding pulse is found in AR(aortic regurgitation), PDA(patent ducts arterioles), coaptation of aorta. Regards "
+My MRI report says mild disc bulge noted in C3/C4 level causing compression on thecal sac. Diffuse disc bulge with small posterior disc osteophyte complex is noted at C4/C5 causing compression on thecal sac with narrowing of right neural foramen resulting in compression on exiting nerve roots on right side at this level. Same witj C5/C6 with slight narrowing of right neural foramen closely abuting exiting nerve roots,"Hello, These MRI findings of your cervical spine are consistent with degenerative changes (spondylosis) with subsequent spinal cord and nerve roots impingement. In cases like this, a correlation between MRI findings and neurological examination is necessary to assess the correct treatment ways. I suggest you discuss with a Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further.  "
+"Despite being exhausted last night, I could feel my body pulsating rapidly and heavily while lying in bed and waiting to fall asleep. I dont have a medical history of any complications. By 2.30am, when I was at my wits end, I finally resorted to taking an anxiolytic before I finally dozed off at 3am. Please let me know if my symptoms point twards any particular condition(s). Thank you for your time and kind attention.","Hello, thank you for putting your trust in our site, my name is Chat Doctor. What you did experience last night is called palpitations which is a rapid hard heartbeat, and the most common cause for heart palpitations is anxiety. Other causes include; hyperthyroidism and arrhythmia, and since you don't have any other symptoms suggested for hyperthyroidism or a cardiac issue then mostly what you had is just anxiety cause you probably stressed out or overthinking about a particular issue, and you will need any treatment just avoid "
+High I woke up last night with tigness in my left side of my chest i thought I was taking a heart attack I also have a pain in my left leg I m just wondering would that have anything to do with I m 41yrs of age and I stoped smoking 7 months ago I am on the electric cig,"Hello, Your symptoms could be related to gastritis or gastroesophageal reflux. Anyway, I would recommend consulting with your attending physician for a physical exam and a routine check-up: - a resting ECG-complete blood count-blood electrolytes.  An exercise cardiac stress test would help to definitely exclude any possible cardiac issues. In the meantime, I recommend trying an antacid or PPI (omeprazole), before sleep.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+What are the first steps to getting help with my mum who has dementia and I am not coping and her GP was completely unhelpful and offering no help at all. I am 60 and have a business to run and I cant sleep. First port of call for practical help please.,"Hi, I can understand what you might be going through. You haven't mentioned whether your mother is on any treatment as of now and what are the exact symptoms she is suffering from as of now. I would advise you to consult a neurologist first. Thorough evaluation with blood investigations, cardiac evaluation and brain scanning would be needed to determine any primary cause of dementia. She would need treatment with medicines like donepezil which will slow down her progressive cognitive decline. In addition, if she is having any behavioral symptoms, medications might be required for that too. She could also be helped by certain behavioral measures for her memory symptoms. You can discuss this with the neurologist. Hope this information was useful. Best wishes."
+"I have a paranoia that i may be pregnant, I have a small lump on the lower left side of my abdomen, weight gain and im tired. I am also a college student who only gets about 7 hours of aleep a night. could I be pregnant or could it be something else?","Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. By no means the lump in the lower left side of your abdomen and weight gain suggests pregnancy. I would advise you to consult ER Surgeon for opinion on left lower abdomen lump and ER Gone/Oust Doctor and ER Psychiatrist if your doctors advise you so.Don't worry and things will be right after this check up. Your doctors would rule out pregnancy and would take all due care to investigate and treat it accordingly. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N."
+I am patint of Hole in heart approxmately 32mm and my age is 32 year .I have made an echo in G.B.Panth and found 32 mm hole in my heart .I want to know if I would not treat this heart .Can he  effected in future .I did not feel any problems of heart from childhood.What should now I should make the surger or not .,"Hello, Certainly it needs treatment. It can damage heart and lungs permanently and there wouldn't be any treatment for that. So you should get it treated. Treatment depends upon the location and other characters of the hole, whether surgery is needed or device closure can be done. So you discuss with cardiologist regarding the option of device closure which is minor procedure. Hope I have answered your query. Let me know if I can assist you further. "
+My Son is 15 years and he is suffering from liddle s syndrome since his birth. Now he is taking medicines regularly and he is ok. I wolud like to stop his medicine and give him a more comfortable life. Can you suggest me some good treatment in any part of the world. If you can give the contact number of doctors who are specialized in liddle s syndrome. Is there any special doctor for the syndrome (like pediatrcian for children.....). Thanks,"Hi, Middle syn Chat Doctor.  It is happening due to the maturation of the gene, a condition called autosomal dominant disease.  The main goal of treatment is to control the high blood pressure and manage the hypokalemia.  A kidney transplant may sometimes give a permanent result, such case could be managed anywhere in metro city or world.  Hope I have answered your query. Let me know if I can assist you further. "
+"Hi, i recently had a deep dental cleaning and cannot open my mouth more than an inch. painful and it s like it s locked and i cannot eat food either. only liquids. doctor had to give me high doses of shots b/c novacain doesn t take effect. Dentist perscribed me an anti biotic and predisone and said I got acid in my muscle tissues in my mouth which apparently isn t uncommon. he said it could takes weeks before i can open my mouth. i ve never heard of anything like this before. any suggestions? YYYY@YYYY Thank you!","Thanks for your query. I have gone through your query. The limited or difficulty in mouth opening can be because of the trauma to the muscles while injecting local anesthesia or repeated injections, or it can be a disc displacement in the jaw joint that occurs if you had kept your mouth opened for long time during cleaning. Nothing to be panic, you can take analgesics like ibuprofen and muscle relaxants like chlorzoxazone. Give hot fomentation over the joint and muscles. I hope my answer will help you. Take care"
+"I am a 31 year old female. I am over all very healthy. For the past week, I have had a very bad cough, but no other symptom. No runny nose, sore throat...nothing. The cough is a very deep and dry cough. I have also been feeling heaviness in my chest. Yesterday, I noticed that my body began aching. Today, my body has been aching all day. I went to urgent care, they didnt do an xray, and diognosed me with bronchitis. They gave me an anitibiotic, but im concerned because, I just dont feel like myself, and I think its something more. I should also mention that I am a smoker, and I smoke about 4-6 cigarettes a day!","Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, possibility of bronchitis is more for your symptoms. And you are not improving because you are not taking appropriate treatment for bronchitis. Bronchitis needs inhaled treatment. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Hi, I m a 30 year old female and on January 9 th I had emergency surgery for perforated diverticulitis of the cecum . They removed my cecum, ileocecal valve , and appendix, luckily I do not have a colostomy they were able to reconnect everything without any problems. I did have a general surgeon who actually specializes in vascular surgery do the procedure because he was on call. I have been experiencing some difficulty sleeping since surgery. I will doze off and wake up feeling nauseated and lightheaded with a weird vibratory sensation throughout my chest. Also when I stand up my vision goes dark for a few seconds. I am eating 4-5 small meals a day and drinking one Gatorade and about 2 bottled water a day. My urine is light yellow and I am going about 5-6 times a day. BM s daily to every other day, no diarrhea. I haven t been taking any pain meds since I left the hospital on the 12 th. I take Zantac and Prevacid once daily. It may just be anxiety from the whole experience but I m just a little concerned. Thanks for any advice.","Hi. I don't think it is related to surgery complication. It is procedure which can be well done by every general surgeon. It is always expected to feel some nonspecific gastrointestinal problems such as diarrhea or stomach cramps but symptoms you're saying don't seem to be serious. If you have fever associated with abdominal pain OE extensive vomiting then you should go to hospital.  For other, I suggest just to wait few more weeks. It is not so much time from surgical procedure so just be wait a bit more to see are these symptoms gonna persist. Wish you good health."
+Im in the hospital.  2nd case of ischemic colitis in 7 months.  Ive had 2 previous heart attacks and a moderate aortic leak.  I understand the ischemic colitis is caused by lack of blood flow to the colon.  What causes the lack of blood flow?  No doctor can answer that yet.,"Hello Welcome to Chat Doctor Ischemic colitis is caused due to obstruction to blood flow of the colon. Cholesterol deposition in the arteries of the body lead to narrowing of the arteries. This is called atherosclerosis. Some subjects have increased tendency to atherosclerosis which depends on genetics and environmental factors. This causes narrowing of the arteries leading to stagnation of blood at these sites and subsequent formation of clots. This causes you the attacks of ischemic colitis. In you case since you have suffered from two heart attacks, I suppose you have got high propensity to atherosclerosis, may be due to genetic factors and strong family history. Treatment is blood thinners like aspirin which I suppose you are already on. Usually two blood thinners are used on recurrent attacks of ischemic colitis and even in case of previous heart attacks. So ideally you must be on two blood thinners. If despite this you have episodes of ischemic colitis you must be on higher blood thinners like warfarin. However, higher blood thinners have a potential of causing bleeding elsewhere in the body. I hope I have answered your query satisfactorily. Wishing you good healthRegards."
+"I went to the dentist a few months ago to get a retainer (the clear plastic one) and it creates big ulcers so bad that i cant put it back in. So after a few month i went back and hes letting me try again, but the ulcer has come back in the exact same spot. Is this because of the retainer?","Hello, Welcome Thanks for consulting Chat Doctor I have gone through your query, as you are wearing retainer and ulcer develops on same point again, yes ulcer can be due to retainer may be due to sharp edges or any sharp point on retainer causing ulcer.  Don't worry you go to dentist and get trimming of that sharp point or edge are there.  You can apply ointment McCoppin or Pans oral on ulcer twice daily for healing.  Take one capsule vitamin B complex once daily for 7 days. Hope this will help you. Wishing you good health."
+For the past 3 weeks Ive been suffering with ongoing severe derealization and I cant shake it. I wanted to know if their are any medicines that can help with this and how long does it take for them to work? I had a severe attack like this 2 1/2 years ago and was put on wellbutrin for it and the derealization went away after about 5 to 6 weeks. I went to the doctor this past tuesday and she put me on citalopram and metoporol and she said it should work much faster than wellbutrin but it hasnt worked so far and its been 4 days.,"Degree understand your concerns went through your details. I suggest you not to worry much. Derealization disorder is not a stand-alone disorder but dissociative symptoms of many conditions, in psychiatry and neurotic spectrum. It is also called Depersonalization-derealization disorder. Psychological counseling helps you understand why depersonalization and derealization occur, and helps you gain control over the symptoms so that they go away. Two such techniques include cognitive behavioral therapy and psychodynamic therapy. Depersonalization-derealization disorder may also improve when counseling helps with other mental health conditions, such as depression. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck."
