Hi, Low sperm count is not an obstacle for conception as long as there are some viable sperms, it may delay but not prevent pregnancy. Myasthenia gratis has specific effect on sperm count, consider to avoid specific maneuvers that may reflexively delay pregnancy like nipple stimulation before or during sex, as it increases prolactin level and may inhibit ovulation. Hope I have answered your query. Let me know if I can assist you further.


Hi, Thanks for the query. I understand your concern. Placenta prefix is a condition when placenta is near / over internal OS (inner opening of uterus.  Type of delivery depends on how much placenta extends towards the internal OS.  - Low lying placenta/ placenta few cm. away for mos/ placenta covering margins of OS .have chances of normal delivery with expert management/ utmost care. But placenta sitting over internal Os inevitably turns into surgical delivery (LSCS delivery) * You are mentioning your placenta reaching up to 2\u00a0cm.  In case It's 2\u00a0cm away from internal Os. You do have chance of normal delivery.  But if you mean its covering internal Os. You have to have a LSCS deliver.  * Please don't be scared, whatever is the type of delivery. It should result in safe childbirth. So whatever your doctor decides it best for you & your baby.  Thanks.


Hello, heinsightz2020,I do not believe that your gallbladder surgery 3 months ago would have anything to do with your current symptoms. Shooting pain between the hip down to the feet is suggestive of pinched nerve or Sciatica which can occur with sudden twisting or some kind of misstep or lifting & bending action. As for your Hepatitis-C, you mention that it cleared spontaneously. I am a little skeptical about that, especially if you never had treatment. I advise you to get a complete set of liver tests, get a HAVANA viral count and see if the hepatitis is active. Hepatitis virus stays in your system long after exposure and a person can be free of symptoms for years before it starts showing its effects. As you are probably aware, this chronicHepatitis-C can lead to Cirrhosis and also liver cancer. It is very important that you have these blood tests done. I wish you well.


Hi thanks for asking question. Your bother having hepatitis c. He might develop here cirrhosis. Because of cirrhosis varietal bleeding from rectum may present here. For esophageal varices banding can be done... As kidney is shutting down suggesting hepatic disease induce functional kidney failure as may be by hepatomegaly syn Chat Doctor. Slurred speech indicating encephalopathy development.... So here prognosis seems poor. Care taken with consultation to surgeon.If you need for portal hypertension beta blocker can take... Take low salt and low fat diet. One tsp licorice with honey can take. If needed for encephalopathy Aureomycin or rifaximine like antibiotic taken after estimating blood ammonia level. Fruits more. Like papaiyaTake care.


Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of ischemic changes in the heart. I advise you to get an ECG,2 D Echo, lipid profile, hsCRP immediately to confirm the diagnosis. Chat Doctor. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management. Hope I have answered your query at the moment, Post your further queries if any, Thank you.


Hello. Thank you for asking at Chat Doctor. From your history I get impression your son is having what we call \"urticaria\". They can be due to allergy or infection. I would suggest your son to take antihistamines like levocetirizine or cetirizine for 3-5 days. If they do not improve, or they worsen, I would suggest you to consult a pediatrician. If your son has excessive sweating, I would suggest him to avoid activities which produce sweating for a few days. I would also suggest avoiding woolen clothes and tight clothing (if he is wearing) and it will be best if he can wear loose, cotton clothes. I hope this will help your son. Wish your son quick recovery and best of the health. Regards.


Hi., Thanks for your query and an elucidated history. With the history of LSCS and pain below the belly button and to the left lower abdomen, with a feeling of swelling in your stitched parts I can think of the following


HI, thanks for using Chat Doctor The fact that it is still itchy would imply that you are still having an allergic response. You may need to consider the use of a mild steroid cream to help reduce the inflammation. This can be used for a few days, if the rash is only allergic, this would help. In some cases, an infection can occur as a result of the introduction of bacteria due to the scratching. If this happens, the use of a topical antibiotic would also be needed. I hope this helps


Dear Pradeep, The level of Bilirubin and enzymes do indicate that there is some form of inflammation in the liver. It is possible that someone can have Hepatitis due to viral causes and not have severe symptoms and when it begins to heal you may still show some change sin the blood tests. However, other things that could affect the liver include alcohol, even some prescription medications (Even over the counter), Gallbladder problems etc. Sonogram will show if you have stones in the gallbladder. You do need complete screening for Hepatitis A & B. It does not appear to be serious. Good luck.


Hi Thereafter going through your query I understand your concern. I would like to tell you that Left Main Ostia is a point of major concern in itself. Generally Left main disease is to be corrected by open-heart surgery rest depends on the condition. If your thallium test was positive for moderate blockage, and now you have developed symptoms then you should personally consult with your cardiologist and get an evaluation done. You may require an angiography for a proper evaluation of the evaluation. Hopefully this will answer your query. Kind Regards


Hello, Radiation treatment usually encompasses the area the tumor was and the area where the tumor is likely to recur. In the case of sarcoma, the tumor usually recurs locally.  Whether the lower arm will be included in the radiation portal depends upon the size of the tumor, best visualized on MRI. In order to help answer your query better, I would like to know more details about the case. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Brown vomits usually indicates altered blood. In other words, there could have been bleeding in the gastrointestinal tract due to some cause. Gastritis is a common cause, but it needs to be evaluated. Although the new formula could have a role, I do not think that we should jump to conclusions. But nevertheless, it might be wise to stay with the previous formula as of now. I would suggest you to visit a pediatrician and get the child assessed. Please do not worry. The child should be fine with some simple interventions.


Welcome to Chat Doctor I have gone through your query and understand your concern. You may have muscle pull leading to blood collection underneath it. It only surfaced now. It is having no great deal. Flight has no relation to it. 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.


Hi. Thanks for the query. It looks like Peritonitis that occurs due to infection below the gum flap and the wisdom tooth. Due to infection there is pus formation leading to abscess formation. The medication you are advised is appropriate, along with it, you can also do warm saline gargles and antiseptic mouthwash gargles. The other symptoms like severe chest pain and pressure feel like someone is sitting on my heart with shooting electrifying pain into neck jaw and arm all on left side feel light-headed short of breath nausea can either be a side effect of medication or acid reflux or any cardiac problem. So my suggestion is to immediately consult an Emergency room and get evaluated, and a clinical examination should be done so that appropriate treatment can be done. Hope this helps. Regards.


Hi, your burning feet problem according to me not coming from your spine because walking is comfortable for you as compare to siting now remaining other causesNeuropathy (diabetic, laprosy)Vascular(stasis of blood circulation)Which required blood sugar and color Doppler of leg to diagnosed it. Now your neck, you are operated few years back and now if your neck hearing you during looking up it is because of spondylosis and if neck pain not coming down up to arm physiotherapy is the only treatment for you. Thanks


Thanks for your question on Chat Doctor. I can understand your concern. After menopause, women are at increased risk of cardiac diseases like hypertension, heart failure, coronary artery disease (CAD) etc. Your blood pressure reading (148/98)is high. And breathlessness especially in night is commonly seen with heart diseases. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test).You may need antihypertensive and other cardiac supportive Chat Doctor. If all these reports are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi! Good evening. I am Chat Doctor answering your query. Even though your query is not very clear, I would suggest you to go to a general surgeon to see if there is any lump palpable, and if it is superficial or deep in the abdomen. He might also advise you for an ultrasound/CT scan if need be to arrive at a diagnosis. Even though it might not be an urgent affair, it would be better to get it assessed at the earliest possible appointment you could get with your general surgeon. 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.


Dear Madam, you shouldn't be worried because in most cases liver enlargement doesn't mean anything at this age and this is only mildly enlarged liver. Also US is an operator depending on test. You should do lab tests, especially bilirubin and liver enzymes parameters to rule out some serious disorder. What about gays growth and development? If you didn't notice anything serious then it is probably something benign. Not only liver pathology can be associated with this finding, also every hemolytic anemia and some infections cause hepatomegaly. So red blood count and inflammation parameters should also be done. Depending on these findings you can plan further tests such as liver biopsy and genetic testing. But as I said go step by step and don't worry. Wish you good health,


HiT hanks for using Chat Doctor In that case, you need to mood stabilizer with antidepressant. You need to take higher dose of valeryl and zen. That would help to control both mood and seizure attacks. You can also try some antidepressant like paroxetine or Escitalopram. That would help to control depressive symptoms in control. Better to discuss them with your psychiatrist. In case, you need further help, you can ask. Thanks


Hi, I understand your query & concern.  Eating cooked lobster is not supposed to be harmful. So is the case with a solitary Chat Doctor.  It should not be regular.  But smoking Marijuana is definitely harmful in early weeks of pregnancy when primitive brain is formed. You should consult an embryologist, in case you had regular smoking of marijuana in the early pregnancy to decide about continuation of pregnancy.  Thanks.


Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had cellulitis, now the concern is about the swelling you are facing. For which I will recommend you to undergo physical therapy for cellulite. With physical therapy after a thorough assessment of your condition the therapist will make a plan for the rehabilitation. It will be a 4 weeks plan mostly or more depending upon the choice of the therapist program. Exercises are usually recommended after hospital discharge in cellulite. As there will be weakness in the muscles of the lower limbs, the muscles needs retraining. Also, as the muscles become stronger the vascular flow comes back to optimum. Besides, you may need to undergo a modified cardiac rehabilitation as due to aging and lack of mobility the cardiovascular functioning becomes slower which requires an attention to boost up. As in my clinical practice I see patients with cellulite, and post discharge after a thorough assessment the exercises are planned. Post which there is a change in the over all body status. Exercises even helps the absorption capacity of the Chat Doctor.  My clinical practice has shown results of 99% success in patients. I advise you to undergo the physical therapy, and you can discuss the same with your physician. RegardsJay In


Hello, Medications have a very poor direction sense. It is basically impossible for them to go to a specific location and their side effects are all over.  The exceptions are when the organ has a particular reason to grab the medicine, not the other way around.  So liver damage or kidney damage or growing organ damage are common. Accumulation in fat like in the skin can be a pattern. But not one side. Hope I have answered your query. Let me know if I can assist you further. Take care


As far as ADVIL is concerned it is non steroidal ant inflammatory Chat Doctor.  The basic problem here in your case is fever and subacute intestinal obstruction. If you're passing flatus with feces then continue with the soft diet along with the antibiotics and sure you can take ADVIL too. If u haven't passed stools and flatus for more than 24 hours and if it accompanies abdominal distension then quickly consult your doctor so that proper workup can be done in time.  Regards


Hello, Thank you for your contact to Chat Doctor, If I am your treating doctor I would like to advise you that kindly go for checking dengue NS1 antigen and dengue IGM testing. Decrease in platelets is suggestive of dengue. Give her as much fluid she is like. Also, if the platelet count is very low, kindly admit her to ICU ASAP. If you have anything else to ask kindly contact me. Thank you. Chat Doctor infectious disease specialist.


Hi...this could as well be a viral illness. If you want to use Ibuprofen I suggest you use plain Ibuprofen. It can be given at the dose of 10\u00a0mg/kg/dose every 8th hourly if temperature is more than 101F and the strength of the suspension is 100\u00a0mg/5ml. But if you can get back to me with the weight, of the kid I will be able to help you out and also mention in your query the strength the adult Ibuprofen you have with you. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ Chat Doctor.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Surgery in this area may cause hemorrhage sometimes. This hemorrhage may get clotted in some area, I suspect it in your testis of one side. Hard testis may be because of the clotted blood. But direct visual examination can confirm the status. I advise you to do physical examination of the testis and related genitalia. If its simply hemorrhage than you can wait for some time to get hemorrhage retract. In case of any infection or malignancy you can take antibiotic or chemotherapy as per the case. Please take doctors guidance before acting. Please avoid injury to the related part. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor


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. I understood your health concerns and feel Concerned about them. You seem to be suffering from following possibilities-Mostly this is due to Delayed onset Jewish Herxheimer Hypersensitivity Reaction due to Allergy to doxycycline. This could cause breathlessness from vasculitis and angioedema with high fever and shock with it. Stopping Doxycycline and Treating with In Demon 2 mg would take care and to be maintained with oral Tab Demon- to be tapered over next 3- days time. Consult physician and get above treatment under his control. This would reduce your complaints in 1 weeks time. For this to verify Second opinion from another Physician -specialist- is suggested. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. 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


HI, Welcome with your query to Chat Doctor. Based on the facts of your query, after its review, In my opinion you are a known case of Alcoholic Gastritis with HERD. Recent bout of chest pain with green dots with blue rim on chest, indicates you need to restrict alcohol and investigate the clotting status of your blood and your liver by various tests. For this you need to check with your diagnosis soon. You might be young at 42,but your heart and liver are overage, for which you need to change your lifestyle seriously. As at this young age you have these problems which would be faced by one in 55 yrs.  Hope this reply resolves your worry with your queries. Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS


Hello, There are various factors causing swollen nodes in the armpits including local hair follicle infections (especially if you use razor to remove the hair there). If it is noted immediately after vaccination, it could be a normal reaction to the vaccine. It is supposed to get normal glands in short time. If this does not happen, and the glands will persist being swollen should see a specialist. Otherwise, everything is ok. Just keep good local hygiene. Hope I answered your query. Regards Chat Doctor.


Hi. As you said your wife suffers from psoriasis. Psoriasis is a chronic relapsing and autoimmune disease. She may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of the disease. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. She may apply mild steroid cream or calcitriol point on the lesions. She may apply moisturizer to improve the skin texture. Tell her to avoid soap bath for few weeks. She should avoid stress and worries as that might worsen psoriasis. Your wife might get good result. I hope you got my answer. Thanks.


Hello, As the fracture is just 2\u00a0mm apart I don't think the surgery will be taken as a choice.  It will be treated with an immobilization using the plaster and wait for 4-6 weeks of time. In this duration, multiple x-rays might be taken to check the healing of bone.  Once the healing is optimum then the cast will be removed, and you will be advised to undergo physiotherapy to improve the range of motion of the finger joints and improve the strength of the hand muscles. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.


HIT hank for asking to ChatDoctorI really appreciate your concern, the nodules that you have on your fingers are not because of the breast lesion or the medicine that you are taking for the breast malignancy, when you have first removed the nodules then this should have sent for histopathology, the finger lesion could be something else and that need to be examined properly keeping in mind the history of malignancy, take care and have nice day.


Hello, Welcome to Chat Doctor, Fungal infections are more common in the genital and perineal area as these are the normal comedians of this area, which will be kept under control by helpful organisms whenever there is a change in the environment this yeast will activate produce their symptoms. As you are having the symptoms of fungal infection for which you have taken some treatment, but your symptoms has not come down, I would suggest you to undergo lab investigations like KOH mount, CBC and urine routine examination. For your symptoms you can try these measures1. Keep the area clean and Chat Doctor. 2. Apply antifungal cream over the lesions3. Tab Rifleman, 150 mg single dose.4. Oral antihistamines to reduce the symptoms of itching. Thank you.


Hi dear user have gone through your question. I can understand your concern. In advanced stage of renal disease there is severe water-sodium retention, wich may cause blisters when the fluid becomes trapped under your skin, but in my opinion your wife is not in End-stage renal disease. My advice is to consult a nephrologist in your area because you need to have an exact diagnosis and treatment for your wives renal condition. She need also to take iron treatment for anemia and a hypocaloric diet because she has morbid obesity. Hope I have answered your question. If you have any further questions I will be happy to help. Thank you for using Chat Doctor. Wish you good health.


Hello. Thanks for posting here. Donating blood causes a loss of blood volume of about 300 to 500 cc over 15 mins or so. The symptoms like passing out, tingling in limbs are not due to inadequate nutrition or so. It is due to vasovagal syncope which happens when the brain feels a loss of blood volume. It can happen in anyone. Again since the blood volume is low, the heart tried to compensate by increasing heart rate thereby increasing blood supply to other organs. That's why you have the fast heart rate. Soon, as you start Chat Doctor.  Do there is nothing to worry about, just


His understand your concern. Feeling of heart attack is features of anxiety and stress. Due to depression and anxiety will affect daily routines and work. This kind of condition require psychological and social support. It can be treated with antidepressant like SSRI or SARI. Benzodiazapin like clonazepam or Mizoram can be given for panic or anxiety. But choice of Chat Doctor. So consult psychiatrist and get help. Do exercise, meditations, relaxation, deep breathing exercise etc. Take proper sleep. Try to do work stress-free. Enjoy hobbies, music, discussed with friends and family. I hope I have answered your query. Feel free to ask. Happy to help you. Get well soon. Thank you.


Hi, dairy have gone through your question. I can understand your concern. Treatment of breast cancer depends on stage of cancer.  Chemotherapy and radiotherapy with surgery is the treatment of choice.  If hormone receptors are positive then Herceptin is useful. You should continue your treatment for breast cancer.  For arthritis steroids or analgesic plus any inflammatory Chat Doctor.  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, Thanks for asking the query, When you have braces on your teeth the Orthodontist will advise you to maintain a good oral hygiene to ensure that you keep your gums healthy. The best of brushing and flossing techniques when used along with the braces on will ensure that your gums are not swollen. Deep ultrasonic scaling followed by the course of antibiotics is required, use chlorhexidine mouthwash rinses twice daily. For gingival hyperplasia I would advise you to get an OPG done to rule out extent of infection or boneless if present and plan an appropriate treatment. Hope this helps out. Regards.


