Hi, thanks for providing the brief history of you. Since you mentioned you have swollen ankle and feet, first need to understand what is your age? Secondly suspecting a clot in the veins if you have such thought in mind than you can meet up a vascular surgeon and undergo a Doppler test for finding if any is present. If there is a clot the vascular surgeon will help you for the same. For time being before coming to any conclusion you can try this conservative treatment of dipping the feet and ankle in hot water and then keeping it elevated over a pillow to allow the metabolic waste to Chat Doctor.  And perform some simple ankle toe movements and straight leg raise while lying down. It will help to reduce swelling as well. If you are obese than you need to look for reducing the weight. On the other hand, specialist are always there outside close to you to diagnose and help you with your medical illness. Do not get self diagnosed or self-medicated and later take a tension of the same. With the grace of God I wish you a speedy recovery


Hello Thank you for trusting Chat Doctor Your suffering from pulmonary embolism?? What risk factors you have??  Your doctor may be given low molecular weight heparin. Then you can continue tab. Warfarin mostly for 6\u00a0months. INR should maintain between 2-3. Other tests you may need. Doppler of lower limbs. Pt /INR Protein C and S Factor 5leiden mutation Anti thrombi 3levelEcho and ECG for cardiac morphology and functioning. D-dimer. Please consult your doctor he may advise correct dose of tablets depending on your blood tests.


Hello, I have studied your case and I think that it can be because of two reasons. First it can be due to Heimlich procedure where pulling you and then sudden jerking can cause your muscles spasm in back. Other cause can be torn in esophagus that causes radiating pain in back. I would suggest you to take rest, apply hot water fomentation and voting gel local application.  If this pain increases, or you feel that there is increase problem in swallowing of food then I would recommend you to show it to gusto surgeon.  I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks


Hi Dear, Welcome to Chat Doctor Team. Understanding concern about your health. As your two tooth had been pulled and you feeling sensitivity or tenderness in area around those tooth, need not worry about it. It's nothing serious, the space around the tooth from where two teeth have been extracted is empty now, and it causes deposition of bacteria, food particles. These bacteria keep on accumulating and improper brushing in that area builds them up which causes sensitivity, itchiness in that area and that is the reason your tongue keeps on going in that area due to pressure built due to bacterial deposition. Hard bump on the roof could be because of any sharp tooth in lower arch which keeps on irritating upper arch as this is very common occurrence after extraction. What you need to do is maintain proper hygiene of your oral cavity. Brush at least twice a day. Use flossing interdentally to remove debris. Visit your nearby dentist for cleaning of your teeth. Get the sharpened edges trimmed. Apply colonel in the sharp bump area it will go away. Hope your concern has been resolved. Get well soon. Best wishes,


Degree understand your concerns went through your details. I suggest you not to worry much.  Though the information you gave is not enough to make a correct diagnosis, I think that you have a health condition named bipolar disorder. Please consult a clinical psychologist or psychiatrist to get proper diagnosis and proper treatment. You need psychiatric treatment. Please get on with it. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi and welcome to Chat Doctor. It would be easier if you've posted the exact liver enzymes findings. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar and alcohol of course. If ultrasound didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. Liv 52 is helpful but only if associated with these measures I've mentionedWish you good health.


Hi there ~ It is unclear to me as to what the chronology of your symptoms were, except for the fact that there was something that happened a month ago in your sleep that worsened your symptoms.  I am unclear of what the details of the \"panic attack\" in you sleep was, however there are various sleep disorders that may cause you to have anxiety symptoms during the day.  I recommend that you see a psychiatrist as soon as you can, with your parent/guardian.  Furthermore, I hope this helped. Take care.


**1. Throat infection is/are commonly viral in origin, as such you should consult with medicine specialist or ENT surgeon for examination [to look for particular area] and evaluation. [regarding any foreign substance in the throat region] 2.  Initially take complete antibiotic course [to prevent secondary bacterial infection along with decongestants and anti-inflammatory medicines. 3. Gargles three times in a day [gargle with warm spinach juice], voice rest, stop smoking. Avoid sour, curd/ yogurt, cold Chat Doctor. . Take multivitamin supplements. Boil 2 spoons of yashtimadhu churn in 4 cup water till 1 cup remains. Filter it and add4 spoon honey to it and


Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.can you get pregnant if u maintained an elevation position.right.well.my answer is- YES, u can pregnant if u maintained an elevation position after sex, but the ejaculation should occur inside the vagina. Ejaculation inside the vagina is more important thing. At least some amount of ejaculation should occur inside the vagina. As u told that your husband liquid is come out from the vagina, but u didn't give info regarding the amount of ejaculation. Whether your husband ejaculate outside the vagina or only some amount of this is ejaculated. So it is difficult for me to comment on this. With the above discussion u can try out my suggestions-1. Ur husband try to ejaculate inside the vagina, it gives better result.2. If your can't able to ejaculate inside the vagina, then u can try GUI (intrauterine insemination), in this the husbands' semen directly injected inside the womb, so that chances of getting pregnancy is high.3. If u r in hurry then visit nearby infertility specialist. He /she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor.  I pray the God that u will be blessed with a cute n healthy baby as early as possible.hopefully TWINS)


Hi, I understand your concern and would explain that this lump could be related to an infection or an inflammation cyst. The fact that the dimensions are getting smaller is very reassuring, but her clinical situation is really concerning. That is why, I would recommend going to the ER for a physical check up and some tests


Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. Repeated head trauma can result in memory problems. You have mentioned that you had 5 concussions and have headache daily along with problems in memory. The memory problems have been confirmed by tests in school also. Though it is not common to have memory problems in school going child Chat Doctor.  Get your imaging investigations like CT scan done to rule out any evidence of trauma to brain. Medicines like Donepezil, Semantic can help to reduce the progression of traumatic memory loss. Visit a doctor for help. Thanks, I hope this helps you. Take care


The child is having Type 1 DM, in such cases, child might be going into Diabetic Nephropathy where children kidneys are going into failure. That is the reason for massive proteinuria. This might later lead to swelling of whole body and worsening of condition. Mood swings are due to hypothyroidism occurring due to Hashimoto. Your next step is to get a KFT done. Take children BP and start the child on tab Enalapril. Get a funds examination routinely done and get and Ultrasound Doppler done for kidney blood flow.


After pulmonary vein isolation procedure for many time snit common that patient will have feeling of palpitation (extra heart beats) on and off for few weeks. And this goes away with time and with internal scar tissue healing. Here if she has similar feeling then Don't worry. But if she is having pain in neck with high blood pressure then do check with your doctor since again. Any way I am sure after the procedure she must be under observation for time being, and these symptoms will get over in this time. If not then take a secondary opinion too with one more cardiologist. But as of now give her a symptomatic treatment. Take care.


Hi ! Good morning. I am Chat Doctor answering your query. It might not be possible to opine on this lump without a physical examination. I would advise you to take an appointment with a general surgeon, and get it assessed by him for a proper diagnosis and treatment. 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. Elevations of liver enzymes(GOT and SGPT) and cholesterol are not worrisome, but triglyceride levels probably should be treated with medication by mouth (fenofibrate is the most commonly used Chat Doctor. About the diet you must avoid intake of alcohol and fat products (bakery products, fried foods, pastries, red meat). Please consult your local doctor for a prescription. I wish you good health.(If the answer has helped you, please indicate this)


Hi, Thanks for writing in. Dizziness can also occur due to stress related anxiety or overflow of emotions. However, before saying that your symptoms are due to anxiety, the following other causes of dizziness and nausea must be evaluated. Short duration of dizziness can also happen due to decreased blood flow from heart to brain. When it happens, the blood flowing through the vessels from heart to brain might have a reduced flow. These are by the carotid and vertebral arteries on either sides. This is more significant when you are standing upright and doing any moderate to heavy physical activity. You might require a CT scan or MRI scan of the brain. The best way to analyze if the reduced blood flow to the brain is causing your dizziness is by doing a carotid and vertebral arteries Doppler ultrasound. It will show the flow of blood from the heart to the brain and if it is adequate. Clinical examination of inner ear and vestibular system in the ear is also required. For this you might have to consult the ENT specialist. After clinical examination if there is suspicion of inner ear problems then detailed investigation is required. It might help to do an Electronystagmography (ENG) or videonystagmography (VNG) done to record abnormal eye movements while the head is placed in different positions or your balance organs are stimulated with water or air.


