Thank you for contacting us with your medical questions. From you description I am not sure that you have shingles. Shingles is a reactivation of chicken pox and usually limited to one part of your body like a chest wall or an arm but does not go from your arm to your leg. It is also accompanied by severe pain and tingling. If it is still shingle then what ever local treatment you apply that helps is fine. We treat the rash with blisters with cold compresses and covering the area. Hope this answers your question. If you have any further questions please contact us again


Hello, Thanks for posting your query. The hole may be arose from periodontitis/peritonitis of wisdom teeth. Since you are pregnant, the decayed teeth has to be treated with excavating infected pulp and dentin using hand instruments and by placing medicament. Get your teeth cleaned. Frequent warm saline gargle may be helpful. Maintain good oral hygiene. Use chorhexidine mouth rinse to gargle. Medicines can be taken after consulting with your dentist. Take care.


Me fast (metonymic acid) and Maidens (paracetamol) are supposed to bring down fever. Cenobitic (memoir) is a broad-spectrum cephalosporin antibiotic intended to reduce the gastrointestinal infection that could be causing the fever which could also have killed the beneficial bacteria of our bowels and cause antibiotic associated diarrhea. I think you wanted to say diarrhea and not dysentery which means blood stained stool. If that is really the case, you would need to consult your doctor and get it treated. If it is diarrhea, you need to give her curd/yogurt which contains beneficial bacteria and will help in restoring the balance. Alternatively, you can also give Enterogermina one sachet twice daily for 3-4 days. The diarrhea is not due to body heat. It has probably caused due to the beneficial bacteria getting killed by the antibiotic medicine prescribed.


Hi, You may be suffering from nerve compression at cervical spine with resultant articular pain in both upper limbs. Diagnosis needs to be confirmed by doing an MRI of the cervical spine with a screening of the whole spine. MRI is very sensitive and specific for diagnosis of spine pathology.  Please get it done from radiology center nearby you. Meanwhile, start tab Regain one at bedtime with tab Attract twice a day. Avoid labor work and weight lifting. Visit to an orthopedic surgeon for detailed clinical examination is recommended. Hope I have answered your query. Let me know if I can assist you further.


Typhoid in pregnancy, is not a dangerous episode. Hope the doctors have confirmed the diagnosis with a Tidal Test, Blood and stool culture, Ty phi dot and Tube tests, the last two are very sensitive tests and confirmatory. The essential thing is u must have the family members also tested and immunized against typhoid if they are all right. Your wife needs to be treated with an appropriate antibiotic which depends upon the local strains, Usually Augmenting at 625 / 4 times a day for 3 weeks is adequate. As she has already crossed 3 months the effect on the baby of these medicines is not reported. Also, typhoid, will not cause any damage to the baby.


Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with allergic bronchitis which may be in concern with house dust.* Suggestions for better recovery - Basic work up with x-ray chest and laboratory test of complete blood counts with ESR.- Gargles with salted lukewarm water added peppermint oil 3 times a day.- Inhalation of vapors of boiled water with Karol capsule or tincture Benson with blanket covered over head 2 times a day.- Do not work out beyond the limits of body compensation.- Avoid exposure to any type of dust or pollen with liberal use of triple layer face mask.- Deep breathing exercises with YOGA help great.- No smoking or alcohol . Hope this clears your query. Happy always to assist you. Regards.


Hi. I can understand your concern. It would be advisable for you to get a chest x-ray done. Possibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant Chat Doctor.  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks.


Degree understand your concerns went through your details. If you feel acidity and gastric and digestion problem, the pain could be attributed to it. When you have this gastric problems, the gas present in your stomach area pushes the diaphragm upwards. Your chest cavity is already packed and has enough space for breathing movements of your lungs. This gas further pressurizes the chest cavity, and you will feel that pressure as tightness or pain. You should consult a physician to rule out organic causes. Take care. If you require more of my help in this aspect, please use this URL. http


Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then the kid will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child Chat Doctor.  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Warm saline gargles will be soothing and will give a lot of relief if the kid can do that. Regards -


There are much health hazard that your husband is facing because of his personal habits. Most common in his case is cancer of mouth, tongue, throat and food pipe. If he is swallowing the tobacco, he may also be at risk for cancer of other organs. He will have poor oral hygiene which may lead to many dental problems beside the foul breath.Besides this, he may develop high BP, heart problems, gastritis, excess acid secretion and digestive problems. He is Chat Doctor.  These are just to name a few and the list is quite long.


Hello, All the medication you have mentioned for the heart does not cause increase in weight. The benefits of Candace to protect your heart and kidney is far more and should be continued. Moral for your diabetes may cause increase in appetite and henceforth weight gain. However, I would stress again, do not stop the medications, if there is any swelling in the lower limbs than you may consult your doctor, consider ruling out thyroid, if everything normal a dietician consult may help. Regards Chat Doctor.


Hi, It is important to know what chemotherapy was given to you and also the pathological diagnosis of the cancer you have suffered from. Anyway, as you mention breast cancer probably it is infiltrating duct cancer as this is the common diagnosis. It is not clear from your question whether any surgery was done or not, are you put on any hormonal therapy or not. These issues will be dealt by your consultant oncologist. Your present problem is repeated blockage of right ear and feeling of presence of fluid in it. This complaint is not related to your malignant disease process. It may be due to secretory Otis media. Middle ear inflation with or without antibiotics may be an option. Consult with your otorhinolaryngologist.  Take care.


Thanks for asking. I would like to know if you have started weaning him yet?? Because any fibrous fruit specially bananas can cause mucous/stringy black hair like material. The second possibility is they are coming from your husbands' chest. If they are coming often that would worry me. Because hair can organize in a ball which can obstruct the gut. Observe for fallen hair near the baby and be vigilant in removing them. I would also advise your husband to shave his chest more often If they came once and twice that's fine.It's just to reassure you that's not something dangerous. Good luck


Hello dear, The lump in throat near uvula is enlarged Tonsil. The symptoms mentioned in your post suggests that you might be having Acute Tonsillitis. Management consists of


Hello, Thanks for using Chat Doctor for posting your query. I have gone through your given history in detail. From your description it appears that you are an anxious personality and that you already have symptoms of anxiety and depression, you certainly need treatment for them. Now the treatment can be of two types - by medications and by talk therapy. When it comes to medicines citalopram is quite a safe Chat Doctor.  But before you start on the medications, it would be preferable to consider talk therapy before. If it doesn't help then medications should be sought. You should ask your psychiatrist to consider you for cognitive behavioral therapy. Do exercise regularly and eat a proper diet. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link


At 22, the chance of heart as a source of symptoms is low. Low is not zero. In particular, the lining outside the heart may cause discomfort and reoccur repeatedly. I will usually review symptoms of reflux (burning, sometimes meal related, often lasting longer than 30 minutes or occurring at rest) and musculoskeletal pain (positional and localized with a finger). From what you've described, the first step that I would recommend to someone in my office is an over the counter anti-inflammatory like ibuprofen. A trial, paying attention to any improvement, even if incomplete, will be important information for your doctor should your symptoms persist.


Dear, We understand your concerns went through your details. Whether pre-cum contains sperm cells or not, is a million-dollar question. But for sure, the sperm cells contained or come out along with pre-cum, is not strong enough or liquid enough to travel through the vagina and reach the egg within you. Therefore, the chances of pregnancy is bleak in the given scenario. If you require more of my help in this aspect, please use this URL. http


HI, thanks for using Chat Doctor The anti histamine would not help with your sore throat, ears or coughing, they may help with the sneezing and congestion. An assessment of your ears may be needed to determine if you have an ear infection which would require antibiotics. You may want to consider using paracetamol or ibuprofen to help with the sore throat and ears. An oral gargle or spray such as chlorogenic or colonia would help with the sore throat. There are cough suppressants available over the counter to help with the coughing. I hope this helps


Hi, Thanks for writing in. Cancer of the esophagus is a condition that causes obstruction to food passage. In your aunty there is probably a malignant mass in the esophageal wall that is causing limitation to the swallowing of solid food. In this condition there are few ways by which she can be helped. After evaluating the malignant stricture, a metallic stent can be put in the esophagus. This works in many people but the risk of subsequent block persists. This will again cause a block to food. The other option is inserting nasogastric tune and this is something they must have done. The food is made in to viscous consistency and then given using a syringe. The third way is operating and introducing a feeding gastrostomy. In this method the food goes directly in to the stomach and there is no requirement to feed by mouth. She can continue taking sips of water. These methods are put in to practice after evaluating patient needs and different cancer treatment institutes follow their own methods to support patient nutrition in cancer of esophagus. Please do not worry.


