Dear serve understand your concerns went through your details. Depressive disorder is a chemical disorder. First you should differentiate between depression and disappointment. Disappointment also manifest symptoms which could mimic depression. Please provide more details for diagnosis. If you require more of my help in this aspect, please use this URL. http


Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age. MRI scan has the best resolution and far better, than CT or ultrasound scan. Anyway, dont worry about a black spot on kidney, seen on MRI scan. Most probably, they may be meaning a cyst, which is a fluid filled swelling. Such cysts are normally seen in many people and of no significance. You can safely wait for 6 months and repeat an ultrasound scan then. If you've any doubts, you may send them to me, as a direct question. Chat Doctor.  Manga.


Hi, You have described of feeling physically and mentally fatigued along with low mood and anxiety. These are also hampering your life to a great extent. You haven't specified for how long are you having these problems, but I assume from what you have told, that it is there for more than few years. I assume your physician had diagnosed you with chronic fatigue syn Chat Doctor.  Your symptoms suggest you to be having a mood disorder, either depressive episode or dysthymia, rather than CFS. I would prefer to give you an antidepressant like tablet Bupropion. This shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family. So please Consult a nearby psychiatrist and live a happy fruitful life.


Hello, I would be happy to help you with your question. In the setting of a negative pregnancy test at the time of a missed period, the chance of pregnancy remains very small.  It is also possible that the test was just done too early based on some minor irregularity in terms of when you ovulated.  Here is what you should do


HI, thanks for using Chat Doctor Inhalation of certain cleaners can affect possibly significantly affect the respiratory system with chest pain, shortness of breath. If the symptoms are severe then it would be best to visit your doctor as soon as possible in case oxygen supplementation is needed. If they are not severe, then this may not be needed, and you can continue to monitor. In addition to monitoring your symptoms and placing yourself in a well ventilated area, there is no other home management unless you are an asthmatic and need to use your inhalers. I hope this helps


Hi Raja, FSGN is focal segmental glomeruli nephritis which in turn caused by many diseases like diabetes, viral infection and some autoimmune diseases but the treatment and prognosis is depending on its grade and underlying disease, most of the time it will progress to chronic renal disease which requires hemodialysis along with disease suppressive treatment. When it progresses to end stage renal disease renal transplantation is the treatment. Take care


Hi, Thanks for asking the query, Painful lump can be because of either due to gingival abscess due to accumulation of bacterial plague and calculus deep into gum pockets of front teeth , it can be due to periodontal abscess from the infected tooth, it can be authors ulceration , or block of salivary gland vesicle. I suggest you to get a complete clinical examination of the tooth by the Dentist. Take an OPG x-ray. Chat Doctor.  At home maintain a good oral hygiene. Use chlorhexidine mouthwash gargles twice daily. Take vitamin supplements . Hope this helps out. Regards...


Hi prashantithanks for coming to ChatDoctorAsthma is graded into controlled, partially controlled and uncontrolled based on the frequency of the symptoms. As per your symptomatology it seems to be uncontrolled or partially controlled, so it needs to step up your therapy...you have to change your inhaler....you may opt for formoterol and budesonide combination which will be your controller as well as reliever medication since its onset of action is within 3-4 minutes... Asthma except for your acute severe asthma is not a medical emergency... Your symptoms of anxiety and palpitation can be due to excessive intake of albuterol...so needs changing of inhaled medication. Meet your doctor and best wishes


Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care.


Hello, There are a varied list of causes of the symptoms u mentioned. But what is more annoying to you?You\u2019re non muscle gain as u said can be due to nutritional or organic causes. But your weight for height is OK, so cant be nutritional but can be absorption defects due to varied causes or any organic causes which requires thorough examination. Regd. Anxiety it can be hyperthyroidism, but we require other symptoms which is not given here. But TSH being normal can be unlikely.others causes leading to it must be ruled out. Regd. Low sexual desire, are u on any other Chat Doctor. But looking from far away, I opine that the case is non-organic. Instead of brooding over getting diagnosed, kindly do yoga for 3-4 hour daily or running 4-6 km daily, endorphins and corticosteroid s will be released which causes reversal of all your symptoms and increases your sexual appetite, I am sure that u will reply positively after 1 month by following the precious advice.


Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. It is look like sexually transmitted infection. I suggest you to do Grams staining from the lesion to check which organisms have caused this ulcer. Thereafter you can take treatment according to which bacteria have caused you the infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor.


HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor.


Thank you for posting your query. Increased SGPT reflects hepatitis. Most likely, it might be due to empirical. However, you may get a viral serology done for Hep B and Hep C .if other causes of hepatitis are ruled out, then the enzymes would return to normal values in around 4 weeks (more or less). So you may recheck your enzyme after 3to4 weeks. Abstinence from alcohol is advice as you are already observing. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.


Hi thanks for contacting Chat Doctor...... Here your chest pain most probably from referred chest pain secondary to acid reflux.  . For that take pantoprazole capsule to reduce acidity .... Chat Doctor.  ... Avoid excess spicy foods .... Heavy meal restricted .... Caffeine, chocolate like LES relaxant avoided . Put pillow below head while sleeping . Avoid smoking . Reduce weight if obese .... Stress test will help in rule out your cardiac health .... No need for worry ...go with stress test as mentioned by your doc... If than needed EKG or echo done. . Take care


Hi, How are you? I am sure your doctor meant your \"He\" is low meaning your \"hemoglobin\" is low. Thisessentially means you have anemia which is very easily treated with nutritional supplements. Being deficient in \"Hep B\" is definitely good as this means you do not have hepatitis B infection. I would advise you to get vaccinated with hepatitis B vaccine to protect yourself against future risk of acquiring hepatitis B infection. Hoipe this helped and have a great day.


Thanks for posting your query at Chat Doctor. Your daughter is suffering from a respiratory tract infection. The dose of paracetamol is 15 mg/kg/dose which is same as 4ml of P250 syrup which should be given at least at interval of 3-4 hrs. You can give her the doses accordingly. The dose of augmenting is unrelated, and you need not worry. Apart from these measures, I would insist you to go for cold sponging with water at room temperature and that should help in reducing the temperature. I hope that would help. Feel free to revert with further queries if any.


Hi, welcome to Chat Doctor. Looking to your history, it seems that you are recurrent kidney stone former. It requires evaluation to determine the cause for kidney stone formation. Do basic urine report with culture, S.creatinine, venous bicarbonate, S.calcium IPTV and 24 for urinalysis for stone with stone chemical analysis. Maintain adequate HY Chat Doctor. Consult nearby nephrologist, or you can get to me also with reports. I think this would be helpful to you. Best wishes. TC.


Hello & welcome to Chat Doctor, I had gone through the case, I want to know your family history of diabetes, hypertension, thyroid problem. Do you have any symptoms and sign of this problem right now like headache, obesity, rising of blood sugar etc? I will advise you to do Panama(ANULOM-BELOM) exercise for 15 minute daily for 1 week and then major your blood pressure, definitely your problem will resolve. If not then you have to consult the doctor for hypertension, who can advise you medicine, correct diet pattern and more exercise for it. Hope so your problem will resolve. Thanks & Regards Chat Doctor.


Hi, Your symptoms suggest hormonal imbalance, and probably you are suffering from polycystic ovarian disease which is a common cause of infertility. Your neuropathic cycles and the fact that you conceived following depot injection go in favor. In such a case, natural conception is rare, and you need assistance. I advise you to see a gynecologist who can investigate you properly and put you on the necessary treatment. Your miscarriage could have been due to progesterone deficiency (likely in your case). Wish you good luck.


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 this palpitation is related to rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. It house a fluttering sensation, palpitations,difficulty in breathing deeply, anxiety. This extra beats might be sporadic and difficult to catch. So, it might happen to have normal electrocardiogram and experience palpitation. This is nothing to worry about if it happens once a wile. But, if it starts to bother you and interferes in your daily life than I would recommend you dome examinations to find a possible cause. Extra beats might happen because of stress, excessive coffee consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease. So, I would recommend a cardiac echo, a full blood analyze to exclude anemia, hyperthyroidism, electrolyte imbalances and a holder rhythm monitoring to see your rhythm tendency. Only after this we can better judge what we are dealing with and how to treat it. Hope I was helpful. Best regards, Chat Doctor.


