Hello, Your pain and swelling following trauma, requires further evaluation with x-ray to rule out fracture. Please be advised to follow-up with an orthopedic to get an x-ray done. Meanwhile, apply cold compress to the affected area, elevate the leg, take adequate rest and Ibuprofen (if not allergic) for pain. Toe fracture is treated with immobilization of toe with cast/buddy tape. Hope I have answered your query. Let me know if I can assist you further.


Hi, from history it seems that you might be having fungal infection on the part. Due to itching there might be having some bacterial infection causing redness and swelling. Apply antifungal lotion or cream locally. If infection is more go for one course of antibiotic medicine course to control bacterial infection. Go for oral antifungal medicine course like Fluconazole. Keep local hygiene proper. Ok and take care.


Seems blunt trauma that may go easily and pain will go easily. If not take 1 SOS broken adult. You may use turmeric powder in warm milk or water 1/2 tsp once or twice daily. Its natural anti-inflammatory. If doesn't stop, may be nerve is compressed. You have to take lumbar support. Don't bend. Don't lift heavy wt. As the trauma subsides (except that inter vertebral disc spaces should not have reduced), pain will go. Otherwise, physiotherapy and Yoga postures will correct you. But not during pain. Hope it helps you.


Hello! Thank you for the query. This can be appendicitis indeed. For sure such pain can not be ignored, and ER visit is necessary. It may be also a partial bowels' obstruction, bowels ischemia, stomach perforation. All these diseases needs to be ruled out. Abdominal ultrasound, abdominal X-ray, blood work, urinalysis should be done at first. Some surgical help might be necessary. Hope this will help. Regards.


Hellos per your description it seems that you have developed a pressure sore (or bed sore). It usually happens in chronic bedridden patients at the pressure sites like lower back, back of the heel, back of the scapula etc.my opinion would be 1. Please take care of the wound (regularly Chat Doctor.  2. Change posture frequently while you sleep. Avoid pressure over the wound site.3. You may use some antibiotics like Amoxyclav or Cephalosporin group, if the wound is infected.4. Lastly and most importantly, if you are diabetic, then please take care of your glycemic state. If the sore doesn't start healing then you should visit a surgeon (Plastic surgeon) for further evaluation and management. Thank you.


Hello and thanks for writing in. For many kids with this disorder, the symptoms are so mild that they never know they have it. Those with a more severe form of the disease, need proper diagnosis and a treatment plan. Seriousness of the condition depends on the severity of this disease. Only a proper test result can say about the type and seriousness of the FWD. I would advise you to wait for the complete test result and take care of the baby for any bruises or cuts. Hope this answers your queryRegards


Antonella Persians infestation can be diagnosed by--Complete physical examination that reveal typical rash and edematous swelling of affected body parts-A careful travel history to the known endemic parts mentioned by you.-Blood examination may reveal larvae of Antonella Persians under microscope-Microscopic examination of oxidative serous fluid from the affected parts, pleural effusions can also demonstrate larvae. Treatment includes-A combination of the Chat Doctor. A follow-up is required after starting the treatment with these


Hi There I understand your concern for your health and I would like to tell you about your queries one by one1. The reliability of the STENTS depends on how well you take your medicines after stenting, how well you take the advised precautions, no smoking (if you do), adapting healthy lifestyle habits life daily morning walks, no junk or fried food, healthy diet, weight control and how your body respond to stent.2. ECG only gives a clue about blockage, accurate assessment is done by Angiography only. I wish you Good health


Hello. Thanks for writing to us. After the fall, the hematoma that formed must have been compressing the nerves causing the burning sensation in the area. Most of the time such hematoma resolves spontaneously in 2-4 weeks with rest and hot fomentation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http


HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here you do not seem to have any disease lymph node is such internal organ that can be found everywhere inside the body and some time its become fairly visible and palpable too with no specific reason and that is nothing to worry and no need to treat them in my opinion forget the lymph node and be happy, have nice day.


Strategy is a good medication for ADHD and can be given to your son.  It takes a few weeks to see the full benefit so some doctors will continue the concert for the first month while building up the Strategy.  The benefit if Strategy is that it also lowers anxiety, it lasts 24 hours so once a day dosing is enough, there are no rebound symptoms as seen with the stimulant medications, and it does not suppress the appetite as much.  It might also allow you to stop the Risperdal, a medication which I personally feel should not be used for long periods of time and should be avoided in child Chat Doctor.  He will need a lot of help navigating the social aspects of life if he has high functioning autism.  What was formerly called Asperger syn


Hello, I have gone through your query and understood your concern. According to above-mentioned details, stage IV ovarian cancer overall median survival rate ~36 months and progression free survival ~17 months. As you have said debunking had done and residue has left, 5 year survival after surgical debunking with residual disease >2 CMS is ~20%. 2 year survival rate for stage III+IV disease was 60%. Hope this helped you. Thanks.


Hi. Abdominal pain is very nonspecific symptom. It can be caused by organic diseases or by functional diseases. In his case it is obvious functional disorder because diagnostic tests that you have mentioned would rule out any organic disorder. At this age pain can be caused by food allergies, IBD or psychogenic. Also, any infection of respiratory or urinary tract can lead to abdominal pain. I suggest waiting and see are symptoms going to persist and getting worse. If yes then complete garment. Workup needs to be done. Wish you good health


Hello Thanks for posting at Chat Doctor. Life expectancy may vary from person to person and hence cannot be commented upon. It depends a lot upon being regular on medications and dialysis, dirty restrictions, exercise and associated factors. If you are regular with your medications and maintain a fluid restriction of 1.2 liters per day with regular peritoneal dialysis; you will do well and wish of life as well as expectancy will be good. So please stop writing about life expectancy and take proper care of your health. Wishing you good healthRegards


Hi, Thanks for writing in. Glivec is Imaging and works well in chronic myeloid leukemia. It is important for your brother to continue taking this medicine as recommended. To counter the high coast of this medicine, you might discuss in detail with the treating doctor. Depending on the stage and control of disease, this medicine dose might be adjusted so that the benefit is achieved at a dose which might be taken in a way which will be financially viable for your brother. Instead of a daily 400 mg dose, after discussion with his doctor an alternative dose might be discussed. Another method is to register with Chat Doctor.  Please consult any cancer research institute and try to know if any such trials are going on. Your brother might benefit from taking this medicine or an alternative similar


Hi, Thank you for posting your query. The most likely diagnosis in your case is migraine, where it is not uncommon to find small white matter lesion on brain MRI. If you can upload a copy of your brain MRI report, it would be useful. There are good medications available to treat migraine. For elevated liver enzymes, please consult a gastroenterologist. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Thanks for your query, I have gone through your query. The swollen cheek could be because of the tooth infection or gum infection or arteriovenous malformation. Consult an oral physician and get yourself examined to rule out any tooth infection or gum infection, and you need to take radiograph. If there is no tooth infection then you need to get an ultrasound to rule out arteriovenous malformation. You might need a course of antibiotics. I hope my answer will help you, take care


Thanks for your query, I have gone through your query. The obstruction in the throat could be because of the foreign bodies like wire or throat infection. Consult an oral physician and a ENT surgeon, get a radiograph of the neck region, that will rule out the foreign body or wire. If it is there, then get it removed by ENT surgeon. If it is because of throat infection, Then take a course of antibiotics and do saline gargling. I hope my answer will help you, take care.


Hello, I can understand your concern. As you are having this line on your lip for about 10 years, and you have already tried antifungal agents, it does not seem like a fungal infection. White line on the lip can be due to charities which can occur due to deficiency of Vitamin B12, iron deficiency anemia or allergy to some substance that you are exposed to on routine basis. I would recommend you to start having Vitamin B12 supplements and iron supplements along with including leafy vegetables in your diet. You can also take antihistamine such as Loratadine 10 mg (Forfeits) once a day for about a week to 10 days to combat an allergic reaction, if present. You should give it a month to reduce in size and intensity or disappear completely. If it does not respond to these supplements, I would advise you to go for a biopsy of the lesion as 10 years is a very long time to have a persistent painless lesion on the lip and confirmed diagnosis is necessary. You can visit an oral and maxillofacial surgeon for the biopsy. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best,


Hi dear, I have gone through your question and I understand your concern. It is FDA pregnancy category C Chat Doctor.  But you must tell your doctor if you are pregnant or plan to become pregnant while using this medicine. As you are planning, so I would suggest not to worry about just take medication and let the infection subside and on next follow-up visit to your doctor just share with him, and he will change to category A or B


Yes chronic anxiety can cause hair loss\"Daily shedding of up to 100 hairs is normal. Excessive hair fall can also be due to male pattern baldness, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow Chat Doctor.  Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps. Good luck!