Hi, dairy have gone through your question. I can understand your concern. You have lump behind nipple with soreness.  You may have some benign cyst, proliferative breast disease or breast cancer.  Furthermore, you should go for mammography and biopsy of that lump.  It will give you exact diagnosis.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, I understand your concern. Pregnancy is possible during ovulatory phase of menstrual cycle., ( when mature ovum is released which needs to get fertilized by sperm .for conception.). Which is mostly in mid menstrual cycle. So there is no chance of pregnancy during menstruation.  Please be cool, you do not have chance of conception.  Though there is no chance of conception, sex during bleeding is supposed to favor infection. So few people do not support the practice, Thanks.


Hello, Severe chemical damage to the surface of the tongue where there are taste buds can be permanent. You were given anti-inflammatory medication, eliminated the chemical and now must keep the area clean for healing. Are you having difficulty healing with any ulcerations? You need to watch for an additional oral infection such as thrush. Antifungal medication such as Statin would be necessary. Antibiotics could be required due to complicated healing. Gentle oral care along with warm salt water rinses will assist and soothe the tongue. Keep well HY Chat Doctor.  Avoid vitamin deficiencies. Spicy and acidic foods may cause irritation. I suggest you have your dentist evaluate and monitor the surface of the tongue. I think you can have a positive outlook and realize with more time, more taste sensation should return. Your exposure sounds limited. Knowing the exact chemical would be helpful. Ruling out an allergic reaction would also be suggested in the case of a flavored tea, etc. Thank you for your inquiry. I am glad to provide additional assistance if you have more questions.


Hello! Welcome on Chat Doctor ! His symptoms could be related to different possible disorders


Hello, Left sided chest pain should always be evaluated for heart diseases first. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about heart diseases. Your pain is associated with breathing, so pleurisy (inflammation of pleura) should also be evaluated. Get done a chest x-ray. If the chest x-ray is normal then no need to worry about pleurisy. Start calcium and vitamin D 3 supplements as deficiency of these can also cause similar kind of pain. Hope I have answered your query. Let me know if I can assist you further.


First you need to take proper treatment for your frequent cold and cough.  It could be related to your immunity which may not be good.  And then do some spinal strengthening exercise.  Because if u have back pain while cough and cold then it shows your spinal muscles are not so strong to take the jerk when you sneeze.  And do check on your work posture as well as your normal sitting, walking standing posture.  Take care.


Hi, Thanks for writing in Chat Doctor. The condition can be allergic contact dermatitis, lichen plans, muscular eczema, purpuric dermatitis etc. Diagnosis cannot be made without visual clue. Treatment depends on diagnosis. A visit to dermatologist will confirm the diagnosis. A skin biopsy may be required for diagnosis. Till the time you can take tab. Cetirizine 10 mg twice daily. It will help in decreasing itching. Hope this helps. Regards Chat Doctor.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain on the legs with bulging disc. Well there can be many reasons for symptoms you mention in query like nerve compression, neuropathy, DVT, muscle spasm or multiple Sclerosis, but in your case the symptoms is due to disc problem. If condition doesn't get well then consult orthopedic surgeon as well as psychiatrist for proper examination. Doctor may prescribe methotrexate, anti-inflammatory, gabapentin long with nerve supplement and recommend physical therapy. I would suggest you to do light stretching exercises along with gentle massage, apply warm compresses on entire leg and take muscle relaxants like orthodox MR. Do not sit or stand for long time in one position, do yoga, meditation and keep your legs in hot water tub with Epsom salt for 15 minutes. There are therapies available like traction. Ultrasound or electrical stimulation. If medication and therapies doesn't work then doctor may recommend surgery. Hope your concern has been resolved. Get Well Soon. Best Wishes,


You have swallowed plastic tongue ring ball it means that its in your stomach and not in your airways and trachea. It's a good thing. If you are not having any respiratory symptoms like difficulty in breathing, cough, blood in cough or airway irritation, you can wait for 2 days during which the ball will pass in stool. Monitor your stool for this. Meanwhile, if you have severe abdominal pain, vomiting consult the doctor.


Good morning mam. Your oversize breast is not at all problem. A lot of females have it, and it does not cause any problem. But the problem could be your postures during your work, sitting and lying. Try to adopt good and healthy postures. And do regular exercise. Sometimes back pain with pain abdomen could be due to acid peptic disease. Avoid spicy and preserved food. Have fresh food in time. Hope u get well. Thank u


Hi, Donors needs to be screened for multiple infections such as HIV, Bag, HCV, V Chat Doctor. If I had been your treating Doctor. Would like to do all basic tests of Donor to rule out sexual transmitted diseases, basic routine tests such as TSH, complete blood count, Liver and Kidney function test, Clinical examination to rule out heart problem, respiratory problem, blood pressure measurement. Other part is done sonogram to check ovarian volume and astral follicles. It is preferable to get AMH anti mullein hormone test done done


Hello and welcome to Chat Doctor, Lymphoma of the stomach is most commonly caused by bacteria- Helicobacter pylori. Treatment of the bacteria clears away the lymphoma also. Thus, the lymphoma is treatable. Blockage of the bile duct can be due to many reasons. Most common cause of this blockage are stones in the common bile duct. The blockage is unlikely to be due to lymphoma of the stomach. To know the exact cause of the blockage, you need to consult a gastroenterologist. Endoscopic retrograde cholangiopancreatography may be required to look for the cause of this blockage and its management. Thanks and take care Chat Doctor.


Degree understand your concerns went through your details. I suggest you not to worry much. These are one time anxiety related experiences. Ignore it. Just think about what happened before you went to shower and what you were thinking about when you were in the shower? Was there any difference in temperature? Usually, when there is difference in temperature inside the bath and outside, our body reacts by adjusting body temperature. During winter, you must have noticed, our ears and nose become hot red.  Such a change is normal, and you could have miscued such a symptom. Recall. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi, It depends on the type of surgery you have undergone. In case you had a surgery of valve replacement, it can have complications of anemia. Your complaints most probably are caused by anemia. If your surgery wasn't valve replacement surgery, then you should look another cause for your anemia and symptoms. Anyway iron will help to recover from anemia. Hope I could help nourishing you good health In case of further questions don't hesitate to ask


Hi, Thanks for writing in. You might be having hepatitis A infection which is transmitted by contaminated water. Please continue taking medications given by your doctor and also include your diet and lifestyle changes as mentioned below. Regarding diet changes, following might help.1. Fresh fruits like papaya, orange, and grapes are a good option for Hepatitis diet.2. Foods must be prepared in low oil.3. Fatty fools must be avoided.4 It is always wise to include turmeric in diet for its anti-inflammatory properties.5. Lots of vegetables must be included as it contains proteins. Potatoes must be taken in less amounts.6. Please stop alcohol completely.7. Use of too much salt might be avoided.8. Eat smaller amounts regularly and maintain a healthy appetite.9. Avoid water and food contamination and do not eat outside foods.10. It is better to avoid meat for some time. You should be alright in a months time.


Advancing age is the most common reason why men cannot sustain erections the way they used to earlier. It is extremely unlikely that a man at 62 years of age will be able to have an erection the way he would have had at 21. As a matter of fact, your physician advised you correctly in the sense Viagra is a good choice for patients with this problem, and there is no valid reason why your husband should say no unless he has some severe heart problem or a visual impairment which could get worse with use of such a medicine. The side effect profile is perfectly acceptable, and there is every chance he will find it useful like million others all across the globe. There are sister molecules of Viagra like Calls in case your husband wants to avoid Viagra, which have fewer side effects as well. The reason I am stressing This is that there are other molecules like Apomorphine which have been claimed to help men achieve erections which are just not that effective, and also can cause nausea, or worse such a severe sedation that your hubby might just Chat Doctor. Let him read this, and if you have issues to discuss, I will be glad to help you.


Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. Hypertension is one of major issue and most time about 90-95% cause is unknown, if u were my patient I would like to ask u monitor BP while you're on med BCS I wanna know is that 1 reading or u having still high BP even after med n, so I can optimize dose to control BP in normal range . Ideally 5-7 days need to BP charting n then bring it to me so I'll decide whether you need to adjust dose or not... regarding alcohol Royal College of Physician said male can use 21 units of alcohol /week n 1 unit is in small pub measure 25ml of spirit(40% alcohol by vol) or standard pub measure 50ml of fortified wine(20%alcohol)... other factor also need to be modified like Dec salt intake, exercise n weight lose if over weight according to BMI protocol . All such factors along witChatDoctorpliance with med can control BP... I hope this answered your question, if you have more feel free to ask. Regards.


