Hi, I can understand what disturbances u might be facing in your daily routine. Hey I want to know that is u have fear of going to toilet or u have fear of getting contaminated in public toilet. If u have fear of toilet u will avoid going it but u mentioned here u go to it repeatedly. Considering your fear, avoidance to go out & embarrassed feeling you're suffering from kind of mental illness (where person fear going in public places, have palpitation, intense restless feeling and anxiety on going to public places) This is kind of illness in which your suffering can be curtailed down with the help of psychotherapy and some medication. It will be better if u meet nearby psychiatrist earliest as possible, so he can help u to decrease your fear and improve your daily routine.


Hi, thank you for your query. If you have missed a pill, you can go ahead and take 2 pills next day. If you forget to take your pills for 2 days, take 2 pills the day you remember and 2 pills the next day. You will then be back on schedule. If you miss more than 2 birth control pills, take one pill daily until Sunday and then start a new pack or discard the rest of the pill pack and start over with a new pack that same day. So yes, you are protected. But in future do use some other form of protection e.g. Condom when you miss the pill. Thank you, wishing you good health


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of sore throat with cough and upset stomach which seems to be due to chest infection/ chronic upper respiratory tract infection, and it could be due to swollen lymph node/tonsils. Stomach upset sometimes occurs due to intake of antibiotics. Need not worry. I would suggest you to do warm saline gargles. You should visit ENT specialist once and get it examined. You should get paranasal sinus x-ray done along with throat swab test and blood tests and start treatment after proper diagnosis. Furthermore, you should get pulmonary function test done. Furthermore, you should take yogurt in diet. Take proper course of antibiotics. Avoid oily and sharp food.  Chat Doctor.  Apply mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes, Harry Maheshtala


Hello, Swelling is due to injury or edema. The term edema means swelling due to the accumulation of excess fluid. It is particularly common in the lower leg, ankles, and feet. But you should talk to a physician and ascertain the cause and find a solution. Do not have any self treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.  V. Anand, Psychologist


Degree understand your concerns went through your details. Appearance of black / dark veins around the penis shaft is quite normal and there is nothing to worry about it. In all males this blood vessels are seen on the surface of penis. The shape and pattern may be different in individuals, but it is normal. In flaccid stage these veins are not prominent. When one gets erection the blood flow the penile vessels increase. This leads to filling of them with blood, and they become prominently visible. In fact, it is the blood flowing that is responsible for erection and its maintenance. In my opinion what you have is normal and there is no need to worry. However, if you are anxious about it, local examination by your doctor is the only option. You need treatment which will not be possible without your local doctor examining you. If you require more of my help in this aspect, please use this URL. http


Hello, As this sounds like a ligament sprain and needs a clinical examination. Usually after any physical activity in the gym there might be a possibility of two things - one is DOES (which can occur post beginning of the exercise initially and vanishes off in 4-5 days of time) and the other is the soft tissue Injury (this occurs due to wrong physical activity at gym and needs medical examination and an x-ray or MRI based on clinical assessment). Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi. Thanks for your query. Noted the history about your son and understood the concerns. Since he is suffering since the age of 4 and now is 45 means 41 years there is some problem and as you have already mentioned the problem looks to be related to the changes that the VP shunt has caused. There would have been infection and thence formation of fibrosis and adhesion and so on. Since you have said all tests done but not mentioned any, I would advise you for the following if not yest done. Contrast enhanced CT scan and thus Enterocolitis to see if there is any intestinal obstruction. MRI of the back to see if there is any problem of the spinal cord causing neurological pain. And the best resort is to go for diagnostic Laparoscopy or laparotomy so that the cause can be found and treated.


Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your medical history and would explain that your symptoms do not seem to be related to fibromyalgia. Vertigo in your situation can be related an inner ear disorder, or a low blood flow to the brain (possibly caused by narrowing of the posterior circulation or vertebral arteries). Your actual symptoms do not seem to be related to the past episode of vertigo. A metabolic disorder or depression could be related to your actual symptomatology. I would recommend consulting with your attending physician for a careful physical exam and some tests


Hello dairy understand your concerned had Chat Doctor injection on 11th day and on follicle was not ruptured on 19th day. Generally effect of Chat Doctor injection will occur on next 24-36 hours. So chance of rupture is less. I would suggest taking Chat Doctor injection for few cycles. If ovulation does not occur then it could be due to thick covering. If problem persists then you can go for USG guided ovarian Chat Doctor. Along with this you can try clonidine citrate, metformin and progesterone pill in second half of periodAvoid stress, take healthy diet,


Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your symptoms indicate towards an infection of the joint, you may need surgery, but before that you need to get your blood investigations done to see if the counts are normal, do not wait consult early, because infection can sometimes do irreversible damage. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only.


Hi, dairy have gone through your question. I can understand your concern.  You may have some benign cyst like sebaceous cyst or some enlarged lymph node with inflammation and abscess formation.  You should consult your doctor and go for examination.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


HelloThanks for query. You have been taking Lovastatin to lower down your cholesterol levels .and have noticed proteins in urine detected on dipstick test for urine. Normally in every individual kidney excrete some amount of protein (One plus)in urine and that is detected on routine analysis. It has significance only when it is more than 2-3 plus. Get test for estimation of proteins excretion in 24 hours urine samples. If it is significantly more you will need to consult qualified Nephrologist for further investigations and treatment if required. Chat Doctor. Consult


The correct term used is nerve palsy. This is very important issue and needs correct training of health personal regarding safe and proper injection technique. Generally uppermost qua Chat Doctor. Thus site angle of penetration and depth of penetration needs to be assessed by a good physician, and only he must be allowed to give injections.  Anyhow any nerve palsy symptom should be treated seriously and reported to neurologist immediately.


Degree understand your concernsThis problem is due to lack of training, negative thinking and lack of self-confidence. Put it straight. You are not at all in trouble. It is just apprehension. Face it. Apprehension is trouble only up to your realization about it. Then it disappears. You speak once or twice to a strange person and the anxiety disappears. Anyway, consult a counselor for further advice.


Hi dear welcome to the Chat Doctor, Hand to mouth hygiene to be strictly followed. Increase the intake of semisolid like DAL, rice, curd, oatmeal or anything semisolid. It should be frequent. These 6-8 Pus cells are not much significant. If there are some symptoms of stomach upset like bloating frequency, foul smelling stool. Frothy, mucoid greenish etc. then go for the stool culture sensitivity. Stool culture will guide us about the cause of infection and also the Chat Doctor. Thanks


Hello, Welcome to Chat Doctor What was the diagnosis of the penile and eye rash, and what was the cream given? It is unlikely that both rash is the same.  Chat Doctor.  Skin around the eyes are very sensitive. Have you started using any new face washes or cosmetics? Skin around eyes are also prone for airborne contact allergies. Airborne allergens like pollen, cement, dust etc. can cause the rash. It is better to consult a dermatologist as you don't seem to improve with the creams prescribed by GP. Keep washing your face regularly and frequent application of moisturizer after wash will help. Hope this helpedTake care


Hello and thanks for your query. I understand your concern about your brothers recent behavioral problems. Now, there could be two possibilities for his presentation


Hello, It looks that most probably your mother had fracture near knee joint. Your local or tho doctor put traction and applied plaster. He had decided for this conservative mode of treatment due to her age and low weight. This was the need of that time as she was not fit for surgery or other mode of treatment. Probably her fracture may be mildly misaligned. This may be the one of the cause of her pain or there may be associated weakness in her bones and muscles. In my routine OLD, I used to have an X-ray of affected part to rule out disturbance in geometry of joint. In such case she may use custom-made braces. You may take help of an orthotic expert for this. Your orthopedic doctor may prescribe this after detail examination. For muscle weakness, a physiotherapist can help her with exercises like qua Chat Doctor. Hope I have answered your question. Let me know if I can assist you further.


