So you're having some kind of infection and taking azithromycin. Having chest pain is cause of concern. Reason may be simple chest infection causing pleural inflammation called pleurisy you can assess if its localized sharp and increased with deep breath. If its like it then simple antibiotic and pain killer are sufficient. But more worrisome is if its cardiac or Ischemic. So u may need chest x Ray and ECG to diagnose after proper clinical assessment.


Welcome to Chat Doctor I have gone through your query and understand your concern. This seems to be due to infection most probably viral infection. You are advised to visit ENT specialist for it. Till that analgesic such as ibuprofen is required. 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.


Hello! Welcome and thank you for asking on Chat Doctor! Your symptoms seem to be related to a nerve compression. It could be related to compression during sleep too, after staying in a wrong position. I would recommend consulting with a neurologist and performing a nerve conduction study to examine the nerves of your arm. Some blood lab tests (complete blood count, PCR, sedimentation rate) would also help exclude other causes like inflammation. Hope you will find this answer helpful! Kind regards,


Hi. Thanks for your query and an elucidated history. You have got recurrent sharp stabbing pains in the left abdomen between the naval and hip bone, this is most suggestive of the following


Dear patient This can be stress fracture of your tibia or muscle pull. Since you are exercising for last 3 weeks it puts stress on your bone which is not accustomed to such extraordinary stress. This leads to minor fracture in code which is not usually seen on X-ray.  I would like to advise X-ray of involved tibia fibula anteroposterior and lateral views to look for fracture line. Avoid treadmill for one week to give rest to your tibia. Take milk every day with vitamin D supplements. If your pain is not relieved within a week MRI of involved leg is required. All the best.


Hello, Your symptoms could be related to anxiety. Cardiac arrhythmia cannot be excluded either.  For this reason, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  Some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance).  If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hallow Dear, You had taken birth control pills regularly during the month of May. So your May month cycle was well protected. However, you have delayed starting the pills of June by seven days. So your June month cycle is NOT protected against pregnancy. You have to use additional protection like Condom during this month. Still, please continue to take the pills though you have started them after a gap of 7 days. This will help to give a start to next month's pills. You are right in your calculations. If you had your menses from 11 May through 18 May, you would be ovulating around 26-27 May considering your cycle to be 30 days. However, if your have got your menses in June, you do not have to worry about this period of ovulation. I hope this helps you.


Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that head injury followed by vomiting and headache is a sign of intracranial hemorrhage, creating pressure on the brain. It is necessary to do CT scan of the brain to rule out hemorrhage. If the there is an alteration in consciousness kindly attend the nearby ER department otherwise condition will be fatal. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.


Dairy understand your concern. The medications you are having may be apt. Still you need to consult a clinical psychologist for evaluating the depth of your depression and panic condition. Time and again it has been proven that medicines alone cannot cure depression. Yoga and meditation can help you in regaining body metabolism and streamlining the mind. Psychotherapy can streamline your lifestyle. Both together will strengthen your body and mind to overcome difficulties. Wish you speedy recovery.


Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause for the lump in your head and throat-In my opinion both these lumps are differrent-One on the head above right ear-is diagnosed by your doctor as but bite-and is being treated accordingly. The bite seems to be infected with secondary infection.Hence, I suggest it to consult ER Surgeon, who would treat it accordingly. Other lump -on the throat-is a separate lump and is not causing the headache you have. Headache you have is due to the infected bug bite and needs to be treated by antibiotics with your ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor.It's not thyroid as you think -otherwise Your doctors would have asked you to do USG and other tests to rule it out. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.


Hello thanks for posting at Chat Doctor. Your symptoms like shortness of breath, loss of weight, chest pressure, fatigue can be symptoms of anemia. But since you have worked up, I guess hemoglobin levels would have been checked and found normal. Another possibility is chest infection. You have mentioned that tests are normal, but not which tests have been done. I want to know whether a chest x-ray and a CT of the chest has been done. If not please get a CT chest done. It will show if you have some infection patches in the lungs. If infection patches are present, samples from those areas can be taken by bronchoscopy for testing. Possibility of tuberculosis should also be considered here. Since your ANA is positive then the symptoms can be due to autoimmune disease also. But again it depends on the intensity of ANA, its final dilution and its pattern. Please share information about the full ANA report. ANA positivity can affect lungs, kidneys and other organs also. Please do a urine routine and creatinine (if not already done) to see if kidney functions are affected. Please revert with the above findings. Wishing you good healthRegards


Thank you for posting query at Chat Doctor. Yellow color of eyes (sclera) indicates due to high bilirubin levels termed as Jaundice. Jaundice can be due to hemolytic anemia, hepatitis OR gall bladder pathology. Therefore, your advice to do certain blood tests and visit hepatologist or gastroenterologist at earliest


Hello, I would be happy to help you with your question. I think that you should still be concerned about the remaining tube.  For the same reasons that you had the ectopic in 2007, your other tube might be diseased as well in a way that was not detectable on HSG.  There should be consideration of a laparoscopy to look at the other tube, and to assess for adhesions.  I only suggest this because GUI is expensive, and if the remaining tube is not functional or there are adhesions, then it will likely not work, or you will be at risk for a recurrent ectopic pregnancy. I hope that this helps and good luck!!


It seems that there is some injury in the spinal cord itself, you can get a fresh CT scan or MRI for the spine and send me the report. Unfortunately spinal cord injury is not treatable by any medicine or surgery however stem cells can be used to regenerate the damaged spinal cord, and we have seen good response in such cases at our center. This therapy is still under research at present however you may try it


Hello, At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Hope I have answered your query. Let me know if I can assist you further.


Howell come to ChatDoctorAllergic reaction may be likely atomic dermatitis may be possible this can be managed with following medicines 1) Beclomethasone with Aureomycin for local application, if this does not respond then clinical examination would be necessary, as matter of fact all the skin lesions demands clinical examination for diagnosis without this difficult to say anything it is kind of art of looking that gives all information about disease, have a nice day.


Hi, If you are having symptoms like giddiness, blurring of vision, in coordination, slurring of speech, or if you lost consciousness after hitting your head It's advisable to see a neurologist who might advise a CT scan to rule out any bleeding. If you none of the symptoms, there is no need to worry and the pain you are experiencing will subside in few days. The reaction of your pupils cannot completely assess the working of your brain. Regards.


Hello, Thanks for the query. You might have developed an autoimmune condition like psoriasis or atop, Rash lasting for so long cannot be any infection. I would suggest you to get a biopsy done. It will help in finding out the exact diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https


Hello, Your symptoms need more through interviewing. It reflect botChatDoctorponents of anxiety and obsession disorder. Please visit a doctor & get yourself evaluated. At your age there can be several possibilities behind such thoughts and one need to be careful while starting Chat Doctor. However, with proper meds you will have great benefit-your mind will relax, the disturbing thoughts will reduce and day


Hi, Thanks for writing, I recommend you to visit a general physician and tell in detail the cause of your problem. There are many diseases which you may be at a risk of. Even though cephalexin was prescribed, but doctor might have prescribed it for skin and soft tissue infection.  See, almost all STDs are curable. You just need to have the right Chat Doctor.  A more detailed clinical examination and details of your history are must for a clinician to diagnose your problem. Only then can he prescribe better and specific


Hi, dairy have gone through your question. I can understand your concern. You have multiple myeloma. Your pathological fractures are due to multiple myeloma.  You should take treatment of multiple myeloma. Thalidomide plus dexamethasone is the treatment of choice.  Bortezomib can be used.  Definite treatment is stem cell transplantation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you are right. Your current scar on chest x-ray can be due to the procedure you had at the time of lung collapse. But better to get done 1. CT thorax. CT gives much better idea about lung lesion than chest x-ray.2. Bronchoscopy. If CT suggestive of fresh lesion (due to infection) than to search the cause, bronchoscopy is necessary. So better to consult pulmonologist and get done CT thorax first and discuss all these.


Hi, Chance of pregnancy is less because you used protection. Your symptoms could be due to hormonal imbalance as demo shot has been off. To confirm pregnancy, I would suggest going for blood Chat Doctor test, 10 days after sex. Blood Chat Doctor test is more accurate test and detect pregnancy earlier compared to urine pregnancy test. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,


Hello, At the age of 10, many conditions causes fever. You have not mentioned any other symptoms your child suffering from, otherwise it would be of great help in diagnosing the condition. The treatment you are giving is right to lower the temperature. But as you said it is not working, following may be the reasons


Degree understand your concerns went through your description. I suggest you not to worry much. The fluid you are talking about is actually the semen itself. Body produces semen whenever it is sexually aroused. Such semen should be ejected out of the body, and it is the need of the body. If you do not masturbate or indulge in sex regularly, body finds its own way to eject produced semen. It could be through night fall or urine. Your case is normal and stop worrying. As such leakage is normal, all your tiredness feelings are just in your thoughts. Divert your attention from sex related matters and prioritize. Channel the thoughts towards education and career. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck.