Hi, As the pain is radiating in nature and not coming down with the medicine you're taking. I will advise to get checked of the cervical spine. As a nerve root entrapment will be the cause for pain to not stop. Using cervical collar will be good.  Post that hot water fermentation to the neck and then shoulder. Wait and see if pain level Chat Doctor.  If so then static neck and shoulder stabilization exercises to be looked out for. You should do well with 2-3 weeks of time. Hope I have answered your query. Let me know if I can assist you further. Jay In


Hello. Thank you for your question and welcome to Chat Doctor. I carefully read your query. As I am let to understand, coronary angiogram was performed. Well, there are different strategies on treating a narrowed or totally blocked coronary artery. It would be really helpful to see the full report and the film. However, I am going to try to ad Chat Doctor.  First, there is angioplasty and stenting of the artery. If the time from onset of a severe, different from others, episode of chest pain to angioplasty is less than six hours, then the benefits on the heart muscle is the highest. I am, of course, referring to a totally closed coronary artery which caused an acute myocardial infarction. If there is a significant blockage to the main artery, and I am assuming that this is the left main coronary artery or the very beginning of the left anterior descendant artery, then the strategy of coronary artery bypass grafting (CABG) provides more benefit in aspects of lifespan and symptom ameliorating. If this is a blockage in the proximal or midden portion of the LAD artery, then angioplasty and stent placement would be the appropriate strategy, with safety and effectiveness.


Hello dear, The symptoms as mentioned in your post is indicative of neural damage due to compression secondary to the back strain. Symptomatic relief will be obtained with the help of cervicogenic agents like It B12, It B6 & Folic acid. If symptoms still persist, then you need to get an MRI of the spine to detect the degree of compression. Further step of management to be decided based on it. So, kindly consult a Neurologist & get a proper clinical examination done including nerve conduction studies. There is no need to worry, you will be fine. Wishing you a good health. Take care.


Hello and welcome to Chat Doctor, I read your question carefully, and I understand your concern. Please, do not worry. 24 hour urine metanephrines are tested to rule out a Chat Doctor.  Pheochromocytoma is a catecholamine secreting tumor which presents with high blood pressure, headaches palpitations and sweating. Negative test results rule out phechromacytoma as the cause of hypertension. Low metanephrines in the urine indicates a


Hi, Do not jump at the conclusion that you might need surgical intervene. You seem to be facing constipation issue. Are you a complete non-vegetarian or known alcoholic? Focus on fiber diet for the next 2 weeks and get lactulose syrup - Cupola. 5ml or 1 spoon twice a day morning and evening after breakfast and dinner, and you should be fine. Avoid standing for too long. If you face gastric issues as well as take Pantoprazole twice a day morning and evening. Hope you will get well soon.


Hello, There are many treatments other than opioids that you can try to help with the pain.  In particular, there are some antidepressants that can help with pain as well, such as duloxetine, that might be a good choice for you.  So I would suggest discussing this with your doctor, and hopefully, that can help some with both your pain and your feelings of depression. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, Can you send me a picture for a better assessment? From what you said, this may be a manifestation of skin allergy (atomic dermatitis), which can have intermittent exacerbation depending on climate and environmental allergens. This is a chronic disorder which is difficult to cure completely. Applying a moisturizing cream regularly after bath will offer some help. During flareups, this will need topical steroids and anti allergy Chat Doctor.  Kindly keep regular followup with a dermatologist. Sometimes, an allergy skin test followed by desensitization or avoidance of the particular allergen if feasible will offer long term remission. Hope I have answered your question. Let me know if I can assist you further.


Thanks for your query, I have gone through your query. The swollen gums could be because of the gum infection secondary to the deposits. The infection could have aggravated by the trauma caused by the chocolate while eating or from some other food items or while brushing. Nothing to worry, consult an oral physician and get your teeth cleaned and maintain the oral hygiene after that. Do saline gargling morning and night. I hope my answer will help you, take care.


HelloYour findings suggests mildly enlarged liver with fatty changes in liver. Fatty liver is a reversible condition. Obesity and sedentary lifestyle are its common causes. Other causes of hepatomegaly with fatty changes are hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. I suggest routine hologram, random blood sugar, urine RE/ME, renal function test and liver function test. You may need to take few medicines after evaluation. You may need to change your diet and lifestyle. You should a go for brisk walk regularly. Findings also suggests multiple calculi in both kidneys. It is important to estimate nature of calculi because treatment varies witChatDoctorposition of calculi. You may need conservative treatment initially. Other treatment options are lithography etc. It is also important to assess function of kidneys. Get well soon. Take Care Chat Doctor.


Hi and Welcome to Chat Doctor, OTC painkiller Paracetamol can help you.  Take pain medicines (ask your doctor which ones you should use). The doctor may treat you with antibiotics. Add more fiber to your diet. Eating more fiber can help prevent future attacks.  If you make a few simple changes in your lifestyle, you may not have diverticulitis again. Continue using heating pad.  Wish you speedy recoveryThanks


Hi. Thanks for your query. With the history of trauma a week ago and painless, symptom-less swelling in the Costco Chat Doctor.  IT has appeared sudden, it is possible a small blood vessel ruptured in an already traumatized area. If the hematoma is not tight, it is painless. I do not think there is anything to worry as about. This can be confirmed by ultrasonography and / or aspiration. If confirmed to be hematoma, it can be left alone, or just add an anti-inflammatory medicine for a few days.


Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of the armpit lump-In my opinion the lump under the armpit is not resolving as its with perifolliculitis with boil and is unripe with only pointing head, rest is hard painful lump. At this stage you should consult ER Surgeon and treat it with anti-inflammatory and antibiotics and hot fomentation which would reduce it fast and would vanish in 5 days time. If it grows still ER surgeon would treat it by Surgical Chat Doctor. Please avoid poking that lump. Consult your ER Surgeon if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day.


Dear Vishal, Fertab is a medicine containing Camphene citrate which induces egg release from the ovary (ovulation). Hence, if you want to consume these pills for induction of ovulation, you should take them before intrauterine semen instillation (GUI - Injecting the sperms). The protocol should be as follows


Hi, thanks for sharing your health concerns with Chat Doctor!  As per your description, yes, you better consult the same surgeon as only knows the thorough history of your ailment! It is unfortunate to get infected repeatedly both for the patient and the surgeon; there must be some interfering factor in the line of treatment... Now it just needs debridement of the wound to convert it to some raw wound so that it heals as naturally as possible! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.


HI, I understand your concern.  - Its good that your wife does not have urinary problems, but raised TLC suggests infection anywhere in body. So a thorough check-up by gynecologist/ general physician & investigations as per need - should be done _ A repeat blood smear examination by pathologist to exclude any abnormal form of cells in it is needful * If there is nothing wrong in both the points. Be relaxed. As.  Raised TLC count in pregnancy is due to raised pregnancy hormones (Estrogen, cortisol).  Thanks.


Hi, Thanks for using Chat Doctor. Sudden sharp pain with vomiting may be due to acute gastritis, acute GE or obstruction. Since you have right side abdomen pain the chance of duodenal ulcer is more. I hope there is no blood or green fluid in your vomits and not suffering from fever. If your bowel movements are normal. Take tab pantoprazole with metoclopramide and tab. Dicyclomine. Since you got your gall bladder removed and if symptoms persists take your doctors' opinion once. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards


Degree understand your concerns went through your details. I suggest you not to worry much.  For your knowledge, insomnia is just a symptom. You need to investigate further to know the clear causes of your insomnia. Then you shall know the reasons for your memory loss. Please consult a neurologist. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi... Thank you for consulting in Chat Doctor. Looks like everything is related to viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 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. 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, Any undue position will exert pressure on the surgical site and cause pain. Take rest and work moderately. Postoperatively infection is always a possibility it you are not given a good cover of antibiotics. Burning and pain during micturition indicates infection and not the strong smell alone. Do a urine routine and urine culture and sensitivity to arrive at a diagnosis. Consult your doctor for more help.


Hello, In my opinion you need a dental exam to determine the source of your discomfort. Decay will get larger with time and can cause an infection. The spread of an infection can make other teeth hurt. All fillings will wear and decay can get underneath.  Pressure sensitivity can indicate a problematic tooth. Infected teeth can rise and cause a change in how you bite. This could give you a headache.


Hello and welcome. Thanks for sharing concern. Oral sub mucous fibrosis can be treated by giving intraluminal steroid injections and continuous follow up is required. You can meet any oral and maxillofacial surgeon in your city of choice, as it is curable.Also, please discontinue habits like tobacco chewing or smoking(if you have).for pain in TMJ you can take Coquitlam SOS. Also an x-ray can give you the exact picture of your TMJ.Therefore, it requires visit to oral surgeon for evaluation of present state, and accordingly it can be treated. This should help, for further doubts please let me know. ThanksTake care.


Thanks for sharing your problem here in this forum... There are multiple causes of swollen lump on the side of the neck.proper history and examination is required to give you the exact diagnosis...in your case there is long history, so it may be some lipoma or salacious cyst...lymph node may occur but if there is some chronic infection...I will advise you to see your surgeon to give you exact diagnosis and treatment...hope you got your answer...thanks Chat Doctor.


Hi, A lot depends on your age. A women sage at after 37 years, does reduce chances of getting pregnant naturally, and at that age if not conceived after 6 months of trying for a baby, a gynecologist should be consulted. Do start taking folic acid, and also know that 8 to 18th day of the cycle is the most fertile period. Healthy lifestyle and avoiding smoking and alcohol also helps. Hope this helps. Regards.