Dear, We understand your concerns went through your details. Excess masturbation cannot in any way affects the possibility of having child Chat Doctor.  You can be assured. But in your case, 6 times a day masturbation, is harmful because masturbation consumes body energy. Body energy loss can cause physical stress. Continuous physical stress can have mental stress and anxiety. Otherwise, there is no negative effects for masturbation. I suggest you to reduce the masturbation habit frequency to thrice per week because it is the safest and healthy frequency. You should consult a psychologist for counseling and dead diction therapy. If you require more of my help in this aspect, please use this URL. http


Thanks for your question on Chat Doctor. I can understand your concern. Cannabis is centrally acting (acts on brain) abusive substance. It causes depression of brain centers including respiratory center. Respiratory is main part who regulates breathing. So when someone takes Cannabis, his breathing becomes slow. This is therefore reason why COPD patients feel good after taking Cannabis. But this is life-threatening in long term use. Long term Cannabis intake can cause respiratory depression (no breathing) and ultimately death. It is also habit-forming agent. So better not to use Cannabis in COPD patients. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, The masturbation usually doesn't cause much harm on health. It is a pleasure giving the procedure.  But it should not be compulsive act, and it should remain a method for fulfill sexual desire.  The masturbation frequency is advisable to kept up to three times a week to avoid groin discomfort, fatigue like side effects.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, In a patient on combustor users may present like pain and swelling of joints. It may be due to allergy or side effect to the Chat Doctor.  Pain may be due to arthritis of joints. Until examination is done it is difficult to say what it is. Please consult with your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care


Hello! Welcome to Chat Doctor. Bleeding gums is common in poor oral hygiene. You did not mention your general health if you are in your menopause, taking any medication etc. This is because of the debris accumulated around your teeth. This cannot be removed at home. I suggest you to see your dentist for a professional scaling. You can only reduce the symptoms in the meanwhile. Gargle with warm saline water thrice daily. If you are known hypertensive, please go for any branded mouth wash with anti-plaque action. You can choose chlorhexidine. Seeing your dentist every 6 months for a screening and scaling is advised. Maintain a good oral hygiene. Regards.


Hello dear, Management of Tina courts includes


Hi and welcome to Chat Doctor. Please do not worry as you have taken the pills for a very short time. Long term use of pills means at least 4-5 years. Also, if you are attempting pregnancy, the fertile period for women with regular 28 days cycle is between day 12-18 of the cycle counting from the first day of the last period. Try sexual contact on alternate days during this period for best results. Also, ovulation detecting kits may be used to see the actual days of ovulation and contact during those days increases chances of pregnancy. If you are not able to conceive in 8-9 months of regular unprotected contact a visit to a doctor may be needed to look for any problem with conception. Hope this was helpful. Do not worry, the pills are not going to have any effect on your reproductive potential. Thanks for using Chat Doctor. Have a good day. ChatDoctor BagdeConsultant Ob GY.


Hi, I think HSG is not a confirmatory test for the tubal status.  You should go for a laparoscopy to confirm that the tubes are blocked.  Sometimes HSG can be incorrect also. So, if tubes are blocked even on laparoscopy, and it is a proximal block, cannulation can be tried to open the tubes. If it cants be opened, you have to go through IVF to conceive.  Hope I have answered your question. Regards Chat Doctor.


Hello thank you for trusting ChatDoctorDear in chest many part sun your cheat. The pain may be arising from esophagus, heart,lungs, muscles and bronchioles. If it is associated with food may be related to stomach and esophagus. Gastritis and gastroesophageal reflex may present like tightness and burning in chest and abdomen. If it is associated with cough, douran probably it is arising from lungs or respiratory bronchioles. If it us associated with palpitations, chest pain, giddiness it may be associated with heart. sometimes muscular pain may cause chest pain. But we need complete evaluation and follow up for this. But don't neglect the pain first we have to rule out pain not arising from heart. Then we treat as non-cardiac pain no worries. Please consult your doctor he will examine and treat you accordingly. Take care


You can try using hot pack for 10 to 15 minutes and post that apply some pain relieving ointment repeat this two to three times a day.  As well do simple knee exercise like in a long sitting position legal straight press knee down or tighten your knee and front thigh muscles hold for 5 seconds and relax.  If it relieves with this great but of not then you need to visit doctor for proper treatment management. I Hope it was helpful to you.  Take care


Thanks for your question on Chat Doctor. I can understand your concern. Cough with frothy saliva in CABG (Coronary artery bypass grafting) patient can be due to heart failure. Actually heart failure causes pulmonary edema. And this can cause cough with frothy sputum. You are also having eosinophilic (high eosinophil count). It is seen is allergic diseases liked asthma. This can also cause cough. So better to consult doctor and get done 1. ECG and 2d echo to rule out heart failure. 2. PUT (pulmonary function test) to rule out asthma. Don't worry, with appropriate treatment, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, and without any physical findings by your treating doctor and normal reports of all the investigations, it seems you are suffering from a condition Nostalgia fugal, a benign condition, but quite debilitating as described by you. This is not an infrequent condition, and the treatment is variable starting from anti spasmodic, calcium channel blocking agents to sub lingual nitrite during the acute episode. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


HAI, at this age there can be many problems usually age related such as azaleas, Parkinson, degenerate disorders, or other age related problems. This sort of sudden episodic disorders can be in case of parkinsonism, rigidity, cold and clammy episodes, associated hysterical episodes, at the age of 85 better he should have a caretaker. U cargo ahead for a ct brain, abdomen ct or ultrasound, sugar levels, serum electrolytes, urine routine.pls take him to general physician and a neurophysician, Food luck


Tithe point is that some conditions are hereditary and other diseases are acquired. What you have told us in the query is the end result and the common complication of many conditions including post lumbar puncture. There is a possibility that you had what is called HY Chat Doctor. So you were operated. Now if you have some condition that is genetic, the offspring may have the condition. If it was acquired, like say post meningitis, it is acquired and cannot be transmitted Best of luck


Hi, I appreciate your concern for your brother and the will to help him. See in any illness, and for the fact any mater if there is hope the patient does well than if there is less or no hope. So first and foremost tell him that his miseries can be all removed if he helps in treatment and the ulcer can be got rid of, second to live we need motive, so find some motive that motivates him towards treatment, be it his marriage, having kids, having loved someone, or owning a new car or house once he is cured. I hope if you try patiently and calmly, understanding the mental status of your brother and the stress both mental and physical he would be going through, you will develop enough empathy to help him out and if he sees your efforts as true, and sincere he is bound to respond. Good luck. God Bless


Hello Saurabh, The symptoms as mentioned in your post suggest that you might be having fungal infection. Management includes


Hello! Thank you for your question on Chat Doctor! Your symptoms seem to be related to anxiety. A cardiac arrhythmia can not be excluded, even considering your young age. I recommend consulting with your family physician for a careful physical examination and some tests


Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that if you have infection with MAC or Mycobacterium Album complex infection it is very sensitive than the standard Mycobacterium tuberculosis. Treatment for Mycobacterium Album complex is short, and it will get treated earlier than Mycobacterium tuberculosis. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.


Hi. Thanks for the query. As per your complaint scratching all over the body can be due to Allergic reaction to Clindamycin while can also be due to Allergic reaction to some other unknown allergen that can be any food or skin cosmetics while detergents can also be a cause. As the most recent intake is of Clindamycin it can be probably a cause. I would suggest you to consult your treating Dentist and get evaluated, and he can change the antibiotic. In case if there is no improvement even after that then can be probably some other causes. As of now take anti allergic like Levocetrizine to relieve itching. Apply Calamine lotion. Hope this information helps. Thanks and regards. Chat Doctor.


Hi, welcome to Chat Doctor community forum. Spots are usually benign lesions unless proved by a biopsy. However, few simple spots can over a period of time transform into cancers. There are few changes that occur during this transformation. Those changes are generally increase in the size of the spot, color changes, texture changes, ulceration, pain and so on. Watching closely for such changes is essential in preventing malignant transformations and deciding the course of treatment.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Usually herpes will go with the treatment. So as if you are treated with the herpes it leaves slight pigmentation. Gradually this pigmentation will go, and skin looks like normal. I advise you should start taking the acyclovir tablet under your doctors' guidance. This is the Chat Doctor. Vitamin B complex should be taken, along with the gabapentin this all will cure the problem. Please take under doctors guidance. Avoid sex or kiss during the period of treatment. Otherwise, cross infection will occur. Frequent herpes infection is the sign of the immunocompromised status. So in advice you should test for the HIV. In HIV infection patient frequently has bouts of the infection. I will be happy to answer your further concern on bit.ly/


Welcome to the Chat Doctor .com. I honor your consult here and being your expert healthcare provider I am assigned to help you further in this case. I have reviewed the details you have given. This is normal Physiology in pregnancy and nothing seems to be wrong. In pregnancy, it is normal to have discharge off and on. What happens is the mucous inside the vagina gets thicker a bit, and there are many more hormonal changes during pregnancy affecting the viscosity of the mucous secretions inside vagina. If there is no itching in or around the vagina; no smelly discharge; then it is ok. Otherwise, it may have been a bacterial or fungal infection and needs definite treatment. If you think it is bothering you a lot, kingly discuss it with your ORGAN for evaluation in person and diagnostic labs if needed. She will help you further in this regard. I am at your disposal for expert care. You may land again to Chat Doctor .com anytime you want. We are striving hard to make the forum better for you. Healthiest Regards!


