Aneurysm in brain causes headache due to compression of pain sensitive structure in brain. But pain is usually unilateral not bilateral. This pain will not radiate in both upper limb. Bilateral upper limb pain may be due to cervical spondylosis or other causes. You have anxiety of aneurysm, so due to anxiety your mood is horrible because aneurysm does not cause horrible mood change. So your headache may be chronic tension type headache. You may relieve by antianxiety Chat Doctor.


Hello, thanks for writing in. I understand your anxiety. The pull-out method is not 100% foolproof. If your partner has a 26-day cycle, it means she would be due around the 18th. A delay does not always mean a pregnancy, it can also be due to the mental anxiety, illness etc. She can test for a pregnancy using a home pregnancy kit about 4-5 days after the date of the missed period (assuming she has regular cycles). Ask her to use a morning sample preferably. If there is a doubt, better do a pelvic ultrasound the week after. Do not worry, seek a gynecologist opinion in case it is positive. All the best.


Hi, Welcome to Chat Doctor Forum. I have gone through your Query & I really appreciate your concern about the problem you are facing. As a physician I would like to tell you that you need to observe your dog till15-20 days. Also, your son needs to take 3rd shot, i.e., of 7th day. Also, you did the right thing by vaccinating our dog. So you need not worry about anything. Thanks for Trusting & Posting your Query on this forum. Hope this will help you. Feel free to ask any further question. Have a nice Day. Chat Doctor.


Hello Their have gone through your question, I had a same case with swelling in ankle area because of the cellulitis, I have found electro-therapy effective in the treating the swelling caused by cellulitis. We call this machine IT [inter-ferential therapy]. An experienced Physiotherapy will give you IT treatment at a frequency of 70-100 and if pain is there 20-30 frequency current would be used.in the meantime you can start calf stretching to activate \"pumping mechanism\" of your calf muscles as Calf muscle is called as HEART of lower body. So once these muscles get activated swelling would not e a problem anymore. Also try Isometric exercises of calf muscle. I am hoping a speedy recovery for you. Regards


HIT hank for asking to ChatDoctorI can understand this, these are two different conditions and that might not be due to unsafe intercourse, but this could be some allergic rash might have developed at the same time in two different areas, just wait till few more days the chances of getting alright on its own is likely, if this does not go away, then you can use \"Tab Levocetrizine 10 mg three times in day\" hope this information helps you, have a nice day.


Welcome to Chat Doctor. Metanx is a medical food made that contains L-methylfolate (vitamin B9), methylcobalamin (vitamin B12) and pyridoxine 5-phosphate (vitamin B6). It is a vitamin B supplement. Treatment is on right way for neuropathy, but you have to be watchful for your sugar level. You have to take oral as well as intramuscular NSAID to subside pain. Gabapentin will be useful. Ask your doctor about your pain and further management.


Thy mic cancer causes respiratory distress. After a thy mic tumor is found and tests have been done to get a sense of its Factors important in choosing a treatment include the type and stage of the cancer, whether it is respectable (able to be completely removed with surgery), and whether you have any other serious medical problems. Because thy mic cancer is rare, it is often hard to accurately predict the effectiveness of treatment strategies, and in many cases the best way to treat this cancer is still not preselecting a treatment plan is an important decision, and you should take the time to think about all of your choices. The main treatments for thymus cancer are


Hi. Welcome to Chat Doctor. I read your query. In tongue there are naturally larger taste buds at the back of tongue as compared to front. Also, there is lingual papillae As you mentioned you have an infection, chances are it could be an enlarged taste bud or papillae due to infection, medication or some allergy. It can also be an ulcer. Normally This happens with fever and infection and regress on their own. I suggest you to check if it is discolored, enlarge or have uneven borders, then get it checked. Else you can wait for healing up of your infection. Take your prescribed medications. Take multivitamin tablet one per day. Maintain God oral hygiene. If warm water is tolerated, do warm saline rinses. Maintain good diet and HY Chat Doctor.  If it burns while eating, you can apply oral anesthetic gel 5 min before eating. Hope the answer helps you. Thank you!


Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that low blood pressure can be associated to different symptoms


Hi Welcome to ChatDoctorI Have gone through your query regarding your17 years of amoebas It is after OC great concern. I want to know what all symptoms you face , and for how much time they carry on ? Individuals with weakened immune systems are at a higher risk of amoebas. Conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. Normally seen symptoms are, Sudden weight loss Abdominal cramping & painNausea, Loss of appetite, Flatulence , Tiredness , Dehy Chat Doctor. Treatment also includes certain medications which help to destroy the parasites. These may lead to some side effects such as nausea and a metallic taste in the mouth. Medications to treat diarrhea may also be prescribed. It is important to


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection o urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.


Hi thereafter going through your query I understand your concern. I would like to tell you, palpitations along with shortness of breath is more likely to happen due to cardiac Arrhythmias, and it requires further evaluation to avoid fetal cardiac events. Kindly get your ECG, treadmill test or stress echocardiography done and see a Cardiologist with reports for further management. Hope to have been helpful. Kind Regards Chat Doctor.


Hayes with Chat Doctor.  Some breast cancers are made to grow faster by a natural hormone called estrogen. Anastrozole decreases the amount of estrogen the body makes and helps to slow or reverse the growth of these breast cancers. Hot flashes, headache, trouble sleeping, dizziness, stomach upset, nausea/vomiting, constipation, diarrhea, loss of appetite, weight gain, tiredness/weakness, increased coughing, or sore throat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Before using this medication, tell your doctor or pharmacist your medical history, especially of


Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The history is suggestive of Peripheral Neuropathy You need to visit a Neurologist and undergo Clinical Examination of ReflexesExamination of Sensory System Nerve Conduction Studies After that we can treat and try to cure you at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http


Hi, dear. I have gone through your question. I can understand your concern.  You may have some leukoplakia or some malignant lesion.  You should go for biopsy of that lump. Go for biopsy and histopathological examination. Then take treatment according to your diagnosis. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi welcome to ChatDoctorcerebral atrophy means decrease of brain size(fewer cells, neurons etc.). Cerebral atrophy can not be reversed. Your baby needs developmental, rehabilitative, neurologic care, and early intervention services so that the best possible outcome can be achieved, how much can be achieved depends upon degree of damage to child. Normal development as on a normal child can not be achieved, the best possible development for your child should be tried. Thanks


Hi, welcome to Chat Doctor. Thank you for posting your query. Let me make it clear about uses of potassium in the body. It helps in functioning of muscle and nerve cells in the body. Certain symptoms like severe vomiting, loose motions, antibiotic use, diuretics, chronic kidney diseases cause hypokalemia. Hope I have answered your question. If you have any further questions I will be happy to help.


Hi, If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big Chat Doctor.  It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in 3 months. Hope I could help nourishing you good health In case of further questions don't hesitate to ask


Hi. Thanks for your query. Understood your concern for your daughter. The treatment of tuberculosis anywhere in the body is straight and simple. The standard protocol of 2 months of intensive phase and the next months of continuous phase have to be completed. Since this is abdominal tuberculosis called as extra-pulmonary, you have to give her 3 months of treatment. In addition to the standard treatment, you have to give her the best of proteins, correct anemia, give multivitamins. Whenever she has intestinal obstruction, she may need a surgical correction. Hyderabad - Consult any General Surgeon or Surgical Gastroenterologist.


Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Most kidney stones pass spontaneously and this is usually a painful experience. You should continue with painkillers and Vital and Chat Doctor.  If there is no urination in 24 hours, you should see urologist and do tests to rule out ureter obstruction. Also, you need to avoid high calcium food and high protein food for few days. If fever or pus in urine occur, you should see doctor as well since it may indicate kidneys infection. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.


Welcome to Chat Doctor. 1. Lump in the armpit / axillary region without pain, tenderness suggestive of lymph nodal enlargement at first place and lipoma, vascular causes on the second place.2. If you are my patient I would have examined first and ask for an ultrasound axillary region - ultrasound will give me the nature of the disease, its source and extensions.3. Lymph nodal enlargement is seen because of the underlying medical conditions any infections / inflammation it can be localized or systemic or possible lymph nodal pathology itself (lymphadenopathy)4. So one has to find out the cause - if required FNAC - fine needle aspiration cytology will gel to evaluate the cause and cells involving.5. I can understand your financial status, but this is the standard procedure one has to follow. Try the way you can do so. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.


