Hi, Cannot say in your particular case, but generally, there is something wrong with the nasal passages. Most common is an overgrowth of the sinus lining producing lumps that get in the way. \"Polyps\". There can be an abscess, other growths, other deformities that block one of the sinuses and the block causes further inflammation. Frankly an MRI would perhaps be needed to see the blocks, many of which are not bone and do not show on X-rays. Hope I have answered your query. Let me know if I can assist you further.


Hello, Thank you for contact us, While in periods many of girls/women facing this issue or some else. You may tell that it's a side effect because some are facing problem like stomachs, pimples and so on. Normally For back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. Hope it will work for your back pain. Good luck, Take care. Thanks & regards,


Hello Sometimes antibiotics produces loose motion with greenish color. So get in blood for serum bilirubin level. While your son is having viral fever. Cal pol is the best Chat Doctor.  Only cal pol (paracetamol) 10 mg / kg body weight 3-4 times is sufficient. If high fever present, ice massage will suffix. ORS is another useful therapy. Usually viral fever remains for 7-10 days, so don't take tension. If fever persist >7 days then consult a pediatrician and get his opinion.


HAI, as you are in teenage group, pimples usually occur. Boils occurring in face named as pimple or acne. It can occur in other parts of the body also whatever sweat and sebaceous gland present. Follow the below advise to reduce the pimple stake 4- 5 liters of water every day wash your face twice or thrice day. Depends on outside work. Use aloe vera face wash.apply olive oil once in a week.don't take junk foods. Take more leaf vegetables and fruits. For a normal skin it will take 21 days to go off. So when you get a pimple the surrounding skin area will get dark. Around two weeks it will take to get a fresh skin. You can use aloe vera and saffron oil to decrease to darken area created by pimples. Keep your self HY Chat Doctor. Avoid junk foods and add more fruits and vegetables to be free from pimples. Thank you hope I answered your query


Hello....... Thanks for your query. Difficulty in control of anger is a common issue that significantly hampers our life. I would suggest that you meet a clinical psychologist to learn anger management exercises like counting of numbers, breathing techniques etc. Yoga, meditation and breathing relaxation exercises might also benefit you.  If the above measures fail, you would require a psychiatric evaluation to rule out depression and personality issues. Wish you good health. Regards Chat Doctor.


HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure discomfort in left chest-a-any thing on the left chest should be taken seriously.done neglect and show to your ER primary doctor-c-Causes in your case are-i-work pressure and the late evening stress effect -with ? High bpii-Your lifestyle -smoking / tea/ tobacco / untimely dietsiii-I would advise EEG and Stress test-and Physicians consultation forts treatments. So consult your doctor and wish you fast recovery. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my Chat Doctor clinic to your foes and friends. Have a good Day. With Regards


Welcome to Chat Doctor. I understand your concerns. The symptoms are due to IUD only. You did not mention what type of IUD you had. Usually Medina IUD contains progesterone which May causes some changes in the granularity of breast. Do not worry, slowly all symptoms will come down. Just have a check for any palpable lump. Take vitamin E tablets and food rich in vitamin E like Seafood. Hope this will help you. Thank you.


Dear, Thanks for the query to Chat Doctor. I studied your query and understood your health concerns. Remedy and cause-of your problem-In my opinion are-you have recovering Carr at the operated site and so Don't worry. Treatment advised -a-Consult Er doctorb-Tab-Antibiotics if it does not subside in 10 days timec-Tab-Nsaids x 1 non-contact the operated Surgeon, who would guide accordinglyRevert to your doctor on this advise-who would help you. This would help you to resolve your query. Welcome for any further query in this regard. Write review ASAP, with strong recommendations for Me and Chat Doctor to benefit old and new patients. Have a good day. With Chat Doctor. N.


Hi, It may be allergic contact dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to avoid the contact with suspected allergens like soap, detergents,grass, wool, dust.etc. Take antihistamines like cetirizine 10 mg daily. Also take oral steroids in tapering dose. If needed, a course of antibiotic may be considered. Apply mild steroid with antibiotic cream on the affected areas. Apply same in perianal areas which is perianal dermatitis due to loose motion. Take anti-diarrhoeal treatment after consulting the physician. Hope this helps. Thanks. Chat Doctor.


Bump near the knuckles that is painless3 factors1)knuckles is near a joint it's called MCP joint2)its painless3) and you have a history of strenuous activity points out to a ganglion cystitis a non-cancerous fluid filled mass occurring near joints after trauma or strenuous activity if its not painful treatment is just plain observation it usually resolves on its own aspiration of the cyst can be an option but there's a 50% chance till go back


Hi! Good evening. I am Chat Doctor answering your query. This needs a proper clinical examination before providing you with any solution, and so you would need to get a consultation from a dermatologist. Till then, you could go for an anti histamine, and some kind of OTC available skin antiseptic cream for local application.] 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. I wish you an early recovery. Chat Doctor.


Hi dear. I understand your concern. Tiredness/weaknesses/headache/sleep problem all are indicative of depression. Low or sad mood with loss of interest in activities are the principal features of depression. So need to evaluate in detail and need to evaluate your mental status with thought processes. Depression can be treated with medicine like combination of SSRI and benzodiazepine. Choice among all depends upon symptoms and clinical presentation. Consult psychiatrist and get help. Early treatment will bring fast and early recovery. Still if you have a query then feel free to ask. Happy to help you further. Thank you.


Hi. Thanks for your query. Yes, understood your problems. The pains and feeling of the small lump in the left testicle is suggestive of epididymitis or a cyst which got twisted. These causes referred pain to the lower abdomen. I would advise you the following. -First get an ultrasonography and Color Doppler examination to get a possible diagnosis. Secondly, consult a Urologist. The further treatment will depend upon the results.


Hi thanks for contacting Chat Doctor... Noted you are having allergic rhinitis Here source of allergy that is allergen has to be searched for.... Allergy test is useful.... This Chat Doctor. So not affect pregnancy. Long term use of this mediation avoided. While having rhinitis steam inhalation useful for soothing effect.... More water taken as it has antioxidant property... While having rhinitis fried food less. Deviated nasal septum if present corrected. Oregano decrease histamine response and is good remedy .... For allergy fexofenedine and montelukast can be taken prophylactically.... Take care.


Hi dairy understand your concern. Sore throat indicate infection. It can be treated with antibiotic and decongestants. Azithromycin/levofloxacine/CEA Chat Doctor. But consult ENT specialist for further assistance. Depression requires psychological evaluation. It can BBE treated with medicine like combination of the SSRI and benzodiazepine. Consult psychiatrist and get help. . Happy to help you further. Get well soon. Take care.


Hi. Thanks for your query. Noted your history of a lump in the low back on the left side and there is pain down your leg when you walk, sit down and lay down. There is pain in the hip too. Your Doctor says X-ray is normal. I would advise you in such a condition the following


Hi, I can understand your concern for uneven skin tone. If I were your dermatologist then I would have suggested you to use atelier acid cream or Comic acid cream or glycolic acid cream or licorice extract or routine creams at nighttime in guidance of dermatologist. The most important part is to use a sunscreen regularly in open environment and on exposure to sun. Take a proper guidance and follow up with a good dermatologist so that all the problem can be dealt best for future time. Take care


HIT hanks for posting your query to Chat Doctor.  Back Pain radiating to neck means there is some problem either in the Vertebra (Bones of the spine) , Intervertebral discs or there could be Compression of nerves between the bones of Spine.  You need evaluation to find out the cause of your back pain. For this you require an MRI scan of your Cervical and Thoracic Spine. Kindly get this scan done and revert to me.  Till then ask your doctor for prescription of Muscle relaxant and also get a back Physiotherapy for yourself. Hope you find this information useful. Any clarifications or Queries feel free to ask.


Hi... Thank you for consulting in Chat Doctor. 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.


Hello and welcome to Chat Doctor, Kindly consult a specialist (pulmonologist) for review of the anti-tubercular treatment (ATT). No ATT regime is as long as 14 months. Prolonged ATT is given only in case of bone tuberculosis. The ATT has be reviewed at regular intervals to assess the effectiveness of treatment. In case of pleural thickness, pleural decorticating can be done. However, it is important to consult a specialist for clinical assessment and further management. Thanks and take care Chat Doctor.


Hello, I have studied your case. Due to indentation on theta there can be central cord compression leading to diffuse pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.