Hi thanks for contacting Chat Doctor.... Noted you have chronic hepatitis ..... Your hepatitis b and c negative.... So following can be the cause......-non-alcoholic steatohepatitis-alcohol hepatitis -alpha 1 antitrypsin deficiency-Wilson disease-autoimmune condition- Chat Doctor. ... From biopsy sections IOC or special stain can be done to rule out alpha 1 antitrypsin deficiency or Wilson dz Symptom of other systems also searched for..... If autoimmune condition present immunosuppressive


Dear serve understand your concerns went through your details. Please provide your wives. Memory problems (particularly remembering recent events), reduced concentration, increased confusion, loss of ability to do everyday tasks, apathy and with Chat Doctor.  Difficulty finding the right words while speaking is considered as primary. Still, expert diagnosis is essential. Do consult a neurologist for further information and treatment. If you require more of my help in this aspect, please use this URL. http


Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. Yes, it is sometimes possible to have tuberculosis, and yet test negative on the conventional laboratory test. Evidence of tubercles directly seen on DL and hysteroscopy is the best proof of genital tuberculosis.She is right to recommend anti-tubercular treatment for you, based on the directly visible evidence. It is definitely possible to conceive a baby while on AKT. Just wait for the initial two months of AKT 4 to get over. Then you can start trying for pregnancy. If the tubes are open, there should be no hitch there. There is no complication to the baby while you are on AKT 3. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention


Thanks for your question on Chat Doctor. I can understand your concern. Hiatus hernia can cause all the symptoms described by you, so do not worry and continue your treatment as prescribed by your GI specialist. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely ask you if you know the problem, why don't you change yourself? It shall be useful to see a psychiatrist only if you want to change yourself. If you have the self belief that you shall change yourself, then psychiatric help may not be necessary at all. You could most probably plagued with obsession. That is normal with people who are in love. The extreme situation of love is obsession. You are obsessed with your fianc\u00e9e and that is the reason why you are being so anxious, jealous and paranoid. Don't worry. You shall change, for sure. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi, Urticaria is an allergic reaction to any substance. Sometimes, it could be autoimmune mediated. The primary line of treatment is to find the cause for urticaria, along with antihistamine tablets.  Antihistamine tablets will give only a temporary relief and does not give permanent cure.  Common causes are Chat Doctor.  Please try to find the cause and avoid the cause.  Do consult your dermatologist for undergoing proper clinical examination and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further.


The symptoms you describe indicate that your asthma is not controlled very well. I would recommend taking your Symbicort inhaler every day (twice a day) even on days that you feel well. Symbicort works mainly as a preventive medication, to prevent you from experiencing the troubling symptoms you describe. I would advise that you take it regularly even when you feel fine. If after doing this you are still experiencing poor asthma control, you should see a doctor to help you determine what your next best step up should be. Hope you feel better.


Hi, Thanks for writing in. Sorry to hear the progress of disease in your father. In my experience with patients of lung cancer stage 4 have a survival of 2 years might be expected. Cancer is a difficult condition to treat, and every tumor behaves differently. However, we must fight cancer till the end. As it is stage 4 therefore surgery is not a treatment. Chemotherapy and radiation can be given to control the disease and prevent it from spreading in to new areas. This treatment can add few months to a year and that is significant. Parallel treatment with Buddha medicines can be given as long they do not interfere with chemotherapy or cause any side effects which will slow his recovery. Most Buddha medications are made from herbal sources. Research has shown that aswagandha has potential against cancer-related fatigue, in addition to improving the quality of life. Praying for a quick recovery for your husband.


His am Chat Doctor. I have read your message. Having read your message, 3 possibilities come to my mind.1. A severe gastritis. This comes, as you said, with extreme nausea and abdominal pain, often on the left side. Since it is a gastritis, a blood work up will be normal, and the only thing that can actually help diagnose this condition is the test of endoscopy that needs to be performed by a gastroenterologist. The scans, ultrasounds and the blood works would appear normal. In such a case, Tab Omeprazole 20 mg twice a day, should help her gradually regain her appetite. The tablet will need to be taken half hour prior to any meals.2. Gastric or Abdominal seizures. This rare entity comes with the symptoms of gastritis-nausea, vomiting, abdominal pain, and sometimes headache. The patient will not lose consciousness and will not have convulsions like the traditional seizures. However, this is a diagnosis that needs to be made after examination by a neurologist, and no treatment should be started till confirmed as the antiepileptic


Hello, I would recommend re-testing for Guardian even though your mother has been treated for that. Sometimes a second course of treatment may be necessary. If Guardian has been eradicated, then there are different possibilities. A certain number of patients develop a condition called\"Irritable Bowel Syn Chat Doctor.  Other condition to considers \"Colitis\" which is a little more serious. Regardless, your mother should see a digestive disease specialist who can advise properly after performing some tests which may include blood, stool tests and perhaps an examination of the lining of the colon through a scope (Sigmoidoscope or Colonoscope). I also suggest avoiding dairy products and eat yogurt or buttermilk to improve the good bacteria in the intestines. Good luck.


Hi, Post operation hope you had your physiotherapy and are following the advice and take he exercises properly. If not then I would recommend you to get it done as post operative you need to recondition your knee joint to prevent any rein jury. Now since the swelling has subsided but does the pain remain the same even on discontinuing Advil? Also are you able to walk and balance properly without any pain? If the answer is yes then nothing to worry about the meniscus but exercise need to be done to strengthen your muscles especially the qua Chat Doctor.  If the answer is no then you need to get yourself checked by the doctor for any rein jury (till then you are not supposed to bear weight on your knee. Take rest as much as possible and start with hot packs and ice packs alternative to promote healing). Hope this answers your query. Let me know if I can assist you further.


Fibromatosis of the foot is a non-cancerous condition in which the normal fibrous tissues get thickened. The treatment is linked to the extent of problems that it is causing. If it is extremely painful or debilitating, then you should go ahead with the surgery as surgery is the only curative option available. There are 2 problems with surgery--one it is extensive as you already know and needs removal of adjacent areas, and two there are still chances of recurrence of the disease. Such is the nature of this disease. So, if you are not too troubled by the disease at present, then I suggest you can wait, else go for the surgery. There is definitely going to be some disability after the surgery which may require a splint or cane.


Hello, You may be suffering from back muscle spasm instead of kidney problem. If kidney problem is there means you may observe decreased urine output, hematuria or burning micturition or renal angle pain or edema of body etc. So until examination is done it is difficult to say what it is. So get it done x-ray lumbosacral spine and get consult with your physician he will examine and treat you accordingly. Hope I have answered your queries. Let me know if I can assist you further. Take care


Hello, Welcome to Chat Doctor. I understand that you a fever associated with an itchy rash. From your history and description, the possibilities I would consider are acute urticaria and viral exanthemUrticaria presents with an itchy rash which is transient. It lasts for a few hours and disappears. It is raised and blotchy. Furthermore, it could be associated with swelling of the eyes and lips as well. Furthermore, it occurs secondary to the infection (fever) or sometimes as an allergy to a Chat Doctor.  (antibiotic, anti-fever medication, etc.). You can continue to take antihistamine like levocetrizine at bedtime for about 1 week. Viral exanthem is a rash which occurs as a part of the fever. It is in flush with the skin, starts on the face and spreads downwards. It is usually non-itchy, but sometimes can itch. Furthermore, it clears spontaneously within 5-7 days. Hope this helps you. Take care.


HI, thanks for using Chat Doctor It would be best to see an allergist for additional testing. You may also want to expand the profile to include other types of foods, environmental allergens and medications. It is possible that your symptoms may be related to chronic urticaria-the recurrence of hive/urticaria for 6 weeks or more. There are a number of different possible causes including(1) physical causes (pressure, cold, sun, water, heat, exercise, pressure to the skin, stress), (2)associated with other illnesses-lupus, thyroid disease, infectionWhen you are reviewed by your doctor and additional testing done then it is possible the cause may be found. I hope this helps


Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. In stage 3 kidney disease, the fluid intake depends on the urine output. Urine output +500 ml, is safe normal intake This advice is given everywhere. Restricted salt and protein intake in diet, is the other advice given. He must avoid fresh fruits and coconut water as well. Regular check of He, creatinine, and electrolytes is very important. If you've any doubts, you may send me a direct question, with all reports. Chat Doctor.  Manga.


Hi and thanks for the query, It would be interesting to do a control X-ray for two main reasons. Firs the treatment might be inefficient, diagnose common causes of poor response to usual antibiotics like pulmonary tuberculosis, indirect signs of asthma and exclude any localized pneumonia, abscess or pleural effusion. A repeat clinical evaluation coupled with this X-ray and a complete blood count, a sputum examination to exclude TB should be quite sufficient to make a definitive diagnosis. I suggest you book an appointment with your primary care physician or pulmonologist if need be for a proper clinical evaluation. Thanks and best regards. Luchuo, MD.