+"Hello, I was contacted by a condo building I am staying at for vacation. They told me there had been two cases of legionnares disease in the last thirteen months  I am taking my six year old grandson is there a risk? They said the werent sure if the disease was from the condos. Thank you, Tammy","There is a small risk, otherwise they wouldn't have mentioned it at all. Since its only been 2 cases over 13 months, and they're not even sure it's the condos, the risk is probably very, very small but not zero. You will need to decide if even a tiny risk is too great for your comfort. You and your grandson will probably be okay, but since a source has not been identified and eliminated, it might still be possible to contract the disease. Hope this answers your question."
+Dr. i have been married 4 months before and having sex regularly. we both of us same blood group is A+ does the same blood group affect the pregnancy. or whats a good time of sex for pregnancy. Please suggest Dr. We are not doing sex in a monthly period time of MINE for 4 days. please guide us.,"Hi, Thanks for using Chat Doctor. Fertile period in a cycle of 28 day duration is from 10th day to 18th day. Usually ovulation happens 14 days prior to your next cycle. So difficult to predict exact day of ovulation. If you have regular cycle plan to have intercourse around day of ovulation. Your cervical mucous changes during your fertile period becoming more slippery, wet and clear - its often described as having the look and feel of uncooked egg whites - indicating ovulation. Few tips to increase conception rates:Avoiding additional lubricants during sex. Choosing a sexual position that encourages deep penetration. Leaving the penis in the vagina until it goes soft after ejaculation. After sex, you can increase your chances of conception by lying flat for half an hour after sex. Being in the healthy weight range optimize conception, your partner should ideally avoid ejaculation for 2 -3 days before your fertile period to increase his sperm count.  Hope this helps you. Regards"
+"I am Diabitic. Last 2 weeks, I am suffering from Yeast infection on penis. There is white thin layer below foreskin and skin has become redish. I am getting burning sensation while having sex and while passing urine. I spoke to my doctor yesterday. He has recommended Fungiderm or Cansten ointment and Syscan 150 mg tablets (2 per day for first 5 days and 1 for next 5 days). I would like to get second opinion.","Hi. Yeast infections can be expected and are common in individuals who have been diagnosed with diabetes, and especially in those who have uncontrolled blood sugar levels. The medications prescribed should do the job, so make sure you take them religiously and also try and keep the region Chat Doctor.  Make sure you avoid sexual contact and masturbation for at least the next 3-4 weeks. Best wishes."
+"hello doctor,I have 5 month old boy baby from last 3 days he is suffering with little wet cough and running nose.for this he is on cefixime 8mg/kg/day oral suspension and now from last 2 days he pass the watery stool and today he is passing loose watery stool with green color","HIIT seems your child has VIRAL diarrhea following a respiratory illness. It's common at this age. Green poops are due to reduced transit time of gut in diarrhea. I would recommend an ORS properly constituted, probiotic (Eco norm or sporadic) and a zinc supplement for treatment. There is no need for antibiotics.they may sometimes aggravate the problem. Antibiotics needed only if blood or mucous on stool examination present."
+hi i was wondering what does this result mean? the heart is in hyperdynamic state the left ventricle has moderate concentric hypertrophy. The LVEF is around 80%. The inferior wall looks hypokinetic. There is evidence of early reversal of E/A ratio. The cusps of the aortic valves are slightly bulky. The AV V max is 1.70 m/sec. There is trivial turbulence in the aortic valves. There is trivial pulmonic and trivial tricuspid insufficiency. The TRP is not raised. Both IAS and IVS look intact. There is no thrombus or vegetation. There is o.75cm pericardial effusion behind RV and at the apex of the heart.,"Hi, This is an echo report & not an ECG report. This report broadly means that you might be having hypertension which is causing pressure on heart & causing thickening of a chamber of heart (LVH). It is also telling that one side of heart is working less than other parts(hypokinetic inferior wall), which may be because of blockage of one of the arteries of heart. Rest everything is fine. Heart pumping capacity is good(LVEF-80%). So you need further evaluation for that inferior wall hypokinesis. Thanks Chat Doctor. "
+My 3.5 year old son had his first bite of shrimp. Some swelling and pimple like blotches have appeared on the corner of his cheek/mouth. Can this wait to see a doctor in the morning. He is not complaining or saying it bothers him at all. What should I watch for?,"I would be concerned of an allergic reaction to shrimp, given the swelling around the mouth and blotchy skin. I would not wait to see a doctor in the morning, because allergic reactions can proceed quickly and become life-threatening. You should watch for if he should begin to have any signs of difficulty breathing, swelling of the tongue or lips, and spreading of the rash. If any of these occur, seek emergent medical attention right away."
+"Dr Sahib.           I am 60 yrs & on 27th Dec  2010, i Had a heart attack & same day DES was put in one major artery, for 3 months I was feeling very fit,But now i feek weak in walking also & from last 1 month i am feeling sore throat & thick cough .though I am taking antibiotics but no improvement.","Hello are 60 years old with DES after heart attack. Now you are also having cough, with thick mucus for one month, these symptoms may be due to these possibilities, these include:1 Bronchiectasis, diagnosis can be confirmed by sputum for culture and X-ray chest .2 Lung abscess .3 Tuberculosis .4 Asthmatic allergic bronchitis. Patient usually feels whistling sound with wheezing. Thick mucus may be due to post nasal discharge. In my opinion consult a primary care physician and get his opinion. Usually I advise my patient to take montelukast= albuterol, one tablet one in a day (in few cases twice in a day). Codeine +chlorampheniramine male ate cough syrup. Since these are prescription Chat Doctor. Good luck."
+"My period has been acting very abnormal lately.A week prior to bleeding I was getting severe lower abdominal cramps and I never cramp unless it is on my first day of my period but they are very bearable. My vagina was also just aching. I didn t start when I was supposed to and now my period is light but the blood coming out is clotty and jelly like and dark black. My tampon wont even absorb it. I was scared I was pregnant when I was late, but now I m not sure if I should be worried about that or not. What is going on?","Hi, In the current scenario, you would need a pelvic examination and a trans-vaginal sonogram to know the exact cause. Pelvic causes like pelvic inflammation and endometriosis should be considered. An urinalysis also should be performed to exclude any associated infection. Endometriosis can also give such a picture of sticky bleeding. Pregnancy is not likely with such symptoms. A pelvic antibiotic and hormonal treatment should alleviate the symptoms. Metonymic acid and dicyclomine can be taken to relieve the pain. Hope this helps."
+"hi I m in my early 50 s female and I m having outbreaks of swelling and itching on my body. I went to an allergist who told me these things just happen for no apparent reason and put me on prednisone 10mg 4 days and I m still having outbreaks of swelling and itching to my face, back of neck, arms, and stomach..... Help",After going through your query I suggest you to please refer to good physician. Becuse prednisolone itself cause puffiness in face and body. It also harmful to body if unnecessary taking it. As you are in your 50 you should also check your thyroid level which causes of sweeping in whole body. But this chance is less. In sever allergic condition steroid may be useful witChatDoctorbination of antiallergic. You should take an antiallergic for your problem and stop prednisolone. For other help you can refer to good physician. Hope this help you let me know. Hope for best health of yours...
+"Hi, I am 24 year old male working for a software company in Bangalore. I am working for the past one year. I had a severe back pain and also severe pain in the neck which made me to see an orthopedician. I was given some painkillers and some exercise tips to continue. I followed it for some time and could not find much improvement after stopping the painkillers. I went back to the doctor again for a better advice. He suspected something peculiar now and referred me to a pain and rehabilitation clinic. I got the diagnosis there. Do you know what it is a Computer related Injury (CRI)? This is the exact diagnosis made. After I came out of his office and walked through the road thinking what peculiar diseases are coined depending on the occupation we say and googled it next day, I was astonished to hundreds of pages opened up with this condition called Computer related Injuries.The CRI research was on for the more than 25years though the IT revolution has come up in late nineties in India.","HI friends, Yes. CSI is also known as Repetitive strain injuries. It is caused by recitative stress in your joints. Specially to your fine tips, wrist, elbow,shoulder, neck, eyes, and at last to your back. It occurs to those who sits constantly on computers for long hours. I am a specialized Ergonomic specialist from California. Here the companies hire us in order to safe guard their employees from RSI s and avoidance of long absence. We go to each employee and evaluate their work area, posture and give them advices and suggestions with job analysis and of course provide them exercises and notes. The employees doesn't need to run or search for a Physician or or tho. We are physiotherapist who are specialized in these areas."
+"Ihave been having these symptoms for almost a year. I get tightness in my upper chest and sometimes my neck. Every two or threes months I will have a near syncopal epsiode. Sometimes associated with a short quick walk or slow stride up a filght of stairs. I get very dizzy, sometimes tunnel vision. I usually have to set down or put my head between my legs. This is accompianied by a feeling of SOB. Although I feel like I am exchanging air at the time. The new symptom is the feeling of my heart skipping a beat. This has happen the last couple of days. I have a high family history of heart and stroke disease. I have been taking Vitoran for almost three years for high colestoral, It is now under 175 with a ratio of 3 to 5. When the symptoms started I had an EKG, stress test and stress echo. These have all been normal. I even had a heart cath, which showed a 30% narrowing of my anterior desending coronary artery and a couple of lesser narrowings in two other vessels. I take paxil (20mg) a day for depression. I have taken this for over 10 years. My job is often stressfull, but I am an even keeled non flustered individual. Everytime I go to the doctor things check out normal. I am beginning to fill like I m going crazy and am becomming increasings concerned.","I understand your symptoms have been troubling you now and then, but we need to know the age, what brings the relief and what your habits are. Usually your pattern symptoms arise due to heart or/and lungs being diseased, but you have reports of normalcy in EKG and Stress tests with good perfusion of heart at the beginning. If you have been taking the cholesterol lowering agents only recently and a smoker and alcoholic and not had any blood pressure monitoring in the past and BMI is around 28, it will be good to reassess heart function along with ruling cholesterol rise noted due to metabolic reasons as well. This time hence see an experienced Endocrinology as well. Hope you will have complete answer for your problem"
+"Hello, I will occassionally get a lump and dark spot on the right side of my tongue . Always in the same spot it seems to last for a day or two and then go away. I can catch it by running my tongue through my teeth but it is embedded in my tongue and gives like a purple cast to that area. normally it is more of an annoyance than anything but this time it kind of hurts. I am wondering if it is a cyst or a blood clot? Do i make an appointment to go to my doctor, dentist , or just wait for it to go away?","Hello, Thanks for posting your query, various causes are:ailment oral piercing exposure to chemicals first step you should take when trying to get rid of unsightly black spots on the tongue is to alter your oral hygiene routine. Brush your teeth at least twice a day to help remove particles throughout the mouth that might be contributing to the dark pigmentation throughout your mouth. Be sure to gently brush the tongue or use a tongue cleaner to help remove the buildup that is turning your tongue black. Black spots on the tongue that are accompanied by other symptoms such as growths in the mouth, pain or difficulty swallowing should be checked by your doctor as soon as possible. I hope this information has been both informative and helpful Regards"
+I have a lump in armpit since last ten years and i am not sure what it is not sure which doctor to go to? From internet i got to know that it can be cancerous or due to infection or extension of breast tissue. Not sure what is it but want to get rid of it safely,"Hi, dairy have gone through your question. I can understand your concern. You have lump in maxilla.  It can be lipoma, benign cyst or some enlarged lymph node due to reactive hyperplasia, tuberculosis or lymphoma. You should consult general surgeon for that.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health."
