Hi your husband had fall, hurt his shoulder badly and is now waiting for replacement. In my practice, if shoulder is hurt very badly then it is better to replace it rather than trying to fix it, and it is an acceptable method of treatment. After shoulder arthroplasty we expect relief from pain as a major benefit. Some exercises will be required and depending on exercises it may take about 2 months to recover adequately.


HI, thanks for using Chat Doctor It sounds as though you may have depressed mood disorder. This is diagnosed if a person has at least 5 of the following for at least 2 weeks


Hello Drafter reading the case details provided by you, I would like to tell you that yes its true that probably your heart function have deteriorated over a period of time that's why you are having fluid accumulation in your lungs. As you have entered your 60s so it's better to upgrade from just a PACEMAKER to a CRT-P Or CRT-D as it will help synchronize your heart rhythm which finally improve the heart function (LVEF) and also prevent sudden cardiac death due to some arrhythmia. Good Luck


Thanks for query. Latex allergy may be of three types irritant contact, allergic contact, immediate gallery reaction. The most serious reaction to latex. It can show up as rhinitis, conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock. As you are saying that it happens overtime you wear latex gloves. If the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves. If you do not have rapid breathing and rhinitis(running nose)you would not need EPI.antihistamines would do well. Regards


Hello, i have gone through your query and understand your concern. If you had any intercourse, then you might be pregnant. Because you are having all the signs of early pregnancy i.e..1. Light pink discharge- it may be due to implantation bleeding2. Breast tenderness3. Headache, cramping and back pain are usual symptoms in early pregnancy. Progesterone with Chat Doctor. Thus please check Urine pregnancy test (HPT) to rule out pregnancy. If it is negative, then it may be a with


The dizziness when you sit up can be explained by or tho static hypotension.  It is mostly due to the antihypertensive meds you are taking, fluid deficit status are more rarely autonomic dysfunction caused by sleep itself. The blood pressure falling transiently when you move again gravity i.e. Sudden sitting or standing from sleeping position explains your symptoms.  So I recommend reviewing your medication and try finding the culprit


Hello, I can understand your concern it would be very helpful if I could see some pictures of your scalp.hairless maybe due to excessive ironing or using different products, avoiding it can help to reduce it. You may have halogen effluvium of female pattern hair loss.hairball may be due to lack of nutrients like iron or proteins in body, it may also be due to deranged thyroid levels. So to rule out halogen effluvium I would advise you to get your he, serum ferritin and thyroid levels tested.it may be genetic too. Application of minoxidil and oral biotin once a day can really be helpful to you. Hope it would help. Thank you


Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. It is usually not common to see memory loss or cognitive decline at your age, so there is no need to worry about that. Most of the individuals of your age with memory problems have anxiety or mild depression. Sometimes low Vitamin B12 levels also results in such symptoms of forgetfulness. I would advise you to get your B12 levels checked to find out the exact cause of your symptoms. If B12 levels come low then start taking Multivitamin supplements and this would help in improvement of your symptoms. If everything come normal then visit a psychiatrist for evaluation of your symptoms. Forgetfulness in day to day task could occur due to anxiety or mild depression. Your sleep is normal, but such symptoms could be stress related. Low doses of antianxiety Chat Doctor. Thanks, hope this helps you. Take care


Pain may have increased because of massage make sure massage pressure should not be very soft and from upward direction. Always keep a pillow under your calf muscles do ankle toe movementdonot scratch your clot area if any imitation occurs rub the area very softly use ice packs for your clot and painful area. Do burgers exercises this will help in reducing pain and swelling as well if occurs. Wear cushion supported shoes. Maintain your body weight.


Hello dear, Sure I would like to help you out. Paralysis can be due to a variety of causes and depending on cause, it takes time to heal, partially or completely, again depending on the cause. Paralysis due to brain lesions like stroke, may take days or months or even more than a year to recover. Paralysis due to spinal cord like myelitis may take days or weeks to recover. Compressive spinal cord disease may require surgery for cure. Nerve disease like acute polyneuropathies may take weeks or months to recover. Please be precise, may be then I can help better.


Hi, Thank you for posting your query. It is unfortunate that you have neuropathic pain, and in addition, severe musculoskeletal pan too. You would first require a detailed evaluation to establish the cause of pain. For this, you would need to see a rheumatologist. Pain and swelling in hands could be related to mixed connective tissue disease. This can be confirmed by blood tests and X-rays. There are good medications available to treat this condition. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hello thanks for consulting at Chat Doctor,four main methods of managing saliva control problems


Hi, Chat Doctor.  I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. 1) First do not panic. 2) apply pressure with clean cloth or cotton swab at the bleeding point.  Once bleeding stops after 3 to 4 minutes, you can apply local antiseptic ointment.  3) Skin tag near vaginal opening is normally seen in many women, but please get it confirmed from your doctor if tag near anal area is not a thrombosed pile Please take care not to pull out these ski. Tags. I hope this answer helps you. Thanks


Dear kcpocknellwelcome to Chat Doctor.Please do a UPT (urine pregnancy test) which u can do it at home by ourself. If It's positive, then the spotting (brown discharge) which your getting is because of the implantation of the placenta in the uterus, which means there's further development of the fetus is happening in the womb. This has to be good news for you


Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult dermatologist and get done clinical examination of your skin lesion. Following are the possibilities in your case for skin lesion. 1. Bentham (cholesterol infiltration in skin). You are having high cholesterol level, so possibility of this is high. 2. Radiation induced skin damage 3. Cutaneous spread of uterine cancer. So consult dermatologist and discuss these possibilities and first diagnose yourself and then start appropriate treatment. You may need skin biopsy for the diagnosis.


Hello, Well, in your case there may be a liver damage and different types of diseases or conditions may cause it. The next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, ultrasound, bilirubin levels, and tumor markers should be additionally done. Then appropriate treatment can be started. Hope I have answered your query. Let me know if I can assist you further.


Thank you for posting your query. I can understand that you had Chikungunya in 2006. It would have been excellent if you had given me the current symptoms or problems you are facing. Let me help you. Chikungunya is caused by chickungunya virus as you have correctly pointed out. The symptoms include fever, muscle aches, joint pain, rash to name a few. It can be diagnosed by serological tests like ELISA and RT-PCR. Currently, there is no specific treatment. It is treated symptomatically, like for fever paracetamol is given. Do not panic. Visit any government or private hospital, visit the medicine OLD and get your debts cleared Feel free to post any other question.


Dear patient thank you for your question. You seem to have a condition known as Prolapsed Intervertebral Disc or Misdiagnosis


HI, thanks for using Chat Doctor It is understandable to be concerned. Food is obviously important for survival but if she is receiving enough fluids via iv to prevent deny Chat Doctor. The response to infection can be more severe with aging and whereas a UTI would not cause significant harm in a younger person, it can be harmful for an older person especially at your mothers age. If she responds to the antibiotics, does not develop any complications and is kept well HY


Hi, Decreasing sex libido is common at this age due to low testosterone level., Remember that sex is an art and not merely mechanical action. So it requires preparing him for sex by,1, exciting sex talks, verbal, fantasy.2, have kissing, pushing,3, wear sex exciting clothes or your husband likes clothes more exciting,4, create quite and exciting atmosphere.5, see sex videos and porn sites.6, go for changing sex positions, This will give him sexual excitement, and you will enjoy sex. Ok and take care.


HiT hanks for posting your query on Chat Doctor. I appreciate your concern for the cat bite in fact scratch by its claws. It is unlikely to transmit the rabies virus, if any. Rabies virus is found in the brain and the salivary secretions of these animals. So a cat bite by animals teeth with saliva is more likely to transmit the virus if the animal is found to be carrying the virus. But in your case you had scratches by the animals claws resulting in bleeding, so it is unlikely to result in the transmission of the virus and hence no chance of getting the rabies. What you need at the most is cleaning of the wound with soap and water or antiseptic like Provide and a booster dose of Injection Tetanus toxic and maybe you need a course of appropriate antibiotic from the doctor. Hope this answers your query. Kindly rate this answer, if you are convinced.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely rule out cardiac cause for your left sided chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Uncontrolled asthma can also cause similar kind of pain with breathlessness. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You may need longer acting bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) for better control of asthma. Avoid stress and tension, be relaxed and calm. 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.


Thanks for your question on Chat Doctor. I can understand your concern. Sudden onset sharp chest pain, sweating and tingling in arms are commonly seen with heart diseases like coronary artery disease (CAD). Holder monitoring (24 hours continuous recording of ECG) is for arrhythmia (rhythm disturbances in heart). CAD can not be picked up by this. So despite normal Holder report, you should definitely get done 2d echo and stress test (trade mill test) and coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But better to first rule out CAD. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, Basically ovulation occurs 14 days before expected date of regular period. But it may differ with irregular period. GA is calculated from 1st day of LMP (in your case 17th Sept) to till date of wk.USG scan not able to give detailed fetal profile in early wk. Gestational sac and fetal pole are visible on TAS on 6wk and 8 wk respectively and on TVS 4wk & 6 wk respectively. So consult with your gynecologist and take advice to smooth Antenatal Period. Be well.