Hello! Welcome on Chat Doctor ! You should know that tremor is not the main typical sign of Parkinson disease. A thyroid dysfunction or anxiety could be the cause of tremor. Anyway, I recommend consulting with a neurologist for a careful physical exam and performing some tests (complete blood count for anemia, thyroid hormone levels for thyroid dysfunction, blood electrolytes for possible imbalance) to exclude other possible causes. A DAT scan would definitely help exclude Parkinson disease. Hope you will find this answer helpful! Kind regards,


Hi, You are having pain in the Lower back (throbbing in nature comes and goes) more on the right side, which does not allow you to sit, lye or stand. You are not able to sit erect, and you have to sit like an old man bending your body. Even while in bed also the pain so much, that it disturbs your sleep. The pain does not allow you to sleep on your front as it's too painful, the best is on your back with your knees up. Warm bath does not relieve you. You had once UTI which was treated and the recent investigations show NO UTI. Treatment


Thanks for your question on Chat Doctor. By your history and description, in my opinion you are having viral rashes. Your skin lesions are associated with sore throat, fever and weakness. All these are symptoms of upper respiratory tract infection (URI). And the most common cause for URI is viral infection. Viral infection can also cause skin rashes. So possibility of viral rashes are more in your case. Better to consult dermatologist and get done clinical examination of skin lesions. You may need antihistamine Chat Doctor.  Local application of steroid cream is also needed to avoid itching and redness. All these


Hi. Thanks for your query and an elucidated history and possibility of tubal ligations, thyroid problem and period to be related to the pains. You have a pain in the lower abdomen on both the sides. Intermittent and like a pressure. This can be due to Colitis as both sides of the colon are usually affected. This may not be due to any problem with pregnancy as you already have tubal ligation. If the thyroid tests area normal, nothing to worry about. Go for fresh thyroid tests to see if they are normal or not, if not you need to have change in the dosage. Take a mild laxative to clear the large bowel, and you probably may be alright. If required you can have additional tests of blood, urine and stool and if still not helped by the medicines get colonoscopy NAD ultrasonography done.


Hi, Thank you for posting your query. It would be nice if you can upload the MRI report, to enable me to give a better answer. Generally, if the arachnoid cyst ruptures, then, it becomes smaller. Also, if the arachnoid cyst is not causing any symptoms (such as headache or seizures), then, it can be left alone, and no surgery is required. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. ITP is an autoimmune disorder. If It's chronic, it will be present for longer time. 2. If its acute presentation, it might go into remission on its own.3. 4000 or 40000, I am not sure. If It's 4000, you will require immediate platelet transfusions to avoid risk of internal bleeds.4. ITP cannot be completely cured. It can only be controlled. Hope it helps. Any further queries, happy to help again.


Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness in 18 years old patient can be due to bronchitis, pneumonia, pneumothorax, asthma etc. So your cousin needs following investigations to establish the diagnosis. 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). So get done all these tests. First diagnose himself and then start appropriate treatment. Hope I have solved your query. Wishing good health to your cousin. Thanks.


Hi, Thank you for posting for query. I can understand your dilemma, when you are offered another treatment option, after having had a good response with the previous surgery. The choice of surgical procedure depends on the current knowledge, patients disease condition, surgeons preference and the costs involved.  In 2007, disc replacement was new, and not many surgeons liked it. Now, with more experience, many surgeons prefer it. It is a safe procedure and complication rates are less. However, please discuss the pros and cons of both the procedures before you decide to opt for one. Best wishes, Chat Doctor.


Hello and welcome to Ask A Doctor Service. I reviewed your question and here is my answer. What had you taken in food? It may be a food poisoning. Or it can be a pancreatitis. If you have pain in stomach going back or which is relieved by leaning forward then it is moat likely pancreatitis for which you need to see a doctor.  If it is not that severe pain, and you are just vomiting, then its most likely food poisoning, for which you need to keep your HY Chat Doctor.  You may also need to do some test in order to rule out other causes of vomiting. Hope I answered your query, feel free to ask if u need further assistance or want to give more details. Thanks. Regards.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But since you are having palpitations, sweating, dizziness etc., we should first rule out heart diseases like arrhythmia. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes uncontrolled stress and tension can cause similar kind of symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, particular bone forms important joint in middle of foot and play a very vital role in mid-movements of foot. Once it is damaged and ?avascular, it has to collapse and lead to painful restriction of movements. After very detailed assessment by your expert orthopaedician, may suggest the extent of damage and residual movements at that joint. If still acceptable range is there but painful, some nonsurgical treatment may be helpful failing with surgical fusion of joint may b the answer.thanks.you're most welcome for any further query.


Hi, Rather than a blood test report it would have been more helpful if you had detailed more upon his symptoms. To give my opinion on the basis of these blood tests alone - I would say the CBC is normal. ALP is done in different methods in different labs. If it is elevated as per the lab standards of that lab - then we need to consider vitamin D deficiency. Hope I have answered your query. Let me know if I can assist you further.


Thanks for your query, I have gone through your query. The white pimple like spots over the dorsal aspect of the teeth could be to circumvallate papillae, it is a normal structure that is present on the backside of the tongue. Nothing to be panic. If it increases in size or if you get any pain then consult an oral physician for complete examination and diagnosis. I hope my answer will help you, take care.


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have joint pain don't worry this joint pain can be due to Temporomandibular disorder (TMD) this jaw pain is stress related also, don't take stress be relaxed for this you can, you should take soft diet, restrict your mouth opening, hot fermentation. You can take one tablet muscle relaxant once daily for one week. One Capsule vitamin B complex once daily. Consult dentist for examination of oral cavity and consult physician for abdomen related problems. Hope this will help you


Bit is unusual to be developing additional bruising after having it in place already for a month.  Is it possible that the area had some trauma like a punch, or did it get struck with something?  If not, I would have your doctor check it out.  It may be infected, or you may have some kind of allergy to the implant. This is very rare, but still possible.  Please let me know of you have any more questions.


Here I want to know is he having diabetes? As well does he has any change in sensation for feet or hand? If yes then as per your explanation looks like the circulation to the toe is affected. And he needs to do test on lower limb circulation (Doppler test) . If he does not have diabetes as well no sensory change in feet level then it may be related to block due to vessels for lower limb due to deep vein thrombosis also. Again to conform he has to do Doppler test. Here I also suggest taking a test on his complete blood count and cholesterol level also to rule out the blood related things like ESR, and HE, or cholesterol problem and if there is problem here then he can take treatment as per that. Here it could be possible he does not have anything above, and then it means either there was an insect bite or he might have got hit some where, but he does not remember. For this he needs to check with doctor again and based on physical examination there will be antibiotics with anti-inflammatory and painkiller medications will be needed. Here I have given general idea on possibilities since I have no doe any physical examination, but I suggest once you check with your doctor with physical examination and few tests they will be able to help you more. Take care.


His understand your concern. Sudden agitation and irritability suggest mood swings. Moods change with stress can be due to underlying depression. Need to evaluate properly about your mental status and thought processes. Psychological evaluation can give better idea about your proper diagnosis. It can be treated with low dose anti-depressant with anxiolytic medication. Exercise and meditation can help. Relaxation exercise like deep breathing can make you less stressful. Ensure proper diet and sleep. I hope I have answered your query. Happy to help you. Get well soon. Thank you.


Welcome to the ChatDoctorA hepatobiliary (HIDE) scan is an imaging procedure used to diagnose problems in the liver, gallbladder and bile ducts.It's a useful investigation in neonate a suffering from obstructive jaundice as in your babies case. In the HIDE scan, a radioactive chemical or tracer is injected into a vein in the arm. The tracer is handled by the liver like bile. A special nuclear medicine scanner (gamma camera) tracks the flow of the tracer from the liver into your gallbladder and small intestine.It's good for your baby and the pain associated with the cannulation can be well handled with analgesia in NICU setup. So, don't worry and continue with the procedure. Take care


Hi, dairy have gone through your question. I can understand your concern. You have mantle cell lymphoma.  Chemotherapy is the treatment of choice. Imbruvica is very new Chat Doctor.  As you said it causes headache, but it is very difficult to say how safe it is. There are no larger scale studies available for Imbruvica.  So consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, Thankyou for asking your question at Chat Doctor It is safe to use horse gram while trying to conceive and during pregnancy. Horse gram have less carboy Chat Doctor. Proteins require more calories to be metabolized and decrease your appetite which help with weight loss. During weight loss process a diet rich in proteins help maintain muscle mass.However, after conceiving, there should be a healthy amount of weight gain throughout the pregnancy. Since you are trying to conceive, I recommend that you take folic acid 400 mg tablets daily, exercise regularly, follow healthy eating habits, quit smoking and avoid alcohol during pregnancy. Hope I was able to answer your question Please feel free to add