+"Hi doc..I m a 20 year old male and I ve been circumcised this morning. I just wanna ask is it safe to sleep on your stomach or should I just sleep on my back?.. After reading and understanding the procedure to do after circumcision, is it okay to treat and clean your penis at home or should I just go everytime for check-ups at my nearest clinic or doctor?","Degree understand your concerns went through your details. Circumcision is a minor surgery. Still you need to adhere to the hygienic healthy procedure associated after surgery. For at least week you should take precaution so that there should not be any infection. For cleaning and Chat Doctor. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck."
+"I was wondering, I have just noticed a lump on my temple starting. It s a not big maybe the size of a finger tip. It hurts to touch but doesn t give me a headache. When I bite down it hurts aswell. I do a lot of strenuous work but I m not sure if that would have anything to do with it or if I should see a doctor?","Hello! Thank you for the query. This lump is most likely a local skin infection. It may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. It has nothing to do with your work. As it is painful, pus is most likely inside. That is why I suggest you to consult general surgeon with this issue. The lump should be incised, Chat Doctor.  Please do not ignore the infection in this area as from temple to the brain is very close, and such infection can spread to the brain. Hope this will help. Regards."
+"Hi my 1yr old daugher has been having fever and cough for sometime now, her wgt is 12kgs and the blood test came up with 19000 WBC. THe doctor has prescribed Cepodem 5ml once a day. BUt has been vomiting after that and her coughing has increased. Is it safe to give her that.","Hi...by what you quote I feel that she is having a viral illness, and it is common for cough to get aggravated while recovering form viral illness. I do not think Code - an antibiotic-is indicated for a count of 19000. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - "
+"I am 32year lady sir and from 3-4years I am suffring from alergy only in summer from april to nov. sir my tlc rate is also hight . my nose is blocked every time and blowing badly , eyes also red and itching in eyes,nose,throgth and eyers. sir now I am also pregnent and last month is going on.","During your pregnancy you should take safe medicines. Since you might have used many allopatChatDoctoredicines as per doctors advice, now I would suggest to such of my patients to take safe Ayurveda medicines, pure herbals and non-toxic to get some relief in this recurring and chronic condition. Any Ayurveda doctor can guide you in this simple management by Ayurveda. Generally I would give to my patients Shading Oil to be instilled in both nostrils each morning. It's pungent. Initial 2 Chat Doctor. Atari Avalon (if this syrup or thin consistency Avalon available, it is better. If not then normal azalea with thick consistency is available everywhere) to be licked. Gargles with saline and little turmeric in warm water frequently. Hard"
+I have noticed this lump right at the entrance of my anus for over 4months now. I crossed examined today again and i found a slight open wound an inch inside my anus. It hurts me everytime and at time i feel light touch movement around this pain zone. Help...its killing me,"Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. Remedy for lump at anus with wound-High roughage/fiber Bland diet for 2 was, Seitz baths for 15 minutes daily 2 times. Anti-inflammatory Chat Doctor. Invite point x 10 days time. You should check with Surgeon and rule out-Fissure in ANO with Sentinel pile, from which you mostly suffer for last 4 months timeThings will resolve in 10-15 days time. If not, ER Surgeon would do needful.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to Chat Doctor and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day."
+hi I had baby 4 months ago I was very tired I went to the doctor to cheam myy vitamin d and iron level she then took blood test she said  low vitamin d and low iron I am also bf  she also said my liver blood count is hgh I am woried is it some thing serious I am 28 yrs old,"Hi, dear. I have gone through your question. I can understand your concern.  If you have low iron and it D3 then you should take their supplements.  No need to worry.  It is very common.  And you should go for complete liver function test.  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."
+i am 19 years old i have a habit of masturbation which is about 3 times in two weeks but when there is a gap of more than 3 weeks when i dont do masturbation there is this craving whicChatDoctores resulting in masturbation about 5 times daily and i just dont have any control on it i fail to concentrate on studies and watch continous pornography could u please suggest me some medications so that i can get rid of this problem permanently,"Hello, welcome to Chat Doctor. Masturbation is not harmful for health and more than 80% man and woman masturbate in some point of the time. In present situation if you are not masturbating more than 4-5 times per week than there is no problem.  If you are masturbating more even than it is not harmful, but it is better to decrease the frequency of it. There is no need for medical treatment for it in your case. Wish you all the best.  Chat Doctor. 99doctor.com"
+i have a stabbing pain the comes and goes between my shoulder blades and moves to the front of my chest causing shortness of breath and extreme tightening. It s so painful it makes me cry out in pain and I have a very high pain tolerance. It does not come at any specific time and can last from 1 or 2 minutes to 30 minutes of more. What could be the cause of this. It happens nearly on a daily basis.,"Hi Welcome to Chat Doctor After going through your query I concluded that you are having pain in interscapular region which radiates towards anterior chest. It can be muscular pain, but heart related pain should be excluded by doing heart function test. Treatment of it considering it as muscular pain is analgesic such as ibuprofen for pain relief. Vitamin B and C is help in recovery. Sometimes I apply local injection triamcinolone with good results. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care."
+"r/s sir ji my friend s father who got multiple miloma, which dignosed by a senior doc of sms jaipur then after he was given a kimotheraphy but after 24 hr of kimo he got a serious effect on his kidney . according doc s it will take normaly 2 or 3 week to get recover but there is no more improvement in his condition after completion of one week. so pl pl pl suggest me the better way regards","Hi there, Multiple myeloma patients are at risk of Kidney failure from multiple causes. After chemotherapy, you can have tumor lysis syn Chat Doctor.  The doctor treating is the best judge based on the clinical profile and a lot of other lab tests. As your doctor has told you wait for 2 to 3 weeks. In cases where kidney does not recover over this time kidney biopsy can be done to find out what has gone wrong."
+"im 31 about 4 years ago i had a asthma attack and then on came these irregular beats had stress test and all they said they cnt find no reason but latly they seem to get worse with short breaths, light headed, chest pain..just over all feelin yukie. they still tell me its no problem they can find but why is it gettin worse then?","Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung diseases like bronchitis or asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"Went to Dr on Friday with pain in lower back flank area and throwing up anything I ate. They did a urine and it did show infection. Was told if got worse to go to ER. Saturday the flank pain became very severe. Went to ER where they hydrated me, gave me couple rounds of antibiotics and pain meds. Sent home that night with script for antibiotics, 2 pain meds and nausea. So now, since Sunday, flank pain hasnt been as bad as before but still hurts. But now my arms hurt and my legs hurt so bad I cant stand in one place for over a minute.","Hi I had gone through your query and understand your concerns. I would come up with two possibilities to fit your condition.these include1.the first one include, RENAL STONES;ultrasound scanning for PUB may confirm the diagnosis2.second possibility is, FLATULENT DYSPEPSIA;possible causes include;-eating spicy, junk food-emotional upset-unable to handle stress are some possible causes hope this is helpful for you, thank you"
+Hi I have had constant neck pain and stiffness in my neck muscle tremors all over my body back pain headaches and now bad dizziness for 18 months + now I ve seen so many doctors they have not listened till recently they x-rayed my neck and said I have a loss of lordosis in my cervical spine I see a physio she acts like she doesn t know what it is I have been now referred to a neroligest at the end of October my dizziness is getting really bad I went to doctors yesterday about my dizziness they wouldn t give me anything have I been left to long to sort it out,"Hello! I understand your concern. In my opinion your troubles are probably due to a cervical disc problem. It may be dislocated, or it may be just degenerative changes to your cervical vertebral column. These changes explain the back pain, headaches, dizziness.  Also, the changes in your cervical x-ray can be explained by this diagnosis. I would recommend you have a cervical CT scan to visualize the discs and find out where the problem is. In the meantime you can use acetaminophen, ibuprofen or fetoprotein for the pain and avoid abrupt cervical movements. A cervical collar can help. Hope to have been helpful. Thank you for using Chat Doctor. Best wishes.  Chat Doctor. "
+"Hi Dr. Stephen, i just took my daughter to see the dentist and she wasn t sure if my daughter has gum infection or fungus. Then we took her to her doctor. She said my daughter has gum infection an prescribed her antibiotic . Now she doesnt have fever , but it seems like the infection is spreading out and getting worse. Im thinking taking her to the emergency room. So can you give me an advise? tks a lot.","Hello there, poor oral hygiene and deficiency of vitamin C can cause gum inflammation at young age. It shows symptoms like redness, swelling and bleeding of gums. Viral and bacterial infection worsen the condition. At home, you can ask your daughter to rinse her mouth regularly with warm saline water, antiseptics like Betadine, chlorexidine etc. that gives soothing effect. See your dentist soon. Thorough professional ultrasonic cleaning of gums and root planing followed by a course of medicines will solve her problem. I hope that helps you, take care."
+"My father had a stroke 4 months back. He is hypertensive is on medication now which includes antihypertensive drugs, atorvastatin, glycerol and asprin. He has recently developed lumps below the nipples in chest. They are painless ,Is it a side effect of any medicne or the result of walk and excersise he is doing during the rehabilitation.","Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Causes for lump below nipples in chest-Cause is related with Atorvastatin with which breast glandular tissue develops in males and is known side effect. This lump is not related with exercises done for rehabilitation. So please consult ER Physician. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N."
+I had my period on 24th June 2011. Only I could sense my ovulation by 12th July(I had some white stuffs coming out of vagina). Is it correct that my ovulation is on 12th July? I am desperately want to be pregnant by this time. We are having sex daily for last 3 months. I took letrozole from 4thday to 8th day . till yesterday I had sex with my husband. Will I get pregnant for sure? Pls advise.,"Hellos you mentioned that you are trying for conception, and you are trying everyday sex for getting pregnant. Now you have ovulation on 11th or 12th July. And you want to conceive this month. As per Ayurveda infertility ... daily sex causes for low sperm count, In classical method described in Ayurveda that have to follow braChatDoctorharya for three months when you want to conceive. So, that it is advisable that have to sex at before days and that day of ovulation. But have to avoid daily sex for trying of conception."
+I have heart palipitations and an increased heart rate at night once I lay down to go to sleep.  They happen throughout the night and even wake me from sleep.  Do you any idea what could be causing this?  Heart desease does not run in my family and Ive never really had heart issues.,"Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to anxiety or autonomic dysfunction related to nightmares. Coming to this point, I would recommend performing a careful physical examination and some tests:-resting ECG and cardiac ultrasound-chest X-ray study-blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, etc.) to exclude other causes of increased heart rate. An ambulatory 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during day and night and exclude possible cardiac arrhythmia. You should discuss on the above issues with your attending physician. Hope you will find this answer helpful! Best regards!"