Hi. Thanks for your query and an elucidated history. I have read and understood your problem, which is related to the high liver function tests which started since second pregnancy. Pregnancy induces liver function derangement in many patients but get corrected automatically after delivery. I would suggest you to go for MRCP as there may be an underlying problem related to the liver, gall bladder, pancreas or the bile ducts. The treatment will be according to the report and will be specific. This may be a medical treatment or a surgical one if something like a choledochal Cyst. Gall stones or such things are found on the investigations.


Thanks for your question on Chat Doctor. I can understand your concern. No, it is not common to have heart disease (angina) at your young (15 years) age. So no need to worry about heart diseases. Possibility of musculoskeletal pain is more likely. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


You had an accident which resulted in injury to multiple bones however you might have sustained injury to lower back that time specially in disc in a severe injury you might not have noticed pain due to disc prolapse as you have started bearing weight disc might have been bulging causing pain other thing is that abnormal posture leads to abnormal weight-bearing which leads to increase load across lower back leading to pain across joint.


HI, thanks for using Chat Doctor Yes, you can use the above medication. The antihistamine aspect (cetirizine) would help with nasal congestion, sneezing, phenylephrine is a decongestant and the paracetamol would help with any areas of discomfort and with fever. This medication is non Chat Doctor. In addition, you need to get as much rest as you can and use fluids (use cool fluids if you are febrile). I hope this helps


Hi, I can understand your concern for the spreading itchy rash on chest, back, legs and stomach in your husband. I can make a possibility of Allergic dermatitis. In Allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. You can apply medium potency steroid cream application of fluticasone cream. You can additional take antihistamine Ben Chat Doctor. If the things are not getting better than can meet a dermatologist for further guidance. Take care.


Hello, Metformin has no relation to increase of SGPT levels and TRIGLYCERIDES levels. The two most important cause for increase in SGPT are pain medications, anti cholesterol medications and herbal medications and conditions like obesity, diabetes and high triglyceride levels in blood. METFORMIN helps in reduction of blood sugar levels and weight also. The most important treatment for you along with metformin is... Regular aerobic exercises for 45 minutes a reduction of calorie and weight. Yu must take adequate IT D to counter IT D deficiency, and it can be done by regular intake of IT D supplement. Thanks


Hi, dairy have gone through your question. I can understand your concern. Easy fatigue and brittle nails are seen in anemia. You may have some kind of nutritional anemia like iron deficiency anemia or some other. You should go for routine blood test first. If your hemoglobin is low then you should go for anemia profile. Consult your doctor, investigate and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hello welcome to Chat Doctor thanks for your query are taking antibiotics for the treatment of typhoid fever... The treatment may include painkiller, antipyretics also,they cause gastric irritation so much. Because of this gastritis you may feel pain in the abdomen,heaviness in the stomach... To avoid all these take proton pump inhibitors like antacid.it should be taken at least half an hour before breakfast in the morning...daily 1 tab.with in 2/3 days you may feel free from symptoms Hope you understand my suggestionThank you Chat Doctor.


Yes the cost is very expensive in America. Rather you can fly down to the India and get the IVF done, and I bet after all expenditure you will still save the money. As you have done your Tubal Ligation the natural path of Ovum is now blocked and hence it is not possible for your ovum to meet your husbands sperms and make you pregnant. In IVF your Ovum are extracted through OLD based surgical procedure and then made fertile with the help of your husbands sperms in a perish this is now called an embryo and this embryo is transferred in your uterus and the pregnancy proceeds as usual... You are already having two kids. At Advance age of pregnancy the chances' trisomy increases that may make you child suffer from at least Mental retardation. Talk more with your genetic counselor. Rest the decision is your own. I hope the information provided is enough sufficient for you...


Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Black stool indicates bleeding in the upper gastrointestinal tract. Since you have abdominal pain also which worsens after certain food items including caffeine, peptic ulcer disease is a possibility. An upper GI endoscopy may be done to confirm it and to look for bleeding source if any. You can take Prilosec for relief. I hope that answers your question.


Hello! Thank you for the query. This is not early stage of jaundice! There is no diet to treat it. There is nothing you can do by yourself. It is strongly advisable for you to get medical help. Your liver tests are very bad and can be life-threatening. Such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. You should have abdominal ultrasound, GGT and AP blood tests, amylase in urine and blood, HAD, HBV, HCV tests. Do not neglect it and get medical help as soon as possible. Hope this will help. Regards.


I think you have significant back pain. From your history it looks like you have unstable spine, and you are a surgical candidate. These problems can be cured completely with surgical management. Daily dependence on pain medications is not advisable, and it has adverse effects. Do you have Lateral flexion and extension X-ray? MRI? Need to see that. You will be back to your work in 2-3 weeks after surgery. Also, this is not only about pain, I think you started developing neurogenic symptoms and signs and in that case timely interventions gives the better prognosis. If you can send you X-ray and MRI images I will be able to tell you more about type of surgery you need. Hope this helps you.


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low folic acid can lead on to anemia.2. Folic acid is a very important vitamin in cell development. Its deficiency can affect all the cells principally fast-growing cells like blood cells.3. Take Folic acid tablets and get a reticulocyte count tested after two weeks. If It's increasing, means its responding. Continue therapy. Hope it helps. Any further queries, happy to help again.


Hello, I have studied your case. You can take medication like metal spas to reduce your pain. But if there is no relief then you may need to do further investigation quickly. If ultrasound is normal then you can wait, otherwise go to emergency. 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


Hallow Dear, Prima face the diet you are taking seems to be fairly balanced diet for pregnancy. However, I see that you are not consuming sufficient quantity of pulses and legumes. Please try to include them in your diet. Though dose provides some DAL like Brad, it is very small quantity that you are eating. Please increase the quantity of samba in your diet; and let it be a thick samba with plenty of dals. For good quality proteins, include Thalipeeth of combined pulses. You should have the variety of pulses and legumes in the diet to provide all the essential amino acids required by the body. Inclusion of varied bean sprouts will provide you good, predigested high quality proteins. Also, please include more fruits in your diet. Apple is not that nutritious fruit; it contains more minerals and water. Banana is a very good fruit.  Chico and guava also are good nutritious fruits. Citrus fruits will provide you minerals and vitamin C. Please have the variety of fruits in the diet. I am not clear which vegetables you are eating. Along with fruit vegetables, you should have plenty of fresh green leafy vegetables for vitamins and minerals. Moreover, fresh fruits and green leafy vegetables will prevent constipation which is so very common during pregnancy. During whole day, have at least 500 ml of milk in divided servings. One large glassful of milk in the morning and one at bedtime should serve this purpose. In general, follow the principle


Thanks for your question on Chat Doctor. I can understand your concern. Since, she is having cancer in liver, lungs and bowel, she is having stage 4 malignancy (terminal stage illness). So only palliative treatment in the form of pain management and nutritional support are advisable. Excessive sleepiness can be due to brain metastasis. But we can not do anything for this. In my opinion, she is having life expectancy of less than 4-5 months. So better to discuss end of life issues with her. Hope I have solved your query. Wishing her good health. Thanks.


Hi, dairy have gone through your question. I can understand your concern. It has 60% five year survival rate. It means 60 patients out of 100 will have life expectancy of % year or more. Some person can live 10 year or some person can live 5 year. It is overall rate. There are other factors like patients general condition, grade of cancer, treatment options and many other factors affect the life expectancy. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hello, and I hope I can help you today. The recommendation regarding women on Methotrexate for cancer chemotherapy is waiting 1 week after cessation of therapy.  However, the low one-time dose used for treatment of ectopic pregnancy is not regarded as being harmful. I personally believe the safest thing would be to discard your milk for one week after the injection. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes,


Hello! Thank you for the query. If you are 50 or older, such symptoms should always be checked with colonoscopy because with age of 50 colon cancer risk rises significantly. And the main intention of colonoscopy is to rule the cancer out. Cancer usually does not give any pain in early stages and gives hardly any symptoms. Usually when the symptoms appear, it is quite advanced.  If you are young person, inflammatory bowels' disease can be the reason of your symptoms (Crohn's disease) and this can usually be verified with colonoscopy. Symptoms can be just like yours.  Moreover, your symptoms do last for years and does not seem to get better. So the colonoscopy decision is very reasonable. Hope this will help. Regards.