Hello, Thank you for posting on Chat Doctor. Whiteheads are basically a type of acne. Any cosmetics or medication can block the pores and cause acne. Especially sunscreen are notorious to cause acne because they are oil based most of the time. Try using water-based sunscreen like Sun mate sunscreen gel-lotion.Also, on daily basis use a retinoid like retinoid in lower percentage like 0.12 or 0.25 at nighttime over full face to prevent new eruption of acne and for healthy glowing skin. Use a gentle cleanser for oily skin like detail OS on regular basis. Chat Doctor.  Hope this will take care of your issue. Wish you best of health. Thank you


Hello. Thanks for writing to us. The back pain after hysterectomy could be related to the epidural anesthesia, muscle sprain or a disc problem. If the mild painkillers are not able to relieve the pain then she needs to have oral muscle relaxants after consulting with her orthopedic. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http


Hi, dairy have gone through your question. I can understand your concern. You have high hematocrit and hemoglobin due to deny Chat Doctor.  It is very common in dengue. No need to worry. You should take plenty of fluid intravenous as well as Orally. Within few days your hemoglobin and hematocrit will be normal and your platelets also increased. Don't worry. Just be relaxed. Take plenty of fluid. Hope I have answered your question, if you have any doubts then contact me at bit.ly/


Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This seems muscular sprain or strain.* Guidelines for better recovery- Application of heating pad 5 minutes each 3 times a day.- Local application of analgesic spray or ointment 3 - 4 times a day.- Tab. Ibuprofen (400) mg 3 times a day after meals.* Consult later your doctor if required. Wishing you fine recovery. Always welcome for any further assistance. Regards .


HI.YOUR SYMPTOMS ARE UNLIKELY TO BE A FUNGAL INFECTION.FUNGAL INFECTIONS OF SCALP OR FACE PRESENT WITH SEVERE ITCHING, SCALING,REDNESS, PATCHY HAIR LOSS, WHITE PATCHES ON THE TONGUE ETC.YOUR CASE IS LIKELY SUGGESTIVE OF A PARANASAL SINUSES INFECTION.IT WILL EXTREMELY HELPFUL IF YOU GET A CT SCAN OF YOUR PARANASAL SINUSES AND OR FESS-FUNTIONAL ENDOSCOPIC SINUS SURGERY.IT IS SUGGESTED THAT YOU GO FOR A HIGHER ANTIBIOTICS LIKE LEVOFLOXACIN FOR 2\u00a0WEEKS.REVIEW WITH REPORTS TO YOUR DOCTOR ON YOUR NEXT LIST


Hi, Dear,Thanks for the query to my Chat Doctor clinic. I studied your query in depth. In my opinion-this lump is Athenian Cystitis. I would advise consulting ER GAEC doctor. You may need to take-Antibiotics, Tb-NSAIDs, this would resolve the acute symptoms and may even lead to resolve the lump totally. IF still the lump remains-its Excision with marsupilisaion is advised for completely getting rid of it. Hope you have cleared your worry. Would welcome you to Chat Doctor for any more queries on it or on other health-problem.


Thanks for posting Q on ChatDoctorA good quality urine prey test is fairly accurate to predict pregnancy. Quantitative B Chat Doctor assays will give rough idea re no of weeks into pregnancy & in a normal viable pregnancy levels should normally double every 2-3 days (85% of cases) this also means in up to 15% of normal pregnancies the doubling of levels is slower than normal. This applies normally to prey up to 6-7 weeks after which rise in BChatDoctor levels slows down & serial Ultrasound examination is a better predictor.


Hi, The treatment of kidney stone disease depends on the size and location of stones. Small stones less than 5 mm in size, which are not causing any obstruction, can be managed conservatively with medicines to dissolve the stones. Stones 5 to 10 mm (maximum 15 mm) can be managed with lithography. Stones 10 to 15 mm can be manged with flexible ureteroscopy and laser. Stones more than 15 mm in size should be removed using PCNL (percutaneous nephrolithotomy) which is a keyhole surgery through the back. If the stone is blocking ureter (the tube connecting kidney and bladder) and is 5 to 10 mm in size, it can be treated with medicines to expel the stone. Stones larger than 10 mm usually require endoscopic removal, although occasionally ever a larger stone can be made to pass with medicines. The main issue in a young person like your brother is to find out whether there is an underlying predisposition to form recurrent stones. This is usually evaluated after removal of stones. The removed stone is analyzed to find out its chemical composition. You need to check his creatinine, electrolytes, calcium, phosphorus, uric acid and PTH (parathyroid hormone) levels in blood. It is important to check 24 hour urine levels of various salts which either promote or oppose stone formation. These include urinary volume, creatinine, sodium, calcium, uric acid, phosphorus, oxalate, citrate and magnesium levels. Based on these reports we can suggest dietary modifications and specific medications to prevent further stone formation.Meanwhile, ask him to Chat Doctor. 5 liters per day. Please get back to me with the details of ultrasound report. I can guide you further based on that. Wish your brother a speedy recovery, Warm regards,


Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Hi, Atrial Fibrillation is mostly due to dilated chamber of heart which can be due to valvular heart disease or coronary disease. You need to evaluate for both to rule them out. It can also be due to electrolyte dysfunction & sepsis.There is nothing called inflamed Left Ventricle. Still the treatment includes ruling out the cause of AF, treating the cause. Control in heart rate in AF is very important, our goal is to keep it below 110. Another important thing in AF is risk of clot formation in heart, which need some blood thinning medication. Thanks


Hi, Yes it would feel new and different after the long battle. But it is great that you were successful thus far. Make sure it remains this way. Feeling low on energy and motivation, some irritability during the initial phase is expected because of the long term psychological dependence that you had. If these symptoms are severe and hampers your daily functioning then this may need to be taken care of, by a professional. You also report disturbed sleep in the past 7 days apart from ideas of hopelessness. Get yourself evaluated by a psychiatrist for these complaints. You will have to be patient till you can revert to your old self again. 10 years is a long time, and you will need to give your body time, there is no shortcut. The longer your body is free of the Chat Doctor.  To aid with preventing any relapse there are anti-craving agents that may be used under supervision apart from psychological management like relapse prevention therapy (administered by a clinical psychologist). You can contact your psychiatrist regarding this. Hope this helps,


Hi, Welcome to Chat Doctor forum.  There is only one follicle, and releases one egg, it may have or may not have enough strength for conception. If there are more than one follicle you can have more than one ovum, if at least one of them fertilizes, you will be lucky.  Hence, the doctor has increased the dose so that you can have more follicles.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to facilitate the release of healthy ova, and fertilization.  Wishing for a quick and complete result. Thank you.


Thanks for your query. Read your query. The bubble which you have mentioned is not clear whether you are speaking about your gums or any decay in between the teeth. If you mean the bubble in gums, I would suggest that is inflammation of the gums usually due to deposits and calculus. Visit your dentist and get it cleaned and later on maintain it well. If it is decayed tooth then get it filled as soon as possible. You can call your dentist office and take the opinion of your dentist and if necessary visit him and get it done earlier than your appointment date. Thanks and regards.


Hi, dairy have gone through your question. I can understand your concern.  You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  Or you may have lipoma cyst.  You shshould go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello and welcome to Chat Doctor, Most common cause of low red blood cell count is blood loss. Blood loss can be acute or chronic. Acute blood loss occurs during trauma or injury, Blood loss can be internal i.e. blood is lost in the body cavities or blood loss can be external i.e. outside body. Blood loss can be chronic. Chronic blood loss is loss of small amounts of blood over long period of time. Consult your treating doctor to look for these causes of blood loss. Recovery or treatment of these conditions lead to recovery of red cell mass. Thanks and take care Chat Doctor.


Hello, Welcome to Chat Doctor, As you are having symptoms like fever and flu like symptoms for last 3 days for which your doctor has advised to undergo tidal test. The tidal test revealed S. Typhi H - Positive 1


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you are wondering if thigh pain suggest fibromyalgia. Well there can be many reasons for symptoms you mention in query like cramps, injury, atherosclerosis, arthritis, presence of infection in the bone or tissues of the thigh or slipped disk. Fibromyalgia can also be one of the cause, if your have already ruled out above condition then go for test to rule out fibromyalgia. I would suggest you to go for complete blood count, erythrocyte sedimentation rate or thyroid function tests to confirm the diagnosis. Doctor may prescribe duloxetine or gabapentin after reviewing test report. For now apply warm compresses, take proper rest and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hi. I have gone through your question and I understand your concerns. I see such kind of cases in my clinical practice. I would recommend them to undergo urine culture as it has been 21 days, so typhoid bacilli would be present in urine at this stage. Additionally, I would recommend them to start Tablet Azithromycin 1 gm OD for 5 days in order to kill Chat Doctor. I strongly suggest you to undergo CBC, Peripheral Smear for Malarial Parasite and Liver function tests to rule out other causes of Feverish you healthy life Regards


HelloThanks for your query, based on the facts that you have posted it appears that you have acquired infection of Glans penis and allergic reaction over shaft of the penis due to contamination with infected vaginal secretions that your wife had. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. And Metronidazole twice daily along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. If your wife still has vaginal infection it is advised that she also takes the same medicines for one week.