+"Hello, about a year ago, I bit a small part of my upper lip. It usually shouldnt be a problem because it heals and closes, but in my case its not doing that. Every 3-4 days, a new layer of skin forms, and starts pealing, and eventually peels off completely. After another 3-4 days a new skin layer forms again, then start peeling, and goes away completely also. This has been going on for 1 year, there is no bleeding associated with it, but this wound just won`t heal and close, and a new skin layer forms and peals every 3-4 days. I tried using every medical lip stick I know off and all sort of things but they are not working. What is the solution?","Hi Dear, Welcome to Chat Doctor. Understanding your concern. Lip bite is very common kind of thing and there is no need to be panic about it. The area will take around week to heal but as you having recurrence It's due to frequent licking of your lips which leads to formation of cracks in skin and eventually fungal infection there.  It could be due to riboflavin deficiency as well. I would suggest you to :-- Maintain proper oral hygiene.- Do HY Chat Doctor.  Mix HY"
+"Good day! I am 53 years old female.I dont drink wine  and I am very much careful with my diet. My SGPT is 60, normal is 36 and my SGOT is 51.1. normal is 34.What should I do to normalized this problem? I accept that i am lack of exercises  and sometimes stressfu. Please help me.","Hi, I had gone through your question and understand your concerns. These are only slightly elevated got and Sept, so you should not worry. It may stabilize on its own or some minor lifestyle changes should be done from your side. You should avoid alcohol and regulate blood sugar and body weight. Also, Sylvain supplement should be taken. If there instill elevation of liver markers then the next step is to look for certain liver damage such as viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done then-Then appropriate treatment can be started. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health."
+"my husband has widespread bone cancer and is in pain, he is allergic to all the pain meds he has ever tried such as dilaudid, oxycodone,percocet, ibuprofen. all of cause a bad headache and n/v. is the same ingredient in all these meds so that we will know what it is he cannot take. we still have not found any pain meds he can take to get any relief","There are a few options available for ameliorating your husbands pain. Firstly, you can try opioids like morphine tablets. These can be taken from a dose of 5 mg thrice daily to 30 mg thrice daily. There is a fentanyl patch available that you can stick on any non-hairy area of the body, and it will relieve pain for 3 days when it needs to be changed. Start with a 25 mg dose and if required move to a 50 mg dose. Also, bone cancer pain can be decreased with In Role Chat Doctor.  Lastly, giving short course radiotherapy to the painful area will decrease the pain and chance of fracture."
+Umm hey. I have lower back pains like near my butt crack sorry for the language and I have like a bump. It s hard shaped like an oval. Not a spider bite or insect bite. But it hurts to walk to stand sitting down is almost impossible I can t put any pressure on it. Even when I lay on my stomach it hurts. And I have no idea what this bump could be. I didn t fall of anything so I have no clue.. Please help,Hard swelling over lower back or sacral area with severe pain that get aggravated by even slight touch and movement is suggestive of some infection. Most commonly its infection of hair follicles. That we call folliculitis. This can be managed by topical application of some antibiotics ointment and if severe you may need to take oral antibiotics. If it is not subsiding you should consult a dermatologist.
+Hi im a 36 year old male. I have suffered from mouth ulcers my whole life. I have always been able to keep them under controll until recently. The past two years i have had ulcers all the time. Sometimes ten to fifteen at a time. I have had them even in my throat.  I have not had a break from them in so long i mentally cant take it anymore..Any suggestions?,"Hello, Thanks for consulting Chat Doctor, Read your query, as you have mouth ulcers frequently this is known as Recurrent Authors dermatitis or Recurrent Authors ulcers don't worry see what happened is this ulceration is due to some reasons it can be due to Stress and anxiety related, Nutritional deficiency, vitamin B deficiency, Chat Doctor. Hope this will help you. Wishing you good health. Regards, "
+"Hi Dr Age: 36 Gender: Male Constant feeling of urination after abusive, lengthy masturbation and persistent mild burning in male urethea. Any nerve/tissue damage? I am having a sensation of constant/always urination; with a weired kind of burning senation in peline urethera and penile head. This situtation occurs after i did abusive/lengthy masturbation 10 MONTHS ago. After masterbation or having intercource with my wife it used to come for only 2 - 3 hours and after sleep in the morning used to feel alright. But due to a lenghty/abusing masterbation session 10 MONTHS ago feeling of urination have become constant and not going away The following test are done so far. 1. Urine Culture - All Normal. 2. Renal Ultrasound - All Normal (prostate size is normal about 24) 3. CBC - All Nomral. (Dr Says very slight Iron Deficiency Anemia; dr put me on iron tablets for a month) 4. LFT - All Normal. 5. Diabetic - Normal 5. Vitamin D - I am deficient (Dr put me on tablets for a month) 6. Vitamin B - Before the onset of these symptoms i was deficient in vtamin B and had few injections of cynacoblamin were given. All the doctors are clue less as of now; these symptoms are really really killing me everyday. I have seen a few urologists with the following diagnosis and treatment but with no relief. 1. A urologist diagnosed it as non-specific non-inflammatory prostatitis and put me on Cipro for 4 weeks but to no avail after that he put me on levofloxacin for a week with no relief at all. 2. Another urologist marked it as NSU and put me on numbing jell and a tablet which turns your urine dark yellow for 5 days with no avail. I also took a TCA Tofranil (Imipramine) for about 2 weeks for no avail at all. After being exhaused from thease treatments i have also tried alternative treatments as follows. 1. Homeopathic for 2 months with no avail. 2. TCM (Traditional chinese medicines for few months with no avail) As I am running out of ideas may be the following can be considered. 1. parasitic infection. 2. Pudendal nerve entrpement or perinal nerve pinching etc. Dorsal nerve etc. Or any other nerve disorder. 3. IC 4. MS Please help me to get rid of these annoying symptoms.",HelloThanks for query. Based on the facts that you have narrated you have a long-standing history of pain in urethra and constant sensation to pass urine which followed after prolonged abusive masturbation which has not responded to treatment with multiple antibiotics and none of the various relevant test are conclusive as regards the diagnosis and cause of your symptoms. In view of all these symptoms started after prolonged abusive masturbation I think the prolonged masturbation has caused trivial damage to urethra resulting to form a scarring and flimsy stricture of urethra. I would suggest you to consult your urologist again and explore need for doing endoscopic examination of urethral passage (Ureteroscopy). This procedure of visualization of urethral passage directly perhaps may help to diagnose the precise cause for your symptoms. Further treatment will be decided by him on final diagnosis. There is no possibility of pinching of any nerve as it never happens in reality. Chat Doctor. 
+I have been diagnosed yet again with another UTI with Klebsiella being the bug that is always found in my urine. The dr says it is not caught from my partner but every time I have sex with him I am back to the Drs again complaining of the same symptoms. Sometimes the urine samples show nothing but most of the time it does. Why is it that I no sooner get rid of the infection then have sex and the infection starts all over again. I m beginning to wonder if my partner is the cause of all of this. Never ever had this issue before with any other partner. I m in my 40 s and have been with my partner for 2 years and am completely monogamous (never have numerous partners). I m so over this please help me,"Hello, Klebsiella is mostly and primarily found in not immunocompetent individuals, usually in hospital settings and cause the so-called hospital-acquired infections (HAI). They could cause opportunistic urinary tract infections, pneumonia and other respiratory infections, bacteremia, infection of surgical wounds, etcetera. In diabetics, people with chronic obstructive pulmonary disease, etcetera. Due to their particular structure, Klebsiella species are naturally resistant to penicillin-type antibiotics, some Aminoglycosides (Gentamicin, Kanamycin, Streptomycin, etcetera.). Often their treatment is possible only through the use of Carbapenems and Fluoroquinolones (Ciprofloxacin, Levofloxacin, etcetera.). Klebsiella is considered part of the normal flora in various parts of intestine and colon. Recent studies have reported that recurrent Klebsiella urinary tract infections are caused by persistent Klebsiella found in the urinary tract even after appropriate antibiotic treatment and all persons with recurrent infections were elderly and diabetics. Recurrent strains of Klebsiella also had increased adhesion and invasiveness compared to colonization strains (those causing infection for the first time) and this might explain their tendency to cause repeated infections. Now, it is known that frequent sexual intercourse is the strongest risk factor for recurrent urinary tract infections in healthy women, and it is why your disease comes back each time you have sex with your partner. The fact that the disease comes back after you have sex with your partner puts in high risk of future urinary tract infections. In your case the following measures could be of benefit: 1. Continuous antibiotic prophylaxis for six months, by using low doses of the antibiotic that is more effective in your case. You have to consult with your doctor about which antibiotic you will use and for how long.2. Post-coital therapy, by applying a single dose of the most effective antibiotic each time after having sex. You again have to consult with your doctor about the dose and type of antibiotic. 3. Apply the so-called post-coital voiding that is: urinating immediately after sex.4. You should maintain high genital hygiene as it could help as well. It is also important that you have a thorough evaluation by radiological examinations in order to rule out abnormalities of the urinary tract (anatomical or functional) that could boost infection recurrence. Lastly, Klebsiella is not transmitted sexually, thus clearly your partner has nothing to do with your recurrent infections. But, during each intercourse, it is easier for the bacteria to get contact with your urinary tract (remember that Klebsiella is a normal part of intestinal tract and colon). Hope I have answered your query. Let me know if I can assist you further.  "
+Hello doctor. I have been havin a toothache since few days. I ws told few months back that the tooth needed a root canal. A temporary coverin ws done but within days it came off and exposed tooth since then. I ws advised meftal - forte tablets to take for pain by a chemist. Please advice ASAP if i should take to subside the pain for now. Within 2 or 3 days i would be visiting a good dentist. Thank you!,"Hello, I am glad to assist you. The temporary filling placed would be expected to wear away if only placed to cover the tooth while expecting you to return for a root canal therapy. The filling needs to be removed to enter the center of the tooth and clean out the canals to complete the root canal. You will have a temporary filling until the canals are sealed, and you can plan restorative treatment with your dentist. An antibiotic such as Amoxicillin may be necessary if pain and swelling is present. This will help control the spread of inflammation from the infected tooth. I usually recommend taking a combination of two Advil and two extra strength Tylenol to control a more severe pain until you are able to visit the dentist again. Thank you for your inquiry. I hope you will feel relief soon."
+I ve got pain from my shoulder to my foot all down the right side Back aches Tearing feeling at top of buttock Outside of leg always feels tight Foot aches along the last two toes under sole Knee sometime aches Outside muscle on knee is growing People have noticed me limping Has been ongoing for a while but getting worse any help would be good thanks Donald,"U have a query that is bizarre in its nature although thank you for your question. U have pain in multiple sites of your body on the right side as u mentioned. But even if these painful sites have occurred at the same time, it is not necessary that these are related. I would advise u a Chat Doctor.  For example pain in your sole and last two toes can be related to faulty/badly crafted footwear and so on. Take care. Some amount of rest, physio and pain relievers may help."