It could be a case of childhood asthma or respiratory tract infection. It is hard to comment without examining or investigating. Nebulization is good, and you can get a nebulizer at home if recurrent usage is required. Stalin is very frequently used and widely tolerated. The only side effect could be increased heart rate, but usually it is not a cause of concern. I do not expect any long term side effects.


Hi, Thank-you for providing the brief history of you. As you mentioned you are 87 years old and have tendinitis in the shoulder. I Will recommend you to undergo physical therapy. As with the use of the therapeutic ultrasound therapy and TENS therapy the pain and inflammation can be reduced. Post that, an exercise regimen will be initiated, and it will help you to regain some strength in the shoulder girdle. Also, from mild to moderate exercises will be made perform with the physiological limits of the pain. So pain should not restrict your exercise plan for regaining strength. I have personally been dealing with geriatrics above 80 at least 10 patients a day. We follow the slow and steady protocol, and we have achieved 90% of the shoulder functions with 99% reduction in pain. I am sure you will be benefitted by the physical therapy. With the grace of God I wish you a healthy life ahead. RegardsJay In Chat Doctor.


HelloWelcome to Chat Doctor. By your description it looks like you have orthostatic hypotension. It happens when you get up suddenly from a lying position which leads to fall in BP and leads to dizziness and fainting. You can measure your BP in lying position and then in sitting and standing position. If the higher reading (systolic BP) falls than more than 20 MMH on sitting or standing then you have postural or orthostatic hypotension. You have not mentioned here other medical issues if you have any. Some patients who are on diuretics or water pills, some antihypertensive medications have these side effects. See your doctor and ask him whether you are on any of these medications. This response can happen due to deny Chat Doctor.


In my opinion she should be started only on Amlodipine (Novas) 5\u00a0mg once daily in the morning. Wait for at least a week while having her B. P recorded during that week 3 times per day. The new Chat Doctor.  For her the target resting BP should be below 140/90mmHg. The dose of Amlodipine may be titrated to 10\u00a0mg daily if BP still going above 160/90mmHg. If you need further help regarding BP control strategy, feel free to contact.


Thank you for the question. First off your doctor should have told why he said it was muscle wastage and what could have caused it. Since I do not exactly know where the indent is I have a few suggestions1) Hernia


Hi! There is nothing to worry about this kind of vanishing small lumps and just forget about this! We get such cases regularly where the lump is still there but not usually palpable as the size has decreased much, and we get following diagnoses


Hi, dairy have gone through your question. I can understand your concern. She may have Desmond cyst, lipoma or some skin adnexal tumor in base of skull.  She should go for biopsy or fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, Thanks for your query. It might not be related to it. Even migraine a form of headache presents with your symptoms. So visit a physician initially and also tell him regarding your tooth problem. Be free your problem will be solved after you visit a physician, since detail history is needed for this. Hope I have answered your query. I will be available for your follow-up queries if any. Wishing you good health.


Degree understand your concerns went through your details. I suggest you not to worry much. You went to a doctor, and he opined that you have anxiety issues. You did not accept that doctors version. Why? Are you not confident about that doctor? If so, consult another doctor. Make sure you are satisfied with his diagnosis. For that you find a doctor who is credible. Then ask him to diagnose you properly and accept his diagnosis. Make sure you are accepting it. Otherwise, you will never be satisfied with your health issues, and that will add up to your anxiety issues. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, after a general physical examination I would advise you for an ultrasound of the abdomen to rule out a gall stone disease or a pancreatic pathology. The diseased gall bladder might contract following a meal causing the pain and stabbing feeling. The overall management would depend on the reports of ultrasound and blood reports like a CBC, blood sugar, LFT, serum amylase and serum lipase. Till then, I would prescribe you with a proton pump inhibitor, an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint peeling of the tongue mucosa over the sides close to the back can occur due to causes like iron deficiency, acid reflux, Chat Doctor. . You should consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like oral swab culture and blood tests can help in diagnosis and treatment can be done accordingly.-As of now you can start taking a multivitamin tablet daily.-


Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. Your sharp burning pain is mostly due to HERD. It is because of laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So better to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright.


Hello, I have studied your case. Due to compression of nerve root there can be neck and back pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic [Percent] and neurotrophic medication [methylcobalamine and pregabalin] can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you 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.


Thanks for using Chat Doctor. Read your query. Yellowish color of the teeth can be due to many factors including improper brushing, heavy intake of caffeine Chat Doctor. I would advise you to visit your local dentist and get your teeth cleaned and polished. Follow the post cleaning instructions with proper brushing and flossing. Use antiseptic mouth was for a while. Hope this was helpful. Thanks and warm regards.


Thanks for your question on Chat Doctor. I can understand your concern. Since your chest tightness is associated with eating, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, chest pain, mild breathlessness etc. Hiatus hernia can also cause HERD. But fir confirmation, you need to get done upper GI (gastrointestinal) copy. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food, avoid junk food. Avoid large meals, instead take frequent small meals. 3. Take pantoprazole tablet on empty stomach. 4. Go for walking after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. Don't worry, you will be alright with all these. Get done upper GIs copy for the confirmation of hiatus hernia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. 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


Thanks for your question on Chat Doctor. I can understand your concern. Breathing difficulty especially at night should be evaluated for heart diseases. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi thanks for asking question. Here at few possibilities in your case.1. You have put pacemaker. So first for chest pain heart condition has to be ruled out. You have not mentioned which tests are done. ECG, echocardiography and serum troponin estimation will be helpful to you for rule out cardiac condition.2. If heart problem not present then simple muscular pain might be the cause by heavyweight lift, exercise, excess coughing or bad sleep posture.simple analgesic will be helpful.3. If fever, cough like symptoms present respiratory causes ruled out like simple viral infection or pneumonitis like condition. Chest x-ray could be useful .4. The chest pain may be because of lastly referred pain if history of acid reflux present. I hope my suggestion will be helpful to you. Chat Doctor.


Hi, Thanks for writing in. Sorry to hear about your husband who is having hepatocellular cancer. There is probably a blood clot which has developed in the IOC which is a great vein transporting blood to the right chamber of the heart. This is a serious concern and I hope you have discussed the matter with allopatry doctors and treatment might have been started to dissolve the clot. The problem happens when such a clot reaches the lung through the heart and causes complete occlusion of pulmonary artery leading to lungs not receiving blood for oxygenation. If your husband develops breathlessness then please take him to the hospital immediately. Ayurveda does not have any confirmed research on the treatment of hepatocellular carcinoma in my knowledge. It is important to keep in mind that the blood clot in IOC should be dissolved to extend his life using allopatry medicine and prevent sudden complications. Please do not worry.


Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you had a fall from stairs and can not put pressure on right side. Also, if the rotational movements of the lumbar spine are restricted the. An x-ray or an MRI of lumbar spine will be helpful to understand the injury and pains. Also, they discomforts are the protective mechanism of the body to avoid further damage to the soft tissues. With general body torso and core training most patients recover well. In my clinical practice people with such falls undergo a physical therapy for a week and things are fine.regards Jay In Chat Doctor.


Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for hard bulge above belly button are as follows-Mostly they are ? Secondary tumor post-cancer removal. Check with ER Surgeon to resolve the worry for hiatus hernia-post cancer Surgery.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor.


Hi Megan, Welcome to Chat Doctor.PCs is characterized by excessive hair growth in unwanted places, obesity and irregular menstrual cycles. Your doctor has correctly prescribed the Chat Doctor.  These tablets will assist you to get pregnant as well as regularize your periods. You need to take this medication for months together for it to be effective. This may not clear your hair growth but may control further hair growth. Wish you all the Best.


Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint it seems that if you have a tooth that is fractured or broken then pain in other teeth on the same side can be a radiating pain from the broken tooth as there must be nerve exposure leading to nerve irritation and inflammation causing pain. Secondly pain on biting down on teeth can be due to generalized gum infection or Periodontitis while jaw joint related problems can also cause such pain. So first you need to get a clinical examination done by an Oral Physician and get a full mouth x-ray known as a Panoramic x-ray or Orthopantomogram done. The tooth that is chipped off will have to be treated with Root Canal Treatment followed by capping of tooth if it is in a position to be saved. For gross decay extraction is advisable. For other teeth treatment will depend on the cause. As of now you can take anti-inflammatory painkiller like Ibuprofen, Naproxen etc. to relieve pain. Take a soft diet and avoid stress as it can cause clenching of teeth that can further cause pain. You can also send me scans of your x-rays by going to my profile and click on \"Ask Me A Question so that we can discuss in detail and I can advise you the most appropriate treatment \"Hope this helps. Regards.


HiT hanks for your query. While thinning of renal cortex is a sign of kidney disease it certainly does not mean that your kidneys are dying. We can slow down the progression of your kidney disease by a number of measures about which your doctor will be able to tell you. As far as diet is concerned you will benefit from a low salt, moderate protein diet (a consultation with the dietitian will be useful). Vitamin supplements are good for your health but will not have any role in preventing the progression of kidney disease. Hope this helps Good luck


Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that these spikes in blood pressure values could be related to the stroke. You should know that stroke imposes a high stress to the organism, leading to increased high blood pressure values. Other possible causes to consider would be


HelloArnica is a homeopathic remedy often effective for symptomatic relief as do allopathic Chat Doctor. For mild osteoarthritis, hot fomentation and application of anti-inflammatory gels like Voltaren are effective. For severe pain, ibuprofen, or naproxen are given in short course. Get x-rays done a show to an orthopedist. In severe destruction and narrowing of joint space some palliative surgery is done at times. Usual response is there to physical therapy and pain medications best wishes


Hi. Thanks for your query. Pain at the belly button is not a normal occurrence and whatever the instigating factor this has to be investigated. Lifting the heavyweight might have pushed the fat pad into the preexisting umbilical hernia. Another possibility is preexisting granuloma and not getting inflamed and causing pain. The pain is getting increase with urination, coughing and sneezing as these cations increase intra-abdominal pressure. I would advise you the following


Hi, Thanks for writing in. The condition olivopontocerebellar atrophy is degenerative and slowly gets worse, and there is no cure. However, it may be years before someone becomes significantly disabled. Your husband might be having a slower course of the condition and his life can be prolonged. The patients having this problem can have frequent trauma due to falls. Supportive care with gait-assisting devices is especially important to minimize falls. Since your husband has urinary tract infection, he needs to get treated for it completely. It is suggested that in consultation with urologist he gets urine investigations done regularly and take antibiotics at a low maintenance dose as recommended. Catheter hygiene must be maintained. The sleeping cannot be controlled and medications that work on the brain in this condition have shown mild response. By taking good supportive care you can prolong his life.


Hi ! Yes, it could be a deep tissue bruise which takes a longer time to heal. However, because you have a past history of cancer for which you had a Hysterectomy done, your concern is also justified. To have a proper piece of mind, I would suggest you to get yourself reviewed by a general surgeon, who may advise you for a mammogram. As such a screening mammogram in your case would be appropriate. Wishing you an early recovery.


Hi. The first mistake you did was NO TO TAKE antibiotics. This can be due to inflammation of the lymphatic channels = Lymphangitis. Or multiple abscess with skip areas or Thrombophebitis. This does not occur in DVT. If sonography is showing a collection of pus, you need to get it operated / Chat Doctor. If no pus, antibiotics and anti-inflammatory medicines for a longer duration of time/ elevation of the limb above heart level. Fine needle aspiration to see the aspirate and subject to analysis, culture and sensitivity. I hope you are not a diabetic.


HIT hank for asking to ChatDoctorAs I'm always saying that migraine is such exaggerated among the peoples that every one says it is headache whenever they get headache, Migraine need to be properly diagnosed, other near possibility has to be rule out first, if you really got migraine then the pain killing tab won't work here if you are taking it before headache achieved intensity, in such cases the ergot preparation works nicely, but it should be Migraine only,I would advise you to differentiate the other etiology, for that you will have consult the physician, It may not be migraine tension headache may be the likely possibility, have nice day.


Dear User, Thanks for posting a query at Chat Doctor. Citalopram does not have any effect on memory loss. In your case there may be following reasons for your short term memory loss.1. Age associated- but this is very mild form and does not impair your functioning.2. Condition for which you are taking citalopram-depression in old age generally present with memory problem also.3. There may be initial stage of development of dementia. With detailed history and neuroimaging only we can determine whether this is the case?4. If you are having blood pressure or diabetes or both than it may point toward vascular dementia. If it is possible for you to get complete psychological assessment than do it as soon as possible. If you do not find one contact me. I will try my best to help you. Thanks


HelloYour symptoms may be due to overexcited state, inadequate emptying etc. Your age doesn't support true erectile dysfunction and premature ejaculation. You should avoid provocative literature and videos. You should try to be calm and try to engage yourself in your job. You may need routine hologram and random blood sugar estimation. You should take healthy and nutritious diet. You will be fine. Get well soon. Take Care Chat Doctor.


Hello, It is not normal to experience severe abdominal pain, whatever the cause may be. I cannot for sure correlate your pain with an impending period. The use of an emergency contraceptive pill creates hormone imbalance, hence there can be a delay in the next natural period. Pain can be due to a possible cyst in the ovary, pelvic congestion, or an undetected pregnancy. I would ask you to have a proper evaluation if you miss your period by a week. Prefer regular contraception in the future. Hope I have answered your query. Let me know if I can assist you further.