Hitraumatic injury to the neck can have chances to cause injury to the cervical vertebrae or compression of the nerve roots those are painful spasms under stress painkillers can be of temporary help MRI is the ultimate investigation to see the extent of the injury. Better to use soft cervical collar to immobilize the spine & prevent further injury. Please meet a neurophysician or neurosurgeon take care


Hello Jan, Your long-standing history of discoid lupus becomes significant here, and I presume you are on some treatment for your psoriasis/arthritis with an immunosuppressive agent. The common ones (at the start) are HY Chat Doctor. The painful lumps could either be your discoid worsening or some form of urticaria vasculitis that needs to be excluded. For the time being, you can either increase the steroid use (if you are on steroids) or start using a long-acting antihistamine like fexofenadine 180\u00a0mg twice daily until you have seen your Lupus doctor. Thanks.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that pain in gums and teeth after deep cleaning and placement of crowns even after 4 days is not a normal finding. If the treatment was appropriately done, then the pain and discomfort should have subsided by now. There is a possibility that either the area is infected still or there are nerve exposures in the crowned teeth if they are not pre-treated with root canal treatment before the crowns were placed. You need getting re-checked by consulting your dentist and getting evaluated and a thorough clinical evaluation and investigations like x-ray of the painful areas can help in diagnosis and treatment can be done accordingly. In case if there is infection, a course of antibiotics and painkillers will relieve. In case if there is nerve exposures, then the crown will have to be removed and the teeth needs to be root canal treated and once the pain completely subsides replacing the crown needs to be done. As of now you can take anti-inflammatory painkiller like Ibuprofen and also take a soft diet. If pain is severe you can take Tramadol or Motorola. Take soft diet. Hope this information helps. Thanks and regards. Chat Doctor.


Hi, Masturbation has nothing do with impotence or infertility in the future, so straight answer to your question is No. it doesn't responsible for not having child Chat Doctor. 4 times in a week is a normal frequency, so you need not worry, still if you can control it to 1-2 times a week that would be better. Pain in the testes mighty be related to trauma or injury during masturbation, Infection like Epididymitis or epididoorchitis, Varicocele, Hernia or HY


Hi, Welcome to Chat Doctor. Microcytic hypodermic anemia is usually seen in iron deficiency anemia. In this condition bodies iron stores are depleted and red blood cells which require iron do not get sufficient iron and form weak cells which get destroyed easily. Blood transfusion will help for acute anemia but if the main cause of anemia is not treated, anemia can recur. So if he is diagnosed with iron deficiency anemia, then he should be prescribed adequate iron supplements and dietary changes which include iron rich foods. Long term low dose aspirin can cause low platelet count. I suggest you get a prescription for iron supplements and change his diet to include green leafy veggies, fruits and iron rich foods. Thanks.


Hello saw your query on Chat Doctor...your ultrasound test report states the presence of cortical cyst in upper pole of right kidney which is less than 3 cm in size in diameter. Presence of cortical cysts are usually seen as an incidental finding in many patients and I do mention these findings on daily basis and should not be worried as such. However a point of caution should be given when there are signs of complexities within the cyst if any which we call as complex cyst. This point has not been mentioned by you whether it is a simple cyst or complex cyst. It should have been stated by your radiologist. If it read a simple cortical cyst then according to me there is no reason to worry. Simple cortical cysts usually do not cause any pain and hence do not explain your problem of lower Abdominal pain as such. Get yourself clinically evaluated by your local physician for diagnosing proper cause of the pain. Thank you and I hope your query is answered...if you have any more query you can contact us.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yeast infection recurs only when you have some condition favoring its growth. I advise you should test for the HIV and diabetes. These is the two most common cause of the recurring yeast infections. Diflucan also available as an oral pills over the counter. But in my advice you should take it under your doctors' guidance. Please maintain good local hygiene by frequent cleaning and Chat Doctor.  You can also apply local ointment of clotrimazole while doing the


Hello, and I hope I can help you today. Anyone who has unprotected sex is at risk for pregnancy. However, many women can also experience irregular cycles and hormonal imbalances after discontinuing Depo-Provera. Some women do not resume normal monthly cycles or ovulation for even up to year. So it can be difficult to rule out pregnancy if you have irregular cycles after taking Depo-Provera. Unfortunately, pregnancy related symptoms can vary widely between women and actually most women do not have any symptoms of pregnancy at all before a missed menstrual period. Furthermore, many women experience psychological symptoms of pregnancy due to unconscious fears or desires. So I would suggest that you do a urine pregnancy test, so that you know for sure what is going on. If you do not desire pregnancy, I would suggest that you select an alternative method of contraception because even if women do not get periods regularly they still can be at risk for pregnancy. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,


Dear friend, I think your assumption is partly right. Your fall on shoulder has affected both the muscles and nerves located in this region.a muscle tear because of trauma can cause long-lasting pain while lifting any weight or while moving your hand per se. Also the tremor you are facing can be due to local nerve injury. An unresolved nerve injury causes local pain or tremor at the end of a stretching movement. So, please take some rest, do physiotherapy to heal those torn muscle. Also I suggest, an investigation on nerve conduction should be done to know if any nerve has been injured in those areas. Thank you.


Dear Anglo are on regular medication for Type2 Debut your last fasting is 170 and PP is 250. You won't explained about your BMI, cardiac status, smoking and alcohol status. Kindly go through once HbA1C test which is average of last three months. You also check your Blood pressure. If HbA1C is more than 7 then go to your physician its need to change Chat Doctor.  And need some exercise like walking ...kindly upload HbA1C report, height and weight and blood pressure before changing


Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Lump due to hydrated Cyst of Morgan of Testes-which is a vestigial Appendage / also known as Appendix of testes -present on top of testes.USG would confirm or rule out this lump cause. Other causes could be Spermatocyte/ Vasectomy lumps etc. and would suggest having Second Opinion from Surgeon who would physically examine and verify other possibilities of such a painless lump in testes. Hope this would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS


Hello, As the history mentioned you have had a sports injury and reoccurring of the same. I will advise you first take rest. Because most time people will use ice to reduce swelling and ice is also acting in reducing pain by which most people feels that the injury is healed, and they take up the call for movement. I feel you need to first immobilize the part involved in the injury. Dip feet in hot water and then elevate it using the pillow while lying down. After 3 days you can see if the pain and swelling is persisting, if so than an x-ray will be of good choice to rule out any fracture. If the fracture is not present then only it will be a muscular injury which will take about a week or so to heal. But to undergo the game again, one needs to get assessed the overall strength of the muscles involved from a qualified physiotherapist, so reoccurrence of Injury do not happen. Hope I have answered your query. Let me know if I can assist you further.  Jay In Chat Doctor.


Dear mister, there is no any prevention but changing lifestyle as you said so just keep watching for your lipids levels and follow dietary guidelines. The most blood delivery to liver comes from portal vein (75%) and the other from hepatic artery 25% so even significant chronic developed thrombosis of artery wouldn't have some serious consequences. Despite it, you should try to prevent further formation of atherosclerosis not only in this area but also in all other especially in heart and extremities. Also, you should avoid risks that cause liver damage such as alcohol, some medications and viral hepatitis.  Wish you good health,


Hi, I hope I can reduce your fears with some information. Ring worm can be spread from cats to humans.  It does cause an irregular reddish or pinkish ring which can change shape a bit over time a bit always looks like a ring. It is not more dangerous to have ring worm around the navel. An antifungal cream will help.  Use it for at least 2 weeks.  Fungi can be tenacious and take a while to go away. Try to expose the area to light and air and keep it Chat Doctor.  About poison ivy


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under left armpit and is painful at times which seems to be due to infected lymph node. It could be an inflamed gland, lipoma and cystic structure. As it is spreading and is growing this is something more alarming. I would suggest you to consult general practitioner for proper examination. Doctor may order blood test and ultrasound to confirm the diagnosis. Doctor may prescribe antibiotics (amoxicillin) for at least 10 days along with anti-inflammatory Chat Doctor.  Doctor may also order biopsy and fine needle aspiration cytology and can start treatment after proper examination. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Thanks for your question on Chat Doctor. I can understand your concern. Your symptoms are seen after eating, so possibility of HERD (gastroesophageal reflux disease) is more. But better to rule out heart diseases first, because all these symptoms are commonly seen in heart diseases. So first get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. You are mostly having stress induced HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain. So avoid stress and tension. Be relax and calm. Take proton pump inhibitors. Avoid large meals, instead take frequent small meals. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. Wish you good health. Thanks.