His appreciate your concernLooking at your history it might be either axillary abscess or lymphadenopathyplease visit your doctor for detailed examination and battery of blood test like complete blood count and Erin my opinion a course of antibiotics will be required in axillary abscessMaintain a good hygiene in armpit and surrounding body areas Hope I have answered your question you can ask for follow-up good luck


Hi thanks for contacting Chat Doctor.... You have now normal liver function after diagnosed with hepatitis b infection 3 year ago ... But you can be carrier ... So confirm your negative infection by viral marker study by ELISA. Anyway here your irregular bowel movement could be by eating outside food or excess fatty meal or excess spicy food. It could be from gastroenteritis like infection also by virus or bacteria. If diarrhea with mucus or blood present or fever start antibiotic.... If muscular spasm more dicyclomine can take. Small meal with frequent interval taken. Avoid alcohol, smoking etc. If problem more USG done. Take care. Consult gastroenterologist if not improving. Chat Doctor.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of diarrhea and nausea which seems to be due to acute gastroenteritis and electrolyte imbalance in body. It could be due to poor immunity and increased susceptibility of getting infected. Need not to worry.  I would suggest you not to panic at all. You should start treatment witChatDoctorbination of fluoroquinolones and ornidazole. Visit gastroenterologist once and get it examined and start treatment after prescription. You should get intravenous fluid administration as well. Avoid hot, sharp and spicy food. You should take banana on daily basis and light food.  Chat Doctor.


Hi, Thanks for your query. Numbness in the hand and toes indicate that there is some sort of neurological disturbance (impaired conduction of nerve impulse) in the involved nerves. This may result due to compression of the nerve at some level during its course or may also result due to some systemic diseases. A detailed clinical examination and few investigations like EMG & Nerve conduction studies are needed to establish a correct diagnosis of your problem. I suggest you to consult a Neurophysician and follow the advice. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, tiredness, lethargy, loss of energy etc. can be seen in Pulmonary causes like bronchitis, lung infection, tuberculosis etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection and tuberculosis. PFT is must for the diagnosis of bronchitis. You may need antibiotics, anti-tubercular Chat Doctor.  If all these are normal then no need to worry about Pulmonary causes. But better to get first rule out Pulmonary causes. Hope I have solved your query. Wish you good health. Thanks.


Hello, if the doctors have told you that 1 kidney is fully damaged then there is nothing you can do to save the specified kidney. However, the other kidney according to your doctors is partially damaged which I can figure out is repairable. And a person can lead a totally normal life with only 1 functioning kidney. As you have not specified any other details about the reports or presenting complaints of the patient It's difficult for me to comment exactly on the problem or comment over the outcome. With the given information and to my best knowledge I can suggest following with the doctors and get the partially damaged kidney to work normally, and the said patient can lead life normally. Thank you


Hi, dear. I have gone through your question. I can understand your concern.  You may have some abscess in your breast.  It is common after injury or intervention. You should consult your doctor and go for incision and Chat Doctor.  Then take complete course of antibiotics according to your doctors' advice. 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.


Thanks for your question on Chat Doctor. I can understand your concern. It is very difficult to understand conclude about having cancer or not. But 1 cm nodule in lung should definitely be investigated for lung cancer first. Lung cancer like squamous cell carcinoma and Aden carcinoma can present as nodule and shadows in lungs. So better to consult pulmonologist and get done 1. CT thorax 2. Bronchoscopy and BAD (bronchoalveolar lavage) analysis 3. CT guided Biopsy from the nodule. 4. Blood tumor markers. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Hello, I have studied your case. Yes this can be permanent nerve damage. Physiotherapist will help you better to learn more exercises in proper protocol. An ULTRASOUND EXAMINATION of the involved area or an MRI scan will establish the nature of pathology. Blood investigation will help you like CBC, CRP, and ESR. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Hi, Thank you for your query. It appears that your daughter developed a viral infection as upper respiratory tract infection and the rash has followed the infection. It shall take some time before the rash will disappear. Both Atari and Capon will not change the rash. I hope I have answered your query to your satisfaction. Wishing your daughter an early recovery.  Rajiv K Khandelwalhttp


Degree understand your concerns went through your details. I suggest you not to worry much. Your problem of sexual desire is not a problem at all. That is common, For a person whose wife is away and could not be active in sex. So many people come across such a scenario. Seldom use illicit means. They learn to adjust. For the second problem you mentioned here, please understand that the base of any happy married life is trust. There could be so many occasions in married life where both can suspect partner. Trust and Judicious disposal of suspicion is the way to keep worries away. Please trust your wife. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi, I had gone through your question and understand your concerns. Sif you can't push it back or there is redness of the skin overlying hernia or there is pain and fever in progressive trend, then you need to see doctor urgently since it may indicate incarcerated hernia which require surgical operation as soon as possible. If these things are not present then you can treat it by laying down and taking painkillers and try to push hernia back after you relax. However, I suggest planning surgical repair of hernia in future since it may just become larger and cause more pain than it can't be cured with any other treatment but surgery, so you should consult abdominal surgeon in short time. Do write back to me for any further clarifications, I am always available to help. Best wishes.


Hello Mr. Patel, I can understand your concern for your son. However, doctors at Chat Doctor advise patients regarding their ailments. If you want any opinion or advise regarding the health of your son, we can provide it to you. If you want an appointment of a doctor, you should follow the usual procedure of calling the doctor's office and take an appointment. We are sorry for not being helpful to you that way. Best,


Hello,1) Small to moderate sized bruising on liver surface (up to 40% of total liver surface area) considered as either grade I or II liver injury.2) Such bruising can be treated without need for any surgery considering patients condition is stable during days of observation and size of bruising is not increasing during these period.3) This period of observation varies from patient-to-patient and from injury-to-injury, but roughly he needs to be hospitalized for minimum 7-10 days and after discharge from hospital he need to bed rest for another 2-3 weeks


Hi thanks for contacting Chat Doctor She has Hepatitis b since one month. For that bed rest done . Take lots of fluid in firm if mainly fruit juices ex...papaya or grapes juice . Avoid physical exertion and alcohol. Fried food taken very less. One tsp licorice with honey can be taken.... Udiliv tablet can be given.... For piles take stool softener. Avoid straining at stool. Anal warm water site bath can be taken... Avoid excess spicy food. Local Betadine ointment can be applied... Hope your concern solved... Follow up is necessary esp. Viral Parker for Bag after six months.... Chat Doctor.


Hi welcome to Chat Doctor.... Noted you have chest pain...and known case for asthma...... So you might have repeated bronchoconstriction by asthma that is allergic response.... You are treated with antibiotic for infection. Now your asthma might need maintenance inhaler by foretell plus budesonide low dose inhaler.... Asthma like allergic condition here is cause for chest pain... If needed chest x-ray and PFT done.... If dyspnea severe nebulization can be given. Take care..... Chat Doctor.


Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. The symptoms like exhausted feeling, poor concentration etc. can occur due to persistent stress or mild depression. But some medical causes should be ruled out to make diagnosis of stress as cause of these symptoms. Low vitamin B12 levels, poor nutrition, iron deficiency anemia, hypothyroidism, hyper cortisol levels etc. are common medical causes that should be ruled out for these symptoms. Please consult a doctor for proper evaluation and investigations. Vitamin B12 supplements, Omega-3 Fatty Acids tabs help to reduce these symptoms and are very useful. If symptoms persist then visit a psychiatrist for treatment. Thanks, Hope this helps you. Take care


Hello It is very common in Psychotic Disorder to have muttering or self talking behavior. She is having restlessness and disturbance in sleeping and due to this she is remembering past incidents. I will advise you to please visit her psychiatrist for proper medicine for sleep. Risperidone is a good Chat Doctor.  But as she is having improper sleep please visit psychiatrist. Espazine is also an antipsychotic


Hello there I have read through your question and would like to tell you that headache can be attributed to a high blood pressure. I would advise you to get your blood pressure monitored for one week and if it continues to be above 130/90 you should consult your physician for a complete blood work up and start an antihypertensive. If hypertension is ruled out, we may have to look for neurological causes like tension headache or migraine. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint the symptoms of formation of recurring bumps and blotches over the body seems to be due to allergic reaction to any unknown allergen, and it needs to be thoroughly evaluated and investigations to rule out allergies like Last Test, Patch Test and Food challenge test etc. can be done to rule out the exact cause of allergic reaction as antibodies against the specific allergen is formed in the blood of the individual and preventing exposure to the allergen can help. An immunotherapy can also be instilled by an allergist to reduce the severity of allergic reaction. As of now you can take anti-allergics like Levocetrizine or Ben Chat Doctor. . Limit sun exposure. Hope this information helps. Thanks and regards.