Hello Thanks for writing to us, I have studied your case with diligence. Rib contusion is not always visible on X-ray. You may need to do MRI or HRCT to see details of injury. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing.Sometimes healing may prolong for more than 6 weeks. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care


Hello healthcare user, frozen shoulder is associated with loss of range of movement, but in your case as you said you don't have any such issues....your only complaint is pain in shoulder and joint clicking...you seem to be suffering from rotator cuff arthropathy with arthritis.joint clicking is due to arthritis due to loss of lubricating fluid (synovial fluid). Would suggest you to have some anti-inflammatory medicines with calcium supplementation.physiotherapy will also help you if done under proper guidance. Thrice daily ice fermentation will take care of shoulder pain.feel free to consult anytime for further guidance....thank you


Hi, History is very much suggestive of heart disease. You will need evaluation for the same. Get your ECG done, you will need TMT, echo. Also get your lipid profile and sugars tested. Till then, you should avoid heavy activities, have your BP checked, healthy diet, avoid high fat and calorie diet. Also avoid smoking and alcohol if any. Hope I have answered your query. Let me know if I can assist you further.


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. Yes, a malignancy where in the tumor is attached to aorta is not an easy procedure and has high chance of mortality. This is the reason it is not being operated. If your doctor feels that there is no chance of survival as such, then as a palliative procedure he can be operated with very high risk consent.  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 wish to know further about this problem, you can use the below-mentioned link


Dear member, Thanks for writing. The chance of conceiving in each cycle is only 15-20% in healthy couples. In your case you both are also staying away and meet less often. Be sides you are trying since only 6 months. There is a good possibility of you conceiving in few months as your ultrasound showed that you ovulated normally. You can use ovulation detection kits at home to time intercourse with ovulation. Please do basic blood investigation like hemoglobin, thyroid profile, sugar test. Husband semen analysis also to be done. If normal no need to worry. Please write back with report. Thanks Chat Doctor.


Hi ! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would have advised you for an urgent ultrasound of abdomen to rule out any pathology of the vessels in abdomen. If there is no such pathology, I would refer you to a gastroenterologist for an endoscopic evaluation of the upper GI tract. Till then, I would prescribe you for some prokinetic Chat Doctor.  Further management would depend on the reports of all the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


Hello dairy understand your concern yes, female actually can get pregnant even if she is virgin. If sperm gets on near to vaginal introits, it can swim up there and cause pregnancy it also depends on the amount/concentration of sperm and day of the period when did you sex. But you have to think about pregnancy when period was delayed by the 8-10 days from the normal expected period date. If period will delay by the 8-10 days then go for urine pregnancy test and or blood Chat Doctor to confirm the pregnancy. If you will be pregnant then still you can terminate the intrauterine pregnancy by ABORTION pill under the supervision of the gynecologist.Meanwhile, avoid sex, take healthy diet, Chat Doctor.


Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, 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


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have problem of cheek batting don't worry, you do is consult dentist and go for oral examination if there is sharp cusp of any tooth present then go for trimming of sharp cusps.  You can apply analgesic ointment McCoppin or Colonel twice daily for one week.  Hope this will help you. Wishing you good health.


HelloThanks for query. Based on the facts that you have posted It seems that your mother has landed in Chronic Renal Failure (CRF) and your Chat Doctor. Kidneys are the organs that are involved in maintaining fluid and electrolyte balance and throw away end products of protein metabolism (Urea and Creatinine)through urine. Kidney failure results in accumulating these end products which are poisons to our body These products have to be expelled out by means of using artificial kidney which is achieved by Dialysis. Dialysis expels these products in urine and lowers levels these products in blood and help to carry on normal bod functions. Since production of these products is a continuous process it is mandatory to undergo Dialysis fat frequent intervals Generally it has to be done every week or two (Not every six months)which depends upon the level of Urea and Creatinine in blood. There is no alternative to Dialysis


Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest using a painkiller such as Ibuprofen three times a day to relieve the pain. If the symptoms continue you should see a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


HelloFatty liver is a reversible condition. It is often seen in diabetic patient due to metabolic disorder. It is due to deposition of fat within the liver cells. Fatty liver may also be due to many other reasons like obesity, sedentary lifestyle, altered lipid profile, hepatitis etc. You need few more investigations like routine hologram, lipid profile, liver function test. It is good that you are following dietary restrictions. You may need to take few medicines after proper evaluation. You should also increase your physical activity and go for brisk walk. Get well soon. Take Care Chat Doctor.


Hi, I think you should go for HSG test. After that you can try for 3 to 6 months naturally with metro medicine. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Hope I have answered your question. Regards Chat Doctor.


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. It could be presentation of pica which can occur due to depression or deficiency of certain elements in the body. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have relined denture month back now you are feeling itching in gums, don't worry you stop wearing that denture and consult your dentist for denture trimming if it has any sharp edges, or may be material used for relining causes allergy, So after trimming you won't get relief then go for new denture, Hope this will help you.  Wishing you good health Regards


Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion your mother should avoid flight journey. There are many causes for her ankle swelling and pain.  But the common causes are1. Renal failure 2. Hypoproteinemia 3. Liver metastasis 4. Heart failure due to heart metastasis. So better to consult doctor and get done renal function test, liver function test, serum protein level, 2d echo to rule out above-mentioned causes. Prognosis in her case is very poor as she is having metastasis in other organs. And ankle edema will further deteriorate her life expectancy. So better to consult doctor and first treat her.


Hallow Dear, Usually, healthy egg is released by ovary when its size is around 18 mm size. Chances of successful pregnancy are more when the egg is released from the follicles of size between 18 mm to 21 mm. One of the follicle in left ovary is of 1.8 cm; i.e. 18 mm size. So it is very likely that this follicle will rupture any day. Hence, I would suggest you to utilize every day now for sexual relations. Another option is to get in. Chat Doctor 5000 IU to induce the ovulation from this follicle of 18 mm size and start having intercourse every day; or at least every alternate day for better chances of conception. Please continue to have ultrasonography daily for few days to find out what happened to these two follicles. Also, please get the information about the thickness of the lining of the uterine cavity (endometrium) from the monologist. Endometrium of thickness between 9 mm to 14 mm is most conducive for the implantation of the fertilized ovum. I hope this provides you sufficient guidelines.