Howell come to ChatDoctorYour query being appreciated, peanut butter could cause the allergic disorder, but PVC is not due to that, allergic condition need to be confirmed, I would advise stopping eating peanut butter once again for few days or weeks then start eating it again, if you noticed the symptoms again then it is the peat nut butter responsible for the condition, in the same way if not eating the peanut butter and still have the same condition as described here then it may not be the peanut butter but could be something else, hope this information helps.


Hi I am Chat Doctor.  At the beginning don't worry it's ok to feel some pain after playing vigorous activities running and soccer for a long time always cause such pain, icing it after the excessive immediately is beneficial, but after you relax you could use warm pads instead , use a topical muscle relaxants as gels or sprays ,try to warm up before exercises that prevents it ,some warm up exercises are specific for this muscle they are the best to avoid it ask your captain about them


Hello! I read carefully your query and understand your concern. There are many possible causes that can cause such a pain


Hello. Thanks for writing to us. The pain in the back with the burning in the back is likely to be due to a prolapsed disc with a nerve root compression. Going to a chiropractor will not help you much. You need prescription muscle relaxants and methylcobalamin supplements. 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. No need to worry since all findings are stabilizing and hematoma is benign lesion and very small in your case, so no treatment is required at this point. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor.


Hi, With your medical condition and worries happening at once it is sometimes difficult to tease things out, however, the right steps to always follow in such a case involve making sure to the extent possible that nothing organic is really going on. Therefore, I believe you should do what you can to control the Sets.  Perhaps, this medication is causing intolerable side effects, so you need to have a discussion with your doctor to see if another suitable Chat Doctor.  Often times that solves a lot of problems.  Second, I would check your orthostatic blood pressures (your doctor knows about this) and make sure any other medications you're taking are not potentially lowering blood pressure, you need to be well HY


Hello You have described his problems as he is a known case of Bipolar disorder and Schizophrenia. These are two different diseases. He is currently on Olanzapine, Aquitaine for psychotic features and Fluoxetine (?) and Sodium Valproate for mood symptoms. Olanzapine, Aquitaine and Sodium Valproate all causes sedation as side effect. These medicines are the reason of excess sleepiness in him. He has poor sexual Chat Doctor.  Due to chronic mental illness the patient develops apathy and Macedonia. Probably he lost sexual interest because of his Psychopathology. He is also on Fluoxetine which is a SSRI


HelloWelcome to Chat Doctor. Thanks for posting your query in Chat Doctor. I understand your concerns. Pus formation in the wound signifies that it is not yet in the healing condition. The wound appears to be deep. So it needs thorough Chat Doctor. Taking antibiotics for 12 days and presence of pus still signifies that your son has developed resistance to the antibiotic. So I would advise you to do culture and sensitivity of the pus and to take appropriate antibiotics depending on the organism present in the pus. Thank you


Hi, How are you doing ? Let me tell you the normal cycle. Lady has ovulation around 14 days before periods, so around Day 13-15 of periods. Once ovulated egg is alive for 24 hrs, sperm will be alive for 3 days (72hrs)So mostly baby is of the one who had sex with you around Day 13-15, so I mean your lover !. Only confirmatory method is to have a DNA analysis now of the fetus or after birth. Hope I have clarified your overall the best Chat Doctor.


Hi, dear. I have gone through your question. I can understand your concern.  If you have continued blood clotting problems despite blood thinner then you should go for thrombophilia profile. You may have some deficiency like protein c or protein s or some other factors. Consult your doctor and investigate for that and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, Dear,Good afternoon. Thanks for the query to my Chat Doctor online-clinic. I studied your query in-depth. I can understand your concerns.-In my opinion this sore lump, is -armpit-Boil/ fur uncle with cystic contents-pus.-Advise-I would advise you to Consult a-ER surgeon and there is no need of Ultra Sound. Er Surgeon-who would treat it rightly by I & D-proper Incision and Chat Doctor. -Alert-A review with ER-Surgeon for the steps to be taken with his advice is a must and urgently advisable in your case.-Hope this would resolve your worry-some query. Wellcome again to Chat Doctor. Have a good day.


Hello, It could be an arthritis related problem. As a first line management you can take analgesics like paracetamol or Diclofenac for pain relief. You can also opt for physiotherapy. If symptoms persist better to consult an orthopedic and get evaluated. An MRI scan may be required for further evaluation. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, melatonin never cause such a problem. Melatonin is the rhythm hormone. It will maintain and optimize biological rhythm. It has no role in TB or any other symptoms. TB is caused by TB bacilli. It is purely a bacilli infection, so it will never cause any problem. You can give proper treatment to your friend of TB.TB can be cured with good therapy of anti-tubercular Chat Doctor.  Please advice protein rich food and respiratory exercise this will help clear TB infections. I will be happy to answer your further concern on bit.ly/


HiI think you may see a rheumatologist also for complete arthritis profile with tests for Rh factor, anti-ccp, CBC, ESR AS etc. to know the nature of arthritis. Diagnosis is necessary to rule out any specific disease arthritis so that definitive treatment be given if necessary. Meawhile Keep on physical therapy, heat,massage with Voltaren gel local application. Mri may be advised if required after preliminary tests best wishes


Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Only rising titles of Tidal are important. They can rise or can persist for months even after an acute infection or subclinical infection. I would advise you to follow


Hi, Thanks for the query. I understand your concern.  Though you have regular menses... I would suggest for ovulation study to confirm ovulating menstrual cycles.... which are necessary for Conception.  -Also patency test for Fallopian tubes is important.  -Getting semen analysis done to confirm normality is also needful.  With these normal report sine can plan for a baby.  -Complete medicinal course suggested by your doctor after the investigations.  -Try to maintain good health /avoid smoking, alcohol /start taking folic acid mg pulls both of you.  -Know about ovulation. -It mostly comes 14 days prier to expected day of periods. /Use LH surge test to know about your ovulation day.  -Have unprotected sex from the day of LH surge test ...for 5 days OR for 5 days starting from 2 days before &2 days after the calculated ovulation day.  -Check for pregnancy after 8 days delay in periods by HPT.  *If no positive result In 6 months... consult a sterility specialist.  Thanks


Hello....first congrats on preferring BDS as your profession!!!!40 yrs is the age of start of sensitivity of the tooth .....sensitivity can be reduced by using different desensitizing pastes as u did..... still if it's not reducing it it's better to do intentional root canal treatment to the teeth and place a fixed partial denture...hope you are benefitted by my reply. Have a healthy and nice day!!


Dear Sir, these tests and symptoms u ve described definitely means something (liver or intestinal disorder) and it needs to be evaluated. Most common disorders which raise liver enzymes parameters are, alcohol, metabolic syn Chat Doctor.  So these 4 should be ruled out.  The best way is to further tests. So I recommend doing viral hepatitis analysis, abdominal CT(more specific than ultrasound) and liver biopsy. Also, she needs to avoid fat food and alcohol, lose weight if adipose and do hepatology work ups at least 2x a year. Also, this stool finding can mean someone or nothing, if she wants to be sure she can do colonoscopy. Wish you good health.


Hello, Thank you for your query. A bone spur is an extra growth of bone over a bone that has been exposed to trauma or stress. This usually doesn't cause any problem unless it grows enough to compress surrounding tissues like nerves. In your case, this would need to be removed if it is causing significant pain on nerve compression. The procedure usually involves general anesthesia with removal of the spur and any damaged tissue surrounding it. If the spine in that area is unstable after removal of affected bone and tissue, you will need a fusion or reconstruction surgery to keep your normal spinal functions. This will be followed with rigorous Physiotherapy as indicated. As with any surgery, risk of bleeding, nerve damage (for spinal surgery) and cardiovascular risks are present. This also depends on your current health status and other co-existing illnesses, if any. The first step is to assess the level of neurological affliction & how it affects your daily life. The benefits must outweigh the risks before proceeding with the surgery. Please discuss options and post-operative care (short term and long term) with you doctor before making a decision. Hope this helps. Please let me know if you have any further queries. Wish you good health


HiT hank you for asking ChatDoctorBefore treating your condition first have to identify what problem you have. You have to rule out a Polycystic ovary by ultrasound examination and have to find out whether you are ovulating or not. For that an ultrasound examination and hormone analysis may be necessary. You husband semen analysis also should be carried out. Then your treatment will be easy. You can consult a gynecologist and have a work out of all these at least first. That won't be that expensive. Hope this may help you. Let me know if you have any further query.


Thank you for writing to Chat Doctor platform. We will be happy to help you. This back pain is easily manageable by Ayurveda without painkillers. Please take warm eater daily and before that gentle message by Mahanarayan oil should be done by getting help of someone. If not possible due to lack of time, please massage at night and bath in the morning with warm water. Oil is little pungent odored but excellent Chat Doctor. Tryodshang GGUL 2 BD twice day with milk or warm water. Powder Hingwashtak 1 tsp to be mixed with cow ghee and taken orally in between meals. Follow little warm water after this and then take remaining meals. Please take for two weeks and report back. These are time tested harmless medicines of Ayurveda. May I help you more please.