Hello, I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have burning sensation, numbness and tightness in the feet. Well there can be many reasons for symptoms you mention in query like chronic alcohol use , athletes foot, diabetic neuropathy, hypothyroidism, nerve injury or vitamin deficiency anemia. I would suggest you to consult general practitioner for proper examination. Doctor may order certain tests like blood test, nerve conduction test and take history. Doctor may prescribe iron supplement or refer you to endocrinologist for thyroid problem or orthopedic surgeon for nerve injury. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hello, I will suggest you to discontinue the hormonal method of weight loss. ChatDoctor Chat Doctor.  Lack of vitamin C in diet and other important micro nutrients can lead to browsability. Chat Doctor has also many side effects, one of which a rare one is browsability. It's best to get into a weight loss program using natural methods and not skipping these essential nutrients, under the guidance of a professional nutritionist.  Hope I have answered your query. Let me know if I can assist you further.


Hello appreciate your concern for your boyfriend. Looking at your description this might be related to inflammation due to infection or injury during sexing my opinion you should ask him to have plenty of fluids with glucose water and fruits juices if he is not diabetic. You can also give him ibuprofen with pantoprazole for symptomatic reliefs him to take rest until he recovers fully Hope this answers your question please feel free to ask for further clarification I will.be happy to help you Best wishes


Hi, dear. I have gone through your question. I can understand your concern. There are many causes of low WBC count.  Even simple viral infection, typhoid, malaria can lead to low WBC count.  If you have any symptoms then consult your doctor and take treatment accordingly. If you don't have any symptoms then no need to worry at all.  Your Chat Doctor.  Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi Elaine, Thanks for asking. Based on your query, my opinion is as follows.1. No, hemochromatosis does not cause difficulty to walk. 2. I am not sure if it is anything related to hemochromatosis as you can walk at nights and not in day. Are you able to move your limbs during daytime? If you are able to move any of the limbs, then you will require psychological support and counseling.3. Routine hologram along with serum iron investigations will give a guide on hemochromatosis. Liver biopsy can confirm it. If more details are available regarding investigations and clinical history, I can be more helpful. Hope it helps. Any further queries, happy to help again.


Hallow, I fully empathize your sufferings. Mirena is an intrauterine device. When with IRENA in you start getting severe pain in abdomen, the cause could be


Hello, Thanks for writing to us. Irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. In this case, I suggest you to undergo one home pregnancy test if you miss your next period. Above clinical features are quite relevant with possible pregnancy. Common symptoms of pregnancy


Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions


Hello, What I can infer from your complaints is that you have had a soft tissue injury to your hand. If the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. I would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. Hope I have answered your query. Let me know if I can assist you further.


Hi. Treatment for PCs begins with weight loss and metformin, if either or both are indicated, and then is individualized depending on the patients reproductive needs


Thanks for using Chat Doctor. Read your query. Excess tissue growth with ill-fitting denture as you have described is usually harmless referred as Ellis fissuratum. This is usually cause by chronic tissue irritation by an ill-fitting dentures and its response to the soft tissue. Biopsy is usually done to rule out any other lesions including neoplasm. I would suggest you to go ahead with surgical removal of the tissue. After the healing get a new denture done with proper fitting and proper maintenance of the denture. Hope this was useful. Thanks and regards.


Hi, it appears that the pain is only due to the infection. The removal of the wisdom tooth is a lumbar some process, with the breaking of the alveolar margin of the jaw bones, which may damage the nerves and vessels of the jaw. It also may be due to pressure on the trigeminal nerve, so it may cause trigeminal neuralgia. So I advise you to consult a neurologist for diagnosis.  I to my patient with such symptoms prescribe ofloxacin, ornidazole, serratiopeptidase, and anti-inflammatories. Thank you.


Hi! Welcome to Chat Doctor, and thanks for giving us an opportunity to discuss on perineal infections! So, your perineal lump is recurrent, small, nodular and accompanied by another yellowish nodule in the pubic area! I must consider, if you had visited my clinic, that these two are same in pathological terms; they are sebaceous inclusion cysts getting infected and resolving due to bodies immunity power! These needs a simple needle biopsy for confirmation and surgical excision / antibiotics for cure...Therefore, please see a surgeon for a clinical examination and necessary management.don't worry, ...


Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -Chronic Sinusitis with left lung nodule, with high BP. Seems mostly to be a case of -Aspergilli with APA with sinusitis with high BP. Bronhcoscopic Lavage with aspiration and biopsy-would fix it from other causes-like-TB /Cancer etc. Remedy-Check up with ENT and second opinion from Chest and allergy specialist would rule out cause of accompanied high BP with it. CT Chest with CT -PNS(paranasal sinuses)would resolve the complex health issues in your case. Depending on causal confirmation of the lung nodule, attending Physician/chest specialist and ENT Specialist team would plan further treatment accordingly. General antibiotics/with enough HY Chat Doctor. Commonest cause in your case would be Bronchopneumonia with aspirations from Sinusitis. Other common cause -TB bronchopneumonia- needs to be ruled out and treated with anti-tb medicines accordingly. Steroid with Itraconazole(Strong)-would resolve the nodule -is from aspergilli. Simultaneous treatment to control high BP with antihypertensive medicines would be needed in your case. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!


HI, Dear Carson-Very Good Morning from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise your mother not to worry. In my opinion its -post-traumatic HEMATOMA.-Treatment-l you need to consult ER Surgeon to avoid any infection in it and pus formation, which needs to be avoided.-He would treat it- by-a-Cold compresses-b-Tb Antibiotic, c-Tb NSAIDs, and would adjust the dose-of warfarin accordingly d-Watch for any increase in Size of the arm lump. This would regress in next 2-3 was time.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day.


Hi, Thanks for posting in Chat Doctor. What you are complaining of appears that you have a mild bacterial infection of the foreskin. Nothing much to be worried about it. This can be managed in the following way


Hello, I am so sorry. Please accept my sympathy for your loss. There can be infections, birth defects, complications of pregnancy such as high blood pressure.  Mom can be a smoker, alcohol, overweight, African-American, have diabetes.  Many times the cause of a stillbirth infant is unknown. Most women become pregnant again, have a healthy pregnancy and a healthy baby. You may wish to contact a group of other women who have also lost a baby. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One-stop machine and make sure it is within normal values for diabetic patients i.e. 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound Chat Doctor.  Consult a planetologist when you can. Good luck


Hello thanks for using Chat Doctor .  I would be pleased to answer your question For the hyperpigmentation, the best option is to get your skin exfoliated by a better method like a glycolic acid peel done every 15 days. A better option for you would be to visit a Dermatologist to avail of these peels. Alternative peel treatments like trichloroacetic acid are also very useful. I would suggest you get your skin examined by the dermatologist.  For a home based treatment, Application of vitamin C based serum can be safe over long run. Thanks and take care.


Hi.Thanks for your query. Noted the history of enlargement of axillary lymph nodes with strings radiating from elbow to the maxilla like a web, axillary web syn Chat Doctor. With the history you have provided, this looks to be lymphangitis causing the strings under the skin from the elbow to the maxilla which has now enlarged lymph nodes. I would advise you the following in such a case as definite cause may not always be found and hence also called as Idiopathic. Blood smears to be prepared at midnight and examined for elephantiasis that is filariasis. Blood to be tested for CBC and other routine reports like sugar, kidney and liver functions. A course of an antibiotic and Albendazole to be started asap. A 3-week course of Genocide forte that is diethylcarbamazine helps. Give rest to the affected arm. Plenty of oral fluids orally to combat deny


Dear, We understand your concerns went through your details. Let me assure you, masturbation is not unhealthy. Masturbation is normal and natural. Frequency of 4 or 5 times a week masturbation is pretty normal and not in excess. Therefore, masturbation is not the reason for your present problem. I think you are obsessing with your sexual ability and sexual organ. Unless you are actually in sexual intercourse, you cannot judge your hardness. Secondly, when you try to test your hardness, the hardness comes down, because at that moment, you are diverting from sexual thoughts. The reason for your present problem is simply psycho-logic and never organic. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http


Thank you for posting query. Carrier state means that your wife is infected with Herb (Bag positive) but the replicating antigen of virus maybe negative and the viral load may NOT be high enough requiring treatment. Virus is in \"dormant\" phase. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about her status. The viral load should be monitored, and she needs to repeat test every 6 month or at least once a year. You should also inform your treating doctor if you want to plan a baby. There is NO permanent treatment for Herb virus. However, all relatives of your wife including you need to be vaccinated against Herb (if not done yet).wish her good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.