Thanks for your question on Chat Doctor. I can understand your concern. Propranolol is beta blocker. It will cause reduction in blood pressure and heart rate. Alcohol and cocaine, both are CNS depressants (they suppress brain and its functions). So alcohol and cocaine will also cause hypotension and low pulse rate. So if patient is on propranolol and alcohol and cocaine, chances of hypotension, bradycardia (low pulse rate) and cardiac arrest is more. So better not to take alcohol or cocaine if you are taking propranolol. So counsel your husband to quit alcohol and cocaine because he is taking propranolol. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Hi, Welcome to ChatDoctorYour mother is having Hypertension and Diabetes long-standing(Duration of disease) can cause renal failure and when kidney fail there is Anemia because of hormone deficiency called Erythropoietin. That is why she requires Profit is to be given to treat Anemia, This is good Chat Doctor.  We should keep her blood pressure controlled by medications and also keep her blood sugar also with in desirable range. Kidney failure may not be reversible but can always slow its progression and prepare for Hemodialysis in case kidney failure worsens. Take care of diet fluid restriction, low protein, low Potassium diet as advised by your doctor. Take care of her. Good Luck


Hello am sorry about your mothers' death. The symptoms you are having as easy navigability, shortness of breath, fainting episodes, headaches etc. are most likely due to normal grief reaction. But such symptoms are considered normal for about 6 months only, if symptoms persist beyond 6 moths then they may result in development of depression. Somatic symptoms are common in depression. As symptoms are causing dysfunction in your social and personal life I would advise you to consult a Psychiatrist for opinion. Thanks


Hi, Overuse of a muscle, deny Chat Doctor.  In many cases, however, the cause isn't known. Although most muscle cramps are harmless, some may be related to an underlying medical condition, such as inadequate blood supply. Sometimes, it is postural because of compression of nerve roots. All you need to do is to keep changing your posture as much as possible. Magnesium, calcium and levocarnitine supplements are documented to help in large muscle cramps, you can try them as well. Take care. Hope I have answered your question. Let me know if I can assist you further.


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. This is not initial stage of jaundice of liver disease. These are only slightly elevated liver markers and may be found in healthy people or sign of gallbladder stones. Also, some medications and diet may cause such changes in liver markers as well. So I don't think you should be concerned. You should do liver ultrasound and just check these findings in 1-2 months and see will it improve. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.


1) it is difficult to say role of Omnacortil on bilirubin level without knowing prior history and blood reports. If your father is suffering from acute hepatitis (due to alcohol) then yes there is role of Omnacortil in hepatitis.2) the prescribed dosage of Omnacortil which your father is taking is safe-dosage. But you can't stop steroid medications like other medications. You need to reduce dosage over few days then only can stop taking medications.


Hi and thank you so much for this query. I am so sorry to hear about this pain that you are having and for the kidney that was removed at 3\u00a0years. I know how concerned you can be having just a single kidney. The symptoms you have described are very, very nonspecific and cannot be entirely attributed to the kidneys. It could be from the muscles of the back because the kidney wouldn't produce twitching and spasms. Muscles do this. If it were a kidney problem, pain is often inevitable in acute aggression and either constant or intermittent. I don't really think that is the case right now. Because you have just a single kidney, if this problem should persist beyond 24\u00a0hours, please consult a doctor and make sure all is okay especially with the remaining kidney. Excess alcohol consumption is not good for the body. Please, always try to keep your consumption as low as possible. I hope this helps and I wish you well. Thanks for using our services and feel free to ask more questions if need be.


Hello, I have gone through your query. Thanks for using Chat Doctor. Basically you will need some medicines Life long. You had BMV almost 10 yrs back, and you have irregular heart rhythm i.e. Atrial Fibrillation. So you have to continue Citron to prevent clot formation and stroke.to keep rate under control you will need Register group of medicine. You may discuss discontinuing lanolin if your heart function is normal. I suggest you to get your Echo done to look for any restenosis or leakage of mitral valve requiring any further intervention. My best wishes Chat Doctor.


Hi, dear. I have gone through your question. I can understand your concern. Your platelet count is very low. Life-threatening bleeding can occur with this count. You should take treatment urgently. You should go for bone marrow biopsy to know the cause.  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.


Degree understand your concerns went through your details. I suggest you not to worry much.  I hope you understand organism means masturbation habit. Masturbation is no sin and in fact healthy. Masturbation cannot be the reason any sort of health problem unless you overdo it. Overdoing means doing it at least 14 times a week.  From the description, I cannot read much, and therefore diagnosis may not be possible. Please be more descriptive. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Welcome to the ChatDoctorMost likely it seems to be a self limiting viral illness. Don't worry they are usually common in the kids. You can take the following measures to help him


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have symptoms of lump on the inner lip which is mainly because of viral infection such as herpes, canker sore or frictional keratitis. I would suggest you not to panic about it. Maintain oral hygiene by brushing and flossing daily. Do Listerine mouthwash rinses. Your symptoms will resolve in 10-14 days.  Chat Doctor.  Avoid hot, sharp, spicy food. Take ibuprofen if it is tender to touch. If symptoms keeps on persisting visit oral physician once and get it biopsied and examined. You should start treatment after complete examination. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Dear, We understand your concerns went through your details. From the given information, it seems that you are stressed and anxious. Shortness of breath, lack of sexual Chat Doctor.  Your systolic pressure shows the stress related disorder. As you are already waiting for the stress test, wait for its results. Let the experts determine. If you require more of my help in this aspect, please use this URL. http


Hi...your child may be suffering from either just a viral illness during winter or episodic Wheeler triggered by winter season. Myteka helps if your child has wheezing problem. If it is just viral illness which is common during the winter, meters doesn't help much. Keep the child warm and avoid contact of child with other person suffering from cold.f you are happy with my answer kindly rate me. Regards- Chat Doctor.


Thanks for your question on Chat Doctor. In my opinion you should not worry much. As your CT Thorax report suggestive of old fibrotic scar in lung and pleural thickening. Both are indicators of old disease process which has been healed. So they are not suggestive of active disease. So no need to worry much. This can be due to old tuberculosis or pneumonia. And these lesions will remain throughout the life. And no treatment is needed because they are inactive and not harmful. So nothing to manage in your case.


Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to respiratory tract infection. The pain in chest & upper back is due to fatigue/ exertion following attacks of asthma. Management consists of


Hello and welcome. Thanks for sharing your concern. Since it appears that the foul smell is due to food lodgment and degradation therefore it should be ad Chat Doctor. In my view first please get an endoscopy done. Based upon its report, .it can be decided about the origin of bad breath.Also, your ENT specialist can check if there is any sinusitis, which again causes such problems. Once it is ruled out then you can go for dental check up. Hope it helps. Thanks. Take care.


Respected user, Welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different reasons for lumps of the head.  Which may vary from benign soft tissue lesion as sebaceous cyst, others or certain tumors as Osceola or others.* Need clinical examination for the same, evaluation in form of CT or MRI according to the clinical evaluations to decide further line of management. Hope this will help you for sure. Welcome for any further guidance. Regards dear take care.


Hello, Thanks for consulting Chat Doctor, Read your query, as you have tongue batting this can be due to stress, anxiety, irregularly placed tooth, sharp cusps of teeth, or swollen tongue due to Chat Doctor.  Don't be worried so much I will suggest you to consult dentist and go for examination of sharp cusps of tooth and placement of tooth in oral cavity and rule out the cars of tongue batting. Hope it will help you. Wishing you good health.


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have broken tooth now it has root stumps and fragments left, and red pimple present on your gum it can be sinus opening and in that tooth, Access formation is there so, You should Visit dentist and get investigations IOWA X-ray done get treatment, Extraction done if possible go for Root canal treatment or Post and Core treatment.  Hope this will help you.  Wish you good health.