+"After eating ham and cabbage 2 nights ago, i got this really bad pain in my chest, right side. It wont go away. It hurts more as I move my head different ways.  It hurts really bad when I sneese or cough, now swallowing. Is it gas, and how can I relieve it.","Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor.  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks."
+"What is causing me to keep bumps with puss all over the back of my head? Different shampoos seem to make it more irritating than others. I have tried all kinds of things and have been to two skin doctors and nothing works, but the nail fungus pill medicine?","Hi, From history it seems that there might be having scalp infection giving this problem. This can be folliculitis, yeast infection, sebohrric dermatitis, Dan Chat Doctor. Consult dermatologist and discuss this. After finding the cause go for treatment accordingly. If there is fungal infection in nail, this can be yeast infection in the scalp. Go for one oral course of antifungal medicine like Fluconazole 150 mg once in a week for 4 weeks. Take head bath daily with plane warm water. Avoid using shampoos, conditioners. Ok and take care."
+"I have recently noticed a bump looks like half of an egg size mainly on my left side but it is also on my right. It is located in the space of where the collarbone and neck meet. It is more defined if I shrug my shoulders up like when brushing teeth . It is not painful, rather soft, but getting larger. I recently was told I have a tumur on my thyroid right size golf ball size which is getting removed in a week or so. I just really concerned about these new bumps now, last year I had a nerve shealth tumor removed of spine that I was told was non cancerous. The FNA I had on the thyroid tumor also suggested non cancerous. I have an ultrasound scheduled for new bumps but I m getting sick to my stomach stressing about it. Can you give me any insight as to what you may believe it is? Thank you, 42 yr old Marine","Hi, welcome to Chat Doctor I am Chat Doctor So, you have cervical and probably left supraclavicular lymphadenopathy.  Now, to be frank, on left side both cancerous and non-cancerous cause. Which include infectious conditions along with some carcinomas.  You did not mention what type of thyroid lesion you have.  Now, first you have to do FNAC from those lymph nodes. It must. If it becomes noncontributory then surgical biopsy needed."
+"Hi, may I answer your health queries right now ? Please type your query here.... Yes i woke up this morning with a terrible lump feeling in my throat, it comes up woth this very indescent taste and it feels as if i jeed to vomit but i simply cant, i tried to induce it but no dice. What do you think?","Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from HERD with Globes pharynges (of the Constrictor pharynges muscle) feeling due to the Acid reflux causing esophagitis or pharyngitis. Remedy is by Proton -Risperidone combo Chat Doctor. Cause of acid reflux needs to be investigated and treated in such cases. Team of GP and Ent-Surgeondoctor would be needed to treat your health issue. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day."
+Hey I was jumping on a trampoline and I was jumping and tried to do a backflip and landed on my knees. And my lower/middle back (lumbar I think its called?) like crunched. It was like my lower back went forward and my upper snapped back and it still hurts in my middle back. I dont know if its serious its just sort of soreness. What do you suggest I do?,"Hello dear, Thank you for sharing your concerns in this website. I understand you are worried, but I would suggest you to calm down and follow these step sim explaining below:It's obvious you have done a muscular straining and probably spinal ligaments straining since you have done an acrobatic movement that has passed your limits. So first I would suggest you to use:- Fetoprotein gel to your affected area of your back to kill the pain and inflammation- Oral painkillers such as ibuprofen of diclofenac if you have severe pain.- Cold compresses first and Warm compresses if more than one day have passed from the injury. Try to reduce the movements of your back and lumbar area for a while of time. If you perform these steps and still you have not any improvement then consult an orthopedist to do further examinations. I hope you will get relief soon. Take care and I wish all the best! Chat Doctor. "
+Hi I have a little dot quarter way up my spine from the bottom that has developed a lump and bruising around it I have been to the doctors two weeks ago and he said it might be something torn and give me cream but not the pain is spreading up my spine and when I bend or touch it it winds me thnks,"Hello! Welcome on Chat Doctor ! Regarding your concern, you should know that your symptoms could be related to an infection. For this reason, I recommend consulting again with your doctor for a physical exam. An X-ray study in this region is also necessary. A spine MRI in this region would help examine better the soft tissues and the spine in this region and exclude any deeper disorder, which can not be seen during physical exam. Hope you will find this answer helpful! Best wishes, "
+"I have heavy pain in My upper left quadrant right beneath my ribs. When I stand up or walk it feels like I amCarrying a cannonball on my left side. It also is painful to the touch. I have had a colonoscopy, a ct scan, a gastrin testand a test for parasites. My doctor cannot find any cause for my pain. I have to take Imodium or I have diarrhea 24  /7.Do you have any clue as to what is wrong? They are suggesting I see a surgeon for exploratory surgery.","HIT hank for asking to ChatDoctorIn such cases when nothing's come out in investigation as long as the abdomen cavity is concern the next strategy would be exploration of abdomen in this the surgeon can see the pathology or try to find it out in different areas of viscera, but most of the time abnormality does not decked if it would have there then it might have been decked in Ct scan, If I would be your doctor then I would definitely suggest you for MRI scan this would give the same result as you will get after the exploration, it may not be anything danger just keep your steps level low and try Omeprazole with domperidom for six weeks will get good relief, have nice day."
+Hi i am 39 weeks pregnant and last night i had chills and shaking i wore lots of clothes but i felt cold when i get up for bathroom now i am worried because i fell my baby move less than usual from this morning could you please tell me why that happen ?,"Hi there,At 39 weeks you are almost full term. You need to get checked by an obstetrician immediately for these child and the decreased fetal movement. Any fever or infection at this stage cannot be taken lightly and needs to be evaluated. You need to measure your temperature 4 hourly. Also do you have any complains loss of fluid, or breaking of membranes? It is a possibility that you have ruptured your membranes and are going into labor. But if you have chills and decreased fetal movement, any womb infection called chorioamnionitis needs to be ruled out.Also, you need to get an ultrasound and fetal heart tracing done to check for fetal well-being. Hope this helps. Regards."
+"My daughter is 15 months old. She fell about an hour ago on her fisher price house and hit right at her cheek bone and ear. She cried for about a minute, we put ice on it and watched her. There is just a little swelling where she hit. Her balance seems to be fine and she is acting normal. She didn t drink all of her milk before bed, but not sure if this is related. Is her fall cause for concern?","Holloway to look for in a head injury:Call the doctor if your child is an infant; has lost consciousness, even momentarily; or if a child of any age has any of these symptoms:~won't stop crying~complains of head and neck pain~vomits repeatedly~difficult to awaken~becomes difficult to console~isn't walking normally in your case its seems to be an external head in jury not internal. So i don't think there is a reason to panic. Just watch your child for any symptoms. Hope this answer helps. Regards"
+"i took a single dose of azithromycin on thursday 12/13/12 and had nausea afterwards but then was pretty much symptom free. on Saturday the 15th i began to spotting, but not regular spotting. its a darker thicker blood. i can t find anywhere that says this is a common symptom. should i be worried or is this normal?","Hello, Azithromycin is an antibiotic and like all the medication has side effects. One of them is vaginal discharge.  If this symptom has occurred for the first time and doesn't repeat any more there is nothing to worry about. If spot is going to happen again you have to make an appointment with your gynecologist.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. "
+"My boyfriends blood sugar on a good day is normally between 70-80. Sometimes after eating a large meal or one high in carbs it will spike up to 100 or more. He becomes very disoriented ,lightheaded, slurs his words and is very shakey. Sometimes it takes a few hours to get back to his NORMAL in the 70s. His doctors say that he isnt diabetic. They never see the spike and wont listen to him. What do you think the problem could be and what should we do to make them listen. He is a former combat medic and EMT. His doctors are at the VA clinic and they instantly discount him because it is always so low when he goes in for a check up.","Hi, As you have mentioned Blood sugar levels of your boyfriend, all Blood sugar level reading are normal, there is no evidence of diabetes. For diagnosis of diabetes one of the following criteria need to be fulfilled 1) Oral glucose tolerance test Fasting Blood sugar level more than 125 and/or 2 hours post glucose blood sugar level more than 200. 2) HbA1c level more than 6.5. 3) Symptomatic for diabetes i.e. increased frequency of urination, unusual thirst, unusual hunger, weight loss, along with this random blood sugar levels more than 200. Whatever symptoms mentioned by you like disorientation, slurred speech, abnormal shakiness, light headiness do not denote Diabetes. Taking in to consideration of profession of your boyfriend it looks like a possibility of anxiety. Better to consult another doctor during period of symptoms, or you can make video during symptomatic period."