1. ANXIETY due to pain of Gastritis could result in Tachycardia, otherwise can't think of any other reason causing rapid heart rate.2. Because you have a light Barrett syn Chat Doctor. 3. could be possible Castro esophageal reflux disease (HERD) due to lax lower esophageal sphincter (LES) resulting in reflux of acid back. (reflux esophagitis)4. Avoid foods which are difficult to digest like oils and fats, which make stomach to release more acid, avoid tea, coffee,smoking, alcohol,sour foods (pickles, tamarinds,vinegar, curd)5. Fibers are necessary in the diet as they help in the digestion.6. Eat slowly, avoid haste, chew properly and avoid over eating.7.check stool for worms, hemoglobin for anemia, ultrasonography of gall bladder, gastroscopy for H. Pylori infection


Well it's all about how individual body reacts to the situation. Apparently it will be difficult to blame on anyone as everyone in medical will surely try to help each patient to their best ability. Try meeting the respective specialist for her problem and take an advice if she can perform some small simple exercises under guided physical therapist. She will be surely helped and get ease of symptoms. Kindly don't get over anxiety and keep your self calm. Focus on to solve the problems which can ease your mother and her symptoms. Thank you


Thanks for your question on Chat Doctor. I can understand your situation and problem. Possibility of hormonal imbalance is more in your case but better to get done ECG first, to rule out heart diseases as a cause for your chest pain. If ECG is normal than no need to worry about cardiac diseases. Chest pain, abnormal menstrual cycle, bruising, lump on feet etc. are seen in hormonal imbalance. So better to get done hormone levels like estrogen, progesterone, FSH, LH etc. If hormone levels are normal than sometimes stress and tension can cause similar symptoms. So avoid stress and tension, be relaxed and calm. 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.


Thanks for your question on Chat Doctor. I can understand your concern. Since your all cardiac reports are normal, we should definitely rule out lung diseases (bronchitis) for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol). If PFT is normal then no need too much. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. 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.


Thanks for your query, I have gone through your query. The severe tooth pain and swelling is because of the tooth infection. Nothing to be panic, you can give him a course of antibiotics like amoxicillin and analgesics like ibuprofen(if you are not allergic). Do not give any hot fomentation over the swelling. Do saline gargling. You need to take radiographs to confirm the diagnosis. I hope my answer will help you, take care.


Hi, Can you mention how the infection was diagnosed? Is there any itching or discharge from or discoloration over vulva/vagina? For diagnosing urine infection, culture is the best test. Usually here, urination is not only frequent, but painful or burning too. There can be fever and lower abdominal pain also. If frequency persists after treating urine infection, we have to look for other causes like candidiasis, worm infestation or excessive water intake. Kindly get back to your pediatrician if the symptoms persists despite limiting excess fluid intakeTake care. Hope I have answered your question. Let me know if I can assist you further.


Hello, Thanks for your query. It seems that you are having back pain. Your query is truncated. Can you describe your symptoms in detail, so that I am better able to help you? In the meanwhile I can suggest some lifestyle changes


Hi, Your notes are very clear. So it is very easy to answer. If she has been taking birth control pills regularly as per the instructions then it is > 99% effective in preventing pregnancy. There was no need to take Corvette. Since you have taken Corvette to The chances of pregnancy are almost nil. Taking Corvette on top of her regular medicine is not dangerous. The only side effect is that her census may be delayed for a week or so. I hope I have answered to your satisfaction.


Hello, If the pain is triggered by arm and neck movements, it would indicate a possible musculoskeletal pain. In such a case, there is no need to go to the ER and ibuprofen coupled with some rest can help improve his situation.  If the pain is not triggered by neck and arm movements, I would recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, These symptoms and signs are suggestive of STD especially if there is associated pain, fever, urethral discharge and recent sexual intercourse. So this is the first thing to rule out by doing STD testing. Second, it may be signed of reinfection or urinary stones and some other genital infection, but this is less common. In every case, antibiotic therapy may be required, so test should be done as soon as possible so that appropriate treatment can be started. Till that try to Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you good health. Kindly regards,


Hello, As per your clinical history, is concerned please follow like this-1) Do a clinical examination by your doctor [ENT] and do few investigations like this to confirm [CBC with differential, nasal endoscopy, and MRI scan]2) Discuss with your doctor about antibiotics [Doxycycline] and decongestants tablets and sprays. Do follow lifestyle modifications like this-1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control. Does blood differential count every month?3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and other pollutants can irritate and inflame your nasal passages.4) Use a humidifier. If the air in your home is Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further.


Hi, Chat Doctor.  I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Basically, vagina contains various bacteria and other microorganisms.  Due to war.TH and moisture of vagina and natural increase in the moisture during pregnancy a typical smell can be found during pregnancy. I will suggest use of Lactated vaginal wash alternate days at the time of Bath. Also, Clindamycin vaginal tablets one at night for 7 days will be of help.  Keep private parts clean and


Hi, thank you for providing the brief history of your husband. As he has already undergone the spinal fusion at L4-L5 levels, and recurrent surgeries of the back it appears that the lumbar disc are not in good shape. Also, the MRI indicates the nerve root injury and needs a thorough examination. Besides, post surgery if he is not relieved of pain than the surgery couldn't help him due to muscle weakness which keeps on leading to nerve root compression. Also, to Control the symptoms of numbness, tingling and pain you can arrange a meeting with a physical therapist and undergo Therapeutic ultrasound therapy and TENS therapy for pain relief. Besides, exercises will help but before undergoing any exercises the surgical neurological assessment is advised. As the pain is chronic in nature instant recovery cannot be expected as well. Kindly keep the patience and meet up the surgeon to discuss further. In my clinical practice, such cases with spinal surgeries respond well to physical therapy. And slow, steady recovery is achieved. RegardsJay In Chat Doctor.


Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query pus from extraction socket is not good it can be due to infection in socket. For this you should consult dentist and go for Irrigation of socket and zinc oxide eugenol pack if your extraction socket has infection. Follow post-operative instruction given by your dentist. Take proper course of medication prescribed by your dentistConsult dentist for visual examination of socket. Hope this will help you.


HelloThanks for query. Your brother has been detected to have stone in the mid-ureter and D. J stent has been placed in his renal unit to felicitate stone to pass down easily without any pain. The fever with chills that he has is mostly due to inflammation of ureter (Urethritis) or primarily due to infection. He needs to get his urine culture done to trace out the organisms causing this infection and to know the antibiotic sensitivity. Please give him broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure he Chat Doctor. To keep your urine dilute This will help to control dysuria. Do not worry his will get resolved once the stent is removed.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your all blood reports are normal, we need to rule out cardiac diseases and Pulmonary causes for your whole body edema. Congestive cardiac failure (CCF), cor pulmonale (Corp) and Pulmonary embolism can cause edema a breathlessness. So get done ECG and 2d echo to rule out CCF and cor P. Get done CT Pulmonary Angiography to rule out Pulmonary embolism. Diuretics and isotropic Chat Doctor.  Hope I have solved your query. Wish you good health. Thanks.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint vomiting and mild diarrhea can occur during teething but in case if there is severe diarrhea and vomiting and bad smell then it can be probably due to infection in stomach, and it needs to be evaluated by a Pediatrician. A slit or depression on the gum in the teething stage is due to tearing of the gum to facilitate tooth eruption and although the tooth is not showing up you should wait and watch for about a month so that the tooth can erupt. If there is pain in the gums then applying numbing gel containing Lidocaine can help. Do cool compresses over the gums. Feed her with a soft diet if she is above 6 months and along with it maintain a good oral hygiene to prevent infection. Hope this information helps. Thanks and regards. Chat Doctor. .