Hello welcome to Chat Doctor Madam freely mobile lump may be a lipoma.it does not transform into cancerous doubt that it would be a lymphoma, but it is not mobile. If it is lymphoma then in routine blood test you may see the abnormality in the total number of White blood cells.you may feel fever also. Consult pathologist and have FNAC(fine needle aspiration cytology) of the lump present in the arm pit.it will clearly tell the diagnosis.and based on that consult surgeon, and he will guide you how to remove the lump. Hope you got answer from methane you Chat Doctor.


Hello! Thank you for the query. The symptoms like difficulty in swallowing, lump behind the ear and tongue sore are probably due to a condition in which immune system become week, which further occur due various reasons. Due to weakness of immune system lymph nodes behind the tongue and tonsils inside throat get infected very easily. The same is the reason for tongue sores. I would suggest you to consult ENT specialist for proper examination. Doctor may order blood test, throat swab test along with other test. Doctor may prescribe antibiotics (amoxicillin and penicillin) at least for 10 days along with vitamin supplements to boost the immunity. Also consult neurologist for migraine. For now do warm saline gargles several times a day, Chat Doctor.  Hope this will help. Regards.


Hi, I understand your concerns and I will explain at you the difference between liv-52 DS and Udilive-300. Your LFT correlate with the fatty liver, and are slightly higher than normal range, (6-47 UI) Liv. 52 DS support the hepatic cells to efficiently burn fats and to treat fatty liver conditions that have arisen due to alcohol consumption or high-fat diet (one of the best options in your case). Udilive -300 (Ursodeoxycholic acid) works by decreasing the production of cholesterol and by dissolving the cholesterol in bile so that it cannot form stones. (your bile is not causing this symptom, the fatty liver). So Utilize will not help with your fatty liver, at least not so effective as Liv 52 DS. At this point, I suggest you keep up with the same medicine that your doctor prescribed, liv-52 DS and you need to make some changes in your diet to help your liver and your body to heal faster.-have plenty of water-eat fresh vegetables and fresh fruits-have a low fat diet-small amount of exercise each day, yoga, walking a few miles-no alcohol at allays with this diet, even your intestine will work better, your kidneys, heart, and your whole body. And you minimize the probability to have gallstones in the future. Hope I have answered your query. If you have any other question, feel free to ask me.


Garlic has been said to decrease blood pressure, its one of the food fad.  Most of the big studies to prove its effect have found it to be clinically u non-significant, even the smaller trial garlic supplement could decrease the upper systolic Max to 3-4 mm Hg and lower diastolic to 2-3 mm Hg.  So don't stop lisinopril and shift to garlic, you may take it as supplement as there is no harm but as a qualified doctor I cannot recommend the same.  Regards Chat Doctor.


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


Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The following symptoms following Head injury require evaluation by a Neurosurgeon1. Loss of Consciousness2. Fits 3. Headache 4. Vomiting 5. Dizziness6. Giddiness7. Double Vision 8. Blurring of Vision 9. Numbness10. Weakness 11. Bleeding from Nose 12. Bleeding from Ears13. Bleeding from throating you are having dizzy spells, you need to go to the Neurosurgeon. Don't worry. Unless your condition is severe, you won't lose your


Hi Stephanie, vomiting could be because of high BP along with headache. In today's world high BP is common in both young and old people due to lifestyle changes. You should get your BP checked consecutively for 3 to 4 days and if its high then you surely are hypertensive. Its imp to lower down your BP and you should take antihypertensive. Obesity and lifestyle changes are few reasons for high BP. As for your UTI please complete your antibiotic course...get well soon


Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely concern for his symptoms. Swollen ankle, Redness, breathing difficulty etc. are more suggestive of congestive heart failure (CHF). So better to take him to cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). He may need coronary angiography if any of the above is showing abnormality. He may need diuretics and other cardiac supportive Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wishing good health to your uncle. Thanks.


Hi Welcome to Chat Doctor I have gone through your query and understand your concern. This seems to be muscular pain with trigger spot as pain is on same spot. But you are required to get MRI of the region to exclude local pathology. Treatment of this is rest and analgesic such as ibuprofen. I apply injection triamcinolone locally to such persons coming to me with good results. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have leg tremors and arm weakness. Well there can be many reasons for symptoms you mention in query like essential tremor is the most common type of movement disorder, Parkinsonism tremor, dystonia tremor, cerebellar tremor, psychogenic tremor or orthostatic tremor. There are other reasons also like arthritis, compressed fracture, pinched nerve or lack of sufficient blood supply. I would suggest you to consult neurologist for proper examination. Doctor may order CT scan, MRI of brain and spine, nerve conduction test along with taking history. Doctor may prescribe muscle relaxant along with anticonvulsant or antiepileptic Chat Doctor.  For now do light stretching exercises and do mind relaxing exercises like yoga and meditation. Doctor may also refer you to orthopedic surgeon for other reasons. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen and painful ankle and foot. Well there can be many reasons for symptoms you mention in query like peripheral neuropathy, hypertension, gout, kidney disease, DVT or venous insufficiency. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or x-ray along with blood test and urine test. Doctor may also refer you to cardiologist for cardiac problem or nephrologist for kidney problem, who may prescribe diuretic along with beta blockers. For now keep your legs in hot water tub with Epsom salt for 15 minutes daily and keep your legs elevated while lying down. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The cramps could be a manifestation of urinary tract infection. Many times the bladder infection can lead to this kind of problem. You can get a fresh urine test done to identify the same. 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, or want any further details about this same issue you can use the below-mentioned link


Hello and welcome to Chat Doctor, Thalassemia (that) is a blood related disorder. It is of two types- that beta and that alpha. Depending on the severity of the disease, it is trait, minor or major. Heamoglobin molecule is made up of two pairs protein chain called - alpha and beta. A decrease or absence of any one of these two pairs causes alpha or beta chains. So, in your case there is involvement of beta chain. If the beta chain is completely absent, it is called that beta major. If the chain is present but in lower quantity it is called that trait or that minor. The trait is first detected at the age of 34 years in your case. It was not symptomatic during your childhood and adolescence, so there is nothing to worry. Hemoglobin level is also marginally low, so nothing practically needs to be done. Thanks and take care Chat Doctor.


Hello, For cirrhosis, you have been prescribed the correct Chat Doctor.  Continue prescribed medication. Take a low salt diet. As such cirrhotic patient if you have within limit liver profile reports and clinically stable than no contraindication for air traveling. But take care that if you feel any unusual symptoms or vomit blood consults immediately to the doctor. Consult gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further.


Hi Tracey ! Do you have any discomfort in swallowing ? The chronic cough could be due to regurgitation of food/liquids while you lie down. What is the reason of your not eating properly ? Is it due to loss of appetite or due to the fear of pain in stomach on eating ? Do you get any fever specially during evening hours, and have you marked any loss in your weight ? In case you are experiencing difficulty in swallowing, loss in weight, and also low grade fever, you should consult your doctor earlier instead of waiting for surgery. At the same time there is no harm going for a serum gastrin evaluation because of your loose motions.In the meantime, you can elevate the head end of your bed so that the regurgitation becomes less, and go for Chat Doctor.


Hello and welcome to Chat Doctor. Thanks for your query. Psychological problems in child Chat Doctor.  Often multiple sessions and history from different caregivers is necessary. Many of your children symptoms could be indicative of a childhood obsessive compulsive disorder. But like I said before this can be confirmed only after a detailed history and psychological assessment. If this is the diagnosis, then she may need to be started on medication. I think her psychiatrist is doing the right thing by assessing her properly before making any decisions regarding starting medication. So, please discuss the plan of treatment with her psychiatrist. Wish you all the best.


Hi! Good evening. I am Chat Doctor answering your query. Yes, you are right. The lump under skin near the surgery wound could be a hematoma, but it could also indicate an incisional hernia depending on the site of surgery regarding which you did not give any indication. I would rather advise you to take appointment with a general surgeon preferably the surgeon who operated upon you, and get it assessed by him for further investigation and management. 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. I wish you an early recovery. Chat Doctor.


Hi welcome to him understand your query and concern. Incapability of SA node indicates abnormality in the spread of impulse in the heart. I advise you to go for an ECG,2D Echo, lipid profile immediately to confirm the diagnosis. You may need Chat Doctor. You may need a pacemaker insertion once diagnosis is confirmed. Regular monitoring of heart is mandate in your case. Also get your blood pressure and heart rate monitored. Get electron physiological study and radio frequency ablation by discussing with your doctor. Consult your cardiologist for expert management. Post your further queries if any, Thank you


Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and would explain that a lot of physical activity would be very helpful in lowering your blood pressure. Besides, it would also help you lose some pounds, which would also contribute in a better management of your blood pressure. So I would encourage you to continue this exercise program. Regarding your diet modifications, I would recommend to maximally reduce salt and caffeine intake. Your blood pressure is just stage I hypertension, and with these lifestyle modifications, there you have still chances to have a normal blood pressure without medication. Hope to have been helpful! Greetings!