Hi, Welcome to Chat Doctor, This symptom you mentioned are very commonly seen in this age group child Chat Doctor.  One such episode which is not too severe and is relived by junior Landon every 2-3 myths is not a matter of concern. If I were your pediatrician, I would have given albendazole just to take care of any stomach bug. Gt his diet regularized and make sure he never misses breakfast. A discipline in his dietary habits will sort out his issue to a great extent. Take care.


Thanks for your question on Chat Doctor. I can understand your situation and problem. But vaginal spotting can be the early symptom of local recurrence. You had completed your chemotherapy since November 2013. So not on any treatment for 12 months. This duration is sufficient to produce recurrence at local site. So wait for CA125 and PAP smear result. You may need CT abdomen and PET scan to rule out local recurrence.


DearWelcome to ChatDoctorWe understand your concerns went through your details. I am sorry to say, your grandson do not need any medical treatment, but needs corrective behavior. I suggest you to consult a psychologist who can provide your grandson with values and health counseling. As far as heart burn is concerned, physical exercises and right food will be enough. If you require more of my help in this aspect, please use this URL. http


At first presentation one could guess it as HD (Ischemic Heart Disease) but then pain is there for a year, no aggravation. I would advise you to start deep breathing exercises and start getting Cap Arjuna for controlling heart beats and restoring normal supplies to heart muscles. Liquid Arjunarishta should also be added. These are safe, no side effects, no interaction with other Chat Doctor.  Anxiety issues will also be cared with these. Ideally an ECG should be done for assessment. For local pain issues pl. use application of local muscle relaxant like Rumply liniment over chest and shoulder area. Pl contact again for further advise after ECG etc. But above med may be started as of now. Pl make sure to follow doctors advise. You should have done cold patches too at that time. Hope it's helpful.


Dear friend. Thanks for sharing your concern. Swelling and pain are indicative of infection.it is required to start a course of antibiotic for faster recovery.Also, antiseptic mouth rinsing is suggested. Also, you can do warm saline rinses too. If you are not satisfied with your present dentist please go for second opinion and also ask for a day to see if any other root pieces are left in place, as they can further aggravate the condition. Presently maintenance of hygiene by following above measures is a must and simultaneously starting a course of antibiotic is also necessary. Hope it helps. Thanks. Take care.


Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms can be due to heart diseases like heart failure or coronary artery disease (CAD). You are also having hypertension and hypothyroidism. Both of them can increase risk of heart diseases. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about major heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


In most probability the pain which would increase or decrease with SRM movement is local in origin and NOT heart, so be reassured.  I believe the kind of pain you describe and the circumstances in which it has occurred, is mostly probably due to a nerve compression as a result of position you took during the nap.  It would resolve in a day max, some warm compress will help, may take a single tab of paracetamol 650 mg SOS, which is perfectly safe in pregnancy.  Regards Chat Doctor.


Hi, Thanks for writing in. It is important to know the complete MRI report details before coming in to a differential diagnosis to your problem. Whatever it is, a big cyst that is causing shift of midline structures inside the head of more than 4 mm must be treated so that pressure does not build up. Increased intracranial pressure can affect the functioning of your brain and can become serious. Please discuss your condition with your scan reports and consult a neurosurgeon immediately. Hope this helps.


Hi, Repeat a urine pregnancy test. If it is negative now, then you are definitely not pregnant. Regarding HPV, the infection does not hold much significance in a 50-year-old women, who has been sexually active before. I would like to know if you have had regular cervical smears and when was your last cervical smear. If the previous smears have been normal, you need not have any concern about HPV. The symptoms you have listed could be a part of vasomotor symptoms of menopause, consider Hormone replacement therapy if you have no contraindication to it. Hope his helps. Regards.


Hi thanks for asking question. Noted you have habit of smoking. This type of stabbing pain can occur if pleura is inflamed or infected. So pleural effusion also can lead such pain. Chest x-ray in lateral decubitus procedure is done. Treated accordingly. Here pleural affection may be secondary to pneumonia like infection if fever and cough also present. Chest x-ray can reveal consolidation. Let me know you smoker can have more chance for interstitial fibrosis.X-ray will be useful. If still causes not clear ECG can be done for cardiac causes. If still no cause identifiable then it might be Costco Chat Doctor. Wish you good health. Regards;


HI, Dear,Thanks for the query to Chat Doctor.1-I have studied your query in depth.2-DEar,IN my opinion, the hard lump in the palate, is due to the lymphoid enlargement or due to the salivary gland cysts of the palate.3-Allergic aggravations with associated infection and inflammation, is the cause for its recurrence with the URI /or allergic URI attacks.4-Treatment would be -cetirizine / and or antibiotics under cover of surgeon.4-a-I would advise you to consult surgeon or Ent-Surgeon, who would treat it by-antiallergics and antibiotics and NSAIDs.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor.7-Thnks once again for your inquisitive query. Have a Good Day.!!


Thanks for your question on Chat Doctor. I can understand your concern. Her symptoms are suggestive of either uncontrolled hypertension or coronary artery disease (CAD) or heart failure, because all these cause chest pain with radiation to arm. ECG can be normal even with the disease in some patients. So better to consult cardiologist and get done 1. Blood pressure monitoring to rule out high BP. 2. Trade mill test (stress test) to rule out CAD. 3. 2d echo to rule out heart failure. 4. Coronary angiography if required to rule out CAD. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.


Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read you question completely, I understand your concern and will try to help you in the best way possible. Exact percentage will be different for every patient as every one has different conditions and different scenarios in your conditions the is more than 50% chance that it can work as one of your ovary is pretty much fine you DNT need to worry about it, you will cocaine many ppl do just keep on trying if first attempt fails try again .... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards.


Hello. Thank you for asking at Chat Doctor. I went through your history. I would like to ad Chat Doctor.  If your tablet (Infinair5/10) controls your symptoms adequately, you can continue taking at alternate days for long time. However, if it does not adequately control your symptoms, I would suggest you to take it daily.2. Infinite has 2 contents


Hello and welcome to Chat Doctor, A clinical photograph of the lesions is required to know the character of these lesions. I understand from your description that the clots that you have mentioned are actually bruises. Bruises usually occur after trauma. If there is no history of trauma, then these bruises could be due to disorders of platelets or disorders of coagulation factors. Thus, I suggest you to get platelet counts, coagulation tests-PT, apt along with peripheral blood smear examination. These investigations will determine the possible cause of bruising. Thanks and take care Chat Doctor.


Thanks for asking question I have gone through your query. Your ten-month-old daughter had 2 episodes of UTI in last 2 months and was treated with both IV niacin and other oral medicine. First I want to tell the \"DO NOT WORRY\". IF was your treating pediatrician I would advise you for some test(like ultrasonography etc.) to role any structural abnormality that may because of recurrent UTI. Here is some advice that can prevent future UTI1. Get rid of constipation if present2 wiping from front to back may prevent stool bacteria to contact with urinary system opening 3 cranberry juice (50-100 ML per day)is help to prevent UTI4 Frequent diaper change prevent soiling of stool Answer for your query about root cause is that. There is no specific list of cause but those kid who have structural abnormality in urinary tract have frequent (that will be seen by ultrasonography),female child more susceptible for UTI, I want information from you about report of culture and sensitivity. So that I can see which bacteria are causing and which is appropriate Chat Doctor.


Hello;welcome to Chat Doctor The cyst in the ultrasound needs to be differentiated to see if it is benign or hemorrhagic cyst ;also whether you have pain or now is important. Please consult a Urologist and get examined. He will prescribe the needed medicines and if it is a simple cyst it may reduce in size or resolve completely in 2-3 weeks but if it does not then the Urologist will tell you regarding further management. Thanks


Hi, Welcome to Chat Doctor forum.  As you describe the glands of the malignancy may not be visible, in a short span of time and all at once, they could be a result of the infection in the breast.  Any how to be on safe side, it is always better to have the examination, immediately.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have resistance against the infections.  Wishing for a quick and complete recovery. Thank you.


Hello thanks for the consult at Chat Doctor. It could be lock jaw involving TMJ.it belongs to TMJ disorders. Do you have the habit of night grinding?? Did you have a recent cough and cold, since your lymph node is swollen behind the ear?? Regarding treatment for that lock jaw and popping, give rest to the TMJ. Avoid eating hard food. For night grinding habit, you could get a night guard. Take treatment for cough and cold with medicines such as antibiotics and analgesics. Kindly consult an oral physician for a check-up and treatment.also visit a TMJ clinic in your area. Hope it helps.take care...