Hi, It is completely normal that a 2-month-old child will have a disturbed sleep pattern. Child Chat Doctor.  After she reaches a 3-month-old then It's possible to start regulating her sleep pattern. She is more comfortable in the vertical position close to the chest as this is the position most close to her position inside the womb and that is normal too. There is no need to worry. Hope I have answered your query. Let me know if I can assist you further.


Hello! Welcome on Chat Doctor ! I am glad to attend you! I reviewed the therapy prescribed by your doctor and would agree with some of these Chat Doctor.  You should know that the pain in your limbs and headaches are common symptoms after a stroke. Your current therapy is focused in the prevention of future strokes or seizures. The headache, could be tension type, related to your current situation and the psychological stress. The pain in the limbs is common, and it is related to the damage in the central nervous system. Physiotherapy is the main


Hello. Bipolar disorder is a chronic pathology that requires medication for life. Never can stop the medication abruptly. You need to take an anxiolytic, an antidepressant and mood stabilizer. Alprazolam, Fluoxetine and Oxcarbazepine taken combined are widely used in the treatment of Bipolar disorder. Please go to your local specialist, as soon as possible, for a prescription. I wish you good health.(In case the answer would have been useful please indicate this)


Hi it seems you are very much worried about your medications. As your case history is not in detail, you might have taken many/all available types(SSRIs) of medications. As you are not getting result, combination/augmentation of different antidepressants may help you. You must take regular help of psychologist. You should increase your self-esteem. Please don't think yourself as a Ginny pig. Remember-, your doctor is always more worried than yourself as you are not getting desired result. Keep faith. 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.


Dear User, Thank you for your question, yes the redness is related to excessive rubbing. don't use alcohol on it this might irritate the area more, which probably caused the tiny pa pules filled with puss use some cream antibiotic on it no cortisol. I would recommend you visit your doctor for proper physical examination he might need to prescribe a course of antibiotics for you. Please rate as 5 if you found helpful. Best regards,


HelloThanks for query, You have noticed that your 84 years old father has his scrotum and penis turned black suddenly. Is he diabetic? Mostly this is due to what is called as Fournier gangrene . You need to consult qualified General Surgeon immediately for clinical assessment to confirm the diagnosis. And get following basic tests done 1)Blood Sugar Levels 2) Ultrasound Scanning of Scrotum.3) Color Doppler study of scrotum. He needs to be hospitalized for further treatment which will depend upon the results of these tests. Chat Doctor.  1)Get his blood sugar level


HelloThanks for query. Cortical thinning of kidney needs to be investigated in detail as long term effect of cortical thinning can lead to kidney failure. In most of the cases cortical thinning is due to obstruction to urine flow from kidney to the bladder the commonest pathology being congenital PUB obstruction. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Intro Venous Paleography.(I.V.P)4) DTPA scan 5) Renal Function tests. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor.


Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is surgical treatment available for this condition, consult a Plastic Surgeon in your area Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only.


Hi, DearLeave the anxiety of the lump on vein to your doctors, and you would recover fast.-You have anxiety neurosis with your lump.-Tb Alzolam-with script from your family doctor would help you a lot.-For IV site lump-you just apply point. Thrombophobe and / Tb NSAID -if it is still painful, which is rare thing to happen to you.-So you check with your family doctor and get the above treats. Second opinion from Vascular Surgeon would solve your issues. A psychiatrist help would relieve you fast. Hope this would resolve your issues. Wishing you fast recovery from your complex problem. Wellcome to Chat Doctor for further query in this regard.


Hello and welcome to Chat Doctor. Thanks for your query. OCD is a usually chronic problem and requeries long term medication. Sometimes medication can lose their efficacy if used irregularly. 60 mg of Fluoxetine is a good dose of the medication. If you are still continuing to have OC symptoms, then other treatment strategies have to be tried. Further treatment options include a change to a different class of anti-obsessive medication or trying psychological and behavioral therapies. I would advise you not to make any treatment decisions or alterations on your own, but consult a psychiatrist near you, so that you can have a detailed psychological assessment and further treatment can be planned accordingly. Wish you all the best.


According to Ayurveda this problem is related with Rasta(blood), rasa(lymph-?) & also with TRI dos has. From childhood, you are suffering from skin & bronchial problems, these 2 are well related with each other, as per the pathogenesis is considered. Any skin problem is due to deformity in blood+skin+mama(muscle)+tri-doshas. In asthmatic cases blood & vat ta(V\u0101yu) are the major dishes i.e. basic causes. A special treatment is required for all these mentioned, if you are thinking to take an ayurvedic medicine. The medicines which you are currently taking are only symptomatic. I think for complete recovery ayurvedic medicines are the best path-way for you.


Hi, You are having pruritic ANI and pruritic on scrotal skin. There are many reason of pruritic in both area. Irritation, allergy, fungus, any other skin disease or internal disease.Sometimes no cause is found, in that case it may be psychogenic in origin. Keen thorough examination and complete history is must. Routine and specialized blood test may be done. This should be done under supervision of dermatologist. He may give antihistamines, steroid in tampering dose and antipsychotic Chat Doctor. Combined steroid and antifungal cream may be applied. Sitz bath in detail water for improving local hygiene is required. Soap should be avoided. Avoid tension and worries. If needed, internal disease should be treated. In anal area, piles and fissure in ANO should be ruled out, for that surgeon should be contacted. I hope you got my answer...organs.


Thanks for your question on Chat Doctor. I can understand your concern. For diagnosis of pneumonia, chest x-ray need to have infiltration. With normal chest x-ray, pneumonia is not possible. Cough, congestion, crackles on auscultation are also seen with bronchitis. And bronchitis shows normal chest x-ray too. So it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. So I don't think you are having pneumonia because your chest x-ray is normal. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi Lima, i don't. Know detail history in your case please update me about it in terms of age history of thyroid problem, diabetes,hypertension, ashtma, husband semen analysis, any history. Of tube testing done? If I was your treating doctor, and you have already taken tablet closed for 5 days and if you have 30 days cycle you can take injection Chat Doctor 5000 IU on day17,day21 of your cycle and planned relations from day 12 to day21 alternate day.


Hithanks for your query bro has a lump on his upper gums with a white spot on it that is growing inspire of antibiotics clindamycins there any caries in it????how was your bros oral hygiene????I think in this age group its most probably a dental cystic needs to be examined properly to stamp it any specific type among 3 types of cyst we usually come across take a digital x-ray of the upper jaw including maxilla and sinuses to know the actual position and attachment of the lump do consult a maxillofacial surgeon for better management cancer in this age group is rare though it needs to be confirmed by FNAC or biopsy my info I think ll be of help to you thank u


Hi, Thanks for posting your query. With the available describes symptoms, there appears to be possibility of right lower chest lung pathology or cholecystitis. Location of pain suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, liver function test, chest x-ray, serum amylase. You should also go for endoscopy along with biopsy. Treatment depends on exact diagnosis. Meanwhile, you should take proton pump inhibitors along with prokinetics and muscle relaxants. Take care,


Hi, Thanks for writing in. Bone cancer can be of many types. The commonest condition is multiple myeloma and this spreads to involve multiple bones including long bones and backbone. It can also infiltrate blood system. There are many other bone cancers like osteosarcoma, Ewing sarcoma, metastasis, bone lymphoma, and it is important to know the type of cancer the patient has. If he has myeloma that is causing symptoms, he will most likely to be treated with a combination of chemotherapy and steroids. Which Chat Doctor.  For example, if he has kidney damage, this will affect the choice of treatment that his doctor can use. His doctor may also recommend having a biological therapy such as thalidomide, bortezomib (Decade) or thalidomide (Realized) alongside the chemotherapy and steroids. Other bone cancer can be treated by chemotherapy, surgery and radiotherapy as per disease type and stage. Please do not worry.


Dear Sir/ Madam, Thank you for posting your query Chat Doctor.comic clearly indicated acute Otis media with nasopharyngeal block, in this condition Eustachian tube (which connect ear, nose and throat) get blocked (very common) due to mucus. She requires anti-inflammatory, decongestant and antibiotics. Ideally it is a good idea to consult pediatrician and get start treatment. Hope I have answered your query. Your thank-you note is very much appreciated. If you need nay further information, please feel free to revert, With best wishes,


Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Considering her advanced age and multiple co morbid conditions like heart attack, stroke, a heart functioning around 18% and multiple vessel atherosclerotic disease her prognosis is not very good. You have to understand that having multiple organ involvement is not a good thing and in her case as per the information her organs have been severely impaired. You may expect her to go into congestive heart failure considering her poor heart function and also sooner or later her kidneys may also be involved in the process. I suggest that you may consult a doctor and start palliative care for her so as do decrease the severity of the symptoms and provide temporary relief. Take a good care of her medications a would be on many, and she may even require help with her day-to-day activity.