Dear sir, Please note that consulting a hemato-oncologist does not mean the patient has cancer. I am a hemato-oncologist and nearly half of my patients suffer from benign blood problems. Even if she has a cancer, there is no need to get very much upset. Many of blood cancers can be treated easily, as excellent medicines which are available now. If after platelet transfusion there is no increment in counts, there is a high probability of a benign disease called as immune thrombocytopenia. For diagnosis of this problem a thorough history of symptoms, clinical examination of patient and careful look at peripheral smear would be needed. Sometimes we may do a bone marrow examination, if their suspicion of any other problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,


Hello, I read carefully your query and understand your concern. Butterfly rash on the face can be related to lupus. Other possible conditions that cause butterfly rash are rosacea. I suggest continuing using the steroid cream for local application. If the diagnosis of rosacea is confirmed, oral antibiotics may be needed. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


Hi!, Welcome To Chat Doctor forum, I would like to know few things here. Do you get itching between your legs(groins)? Do you see any redness or peeling of skin there ? If so then you need to take a course of antifungal medicine along with some topical creams. If there are no such symptoms then probably its just dark due to friction. Its nit very easy to lighten up this pigmentation. You can try creams like HY Chat Doctor. Glycol peeling is not going to help much. One thing you can try is LASERS. There are specific lasers like q-switched ND


Hi. Thanks for the query. Bumping of toothbrush over the gums must have led to injury of the gums leading to inflammation which can lead to soreness, pain, redness. If you have sinus infection there can be feeling of pressure and pain in gums but as you are already on antibiotics the healing of the gums will not be hampered, and it is a normal healing process and will gradually heal as the inflammation subsides. You should avoid hot and spicy food. Gargle with cold water will relieve. In case of pain you can apply travel or other numbing gels. Maintain a good Oral hygiene to prevent infections. You should massage the gum with Chlorohexidine gel. If you do not find any improvement consult an Oral Physician and get evaluated. Hope this helps. Regards.


Hello Kyoto, Thanks for your query. The breathing problems mentioned in your post is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma) Management consists of


Hi, Welcome to Chat Doctor, I am Chat Doctor You did not tell us what type of thyroid you were suffering from. I assume it was hypothyroidism. So, with a TSH level of 4.2 no one can say that you are infertile and go for test tube baby.  Test tube baby is exclusive for those who can't get pregnant normally. And one more thing, from your history it is evident that you have a bad obstetric history. That means you need a thorough hormonal and other studies which will show whether you are able to conceive normally or not. Infertility is restricted for those couple who are unsuccessful to have pregnancy even after trying for one year. So, have you tried for one year after having normal thyroid level? First try that.


Hi welcome to Chat Doctor... You have not mentioned whether you have taken any Chat Doctor. ... You have bronchitis ... It can be viral or bacterial cause....CBC done ... If shows lymphocytes then viral otherwise if necrophilia then bacterial... Take Aeroflot like antibiotic for 5 days... Usually flu take sometime to recover fully... Maintain healthy and balanced diet... Steam inhalation useful.... If congestive symptoms still present then antihistamines like Ben


Hi Thanks for using Chat Doctor Forum, Anemia can be due to Impaired production of iron Increased destruction Loss of Blood You are male with hb-124g/l is not to be worried as you will improve as on diet.  Worm infestation can also lead to decrease hemoglobin level. Start on with tab. Albendazole once in 6 months. (You can do a stool examination to look for ova or cyst of parasites) vitamin C aids in the bodies ability to absorb iron, so taking oral iron supplements with orange juice is of benefit Increase your foodstuff containing green leafy vegetables I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards Chat Doctor. Kingston John David


Hi, Clofert (Camphene) is given for Ovulation induction in patients of PCs. But I would ask you to take it only after your thyroid medication is increased, and your TSH levels are less than 3. I would not recommend active treatment to conceive at 7.8 TSH. So, please increase the dose of Thermoform under the guidance of an endocrinologist and get the TSH levels to less than 3, and only then try with camphene and follicular studies. You can continue folic acid till you get pregnant and also after you are pregnant continue it till 12 weeks. It is safe to take all the above medications together. You can take Genus/Gomez for gastric discomfort. Hope this helps. Regards.


Degree understand your concerns went through your details. I suggest you not to worry much. Your symptoms do point towards so mental disorders including bipolar. But do not have two main symptoms - Cyclic Extreme euphoria and extreme depression. Therefore, stop diagnosing self and consult a psychologist soon and get diagnosed properly. If mental disorder exist get proper treatment. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi, She is having systemic sclerosis and skim thickening, PAH and OLD is part of the disease. These changes are irreversible. I think she is receiving optimal treatment. Besides medicine chest physiotherapy, limb physiotherapy is very important. Yoga will help. It's better to homeopatChatDoctoredicine because there can be Chat Doctor.  The medicine will help to halt the progression of disease. You should be under the follow-up of local rheumatologist.


DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERTGOER HISTORY OF AN HOME ARGUMENT WITH YOUR DAUGHTER MORE POINTS TOWARD A ANXIETY DISORDERS ANXIETY CAN CAUSE SUDDEN PALPITATION ...AND FAST HEART RATESMOKING AND COFFEE ALSO PRECIPITATES AND INCREASES THE CONDITIONS SUGGEST YOU TO DECREASE YOUR SMOKING AND COFFEE HABITS AS FAR AS POSSIBLEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS


Degree understand your concerns went through your details. I suggest you not to worry much. I think the intention of the query is very clear. But there is no substance. Whom do you want to meet? With whom you want to make an appointment? Please be specific with your query, I request. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hello, It is a normal semen report except that pus cells may be due to some type of infection. Sperm count above 20 million /ml is normal and also 50% of the sperms should be active, which is present in your semen. But pus cells should not be present. I would suggest you to consult your doctor and get examined and take proper antibiotics, It will come down. Hope you are satisfied with the answer. Thank you.


Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged axillary lymph nodes due to reactive hyperplasia, tuberculosis or lymphoma, or it can be simple axillary lipoma. You should go for fine needle aspiration cytology once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hi, dairy have gone through your question. I can understand your concern. You may have fibrotic disease of breast.  If you have cyclical pain at time of menstruation then you may have fibroadenomas.  You should go for biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Earle understand your concerns went through your details. I suggest you not to worry much. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.


Hello.... Thanks for your query. On going through your symptoms, it appears that you are suffering from social anxiety disorder which has adolescent onset. It is characterized by anxiety symptoms only ion social situations. Effective antianxiety medication are available in addition to psychotherapy (e.g. exposure & response prevention). Hence, I would suggest you undergo a thorough psychiatric evaluation so that appropriate management can be initiated. Regards Chat Doctor.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pulsating sensation in arms. Well there can be many reasons for symptoms you mention in query like B12 deficiency, multiple Sclerosis, herpes infection, less blood supply and triggered nerve. I would suggest you to apply warm compresses, massage with sesame oily gently, eat healthy add fresh fruits and green vegetables in your diet and give your arm proper rest. Consult orthopedic surgeon if the condition doesn't get well. Doctor may order CR scan or MRI along with physical examination. Doctor may recommend physical therapy which will help a lot along with orthodox MRO, anti-inflammatory and vitamin supplement like vitamin B12. Doctor may also refer you to cardiologist for blood supply problem. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hello, Thanks for the query, I understand your problem You do not have to worry about anything. I feel that you have paroxysmal positional vertigo. Generally this problem is treated with various exercises (alley maneuver, brandtdarroff maneuver etc.). Medications like linearizing, betahistine may help reduce the nausea/vomiting etc., but won't help in log term. Please consult a local neurologist who will have the advantage of examining you and also will rule out other conditions which can present in similar way.  Best wishes Chat Doctor. Chat Doctor .com/doctors/


Hello and welcome to Chat Doctor, A lump or swelling in the buttock region needs to be investigated. The swelling is most probably a soft tissue swelling since soft tissue swellings are common in this region. Certain investigations are required to know the nature of the lesion. An aspiration cytology of the swelling needs to be done to know the exact nature of the swelling. In aspiration cytology, a needle is inserted into the swelling, cells are aspirated, spread on a slide and stained with appropriate stains. The stained cells are studied microscopically to know the nature and character of the lesion. Thus, consult your primary healthcare provider for clinical assessment, investigations and thus management. Thanks and take care Chat Doctor.


Hi. As per me some more details are required to make a complete diagnosis. But on the basis of information provided, like not able to enjoy anything, this thing persistent for long time, a chronic sadness and getting distressed by small matter, point to diagnosis of either dysthymia or depression depending on your social- functional decline. This is a condition which need an intervention by psychiatrist who will evaluate the need for medication and prescribe you one if required, else may only advise on therapy, specially Cognitive Behavior Therapy. It will help you deal with your situation and help you come out of it


His may suggest addition of conspiring 150 mg too. There should be periodical check of platelets count, CBC,PT.if you are on blood thinners. Avoid smoking. Your doctor may do Color Doppler to forearm for vascular study, clot, thrombus. A physician must explore causes for hyperconjugation factors of blood, possibly may suggest some plasma infusions periodically if some deficiency is detected in blood.you may consult a clinical hematologist also for thorough evaluation as you stand risk for clot, embolic in vital organs, brain, lungs, limbs...