Hi, dairy have gone through your question. I can understand your concern. You have MRSA infection with multiple antibiotics trials.  You should go for culture and sensitivity test.  It will give you exact diagnosis and give the best antibiotic choice.  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. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having allergic bronchitis. The atmosphere in the room (dust, smell) must be allergic for you, so on exposure you are getting allergic reaction in the form of bronchitis. This bronchitis is the reason for your burning sensation in chest. So to prevent this you need to wear face mask before entering the room and keep it until you leave the room. Hope I have solved your query. Wish you good health. Thanks.


Degree understand your concerns went through your details. Being slob and irresponsible never means a person has some mental disorder. That shows negative attitude. He is slob because he has not come across anything which teases his responsibility. He needs to have responsibility. Furthermore, he should learn from circumstances. Furthermore, he will get those lessons and one day he will be a responsible person. Wait for that to happen. Meanwhile, you may talk to a psychological counselor for help. If you require more of my help in this aspect, please use this URL. http


Thanks for asking in Chat Doctor forum In Short


Hello, Hairline fracture of the elbow may get displaced if not protected in slab or cast. I would like to see X-ray.  We recommend protection in above elbow cast for one month at least. Reason for pain is due to improper immobilization and rest. I would recommend a visit to another orthopedic surgeon for an expert opinion. Meanwhile, tab Diclofenac twice a day should be taken for pain relief. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello there. Noted the contents. Spy Luiz which is lactulose can increase the blood glucose levels. It has to be used with caution. You may use it for your mother but just monitor her blood glucose levels. Other good alternatives would be spatula husk. Its safe, effective and has no adverse effects on blood glucose levels. Let her have a diet high in fiber and Chat Doctor.  Hope this helps. Wishing her good health. Take care.


If you are still running a fever then the doctor will definitely postpone the operation and wait till your vitals are stable. By the symptoms you describe, it seems you have a viral fever. Normally a blood panel is done along with NS1 antigen test to rule out dengue and an anti-malarial antigen test to rule out malaria. If however you are from a developed country the above-mentioned conditions are rare. I suggest you discuss the possibility of a kidney issue with our doctor. In the meantime take paracetamol 500\u00a0mg 6th hourly for the fever and if the back pain does not subside take a tramadol (Ultra) 50\u00a0mg twice a day


Hello dear, I understand your concern. In my opinion it might be just an irregular or delayed period. But if the bleeding is less like just spotting then a urine pregnancy test might be needed. But if the period is normal flow then it is mostly a period. The cause of irregular periods like thyroid abnormalities, PCOD, overweight or obesity, stress need to be evaluated. Avoid stress if any. Weight reduction in case of overweight or obesity is helpful. Best regards...


Hello there, a past surgery of hernia in no way can cause impotency. Secondly I would like to differentiate between impotency and infertility. Impotency means when your boyfriend cannot have an erection while infertility means that your boyfriend can have erection, but you cannot get pregnant due to some problem in the guys' sperm. Both of them are not complications of a regular hernia surgery. Hope this ad Chat Doctor.


Hello, First cause for this should be treated like angiography followed by Stenting or bypass. Secondly, regular medicine and follow up, which you must be doing.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, and avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Thirdly the patient if less than 30 are advised for ICD or CRT device which is life-saving in multiple patients, so you should discuss these issues with your cardiologist. Hope I have answered your query. Let me know if I can assist you further.


Hello, I have gone through your query. Thanks for using Chat Doctor. I would like to know your exact report of echo and ECG. This term extra muscle around heart is uncommon term and I need to know what exactly it is! I can presume that there may be thickening of walls of heart due to long-standing untreated Hypertension what we call as LVH. If it is the same then what you need is good control of BP with regular medicines. I would be glad to guide you if you send me the exact reports best wishes Chat Doctor.


Hi, Purpose and duration of taking omnacortil not mentioned. Omnacortil (prednisolone) is a corticosteroid commonly prescribed to treat a wide range of health problems including allergies, blood disorders, bronchial asthma, skin diseases, infections, certain cancers and to prevent organ rejection after a transplant. It can increase the risk of cataracts, osteoporosis, diabetes mellitus, and delirium, which are more common and more dangerous in the elderly population.  It may also cause a variety of psychiatric symptoms, including dementia, that are reversible on Chat Doctor.  In view of the above if the benefits of using omnacotil are more than the risks of above-mentioned side effects, it may be continued in low doses preferably on every alternate days and for a short period of time to minimize the risk of those side effects. Hope I have answered your query. Let me know if I can assist you further. Take care


Degree understand your concerns went through your details. I suggest you not to worry much. Sex is a divine act and meditation. We forget ourselves throughout the sexual act and that makes it proper meditation. Sex should not be performed when you or your partner is tired, stressed. Sex should not be performed during unworldly timing, and you should not hurry while doing sex. Erection is happening when blood is pumped into the penis and kept there in a certain pressure. The pressure is not sustained due to the above-mentioned reasons. Anxiety about is sex is also another factor. Don't come to a pretext. Yesterday happened never means it will happen tomorrow. Concentrate on career and not on sex. Keep it divine and do meditate, don't hurry and get stressed. Hope this answers your query. Available for further clarifications. Good luck.


Hello, and I hope I can help you today. Anyone with a history of an ectopic pregnancy has about a 20 percent chance of developing another one, even if the tube was removed.  So I strongly recommend if you develop any pain, especially if it is on one side, that you go to an emergency room for an ultrasound and a Chat Doctor hormone level.  Spotting in early pregnancy is very common and normal, but please do not hesitate to seek medical care if you have any abnormal symptoms. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy,


Hi welcome to Chat Doctor. I have gone through your question. Semen can not be judged with gross appearance. To analyze semen I would advise doing semen analysis. Generally quantity of semen varies on abstinence, if you avoid masturbation for 3/4 days then volume will be good enough.Otherwise, just go to nearby laboratory and do semen analysis. Hope I answered your question. Would be happy to help you further. Take care.


Dear Sir, greetings from Chat Doctor ... I understand your problems ... You told that your blood glucose is well in control ... That's great . Any way to be on the safer side get your HbA1c done ...along with lipid profile and fasting glucose levels ... The sore tongue could be due to vitamin deficiency . Please take good nutritious food and for a month better take any vitamin and mineral supplements . Riboflavin / even zinc deficiency could also lead to this kind of problems ... U will be alright in a week after starting supplements but regularly take green leafy vegetables and fruits which will give these supplements naturally . Take care and all the best . Do contact us for more queries.


Thanks for your query, based on the facts that you have posted it appears that you have been indulged in frequent masturbation since many years and facing problem of loss of memory.First there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Guidance and help of qualified Psychiatrist will be of much help to resolve your problem. Chat Doctor.


Good day, and thank you for being with Chat Doctor !! I am very sorry to hear that your husband is suffering from acute kidney stone attack. If he has fever, intractable pain and intractable vomiting then it is time to rush him to the emergency room. Spontaneous passage of stones depends on stone size and as a general rule if it is smaller than 0.5 mm it has an 80-90% chance of passage. Let him Chat Doctor.  Pain medications will surely help (any NSAIDs) during this very painful episodes.


Hi there, Well, fever is usually a common symptom when there is an infectious process, whether of viral origin, bacterial, among others. But also it is usually accompanied by other symptoms that help to know its origin, for example, chills, cough, gonorrhea, among others. It is difficult for me to give you a complete answer since I do not know any other symptoms besides the fever and because I am not doing a physical examination. I would like to know more in order to help you clarify your doubts. At the moment if the only symptoms have been fever, my recommendation is that you perform a blood test to determine its etiology in order to obtain an accurate diagnosis and appropriate treatment. I hope I have been helpful, if you have any other doubts, feel free to ask me, ill be glad to help you.


Hi, Skizoril (clozapine) is a very effective medicine but is usually prescribed only when other antipsychotics have failed, because of the serious side effects and need for regular blood monitoring. If he was missing the doses of Respond plus intermittently, then it is possible that the appearance of new symptoms was due to non-compliance and not because the Chat Doctor.  If this is so, then he may not need to be given Skijoring. Use of depot injections of antipsychotics can solve your problem as he will just need to take one injection every two to three weeks. Please discuss this option with your doctor. Do not push him to get a job at present as he is not mentally fit now and is unlikely to be able to hold on to the job if he joins one. Hope this helps you. Best wishes.