Hello, Thanks for using Chat Doctor.First I like to inform you that bipolar disorder can be treated effectively but no cure (elimination) exists on the current day. Most patients with bipolar disorder need long term treatment as there is ongoing disease process which needs control with use of effective medications. For the bipolar depression following options are available on the current day1. Seroquel2. Latuda3. Aborigine and4. Olanzapine and fluoxetine combination It is important to visit your psychiatrist to discuss the merits and demerits of each recommended medication. In case you are having bipolar 2 depression Seroquel is the only option while for bipolar 1 depression any of them can be used for effective control of disease. I must assure you that with right medication there is good chance that you will recover to your true potential. I hope this helps you. Feel free to write back to me if you have more questions. Thanks again.


Hi, dear. I have gone through your question. I can understand your concern.  CA 125 is the marker of ovarian cancer.  If it is raised up to 1300 it means you have recurrent ovarian cancer or some metastatic lesion from ovarian cancer.  You should go for ct scan abdomen to know the spread of cancer 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, Thanks for posting the query, I would like to tell you that pain, swelling, nausea, dizziness, fever, headaches are common symptoms after tooth extraction, you don't worry about the symptoms as they will subside after sometimes by its own. Take the complete course of antibiotics and analgesics prescribed to you. At home take lukewarm saline NAD antiseptic mouthwash rinses. Take complete rest. Take multivitamin supplements. Take care!


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. It is common after respiratory tract infection. You're wheezing, breathing difficulty etc. are explained by bronchitis only. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the bronchitis. You will need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi and thank you so much for this query. I am so sorry to hear about these parasites and all the disturbing thoughts this has caused you. There is no reason to get worried about these germs possibly complicating your pregnancy. They have not caused any infection and inmost cases would only do if the immune system were to be greatly weakened. This is simply not the case now. When you live in milieu with such germs, they form harmless relationships and there is no reason to be afraid of their mere presence in the absence of symptoms. I hope this ad Chat Doctor.  I wish you well. Feel free to ask for more information and clarifications if need be.


Hi, please do not worry. Semen is usually near the consistency of what you mentioned. Probably, you have thick dense semen. It could be possible due to blockade of seminal vesicles as they are unable to empty their secretions into the urethra. How often do you masturbate? Please get a Semen analysis test done, and it will let us know what is the problem. This way your doubts will also be cleared. Share the report with us or see your Doctor or a Urologist for the same. We would be glad to help. Take care, Chat Doctor.


Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that his symptoms could be related to a cervical myelopathy, caused by the herniating discs. Has he performed a cervical MRI? This exam would give more information on possible compression of the spinal medulla. A brain MRI would also be needed to investigate for other possible causes that may lead to vertigo. So, it would be wise to perform both these tests in one only exam, to be able to have more information on the possible underlying causes. A nerve conduction study would also help investigate for nerve compression due to the bulging discs, which could explain the irradiating pain in the arm. Hope to have been helpful! Kind regards,


Hello, Thanks for the query to Chat Doctor. Forum. As physical examination of rash (wound) and white substance (larvae) is very important so, if, possible upload pictures of wound with larva. May be due to, River blindness (cholera volumes), guinea worm, creeping eruption (ancylostoma Brazilian), Leishmania Tropicana. Scrapping tests and stool examination are very important.  Consult a physician and get in his opinion. Good luck.


His had gone through your treatment line up. Medicines are best in their class to treat depression. If you have still depression in spite of taking all these medicines then require to re view your diagnosis. It may be bipolar depression or resistant depression. Other modalities of treatment can help. That include add on medicines with levothyroxine/olanzapine etc. Best can be judged by your treating psychiatrist as he knows all detail history about your illness. ECT means electroconvulsive therapy can help in resistant depression. Consult and get help. Still have query then feel free to ask. Wish you a very good health. Thank you.


Hi. Thanks for the query. I have gone through your query and can understand your concerns... As per your complaint periodic pain in gums that lasts for a half an hour and then subsides can be most probably related to nerve induced pain known as Trigeminal neuralgia. It is a nerve disorder caused due to disturbance in the functioning of Trigeminal nerve and its branches. I would suggest you to consult an Oral Physician or a Neurophysician and get evaluated and a clinical evaluation and investigation like MRI SCAN can help in diagnosis and treatment can be done accordingly. In case of neurotic pain, neurotic painkillers like Carbamazipine and Gabapentin can help in relieving pain as well as reduce the frequency of recurrence of pain. Hope this information helps.


Hi there thanks for your question at Chat Doctor. Ice and rest usually give relief in pain and swelling over the first two days. But you are not expected to have pain on standing or walking in mild injuries. Such pain should suggest you to take your injury seriously to avoid long term ligament related pains. If you have any pain when you walk or stand on your injured foot, it suggests severity of injury and warrants further work up which will include an X-ray at the least. As walking or standing includes weight-bearing, it induces stress on the soft tissues of the foot and hence helps to unmask milder forms of sprain of these structures. No t having pain on movements of toes indicates milder injury Hope this helps All the best. Regards. Chat Doctor.


Dear friend. Thanks for sharing your concern. Your history suggests that you are worried about the complication, faced post extraction of third molars. Please do not get worried The white tissue you have mentioned might or might not be the clot. But, if you have symptoms like dull aching pain in the 3rd molar then you need to get worried. Since, presently you have no symptoms, please do warm saline rinses after food gently and observe for two more days. If the toothache persists then you can revisit your dentist for evaluation else no need. Please understand this fact, that the clot which develops to protect the wound gets well stabilized within 48 hours .so there are very rare chances of Chat Doctor.  Hope it helps. Thanks. Take care.


HelloThanks for query. The itching of scrotum seems to be due to fungal infection Use topical antifungal ointment like Fluconazole twice daily. Ensure to wash your genital area with warm soap water twice daily before applying ointment. Ensure to wash your inner wares in boiling hot water mixed with antiseptic solution like Detail. Ensure to use loose inner wares. This will get cures within 5 days. Chat Doctor.


Thanks for contacting ChatDoctorI am sorry to hear that you found a tick and the area that you found the tick is now swelling and red. When you removed the tick it is possible the tick released some of its body juices into your skin. I would recommend using a small dose of HY Chat Doctor.  If the area becomes more inflamed I recommend you seek medical attention. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions


Hello thanks for asking from ChatDoctorI can understand your concern. You have anxiety and panic disorder. The symptoms like fear of not be able to breath or having a heart attack could be occurring due to persisting panic episodes. You are on Prozac 40, Buspirone 15 mg and Asian 1 mg and these symptoms are persisting. In such case for control of panic attacks you can think of taking increased doses of Asian or Lorazepam. You can take the Chat Doctor.  The


Dear patient, ideal way to prevent allergy is to identify the allergen and avoid it. Please maintain a dairy of your daily activities from the time you get up till bedtime. Try and find a link to the activity and beginning of your symptoms. Vacuum clean you mattress and room weekly. Regular exercise boosts immunity, so go for regular cardiac workout. Eating lots of fresh fruits and vegetables also helps. Avoiding junk, packed and processed food gives protection. You can also take echinacea herb supplements, or Siberian ginseng (please avoid ginseng if you are hypertensive). Or you are a take grape seed extract to boost immunity. Also, please take 250000 units of vitamin A every 6 to 9 months. Regards.


Your child seems to have either bronchiolitis or a viral pneumonia, the hint here is the wheeze, if your child have bronchiolitis then the bronchodilator like Revlon and inhaled steroids like budesonide will not add much but sometimes its helpful .if the child is not hypoxemic and he doesn't have shortness of breath and sever tachypnea (high respiratory rate) then you can manage him at home with these nebulizers otherwise he should be admitted .the albuterol or leveling can be repeated every 3 hours unless the child experience a rapid heart beat. If your child is not assessed by his pediatrician I recommend you take him before any further treatment for better assessment. I hope this helps


Thanks for your question on Chat Doctor. In my opinion you are having pneumonia (lung infection) or bronchitis. I am suspecting this because of1. Coughing2. Yellow sputum production.3. Shortness of breath.4. Fevers better to consult Pulmonologist and get done Chest x-ray and Pulmonary Function Test (PFT) for the diagnosis and treatment. Antihistamines alone will not work. You may need antibiotics and bronchodilators. So better to consult pulmonologist and discuss all these.


Stresrelieving is first requirement.Panama, anulome-vilpmw.Omar recitation. Here Reiki treatment will also help. Stopping of smoking is of extra benefit.shirt Dhaka with Madhya ad stress relieving medicated oil, nasya with Brahma fruit should help. Considering the overweight issue dhatwagni hardhat vacant kappa will help. With all this try out exercising doing it for a small length of the in the beginning and increasing it gradually.