Hi Kellstarr, Thanks for writing your query. Afterreadingyour post, it seems that the pain you are experiencing can be due to muscular in origin due to excessive coughing. The inhalers you have mentioned will help in bronchodilatation and help you in asthma. For Chat Doctor.  I would suggest that you should have following investigations done


Dizziness is not likely to be due to the infection unless OT is so severe that it had reduced your BP, but that is now unlikely considering that you feel the fever had come down. Ciprofloxacin is an excellent Chat Doctor.  You can take a multivitamin preparation for whatever it is worth as well. I suggest you take plenty of fluids and eat well for the next couple of days till you complete your antibiotics course but if you are not comfortable, please stop the antibiotic and get yourself examined by a doctor.


Hi, It may be a contact allergic dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream on the lesions. Take antihistamines like Levocetirizine. Take oral steroids like Methyl Prednisolone in a tapering dose. Avoid contact with soap, detergents, dust, grass or other suspected allergens. Hope I have answered your query. Let me know if I can assist you further.


Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You must know that Adderall is a stimulant of central nervous system. It affects chemicals in the brain that contributes to hyper reactivity. Through stimulation of nervous system in a secondary way it stimulates the electrical system of the heart. This stimulation might cause fast heart beats over 100 or generate other electrical impulses in parts of the heart different from normal sinus Rhythm. This causes premature heart contraction that we call extra systolic beats. In this situation you feel your heart like running, making pauses or skipping beats. You might feel anxiety, difficulties in breathing deeply, palpitations or pulsations to your veins all over. Every kind of stimulation of nervous system might cause this rhythm issue to simple emotional stress, coffee consumption or pathologies like anemia, hyperthyroidism, this kind of medicine that act directly to the system. So, nothing serious is happening to your heart. it's a reaction to this stimulation. My opinions is to discuss this effects with your doctor and decide together what to do with and fit is possible or allowed to stop it. Hope I was helpful. Best regards.


Hi, thanks for using Chat Doctor It would be best not to puncture them because they can introduce infection if the technique is not sterile. You may want to add anti-inflammatory painkillers to your current regimen. They would help with pain relief and also reduce the inflammation due to the bites. Examples are ibuprofen, naproxen should continue your other medication and can also the foot baths. It is possible that the bites may become infected so if there is no improvement you may need a course of antibiotics. I hope this helps


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out lung diseases like bronchitis or asthma. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis or asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


U have a query that is bizarre in its nature although thank you for your question. U have pain in multiple sites of your body on the right side as u mentioned. But even if these painful sites have occurred at the same time, it is not necessary that these are related. I would advise u a Chat Doctor.  For example pain in your sole and last two toes can be related to faulty/badly crafted footwear and so on. Take care. Some amount of rest, physio and pain relievers may help.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Leakage of fluids can be possible after a week or so. Leakage after this time is abnormal. It requires a treatment. I suggest you to do culture and sensitivity from the fluid coming out. If it is infected than appropriate antibiotics as per the report will cure you. If the fluid is non infected than it requires a correction surgery. Once these measures are taken the fluid will decrease coming out. Please maintain good hygiene locally, you can do it by frequent cleaning and Chat Doctor.  This will equally important as taking


Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my level best to explain you. As per your symptom you have hypersensitivity reaction or allergic condition. It may also due to over consciousness or anxiety. I suggest you some points like never think much more about it, divert your thought in some things, think about your enjoying movement, do not much more concentrate or get tense about this. If symptom persist than I suggest you to consult a good allergic specialist. I hope my answer will help you a lot. Thanks and Regards. Chat Doctor.


Hi, Thanks for writing in to us. Despite great advances in organ transplantation in the last four decades, herpesvirus infections remain a major cause of morbidity and mortality for a majority of transplant recipients. Central to all herpesvirus infections is the viruses ability to establish latent, nonproductive infections which can be reactivated at later times in the hosts' life, resulting in recurrent infections and associated diseases. While improvements in immunosuppressive Chat Doctor. Hope this helps


Degree understand your concerns went through your details. I suggest you not to worry much. I do not think food is the only reason behind his behavior. Secondly calling this behavior as depression may not be right because this could be just dissatisfaction. I suggest you talk to your son with all your love and compassion. Or else, take him to a psychological counselor and counselor should help you. The reasons behind the behavior should be analyzed and accurate treatment method to be suggested. Understanding family and its intricacies is the trick. Your son should change, but it might take some time, and he might need your assistance as well as his wife. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck.


Hello,,, at 60 yrs fatigue with loss of weight, is a point of concern. You need to have him tested for diabetes and thyroid straight away. Then a general health check for not so common problems. Also, let him stop the cholesterol tablets for a month and see how he feels. This tablet can cause muscle pains which may be interpreted as weakness. Also, consider adding It D, Vitamin B1B6B12 along with Zinc as tablets. A general health check up with an X-ray chest would be essential.


Hello, Firstly, let me tell you that you have misused the emergency pill and put it into too much use. An emergency pill is meant to be used only a couple of times a year; else, it can lead to catastrophic patterns of menstruation. Since you have attained menstruation which was indeed a with Chat Doctor.  Emergency contraception can be of use only when used soon after an intercourse and not at any part of the cycle. In the current scenario, I would suggest seeing a specialist if you do not see a period in the next two weeks; get a pregnancy test and plan further management. In the future, please go for some form of regular contraception and do not use emergency pills so frequently. Hope this helps.


The foul smelling stools could be due to overgrowth of certain bacteria in his intestines. A course of metronidazole thrice daily for 5 days should be helpful. Also give him plenty of curd. You may skip the glass of milk in the morning and give other nutritive food items instead. The primary manifestation of lactose intolerance would be bloating and abdominal distention which your child does not have. In case of celiac disease, failure to grow properly and frequency of stool are generally present.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related diseases in your case because chest constriction, neck pain and high pulse rate (94). All these favor heart diseases more. So consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular spasm cannot also cause constriction feeling. So take painkiller and muscle relaxant Chat Doctor.  Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, A follicular study shows the development of the egg in the follicle, and can indicate the size of the follicle and can identify when the follicle ruptures. It cannot say if fertilization has occurred or not. Have you taken ovulation induction as well? If you have been trying for 4 months only, I would advise you to wait for 1 year, as most couples(85%) conceive in a years time on their own. The remaining need to be evaluated for the cause and then treated. The most likely period to conceive is 36 hours after the follicle ruptures. Hope this helps. Regards.


Hi! Geographical tongue is usually related to glossies, however, there are some instances that yeast overgrowth in the stomach can cause tonsils, pain in the submandibular lymph nodes/ pain and lymph adenopathy and later on will result to glossies. As we know that yeast can grow in an acidic environment and sugar-laden environment. However, there are several causes that the tongue may swell and that could be caused by allergens, nutritional deficiencies and/ or infections. If the swelling of your tongue/ glossies/ geographic tongue is caused by allergens then probably that is also the cause of your hives on the face. We need to treat the cause of your geographic tongue, if you think it is from yeast overgrowth in the stomach, then, a diet modification will do. Like avoiding acidic foods and beverages, avoiding cheese, nuts or those foods that is high in sugar and at the same time a probiotic Chat Doctor.  If you think it is caused by allergy then avoiding all the foods and allergens is the mainstay of prevention, and at the same time taking an antihistamine


Hi, gain. Noted history of elevated liver enzymes. Are you experiencing any symptoms like abdominal pain, jaundice (yellowing of your sclera and skin), fever, nausea or vomiting? Most common causes are fatty liver, chronic alcoholism, infective and obstructive (gallstones or tumor lesions) pathologies. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Am also from the Philippines and my clinic is open for consultation anytime. Hope this helps. Good day!!~ Chat Doctor.