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 should know that the electrocardiogram apart gives an automatic interpretation based on the amplitudes and impulse. But we never judge on a cardiac history based on paper interpretation but on the cardiologist interpretation, meaning that the electrocardiogram should be interpreted by the doctor, not the machine. So, left axis deviation is not something to worry about. It is a normal ECG pattern in people suffering from hypertension. About infarct diagnosis, it is not made only by the electrocardiogram. To make the diagnose of infarction we rely on different characteristics like chest pain, electrocardiogram, cardiac enzymes and echo cardiograph. If your doctor said that you had this changes, it might mean that this is not an infarction but just an electrocardiogram pattern. So, to definitely make the diagnosis I would recommend a cardiac echo to evaluate heart walls if it is a problem or not, cardiac enzymes and to talk this with your cardiologist. Hope I was helpful. Best regards, Chat Doctor.


Hello, I have studied your case. Due to compression of this nerve root there can be arm numbness I will advise you to do MRI spine. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. My patients get good relief with holistic approach like Panama, yoga, and darshan Oriya. You can also start them. 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, Thanks for consulting ChatDoctorRead your query, as you have infection and blackish gum this is due to smoking causing Melanesia in gums and smoking cause infection in gums, red and white lesion in oral cavity and poor oral hygiene. For infection in gum I will advise you to quit your smoking habit and maintain proper oral hygiene. Brushing your teeth twice daily, use chlorhexidine mouthwash, do warm saline rinses, and consult dentist for oral prophylaxis. Hope this will help you.


Hi, I think you should try for GUI. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  GUI will be done the next day.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 cycles. If it doesn't work then you can go for IVF. The chance to get pregnant in one cycle of GUI is 10 to 15 percent.  You can take sphere for 12 cycles maximum.  Hope I have answered your question. Regards Chat Doctor.


Degree understand your concerns went through your details. I suggest you not to worry much.  Please understand that your current symptoms are corresponding to disappointment and the resultant stress and anxiety. Please do not club these symptoms with clinical depression. Due to the disappointments you are feeling low level of concentration and self-confidence, self-esteem etc. Loss of sleep is also due to that. Such disappointment happen to everyone. You could not become a singer and actress, that does not mean you do not have any other skills. Find out your skills which can guide you forward. Don't worry. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi...on legs the bruising is understandable due to pedaling but why should it occur on the hand. That too you didn't mention any injury on the hand or on the legs. Bruising without injury is a marker that a bleeding disorder might be in line. Moreover, you say he has got cough. There is a condition called ITP - Immune Thrombocytopenic Purpura - this can occur post viral illness and causes bruising just like this. This occurs due to low platelet count.I suggest your kid needs a pediatricians consult. Regards -


Dear Davis, Thanks for posting here. The staphylococcus has the potential to enter the brain if already circulating in the blood stream, and it can lead to infection of the meninges (the membranes covering our brains). This is called bacterial meningitis. Meningitis caused by staph can be a serous and one must remain concerned and alert to prevent this from progress. However, in your case it is not clear whether the altered mental status is because of meningitis or something else. To confirm please ask your clinician to do a CSF fluid (fluid taken from spinal cord through a needle) culture, as this would give you the proper diagnosis. CT scan can show inflamed meninges in such case, but it can be missed sometimes in earlier stages. Your husband must be on staph specific antibiotics, if not please ask your clinicians to do as fast as possible as correct antibiotics WI help him improve faster. Do well. Chat Doctor.


Hello and welcome to Chat Doctor. Thanks for your query. You seem to be suffering from an anxiety disorder, which is causing you all these bad thoughts and negative attitude. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -


I completely understand your problem thanks for asking may be u have some throat infection which secondarily is causing the ear infection .this is an upper respiratory tract infection which will resolve by taking a course of antibiotics such as lifetime .you can consult a pulmonologist who can take care of the problem. For breathlessness u can get a spirometry done to rule out any pulmonary pathology as per the pulmonologist. If u smoke then u should quit smoking as early as possible this will help u a lot.regards/thanksfeel free to ask more questions may god bless u with good health


Hi thanks for contacting Chat Doctor .... Noted you have swelling over liver area and cause not identifiable... Which investigation have you done??? Here first hemolytic anemia should rule out by relic count and peripheral smear examination with electrophoresis.... If still cause not found then liver biopsy may be needed to rule out alpha 1 antitrypsin deficiency or metabolic liver disease.... Detail history through parents and examination needed to look for any metabolic disease like glycogen storage disease.... You can discuss all these with your doctor, and you might get cause for liver enlargement.... If needed complete liver profiling also done... Liver biopsy also useful for identification of embryonic malignancy....If you need USG and CT scan like investigation useful. Hope my suggestion will help you.... Take care//// Chat Doctor. .


Hello, Welcome to Chat Doctor, Bronchitis is a condition in which mucus membrane of the bronchial tube will becomes inflamed which results in narrowing of the airways in the lungs resulting in cough and breathlessness. Treatment of bronchitis includes 1. Plenty of rest2. Chat Doctor. Avoiding smoke and fumes4. Bronchodilator cough syrup.5. Oral steroids to reduce inflammation.6. Supplementary oxygen may be necessary. The aforementioned measures help to improve the condition and makes you comfortable. Thank you.


Hello, I have studied your case and would recommend you to get an x-ray of the elbow joint to make sure that you do not have any hair line fracture. If there is such fracture or any ligament damage then you should not move your elbow.  If there is no ligament damage then you can safely move your elbow. If it is a sprained muscle then there is no harm in moving the elbow. It is not going to hurt you.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks


HI, thanks for using Chat Doctor Colectomy in ulcerative colitis can be done as an emergency or elective procedure. Elective colectomy is one with is scheduled for non-emergency circumstances (like perforation, toxic megacolon). Elective surgery is indicated for 3 main reasons-failed medical treatment, retarded growth in a child and cancerous transformation. In terms of the cancerous transformation, the development of dysplasia or cancer is an absolute indication for surgery. With your recent results of dysplasia changes, it would be best to consider having the colectomy done. I hope this helps


Degree understand your concerns are almost under severe stress and stress induced anxiety possibly. Tingling feeling is an indication of that. Also, you are taking medications for so many conditions and also for depression. You must understand that human life is like that. You need to adjust with situations. Be brave enough to face life crisis. Everyone does it daily. Also do some meditation and relaxation exercises with the help of a psychologist. I can help you online if you desire so. Get well soon.


Hi. Thanks for your query. Noted your history of 34 weeks pregnancy and having 2 lumps, the bigger one at the crease of vagina and the thigh and the smaller one at the lip of vagina. One of them pop up and bled but still feel hard. I do not think that your partner of 14 years cheated you as these lumps appear to be infected cysts or so and not an STD. Please get checked by a Gynecologist to be ascertained about the diagnosis and have proper treatment.


Degree understand your concerns went through your details. You do not qualify for medical marijuana because in my analysis of your problem statements, you do not qualify for depression. Please understand that disappointment in daily life events can trigger some symptoms like melancholy, mood swings, stress and anxiety and disappointment often is confused with clinical depression. Disappointment is what, I think, your problem. Please consult a psychological counselor. If you require more of my help in this aspect, please use this URL. http


Hi, The location and movement of a pain gives clues as to what is going on, If it is always in one spot and internal, then an internal congenital bone abnormality AND, at the base of the spine is one of the MOST common places for this to occur. An internal tail. Non-fusing of the spine (spina bifida), bone spur abnormality. The spina bifida can cause paralysis if it is a BIG gap in the spine and the spine gets injured. This is actually one of the more common congenital bone abnormalities. Mild ones are 1 in a Hun Chat Doctor.  Those prenatal vitamins are given mainly to prevent THIS, so that 1 in a Hun


Hi, the cough for over 2 months means there may be growth of uvula, a projection at the posterior end of the soft palate. When it grows due to cold, sinusitis, pharyngitis it touches the pharynx, and produce cough. Other causes are eosinophilic, (can be confirmed by D. C, and A, E. C)and tuberculosis. The posterior headache may be present in sinusitis.  For local relief of cough there are preparations containing codeine.  For total treatment i to my patient with such symptoms prescribe lifetime, and syrup containing codeine. Thank you.


Hi, I think you should go for evaluation first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also, a semen analysis of your husband should be done.  If everything is fine you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  If it doesn't work then you can go for HSG or laparoscopy depending on your condition.  Hope I have answered your question. Regards Chat Doctor.


Hello, Main reasons for vertigo are ear infection but poor neck posture, neck disorders, or trauma to the cervical spine can cause vertigo, dizziness.  Cervical vertigo often results from a head injury that disrupts head and neck alignment, or whiplash.  This dizziness most often occurs after moving your neck, and can also affect your sense of balance and concentration.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swelling on check after Root canal treatment even after 3 weeks it may be due to Periapical infection or due to periodontal problem.  Don't worry consult your dentist again and go for investigations IOWA X-ray of there is periapical infection go for Re -. Rct if there is periodontal infection then go for Curettage.  Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health.