Hi, Left sided abdominal pain is commonly due to constipation, gastritis, IBD (Crowns and ulcerative colitis), kidney stones. Take antacids and Pantoprazole. For colic pain take Spasm Procyon (combination of Dicyclomine, Paracetamol, Tramadol), when discomforted. Get physically examined and get done USG, PUB, colonoscopy, MRI, CT along with CBC, urinalysis, liver function tests. Bad breath is usually due to poor oral hygiene, it is a sign of gum disease (periodontal disease), Chat Doctor.  See a dentist. In the meantime take vitamin C and gargle with Listerine mouthwash.  Hope I have answered your query. Let me know if I can assist you further.


Hello, Welcome to Chat Doctor, Have seen your query, as this is an allergic reaction the doctor has prescribed him the appropriate nebulization therapy, but maybe there seems to be an associated bacterial infection which could have precipitated with lowered immunity due to the allergic cause, hence will advise you to kindly re-visit your doctor for further advice, and he may need added antibiotics to subside the underlying cause. Thanks


HIT hank for asking to ChatDoctorI really appreciate your concern, the tubercular infection need be confirmed by means of all the possible investigation, even if you need second opinion, go for that, the differential diagnosis need to be taken under consideration, for the symptomatic relief you can take the Tab Diclofenac 50 mg sustain release once in day, hope this information helps you have nice day.


Hi there! There are broadly 2 kinds of fungi which could infect skin. One type needs keratin to grow like Trichophyton or epidermophyton because of which it tends to grow on Skin Nails n Hair where Keratin is abundant. These do not grow inside the body. While Candida can grow on skin and inside the body too. Mostly moist areas like Groin, Vagina etc. For nail infection especially toenails the medication needs to be taken for a long time because the Chat Doctor.  Hopefully this helps.


Hello! Thank you for the query. If this lump is located under the skin bone growing is rather not the best idea. Lumps in such location are usually benign lesions. It can be a sebaceous cyst. Due to an infection, the cyst gets larger, very painful. Sometimes lymph nodes are located in mentioned area. The best way to find out what it is an ultrasound. In case of infection, it should be incised and Chat Doctor. Blood work should be also done to see the level of WBC. Hope this will help. Regards.


Hi, Thanks for writing in. It is important at what stage the cancer is progressing in your relative. Moderately differentiated cancer is the grading and tells that the cell multiplication is neither too aggressive nor to slow. It is progressing and can be treated as it has been confirmed. First it is important to know if the cancer can be operated and this is important. AN early surgery limits the disease but chemotherapy and radiation have to be given for better cure of the patient. While surgery is important to remove the tumor, chemotherapy and radiation will stop the disease from getting out of control. Regular ultrasound and CT scan should be done for a few years to follow up and check for any spread of disease to liver and lungs. Any spread has to be confirmed early and treated on time. Please do not worry.


Hello, and I hope I can help you today. Is understandable to be nervous about having a lump in your breast at any age. You are correct in your knowledge that breast cancer under the age of 30 is extraordinarily rare, however any lump in the breast that is present for more than short period of time really should be evaluated. It is not recommended that mammograms be performed in women who are breast-feeding because the calcium in your milk can sometimes cause abnormalities on the mammogram that mimic cancer. However, ultrasound, a diagnostic test similar to that which are baby got while you are pregnant, can be performed on your breast to see if the lump is the cyst, or a solid mass. A specialist in diseases of the breast would be a reasonable person to see for this evaluation if your GUN doctor is not willing or able to properly examine you and refer you for the ultrasound. However, I do want to reassure you that most palpable lumps found in women who are pregnant or breast-feeding are due to some clogging or other issues of the milk glands and are rarely associated with cancer. I hope that I was able to adequately answer your question today, and that my advice was reassuring. Best wishes and good luck,


Thanks for your query, I have gone through your query. The swelling in the cheek and jaw can be because of the wisdom tooth infection(Peritonitis or periodontal abscess leading to cellulitis). Nothing to be panic, Consult an oral physician and 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. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). Do saline gargling. I hope my answer will help you, take care.


Welcome to Chat Doctor I am Chat Doctor and I will be helping you with your query have gone through your question. It appears to be enlarged lymph node in the cervical region. Lymph node enlarges in response to infection in the head and neck region. Chances of lymphoma is rare as the duration is short, and single lymph node is involved. In lymphoma there are additional symptoms like weight loss, lethargy. If it bothers you much, lymph node biopsy followed by its histopathology, which will give a clear-cut diagnosis. I hope that my answer will help you. Do rate it, if you like it. Regards


You may be suffering from a condition called TRIGEMINAL AUTONOMIC CEPHALIC (Tags) and more specifically, what we literally call JABS AND JOLTS types of headaches.  There is a specific treatment for this type of pain, but first it must be verified that this is indeed the case and that usually means filling in a HEADACHE DIARY or LOG for a period of time in order to find out more about these sudden fascinating pains and to also find out if you may be having any other types of headaches that go along with what you're already describing.  Please rate this a 5-STAR ENCOUNTER and write me at


Hi, Welcome to Chat Doctor. Stage 4 ovarian cancer is not curable. Ovarian cancer is a dangerous cancer because it is asymptomatic and is often not diagnosed until it is in its advanced stages. Between 2000 and 2010, the rates of diagnosis of ovarian cancer have remained relatively stable, with a decrease of less than 1 percent annually in the number of women diagnosed. The mortality rate and life expectancies have remained stable. For stage IV ovarian cancer, the 5-year survival rate is 17.5%. Take care.


Hi thanks for contacting Chat Doctor. You have diagnosed with positive hepatitis b infection.Head also positive means virus multiplying.... In viral hepatitis our immunity play role in eliminating virus.... So healthy and balanced diet taken with low fat.... Refined food, junk foods, non veg restricted.... Some good food for liver taken like ....-carrot -papaya -dandelion -lemon juice -onion -spinach etc..... Fruits taken more..... One tsp crushed carom and cumin seed with water can be taken daily..... Avoid alcohol... If Bag positive more than 6 months than chronic infection is there for which regular follow up then needed with good dietary habit... If chronic active stage occurs then antiviral Chat Doctor. Hope I have solved your concern. With keeping this in mind consult gastroenterologist.


Thanks for your query, I have gone through your query. The pressure feeling in the teeth can be because of the gum infection secondary to crowded teeth where the oral hygiene maintained is difficult. Nothing to be panic, you can consult a government dental hospital or educational institute, where the treatment will be done free of cost. You need to get the teeth cleaned, and you have to get the teeth aligned properly with the help of braces or orthodontic treatment. I hope my answer will help you, take care.


Thanks for your query. I have gone through your query. The toe injury can be treated with a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). The purple color can be because of the ecchymosis or bleeding secondary to injury. The liquid coming out from the wound can be pus secondary to infection. Nothing to be panic, consult a general physician and get it evaluated. I hope I have answered your query. Take care


Hi, dairy have gone through your question. I can understand your concern. You have history of ovarian cancer.  However, it was stage 1c. So it has very good prognosis. You have already gone through salting oophorectomy.  So no need to worry. Your CA 125 level is increased.  You should go for ultrasound abdomen or ct scan of abdomen.  If you find any mass then you should take treatment accordingly. If you don't find any mass then repeat your CA 125 level every month.  Till it goes below 5. Then you should repeat every 3 month. 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, From what you have mentioned, you seem to be having symptoms of depression. During depression, negative thought predominate our consciousness. I would recommend you to consult a psychiatrist for detailed evaluation of your condition and appropriate management. You would need treatment with anti-depressants like Escitalopram/ sertraline, etc. The medications will take time to act, and you will have to be patient for the response. You can also start exercising daily. Cognitive behavior therapy is another option you can try if someone trained in it is available in your area. Hope this information was helpful. Best wishes.


Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. If she is positive for Bag, never do unprotected intercourse. Hepatitis B is notorious for transmission via sex. It transmits more frequently than that of HIV. Avoid unprotected intercourse. Take the right treatment otherwise there is chance of chronicity. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist.


Hello, Welcome to Chat Doctor, There are many things that could cause the skin to itch. Several types of inflammatory conditions of the skin, allergic reactions, and sometimes bacterial, viral or fungal infections can cause rashes on the skin of the arm pit. You have to undergo complete evaluation by a professional for proper diagnosis and treatment. The remedy would be related to the proper diagnosis. If you had a fungal infection causing your itchiness than an antifungal cream would be helpful. If you had an inflammatory dermatitis causing your itch, then a steroid cream may help. Thank you.


Hello, Your symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using ice compresses for local applications. Furthermore, I recommend maintaining a splint to prevent further damage and don't overuse the wrist for some days. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi!welcome to Chat Doctor! Haemoglobin level 3.5 means severe anemia. There are many types of anemia, and each is thought to be caused by a different factor. Iron deficiency (due to poor diet or blood loss), vitamin deficiency (due to poor diet), chronic disease, genetic disorders, certain medications, all can cause anemia. Many patients suffering from fibromyalgia also have concurrent anemia. Because anemia symptoms, like fatigue and loss of concentration, are also found in fibromyalgia syn Chat Doctor. Hope this helps! Take care!