Hi I did review your concern. Can you please send us the complete blood report to comment more on your platelet count? Low platelet counts can be due to many reasons like a recent infection, or idiopathic (ITP) or immunological destruction or low production or bone marrow infiltration by any process. We need to have a look at your report and if it is below 1 lakChatDoctorm then a bone marrow aspirate is advised to see if it is megakaryocytic or not. Then there is treatment available to increase platelet count in form steroids or splenectomy or romiplostim and so on, but it depends on diagnosis.I hope this helps. Wish you all the best. Thank you for using Chat Doctor.


Hello, Headache, dizziness with fever in a child warrants detailed clinical evaluation by a pediatrician. Causes of sucChatDoctorplaints are commonly upper respiratory infections, but may be seen in certain other conditions such as migraine, hypertension, anxiety, CNS infection, etc. You should consult pediatrician and get detailed clinical evaluation done. Hope I have answered your query. Let me know if I can assist you further.


Hello user, As per your history, there were 2 times when you got pregnant before Caesarion. That shows that your reproductive system is without any problem, section. As far as I know, follicular size is not the only criteria which help you to get you pregnant ! The main point of concern is the Caesarion section performed by the surgeon might have made the inside of the uterus a bit difficult for the egg to implant, Which might be causing you infertility. There are hormones and Chat Doctor. Hope my info helped you regards


Hi, He has a fever, anorexia, vomiting, red eyes and some irritability. These symptoms usually suggest a viral fever, and need only supportive treatment. He will be fine in 3-5 days. Just continue the medicines as advised. Give paracetamol 3-4 times a day. Give syrup ondansetron (2\u00a0mg/5ml) 2.5ml 2-3 times a day for vomiting. Give feeds more frequently in small amounts-this will increase holding down. Take him back to doctor if symptoms are not coming down after 72 hours, he becomes very lethargic, or not at all taking feeds. Until then, you need not worrywart care. Hope I have answered your question. Let me know if I can assist you further.


Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you are having some viral infection which is causing fever, body aches and fatigue. As your symptoms lasted for few hours which was not associated with nausea and vomiting suggest that you had some flu like symptoms of viral origin. Most of the viral infections are self limiting, and it will subside by itself. As your symptoms have lasted for few hours it will subside gradually. For your symptoms, I would suggest you to follow1. Chat Doctor.


Hello, I have studied your case. This can be arthritis of spine due to deviation in mechanical axis. There can be associated disc Protrusion leading to neuritic pain. You may need MRI spine to get detail diagnosis. For symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. 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. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint yes, if you have an aggressive form of thrush and if you get a tooth extracted, the yeast will get favorable environment to grow and can infect the extraction area also leading to delayed healing.Also, the antibiotics given post extraction can cause flaring up of thrush and increase the severity of infection. You should therefore consult your treating dentist and take a script of antifungal medications to be taken orally like Fluconazole along with Statin mouthwashes and clotrimazole lozenges. Take more of probiotics like Yogurt in diet. Take antibiotics as less than possible as your dentist will advise you low doses to prevent flaring of thrush Hope this helps. Regards.


Hi, It is not proven that progesterone can really help with preterm labor, so your doubt is correct. Many doctors just prescribe it as a precaution. I would like to know if any sonography was taken and was the length or dilatation of cervix (mouth of the womb) noted. Only if there are changes in the length and dilatation of the cervix can we consider that you are truly in preterm labor and only then would some medications be advised. Braxton hicks are false labor pains and do not cause preterm. If you do have changes in cervix and repeated tightening and pain which in increasing in intensity then we should consider corticosteroid injection for maturity of fetal lung and admit you for observation in hospital at least for 24 hours ant to watch for bleeding or leaking. Also do not use progesterone as their benefit is questionable. Hope this helps. Regards.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are mostly due to musculoskeletal cause because of your work. But since you were taking poison for 3-4 weeks, better to rule out cardiac cause first for your left sided chest pain. So get done ECG first. If ECG is normal then no need to worry much for cardiac cause. Your symptoms are due to musculoskeletal pain. So try to follow these steps for better symptomatic relief.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep.4. Avoid movements causing pain.5. Start painkiller and muscle relaxant.6. Apply warm water pad on affected site.Don't worry, you will be alright.Don't start poison again.


Hello! Thank you for asking on Chat Doctor! I understand your concern, and I would like to explain to you that one of the most frequent inconveniences surrounding by pass patients is sternotomy region medical issues. Sometimes, local infections may complicate seriously the clinical course of healing and recovery. Sometimes, a sternal suture dehiscence appears as a very problematic and dangerous situation, leading to mediastinitis (a serious complication that urges prompt and vigorous treatment). You need to perform an immediate medical check up to your cardiac surgeon to rule out these medical complications. Hope to have been helpful to you. Greetings!


Dear as said by you have severe neck pain with radiation to head and back and there is history of car accident also. All this is suggestive of musculoskeletal pain with or without some nerve compression. To confirm the diagnosis we need an MRI cervical spine .that will show us about any bone fracture or nerve root compression, or it may be a simple muscle injury or stain.bone fracture with prolapsed disc compressing nerve is an emergency. That must be diagnosed as soon as possible and managed. If it is some muscle stain it can be managed conservatively by some muscle relaxant and painkillers along with physiotherapy. So at this time you need to discuss all this with your physician .hope this will help.


Hi! Thank you for consulting with Chat Doctor ! Is the rashes just on her right cheek? Have you noticed rashes on other parts of her body? Babies have very sensitive skin. It can be that she always sleeps on the right side and this part of the face is always in contact with the bedsheet or the cloth where she sleeps. It is best to avoid strong scents like perfumes, lotions and powder for both babies and caregivers. Also, when you start feeding the baby, introduce food one at a time. Give one kind of food for 3 days before introducing a new food to her. In that way you can observe if she has any reaction to that particular food. For example give wheat cereals for 3 days. Observe if she has a reaction like rashes, swollen eyes or in worst cases difficulty of breathing. If none, you may give mashed vegetable like potato for the next 3 days. Again observe for a reaction. If none, then you know she can eat wheat cereals and potato. Then again you can add another kind. Hope I was able to answer your question. Have a good day! Sincerely, Handle Dulay-See, M.D. Pediatrics


Hallow Dear, Follicular size of 20 mm does indicate that you may ovulate anytime. Hence, you have been rightly advised having maximum sexual relations during this period. However, at this stage, In. Chat Doctor would have helped you more. It would have caused ovulation within few hours and then sexual intercourse on this and the following day(s) would have increased the possibility of pregnancy. I hope this helps you.


Hello, Thanks for posting your query. The pain and swelling is due to the periapical infection of the broken tooth. The medication can relieve the swelling to certain extent. For permanent relief, tooth has to be extracted, or root canal treated depending on severity of infection involved. Please do visit your dentist and get the treatment done as soon as possible. Rinse your mouth using warm saline and chlorhexidine mouth rinse. Hope this helps.


Hello and welcome to Chat Doctor, Smoking tobacco in any form is a risk factor for developing lung cancer. Not only lung cancer, tobacco is known to cause cancer of many other organs like bladder, pancreas, kidney, head and neck region, aer-digestive tract. Since, you are coughing up dark brown colored phlegm (probably blood tinged sputum) the possibility of lung cancer increases. Tobacco is the worst known carcinogen (cancer causing agent). Long duration of smoking tobacco increases the risk of developing cancer, but it can develop after short interval of 2 years also if the usage is very high. Usage of tobacco should be discontinued. There are many rehabilitation centers and Chat Doctor. Thanks and take care


Hello, Unprotected intercourse soon after a period is relatively safe, as ovulation usually occurs two weeks prior to the onset of the next cycle. Risk of conception is high around mid-cycle. Birth control pills used on a regular basis help and are advised if she is not feeding the baby. Emergency contraception can be availed by insertion of an IUD also and this is more advisable than the pills in view of the safety and longevity. Hope you find this information useful. Take care.


you're absolutely right. She is having frequent episodes of Ties which are warning signs of future major stroke. As u told she also has carotid stenosis, if it is severe then carotid angioplasty and Stenton can be done. Nose bleeding is different issue. It is not related with carotid stenosis.  Most of the time if it is due to local nasal cause. For this consult an ENT specialist. Also check her BP during episodes of nasal bleeding as rarely high BP nay cause epistaxis.


Hi dear welcome to the Chat Doctor, Paracetamol to be used with recommended doses of 15 mg per kg 4 to 6 hourly to get the desired. Muscle cramps to be treated with plenty of electrolytes and fluids. Fever to be investigated in terms of CBC, ESR, CRP, TY PHI DOT TEST, URINE EXAMINATION, Dengue serology to rule out any infection. Plenty of Oral rely Chat Doctor.  Now days ready-made ORS is available in liquid for with the chemists. Hope the query is answered. Thanks


Hello, If you've been trying to replenish iron stores by mouth without success, then intravenous iron can be a fast solution, although it is not usually recommended for safety reasons. It could cause serious allergic reactions. The most important issue is that you should be certain about the reason that your iron is low. You haven't mentioned your age and sex. Both are essential information regarding low iron causes. Hope I have answered your query. Let me know if I can assist you further.


