Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that a lump that doesn't hurt in this region could be related to a lipoma or fibrosis. I do not think that it is malign or cancerous as it has been there for a long time, without spreading. I would just recommend consulting with your doctor for a physical exam. A surgical resection can be needed, if it disturbs you or interferes with your look. Hope you will find this answer helpful! Kind regards,


Hi. Welcome to Chat Doctor. I read your query. As you mentioned you had IPR done on your teeth. This can at time lead to slight discomfort post procedure. As for white spots on tongue and burning, there may be rough spots left on teeth after reduction. This may lead to trauma and frictional keratitis. I suggest you go to your orthodontist and get any brought point left smoothened and polished. Also, if there is any plaque or calculus, you can get oral prophylaxis done. If tolerable, do warm saline rinses. Massage gums using gum paint. Apply lidocaine gel before eating to reduce burning. Take multivitamin one tablet per day for 2 weeks. Maintain oral hygiene. Hope the answer helps you. Take care.


CAA.definitely its due to severe allergy to pepper spray.........if he is an asthmatic/allergic person, pepper spray/any irritant causes sudden lung blood supply constriction resulting in craving for oxygen..........AVOIDANCE IS THE BEST TREATMENT FOR ANY ALLERGIC CONDITION............if not subsiding please do use steroid sprays like fluticasone, beclomethasone propionate types response will be good with them.............needed to clean your entire house daily......an allergic person may super from reactions due to household dust


Thanks for your question on Chat Doctor. I can understand your wife s situation and problem. She may be having blunt chest trauma due to fall. And chest pain with breathing difficulty is common in blunt chest trauma. You should get done chest x-ray first to rule out rib fracture, pneumothorax, Pulmonary contusions etc. As all can cause post trauma chest pain and breathing difficulty. If chest x-ray is normal then she is mostly having musculoskeletal pain. So ask her to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, she will be alright.


Thanks for your question on Chat Doctor. I can understand your problem. In my opinion we should first rule out cardiac cause for your chest pain. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Pleurisy (inflammation of the pleura) can also cause chest pain on coughing and deep breathing. So get done chest x-ray to rule out possible causes of pleurisy like pneumonia, tuberculosis etc. If chest x-ray is normal than no need to worry much for pleurisy. Anxiety will be the cause. Many times, patient needs psychiatric counselling along with anxiolytic Chat Doctor.  So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright.


Hi, Thank you for posting your query. I appreciate the detailed description that you provided of your symptoms. First, biracial plexus injury can occur as a complication of difficult labor and delivery (shoulder dystonia), where shoulder of the baby comes out before the head. Treatment is with exercises, and I am glad to note that you have done well. Second, regarding the weakness of left side, it needs evaluation. It could be due to clotting of blood in the brain veins or arteries. An evaluation by a neurologist and a possible MRI of brain may be useful. Regarding the periods being irregular, it is most likely due to a condition called as dysfunctional uterine bleeding. The suspicion that your blood is stored in two sacs, etc. is not correct. Your gynecologist will help you understand your problem better. Best wishes, Chat Doctor.


First, you did not mention whether you had small cell cancer or not. Both have different treatment algorithms and outcomes. Small cell is generally more aggressive. Also, I would like to know if they removed the nodes or not and if they were involved by tumor or not (this would be in the biopsy report). If they were removed and are negative and the margins of resection are negative for tumor (this would mean that the tumor has been completely removed) then you would be in the 2nd stage (stage IIA technically but high risk due to large tumor size). So, I would recommend that you get further chemotherapy to decrease your chances of recurrence. The prognosis is good, and you have a 70% chance of being cured.


Welcome to Chat Doctor. 1. The history suggest the possible cause of the lesion at the site of the previous injury could be infective collection. 2. Though there is no history mentioned pain or fever infective etiology to be ruled out.3. Other possible cause could be lipomatous lesion - fat content.4. The Ultrasound examination is the investigation of choice in this case, ultrasound will help to evaluate the nature of the lump, its source and extensions.5. First thing one has to examine the lump, I do not think there is much to worry as there is no pain on touch. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http


Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which seems to be mainly due to fungal infection, poor hygiene, and systemic causes. Need not worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination. Doctor may prescribe you Chat Doctor.  You should maintain complete hygiene. You should use Finasteride preparations. Furthermore, you should take supplements like vitamin A, Omega-3 and vitamin E. Hope your concern has been resolved. Best Wishes,


Hi ! Thank you for your query. Dear madam, Whatever information you have provided is insufficient to guide you. Low blood sugar is not related to autoimmune disease. Generally in autoimmune disorders the is hemolysis leading to anemia but that's not universal. High RBC count can be physiological or pathological like in polycythemia. I advise you to see you doctor and get her thoroughly investigated only then we can reach on to some conclusion. If you have any further queries feel free to ask. Wish you good health. Take care.


Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like complete blood count, estimation of serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions like getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care.


Hello, Anyway, the numbness in your leg could be related to a pinched nerve. For this reason, I recommend performing nerve conduction studies and a lumbar X-ray study. High blood pressure values could be related to anxiety.  Anyway, I would recommend performing some tests in order to exclude other secondary causes underlying high blood pressure (complete blood count, PCR, ESR, thyroid hormone levels, blood electrolytes, kidney and liver function tests).  You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi.it might be folliculitis based from your description. It is an inflammatory reaction when you shave or remove hair from the area. It is very important not to get it infected by not manipulating or scratching the lesion, avoid shaving and products that may add irritation to your skin. Usually, these cases, resolved on their own. But if the symptoms are persistent, and there's growth of the lesion, a consultation with your doctor is best. Also, maintain a good hygiene and keep the area Chat Doctor. Hope this helps. Good day!!~


Hello! Welcome and thank you for asking on Chat Doctor! You should know that weakness of your hands is not related to the lumbar spine. In fact, it can be explained by cervical spine degeneration or spinal canal stenosis in these levels. Other possible causes to consider would be polyneuropathy, especially considering the fact that this is a common complication of acidosis. Coming to this point, I would recommend performing a cervical spine MRI study and a nerve conduction study for polyneuropathy. You should consult with a neurologist and discuss these issues. Hope you will find this answer helpful! Wishing all the best,


Degree understand your concerns went through your details. I suggest you not to worry much. From the description (if the description is correct) it seems that your sister is having amnesia. Amnesia is of different types and proper evaluation and treatment is required. First take your sister to a physician and the physician should decide what type of treatment she needs. Psychologist can do a bare minimum in amnesia. Probably you need to visit a neurologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi dear, it often happens during teething, because infection comes with dirty things, which baby bites and infectious saliva from mouth also causes diarrhea. I suggest-Enterogermina 1 sachet daily for 5 days.-ORS-Try to keep baby HY Chat Doctor. -Nitrofurantoin 1/2 tablet 3 times a day after meal for 7 days.-Z&D syrup-Rice diet, boiled water from pomegranate peels also stop diarrhea(50ml 3 times a day)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 and baby good health.


Thanks for your question on Chat Doctor. Black lung disease is caused by air pollution and coal dust. And not every one who inhaled it, got the disease. Only few who are sensitive to it got the disease. So it is quite acceptable to have disease in only one family member. For the diagnosis of this, presence of coal particles in lung is must. So bronchoscopy is done, and Lavage fluid is sent for the examination. And if coal particles are found than it is mostly black lung disease.


Hello Sudhakar. Welcome to Chat Doctor. Decision of using Stalin (which is a reliever medicine for asthma) or Aeroflot (which is a controller/preventer medicine for asthma) depends on how severe your asthma is and how frequently you need to use Stalin inhaler. Practically, if you need to use Stalin for more than twice a week I would suggest you to take Aeroflot daily. Or if you have to wake up at nights from wheezing frequently or wheezing stops you from exercising, also I would suggest you Aeroflot. Hope this will help you. Wish you best of the health. Regards. Chat Doctor.