Dear friend. Thanks for sharing your concern. The white patches could be due to many reasons like oral sub mucous fibrosis or leukoplakia.it is generally seen in habitual tobacco users and smokers. Please mention your habits if you have any?Also, please visit your dentist soon and get the tooth restored where there is cavity. Simultaneously get the current lesion examined.Meanwhile, use antiseptic mouth rinses. Hope it helps. Thanks. Take care.


Hello, I can understand your concern. It seems that the swelling of tongue that you have developed has nothing to do with the DVT and pressure in chest you are having. I agree with your doctor that it seems to be an allergic reaction. I would advise you to take Antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for at least 5 days. If it was an allergic reaction, you should find immediate improvement in the swelling in 1-2 days. Otherwise, the cause is not allergic. The allergy could be due to anything that you have been exposed to through air, water or food. If the episodes are frequent, you should go for a blood test for allergy to find out what substance you are allergic to, and you can avoid exposure to that in the future. However, if the swelling does not decrease with the antihistamines or if it increases, then you should consult a dentist to examine the oral cavity and investigate further regarding the cause. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,


Dear patient What surgery was done, and spinal fixation was done or not? Were your symptoms improved after surgery or there was no improvement?  If your mothers symptoms remained same after surgery with no improvement it suggests surgery was not done properly. If symptoms improved after surgery for few years and now there is recurrence it can be 1. Disc prolapse at adjacent level 2.  Spinal instability.  This needs to be investigated with MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. You need to consult expert spine surgeon with report.  All the best.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of heart disease is less but better to rule out cardiac diseases first for your symptoms. So get done ECG and 2d echo. If both are normal than no need to worry about heart diseases. Possibility of antibiotic induced gastritis is more. You're all symptoms like burping, discomfort in stomach, chest pain etc. are seen in gastritis. And antibiotics are known to cause gastritis. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors and prokinetic Chat Doctor.  But first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks.


Hello, Thank you for your question here at Chat Doctor. I understand your concern and I want to inform you that the Shingles' vaccine can lead to some adverse effects and thrombocytopenia is not listed among one of them. There are some reports of Poltava vaccine leading to thrombocytopenia, but currently we need more proof and clinical studies to affirm that for sure. In other words your husbands' thrombocytopenia may be linked to the Shingles' vaccine, but we do not know for sure at the moment.Meanwhile, please do not worry as this is a transitory effect and the platelet count will rise to its normal value in around 2-4 weeks if we were talking about minor thrombocytopenia from the start. I recommend another platelet count after 1 month just for your psychological comfort. I hope my answer helped you. Do not hesitate to reply if you have further questions, Best


Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or infected ulcer may be due to trauma during masturbation or an allergic reaction. I would like further information help you better relevant medical history like metabolic disease or hormonal disorderly recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test Blood for CBC and liver function test or urine test are advisable if it is a chronic issueNSAIDS like ibuprofen or acetaminophen will definitely help you Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply antiseptic ointment externally. Use condom during sex if you are sexually active Hope this answers your question please feel free to ask for more clarificationThanks and regards


Hi, Welcome to Chat Doctor, Most common cause of itchy eruption or patch under the breast is Tina corporal. It starts as pa pule and soon turns into a patchy lesion with scales and pa pule + vesicles at the periphery. Tab terminating 250 mg daily at night for 15 days will help. Sertaconazole cream to be applied twice daily. Tab Cetirizine 10 mg daily at night. Keep the area clean and Chat Doctor. Thanks


Hi, dairy have gone through your question. I can understand your concern. She has thalassemia and already taken multiple blood transfusion.  She may have some unknown antibodies in her blood that react with donors blood.  Furthermore, she should be given compatible blood.  Furthermore, she should go for antibodies panel test once to search the exact type. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, Thanks for the query to Chat Doctor. Forum. I analyze your report as, Volume 2ml (normal 2-5 ml) at borderline level normal. Viscocity normal pH 7.1 (normal 6-8)SPERM COUNT (query) normally it is 60-120 millions total. In your semen it is 20 million / ml and your semen is 2 ml, so in aggregate it is 40 millions means below normal. Normally if semen is taken after 3-4 days abstinence than its volume increases, so in that case it may be 3 ml than count will be normal. Motility is usually 90-100 % but in your semen it is 70% so they (sperms) are less motile than normal. Immobile 10 % and this is also normal (normal 10% immobile)20% are straight, and they are dead.  Rest of analysis is non-specific so no discussion. In my opinion consult a physician and get his opinion and treatment. Nowadays good and effective medicines are available in market, so you will GE alright in short time. If further any question I will help. Good luck.


The longer that you're on birth control pills the more likely it is that you will cease to have a period. It does not mean that the birth control pill is not effective. On the contrary it is working very well. The lining of the womb has become so thin that there is nothing to shed. In other words the progestin has won out over the estrogen. Many women actually like this as a side effect of taking oral contraceptives. You will have to take a stronger estrogen containing pill to avoid the side effect but I don't think there's any medical reason that you need to.


HI. Thanks for your query. Read the history and understood your wives problem. The reason of lower abdominal pain with back pain for 4 months can be the following


Hello dear, I understand your concern. In my opinion there are various causes for bleeding or spotting in pregnancy like hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy,low-lying placenta, bleeding from cervix etc. I suggest you to rule out the above causes by getting done physical examination, thyroid profile to rule out thyroid abnormalities, ultrasound to know the pregnancy status. Nothing to worry. Once the cause is treated it will subside. Avoid physical strain and intercourse. Take strict bed rest. But if the bleeding has not stopped consult doctor. Hope this helps. Best regards...


Hello, I completely understand your concern about the toothache. Dental pain surely annoys you. Reading your question, I guess you have a high carries index which is why the dentist has suggested you for a root canal treatment. There would be a deep cavity in your tooth which is why you feel the pain. I do not suspect any bone or neurological damage. Get your dental x-ray done and depending upon the depth of the cavity, the doctor would suggest you to go in for a simple filling or a root canal treatment. The earlier you visit a dentist, the better it is ! Hope this helps. Take good care


Dear parent, It seems your child is suffering from respiratory infection. He is unable to eat because of mucus he is ingesting. He cannot spit. This mucus is sticky so it doesn't pass ahead in intestine, because of small human. And then child vomits out. Try feeding him after he is relieved. Give him soup, milk, fruit, rice or whit ever he is interested in eating right now. Keep nebulizing him with plain water. He may pass frequent sticky motions as well. Keep in touch with the prescribing doctor for infection part.


Hello Chest tightness in your age need proper clinical evaluation, and it is important to exclude cardio-pulmonary causes. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, Chest X-ray (PA view), ultrasound of abdomen, ECG in all leads, TMT,ECHO. It may also be due to chronic asthma. You may need PFT(pulmonary function test). Proper treatment depend upon findings. You can continue slow walking and don't undergo more exertions till proper evaluation. Get well soon. Take care Chat Doctor.


Hello thanks for asking from ChatDoctorI can understand your concern. A lot of individuals with dementia develop psychotic symptoms and depression. These are seen as comorbidities in dementia. Seroquel has been given to her probably to calm her and to improve her mood. Learn has been prescribed to her for depressed mood and to prevent mood swings. Donepezil is given for dementia for improvement in cognitive functions. In my opinion if she has severe dementia then she should be given Donepezil and also Seroquel and Learn. She is also taking Xanax which is a benzodiazepine Chat Doctor.  The


Hi. Thanks for your query and an elucidated history. The reason of the pain in the center of the abdomen and the back can be related to the Gastric Ulcer / Cancer or pancreatitis. Pain in the testicle may be unrelated to the pain in abdomen and may be due to orchids or so. No blood tests are suggestive of gall stones. Ask PCP the following


Hi, Welcome to Chat Doctor. Thank you for posting your query. I understand your concern. By your history and symptoms I think that, your dizziness and black-outs could be due to Low blood pressure or low blood sugars. It would have been helpful if you had mentioned your past history of diabetes / hypertension / any head injuries. Consider getting an ECG, Echo, routine blood tests to rule out other possibilities. It would also be good if you can get an MRI of your Brain done. Consult a physician with the reports who will be able to comment on them and advice you appropriately. Keep checking your blood pressure at least twice a week at different time periods. Hope this answers your query and do write back to us if you require further assistance. Wish you good health.