Hello and welcome to Chat Doctor, A hard lump on the shoulder blade is most probably a lesion arising from bone.an X-ray of the back is required to know whether the lesion is arising from the bone or from area surrounding the shoulder blade. Since, the lesion is hard, there is likelihood of the lump arising from the shoulder blade. Pain in the lesion suggests involvement of nerve by the lump. A cyst is unlikely to produce a hard painful swelling. Thus, there is more possibility of a solid swelling. An aspiration cytology is the next investigations required. In aspiration cytology, cells are aspirated from the swelling, spread on slide, stained with appropriate stains and studied microscopically. On the basis of all these investigations, diagnosis will be made and thus management. Thanks and take care Chat Doctor.


Hello madam and welcome to Chat Doctor... Thank you for posting your query. I read your question completely and have understood it well.  Well, you say that you are sure that the semen did not enter you. If that is the case, I can tell with certainty that you need not worry about getting pregnant. Definitely, there are failure rates in the practice of with Chat Doctor.  Most often it is due to non-compliance. But once you are sure that, to ejaculate did not enter inside you, then there's absolutely no need to worry. You will get your cycles as per your period cycle. And, don't unnecessarily worry about this. It happens, when practicing with


Hello, I have studied your case. Due to lifting of heavy weight there can be injury to vertebra or sacrum, you may need to do X-ray spine and MRI spine. Due to compression of this nerve root there is back pain and pain in pelvis. 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. Core stabilizing spine exercises will help. I will advise checking your it B12 and it D3 level. If not relieved ultrasound pelvis may be required. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care


Hi Brian Hope this message finds you in good health. I have gone through your complaints and understand your concern. You are right, u seem to have this neuritic pain, that usually occurs due to swelling and inflammation of a nerve. But cutting it is not the solution. U simply may take some local steroid injection that will reduce inflammation and pain. Also get a X-ray done to find out what's wrong. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless.


Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then you need to consult your Physician/ Neurologist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms it seems your father is suffering from ORAL SUB MUCOUS FIBROSIS [OSF] which is caused commonly due to tobacco chewing habit or in chronic betel nut chewers. It leads to reduced mouth opening due to formation of thick fibrous bands inside the cheek mucosa leading to stiffening. There is also burning sensation over the cheeks even on taking less spicy food due to atrophy [thinning] of the buccal mucosa. Improvement in case of OSF to tell you frankly is uncertain and there can be slight improvement to no improvement at all. You should consult an Oral Physician and get him evaluated so that he can rule out the exact condition of your father and treat him accordingly. The physician can advise him to take another course of steroid injections along with adding HYLURONIDASE as hyluronidase helps in breaking of the fibers. Topical application of steroid ointment and hyluronidase ointment can help. A numbing gel containing Lidocaine can be applied over the inner cheeks especially during eating to prevent burning and pain. Mouth opening exercises can also be demonstrated that has to be done 3 to 4 times a day. In case if he has any alphabet of smoking, chewing tobacco or betel nut etc. it has to be completely stopped. In case if there is no improvement surgical approach can be planned to break the fibers, but it can be decided only after thorough clinical evaluation and medical history of patient. Hope this information helps. Thanks and regards. Chat Doctor. .


Hello, There are experts available for this procedure, who regularly do this procedure, called SURGEONS.  I would advise not to do the procedure on your own, there are chances of Bleeding - you can't control by normal thread or pressure. Infection - you won't be having a sterile material with you. Don't experiment on yourself. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen


Hello It can be a symptom of condition called plantar fasciitis. However, we have to rule out other conditions before making a diagnosis. As a first line of management you can take analgesics like Ibuprofen or Diclofenac for pain. Soaking the foot in hot water will also help in symptomatic relief. If pain persist, you have to consult an orthopedic and get evaluated. In severe cases steroid injection to the soles may be required. Hope I have answered your query. Let me know if I can assist you further.


Treatment of tongue cancer stage 3 presurgery should be considered for locally advanced disease; however, definitive radiation therapy, concurrent chemoradiation, and induction therapy are alternative options for patients who are not candidates for surgery The decision to treat the patient with concurrent chemoradiation therapy rather than surgery, radiation, or chemotherapy individually should be made by a multidisciplinary tumor board. Regards Chat Doctor.


A canker sore can be triggered due to high stress, long periods of acid reflux disease or just some tooth edge trauma. If you have a fever with a swollen lymph node then it is an indication for active infection. Otherwise, sometimes a swollen lymph node is just the body fighting off some insect bite on the area of Chat Doctor.  If your tonsils are painful, or you have difficulty swallowing then you should see a doctor who would examine you and take appropriate action like putting you on antibiotics. Otherwise, you can wait it out and let the tonsils recede on its own.  Thank you for your query


Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst or soft tissue tumor like lipoma, neurofibroma or dermatofibroma or some other mass. You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Dear Ma'am, Sorry to hear about your husbands condition. Considering that he is suffering from metastatic renal cancer, the presence of hypodense lesions in the liver can be suggestive of cancer. The only way to confirm this would be by doing a PET scan or a USG guided biopsy (which is not required because he already has Mets in the lungs).  I hope he is receiving treatment for the metastatic disease. Hoping for the best.


Hi ! Good evening. I am Chat Doctor answering your query. From your history, it seems that you have got either a perianal abscess, or a fistula. This needs to be assessed by a general surgeon, and so I would advise you to get an appointment with a general surgeon at the earliest to avoid further complications. Till then, you can have some kind of anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


Hi, How are you? I am sorry to hear about your diagnosis, but I would not worry about it. Cysts in the liver are a fairly frequent finding on scans of the abdomen. Most often these cysts tend to be \"simple cysts\" and do not cause any trouble whatsoever to the patient. That is one of the reason why they can grow up to 25 CMS without the patient being aware of it. Some other causes for cysts in the liver include certain hereditary diseases (where there will also be cysts in the kidneys) and infections (Amoebas). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms from the disease. The current imaging techniques (CT and MRI scans) are very good at diagnosing the nature of the cyst without the need for biopsying the cyst. In your case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, none of these symptoms exist. Since the cyst is small, I would recommend a followup scan at a later date to see if the cyst is enlarging. Hope this helps and hope you start to fell better soon. Please do not hesitate to contact me for further details - rxsuresh@gmail.com


Hello! Thank you for asking on Chat Doctor! Regarding your concern, you should know that your symptoms could be related to epilepsy seizures or low blood pressure. I recommend you to closely monitor your blood pressure frequently during the day. Some tests are needed to investigate for the possible causes


Hi dear, thank you for your query.First as your family member is suffering from bipolar illness, so there may be chance of bipolar disorder in you than other. But for proper diagnosis detail and mental status examination is necessary. What ever you described about you is suggestive of you have depression and due to that you sometimes feel annoyed. Also we need to assess your Pretoria personality for better diagnosis. There are many treatment ways and depends on severity of symptoms and mental status examination. As you are having family history than there is chance that the treatment by which your family member improved same treatment also helps you. Mood stabilizer medication and electroconvulsive therapy you. Thank you


Hi, The swollen penis is due to infection under the foreskin. It is called Atlantis. You need to clean the foreskin properly during bathing. Can you be able to retract the foreskin? If it is tight you may need to dilate the prepuce. Some time insect and ant bite may cause penile swelling. You have to consult pediatrician if the pain is severe. Hope I have answered your query. Let me know if I can assist you further.