Hello, Welcome to Chat Doctor ! Active ingredient of Fact ointment is policresulen. It helps stop bleeding, itching and burning accompanying hemorrhoids and other ailments in the area of anus. Fact ointment may also decrease itching and burning. However, it is not indicated for anal fissures. I will advise you to kindly refer to a specialist (a surgeon) for timely diagnosis & treatment. Wishing you best of health!  Chat Doctor.  20, Patchouli. kansalnaveen@gmail.com


Dear Anil Goer, On your angiography in 2011, there were significant narrowing of two coronary arteries and some non-significant narrowing which couldn't cause any ischemia and complaints. One significant narrowing was treated with stent, but the other one remained. I think they didn't perform stenting of the other artery as the stress test results were good in 2011, but of you have positive stress test results in a year, then there is a need to repeat coronary angiography to evaluate arteries again, there may be two possibilities, either the other narrowing became more and are significant now or it is the D2 from the first angiography causing the problems. In both cases angioplasty (stenting) may be needed. Take fearsome back if you have any further questions


Hello, Thanks for consulting Chat Doctor, Read your query, as you feel of small circle on your gum don't worry this is not mouth cancer it can be inflammation in gum due to localized enlargement of gingival, infection in tooth due to caries secondary to Periapical abscess, or localized inflammation of periodontal ligament secondary to Periodontal Abscess. I will suggest you to consult your dentist for examination and evaluation of gums and rule out the cause of circle in gum, in meanwhile do warm saline rinses, maintain proper oral hygiene, use regularly mouthwash. Hope this will help you


Hi.... high heart rates are expected in high fever. But in a 5-year-old even with high fever heart rate nearing 120 beats per minute is quite high and that too keeping in mind the structural heart disease which your child is having. Any child with structural heart disease with high fever should be evaluated for infective endocarditis and I suggest you take her to the nearest Emergency Room and get her evaluated. Regards -


Hi, thank you for providing the brief history of your mother. A thorough musculoskeletal assessment is advised. As your mother is 82, this bruise will be related to pressure sore. Which is common in most patients. Also, the pain is the protective mechanism to indicate that the bruise is present and pressure on that area should be avoided. Also, the muscles will be weak. I recommend undergoing a simple physical therapy like ultrasound therapy to reduce the pain. Also, if your mother is not diabetic than quick icing should help reduce the bruising. Physical therapy will help get strength and functional ability of your mother. Post which she might not develop such things as in. In my Clinical practice I see geriatrics a lot and by the help of physical therapy they respond well in strength and functional ability as well.regards Jay In Chat Doctor.


Hi, Low back pain is sometimes very painful and may interfere with your daily activities. Rest with hot compresses on your back and the avoidance of lifting heavy objects is the first line you may do. Taking some NSAIDs, muscle relaxants, whether topical or in tab forms are very helpful, topical gels with yoga is highly recommended at your stage. Sometimes you may need intramuscular injections of steroids to decrease the inflammation around your nerve root, pregabalin and B12 supplements are effective with the neuropathic pain. If all these fail you may ask your specialist for more investigations or even minor endoscopic interventions or even spinal surgeries are needed in some late cases, so I insist you go to your specialist for better management of your case. Hope I have answered your query. Let me know if I can assist you further.


Thanks for query on Chat Doctor. You have low sperm count and also poor motility and morphology. Go for USG abdomen and testis, urine test to rule out any local abnormality. Maintain local temperature by avoid tight undergarment, exposure to heat, excessive cycling. You have to start certain medicines which contains b12,folic acid, vit.e, vit.c and minerals like copper, zinc,selenium. Complete course of intro muscular b12,folic acid will be helpful. Start treatment for any local condition if is there. Avoid stress, anxiety. You will definitely get normal count within 2 to 3 months treatment. Keep in touch with your doctor.


Hi and welcome to Chat Doctor, thank you for your query. It is hard to say, but lung cancer is the last thing to think since it is not so common disease and there would be some other symptoms. It more likely indicates heart disease or some other benign lung disease. Perimenopause symptoms may be similar as well but I suggest seeing cardiologist and vascular internist first to rule out heart diseases. Wish you good health. Regards.


Thanks for asking in Chat Doctor forum In short


Hi, 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. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For the nasal block, plain saline nasal


Thanks for asking in Chat Doctor forum IN Short


Hi. I understand your concerns. If the mitral prolapse is accompanied by moderate to severe mitral regurgitation, then further treatment is recommended. I would suggest performing an echocardiogram to assess it. The shortness of breath does not seem sever, as you describe it. My opinion is that she should be restricted to everyday activity and not performing heavy duties or activities. I hope I was helpful. Good day


HelloSign microvascular disease may be indicated as ischemic changes(due to compromised blood supply). These are generally due to involvement of small blood vessels. It is generally due to conditions like hypertension, diabetes mellitus, altered lipid profile etc. So, you may need clinical correlation and screening for these conditions. This is not a very serious finding, and it only needs treatment of underlying cause. It is seen more with aging. Get well soon. Take Care Chat Doctor.


Hi thanks for asking question here. Ya infectious mononucleosis can spread through saliva. You are prone for infection with history suggested. But it is not always surely that you will get infection. Chances of getting infection is depended on your immunity. Avoid stress. During this incubation stage of disease try to keep your immunity high. Take nutritional diet with more fruit and protein. We are happy to help you for further query if you have. Thanks.


Dear, she has very fast heart rate. It should be immediate concern. As you have not written her age so I have to take few possibilities. Fast heart rate with breathing discomfort could be to some infection in body or lungs infection (fever is usually present), Heart diseases (dizziness is also seen) or some metabolic diseases (thyroid hormone imbalance). Weight gain is also seen in metabolic diseases or when your activity has been reduced due to some disease or fluid retention in heart diseases. She needs immediate attention by internal medicine or good GP.


HI, thanks for using Chat Doctor Allergic rhinitis is inflammation of the nasal passages and allergic sinusitis is inflammation of the sinuses. Some persons may have both. The medications that you are using are appropriate however once are still exposed to the allergen, the symptoms would continue. If you can determine the source of your response and avoid it, it would help. Allergies can be due to dust, different foods, pollen, animal dander. An allergy test may be able to help determine the source. I hope this helps


Hello! Thank you for the query. Spleen cyst is a very common disease and can give no symptoms. Only if large enough to squeeze surrounding tissues can cause unspecific symptoms. Symptomatic cyst can be treated with laparoscopy. However, your symptoms can be caused by some other diseases like peptic ulcer. That is why before any decisions you should have upper GI endoscopy to rule peptic ulcer out. Hope this will help. Regards.


Hi thanks for your question. Do not worry based on my experience, after endoscopy most of my patients have similar feelings. Just take over the counter nausea medication, and you will be key. Endoscope tube causes minor trauma to lining of the gastrointestinal tract and that is why you have foam and blood.this nausea should stop in 2 to 3 days, if it continues then see surgeon for review. Hope I answered your question.


Hi There I understand your concern and would like to tell you that as you High Blood pressure for a couple of years, you should take the medication (April 5 as advised) along with lifestyle modification for better hypertension control. April is very good medicine as it reduces risk of myocardial Infarction, stroke and death rate because of cardiovascular diseases. Cough and hypotension can be the only side effect of April if it happens then you can ask your treating doctor for alternative. I wish you Good Health


Hi... The pain in your legs could be due to weakness or lack of strength in your lower body muscles and may be due to some micronutrient deficiency. If I were your treating doctor I would like you to... Advise isometric and endurance training for the whole body... Advise blood work especially for calcium. D3 and B12...if levels are less than correct it through proper medications. Advise you to have good nutritious diet... Advise walking regularly.... Advise good recovery exercises.like stretching...swimming... yoga etc... Hope this is helpful for you.... Kindly revert in case you need any further help in this regard


Hi. Thanks for your query. Noted the history about your friend who has got big sore lumps on his face and taking Flucloxacillin 500 and now wants to know whether Chat Doctor. . As per the history you have given about your friend, alcohol surely will increase the already existing lumps on the face and can worsen the problem. Also, alcohol can interact with many other things including Flucloxacillin, hence should not be given. If you had provided the photos I would have been in a position to give him further advise.


Hello, Chat Doctor.  I do not have the names of the other medications that your mom is having together with Open ER so that I can say specifically which are the possible interactions and risks. Kindly reply and let us know of all the medications that she is using, so we can further assist you. I hope I have answered your query. I remain at your disposal in case further medical assistance is needed.