Hello there I have read through your question and would like to tell you that if you have diabetes running in your family then you have higher chances of having it. High blood sugar that is fasting sugar above 100 and post radial sugar above 140 is diagnostic of diabetes. But I would advise you to get an HBA1C test done to confirm the diagnoses. Also, high cholesterol levels can also be due to Diabetes, or It can be an isolated occurrence. If you have diabetes you may need to take oral hypoglycemics depending on the level of your blood sugar. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor.


Hi and welcome. I am concerned about the iodine supplementation as iodine is not indicated in this type of thyroid disorder and is already affecting the labs. The TSH is again too low. I would advise iodine restriction, supplementation with selenium is often recommended as is a low gluten diet. Because this type of thyroid disorder is usually autoimmune based, identifying offending triggers is where nutrition comes in. Studies show excess iodine and gluten to be the most comment riggers. Good Day! Kathy Shatter, MS, RD


Welcome to Chat Doctor does he have night sweets and weight loss ?sometimes blood related disorders including cancers can behave like this. Please see a hematologist. Other possibilities are severe acid reflux. That can cause cough but not the shivers or fever. Still laryngitis or pharyngitis from acid reflux can cause. Silent aspiration can cause these. If hematology evaluation does find a cause I would suggest Endoscopy


Hello dear, thanks for your question on Chat Doctor. You had blunt chest trauma due to accident. But no need to worry at all because your chest x-ray is normal. No evidence of any rib fracture, pneumothorax, pulmonary contusions etc., which are common after blunt chest trauma. Your left sided chest pain is mostly due to muscular injury. So better to avoid heavyweight lifting, strenuous exercise. Avoid bad posture and movements in sleep. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Don't worry, you will be alright.


Hi... I read your question and understood your concern.the burial irritation is due to reduced glute strength and stability. I recommend you to-Do lot of icing in the Bursa region of your hip. Anti inflammatory medication to reduce irritation. Strengthen your gluteus to improve stability. Do regular weight training to avoid such issues in the future... improve lower back mobility by doing some spinal extension exercises...cobra stretches... Good hip stretches... Hope this is helpful for you. Kindly revert in case you need any further help in this regard...


Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that vitriol injection is given in vitamin B12 and folic acid deficiency. So your treatment is in right way. Kanamycin will treat the infection if any you have in the gastrointestinal tract. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.


Hello and thanks for consulting Chat Doctor. It could be a callus, but it sounds like you may have a plantar wart. Warts are different from calluses in that they often have a small dot in the middle of them and calluses do not. They are common on the bottom of the foot and can get very thick and painful. If you think it may be a wart, there are two types of over the counter medications you can try. One is a salicylic acid preparation that you apply twice a day (it can take months) and the other is a small instrument that freezes the wart. If you are not sure, see your doctor for a diagnosis. Good luck.


Hi, Thank you for posting your query. I have noted your fathers symptoms. These are suggestive of diabetic peripheral neuropathy (DPN). In DPN, the peripheral nerves (located in the skin) get affected. The common sites where nerves get affected are feet and hands. The common symptoms due to DPN are tingling, burning, numbness and pain in feet and hands. Nerve conduction studies may be done to confirm the diagnosis. Medications such as pregabalin or gabapentin capsules could help reduce the symptom severity. 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 ! Good evening. I am Chat Doctor answering your query. The symptoms of your daughter possibly points to a food poisoning which has caused the stomach pain, along with vaso-vagal symptoms. If I were your doctor, I would advise a routine stool test for ova and cyst, and treat accordingly. Apart from this, I would also advise a proton pump inhibitor, an anti-spasmodic, and a probiotic. If she does not get relief out of this, and the same symptoms continue, I would advise her to get clinically assessed in the ER of a nearby hospital or your family physician. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more. It is inflammation of airways. And symptoms like heaviness in chest, labored breathing, coughing (not improving with standard medicines) are seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need antibiotics and inhaled bronchodilators and inhaled corticosteroid (ICS). 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, You should give her Acetaminophen in alternation with ibuprofen syrup every 4 hours. This means you have given her acetaminophen syrup then after 4 hours you give her Ibuprofen syrup and so on. For stomach ache you give her an antispasmodic as Visceralgine. Offer her only small meals of soft easy swallowed food as soap, yogurt, and jelly. Hope I have answered your query. Let me know if I can assist you further.


Hi Welcome to Chat Doctor, Swollen turbinates with sneezing, watering eyes with runny nose could be due to rhinitis (allergic or infective) or acute sinusitis. Here, it can be mostly due to either allergy or viral infection because of our low immunity or allergic to certain substances like dust, pollens or grass. You should take symptomatic treatment,1) Take antibiotics (quinolones like ofloxacin or accolades like azithromycin) to prevent super-infection.2) Take antiallergic Chat Doctor. 3)Take decongestants like phenylephrine if you have congestive symptoms in turbinates, nose and throat.4) Steroid nasal spray like rhinoceros, flonase or became.5) Nebulization twice daily with saline or take steam inhalation 2 to 3 times a day. The best way to cure allergy is to avoid contact with the allergen, so you can make out which particular substance from these cats or dogs is causing it and try to avoid contact it. If still problem persists then you should consult ENT specialist who can recommend you certain blood tests with ESR and X-ray of face to make a diagnosis clear. Hope this information will help you. If still any query then you can ask me.


Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases as your ECG is normal twice. So no need to GA for angiogram. By your history and description, possibility of simple musculoskeletal pain is more. You might be sleeping in bad awkward position which is causing this pain in morning only. This pain improves when you relax. This also favors musculoskeletal pain. So avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. You can take simple painkiller like ibuprofen if pain is more. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hellowelcome to Chat Doctor Thomas is a tumor originating from the epithelial cells of the thymus. Thomas is an uncommon tumor, best known for its association with the neuromuscular disorder myasthenia graves. Thymoma is found in 15% of patients with myasthenia graves. Once diagnosed, Thomas may be removed surgically. In the rare case of a malignant tumor, chemotherapy may be used.it can occur in any organ where epithelial cells are present ... as we have limitation of words,try to visit the best oncologist near you.take carpal


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. But better to rule out lung diseases because you are having cough and worsening chest pain. So get done chest x-ray. If this is normal then no need to worry about lung diseases. Do following things for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid heavyweight lifting and strenuous exercise.3. Apply warm water pad on affected areas.4. Take painkiller and muscle relaxant Chat Doctor. 5. Wear rib belt.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thanks for your question on Chat Doctor. I can understand your friends situation and problem. He is having chest pain on swallowing and lying down, and not improving with painkiller (ibuprofen) so possibility of HERD related pain is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Lying down position makes reflux easier. So better to keep 2-3 pillows under head in the bed to prevent reflux. Ask him to avoid painkiller Chat Doctor.  Start proton pump inhibitors (antacid).  Ask him to avoid stress and tension, avoid hot and spicy food, avoid large meals, instead take frequent small meals. Ask him to quit smoking and alcohol if he has these habits. He will mostly improve with all these. If not improving than consult gastroenterologist and get done upper GI (gastrointestinal) copy. Hope I have solved your query. Wishing good health to your friend. Thanks.


Hi sir/madam, Thanks for your question on Chat Doctor. Ayurvedic medicines indicated in Low backache as per Ayurveda


Hello, Ive never read anywhere about acute renal failure caused by tokamak! It can cause Liguria sometimes which means a lower urine volume, which under certain circumstances may aggravate renal function and lead to acute renal failure (for example


Hello, Welcome to Chat Doctor, If you are having unprotected sex regularly for 1 year and your wife has not conceived then you & your have to get investigated for infertility[you cannot make a baby]. You can increase your chances of becoming pregnant each month by having sex at least every 3 days before and during ovulation. It is especially important to do so 72 hours before ovulation begins. Ovulation occurs about 2 weeks before the next menstrual cycle (period) starts. If your wife gets her period every 28 days, you should have sex at least every 3 days between the 10th and 18th day after the period starts. Take care. Regards.


Hi, I read your query and can understand your concern about your uncle. You have mentioned that your uncle was diagnosed with manic episode, and it was only the first episode ever. It would have been helpful if you had mentioned his age and symptoms other than aggressiveness. Your uncle being on treatment and improving is a good sign and there is a very high chance that he will recover completely. However, his medications must be continued for months even after he is fully recovered. If it was a first episode illness, and there is no family history, It's very difficult to say whether this will happen again or not. Making sure that he continues the treatment will certainly decrease this probability. Hope I was able to help you. Best wishes.