+"my doctor recently said , unsure if its an actual diagnosis, I am hypoglycimic. I am puzzled because I ve been measuring my blood sugar levels and they seem to be in the normal range. 95-98 in the am, 105- 110 within a half hr. to an hr. after eating. I feel pretty awful after I eat, as if my sugar is off. UNsure of when I should measure and what I am looking for","Hello, The blood glucose levels mentioned (both fasting and after food) look absolutely normal. I am giving below the range of blood glucose levels for your information:1) Normal : Fasting : 70 to 110 mg / 100 ml, PP 2) Pre-diabetic : Fasting 108 to 125 mg, PP 141 to 199 mg / 100 ml, HbA1c%5.9 to 6.4 3) Diabetes : Fasting :126 mg and above, PP 200 mg and above & HbA1c%6.5 and above. Considering above criteria levels mentioned by you are within the normal range. Hope I have answered your query. Let me know if I can assist you further. "
+"Hi, I m a female aged 29. About 6 weeks ago I got a really intense pain that comes in waves at the top of my stomach. The pain is so bad and on the same pain scale as contractions, only higher up between my ribs. Within the 6 weeks I ve had this pain on 3 seperate occasions and each time it s been followed by dirrahrea. It usually lasts about 2 days. 4 weeks ago I took a really sharp pain in behind my rib on my right side that went up into my right shoulder. The pain came on me very quickly and I couldn t lie down or take deep breaths as the pain was so bad, I was so worried I went to a&e, on arrival I had a high temp, pulse over 100 and low blood pressure. Doctor did an X-ray whicChatDoctore back clear, and done a ct scan as they suspected PE, this also came back clear. They told me my bloods came back that I had infection somewhere but they just didn t know where and sent me home with antibiotics. 4 days later I went back as I didn t feel 1 bit better, done another X-ray which was clear, more bloods and tested my liver this time as they were thinkin maybe gallbladder, al bloods came back clear, my liver slightly elevated but nothing to worry about , I think it came back 41 and doc said its usually 36, only bloods still showed infection, but doctor was baffled as to where the infection was. I got sent home with stronger anti biotics, I started to feel a bit better within 2 days but I still kept the pain for about 2 weeks after. Since all this I have been to my own GP, she redone my bloods , all came back clear accept my liver ggt which was slightly raised but not raised enough to do anything about. I ve got an US appointment in a couple of weeks, I m really hoping I can get to the bottom of all this, have you any ideas ? Do you think both these symptoms could b related? Any feedback would be gratly appreciated, many thanks!","You had episodes of severe pain at lower two ribs at right side probably rt Hyperion Chat Doctor. Your CT thorax was normal, and blood investigation showed infection i.e. raised total count, X-ray was normal. I wonder y abdominal CT wasn't done.  This kind of pain can be due to respiratory, CVS, GIT, ( cholecystitis, cholelithiasis, pancreatitis, colitis, diverticulitis, PUD)etc.... pathology. As CT thorax was normal respiratory pathology can be rule out. Blood investigation dint showed any pathology.  As you are going for ultrasound whole abdomen it will show other pathologies. If it shows normal study then you can go for CT Aldo.n last ECG Only after your physicians advise. Thanks n regards "
+"Hi, I was working out yesterday (on the rowing machine) and yesterday afternoon, all night and today I am feeling a flutter in my chest. It feels like my heart is palpitating but my husband says maybe I just pulled a chest muscle.  I used the rowing machine the past 2 days in 20 minute increments.  could this have caused a pulled muscle?","Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because arrhythmia commonly causes palpitations and Fluttering sensations in chest. So consult doctor and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Pulled muscle can also be the cause. So apply warm water pad on affected areas. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright with all these but first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+I believe I will need a dentist to answer my question. Is there one available? My son lost two of his bottom teeth over month ago. Yesterday he came to show me his mouth. One of the spaces has bubbled and become dark blue however he is in no pain or discomfort. There is no sign on his perminent tooth . What could this be and how concerned should I be?,"Hi and welcome to Chat Doctor, After reading your history I suspect the lost teeth were primary or milk teeth, you did not mention your sons age so that we can predict the eruption of permanent teeth. I would suggest you to consult a dentist and get an x-ray done for the affected area. x-ray will show if there is a remnant of tooth left in the jaw that has lead to swelling and bluish discoloration or there is some infection or bubbling of the area is due to permanent tooth erupting. Accordingly treatment can be carried out. I hope this helps you, take care."
+"I had sepsis in October 2013. I now have bruising on the soft pallet and petechiae on gums and tongue. Still havent been feeling great, losing weight, chills, fatigue and upset stomachs daily. Should I be worried? Should I see my doctor? They said it would take time to feel better. Finished Ive antibiotic beginning of Dec.","Hi, I understand your concern.  Sepsis & also the antibiotics taken to control it disturb the normal intestinal flora which keeps our gastrointestinal tract healthy. To manage, -Keep oral cavity clean by warm water gargles.  - Use a mild paste with finger/slim soft brush. -apply boroglycerine to affected area.  -Take warm/cold milk, non-irritant/bland food, grated juices, salads - B complex (specifically folic acid)& vitamin C supplements are essential.  - Take Lactobacillus preparation before food.  - Avoid constipation. Exclude amoebas. * To consult doctor for assessment of health & prescription of medicines n proper combination.  Thanks."
+dear sir i am a medical persons my mothers have a upper abdominal pain bodyache and low back pain .on ultrasound report have  simple  liver cyst and rt cortical renal cyst .what cn i do sir please give me an appropriate way for treatment .,"Hi, These conditions might really not be related and need a keen review. Liver cysts are treated depending on the cause. They could need Chat Doctor.  Upper abdominal pain could be due to gastritis or pancreatitis or some medical or surgical. In case these symptoms have been going on for a long time, the opinion of a gastroenterologist, coupled with an abdominal ultrasound and Ct scan would be helpful to guide diagnosis and treatment. Kind regards"
+"Hi, this is Ravi from Gandhidham, Gujarat, recently my moms hernia surgery done dtd 10/06/2011, after four days some liquid leakage is started, now mom is under treatment. Doctor has suggested nothing to worry as this is fat liquid which overflows sometimes. This is will continue four to five days. We are so worry about present circumstances, can you pls. advice on this matter...Best Regards Ravi","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Leakage of fluids can be possible after a week or so. Leakage after this time is abnormal. It requires a treatment. I suggest you to do culture and sensitivity from the fluid coming out. If it is infected than appropriate antibiotics as per the report will cure you. If the fluid is non infected than it requires a correction surgery. Once these measures are taken the fluid will decrease coming out. Please maintain good hygiene locally, you can do it by frequent cleaning and Chat Doctor.  This will equally important as taking "
+"hello doctor.. My mom has tuberculosis.. treatment is started 2 weeks ago... i.e from 9 may 2014. medicines taken are rifampin and isoniazid(R-Cinex) along with thynorm 25mg before breakfast, pyridoxine hydrochloride (benadon 40 mg half tablet) & prednisolone dispersible tablets (i.e wysolone) after breakfast but this wysolone tablet for 1st week 3 times 2nd week 2 times i.e after breakfast and dinner & 3rd week only after breakfast.. Then pyrazinamide (i.e pyzina 750mg) 2 tablets after lunch and at night after dinner ethambutol hydrochloride tablet i.e themibutol 800 mg.. before starting with this treatment i.e on 8 th may 2014 Tapping was done.. and now from 20 may 2014 pseudomonas aeruginosa was found so on 20 & 21 may doripenem 500 mg diluted in 10ml steriled water was given after that from 22 may ertapenem 1gm IH was given for 5 days till 26 may. Now doc told to stop this injection but didn t told us to do any test. And she still has fever around 102 to 103.. Doctor told to take crocin if it crosses 102 and maphtol if it crosses 103.. Her diet is also not proper. She don t feel like eating as she use to eat before.. She has loss her weight too.. She is still coughing & cough is normal white or water colour.. Sometimes she has breathing problem too.. Even stomach upset sometimes.. when there is fever at night she become wet due to sweat. Please doctor advice me.. Is this treatment going on is proper ?? And how many days will this fever & cough remain..?? When she will gain weight?? why is this stomach upset now.. is it because of medicine side effect or other disease like jaundice or something because some jaundice we dont come to know..?? what vegetable fruit should be eaten & which should not be eaten as she has cough too?? is it ok to have non veg ?? please specify name of fruits and vegetable to give & not to give.. please doctor reply soon.. i am worried a lot.. please please please","Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. A patient with Tuberculosis on treatment doesn't have any special dietary restrictions. However, patient should avoid Spicy food, alcohol. Should be given lots of green leafy vegetables. Should be given lots of fruits. If on treatment develops any pain abdomen, jaundice, visual disturbances, it should be reported to your doctor. This is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD"
+"My baby is 1yr. old (12months). For last 2 days she is having loose motions. I don t know whether to call it as loose motion but she is having toilet 3-4 times a day. Toilet smells badly. Also colour of toilet is Blackish Green, Yellow and also it is sticky. Please let me know what kind of food shall i give to her. I normally used to feed her milk, Dal/Rice, Fruit(banana/Apple), Khir etc.","Hi, Does she have fever or vomiting? Does the stool contain blood or mucus? Is there any abdominal pain or discomfort while pooping? If no above said symptoms, this need not be taken as significant. Some change in stool frequency, colour or consistency is common once in a while, and need not be worried about. You can continue the same feeds as before. If stool is too loose, reducing amount or withholding fruits for few days might help. Take care. Hope I have answered your question. Let me know if I can assist you further. "
+"Hello. I kicked something and now my foot is slightly swollen, slightly bruised, but definitely sore. I cannot bend my big toe (which is the area where the pain originates, in the foot part just below my big toe) not because of the pain, but I physically cannot make it bend. It hurts to walk on the affected area but I can walk. I just cannot put weight on the big toe. It is painful with a mixture between dull and achy and suddenly sharp or throbbing. Though, I took a Vicodin and the pain is a lot better. The pain is more localized and the areas around it hurt less allowing me to put weight on those areas. Does this sound more like it could be a sprain since the pain medication helped with almost all of the pain aside from the milder pain I feel in the location of the bruise and swelling?",Dear patient You have injured your foot more so your great toe and possibility of fracture cannot be ruled out since pain is not relieved.  I would advise X-ray of involved foot anteroposterior and oblique views to confirm diagnosis.  If it shows fracture you need to consult expert orthopedic surgeon with report.  If its normal diagnosis is sprain and recommended treatment is rest for 2 weeks and tab diclofenac 50 mg twice a day for 5 days. All the best.
+"intense pain in the head, vomiting blood and even low sighted..treated with brain cancer..age 17 female can anybody help plz..her weight is also low its 33kgs..height is 5.7..the pain is getting regular and when in pain no other option other than taking a sleeping tablet as an insomnic..plz doctor help..","Hi, dairy have gone through your question. I can understand your concern. She should go for MRI once.  It will give exact diagnosis.  If it brains cancer then surgery and radiotherapy is the treatment.  If it is some other pathology then 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."
