Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart diseases first because persistent chest pain is common symptom in heart diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Musculoskeletal pain can cause similar symptom due to Intermittent muscle spasm. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Take painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. 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, Welcome to Chat Doctor. I have read your query and understand your concern. Its gastritis only, and at your age we usually don't think of cancer. The color of stool depends to a great extent on what you have eaten in the past 2-3 days. And if you have not eaten anything like that, then your stool might be suggestive of a mild upper GI tract bleeding, though it is not classical of it with this color. So, I would suggest, that you take a course of a PPI tablet like pantoprazole or omeprazole for a month to allow all the ulcers in your stomach to heal completely. Also, you need to avoid tea, coffee, soda Chat Doctor. Hope I have been helpful.


Hello Khanpur, It is most likely secondary to procedure, and you must ensure you get a patch test to exclude chemical sensitivities. I presume the allergy was also on the legs. If you had a similar reaction to waxing before, then it is even more important to exclude the chemical sensitivities before you go through another waxing procedure. Allergies to steroid creams are possible and this can also be checked when you have the patch test. For the time being, antihistamine tablets such as cetirizine 10\u00a0mg twice daily or Allegra 180\u00a0mg once daily with Calamine lotion on arms and legs should be enough to control the reaction. I hope this was useful.


There are many causes of hemolytic anemia. Some causes are due to problems in the genes such as THALASSEMIA, G6PD deficiency, sickle cell anemia etc. Other causes are acquired such as due to certain Chat Doctor.  The term HEMOLYTIC means red cells are being destroyed at an increasing rate. Normally our red cells live for 120 days after that they are destroyed. To put it in a simple way when they are destroyed, their waste products are bilirubin (yellow in color)which in normal people doesn't accumulate. However, in hemolytic anemia the life span of the red cell is reduced, and the red cells get destroyed faster so the bilirubin that is produced accumulates causing jaundice. As you have not included your complete blood report I cannot offer you an explanation of the type of hemolytic anemia that you are suffering from. If the hemolytic anemia occurred suddenly after say taking a medicine then one of the possibilities is hemolytic anemia due to G6PD deficiency which is an enzyme within the red cells. There are many causes of hemolytic anemia. Different treatments for different causes, so I can give you a detailed explanation only if I have more information on the blood tests that have been done for you. Warmest regards


Hives or urticaria is some kind of allergy if I understood you correctly, I can not see your daughter, but you should know if it was viral rash, which appeared when temperature fell down, and it was small sports then it can be herpes virus of 6 type. But if it was big blisters on the skin it means urticaria and we should discuss this. I need more details about rash. Also, please tell me how much leukocytes and red blood cells in urine, if its small amount 10-15 it means your daughter can suffer from metabolic nephropathy, you should do ultrasound of kidneys and give to her some diuretic plants for excretion of salts. You should also give analysis of 24 hours urine for salts, or write what your daughter eats every day/ If she likes chocolate, juices from markets, or you give to her often peas, Rama, chicken soup she can suffer from sodium oxalate, in any case give to her more water 1-1,5 l every day, I will wait more details


HI, thanks for using Chat Doctor Asthma can present in different ways including chest pain, shortness of breath, wheezing, coughing. It is a possible cause of shortness of breath, but there are others, and normally it would be diagnosed if there are additional signs or symptoms present. If you are unsure, then it may be best to have appropriate testing done to determine if this is the case. This would include chest examination and lung function testing. Since you are not experiencing any relief, it may be best to be reviewed. I hope this helps


Hi, From the history of previous injury I don't think there is any relation between past and present pain. As of now I would advise you to take hot pack. To relax your leg muscles especially the calf muscles you can give them a hot water bath with Epsom salt in it. Doing gentle knee press, ankle toe movements, knee flexion and extension will help you in maintaining the flexibility of the joint if there is no swelling, no pain, no problem with walking other than stiffness I believe there is nothing to worry much about it this will help you with pain relief. Hope I have answered your query. Let me know if I can assist you further.


Heloo pt-If Bleeding several days after Tooth ExtractionBleeding which occurs several days after tooth extraction is known as secondary bleeding. It is due to infection of the wound which causes loss of clot and erosion of vessels in the granulation tissue. Before suturing or packing the socket in case of secondary hemorrhage, the extraction socket wound is examined carefully for any foreign body. Antibiotics may be given to the patient when the socket is packed.


Hi, Welcome to ChatDoctorYour nurse has given you right advise. Initially when we start Implant, it may give irregular bleeding, but with continuous use, you may not see your bleeding.  In certain situation we have to give oral contraceptive pills. Do not repeat your birth control pills now, if in case you see any bleeding, before consulting doctor.  You may not see bleeding after stopping birth control pills, as you are getting constant release of progesterone from Explain. Actually you should have been properly counseled before starting implant. Women can see different types of bleeding pattern as a result of this. Hope you got your answer. Chat Doctor.


Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think you should have an MRI of the back as soon as possible. There may be a severe disc displacement in your case that may be causing the pain and the nerve symptoms like the tingling and the numbness that you are developing. If it is too severe, surgery may be recommended, and if it is less severe, a physiotherapy with mild muscle relaxants and milder painkillers may help you. As for the small lump, I would suggest an ultrasound of the area to know more hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.


Hello and welcome to Chat Doctor. Your concern is understandable. Hope you're referring to the lower back portion of chest as kidney area. Many people refer to the scrotal area as kidney area, which is wrong. If there's pain in the kidney area, its safest to see your doctor /Urologist, who will examine the kidney area, and then suggest a urine routine test and an ultrasound scan of the abdomen and pelvis. This will help to decide further treatment according to reports. Hope you have no more doubts.


Hi, dairy have gone through your question. I can understand your concern. You have slightly high bilirubin.  You may have some liver disease or hemolysis.  Furthermore, you should go for complete blood count, peripheral smear examination and complete liver function test to search the cause of high bilirubin.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, It is Chat Doctor. The symptoms you are telling are typical of gastritis(acidity). Still you should do an ECG & 2D Echo to rule out cardiac causes. For gastritis I recommend for tab Pantoprazole 40\u00a0mg twice before breakfast & dinner. You should also do an ultrasound of abdomen which will help in diagnosing the same. If you have any further query you can contact me. Wishing you a good health. Regards


Hi, Thanks for writing in. If your pain is from only inserting your penis, you may want to try using a lubricant, which will make your intimacy more comfortable and pleasurable for the both of you. A lack of lubrication can pull the skin of the penis in uncomfortable ways during sexual activity during inserting and cause pain. Also indulge in good amount of foreplay to allow adequate arousal and emotional connectivity with your partner. The fact that the pain occurs during a second attempt at having sex might be due to decreased lubrication and more friction between penis and vagina.


Hi. I can understand your concern.  Chronic cough is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. He may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, he will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should see a nephrologist and have the following tests done


Welcome to Chat Doctor .1. Bearing in mind your age, you can try with the back pain exercises which will help to get rid of pain.2. Comming to urinary frequency it can be due to cystitis (bladder infection) take excess of water, if not working then you have to go for a course of antibiotic treatment.3. Get rid of any stressful events in the life if you have any. That to help. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Dear Friend, Yes I think you have skin infection caused by bacteria, hence you should maintain proper hygiene in the areas were you sweat a lot. I would suggest you to consult a qualified homeopathic doctor in your area and take internal medicine, avoid any external application as it can cause suppression and delay in complete recovery. HomeopatChatDoctoredicine like Hear self, sulfur, silica will help in this condition and will prevent reoccurrence. Thank you


Hello welcome to ChatDoctoryou must have developed LOWER BACK MUSCLE SPASM as pregnancy exerts extra weight n pressure on lower back muscles.kindly take following treatment (1) TABLET DICLOFENAC twice daily (2) TABLET CHLORZOXAZONE three times a day(3) HOT FOMENTATION twice daily in the region of pain(4) avoid lifting heavy objects(5) sleep on a hard mattress and avoid lying down on back or abdomen rather sleep in a lateral position i.e. on sides(6) use a LUMBAR BELT but don't tie it too tight as you are pregnant(7) avoid Chat Doctor.