Hello, Welcome to Chat Doctor, As your sister was bitten by confirmed rabid dog for which she was given a shot of antirabies vaccine and the passive immunization after a span of 5 days following the death of the dog. The ARAB (Human rabies immunoglobulin) helps to destroy the rabies virus at the bite site. She needs to take the vaccine as per the schedule on days 0,3,7,14 and 28. The ARAB which is given only once to provide the passive immunity, but the active immunization with antirabies vaccine should be continued. So I suggest you to complete the antirabies vaccine as per the schedule and don't take any risk with this disease which is 100% fatal, but it is 100% preventable. Thank you.


Welcome to Chat Doctor .1. Where exactly the lump you have not mentioned clearly.2. But your history suggest pain less lump with the history of vascular pathology seems like lymph nodal enlargement.3. Vascilar pathology itself can not be ruled out.4. In this case an ultrasound examination of the lump will gel to find out the nature of the lump its source and extensions.5. Lymph nodal enlargement is seen due to localized or systemic infection / inflammation, so you need to treat the cause first before the lump. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Hi welcome to Chat Doctor forum. You are 21 years old and got married last year only. More over you are a P.C.O.D patient. So don't get tense about conceiving. Mental tension is one thing that promotes infertility besides other factors. More over there is no ovulation, so it may take time for your desire to come true. Anemia is also one of the causes of irregular periods, and infertility.  Regarding Yasmin tablets, they are birth control pills, but they will also help for treating P.C.O.D by suppressing the cysts. So you can use the pills without any doubt.  Besides I advise you some nonmedical procedures as Diversion procedures yoga, meditation, reading books, hearing music, and if interested gardening.  Take more of green leafy vegetables, pulses, sprouts, egg, milk, meat etc. to improve blood, and general health necessary for all deeds.  Wishing for a fruit full recovery, and thanks for calling.


Hi welcome to ChatDoctorI gone through your query asking remedy for bump on head after injury. Dear there is nothing to worry about. Apply hot pack 2-3 times a day It should be only hot that can be tolerable . Feeling a hard lump under a recent bad bruise can be concerning. The good news is that in most cases of bruising, these lumps are not a cause for concern. Bruises are an injury to the soft tissues under the skin. Blood collects at the location of the injury, and initially causes the distinctive red and blue coloring under the skin. As the bruise heals, it may turn yellow, until it finally resolves after a few weeks. Applying heat after that helps the body absorb the old blood quicker, which speeds up the healing process. Take turmeric powder a spoon with a cup of hot milk at bedtime and in BF ROR instant relief Take Homeopathic Ledum 30 /2 Chat Doctor.  Apply 2-3


Hello and thank you for asking As you prescribe the situation of your child I understand that he is under treatment for allergic asthma. And you say that even with this continuous medication his complaints are still evident. This is called uncontrolled asthma.Maybe there is an allergic agent that do not let the treatment be effective. Is the treatment taken in the exact way? Does your son have food allergy too? Does he have a reflux from his stomach? I think that this treatment is ok. If I was his doctor I would rule out any other causal agent before change the treatment. Thank you Chat Doctor.


Hi, as you mentioned the symptoms of numbness you need to be little slow in first getting what the cause is. as the medical fraternity is trying to figure out the cause. Also, The CNS has two kinds of tissue


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. In fibromyalgia, there is no quick fix solution. Several medicines have to be tried and antidepressants are the most popular. Amitriptyline is one of the common Chat Doctor.  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


Hi...this seems like a chronic pain abdomen. I would like to know if there is any family history of stone in the kidney or gallbladder. I am asking because he is having pain on the right lower side and especially when he's going to restroom. If this is, so please evaluate in these lines, apart from this you need not worry as already the ultrasound abdomen and ct scan are normal. Regards - Chat Doctor.


A Patient with primary complex can eat all the things there is no contraindication for any type of food. Primary Complex occur due to contact with person with tuberculosis. You should avoid contact with a tuberculosis person. Contact survey of all the adult person should be done so that person with tuberculosis can be identified. Diet rich in protein and fat should be given to child. It increases immunity of child. You should give full cream milk, oats, Chat Doctor.  Have a nice day.


Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). You are having uncontrolled upper respiratory tract infection (URI).  And this can lead to lung infection (pneumonia) and bronchitis. So chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So consult pulmonologist and first diagnose yourself and then start appropriate treatment.


Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs or nonspecific multiple symptoms like this, could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 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. 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. Regards -


HIT hank for asking to ChatDoctorI really appreciate your concern as you said here that you are experiencing the tickling sensation in your scrotum then this could be delusive phenomenon just similar to the hallucination, the epididymis is the internal structure of whole scrotum and that does not cause anything like that try to forget this every thing would be fine, and no need to worry about this, hope this information helps you, take care and have a nice day.


Hi, I have gone through your medical history carefully and understood your concerns. The itchy and warm outside vagina might be due to possible vaginal yeast infection. Apart taking oral antifungal medication, I highly recommend applying an antifungal cream locally into your vagina. Can discuss this further with your doctor. I also advise to


Hi, Thanks for writing in to us. Bilaterally pacified mastoid air cells mean that the air containing spaces within the Petrus temporal bones which are located behind the ear are showing some fluid collections. This can happen when there is an ear infection which causes seepage of fluids into these mastoid ear cells. It requires an examination by the ENT specialist. The details of your tumor surgery would be required to know if the autonomic dysfunction disorder, gait disorder, memory loss, tremors are due to after effects of the surgery. Periventricular white matter is the white matter areas in the brain which is found next to the ventricles or fluid containing spaces. This can mean that there is seepage of the cerebrospinal fluid in to the white matter and if you are an elderly person then this is acceptable. It is a variant of the degenerative changes in the elderly people.


Hello, I have studied your case. Due to compression of nerve root there can be tingling numbness in your arm and pain.  I will advise you to MRI cervical spine for better diagnosis. 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. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


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


Hello, I have studied your case. You said that you have torn ligament in the knee, but you did not mention if you have taken any treatment for it or not. Because if you have not received any treatment than you are going ti have pain in knee joint and also very high chances of developing knee arthritis. So I would recommend you to visit a doctor who specializes in knee ligament management and get his opinion. If he says that you need any surgery than you should go ahead with this. If you want than you can share your MRI or x-ray report with me. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks


Thanks for using Chat Doctor. Read your query. Signs and symptoms mentioned suggests chronic gingivitis, which usually presents with bleeding of gums while brushing, hard deposits with stains, bad breath and many others.(green deposits are calculus with stains)I would advise you to visit your local dentist at the earlier and have his teeth professionally cleaned. Check for any infections. Follow the post instructions by using proper method of brushing and maintaining a good oral hygiene. Use chlorhexidine mouth wash for a while. Hope this was helpful. Thanks and regards.


Hello dairy understand your concernSorry to say there is no any way to conceive with bay boy. It is depended on the chromosomes of sperm that fertilize the egg. There is 50 % prediction for the baby boy. There are two types of sperm, one carrying the X chromosome, and one carrying the Y chromosome. The type of sperm that fertilizes the egg, and determines what sex the baby will be (X for a girl, and Y for a boy). No way/solution to conceive with baby boy. It is gods gift. Do not believe in any myth. Avoid stress, take healthy diet, do intercourse in fertile phase of the period with full penetration, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards


HI, I understand your concern.  Average size of gestational sac at 5 weeks is 2-3 mm.  After IVF assessment of the embryo size with USG alone is not considered reliable blood Chat Doctor levels are more confirmatory . As proportional Chat Doctor levels with trans abdominal detection of an embryo is sufficient to assess pregnancy by IVF in early weeks.  Please don't worry follow your doctors instructions & be positive.  Thanks.


Hello Flag! Welcome on Healthcare magi! Your symptoms (dizziness when standing up) are typical of orthostatic hypotension, which could be related to antihypertensive therapy. For this reason, I would recommend to temporary stop taking losartan or lisinopril and monitor your blood pressure. A head Up Tilt test would be needed to investigate for orthostatic hypotension. Regarding the leg swelling, it is not a common adverse effect related to the Chat Doctor.  For this reason, I recommend performing further tests to investigate for the possible causes


Hello Thanks for posting here. I have gone through your description. Your mitral valve area of 1.5 8cm2 is classified as moderate. Patients with Moderate MS with symptoms should undergo a valve replacement. Your symptoms are only palpitations. You must get an EKG done to see whether you have irregular heart beats called atrial fibrillation which is common in mitral stenosis. Treatment for atrial fibrillation can be given if required. Aortic valve also has moderate leakage so surgery not advice at this point. Your LA size and aorta size are normal so again no indication for surgery. I suggest you be on lanolin, diuretic tablets and other medications at present. Yearly 2d echo must be done to see the valve stenosis and to evaluate ejection fraction. You MAY require surgery at some point of time. But heart surgery is to be done only when it's the right time and not as a preventive thing. Yes both the valves can be changed during the same surgery. I do not know about the cost of two valve replacement abroad, in INDIA it is about 3-5 lack depends on where you are doing it. The life expectancy after a successful valve replacement is more than 20 years, but it has to be done at the hands of a good surgeon, so please don't compromise on the cost. REGARDS


Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion you should repeat the urine culture and sensitivity testing. As you have vaginal bacterial infection it is likely that Proteus Mirabilis in culture is because of contamination. If you find same organism again in urine we can say you have urinary tract infection. Please continue your previous medications as per doctors advice. Chat Doctor. Please maintain the local hygiene it helps clear infection fast. I will be happy to answer your further concern, you can ask me on bit.ly/


Thanks for your query. An eosinophil is a type of white blood cell. Eosinophils are produced in the bone marrow and are normally found in the bloodstream and the gut lining. Common causes of high eosinophil counts are parasitic infections, asthma,hay fever & allergies to Chat Doctor.  Though the list of causes is exhaustive it is good idea to repeat the counts after 2-3 weeks before proceeding for further work up.