Acute pancreatitis is an inflammation of your pancreas due in large part to an over-excessive consumption of alcohol. Using certain medication excessively or even traumatic injuries can be the culprits for acute pancreatitis as well. Symptoms include abdominal pain, first and foremost, as well as vomiting, diarrhea, fever and nausea, so please tell me any history of alcohol consumption. Any investigation done any imaging done


Welcome to Chat Doctor ...sir it is classical reaction to telmisartan .it will be seen with all telmisartan losartan losartan candesartan and Chat Doctor. .but if swelling is coming daily and persistent for 12 hours please request your doctor to replace tartan or decrease dose in addition you may go for level of C1 esterase but if dose cannot be decreased then you should have prefilled epinephrine syringe with you as this has to be injected by self if swelling increases, and you face breathing difficulty with regards


Hi Dear, Understanding your concern. As per your query you have symptoms of infection in ear piercings and infection keeps on reoccurring is mainly due to irritation by the ear ring or sticking up with clothes or fingers there might be having minor injuries causing infection. Sometimes during piercing the instruments used are not clean enough or not sterilize which causes infection and leads to formation of pus and pain as well. Conditions should be highly septic and instrument should be adequately sharp otherwise there will be minor skin trauma which leads to infection. I would suggest you to


Hi, The two possible causes are pain arising from a prolapsed disc which can radiate to the groin or muscular pain due to sprain or spasm. You can consult a physician and get evaluated. It is better to go for an MRI scan to rule out spine related problems like a prolapsed disc. As of now, you can take analgesics like Ibuprofen or Tramadol for pain. Hope I have answered your query. Let me know if I can assist you further.


Hi! Welcome to Chat Doctor !  I have gone through your query and understand your concern towards your problem. I can understand that your symptoms could be due to depression or anxiety due to chronic back pain or because of your illness. Furthermore, I can say that it is not merely due to the illness. This is because how you are responding to it is based on your capability to tolerate the effects of illness.  There is nothing to worry. Be confident and hopeful. You can start antidepressants like Escitalopram to get rid of these symptoms. And the confusion is just because you're worried about your illness. Otherwise, it is not common at your age.  Hope this information is helpful.  Take care


Hi, welcome to ChatDoctorKidney damage defines according to GFR. But, without implication on health of patient or if it is not associated with other abnormality suggestive of kidney disease, if GFR is> 60 then it is not considered as kidney damage. Check basic urine report, BP, S.potassium and sonography. With these reports, we can rule out kidney damage. You can then consult your doctor, or you can get back to me also with reports. I think this would be helpful to you. Best wishes. TC. Chat Doctor.


Degree understand your concerns went through your details. You cannot get aids if you masturbate. I suggest you, you are just 20, you can masturbate once per day and engage yourself in education, exercises, career related activities and creative activities. Masturbation will consume energy naturally. That is all. There are no other negative health impacts. The breathlessness you are feeling could be due to anxiety due to excess masturbation. Nausea, lack of energy etc. are also due to excess masturbation. Reduce your masturbation to twice or thrice a week and stop being anxious. If you require more of my help in this aspect, please use this URL. http


HI and thank you so much for this query. May be late already for the dates you have posted but I guess the information is going to be of great help in future similar situations. If you have sex on the 5th day of your cycle, the chances of getting pregnant are very, very low. Taking ECP shortly after that further reduces the chances. Also, having the with Chat Doctor. ECP often distorts the cycle though it eventually gets a new rhythm for itself.f you have not still seen your menses by this time, then you at least need a pregnancy test and further investigations if warranted identify the cause. Please, beside having unwanted pregnancy from an unprotected sex, you run the risk of transmitting or contracting sexually transmitted infections. I will kindly suggest that you always consider having protected sex unless otherwise indicated. Hope you find this information useful wish you good health.


HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a lumbar intervertebral disc injury. A physical examination with an Orthopedic will give clue for that and an X-ray followed by an MRI of Lumbosacral spine if needed will be required to confirm it. Peripheral pulses also should be looked to rule out any vascular blockade. For such condition in my patients I advise NSAIDs like Diclofenac muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. I also send them for physiotherapy after a short resting of 4 to 5 days. Hope this may help you. Let me know if you have any further query.


Hi thanks for your question.6 years old and weight of 130 pounds means morbid obesity. The hump at the back could be collection of fat and there is nothing to worry about this hump. What she needs urgently is control of this morbid obesity. She should be investigated to rule out any metabolic disorder like hypothyroidism. Bloating of tummy is expected with this much of obesity. With so much of obesity at this stage of life can have the lot of health related problems in her feature life. I would suggest you to consult an internal medicine specialist preferably an endocrinologist who may evaluate her for such a morbid obesity and may advise you a management plan. Hope this answers your question.


Hello there, and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. Don't worry, It's nothing serious. As you describe, my opinion is that we are dealing probably with exstrasystoles. These are electrical impulses generating from parts of the heart different from that of normal sinus rhythm. They cause this escaped or skipping beats. You may feel a palpitation, an anxiety sensation or like a beat is skipping. There are different reasons that may generate an extrasystol from simple emotional street to different pathologies like anemia, hyperthyroidism etc. Hypertension and exstrasystoles are independent of each other meaning that you may have extrasystoles without having hypertension, you may have hypertension without extrasystoles or both of them. The fact that you have a low blood pressure is a good news you don't have to worry about this. In fact this is our goal when we treat hypertension. Now we have to deal with this skipping beats. My opinion as a cardiologist is that we are not talking for something urgent. I will recommend you to tell your symptoms to your treating doctor in your next visit to make some simple examinations like a blood analyze, your thyroid hormones. Of course if I was your treating I will recommend a holder monitoring to register and see what happens with your rhythm during these symptoms. If you feel that your heart is beating in a chaotic way it is advisable to make an electrocardiogram in that exact moment to your nearest cardiologist. In mean time avoid coffee and caffeine products because they exacerbate these symptoms. When we document and see what kind of rhythm problem is this we can talk about treatment. Hope I was helpful. Wish you good health. Best Regards


Hi and welcome to Chat Doctor. As a Urologist, I can understand your anxiety. To confirm your symptoms are related to kidney, youll need to-do some tests


HI. This is a mixture of few problems together and look to be related to each other The food pipe - the is due to swelling of the food pipe along with the loose guarding mechanism at the lower end. This is to not allow the food from stomach to come up. In your case this is loose so allows the food and acid and all to come up so the pain, burning and all problems. Rest of the other problems are due to swelling of the large bowel and all together give you dizziness. Take a proper treatment after upper endoscopy and colonoscopy


Hi, I like the idea better of injections but if you had an allergic reaction then, tablets are really your best medication (if not your only medication choice).  Of course, I always recommend to my B12 deficient patients (even those on injections) that they should improve their overall dietary consumption of B12 by simply escalating the amounts of ANIMAL PRODUCTS in their diets. Everything that is meat, fish, liver, chicken, and dairy products contain a very good amount of B12 in its content and if you eat large amounts of these items on a daily basis your levels should go up. It can take as long as 30 days of continuous filling up on B12 to see a difference though with injections it is usually very quickly noticed. Hope I have answered your query. Let me know if I can assist you further.


Hi, your complaint may be related to gastric problem indigestion and stasis can sometimes cause fermentation and flatulence giving rise to distension of abdomen.recurrent g i infection may also be the reason of distension of abdomen .get a check-up with physician and get investigations done if required.chronic constipation also prevents normal passing of flatus and distension of abdomen. Avoid constipation, take healthy balanced diet that better be non-spicy and easily digestible .get a check-up and discuss. Wish you good health.


Hi. As per your case-history you are having irritation due to either retinoids or benzoyl peroxide application for acne. My treatment advice is-1. Stop that anti-acne cream.2. Donor squeeze/press the scab formed.it will fall off on its own.3. Use antibiotic cream like juridic acid cream twice daily on site4. Avoid sun-exposure and any soap-cosmetics on affected area. U will be fine in few days. Thanks. Chat Doctor. B.B.S, D.D.V.L


Welcome to Chat Doctor I have gone through your query and understand your concern. You have got hematoma which will resolve gradually. You can take analgesic such as ibuprofen for pain relief. Local application of tomophobe gel without rubbing will be helpful in resolving it. Local heat can be applied. 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 he read your query. Bad smell from mouth or halitosis is mostly due to certain substance produced by bacteria present in plaque. It is very imp to maintain a good oral hygiene. As u said u brush her teeth twice days God BT is your method of brushing proper. Use of mouthwash is also suggested thrice daily. Visit a dentist to find out the condition of the teeth and gums.is dear any presence of plaque. Hope this ans helpsRegards


Hi, Thanks for posting your query I understand your concern regarding psoriasis. I will try to answer your query Psoriasis is autoimmune disorder, which means bodies immune system starts working against ones own cells instead of foreign substances in particular areas. In psoriasis this results in increased formation and shedding of skin in the form of scales.  Psoriasis is not curable but symptom free period can be achieved with medication and suppressive therapy In your case since it is mild you might remain symptom free for longer duration. The following may help


Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry much for cardiac cause. In my opinion, your symptoms are mostly related to anxiety only. And anxiety is the cause for worsening HERD. So we need to control anxiety and HERD symptoms will itself resolved. So 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. So avoid stress and tension. Be relax and calm.Don't worry, you will be alright.