Hello, I can understand your concern. As you got hit on the temple, you may have injured the temporal bone or zygotic arch in the area. If either of these bones gets injured, it is usual to feel the numbness in the area due to injury to the branches of the facial nerve in the area. The eye may feel the impact too. I advise you to visit an oral and maxillofacial surgeon for examination of the injured area and x-ray of the area to locate any bony injury present. If any injury is present, based on the extent and exact location of the injury, treatment can be advised. Do not worry about brain damage as it is not possible to damage hurt by having tennis ball injury to temple area. If you are in too much pain, you can take Ibuprofen 400 mg up to thrice a day till you see the expert. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,


Hello, Welcome to Chat Doctor, As your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Take saline steam inhalation2. Spy Pricier A, three times a day.3. Oral Tab Autoclave, 625 mg, two times a day.4. Tab Least, once in a night for at least 7 days. These measures will help to reduce the symptoms and improve the condition. Thank you.


Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry I'll try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values during day and night. In general hypertension does not give any symptoms. A person might have high values and not feel anything. Leaving the hypertension untreated slowly modifies heart muscle, so it is very important to intervene in time to treat it. So in your case we have caught a value. It might be just because of street being to the dentist, but it is important to follow it. If I was your treating doctor, as you are over 50 it is necessary to make some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze and a holder pressure monitoring. This can give us a fool view of your values day and night and decide how to treat it if its necessary. Hope I was helpful. Wish you good health. Best regards.


Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Tina corporal/fungal infection. For confirmatory diagnosis of fungal infection a KOH preparation can be made from the scale to look for fungal elements (hype) under the microscope. Fungal infections usually present as annular or round, red, scaly patches. Itching is subjective in individuals. Upper inner thighs and abdomen are common sites which can be affected with fungal infection. Topically you may try an OTC antifungal e.g. clotrimazole 1% cream, twice daily for a duration of 2-4 weeks. However, extensive involvement such as in your case would respond better to Oral antifungals in addition to the topical antifungals. Oral antifungals are prescription Chat Doctor. If this rash doesn't respond as expected to topical antifungals alone you may visit a dermatologist for a review as well as appropriate prescription. Regards


Thanks for your question on Chat Doctor. In my opinion you should get done holder monitoring.  In this continuous recording (24\u00a0hours) of ECG is done. So at the time of chest pain, if you are having ECG changes than we can pick up this by holder monitoring. If this is also normal than no need to worry about heart disease. You might have anxiety associated chest pain. So consult psychiatrist at get done counselling sessions. Avoid stress, tension, anxiety. Be relax and calm.


Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that total cholesterol and LDL levels are not a true indicator or your cardio-vascular risk. LDL/HDL ratio and Total cholesterol/HDL ratio are better indicators of this risk related to the blood lipid profile. I would like to know your HDL levels in order to give a more professional opinion if you need to take medication for dyslipidemia or not. Hope you will find this answer helpful! Wishing all the best,


Sacralization of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise, there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependent degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow-up of an orthopedic. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases, but you need not panic as of now.


Hello, But I would recommend that you get tested for HSV and other std. Also, please send a photo of the lesion to be able to help you further.  I would also recommend that you get tested for diabetes which can predispose to infections by a blood test for blood glucose levels both fasting and postprandial. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello! Welcome on Chat Doctor! Your symptoms do not seem to be related to any heart disorder (including a heart attack). The fact that your symptoms are triggered by deep breathing, could indicate possible musculoskeletal pain. For this reason, I would recommend taking ibuprofen or acetaminophen for the pain. Your situation will improve in the next days. There is nothing to worry about! Kind regards,


Hi How are you doing ? I think you should get it done. This is usually the first step in any Calendly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an Chat Doctor.  Being such a small opening tube can get blocked easily, So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your overall the best


Yes definitely for you the best option is to adopt Ayurveda oils and some pain management herbal capsules those can be taken at home for long time without side effects. Similarly, for anxiety you cannot depend on synthetic medicine for long time. To my own patients I would recommend Rumply DS herbal tablets and Short capsules and also Mahanarayan oil for gentle message followed by hot fomentation for absorption of medicine. This oil is little smelly but naturally effective. Alternatively Rumply OUL is odorless but little less effective. Ayurveda med is SLOW. You may not see changes rapidly but then weigh the plus points. It is economic, safe, easy to apply and side effect less. If you can get the help if Ayurveda doctor near you, its excellent or go by these safe herbals yourself. IRS sure that it will not cause any problems. Worst may be that it may not give you relief.... But it will give you relief. Believe me. Hope it helps you.


Hi Michele Jacobi The first thing that has to be done once you find a lump in the region of the chest wall is to confirm what it is. In your case a biopsy has already been done and let us await its result. You're understanding that cancerous lumps don't bleed after biopsy is correct. But I think your presumption that if it was scar tissue it would have bled is not correct. Scar tissue also need not bleed. Needle biopsies do not usually cause any bleeding unless a blood vessel is ruptured during the procedure Since how long have you noticed this lump. Is the size of the lump increasing ?  If the biopsy comes as positive for cancer then you will have to undergo a series of investigation to find out he the extent of the disease. ? Whether it is confined to the chest wall only or whether it has gone beyond the chest wall to other regions. Treatment decision will depend on the results of this If the biopsy comes as negative for cancer then there are 2 options 1- If your physician thinks it is insignificant then you need to follow it up. Just keep a check on your lump to see whether it is increasing in size and also get it checked by your physician regularly2- The second option (and my preference) is to do an open biopsy especially if the lump was detected recently and is increasing in size and also if the lump is firm to hard (and not very soft). The reason is needle biopsy can be negative, but this does not always mean there is no cancer especially if the tissue sample taken is not adequate. Also time factor is important. You may lose time keeping the lump under follow up to see whether it is increasing in size Hope you are satisfied with my reply. Anyway don't worry. Follow your doctors' advice Chat Doctor.


Welcome to Chat Doctor I have gone through your query and understand your concern. You may be suffering from osteoarthritis of knee joint as pain on walking and standing and not on rest, and it is common in your age. You are likely to get benefitted by glucosamine and analgesic such as ibuprofen for pain relief. Your swelling can be related to your circulation and heart condition. You can get your heart check up and take treatment accordingly. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.


Hi, Thanks for your query. As you know, cancers mostly are detected during the late stages as in your fathers case.  The swelling in the feet and bilirubin levels are due to the liver damage.  According to what you said, he is very weak due to the toxicities of chemotherapy and moreover due to the disease process itself. Varying treatment modalities are advised by various doctors as there is no treatment which can offer a very high success rate. I would suggest giving him more nutritious food which contain high vitamins and minerals, more fruit juice and nutritional supplementation. This would improve his general health and immunity to a better state than now. The aim of treatment for now should be more on improvement of quality of life rather than the quantity of life. There are also new modalities of complementary therapies like Den Chat Doctor.  Hope I have answered your question. If you require any further assistance please let me know. Thank you. Regards


Thanks for your question on Chat Doctor. In my opinion the treatment is good. But I prefer Caroline over fluoroquinolones. As coverage of Caroline for upper respiratory tract infection is good. And no need to give levosulpride. Give only proton pump inhibitors. I would also like to give anti-inflammatory Chat Doctor.  All treatment for 5 days. If not improve in 5 days than get done chest x-ray to rule out lung infection.


Hi there ~ Panic attacks can be a very difficult thing to deal with and for you, it is getting worse by the day.  Xanax and Wellbutrin are not a good choice for the illness that you are suffering.  I feel i.e. you have to see a doctor to make sure that your stresses are relieved with the right kind of medications.  I think that you might benefit from relaxation techniques like yoga Panama and such and regular daily activities.  Furthermore, I hope this helps.  Take care and have a nice day !


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pain around thigh and leg. Well there can be many reasons for symptoms you mention in query like muscle strains, tendonitis, arthritis, gout, nerve damage or slipped disk. I would suggest you to consult orthopedic surgeon for proper diagnosis. Doctor may order blood test, physical examination, nerve conduction test and take history. Doctor may prescribe nerve supplement, muscle relaxant along with anti-inflammatory. Doctor may also recommend physical therapy and surgery for disc problem in severe cases. For now take proper rest eat healthy, apply warm compresses and Chat Doctor.  Also take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hello, Congratulations on becoming a parent. Yes that stitch line is going to hurt or pain. If it is paining with in bearing limits then it's no need to do anything. Make sure whether there is any pus coming out of stitch line or not. If it is so consult your doctor and start some good antibiotic to get rid of the infection. The burning sensations are due to cut nerve endings over the local area. It will persist for long but with the passing time the cut nerve will regenerate and become normal... No need to worry. For the pain u can have paracetamol or diclofenac to decrease pain. Hope this would help. Thanks


Hello, In varicocele blood stays around testes and because of that testes don't get fresh blood supply and this causes pain in testes. Mostly this occurs when a person feels sexual excitement, because at that time blood supply to penis is increased. If varicocele is not treated timely, it can cause damage to testes and sperm production. As u mentioned that you are having bilateral varicocele, I advise you to go for its treatment as soon as possible. Available treatment is varicocelectomy. It is an outpatient surgical treatment and is usually indicated in symptomatic patients and patients having abnormal semen analysis. Hope this helps you. Thanking you.