Hi hepatitis c virus (CV) disease occur during blood transfusion using unsterile needle prick. Follow1, rich protein diet avoid alcohols, avoid oil fry food items. Investigation PCR count I 131 IMAGING scans.  Diet 1, protein rich diet, egg white has to use, protein powder, Bavaria tablets use 2 times daily, lactulose solution c, treatment liver transplant, avoid viral load by Bavaria tab.  Precaution avoids unsterile syringe contact, no vaccine for hepatitis c


Since your wife is suffering from membranous nephropathy(MN) and her PC ratio is very high, she might also have hypoalbuminemia, a condition which can predispose to cause blood closing in her veins, especially in her renal veins. And also she is predisposed to various infections secondary to lose of immune factors in urine and also due to the immunosuppressive nature if the Chat Doctor.  The pain could be due to either of the above cause. So please consider this as an emergency she requires an ultrasound abdomen with renal vessel Doppler a complete blood count, blood culture and serum albumin and fibrinogen Asia. Also make sure that she has not skipped any


Hi, dairy have gone through your question. I can understand your concern. You have bleeding piles.  It causes pain and bleeding.  You should avoid constipation.  Take plenty of water and green leafy vegetables, for pain relief UPU can use local anesthetic gel like lignin gel. Permanent treatment options is surgery.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, Welcome to Chat Doctor Side effect of birth control pills can be pain abdomen, nausea, vomiting, tiredness, weakness, headache, loss of libido, menstrual irregularities, etc. 1. Get your GF clinically assessed by a doc. She is getting blurry vision, it can be dizziness that she is unable to define, it can be due to weakness, headache can be due to eye-sight problem, she may need an eye check-up.2. It is important to get her hemoglobin (HBO) level checked, get her blood tests done to confirm fitness. Low blood pressure often results in headache.3. She should take vitamin or mineral supplements.4. She can take some other substitute for the birth control pill that suits her better after consultation with a gone.5. Abdominal pain can be due to gastritis. Antacids will give relief. Abdominal pain can also be due to some infection, pelvic inflammatory disease, cysts, fibroid, etc. A USG will help to confirm diagnosis.6. She should avoid smoking, alcohol or addiction of any kind, avoid oily spicy food. Healthy nutritious, rich in minerals and proteins is what she needs, she should keep bowels clean and properly HY Chat Doctor.  Take care.


The picture that you have portrayed shows that the cancer has involved the bone marrow where all the blood cells including platelets are produced. Hence, the low platelet counts. Also, since the platelets are necessary for blood clotting, that is the reason for bleeding from all these sites. The reason for doing an MRI/CAT scan is dual. One to know whether the disease has spread to the brain (its is possible) and two to rule out any bleeding within the brain


Hi dear, I have gone through your question and understand your concerns. If no cause is found for the infertility, then it is categorized as unexplained infertility. Treatment of unexplained infertility should be done stepwise, with the next step to be done when the previous step fails


Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that newsprint is effective in the treating it until the infection is limited. If the infection enlarges it is necessary to start with oral antibiotics like definite. Also, necessary to maintain the local hygiene by Chat Doctor. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.


Hi, dairy have gone through your question. I can understand your concern. Your swelling in toes has no relation with your mouth ulcers. You should go for examination. You can take folic acid table or gel with or without steroids for rapid healing of ulcer. Consult your doctor 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.


Hi, Thanks for writing to Chat Doctor, I am Chat Doctor. BP is approx normal just DBP is slightly lower n this mostly do not cause fatigue n dizziness, but many things can lead to like methodical derangement scan be due to DM or cardiac issues or brain etc. If u were my patient I would like to do detail history n exam n then test relative to rule out cause like ECG, holder to rule out arrhythmia that can cause this dizziness, s.e, lots etc. R/U metabolic derangement SB the. Treat u accordingly I hope this answered your question, if you have more feel free to ask. Regards.


Hi, thank you for providing me an opportunity to answer your query. Based on the history what you provided it doesn't seem that something is connected to the viral conjunctivitis. It will be related to your spine as you have mentioned you had sciatica symptoms twice. I don't think these symptoms will stay for long duration. A little care taken will get you away from the symptoms. Kindly do some neck and back strengthening exercises and avoid using big pillows and soft surface to sleep, i wish you recover with this and do best in future with your health. Thank you.


Hi. Gone through your history carefully. You should consult a Doctor. The reasons being


Hi IPA, Welcome and thanks for posting your query to Chat Doctor. It seems you are quite stressed with your dark complexion. There are many methods of lightening of dark complexion up to a certain stage but you along with your dermatologist has to see the safety issues with short term or long term usage of these things. Now it is totally Up to you to what extent you want to go, even you may find some fascinating advertisements regarding fairness but again comes the side effects and actual usage. Now coming to your point directly, you can use glycolic acid and Arabic acid creams under dermatological guidance. Both glycolic acid and Arabic acid creams are present in low and high strengths, so try using low strength first and then gradually can shift over to higher strength. These are able to give results in 3- 4 months continuous and judicious use and are safe for long term use also. The next thing to tell you behind beauty is that it is not the color but the glow on the skin which actually counts. This can be achieved with good sun protection by physical barrier as umbrella and sunscreen usage 2-3 times a day half an hour before moving out. Eat a lot of fruits (all yellow and red) containing a lot of carotenoids and vitamins which can act as best sunscreen. Include green leafy vegetables and salads which will act as natural sunscreen (best for you) and Chat Doctor.  Lastly love your skin and love yourself there must be certain things which nobody can match up. Keep glowing!!!


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


Hello, It is not advisable to take a medicine before investigation or without consulting a doctor. Numeral 80 mg which contains lumefantrine is used to cure certain types of malaria and the irregular fever that your wife is having, may be malaria, but it should be confirmed with proper test.  You should also investigate your daughter for malaria. Hope I have answered your query. Let me know if I can assist you further. Take care


Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like Chen Chat Doctor. I will advise doing X-ray knee and if required MRI knee can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises.Lifestyle changes will help in reducing pain which include, LOAD REDUCTION


Hi welcome to Chat Doctor ... I really appreciate your knowledge... Here chest tightness and pain suggestive there might be lung infection involved... Following causes has to be ruled out.... 1. Pneumonia2.bronchitis 3. Pleurisy etc.... According to cause further treatment given. But you mostly will need antibiotic in form of definite or amoxyclav... If needed hospitalization done and I. V. Antibiotic given.... If needed bronchodilator given if rhonchi present... Take Paradise


HelloFindings suggests borderline increased SGPT, and it may indicate mild liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to alcohol intake in your case. You need few other investigations like random blood sugar, liver function test, lipid profile. You may need to take some medicines after proper evaluation. It may take 4-6 months to get SGPT to normal level, but you should avoid alcohol completely.AST in non-specific, and it increases in many conditions. Get well soon. Take Care Chat Doctor.


Hi, I had gone through your question and understand your concerns. You should be worried but not too much. You may get back him to normal range. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on lifestyle modifications for three months


Hi....as his daily activities are normal, you need not worry. But one most important suggestion - 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.


Your age please? This is possibly due to limb length discrepancy. Use 1.75\"extra heel on left side. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Hypertension, Diabetes or any other metabolic disorder. Any way you may try---.  Looking Plus (Mankind) [Diclofenac 100\u00a0mg +Paracetamol 350\u00a0mg] 1 tab.  OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.--. Do mild exercises for Back, Knee & Legs. Foot & ankle.  --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.xxxix)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health.


Causes of enlarged spleen in 8 months baby can be hemolytic disease like Thalassemia, G6PD deficiency, malarial infection, leukemia. It depends on how much the size of spleen is enlarged. In leukemia and Thalassemia the size of spleen is quite big. In malaria infection and G6PD deficiency the size of spleen is not so much. Spleen size can also be increased in intrauterine infection like torch infection. You should do blood test like complete blood count with peripheral smear, iron studies, hemoglobin electrophoresis, torch test. This test will help in confirming the diagnosis. For the management will depend on the cause of disease. Take care.