HiT hanks for using Chat Doctor You should get your thyroid profile done. Sometime due to hypothyroidism or subnormal thyroid level, patient get depressive symptoms and weight gain. In that case, with thyroid hormone, you would feel better. Even if you profile come normal, you can take it for augmentation purpose with your antidepressant. That would keep you active as well as control your weight. Thanks


**1. Since there is tissue injury, thus in best interest it is wise to consult an Orthopedic surgeon to rule out any damage to nearby structures [ligament/tendons] before any alternate system of medicine is practiced/tried.2. In acute stage, when there is inflammation, massage is contraindicated, but you may contact a Physiotherapist or Sports Medicine Specialist to know more about the same.3. Till an expert opinion is awaited, you may try following preventive measures at home


Hi, Thanks for using Chat Doctor. Feeling like electric shock may be due to nerve involvement. I hope you are not taking any Chat Doctor.  You can do regular proper exercise and avoid any unusual posture or pressure on that knee. Get done one EEG and EKG one to rule out any other cause. Consult your doctor once for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards


Hi. Welcome to Chat Doctor. I read your query. On right side as you mentioned the wisdom tooth is impinging the front tooth, it may lead to cavity and pain in front tooth. This may further need RCT and crown of the tooth in front of wisdom tooth if not take out in time. On left side, why would you prefer taking out an already RCT treated molar? The wisdom tooth is impacted, so it won't move enough to cause the closure of space from removal of molar in front. Also, you mentioned of swelled gums around wisdom teeth, which means peritonitis, i.e. there is already infection around wisdom teeth. I suggest you to get both the wisdom tooth extraction and restoration of teeth in front of them. The RCT treated molar needs crown as RCT weekend the tooth, and it can break under mastectomy force. If not at the moment, get a crown over it. Till then avoiding batting hard things from that side. Maintain oral hygiene. Do warm saline rinses. Hope the answer helps you. Thank you.


Hello and welcome to Chat Doctor. As a Urologist, let me explain this simple treatment principle. The left side kidney to bladder tube(ureter), has a 7\u00a0mm stone blocking the ureter at its lower junction with bladder, causing left sided block and pain, and thereby affecting the left kidney. Major part of urine formed is being flushed out from the right sided kidney. In flush therapy, person is asked to Chat Doctor.  You may send the reports to me directly, for a better answer.


Hi!! I can understand your concern. In my opinion you had a post dated pregnancy which might be the reason for passage of stool in uteri. But that is not necessarily related to the liver enlargement that your doctor mentioned. Liver enlargement could be a congenital problem which needs proper investigation. There is a risk of recurrence of this issue in your next pregnancy, so I would advise you consult your doctor in your next issue.


Hi, I can understand your concern regarding achieve normal activity including sexual activity after the treatment like electrofiltration of genital warts...with HIV positive status. I am really sorry to say to avoid sexual activity for few months due to high chances of relapse of warts... as the immunity is poor. Skin is likely to recover in few weeks with proper treatment after the procedure. Hope this helps. Chat Doctor.


Hi there, thanks for asking. You can continue a benzodiazepine which is absolutely better to be prescribed by your doctor (to give a benzodiazepine which is not metabolized by your liver preferably and also considering other factors) to be able to tolerate the with Chat Doctor.  Almost in all the cases' situation is reversible when it has taken just four years. Alcohol abstinence can lead to improvement from depression as well. You may ask your doctor to check your B12 level since it could be low in alcohol dependence. I wish you a good health.


Hello and welcome to Chat Doctor, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, swelling in the jaws, fever and chills.  Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth is usually undergoing inflammation known as peritonitis which may lead to swelling and bleeding gums.  I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine.  You start with antibiotic augmenting along with paracetamol and antic old tablets like levocetrizine to relieve the symptoms till you consult a dentist and get the tooth extracted surgically.  I hope this helps, take care


Hi, You may be right. The rash is likely due to amoxicillin. Consult the dermatologist for the perfect diagnosis and proper treatment. First thing to do is to stop the amoxicillin. The other antibiotic like azithromycin may be given. Oral steroid in tapering dose, antihistaminics and application of mild steroid cream may be considered. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair fall which could be due to- Sudden climatic alterations - Nutritional deficiencies- Hormonal changes-Dan Chat Doctor.  I would suggest you to start taking supplements rich in biotin and take Finasteride preparations as well for hair loss. You should do oiling of scalp regularly to with coconut oil. You should consult dermatologist once and get it examined. Start treatment after proper prescription. You should keep your hair massaged to increase blood circulation. Avoid wearing cap for long time and take diet rich in multivitamins. Maintain cleanliness of scalp. Hope your concern has been resolved. Best Wishes,


Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you are suffering from Allergic Rhinosinusitis and can be due to allergic reaction to some unknown allergen and as anti-histamine suppress the gallery symptoms you get better by taking it. The clotted blood can be due to bleeding in the sinuses and nasal passages during inflammation that gets clotted, and now it is raining out with mucous. I would suggest you to consult an Otolaryngologies and get evaluated and a nasal endoscopy or MRI of sinuses can be diagnostic and treatment can be planned accordingly. As of now you can take steroid nasal sprays, saline nasal irrigation, steam inhalations and take decongestants oral as well as nasal. Hope this information helps. Thanks and regards. Chat Doctor.


Maybe you have to consult an endocrinologist too regarding your high blood sugar. Polyneuropathy can in some cases start from the upper extremities. But the numbness in the forehead and tongue doesn't comply with neuropathy diagnosis. Did the neurologist recommend the MRI and what region? Do you have any other symptoms or did the doctor found any other sign during the physical examination? I will be interested to know the MRI result or any other test that you've taken.


Welcome to Chat Doctor .1. Your symptoms more related to an infective etiology. First possible cause could be abscessed. (sore lump with pain on touch and growing in size with discharge)2. The lumps of 10 years history might be different to the present one (they might be lipomas - fat content)3. In this case if you are my patient - I would examine and confirm with an ultrasound and depending on size (an antibiotic treatment / incision and Chat Doctor. So I would suggest seeing your GP and get the needful tests and treatment done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Thank you for the question.I would suggest you to take erosion forte once daily for 3 months. Sometimes there is delayed recovery of sensations of nerve as long as after 2 years so be hopeful.Also, if possible go to a vascular surgeon or have color Doppler for leg circulation just in case blood circulation is impaired, in any case it should be ruled out. You may seek help of physical therapist and do contrast bath to feet in cold and hot water alternately for 10 minutes for few days and do ankle, foot and toe exercises


Hello, I would explain that your symptoms could be related to a metabolic disorder.  For this reason, I would recommend performing a resting ECG and some blood lab tests in order to investigate the possible causes


Hi, I passed carefully through your question and would explain that his uric acid plasma levels seem to be a little elevated. For this reason, I would recommend a low protein diet, avoid been and other similar vegetables and take plenty of water.  If high uric acid plasma levels persist, I would recommend discussing with his doctor on the possibility of taking Allopurinol.  Hope I have answered your query. Let me know if I can assist you further.


Hello, I have studied your case. Due to compression of this nerve root there can be neck and head pain. I will advise you to do MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Dear Mr Monsanto start with a X-ray and a thorough clinical examination of the knee will help. Her symptoms seem like supra patellar tendonitis and osteoarthritis. Can you share her age and weight as well. Please visit your nearest arthritis clinic and get her evaluated, if properly treated conservatively knee replacement can be avoided for a long time. Please feel free to ask any more doubts that you have


Hello Your father findings suggests raised liver enzymes and enlarged liver. Enlarged liver(hepatomegaly) may be due to many reasons like hepatitis, fatty liver, tumour etc. It is important to know which parameters of liver function test are raised. Hepatomegaly is most likely related to hepatitis in your fathers' case as he has yellow eyes. He may need few more investigations like routine hologram, random blood sugar, viral markers. He should avoid fatty food. Proper treatment depend upon findings. Take Care Chat Doctor.


Cellophane You for contacting Chat Doctor. Some people are allergic to particular food. So when they take such food then allergic reaction occurs causing rash, swelling, etc. sometimes it goes away with the passage of time and sometimes it persists forever. In that case you simply need to avoid that particular food.I would suggest you to take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.


Hi, Welcome to Chat Doctor Virtual Clinic. You seem to have fibrous post head hit with fibrosis hematoma. As I don't have direct information, Second opinion needed from your Surgeon, who would treat it accordingly.USG /So's CT skull would fix the cause of the head lump as above. For the cosmetic correction Excision and HPR study of the head lump is suggested under guidance of your Surgeon. This would help you to plan treatment with your doctor. Contact with Premium question to ME, if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS


Thanks for your query, I have gone through your query. The positioned canine can be corrected by taking orthodontic treatment. The Invitation treatment can be taken to align your maltose canine. Instead of brackets and wires invitation provides a series of removable clear aligners which moves the teeth gradually. Take radiographs and opinion from orthodontist about the bone support around teeth, whether it is ideal to go for invitation or normal braces. I hope my answer will help you, take care.


Hi ! From your history, I still feel that perhaps you have got very minute calculi in your kidney which is causing minimal amount of bleeding by friction against the kidney tissue. Such minute calculi may not be visualized in any of the scans. The pain may be due to the calculi blocking the ureter which possibly was passed out subsequently in the urine for which it was not visualized in the scan. I would suggest you to keep yourself well HY Chat Doctor. Wishing you an early recovery.