+"18 month old more tired and cranky than usual. Other than the end of a cold, she s healthy. She normally sleeps 11 hours at night, with a 2 hour nap. For the past 2 days, she has slept 12-13 hours at night with an almost 3 hour nap. She s normally quite pleasant, but has recently been cranky and even laying around some when awake. She s asking for milk more...seems hungry. Growth spurt? Other ideas would be appreciated!","Hi, thank you for choosing Chat Doctor.Sometimes kids are more hungry and cranky without an apparent reason. But just look for any ear ache or pain while passing urine which can make kids irritable and are usually missed. If she is not having these, then she is in the recovery phase from her cold which has increased her appetite. Just give her an extra meal for another week or so before going to sleep. Hope this has helped you. Your vote of thanks is appreciated, Good luck, Chat Doctor. "
+Husband had an endoscopy during the procedure found white spots.  Took a biopsy and thought it was fungus.  Found out today not the case. White blood count low told might be an infection.  Not for sure needs another scope in a few months.  Taking meds for acid reflux.  What could it be?,"Hello thank You for contacting ChatDoctorWell first I must say there's too little details provided to work on however let me try__ 1. Your husbands having acid reflux and on meds - since when?  2. Did he undergo endoscopy for that or there was some other problem(what was the problem that he's facing lately)??  3. Is he having any other problems lately (fever, flu like symptoms, loose motion, pain abdomen etc.)??  4. Apart from the meds for acid reflux, is he also taking any other medications for any other problems(Diabetes, Hypertension, Asthma etc.)??  5. You've mentioned White blood count low - it's better if you kindly attach the report of white blood count and also the differential count along with next time it would be better 6. Does he smoke?? Either way do check in with your gastroenterologist and also get back to me with some more details next time for actually telling what it could BEP.s Haunt you got the report of the Endoscopy?? If yes then please attach along with in your follow-upHope to see you soon, thanks a lot for posting your query in Chat Doctor"
+"hi, after marriage i concieve but my baby is  not growing.and doctr did dnc after that 1 year i didnt concieve and my husbnd reports of siemen analysis was worst.now his reports is fine and doctr advised me to take proflien.my mensus are regular .and iam 24 yr old","Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnant when results are normal.right.well.there is HIGH CHANCES of getting when all reports are normal. For getting pregnant following things are required-in women-regular menses reproductive age group(15-45years)normal reproductive organs(uterus, tubes,ovaries etc.). In man-normal semen analysis(normal sperm count, motility etc.) as u told that u both have all reports normal then DON'T WORRY.RELAX.there is high chances of getting pregnancy in your case.u also told that u had abortion, but DON'T WORRY, it happens with most of the women. It doesn't mean that u can't be pregnant in the future. it's normal.nothing is wrong in this. With the above discussion u can try out my suggestions-1. Try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnancy is high).2. KEEP PATIENCE...there is high chances in your case. Just RELAX.3. If u r in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. . I can understand your tense-full situation, DON'T WORRY, I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)"
+"Hi, may I answer your health queries right now ?  Please type your query here...i hav mild pain in right side of my stomach and mild back pain.doctor suggest me to take scan,urien test,blood test and xray,but i all  was normal,finaly doctor suggest me to take zintac,nimusulid and cifran 500,there is no redusing of my pain.still i hav pain,what to do","Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Castro esophageal reflux disease. I advise you to get an Upper GI Endoscopy and Crease test, complete blood picture, stool culture, per digital rectal examination to confirm the diagnosis. Chat Doctor. Pantop once daily before breakfast, Syp. Gelusil and Di gene chewable tablets. Avoid strain and coughing as it may lead to Diaphragmatic hernia. I also advise you to get investigated for H.pylori. You may also need to take Qua"
+"Seasonal. Allergies and sinus congestion Hey.Im 31 years old..My allergies seem to be out of control u this year..I stay congested all year around and nothing seem to help ..Im on nose spray, asthma medicines and still have trouble..Any ideas that will help me stay uncongested?","Hi, first go for a head and neck X-ray in Caldwell Luc view and waters view to rule out other pathology of paranasal sinuses like polyp, muscle or chronic sinusitis, then meet an ENT specialist to have a thorough examination including rhinos copy to assess your condition .let them diagnose the type of rhinitis you have, go for complete panel allergen test to get the list of all substances which are allergic to you, also go for pulmonary function test.proper see of levocetrizine, montelukast, oral or topical steroids and antibiotics can manage your symptoms perfectly for which you should follow your ENT specialist. Take care."
+"I was recently diagnosed with a pituitary tumor, after going to a neurologist his assistant informed me that it is not a pituitary tumor but it next to it by my brain...The reason I even found out about this is through an MRI I had because of vision issues that I am having (double vision) the thing is this is the third incident it seems to come and go with the first time being in 2009, the second in 2011, both with pregnancies, and now this time while I was on an appetite suppressant. What do you think","Hi, I had gone through your question and understand your concerns. If you had double vision, the tumor infiltrated cavernous sinus, and treatment depends on the kind of tumor. In that area three are the most probable lesions: Pituitary tumor, Meningioma and Chraniopharyngioma. If the size of tumor is small (below 3 cm) it could be treated by Radiosurgery, if it is greater than 3 cm it needs surgery.Don't delay treatment because there is a serious risk of blindness. Consult a Neurosurgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions."
+"hi, i have 23 years old , i practice fitness ,, i feel an instability on my knees while walking , i feel a weakness too on my legs , i have a flat feet , when i woke up i feel that my left knee is blooked , but when i m walking and movinig it in a while i lost that feeling , and it s comes over when i set to mush or after sleeping , and when change the shoes for exmple my knees come to pain on the miniscal tears i think , i m suffring can you help doctors ?","Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI again to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. 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"
+"Hi, i have pain accross the middle of my back just under my lungs, it isnt there all the time, when i sit on my knees and stretch forward then try and straighten myself, it seems to hurt then, i have been told by the doctor that my lungs are clear. What could this be?","Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with specific position and movement. So avoid movements causing pain. Avoid sudden jerky movements of chest. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
+"I am a 62 years old Male. I underwent a brain MRI examination the outcome was: Few tiny hyperintense foci are seen in both frontoparietal and left anterior peri insular white matter, which appear to be ischaemic/nonspecific, with none showing restricted diffusion. Question : What does that mean?","Hi, Thank you for posting your query. I have noted your MRI brain findings. I would like to reassure you that these findings are not significant and do not represent any serious brain disease. I would like to know your clinical details (history and examination findings) in order to completely interpret your MRI findings. Hyperintense loci on MRI are most often due to migraine and ischemia (lack of blood flow to brain). Ischemia of brain occurs in people with high BP and sugars. At this stage, you need to keep your blood pressure and sugar under good control. In addition, aspirin tablets may be taken to prevent further ischemia. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/"
+"I truly believe my brother has a paranoid behavioral disorder. How can I get him the help he needs?  He is currently taking meds for anxiety and Atavan.  He has begun the process of counseling however he continues to suffer major meltdowns daily, not able to be alone, maintain a job and daily living skills are difficult for him.","He may have a psychotic illness. However, reaching to a diagnosis and treatment plan need more information about his behavior and illness and interviewing him. Get back to me with more information like duration and nature of illness, does he talk to himself, more details about his suspicious behavior, how does he spend his day at home, any addiction? Etc. You also consult a psychiatrist in Lois vicinity as interviewing the patient is key to make a decision.  Chat Doctor. "
+I have been experiencing a pretty severe constant pain in my upper abdomin for the last 4 hours. When Im standing it becomes a sharper pain that causes me to walk a bit hunched over. I had tried to go to the bathroom but that doesnt feel like or seem to be the problem nor do I have any nausea sensation. I did just start taking Celexa 3 days ago and melotonin at night for sleeping 2 days ago.Thank you,"HIT hank for asking to ChatDoctorSudden abdominal pain is indicative of many possibilities and sometimes nothing's comes out, colicky abdominal pain can be considered, just take a rest, no need to take anything by mouth (Food) wait for half an hour if subsided then it's okay if it does not then try antispasmodic (Dicyclomine) it will come around for sure, further query will be answered ask without hesitations have Nice day."
+I HAVE A VEIN ON THE LEFT SIDE OF MY CHEST THAT IS VISIBLE AND IS SORE. I JUST HAD A STRESS TEST DONE AND EVERYTHING IS NORMAL WITH MY HEASRT. THE AREA IS VERY SORE TO THE TOUCH. I ALSO HAVE BEEN HAVING FLUTTERING SPASMS JUST UNDER THE LEFT BREAST AREA. I AM A 53 YEAR OLD MALE.,"Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry about heart diseases because your stress test is normal. Possibility of skin infection like herpes zoster is more in your case. It is viral infection of skin caused by skin contact. It is commonly seen in chest area. Herpes causes pain, redness, itching and venous engorgement (dilatation of veins) in localized chest area. So better to consult dermatologist and get done clinical examination of your local part. You may need antiviral, painkiller and anti-inflammatory Chat Doctor.  Hope I have solved your query. Wish you good health."
+my husband just had an angiogram. They did not put stint because there was more blockage than expected. Is it normal for him to change sleeping habits. He is falling asleep in a second. This has never happened to him. We have been married for 26 years.,Hi Their understand your concern for your husband I would like to tell you that angiogram is only a diagnostic procedure that has no effect on sleeping pattern. You must check his blood pressure if it is staying low or go through his medicines if he was prescribed any sedatives' medicine if yes then consult with his treating doctor and ask if he can stop using that medicine. Hopefully this will help Kind Regards Chat Doctor. 
+I need to consult psychiatrist for my brother My brother is 34 yrs old. He gets angry and becomes irritated on small small issues. He is working in a call centre. He had polio but after the polio has been treated he is become more short tempered kind of a person. he abuses when he is driving when someone overtakes him. we need some suggestion for his sudden mood change prob. He is very noble hearted person but when he gets angry he himself dont know how is is behaving with his elders but when he calms down he aplogise for his behaviour. He do not drink or smoke . Please advise?,"Hello ~ It seems like your brother has an anger management problem and impulsively becomes angry at little things.  However, it also seems like these anger episodes are predictable, which makes it amenable to treatment.  I suggest that your brother take anger management classes or complete a do-it-yourself book for anger management.  It is helpful to consult a psychiatrist if you or your brother feels like this is not helping and medications may hold a key to the question of anger. I hope this helps.  Take care."
+"my sister 47 had gallbladder stage 2 cancer, had surgery done and after 1 year she got liver metasis, she is now at the hospital, cause had an infection of the bile, a stunt was placed to drain infection, she had received 2 types of chemo for 3 months, but did not workNow taking Tarceva and should start pallitive chemo once she is better stage.  My concern is that she is retaining fluid her belly is swollen, her ankles pratically all over.  Is there anything that can be done, what does this mean for her life.She is not taking any other medications.  She is strong and she is positive on all this.  Would she be a candidate for liver transplant.TksVicky","1) palliative chemotherapy is for stage-4 cancers where there is no any other treatment option is available to cure cancer. Purpose of it is to relieve symptoms of patients and to improve quality of life. Palliative chemotherapy is not better stage.2) gall bladder cancer with liver metastasis is aggressive disease. It might affect liver function (formation of new proteins) depending upon spread of liver metastasis. Symptoms of fluid in belly, ankle swelling suggest less protein in body.3) she is candidate for palliative chemotherapy (but consider location and spread of metastasis in liver)"
+"i have pains under my right side rib cage it comes and goes , im sitting on couch and have strong pains under rib cage same spot everytime.my family physician says its nothing to worry about.but its something to worry about if it happens everyday for about 6-8 months now.please help.","Hi, thank you for providing the brief history of you. A thorough cardiothoracic assessment is advised. As the pain is persistent from past few months I will advise to take up a thorough cardio thoracic assessment if it is in the middle of the chest or above the abdominal region. You may be recommended x-ray or any other test based on the assessment the pain is below the xphisternum then I will advise to take a thorough abdominal assessment and a Diagnostic ultrasonography will be advised to see the soft tissue status. Also, if the pain is near to the rib joining the sternum then it could be Costco Chat Doctor. I will still advice to undergo at least a chest x-ray to check the soft tissue and bony status. No pain persists for longer months until there is something to understand about the physiology. Also, with breathing exercises if the pain subsides then you many not have to worry, as certain times due to weakness of the intercostal muscles there leads to pain. As no chest congestion, cough cold, abdominal pain is mentioned by you, I suspect it to be a Costco"
+"my nine year old son has been complaining of a headache all day at school. He said that it started yesterday on the way home from a road trip. His eyes are blood shot and he looks miserable. no pain to light or sound however, when i tell him to touch his chin to his chest he says there is pain. It also hurts his neck at the base when i touch it. He also says that he just feelis icky. He is congested and has a cough that only seems to come on at night. This may be an over worried father but my 18 yo daughter went thru a bout of meningitis that was caught early by me and I just wann be sure. this could just be a common cold right? the pain when bending the neck is what worries me but it isnt terrible pain he says its like a pinch then it goes away. thoughts?","Hello dear! I can understand your concern. The pain which you are describing can't be meningitis as in this infection the child is quite sick and is unable to flex his neck. Its probably sinusitis or could be viral flu both of which can have headache. I would advise giving him some good anti histamines like levocetrizine 5 ml at night or fexofenidine 6 mg /loratadine 10 mg once in the morning before going to school. You can also try some home remedies like 1 tablespoon of honey in a glass of Luke warm water once daily. Normal saline(2 ml) nebulization and especially steam inhalation also helps. Dnt worry he will be fine in 2-3 days with all this. Get him an X-ray PNS done, and his eyesight checked because sometimes it could be due to refractive error. Hope it will help. Wishing your child a good health :-)"
+"Hi, I took a Dollar store pregnancy test and it came out negative, but Im not sure if its accurate. Ive looked up common early signs of pregnancy, and I seem to have most of them. Is it possible that the test is wrong? Or that Ive taken it too early?","Hallow Dear, The routine urine test for pregnancy detection gives reliable results 8-10 days after missed period. If this test is done earlier, the chances of false negative tests are high. Beta Chat Doctor test is very specific and sensitive test. It gives reliable results within 2-3 days, or even before the missed period. Another test is ultrasonography. It gives direct visual evidence of the pregnancy status. However, it also is reliable about a week to ten days after missed period. Hope this helps you."