HelloThanks for writing to us. It is not a rule that while on Cigarette you should NOT be having periods at ALL. Cerazette often causes a period that is very scanty and only consists of brownish spotting such as the one you have described. So please do not worry. The period would be accompanied by mild pain also, which is normal. Continue taking Cigarette as has been instructed to you and do not worry. All the best.


Cellophane You for contacting Chat Doctor. Take medication for at least 3 days. If you do not find improvement or condition starts to deteriorate then consult hospital again for thorough evaluation. In most of the cases common allergy from insect bite, famines or food causes these symptoms. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.


Hello, Sporran is Lactobacillus which is usually given along with antibiotics to keep gut flora normal. Brazen is an anti-inflammatory, and it might have been given for the inflammation post hemorrhoid surgery. Radical is Omeprazole, an antacid that was given to you because you were prescribed painkiller and other Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care


Hi. Thanks for your query. Your have multiple problems of pain in abdomen, removed gall bladder, liver lesion, breast lumps biopsied FNAC so many times and diverticular disease and suspected celiac disease and tanned like skin. The major issue is the pain in the abdomen for which you should again get all the relevant tests like


This is usually a sign of cerebellar disease. Does he seem to have problems balancing himself? He may feel like he is tipping to one side. Alternatively, he may actually fall to one side. He may have difficulty in walking straight. He may develop tremors when doing something, like say lifting an object. I would suggest an MRI brain to diagnose the same. It is the MRI is positive, we will need to treat it accordingly. If the MRI is normal, a speech therapist may be able to help Best of luck Chat Doctor.


Hello and welcome to Chat Doctor, The permanent cure for any allergic disease is avoidance of the agent causing allergy. Allergy tests are available to determine the allergic agent causing allergic reaction. You need to consult an immunologist for patch tests to determine the cause of allergy. In the meanwhile, you need to continue the medication to control the symptoms. The dose of the Chat Doctor. There are some allergies which are seasonal and more severe during a particular season. So, a variation in dose is needed according to the season or severity of symptoms. Thanks and take care


Hi... Your neck pain is due to sudden insult to the spine and associated strong jerky movement in the neck... Because of sudden movement in the neck there could be spasm developed in the neck and may make you feel stiff and reducing the mobility... I recommend you to kindly do lot if icing both in neck and tailbone frequently.day once in every 2 hours for 15 mins. Avoid loading in the injured area... Support your neck while sleeping. If you have any Anti-inflammatory medication previously prescribed to you .can use them . Hope this is helpful to routinely revert in case you need further clarification....


Hi thanks for contacting Chat Doctor. According to your complaint it seems to be viral flu like infection.... It could be viral bronchitis or bacterial one... Sputum examination helpful. If it is infective by bacteria necrophilia will more and lymphocytes in viral.... Avoid smoking.... Take broad spectrum antibiotic like levofloxacin.... Healthy and balanced diet ... If cough not coming easily aerosol plus albuterol containing syrup can be taken... I blocked nose also present then elastin nasal spray given.... Take care. If still worsening chest x-ray done to look for consolidation... Chat Doctor.


Hi, Thanks for posting the query, Yes this could be related, sometimes the pain in the tooth can spread to the surrounding areas. I would suggest you to get a checkup done for the broken tooth take an OPG radiograph, and plan for the treatment. Take tab augmenting TDS and tab diclofenac TDS for 5 days. At home take antiseptic mouthwash rinses. Maintain a good oral hygiene. Take complete sleep, avoid anxiety and stress. Take care! Chat Doctor.


Hello, I have studied your case with diligence. When such patients come to our hospital I advise them blood test like CCP, HLA B27. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spindle arthropathy with RA test negative. NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor.  These include methotrexate and sulfasalazine. Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication. 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 welcome to Chat Doctor.... See effect of smoking is not same on every person... Genetic, environment and many other factors will affect it.... As in your case by smoking release of elastane can be there and lung tissue might be damaged by it.... Here restrictive lung disease like pulmonary fibrosis lung disease ruled out by x-ray and PFT... Chronic obstructive pulmonary disease like bronchitis or emphysema could be there. So rule out by x-ray and PFT.... You might have given bronchodilator therapy. Treatment given according to cause. So consult physician without delay with keeping my answer in mind.... Take care. Chat Doctor.


Hello, A positive anti-nuclear antigen (ANA), and a history of swollen hands, swollen legs, and joint pains suggest an autoimmune disorder. There are a number of autoimmune disorders which show positive ANA. The closest differential of above-mentioned symptoms is rheumatoid arthritis. Rheumatoid arthritis is characterized by joint pains especially the joints of hands. Rheumatoid factor (RF) is usually positive in rheumatoid arthritis however, it can be negative in many cases. I suggest you consult your rheumatologist for further workup. Hope I have answered your query. Let me know if I can assist you further.


You are having an ulcer over your tongue tip. Small ulcers 2-8\u00a0mm in diameter heal by them-self with in 7-10 days time. If there are multiple painful ulcers then it may be herpes. If the size is more or the ulcer is also not painful then kindly you must visit your doctor as there may be serious problem like malignancy. Otherwise keep your oral hygiene good, take some multivitamins, avoid smoking, alcohol, irritant type of substances. You will recover footage Care


Hi, Thanks for posting your query. You need to consult a gastroenterologist/hepatologist. He needs to undergo few more tests to plan the treatment. This includes tests to know whether he acquired the infection recently or earlier, tests to know the viral load and the e antigen status. Other tests like PT/INR, ultrasound scan of the abdomen and serum alpha photo protein should also be done. Your gastroenterologist/hepatologist will discuss more about this. I hope that answers your question. Regards.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Atelectesis is partial collapse of part of lung. It is mainly due to retained secretions in the bronchus. And I section is the most common cause for secretions. So, her current condition can be due to spread of infection from the family members. Treatment of atelectasis is 1. Vigorous chest physiotherapy and deep breathing exercise for removal of secretions.2. Bucolic and expectorant Chat Doctor. 3. Antibiotics to treat infection. Get done repeat chest x-ray after 7-10 days and if atelectasis is still there then get done bronchoscopic treatment for atelectasis.Don't worry, she will be alright.


Hello, As you are 45 and swelling of the leg is often present I will advise getting the kidney assessment done and also check for varicose veins issue.  As there is reduced venous return I will advise getting involved in an exercise which can help improve the venous return and improve the overall well-being. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.


Hi!welcome to Chat Doctor .com. Please do an ultrasound abdomen to know whether the injury has affected kidney or only soft tissue, Also it would do good to take a X-ray of that side including the ribs and vertebrae affected to rule out fracture. Minor kidney injury doesn't cause hematuria(blood in urine). If all goes well take a course of anti-inflammatory pills like broken for 2-3 days. It should subside. Take care.


His understand your concern. You need to investigate yourself for differential diagnosis. If it is associated with blurring of vision/difficulty in walking/giddiness/nausea and vomiting etc. then go for investigation.1st thing is required is funds examination. It will show any papilloma that suggest raise in interracial tension. MRI brain will helpful to rule out any pressure producing lesion or space occupying lesions. Analgesic like paracetamol help to reduce pain. If all report come normal then we have to think about migraine associated with tension type headache. But go for reports 1st then consult neurologist if you required. Still have query then feel free to ask. Thank you. Get well soon.


Hello, The blood glucose levels mentioned are showing a prediabetic state. Fortunately, it is a reversible condition, provided person maintains near normal weight, adheres to balanced diet and exercises daily for over 1 hour. Food intake has to be based on ideal body weight not on actual weight. For you to ward of diabetes following things have to be done


Thanks for asking. I have gone through your question and understand your concern. You said that your friends' daughter has been diagnosed with hand foot and mouth disease. You said that she played with your daughter 5 days before, I want to a mention point here that, duration(incubation period) between the virus that goes to body and the illness like fever is generally 3 to 6 days in hand foot mouth disease. So as you said that 5 days has passed since she is not developed and symptoms. It is very unlikely that she will develop the s disease now. yeah, this is you can spray her toys with Lysol to prevent infection but after spray with Lysol wash with tap water before your kid touch them.  Thanks hope I answered your question.


Hi, dairy have gone through your question. I can understand your concern. You have flu. Night sweating, vomiting, fever all are common in flu. Don't worry. Just continue your Tamil. Take plenty of fluid orally. If you have fever then you can take paracetamol as and when required. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


It is the condition of very much concern & should not be neglected. To diagnose such types of conditions correctly it is important to have a look at your lesion so that perfect visual impression can be made & diagnosis can be given. As I am unable to visualize it the exact comment about it can not be given. ButConsidering the symptoms & the course of the antibiotics you have it is must that you should consult a qualified surgeon who after looking at the swelling & palpating it can give the exact diagnosis. You may need a minor surgical procedure for it too. As there are the chances such of infections in the area of face & ear to spread to meninges (coverings of the brain) & brain causing serious complications such as meningitis & encephalitis due & utmost care should be taken to avoid the further consequences.