Hi, Welcome to Chat Doctor. Proteus Mirabilis is one of the bacteria which is normally present in the intestine and is excreted in the stool. It commonly causes urinary tract infection in persons with bad personal hygiene. It can cause wound infections and rarely abscesses. In your case I would suggest you get the abscess Chat Doctor.  I would also suggest you complete the full course of antibiotics for 7- 10 days. Maintenance of personal hygiene is a must to prevent recurrence. Thanks.


Hello against Muscle pain are very common my advice for YouTube plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. You need to continue you medication for a couple of month to see effects. Add tab methylcobal 1500 once day. You may need MRI spine. 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.


Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. If you have missed your periods and your urine pregnancy test is positive, it is most likely to be positive. False positive test means test is positive but blood beta Chat Doctor test is negative.  This can happen due to some defects in test kit. I will suggest you to get blood beta Chat Doctor test and USG done to confirm your pregnancy. I hope this answer helps you. Thanks Chat Doctor.


Hi, Thanks for writing to Chat Doctor. I would suggest you to prescribe ovulation inducing Chat Doctor.  This will help multiple follicles to mature and rupture. I would suggest you to start sidewall tablet per vaginal route from day 6 to 14. This will increase local blood flow and help endometrium to grow properly.  Continue estradiol from day 8 for 10\u00a0days. If Josephine also fails then you can add FSH injection with that. In same setting you can go for GUI. This will increase chances of conception. Hope I have been helpful. Regards


Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that recovery period after a stroke may go up to a year. Sometimes, recovery may not be complete, and the patient may have residual symptoms like limb weakness, gait difficulty, memory problems or muscle spasms. I would recommend discussing with your doctor on the possibility of taking some supplements to increase memory (Ginseng, Ginkgo Balboa, omega 3 fatty acids, etc.). A brain MRI would help examine better your brain and the number of strokes. Hope you will find this answer helpful! Kind regards,


Hello! Thank you for the query. Such symptoms can be caused by urinary tract infections, urinary tract stones, gall stones, diverticulitis (left abdominal side) and heart attack as well. It is advisable to have some diagnostics. You should start with abdominal ultrasound, fool blood work with liver and pancreas enzymes, urinalysis and heart ECG. These tests should tell what are you dealing with. If you find this tests negative, colonoscopy should be performed. Hope this will help. Regards.


Hi.  Because of many unethical procedures govt has laid strict guidelines in choosing donor for kidney donation.  And each state has different protocols followed. As for as I know unrelated transplant is done in few places in Kerala and Tamil Nadu. But it as to be unequivocally proved that kidney donation is only by altruistic purpose.  Cost of procedure varies from hospital to hospital. Approximately it will cost you anywhere between 3lac to 10 lac. For documents, once you chose the hospital, they will guide you further.


Hello what, and I hope I can help you today. The contraceptive implant is actually one of the most effective birth control methods available, and has a lower failure rate than even sterilization.  Unfortunately, it is also very common to have irregular bleeding, mood changes, food cravings, and weight gain as a side effect of the hormones in the implant. So just in case, I would perform a urine pregnancy test to make sure that you are not pregnant, however the most likely explanation for your symptoms is general side effects from the hormones in the implant. Most people eventually stop menstruating completely with the implant and have minimal hormonal changes, but this may take 6 to 9 months to develop. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,


Hello, Your present condition is secondary infertility. Some basic investigation is advisable like husband semen analysis, pelvic USG, complete hormone assay, ovarian follicular study, test for tubal blockage etc. For proper guidance, you need to consult with gynecologist. Do unprotected sex around ovulation time to maximize the chance of pregnancy. Use ovulation prediction kit to predict ovulation time in mid-cycle. Take healthy diet with folic acid supplements, control body wt by regular exercise, avoid stress, maintain genital hygiene and take sound sleep. Hope it helps.


Hi, I am Chat Doctor.  Decision to start antibiotics is taken by proper examination and history of patient and can not be generalized. Absence of fever and good appetite are against possibility of missing anything serious. But she needs an exam to rule out possibility of bacterial throat infection and congestion in chest. 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 questionsTake care.


Welcome to ChatDoctorHello, the pain and redness may be due to the direct impact of the broom, since the location is belly button there may not be much damage to the organs, you need to visit a pea Chat Doctor. Some rest is advised2.light digestible food should be given3.watch for increase in pain, redness in the area, coughing blood, blood in stools you have to rush your child to emergency room Thank you


Hello, Your blood pressure is round the margin as age increases 140/90 is considered fine. As your physician told to go for a saltless diet go for it. Try not to stress much avoid pressure cooked good to for steamed foods. As you're susceptible to hypertension as your mother is hypertensive do the BP checkup often to be on safer side. If it goes above this you should go for antihypertensive Chat Doctor.  Also check your cholesterol levels to be on safer side, HDL, triglycerides and LDL.  Otherwise, don't stress much. Thank you.


Thanks for your question on Chat Doctor. I can understand your concern. You are having accessory rib. And this can cause chest pain and pressure. So better to apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Try all these in your day-to-day life. You will mostly improve. But if you don't improve then surgical removal of that rib is the only option. So better to first try above-mentioned nonsurgical measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thank you for the question, and thank you for visiting our site. When you have intercourse, there is bumping of the cervix.  The cervix is very prone to small amounts of bleeding.  This blood, after intercourse, can make its way out as a brownish discharge.  Given the strong association of this discharge with intercourse, I believe that my answer is the most likely.  It is never wrong to consider a visit with an OB/GUN to perform an exam and confirm that everything is otherwise normal and that there is no concern regarding infection. I hope that this helps and good luck!


Hello and thank you for using Chat Doctor. I carefully read your question and understand your concern. But you should not worry, its nothing serious. As you describe, my opinion is that we are dealing with a rhythm issue. Someone can feel strong heart beats for different reasons. It may be a simple sinus tachycardia. This means that the heart is beating faster than 100 beats for minute. Its normal range in a resting condition is between 60-100 beats for minute. When it goes up you may feel a strong heart beat in your chest and a sensation like your head and body is beating too. Another reason for this sensation might be what we call an ekstrasystol.These is electrical heart impulses that generates in some parts of heart different from normal sinus rhythm. This generates that escaped beat that you feel. You have this sensation like a beat is skipping, you may experience palpitations or an anxiety sensation. This extrasistoles may happen from different reasons from simple emotional stress to other pathologies like anemia, hyperthyroidism, extreme weight change sect. So, my opinion as a cardiologist is that you have nothing to worry and you don't have reasons to precipitate your doctor appointment. If I was your treating doctor and If these symptoms are interfering your daily live I will recommend some examinations like a blood analysis to exclude anemia, the thyroid hormones, an electrocardiogram, echocardiography and of course a holder monitoring. This will help us to document and see what happens with heart rhythm. At meantime, I will recommend you to avoid coffee, caffeine products because they rise extrasistolic beats. I encourage you to have physical training because sometimes it helps in reducing extrasistoles, tachycardia, even making them disappear. Wish I was helpful. Take good care. Best regards


Hi, I think it is normal for the semen to come out of vagina after contact. This will not prevent pregnancy, because sperms can swim up into the uterus even if it is in contact with your vagina for few minutes. Lie down after contact for 10 to 15 minutes.  Lets tablets help in the growth of your follicles and induce ovulation.  So, it increases the chance of pregnancy. You can track your ovulation by repeated ultrasound or ovulation detection kits.  Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy.  Hope I have answered your question.