Hello dear. Understand your concern. Look, birth control pills are available in 4 types.1)combined pills, have 2 hormones in same dose in every 21 pills.2)physic pills, it contains different dose of hormones in 2 or 3 phases.3)mini pills, contain one hormone in same dose in 21 pills.4)newer pills, contain hormones in same amount in 21 pills. So you have to consult your doctor, check your tablets. You are safe from pregnancy, but it could be done hormonal imbalance which could do other side effects, also increase chance of failure. Hope this will guide you.thanks. Chat Doctor.


Welcome to Chat Doctor, Naturopathy & Yoga Treatments for Psoriasis Fasting


Hi, thank you for providing the brief history of you. As you had a fall in bathroom post which you had bruises, vomiting, nausea etc. you need a thorough clinical Neurological examination. As many a time due to fall there will be an internal bleeding in the brain leading to such symptoms. Getting a Neurological examination will be on a positive side and will be beneficial to avoid any further symptoms. In my clinical practice most cases are Neurologically assessed and MRI of Brain is performed to see the possible soft tissue Injury. Many a time they respond well with simple symptomatic medication. Regards Jay In Chat Doctor.


HI. If you are elderly, nothing to worry about. This is a process of coating of the internal layer of the aorta by atheromas plaques and are found in many patients without any symptoms. This may be taken as an aging process provided you do not have any medical issues. If the integrity of the aorta is normal, just forget about this. If you are still bothered, consult a Cardiologist who would ask you to undergo few tests like blood lipid profile and may advise you to take some medicines like statins to reduce this.


Hello. Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions as follows


Hi, Welcome to Chat Doctor. I doubt it is herpes as herpes lesions usually occur in crops and are fluid filled. I am suspecting a boil or fur uncle in the genital area. Burning sensation while passing urine indicates urinary tract infection. You also give a history of white discharge which is suggestive of vaginitis. Following are suggested


Hello, A very thorough medical history is absolutely necessary before any dental treatment. A blood thinner such as Coumadin affects the bodies ability to clot. This is the initial stage of healing required after an extraction. If the clot is disturbed, delayed healing may occur. A Chat Doctor.  I routinely take my patients off blood thinners including aspirin. If there are high risk conditions, I refer to the oral surgeon specialist. All doctors and specialists should consult, discuss risks and agree to treatment. Premedication for dental treatment, especially extractions, is necessary after knee replacement surgery. An antibiotic such as Amoxicillin should be prescribed. I suggest a consultation with an oral surgeon. Factors such as the amount of tooth in bone and risks need to be considered. Surgical complication risks will also need to be considered when choosing a location. I hope this is helpful, and thank you for your inquiry.


Hello and Welcome to Chat Doctor, I have gone through your query. The white spot surrounded by redness that you referred to seems to be a surplus which contains pus within. It might be discharging or if not you can take a sterile needle to prick it to relieve the pressure within the tooth. This will also lower the intensity of Pain. The surplus suggests that your tooth is infected and most probably there is periapical lesion as well which will be seen via X-Ray. Yea you can take the medicine as the same has no affinity with the Chat Doctor.  Your Tooth might need a Root Canal in this Case as the infection can only subside for some days or week by medicine and it(pain) will recur. You might be needing an X-Ray of the involved tooth to see the extension of infection, so the dentist can see whether the tooth really can be saved with root canal or should be extracted. I suggest you to visit the Dentist and get the tooth treated. Thanks and


Hi, Thank you for posting your query. There are two issues here-1. Whether we should do surgery for meningioma?2. The appropriate dose of dilation. Meningioma can only be treated by surgery. There are no medicines to make it disappear. So, if the tumor is large or is in a critical part of brain, or it is growing in size, we should do the surgery for meningioma. The correct dose of dilation (phenytoin) is 5 mg per kg body weight. So, if your weight is about 60 kg, then, you should be on 300 mg per day-either 100 mg three times daily, or 200 mg pm and 100 mg am. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Hi, Thanks for posting in Chat Doctor. Toxic is indicated for booster injection only for persons 7 years of age or older against tetanus. Injury in any form which has an open wound or penetrative is an indication for taking injection as it carries a risk of contacting tetanus. Ideally it needs to be taken within 24 hours after an injury to be more effective. However, one injection would offer protection for a period of 6 months. Hence, if your mother has only an abrasion of the skin without any penetrative wound, then there is no absolute necessity to take the injection. It can be managed by cleaning the wound with antiseptic and applying antibacterial cream. Otherwise, with penetrative wound, it is a must, along with taking other measures. Hope the information provided would be helpful. All the best.


Hi, dairy have gone through your question. I can understand your concern. You may have reactive lymph node enlargement due to some infection. So it increases in size at time of infection and gradually subside. If it recurs then you should take a course of antibiotics. If it does not respond to treatment then biopsy diagnosis is advisable. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hi, I had gone through your question and understand your concerns. It is known today that pre-ejaculate has only minor number of sperms, so there are only rare cases where living sperm can be presented in the pre-cum and conception subsequently possible. If you urinated before it then chances for it are negligible. However, the only way to rule it out for 100% is to do pregnancy test to ease your mind. But as I can tell you, pregnancy is really not likely under these circumstances. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.


Hi, I have gone through your query. White patches are usually suggestive of fungal infection. Since you have VIN 3 years back, problem with melanocyte cannot be ignored. But VIN is localized to vulgar region. Lesion needs to be clinically examined and may require tests, if needed. I advise you to consult a dermatologist for further opinion or can send picture of lesion with other symptoms. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http


Hi and thank you so much for this query. I am so sorry to hear about bruises. I am happy to hear you were able to take on the cancer battle and have been in remission for 4\u00a0years. Furthermore, I think what you term bruises are small bleeds on the skin. Furthermore, I will suggest that you get your clotting system evaluated. A full blood count would tell us whether the platelets are in good number or not. This can open the door to different possible causes. Also, You need proper interviewing and examination before testing to gather more information. Talk to your primary healthcare doctor for this. I hope this ad Chat Doctor.  Thank you so much for using our services, and please feel free to ask for clarifications if need be. I wish you the best of health.


Hallow Dear, Contraceptive medicines are hormones containing Estrogen and/or Progesterone. These pills can prevent the pregnancy if taken regularly throughout the cycle. Some high dosage emergency contraceptive pills may help to prevent the pregnancy if taken within 72 hours of the unprotected intercourse. However, these sorts of pills cannot terminate the pregnancy once the conception has occurred. Primal N is Progestational medicine and will not be useful to avoid pregnancy if conception has already occurred. If you have missed your period, please get pregnancy test done on the overnight morning first urine sample after about a week of the missed period. Alternatively, you may opt for Beta Chat Doctor test on the blood to detect the pregnancy. If you are not pregnant, some progestational medicine like Prom ult N or Every for 5 days will help you get the with Chat Doctor.  However, if you are pregnant, Medical termination of pregnancy will help you terminate the pregnancy safely and effectively and within legal frame up to 7 weeks of pregnancy (if you are in India). After the results of the pregnancy test(s), please report to your Gynecologist without wasting time. I hope this helps you.


Hi! Good morning. I am Chat Doctor answering your query. As it might not be possible to advise you rightly over the net on your problem without a personal physical examination, I would advise you to consult your family physician or a general surgeon in your area for a clinical assessment FNA further needful. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.


Taking into consideration your past history of surgeries and the various findings followed by recurrence of symptoms I would suggest you to undergo the following tests1. CBC2. BUN\u2019S Creatinine, S Electrolytes3. Urine examination4. USG of the kidney, ureter and bladder5. IPI am sure that the above investigations will help in determining the exact status of your renal system which will enable one to decide the further course of action.


Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. F.  You are pregnant of 5 weeks, you had mild bleeding, and cramps in the lower abdomen. You had intercourse before that of course it has nothing to do with it.  Your problem is called threatened abortion, so you should be concerned about it, otherwise there will be a possibility of inevitable abortion.  You are advised to take absolute bed rest, and intercourse is prohibited completely.  I advise you to consult an obstetrician for confirming the threatened abortion, and preventing the inevitable abortion.  Wishing that everything will be fine.  Best regards.


A cyst in the ovary can mean a number of things, one of them being cancer. In order to have some idea of its nature, you need to get a blood test called CA-125. If It's raised, then there are chances that it harbors cancer, and you need to get the cyst removed. If it is normal, and the cyst is not increasing in size on serial monthly ultrasounds, and if there is no solid area within the cyst on the ultrasound, then you have nothing to worry about.


Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be got benefited by surgery of spinal fusion with or without bone grafting. However, final decision depends upon surgeon on seeing your x-ray and MRI report. Other methods which can be beneficial can be applicable of lumbosacral belt so that fewer movements occur at lumbar spine. Physiotherapy by back exercises are of use. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care.