Hello, Its better to administer amoxicillin initially, prior to root canal treatment. This will help to relieve the underlying infection. I would suggest you to take complete course of antibiotics during the initial stages of tooth infection. Depending on the severity of infection, dose as well as duration of action of antibiotics may vary. Please do visit a dentist and get an opinion regarding this. Hope this helps.


Hi, Welcome to Chat Doctor, You are already taking treatment for Anemia and your Hemoglobin is also reasonable 12.8 GMT and can continue to take B12 injection on monthly basis, and you can start work out gradually. My advice would be to start cardio work out initially later on weight training may be done. There should not be any problem in Gym. If there is any intake of alcohol it must be stopped completely. Take care Good luck to you,


Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. Good luck


Hello, Did you have a history of trauma, fall, or long walking or running lately? From the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. Normally, in the x-ray that you did arthritis should have been visible. The second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. This cannot be seen on x-ray, but only on bone CT scan or scenography. There is even more rare disease such as infection or tumors that need to be distinguished. Maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. Hope I have answered your query. Let me know if I can assist you further.


Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor.


Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about your current symptoms. They are most likely due to over-strain of muscles and fatigue. It would improve with rest. However, if you do not get better in a few more days, then, a brain scan should be done to exclude any ischemia (lack of blood flow to the brain). Also, thyroid profile and vitamin B12 level should be checked. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hi dear thanks for the query on ChatDoctorusually one breast will be slightly larger than other. If the disparity is noticeable and if painful it needs to be ad Chat Doctor. If your age is between 20 and 40 years you need to get ultrasound breast to check for fibroadenomas. If fibroadenomas you have to take vitamin E tablets daily one and prim rose oil tablets once daily for one month these may help with the pain thank you


Greetings. Inability to control emotions allow a male to get too excited during sleep which causes nightfall & making the organ small which is a normal phenomenon until & otherwise its within the normal physiological limit of an individual. Most of the people have many wrong ideas about nightfall - that it causes ill effects on health like nervous weakness, reduced energy, etc. or sexual problems like impotence in the future all of which is NOT true and these are just myths and misconceptions provided they are within certain limit. For too much stress, i advice you to do activities(Play outdoor games you like / Read books/ get along with friends / meet your relatives/ etc., ) that relaxes mind keeping you fresh.


Hi there,Bleeding or spotting in early pregnancy, may mean a threatened abortion or an ectopic pregnancy. Both these conditions require continuous monitoring and treatment, which is why they are asking you to go back to the hospital for further evaluation. Repeated blood tests and ultrasound are required to know the location and normalcy of the pregnancy. If it is a threatened abortion, there is a high chance of the pregnancy continuing normally, but the first 12 weeks will be difficult. In case of ectopic pregnancy either medical or surgical treatment is definitely required. If your wife is having dizziness then it should not be ignored, and you need to see the doctor as advised. Hope this helps. Regards.


Hi, thank you for providing the brief history of you.a thorough clinical examination is advised As pain in bilateral legs is due to the pathology of the spine. As the spine releases called as the spinal nerve roots which when trapped leads to such symptoms. Also, the nerve as dual functions of sensory and motor too. Any mild compression on the nerve will lead to any of the symptoms like motor weakness or some sensory issues like pain which can be continuous in nature. Usually with physical therapy and proper vitamins supplement the symptoms can be reduced. As in my clinical practice we recommend a combination of Chat Doctor.  As there will be weakness of the muscles of the spine and core team strengthening of it is advised to stabilize the spine and release the compression from the nerve roots. Regards Jay In


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have itchy patch and swollen lip don't worry it can be due to infection in tooth there can be formation of periapical pathology sinus opening. Consult dentist and go for investigations IOPAXray if there is periapical infection then go for Root canal, restoration of tooth.  Do warm saline gargle two - three times a day. Hope this will help you.


Hi, It seems that there might be having secondary bacterial infection on the part giving this problem. Clean the part and apply triple action cream. Go for one antibiotic medicine course for 3 days to cure bacterial infection. Apart from local application of antifungal cream, go for one oral antifungal medicine course as well. Keep inter digital part clean, Chat Doctor. Take care of cleaning inter digital spaces after taking shower. Ok and take care.


Hello, Thanks for posting in Chat Doctor. Yes sir your suspect is right, any lump coming up during touting of rectus abdominal muscles like when doing sit-ups shows that there is some weakness in anterior abdominal wall. But however if the size is very small then it is not a matter of concern. But if you feel it is large enough or increasing in size gradually then you might need consultation of general surgeon to do a detailed clinical examination and recommend treatment after examination. Also, a USG scan of abdomen can show the exact size of defect helping to plan out further line of management. So, yes it could be hernia (umbilical or para umbilical) and it needs to be examined clinically. I hope I have answered your query well. If you have any more questions kindly directly write back to me, will be happy to help you. Thank you


Hi, I understand your concern. Ova care forte is balanced comprehensive formulation of micronutrients and vitamins. It is quite helpful to regularize period, increase quality of egg, maintain cellular oxidant-antioxidant balance. It should be started from first day of menstruation and continue to take at the end of period. Taken twice daily, one in morning and one in evening after meal. Take it for 3-6 months. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,


HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely a urinary tract infection with urethritis. You can rule out the infection by doing a routine urinalysis. For urinary infection I treat my patients with antibiotics and urine alkalinizing agents like sodium citrate. You can take cranberry juice or barley water to alkalinize urine also. Hope this may help you. Let me know if you have any further query.


Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Please tell me the reason why it was started, if it was started for heart attack reason then you need to continue and may be dosed can be decreased gradually by 12.5 mg. If it was started for high BP then it can be stopped gradually and replaced with some other Chat Doctor.  Get back with more information. Hope I have answered your query. Let me know if I can assist you further.


Hi, I had gone through your question and understand your concerns. First thing you need to know is dialysis is the best treatment at this stage as her creatinine levels are 7. Coming to her stomach swelling the ultrafiltration which she is taking during dialysis need to be more in my opinion to take excess fluid out. If I am her treating doctor I will definitely increase the ultrafiltration if her BP is normal and if she is not tolerating she needs to be kept on weekly thrice dialysis. Please talk to your treating doctor about this and of course the final treatment other than dialysis will be the transplantation. Please get back if you have any queries. Chat Doctor.


Thanks for sharing your concern with Heath Care Magic.! Please note that, post extraction your dentist would have informed you not to disturb that area as this will impede the healing process. However, you have been disturbing this frequently the healing of the socket would have been delayed. The flabby tissue usually gets remodeled within 2-3 weeks post extraction, if still persist you can revisit your dentist for excision of the flabby tissue.


Hello, Proteus may develop resistance to Chat Doctor.  But sensitivity and culture test is useful to confirm the cause. The most appropriate treatment for P. Mirabilis may be aminoglycosides, carbapenems (except Eminem), and 3rd generation cephalosporins.  Recent P. Mirabilis isolates were also mostly susceptible to augmenting, ampicillin-sulbactam, and piperacillin/tazobactam. So please get it done culture and sensitivity according to that get treated. Hope I have answered your query. Let me know if I can assist you further. Take care


The conditions are called aerophobia. This is because of swallowing of air during food. This happens because of talking while eating or hastily eating the food. There is a chance of air to be swallowed. Hence, it is advised to eat slowly with good chewing of food. You may swallow air during gulping of water. Consider cutting on carbonated Chat Doctor.  Sometimes milk and milk products cause burps because of lactose intolerance, cut their consumption. If you have any other symptoms like burning pain in the stomach or food or acid regurgitation into the mouth, that could be reflux esophagitis which needs lifestyle modification and certain medications.