Hi. Thanks for the query. Post nasal Chat Doctor. First get a sinus x-ray done to confirm the diagnosis. If it is confirmed and amoxicillin did not work then Augmenting [amoxicillin +Clavulanate potassium] can be taken. Other groups of antibiotics like Cephalosporins etc. can help. Along with it take anti-inflammatory painkillers like Ibuprofen. Use specialized mouthwash like Magic mouthwash to gargles. Do warm saline gargles. Take anti histamines like Levocetrizine and decongestant like Phenylephrine. Do steam inhalation and saline nasal irrigation. Hope this helps. Regards.


Hi, Welcome to Chat Doctor forum.  The hemoglobin level in the blood has come down to 6 after the transplantation surgery, means she must be given transfusions more over from the genetic relatives, to prevent the complications of the surgery.  Latter when she recovers, you can use things to improve the hemoglobin.  I advise you to give green leafy vegetables, pulses, sprouts, and protein rich foods.  Wishing for a quick and complete recovery. Thank you.


Hi, I think your doctor has put you on oral g to resolve the cysts.  So, don't worry about it. Regarding the polyp, it needs to be removed if it is intrauterine.  If it is a cervical polyp and not interfering with the internal OS, it can be left as such. Discuss with your doctor regarding this.  You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question. Regards


A sharp pain and on the right side of the chest is less likely to be from the heart, although it would be useful to have an ECG, which is an electrical tracing of your heart, to confirm this. Common causes of sharp pain that is aggravated by movement includes an origin from your muscle or tendons, and sometimes from your lung which is what we call pleurisy. These may occur following a number of insults, including an infection or injury. Hope this is helpful.


Hithank-you for providing the brief history of your daughter. A thorough musculoskeletal assessment is advised followed by MRI. As already the MRI shows the high grade near thickness tear of the anterior TFL, a full time brace may help to an extent. Now understanding that the ligament injuries will land into healing stages of a fibrous tissue. Which needs a proper rehabilitation program like the sports physical therapy to regain the full movement. In future the reassessment of the TFL shall be performed by an MRI of to assess the nature of the healing. Depending upon the grade of the tear either a conservative or a Surgical treatment plan is selected. If the surgeon has planned for conservative than the healing time will be little longer as try fibrous tissue has to enter the healing of the ligament. Also, physical therapy plays a very important role to keep the future function of the ankle joint. If these measures are not kept into consideration than the future pain and aches of the same location can arrive which I see regularly in my clinical practice. Keeping in mind that your daughter is just 18, I recommend using the spent as much as possible and undergo sports physical therapy. This should help your daughter. Regards Jay In Chat Doctor.


HI Thanks for posting your query.  First you need to get an X-ray to check if you have sustained a fracture. If not then you need to wrap a cr\u00eape bandage over your foot tightly (not very tight) and give rest to your foot for a week. You can use painkiller like Tab Zerodol-P 3 times a day for 4-5 days unless you are allergic to it.  I advise you to consult an orthopedic surgeon, till then don't walk or put weight on your foot.  Have a nice day.


HiT hanks for using Chat Doctor Percent contains oxycodone, and it is a painkiller. It has no major interaction with amitriptyline or bupropion. You can carry on both of these Chat Doctor.  In your case, anger or irritability could be due to physical issues. In that case, you can either try some another antidepressant or try for some relaxation exercise. With time all these symptoms would improve. In case, you need further help, you can ask. Thanks


Hello Thank you for trusting Chat Doctor Dear any aggravating factors?? Like peak emotions? Lack of sleep?? Work stress?? Probably it may be tension headache. Which will feel like pressure sensation and band like feeling around the head other possibilities of occipital neuralgia may present aching, burning, and throbbing pain that typically starts at the base of the head and goes to the scalp. Other head aches need to be evaluated. Dear stress relieving techniques helpful. Ibuprofen and naproxen also useful. Please consult your neurologist if symptoms not improved. I think I answered to your question if you have more questions please feel free to ask.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, all his symptoms are because of stroke due to blocked major neck vessels. Surgery is the best option to remove the clots, but since clots are severe surgery can be risky and life-threatening. In such cases, fibrinolytic therapy with streptokinase or kinase is very useful. These Chat Doctor.  So you can discuss with his doctors about starting fibrinolytic therapy in his case. This is the only thing you can do in his case. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.


Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these blood pressure values are not too low. The low diastolic pressure could be related to her age. Her antihypertensive therapy plays an important role in this blood pressure value too. But, as long as she has no symptoms like lightheadedness, dizziness, or blurring vision, there is nothing to worry about! If she experiences such symptoms and her blood pressure values are low all the time, I would recommend making some changes to her actual antihypertensive therapy. Hope you will find this answer helpful! Wishing all the best,


Hi, You have POD, and it causes problem in ovarian follicle maturation and problem in conceiving. Generally Chat Doctor injection should have given when follicle is sufficiently matured. Effect of Chat Doctor cause rupture of follicle and ovulation. Usually effect will be seen with in 24 hours. When ovarian follicle will reach at 18 mm then you can go for Chat Doctor injection. You have to do sexual intercourse after receiving injection. Ovarian follicles between 18-21 mm have high chance of pregnancy. So there is chance of pregnancy. You can use Chat Doctor for 2-4 cycles. If it will not respond then ovarian Chat Doctor.  Along with you can take closed, metformin, progesterone pill in second half of period. So there may chance of pregnancy. Avoid stress, take healthy diet,


Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


HelloThanks for asking us. I am Chat Doctor and I will be answering your query. See TB treatment is of 6 months if you in categorize one which means you took tb treatment before and also the medicine is freely available in government hospitals. You should go to a government hospital and start your treatment there under DOTS. In my opinion you are having allergic reaction to the Chat Doctor. As you already got itching and rashes all over your body. Did you get fever also? Consult a TB specialist for your treatment ans


Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your everywhere are 2 major possibilities that you may have developed. One is an infection which may be causing the pain, and nausea, and the abnormal stools. This would need a treatment with antibiotics to clear up the infection, thereby clearing the symptoms. The second possibility is having a condition called IBS. This is characterized typically by stool disorders with abdominal discomfort, occasionally accompanied by nausea. This is practically a diagnosis by exclusion and needs a period of three months to be confirmed as a possible cause-so mentioned second hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.


Exfoliative erythroderma is an immune reaction in which the skin gets red and falls off. The skin falling off acts as a severe burn and is a serious condition and a reason to immunosuppress. Etiologies are often unknown, but fall into two groups


Hello, I have studied your case. Due to compression of lumbar [back] nerve root there can be pain in your back and thigh. I will advise you to do MRI whole spinor these symptoms analgesic and neurotrophic medication like pregabalin with methylcobalamine can be started consulting your doctor. Till time, avoid lifting weights, Sit with support of back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Hi. Thanks for the query. Well, if you have a habit of grinding teeth then the denture will unfortunately not set well causing difficulty in adaptation of the dentures. It can continuously dislodge he denture and making it difficult for you to wear them and use efficiently.However, the denture will not cause any peeling of skin inside body or the other symptoms of string wrapped around the head. Yes, you are advised correctly that the symptoms can be neurological and even the grinding of teeth can be related to it. So my suggestion is to get your MRI evaluated.Also, for teeth grinding habit you can do meditation and reduce stress. Also consult a Prosthodontist for manipulation of your denture. Hope this helps. Regards.


Hello, PFO is a very common occurrence and is present in as many as 2 % of general population, undiagnosed in many of the patients. Hence, most of the PFO require no treatment and hence should be left alone. Hyper blood pressure is not related to PFO, however it per se increase the flow through the opening causing the murmur. Yes he should stop smoking, consider low salt diet, omit junk food and consider anaerobic exercise to bring the blood pressure under control. Per se just a follow-up after a year to know if there is any increase in size and reassess other associated finding would be enough. I would Lastly advise strictly against any use of recreational Chat Doctor.  Regards


HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as Teratoasthenospermia meaning there by that percentage of active grade one motile sperm is less than WHO standards and morphology of the sperm is also abnormal. Truly speaking there are no medicines that can improve the sperm motility however Following measure will help to improve sperm motility to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. As regards presence of 70-80 pus cells it suggests severe infection either of seminal vesicle or prostate and needs to be treated with long term antibiotics (For 2-3 months)like Doxycycline twice daily. Chat Doctor.


Hello, Thanks for your query. You can treat gum sores from dentures by first taking them off so that the gums can relax and then clean them well. Rinse your mouth with warm salty water. It is also important to note that you should not wear them for a long period of time to avoid them from hurting your gums. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. If you consume alcohol this can cause rise in your liver enzymes. If you don't get your viral markers done. And you might be having acid peptic disease, presence of ulcers is not necessary for that. Review with reports. This is my personal opinion based on details available here.  If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD


Hi, it all depends on which kind of cyst was removed. Is ti purely benign or potentially malignant, whether removed completely or some part may leave. Takin in to all this matter in account one can say it will lead to tumor or not. However if you don't feel any lump or mass in that area means there is no tumor. Your pain may be due to some other reasons. So consult your doctor and take treatment accordingly. Thanks for using Chat Doctor.