Degree understand your concerns went through your details. I suggest you not to worry much. The duty of mind is to think. Thinking may be positive or negative. Your attitude determines your thinking style. You cannot control your thinking for the time being. But you can divert your attention to other priority things instead of being idle. From the description, it is clear that you have a lot of time to think. Why and how? You have time to think because you have nothing to do productively. Then change your attitude and start making things productive and creative. Education, career, duties and responsibilities, people are running around without getting enough time to look after house. Here you are, with enough time? Please change. Otherwise you will be in trouble.Also, important is that these happenings provide you with valuable life lessons which should be useful for your future. Be confident and positive that you learned another lesson. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to low stamina and testosterone. You should get enough exercise daily and have nutritious foods. Aphrodisiac foods like eggs,seafoods, meat, nuts and citrus fruits will be helpful also. Check your blood pressure, blood sugar and cholesterol levels also. A general physical examination by a physician is well appreciated. Hope this may help you. Let me know if anything is not clear. Thanks.


If you have recently delivered a baby and you're lactating it is physiological to have heaviness in breasts and size also increases because of it. If not, then if you feel that you're uncomfortable with the size of your breasts, you have options of either undergoing surgery in which part of your breast is remove die breast reduction surgery or u can get it reduced using liposuction also. You need to consult a plastic surgeon for his opinion.


Hai.according to me if child showing projectile vomiting after feed you please check for upper abdomen for any mass is there in right upper qua Chat Doctor. . Mostly looking like hypertrophic pyloric stenosis better go for early treatment if not leads to electrolyte imbalance and metabolic imbalance and malnutrition my advice to for investigations like X-ray abdomen and ultrasound and s.electrolytes


Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Treatment and Cause for the painful multiple lumps in arm vein-For the right treatment right diagnosis of the cause of the lump on the nose bridge is to be done. Cause of lump -It is very difficult to comment on the cause of the lump on the bridge as the data is insufficient. Following possibilities could be ruled out with help from your doctor-DERMOID CYST/ACNE/Boil/Epidermis Cyst/Syringe/Sebaceous Cyst. From the size told by you, possibility of it being a Dermoid Cyst / or Sebaceous Cyst-is Moreno Don't worry.It's not cancerous. Still if worried I would advise you to get the USG guided FNAC biopsy, to rule out it being cancerous. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist.


Hello and thanks for posting the query are following a right schedule to get cure from the pain. The only change that can help you is done hot fermentation instead of Ice fermentation. Do not wear weight till the pain subsides. If your pain does not subside in 2-3 days than you have to do your X-ray lumber spine done to rule out any fracture. Use hard bed to sleep and for slight movements wear lumber belt to stabilize the spine.  Hope this will help you. Best Wishes


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 (LIKE AZITHROMYCIN OR LITERAL) at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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! Good evening. I am Chat Doctor answering your query. If I were your doctor, after a clinical assessment of your abdomen and testicles, I would advise you for a urine routine/microscopic and culture sensitivity test, and treat it with appropriate antibiotic if positive. The UTI sometimes makes the testes inflamed secondarily giving rise to orchids causing pain. So, I would also advise you with some anti inflammatory along with a proton pump inhibitor Chat Doctor.  Also consume enough liquids in your diet. 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.


Hello, Welcome to Chat Doctor, It looks like a fungal infection, as this area are very moist which predisposes the growth of fungus and produces the symptoms. As you getting these symptoms frequently, you require physical examination to confirm the presence of fungal infection before starting the treatment. I would suggest you to1. Keep that area clean and Chat Doctor.  Topical Antifungal cream3. Oral Antifungal


Hello! Thank you for the query. This lump might be a lymph node which can be there as in normal conditions or some benign skin lesion like sebaceous cyst or lipoma. It is hard to tell not being able to palpate it. Please consult your doctor with this lump and have an ultrasound. In case of enlarged lymph node biopsy should be considered. Lipoma or cyst can be removed with small incision. Hope this will help. Regards.


Hello Mam, As you have mentioned that your last period was in December and its more than three months now. Now the urine pregnancy test will not have any major role. It's time you need an ultrasound.* Ultrasound will confirm your pregnancy. If pregnancy occurs then fine and take your treatment accordingly.* In case pregnancy is not there then you need to visit a gynecologist because amenorrhea more than three months might be due to hormonal imbalance. * Other symptoms that you have been experiencing might not be confirmation for pregnancy, so go for an ultrasound first.* I hope you are satisfied with my answer. Thank you.


Thanks for posting question, and this is a good question for using substitute for the same. First I need to know for what condition you are using ultraneron plus capsule. If it is the treatment for specific nutrition disease for you then you should not substitute with erosion tablet, because erosion tablet is multivitamin tablet while ultraneron plus capsule contain more amount of vitamin b12 and also contain lycopene which is not present in erosion tablet. Hope this information may helpful to thanks dear friend


Helloo.read through your query.I suggest u few things which may help u with sinusitis...1)do steam inhalation 15 mins daily twice 2)do breathing exercise(Panama)for 15-20 mins daily3)do yoga or exercise for 30\u00a0mins daily.follow this REGULARLY.and it will help u.but it takes little time to be cured thru this.for sudden cure u may require surgery...be cool and calm .be happy.happiness is the best medicine.can cure anything...hope your benefitted something from this reply.have a healthy day!!


Hi, thank you for providing the brief history of your husband. As he is suffering from vascular dementia, I will advise to undergo a clinical neurological examination. Maybe an MRI will be required to understand the brain areas better. As medicine helps on a symptomatic relief and too much medication will not be good for the general health of the kidneys. Prednisone on a longer run also has some negative effects and the GP may not prescribe anymore. Also, in my clinical practice most patients with neurological illness, responds well to physical therapy along with medication. As with physical therapy exercises the metabolism is improved and so the vascular blood flow to the brain by improved cardio respiratory endurance. RegardsJay In Chat Doctor.


Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.should I try for natural conception or IVF after third miscarriage...right.well...my answer is.YES. U can try for natural conception after third miscarriage. As u told that u had conceived for two times naturally. So there is HIGH CHANCES of conception by natural method.u can go through it without any doubt in your mind. Secondly let us discuss the miscarriage u had. U told that u had miscarriage at 4 n 11\u00a0week....right. So most of the time it is usually happening if there is any chromosomal or genetic abnormalities having in embryo, or any infections in mother, or sometimes it is unexplained. So DON'T LOSE HOPE...KEEP PATIENCE. U can get pregnant with natural methods. If u r come under the reproductive age group(women from 15-45 years are come under this group. In this group chances of getting pregnancy is high) and you are having regular menses then chances of getting pregnancy is DOUBLE.bur u didn't give info regarding your menses n your age. So it is difficult for me to comment on this. If u have both then RELAX, NOTHING TO WORRY.with the above discussion u can try out my suggestions-1. There is high chances of getting pregnancy with the natural method. So RELAX, RELAX.2. 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. So do coitus as much than possible during this period.3. If u r in hurry then visit nearby gynecologist or infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor.  EVERY PROBLEM HAVE SOLUTION. I pray the God that u will be blessed with a cute n healthy baby.hopefully TWINS)


Hi, Welcome to Chat Doctor. I am glad that you have been treated for gonococcal infection. Based on the details you have mentioned in your query, you are suffering from genital infection whicChatDoctormonly presents with discharge, itching and pain during passage of urine. I suggest you get culture and sensitivity test done for the discharge and take appropriate antibiotics based on the test results. Antibiotics have to be taken for at least 7-10 days. Strict personal hygiene has to be maintained. As you have a history of sexually transmitted infection like gonorrhea, I suggest you also get a consult at an STI clinic to rule out any other STIs. Thanks.


Hello, Thanks for consulting ChatDoctorRead your query, as your child had injury now he had bluish swelling and pain this can be due to formation of Hematoma in that injured area I will suggest you to consult oral surgeon for examination of teeth and bone for any discontinuity or step deformity or if any intro oral laceration is present. Advise him to take soft diet, No hard solid food is to be given for few days, Do Luke warm saline rinses and consult doctor tomorrow for extra oral and intro oral examination and of needed to go for investigations done OPG X-ray. Hope this will help you. Wishing your child good health.