Dear friend, locating the kidney in body surface and then trying to find out if there is any pathology behind that pain is always a person do when he or she feels such pain. But as a clinician, from my experience, I am telling you that here an X-ray of kidney to know if there is any stone and Ultrasound investigation to know the exact renal pathology arctic vital investigation you should go gfor.in case of simple back muscle pain the renal pathology can be ruled out by these two necessary investigation.in the meantime give some rest to your back muscles and stop stretching it too far .hope, this two investigation will clinch the diagnosis of the symptom profile you have given. Wish you recover very soon. Thank you.


Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. I am sorry to know about what has been happening to you lately. According to the history you have given me and description of symptoms how they start, how they continue and how they cured I am of the opinion that you indeed seem to be having and allergic or inflammatory reaction to certain foods. Like other parts of the body tongue too can be irritated by certain chemicals contacting it which in case of tongue are foods. There are certain irritants in foods which can cause inflammation on tongue. The foods which you have mentioned in your list are foods which mostly have a preservative and have some ingredient among them which is canned.Foods can have certain irritants and preservatives which can cause such symptoms, you can avoid this problem by simple changes and care. Here I would suggest you certain measures which you can take to avoid this problem in the future.1) Avoid preserved and canned foods.2) Make a list of foods which irritate your tongue and avoid using them.3) take an anti histamine like Cetirizine 10\u00a0mg at night daily when you are having inflammation. 4)Broken or Tylenol can also help in relieving pain and inflammation.5) NSAID gargle solutions and Some can help too in relieving pain and inflammation. This problem can be easily controlled and cured but will need active care and attention. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads.


Hi, Thanks for asking the query, Bleeding gums can occur due to many reasons , like inflammation of the gums known as gingivitis , plague and calculus deposition , vitamin deficiencies , systemic conditions like diabetes and leukemia.  Visit to a Dentist and get checkup done . Get complete mouth scaling and polishing done. Use antiseptic mouthwash solution like chlorhexidine twice daily. Take vitamin supplements. Develop a habit of brushing teeth twice daily with a soft bristle toothbrush . Develop a habit of using dental floss and interdental cleaners . Hope this helps out. Regards....


Hi. Based on your provided information, your roommate is seemingly having difficulty in attention-concentration. Plus his irritability is seemingly more due to sense of feeling overwhelmed/unable to cope to lives demands. He might be possibly suffering from major depressive episode. Hence, it is prudent on your part that you should encourage him to talk about his difficulties, convince him to visit a Doctor preferably a Psychiatrist for getting a formal evaluation & treatment. Lastly I would like to congratulate you both for your concerns & your vigilance for well-being of your roommate. Good luck


Hi welcome to Chat Doctor... Here you have mild chest discomfort since long duration .... No other symptoms present, so it could be muscular stiffness or muscle strain problem..... Simple analgesic will be useful... Avoid strenuous work...and sleep in supine position... Although chances are less to investigate your case with ....1. Blood pressure measurement and auscultation2.chest x-ray 3.ECG This preliminary work up will be useful for detection of any cardiac or resp causes if present ... Take care Advise


Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called \"delayed bruise\" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon.


Welcome to Chat Doctor. 1. The history is not very clear with nature of lump and duration. But according to your words it seems like a long-standing and spinal lesion.2. The possible cause could be anything from a muscular lesion, lipomas, spinal lesions, tumors arising from spine, any disc pathology appears as a bulge, or bony pathology, degenerative growth and so on.3. At this point get an ultrasound to know the nature of the lesion its contents, sours of the lesion and its extensions.4. An lateral cervical spine exercise to see the bony pathology. But bet tool to investigate is MRI (if no issue with affordability that will be the best).5.Finally, if it's a mass lesion an FNAC - fine needle aspiration cytology for assessing the cells of nature. Treatment depends on the investigation findings. Good luck Hope I have answered your query.Anything to ask do not hesitate. Thank you.


Hello have gone through your question and understand your concern. Presence of bruise is suggestive of internal bleeding underneath the skin or subcutaneous tissue. It may or may not be related to your previous cancer history, but caution is the word. Fix an appointment with your treating doctor at the earliest as various diagnostic tests have to be conducted to find out the cause and initiate the treatment. Good luck. Hope your concern is answered. Thank you.


Hello have gone through the description you have provided. Your fatigue and lack of energy is due to the recent infection and is a common occurrence during recovery. Regarding your question on surgery the answer is yes you need a surgery for the appendix. And it should have done as early as possible. Please set up an appointment with your surgeon to set up an appointment Hope this helps do get back in case you have further queriesRegards Chat Doctor.


Hello and welcome to Chat Doctor, A lump on lower back on left hip region is most probably due to soft tissue swelling. Muscle spasm is unlikely to cause a lump or swelling. Imaging of the lower back will help to determine the relationship of the swelling with the bony structure. Imaging can be followed by aspiration cytology of the swelling. In aspiration cells are aspirated, spread on a slide, stained with appropriate stains and studied microscopically. This investigation will determine the origin and nature of the swelling. Management of the lesion can be done after this investigation. Consult your primary healthcare provider for clinical assessment, investigations and thus management. Thanks and take care Chat Doctor.


Dear, first, please understand that pulmonary stenosis is basically the tightness of one of the valves on the right side of the heart and in your daughters case, it seems to be by birth. You have mentioned that she underwent cardiac cat hat the age of 1, but you did not mention that only the path study was done and what was the gradient at that time or the ballooning was also done. Now she is 7 years old, and she never had any symptoms as per you (I presume she never had palpitations, loss of consciousness, chest pain, swelling feet or face, easy navigability), so I would just do ECHO to look for the gradient across the pulmonary valve and then decide if the cardiac cat his required or not. Now coming to your worry about the leakage in the valve. A tight valve is rigid and it doesn't close properly sometimes leading to leakage which can sometimes become worrisome and needs surgery. And ballooning of the tight valve can also lead to some leakage in the valve and this ballooning is done only if there is no leakage initially. I hope I have cleared your queries to some extent!! All the best


Hello got flu 7 days back, for last 4 days there is severe cough with difficulty in breathing. Such type of symptoms may be due to bronchoconstriction (as this produces severe cough and difficulty in breathing) . There develop wheezing sound and rales. When such bronchoconstriction combine with bacterial or viral pathogens there also develop fever. Without proper examination it is very difficult to diagnose, which type of infection, you are having. So consult physician and get his opinion. Good luck.


Hi, it is very important at his age that you seek a medical consult immediately since it could mean that he has an infection that is causing the weakness. It is very common for an infection to present with lethargy and sleepiness and fever or tiredness, though it could also be normal if this trend has been going on for a long period of time like months. So don't ignore his health and meet your Physician soon.


Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that cholesterol target levels depends on some factors like your age and other associated rich factors like hypertension, diabetes and hereditary history of high cholesterol levels. Normal cholesterol level should be below 180 mg / DL and for LDL col below130 mg / DL. Cholesterol up to 235 is a high value, but you should not worry, you can correct it. The first recommendation is live style modification with dietary changes and regular physical activity minimal 40 minutes walking every day. If dietary modification and physical activity doesn't work than it might be a hereditary or genetic factor that keeps your cholesterol high and in these cases is essential to start medical treatment. Hope I was helpful. Best regards, Chat Doctor.


It's a kind of allergy caused by many kinds of foods, stings, external factors etc. Patient himself or herself is the best judge to find how it triggers. As per Ayurveda, we have a clear principle that it is caused by Pitta and Cafe vitiation. These are two basic humors of body. All the causes searched by modern science are basically Pitta and Kafka vitiation. Nomenclature and principles apart, patients do not need to take Chat Doctor.  Instead, avoid known triggers and take Turmeric powder and Need leaves (Azadirachta indica) plus sugar candy powder (if not diabetic). Mixture of these powders removes hives. One classic prepared Ayurvedic powder called HARD


Hello, Light bleeding or spotting may occur in early pregnancy. But you need to undergo one blood test for beta-ChatDoctor and TVS scan to rule out possible miscarriage or viability of fetus. Following test result, you need to consult with gynecologist for next line management. Above medicines are quite useful to prevent abortion & support pregnancy. Take complete bed rest, avoid long journey/ heavy work/ high heal shoe, Chat Doctor. Good luck.