Hello, Welcome to Chat Doctor, The symptoms of high grade fever and evening raise of temperature along with joint pain and generalized myalgic may be the symptoms of malaria, but it should be confirmed by lab investigation. As your treating doctor has advised medications to cover both bacterial and malaria parasite. As your doctor has prescribed the anti-malarial Chat Doctor.  If you have malaria parasite it will be covered by the antimalarial


Thanks for using Chat Doctor. Read your query. Irregular positioning of teeth as mentioned will require an orthodontic consultation with an orthodontist. Based on the position of your teeth, space between and crowded teeth and keeping your age in consideration and with appropriate radiograph, the treatment has to be done. I would advise you to consult a good orthodontist in your area and get evaluated if you need any orthodontic treatment or any restorative procedure which can help your teeth be more correct. Hope this was helpful, and you get a beautiful smile. Thanks and regards.


Hi, Thanks and welcome to Chat Doctor. Your history suggests that he may be suffering from cold. Usually it takes one week to clear. Paracetamol 15 mg/kg/dose to relieve fever and an antihistamine like cetirizine daily to relieve cold symptoms. Steam inhalation gives better relief. I do not think you need to see the doctor for simple cold. Hope this reply is OK for you.Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam.


Hello and welcome to Chat Doctor forum, i would be glad to inform you that if the infection around the concerned tooth is not too widespread, then a post & core followed by a crown can be placed over your tooth. In such cases, RCT may be redone, therefore I advise you to see an Endodontist before getting the tooth extracted. I don't get, why your dentist did not prescribe you a crown years ago following the root canal treatment, to avoid the crown of the tooth from fracturing. I cannot assure or provide you with the treatment until, oral cavity is thoroughly checked. Therefore, I recommend you to take a second opinion.I hope I answered your query wish you good health.


Hi, How are you doing ? Better trying further go through the checklist of investigations & see if you have missed any investigationsHusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor.  So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your overall the best


Hello and welcome to Chat Doctor. It seems you have got local irritation to the creams or lotions you have used. It called Contact irritant dermatitis. Nothing to worry as your skin will be fine soon. After good quality moisturizer like detail DAM twice a day over full face. Use gentle face wash like Detail cleansing lotion twice a day. Avoid use of any oi-based cosmetics. Avoid direct sun exposure and use water-based sunscreen before stepping out in sun. Hope this was useful. Take care Chat Doctor.


HelloThanks for query. Based on the facts and report of your semen analysis that you have posted You have Oligospermia meaning there by that you have low sperm count. Since you have problem of Erectile Dysfunction too. You need to get your blood tests for Serum testosterone level done. Taking Ferry and Maxima cream does help to increase sperm count. Following measure will help you to increase sperm count. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 every day 4) Avoid alcohol and smoking. A single reading of Oligospermia does not indicate infertility. One can be diagnosed infertile only if their successive reports of semen analysis done at one-month interval reveal Oligospermia Repeat your semen analysis with due precautions of abstinence for 4 days every time before collecting semen sample for analysis. With present report there is every chance of you making your wife pregnant Chat Doctor. .


Hello, I have studied your case. Usually nerve compression can't be seen on x-ray you may need MRI for this. If there is any nerve compression then that may need specific treatment. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic[pregabalin] medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Hi, we surely can help you though if you had mentioned your age, describing and diagnosing your symptoms could have been much easier.nevertheless, all your symptoms basically points towards hormonal imbalance which could be menopause, if you are near about the particular age. The other symptoms are pointing towards diabetes which could be confirmed by investigations. You also need to check the severity of thyroid hormones level as hypothyroidism could also be one of the culprit for the existing symptoms. So my dear, please visit your nearest physician and start with the required treatment. Hoping for the best for you.


Thanks for contacting Chat Doctor. You have problem of stiffness of knee and pain problem that may be because of arthritis problem. Take one x-ray for further diagnosis. Consent a physician for further diagnosis. Any injury may cause bursitis means inflammation of bursa. Avoid excessive straining of knee. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. Take care. Thanks.


Thanks for your query, I have gone through your query. The infected wisdom tooth has to be removed since it is infected, if there was no infection then we could have left it like that only. Get a CBCT done, which shows the exact distance between the root tip and the nerve canal. Later we can plan accordingly and remove it without damaging the nerve canal and nerve. Consult a good oral maxillofacial surgeon and get it done. Nothing to worry. I hope my answer will help you, take care.


Hello. Your complaint appear to be developed after the surgery. It appears that since the stomach is removed the food reservoir function is lost.n it is expected is gastrectomy patients. Usually it is manageable with change in dietary pattern such as shift to small frequent meals. Lesuride three times a day will help. Prefer easily digestible food with less gas producing food. Example most people feel better with avoidance of pulses and legume.


Hello, Thanks for the query to Chat Doctor. Forum. Cough from 4 weeks, right ear blocked, asthma, As Eustachian tube (in ear have direct connection with throat so any infection of allergy first block this tube) has direct link with throat, so blockage is very common in this area due to allergy. Prednisolone is the most potent steroid, and it should be used only in emergency cases. Anyhow, I suggest you please consult a physician and get his opinion regarding cough, which is from 1 month. May be due to, Tuberculosis, allergy,lung infection with allergy. X-ray chest pa view is necessary. Hope I have answered your question. If further any question I will help. Good luck.


Good morning. I believe I understand your symptoms urologist and especially with what you describe is not that uncommon and certainly not that unexpected for someone with a diagnosis of multiple sclerosis. You could have several types of phenomenon that are happening. Some could be related to a headache type of picture while other possibilities include brain lesion that movie present when I fibular or auditory pathway and cortical regions of the brain.  There would be several questions that I would want to ask you and other information to obtain which is much more complex than what can be written in this short space. If you would like to write to me for a specific consultation request I can give you more details and help you understand what could be going on.  bit.ly/ Chat Doctor.


Hello, I read carefully your query and understand your concern. The symptoms can be related to side effects of Naproxen which is an anti-inflammatory medication. I recommend using a gastric protector such as Prilosec in the morning before breakfast. I also recommend to use Ondansetron in case that the nausea continue. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


Hi, Sir you guessed it very well, scoliosis is an imbalance of vertebral column, and this can cause imbalance in the muscles around it and thus relaxing some and over straining others. You will need strengthening of both muscles, those that are relaxed and those that are tense, if your spine surgeon is not planning any surgery for scoliosis, then probably consult a good euro physiotherapist and see the effect, guarded and guided exercises is the key. Hope that helps, Have faith in nature and try healing yourself.


Hi, Thanks for writing to Chat Doctor. There is a lot of stigma regarding psychiatric illnesses in our society. Bipolar mood disorder can be completely kept under control if patient is given mood stabilizers and other needed Chat Doctor. Obviously you worry about your father and this worry increases with this situation. But she can take care of your father well if her mental status is stable And not at all it is related to seeing serials that you mentioned. Surely you can discuss with doctor this issue. It also needs to confirm whether she was suffering from bipolar actually or you were just told. That's the most important thing to evaluate her current mental status. Hope I have answered your query,


Hi. It looks you have Hepatitis. Get your other tests of kidney function, repeat liver function tests, ultrasonography of the abdomen to determine the status of the liver, gall bladder and pancreas and other organs. You need active treatment as the pain could have been due to stretch over the liver capsule. The diet has to be soft and bland, and really dies not need a Chat Doctor.  Bed rest is a must. Consult a Gastroenterologist for further care.


Hi, Certain vaginal changes are bound happen during early pregnancy, but it is not possible to predict that you could be pregnant or not based on such changes alone. You need to take a urine pregnancy test after a week if you miss your periods or if it is delayed. If it comes positive, you need to confirm it by means of ultrasound scan investigation and clinical evaluation by consulting Gynecologist. Hope the information provided would be helpful. Let me know if I can assist you further. All the best.


HelloThanks for query. Your father has been detected to have stones in the kidney and Inguinal Hernia. At the outset I would state that the stones he had in kidney are not due to inguinal hernia. Kidney stones are usually formed due following many reasons 1) UTI2) Metabolic disorders of Calcium.phosphate and Oxalate 3) Concentrated urine due to Chat Doctor.  4) Hereditary factors 5) High atmospheric temperature (Hot Climate)6) Obstructed urine flow.