Hithank you for providing the brief history of you. A thorough neuromuscular assessment and musculoskeletal assessment is advised. As you have a numbness in the later aspect of the thigh, this could be related to the pinched nerve in the spine as to assess this a thorough neuromuscular assessment is advised post which is needed an MRI will be guided. Also, for you pain in knee a thorough musculoskeletal assessment is guided post which is needed than an MRI to detect the soft tissue status needs to be viewed. Based on the diagnosis, with simple medication and physical therapy should help you much better. Usually, if vitamin D medicine is taken, it should act in 7 days of time, if it doesn't than need of sunbath is advised. If still the pain and numbness persist than the MRI comes to existence. I see cases with such numbness and such, but the problem I usually confirm from the pinched nerve in the spine and vitamin D is just a deficiency and may not give major symptoms. I advise my patient physical therapy and they respond well. RegardsJay In Chat Doctor.


HelloThanks for your query, based on the facts that you have posted it appears that you have pain in your penis before passing urine. This is most likely to be due to inflammation of urethra(Urethritis). Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like \u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria.


Hi, You want to know how much time she will take to recover and get out of the bed. I can predict that she may take somewhere around 4-6 months to recover well also there shouldn't be any kind of infection she gets in this duration. Having a physiotherapist who can teach some simple breathing exercises and help her with active assisted ROM exercises which can help her to keep the joint freedom and also muscle will be in an active state. Because anyone lying in bed for a long time will have muscle weakness irrespective of the age. So bedside physiotherapy will definitely help her to regain all the ADLs.  Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. Aortic aneurysm is abnormal dilatation of part of aorta. This can cause symptoms of chest pain, chest tightness, chest pressure, breathlessness, cough, fainting episodes, black-outs, hypotension or uncontrolled hypertension etc. So if you are not having any of these symptoms then no need for urgent 2d echo. But it is recommended to get done 2d echo annually to rule out other cardiac diseases and complications. Don't worry, you will be alright. No need for rush for 2d echo. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Dear-thanks for using our service, I reviewed your question in detail. Your back pain could be secondary to gas, because it gets worse when you eat or over-eat. It gets better when you massage the area because it helps the movement of the gas. The other situation that aggravates it is the excessive acid reflux, which can irritate the walls of the esophagus and give you pain which can radiates to the back. This pain can be so severe that can mimic a heart attack. Antacids helps this situation, and you can add Sanitizing or Cimetidine, both control the acid production and relieves the reflux. Avoid food like spicy, coffee and alcohol too. All of those changes will improve your symptoms, I hope that my advice has been helpful. Chat Doctor.


From the question and details it appears that you have stopped or increased the dosage of medicines on your own. If you did not, and it was your doctors' advice then continue with it. If you are not advice to change the dosage, I suggest stick to what your doctor has advice you.govern is advice for pain in RA mostly and I suggest you to take the dosage as per your doctors' advice as its one of the side effects is it interferes with kidney function. I would suggest you not to increase the dose without consulting your doctor once. And do keep exercising sometimes or visit a physiotherapist to learn about exercises. It helps in management of RA usually,


Hi, I have gone through your query and can understand your concerns. As per your complaint it seems that a raw spot on roof of mouth can be due to torn mucosa caused due to any hard foods, burning with hot foods or chemicals, Canker sore formation etc. Secondly, black spots scattered on the roof of mouth can be due to melanin pigmentation caused due to most common factor like smoking. It can also be due to any medications if you take. Another cause however very rare can be a Melanoma. Consult an Oral Physician and get evaluated, and a thorough clinical evaluation has to be done. In case if it is due to smoke then cessation of smoking habits can gradually resolve pigmentation. The same is with medication. As of now for sore spot apply numbing gel containing Lidocaine. And take anti-inflammatory painkillers like Ibuprofen. Hope this information helps. Let me know if I can assist you further. Thanks and regards,


Hallow Dear, Phaeton is a progestational medicine. In fact progesterone is needed for stabilizing the pregnancy and taking it to the term. So rest assured that Phaeton will not cause abortion. If you are having progesterone deficiency due to weak corpus luteum, you will need this medicine to stabilize this pregnancy. Then in such case if you stop Phaeton, your pregnancy might get disturbed. If you continuously take Phaeton, you will not get your menses even if you are not pregnant, till you discontinue these pills. After stopping them, if you are not pregnant, you will get with Chat Doctor.  I hope this resolves your query.


Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, hiccups and sweating are seen with heart and lung diseases. So better to take him to hospital and get done blood pressure monitoring, ECG and 2d echo to rule out heart diseases. Get done chest x-ray to rule out lung diseases. If all these are normal then no need to worry much. Give him could water to Chat Doctor. Baclofen twice Daily should be started for hiccups.Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Hello, Your symptoms could be related to vitamin D deficiency or a metabolic disorder (anemia, thyroid gland dysfunction, etc.). For this reason, I would recommend performing some blood lab tests (complete blood count, PCR, ESR, thyroid hormone levels, blood electrolytes, vitamin D and vitamin B12 plasma levels). You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Montoux is not a diagnostic test, it just tells that you are exposed to tuberculosis and in countries like India, Africa and most of the developing countries almost 70-90 percent of ppl are exposed to TB and almost all medical professionals are also exposed to TB, that means everybody lol have a contour positive in other words you can say Contour tells the immune response not the disease diagnosis of tuberculosis disease is made only by sputum smear examination or sputum culture for tuberculosis and never by contour discuss this with your physician so that he can guide you best thanks feel free to ask more questions


Dear friend . I don't think having asthma is a contraindication for visiting your day care. I am sure you are knowledgeable enough to manage the emergency situation if it arrives. Ask the parents first to meet the pediatrician and get proper treatment. See that child is not exposed to dust. Provide hygienic food and water to avoid infections which may exacerbate asthma. Better keep an inhaler for emergency learn to operate. Inform the parents that must be available on cal if required.


Hello, You are a hepatitis B carrier patient. For that regular monitoring of GOT, SGPT needed. If they remain high, then Head and HBV DNA have to be checked. Otherwise, no need for any medication. Legal on proved beneficial in a few clinical trials. But still cannot eliminate Bag from the blood. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further.


Hello dear Leslie, warm welcome to Chat Doctor.come have evaluated your query in details .* The case discussion requires all details of reports done till now for better guidelines of management.* Suggestions at present - Chat Doctor.  - Consume balanced nutritious diet.  - Regular walking in fresh air, exercises, YOGA - Avoid smoking, alcohol if using.  - Avoid stress, anxiety.  - Manage regular sound sleep of 8 hours. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards .


Hi, Small biliary leaks can result in persisting pain abdomen following gall bladder surgery. However, it would have been found out in the search they made. The pain you are experiencing when every thing is normal may be a referred neuralgia. This is not an uncommon problem, but is generally ignored by many due to its mild and intermittent nature. You may try Gabapentin or Amitriptyline, after consulting your doctor. Hope this helps.


Hello, I had gone through the case and found that you must go for MRI to know the exact cause of pain. Also do vitamin D3 and Vitamin B12 blood test. It might be cervical and lumbosacral spondylitis.Meanwhile, take mild painkiller and apply muscle relaxant gel. After diagnosis go for physiotherapy, it will help to subside the pain. If vitamin D3 and Vitamin B12 deficient then take Vitamin D3 once a week and meganeuron OD once a day. Hope my answer will be effective for you. Thanks


Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You had fever since 4 days, and also tonsillolith, (consular stones) They may not be harm full, but they are a absence. Abdominal pain may be secondary to indigestion of the fever. Cancer of the kidnaps may not have any relation with the present condition, but if streptococcus infection is there kidney may be infected, but the symptoms will be different.  I advise you to consult an E.N.T.surgeon for diagnosis and treatment.  Wishing for a quick and complete recovery.  Best regards.


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. This may be is caused by urinary infection including kidneys infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out which are the most common causes. You should Chat Doctor.  You should reduce salt in your diet as well, alcohol and carbonated


Thanks for your query. I have gone through your query. The soreness or ulcer could be an authors ulcer. The most common cause is stress or post surgical(removal of lump) or nutritional deficiency. Nothing to be panic, consult an oral physician and get it evaluated.Meanwhile, you can take symptomatic treatment like topical anesthetic like 2% lidocaine gel. Apply 3-4times daily. Consume nutritious food. Lead a stress-free life. I hope my answer will help you. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of simple musculoskeletal pain is more. But better to rule out heart related causes first because you are having hypertension. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about major cardiac diseases. Musculoskeletal pain is more likely in your case. So avoid bad postures in sleep. Avoid movements causing pain. Take simple painkiller like ibuprofen. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi Thrive read your query and I understand your concern I would like to tell you heart problem generally in young age is unlikely to happen until unless you have a very strong cardiac family history. It's advisable for you to take antianxiety meds like alprazolam for some time, but this medicine is not available over the counter. So, you have to go to a doctor for written prescription. Hopefully I answered your query. Wish You Good Luck


Hi, Welcome to Chat Doctor forum.  The hot flashes might be due to the deficiency of the estrogen, H.R.T is discontinued due to some reason.  There might be some other reasons, for hot flashes, may be underlying feelings of deficiency of estrogen, deficiency of vitamins, some chronic infections.  I advise you to consult a physician for diagnosis and treatment.  Take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  Wishing for a quick and complete recovery. Thank you.