Thanks for your question on Chat Doctor. I can understand your concern. You are having hemoptysis (blood in sputum). And common causes for hemoptysis are lung infection (pneumonia, tuberculosis), bronchitis, lung cancer etc. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed for lung infection and cancer. PFT is must for the diagnosis of bronchitis. You will need antibiotic and inhaled treatment on the basis of reports. If you are a active smoker then you should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that it is important to perform a careful differential diagnosis of different causes that may lead to your symptomatology. Have you suffered from high blood pressure before? What is your past medical history? I recommend you to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer those values to your attending physician. Do you have other symptoms like chest pain, difficulty breathing? I would also recommend performing some tests, besides a careful physical examination


Hi, please get a check-up with your treating doctor. The pain may be due to some other reason. A clinical check-up and investigations may be needed to find out the cause and treatment to be taken accordingly. Tuberculosis may relapse, but it can only be diagnosed with appropriate tests and the treatment to be taken as per schedule. Hope your wife is not having tuberculosis again and be well soon with treatment.


Hello, As medicine is given should be helpful to her. You should even try to make her do simple exercises which will help her muscles to become active and do correction of the same. In aging, this is possible to have some abnormal changes in the muscular system and with exercise, things can become close to normal again. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hello, I had gone through the case and found that if you have history of stone then you must go for ultrasound of whole abdomen. Renal stone pain never aggravate with breathing and burping never occur due to stone. It might be due to week digestion causes burping. So After the ultrasound take proper treatment. Avoid alcohol because it creates stone and liver cirrhosis. Take antacid for burp. Hope my answer will be effective for you. Thanks


Hi welcome to ChatDoctorIf your ultrasound and colonoscopy is normal. Do not worry. Also get upper GI endoscopy to rule out any gastric ulcers. Take antacids like tab. Omeprazole 20\u00a0mg once daily before breakfast. Avoid hot liquids and spicy foods.take3-4litres of water daily. Consult your doctor for expert management. Get genetic screening or APC gene mutation to know future risk of cancer by consulting your doctor. Thankyou


Hi there ~I understand your concerns.  I believe that you might need to consult both a psychiatrist and a psychologist if you feel like you are having all the symptoms your describe.  You might fit into a diagnosis of Depression, Bipolar Disorder or PTSD depending on the kind of symptom presentation you have when you meet with and interview with a psychiatrist and a psychologist.  Treatment may be two pronged, both medications and therapy.  I wish you the very best in your recovery. I hope this helps.  Take care and have a lovely day!


I understood your concerns, first we need to confirm that you have muscular or kidney colic pain? Pain may be nerve related also...... In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage. Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category, but it has a different feel then chronic pain of a musculoskeletal nature. If you have stone related colic pain you can take dicyclomine paracetamol combination.


Respected Sir, hi I evaluated your query thoroughly.It's your child's immune system weakness that leads to recurrent cough. Follow certain steps at home for long term benefits


Hi ! Good morning. I am Chat Doctor. On the diarrhea front, I would advise you to avoid eating from outside if you do to rule out any intestinal infections. If I were your doctor, I would advise you for a routine stool test for ova and cyst, a routine blood test like CBC, ESR, Blood sugar, and special blood tests like LFT, Bag, HIV, and a thyroid function tests. If all the tests are normal and non-reactive, then I would not hesitate to refer you to a gastroenterologist for an endoscopic evaluation of your gut and a possible tissue biopsy to arrive at a diagnosis. An ultrasound of abdomen might also prove to be helpful. The lesions in your legs could be due to some allergic manifestation which has responded to the anti histamine


Hello, Thanks for posting your query on ChatDoctorYou developed an allergic reaction to the dye and an angioedema due to the same. You require taking an anti histamine preferably the second generation type without sedation. Avoid any home remedies and creams. Eat a wholesome diet, relax and sleep well. You would get well soon. In future, you should avoid the dye that caused you the reaction. If you ever want to use any dye in the future you should apply it over a small area on the body and see if it produces any reaction before using it on your scalp. Take Care


HI. Thanks for your query and an elucidated history. It is very rare for such a large and hard lump to be developed on the chest of such a small boy of just 4 years. This may be diagnosed only by an ultrasonography, FNAC to start with. I would suggest you to consult a Pediatric Surgeon or a General Surgeon and get this removed under General Anesthesia. This will benefit us by two ways


Hello I appreciate your concernLooking at your history this could be an STD or allergy due to collection of Sega under surface of foreskin if you can upload me a photograph or complete medical history related to exposure to unprotected intercourse in my opinion you should visit your doctor for check up and a battery of tests like swab culture or KOH fixation test have plenty of fluids class foreskin regularly with antiseptic solutions regards


HI, thanks for using Chat Doctor It is possible that you have a viral infection though bacterial infection may need to be ruled out if the symptoms persist. Viral infections can present with fever, loss of appetite, fatigue, headache and dizziness. Your doctor can examine you to determine the likely infection causing your symptoms. Treatment depends on infection present, but general management would consist of


His had gone through your query. You seem to have multiple medical problem. Psychiatric co-morbidity is common in long physical illness. Yes clonazepam can be used to reduce stress and anxiety. Clonazepam is anxiolytic medicines. It is also useful in sleep problem. SSRI is advisable in PTSD. In SSRI paroxetine and Escitalopram can be useful. Avoid alcohol and methadone for better health. Both can worsen anxiety and precipitate psychological illness. Need to consult psychiatrist and discuss your illness for further evaluation. I hope I have answered your query. Thank you.


Cellophane You for contacting Chat Doctor. You are having allergic reaction from something. I would suggest you following things


Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult pulmonologist and rule out lower respiratory tract infection (LETI - pneumonia). Your symptoms (brown sputum, chest tightness) are commonly seen with pneumonia. Your symptoms are not improving after 2nd round of azithromycin (z pack). So get done chest x-ray. Chest x-ray is must for the diagnosis of pneumonia. You may need higher antibiotics, bucolic and expectorant (N acetyl cysteine) Chat Doctor.


Hi, Thanks for writing in. I think your husband has got ultrasound and specific urine tests done for assessment of kidney function. In my opinion, 300 can be 300 mg to the upper limit of proteins normally excreted by an individual and 5000 refers to 5 grams of proteins found in his test results. Please remember that this is only an estimation, and it is best to refer to the actual report and make conclusions. A blood pressure of 180/ 108 is high, and it is important to rule out a condition called renal artery stenosis in people having high blood pressure. In this condition, there is narrowing of blood vessels entering the kidneys and this causes release of chemicals that shoot up the blood pressure. This can be confirmed by doing a renal artery Doppler test which will show any abnormal blood flow in his kidneys. Please consult your doctors and get a renal artery Doppler scan done after recommendation.


Yes, you should head back to the hospital. If you are having the same pain and symptoms you had with a previous kidney infection in this same pregnancy, it is likely that your infection is back. Pyelonephritis, or a kidney infection, is more common in pregnancy than in the general population. As you know, it can cause serious pain, fever and other symptoms. More importantly, pyelonephritis has been linked to preterm labor. It is important that you go back to the hospital. If your infection has returned, it can be treated again and help give your baby more time.


Hi. Thanks for your query. The hot pad put on any part of the body takes away the pain by increasing the local circulation and carrying away the substances that cause pain. So the cause can be anything. The bloating is definitely suggesting the intestines have a problem, and to top up my the problem you have taken the laxative. This can enhance the problem by its action. I would suggest you the following


Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you should first diagnose yourself for the Lyme Disease before you got treatment. You can get tested yourself with ELISA, IFS or Western Blotting to confirm the diagnosis. If you are confirmed as having Lyme disease you should take doxycycline 100 mg two times a day for 14 days to cure the disease. The causative agent Bocelli burgdorferi a treponema bacterium is very sensitive to the Chat Doctor. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.


Welcome to Ask a doctor service. I have read your query and here is my answer.  Your children symptoms are due to sore throat. He must be having fever and associated headache, backache and loss of appetite. I will suggest saline gargles. Antibiotics as tab Azithromycin once a day and tab Paracetamol for body pains and fever. Ask him to take rest for 4 or 5 days, and he will recover well. Hope I have answered your query. Let me know if I can assist you further.


Hiwith diabetes, asthma, hypothyroidism, positive family history of heart problem & chest pressure symptoms it is better to get evaluated totally accordingly as suggested by your cardiologist.the slightest doubt in the ECG in your status is also an indication, especially being diabetic. You can go for an echocardiogram, thread mill test, or stress echocardiogram, if these are all uneventful, with no positive signs, then not to worry. Requirement of an angiogram will be decided by the cardiologist based on these tests. All the best take care


Dear friend. Thanks for sharing your concern. Your history suggest that your pulp is exposed to noxious stimuli resulting in pain. It could be the restorative material placed on it. It also signifies you have deep dental caries which is very close to pulp and infected. Earlier, it was an open infection but now after placing the restoration on it, it has become closed. Bacterial multiplication and toxins causes pains due to pressure built up there. Pain in other areas' ear, jaw etc., apart from tooth. Is called referred pain arising due to same nerve distribution there. Need not worry for now take a painkiller, visit your dentist and get a X-ray done. Also request for the removal of restoration placed on it. Pulp capping or RCT can be suggested in your case after evaluating X-ray.  This should help.thanks.