Hi young girl. This is very true that one gets changes in breasts as per the hormonal changes, one can have. In your case, this looks to be a fibrotic disease and nothing to worry about cancer at this age and stage of life. Consult a General surgeon, just in case, to rule out impending abscess or so as the fibrotic disease can not change to purple and dark- if so you have to take antibiotics and anti-inflammatory medicines.


Hi, dairy have gone through your question. I can understand your concern. You have vitamin D deficiency, and you are taking supplements. Your x-ray is normal so no any bone lesion. It may be due to arthritis only. Your calcium level is high normal. However, you should check your ionized calcium level once. If it is high then check your parathyroid hormone level. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, Welcome to Chat Doctor forum.  As you describe it is difficult to classify her into a disease, It may lead to a disease, may be the schizophrenia. Otherwise it may lead to the depression, etc. I advise you to consult a psychologist for diagnosis and treatment.  She should receive love and affection, in spite of her behavior. And must have balanced, and nourishing food.  Wishing her a quick and complete recovery. Thank you.


Thanks for posting this question in ChatDoctorI am a neurologist and epilepsy specialist responding to first of all let me tell you that treatment of epilepsy largely depends upon the exact type of epilepsy (it may be a focal epilepsy due to brain tumor, scar related to head injury or other cause, or it can be genetically mediated generalized epilepsy). For a proper diagnosis of epilepsy, a neurologist will need EEG test and MRI scan of brain; both of these data are not available to me in your case. Let us see your case. I understand that you had a head injury. This might have resulted in a focal scar in the brain which can cause epilepsy. I am not sure the exact severity of head injury and if there is a scar or not. One interesting thing which you have to note that some types of epilepsy namely primary generalized epilepsy can become worse after treatment with Oxcarbazepine. However, this possibility is low in your case but cannot be excluded without a long term EEG and MRI scan of brain. Once, a long term EEG and MRI can identify he exact type of epilepsy. We will have the following options1. If focal


Thanks for your question on Chat Doctor. I can understand your concern. Since you are having heart disease from birth, we should first rule out cardiac chest pain in your case. So immediately consult doctor and get done 1. ECG 2. 2d echo 3. Stress test. If there is some problem in any of the above-mentioned tests then you need to consult cardiologist and start appropriate treatment. If all these reports are normal then no need to worry much for heart diseases. Musculoskeletal pain is more likely. So tale painkiller and muscle relaxant Chat Doctor.  Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Don't worry, you will be alright. But better to rule out worsening of heart disease first. Hope I have solved your query. Wish you good health. Thanks.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, COPD (chronic obstructive Pulmonary disease) can affect pregnancy. COPD is chronic, progressive inflammatory disease of lungs. It causes breathlessness, recurrent lung infection, heart failure, arrhythmia, Pulmonary hypertension etc. And all these can worsen in pregnancy. So control of COPD is must if patient is planning for pregnancy or already pregnant. With controlled COPD, normal pregnancy can be achieved. So no need to worry much for pregnancy with COPD if COPD is fully controlled. So be cautious while having pregnancy with COPD. Strict control of COPD is needed to achieve normal pregnancy. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.


Hi, Thanks for asking the query, Prolonged use of certain antibiotics can lead to the development of oral thrush, it is the infection of mouth caused by candida fungus. Signs are presence of raised creamy white lesions in oral cavity along with pain. It is well treated with antifungal Chat Doctor. You can go with symptomatic treatment at home by regular mouth rinsing with antiseptic mouthwash solution. Maintain a good oral hygiene and


Hi, dairy have gone through your question. I can understand your concern. You have vitamin B12 deficiency. You may have some problems with absorption of it b12 from gastrointestinal tract. Furthermore, you injectable it b12 is the better choice. Furthermore, you should take a course of injectable it b12. 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, Thank for asking to ChatDoctorI really appreciate your concern looking to the given history here I would like to ask you that you used the words \"Night fall\" did you mean \"Nocturnal ejaculation\" if this is right then let me tell you that this is physiological phenomenon and not the disease, but this is great myth, so need to worry about this it won't cause anything, hope this information helps you, take care and have a nice day.


Welcome to ChatDoctorI have read and understand your query hope this will be useful you having any associated flu or heart burn? Do you smoke ? A runny or stuffy nose, A feeling of liquid running down the back of your throatFrequent throat clearing and sore throat, sour taste in your mouth or any coughing up blood? Prolonged cough can be managed with few home remedies and an ivy leaf extract cough syrup. Take a lot of fluids, particularly warm. A teaspoon (5 grams) of honey in warm water is a good home remedy. Take an anti allergic along with a cough syrup. Quit smoking if you are a smoker. A cough caused by acid reflux can often be treated with lifestyle changes alone. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. I hope this would help you. You can reach me anytime with any other queryRegards Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Your symptoms are associated with specific arm movements. This is characteristic feature of musculoskeletal pain. So do following things for better symptomatic relief in pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant Chat Doctor.  5. Apply warm water pad on affected areas. Do all these for 1 week, and you will mostly improve. If not after 7 days then get done chest x-ray and ECG to rule out any lung and heart disease respectively. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor.  1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. 6. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, thanks for posting your concern in the Chat Doctor. The symptoms suggest that you have got both upper and lower respiratory tract infection.  To rule out pneumonia you will need to have a complete blood count, CRP, X-ray Chest (PA view) done. A detailed clinical examination combined with investigations will help to specify a final diagnosis.  In case of a bad pneumonia, you may also need injectable antibiotics and in patient treatment. Taking only Acetaminophen will not fault the progression of the disease or development of complications. So, you should urgently consult your physician or a pulmonologist for further evaluation and management.  For any further information please write back to us. Regards.


Hello dairy understand your concerned you have this sex before the 7 days of the period then there is no chance of the pregnancy. (as it has 30 days regular period). In regular period, ovulation is occurred at the 14th to 16th date. But you have sex 7 days before the expected period date. At this time there is no ovulation and so no fertilization will occur. I do not think there is any need of the pill. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent the unwanted pregnancy. Hope this may help noncontact further if follow up needed Best regards


I have gone through your question and appreciate your concern. Most of the time back pain is neglected as trivial one even doctors. I think it is Better to consult orthopedic specialist and Get MRI of spine done to reach correct diagnosis. General measures to reduce back pain are Avoid bending forward and lifting heavy Weights. Lie on flat hard bed. Hot fomentation thrice a day. Muscle relaxants and analgesics will help. Local application of analgesics gel. Muscle strengthening exercises will help in long Term. Thanks. U can write me back for any query.


Hello and welcome to Chat Doctor forum, As you wrote, pain after a month of getting your wisdom molar extracted is something which needs to be checked thoroughly. Without checking clinically, I cannot suggest you any treatment but I would like to ask you to do warm saline rinses or Betadine rinses, in order to relief some pain. Your dentist might prescribe you antibiotics and anti-inflammatory only after ruling out the cause. So kindly visit your dentist soon. I wish you good health.


HI. Thanks for your query. As per the history you have provided you are already suffering from IBS and Crowns- It may be either of it. You are bleeding in intestines in spite of the medicines means you need to get a review. I would advise you the following


Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have fibroadenomas as it's a tender breast lump. Your age is not mentioned.Hence, Please check out with your ER Surgeon who would treat it accordingly.FNAC under USG guidance would fix the diagnosis. Till then don't worry. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, 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 reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.


Hi, thank you for providing the brief history. As the history suggest that due to the fall in the past there will be some bony pathology which subsided in the past and also have a way for the soft tissues like the intervertebral disc to land into pathology which is one of the commonest reason I find in my clinical practice. Having a thorough clinical examination and MRI of lumbar spine will help further study of the lumbar and sacral spine along with the soft tissues. Treatment of choice will be simple medication for pain relief and physical therapy like therapeutic ultrasound therapy and TENS therapy. Exercises will be recommended to improve the muscle strength and stabilize the spine. Regards Jay In Chat Doctor.


Hello, As you are mentioning that you got your tooth extracted and after that you felt some white stuff coming out from the socket, it looks that this white stuff is pus which is coming out as infection is still present there. You should visit your dentist and get an x-ray done of that socket as the healing of socket starts within 1 week and there is no pus, but if in your case there is infection still present then there must be some part of root left there. Hope it will help you.