+"Dear Sir,I am 40 year old, since last six month my leg got amputed whenevre I travel. Even if I walk for a KM, my leg starts amputing and also I feel breathlessness and also Khansi get started. Since I have a strong Khansi, but nothing is coming out of it.Would you please help me.","Thanks for your question on Chat Doctor. I can understand your concern. Leg pain, breathlessness, coughing etc. are suggestive of DVT (deep venous thrombosis) and Pulmonary embolism (PE). So better to consult pulmonologist and get done venous Doppler of legs for DVT and CT pulmonary angiography for pulmonary embolism. Don't wait at home because this is serious disease. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks"
+I have been having lower back pains for the past year or so coupled with a lot of gas in my stomach. I have seen my doctor for a kidney infection and was treated. But the symptoms remain. I have no history of lumbar injury. I am 57 yrs old an in generally good health. I was prescribed Zerodol 100mg and Cipro 500mg for the infection and they seem to work but the lower back pain lingers. I have noticed that the pain is especially discomforting between midnight and 7am.  thanks for your advice.,"Hello dear, The symptoms are attributed to increased gas formation secondary to excess acid secretion in stomach. Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole 20 mg twice daily (to be taken half an hour before food)2. Anti spasmodic like Dicyclomine preparation twice daily (to be taken after food)3. Application of analgesic+muscle relaxant gel.4. Take soft, plain, non-spicy foods.5.  Chat Doctor. "
+"Hi, My name is owais..i had piloniidal sinus about 1 and half years initially i used to ignore in sense of infection but after some days it become worse and pain hitting so much at that instance someone suggest me to use a `Lehning L86` 20 drops in water 3times a day it works a lot but not cure sinus it only stops watery kind of thing which emits from sinus ..i just want to know that is there any possible option to get rid of it without surgery?....Thank you!","Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, for colonial sinus surgery is the only final cure. Taking a medication can only help you heal for some times. Against the surgery which can cure you completely. If you receive any serious stress on back colonial sinus will recur. You can take the detail solution in the water diluted. Which can help clear infection only. Remember it will not clear up the sinus. You can use the pillow before you seat. As it can help you to get severe sinus infection. Also wear the cotton undergarments. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Please hit thank you for me if you are helped. Thank you, ChatDoctorInfectious diseases specialist."
+"My 4yr. old a week ago got very pale a fever and started vomiting, then he felt better and was fine, but yesterday he got a fever again he didnt throw up and we put cold towels on him and he cooled down, last night he woke up screaming and he had another fever, what could be wrong with him?","Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son is having symptoms of fever which is due to impaired and reduced immunity of your body. Need not worry about it. Take antipyretic Chat Doctor.  Visit pediatrician once and get it examined to find out the cause of fever after thorough investigation. If required request your physician for any lab tests which may be required and start treatment as per that. You can take Cronin as well every 4-6 holy. You should take Metal P tablet as well. If symptoms still persists go for blood tests and then start treatment as per that. Avoid cold carbonated beverages. Hope your concern has been resolved. Get Well Soon. Best wishes,"
+"I have swollen Lymph nodes, I have had this for the second time. First time they took one out and found it was normal, but not normal. ??? My symptoms are, Hot spells especially at night, not assoiated with hot flashes, extream fatigue, pain in lower abdomine that travels any time any where, worse at night. Nausious all the time especially after eating, over weight and can t loose weight even though I eat almost nothing. I do eat healthy, veggies and fruit don t seam to trigger it any different than any other food. I have seen a few Drs and am to see a colon specialist on the 4th. My nodes started swelling last night making it unbearable to sleep. worse ones are in abdomine. Last time I went to the hospital they did basiclly nothing, the meds they gave me made me sick. There has to be a reason for this. No one seams to be able to or want to help. Any ideas?","Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! There are various causes of lymphadenopathy (Viral, bacterial, tubercular infection), lymphoma, leukemia, etc. You need thorough examination and set of investigations(ZN stain from FNAC and cytology) to come to diagnosis whether viral, bacterial or tubercular in nature. In your case as you have evening rise it is likely ""Tubercular"" in nature pulmonary or extra-pulmonary. But I recommend take a course of antibiotic for 2 weeks to see if it resolves before you get investigated for other causes. You will need antibiotic prescription. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!"
+"hey, so 4 days ago I was cleaning the bathroom at my work and I felt a really sharp pain in my neck and went all down my spinal cord. I could barely walk that day but as it progressed it got better. jump to the next day and ever since, I ve had majopr pain in my neck to the point where I can t move it to my right, and I have pain in my shoulders and a tingling in my left hand. I looked it up myself and the symptoms seem to be that of a slipped disc, but could there be something else, and what should my next step be?","Hi you have guessed it right these symptoms are probably of a disc prolapse in the cervical region and if the pain extends to the hand then lower discs may be involved.be on rest take analgesics get a MRI of the cervical spine done do not lift any weight on neck, do not excessively move the neck use cervical pillow. Traction may be helpful, and some doctors prefer a short course of steroids to reduce edema and pain."
+"My wife is concern with the seman dicharging after we have intercourse, my wife think something in wrong. One other question, i had a Vasotemy Reversal and it was sucessful but my sperm count is low, i am taking medicine for 3 month with very little change in the sperm count, can you give me some advice.","HelloThanks for your query, based on the facts that you have posted it appears that you have undergone Vasectomy in the past and Vasectomy reversal very recently. Your semen analysis done very recently after reversal surgery is low. Normally there are very fewer chances of normal sperm count to be achieved, and it entirely depends upon the time gap between two surgeries as the anti sperm antibodies are formed after vasectomy which kill the sperms. Chat Doctor. ."
+My fiance is a 27 y/o male. He has knots that will come up sporatically on his fingers. He has also lost patches of his hair that has been diagnosed and alopecia. He has what looks to be a swollen lymph node behind his ear. He has been to many doctors who have ran blood work and he has also visited a dermatologist. He is very concerned that he has some underlying disease that the doctors are missing. I have to re-assure him daily that he will be ok. Please help me,"Hello, Alopecia with lymphadenopathy may be possible with fungal infection of scalp may present like hair loss with lymphadenopathy. Also check for autoimmune disorders may present like this. Photosensitivity or autoimmune thyroiditis or diabetes millet us etc. Until examination is done it is difficult to say what it is. please consult your dermatologist check for skin biopsy and oral cavity, sinuses for examination for infection. If symptoms not improved please consult your dermatologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further."
+Hi I am Khushboo . 22week scan done . My Bebey seen left renal pelvis measured 4.6mm . What does Mild pelviectasis of the left kidney mean? What does Mild pelviectasis of the left kidney and kidneys are echogenic mean? How concerned should I be?,"Welcome to Chat Doctor .yes the left kidney is not fully developed, and it is something serious your baby needs surgery, so please get your delivery at a well-equipped hospital and please be prepared mentally for your child surgery after hos birth I suggest that you should take help of nephrologist to discuss various options available for your baby know it is very painful, but one kidney is normal it is a good thing with regards Chat Doctor. "
+My father is suffering from vasculitis for three months treatment is going on from Sahara lucknow but the condition is getting worst now he is unable to do any movement and suffering from severe muscular pain what treatment should be done to relax him from this pain,"Hi, thank you for providing the brief history of your father. As mentioned by you about the symptoms, since it is vasculitis we need to have patience for the bodies mechanism to function. As treatment of choice is always directed towards the symptoms. Also, as the fatigue and pain is the factor, taking physical therapy will be advised as per me depending upon the vascular assessment. By passive movements of the limbs it will help to maintain the normal muscle property and metabolism of the cells. Also breathing exercises will help improve the oxygen in blood cells, which will delay the fatigue and pain. Usually, physiotherapy is a non-invasive and no side effects' therapy. Avoid performing massage to increase the symptoms. Also icing can help. You can discuss the same with your vascular surgeon. RegardsJay In Chat Doctor. "
+"Hello there...i have been having some issues that bother me. I have a pain in my stomach area (my left side)...just where the stomach and pancreas would be. While standing up, I feel a bulge and it hurts to push on it...it seems to bother me more when I am at work..but I sit most of the day. I also have heartburn about every day...I have been taking some prilosec almost everydat to stop that..but when I stop taking that the heartburn comes back. Also, when I lie down I do not feel the hard bulge.Please help","Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You have pain in the stomach, on upper left side. When you stand and at work it is bulging and tender. You got heart burn also, When you lye down the bulge this appears.  The heart burn may be due to irritation of the stomach due to peptic ulcer of irritant food habits. Underlying cause could be hernia, gallbladder stones, or H pylori infection.  I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have M.R.I. gastrostomy, besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards."
+Left sided lower rib cage anterior pain. No known injury other than possibly brought on by raking the yard. Pain is sudden and sharp with a stabbing sensation. Pain is intermittent. Pain scale = 4/10 to 5/10. Increased pain with coughing or sneezing. No history of cardiac and no other related cardiac symptoms. Wife a nurse at JHH and thinks possible costochondritis or possibly related to my Rheumatoid arthritis. No fever. No nausea or vomiting. No diarrhea. Feels better after taking Motrin. What do you think this may be?,"Hello Thanks for writing to us, I have studied your case with diligence. As per your history there is possibility of rib contusion or Costco Chat Doctor. Rib contusion is visible on X-ray. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. 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. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care"