Hi Thanks for writing to Chat Doctor. Can you please let me know the weight of child? Is there any element of forced feeding? At times overfeeding can cause this. As mentioned by you doctor has ruled out underlying serious problem. But I would like to know if child has any pain in yummy near stomach area and is there dark urine or yellow discoloration of skin. Thanks, in case you have more query I would be happy to answer else rate this answer and close the discussion.


Hello, I can understand your concern. From the description of blow and the symptoms you are suffering from, it seems that you might have fractured one of the facial bones, either temporal or zygotic bone. When one of these bones are hurt, feelings related to nerve like numbness etc., difficulty in opening mouth and swelling in the ear area are usual symptoms. I would advise you to visit an oral and maxillofacial surgeon without any delay. You will have to go through x-ray and possibly CT Scan. Based on the test results, diagnosis of the fractured bone can be confirmed and treatment can be advised. If you are in too much pain, you can take Ibuprofen 400 mg or Motorola 10 mg up to thrice a day for relief in pain. Please do not massage the area or apply heat without consultation with the surgeon. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you recover soon. Best,


Degree understand your concerns went through your details. Masturbation is a natural process, and it cannot affect your heart, intestines, brain, vision, urinary bladder, lungs etc. Masturbation in moderation cannot have any adverse health problems in you directly. Indirectly, if you be anxious about it, if you become worried about it, without proper knowledge, relying on absurd information, masturbation practice and related worries could lead to anxiety disorder and anxiety disorder could, in turn, lead to erectile dysfunction or premature ejaculation etc. Keep yourself away from wrong information and resultant obsession. If you require more of my help in this aspect, please use this URL. http


Numbness in thumb is usually due to the decrease of blood supply in this area. There are many reasons for this like carpal tunnel syn Chat Doctor.  Due to smoking also your nerves get weak and this problem occurs. So in such I would recommend you to consult some euro physio who can diagnose it and can give you the exact reason for numbness.  In the meantime to get relief from this let me recommend you some home treatment


His admire you for positive outlook. Psychological stress is due to physical problem can be treated with motivational counseling and support. Proper treatment t of acne can cause relief in stress. Without treatment, it won't go away. Just relax and do not think about that which can lead to mild relief in acne. Sometimes stress causes pimples and acne. So treatment from both the side is mandatory. Consult dermatologist for acne. For stress Do not think much. Divert your thought. Exercise, meditation, deep breathing and hyperventilation, Relaxation. Healthy diet and antioxidant, proper sleep stress free activity. Do pleasurable activity, music and hobbiesDiscuss with friends and take advise. See all thing with different anglePositive outlook and confidence All this will help you to counter daily stressStill have a query then feel free to ask. Thank you. Happy to help you.


Hi, I understand that your father had a CABG done. The surgeon takes a graft from an artery near the shoulder during which sometimes a nerve near it may also get involved. This may cause the pain you are telling about. Further Diabetes also causes neuropathy. I will suggest you take some Vitamin B12 supplement which helps in such type of pain. You can also see a neurologist if the Pain is severe. Hope I have answered your query. Let me know if I can assist you further.


Hellothank you for trusting ChatDoctorDear azoospermia is divided into two types 1.obstructive 2.nonobstructive Obstructive azoospermia affects 40 percent of patients, and it can be caused by abnormalities from birth (such as absence of the vasa deferentia) or acquired blockages (such as after vasectomy). Other causes of obstructive azoospermia include ejaculatory duct obstruction (DO) that can result from chronic prostatitis, prostatic calcification, and compression of the ducts by cysts in the prostate or seminal vesicle. Non-obstructive azoospermia can result from hormonal abnormalities or other disorders that affect spermatogenesis (the process of developing mature sperm cells). This type of azoospermia can be caused by genetic abnormalities (such as Klinefelter Syn Chat Doctor.  Men with this form of the condition were considered irreversibly sterile until recently.  It is now known that sperm can be present in the testes despite being absent in to ejaculate. Testicular sperm extraction can be used to successfully retrieve sperm for IVF and intracytoplasmic sperm injection (CSI).dear please consult your doctor he will examine and find out the cause of your problem. I think I answered to your question if you have more questions feel free to ask. Take care


Hello, You can give those vitamins all together. In fact, trying to increase those in her food would be best. Is she not Chat Doctor?  Also, if she needs calcium she probably also needs vitamin D. Milk is the easiest solution to that (or yogurt, ice cream, cheese). Will she take mushed up prunes for iron? Lentils and nuts are good for zinc (if she doesn't have allergies). Sometimes It's so hard to get a 1-year-old to eat a variety of healthy foods, isn't it? Hope I have answered your question. Let me know if I can assist you further.


Hello, Thanks for writing to us, If medications are not helping in pain relief you can go for epidural injection in institute set up so that post injection management if required can be done. Take lumbar corset support, it will give pain relief. At age of 68 you can't think of any operative procedure. Physiotherapy will give her good relief. I hope that I have answered your query. Let me know if I can help you further. Take care


Hi, very sorry to hear about your daughter. High fever, cold extremities, headache, cold, cough with phlegm are suggestive of lower respiratory tract infection, flu, common cold. Giving Tylenol or Metal or Cal pol syrup will reduce the fever and headache, however consult your local doctor or Pediatrician as she might require antibiotic for cough to subside. Keep her well HY Chat Doctor. Hope she gets well soon. Thank you.


Hi, thank you for providing the brief information of the report. A thorough neuromuscular assessment is advised. As the report suggest you have degenerative changes in the facet joint - the facet joint is the one which supports one vertebra over the other and below it. The L5-S1 disc herniation is noticed - the disc is a soft tissue placed between the two vertebrae, this disc act as a shock absorb-er in the spine. As due to over use of misuse or aging factor the disc becomes weak and ends into herniation. So, this report has to be correlated clinically and the symptoms like - tingling, numbness, pain radiating in the leg etc. may be present. Treatment of choice will be simple painkillers and physical therapy. Also, with physical therapy, the optimum strength in the muscles will be attained in 2-3 weeks * based on the extent of the symptoms and soft tissue injury. In my clinical experience, I see cases with such injuries, and they recover well with 99% success rate. RegardsJay In Chat Doctor.


Degree understand your concerns went through your details. Anxiety cannot destroy your life because it is part of bodies defense mechanism. In my opinion you cannot get rid of that. You will be able to understand and manage those symptoms and thereby live peacefully. Everything starts in learning anxiety. Read many articles and properly understand anxiety. Then approach a psychologist who assess you with his tools for the depth of your anxiety and provide behavioral therapy. Work with psychologist for cure. Don't do anything in haste. Be patient and you will be happy. If you require more of my help in this aspect, please use this URL. http


Livery sorry to note that you had so much troubled time. Hope the situation now is fine. But in future if you get any similar situation or bad times please consult a psychiatrist instead of harming yourself. You don't have to feel embarrassed to tell your story to any doctor. Doctors are there to help patients and relieve their problems.  They come across all kinds of patients. So feel free to consult doctors. The management of scars depends on how bad are they. The very fact that you have asked for advice indicates it must be visibly bad. So please go for cosmetic surgery. Only clean surgical scars without any secondary infection, generally do not need anything. After a year they almost become invisible. Creams are less likely to hellish you good health


Hi, You seem to be in good health which means you do not have diabetes, heart problems and are not on regular medication. Sudden muscle weakness and spontaneous bruising could point to a disorder of the blood or muscles. This needs to be investigated by a hematologist and an endocrinologist. You will need a blood picture, blood profile. Hope I have answered your question. Let me know if I can assist you further.


Squint in infants usually is made by the eyes to overcome a refractory error (that's why your ophthalmologist gave the child glasses to wear), and it was very important to put stickers on one of his eyes to prevent what is called amblyopia (this brain disables one eye to make a better vision) .so the commitment to this treatment is very important yet its hard, but its vital for the children eyes .any other measures is strictly prohibited. I hope this helps


Hi, welcome to Chat Doctor. Fever with vomiting in a 6-year-old child could be due to food poisoning or gastroenteritis. This could be due food that he ate 1 day back. This seems unlikely due to XR ADHD because if it is due to this Chat Doctor.  In my opinion, you should give antibiotic like syrup of lox (5 ml=50 mg) three times a day for 3 days, syrup coastal 5 ml three times a day for 2 days. Review after 2 days. I hope this will help you. Take care.


Hello and welcome to Chat Doctor. Thanks for your query. I understand that you have been facing a lot of difficulties regarding your memory and learning. It is very difficult to pinpoint a diagnosis without a detailed evaluation. But with the brief history of your symptoms, it is possible that you could be having a learning disability. I would advise you consult a psychiatrist to have a detailed evaluation of your problems, in order to arrive at a diagnosis. Further management needs to be planned according to the diagnosis, and the nature and severity of your problems. Wish you all the best.