Hi, As you have kidney stones, your problem may remain for long time and at the same time recurrent urinary tract infection will take place. While consulting urologist you ask about, Is it possible that stone might come by itself with taking plenty of water ? Does stone will come out with IV fluids ? Any damage in kidney due to stones ? Can have recurrent UTI ? Any chance of having kidney stones in future ? What food or vegetables not to be taken ? Stones are of Calcium oxalate or Phosphate ? Ok and take care.


Thanks for your query, I have gone through your query. The decayed tooth might cause infection and result in pain swelling difficulty in mouth opening. Before that consult your oral physician and take a radiograph and check the status of the tooth. If sufficient tooth structure is there then it can be saved by doing root canal treatment. If it is gone completely then it has to go for removal under local anesthesia. I hope my answer will help you. Take care.


Hello, thanks for the query to Chat Doctor. C. Here I want to make very clear that you need not fear about this swelling. You are a patient of asthmatic allergic bronchitis, that's why there are sneezing, runny nose, redness in the eyes. Actually all these problems are due to allergy. As far concerned about the swelling it is not serious, but you have to keep in mind that this swelling may be due to some infection (any type, we call this a lymphadenitis i.e. enlargement of lymph nodes in the neck. Please consult a physician and get a blood sample, ti will reveal the cause and after this, if you need arises you can take treatment in spite of pregnancy. Have a good luck.


Hi Thereafter going through your query I understand your concern. I would like to tell you that Urinary tract infections are more common, more severe, and carry worse outcomes in patients with diabetes & often caused by resistant pathogens. Poor immune system, poor metabolic control, and incomplete bladder emptying, fungal infection may all contribute to the enhanced risk of urinary tract infections. The treatment for your UTI will depend on what type of infection it is. But You can prevent UTI by practicing good Hygiene techniques like-Wiping front to back is essential-Go to the bathroom and empty your bladder immediately after sexual intercourse.- Every time you empty your bladder, try to make sure it is fully empty.- Keep your diabetes under the best possible control. Hope to have been Helpful. Kind Regards


Hi... I understand your concern and agree that the weight of your kid is less than 5th percentile according to his age. But there is no use of appetite stimulants in kids. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -


Hi dear. Lower respiratory infection presents with fever and cough. My advice to you will be. Get a chest X-ray done in App and lateral position to rule put pneumonia or any consolidation, if there are changes Consult a physician.check his CBC, and blood culture. He should be started on antibiotics if his fever persists and congestion .you can continue giving paracetamol for fever .hope this helps.


Hi...you are exactly right. This is collection of smegmas underneath the skin, and it is called stepmom. Usually it will subside by itself. Sometimes steroid creams at the penile tip by stretching the skin will help open the tight skin there a help in its expulsion. After that you need to clean the penis regularly while giving bath by retracting the penile skin as much as possible. I suggest you consult your pediatrician regarding this as the technique needs to be taught. Regards -


Hi.it is best if you consult with a doctor, preferably a general surgeon in regard to your concern. It may be any of the following benign breast lesions


Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test). Chronic cough not responding to antibiotics can be due to bronchitis. So we need to rule out this first. And PFT is needed not only to diagnose but also for knowing severity of bronchitis.  And treatment is based on severity only. So PFT is necessary. Another possibility is chronic lung infection like TB or fungal infection. As routine antibiotics will not work on it. So chest x-ray is needed to rule out these. So better to consult pulmonologist and discuss all these.


Hello, Nebuliser machine is indicated if she is unable to use inhalers. Extra oral medication like Nicotine 400 or 600\u00a0mg at night helps along with Montelukast 10mgFor nebulizer, you need 2 res pules of Albuterol alternating with Ipratropium every 6 hours for a week or 10 days. Then you must switch to inhalers. If she is still unable to use inhalers, nebulizer must be given 12 hours apart. Best Wishes.


Hello. Thank you for asking at Chat Doctor. I feel your son is having an allergic respiratory disorder most probably allergic rhinitis with multi-trigger wheeze. I would suggest your son regular montelukast and levocetirizin which will help him to reduce both rhinitis and wheezing episodes. If this does not prevent his wheezing episodes, I would suggest adding regular inhaled corticosteroids using Metered Dose Inhaler with Spacer device with face mask. However, this depends on how frequent and how severe his previous episodes have been. I would suggest you to consult an Allergist who will advise allergy testing for him and may suggest what to avoid for reducing wheezing episodes. As a general rule, I would suggest him to avoid dusts, smoke and air pollutants. Hope this will be helpful to you. Wish your son the best of the health. Regards.


Hello, As you are mentioning that there are 3 bumps behind your front lower teeth, there can be three possibilities-first it can be possible that these are normal salivary gland opening which is present there, and you have noticed it now. -second it can be possible that your front teeth are infected and now the infection is spreading in the apical region and forming pus because of which there is swelling. -third possibility is that there must be some salivary gland infection which has appeared like this.In my opinion you should visit a good dentist and get it examined completely with an x-ray which will give you the diagnosis and help to solve the problem. Hope it will help you.


Hi, I appreciate your concern. Colon carcinoma usually presents with Iron-deficiency anemia, Rectal bleeding, Abdominal pain, Change in bowel habits, Intestinal obstruction. Nonspecific findings like fatigue, weight loss etc. can also occur. More advanced disease can present with abdominal tenderness, macroscopic rectal bleeding, palpable abdominal mass, hepatomegaly, ascites etc. So without knowing your detailed history, physical findings and imaging findings, it is very difficult to say the exact etiology. Hope it helps


Welcome to Chat Doctor .1. Its hair follicle infection (carbuncle / fur uncle) bacterial infection.2. Might have started after a shave and not using good antiseptic after shave (possible cause).3.Meanwhile until it heals do not shave, trim instead. As it will irritate again and dally in healing process.4. You should not scratch, compress the lumps as you are only complicating and causing delay in healing.5. If lump is not healing, a small incision and Chat Doctor. 6. Maintain local hygiene, avoid any irritant cloths constant rubbing, ad frequent clean with antiseptic liquid will help in fast healing. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia usually takes 2-3 weeks for complete recovery. Your oxygen requirement is decreasing. This is suggestive of recovery. So you will definitely be alright after 4 weeks. So get done repeat chest x-ray to see how much pneumonia is recovered. Chest physiotherapy, deep breathing exercises, incentive spirometry are vital to achieve good lung functions after pneumonia.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Based on the information provided it seems \" like a benign insulin\" which is a cancer of - Beta cells that produces the insulin, and the surgical removal of this cell mass will be a cure of your problem.  It's not a malignant pancreatic cancer you have been reading about, just a simple tumor that can be removed and 100% cure is obtained.  Now for the insurance issues, some hospital will allow a cheap surgical option, NEEDY MEDS website will help you to locate such cheap location. Hope it helps.


Hi, Thanks for writing to Chat Doctor. Microdox contain doxycycline. It is antibiotic given for infections. I guess your doctor must have suspected sexually transmitted disease (STD)in you and prescribed microdot. The treatment for STD is antibiotic and avoiding sexual contact with wife, maintain good local hygiene. Once it is treated you can plan for pregnancy.  You should confirm from your doctor that the disease is cured. Hope I have been helpful. Regards Chat Doctor.


Hi welcome to Chat Doctor. I have gone through your question. To conceive not only your site should be clear. Your partner also should have normal reports. I would advise getting done semen analysis of your husband if not done. If normal plan naturally do intercourse in fertile period on alternate days. Then consult gynecologist if not get success. Hope I answered your question. Would be happy to help you further. Take care.


Hello Patti.welcome to Health Care Magic Usually lithium is not reported to cause side effects of lymphadenopathy, so don't worry about lithium dosing. Capital is known to causes serious skin side effects and serious hypersensitivity in susceptible individuals and lymphadenopathy may be seen with it. So lymphadenopathy may be probably due to some other cause. Kindly visit a doctor for proper investigation. ThanksTake Care


Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you should be some more descriptive. The problems are simply mentioned manias, a lot of noises in my ear and loss of hearing etc. These simple terms are not enough. Psychiatrists and psychologist treat after thorough examination of whole symptoms. Therefore, please be descriptive. I suggest you to call me at night after 8 PM. I am from Ottapalam, Alaska. Phone 9995407714. We shall work together for a cure. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This may be caused by certain bowel disorders such as food allergies, I inflammatory bowel diseases or steathorhea and liver dysfunction. Allergy tests and liver work up is required. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.