Hello, Chat Doctor diet is not approved for weight loss unless it was recommended by your doctor. As it contains restrictions in foods, you might suffer a lack of nutrients, plus changes in pH of body fluids.  All these changes might affect the already damaged nerves, precipitating neuropathy pain flare-up. So you should stop this diet, and if it was recommended by your doctor, report this to him/her. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Good evening sir, The symptoms you have explained may be due to lots of reasons, but, your primary concern should be to get yourself evaluated by a neurologist, to rule out any kind of brain injury, which might be a minimal shock to the brain to a severe extra rural hematoma, such signs often are accompanied along with head injury, so please take good care of yourself and consult a neurologist as soon as possible.


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Bilateral limb swelling is due to cardiac failure. Stagnation of blood due to edema is leading to blood perfusion into subcutaneous tissue and itching.2. Limb elevation and diuretics will reduce edema. It's very important for edema to disappear to improve itching symptoms.3. Avoid plasma and go for packed cells during next transfusion in view of cardiac problems. Hope it helps. Any further queries, happy to help again.


Hi, I understand your concern and I feel that he may be having sensory neuropathy for idiopathic peripheral neuritis. I think he should be getting a nerve conduction velocity testing rather than MRI brain as I do not think this is a central cause, but I feel it is more of peripheral cause or peripheral neuropathy. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, History of total absence of menstruation followed by surgical (mostly Dilatation and Evacuation and Curettage) termination of blighted ovum pregnancy is suggestive of adhesions formation in the uterine cavity due to trauma to the uterine lining and the musculature. This entity is known as Sherman Syn Chat Doctor.  This could be the cause of failure of conception. Hysterosalpingography / Hysteroscopy can diagnose this condition. If Sherman syn


Hello there, I am Chat Doctor.  Because sudden pain after stopping of antibiotic is not the feature related to staph infection. If infection is remaining than you have associated symptoms like fever, body pain and many more. You have not mentioned your age here. I think you need to see an orthopedic surgeon. Because in later age our bone became weak and slight straining may lead to so-called pathological fracture. You just go through x-ray examination and along with your serum calcium level. According to that calcium supplement can be started. You need to do suggested things. Hope I have given appropriate guidance to you. If you have any query you can consult me anytime. Give me star rating according to your satisfactory level. Thanking you.


Hi, Son diagnosed with Depressive disorder with psychotic symptoms and on treatment, Divalproex sodium 1g/day, Aquitaine 400\u00a0mg/day and Escitalopram 20 mg. Depression that occurs very early in age (you have not mentioned your sons age) and with accompanying psychotic symptoms has a high chance of recurring again. In the first 6 months the chances of relapse (symptoms appearing again) is very high and so the medicines SHOULD NOT be stopped. Thereafter, the duration for which he needs to take medicines depends on how many times this has happened to him earlier and on the severity of the illness. The treating psychiatrist will decide this based on clinical judgement. He need not take it throughout his life if he maintains well while on medications. The doses will be reduced, and few medicines will be stopped eventually. He will not get dependent on this medication, there is nothing to worry about. Hope this helps, Chat Doctor.


HIT hanks for posting your query to Chat Doctor.  Most of the breast lumps at your age is harmless. But still it needs to be evaluated.  Does it feel hard to feel or firm or soft ? If you can make it out its better you get a breast examination by your doctor. Only if he feels it need further evaluation then you can go for Mammogram test.  But there is no need to be scared as I told earlier that most of the lumps at young age is harmless.


Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-CAD(Coronary Artery Disease) with Smokers Cough with Bronchitis. Low thyroid could be causing high lipids with accompanied Coronary predisposition to Chest Pain. The left chest pain radiating to collar bone, is a bad indication of- accompanied Coronary blockage with impending Heart attack causing Myocardial infarct. To avoid this-You need to Consult Cardiologist- and get investigated for lipid profile and stress test/ Thallium Nuclear Scan may be needed in your case. X-ray Chest would fix the Bronchitis with smokers lungs. Rule out other causes of bronchitis with AFB and IRA Blood test for to rule out-hidden TB lungs. This briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http


Welcome to Chat Doctor I have gone through your query and understand your concern. There is no harm in getting surgery if your anesthetist consider you feet for surgery. Life is unpredictable no one can tell about it accurately. Life is prolonged by Chat Doctor.  Keep hope and live your life. 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.


Hai, i appreciate for quitting smoking. Normally after quitting smoking 3 to 4 months will need to get regularize and healthy ovum from ovulation. In addition to that you should follow a healthy food habit, lifestyle etc. along with the medication. Follow the below advise


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more because you develop symptoms only 10 minutes before and after seeing your boyfriends' chest. But better to rule out lung related diseases. So get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If both these are normal then no need to worry about major lung related diseases. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hi, If I were your treating Doctor for your case, I would come up with three possibilities, these include


Hi, I did review your concern. I believe you son had probably some infection. Staphylococcal infection of stomach is generally not seen, but we do see food poisoning due to staph toxin resulting form eating contaminated milk based food. It can cause fever and severe vomiting. It does not require any antibiotics, and it usually reverses on its own after toxin is passed through stimuli hope this help swish your son and your family a healthy life ahead.


Thanks for posting your query to Chat Doctor. Influenza is a viral infection present with feature of common cold . Upper respiratory tract is involved mainly and patient present with weakness in head, headache, watering from eyes/nose, discomfort in throat, mild cough, fever, body ache etc. it will recover spontaneously within a period of 7 days. You should maintain proper HY Chat Doctor. For systemic symptom Paracetamol can be taken for symptomatic remain. Take care.


It's called award in Ayurveda. If other medicines are not working pl give her water/ tea/ milk boiled with Holy basil leaves and may also give her 1/4 tsp turmeric powder once a day with water or honey. Duchy powder (Diaspora Cordelia powder) is also a choice to add. Anyone or two or all may be started on availability. There are capsules also available Tulsa (Holy b.), Hard Chat Doctor. ), Duchy of Himalaya herbals. There are no side effects. These are natural. Can be given with other


Hi, Yes, pain in the food pipe and stomach is due to the side effect of danogen-50. Nausea, heart burn, dyspepsia or epigastric pain may occur with the use of danogen-50. It may be due to the dosage taken. It can be prevented by stomach acid suppressant like antacid or proton pump inhibitor. Talk to your doctor about reducing its dosage or switching to another Chat Doctor.  I advise certain lifestyle changes to prevent this problem like


There are two broad possibilities to consider. She might have elevated blood pressure which might have caused the bleeding. Her blood pressure needs to be checked immediately. The second probability is gastritis and a gastric ulcer. It could also be that she has developed a gastric ulcer which has bled. This also goes directly with her pain in the stomach as well as her weakness. Whatever be the case, ask her to go to a hospital emergency immediately. Be sure to ask her to take somebody along.


Hi. This is a par of the sequel after any surgery with septic peritonitis, whether due to perforated appendix or any part of the intestine. After the perforation the intestinal contents spread in the peritoneal cavity. The intestinal (appendix is a part of intestine) contents contain bad bacteria and once they reach the peritoneum, infection becomes widespread. Sometimes even the best antibiotics may take time to control the infection. The white foul smelling discharge is pus from peritonitis. This is coming from the peritoneal cavity. The bad odor is produced by the breakdown of the tissue by the bacteria as a byproduct of the process of pus formation. Pus culture and sensitivity guides for the best antibiotics which may help fasten the process of controlling infection. Blood proteins should be within normal limits for a good healing. Hemoglobin should be good. There must not be any affection of liver / kidneys. May need sonography or CT to decide what is the extent of infection inside abdomen before your Surgeon may decide to re-open the abdomen, if he feels necessary.


Hi, thank-you for providing the brief history of you. As you have Achilles tendon and with Physical Therapy you are helped it is good that you continue further. As your ROM has improved and also the strength now needs a bit of correction of the proprioception. Using a balance board training will help further more and also walking on a ground with bare feet. In my clinical practice only physical therapy, balance board training, bare feet walking on ground, grass, standing on the acupressure plate etc. helps patients regain the normalcy of life. RegardsJay In Chat Doctor.


Thanks for your query. I have gone through your query. As far as the pain is concerned, it can be because of the gum infection that has resulted in bone loss(as you described as it is in OPG). Nothing to be panic, consult an oral physician and get it evaluated. For the severe pain, you can take retool tablets which will reduce the pain in 10 minutes. Along with the analgesic, you need to take a course of antibiotics like amoxicillin and metronidazole combination(if you are not allergic) till you consult your oral physician. Once the diagnosis is confirmed, If it is a gum infection, it can be treated with scaling and root planing. I hope my answer will help you, take care.