Hello, and I hope I can help you today. Unfortunately, the reason you are no longer menstruating regularly at age 48 is because do not have many viable eggs left in your ovary anymore. Once you stop menstruating for a full year, you are considered in menopause. There is no way to undo menopause nor is there a way to conceive naturally if you no longer produce eggs. Even a fertility doctor will not be able to make you ovulate if you no longer have viable eggs. Therefore, women in your situation can only conceive through in vitro fertilization, with another women eggs use as a substitute for your own. There are medications that you can take that may help you to menstruate however these will not make you ovulate nor help you to conceive. So in summary I am sorry to tell you that once you are in menopause natural conception is not possible by any means. You may continue occasionally to have menstrual cycles, and you may consider seeing a GUN who may be able to do hormone tests to confirm your diagnosis. I hope that I was adequately able to answer your question and that this advice was helpful Best wishes,


Hello and welcome to Chat Doctor, High white blood cell (WBC) count is due to infection. Infections cause an increase in WBC counts. A differential count is required to know the type of infection -bacterial or viral. A high ESR is not specific for any disease, but it is elevated in chronic inflammations. Fever with enlarged lymph nodes and elevated ESR is an indication for conducting investigations for a malignant lesion e.g. lymphoma. Thus, consult your physician for aspiration cytology from the lymph node. Aspiration will detect the cells in the enlarged lymph node and thus, help to determine the cause of lymph node enlargement. Definite treatment will be started once diagnosis is confirmed. Thanks and take care Chat Doctor.


Hi. Thanks for your query. Self diagnosis is the most dangerous thing that you can do. Since you have a problem of pain in left lower abdomen for a month with increase when you have to use bathroom or on getting up. Taking probiotics alone may not help. I would advise you the following


Hi, thank you for providing the brief history of you. A thorough neuromuscular and musculoskeletal assessment is advised along with MRI of shoulder joint. As you have been told for a shoulder joint replacement, this is the very less performed or planned replacement. Also, the decision of the orthopedic surgeon is totally depending upon the clinical signs and symptoms along with the bone strength. Prior to shoulder joint replacement one needs to understand the basic requirements of the post surgery progress. As the line of action in any musculoskeletal injury is as follows - medication, physical therapy, steroid, physical therapy.  If this line of action fails then a surgery is planned. Prior to surgery there are measures need to be taken - the muscles of the supporting joints should be in grade 4+ as post surgery the muscle strength Chat Doctor.  Also, this surgery or any surgery is a major one, but if the proper pathways are taken than surgery might not be needed or the post surgery recovery is outstanding. As mentioned, I will recommend undergoing physical therapy, no matter it may take a little longer but physical therapy can help you regain the strength in the muscles and also may help to avoid surgery. Also, if you are planning to undergo the surgery make sure you have a good range of motion of the shoulder joint and also good muscle Strength of grade 4+. As post surgery this will make a difference in your recovery process. As per my clinical experience, most surgery cases of the shoulder joints are discarded as physical therapy has helped to the maximum. Proper assessment and planning can help avoid the surgeries to the greater extent. Always to understand that this original joint is the original and artificial is artificial. The choice is always left to patient. RegardsJay In


Hello. Thank you for writing to alopecia errata usually presents as smooth, bald patches of hair loss, most commonly over the scalp. Other areas like beard, mustache, eyebrows etc. may also be involvedTreatment of choice is intraluminal injection of a depot steroid preparation e.g. triamcinolone acetone. New hair that regrows is fine and light colored, initially, however, they grow into normal looking hair. Other treatment modalities are topical steroid lotions; topical minoxidil; tinctures etc. All of these have a role in treatment of alopecia errata, and therefore it depends on the treating doctor what he/she prefers to start with. You have been given a topical steroid during day and a tincture for night application by your treating doctor. These topical medications are absolutely safe and there are no side effects of these. The oral form that you have been asked to take is Camisole, which is an immunomodulator. Levamisole has a role in treatment of alopecia errata since alopecia errata is due to imbalance in the local immune environment. Levamisole may cause side effects like an unusual feeling of discomfort or weakness and some patients may find it hard to tolerate. Regards


Hi. Thanks for coming to Chat Doctor.compere are many great Neurologists in Bangalore. It really depends on which part of the city you are looking in. If you ask my opinion though, you can't go wrong by going to SIMIANS. That is the place where the Neurologists are constantly seeing new patients and that is where they get to brush of their skills the most given the number of patients they see. So if you are looking for a good experienced Neurologist, I would suggest you head to SIMIANS. If you want to look somewhere else in the City, let us know, and we can help you find someone. Hope this helps. Come back if you need anything else. Take care! Thanks for coming to ChatDoctor.com


Hi, Thanks for posting your query. You are most likely suffering from acute bacterial sinusitis or allergic bronchitis with secondary bacterial infection. You should consult with internal medicine specialist and pathologist simultaneously and should go for thorough check up. You should go for complete blood count, absolute eosinophil count and IGE level for detection of allergic reaction. You should also go for x-ray PNS and chest for better diagnosis. Furthermore, you should take complete antibiotic course, Multics and anti-allergic medicine for complete recovery. Take care,


Hai, as I have gone through your semen report your motile sperm count and total count is normal and as per Kruger criteria


Hi, Thanks for writing in to us. Splenomegaly is a common complication of cirrhosis. Many cirrhotics have platelet counts in the 60,000s. It is not something to worry about. And it doesn't need to be treated. You have plenty of platelets to properly clot your blood. Blood flows from the spleen...through the portal vein...then through the liver. Scar tissue in the liver (cirrhosis) can interfere with that blood flow, causing pressure to build up in the portal vein (portal hypertension), and the spleen to enlarge (splenomegaly). As the spleen enlarges, it traps platelets. (The amount of platelets in the bloodstream is reduced because the spleen is busy trapping them). So usually people with cirrhosis end up having a problem with portal hypertension and an enlarged spleen, and a reduced platelet count in the bloodstream. As time goes by, the liver may try to repair itself by growing new cells. If there is a lot of scar tissue already present the new cells grow between scar tissue (and result in abnormal nodules). The nodules and scar tissue further interfere with blood flow through the liver. So over time people with advanced cirrhosis can end up having a problem with more and more abnormal nodules and scar tissue forming which interferes even more with blood flow through the liver which makes the spleen continue to enlarge, and the platelet count continue to Chat Doctor. The splenomegaly is usually not reversible. Please go for regular medical follow up. Hope this helps


Ho there, I can understand your concerns. I believe your gel contains Darlene, if so then it's quite common to have some redness, irrtation and Chat Doctor. Therefore, I advise my patients to start with it as following night for one hour on ye affected areasSecond night for 2 hrs Third night for thread fourth night for four fourteen after this period apply it overnight and the wash your face with a soap free face cleanser(Nivea) in the day. It can also make your skin more sensitive to sunlight so liberal use of a sunblock of Minimum SPF 30 is advisable throughout the day. As far a scar are concerned then please see your dermatologist and discuss the options of Microdermabrasion and chemical peeling to lighten the scars, they are very effective. I hope you'll find these answers helpful. Thanks a lot and all the best.


Hi there ~ I am glad you are on the forum, and it seems like you have a lot on your mind ~ a lot of metaphysical and philosophical nature.  You also seem to be suffering from depression and anxiety, as is evident from the language you use.  However, this can only be determined by speaking with you and taking an entire history for which I suggest that you use a qualified counselor and / or a psychiatrist.  Take care and I hope this helped !