Thanks for your question on Chat Doctor. Normal chest x-ray is taken in PA (PosteroAnterior) view.  In this view apical part of lung is overlapped by clavicle and upper ribs (1st and 2nd). So any lesion in apical part can not be clearly visualized, thus proper reporting is not possible. So to overcome this problem, apicolordotic view is done. In this view, x-ray of chest is taken in such a way that apical areas are clearly visualized and so proper reporting of lesion can be possible. So get done apicolordotic view.


Hi.based from your description alone, it could be a lipoma (fatty deposit), fibrous (fibrous tissue formation) or a cystic formation (sebaceous or gelatinous cyst). These are all benign lesions, but other lesion types must also be ruled-out. it's not an emergency case, but if the lesion is increasing in size, causes pain or discomfort, and is bothersome for you, a consult with your doctor, preferably a general surgeon, is best for clinical evaluation. Diagnostics (such as X-ray or ultrasound) and management (medical and/or surgical, excision biopsy of the lesion) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.


Hello.  I have been through your question and understand your concern. I think you should be concerned, because like clones which is a spinal cord compression sign, electrical sensation as well is a sign of nerve root compression.I suggest you an expert neurological consult and EMG nerve conduction study to see if there is a damaged nerve and further the appropriate treatment. Hope this helps. Please feel free using MHC again


Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having upper respiratory infection of viral origin which has led to your symptoms. Most of the viral infections are self limiting, and it will subside by itself by 3-5 days. For your symptoms I would suggest you to follow1. Steam inhalation with Vapocaps2. Oral Least, once daily for 15 days3. Syp Ambrosia S4. Multi vitamin to boost up the immunity. Thank you.


Hi. Thanks for the query. As per your complaint lack of appetite and brown yellow stools after intake of antibiotics can be due to probably Clostridium Difficile infection that can occur due to disturbance in the normal bacterial flora of intestines leading to Infection caused by Clostridium bacteria. You should consult a Gastroenterologist and get evaluated and a thorough clinical evaluation and investigation like blood test, occult stool test and Endoscopy can help in diagnosis and treatment can be done accordingly. In case of C. Diff you can be advised Metronidazole, fidoxamycin etc. along with plenty of Probiotics like Yogurt and taking ample of fluids and light diet. Hope this information helps. Thanks and regards. Chat Doctor.


Hi and welcome to Chat Doctor! Thanks for your questions.  Vitamins and minerals in general are in green leafs, vegetables and fruits. However, in your case you have not mentioned what other problems such as diabetes or electrolyte abnormalities? Without going through your health records, suggesting any diet may be harmful. You need to consult your treating physician/nephrologist for diet prescription based on your blood reports. You can get back to us with your complete health report for appropriate diet advice. Take care


Thank you for posting query at Chat Doctor.Bag positive without further evaluation can not be advice treatment. Your friend also needs to check his liver enzymes (LFT), Head, and viral load (PCR test). Results of all these together with Bag will give a clear picture for treatment. It is possible that the virus remains in dormant phase throughout and causes no harm to liver. Only one fourth of patients infected with Herb virus develop liver cirrhosis. Therefore, one cannot be sure about your friend status. The viral load should be monitored, and he needs to repeat test every 6 month or at least once a year. Meanwhile, people close to your friend needs to be vaccinated and also test for Bag. Advice for friend


Hello! I read carefully your query and understand your concern. If this pain happens only once in a while it might due to constipation, if it happens near your menstruation time it might due to that, or it might be a muscular pain. You don't need to worry because if the pain was caused by a serious condition it would be there all time and would be accompanied by other symptoms. Usually Pancreatitis cause a severe pain in upper abdomen that irradiate in the back, nausea,vomits and a very sensitive abdomen when you touch it. So I don't think it is Pancreatitis. If the pain get worse, or lasts for some days, and you have other symptoms such as fever, vomits,diarrhea then I should consult a physician for diagnosis and treatment.Meanwhile, you can use Ibuprofen and Tuscan to relieve this pain. Hope my answer has helped. Take care. Chat Doctor.


Good morning. Blackening of palms fingers and soles is a side effect of Melody therapy. It is known as hand foot syn Chat Doctor.  It is a commonly seen side effect and need not worry. As long as thee is no ulceration and peeling of skin it will not cause any harm and treatment need not be discontinued. You can apply some skin emollients and moisturizers to keep skin moist and thus preventing peeling of skin. Regards


Hello! Thank you for the question on Chat Doctor! I understand your concern. It is true that these symptoms can be caused when the patient is tired, and he can't concentrate. But I would try to exclude first other causes of these symptoms. Slurred speech can be caused by transient ischemic attacks or seizures. At his age he is at risk for these disorders. I would recommend a full blood work to rule out anemia or dyslipidemia, a neurological examination and an EEG for the seizure suspicion. A brain CT scan may be needed. Hope to have been helpful. Best wishes,


Rabies vaccine is made from killed virus. Therefore, exposure to the vaccine cannot cause rabies. What will be present in the dogs blood after the vaccine is given will be antibodies to the rabies virus. This prevents and does not cause rabies, so any exposure to the vaccinated dogs blood will not cause rabies. You also cannot get rabies from touching anything (such as a book) that has had vaccine on it. So nothing to worry about. Hope this helps.


Welcome to Chat Doctor. 1. Abdominal pain with nausea can be seen I case of gall bladder pathology like inflammation or gall stones.2. The similar symptoms also seen in the gastroenteritis.3. I would recommend getting an ultrasound scan abdomen pelvis will help.4. Ultrasound will assess the gall bladder, bile ducts any obstruction, all solid organs, partially bowel pathologies.5.Meanwhile take symptomatic treatment and get an appointment and investigated and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http


Hello, What I understand by the history it there is inflammation in the trapezius muscle as which is common due to work-related. Also, if the pain is in the form of tingling, numbness, radiating then needs to check ours for any nerve-related entrapment. Besides, a cervical rib is one of the causes which may lead to additional symptoms. Why don't you make some time to visit an orthopedist and get examined. As the symptoms are troubling you a physical examination will help reveal in-depth the medical diagnosis and with some x-ray or MRI as the diagnostic procedure should help see within the underlying skin and muscle to see what extent the injury is. Based on the medical physical examination and diagnosis the treatment will be guided. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor.


Hi, Redness of foreskin indicates an inflammation either due to some infection (STD or non-STD) or due to some irritation to soaps or some external applications. Yeast infection is a common one to produce such inflammation, and we can confirm this with examination and simple investigations and treat with appropriate antifungal preparations. Scrotal pain may be due to Epididymitis. The cause of this also may have to be investigated with blood and urine tests. Sore back and Itchy feet seems not related to your sex relationship.  Chat Doctor. Morgan


Hi, in malignancy it is better to avoid prediction of survival in definite way. Pancreatic cancer extended to liver has bad prognosis. Chemo is the only option left. No scope of radiotherapy. If chemo can not be tolerated, it is better to stop it, because performance status is important to make a decision on chemo. Nutritional assessment and adequate nutritional supplement will be the best option. Again some patients lived for years also. So do not lose hope.


Hi...by what you quote it could be HSP - Enoch Scholar Purpura. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Thanks for your question on Chat Doctor. In my opinion you are having HERD (Castro Esophageal Reflux Disease)In this upper GIs copy is normal, but the tone of gastroesophageal sphincter is reduced.  So the sphincter becomes lax And cause reflux of acid. And this acid causes symptoms. So try to follow these steps for better symptomatic relief from GERALD.1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed.


Hi ! I had gone through your question and I understand your concern. Yes using to often for a long time Gatorade may cause high liver enzymes. This supplement may cause hipervitaminosis A that cause these symptoms;cause, Chat Doctor. . I would suggest to measure vitamin A level to confirm the diagnosis. The treatment is just stopped the supplement (Gatorade) . And after 2 month check again liver enzymes. Wish your daughter good health ! If you have any additional question feel free to ask me.


Hi. Thanks for asking in Chat Doctor. You have not mentioned if you have vomited out the sugar pill or the hormonal pill. Efficacy of the OCP depends upon the UN interrupted intake of hormonal pills. No harm can occur if you have vomited the sugar pill but if it was a hormonal pill, then surely the contraceptive protection would be reduced. You need not fear about pregnancy as you have used plan B after the intercourse. But your next menstrual cycle can be delayed because plan B also contains progesterone and a high blood level of progesterone can delay periods. This delay, again can create confusion and doubt about pregnancy. So if your period is delayed, do pregnancy test and rule out pregnancy as that will relieve your anxiety. I hope this is useful to you.