HAI, as you are a diabetic and you are very much vulnerable to infections. As your complaint of white discharge seems to some infection in your penis. You need medical attention like antibiotics. White pus and blister on penis indicates uncontrolled diabetes. First ensure whether your blood sugar is within control. however I advise you apply numeric powder in the affected area. Because turmeric is a good antiseptic. Thank you hope I answered your query


Hi, dairy have gone through your question. I can understand your concern. You have urinary tract infection. You should go for urine routine and microscopic examination, culture and sensitivity test and ultrasound kidney, ureter and bladder. Then you should take antibiotic treatment according to sensitivity test.  Chat Doctor.  It is prescription based medicine so consult your doctor and take treatment accordingly. You should also check your blood sugar level because diabetes is the most common cause or recurrent urinary tract infection. Your gall bladder has no relation with urine infection. Consult your doctor and take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, dairy have gone through your question. I can understand your concern. Your SGPT and GOT levels are high. Their levels are increased in liver damage. It can be due to viral hepatitis, alcohol, Chat Doctor.  You have fatty liver which also leads to high GOT and SGPT levels. You should go for ultrasound abdomen to search the cause. Take low fat diet with high protein. Avoid alcohols and smoking. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/


Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done CT thorax with contrast to know about right lower lobe mass. Possible causes for these are1. Benign cyst2. Old fibrotic scar3. Rounded pneumonia4. Pleural thickening or fibrosis5. Infected cyst.6. Malignant mass etc. So to rule out all these and to reach final diagnosis, CT thorax with contrast is needed. If mass is there than biopsy is also needed for confirmation of diagnosis.


Hello, Thanks for your query. According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedic or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. One must also rule out inflammatory disorders, for which I recommend you to get an X-ray of your spine after consulting with an Orthopedic. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedic. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Thanks for your question on Chat Doctor. I can understand your concern. You are having chronic chest pain for 3 years. Your chest pain is associated with breathing, so possibility of pleuritic chest pain is more. Pleuritic chest pain is common with bronchitis and lung infection. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. If all these are then no need to worry about lung diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take painkiller like ibuprofen. 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.


Your symptoms are most probably due to a spasm in para spinal muscles. These are muscles that lie on the other side of your spine. They must have become spasmodic when you were dusting the rugs. I would suggest you to take complete bed rest for a period of 1-2 days until the pain subsides. However, you can attend to your daily needs and keep it to minimum essential activity. You can also afford some relief using hot water compresses over that area for a period of 20 minutes every 3 hours. Since the pain relievers aren't helping, you should get prescription medications for a period of two weeks, for which you will need to see your physician.


Hi, Fertyl contain camphene. It causes following side effects


Thanks for your question on Chat Doctor. Sarcoidosis is multi system disorder. And affect all most all organs of the body. The most commonly involved organs are1. Lungs. Hilary and lower zone nodules.2. Skin. Sarcoma tubercle.3. Brain. Meningitis and sarcoma nodules in brain.4. Eyes. Conjunctivitis and British.5. Kidneys. Glomerulonephritis. Etc. So your friends symptoms may be due to acidosis. But he should first get done serum ACE level. If this is high then possibility of acidosis is there. So consult pulmonologist and discuss all these.


Hi, thanks for using Chat Doctor If the shortness of breath is severe or there are associated symptoms such as chest pain, palpitations, then you should consider seeing your doctor as soon as possible. In the absence of the above then you may consider waiting till your appointment. It is possible that it is related to your history of asthma, but the doctor may want to rule out other causes as well e.g. heart related problems hope this helps


Hi, If performs rupture as such doesn't warrant surgery. Treatment of rupture depends on symptoms and difficulty you have. If you are suspecting performs rupture, diagnosis can be confirmed by MRI of the MRI of the involved hip. Detailed clinical Examination can also aid in diagnosis. If pain is severe you can take tab Attract P twice a day for pain relief. Visit to orthopedic surgeon is recommended.  Hope I have answered your query. Let me know if I can assist you further.


Hello! I read carefully your question and understand your concern. I think that this may be a primary stabbing headache, if it lasts for seconds. It is a benign headache without a known cause. It may also be related to the muscles. Furthermore, it may also be caused by inflammation like a temporal arthritis, but it is also associated with vision problems which you don't refer. The fact that it has occurred in both sides makes is a good indicator excluding an aneurysm. I recommend you to consult with your neurologist, have a neurological examination and a full blood work for inflammation. Hope to have been of help! Greetings!


Hi I have gone through your complaints. You are 9 months pregnant. Now having high BP and proteinuria indicates preeclampsia. Its good as you are having no complaints and sonogram normal. Nothing to worry regarding proteinuria. Have exercises life walking. Avoid salty foods. Monitor your blood pressure. Have sonogram once in a week .if everything in normal range plan delivery accordingly. If blood pressure is unstable and symptoms && signs are there consult the Chat Doctor. Thank youRegardsVasundhara


Hi, dairy have gone through your question. I can understand your concern. Ovarian cancer runs in family. So you have increased risk of ovarian cancer.  Right now your symptoms doesn't look like ovarian cancer.  Still you should go for ultrasound abdomen and ca 125 level once to rule out any chance of ovarian cancer. 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.


Good day to you. Thanks for your query. Check your grandmother blood sugar also, although she is not diabetic. Also check her Blood pressure while sitting and again while standing to see if there is Chat Doctor.  Is she taking any blood pressure medication? Ask her to take some rest and again check her blood pressure after half hour. If still she is having same complaints, consult some doctor to get her examined.


Thanks for contacting Chat Doctor with your medical questions am sorry to hear that you are having problems with sexual Chat Doctor.  These symptoms do sound like low testosterone level. I would recommend that you have your doctor repeat your testosterone level as a fasting lab. The testosterone levels are highly dependent on the time of day. After waking is the time that is the best time to obtain a blood sample. If the level is still normal then I might suggest using a medication like Viagra or Levitt to help with sexual performance. If these measures are not satisfactory then I recommend you seek medical attention by a urologist or a specialist in male endocrinology. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions


Hai this is bring 27 old.blood gr b+ i am not joking. I am serially sale my kidney. I am phasing of so many financial problems. So please anybody wanted my kidney please call me immediately. I am red to now. I am already checking my kidney function testing report. It is good condition. See my reports.


Penis pimples, or more specifically, penile acne pustules, are entirely harmless. It is normal sometimes areas such as these may become infected. Pimples on penis are pretty much the same as pimples on your face, depends on what causes them, bacteria or infection. That could only cause irritation, makes them larger or some other problems. STD is not likely applicable to your sons age. Remember just it is important to see your doctor if the pimples change color or gives more pain which you did not mention. Regardless of the severity of your penile pimples you want them gone, cleared up completely, never to come back. Treatment


Thanks for your question on Chat Doctor. I can understand your daughter s situation and problem. Yes, Mast cell instability is curable if treated early. If left untreated it can give rise to life-threatening allergies (anaphylaxis) and blood cancer (leukemia or lymphoma). And her severe food allergy is also due to Mast cell instability. So better to consult immunologist and allergist for appropriate treatment. Early treatment is having good outcomes. Hope I have solved your query. Wishing good health to your daughter. Thanks.


HI, thanks for using Chat Doctor You may want to consider allergy testing to determine if there is a specific allergen that is causing your reaction. If this can be determined and your exposure reduced or eliminated then this would help reduce your symptoms. Allergy testing can be in the form of skin tests or blood tests. There are other cause of generalized itching such as infection (scabies), liver disease, thyroid disease, renal disease. Assessment would determine if any of these are present. I hope this helps


Hi. Thanks for your query. Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elders Heinous the Teaching X factor type. The EDS to a certain extent can cause these symptoms. The possibilities are


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Low Platelet count would not cause burning chest pain.2. Possibility of internal bleeding secondary to gastritis/ HERD or angina pain are usual suspects.3. During internal bleeding, thrombocytes is commonly seen. If the nuclear stress test is abnormal, further angiography is necessary to evaluate for any blockage. You can start on proton pump inhibitors like pantoprazole for a week and see if the pain reduces. Hope it helps. Any further queries, happy to help again.


Hi! Semen is nothing but a protein-rich secretion that must generate immunity in your body if somehow inoculated; actually it is not against semen as a whole but against some protein components of it! The sperms die soon and only digested/residual proteins will initiate some allergic/immunities in your body!there is no communication of blood with semen due to blood-testes barrier and not to worry! 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. All the best!


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have said that you have lock jaw problem it can be due to if you undergone any dental treatment, Lock Jaw is known as Erasmus which is due to Master muscle spasm, It can be due to many cause like Tetanus, or due to stress also or may be due to Temporomandibular disorder also, so don't take so much stress do proper exercises, Hope this will help you, Wish you good health


Hello Thanks for writing to bleeding to not related to liver. Your doctor has rightly referred her to a gynecologist. Her problem may be related to pathology in cervix, uterus,local cause etc. She needs proper gynecological examination and investigations. Investigations include routine hologram, RBS,Pap smear, ultrasound of abdomen. Further investigation scan be done if needed. Proper treatment depend upon findings. Get well soon. Take Care


Hello, I have studied your case. First possibility could be of lumbar disc compressing nerve root leading to pins and needle with pain in foot. I will advise you to do MRI spineAnother possibility of arthritis and associated plantar fasciitis.X-ray will rule out arthritis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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.