HIT hank for asking to ChatDoctorI really appreciate your concern, looking to the given history here I could say that it is the allergic condition and beside the antihistamine no need to take the other medicine particularly antibiotic, this won't work here, simple general management could bring the good result and that includes salt water gargling, away from the underlying cause, hope this information helps you, have a nice day.


Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur.  Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.


Hellos doctor said that your son is having asthma, so I want to explain to you that, what is asthma. Airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath, chest tightness, &/or cough particularly at night or in the early in the morning. This hyperresponsiveness causes bronchoconstriction, hence cough and cold. Usually, dust, mite, fine dusting powder, sudden fall & rise of temperature, pollen molds are predisposing factors of asthma. When such type of case visit my clinic I prescribe them to take montelukast+ albuterol tablet (1/2 is sufficient for your son) one or two in day depending upon the condition of patient. Hot coffee and steam inhalation also provide relief in such cases. When your child will attain 14-15 years age these attacks will subsides. Good luck.


Hi, I have gone througconceptionur question. Yes, the treatment given to you is completely fine. Austen and duphastone are progesterone which supports the pregnancy by making uterine environment more favorable for conception and fetus. Progynova is estrogen which is given for the growth of uterine endometrium. Metformin is given in PCs TO improve the glucose metabolism and hence increase the chances of conception. Ovacare also helps in conception. I would suggest you to get your urine pregnancy test done if your periods are delayed, and do add folic acid tablet to your treatment, as it prevents the development of congenital anomalies in the fetus. Hope you found the answer helpful. Wishing you good health.


Mid-line disaster in most of the cases reverses back. You are not clear in what exactly was done with dental lasers. No dentist can fix any gap between the teeth using lasers. What I feel is that the gap was fixed witChatDoctorposite resin restoration which requires a light cure gun at the end, and you are confused with the light cure gun as dental lasers. Coming back to your query, if the resin restoration has come out then one can easily redo it in a single sitting. Thanks and Regards


Hello! Welcome on Chat Doctor! I carefully read your question and would explain that your symptoms seem to be related to inflammation (like temporal arthritis) or Migraine with Vertigo. That is why, I would recommend performing an Anglo MRI (with gadolinium enhancement) and inflammation tests (PCR, ESR). You should know that Anglo MRI can give a lot of information on your cerebral arteries and the blood flow in them. Hope you will find this answer helpful! Kind regards,


Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pulled muscle. I suggest using a muscle relaxant such as Baclofen three times a day. I also suggest using a magnesium supplement for muscle relaxation. Furthermore, I also recommend warm compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


Hello and welcome to Chat Doctor, A high leukocyte count can occur in a number of conditions. Infections and leukemia are the most common causes of raised white blood cell count. A white blood cell count of 14.5 is more suggestive of infection rather than leukemia. Infection can be bacterial or viral. In order to assess the type of infection, differential count needs to be done. Thus, I suggest you to post the differential count to know the type of infection. Leukemia are usually characterized by very high white blood cell counts, however, leukemia can occur with lower counts also. Thanks and take care Chat Doctor.


Hi There After going through your query I understand your concern. I would like to tell you that possibilities of acid Reflux/HERD more than a heart disease is there if you don't get breathless, palpitation with chest pain. It's advisable for you to avoid junk and spicy food to get relief and can use over the counter antacids also. Also get an ESG and Echocardiography done as a routine cardiac check up. Hopefully this will answer your query. Kind Regards Chat Doctor.


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 in your case. 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. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hi, Were you using contraception all these years to avoid pregnancy? Since your periods are perfect, in all probability you are ovulating regularly. You are slightly overweight. A normal BMI increases the chances of conception.  It will be excellent if you can reduce around 5 Kg weight. IF you and your husband smoke, you must quit smoking. It is important to have intercourse at least three times in a week to improve your chances of conception. Have one tablet of folic acid daily. If you don't conceive within 6 months of trying for pregnancy, you must consult Gynecologist for baseline subfertility tests (hormone assay and fallopian tube patency test for you and semen analysis for your husband). Based on the results of investigations treatment can be planned. I hope I have answered to your satisfaction.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You can take the opinion of the second doctor. Usually with the single operation all the sperm will go on. But as you have still non-motile sperm that means you have not been performed with good surgery or there may be some problem in the surgery conducted. Once you check with second all your doubts will be clear. Please be aware as this can make you pregnant. Appropriate contraceptive measure is must till we receive clear report from the lab showing no sperms in the system. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor


Hi and welcome to Chat Doctor. It may not be related to procedure, it can be caused by any allergen and most common this is certain food or environmental factor. Also, it can be Tylenol allergy as well so try to stop this Chat Doctor.  If not, then you may need steroid medicines or stronger antihistamines. If there is breathing difficulty. Chest pain or dizziness you should visit doctor as soon as possible. Thanks for the query. Regards


Hi thanks for contacting Chat Doctor....First don't worry. I will explain to you the condition.... It is type of inflammation of glomeruli in which menial deposit present along with glomerular basement membrane thickening....First control high blood pressure with ACE inhibitors like April.... It will do renal protection also.... Second antiplatelet agent like dipyridamole and corticosteroid as anti-inflammatory useful. The new method of the best treatment is to suppress complement activity by Ocrelizumab like Chat Doctor. .... If edema more diuretic given.... Approx 50% patient develop renal failure in 10 to 12 year Consult nephrologists and discuss all this with him. Take care.


Thanks for putting your query up at Chat Doctor. Scarlet fever is an infectious disease which most commonly affects child Chat Doctor.  Symptoms include sore throat, fever and a characteristic red rash. Scarlet fever is usually spread by inhalation. There is no vaccine, but the disease is effectively treated with antibiotics. If rashes and fever have gone you need not worry about the rest. The eczema needs to be kept in control by the use of steroids. Hope that helps. Feel free to revert with further queries if any.


Hi and welcome to Chat Doctor. Thank you for your query.  I understand your concerns and I will try to help you as much as I can. I am HPB surgeon and my advice is to have surgery before next pregnancy. Polyps are not concerning at this point, but these may cause symptoms such as pain and nausea and later in life it may become malignant. In pregnancy, usually gallbladder stones may be problematic a dpolyps less likely, but it is better to operate it now when she is fit and you than later in life when it may be more difficult to do surgery. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.


Hi heartlands for your question at Chat Doctor. The pain associated with foot and ankle injuries usually subsides in 2 to 3 days with analgesics medicines, rest, ice application and a compressive bandage. If the pain persists after 48 hours, it suggests slightly more severe form of soft tissue for bony injury. If you have any pain when you stand or walk on your injured feet, it suggests severity of injury and warrants further work up which will include an X-ray at the least. But you are not expected to have pain on standing or walking in mild injuries. Such pain should suggest you to take your injury seriously to avoid long term ligament related pains. Hope this helps All the best. Regards. Chat Doctor.


Hello thank you for writing us here. That's interesting I must say. It's because your ulnar nerve (funny bone) behind the lateral epicondyle of humerus is hit, which causes tingling sensation throughout your arm which is because of gamma motor fiber activation which somehow stimulated your vagus nerve causing vasovagal syncope and because of that you fainted. I'm not sure if there's any medicine for this. All you can do is avoid hiring your funny bone or other possible stimuli like tickling. God bless you Best regards, Chat Doctor.


Hi, Welcome to Chat Doctor. PCs occur due to hormonal imbalance. So you are suggested to continue your Chat Doctor.  Along with this I suggest you to start metformin which helps in combating insulin resistance which is seen in PCs after consulting your doctor. Get your follicular study to know you are ovulating or not. If you are ovulating you can try naturally for 3 months. If not ovulating then you are advice to take ovulation inducing


HI, Thanks for the query.  I understand your concern.  In pregnancy all maternal body including heart are overworked. that's why heart rate is increased. & It's possible to hear heart sound by pregnant mother.  Even the intestines are affected by pregnancy hormones, making them slow in movements. This results in slow emptying in bowels, bloating. On exerting pressure on left side of upper abdomen under the ribs, causes still more pressure in abdomen/ chest cavity, leading to pain discomfort.  Thanks.