Dear, Welcome to ChatDoctorWe understand your concerns went through your details. The present heart palpitation you complained could simply be due to stress. Usually, body rhythm changes after food. To digest food, body needs more oxygen and blood and automatically heart beat and blood pressure is increased. You watched absent-mindedly the palpitation and got obsessed with it. When you started watching the heart beat, body considered it as stress and took preventive measures. Rapid heart beat is bodies preventive measure to overcome stressful situation. Don't worry. You may consult a physician for necessary evaluations. If you require more of my help in this aspect, please use this URL. http


Hello, Thank you for your query. I understand your concerns. For ideal blood glucose control the fasting blood glucose should be less than 110 mg/DL, the 2-hour post radial blood glucose should be less than 160-170 mg/do. I am not sure of your mothers age as these values are patients who are less than 55-60 years old and who are reasonably in good health.  As a person becomes older or if there is a diabetic patient who has multiple problems, then these target values would also be a little higher than too tight control of an elderly persons blood glucose will cause them to have low blood glucose (hypoglycemia) and this can cause in serious complications. I am also not sure how often your mother is taking the Glycimark M and the Logo 0.2 mg. Assuming your mother is less than 60 years old and that she is reasonably good health, if she is taking Glycimark M 40/500 only once a day then it can be increased to twice a day (15 -30 min before breakfast and before dinner). If she is already taking this tablet twice a day, then she can increase the dose of this, she can take Glycimark M 80/500 twice a day. Recheck her blood glucose levels in 2 weeks. If her blood glucose is still high then she can take Logo 0.2 mg either twice a day (if previously she has been taking it only once) or up to three times a day (if she has been taking it only twice a day). If at any point she experienced low blood glucose symptoms like sweating, hunger, dizziness, fast heart beat, mood changes etc., then it is the Glycimark-m that is causing the symptoms, and she needs to reduce the dose of this. The immediate treatment of low blood glucose is by taking a tablespoon of honey/sugar, sugar candies, glass of fruit juice or regular Pepsi/coke etc. This should be followed by a carboy Chat Doctor. Her blood pressure is fine, and she needs to continue with her Advance and Cretan. I hope this answer has helped you. Regards


Thanks for asking your query completely understand your problem you have non resolving pneumonia as a diagnosis along with a nodule in rt middle lobe ? Cause.regarding bilateral parenchymal lesions in lungs sputum can be tested for AFB, myogenic culture and sensitivity, fungal elements, malignant cells. Or that 6 mm nodule along with these parenchymal lesions you should consult a pulmonologist personally and if he wants a bronchoscopy to be done to rule out malignancy and other causes by taking a biopsy if anything is visible on copy.don't panic go to a pulmonologist, he'll guide u the best thanks for more queries feel free to ask may god bless you with good health


Hello, What I understand from history is that this pain is due to nerve entrapment. Use a soft cervical collar for a week to two.  Do some hot water fermentation to relax the muscle spasm in the neck and shoulder region.  Later start some low-intensity static neck exercises for stabilizing the neck and strengthening the muscles. Post which does exercises for the upper limb strengthening. You should do well. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.


HI, Thanks for your query.  I have read your query & understood your problem.  You seem to have allergic problem leading to bronchitis. * Antibiotics in 2nd months monthly intake of antibiotics when prescribed by a doctor knowing about your pregnancy, is not likely to cause direct effect on fetal development except for staining of teeth sometimes. But, the antibiotics are likely to cause B complex deficiency in yourself. Which would in turn cause loss of taste & less eating . Weakness& this may indirectly affect your baby.  Anti-allergic pills taken for a long period is not indicated in early pregnancy (before 3 months) Intravenous injections of antibiotics (permissible in pregnancy)/ bronchodilators do not affect fetal growth.  * Better way to manage your problem is to have consultation of a chest physician & start preventive measures for it. Inform the doctor about your pregnancy & then start with inhalers / medicines. Syrup, pills as per his expert advise.  Thanks.


Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You have got bad stomach pain that is up to the Regina, You are always getting the pain and fear of getting the pain at any moment.  As you describe it appears that the pain is in the lower abdomen, the description suggests that the pain is a urinary tract infection, or a stone in the urinary tract.  I advise you to consult a surgeon for diagnosis and treatment. You may need to have an M.R.I.besides other routine tests for confirmation. If follow this recommendation you may not get the pain here after.  Wishing for a quick and complete recovery.  Best regards.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart and lung related diseases for your breathlessness on minimal exertion. So consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. Get done PFT (Pulmonary Function Test) and chest x-ray for lung diseases. If all these reports are normal then no need to worry about major heart and lung diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms in young individuals. So avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi Saber, Welcome to Chat Doctor ! The anaphylaxis is a life-threatening phenomenon, you should remember the name of the painkiller and avoid it in the future. The Chat Doctor. You should take frequently the household liquid diets like warm soups/tea etc. Lemon water would also be good. I would advise continuing tablet levocetirizine 5\u00a0mg for 5 days to come. I hope the advice would be informative and useful for you. Take Care!


Hi dear user, thanks for your query. Decreased blood flow during menses is one of the advantage of oral contraceptive pills. In your case, it seems to be the same. Brown discharge may be residual menstrual blood, or it may be due to some local infection. If this is residual blood it will subside. But if it is due to infection then it will persist, and you will need some treatment. Failure rate of pills (used correctly) is very low i.e. 0.1. So, if you have taken them regularly then chances of pregnancy are negligible. Hope this helps.


Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion your pneumothorax problem is more associated with ballad and bless. If you are having bull and blew in your lung than possibility of pneumothorax is always high. Bulla and blew can easily rupture by coughing, sneezing, heavyweight lifting etc. and produce pneumothorax. The only solution for you is to consult pulmonologist and get done bursectomy (removal of bull and bless) with pleurodesis (iatrogenic adhesion of layers of pleura). Pleurodesis will remove the potential space for pneumothorax because of adhesions. So recurrent pneumothorax can be avoided. This procedure is known as VATS (Video Assisted Thoracic Surgery). So consult pulmonologist and discuss these. Vitamin b 6 deficiencies can not cause pneumothorax. And vitamin B 6 is water-soluble and easily available in day to day food. So deficiency of vitamin B 6 is less likely in your case.


HelloAppendix was inflamed, and they removed it, they also removed a hematoma and a ruptured cyst. I want to tell you that, since for 10 years, you were suffering for cysts, that was the reason of pain. Appendix don't interfere in getting conception. Since you are 34 years old and not been pregnant. So I recommend you please get in ultrasound of both ovaries (if right is not removed completely). Thereafter, if nothing is abnormal write down complete history of menstruation cycle. If this is also normal then write down size of matured follicle and probable date of ovulation. Either upload all these reports or consult an INFERTILITY specialist and get his opinion. If everything is normal you can get pregnancy. Good luck.


Hi, as you mentioned the history of you. Ofcourse you need physiotherapist to assist further your muscle strength and the joint mobility. Also, performing proper exercise in the correct axis and planes with the maximum longest lever application for the strength of the muscles is guided. Focus on the hand as a whole because it is a complicated unit and need a thorough attention with various factors to keep into consideration. With the grace of God I wish you a speedy recovery


Thanks for your query, I have gone through your query. The broken tooth or root should be removed prior to the placement of the implant. The implant cannot be placed in the root itself. The root piece has to be removed, then the implant has to be placed. If required bone graft has to be placed and the socket should be left for minimum of 6 months for the new bone to form. Or else, immediately soon after removing the root we can place the implant, but the success rate with immediate loading implant is less compare to waiting for 6\u00a0months and getting it done. I hope my answer will help you, take care.


Hello dear, I understand your concern. In my opinion the pregnancy is suspected by a few symptoms and confirmed by tests. The first sign is missed period. And then the nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. A urine pregnancy test gives accurate results a week after missed period. And the blood test for pregnancy helps in early detection as early as 8 days after ovulation. Practice regular intercourse on alternative days to increase the chances of conception. Avoid stress and anxiety regarding pregnancy as they might delay fertility further. If your cycles are irregular continuously then consult doctor. Best regards...


Hello! First, do not worry. 6 months are not enough to get worried. Second, you have to confirm that you have POD. Your doctor is right. You should have menstruation every month. They feed the uterus, unless it becomes smaller, and you may have difficulties in the future to conceive. The fact that the menstruation come after Phaeton, it is a good sign. Also, you have to know that in POD, there is a difficulty in growing a mature follicle. So you have to monitor your ovulation with your gynecologist. At least, I would say that you should try for another 4 months with your husband during the appropriate days and then take an appointment to your doctor. During this time you should take also Phaeton for the menstruation. If you do not have menstruation, you can not get pregnant. Take care. Chat Doctor.