Thank you for consulting with Chat Doctor.I'm sorry to hear about the pain you suffer during your menstrual cycles. Endometriosis is a disease which could happen anywhere in your body. The tissue responds to the hormones from your ovaries and bleeds once in a month like it happens in a menstrual cycle. If you are having blood in urine on monthly intervals it could very well be an endometriosis occurring in your urinary tract. And if it is endometriosis removing the ovary is an option. If the site of endometriosis is removable surgically its removal also may cure your condition. Blood in urine can also result from other causes like stones, or any ulcerative growths. A physical examination and imaging studies are mandatory to rule out the conditions. You also have to check the cytology of the urine. Consult with your urologist, and he will do the necessary investigations. Please revert with further details.


Hi. Thanks for your query and an elucidated history. Read your history again and again. I would suggest you to go for High Resolution CT scan to see the exact position of the appendix/ bowel/ presence of any abscess or foreign body like dead momentum and all. This really helps. Another is to go for colonoscopy as this can help to get a diagnosis of any associated colonic pathology like tuberculosis or so. The information so gathered can give idea whether you need another surgery for correction of remaining pathology or medicines would help. Be on the liquid diet. Take rest- it helps in early healing. Avoid all foods and beverages which you know increase your symptoms. Do not worry about hernia. It can be treated at a later date or during the next surgery. (Mesh should not be put at the moment as there are more chances of infection)


Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky.  Methadone is both effective as long-lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further.


Hello, thanks for writing in. A high prolactin level can cause ovulation problems, hence It's essential to do a workup for the cause and treat it- usually medicines suffice.Additionally, it maybe linked to an under functioning thyroid as well as the Chat Doctor. Hence, please consult a gynecologist or endocrinologist who can diagnose, correct and monitor the hormonal imbalances. Your periods also need to be regularized. A healthy lifestyle, exercise, with a nutritious diet devoid of processed & preservative rich food will help you to feel healthy, achieve a hormonal balance naturally and increase chances of pregnancy. Please do write in if you have any more queries. Bye.


Welcome to the ChatDoctorI completely understand your concerns. I see such cases in my clinical practice.  Alkaline phosphate levels in your daughter are quite high and needs to be immediately investigated. In view of her recurrent illness history you may go for following investigations


Hi greetings You are absolutely normal. There is no harm in night emissions or masturbation. It is a sign of virility and proves that you are perfect. One important factor is about any infections in your genital organs like STD. If any history of STD then you need to treat that completely. After that it could be the secretions from your Penis making you feel as semen. Even if semen nothing to worry. Now anything in excess is bad, so you should be restricting watching porn.limit to 5 to 10 min only. Masterbation can be done weekly twice or thrice so that you can enjoy better. You can start some sort of exercises daily to improve your physique and try to learn meditation. You can also concentrate on your studies or professional to divert your mind. Hope my answer helps you. Regards


Degree understand your concerns went through your details. I suggest you not to worry much. I think, this is due to obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. 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. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi, Thanks for posting your query. Your liver function test is normal (as figures mentioned by you) except slightly raised GOT/ SEPT. Are you an obese person? Fatty liver is a common ultrasound finding and deranged GOT/ SGPT may be due to fatty liver. Your pricking pain doesn't appear to be due to liver pathology. What was your gall bladder status? You should also go for endoscopy. You should consult with internal medicine specialist / gastroenterologist. Take care,


Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you Question


HiT hank you for your question to Chat Doctor. Leg pain and weakness can stem from pressure or intrinsic pathology of the nerve. To find out the cause and location of your problem I would recommend getting Electromyography and Nerve Conduction testing (EMG/NCV) of left leg. For my patients I would also get MRI of the lumbar spine because lumbar disc herniation is a common pathology that causes leg pain and weakness. Rarely thoracic disc herniation (midback) can lead to such symptoms and MRI of the thoracic spine would be the next step if no correlating picture is found in lumbar spine. Hope this is helpful. I will be happy to answer any questions you may have.


Hii would like to start answering your query by telling you that thankfully you don't have any form of oral cancer. The white discharge oozing out of your gums is just pus from the periodontal pockets due to gum disease. You can wait to get back to your country for the treatment which would include OPG x-ray to see the condition of alveolar bone some other dental examinations. Meanwhile you can go to any local dentist and ask him to do scaling that is dental cleaning. If periodontitis is not severe then scaling can even fix your problem. Take care


Hi...by what you quote I feel that the kid is having pro Chat Doctor.  If there is vomiting you can use Syrup Ondansetron as prescribed by your pediatrician. If diarrhea starts - it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. I suggest you use zinc supplements (Z&D


Hi, Thanks for coming to ChatDoctorI can feel the pain you are going through since 2011Exhaustion and heart sore can be symptoms of uncontrolled hypothyroidism and complicated / unresolved griffins thing to do is to do a thyroid hormone level (T3, T4, TSH) checked, if they are not normal, then the symptoms for which you are worried about are because of hypothyroidism. Then consult an endocrinologistHypothyoridism is a risk factor for having such symptoms in response to stress (emotional crisis you are referring to)In addition, being in regular with a psychotherapist or interacting within people of your age etc. will help recovery


Thanks for using Chat Doctor. I understand your concern.1) You can apply fluocinonide generic solution 0.05% over the affected area in small amount, twice a day, maximum up to two weeks.2) You can use clobetasol propionate shampoo 0.05% once daily or clobetasol scalp solution(Cor max)0.05% apply over the affected area in small amount, twice daily, maximum up to two weeks.3)You can use topical calcipotriene solution or foam 0.005%(though little expensive)are also equally effective in treating scalp psoriasis. I would advise you to discuss this with your doctor preferably a dermatologist to consider any of the above prescription if it is appropriate for you. Hope this information helps you. If any further questions, happy to help you. Take care.


Hi, I can understand your concern for itching on body while suffering from diarrhea. It is difficult to make an exact diagnosis of your condition with your current history. For what exact condition you were prescribed loratadine and in what exact dose you are taking it. In general loratadine is a very safe tablet. If I were your dermatologist then would have you to increase the dose of loratadine. It can be increased from 1 tablet to 2 tablets and up to 4 tablets if the itching is not controlled. 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. Take care.


Hi.dear Vijay., Thanks for choosing Chat Doctor., Retino-A... Retino-A (Retinoid) has several uses. Retina (Retinoid) is widely and popularly used for the treatment of acne, and can also diminish the visible signs of aging removing lines and fades sun spots. It is also used in conjunction with topical hair loss medications. Retinas main active ingredient, Retinoid works by increasing the turnover of skin cells and speeds up the shedding of dead cells........it has the following side effects like.... Chat Doctor. , Burning., StingingSkin redness., Itching..., Rash., Temporary changes in skin., pigmentation..., Sensitivity of the skin to light., Skin blistering..., Eye irritation..., OedemaFor best results...use this.,3\u00a0months period., PROEMOL......it is moisturizing cream and used to prevent


Dear Ma'am, Sorry to hear about your husbands' problem. He is feeling better because of the chemotherapy (that is the reason why his symptoms have subsided) but it does not imply that the cancer has been completely treated. He would still require surgery because radiotherapy cannot be given to him. You can discuss the other options with your oncologist, but they might not be curative, and they include TURBO (transurethral resection of bladder tumor).


Hello! Welcome and thank you for asking on Chat Doctor! Hiccups is a normal physiological reflex, related to the diaphragm movements. An elevation of the diaphragm or abdominal distension could cause this clinical scenario. From the other hand the heart lies over the diaphragm. That is why diaphragm elevations can cause palpitations. I recommend consulting with your attending physician for a careful physical exam and performing some tests


Hi, Welcome to Chat Doctor. Bleeding gums can be due to bad oral hygiene, and due to inflammation of gums called as gingivitis. Coughing up blood in saliva is definitely worrisome. Itching could be due to many reasons, but most common is allergies to food. I suggest you get a detailed examination done by a GP near you to rule out causes of these symptoms. I would also suggest you get a complete lab workup to rule out bleeding disorders, and any kind of malignancy. Thanks.


HelloThanks for your query. Based on the facts that you have posted it appears that you have undergone surgery for kidney stone. You have not mentioned the nature of surgery whether it was an endoscopic surgery like (PCNL OR URS). The pain that you are getting now is not related to previous surgery and can be due to recurrence of stone or due to spots in the kidney that you have mentioned in your query. Please consult qualified Urologist for clinical assessment and further treatment. Chat Doctor.