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


Hi, Thanks for asking. I understand your concern.  Normally upper right abdominal pain is seen in pregnancy due to problems of digestion caused by pregnancy hormones.  But you seem to have severe/ unbearable pain, You need exclusion of liver disorder (infective/ blood group in compliance)/ gall bladder disorders. Sometimes heart problems/ trauma to the part with injury to bony cage./ respiratory problems, can lead to unbearable pain in the area.  I would advise a consultation of a physician followed by investigations he advises,,, to pinpoint the cause & take specific treatment advised.  Thanks


Hello, The location and movement of a pain gives clues as to what is going on, and it can be the outside muscles (which should be obvious), or the hip joint (standing on one leg and other stresses on the joint would hurt) or a lumbar disk (yanking on the nerve by extending the straight leg up or sitting the wrong way would indicate this). Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, Due to compression of this nerve root there is pain radiating to your arm, leg. Diabetes and smoking leads to constriction of blood vessels leading to infection and weakness. So it is advisable to do color Doppler limb to see vascular status. Medication physiotherapy with TENS and anodyne therapy may help. For these symptoms analgesic and neurotrophic medication can be started. I will advise checking your it B12 and it D3 level. There is possibility of transient ischemic episode or stroke leading to motor weakness on arm and leg. You may need clinical examination to confirm neurological weakness, BP and other vital parameters. MRI brain will rule out stroke in case of suspicion. 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! Thank you for the query. The symptoms you have mentioned does not sound like a cancer. Bad smelly stools can be caused by pancreas disease, IBS or diet. Right lower abdominal pain if is severe can be caused by ovarian cyst or urinary tract inflammation. I suggest you to have some tests


If this happens only during this time, the problem could be more acid in stomach. Means overnight the acid causes this problem. Change your food habits, avoid late night eating, avoid high fat food and heavy dinner. Walk for a while after dinner. Stop any form of tobacco if your taking. Take antacids as when required. Take something with morning tea or coffee. Pl.see your doctor if this simple things do not take care of your problem.


Hello, Heavy bleeding is known side effect of Cut. You can take tranexamic acid 500 three times a day during menses. This tablet is to be taken after food. You should take any antacid before food. Tranexamic acid causes acidity in many patients. If this doesn't relieve get your thyroid profile done. If this also doesn't relieve you can go for another method of contraception. Hope this helps.  Chat Doctor.


Hello, I generally prefer to allow the implant to heal under the bone and avoid any initial loading. The single stage or unibody advantage will allow you to have a temporary crown placed for the anterior tooth immediately. Ask your dentist for additional information and the particular brand. You want to see some clinical studies for the implant that you are considering. Consider a second opinion with a periodontist. The most important consideration is bone support. You want to do everything possible to have the best surgical outcome for the implant placement. Consider a removable temporary tooth while the implant is placed and heals as an option. Icon dental implants use short implants. There are MDI Mini dental implants designed for dentures by 3M. OCO Biomedical and Fischer Dental are some implant brand names to search for more information. Thank you for your inquiry.


Hello, Thanks for the query, Your sciatic nerve problem need detailed neurological evaluation which will include the clinical assessment by a neurologist followed later by MRI scan of the lumbar spine along with the pelvis and lumbar plexus and lastly nerve conduction test. All the tests will determine the cause of sciatic nerve problem, and then we will be able to guide you better. The so-called link which you feel can largely be ad Chat Doctor.


Hi, The pain in your tailbone area, is caused by the local trauma and neuromuscular damage. It will need some weeks for the pain to heal completely. I suggest you to


Hello, Everyone builds up daily plaque that you should remove with good dental hygiene. Your diet, health, habits and medications contribute to the composition. Smoking, coffee and tea are examples of stain causing culprits. If you are not effective in getting your teeth clean, consider a professional cleaning. Consider changing dental product choices. Have a complete dental exam. I suspect a tooth with decay and the hole builds up with debris. Some bacteria can cause discoloration on your teeth as well. Your dentist can check for this and any oral infections present. Have you had a recent dental check up? Think of any recent changes that you can attribute to the timing of the build up. A Chat Doctor. Thank you for your inquiry.


Hi and welcome to Chat Doctor. Thank you for your query. It is hard to find the exact cause. There can be spine metastasis, pancreatic disorder or degenerative arthritis. He should do spine MRI to rule this out. Till that he just needs some strong painkillers and physiotherapy. ALso, some surgical complications can lead to such pain such as adhesions or intra-abdominal infection. Without further testing nothing can be confirmed.Wish you good health.


Hello madam. Yes you have side effects when you smoke and breastfeed.it causes-Lower milk production due to various reasons-Nicotine comes in breastmilk.yes you are feeding. Your baby with nicotine added Milan way you are avoiding smoke inhalation by baby which is Guido stress smoking is not the only option. Try meditation or walk or jog. If you can't avoid smoking then-Cut down smoke to a considerable level-Smoke immediately after you feed the baby so that nicotine content you pass in breastmilk will be less(at least theoretically)DON'T STOP Breastfeeding AS YOU ARE SMOKING.IT IS GOOD TO GIVE FEED INSTEAD OF ARTIFICIAL FEEDS.if you have any more doubts feel free to ask me.


Hello, Hard, vigorous masturbation can cause friction injuries and rashes on your soft skin of your glans penis. Such injuries and rashes can cause swelling on the glans penis. If you attempt masturbation again without the rashes healing, the swelling may reappear. So take rest for around a week before attempting masturbation further. Hope I have answered your question. Let me know if I can assist you further.


Hi, The main concern for you is tubal blocks. If they have been identified on the HSG, they have to be treated by laparoscopic surgery if possible. So, the next step for you would be a keyhole surgery, where the surgeon will try to remove the blocks, it could be combined with a surgery called hysteroscopy, where the surgeon insert a tiny camera into the womb and sees its lining. These will guide us with further management. The TORCH values should not concern you much, because once you have got an infection it is very unlikely that you will get it again during pregnancy. And these harm the pregnancy only if you get the infection during pregnancy and not prior to that. The Egg values indicate that you had been infected and are now immune. Hope this helps. Regards.


HI Thereafter going through the details provided by you, I understand your concern and I would like to tell you that as you have developed A FIB after surgery and your resting heart rate is keeping on the higher side, It's basically the A FIB due to which you heart rate goes that high during activity. No pulmonary hypertension does not contribute much to increased pulse rate, instead it is the cause of your breathlessness and sense of pressure in the chest wall. I would like to give a trial of DIGOXIN to control your resting heart rate, but its advisable that you should consult your cardiologist personally and discuss your options. I wish you Good Health


The most common reason for toes to be deformed at a young age is a tendon imbalance between the flexors and extensors of the foot. For example, having a high arch or a caves type foot, leads to the extensor tendons bow stringing and hammertoe formation. Using a custom orthotic from a foot and ankle specialist may help balance deforming forces. Others have advocated taping the toes in an improved position, but I never tape child Chat Doctor.  With a certain type of flatfoot, the fourth and fifth toes turn inward due to imbalance of intrinsic tendons of the foot. Although these may be cosmetically unappealing I would never consider surgery until all growth plates close after around 18 years of age, and usually don't ever cause negative symptoms


Hi, Thanks for query, As you get throat infection often it indicates there is infected loci in your throat most probably in the tonsil giving you trouble. Avoid fried, chillies and junk food. Quit smoking if you smoke. If there are septic foci in your tonsil get it operated. As you get throat irritation with fever chances of allergy is less. Do salt water gargle or Listerine gargle daily. Ok and bye.


Welcome to Chat Doctor .1. Generally these kinds of symptoms are seen in the colonial sinus (infected hair) which can be treated easily in early stages with a course of antibiotics.2. If it gets complicated, it may cause sinus formation and fistulous opening and so all.3. You need a surgeon appointment.4.Don't ignore and leave for complications. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.


Hi AmarilysWelcome to Chat Doctor. Losing weight, blood in stools can relate to a cancer. H.pylori infection can cause gastritis, peptic ulcer disease, cancer. Low cell count can be due to vitamin deficiency also. Even though all these symptoms get together relate to cancer, from the information given, we cannot confirm the presence of cancer. All these symptoms can also be possible in vitamin deficiency and deficient nutrition absorption. Considering his age, he should be taken for evaluation of cancer. He should follow a complete nutritious set to get better. Take care.