Cannabis per se can cause various heart issues including fluctuations in blood pressure, heart rate, spasm of heart rate is too clogging of the art is causing heart attack. So by all means cannabis even social use is not advised in patients who have any kind of heart issues. You had pacemaker put for a heart block, per se cannabis will not interfere in the functioning of the pacemaker, However as a cardiologist I cannot recommend that you continue the use of cannabis, as the risk of ill effects in long run are not worth the calming effect you experience.  Try weaning yourself off. Regards Chat Doctor.


Dear patient Infra red light cannot repair broken ligament at your spine. So we need to first confirm what is the actual problem by doing MRI of spine. It gives detail of ligaments , disc a and nerve roots. So visit a radiology center nearby you and get it done.  If its grade 1 or 2 tears it will heal completely with rest for one month. If its grade 3 it needs to repaired surgically.  Visit expert spine surgeon and get yourself examined.


Hi! Welcome to Chat Doctor. I read your query. Check for any cavity in that tooth or adjacent teeth. Your symptoms are of dental abscess. I suggest you to visit a dentist and get an x-ray done. You need to get either RCT or extraction of tooth depending on condition of tooth. You need to have an antibiotic course on prescription. Painkillers like diclofenac etc. will help to ease pain a bit. Do warm saline rinses if warm water does not hurt. It will help in releasing pus. Final treatment is done by dentist after examination. Hope the answer helps you. Thank you.


Hello, Regarding conservative treatment for the prolapsed disc, these are a few things you should follow.1. Avoid bending forward and weight lifting.2. Sleep on the hard bed and always sit straight with back support.3. Use a lumbosacral belt in the daytime.4. Give hot fomentation on the affected part.5. Apply diclofenac gel and give massage to the part.6. Do spinal extension exercises as tolerable.7. Take gabapentin and nortriptyline.8. Take any good muscle relaxant. Try these all for 1 month and still your pain is not relieved then there is no option other than surgery. Hope I have answered your query. Let me know if I can assist you further.


Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that tuberculosis is communicable disease. If the diagnosis is made by biopsy of the node than it is confirmed diagnosis. Otherwise you should do biopsy to confirm tuberculosis. It is spread by respiratory route so to take a leave until you are all clear with the tuberculosis is necessary. But in all cases open case of tuberculosis is communicable to others not the close one. If you have sputum TB positiver than and then you are communicable disease. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.


Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor.  Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.


HiT hanks for posting your query on ChatDoctorI appreciate your concern for your father. Your father must be given the treatment immediately. The wound should be cleansed, Injection Tetanus toxic should be given. Then he must receive the anti rabies vaccine on the following days


Hi, The pain is most probably a muscular pain but however it could be from a pinched nerve too. It should settle using Ibuprofen, but I would suggest over-the-counter Tylenol for the pain as it does not cause the side effects coming from using Ibuprofen. I would however suggest that you not take either of them on an empty stomach. Also, it would be prudent that you abstain from alcohol, if at all during the period of your medication. You could also use an antacid before you have some food.


Thanks for question on Chat Doctor. In my opinion it is a acid reflux only. As lactose intolerance cause diarrhea first. And for acid reflux try to follow all these simultaneously for better control.1. Avoid oily, spicy and hot food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Quit habits like smoking or alcohol if you have.5. Lose weight if you are obese.6. Take proton pump inhibitors. 7. Go for walk after meals.8. Keep 2-3 pillows under head in bed.


As you told 2deco is negative, and stress test is also negative, so other possibility is of nerve compression or nerve root pain as the complaint you told according to that is the possibility of this.  Second important thing is your posture during sleep this is also responsible for such problems so correct sleeping posture if not. Rule out for nerve compression or nerve root pain. You can take physiotherapy also.


Hellohow are you?yes you have a spasm due to bite and inflammation at the tendon site. So need not worry because it is not a very serious condition. Just follow my instructions and take care. If possible remove the sting if it is there with precautions. Apply ice pa cat the site for 10-15 minutes. Take anti-histaminic Chat Doctor.  Take paracetamol or broken to relieve pain and inflammation. If swelling and inflammation is very severer than consult your doctor for short term corticosteroids. Get well soon


Hi, thanks for sharing your health concerns with Chat Doctor!  Hi, If I were your treating Doctor for this case of a lump near leg calf area following some blow, I would come up with only two possibilities like an organized hematoma and a slowly remodeling/tearing of underlying bone ! You might apply ice/cold compress there and avoid rubbing...! Therefore, nothing to worry about this and try not to get infected there! I suggest you to go for an X-ray/USG and FNAC test of the lump for confirmation and to relieve your concerns! 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.


Hello Ravi and welcome to Chat Doctor. As a Urologist, i can fully understand your concern. The stone needs to be treated. With kidney failure, hes likely to develop bleeding after a surgical procedure.That's the cause for the blood clots in urine. The stent causes irritation in the bladder. The same with the catheter. Both cause irritation and pain. You have to bear with it. Realize that the stent is temporary and will be removed in short time. His kidney failure will need dialysis, as and when indicated. Wishing your father well. Chat Doctor.  Manga.


Hi, From history it seems that you might be having some degenerative changes in your cervical and thoracic spines giving this problem. Due to pinched nerve pressure you get this pain. Go for x-ray cervical and thoracic spines. After report go for treatment accordingly after consulting your orthopedic surgeon. Take some calcium and multivitamin supplements. Physiotherapy and short way diathermy will give you relief. Ok and take care.


Hi dear, The Tuberculosis is absolutely curable if the treatment is taken regularly and completely as prescribed by the treating doctor. You have already said that its cured. Regarding Asthma, it is not a curable disease, though, it is a preventable disease, that is, its progression can be halted on a regular treatment. Moreover, deep breathing exercises like Panama are known to have beneficial effect in asthma. Avoid cold and dust including household dust and pet animals to avoid asthma attacks. Have a good health


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart and lung diseases for your symptoms because heart diseases like arrhythmia and lung diseases like asthma and bronchitis can cause similar symptoms. So consult doctor and get done 1. ECG, 2d echo and blood pressure monitoring to rule out heart diseases. 2. Clinical examination of respiratory system and PFT (pulmonary function test) to rule out asthma and bronchitis. It all these are normal then no need to worry about major heart or lung related diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi dear, The symptoms you mention in query are probably due to Force spots. They are variant of sebaceous gland. These harmless small white bumps inside the lips are visibly sebaceous or oil-producing glands. There are many treatment options available for such lumps like Electron desiccation, Pulsed dye lasers and Micro-punch technique. I would suggest you to consult dermatologist for proper diagnosis and rule out conditions like oral thrush, herpes simplex or a canker sore. For now apply lip balm containing SPF 15 and apply raw honey at night. Hope your query is solved. Get Well Soon. Best wishes,


HelloThanks for writing to ChatDoctorSlight amount of chronic microvascular ischemic loci are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels. Iischemic changes resulting from blood vessels changes in diseases like hypertension, diabetes mellitus, dyslipidemia. So, you need monitoring of conditions that leads to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. You need investigations like routine hologram, RBS,LFT, RFT, Lipid profile, ultrasound of abdomen. Proper treatment depend upon findings. Hope I have answered your query. Take Care Chat Doctor.


HelloThanks for your query, based on the report of your semen analysis that you have posted it appears that your semen analysis is well within normal range as per WHO standards as far as sperm count, morphology and motility of sperms is concerned except presence of pus cells. Presence of pus cells indicate infection of either Seminal vesicle or Prostate which can be cured by taking antibiotics for 4-6 weeks. Chat Doctor. .


Hi, thanks for posting in Chat Doctor I have understood your concern 1. Your post radial sugars are high so you need increase in the morning dose as a tablet or basal insulin. I can suggest you to take tab.januvia50mg once in the morning, recheck the sugars after one week and needs dose adjustment. If not getting controlled with tablets, better to take low dose basal insulin.2. Reason for giddiness may be due to hypotension or vertigo.  Or uncontrolled blood sugars, or I can suggest you to get done CZECH BP check while having giddiness tab.vermin 8 mg twice daily for 5 days3. Your weight is more and that is also contributing to uncontrolled sugars suggest you to reduce weight by regular exercise and diet control. Hope this helps you any further questions please let me know thanks


Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint it looks like there is problem with the jaw joint that can be either due to dislocation in the jaw joint or the soft cushion present between the two bony ends of the jaw joint known as Articular disc is displaced. So my advice to you is to consult an Oral Physician or Oral Surgeon and get evaluated and a clinical examination and investigation like Panoramic x-ray can help in ruling out the exact cause and treatment can be done accordingly. You can be advised painkillers and muscle relaxant and along with it Physiotherapy, night guards will also be advised. Also avoid excessive mouth opening like during yawning laughing etc. You should take a soft diet. Massage the sides of the face with round gentle movement of fingertips. Hope this information helps. Regards.