Hi, Welcome to Chat Doctor. Dear most probably your husband is suffering from lumber root compression which might be due to posture, or disc prolapse along which some medical cause for fever.  Please have a MRI of lumber sacral spine and screening of whole spine get done. ESR, CRP, CBC, malaria optimal test, dengue test should be done to diagnose the cause of fever. Hot fomentation, and physiotherapy can help. Avoid forward bending and lifting heavy weight.  Take analgesics, anti pyre tics, antibiotics, calcium and muscle relaxants, start physiotherapy. Visit physician for fever. Hope your query get answered. Welcome for further queries.


Hi, If your appendix was fine and no elevated white blood cell count, then, the pain you are experiencing might be related to


Hello Welcome to Chat Doctor forum14 days before due date of next cycle i.e, date of ovulation Sperm have fertilizing power up to 48 hours once they have entered the female vagina, to achieve pregnancy intercourse must be done on the days when woman feels sensation of slipperiness at the vaginal opening and the mucus has a stretchy, clear appearance of egg-white, or when the sensation of slipperiness is present and little or no mucus is seen at the vulva. Life span of ova after release is between 12 -48 hours.  Wish you good healthDisclaimer


Hi, Are you using any blood pressure medication because some medicine has this as side effects, if yes then you should discuss with doctor and get it changed. Also have you tried tab Sildenafil 50 mg 1 hour prior to sex, if not you can try this instead of injection. If you are depressed or under stress then try to get rid of it. Also avoid cycling if you doing it. Also, you should do regular exercises. Hope I have answered your query. Let me know if I can assist you further. Sagar Made


Thanks for your question on Chat Doctor. In my opinion you should consult pulmonologist and get done chest x-ray to rule out chest infection. Since you are on antibiotics but not improving, lower respiratory tract infection (LETI) should be ruled out in your case. And LETI is very common after viral upper Respiratory tract infection (URI). So get done chest x-ray. Ifon x-ray, infiltration or consolidation is present then get done sputum culture and sensitivity to guide antibiotic therapy. So consult pulmonologist and discuss all these.


HI, thanks for using Chat Doctor Sinus infection can be associated with headaches, but they would normally be additional symptoms such as nasal congestion, runny nose, post nasal Chat Doctor.  Some of these are usually present. Vomiting and diarrhea are commonly due to infection of the gastrointestinal tract. This can be viral or bacterial, headache can occur. You should continue with the ice chips though using a fluid with electrolytes would be better to give him back both. e.g. mediate or another oral rely


HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of premature ejaculation. Please note that premature ejaculation is due to anxiety and not due to any organic cause. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. If you are married Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. .


Hi I am Chat Doctor. .  From your given history your swelling could be due to an old trauma, cardiac or renal problems.  If your edema is bilateral this is a sign of underlying systemic disease if cardiac output exceeds its output (heart failure) or your kidneys cannot wash or flush your venous system .in rare cases your medication may cause such symptoms if used for long periods.  You have to maintain leg elevation, avoid standing or bending your knees for a long time and use hot foments with topical gels of anti-inflammatory.wearing compression stockings will be helpful to push up blood towards the heart and increase your venous return.  If you have not examined your arterial system by Doppler U/S you may need to check them up in very rare cases arterial system clots or atherosclerosis may occur and cause such edema.  I recommend full lab investigations and follow them up with your physician for proper evaluation and management of the exact underlying cause. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.


HelloWelcome to ChatDoctorIts very serious that you are suffering from infections after such a sophisticated operation. There may be problems with operation procedures or may be ignorance towards infection control measures or may be antibiotics were not taken properly by you or may be due to resistance to antibiotics. Your doctor must properly examine your knee with lab tests and serial x-rays. Please take advises about appropriate painkillers and antibiotics and after that proper physiotherapy.Don't worry and take care...


Thanks for your query, I have gone through your query. The jaw pain can be because of the disc displacement in the temporomandibular joint. Consult an oral physician and get it diagnosed. If I am your treating doctor, I would have suggested you to take anti-inflammatory Chat Doctor.  You can also take muscle relaxants like chlorzoxazone. You can give hot fomentation over the joints. Do not eat hard things, do not open your mouth too wide. Take soft diet. If you take these measures, your problem will be solved. But if the pain still persists, then you have to get the splints done. Regarding your insurance coverage, you can get it done in educational institutes, where it will be done with a nominal price or free of cost. I hope my answer will help you, take care.


Degree understand your concerns went through your details. First, you must understand, the small amount of semen goes through your bowel movement is not ejaculation. Our body produces semen whenever it is sexually excited. The produced semen is stored within your body and is a waste product. Body needs to throw the stored semen out at some time. If you do not masturbate or engage in sex, body finds other ways to throw the semen out. The possible ways in front of the body are nocturnal ejaculation or throw urine. Such semen Chat Doctor.  Over and above that is not happening due to any physical illness. Therefore, please do not worry or obsess about this natural process. If you require more of my help in this aspect, please use this URL. http


Hi, As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels .and check if they are in normal limits . And correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence, I suggest u to once consult cardiologist and get your 2D echo done once and take further treatment. Hope I have answered your query. Let me know if I can assist you further.


Hello, I have studied your case. I think you are having neck muscle spasm along witChatDoctormon cold. I would suggest you to follow This advises.1. Hot water fomentation of the neck.2. Volini gel local application.3. Myoril or MySpace tablet for muscle spasm.4. Decongestant like win cold tablet or levocetrizine tablet.  I HPE these steps will be helpful for you. Let me know if there is any other followup questions. Thanks


Hi, Welcome to Chat Doctor. I am Chat Doctor.  I will be answering your concerns today. Nordette can be used as emergency contraception. You have taken them correctly. When used within 5 days of unprotected sex it reduces your chances of conception by 75%. There is a slim possibility of pregnancy due to method failure. Therefore, get a pregnancy test done if you miss your period. In order to avoid such unnecessary stress, I suggest that you consult doctor and start regular contraception like birth control pills. They are more effective in preventing pregnancy than emergency contraception. If you feel that you are at risk of STDs, always use condoms during sex. I hope this is helpful. If you have further concerns, contact me through Chat Doctor. Best wishes,


Hello, What I can infer from your complaints is that your rib cage may appear indebted as we age that is senile kyphosis. In simple words, this means your upper back at the mid-spine level will bend as we age and hence our rib cage appears indebted. I would recommend, you to mention it to your physician during your next visit so that he can have a look. Hope I have answered your query. Let me know if I can assist you further.


Hello, Thank you for posting on Chat Doctor. The condition your husband is having is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor.  Hope this will help you in resolving your query. Thank you