HiT hanks for using Chat Doctor, This may be due to a skin infection, allergy or autoimmune disorder. If it is a fungal infection like Tina tricolor there might be itching and scaling of the skin. This can be treated by antifungals. It can be due to vitamin deficiency and can be treated by b complex tablets. Sometimes rarely it might turn out to be vitiligo, or any precancerous skin lesion. It is advisable to consult a skin specialist and undergo skin tests for further treatment.


Hi, there are chances of pregnancy.  But I think you should track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Hope I have answered your question. Regards Chat Doctor.


Hello, I have gone through your query and I can understand your concern. As per description the size of your epididymis cyst is very small. These cysts are generally harmless and no treatment is required unless the size is large, or it causes symptoms. I think your problem is out of unwanted anxiety. It rarely causes sexual symptoms and very unlikely in your case. Treatment is by surgical excision of the cyst, But in your case surgery is not at all required. Medical management by Chat Doctor. In higher advanced centers a newer treatment called percutaneous aspiration is available. In this method surgeon insert a long needle through your scrotum under USG guidance and aspirate fluid from your cyst. I suggest you to consult a urologist, and he will guide you accordingly. You might need few sessions of counselling to avoid unwanted stress. Hope this information helps. Regards.


Welcome to Chat Doctor .1. Lesion / lump / swelling at the ankle region - probable cause could be ganglion arising from the tendon, joint and nerve sheets.2. They are normally painless lumps, in inflamed status symptoms might be seen.3. If its erosive and tenderness on touch, we can think in terms of factorial infection, infection of hair follicle - if lump is big a small incision and Chat Doctor. 4. Generally if you have no history of been in outdoor experience some insect can think, but home spiders bugs may not give such conditions.5. You need to get an appointment with your GP let the lesion get examined, and then some treatment can be suggested.6. Meanwhile as a remedy - do not press, scratch the lesion, maintain local hygiene, keep clean with antiseptic liquid. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Well come to Chat Doctor Thank for asking really appreciate your concern, I am sorry for your wives illness, it is but natural that you are under the lot of stress, and worry, but you have to face the reality, you need to take good care of your health, what was the symptoms you descried here could be due to hypoglycemia, you might be eating less due to stress and worry, try to come out of the stress, eat well, hope for good, if you remain in tense condition then muscle would be stiff, so just relax, think about the future of you child Chat Doctor.


Hi, thank-you for providing the brief history of you. As you are having UTI and on antibiotics then you should have some sort of back pain. As antibiotics will do its role, I will advise you to undergo physical therapy for backache. As by physical therapy your pain will be relieved. Physical therapy will include - therapeutic ultrasound therapy, TENS therapy and exercises will help as per my clinical experience.Also, for controlling the frequent UTI happening you need to improve the pelvic floor Strengthening along with abdominal strengthening. In my clinical practice most patients responds to physical therapy. Regards Jay In Chat Doctor.


Hello I can understand your problem. As he don't have any problem except fever, so I think it may be viral fever. So you can give Spy. Paracetamol as per the weight of the baby after consultation with the pediatrician. You can do cold sponging as per the requirement. If fever is associated with any other complaints like cold cough, irritation then you consult with the doctor. I think this is helpful to you. Review back. Thank you.


Hello, Welcome to the magical world of health care, I went through your query, and It's hard for me to believe that no doctor have been able to help you. Your symptoms are from the spine, with pain in leg, and that means involvement of nerve roots, what prompts you to say it's not disc, have you been investigated, because if its truer than its even worst, you may have secondaries of any primary cancer in your spine which can cause severe pain mainly at night and may radiate to the leg if pressure on nerves occur. Now have you got an MRI done. Who is the doctor you consulted. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.


Hello, I have gone through your query and understood the concern. During the initial months of hormone contraception, menstrual irregularities are observed and these include persistent bleeding/spotting, mid-cycle bleeding/spotting, irregular cycles and heavy bleeding etc. These usually settle down after a few months as the body adjusts itself to the new hormone level. If you do not find any respite after managing your diet, weight and styptics, you need to get a complete physical evaluation, hepatic/renal profile, blood counts and coagulation profile, stop the medication and go for a suitable alternative. Hope this helps.


HelloThanks for your query. You have been indulged in frequent masturbation regularly and get ejaculated early. What you consider premature ejaculation is not a premature ejaculation but early ejaculation due to vigorous shaking of penis while masturbating. Premature ejaculation is defined as ejaculation that happens when one ejaculates within a minute after penetrating vagina during sexual intercourse with female partner. Softness of the penis in flaccid state is of no significance and does not need any treatment nor massaging with mustard oil will make any difference. Chat Doctor.


Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about your teeth. As per your history and symptoms it seems to me you are having apical periodontitis (that means infection blow tooth root) because of that there is pus and tenderness while you put pressure on it. If I had been your treatment doctor I would have prescribed the antibiotics like Amoxicillin clavulinic acid thrice daily, dosage adjusted as per your weight and anti-inflammatory too like Ibuprofen. You must visit a doctor and take medication as prescribed and if you want proper treatment plan upload an n image and write to us back. Hope my answer will help you, and you can visit us again if you have any further queries. Regards Chat Doctor.  Bachelor of Dental Surgery.


Please don't salt your food. What happened to you is similar to adjusting the house temperature with a thermostat. Our normal body sodium us between 135 and 145 me/DL. It is maintained at that level by a complex interplay of hormones and Add, or anti-diuretic hormone is the most important among them. You have an inappropriately high ADH level, that is inappropriate to your body sodium level. The normal or low sodium that u have is sensed by the body as inappropriately high and body fails to suppress the ADH release that ought to have taken place at such low sodium level. So if u take high salt body is just going to retain more water and your blood sodium level will not improve. Best practical way is to restrict water. Next best thing is to use oral/intranasal ADH analog called desmopressin. Either way since your Nephron judged it is due to trauma, it will stick with you for the rest of your life. So adapt.


History that your husband broke ankle, and he is in so much of suffering with cancer. With his condition I may suggest simple wearing of ankle brace and not much of interference apart from gentle manipulation to correct any deformity. Oxycodone for pain relief, or he may be on pain meds already. Do not let him stand or bear weight for 3 weeks. A consultation with orthopedic doctor to do the necessary if he agrees Best wishes and good lucky for his well being regards,


Howell come to ChatDoctorThe condition could be due to lotion and the friction these could cause the hypersensitivity reaction, because of the tender skin of the penis such reaction would be very likely, in my opinion better to stop using the lotion and even stop the masturbating too, if the condition of rash is still there then this can be treated with Mometasone furnace cream, three time in day, hope this information helps, take care.


Hi.based from your description, it could be a cystic formation (tedious or gelatinous type) or a fibrous tissue formation. A consult with a doctor, preferably a general or an orthopedic surgeon, is best for physical examination and clinical evaluation, especially if the lesion is increasing in size and causes you discomfort. Diagnostics (such as X-ray) and management (medical and/or surgical - excision of the lesion) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you son have symptoms of flat red spots after treated throat infection seems to be due to bacterial or viral infection persistence. Need not worry. I would suggest you to do warm saline gargles 3 to 4 times a day. Take ibuprofen one tablet twice daily. You should avoid spicy food. Visit ENT specialist once and get it examined and start treatment after proper diagnosis. Take soft foods to avoid irritation to the throat. Throat lozenges one every 4 hours is helpful.  Chat Doctor.  Milk boiled with a pinch of turmeric taken at bedtime for can be relieving as it has antimicrobial properties. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hi it can be related to caffeine intake, caffeine is a stimulant and stimulates the heart, caffeine can precipitate palpitations and arrhythmias. So yes it can be because of caffeine also however things could be serious also , palpitations can be caused by arrhythmias also, some arrhythmias can be life threatening also so I would advise going for a holder monitoring it records the heart beats for 24\u00a0hours, and we can see the nature of palpitation whether its normal fast heart beat or arrhythmia


Respected user, Hi I evaluated your query thoroughly.*In my opinion this is due to decreased lung immunity to fight against external pollen.*You require taking steps which give you slow but long-lasting results by enhancing his pulmonary immunity, which will not come by current media.@ Regular walking in fresh air to fill his lungs with adequate oxygen levels.@ Deep breathing exercises along with YOGA 30 minutes daily without failure.@ Keep him away from dusty atmosphere containing excess pollen, @ Try to make him wear Protective mask where there is more crowd where he is prone to get immediate infections.@ Avoid exposure to excess cold environments.@ Avoid continuous exposure to air coolers / air conditioners.@ Avoid excess cold Chat Doctor. @ Give high protein & iron diet to boost up his immunity.@ Tulsa with Turmeric are the best Herbs for your kid on this earth.@ Maintain chart of his weight, height & follow properly.@ Maintain his anxiety episodes, give him more moral support.@ Regular Spirometric exercise at home which is fun for him along with definite treatment & definite measure to evaluate building up of his lung capacity very easily.@ Pediatrician consultation in case of severe cough / rhinitis / fever / any discomfort in breath / decreased appetite / weight loss. Hope this clears your query. Thanks for using Chat Doctor & reviewing my answer. Wishing your child happy healthy life ahead. Regards. Bye Dear take care of him.