Hello You have been feeling tired and Chat Doctor.  You have also lost your appetite and also having headache. You are not able to concentrate on thoughts, and you are remaining worried due to these symptoms. There may be different causes of these symptoms, but frequently they may occur due to some nutritional deficiencies like Vitamin B12 deficiency. Low vitamin levels may be a reason behind tiredness and weakness. I would advise you to get your It B12 level checked. Other possibility that may occur is hypothyroid states. Low thyroid level may be a reason behind such symptoms. Thyroid function tests are advised in such cases. Other possibility that may be aggravated by low It B12 and thyroid levels is Depression. In milder forms of depression such symptoms may be seen. I would advise you to please visit a Psychiatrist for detailed evaluation of symptoms. Thanks


Hello, In a person with long-standing diabetes, peripheral neuropathy does set in, particularly if glycemic control is poor. But even with good control also neuropathy does develop giving rise to burning pain in feet, tingling and even numbness. Itchy feeling is due to improper blood circulation and affection of venous return. Strict blood glucose control is a necessity.  Chat Doctor.  Strict dietary control, some amount of regular exercise along with glycemic control will help. Age is definitely a factor. Fasting blood glucose should be closer to 100 mg, PP 160 to 180 mg & HbA1c%<7.  Thanks


**1. Since the case is diagnosed, and you are under supervision and management, thus prior to any holistic approach, consult an Orthopedic surgeon for relevant examination and investigation [since condition is 10 years old] to exclude osteomyelitis of pubis bone or related structures. [nerve injury/compression]2.  Exercises for estates pubis rehabilitation concentrate on stretching and strengthening all affected areas, including the groin, lower back, hips and thighs. 3. Rehabilitation under the guidance of an experienced Physiotherapist is highly recommended. The return to normal activities/condition should be totally guided by their experience to avoid a future re-aggravation.PS. It may take the rehabilitation process in excess of 3 months.4. Some exercise recommended for estates pubis is/are


Hi, As there might be not any generalized symptoms of weakness unless there is a viral infection. You can try taking the paracetamol, for now, to see if any ease is happening. Because most times with just paracetamol there will be ease to the symptoms.  In case there are no changes in the symptoms then we need to assess you on a clinical basis and some blood tests to be done to check out any particular pathology. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hello, There is a nerve that supplies feeling to the back inner corner of the heel called the medial calcaneal nerve. This nerve is sensory only and does not power any muscles.  It's possible that if the workouts you were doing were new, and your shoes didn't fit quite right, that you could have irritated this nerve.  This nerve isn't commonly irritated, or at least it doesn't bother people enough to come to the doctor.  Perhaps you want to make sure you have good fitting exercise shoes, but I wouldn't worry either way because it will probably go away on its own.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello. Thanks for writing to us. The pain that you have described seems to be due to a prolapsed disc causing a nerve root compression at the level of spinal cord. You need to get an MRI of the lower back done to detect the cause of the pain you are having. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. If there is no improvement after enolization then surgery should be done. Veins and arteries can be resected and replaced with vascular grafts or venous grafts, so you should consult this with your urologist. It should not be delays because tumor may grow in this case. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good


HI. Thanks for your query and an elucidated history. You have posted the history as if you have read from the book


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out congestive heart failure (CHF) first. Your symptoms (frothy sputum, cough, chest up position) especially at night are characteristic feature of CHF.CHF causes pulmonary edema and this causes all the symptoms. So better to consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). You may need diuretics and other cardiac supportive Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, These are all supportive medicines for healthy pregnancy. Basically pregnancy depends on proper timing of ovulation & unprotected sex. Ovulation occurs approx 14 days before due date. It is better to use ovulation prediction kit (OPK) to predict ovulation time and prepare for that day for unprotected sex for high chance of pregnancy. Avoid stress, take healthy diet with Vitae & Folic acid supplements, control body wt and proper sleep. Be well.


Hi! Welcome to Chat Doctor! The normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. White blood cells help protect the body against diseases and fight infections. There are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of Leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. The degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. Your WBC count is only slightly raised so don't worry. A course of antibiotics will bring it down. Take care!


Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash.  Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, I have studied your case. Numbness can be due to nerve dysfunction. You can take vitamin B12 for reducing symptoms. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine 1500 mcg If not relieved then I will advise you to MRI ankle and EMG/CV [nerve conduction study for better diagnosis. For these symptoms neurotrophic [Pregabalin] medication can be started consulting your doctor. 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.


Hello there, I understand your concern about the swelling and pain. That gland is probably because of the tick bite. You need to be examined to make sure that there is no other reason or problem in the groin leading to the lymph node swelling. Your A1c is in good control. If I were to treat you I would give you a course of Doxycycline antibiotics to cure the infection and swelling in the gland. But you need a proper examination before the medicine can be prescribed. So please visit your physician who can do the same. Till then try to take paracetamol for the pain and do some cold compresses to the swollen area if there is no pus formation so that can relieve the pain. If there is pus then there is need for Chat Doctor. Hope this helps. Take care.


HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. Chat Doctor.


Hello, What I can advise after going through your complaints is to get your blood pressure and sugar level checked. There are a lot of causes for dizziness and generalized weakness and fatigue. Sometimes it can also be due to alcohol with Chat Doctor.  I would suggest you visit your general practitioner and get your blood pressure and sugar level checked. Hope I have answered your query. Let me know if I can assist you further.


Hello. I guess your He (hemoglobin) is 11.6 and not 116. If it is so it is borderline for an Indian girl and definitely low for an Indian male. For menstruating female it is common to have low He and most of the time they are asymptomatic. There is no reason to worry about such He. If you want to maintain a good hemoglobin level i advice you to have a balanced diet containing mainly green leafy vegetables, fruits like apple, dates etc. (if you prefer nonveg food-liver, fish etc.)these will help you increase iron content of your body stores and prevent iron deficiency anemia which is common.nonveg food and milk also helps to restore your it B12 levels and prevent or B12 deficiency anemia (megaloblastic anemia).hope I have helped you.


Hi, As diagnosed with PIED with radiculopathy it should be managed conservatively with regular physiotherapy (spinal extension exercises), avoiding serious work/exercise bending forward, warm compression with vitamins, analgesic, muscle relaxant (if pain) n PPI under guidance of orthopaedition. If symptoms aggravates, bladder bowel involve, neurological involvement ...... then may require decompression.  So in my opinion be in regular follow up and treatment accordingly including physiotherapy .hope it'll help Thanks n regards


Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. Thank you.


Thanks for your question on Chat Doctor. I can understand your problem. In my opinion, you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause for your chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. GERD appears more in your case. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Avoid large meals, instead take frequent small meals.


Hi thanks for asking question. Noted you have asthma ... So periodic chest pain might be from bronchospasm induce by allergen... So at that time of chest pain auscultation done for rhonchi..... If pain severe enough nebulization by levosalbutamol and budesonide res pule may need...SOS when needed albuterol inhaler pump taken. Avoid contact with allergens.... Wear mask if you Chat Doctor. If still repeated chest pain occurs after consulting doc and LFT done, regular long acting forecourt like MDI inhaler may be started..... Take care. Hope your concern solved....


Hello, Blood pressure can certainly cause the headache. So it should be controlled. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Visit the doctor and get BP medicine prescribed like telmisartan and HY Chat Doctor.  Stomach problem mostly a gastritis and acidity problem. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks.


Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to Chat Doctor. You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. Wish you a good health. Take care. Regards.


Hi and. I think you are suffering from fibrosis, Mitosis is the inability to retract the foreskin behind the glans in males. Physiologic fibrosis is the normal condition in which child Chat Doctor. The inability of the foreskin to retract can lead to difficulty cleaning of the area which can cause Atlantis, there can be difficulty or painful urination, painful erection, or paraphimosis. Your doctor can diagnose fibrosis based on a thorough history and physical examination. Additional tests are usually not necessary. The first choice of treatment is usually a steroid ointment that is locally applied. This treatment has shown a success rate of over 70%. The ointment softens the foreskin and is applied for 4 to 6 weeks. Once full retraction is possible the ointment is discontinued. If the steroid treatment is not successful, a circumcision might be beneficial. When penis is fully erect the fore skin should retract without any problem, but in your case you have mentioned that you cannot retract it completely which is not normal. Please consult a surgeon, and he will examine you and may suggest a small surgical correction called Circumcision. After the surgery you will be discharged on the same day. Regards


Hi I have read your question and understand your concerns. Thank you for posting in Chat Doctor. Levolin contains albuterol that is short-acting bronchodilator but has rapid mechanism of action, while Decor contains budesonide that is a steroid. Your doctor has put him on Forecourt that contains Budesonide and Forometrol (that is a long acting bronchodilator). So instead of using two inhalers, a patient can use single one that comes in combination. If Forecourt doesn't help much you can use Leveling and Decor. I suggest my patients Tablet Montelukast (chewable) 5\u00a0mg at nighttime as well. Wish your kid good health.