Hi, I had gone through your question and understand your concerns. Oligocene Chat Doctor. (WHO grade 2). There are other possibilities of diagnosis with that MR result (high grade gliomas, metastasis). The treatment is surgical followed by chemotherapy and radiation therapy after the BIOS response. The treatment needs to be done on a specialized Neurosurgical Center. 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.


Thanks for your query, I have gone through your query. The swollen papilla could be because of the inflammation secondary to deposits or any irritation, or it can be a fibrous arising from the interdental papilla. Consult an oral physician and get it evaluated. If it is a gingival enlargement or inflammatory origin then take a course of antibiotics and observe for 1 week, if it does not subside then get it surgically excised. If it is a fibrous then get it surgically excised. I hope my answer will help you, take care.


Hi, Thanks for your query. Neck pain that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Mild degree of soreness and chest pain is common after choking spell. So at present, no need to worry much and hence no need to visit emergency room. But if he develops worsening of chest pain, coughing, breathlessness etc. than immediately consult emergency room and get done broncos copy to rule out aspiration into the lungs. So watch for these alarming symptoms. At present no need to worry. Hope I have solved your query. Wishing good health to your husband. Thanks.


Hello you are on 4 moods stabilizers-Divalproex ER, Lithium and Neurontin and Seroquel, Wellbutrin as antidepressant. Incredible it is. Now mirtazapine as antidepressant and Asian for sleep. If I were to treat you, first thing I would do is stop Neurontin and lithium slowly, raise Divalproex to 1000 mg, keep Seroquel 150 mg and add nortriptyline. Each of my proposed change has a sound scientific basis. Lesser number of medicines with careful appraisal of the symptoms and appropriate to the relevant circuits in brain carries the best prognosis with minimum side effects Chat Doctor.


Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. Best regards...


Thanks for your query, I have gone through your query. The canker sore is not related to the chipped wisdom tooth. Usually it occurs secondary to stress or nutritional deficiency. Nothing to be panic, you can take a topical anesthetic like lidocaine and topical analgesic like choline salicylate. Do saline gargling and lead a stress-free life. Regarding your wisdom tooth, you need to get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. I hope my answer will help you, take care.


Most fevers in child Chat Doctor.  Although febrile convulsions can occur in case of high rise of temperature, going by your description it rather seems to be benign sleep myoclonus which is not harmful, and you need not be concerned. It is normal and can occur in sleep. But I would strongly insist you to visit a pediatrician and to get the child assessed about the cause of fever so that it can be managed accordingly.


Hi, Welcome to Chat Doctor, I understand your concern. Hair seen like that is not common in child Chat Doctor.  If it's coming from inside that could mean he has swallowed some hair which is tying to get expelled undigested and getting entangled inside. If I were your pediatrician, I would refer you to a pediatric surgeon who can examine his rectum and try to take it out safely. Don't worry, the problem can be completely cleared. Take care.


Hi and thank you so much for this query. I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, Chat Doctor.  Also, an ultrasound would guide the decision-making process. I hope this ad


Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply


Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. PUT (pulmonary function test)2. Bronchoscopic evaluation. Post intubation following are the possible complications that can cause annoying cough.1. Bronchitis2. Tracheal injury and stenosis. So get done PFT to rule out bronchitis. Bronchoscopic examination is needed to rule out tracheal injury. So better to consult pulmonologist and discuss all these.


HI, thanks for using Chat Doctor Severe acid reflux symptoms can be associated with ulcer formation. If your symptoms do not improve with the use of your medication then you can see your doctor for an assessment. To diagnose an ulcer, you would need imaging tests to be done. It is possible to have severe HERD that is not responding to medication. You may need to alter your diet to reduce your use of spicy/acidic/fatty or fried foods. I hope this helps


Hello, With the past menstrual history and having missed your pills, pregnancy should be suspected. This is because you were no longer protected in this cycle. Please go ahead with home pregnancy test with a fresh early morning sample of urine 3-7 days after the missed period. If positive, you can go for a trans-vaginal sonogram to see the status of the pregnancy. If you wish for an earlier and better confirmation/exclusion, please go for the estimation of the serum beta-ChatDoctor titles. Hope this helps.


Hello there!  I read your query and I want you to know that Misdiagnosed ulcers lead to perforations and pain under right Hyperion Chat Doctor. As you already have sepsis and a lot of surgical procedures, so there area lot of adhesions and post surgical unavoidable complications making your bowel very sensitive and explains all the symptoms you are facing. Rectal bleeding needs work up. Colonoscopy would be a good start witChatDoctorplete blood panel. Endoscopy for gastric mass is to rule out any gastric malignancy odds as they increase in cases like yours. If God forbid there is some malignant mass it would be better to intervene early. So that's what all this plan is about. Hope for the least try for the best and get prepared for the worst. I am sure you will be intake some special care of yourself regards


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


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such types of defects usually closes after some tines. But in your case it has not close d. If such things happens it requires surgical intervention to close it. Because open space has communication with the spinal area. Because of this it frequently gets infected, as you mentioned now it is infected with the fungus. I advixevyou to get close it surgically. This is the final permanent solution for this condition. Till you visit the doctor you can make the area clean with frequent washing and Chat Doctor.  You can use Betadine and polypoid powder. Please avoid injury to that portion. Wearing a cotton undergarments can help you more than synthetic garments. I will be happy to answer your further concern on bit.ly/


Thank you for posting your question. Fever cough especially when associated with cold in a 11\u00a0month old child is most likely to be viral. Some points that would favor it being viral is normal behavior in between fever spikes, presence of running nose or associated diarrhea etc. In such cases an antibiotic like azithromycin is usually not indicated. However, for the treatment of such conditions proper control of fever and symptomatic relief is all that is needed along with patience and monitoring of symptoms. In case you have started the course of azithromycin, completion of at least 3 days of the Chat Doctor.  As the cough is relieved by leveling, I suggest you continue that along with other homemade remedies like honey, ginger or warm water or milk with turmeric to sooth the throat. For the cold you could use any antihistamines


Dear sir/ madam based on your description I would examine your knee for local bony tenderness. Most likely it could besot tissue injury to knee for which I would recommend rest, immobilization in a knee immobilizer, some analgesics, ice fomentation for 1 week. Then when the pain and swelling subsides examine your knee ligaments and then decide on further management. Numbness might be due to direct injury to cutaneous nerves or edema in that area, so after giving rest for 1 week further examination is recommended.


Hello, Welcome to Chat Doctor, You seem to be suffering from Acute urticaria. It is characterized by itchy red or skin colored raised wheals which is transient. The most common cause of acute urticaria is food. Seafood, meat, poultry, egg, milk, apples, brinjal, strawberry, coloring agents etc. are commonly implicated. It is subjective, and any food can cause it. Other common causes are medicines, infections, insect bites etc. In your case Cake is number one on the suspected trigger list. Avoid eating it. You may take antihistamine like Ben Chat Doctor. Hope this helped, Take care.


Hi, dear. I have gone through your reports. I can understand your concern.  You have report of your complete blood count. Your he is slightly low.  Rest all parameters are completely normal. No need to worry. Just be relaxed. If you have any symptoms then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, I appreciate your concerns. The risk factors for CKD in your case are diabetes and blood pressure of long duration. If the GFR remains below 60 for a duration of 3 months we label it as CKD stage 2. If you have significant amount of protein in the urine most likely you have kidney dysfunction secondary to diabetes. But there is nothing to worry as we have diagnosed it early and if taken precautions the EFR can be maintained for a long time. The key to prevent further progression at this point is a good control of blood sugar and blood pressure, weight reduction and regular follow up. The anemia is most likely secondary to nutritional deficiency as you are already taking vitamin supplements. I will e pleased to take any queries from you. Tx


Thanks for your question on Chat Doctor. I can understand your concern. Best treatment of chest infection is identification of causative organism and giving appropriate antibiotic according to the organism. For this we need culture and sensitivity report. So send sputum culture and sensitivity report. If sputum is not available, get done bronchoscopic evaluation and BAD (bronchoalveolar lavage) culture and sensitivity report. This will guide you about effective antibiotic treatment. By this way, we can reduce the overuse of antibiotics and so resistance and side effects can be reduced. This will also speed up the recovery. So consult your doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


The repair of brachial plexus injury depends on the amount of disability your brother is having as well as the duration and severity of injury. If the nerve had been injured at multiple places, nerve interposition grafting may have to be done, i.e., another nerve from the leg may need to be connected in between.  In Kerala, for this you can go to Amrita institute. Otherwise, you can choose SIMIANS, Bengaluru.