Hello, Thanks for consulting ChatDoctorRead your query, as your husband had history of fever, swollen lymph node soreness in gums can be due to viral fever related it can be Viral dermatitis causing inflammation of gingival or desquamative gingivitis. Don't worry I will suggest you to consult dentist and go for visual examination of gingival in Meantime you can apply ointment Civil for soreness, and you can take medicine like Civil tablet by consulting with your dentist, do warm saline rinses, you can take vitamin B supplements with medication. Hope this will help you. Wishing you good health


Dear parent, It seems your child has chronic tonsillitis. Usually in such cases removal is the option. But his pediatrician is saying at present he is not good for surgery. Then request the ENT/Pediatrician to keep the child on antibiotic for two weeks regimen, after culture and sensitivity of the throat swab. In the meantime teach him to gargle with warm saline water three to four times a day. Give him steam/ nebulization three to four times a day. Give him some good multivitamin preparation and balanced diet, which includes lots of fruits and vegetables. This will help to increase his immunity and may remove infection as well.


Hi MP, Only points of concern are history of 2 abortions & FSH level. Hope you have ruled out the other possible causes for such abortions. Like Blood Sugars, Thyroid profile, APA syn Chat Doctor.  But if she has conceived once (even though it ended in abortions) her chances for pregnancies is high. Second concern is the FSH level-Values above 7miu/ml means there are no sufficient eggs in ovaries. But your history doesn't correlate with that value. To confirm have a Serum AMH level in first week of periods. It will give a more specific value. Serum Progesterone is done to know if she is ovulating, but that is done on Day21 of periods not 12, so meaningless. As your semen report is ok, kindly also have a tube patency test done (Tube is the bridge between uterus & Ovaries, where egg & sperm meet to form baby. Its size of a hair follicle, can't be seen on scan. You will never know if it is blocked). Can be tested by HSG(X-ray with dye) or SSG (Scan with dye) or Laparoscopy. All these methods also clear a block if present. Be patient All the best


What is your age and BMI? If you are obese you must reduce weight. That is the common cause of hormonal imbalance resulting in irregular ovulation. Have you done any investigations before? Since you are not menstruating regularly it suggests that you are not ovulating regularly. As you conceived once in all probably your husbands' semen analysis is normal. You and your husband should consult subfertiliy specialist. You need to do hormone test including thyroid function tests and Fallopian tube patency test.  Your husband should do semen analysis. Based on the results of investigations treatment can be given.  For irregular ovulation you need to take medications like camphene to induce ovulation. I hope I have answered to your satisfaction. Take one tablet of folic acid daily. To increases your chances of pregnancy, maintain normal BMI, quit smoking (if you are a smoker) and have intercourse at least three times in a week. If you have any further queries feel free to contact me through Chat Doctor


Greetings from Chat Doctor. Thanks for posting your query.  It may be due to arthritis of the finger joints or infection of the whole fingers. You require a proper medical attention as this problem requires Antibiotics and certain tests like Complete blood count, Serum Uric Acid and X-ray.  I advise you consult an Orthopedic and get treated fast, else it may spread and cause complications. Hope you find this information useful. Any clarification feel free to ask. Regards.


Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache. It may be due to slip disc or muscular.  Treatment of both is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query


Hi, Based on your history it seems that you had soft swelling over upper dorsal spine which had ruptured, and now you have neuralgic pain along the ribs (dorsal radiculopathy).you need to visit Neurologist and require MRI dorsal spine to rule out structural lesion there (e.g. Potts spine any access) . Also requires complete blood picture with ESR for further help of etiology to present problem. You need painkiller, with neuralgic Chat Doctor.


Hello dear, The symptoms can be due to


Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Bra Strap Abrasion with Normal USG of the Breast. MRI for the damage ? In this scenario, I would suggest you to undergo Mammogram and repeat USG for Second Opinion from another Radiologist. This would reduce your anxiety and worry caused by this ambiguity of reports from the earlier doctors. MRI if suggested ? Cant be opined blindly unless physical examination from Surgeon and second opinion on the USG from another Radiologist is taken. Hope this would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS


It is unlikely that you got pregnant if he did not ejaculate inside you.  However, it is possible that some semen was left on his penis.  Although I think it is very unlikely that you got pregnant, you might consider taking a morning after pill just to make sure.  These are available without a prescription from a pharmacy, and they are very effective in preventing pregnancy as long as you take the medicine within 3 days after having sex.  It is great that you used a condom, and you always should to protect yourself from unwanted pregnancy and STDs.  However, you should also talk to your doctor about starting a reliable form of birth control so you don't have to worry about pregnancy at this time in your life.


HelloThanks for query. You have been detected to have stone of a size of 5-6 mm in your kidney and your family physician has advised you to get endoscopic surgery done to fragment /remove the stone. Normally endoscopic surgery for stone is advised only in a situation when patient has severe pain, vomiting, and repeated episodes of pain over a short period and ultrasound scan reveals gross HY Chat Doctor. For a stone of a size of 5-6 mm one can certainly expect it pass down spontaneously with following measures 1)


Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a cervical radiculopathy or a pinched nerve. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest maintaining the area immobilized to prevent further damage. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


Hi, I have studied your case with diligenceThere can be non-union, infection or soft tissue impediment leading to leg swelling. If you can send all your x-ray reports I can help you better. You can send your reports directly to me onhttp


Madam, Your husband is suffering from low sperm motility (assumed that the cell count and morphology are normal). Your husbands blood test shows Hyperthyroidism. You are waiting to repeat the blood test to confirm the diagnosis. You are trying to conceive for the 1 yr. Meanwhile, you have ordered for Certain. You like to know whether Certain will alter your husbands blood test. Hyperthyroid is one of the causes for low sperm motility, due to the hormonal effect of Hyperthyroid. The sperm motility can be increased by so many ways


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. I advise you should do culture and sensitivity from the affected area skin. This will guide us regarding the possible pathogen and its sensitivity pattern. Applying cream as per the report will not only cure you but can also cure you properly. Clotrimazole and dexamethasone cream is antifungal agent and can be used in fungal infections. If the infection is not the fungal one, we can't treat it with this cream. Please wash the affected area regular. Maintain good local hygiene. Please start the treatment before the condition become worse. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Thanks for your question on Chat Doctor. In my opinion you should consult surgeon and get done local examination of anus. If hemorrhoids are present than bleeding is mostly from it only. So start its treatment. But if hemorrhoids are absent than you need to get done Colonoscopy to rule out internal problem. Radiotherapy can cause ischemic ulcers in bowel lumen. And these ulcers can cause sporadic bleeding. Recurrence of tumor in gut lumen is also possible.  For this too, Colonoscopy is needed. So better to get done Colonoscopy first.


Hello dear, and thanks for posting your query here. I understand your concern about your father-in-law but as he is having recurrence of angina and there are blocked arteries, the arteries need to be opened up to supply the adequate amount of blood to the heart muscles to relieve his ischemia and anginal pain. Afterwards he must continue taking the antiplatelet which are blood thinners for the rest of his life. I hope this information would be of help to you. Thanks and all the best.


Degree understand your concerns went through your details. Seeing blood in the semen can make a man anxious. Fortunately, it doesn't always signal a major medical problem. For men younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own. Blood in the semen can come from several sources like infection or inflammation, in any of the glands, tubes, or ducts or some sexually transmitted diseases. The best approach is to consult a urologist for physical and pathological examination. In the meantime, Chat Doctor. If you require more of my help in this aspect, please use this URL. http


**1. Since possible infection is suspected thus examination with ENT doctor is necessary for evaluation of swollen tonsils and lymph nodes in the neck.PS. It is rare for streptococcus bacteria to invade the larynx, thus can be safely excluded2. It will be good to have examination since the bacteria can travel from throat to middle ear through Eustachian tube, as such ENT doctor can prescribe you specific medicine [antibiotic] or even go for swab culture.PS. other complications which though possible but rare are