Cough, fever, sneezing, phlegm may suggest upper respiratory infection. Medications like paracetamol and decongestants may relieve symptoms. Teething itself does not cause diarrhea but causes few loose stools which are due to excessive salivation reaching gut due to gum tenderness and swelling of teething. This also results in baby putting unhygienic tethers, objects etc. in their mouth resulting in infection. For few loose motions which are not causing child deny Chat Doctor.


Hello dear, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* There are many reasons for the lung function problems, and the management depends upon the root cause.* You need expert opinion of Pulmonologist for which you have to go Doctors in India - Pulmonologist - prefer area nearby you.  Or can have assistance with our expert customer care dedicated team crews. Hope this will help you for sure. Regards.


Hi, I can understand your concern regarding your husbands symptoms. From what you have mentioned, it is quite possible that your husband is having a depressive episode. To link it with stroke is a bit difficult. Usually, post stroke depression starts within 2 years. In your husbands case, it has been 4 years. It may be possible but less likely. In any case, he would need treatment. You should seek a psychiatric consultation for him. Treatment with anti-depressant like Escitalopram will be effective. Hope this information was helpful. Best wishes.


The characteristics of the pain you describe are compatible with musculoskeletal pain. It is characterized by a localized pain that can be exacerbated by cough, respiratory movements of the chest wall, movements of the superior members and palpation of the painful point, which will present with tenderness and, eventually, with a muscle node. Musculoskeletal pain varies in intensity and duration. It can be mild or very intense with impairment of daily life activities. It can last a few hours even if untreated or last many days, weeks or months. A localized, long-lasting musculoskeletal pain that does not resolve after the use of traditional analgesics and anti-inflammatory Chat Doctor.


Hello! Welcome on Chat Doctor ! I understand your concern and would explain that the first episode seems to be caused by a TIA (transient ischemic attack), which is related to temporary occlusion of brain blood vessels. The second episode is related to a pinched nerve from a wrong position during sleep. Considering the first episode, I would recommend consulting with your doctor for a physical check up and some tests


Thanks for your question on Chat Doctor. I can understand your friend s situation and problem. Honestly speaking, pancreatic cancer is having very poor prognosis. Loss of urine control suggest spinal cord involvement. So better go for MRI spine to rule out spinal metastasis. If spinal metastasis is present then she is having stage 4 pancreatic cancer. Stage 4 pancreatic cancer has life expectancy of less than 1 year. So better to first rule out spinal metastasis in your friend s case.


Hi. As per your case-history your probable diagnosis is fungal infection. My treatment advice is-1. Maintain proper hygiene-bath twice daily, wash clothes in hot water, keep clothes and your belongings isolated from other family members.2. Don't use detail, it won't work.3. Use clotrimazole cream twice daily and take cetirizine tablet for itching.4. If it doesn't clear in 15 days then consult a dermatologist for further guidance. Thanks. Chat Doctor. B.B.S, D.D.V.L


Hello, May be your suffering from bloating of stomach or right renal pain or pain originating from liver. Just stop the syrup and see weather bloating and pain getting relived or not. If relieved then okay otherwise, take tablet Cyclops twice a day for three days. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.


Hi, Seeing her age, pain and MRI report I think there are few medicines like Glucosamine + Chen Chat Doctor. Which decreased joint inflammation and lubricates joint, so there will be a decrease in joint pain. Beside medicine, she should avoid squatting, cross leg sitting and climbing stairs. Need to start physiotherapy after consulting doctor. If this too does not help need to take advice from Arthroscopic surgeon. Hope I have answered your query. Let me know if I can assist you further.


Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently visit emergency room. You can wait and visit your doctor tomorrow. Stress is the biggest risk factor for hypertension. Other risk factors are old age, family history, high salt intake, diabetes, dyslipidemia etc. So first avoid stress and tension, be relaxed and calm. Consult your doctor and get done blood tests to rule out diabetes and dyslipidemia. Strict salt restriction in daily is needed. Don't worry, with antihypertensive Chat Doctor.  No need to worry about much. Consult your doctor tomorrow and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, This looks to me like so called postcholecystectomy syn Chat Doctor.  Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn


Thanks for your query, I have gone through your query. The red lesions over the palate could be secondary to the use of inhalers. It can cause candida infection over the palate(fungal infection). Or it can be a herpetic infection or recurrent authors dermatitis or allergic dermatitis. Consult an oral physician and get the above said conditions ruled out. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is authors ulcers then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. If it is viral infection then you have to take topical anesthetic and analgesics like Anabel gel for the pain. Do saline gargling. I hope my answer will help you, take care.


Hi, Thank you for posting your question here I will try to answer it to the best of my abilities. I recommend you see an obs and gone specialist, she can prescribe you with proper hormone replacement medication that should help get your period back to normal, they can also run an ultrasound to check if there is anything wrong with your ovaries. This would just be standard procedure to check if everything is okay with you, nothing to worry about. I hope this answered your question.


Hi I understand your complaints. In my routine work I see several patients with this concern. This kind of pain that you prescribe have several lung factors. The inflammation of pleural space may cause this. The Costco Chat Doctor. Pneumothorax (air in the pleural space) is another factor. So my opinion is that you should some tests to explore the lungs as listed


Hello As you mentioned that your mother is having inflammation on her right side chest ? It is not clear whether this inflammation is on the chest or in the chest. It is coincidence that pain occurred with cold water .2nd point is that painkiller only help in pain, but don't cure disease. If this inflammation is outside and on the chest may be due to infection and may be mastitis or frunculosis or any abscess. Only physical examination will find out the cause. If it is in the lungs may be due to consolidation or pneumonitis or due to effusion in lungs. Diagnosis can be confirmed by X-ray chest. But still I would like to say please upload complete report so that diagnosis could be established. Good luck.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Cystic aroma is very notorious for the infection. I advise you should do culture and sensitivity from the discharge. And once the report is received you can take the treatment accordingly. Conpleteing the treatment makes you free from the infection. Good hygiene maintenance is utmost important for the housing of the surgical site. Please do regular Chat Doctor.  It plays good part in treatment. UPI can use detail and Betadine followed by polypoid ointment application. Wear a cotton undergarment as it is helpful in treating the infection. Please avoid excessive sweating over the part. I will be happy to answer your further concern on bit.ly/


Hi, Causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Most excess sweating is due to excess sweat glands or their hyper-stimulation. Here are some tips to stop this sweating or its odors.1) If you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) Always take balanced diet and Chat Doctor.  3) Avoid tight-fitting clothes rather wear loose clothes.4) Wear cotton material clothes and avoid synthetic silk.5) Bath with antibacterial soap like detail,savlon6) Always clean groins, twice or thrice with brush during bathing.7) Use antiperspirants and deodorants together like aluminum chloral


Thanks for your question on Chat Doctor. I can understand your concern. Advent is having combination of amoxicillin and clavulinic acid. Ideal dose is 625 mg three times a day. So better to take it thrice daily. Twice daily dose is insufficient and hence chances if partial or incomplete recovery are more. So better to take it thrice daily. If she is having vomiting then better to take advent after meals or some food. Also give her antacid and anti-emetic combination prior to meals. These will help in subsiding vomiting. So give her thrice daily, don't give advent twice daily. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.


Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be implantation bleeding most likely. Hence, I advise you to stay relaxed and continue the medication till your beta Chat Doctor blood test. It appears you have implantation bleeding after embryo transfer, and soon you will get good news of pregnancy on your blood test day. All the best. I hope I answered your query. I will be available for any followup queries you have.  Chat Doctor.


Hi, Thanks for posting in Chat Doctor. I understand your concern. The current exposure is a risky one, and it falls in category 3. Hence, a complete course of Raipur needs to be completed along with the local wound care. As per WHO recommendations, One dose of the vaccine should be administered on days 0, 3, 7, 14 and 30. Hence, kindly complete the course of the vaccine as per the prescribed schedule. Hope the information provided would be helpful. All the best.


Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. I can understand your dilemma. Though the treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like Glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor.