Hepatitis A causes infective hepatitis and jaundice. Although her jaundice has subsided, complete resolution of such an infection and the pain could be related to that. But it is hard to comment surely as she needs to be examined clinically. Treatment depends upon the cause behind. Still, giving her pantoprazole and demonic, half a tablet each, may give her some relief. Please get her examined by a doctor and decide on the treatment accordingly.


Welcome to Chat Doctor. 1.No, the history you have given does not suggest any cancer, it only suggests a superficial/ subcutaneous lump with pain.2. That could be hair follicle infection, lipomas, or superficial abscess.3. Would recommend you to see the doctor / GP, he will examine the case and do needful investigations done.4. If there is any pus discharge / collection noted - a course of antibiotic would help.5. If in case its bigger a small incision and Chat Doctor.  Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.


Thanks for your query at Chat Doctor! I went through your query! Legalon, is of plant origin containing Silymarin. It is a cell membrane stabilizer and capable of protecting the liver against deleterious agents and of restoring damaged liver cells to normal. You can take Legal on (35 mg) 3 time daily for long periods. Various studies are still evaluating its role but initial results have shown benefits. Kindly describe other complaints so I may guide. Kindly monitor LFT regularly. Chat Doctor.  You can get viral load tested. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!


Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor.  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and


Hi, dairy have gone through your question. I can understand your concern. Your father has chronic myeloid leukemia. His total count is high. His platelet count is normal. Spleen enlargement is common in CML. But stage depends on the percentage of blast cells he has. Please send me the report of differential count so that I can help you further. Treatment options are imaging & HY Chat Doctor.  Hope I have answered your question, if you have any doubts then contact me at bit.ly/


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Pernicious anemia is due to intrinsic factor deficiency and is an autoimmune disease and will require It B12 injections.2. Iron deficiency is due to reduced intake and possible reduced acidity due to gastric atrophy. Acid helps in increased iron absorption.3. Iron infusion or injections will be more useful. Followup reticulocyte count after 15 days will confirm improvement. This will give overall improvement. Hope it helps. Any further queries, happy to help again.


Hi! Good morning. I am Chat Doctor answering your query. This could be a hematoma (collection of blood) due to the trauma, which has not yet got absorbed. A simple hematoma would gradually get absorbed of its own unless there is persisting oozing or if it gets infected. The exact status could be known by a clinical examination by a surgeon and a fine needle aspiration if need be. Therefore, I would suggest you to get an appointment with a general surgeon for an appropriate diagnosis and further management. Till then, you could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.


Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog on the hand, and it has not led to any bleeding, according to WHO categorizes it has been categorized into Cat II. Cat II requires active immunization with antirabies vaccine on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. You need to take a shot of tetanus injection too. The aforementioned treatment will protect you against developing the disease rabies. Thank you.


Hello, thanks for using Chat Doctor. Ca 125 as you already know is a marker for cancer. It increases in cancers of the digestive system and those of the reproductive system including the ovaries, fallopian tubes, endometrium of uterus etc. It is highly used in the diagnosis and follow-up of ovarian cancer. Ca 125 is not specific to a particular disease and does not necessarily indicate a malignant disease. It could be elevated in benign conditions such as uterine fibroid as well. From your history; heavy menses, anemia, enlarged uterus etc., there is a good chance that what you have is a uterine fibroid. The only problem is that the ca 125 level is far above the normal which is 35 (300 in your case). The appearance of uterine fibroid on ultrasound is particular, and you should see your ultrasonographer to say if the mass was not well round and with borders and characteristic of fibroid. If it's a fibroid or none metastasized cancer, hysterectomy will be just fine. Best regards and hope this helps. Chat Doctor.


Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. This can be due to an infection. It should be examined and if it is simply an abscess, you should be given a course of antibiotics like Augmenting. If it still persists, You should get a FNAC of that area, to be sure of the diagnosis. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy


Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an infection. I recommend consulting with your GP for a physical exam, an X-Ray study of the spinal cord of this region and sacrum, a complete blood count, PCR, ESR for infection. A lumbar puncture may be needed, if suspicions of an infection of the fused vertebral bodies is suspected. Hope to have been helpful! Wishing all the best,


Hi, thanks for using Chat Doctor In general, it is thought that ovulation occurs about 10 to 17 days after the onset of the last period. If the periods are irregular, it is more difficult to pinpoint the exact time. In most women ovulation would not have occurred by day 8 but having said that, it is possible to get pregnant at any time in the cycle, the chances are just greater at different times. White curry discharge is usually a sign of a yeast infection which can easily be treated, yeast infections can occur in the absence of pregnancy. Signs and symptoms in early pregnancy include


Hi, Thank you for posting your query. I appreciate the amount of care you are taking to keep this problem in check. Various types of treatment are beneficial for cervical disc disease. Regular physiotherapy, including neck extension exercises are very useful. For pain relief, IT and ultrasound are useful, traction is useful in some. Using a soft cervical color, especially while traveling, is very useful. For severe pain, use of medications, such as pregabalin is useful. Regarding follow, MRI of cervical spine is useful. There is no need to do it on regular basis, it can be repeated as per need and on the basis of symptoms. Best wishes, Chat Doctor.


Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your queryStool disorders are well known in patients of IBS. So the passage of mucus is not too surprising. The stools quality may change even during the IBS condition. So maybe that is why you are feeling surprised. As to the pink color, there is a high possibility that the color is due to the pigment of something that you may have eaten, This food substance can cause the pink discoloration. However, to be on safer side, have stool for occult blood tested.  If It's negative, you need not worry and the color is due to other causes, not blood. If it is positive, a colonoscopy may be needed to look for the source of blood hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.


Hi, I have gone through your query. Xiaflex was previously used for the treatment of Dupuytrens contracture. Now it has been approved for use in Parodies disease. Main action of this medicine that it dismantles the fibrous tissue which led to bending of penis. The Chat Doctor. There are 4 cycles of treatment with it. 2 injections are given in each cycle and later on penile remodeling is done, if required. It can correct up to 30 degrees of curvature. Final decision should be made by treating doctor. Do consider positive feedback as a credit to my work. Let me know if you have any further questions.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should not with Chat Doctor.  Incomplete treatment can develop resistant in the organisms. Which makes your condition untreatable. Completing the course has advantage that it will clear up all the bacteria. Thereafter infection won't recur. You can also apply antibiotic cream over the bump like polypoid. Please wash the area frequently with soap and water. Avoid injury to the affected part otherwise it will keep recurring. I will be happy to answer your further concern on bit.ly/


Thank you for asking! Polymyositis is muscle inflammation disease and hyperkalemia may develop from the illness and from the medicines too like servitude in your case. Next trouble is your Vegetarian nature, So seek a nutritionist for guiding better regarding avoidance of potassium rich supplements. Avoid steroids and any medicine that may cause hyperkalemia. Seek help as slight deranged potassium can be lethal. Take care


Hello.I would like to know the detailed history of this child starting from fetal life. Was your pregnancy normal, or were there any complications?was he delivered vaginally or through c-section?if c-section, what was the indication? Did he cry immediately after birth?or was their any history of delayed cry?any neonatal ICU admission?any history of neonatal jaundice requiring phototherapy or exchange transfusion? Any history of CNS infection in the past? Give me detailed developmental history like when he started having neck holding?social smile?sat with or without support? When he started walking? When he started talking? Any family history of child with developmental delay? How about the siblings? I want to have a detailed analysis of this child in the light of the answers to these questions. Thanks


Hello, Thanks for your query. Scarlet fever causes a sore throat, high temperature and a rash. It usually occurs in child Chat Doctor.  It has become much less common and less serious than it once was. Full recovery is usual. Treatment is with a course of an antibiotic. It is important to finish the full course of antibiotic, even if symptoms soon go, as this helps to prevent possible complications. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Hi. The pain in the back seems to be a back spasm.which can be cased due to various reasons...a sudden over activity.sudden twisting can land you to that issue... Don't worry...keep icing your spine frequently say once for every 2 hours for 15 mins.don't force any activity on your spine.take rest... As your muscle allows slowly stretch your low back by bending your bent knees towards your chest.while you are lying on your back. Hope this is helpful to routinely revert in case you need any more clarification...