Hi, It sounds like a Lipoma in your anterior abdominal wall. It is usually harmless and nothing to worry about. You can have it examined by your GP or a Surgeon who can advise you as to what it is and the further course of management. It is difficult to tell what it is without examination. Though it sounds like a Lipoma(Swelling containing fat cells). Do not worry and get it checked up to be sure. Take care, Chat Doctor.


Hi... By what you quote I think your kid is having a viral illness. YOU HAVE GIVEN THE MOST IMPORTANT POINT IN CLINCHING THE DIAGNOSIS OF VIRAL ILLNESS - THAT IS - once he has been given the European he ok plays eats but after 6-7 hours he starts running temp. This is how a viral illness behaves. Will tell you about viral illness so that you can be rest assured. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards -


Thank you for asking this question because it is important to know because of the headache & hypertension and high blood pressure is usually a silent disease and it is does not cause any symptoms, but also it is a silent killer too, but some people are sensitive and if the blood pressure is mildly high they get headache, but also you have to remember that headache can cause high pressure as I mentioned some people are sensitive to even lower level of high blood pressure in that case it is not that dangerous but if the blood pressure is very high and level III that is above the 190 systolic and the diastolic above the 120 then he should get immediate treatment what and go to the emergency room, but you have not told me any numbers off the blood pressure I will be interested if you can provide me that, and then I can be more specific in the meantime if he has a high blood pressure he should not do any strenuous exercise except regular walking thank you again


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, this patient should start anti-tubercular Chat Doctor. Tubercular Lymphadenopathy is much more common than acidosis. Acidosis is more common in mediastinal lymph node. TB is more common in cervical lymph node. So even if culture is negative, absence of cassation necrosis, we should definitely go for anti-tubercular


Hello, Usually liver enzymes come down to near normal levels after therapy against hepatitis C, particularly if you were cured. However, if there was a significant amount of inflammation prior to treatment, and your liver enzymes were even higher, then it could take some time for them to come back down. I would definitely recommend you following up with your doctor to make sure there are no other causes of abnormal liver enzymes, such as fatty liver or other problems (such as autoimmune liver disease, other viral hepatitis, hemochromatosis, etc.). Avoid alcohol.


Hi, As with the history it appears to me that running nose can be due to the dust infection. You need to get your blood routine get checked as sometimes infection goes on for longer and needs a medication. A pulmonologist will be helpful to examine and assess it.  For the neck stiffness and clavicle old injury you need to get an x-ray done and MRI for the cervical spine. As due to the tightness in the Trapezius muscle there might be a chance of having deviation in the normal cervical curvature.  Having it assessed by a sports Rehabilitation team which will include the orthopedist and a physiotherapist to help you. Usually due to Trapezius muscle spasm, there might be changes in the curvature of the spine and a change in the position of the intervertebral disc.  Which might lead to some compression over the nerve root. It's never a mandatory that people might have symptoms of neuropathy but have small deviation and can lead to discomfort.  With conservative management bike medication and exercise people respond well and having undergoing sports rehabilitation program helps them have a good outcome score in sports. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi, I advise you against any such self medications for diabetes. And also avoid such abrupt stopping of antidiabetic medications in the future. Diabetes is a chronic condition that requires long term medication. You need to take the medications as prescribed. Getting off on an antidiabetic Chat Doctor.  The dose and medications depends upon your blood glucose control. For now, I suggest you against using your husbands' insulin. You need to get yourself evaluated by an endocrinologist or a physician. As you are insulin naive, It's difficult to predict the effectiveness of insulin dose. And the metformin in your system can exaggerate insulin action. Please do follow the prescription as suggested by your doctor. Medications will be based on blood glucose levels and glycemic control. You will also be advised to get HbA1C values that predicts your average glycemic control over few weeks as you are not compliant with medications. I hope the above information helps you. Thanks for writing into Chat Doctor. Take care.


Hi... Your dent in the shin-bone could be a soft tissue injury and will reduce slowly.nothing to worry. I recommend you to. Do a lot of icing in the injured area of your shin. Keep it compressed witChatDoctorpression bandage. If you have an Anti-inflammatory topical application gel.you can apply it over the injured area... Hope this is helpful for you... Kindly revert in case you need any further help...


Hi, Continuous exposure to cold temperatures results in construction of blood vessels, which in turn results in numbness due to loss blood supply to nerves. Recovery of sensation is unpredictable. If I was treating doctor, I would have advised few investigations and proceed accordingly. I would recommend that you visit a foot surgeon at the earliest. Hope I have answered your question. Let me know if I can assist you further.


Hi, After going through your mothers' case record there is a development of right Diabetic Foot. Her symptoms started with pain in right thigh after applying heat and massaging the symptoms aggravated. (Applications of heat and massaging should be avoided in Diabetes patients.) Subsequently, there is decreasing knee swelling but development of swollen leg with overlying tight, brown, shiny skin. Skin changes denote possibility of cellulitis (infection) witChatDoctorpartment syn Chat Doctor. ) Diabetic patients are more prone to develop foot problems because - 1) loss of protective sensation of foot (diabetic neuropathy) which make patient more prone for injuries to feet. 2) Impaired blood supply due diabetic radiculopathy, which impaired nutrition of leg. 3)Diabetes patients are more prone for infections and poor, delayed wound healing. I will advise you to consult your doctor immediately. She requires detailed foot Examination. Blood investigation. Intravenous antibiotics. Strict blood sugar level monitoring and control. Arterial and venous Doppler of right leg to assess blood supply of leg. Depending upon her clinical condition and test results she may require surgical intervention. I think this much information is enough for you to make further decision. You are free to contact me for further queries.


Hi, dairy have gone through your question. I can understand your concern. You have sore throat or granular pharyngitis.  You should take a course of antibiotics like azithromycin or levofloxacin.  Also take saline water gargles.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello dear! A picture of the rash will help me more in diagnosing the condition. In the absence of fever it can be allergic rash/urticaria. It can be the start of measles if she is having watery eyes and runny nose with this. It can be viral exanthem. No need to worry, it will settle on its own. Give him spy. Levocetrizine 2 ml at night for 1 week. Hope it will help. Wishing your child good health


Hi. Weight loss with persistent pain in the upper abdomen and vomiting on daily basis has to be investigated by the following


Thanks for your question on Chat Doctor. When you fell on your butt suddenly, there is definitely strong jerk in the chest and ribs. And this can cause pain on breathing. Possible complications are1. Rib injury2. Muscular injury3. Pulmonary contusions. So get done chest x-ray to rule out all these. If chest x-ray is normal than no need to worry much. You are having muscular pain mostly. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Start good painkiller and muscle relaxant. 5. Apply warm water pad on affected site.


Hi Seaman, CSR, usually has a good prognosis. 90% of cases after with Chat Doctor.  For your faster relief, you may be prescribed low dose of Aspirin. Slight impairment of vision, specially night vision and color blindness can persist. If your eye condition do not improve, you may have to undergo laser surgery for the eyes. Relapse of Autoimmune pancreatitis can occur in 20-30% cases, which may require prolonged course of corticosteroid. Chances of relapses are more if there is an involvement of extrahepatic or intrahepatic bile duct. One thing to remember is that in case you have to start again the steroid, your doctor must closely monitor the doses and blood levels of the steroid, because it is directly related to your chances of CIS. Wish you good health


First as you are an active working women I will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain when it is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. Also, I will advise you to sleep on plain surface for some time as it is very helpful in case of back pain.


Hello. Phenytoin is metabolized by liver enzymes. The level of liver enzymes are influenced by number of Chat Doctor.  Hence, the level fluctuates It is quite a common phenomenon in daily practice. The purpose of doing levels is to correct any possible toxicity, as levetiracetam has very good safety profile hence doing a level is not advisable as no corrective actions are required even if the levels are high


Hi, Thank you for posting your query. I have noted your fathers symptoms and the MRI report. A spot in the brain is a very non-specific riding, and we need to know the detailed report in order to advise you better. If possible, please upload the MRI report here. It is possible that he has a small infarct due to lack of blood flow. He can be treated with medications and physiotherapy. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hi, From the given history what I understood is that you gave 5 ml each of Cronin and Paracetamol syrup (amounting to 10 ml) to your 4-year-old daughter. The oral dose of paracetamol for child Chat Doctor. Since each of Cronin and Paracetamol syrup contains 120 mg of Paracetamol /5 mL accordingly you have administered 240 mg of Paracetamol at once. 240 mg of Paracetamol is still within the normal dosage required for the child


Hi, Thank you for providing the brief history of you. As you don't have a fracture this could be related to direct hit on the rib bone. Which will take some time to heal. Also, the muscles must be in trauma and this leads to the intercostal muscular pain Which will also heal slowly. Besides taping can be done to restrict rib movements and control pain, Try performing slow costal breathing exercises as it will improve the muscular strength and also reduce the pain and aches. If the pain increases more along with additional symptoms than a CT may be performed, or else I do not think anything should be worried about. RegardsJay In Chat Doctor.