Hello, It may be due to peripheral neuropathy. For further assessment you may require complete hologram, vitamin levels, MRI neck and back, nerve conduction studies after spine surgeon consultation. Further treatment mainly depends upon the underlying condition. You may require detailed evaluation to rule out any other possibilities for vitamin deficiency, nerve compression. You may require tablet pregabalin and multivitamin after consultation. Continue physical therapy Hope I have answered your query... Let me know if I can assist you further. Chat Doctor.


Hi Welcome to Chat Doctor . Please see that borderline kidney function with diabetes should be taken seriously. You should have disclosed your blood urea and serum creatinine level. As Metformin is safe at up to creatinine 1.8 and your BP should be maintained below 140/90 and blood sugar should be below 140 mg / 100 ml. If your serum creatinine level is higher than 1.8 and GFR is low then you should go for insulin or Dynagliptin as it is safe in kidney impairment. If you have any further query then you can come back to Chat Doctor I will definitely help you and guide you appropriately. With Regards Chat Doctor.


Hi, Probably you are having a panic attack. It is characterized recurrent and unexpected intense fear. To diagnose panic attack a patient should have 4 out of the following 10 symptoms


Hey. Welcome to Chat Doctor. Mild renal abscess is best treated by Intravenous antibiotics, for a duration of 1-2 weeks depending on the response of the patient. If your mother is on Intravenous antibiotics then that is well and good. Please wait till the course of antibiotics is completed. Once when the course is completed, you can get a ULTRASOUND done to see the improvement. For fever, try to take Paracetamol tablet- 650 mg, every 8th hourly after food, in case she has no known allergies to it. Please wait for few days more. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care of your mother.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, we should definitely rule out heart diseases first. Because you're all symptoms like shortness of breath, cough, pounding of heart, missed beats etc. are characteristic symptoms of heart diseases. So consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Holder monitoring (24 hours continuous recording of ECG) 5. Stress test (trade mill test). You will need cardiac supportive Chat Doctor.  Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Thanks and welcome to Chat Doctor. Probably your daughter is suffering from Bronchial asthma. Some babies, it will revert to normal by the time they are 15-16 years old. But some it remains as a lifelong problem. This occurs due to hyper reactive air ways exaggerated by some triggers. It is not due to immune deficiency. Hope this answer will serve your purpose. Please feel free to ask anymore queries. Chat Doctor. V. Subrahmanyam.


Hello, You may have swelling in the bladder or uterus or kidney. Sometimes you may suspect kidney stone, also in that blood in and white blood cell appears so when the stone comes down from kidney to bladder through the ureter. You may have radiating pain in the backside of the rib cage. You need to consult a urologist and get a sonography done to confirm the diagnosis. Hope I have answered your query. Let me know if I can assist you further. Hemang S Jane


Thanks for the elaborate history that you have given us, will need one more information if you use Tobacco in any form, Cigarettes or Chewing. Your BMI (body mass index) calculate it with this link http


Thanks for your question on Chat Doctor. I can understand your concern. Constipation (stool backed up) can not because upper chest pain. Upper left chest pain is mostly due to heart and lung diseases. So consult internal medicine doctor and get done ECG and chest x-ray. If both these are normal then no need to worry about heart and lung diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Hi, welcome to Chat Doctor. Looking to your history, I would like to advise you that first discuss with your nephrologists regarding the cause of kidney failure. Raised S. creatinine can be due to acute (reversible) or Chronic(irreversible) kidney failure. Both have different treatment approach. Do basic urine report, Urine protein quantification and sonography. Dialysis is not a treatment to decrease S. creatinine. It is artificial support for the lost kidney function. So, don't get panic. Do stepwise approach to kidney disease and determine its nature. You can get back to me also with above reports and other detailed reports that you have done. I think this would be helpful to you. Best wishes. TC. Chat Doctor.


Hi, dairy have gone through your question. I can understand your concern. You may have some inflammatory lesion in your vagina.  It causes white discharge and back pain.  You should go for pap smear examination to search exact cause and rule out cervical cancer.  For ovarian cancer you should go for ultrasound abdomen and CA 125 level. 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.


Welcome to Chat Doctor .1. The most possible cause is ductal Eurasia (blockage of the ducts). The greenish discharge is due to the bacterial infection coincide with the blockage.2. Post lactational ductal Eurasia also seen when sudden stoppage of breastfeeding.3. The above causes may cause inflammation of the breast / mastitis.4. If you are my patient, after examination sent for an ultrasound breast (to evaluate the nature of the lump, its source and extensions)5. Depending on findings' treatment may be simple antibiotic course to incision and Chat Doctor. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


HelloSildenafil citrate (Viagra) is used for erection of penis.However, it is not clear in your history, what do you want. As you mentioned that you are now 20 years old and erection is a common thing, while when penis is erected naturally testicles (balls) become tight, so need not worry. Still you think you have any problem without any hesitation consult a psychiatrist and get his opinion as physical examination is very important. Good luck.


Hi Welcome to ChatDoctorI have gone through your query and can understand your concern for your daughters' health. Her all tests as you described are more or less normal, except lymphocytes count-61 -is high and neutrophil count - 35 - is low An increase in lymphocyte concentration is usually a sign of a viral infection (in some rare case, leukemia are found through an abnormally raised lymphocyte count in an otherwise normal person). A high lymphocyte count with a low neutrophil count is called neutropenia, might be caused by lymphoma. I, Chat Doctor.  Not much time should be wasted. There are ways and means for every problem. So take action. Worry meanwhile, Take care of diet -it should be nourishing containing all essential nutrients -fiber, protein, vitamins, minerals in natural form -fruit, green leafy veges.ginger, garlic, bitter gourd and juice all anti oxidants help ill viruses and bacteria son mass basis. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Eucalyptus naturally kills specific types of fungus, bacteria and viruses. Grapefruit seed, extract, cumin, cinnamon, oregano, rosemary, basil, nutmeg, pepper, anise, also can be used as a natural antibiotic, antiviral will naturally increase immunity. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Coconut water, Aloe vera juice 20 ml + 2 spoons of AMLA juice twice -great antioxidants help increase immunity & kill bacteria on mass basis. Lemon juice with water twice before meals, Turmeric powder, level spoon with a cup of hot milk at bedtime. All these antioxidants maximizes natural minerals so that your body has the raw materials it needs, to do what it was designed to do. To kill bacteria on mass basis. And help increase immunity count. Physical activity in order to renew healthy cell and rebuild itself, so you should make exercise a lifelong commitment. Do 30 mins walk/ exercise - from head to toe, yoga, Panama - deep breathing, Kapalbhatti / Laughing aloud. Proper rest, meditation & positive thinking, to detoxify your system to accelerate the process of recovery. . Contipation is the mother of all illnesses so is mental stress /worry /anger The condition is REGULARITY further suggest you not to worry and take action fast. Proper medication , & Above regimen will surely gradually, help you to lead happy worry free healthy life ahead Magnets &


Hello, Welcome to Chat Doctor .com, and thanks for sharing your concern with us. As you mentioned that these red flushes are dependent on which side she's sleeping on so Such red flush are just contact reaction due to sleeping position which is not of much clinical significance and will resolve on its own. If any fever, pain, swelling, warmth around area develops then contact your healthcare providers. I wish you good health. Best Chat Doctor. OMAR


Hellothanks for query no friend your symptoms do not suggest a nerve damage...maybe you are having some periodontal problem in lower front teeth... you should visit a dentist and get an x-ray done for the affected area to make clear diagnosis. Scaling and root planing is advisable...a periapical infection is also possible... you can go for warm saline rinses 3-4 times a day and also take vitamin B and vitamin C supplements once daily... maintain proper oral hygiene... take plenty of fluids and avoid freezing Chat Doctor. .  Tightness and clenching of jaw can be due to extraction of third molar, so you can take some painkiller in combination with a muscle relaxant bout only after consulting your dentist...thank you


Dear Patient, this repeated swelling at the site of previous burn could very well be infection, as the skin under that area would have been avascular or less vascular and thus can harbor infection easily. The best you can do is to clean it with chlorhexidine solution, and consult your doctor for a short course of antibiotics, this may take some time but will heal, moreover if the skin is not proper than in that case it would be better if you get it replaced with the help of plastic surgeon. Thanks


Hello, Liver enzymes may be raised because of various causes. In your case some may be more possible but in every case it requires evaluation of the cause.  Most common causes of such liver derangement are Alcohol, Viral hepatitis, Non-alcoholic fatty liver disease, Chat Doctor.  Gamma GT is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep control over it. If you don't take it, you need following tests


Hi thanks for asking question. During asthma attack air way get narrowed, so compensatory increase pulse along with sweating. You are taking nebulization also. Start former pump 2 times a day regularly, it will decrease need for nebulization. Avoid smoke. Do yoga. After 3 to 4 months if no attack of asthma comes then gradually will decrease frequency of pump 1 time and finally on salbumatol SOS.Don't worry.