Welcome to Chat Doctor. Scratch by teeth nails by animals which bleeds needs immunization by rabies vaccination. Since you have mentioned that it was not a stray dog I hope that it has been vaccinated. I would like to know the exact site where teeth had scratched you. If it is located near face or palm of hands would advise you to have a vaccination injection.Otherwise, in other site last week vaccination is adequate. Thanks.regards


Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Increase in AST and ALT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, Chat Doctor.  So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight. I hope I have answered your query and this will help you. Wish you a good health


HelloThanks for query. Based on what you have narrated I would say that you I have probably sustained an injury to erectile tissue or artery that carries blood flow to penis for effective and hard erection due to Vacuum device used for lengthening penis, Your problem of erectile dysfunction is mostly vascular in origin and needs to be confirmed by doing a test called Color Doppler Ultrasound Scanning of penis . Please consult qualified Urologist for clinical assessment and get the test done. Further treatment will be decided by him based on result of this test. Chat Doctor.


Chest pain radiating to arm is a classical symptom of Angina Sectors usually also associated with profuse sweating. Evaluation having showed variation in ECG suggestive of a heart attack (ST elevation) along with increased Cardiac enzymes is almost confirmatory of Myocardial Infarction (an ongoing heart attack). The next best step in case of persistent chest pain is to go through a Coronary Angiogram which will give a clear picture of the status of coronary arteries supplying the heart. Any blocks in these arteries if any will be detected and can be dealt with. If the chest pain has stopped, serial eggs and cardiac enzymes can be taken to confirm an MI (myocardial infarction) or heart attack in simple words, and then the doctor can proceed to do an angiogram or treadmill test based on the changes. High cholesterol levels might also play a part in clogging up the arteries and hypertension can also lead to damage to arteries and plaque formation. All these are additional risk factors if present in leading to a heart attack.


Hi, Green colored stool and constipation doesn't seem to be related to multivitamin syrup. Multivitamin syrup usually has b complex vitamins which are excreted through urine. In my opinion, your child has stomach infection, and you should do a stool routine microscopy test. Treatment will depend on above reports probably a deforming syrup and antibiotic like of lox will be required for 3 days. I hope this has helped you. Take care. Regards - Chat Doctor.


Hi, Welcome to the forum. Your symptoms could be due to disc prolapse in the lumbar area. However, it could be minor as you do not have leg pain. It could also be a mechanical pain due to muscle strain. Now, you could try analgesics such as diclofenac. If symptoms persist, you could see a doctor and get MRI Lumbar spine done. I hope this is helpful to you. You can consult me again directly through my profile. Regards.


Hello dear, I understand your concern. In my opinion as the ultrasound is normal you need not worry. There are various causes for bleeding like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy, bleeding from cervix etc. As ultrasound is normal the pregnancy is considered as normal. So the bleeding might be from cervix.Don't worry. It will subside spontaneously. Avoid physical strain and intercourse. Take healthy nutritional diet rich in iron and iron supplements to combat anemia due to blood loss. Best regards.


Hi, Dear,thanks for the query to Chat Doctor. I studied your query in full details. I understood the concerns you have. Cause for lump on Chest-This lump doesn't have any relation with thyroid nodules, or with burping and or with scenic cell tumor of parotid gland. Assuming you are male, Mostly this lump seems to be Sebaceous Cyst. I would advise you to consult ER Surgeon, who would resolve your issue by first-hand check and information.Don't worry and things will be right after this check up. Plz don't self-medicate and increase risks and costs of your illness. Just ask query to Chat Doctor and to me. Hope this would help your query to satisfaction. Write excellent review and hit thanks if this reply helps you out. Welcome for any further query to Chat Doctor and to me in this regard. Have a Good Day. Chat Doctor. N.


Hi, Thanks for asking the query, The veins which you saw are normally present but become more visible when inflamed or congested nothing is abnormal or worrisome. Most of the time the infection should decrease symptomatically and resolve in ten days. If it persists beyond that or if there is worsening of the symptoms consult your Doctor for thorough evaluation and management.Meanwhile, you can go for thrice daily warm saline gargles for faster recovery. A daily B complex multivitamin supplements would be beneficial as per Doctors prescription only. Hope you find this answer as helpful. Take care!


Hello! Thank you for the query. Pus presence clearly indicates an infection in this area. Such bump can be caused by a bug bite (as you have been camping recently). It can be also some bacterial infection due to a scratch for example. If it is not healing, and does not get better, I suggest you to consult dermatologist with this issue. Some antibiotics might be necessary to heal it. Hope this will help. Regards.


There is blood circulation defect as due to long sitting pump of veins eye not able to push blood up to heart and fluids collect in legs and causes all these apply cr\u00eape bandage after putting the legs in warm water for 20 MTS put 2 - 3 pillows ta night under leg to get blood reached to heart get dose of BP titrated as some salts of BP causes thee in allergies can take basting 10 mg OD for 3 wk till you consult specialist


Thanks for your question on Chat Doctor. In my opinion you are having scar tissue. Lung scar can be due to any past insult in the lung. It can be1. TB2. Pneumonia3. Lung contusion. Any insult in the lung heals by scar tissue. So no need to worry much about this as this is harmless. You can get done CT THORAX and bronchoscopy with BAD (Bronchi Alveolar Lavage) analysis for further evaluation of lesion.


Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered Chat Doctor.  There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope 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


Best food for baby is Breast milk. So try to provide that... Others are always replacement... If you are using Nan take 30ml rewarmed water and 1spoon(inside container of Nan) powder. Always feed should be remained after feeding that means child received adequate amount of feed. Cow mild should not give. It contains high amount of solute. If u want to give cow mild never add water in milk. But give plain water in between of feeding. Sequence of the best feed in new born1.mother milk2.formula milk (Nan) 3.cow milk


Hey thanks for your faith in the Chat Doctor.I have gone through your question and understood your problem. Normal fertility is associated with sperm counts >48 million/mL, motility >63 %, exhibiting normal morphology >13 %. It is very difficult to say without read of exact report. However, normal sperm counts is important for fertility, so also motility. In my opinion either upload all detail reports of SEMEN analysis or consult an INFERTILITY specialist and get his opinion. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention


Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). You are having increase GOT and SGPT. Please also get test for Hepatitis B (Bag), Anti HCV antibody for hepatitis C, autoantibodies like ANA and SMA to rule out other causes of increase GOT and SGPT. If all these tests are negative then you are suffering from NAFLD (Non-alcoholic fatty liver disease). Treatment for NAFLD


HIT hank for asking to ChatDoctorThese are the functional problems, you better see psychiatrist, before it is too late, you must be having elusiveness, obsessive, kind of attack if not treated in time then may lead to some kind of dangerous health problem, you are saying that you felt it could be gall bladder attack (Not the right term in any way, still I took it as granted) then at another incidence you are saying that your gall bladder was removed, just think it about that, what that is proved, have good day.


Hi. Your pain seems to be a muscle soreness following the activity... I suggest you to do a lot of icing on the painful area and keep it compressed with a cr\u00eape bandage.Don't stretch your hamstrings or glute muscles for now. If pain is too worse can have an anti-inflammatory medication with GPS advise.pain should get subside in three days. Not to worry. As movement allows then slowly stretch the Hamstrings and glutes.within tolerable range...again don't push it to the limit Hope this is helpful. Kindly revert in case you need any further clarification...


Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to a thyroid dysfunction from inflammation. I recommend consulting with the endocrinologist for a careful physical examination, a thyroid gland scenography and some blood lab tests


Hi, Thank you for providing the brief history of you. As you has a history of electric shock go up you leg and now the numbness in ankle and shin region, this is a classical symptom of pinched nerve in the lumbar spine and needs a thorough assessment and an MRI to assess the level of soft tissues within the spinal column. Also, physical therapy will be of choice to improve the spine stability, core strengthening, spine muscle strengthening, lower limb strengthening. In our clinical practice, we provide evidence based treatment and the majority of patients with similar complains do have pinched nerve where they respond well to physical therapy. RegardsJay In Chat Doctor.


Hi & Welcome. I can understand your concern. High level of ALT is suggestive of some problems with the liver or gall bladder. You need to do some more lab investigations like liver function tests, abdominal ultrasound scan to rule out the above conditions.Meanwhile, avoid smoking and alcohol (if you are habitual), avoid fatty and spicy foods, take small meals, increase the intake of fruits and vegetables, Chat Doctor. Hope these measures will help you in lowering the high ALT levels. Best regards.


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more in your case. Your symptoms started only after your boxing practice (exertional). So chances of muscular pain is more. But better to get done ECG and 2d echo to rule out heart diseases because you are having left sided chest discomfort. If ECG and 2d echo are normal than no need to worry about heart diseases. Do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. 2. Start painkiller and muscle relaxant Chat Doctor.  3. Apply warm water pad on affected areas. Don't worry, you will be alright. But better to first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks.


Hello, Thanks for consulting ChatDoctorRead your query as you have soft lump like swelling on tongue this can be due to sharp cusps of posterior teeth, It can be lesion due to any habit if you are having, or might be ulceration.Don't be worried so much I will suggest you to consult oral surgeon for examination of tongue and if there sharp cusps go for grinding of teeth. Do warm saline rinses, you can apply ointment like Mugel or McCoppin on tongue by consulting with your local doctor. Hope this will help you.


Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. Your symptoms seem to be related to anxiety. Your family history for atrial fibrillation doesn't seem to be related to your symptomatology. Has anybody besides you noticed the skin discoloration of your limbs? You are too young for such cardiac disorders. Anyway, a metabolic disorder (like thyroid dysfunction, etc.) can not be excluded. I recommend consulting with your GP for a careful physical examination and a complete check-up


Hi, Thanks for writing to Chat Doctor. It is better to go for IVF according to me. Let me explain to you why so. You have got 2 GUI failed. You are trying for last 2 yrs also. Since your all other investigations are normal it means there is problem in fertilization.  In IVF that fertilization is done outside so increased chances of conceiving. Yes you can become pregnant. But no procedure have 100% success rate. Hope I have been helpfulRegards Chat Doctor.


Hallow Dear, Fertyl-M is a Camphene citrate product. It is given to induce ovulation in women who fail to ovulate normally, but have sufficient ovarian reserve of the follicles. You are very rightly taking these tablets for day 5 to day 9 of the cycle. After day 9, you should ideally submit yourself for ovulation monitoring by ultrasonography. It has got two advantages


Hi, A child 6 years of age can be taught with the help of euro rehabilitation techniques. The basal ganglia and frontal lobes are important areas of the brain. The amount of scarred brain tissue is not clear from your query. However, by starting early rehabilitation, you can try to make his life better. He may not be able to perform like a normal child his age, but then you never know if techniques like brain stem cell transplant hold a promising future for child Chat Doctor.


Degree understand your concerns went through your details. If your daughter refuses to discontinue her course, please do not compel her. She is doing what her intellect says. Let her be happy and do it. You can ask her to consult a psychologist who can counsel her and teach her to cop with stressful situation and time management. In fact, she should learn it from her experience. Prolonged stress can affect her health adversely. She shows ADHD symptoms may not mean she has ADHD. Please consult a psychologist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, please use this URL. http


Hello,6th day after period is relatively safe if your previous cycle was regular. You also took Corvette as emergency contraceptive pill within 12 hrs. Here, chance of pregnancy is quite low. Vaginal bleeding after one week occurs due to with Chat Doctor.  It is a normal phenomenon. It will stop automatically. Don't be worried. Just maintain your genital hygiene. Next cycle may be delayed for 1-2 weeks due to hormonal imbalance. Do a home pregnancy test if period is delayed more than a week. Practice safe sex in the future. Good luck.


Good evening, welcome to Chat Doctor, It seems that your pain is related to your intestinal problem, especially if you don't have any other symptoms related to your reproductive tract. I don't have any idea of your age, and you have not provided exact size of the ovary, but let me tell you some facts; in a woman of reproductive age ovarian size may vary slightly (e.g. your left ovary may be carrying a dominant follicle, making the adnexa look swollen). So we cannot diagnose a problem on the basis of findings provided by you. I think you should repeat your ultrasound in 6 weeks to re-assess the size of your adnexa (combined term for ovary & tubes). This will make everything clear. But anytime you feel sever pain in the abdomen you should go to the hospital. Take care.


Degree understand your concerns went through your details. I suggest you not to worry much. I think you are guiding the doctors towards bipolar disorder. Your current symptoms do have some resemblance to bipolar disorder. But there are so many other symptoms along with high and low. Also, high and low moods are extreme and mostly rungs into days, not minutes or hours. Simple mood swings, exhilaration and distress, are normal with every career oriented, successful person. Talk to your friends and they shall also tell the same story. In case if you still want a confirmation, you can visit a psychologist for a psychometric test. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi, I have gone through your query and I can understand your anxiety. Levonelle pills or morning after pills has common side effects like stomach upset, breast tenderness, tiredness, lower abdominal pain, irregular menstrual cycle varies between spotting to heavier flow. Your symptoms might be due to the pills, as the day of intercourse and menstrual cycle are nearby there is no possibility of pregnancy.Also, you are missing your periods for 3\u00a0weeks, i advice you to do serum beta Chat Doctor to rule out pregnancy. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. V, General and family physician


Here you need to understand pain is just a symptom and the cause is different. So you need to cure the cause because this pain is basically a protective mechanism of body. When there is pain we come to know there is something wrong. For your flank pain it can be due to various reasons like kidney stone, obstructive myopathy, inflammation of kidney and upper urinary tract, polycystic kidney disease, urologic disease, acute appendicitis, bladder infection, bladder cancer, HY Chat Doctor.  You can check further on your own. So to treat you first we need to know what is the cause of this pain. For this I suggest you to do ultrasound abdomen, urine test and blood report and then visit a good nephron as well urologist and take treatment as per the report and diagnosis. If you are not happy with current doctor treatment plan you can always check with second doctor. For your joint pain please specify which joint is paining and since when ? But just in general I suggest to use hot and cold pack on your joint and do take suggestion from or tho as well physio for further treatment after detail check up for joint pain. I am sure this will be useful if you follow it step by step. Take care.


Hi, I have gone through your query and I can understand your concerns. The symptoms you have mentioned suggest the possibility of an enlarged cervical lymph node. Most probably it will be due to inflammation in the surrounding area. Check her oral cavity for dental caries, enlarged tonsil and oral ulcers. Start her on a short course of antibiotics like Tampico for five to seven days. Do warm saline gargles or gargling with chlorhexidine mouthwash. If the node persist despite all these consult a general practitioner and get a biopsy of the node done to rule out some other conditions like tuberculosis and lymphoma, These are rare possibilities and no need to worry that much. Hope this information helps. Regards. Chat Doctor.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should immediately take the antibioticsShigella Donna is responsible for causing dysentery. So alone probiotic won't work. If the antibiotics not taken immediately than it can cause severe dysentery making the condition more difficult. Please take tablet ofloxacin 200 mg two times a day, pantoprazole two times a day before meal along with probiotic capsule once a day. Please only eat hygienic food and mineral water right now and also in the future. This makes effective barrier for diarrhea in the future. Please adopt good handwashing practice. Maintain good HY Chat Doctor.  This will not make blood pressure going down. I will be happy to answer your further concern on bit.ly/


Hi, Thanks for writing in. Cancer in ovary that has spread to liver is stage 4 disease; it has limited treatment options and if chemotherapy does not show response then radiation therapy is used to reduce the symptoms. Feces in the vagina might be due to adverse effect of cancer causing a recto vaginal fistula. This is an abnormal connection between the colon wall and vagina and leads to feces matter coming out of vagina. Patient might be considered for surgical repair if general condition permits. Please consult her doctor within a day. Please do not worry.


Hi, I passed carefully through your question and would explain that these episodes could be related to an electrolyte imbalance, probably caused by the diarrhea. They are not related to the tooth extraction, but the antibiotics may have caused diarrhea (which is a normal adverse effect of antibiotics).  For this reason, I would recommend giving her a lot of fluids and rely Chat Doctor.  If these episodes persist, I would recommend bringing her to the ER and performing an EEG to investigate for seizures.  Hope I have answered your query. Let me know if I can assist you further.


Hi, dairy have gone through your question. I can understand your concern. Lump in armpits can be lipoma or enlarged lymph nodes.  You should go for fine needle aspiration cytology of lump.  It gives exact idea regarding lump. 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 dear, I understand your concern. In my opinion there is nothing serious regarding your condition. The pain upper abdomen along with vomiting could be due to gastritis. Gastritis is routinely seen in pregnancy. The loose motions can also be due to any stomach infection.Don't worry. Take antacids. Avoid spicy and oily diet. Adequate fluids up to 3 liters per day and electrolyte powder are useful. Take bland diet. Antiemetics are also needed. Relax. It will subside. Best regards...


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such severe infection can only occur if your immunity has weakened. I advise you should think of testing for your immunity. As you have tested yourself for staphylococcus you should also test its sensitivity for routine antibiotics. Please also test for MRSA testing. Taking the Chat Doctor.  If its MRSA than further treatment with mupirocin is necessary. This will clear up the staphylococcus from your body. Please maintain good living habit which includes daily bath two times a day. Good diet which includes fruits, green leafy vegetables, high protein diet. You can surely clear this bug from your semen if you take this much care. I will be happy to answer your further concern on bit.ly/


Hi, Dear,Thanks for the query from you to my Chat Doctor Clinic. I have gone through your query and appreciate your concerns of it. After in-depth study on it, In My opinion-the armpit-lump mostly is due to the lymphadenitis with lymphangitis, Which may be Lyme disease. Do the antibody test and biopsy to rule out the lymes' disease. It could simply be chronic-staph infection with fur uncle in armpit. Treatment-Before start of the treatment confirmation of the causative infection would be essential.-Antibiotics / Tb NSAIDs, /Rest and Elevation of the arm. Special Chat Doctor. Consult the physician and take the treatment on above lines Hope this would resolve your worrisome query for now. Wellcome-to my Chat Doctor Clinic for any more query.