HelloThanks for asking question on Chat Doctor. You have not provided full liver function(LFT) test details, hence very difficult to interpret. As your physician said to watch my impression is that could it be ? Gilbert syn Chat Doctor.  As per your details of mass of blood vessels - I think it could be hematoma, which may not necessarily require treatment. As you don't have symptoms chances of it being normal are high. But for me, I would require your full LFT and ultrasound details to give any comment. Take care.


Hi, Firstly congratulations on becoming a mother and sorry to hear you are having pain. Coming to the point of you history, let's consider this, that since you deliver a child there will be a weakness in your abdominal region by which the muscles are not able to stabilize the spine and getting nerve trapped leading to pain in the lower limb.  This is one of the common symptoms which most female go through post delivery. Doing some exercise to improve the quality of muscle strength and stabilizing the spine would be of great help. Also, some lower limb exercise will be of additional benefits.  Strengthening exercises doesn't mean doing crunches or using weights or gyms. Some basic mat exercises will be of great help for now. Coming to wrist problem as this is also a common one I feel you need to do small hand muscle strengthening exercises using some hand grip strengthening equipment which is available online and can be purchased. Rest assured if you follow some basic exercise in mat itself will help resolve much of the symptoms and this is definitely not a major condition to worry about. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi, happy to help you on your health concern! In the present case of solitary neck swelling or lump, if I were your consulting physician, I would just say you, nothing to worry! As per your description, it is benign harmless lesion like a lymph node or a sebaceous cyst! The reason behind an enlarging lymph node could be head/neck/throat/ear infections, tuberculosis or even malignancy! A sebaceous cyst, when infected, gets enlarged! Take caution not to get injured there as this might invite infection. If you are still worried, please go for an FNAC test for confirmation. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!


Hi, Thank you for the brief history of you. As reading the history, have you undergone both sides replacements. Also, post replacement have you undergone physical therapy. Most hip replacements heal, as they will be provided by calcium supplements and other medicines to provide faster healing. Undergoing a physical therapy will help to improve the strength in the muscles and reduce the swelling. Since the swelling is the common feature this cases represent, advising a physical therapy is of the choice. Also, as your mobility is reduced, the swelling is but obvious due to the low cardio endurance and mobility of the muscles and joints. You can discuss the same with the physician, as most cases seen by me recover by post physical therapy sessions and the possible near normal mobility is regained. RegardsJay In Chat Doctor.


Hi there ~I understand your concerns.  I believe that you will have a higher risk of hiving blood clots and since you have 5 brain aneurysms the likelihood of having a stroke are very high.  I hope you have let you neurologist or the doctor that changed your medication know.  Hope you consult a doctor for a second opinion with all your test reports and investigations as soon as possible.  Wish you all the best at health. Take care and have a lovely day!


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of rhinitis is more in your case. Despite nasal surgeries, you still have symptoms. So possibility of rhinitis, mostly allergic is more in your case. So try following things for better symptomatic relief. 1.  Avoid dust, pollen, pollution, chemicals etc. 2. Start combination of antihistamine and anti-allergic Chat Doctor.  3. Start intranasal spray containing steroid. 4. Take steam inhalation 5-6 times a day. Your breathing will mostly improve with all these. Hope I have solved your query. Wish you good health. Thanks.


Hi dear, first masturbation is totally normal and don't have any relation to acne. Even if it has, it should decrease acne in fact, as masturbation decreases the level of testosterone temporarily. So don't worry about that. Coming to your treatment, use Darlene gel 1% in night and clindamycin gel in day. This u must continue for at least 3 months even when acne not there. U might get a longing relief. Thank u


Hi... Thank you for consulting in Chat Doctor. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group to pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Hello No doubt both of you are perfect and healthy. You mentioned that your husband is having sperms count 20 million with 50 % motility. Your height, weight and age all are up to standard for pregnancy. Let me explain about the scientific proof about INFERTILITY, please note down. Studies suggest that normal fertility is associated with SPERM counts of >48 million/mL, WITH A MOTILITY OF >63%, with 12 % exhibiting normal morphology. Whereas FERTILITY is seen with SPERM counts of You didn't use any contraceptive pills, so this is a good thing i.e. no imbalance in hormones. You mentioned that there is 20 million sperms, but please mention total or / mL. Also mention volume of semen. Hope this information will helps. So consult infertility specialist and get his opinion. Good luck.


Degree understand your concerns went through your details. I suggest you not to worry much. The description, if it is correct, describes the symptoms of obsessive thoughts. You can not yet properly diagnose it as OCD because this is the beginning stage. You are worried and obsessed with the thoughts of those balls harming your health and that is the reason why you are having these negative thoughts. Nothing to worry. Even if you swallow those small magnets, they shall come out through your evacuation. They cannot harm you. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Hi and welcome to Chat Doctor Thanks for posting your query here. Endometriosis is presence of endometrial tissue in other than uterus. It may present in ovaries, tubes, peritoneum or cervix. Endometrial tissue is the cause for menstruation in the uterus. It is the periodical shedding of endometrium which results in monthly menstruation. Hence, whatever the tissue is, because of hormonal effect it sheds off. If it is in ovary the endometrial tissue along with blood collects and forms a chocolate color fluid filled cyst. The definitive treatment is excision of the tissue. It depends on the site and extent of the tissue. If it is not operable the treatment consists of hormones. Shatavari is an Ayurveda medicine. It's a time-honoured medicine. It gives wonderful results. For endometrial bleeding it works. Because you have a scattered endometrium it effects all the tissue. Same like danger. Hence, both the mode of therapies is the same. But I suggest you to follow either one treatment. Because both the therapies effect by the influence of hormones. Hope this is helpful to you Regards


Hi! Thanks for writing to us describing kind of unusual clinical situation of lump in neck and behind the knee.! Here are some possible explanations to these


Hello, Thanks for writing here. From the information you are having either scabies. Since you have already been to dermatologist, it will be better to continue the treatment. Only thing is applied permit cream to whole body a single application. Apply full cream at one time only and do not leave any area. This will kill itch mite, but itching will still persist for 10 to 15 days for which you need to continue other medicines. Hope this will help you. Take care.


Hello and thanks for consulting Chat Doctor. I have read your query and yes it can be due improperly erupted wisdom tooth. If the wisdom tooth is completely or partially impacted and causing pain and food lodgment then it's better to get it removed.Meanwhile, you can do certain things


Welcome to the ChatDoctorI have gone through your question, and it seems that your daughter has suffered a severe musculoskeletal injury most likely a fracture. You should immediately take her to an orthopedic surgeon for proper clinical examination and management accordingly. They may advise you for the X-Ray leg to look for injury or fracture. I would recommend you to splint the part by a board to help in transportation to hospital. You may give her acetaminophen or ibuprofen tablet for pain relief. Hopefully this will help you. I would be happy to help you out in any future health related questions. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Recurrent pulmonary embolism is seen with hypercoagulopathies. It is group of genetic diseases where blood clots form easily and cause complications like pulmonary embolism (PE), DVT (deep venous thrombosis), portal vein thrombosis, heart attack etc. So consult hematologist and get done protein C, protein S, homocysteine, anti thrombi 3,calcium levels. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.


Hi dear, I have gone through your question and understand your concerns. Disc degeneration can lead to nerve pressure and damage. If she is not having any neurological deficit or any bladder or bowel complaints, then she can take bed rest and get the surgery done in post delivery period. However, if any of these symptoms appear, then she should get the surgery done immediately. Hope you found the answer helpful. Chat Doctor.