Hello, I have studied your case and I think that there can be many reasons of such pain. Like lack of vitamins, fatigue but I do not think it is related to factor V. So I would suggest you to visit an orthopedic surgeon and get your vitamin B 12 and vitamin D examination. If there is lack of this vitamin it can cause such symptoms. Also, some time there can be lack of carnation in muscles. So for that you need to take Acyl carnation. Factor V deficiency make you susceptible to clots. Avoid OCP as they can also promote clots.


Hello, Viral meningitis may indeed present this way, although you can never be certain about the diagnosis without a lumbar puncture. The apparent lack of fever after the first 24 hours despite the continuation of the body aches and the rest of the symptoms does not rule out meningitis because fever may be lacking altogether in up to 5% of cases and also because the painkillers may have masked the fever - you might have had fever, but the painkillers eliminated it. Migraine is possible as well particularly if you have a history of migraines, and you recognize the pattern of the pain. Stiff neck is not expected in migraine through, but a stiff neck can only be evaluated by a doctor. So in conclusion, meningitis is possible with the symptoms you have. Therefore, a visit to the ER is appropriate.  Hope I have answered your query. Let me know if I can assist you further.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, your left sided chest complaints can be due to heart diseases. Soreness of heart area with heaviness of left arm are common symptoms of cardiac diseases. So better to get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Gallstones usually give right sided complaints. So better to first rule out heart diseases in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, In most cases this is caused by small biliary stones or pancreatic stones, and he should do ERCP or MRI biography to rule this out. Other causes are alcohol, metabolic disorders or tumors of biliary duct. These are serious issues if so many attacks occurred, and it should be evaluated so that treatment can be started as soon as possible. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,


Hi, Symmetrical circular skin lesions could be ringworm or atomic dermatitis, or it could be a form of fungal infection. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Hello dear, I understand your concern. In my opinion the scanty menstruation could be due to hormonal abnormalities due to thyroid abnormalities, overweight or obesity. Kindly consult a gynecologist and rule out the above said causes by doing thyroid profile. Weight reduction in case of overweight or obesity is important.Don't worry. Avoid anxiety and stress regarding pregnancy as they delay fertility further by causing hormonal imbalance. Also get your partners' semen analysis done. If everything is normal there are definitely scope for pregnancy. Best regards...


Thanks for your question on Chat Doctor. I can understand your concern. Yes, chest pain and fever are connected. In child common causes for fever and chest pain are pneumonia and bronchitis. So better to first get done chest x-ray to rule out pneumonia. If chest x-ray is normal then get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. She might need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Don't worry, she will be alright. First rule of bronchitis and pneumonia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks.


Thanks for asking gone through your question, your 14-month-old child having problem of constipation. If I was your treating pediatrician then first I would evacuate the loaded abdomen by giving spy lactulose 2ml per kg per day. And after motion passed I would keep the dose of lactulose 1 ml per kg per day. So that your child pass one soft motion daily, for that I would titrate dose of lactulose. The above treatment is one part of treatment, other is giving fiber diet. Fiber content is good of whole grain, cereals, Give your child just 250 ml of mild daily, rest diet should be of cereals . Cereals form bulk of stool and frequent motions, Treatment may be continued for 2-6 months. Taper the dose of lactulose according the effect. I also give spy multivitamin and iron spy 1\u00a0mg per kg per day to improve appetite.  Hope i able to give answer to your query


Hello, I have studied your case. Nor co and percent are from same family of opioid medication. So they have same tendency of dependence. As you have taken Nor co for 3 years he wants to reduce dependence by shifting to percent. You can take neurotrophic like methylcobalamine with pregabalin for disc pain. MRI spine and EMG will help to decide necessity of surgery. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Since you had valvular heart disease in the past, we must rule out heart related diseases like heart failure or coronary artery disease (CAD) for your current symptoms. Because heart failure and CAD are common after valvular heart disease and cause similar symptoms like breathlessness on exertion and chest pain. So get done ECG, 2d echo and stress test (trade mill test) first. You may need diuretics and other cardiac supportive Chat Doctor.  Don't worry, you will be alright with appropriate treatment. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, thanks for using Chat Doctor. I had gone through all the data posted. By water bubbles in lungs doctor meant to say there is fluid in lungs suggestive of pulmonary edema. It suggests that patient is still in critical condition. As patient had suffered massive heart attack its pumping capacity goes down and blood gets congested in lungs which causes water content to move from blood vessels into lungs causes respiratory distress for which Ventilator is necessary. So your patients condition is still critical. Hopet his helps.


Dear user first I feel your worry about that problem and I know you are confused now and want to find solution, but there are items you should know.........allergy to antibiotics doe snot be diagnosed and confirmed from your history of taking it and rash appearance as there is always misdiagnosis of allergy to antibiotics...if you had taken antibiotic in the past and develop rash it denote mean you are allergy it may be because of infection or other causes..............so you should be confirmed to have allergy or not through tests........skin test is very helpful for that we inject intradermal dose of antibiotic detected, and we repeat the test for that ...........you did not mention in your words that you had skin test for these Chat Doctor. .......if you think that you had symptoms or confirmed diagnosis of allergy in the past it doe snot mean you are allergic now............allergic reaction to


Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of hypertension and heart disease is more. Left sided chest pain, dizziness, blurring of vision etc. are seen in hypertension and cardiac diseases. So better to consult doctor and get done 1. Blood pressure monitoring 2.  ECG 3. 2d echo. All these are needed to rule out cardiac cause. If these are normal then acute gastritis can cause similar symptoms. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors. Hope I have solved your query. Wish you good health. Thanks.


Hello. Psoriasis is a possible diagnose to consider. There are different types of psoriasis, one of them is inverse psoriasis. Inverse psoriasis, the lesions occurs in large folds


Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. What problems you are encountering with itching sensation in the vaginal region could be an inflammation of the skin. Kindly do the following to overcome it. 1. Wash the area with mild antiseptic solution like Salon twice daily. 2. Take Tablet. Levocetirizine once a day to control itching. 3. Apply Aureomycin with HY Chat Doctor.


Hello -The right side of the brain could cause symptoms on the left side of the body. So, tingling on the entire left side of your body that is new is a bit concerning, and I would discuss this with your doctor ASAP. While it may not be related to your old stroke, it could be a symptom of a possible new one. Migraines are probably not related to your stroke.  A migraine could rarely cause the symptoms of tingling as well.


DearWelcome to ChatDoctorWe understand your concerns went through your details. I assure you everything is fine. You know blood travels through veins and arteries. You will be able to feel pulses wherever thick arteries are available. Head, neck, shoulders, arm, wrist, thigh, stomach sides, knee, calf, feet etc. are areas where which arteries are present. You could feel the pulsation at all these places. If you obsess with these pulsations, you will become anxious and your heart beat increases due to the anxiety. Please donor misinterpret it. Your doctor told nothing is wrong with you. Accept it and be happy. Take care.  If you still need my assistance in this regard, please use this link. http


Hi Dear Welcome to the Chat Doctor, Every medicine has got some or the other side effects. Side effects should be weighed with the beneficial effects of the Chat Doctor.  Then they should be used accordingly. Rubired is an iron product, necessary for the blood production, Gemcal is calcium suspension. Helps in bone maturation. Cypon is an appetite stimulant not much recommended as it causes some sedation to the baby. Hope the query is answered. Thanks


Hi and welcome to Chat Doctor .... Spiramycin has activity against Chlamydia trachomas, Toxoplasma Gandhi..... Toxoplasmosis (treatment)Tobramycin is used as an alternative agent in the treatment of toxoplasmosis during pregnancy. {10} Pyrimethamine and sulfadiazine combination is considered to be more effective than tobramycin.however its side effects are little as compared to the other regimen.....yes you have optimum chances of pregnancy after clearance of infection...


Degree understand your concerns went through your details. I suggest you not to worry much. Attitude can be changed with experiences. They automatically change when you suffer from the previous experiences. Now you are suffering, worrying, therefore the attitude is supposed to change. You are worried and pitying self. You are dissatisfied with your life. That is why you are thinking about suicide. Dissatisfied minds always are like that. This lasts very short period. Then you shall realize such worries are of no use. Then attitude changes. Attitude changes according to main three factors. 1. Environment. 2 Education and 3. Experience. Other that these, If you sincerely want to change your attitudes, it changes. Find a personality development trainer. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi, as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing. Respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker. What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body. I will advise you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. For making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay In Chat Doctor.


Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. Lisinopril is a safe and effective Chat Doctor.  Normal blood pressure standardized worldwide is


Hello and welcome to ChatDoctorSince you do have a thyroid problem, this could be the main cause of hair fall. Do continue the treatment as advised. You may most probably have to continue this life long to keep the levels in normal range. This will also help your skin and hair. Other causes to consider are age, genetic, any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. You can start on supplements daily like Collinear. This needs to be continued at least for 2-3 months along with proper thyroid medication. Apply Recite hair oil to the scalp at night. Do consult a dermatologist as well, to assess your type of hair loss and to assess the results. They may also suggest some routine blood tests if required. Once your hormonal levels are normal you will notice improvement in hair growth as well, but it will take time. If medical methods do not work at all for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if and when required. Hope this helps.