Hi dear I read your problem of grain of hair .you nicely tell about your height, weight, feeding habit. U also tell that your bore is also grain. In my view first u don't tell that u early life uses hair color or not. In MY VIEW First TAKING SOME PRECAUSTIONS-1- TAKE 10-12 GLASSES OF WATER IN UR Lifestyle.2-U TAKE COCONUT OIL MIXED WITH ALMOND OIL AND DOING MASSAGE ON THE ROOTS OF HAIRS .THIS PROCESS DOING FOR 15-20 MIN DAILY TWICE IN A DAY.3-APPLY CURD ON UR HEAD FOR 15 MIN WHICH WILL REMOVE THE DAN Chat Doctor. 4- TAKE ONE TEASPOON AMLA PURANA(EMILIA OFFICIALS) WITH MILK.5- ALSO USE MAHABHRINGRAJ TELL ON UR HEAD TWICE A DAY.6-STRESS IS AN CAUSE OF PREYING OF HAIR SO U CAN USE PRAYING IN EARLY MORNING .THAT WILL.BE MOST BENEFICIAL FOR U.7-U CAN TAKE CATALANS KASEYA 40 ML BD BEFORE MEAL .THAT WILL MAINTAIN UR BRAIN COOL.8-TAKE OF RICH PROTEIN DIET, BIOTIN, ZN THAT'S WILL Decrease UR PREYING PROBLEM DEFINITELY.9-U TAKE SADDAM ROGAN OIL AND 2


I'm very sorry to hear about your brother. Plastic anemia is a very serious condition. The bone marrow shuts down, and no longer makes any white blood cells (protective immune cells), red blood cells (vital oxygen carrying cells), or platelets (clotting cells). This can happen due to cancers, radiation exposure, certain Chat Doctor. Treatments vary and include steroids, injectable colony stimulating factors, transfusions (putting the cells in), and sometimes bone marrow transplantation. Transplantation is very hard to do because there must be an exact match (often a family member or child must donate, but even then a match is not guaranteed). However, sometimes, depending on the actual reason for the anemia in the first place, the body starts making cells again on its own. Providing supportive care in the hospital is sometimes all we can do. I hope things get better for your brother and I will keep him and your family in my thoughts.


Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about lung infection because her chest x-ray is normal. Sometimes bronchitis can cause uncontrolled Chat Doctor.  So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. She may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, with proper treatment, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.


Hi, Thank you for asking question on Chat Doctor. Cremaffin plus is a strong purgative for her age. Lactulose syrup will regularize the bowel habits. Of course, it has to be given for a long time. Fiber containing foods, high energy density foods will improve bowel motion. Excess milk consumption will cause constipation. Hope this answer will serve your purpose. Please feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics


Hi thanks for asking question. Here you have elevated ALT and AST, suggestive of liver disease like hepatitis. Here possibility of chronic hepatitis or carrier of Bag has to be ruled out. For that viral markers are useful. If Bag positive more than 06 months than chances of carrier is present. If hepatitis is present viral markers will be elevated. If still cause for hepatitis unknown then liver biopsy can be taken according to patients examination. Second here neck pain and knee pain may be because of some bone condition like osteoporosis or arthritis related changes. You should check your vitamin D and calcium level, if they are low calcium and vitamin D supplement needed. Take regular milk. If you are obese weight has to be reduced. Regular light exercise helpful in arthritis related change. Knee x-ray can be taken to search for pathology. I hope you will understand my concern. Wish you good health


Hello, After going through your medical query I understand your concern and I would like to tell you that your blood pressure should be under 140/90, and is recommended for you to monitor your blood pressure and consult a physician for a written prescription. You can do some lifestyle modifications to control high blood pressure 1. Low dietary salt2. Physical activity for 45 min daily 3. Stop smoking/limit Alcohol4. Avoid junk and deep-fried food. Hope I have answered your query. Let me know if I can assist you further.


Hi, Welcome to Chat Doctor. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.  Based on the symptoms it appears to be contact dermatitis. Treatment includes washing with lots of water to remove any traces of the irritant that may remain on the skin. You should avoid further exposure to known irritants or allergens. In some cases, the best treatment is to do nothing to the area. Emollients or moisturizers help keep the skin moist, and also help skin repair itself. They protect the skin from becoming inflamed again. They are a key part of preventing and treating contact dermatitis. Corticosteroid skin creams or ointments may reduce inflammation. Carefully follow the instructions when using these creams. Overuse, even of low-strength over-the-counter products, may cause a skin condition. I advise you to follow the conservative approach as mentioned and if symptom persists i advice you to see dermatologist for exact diagnosis.  Hope I have provided the information you needed. Wish you good health. Take care.


Hello share your concernLooking at your description this could be due to STI, UTI or testis disorder like epididymorchitis or varicocele see patients with similar complaints on my clinic and I will help you out in the best possible way would advise you for urine culture test, semen analysis and a color Doppler of testis He can take ibuprofen for pain relief and wear scrotal support for few daysMeanwhile maintain good hygieneHave multivitamin and minerals supplements thanks and regards


Thanks for your question on Chat Doctor. I can understand your concern. He is having hemoptysis (blood in sputum). He is also an active smoker. So we should definitely rule out lung diseases forum his hemoptysis. Fumes are unlikely to cause hemoptysis. Common causes for this hemoptysis in an active smoker are 1. Tuberculosis. 2. Pneumonia 3. Lung cancer. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). All these are needed two confirm the above-mentioned causes. And ask him tobacco quit smoking as soon as possible as it is not a good habit. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Greetings from Chat Doctor. Thanks for posting your query.  It could be due to Inter vertebral disc prolapse or due to a nerve pinch (compression) in between lower vertebral bones. The other possible cause is Kidney stones or Infection inside your abdomen.  I advise you to get an MRI Lumbar spine and ultrasound abdomen scan done. This will help us in establishing the diagnosis and once diagnosis has been made your doctor has to give proper medication as per the diagnosis.  Kindly revert with scan reports. Hope this information is useful to you. Any clarification feel free to ask.


Hi Regarding your concern, I would explain that the heaviness on the chest could be related to a respiratory tract infection. Gastritis can not be excluded either. For this reason, I recommend consulting with her attending physician for a physical exam and some tests


Hi welcome to Chat Doctor .... Normal level for GOT is up to 45 unit per ml.... It is not at all alarming and you don't have to worry about that..... Here for your UTI if you are not improving than urine culture can be done to choose suitable antibiotic.... According to culture sensitivity further specific medication can be given.... Meanwhile, Chat Doctor. ... Take care.... Advise


Hello! Welcome on Chat Doctor ! Your symptoms (tingling in the back of the head and headaches) could be related to occipital neuralgia. While the tingling and numbness in your arm, could be related to a pinched nerve or articular nerve pain related to a bulging cervical disc. You should know that even the occipital neuralgia can be triggered by chronic degeneration of the cervical spine. Coming to this point, I would recommend consulting with a neurologist for a careful physical check up and performing a cervical spine X-ray study. A cervical spine CT scan or MRI may be needed. Hope you will find this answer helpful! Best wishes,


His understand your concern. I guess it is form of anxiety disorder with panic attack. To be very frank 1st line of treatment is medicine in these disorders. The medicine that given to you is appropriate, and it will improve all symptoms.Besides, this You have to do exercise regularly. Take proper sleep. Healthy diet. Keep yourself busy. DO stress-free work and pleasurable activities. But all this is supportive management and can not replace Chat Doctor. So do consideration and get well soon. Thank you.


Hello. Did you undergo an ultrasound scan to know whether you completely miscarried or incomplete? If it was incomplete, did your gynecologist do the evacuation of the retained products surgically? According to your history I think initially you had uterine infection due to retained products. Pelvc infections are difficult to treat.  When it is not treated well it becomes chronic. According to the symptoms I suspect whether the pelvic infection still persist.  Some complains are normal occurrences associated with menstruation. But if you developed them secondary to pelvic infection it has to be investigated. So meet your gynecologist with your complaints.


Hello dear. Understand your concern. If you start new pack you are fully protected but period may be delayed first you should finish your 6 tab. Of mini pill, or you don't want to take it any more then, avoid unprotected sex or use condoms up to your next menstruation cycle. If you start new pack of Yasmin now then it surely protects you from pregnancy, but it delays your period. Whenever you finish your Yasmin tab. Then you got period. So I advised you that finish your tab & finish your next upcoming menstrual cycle, then start new pack of Yasmin from the first day of your next cycle.hope this guide you. Best regards. Chat Doctor.


Hi, thank you for the question. I'm sorry to hear that you had a fall. Fracture of the ribs can definitely cause a great deal of pain while you breathe. Just ensure you take analgesic/ painkillers as prescribed by your doctor. It will take few weeks for the pain to settle. I suggest you can use some ice packs to decrease soreness of muscles. If the pain aggravates you need to go back and consult your doctor.  Take care


Hello and welcome to Chat Doctor Nocturnal itching and lesions resembling mosquito bites distributed over upper thighs, wrists, upper arms is very suggestive of Scabies, an infection caused by the itch mite Scopes Scuba. Nocturnal itching is characteristic. A single whole body application of 5% permethrin cream, from neck downwards, with special attention to the finger webspaces, axillary and groin folds, left overnight is curative. It is advisable to treat all the family members, empirically since they may already be infected being in close contact with each other. An OTC oral antihistamine e.g. cetirizine 10\u00a0mg once daily would help in providing symptomatic relief from itching the clothes, bedsheets, pillow covers, towels, handkerchiefs etc. should be washes and air Chat Doctor. Regards


Formula feeds like NAN Pro 1 are cow milk based and hence difficult for the child to digest and hence the child may vomit or there may be changes in stool. Diluting the cow milk is better than giving in undiluted form. There is no substitute for mothers milk. A child of this age may pass stool once in 10 days or 10 times a day and both are normal. Unless stool is hard, it is not constipation, and you need not worry. Green stool is normal in child Chat Doctor.  If possible switch back to breast milk. You may also give expressed breast milk.