Hi, AMH stands for Anti-Mullerian Hormone. AMH is produced directly by the ovarian follicles and therefore AMH levels correlate with the number of astral follicles in the ovaries. It has been documented that women with lower AMH have lower astral follicular counts and produce a lower number of oocytes (eggs) compared with women with higher levels.AMH levels do not change significantly throughout the menstrual cycle, and it usually decreases with age. Healthy women, below 38 years old, with normal follicular status at day 3 of the menstrual cycle, have AMH levels of 2.0 - 6.8 NG/ml (14.28 - 48.55 pool/L). High levels are found in patients with Polycystic ovaries. Now, in your case AMH is low suggesting that your egg count is less. AMH cannot be improved by medication. Therefore, I would suggest you to start your treatment at the earliest with an infertility specialist rather than waiting for natural conception. Your doctor will explain the best mode of treatment to get you pregnant at the earliest, based on your other test reports. All the best.


Hi, Injection methylcobalmin contains only Vitamin-B!2. Vitneurin Injection contains a combination of vitamins thiamine (Vitamin-B1), pyridoxine (Vitamin-B6) and methylcobalamin (Vitamin-B12)) commonly prescribed to treat their deficiencies. Whereas methylcobalamin contains only Vitamin-B12 and is commonly prescribed as a supplement in patients with vitamin B12 deficiency and in those with diabetes and other painful naturopathies. It may be taken if you have symptoms suggestive of only Vitamin-B12 deficiency. Hope I have answered your query. Let me know if I can assist you further.


HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the treatment for a painful lump on the buttock of your husband. This is because of the Boil with black hematoma due to friction of lump between the butt cheek. Worry as this lump are infectious in nature and spread to nearby area in the butt cheek. Treatment --As the lump is already shrunken, I would suggest you to Consult an ER Surgeon and get the physical examination and his Second Opinion on it, who would Chat Doctor. -Tab-Antibiotic(like Ofloxacin +Ornidazole) with prescription from your doctor.-Anti-inflammatory (like Diclofenac) for 5 days time.-And Surgical


Hello, Alcohol dementia and Panic disorders may be due to Excessive Chat Doctor.  The process of acquiring knowledge and understanding through thought, experience, and the senses (cognitive skills), memory and learning are affected because of this excessive alcohol. Positron emission tomography (PET) is useful in certain diffuse brain diseases such as those causing various types of dementias including Alcohol dementiaWith best wishes


Hi, Occasion wet Chat Doctor.  Over masturbation however can lead chronic fatigue. I suggest you to rule out other causes of fatigue like anemia by complete blood count. If it comes normal then also investigate with serum calcium estimation, SEPT, GOT estimation and urea, creatinine estimation. Underlying because specific treatment is priority. Before playing sport eat some energy rich fruits like one or two bananas.  Hope I have answered your query. Let me know if I can assist you further.


Thanks for your question on Chat Doctor. I can understand your concern. You are having hypotension with bradycardia (slow heart rate). This is commonly seen with heart blocks. Your symptoms like dizziness is also seen with heart block. This is block in conduction of heart. So impulse generated in heart is not able to traverse properly and so heart pumping is poor which results in hypotension and bradycardia. If not treated promptly, this can be life-threatening. So consult cardiologist and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). You will need pacemaker insertion on the basis of type and severity of heart block. 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. You are having blunt chest trauma. And there are few complications of blunt trauma which can cause such symptoms. These are1. Pulmonary contusion2. Rib fracture3. Pneumothorax4. Muscular injury. So better to get done chest x-ray to rule out above causes. If chest x-ray is normal than it must be muscular pain. So try to follow these. Avoid strenuous exercise. Avoid heavy weight liftingAvoid bad postures in sleep. Take good painkiller and muscle relaxant. Apply warm water pad to pain site. Wear chest belt for minimal mobilization of affected area.


Hi. Thanks for your query and history in details about obesity, painless swelling above belly button. If this swelling is painless and if it is reducible and gets popped pout on coughing and straining, this is a para-umbilical hernia. Loosing a lot of weight will make to appear more prominent. I would advise you to get this confirmed by examination by a General Surgeon and get operated if advised so. You can also discuss the measures to be taken for reducing weight and about Bariatric Surgery.


Hello, First, the elderly should avoid falling as much as they can because they usually have osteoporosis. Second, after falling she should do a plain X-ray to ensure that she does not have a bone fracture. Normally after trauma the edema occurs, and it gradually decreases with the treatment. Moreover, if she had hypertension or diabetes or other chronic illnesses, the recovery would delay for a while. Finally, your mother should take antibiotics for possible infection (penicillin), Aspirin twice a day after meal, vitamin D (Alfacalcidol 0.5)one tablet every other day for one week then one tablet per week for one month, besides Chat Doctor.  The healthy diet and avoiding prolonged bed rest are crucial for her. Hope I have answered your query. Let me know if I can assist you further. Take care


Hi dear, I have gone through your question and understand your concerns. Bleeding in early pregnancy can be due to threatened abortion, or chorionic hemorrhage, or due to any local lesions in cervix and vagina. If the ultrasound is completely normal, then your doctor should do an internal examination to rule out any local lesions in cervix or vagina, which can cause foul smelling bloody discharge. Hope you found the answer helpful. Wishing you good health. Chat Doctor.


Hello dear, The bump formation after fall is due to accumulation of fluid & blood, and it is called Hematoma. The blood cells accumulated are eventually broken down and absorbed in the body. But this is a slow process & takes times to disappear completely. Till that time, symptomatic relief is obtained by analgesics, ice compression & adequate rest. If it still persists or there are any other associated symptoms like fever, vomiting, dizziness, loss of consciousness, convulsions, etc...then it will be better to consult your Physician. Under such circumstances, a CT scan of brain will be needed to rule out any pathological cause for symptoms. Wishing you a good health. Take care.


HIT hanks for using Chat Doctor Forgetfulness at age of 70 years, is towards dementia and in that case, he needs some neurologist consultation. You need medication like donepezil or cementing, that would help him slightly. Some patients get such kind of auspiciousness in dementia, it is part of dementia. For erratic or abusive behavior, he takes low dose antipsychotic after psychiatrist consultation.  Thanks


Thanks for your question on Chat Doctor. I can understand your concern. Your son needs to be evaluated for high grade fever and heart pounding. So better to consult pediatrician and get done blood reports, ECG, chest x-ray to rule out cardiac and lung related diseases for his symptoms. He needs antibiotics and other supportive Chat Doctor.  So take him to pediatrician. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.


HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, You seem to have a complex problem of 2 entities -a-Painful lump under the rib-which seems to be sebaceous cyst with reactivated infection of the cyst / or could be due to the fibromyalgia from the pelvic chlamydia infection which you seem to have over last few days.b-Genitourinary infection causing pelvic wellness/dull ache indicative of -cystitis/ urethritis/ with prostatitis due to chlamydia-with which you are diagnosed lately. This is STD disease and needs to be detailed and thorough follow-up treatment with Dermatologist doctor.c-Cancer Fear Psychosis with obsessive anxiety-as your mother died lately with Cancer. Check with your psychiatrist, who would resolve it by proper medicines. In the above scenario, you need to be very cautious and take the needful treatments for the varied health issues you have. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS


Hello, Have you undergone ECG and treadmill test as well. If treadmill test is also normal then no need to worry.  It can be due to gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week.  Hope this helps you and get back if you have any doubts.


Hello and welcome to Chat Doctor forum, Thank you for posting your query here, According to the treatment being provided to you by your dentist it seems to me more like an allergic reaction. But if it does not go away after 7-10 days of treatment, kindly visit your dentist again. We might have to do some tests to rule out the exact cause. Kindly follow the instructions given by your dentist.I hope this answer was useful.I wish you good health take care


Hi, Welcome to Chat Doctor. The rushes on your face that you have mentioned could be a condition called \"Rosacea\". This is a chronic skin condition which is described as redness (or rushes as you said) of facial skin. There are numerous triggers that may cause rosacea such as sun, stress, exercise, skin care products, alcohol, hot or cold weather etc. etc. Rosacea may also present with pimples at times. It is usually just a cosmetic skin condition but may affect the eyes at times. You can visit a dermatologist for further evaluation and treatment. There are oral and topical medications that help control the redness and acne(pimples) along with maybe a slight change in lifestyle if required to avoid the triggers. I hope this helps. Take care and be healthy. But, it maybe cosmetically


Hi, Thank you for posting your query. The main symptoms of Parkinson's disease are motor


Hi welcome to Chat Doctor. Forum. don't worry you didn't use the medication for which your infection is sensitive. You are not expected to use steroids, which suppress the infection. Then again it flares. When you get a boil you get the pus tested for culture and sensitivity. Which give you an idea of antibiotics to be used in order of sensitiveness. For allergy avoid brand of soap powder, and some foods like fish and brinjal. Use green leafy vegetables, fruits.  Chat Doctor.  Thank you.