Hi, Thanks for the query. In IVF embryo can be grown to certain stage outside. But after that it should be inserted into uterus and finally endometrium is needed for its growth. So, as your doctor told it may be difficult to continue a pregnancy. You once go for ultrasound. Ultrasound helps in finding out the endometrial thickness. If there is sufficient endometrial thickness left and if it's undergoing cycling changes there is some possibility. If total functioning endometrium was removed, the chances of pregnancy are somewhat less. Take care.


Hello and welcome to Chat Doctor, A painful lump on the chest which shows discoloration can be due to a number of causes. It can be due to hematoma, nevus, melanoma, etc. Pain in the lump can be due to nerve involvement. Is the lump red-purple in color? This is suggestive of hematoma. Is the lump brown-black in color? In that case nevus or melanoma can be suspected. You need to consult your doctor for clinical examination and relevant investigations. A fine needle aspiration (FNA) is the first line of investigation. This is an office procedure in which cells are sampled with a needle. The cells are sampled, stained and examined under the microscope. This test will tell about the origin of the lump and its character. The further management will be decided by the result of this investigation. Thanks and take care. Chat Doctor.


Hi welcome to Chat Doctor. I have gone through your question. Your follicles are rupture on time that's good. But if you didn't get histosalpingography. HSG then do it to rule out tubal blockage. Theni would advise trying with natural method (fertile period) on alternate days. If not getting success then go to gynecologist for further management plan like GUI intrauterine insemination IVF invited fertilization. Hope I answered your question. Would be happy to help you further. Take care.


Thanks for asking in Chat Doctor forum I understand your concern.  But you are completely normal and nocturnal emission is a natural phenomenon and is not a disease/problem to treat.  If anyone do not discharge semen by any method (masturbation/ intercourse)then the body itself tries to replace old sperms with new one by this method.  So, do not worry as it is not a problem at all. All the best.  Hope you understood what I meant.


Hello! Welcome on Chat Doctor! I understand your concern, as it is a difficult clinical condition. But, unfortunately there is not too much to be done. I would recommend performing a lot of physiotherapy, in order to help increase the blood flow in your leg muscles. I would also recommend starting Gabapentin or pregabalin. These Chat Doctor.  You should discuss with your doctor on the above treatment options. Hope you will find this answer helpful! Wishing all the best,


Hi, Thanks for your query. Seems that you are suffering from cervical spondylitis, the giddiness & the sensation of loss of balance in her case is termed as CERVICAL VERTIGO. This is generally a benign condition and is usually self limiting. The general treatment guidelines for her condition is as follows -Use a soft cervical Collar


Hi I am Chat Doctor. .  In my opinion I agree with your doctor the cysts itself does not cause pain but if swelled or increased in size could cause some nerve or vascular compression symptoms like sciatica which causes your burning sensation of your back and legs.  It can cause muscular or ligament weakness which I think happened with your right ankle.  In most of the cases they may need no treatment, symptomatic treatment with Advil tab when needed may help.otherwise the only permanent treatment is surgical excision which I think you won't need unless your case became more severe. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.


Hello, Thanks for posting your query. First it would be good if you recognize the cause. Like whether he has problem with his studies or friends or love matter you try to ask him when he is calm. Also teach him odd consequence of such behavior. Besides make him read good books like teachings of Vivekananda which would teach them many things. Initially try to solve it at home and if not later you can consult a doctor. Hope I have answered your query. Wishing you good health.


I really think you should get an MRI of the brain. From that description, it is really difficult to say what you may have. Neither can be ruled out-seizure nor transient ischemic stroke (lets call it ministroke). I frankly think I would have favored the diagnosis of partial seizures with generalization more than the other. But the latter diagnosis cannot be ruled out and is a significant diagnosis if true. I would suggest testing an MRI, EEG, Carotid DopplerThese may help differentiate the conditions Best of luck Chat Doctor.


Hi, A common cause of pain of this nature is indigestion but as you have had no relief from Tums then this may not be indigestion. Your description of the pain suggests to me that you should be assessed by a doctor and a more detailed history taken. There is a possibility this may be a pulled muscle in your chest but you didn't get any relief from Alive. I think the doctor needs to rule out a clot in your lung which is very rare but can produce pain of this type. Chat Doctor.


Gallstones are solid accumulations of the components of bile, which occur when the components of bile are not in correct proportion to each other. A gallstone blocking the outlet from the gallbladder usually causes acute gall bladder infection, so that bile cannot get out. The bile can become concentrated and infected, causing the condition. Chronic gall bladder infection occurs when the gallbladder walls have become permanently damaged by repeated attacks of acute gall bladder infection. Rare causes of gall bladder include severe burns or injury, massive systemic infection, severe illness, diabetes, obstruction by a tumor of the duct leaving the gallbladder, and certain uncommon infections of the gallbladder including bacteria and worms. To treatment includes removing the gallbladder, either immediately after diagnosis or after the patient has improved. Occasionally, patients witChatDoctorplications require surgery immediately after diagnosis. Patients who have infection with no gallstones have about a fifty percent chance of death if the gallbladder is not quickly removed. If the patient has other serious medical problems that may increase the risks of gallbladder removal surgery, the surgeon may decide to leave the gallbladder in place.  In this case, an operation called a cholecystostomy may be performed to remove obstructing gallstones and Chat Doctor.


Hello. Thanks for writing to us at Chat Doctor Poison ivy would have most likely caused Irritant Dermatitis. Irritant dermatitis due to toxins or chemicals is usually associated with burning sensation; is sharply defined Or limited to the areas of contact, red to deep red; blistering, oozing/weeping being part of the irritant dermatitis. Take an OTC oral antihistamine e.g. cetirizine 10 mg once daily. If I was the treating doctor I would have asked you to use a moderately potent topical steroid, twice daily for a few days. That would help it resolve faster. Topical steroids are prescription products, and therefore I suggest you to contact your doctor for the needful. Regards


Hello, If K wire is prohibiting your movement at knee then removal after union will surely regain your power at your knee. After removal your doctor will teach you some exercises which will be range of movement and strengthening exercises. Although it may take some time, but it helps in gaining range of movement as well as power. Hope I have answered your question. Let me know if I can assist you further.


Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are more of psychiatric disease rather than organic disease like pulmonary, cardiac or gastrointestinal disease. So better to consult psychiatrist first. Get done counselling sessions. Try to discuss your worries and find out stressors in your life. Also start working on its solution. You may require Chat Doctor.  So avoid stress and anxiety. Be relax and calm. Don't worry, you will be alright.


Thanks for asking your query completely understand your problem surely cough can cause fractures in ribs, and pneumothorax also but if you are having pain in chest now also you should get a chest X-ray done and consult a pulmonologist who can see the chest X-ray and guide you best. As root of all this castle is cough so u need to take some medications for controlling your cough, and for that cause needs to be sorted out, and for this you should get a sputum myogenic culture and other blood investigations done .if cough is severe along with yellow phlegm a course or antibiotics such as lifetime should be taken for a week thanks /regards feel free to ask more questions may goes bless you with good health


Thanks for your question on Chat Doctor. I can understand your concern. You should immediately consult neonatologist and get done clinical examination of your child. This is not normal to have coughing and bleeding from nose and mouth. This can be life-threatening. There are many causes for this. Common causes are lung infection, pulmonary hemorrhage, bleeding disorder, coagulopathy etc. Your baby needs thorough clinical examination and investigations like blood reports, chest x-ray, x-ray of paranasal sinuses. So don't wait at home, rush to neonatologist. Hope I have solved your query. I will be happy to help you further. Wishing good health to your baby. Thanks.


Dear Sir/Madam have gone through your query and read your symptoms. This is pathetic, nowadays open coil MRI are becoming reality and your surgery is postponed for two months because of this, the thing that can be corrected by surgery is not manageable by medicines, so please do not be overdependent on analgesics and get yourself operated early. I hope that answers your query. If you want any more clarification, contact me back.


Hi, Thanks for the query. I can understand your concern. Though there was no penetration, sometimes the spermatozoa ejaculated around the vagina may move inside because chemical attraction. Generally with single act there is around 8% chance of pregnancy. If you were around the period of ovulation at that time the possibility of pregnancy further increases. If you are still in 72hrs period after intercourse, better to go for emergency contraceptive pill. If 72 hours over after the act, you may need to wait till your expected date of periods and if you miss your expected date, please go for urine pregnancy test once to rule out the possibility of pregnancy. Hope I have answered your query and I will be happy to answer any further follow-up queries. Take care.


Dear, Thanks for your query. Post radiation effect does cause the symptoms you described. You need to be on less spicy foods and more fiber foods. I wonder why you are again on chemo unless your doctor observed that there was recurrence or there was metastasis. There are chances of post defecation bleed also in due course depending upon the dose of radiation you received. Only symptomatic management is helpful in such cases. Constipation has in any way to be avoided by using laxatives in consultation with your doctor.