HI...nothing to worry about. Seem like he has caught a viral pharyngitis. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine/ Promethazine and for nose block, saline nasal decongestants will do. For fever - Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 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. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal


Hi. Thanks for your query. Read and understood that you had a surgery in the same spot a few years ago. Now that there is development of the movable lump at the same spot. It is a bit tender too. I would advise you the following


Hi, Dear,Good Evening, and Thanks for your query to Chat Doctor. I went through your query details in depth.-In my opinion, in relation to the facts told by you, its infra-clavicular TB-lymphadenitis-and you should be concerned about it, as you may have to rule out the sufferings from ?TB bronchitis with TB of the apical lung segment.-Remedy-Consult ER-Chest physician who would do CBC, ESR,CXR and would treat it with anti-tb Chat Doctor. Hope this would resolve your worries about the lump. Wellcome again for many more queries to Chat Doctor online Clinic-from you and your friends


HelloThanks for your query. Based on the facts that you have posted I would say that you have multiple Sebaceous Cysts over shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of post herpetic neuralgia is more. It is common after herpes infection. It is due to hypersensitivity of nerves in the affected area. Best treatment of this kind of neuralgia is pregabalin and vitamin B 12 combination. Application of cold ice bag is also useful. Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with above-mentioned Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you are suffering with Backache and now the pain is in the lateral side of the leg, I suspect it to be a pinched nerve in the lumbar spine, as this is the classical symptom of lumbar radiculopathy in your history. Also, undergoing physical therapy should help you, as in my clinical practice I see cases with similar complaints and the majority of them respond well to physical therapy. The physical therapist may use - Therapeutic ultrasound therapy and TENS therapy in initial stages to reduce pain and inflammation. Later stages exercises will be taught to improve the muscle strength in the lumbar spine, core, pelvic floor etc. RegardsJay In Chat Doctor.


Hello, I have studied your case. Due to compression of cervical spine nerve root there can be pain in shoulder radiating Tories. I will advise you clinical examination and accordingly investigation like MRI cervical spine or shoulder will help. For these symptoms neurotrophic medication like pregabalin can be added consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level as low levels can cause increased muscle and nerve damage. 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.


Thanks for the query I am assuming u mean pre-mature ventricular contraction. Which is actually an ECG finding to start with and very rarely patients have any symptoms at all, even if they do then they don't present with the symptoms you are facing right now. I think you are stressed more than anything. Meet a psychologist/psychiatrist once the internal medicine doctor doesn't find anything Have a healthy living


Hi. Thanks for your query and an elucidated history. Well, this is not a callosity for sure. This can be an organized hematoma, post-traumatic. And seen only on frowning as it must be attached to the muscles called frontal is, which works when we gaze-up. Get this checked by a Pediatric Surgeon, investigated and see if this can be removed now as it has been there for one and half years and not expected to go way.


Thanks for your question on Chat Doctor. I can understand your concern. It could be HERD you will benefit from antacids. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\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. Regards -


Hello, Welcome to Chat Doctor. Treatment depends on the cause of hallucination. If hallucination is recent in onset in this age then there is need to rule out delirium due to medical condition for which investigations are required. If it is for prolong duration then doses of risperidone can be increased or other medicines like olanzapine or clozapine can be tried under psychiatrist supervision. Wish you good health and all the best.www.99doctor.com


I read your question carefully more than once, but unfortunately I am afraid it was really difficult to understand what really happened to you. You speak of treating cerebral edema, which can have many causes (stroke, tumor, infection) which must be identified and treated accordingly. Then you say you waited for a month to visit the emergency room which makes the cerebral edema a little questionable because it is a very serious finding with the patient often in a coma. Afterwards you say you had no tests but an MRI, which actually is the best test to detect edema, but tell us nothing of its findings. You close it out telling us to have taken treatment by allergy doctor and got better. So I as a doctor started out thinking you had a Chat Doctor. So please try to ask your question again. Try to avoid fancy medical terms like cerebral edema which might not be correct, and tell us your symptoms in plain simple words (headache, vomiting, nose congestion and discharge, fever etc.) using as many details as possible to describe their onset, character and frequency. Include also your age, previous conditions and results of tests like MRI. Me or my colleagues would love to help you, but you have to help us to evaluate your case properly.


Hello and welcome to Chat Doctor, High levels of white blood cells are seen in infections and malignancy. A differential count should be done to know the differential count and the component which is elevated. On the basis of differential count, further management can be done. In case the elevated white blood cells are due to elevated neutrophils, bacterial infection is the most probable cause. Treatment of bacterial infection is antibiotic therapy. Lymphocytes are elevated due to viral infection or other chronic infections. Thanks and take care Chat Doctor.


Hi thanks for your concern. I appreciate your concern that you are showing interest in knowing Sept. K.SGPT is an enzyme that is present in high amount in hepatocytes of liver. Small amount present in heart and muscle. So whenever injury to this organs esp. Liver this enzymes get liberated in blood. So in hepatitis and some time muscle and heart injury show elevated level of it. Normal its value less than 42. In malaria liver can injure and its level increasing rather than decrease. If Sept not elevated then liver mostly not affected. Food that are good ate low fat diet. More fruits. Green leafy veg useful.Omega-3 fatty acid useful like olive oil or sunflower oil. Trans fat like cheese, burger, meat avoided. Exercise useful. I hope I have answered your question well. Regards.; Chat Doctor.


Hi, Thanks for writing in. Sorry to hear about your mother. Cancer is the uncontrolled proliferation of abnormal cells anywhere in the body. The process starts from a single cell and quickly multiplies to involve the entire organ. In case of the esophagus and stomach, there is cancer originating from the walls. The triggering factor might vary from a particular type of fish that is commonly seen in Japanese to any inherent genetic association. Cancers are essentially one rotten egg in a basket which destroys the other eggs. If the single rotten egg or early cancer is not cleared then it proceeds to involve the surrounding areas. In stomach cancer also there are different subtypes like adenocarcinoma, GIST, leiomyosarcoma and lymphoma. Every cancer behaves peculiarly. Hope your query is answered.


Hello dear, I understand your concern. In my opinion the chances of pregnancy are very rare in your case. Usually there is scope for pregnancy when semen is ejaculated inside or around the vagina during the fertile or unsafe period of the cycle. There is very, very rare chance of pre-cum causing pregnancy because rarely pre-cum might have sperms. This applies when penis is inserted into the vagina and the pre-cum is directly injected into the vagina. And in your case the penis was in between the butt and in that case the pre-cum coming and touching the vagina and that leading to pregnancy is rare possibility. So relax. Avoid stress. Nothing to worry. There might be no need of emergency contraception. Hope this helps. Best regards....


Hello, The prostate infection can acquire secondary to urinary tract infection as well. You need to take antibiotics according to culture reports. It is not related to HIV.  If you have oral ulceration than there is little chance of HIV spread if partner is infected with HIV. You can investigate with CIA ELISA test if suspecting HIV.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description possibility of stress and anxiety related breathing difficulty is more. But at your age of 15 years asthma can also cause similar symptoms. So we need to rule out asthma first before stamping anxiety as a cause. So get done PFT (Pulmonary Function Test) to rule out asthma. If PFT is normal then no need to worry about asthma. Stress and anxiety appear more in your case. So better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. Sometimes only counselling and discussion with psychiatrist are sufficient to relieve stress and anxiety. You may need anxiolytic Chat Doctor.  So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hello, I would explain that his situation could be suggestive of a chronic infection or metabolic disorder. The stomach pain could be related to the painkillers. For this reason, I recommend taking an antacid. Regarding the leg pain, I recommend performing a leg MRI and checking inflammation tests and vitamin D plasma levels. Take care. Hope I have answered your question. Let me know if I can assist you further.


Thanks for your query, I have gone through your query. The metallic taste and the bad breath could be because of the deposits secondary to the braces. After placing the braces its bit difficult to maintain oral hygiene. Consult your oral physician and get your teeth cleaned and maintain the oral hygiene. You can use mouth wash after that. Rinse your mouth soon after eating anything. I hope my answer will help you, take care.