Hello, I have studied your case. Physiotherapy will help you in decreasing edema and regaining ligament strength. Till time take analgesic and tendon protecting medication consulting your doctor. Hip joint flexion, extension and rotation exercises will help. Physiotherapist will help you better to learn more exercises in proper protocol. If required intra-articular injection can be given but do MRI hip before it. 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


Welcome to Chat Doctor .1. This kind of symptoms are seen in the case of late pregnancies since you are bearing a weight which is normally not there, so there will be difference.2. Only thing you have to do is lie in comfortable position and request your treating doctor for basic pregnancy exercises, and few safe painkillers.3. Sorry that you have to go through this as you wanted to be with your mother with you in the last moment.4. The due date is actually not the rock solid date, it's just an estimation, it can be few days before or after depending on the body physiology and baby factors.5. Your mother may be with you after the treatment (if small procedure) otherwise you have to be brave to face, all matter of days...good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. High cholesterol is due to altered fat metabolism due to obesity, low activity and high fat intake. 2. Low blood pressure is possibly due to chronic deny Chat Doctor. 3. Variations can occur within a few weeks. Get yourself on low fat diet, along with anti-lipid medications. Also moderate exercise with weight reduction will be very helpful. Hope it helps. Any further queries, happy to help again.


His have gone through your query. A swelling over the back can be seen with spinal bighead. However, there may not always be a rash only over the area. Many child Chat Doctor.  This can happen when a child is wearing tight clothing. This can block sweat pores and cause the area to overheat. A few things that can help include wearing loose cotton clothing, staying in a ventilated room, and keeping the room breezy can help. In case the rash is persisting or increasing in size, getting a check-up can help. A biopsy or an ultrasound over the area would be useful. Hope I have answered your query. Let me know if I can assist you further. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Since you have just started smoking, your cough is mostly related to bronchitis. It is inflammation of airways. Actually any smoke can cause irritation and inflammation of the airways. This is common during initial days of smoking. So better to quit smoking as soon as possible. This is not good habit. Consult pulmonologist and get done clinical examination of respiratory system. You will need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with appropriate treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi... I feel this is an early marker of hyperactivity. Does anybody in the family was hyperactive as a kid. If not I don't see anything harmful going on in your son. Kids of this age need mothers attention throughout. If possible you can try staying with him all through and start working after he starts going to school. This is only a suggestion and I have seen many of my own patients and even neighbor skids getting better after this. Regards -


Hi. Thanks for the query. Your explanation is pointing towards tooth abscess formation that is due to deep infection in the tooth leading to pus formation below the root tip of the tooth. It can spread to the soft tissues of the face leading to Cellulitis and Space infection. So my suggestion is to consult a Dentist and get evaluated, and a clinical examination should be done along with an IOP AR [x-ray] of the tooth to confirm the diagnosis. You can be advised a course of antibiotics and painkillers to reduce infection and along with it the tooth has to be treated. If tooth can be saved then root canal treatment can be done and if there is gross decay extraction is advisable. Hope this helps. Regards.


Hello and welcome to Chat Doctor, Raised ESR level is not a disease but an indication of an underlying chronic disorder. Associated headache raises possibility of temporal arthritis. Temporal arthritis is characterized by inflammation of vessel wall of temporal artery. Definitive diagnosis of temporal arthritis can be made after biopsy of the vessel wall. However, the biopsy is negative for evidence of temporal arthritis. Ulcerative colitis is a chronic autoimmune disorder which can also cause raised ESR.ESR responds to treatment of underlying disease. Thus, treatment for ulcerative colitis will improve the ESR levels. Thanks and take care Chat Doctor.


Hi if you do not have regular fever, no pain in your limbs, no localized pain at back then my suggestion would be following for 3 weeks, then come back to me- 1.improve your posture by sitting straight, walk straight to simplify behave like a soldier. Avoid constant sitting that is not more than 30-45 min. 2.take diet rich in calcium and it. D like milk or milk product.  3.regular back strengthening exercises.  Wish you good health. Take care.


HiT hanks for your query. Based on your query and presenting complaints, my opinion is1. Constipation and if procedure are not related.2. There is a very low chance of nerve being injured during IVF. 3. It is most probably functional. Take diet rich in fiber and lots of fruits and vegetables so that stool bulk increases and bowel movement is easier.4. For time being you can take laxatives.5. Besides that, maintain a healthy lifestyle like exercises, morning walks. Hope this helps Regards


Hi, Thanks for writing to us. Masturbation has no role in inducing pigmentation over faceSeborrheic dermatitis can lead to pigmentation over face which us known as seborrhea Melanesia. As far as the recurrence of pigmentation is concerned, you may prevent the same by using a good sunscreen and applying a mild cream like Comic acid, albumin and vitamin C based cream over your face daily. These are safe creams having no ill effect even if used for long. Take care


Hi Sorry to hear about your problem. You have a condition called COCCODYNIA. This is basically inflammation of the tip of the tail bone. The tip of the tail bone has a set of three very small bones with joints between them. People who sit for long periods of time involving perhaps, a desk job can transmit considerable pressure to the tip of the tail bone. Treatment involves sitting on a ring cushion with a hole at the center of the cushion. You should sit with the tip of your tail bone in the hole and buttocks on either side. Also, injections given at the spot can reduce inflammation at the point. Hope this helps, Do let me know if you have any more queries on this one, Chat Doctor.  Hyderabad. India


Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorders. Anxiety or musculoskeletal pain could also explain your symptoms. Nevertheless, I would recommend performing some other tests to exclude other possible causes


Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This is in relation with irritation of pleura due to underlying lung pathology which may be infection, inflammation or else.* Needs precise clinical evaluation and x-ray chest also for the final diagnosis and further management. Hope this will help you for sure. Wishing you fine recovery. Welcome for any further guidance. Regards .


Hello, As far as pain after tooth extraction is concerned, this can be due to unhealed socket or due to presence of bony spicules. For this, I will suggest you to consult oral surgeon for clinical examination and intramural periapical radiograph for proper diagnosis. In the meantime, do warm saline rinses 2 to 3 times a day, and you can apply gum paint ointment on gums for pain. Hope I have answered your query. Let me know if I can assist you further.


Degree understand your concerns went through your details. I suggest you not to worry much.  But in psychology, we broadly call it obsession. 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 and close your eyes. 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. 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.


Hi, Welcome to Chat Doctor. You are right rib fracture generally heals in 2-3 months. But sometimes healed fracture may remain painful for many months. Don't worry about swelling. It is callus formed in the process of healing of fractures. It will gradually reduce in size and may disappear. You can take analgesics(Diclofenac sodium 100\u00a0mg slow release tablets) for pain relief. He is advised to check his serum vitamin D level and if it is low then supplement this. I think this will be of use to you.


Hi, If the single molecule for hypertension is not working then the second molecule can be added along with a cut down of salt in the diet and a change in lifestyle. If you go on reading the blood pressure on your own, it will show a great deal of fluctuation. It is most advisable to get the reading done by a physician and let the physician decide about the medicine. The blood pressure you are reading on your own is nothing to worry. Hope I have answered your query. Let me know for further assistance.


Neuropathy is degenerative changes in the nerves in your case the most probably the herniated disc is causing root pressure and responsible for the changes it is better you consult orthopedic surgeon and get treatment for the herniated disc and that may result in improvement in your case earlier the treatment better the result, so please do not delay getting definitive treatment hoping early recovery


Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. Most likely it is prostate cancer. But PSA velocity will be more helpful in diagnosis. So do your PSA again after a six month and check for how much above they had gone. If it is much higher surgical option should be thought of. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor.


Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Your symptoms suggestive of Otis media like ear infection. It can be viral infection as per symptoms. Your Endoscopy ear examination should be done. Decongestants like Ben Chat Doctor.  For pain Paracetamol SOS can be prescribed. Steam inhalation and salt water gargle can be done. In mononucleosis cervical lymphadenopathy and hepatosplenomegaly usually present. If this is present than get investigated for it.  Hope I have answered your query. Let me know if I can assist you further.


Hello, I can understand your concern. Bactrim is not associated with twitches in the scrotum. If your doctor said that you are suffering for epididymitis, then these spasms may be associated with the epididymitis and not the antibiotics. You can wait until the course is complete and infection is eliminated. Most probably it will go away with the infection. In addition, try to do some changes in your lifestyle so that if the spasms are muscular, it can help. You can try to avoid prolonged sitting and try to do some exercises like swimming or brisk walking. If you do not find any relief yet, then consulting a neurologist to diagnose muscle related problems is advised. I hope this answer helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best,


Dear patient First you have not mentioned type of fracture and what treatment was given for fracture ? Because treatment depends on type of fracture and displacement.  You will be investigated with CT scan of sacrum with 3D reconstruction of images.  This will give accurate description of fracture and its displacement and also status of union.  Since its two months post fracture union may be started. Now if report shows fracture is displaced and not uniting surgery may be required. If fracture has started uniting, but sacral nerves are compressed then also surgery to free nerves may be required. All the best.


Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry about this. I will try to explain you something and give you my opinion. You should know that this skipping beats have to do with rhythm issues. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a skipped beat, and you might experience palpitation, flattering sensation, pauses, anxiety, difficulties in breathing deeply. Normal, when this extra beats are in high frequency than we treat them medical. Atenolol is one of the alternatives. As you still feel this extra beats, and they are interfering in your daily life than in my opinion we should do some examinations. If I was the treating doctor I would recommend some thinks to find the possible house like a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance and a holder rhythm monitoring under Atenolol to see the frequency of this extra beats. After all this we can better judge if it is necessary to do something like rise atenolol dosage or change it with another anti-arythmic Chat Doctor. Hope I was helpful. Best regards,


Hi, These symptoms could indicate you are developing an infection. The commonest source would be either a urinary or chest infection. I suggest you take paracetamol for your headache and Chat Doctor.  Rest if possible. If you develop any symptoms suggestive of either urinary or chest infection, such as pain on passing urine, loin pain or a cough with sputum, then see you doctor for a possible course of antibiotics. Alternatively, this may be a viral infection which will settle without antibiotics. I wish you a speedy recovery.


Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that as long as her Holder monitoring and ECG is normal, there is nothing to worry about! Anxiety can mimic such clinical scenario. These heart rate values are quite normal, in a healthy individual. Anyway, if her complaints persist, I would recommend performing additional tests to totally exclude any cardiac issues


Degree understand your concerns went through your details. Regarding your premature ejaculation and nocturnal emission problems. These are usually due to anxiety and worries regarding sexual performance. You need to talk to your urologist regarding inability to control your urine. If you still need my assistance in this regard, please use this link. http


Hi, Welcome to Chat Doctor, Discharge in an ear is always a matter of concern especially if it's in a child who had tubes in ear, then It's very much a concern. Your description tells me that your child has ear infection and that needs to be taken care of urgently. It has to be seen by an expert and started in antibiotics and may be cleaning depending on condition. I would suggest you to consult an ENT surgeon soon. Take care. Wish your child a good health.


With your query, nothing to get nervous in some individuals tongue will be little bigger than normal technically termed as macroglossia. Only problem with this situation is it may cause disharmony or misalignment between the teeth, but your son is completely asymptomatic so nothing to worry about it if you are tensed you can get an advice or suggestion from your dentist and general physician as well. Hope this helps you.


Welcome to Chat Doctor. 1. The possible cause in this case could be ductal Eurasia (dilated ducts). Next possible cause is adenoids - mass lesions, lastly cyst.2. In your age I would suspect ductal pathology - due to hormonal imbalance, cyclical issue.3. In this case I would recommend you to get an ultrasound - non-invasive, no radiation scan for assessment of the lump.4. Ultrasound will help to assess the nature of the lump, source and extensions. If mass lesion an FNAC - fine needle aspiration cytology will be helpful to assess the nature of the cells involved in the process.5. I would recommend seeing your GP, get examined, investigated and needful treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http


Hello . As you are already valve replacement patient so you're prone for arrhythmia... Heart chamber size increases which also increase arrhythmia... are you on anticoagulant??? If you are having atrial fibrillation??? Occasionally increase in heart rate is common ... But if frequent episodes then we can go for holder... more control of heart rate can be done with medication... Need to do echo for any heart leakage and working of valve... Good control of blood pressure is helpful...


Hi.... even halfway through reading your question I too thought of lymphoma. But I was happy after you said the size of the lymph node has Chat Doctor.  I suggest this could be only a supportive lymphadenitis. But if the kid continues to have fever, weight loss and loss of appetite, I suggest you take a call on further evaluating the kid for lymphoma. But as of now I do not see any reason for you to worry. Regards -


Hello! Welcome on Chat Doctor! I understand your concern and would explain that high bilirubin levels and high blood pressure are not related to each other. The high levels of bilirubin could be related to the liver or billiard stones. For this reason, I would recommend performing an abdominal ultrasound and other liver function tests. Regarding treatment with enalapril, you can safely continue to take it. Hope you will find this answer helpful! Kind regards,


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more likely. But better to rule out heart diseases as you are having hypertension and strong family history of heart diseases. So get done ECG and 2d echo. If all these are normal then no need to worry about heart diseases. 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 with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Thanks for the query. Better to consult gynecologist once. Hormonal imbalance may be the cause for your bleeding. As you stopped the pills in the middle, that with Chat Doctor. So you consult gynecologist, get examined and take tablets to stop the bleeding. Go for one ultrasound and if your doctor recommends you can go for hormonal profile including estrogen, progesterone, FSH and LH, thyroid profile etc. With this workup the possible cause for your problem can be identified and treated. For more details you can ask me through


Hi, Thank you for asking question on Chat Doctor.stools may be green if he consumes green leafy vegetables usually. May be infective diarrhea, and it is worth trying ofloxacin+ornidazole combination 2 times daily. You may also add Sporadic one sachet daily. 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


Hi, Back pain due to long term standing and wrist pain due to constant use is common among barbers. Preventive measures have to be taken. Regular breaks in between work with sitting and physiotherapy for back muscle strengthening and wrist and forearm muscle stretching and strengthening is needed. Tab attract twice a day for pain relief can be taken.  Hope I have answered your query. Let me know if I can assist you further.


Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Myocardial infarction leading to Right sided heart failure and pulmonary edema. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I and chest x-ray immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. Chat Doctor. Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Exercise regularly for 30 min. Stress management is mandatory in your case. Consult your cardiologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you


Welcome to ChatDoctorI have read and understood your query and appreciate your health concerning my view all these symptoms you are having is due to respiratory tract infection. As this is for more than a month with body aches and warming(fever), it is bacterial infections.I would suggest you take an antibiotic like augmenting(amoxicillin+clavalaunic acid) or levofloxacin. Along with a mucoexpectorant syrup. This will help you relieve the symptoms and get you fine completely. Though meet your physician before starting medications. I hope this was useful. Regards Chat Doctor.


Hi Miami understand your concern regarding your knee replacement surgery and I want to tell you that those people who are involved in sports activities and are physically fit like athletes They do have their heart rate on the lower side. That's actually a sign of healthy heart. No Ma'am It's your normal physiology and it will not postpone your surgery, although your surgeon might take a cardiologist opinion to declare you fit for surgery. I wish you good health


Welcome to Chat Doctor .1. The symptoms you are describing are mixed - seems like gastritis and enteric causes.2.Meanwhile you can change your diet into a basic form, avoid junk food alcohol, take excessive of salads and fruits, with multiple portions (for gastritis and enteric pathology) for at least 2 weeks and see.3. If any change and better condition you can continue.4. If not you need to at an ultrasound to rule out negative findings and get in to conclusion.5. A CT might be needed for better evaluation of the bowel.6. Get an appointment with your GP and get the needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Hello, there are several reasons for the kidney to shrink in size. Usually in chronic kidney disease, the size of kidneys shrink. Does he have any other complaints? Like decrease in urine output? Or swelling over feet or face? Sometime even with age the kidney size can shrink a little. I would suggest if there are no other complaints associated, no need to worry about the size of kidney. Just a regular follow up with USG abdomen to look for size changes will suffice. But if there are other related symptoms, it would be better to get urine examination and renal function test to get it diagnosed and treated accordingly. Thank you


Hello, I can understand your concern. As you are feeling that gum around your wisdom tooth is sore, it is possible that your wisdom tooth on lower left side is impacted, meaning it wants to erupt into oral cavity, but lack of physical space is not allowing its eruption. In such situations, the food you are eating gets lodged into the fold of the gum around that tooth making the area infectious and painful. This pain can be felt up to the ear as referred pain. However, this condition is not associated with the tingling of the hand, which might be related to deficiency of calcium, vitamin D or Vitamin B12. I would advise you to start antibiotic CEA Chat Doctor.


Hi! Welcome to Chat Doctor. I read your query. Is the ulcer on same location as earlier? Does it appear like a boil or swelling at tooth root? I suggest visiting your dentist and get it checked. Get an x-ray done to know any infection in tooth. In that case it may need reject or extraction of tooth. Or it can be just abscess in gums due to some trauma or brushing injury. Or can be an ulcer. In case of gum abscess, you need a cleaning to while ulcer will heal with time. Maintain good oral hygiene. If warm water doe snot hurt, do warm saline rinses. If required, repeat antibiotic course after consulting dentist. Hope the answer helps you. Thank you.


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. An obstruction in the edge of the penis suggests that there could be a wart or growth. This can cause shower of urine instead one flow. It's very difficult to comment on the exact cause of the lesion without having a look at it. It would be advisable to either upload some pictures of it in Chat Doctor or show it to a urologist/surgeon/sexologist. 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


Hello and welcome to Chat Doctor, Pain around the belly button and hearing heavy pulses at the same site is suggestive of a vascular pathology. Aorta is the big blood vessel which runs from the thorax to the abdomen before dividing into renal arteries. Any abnormality of the vessel especially aneurysm will cause turbulent blood flow and loud audible pulsations. You need to get an MRI of the abdominal area to know the status of the aorta and other structures. Consult a cardiovascular expert for clinical examination, ordering investigations and hence management. Thanks and take care Chat Doctor.