Hi, The pain, burning sensation at the operative site is a common finding. It takes almost a week to get through the pain. Nausea is an associated finding as well.  I hope you are on the right antibiotics. Please complete the course of the antibiotic. If you develop a visible swelling or pus discharge from the operative site, it needs medical attention. You need to get back to the operating doctor then. Meanwhile, you can take simple analgesics like Tylenol for the pain. Stick to bland diet and semi-solid foods for at least 3 weeks.  Take adequate bed rest. There is nothing seriously wrong with your health. I wish you quick recovery.


Hi, thank-you for providing the brief history of your mother. As you mentioned she has undergone knee surgery it is not connected to that. Usually there is a slow metabolism in her which has been making her feel weak. Also, please understand that due to the surgery her mobility is reduced, which has lead to weakness a lot. As the cellular metabolism is slow. It will take body to get adapted to the optimum performance again which is not a concern. Also, on a safer side the blood & urine culture performed will assist if he has developed any infection. Or else in my understanding with personal experience I do not think she has fever due to knee surgery. Slow metabolism will lead to little rise in temperature and bodily physiological functioning. Put her on exercises as it will help improve the strength and metabolism. Also, performing regular breathing exercises will help her to have oxygenated blood for the systemic requirements. RegardsJay In Chat Doctor.


Thanks for posting your query at Chat Doctor. It is not clear whether your child is facing some problems in learning, but it is not unlikely that your child is actually doing fine. I would suggest you to take him to some center with the scope of developmental assessment of a child. Based on the findings, the specific interventions may be given. Sorry because I could not be clearer with the little details mentioned here. Feel free to revert in case of further queries.


Hello, Thanks for the query to Chat Doctor. Forum. This type of the pain may be due to .1 Renal stone on both side, diagnosis can be confirmed by ultrasound of both kidneys .2 Amoebic colitis, diagnosis can be confirmed by physical as well clinical examination by a physician. As in most cases of this type of pain usually large intestine palpable. 3 Hyper acidity and indigestion is the another cause. Diagnosis can be confirmed by complete history of illness by a physician. Antacid and enzymatic preparation will provide you some relief. In my opinion consult a physician and get his opinion. Good luck.


Hello dear. Thank you for using Chat Doctor. I read your query and understand your concern. I look you are suffering from a viral infection, Hand-foot-and-mouth disease a mild, contagious viral infection common in young child Chat Doctor.  Hand-foot-and-mouth disease is most commonly caused by a coxsackievirus.There's no specific treatment for hand-foot-and-mouth disease. Frequent hand-washing and avoiding close contact with people who are infected with hand-foot-and-mouth disease may help reduce your risk of infection. Measles rusChatDoctores from head to feet and goes away from feet to head. So is not it. Best regards.


Hi, thank you for asking Chat Doctor. With this presentation, one would still need to ask you some few questions like the pr\u00e9cised location of this pain, whether the pain is always there or it is intermittent (on and off). Notwithstanding, I think it might be related to peptic ulcer diseases or an inflammation within the pleural cavity. Concerning peptic ulcer diseases, I would suggest you try an antacid with another Chat Doctor.  If you feel relieved, then continue for about 2 weeks. If there is no improvement, I think you would require some tests like a chest X-ray or chest scan to rule out an inflammation within the pleural cavity. I hope that helps wish you well


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. Uiliv is medications used for gallbladder stones, and it dissolves small stones which then pass into the bowel. However, in most cases this is not successful and surgical treatment may be a better option.Ad\u00edlio should be combined with changing your dietary habits first.  Need to avoid fried food, carbonated Chat Doctor.  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.


Hello, Welcome to Chat Doctor, I have gone through your query, as you have injury in your gums this pain and swelling in gums can be due to periodontal injury in lower gums may be there is formation of pus periodontal abscess or periapical pathology or swelling can be due to hairline fracture of symphysis region also Don't worry consult dentist and go for OPG to evaluate the diagnosis why pain and swelling is present. Do warm saline gargle two - three times a day You can take analgesic tablet diclofenac sodium twice daily. Hope this will help you.


Thanks for using Chat Doctor. Read your query. Good that you have stopped smoking and chewing Gurkha. It is always bad for your health. Stains by chewing these are very tough stains and requires compulsory stopping of usage of these. I would advise you to*Have your teeth cleaned and polished by the dentist with following the correct follow-up instructions.*Proper brushing and flossing is necessary.*If the stains are persistent, then you can consult your dentist for bleaching of teeth and have it done. Hope this was helpful. Thanks and regards.


Hello, I have studied your case. Due to compression of this nerve root there can be dizziness. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care.


Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both hip and knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. During rest for disc prolapse walking and sitting is not advisable. It is rather strict bed rest. Second option is go for surgical operation(Discectomy). You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care.


Thanks for your query, I have gone through your query. The deposits on the teeth can be calculus, or it can be decayed tooth also. Nothing to be panic, consult an oral physician and get the teeth cleaned. The most common causes for food lodgment even after brushing teeth can be your improper technique, MAL aligned teeth, gap between teeth. So rule out all these things and get scaling and root planing done. Avoid in between eating, sweets before going to bed. Rinse your mouth soon after eating anything, you can use dental floss. Regarding your financial aspect, go to an educational dental institute and get it done, there they will do free of cost or with nominal price. I hope my answer will help you, take care.


Hello, Phenylephrine is added in the combination because it relieves nasal block. It does not have anti-allergic action and does not help in runny nose. Chlorpheniramine in this combination is useful for seasonal allergy and is the substitute for Levocetirizine. Chlorpheniramine is more effective than Levocetirizine, but it causes Chat Doctor. So, Phenylephrine alone will not help for seasonal allergy. Nasal


Hi thanks for contacting Chat Doctor .... Here 15 gall stone present .... So gall bladder needs to be removed.... Your liver enzyme high only because of this... Stone might lead obstruction and by it there can be damage to bile calculi by cholestatsis.... So liver enzymes high. Until operation Done take Ad\u00edlio tablet that is helpful in gall stone .... Take low fatty diet. More fruits .... Non veg, junk foods kept limited... Refined food avoided and use very much less oil in cooking... Take care.... So your ultimate treatment is cholecystectomy by surgeon... Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Chest pain on coughing is classical sign of pleurisy (inflammation of pleura). And common causes for pleurisy are pneumonia, pleural effusion, tuberculosis etc. You are also having chronic bad cough. So better to first rule out all these conditions. So get done chest x-ray first. If this is normal than no need to worry about all these causes. You are mostly having musculoskeletal pain. So avoid strenuous exercise and heavyweight lifting. Avoid bad postures in sleep. Avoid movements causing pain. Start painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hi Dear, Understanding your concern. As per your query you have symptoms of oral thrush with tongue soreness which seems to be due to fungal infection due to poor immunity which remains persistent and leading to formation of thick white layer in oral cavity and its surfaces. Need not worry. I would suggest you to maintain complete oral hygiene and visit oral pathologist once if symptoms keeps on persisting and start treatment after prescription. Go for biopsy of lesions if symptoms keeps on persisting. Avoid sharp, hot and spicy foods. Take Amphoteric B and maintain complete oral hygiene. Avoid stress and take Probiotics like Yogurt in diet. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala


Hi, After reading you query I can make out that your girlfriend is suffering from cold induced injury to the skin. It is known as Lived reticular. Livedo reticular is a mottled, chaotic discoloration of the skin, which has a characteristic network pattern. It is accentuated by cold. For the treatment part most important thing is protection form cold weather. Ask her to wear warm clothing. Do exercise daily. If she is over weight then weight reduction is must. Take care.


Hi Mathews I would like to inform you that without undergoing an Angiography it's not possible to tell whether you have block in your arteries or not until unless you have had an ST elevation MI (heart attack). Now taking aspirin is preventive measure to prevent block from developing in the arteries or slowing down its progress if it is already there. Aspirin does not cure it. Its advisable that you should consult your cardiologist personally to get yourself evaluated properly. I wish you good health


Hi, Having excessive doubt, suspicion and violent behavior indicate presence of some severe psychiatric illness like delusional disorder. In such cases counseling only, do not help.  Several time excessive alcohol use may lead to similar symptoms, so stop alcohol use (if present). But, do not worry as effective treatment available and seek psychiatrist help as soon as possible. I hope this information has been both informative and helpful for you. Wish you Good Health.


Hi.dear been., Thanks for choosing Chat Doctor., PIMPLES...since 2 months., difficult to control., Only solution is.,1) COMEDONES EXTRACTION... by RF., it must be done by. Dermatologist.,2) Tab. Isotretinoin 20 mg daily for 2 months.,3) Tab. Azithrmycin.250 mg day for 1 week.,4) Take plenty of green vegetables and fresh fruits.,5) frequent washes with Triclosan soap.,6) Topical Clindamycin 1% 2 times daily.,ok.than