Good Day! The peripheral wedge shaped defect at the lower part of your kidney simply means that there is scar formation on your right kidney at the lower part. The most common cause of this is infection of the kidney or pyelonephritis. Unfortunately there is no treatment to repair the scar in your kidney. The restaff your right kidney still has adequate function proven by good cortical uptake.  Chat Doctor.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at


Hi, thanks for using Chat Doctor Since you are likely experiencing an allergic reaction to the monist at, it would be best to discontinue it. Because you did not have a response to the rifleman your doctor may want to consider a swab to confirm the type of infections and possible resistance to medication. IF this is not an option then you can consider using the alternative medication suggested by your doctor. I hope this helps


Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having muscular pain. Treatment of it is analgesic such as ibuprofen for pain relief. Muscular relaxant such as thiocholcoside is of help. Vitamin B and C is helpful in recovery. Rest is important in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.


Hi, GTT is found in many parts of the body, including the kidneys, liver, pancreas, intestine, spleen, heart, brain, etc. So GGT alone is nonspecific Increased GGT levels can be seen in many conditions--many liver diseases, Pancreatitis, many cancers, Alcoholism, heart diseases. GGT levels may be increased due to medications also.  Smoking may also cause elevated GGT levels. So, if you have no other investigation suggestive of any diseases, no need to worry. Do not run after a single investigation which is non-specific. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  Rammstein, General Surgeon


Thanks for your question on Chat Doctor. In my opinion, as a rule in left sided chest discomfort, wended to rule out cardiac cause first. So get done ECG and 2D Echo to rule out heart related causes. Upper limb edema with shortness of breath and left sided chest discomfort is seen in congestive cardiac failure.  So 2D Echo will rule out this. Other possibilities are anemia and thyroid related problems. So get done CBC to rule out anemia and S.TSH to rule out thyroid related causes.


Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes.  Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner.  It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it.  In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time.  Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation.  For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care


Hi, it seems that your child has probably got stomach infection. In my opinion, you should give enterogermina ampule (bacillus classic) once a day for 3 days to increase gut immunity and antibiotic like syrup of lox needs to be given for 3 days, also give ORS solution to prevent deny Chat Doctor.  Since, medication in child are given according to weight, so you should revert with exact weight of child. Take care.


Hi, I read you query and can understand the trouble that you are facing. Going by what you have mentioned, you have social anxiety and can be more than that in form of generalized anxiety disorder. However, the good news is that your condition is amenable to treatment. I would recommend you to visit a psychiatrist at the earliest. Had I been your psychiatrist, I would have offered you combination treatment in form of medications with behavior therapy. The initial choice of medications would be from one of the SSRIs like sertraline. Behavior therapy would include relaxation training and strategies to overcome situation specific anxiety for which regular weekly sessions would be required. Hope this information was useful. Best wishes.


Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Multiple moles in butt cheek with satellite nodules growing in number indicating nodular spread of the Melanoma via lymphatics spread. Excision biopsy would fix the cause of it. Second opinion from Dermatologist or Surgeon would resolve this dilemma. Surgeon and if need be ortho-Surgeon would help you out in this work up. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist


Hello dairy understand your concerned sperm count can not cause pregnancy. Self sex does not cause problem in the pregnancy. You should consult the urologist for you husband problem and undergo color Doppler of scrotum, semen culture to find the cause of the problem. Clomiphene citrate, gonadal F, healthy diet and regular exercise will help. Avoid stress, smoking and alcohol. Hope this may help noncontact Chat Doctor for further health query Best regards


Hi...it is better to see and diagnose the skin conditions usually. But the other possibilities could be a Psoriasis or a systemic connective tissue disorder. Skin and eye conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  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, Thanks for writing in. Hope your husband is responding well to the chemoradiation for esophageal cancer. Let me explain the imaging findings in simple language.1. CT scan with contrast that showed he has subcentimeter nodes in the mediastinum


Hi, As this development occurred for one day all of a sudden indicates that it might be due to something insect bite causing allergic reaction to surrounding tissue producing this pain and itchiness. Another possibility of having some ingrown hair follicle producing boil or forming abscess. Wait for a day or two, if problem increases then go for one antibiotic medicine course for 3-5 days. Take some antihistamine as well. Ok and take care.


Hi, It may be an infectious boil. Kindly visit a physician. The following medications may be helpful


Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your problems. From the brief description of your symptoms, it is possible that this could be indicative of a depression. However, with the limited information that you have provided, it is not possible to arrive at a definitive diagnosis. A detailed history and psychological assessment is required. So, I would advise you to consult a psychiatrist for a detailed evaluation and further help. Wish you all the best.


Cellophane You for contacting Chat Doctor. From the symptoms I think you're most probably suffering from scabies. It is a skin disorder in which there is itching spread in whole family. Is itching sever at night and between fingers? I would recommend you to visit a dermatologist to confirm the diagnosis so that treatment can be started immediately. Although it is not life-threatening but may spread to people around you. Once again this disease would be confirmed by examination. I have concluded from the description you gave. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you all good health.


Hello, Fatty liver and dyspepsia is not at all affecting the future child. Yes, you both can plan a baby. As per my advice before conception check your both thalassemia minor report and your wife thyroid and diabetes profile. For conceiving sexual intercourse done around 14 days of ovulation time of menstrual cycle means time between 12 to 18th day of menstruation period. Hope I have answered your query. Let me know if I can assist you further.


Relax first, there is nothing impossible in this world if one thinks so. Keep courage and think patiently. You are not going to do anything which a sensible person does not do. You may in trouble but there is no way you should feel low. Talk to your relative or a friend because at times they will help you find way of your problem. Take deep breathes and go to an open space and have good cup of tea or coffee, and you will feel better and then with big lions' heart solve the problem. Buy


Hi and welcome to Chat Doctor. Thanks for the query. Odds are very small, but there are scientific data which confirm that estrogen does increase risk for breast cancer. This is very small increase, but this is the fact. Also, it can cause blood clotting disorders. However, it is considered that benefits of estrogen are much higher than bad effects so if there is indication for it, it should be used. Wish you good health. Regards


Welcome to HM. Most of the time it is psychological. You have done investigation to rule out organic cause. Be relax throw all material from your mindMasturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure in absent of partner both sex and masturbation has same and has same end result to get satisfaction. So excessive think can cause psychological stress. Constant thinking and feeling of guilt of masturbation will effects no need to worry. Regarding premature ejaculation. Your anxiety and stress will affect your sexual functions is mutual act. Premature ejaculation can be treated with both psychologically and Chat Doctor. Please read on net and learn how to do stop and start method of sex is very good results. It is thought diversion method and require time to learn. Search on net to do it proper way read more on googleMasturbating before sex can increase your time proper play and understanding is neededCondition can be treated with medicines like duloxetine and mild dose of clomipramin if you required. Thank you. Happy to help you.


Hi welcome to Chat Doctor forum. Your daughter aged 2.5 years age had breathing problem then she was given treatment with nebulizer, now when she got cold was given inhaler. Both are same by function depending on age the doctors prefer the type.  Inhalers are of several types, broadly bronchodilator and steroid.  Broncho dilators we should use to get relief, steroids are used only when the severity of the infection is more. Steroids are to be used rarely when ever there is necessary.  Breathing problem usually develops due to allergy, and if you could find the allergen you can greatly minimize the severity of the attack. Allergens can be traced by making a list of the things used and foods on daily basis. Note when there is cold or cough. Try to find out the things used on the day of the attack of cold and avoid such things which are common.  Besides I advise you some diet recommendations as avoid taking brinjal, fish, other seafoods, ice water, ice cream, cool Chat Doctor.  Don't allow her to play with water. Wishing for her continued good health, and thanks for calling.


Hello June,I'm afraid, but i didn't have heard any case of either shoulder pain or any other bodily pain with patients taking oral contraceptives. You also have a history of pill consumption without any pain complains. It might be due to pain which is due to muscle sprain or rarely may be referred from some other sources like left breast, or left axillary lymph nodes etc. If pain is not relived then get a X-ray of left shoulder done and let it be checked by an orthopaedician !!!get well soon regards, Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. Usually Lung cancer is seen after the age of 40 years. But smokers tend to develop lung cancerous at younger age (30-40 years). In your case, possibility of lung cancer is very, very less. But better to get done chest x-ray first. If chest x-ray is normal then no need to worry about lung cancer. Better to quit smoking as soon as possible. Take simple painkiller like paracetamol. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, As he has a pain in the knee which is pretty High, I will ask if he is able to bend the knee on his own in lying position and is he able to apply weight on the knee. I think he should be having more pain toward the medical side of the knee joint which could be a medial collateral ligament sprain. Also, I will advise going for an MRI as it could be a degenerative change in the joint which happens with age which might lead to changes in the soft tissue anatomy.  Doing hot water fermentation, using a knee brace, static Qua Chat Doctor.  In case is he is not diabetic than cold packs will help to reduce the pain as well. Please share the reports the next time, so we can provide the exercise prescription based on the pathology, but for now, the above-mentioned conservative management will help him reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Jay In