Hello, You have a history of low sperm count. Some food affect sperm quality like high fat dairy products (whole milk, cream, Cheese), Soy products, pesticides & BPA (present in soft Chat Doctor.  Avoid them as they cause low sperm motility, decreased sperm count or abnormal sperm shape.  Avoid alcohol, smoking, caffeine or any other addiction. Snack on walnuts, eat fish, fruits & veggies. Take fenugreek supplements, vitamin C, D, zinc, ashwagandha is effective. Your treating doctor may give you multivitamin supplements & camphene citrate for better sperm count. Ge examined by a GP & get physically examined. If any pathology is detected, get it treated. Exercise regularly, stay away from stress, stress decreases sperm count, avoid negative people, take adequate sleep. Stay away from anxiety. After doing all this religiously you should get Sperm test done, your count should improve. Hope I have answered your query. Let me know if I can assist you further.


Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint the symptoms of high fever, headache, cold and swollen lymph nodes seems to be due to Influenza commonly known as Flu and is a viral infection. As your boyfriend had the infection, you have communicated the same from him. As the viral infection runs its course, and it will get resolved gradually on its own, so as of now you can start taking supportive treatment like antibiotics like Augmenting or Azithromycin to prevent bacterial infection secondarily. Take anti-inflammatory painkillers like Ibuprofen. Take Tylenol for reducing fever. Take decongestants like Pseudopod Chat Doctor. . Do saline nasal irrigation. Avoid chilled foods. Do steam inhalations, warm saline gargles and use a humidifier in your room. Sip on plenty of warm water. In case of no improvement in 5 days consult an Otolaryngologies and get evaluated. Hope this information helps. Thanks and regards.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain in breast and ribs after injury. Well there can be many treatment options for broken rib. Pain associated with a broken rib usually occurs or worsens when you


Thanks for your question on Chat Doctor. There are certain tumor markers which is present in excess can suggest possibility of malignancy. Tumor markers are substances secreted by tumor cells. So can give us clue about malignancy.  They can not replace biopsy and histopathological examination. Routinely tested tumor markers are1. CA 1252. Beta ChatDoctor3. Alpha photo protein (AFP)4. PSA (Prostate Specific Antigen) etc. So if you are having testicular cancer than these markers will rise in blood.


Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some malignant tumor like liposarcoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then IOUs should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hello dear, I understand your concern. In my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. Progesterone hormone is very important hormone in the maintained of pregnancy. Even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. So discuss regarding that with your doctor. Nothing to worry as the medications are not associated with any harmful effects to the fetus. Avoid physical stress and take healthy nutritional diet and take good rest. Avoid intercourse during the first trimester up to 12 weeks of pregnancy. Nothing to worry as such. Hope this helps. Best regards....


Hi. Thanks for your query. It is possible that the diverticulitis have flared up, the part is in contact with the urinary bladder in the pelvis giving rise to pink urine - this may basically be cystitis giving hematuria. In such a situation where you know you had diverticulitis, the best way is to go for CT scan first to see if there is flare-up or not. Also go for the routine lab-work. Urine for routine, microscopy, culture and sensitivity. Cystourethroscopy will help to substantiate the diagnosis. Get started with the medical management in the form of antibiotics and supportive medicines. Rest of the treatment will depend upon the findings and proper diagnosis.


Good day, and thank you for being with Chat Doctor !!! Semen samples should be collected in the hospital premises not due to legal concerns but because of quality and accuracy concerns. We take note of the time when the semen liquefies and how long they stay alive with effective propulsion. This is needed to properly evaluate the sample and for your urologist to be able to have the most accurate data to be interpreted. I am sorry to hear that the hospital that you went to wasn't able to properly explain why an outside sample cannot be allowed.


Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better


Hi, Contrast enhanced CT scan can confidently comment regarding liver metastasis and enlarged peripheral lymph nodes. If on CT scan these findings are found out then probably stage IV disease can be diagnosed. Then a FNAC can confirm the tissue diagnosis. If the disease has already spread to that extent it will be better to put the patient on chemotherapy, surgery will not be very helpful. Take care.


Hi. I had gone through your query. OCD and ADHD both require extensive treatment with biological medicines. Medicines that have you mentioned in query are appropriate to disorder. Proper dose and regular assessment are advisable to observe improvement. Medicines will take time to act and treatment will be a long. Fluoxamine and methylphenidate are alternative options for treatment. But it can be taken after proper detail assessment and evaluation. Medicines compliance is must. Behaviour modification and parenting or parental counselling can help. Thank you.


As you were diagnosed as hypertensive and all your vestibular battery tests are normal as said by Yugo for a MRI brain this dizziness can be because of some migratory thrombus which may have occluded any minor vessel in brain...though a feeling of associated nausea and vomiting are again pointing more toward any peripheral disorder (like labyrinthine or possible deniers disease right now I would suggest you to go form brain carotid artery Doppler(look for occlusion of main artery to brain)pure tone audiometryserum vitamin B12 Levels


HelloThanks for query. During sex and ejaculation there is increased blood flow to all genital organs including testicles and epididymis. This increased blood flow results in congestion of genitals organs. The hardness of epididymis that you have observed is due to congestion of epididymis and testicles which gradually gets resolved over a period of few hours. It should be considered as normal physiological process. There is nothing to be worried about it. Chat Doctor.


Child if presents with Respiratory distress soon after birth, can be due to either Congenital pneumonia, TNB, HMD in preterm, or Meconium aspiration. In your case, pneumonia in neonates is a serious condition. It requires usually 7 to 10 days of I.V. antibiotics with oxygen supplementation. If the child has been put on a ventilator machine, that suggests a very poor prognosis for the child. The child will require a good nursery care with heavy antibiotics(according to culture sensitivity if positive) in form of Injection Reopened, Vancomycin or any third generation Cephalosporin. X-ray might give us a clue on how bad the chest is.


Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of pleuritic chest pain is more. And it is seen commonly with lung infection and bronchitis. You are also having cough and difficulty on breathing so possibility of bronchitis and lung infection is high. You also had flu infection. And this can also cause bronchitis and lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of bronchitis. You may need inhaled bronchodilators, inhaled corticosteroid (ICS) and antibiotics. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.


Hi, you have not mentioned your symptoms, but for all the allergy the first step is to find out the cause of allergy, e.g. dust allergy or food allergy. If you have food allergy the best thing is to avoid the food item. When allergen is airborne e.g.


Hello and thank you for using Chat Doctor for your questions! Short answer


Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment -for sebaceous cyst in center of Chest-1- I would advise you to let the infection subside and cool down first.2-So I would treat it with proper antibiotics with Metronidazole and NSAIDs tbs.3-I would Excise the sebaceous Cyst -in a planned way-so as to avoid more scarring. I would be able to put \"Subcuticular Cosmetic Stitches\" as to avoid any disfiguring Scar-in the central chest area between the breasts.3-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.


Welcome to Chat Doctor I have gone through your query and understand your concern. There are both possibility of soft tissue injury and bony injury(fractures). These can be distinguished by x-ray of lumbar spine. Primary treatment of it is rest and analgesic such as ibuprofen for pain relief. Calcium and multivitamins help in healing. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.


On Willie brands disease does not stop you from getting pregnant. Yes bleeding can be more during delivery or during menses because of less capability of blood to clot. But as the age increases the quality of eggs (Ovum) starts decreasing and less chance of getting pregnant. There is also hormonal lag along with body weight and other things leads to menstrual cycle and as you have irregular menses there is chance that they are disturbed. You have to lose weight. And get a consultation done with infertologist. He will guide you properly after examination and history. On a baseline you should do mammogram, Prolactin, Blood sugar level, Insulin level, Thyroid level.  And one Pelvic sonography. Some tests may require afterward. Do one semen analysis report of your husband also. It is also to be normal for getting pregnant.