Hallow Dear, I feel you should get certain medical knowledge which will clarify many of your doubts and also get some important messages. Firstly, she should not have instituted termination of pregnancy by abortion pills without Gynecologists advice. These medicines are prescription medicines and should be taken with appropriate prescription and advice; lest the risk of many complications. Now regarding her ?fresh pregnancy


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, chest tightness, pressure, belching, burping etc. Along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals.4. Quit smoking and alcohol if you have these habits. 5. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


This entire problem can be cured permanently without any operation, and it is true. For more details please mail me on \"bharat80_shah@yahoo.com\" so that I will give you details of certified Nutritionist (doctor) who will give you solution after checking your all reports. I am engineer and working in pharmaceutical company as Manager. My intention behind this write-up is to give me self-satisfaction by providing and helping people to get permanent cure from such lifestyle diseases.


Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you probably over strained your muscle, you need to 1 Put warm compresses at the site of pain2 avoid positions that cause it3 Take Paracetamol SOS and apply diclofenac cream at the site of pain 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.


Hi, I have read your query & understand your concern.  Your girlfriend is taking contraceptive pills Holstein 24 Fe regularly, at the time of sex you had taken precaution in form of with Chat Doctor. . All This thins suggest sufficient of protection & there seems to be no chance of conception.  You are concerned as she did not start her menses while on placebo pills. This can be due to psychological stress leading to hormonal disturbance. / with


Hello, AKT - 4 kit is meant for treating tuberculosis, but you should wait for its effects. As tuberculosis is a chronic disease, he relieve takes time and most of the patients have to take it for one year or even more. Please remember to take this kit regularly as your doctor has advised you. You can not afford to miss even a day. Please be assured that if tuberculosis has been diagnosed then it is certain that you will get appreciable relief. Please take plenty of water and proper food. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi. Thanks for your query and an elucidated history. . Sexual intercourse a couple of days ago can not cause pregnancy related symptoms like you have - bottom of your belly keep hurting now and then. This must be either dye to scar or most probably due to Cystitis as a part of urinary tract infection - UTI or PID-Pelvic Inflammatory Disease. I would advise you to take an opinion and examination as well as tests of urine and blood and ultrasonography of the abdomen. This will help to get a proper diagnosis and treatment


Thanks for your question on Chat Doctor. In my opinion you should first get done ECG to rule out cardiac cause for your chest pain because smoking can cause cardiac damage. If ECG is normal than no need to worry much for cardiac cause. Chest pain and shortness of breath in smoker can be seen in pulmonary causes like bronchitis. So consult pulmonologist and get done chest x-ray and PFT (pulmonary function test) to rule out bronchitis. For the treatment, smoking cessation is the primary thing. You have to quit smoking as soon as possible. You may also require inhaled bronchodilators. So consult pulmonologist and discuss all these.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is likely to be infection. After colonoscopy only infection can give you a pain. I also suggest you to take a injectable antibiotic and then visit to the hospital immediately. You can take tramadol tablet under your doctors' guidance for pain. But thereafter hospitals visit is necessary. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Dear patient you seem to have lumbar canal stenosis may be due to disc prolapse. Diagnosis needs to be confirmed by MRI of the lumbosacral spine with screening of whole spine. It is very sensitive and specific for diagnosis of spine pathology. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime along with tab attract twice a day. If MRI report is abnormal you need to consult spine surgeon with report.


Hello and welcome to ChatDoctorIt sounds like you have developed an allergy. Was there any history of taking any new medication, or applying anything prior to the rash? Any history of long sun exposure? Any food or Chat Doctor.  You can start applying Clobetasol cream lightly twice a day foe 7-10 days and observe. Also take antihistamine like Exocet 5\u00a0mg for the itching. Check for spread of the rash or new ones appearing. If there is no improvement do consult a dermatologist and consider infection as well. A biopsy of the leathery area maybe one if needed as advised. Hope this helps. While on treatment, avoid any items which you are generally allergic to and do not scratch the area. Use a mild soap.


Hello, Thanks for posting your query. Strictly use Higher (Diclofenac) as you have been prescribed by your physician. Never self-medicate or adjust your dosage yourself. A typical dosage is twice a day, once in the morning and again later in the evening. Always medicate after a meal and wash down with a full glass of water. For best results, try to always dose at the same time(s) each day. If any side effect persist or worsen, contact your physician. Possible side effects may include


Hi, Thank you for posting your query. Your symptoms require investigations to confirm the diagnosis. Regarding a valve leak, you would need to see a cardiologist and undergo an echocardiogram to confirm the diagnosis. In addition, you should also see a neurologist, and undergo an EEG and MRI brain to confirm or exclude a seizure or any other internal brain problem. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hello, I can understand your concern. Adenoids are lymphoid tissues in child Chat Doctor.  Usually, this lymphoid tissue is reduced in size and disappears on its own as the child ages. However, sometimes that is not the case the tissue persists which causes breathing difficulty, speaking difficulty, snoring, abnormal development of teeth, mouth breathing, frequent ear infections etc. Unfortunately, medicines cannot cure it and the only permanent solution to all the above-mentioned problems is surgical removal of this lymphoid tissue which has not disappeared on its own. It is a very common surgery performed in child


Hello, I had gone through the case and found that if there is angioplasty has done then might be pain present due to insertion of femoral vein, but this is very rare. There might be other cause like-Slip discMuscle spasmSciatica nerve pain. For slip disc diagnosis go for vertebral X-ray.Meanwhile, take painkiller and muscle relaxant gel for local application. Take rest. Hope my answer will be effective for you. Thanks


Hello Welcome to Chat Doctor. Your BP of 116/59 is optimal and should not cause you these symptoms. Medications in the group of Systolic also have an additional beneficial effect of lowering the heart rate. But in some percentage of population, the heart rate becomes too low with these medications. Hence, I advise you to check tour heart rate and do an ECG. If the heart rate BOH manually and on ECG are lower than 55 systolic should be stopped and substituted for another medication. If heart rate is greater than 55 per minute then you must record your BP regularly to see if it Chat Doctor.  If BP remains low then systolic can be speed. Wishing you good health. Regards


Hi Food particles or saliva is aspirated into the lungs while tube feeding. This will be unnoticed but can cause serious pneumonia. Your Grandpa who is coughing now May have aspiration pneumonia. Get a Chest Day and rule out pneumonia.  You can prevent aspiration pneumonia. Make him sit upright during feeding and for 1 hour after feeding is stopped. If it is difficult to sit, keep the head of the bed elevated at least 30 degrees.


Hello, I think you these are related to your shoe or footwear and the medium u walk. Correction of gait and also having flexible footwear should solve your problem. Your endurance levels look good by history only thing is troubling which I see is the footwear. Try walking barefoot and see if the pain comes. If pain doesn't come then your footwear has issues. And if it comes then the foot muscles need some exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi, Thanks for writing in. Yes, this does sound like an allergy. It is often difficult to identify what you are allergic to apart from things like seafood which cause allergies in a lot of people. The white marks could be healing skin (since you said you had a pretty bad reaction last month). I would suggest you have Tablet Cetirizine 10 mg once a day for 2-3 days, and you should be fine. Hope this helpsRegards


Hi, I had gone through your question and understand your concerns. There are a number o patients with epilepsy resistant from anti-epileptic Chat Doctor.  Certain focal epileptics with localization on temporal lobes of the brain are subject of treatment by surgery, (Functional Neurosurgery). The patients that may have benefit from this type of surgery are selected carefully from Neurologists and Functional Neurosurgeon, so I suggest you to visit a center whose specialty is in Functional Neurosurgery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.


HI, I understand your question & concern.  At 37 weeks, baby starts depending down in pelvic cavity. That is why mild contractions of uterus & a bit more jelly like vaginal discharge are common at this stage of pregnancy. Delivery is occasionally possible so early. Better to rule it out with internal check up by your obstetrician.  Diarrhea with jelly like substance in stools suggests infection. Also, mild abdominal pain throughout day might come from bowel infection. Please consult your doctor & get proper medication for diarrhea.  Take plenty of water with sugar/ pinch of salt in it Or ORT powder in water/take rest.  Thanks.


Hello, I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-ChatDoctor titles are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in the diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps.


HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. It is good that you are not taking alcohol. Get well soon. Take Care Chat Doctor.