Hi, If I were your treating Doctor for this case of ankle lump, I would come up with only one and one possibility that is a sebaceous cyst or folliculitis! Nothing to worry about this and try not to get infected there again and again! You might need to take oral antibiotics for these... I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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.


Helots history of illness and symptoms are not an indication of any particular disease. With the help of these symptoms at least, it is very difficult to establish any diagnosis. As you mentioned that she is having PCs, fever off & on, frequent urination, stuffy nose and difficult to breath. Stuffy nose and breathing problems may be due to bronchoconstriction (either due to allergy or infection) . While PCs is another disease. Fever on & off may be due to infection either urine or upper respiratory infection. At this stage I recommend you please visit a physician and get his opinion as physical examination as well as clinical examination is important in this case. Good luck.


Hi, Thank you for posting your query. I need some more information to better understand your problem and give my advice.1. Since how long are you having these symptoms?2. Has it happened only once or does it recur?3. Have you lost consciousness during these episodes? Possibilities include a seizure phenomenon and vitamin deficiency. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Hello, Lower back pain may be due to 1. Back muscle spasm.2. Lumbar spondylosis.3. Renal pain.4. Pancreatitis pain.5. Herpes zoster. Until examination is done it is difficult to say what it is. Use tablet aerosol Mr (Don't take if you have chronic kidney disease) twice a day for five days. Use local application of painkiller gel with hot or cold compression. If symptoms not improved please get it done x-ray of LS spine get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care


HelloThanks for query. The problem of Erectile dysfunction needs to be investigated to find out the cause of ED. With normal Testosterone levels and unresponsive to Viagra, the cause of E. D is most likely to be Vasculogenic. Consult qualified Urologist for clinical examination and get Color Doppler Scan of the Penis done to confirm /rule out arterial insufficiency or venous leak as a cause of your ED. If proved to be due to arterial insufficiency it can be treated with newer modality called Extra Corporeal Shock Wave Therapy (EST)to penis. This helps to develop collateral vessels and thereby increase blood circulations to the erectile tissue to achieve hard erection. Chat Doctor.


Degree understand your concerns went through your details. I suggest you not to worry much. Shaking of legs simply does not point towards restless leg syn Chat Doctor.  I advise you not to notice the restless legs yourself. Ask somebody to monitor you without you knowing it. Let him monitor you when you are at work, at school, at games etc. Then ask him how serious it is. If he says it needs to be corrected, then you start researching about it. Definitely not now. Worrying about a possibly non-existing problem can be the basic cause of the problem itself. Be wise. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi, only paracetamol and anti-cold medicine is not going to core her respiratory tract infection and antibiotics are needed to be given to her only then she can recover well. Anti bionics like ampi-cloxacin or co-amoxi-clav or Rothko can be given to her a dsome vitamins including vitamin C should be given, but I advise you to go to a physician and let her examined physically to rule out pneumonia and other specific condition for which special attention is required and then follow the treatment. Thanks and with regard.


Hi. Welcome to Chat Doctor . As per your complaint sharp points on the jaw where teeth are not present that are very painful during placing denture are due to formation of bony spicules and are formed due to left over sharp areas over the bone after removal or loss of teeth, and they appear as sharp elevations over the top of the jawbone and when the denture is placed the gums gets impinged or rubbed between 2 hard surfaces that is the bony spicule and the denture plate. It cannot be treated with mouthwash or any medication, and it has to be removed by trimming the bony spicules by a small surgical procedure known as Alveoloplasty. Once the bone gets smooth then wearing the denture will not be painful. As of now you should apply numbing gel containing Lidocaine over the painful areas to relieve pain. Hope this helps. Regards.


HelloElevated liver enzymes like SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, complete liver function test, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor.


Hi dear thanks for the query on Chat Doctor You need to get an examination by a physician. There are various swelling that can appear in neckThyroid swelling, hypoglossal cyst, laryngeoceleZekers diverticulum, lymph node swelling, lipoma or neurofibroma. You need an ultrasound neck... If swelling is solid a FNAC of the swelling for pathological diagnosis. Based on diagnosis treatment can be initiated. Thank you


Hello! Thank you for the query. The most common reason of lower abdominal pain is urinary tract infection. You may have also frequent urinating, burning while urinating, blood in the urine, fever with this condition. Lower abdominal pain should be also checked with inguinal hernia, adductor muscles inflammation, appendicitis (lower right abdominal pain), diverticulitis (lower left abdominal pain), ovaries inflammation, ovaries cyst, pregnancy. Please consult your doctor and start with urinalysis, abdominal ultrasound and blood work. Hope this will help. Regards.


Hi, If I were your treating Doctor for this case of severe pain under the left rib cage, I would come up with three possibilities, these include


Welcome to the ChatDoctorI understand your concerns. You daughter seems to be suffering from either an inflammatory or an infective cause of illness. There could be many possibilities such as Viral fevers, connective tissue disorders such as systemic lupus erythematous, a bacteremia etc. I would recommend you the following measures


Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a comprehensive differential diagnosis should be done to differentiate between different causes of this clinical scenario


Hello, welcome to Chat Doctor. It is usual to have guilt for 1-2 month after death of loved one, due to grief. But having excessive guilt for more than 2 years is not common. It is symptom of depression. Only explanation regarding cancer will not help him much. It is better to get him evaluated by psychiatrist. There are several treatment options are available like Chat Doctor. Wish you good health and all the best.


Hello, As you have repeated infection of hair follicles, you can take tablet Ciprofloxacin, tablet Broken and Newsprint H ointment locally after consultation. To avoid repeated infections, maintain proper hygiene, remove hairs if possible, and use antiseptic soap. Bath daily two times if possible, keep yourself cool, and avoid heat and humid environment. I will suggest you to review back with detailed history or consult with dermatologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further.


Hi. I know how difficult to eat child of this age. U have improvised some following things1.give frequent small diets and small diet should be with extra calories(add sugar or ghee or oil). 2.never force the child for feeding. If he or she is hungry he will come ask or food definitely. Till 1yr parents are responsible for child feeding after that child can walk some can come and ask for it. 3. Always take breakfast, lunch and dinner in groups so child can enjoy feeding. 4.give minimal amount of milk5.give spy vitriol and spy zirconia bot are tonic which may improve diet. Hope you are getting your ans


Thanks for posting on ChatDoctorNOrmally leukemia will show as high white cell count & not low (unless leukemic patient had aggressive chemotherapy)You are quite right that recurrent viral infections can lead to low WBC & subsequent fatigue. Due to her being on metformin & also having some other chronic medical conditions (RA, kidney problems etc.) - she must undergo few other blood tests if not already done - FBE, Fe ferritin, it D, ESR CRP, Lots, kidney tests, TFT. Hope this is helpfulThanks


Hello dear, Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one. And in absence of any specific symptom, only rise in ESR has no clinical significance. Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR. In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective. Please let me know if you have any further queries. You can ask me a direct query on this website using the below link


Hello, Thanks for your query. I have read your query in detail.  The symptoms you have described are more likely to be symptoms of muscles strain. To get relief from the pain and for quick healing


Hello USG findings may indicate renal parenchymal disease. This is indicated by coarse cortical echo texture of kidneys. Your father-in-law need clinical examination and further investigations. Investigations include routine hologram, random blood sugar, renal function test(include serum urea, creatinine), creatinine clearance, GFR,serum sodium, potassium,calcium, phosphorus,chloride, bicarbonate etc. It is important to assess severity of illness. Treatment depend upon findings. Simple cyst in kidney is an age related finding, and it is a benign finding. Diffusely increased echo texture of liver indicates fatty changes in liver. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. Take Care Chat Doctor.


Helloo...read through your query...according to me bleeding can cause on the extraction site if the healing process has not yet complete, or it may have infected due to some remnant tooth parts or bone pieces...so it causes cant be predicted without seeing the clinical situation.but with these symptoms u can take medicines(antibiotics Amos for 3 days)as prescribed by your dentist.and take care not to have hard food and don't bite in that area for few days.while brushing don't touch that area.also don't touch that site with tongue or finger.do salt water gargle twice daily .and see for few days and still bleeds meet your dentist....and be cool...hope your benefitted something from this reply.have a healthy day!!