Hello understand your concern. What you describe is called a paresthesia, an odd sensation when a particular area of your body is touched.  There are multiple causes of paresthesia, including neurological, vitamin deficiencies and even psychological. If you have seen many physicians already, I assume you had blood tests to check thyroid, B12 level, calcium level, magnesium level, iron level, as well as kidney and liver functions.  Some liver and kidney conditions could cause paresthesia. Also, some autoimmune diseases cause similar symptoms such as lupus or polymyalgia rheumatic. Next is to get electromyelograms with nerve conducting velocities of your arms or legs.  This will help identify any problem with your nerves or muscles. Some types of naturopathies cause parasomnias.  Do you have any medical conditions or are you on any medications that could cause these symptoms? The causes as you can see are varied. You can also see a pain management specialist who can help with the paresthesia. I hope you feel better


Degree understand your concerns went through your details. I think your problem is nocturnal emission, but it is a premature ejaculation. Premature ejaculation usually happens because of anxiety. Performance anxiety rather. The liquid comes out before sexual intercourse is pre-cum and is a lubricant and helps in lubricated intercourse. Thickness of semen is not at all a concern. I think all these unnecessary sexual worries and lack of knowledge leads you to be anxious. I suggest you sexological counseling. Please consult a sexologist. If you require more of my help in this aspect, please use this URL. http


HelloThanks for query. Based on your statement it seems that you are indulged in masturbation twice a week and worried about your fertility in the future. Masturbation is one of the safest way of getting pleasure of sexual satisfaction without having intercourse with female partner, and it is natural and normal for a man to practice it at the young age.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. Do not worry if you make it a point not to get in to habitual and frequent masturbation there is no reason why you should not father a child after marriage. Chat Doctor.


Hello, Welcome to Chat Doctor .from your history and description, I would like to consider the possibilities of an insect bite reaction/ bed bug bites, Scabies and a fungal infection (Tina corporal). Insect bite reaction can be treated by applying a mild steroid containing mometasone fortunate / HY Chat Doctor.  You could also take an antihistamine like chlorpheniramine male ate at bedtime for the itching. Scabies is caused by a small mite and is contagious. It causes rashes in the finger webs, wrists, around the umbilicus and in the groin areas typically. It can spread from one person to another. Furthermore, it should be treated with 5 % Permethrin cream applied overnight and washed off in the morning. A single application would be sufficient. The bed clothes need to be washed and changed as the mite can harbor there. Funagal infection like Tina could occur from fungal filaments present on the animals. It needs to be treated with an antifungal cream like 2% ketoconazole or 1% Terminating applied twice a day for 3 weeks. The exact treatment depends on the diagnosis. You could google the above diagnosis and try to narrow down the option. Hope this helps you. Take care.


Hi, fever, cough and cold in a 13-month-old child suggest upper respiratory tract infection. Since you are already giving antipyretic medicine for 5 days, the child should be given antibiotic depending on the chest examination. Kindly get the child examined by doctor so that antibiotic can be started. Blood test like complete blood count, CRP level should be done to know the causes of fever. Take care.


Hi and thank you so much for this query am so sorry to hear about this persistent diarrhea and the rising tumor markers. The rising tumor markers mean that the tumor was not completely removed and nothing else can be done to ad Chat Doctor.  It is rather unfortunate but a majority of persons with incompletely excised pancreatic cancer would most likely not be alive after 6\u00a0months. There is nothing that can be done about this diarrhea as it is due to digestive secretions that flow through especially bile. About starting a juicer, talk to his treating doctor to give his accord. I hope this ad


Hello, There could be simple logical explanation for this problem is that you might have retrograde ejaculation means semen enters your bladder instead of coming out of urethra or there is some semen left in urethra after the last ejaculation. However, it's not possible to have semen in bowels, that whitish discharge could be due to mucus in stool which could be a due number of reasons like infections, fissures, bowel obstruction or Crohn's disease. I suggest you to visit your doctor for detailed checkup regarding your problems and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.


Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. Hope I have answered your query. Let me know if I can assist you further.


HIT hank for asking to ChatDoctorI really appreciate your concern if this is the case of liver cirrhosis then here truth is this that alcohol has done the job and the degenerative process have been started there now if the deficiency of pseudo cholinesterase if taken into consideration then this is of no value or does not prove anything or it won't help the patient in the prognosis, hope this information helps you have nice day.


Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not panic. I will suggest you to get pregnancy test done at least 20 days after your ovulation date. It can be inconclusive before that. Please get mornings first sample of urine tested for pregnancy. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Days of Phaeton tablet has no effect or relation with urine pregnancy test. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks.


Hi, Thanks for writing to Chat Doctor . You will conceive soon. Be stress-free. Your follicle size and endometrium thickness are good and adequate.  After taking Chat Doctor injection follicle will rupture in 6 to 36 hrs. So I advise you to have intercourse from 12 hrs after Chat Doctor injection and once/ twice in a day for next 4 days. Sperm life in uterus is 3 to 4 days. So if any time you are not able to do intercourse don't worry. Also, after intercourse don't stand up or sit for 30\u00a0mins. Sleep in same position for 30\u00a0mins. Hope I have been helpful. Regards Chat Doctor.


HI Sharon ! From the history of a bulge in your lower right groin, the first diagnosis one can think of is a possibility of Right Inguinal Hernia in its initial stages which gives rise to pain. This will occur whenever you go for a heavy activity which increases the intro abdominal pressure. Apart from this there could be a separate intro abdominal pathology altogether. If it is a grumbling appendix, then the ultrasound may not show anything positive. A urinary tract infection or an infection of the pelvic organs can also give rise to such symptoms and your doctor may advise you for a routine urine test and a clinical pelvic examination to exclude the same. Do you frequently eat outside specially junk foods ? In that case one has to exclude intestinal infection specially amoebas. I am not sure to which region you belong to. One has to exclude chronic granulators infection of the intestines in people who live in endemic areas where such infections are common. Your family physician can investigate you to exclude this kind of infection. Wish you an early recovery.


Welcome to Chat Doctor, short answer


Hi, thanks for posting your concern in Chat Doctor. From the history, it seems that you have got traumatic PIED. To rule out, you may need a X-ray LS spine-AP & Lat, and MRI of LS spine done. For pain management, you should have rest for 2 days, stat bolus dose of injectable analgesic (e.g. Diclofenac with Sanitizing) followed by oral analgesic (PCM/ Diclofenac/ PCM+Diclofenac) with some PPI to avoid peptic ulcer, some muscle relaxant (e.g. cyclobenzaprine 15 mg) and ice pack 4 times a day for 1 day. You may need a lumber brace also. All the medication dosage should be according to the age or body weight. Please consult local orthopedic consultant or write back to me with the reports of imaging. Wish you an early recovery.


Hi, Nothing to worry right now. Reactive lymphadenitis is common finding. You should be on to follow up. You should search for any infective etiology at the Chat Doctor.  Exact size, shape, consistency, fixity to the underlying structures should be carefully examined. If the lymph node decrease in size no need of any investigation. Anyway, As you have family history of breast cancer it is better to go for clinical breast examination at three years interval. Take care.


Hello, I have gone through your query. Thanks for using Chat Doctor. All your symptoms are due to panic attack. You should take Tab. Clonazepam 0.5 mg mouth dissolving preparation at time of your symptom. Mostly if you will be immediately relived, and it will confirm that your problem is nothing but anxiety. In case you are not relieved, you should get ECG and Echo done to rule out any heart disease. My best wishes Chat Doctor.


Degree understand your concerns went through your details. I can understand. If there is no ejaculation after masturbation, it simply means that your body is not sexually aroused. Masturbation results in ejaculation only when your body is sexually aroused. Otherwise, masturbation is painful. Because of the same reason, nocturnal emission happens you. I surely think, you are anxious about sex, sexual organs and related concepts. Your knowledge is false. I suggest you to consult a psychologist for sexual counseling. If you require more of my help in this aspect, please use this URL. http