Hello and welcome to Chat Doctor forums. It's not ok to have pain and swelling persisting for 2 weeks after trauma. There is a very small bone called scaphoid in our hand. It can get fractured and can result in similar symptoms. This fracture is not visible in X-ray taken on first 2 to 3 days. So my advice is to visit another good Orthopedic doctor and let him take a X-ray again. This is very important as the fracture scaphoid if present should be treated ASAP as it can lead to some bad complications if left untreated. Hope this discussion will be helpful to you. Have a great day.


HI, Dear,Good Evening from INDIA, and Thanks for your query to Chat Doctor. I studied your query in-depth and understood your health concerns. Cause of the lump on your shoulder-In your case it -is -mostly a-Sebaceous Cyst ? Or Boil with low infection. Treatment -a-I would advise--Tab-Anti-inflammatory for 5 days,-Antibiotics x 5 days -as the lump peels of ?due to mild infection in it. -If no relief it may need excision by ER Surgeon. This would help you to resolve your issue. Welcome for any further query in this regard. Wishing you earlier recovery. Good Day. With Regards Chat Doctor. N.


Dairy understand your concern.Maybe you are at your maximum height of stress. You are 60, and you witnessed a death of brother and mother is terminally ill also. Most probably you are realizing that your fate would also be something like that. But is it true? This is the time you should have full faith in god. He created you, nurtured you, developed you etc. and when he wishes, he will take you with him. That is the truth. Truth is always bitter, and now your trying to deny the truth, worry about future, health etc. Forget all. You are now good. But nobody can say what is tomorrow. Why worry about what you are not certain or about what you cannot control? Be happy now. That's all. Bible says


Hi, I went through your query and can understand what you must be going through. Depression is a very distressing disorder and the fact that you are contemplating ending your life indicates that it is severe enough. You should initiate treatment for depression without any delay. You can consult a psychiatrist for the same. Treatment with anti-depressant Chat Doctor.  You should also discuss your problems with your family members or someone close to you. It will make your feel better a relaxed. Exercising daily also helps in relaxing oneself. I do hope that I was able to help you with your query. Best wishes for a speedy recovery,


Hi, You might be having tennis elbow on the left side. Tennis elbow is also known as lateral epicondyle inflammation and tenderness over the lateral aspect of the elbow is usually a sign. This is usually due to inflammation at the extensor muscle of elbow on the outer aspect of humerus. It is different from rotator cuff tear. Diagnosis is clinical examination and treatment is local Cortisone injection. If three injections are not helping you MRI of the elbow should be done. Local injection of platelet rich plasma is a very useful treatment. Hope I have answered your query. Let me know if I can assist you further.


Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve, although not typical. For this reason, I recommend consulting with your GP for a physical exam and a nerve conduction study. Some blood lab tests (complete blood count, PCR, sedimentation rate) for inflammation or infection are needed. If these tests result normal, there is nothing to worry about. Hope you will find this answer helpful! Best wishes,


Thanks for your query, I have gone through your query. The Nor co 5-325 can be given every 6 hourly, do not take more than 6-8tablets in a day. It might result in adverse effects and addiction. If I am your treating doctor, I would suggest you to go for combination of diclofenac 50\u00a0mg BID and serratiopeptidase. Complete the course for a minimum of 3 days, the pain will come down. It will not come down by just one dose. I hope my answer will help you, take care.


Hi, Thanks for posting your query. Do you have difficulty in breathing/ cough/ chest pain? Do you have pain aggravation after eating meals? Do you have acidic belching/ abdominal heaviness? You pain location suggest some kind of chest pathology while association with vomiting suggests gastric problem. You should consult with internal medicine specialist and should go for thorough check up. You should go for chest x-ray, endoscopy, serum amylase along with liver function test. You should take proton pump inhibitors along with prokinetics for improvement of symptoms. Take care,


Hello have not mentioned in which part of body on left back hurts and burn, but I suppose you are referring to head as your question is about brain cancer so my advice is dependent on this presumptions symptoms do not occur VIN brain cancer so does not seem to be a Brian cancers there is history of accident BRAIN MRI is required to rule out Bain injury and then consult neurosurgeonLocal ice pack treatment is tried if no cut or wound It may help even notate care Chat Doctor.


Hi and thank you so much for this query. I am so sorry to hear about what you experienced trying to help the stray dog. With you well vaccinated against rabies, there is no fear of contracting the disease again and there should be no need to get a new rabies injection now. How is your tetanus vaccination status if it is not up-to-date, please try to update it. Also, deep scratch wounds may require antibiotics for treatment. Do not hesitate to contact your doctors on this. I hope this helps. I wish you well. Thanks for using our services and feel free to request for more information if need be.


Hello, I would like to know whether the cysts in your kidney and spleen were there prior to your cyst aspiration. As your cyst was only aspirated and not removed, it is highly likely to have some residual fluid collection. If there has been a considerable reduction in symptoms, you can wait and watch otherwise it would be advisable to get a second opinion. Hope I have answered your query. Let me know if I can assist you further.


Dear serve understand your concerns went through your details. Usually sperm is never milky white. It has to be yellowish white or shadowy white. The brownish color could be due to the presence of blood in the semen. Do not panic. That is normal. If this reoccurs, do consult a doctor in person. If you require more of my help in this aspect, please use this URL. http


Hi, thank-you for providing the brief history of you. As by reading the history I can understand that it is not a RA or a OA factor. Neither its is a muscle strain nor ligament sprain. As per me, it is more of a lumbar spine disc degenerative changes as per the aging process. Taking an MRI scan will help understand the spine pathology and if any disc prolapse, protrusion, herniation is there can be understood. This comes in mind by the classical symptom of radiating pain as in this condition due to nerve impingement there will be a radiating pain and also motor control weakness. Regards Jay In Chat Doctor.


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


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 Quertle other possible options that you have are as follows1. Surgical remedies2. Physiotherapy3. Pregabalin/gabapentin4. MethylcobalaminI 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.


Ys these are allergies and allergy can develop at any time in any age with any substance it can develop from soaps shampoo oils cream ointment gods clothes and body application materialpsolone is not good you can start with anti-anti allergic tab with application of antiallergic ointment daily can get blood serum tests for specific antibodies for various allergens treat according to report with Chat Doctor.


Hi, I could not get you completely. Twice in a --- you masturbate. If you masturbate twice daily then you should do it lesser. If it's twice a week or month then it is alright. Varicocele does not usually cause problems. What is the grade of your Varicocele on Ultrasound of scrotum. The major problem it causes is that it can lead to decrease in sperm count. I suggest you get a Semen analysis done to see if all is ok. If it is then I don't think you need to get operated for the Varicocele and if there is a problem in the analysis report then you can consider surgery for the Varicocele. You can send us the report if you get it done. You can contact me by leaving a Direct or Specialist query. Take care, Chat Doctor.


HelloThanks for query. You have been detected to have renal mass on left side while being investigated for discomfort in Left loin. It is utmost important to get further investigations done to know the nature of mass.(Whether Benign or Malignant)Please consult qualified Urologist for clinical evaluation and get following tests done to establish diagnosis.1) Intro Venous Paleography (I.V.P).2) Contrast Ct Scan of Kidney Ureter and Bladder (PUB)Further treatment will depend upon final diagnosis. Chat Doctor.


Hi, Thanks for your question. I don't think the medicine you are on, or have had could have caused this period problem. You have not provided the details of your test results & from the medicine you are taking I have guessed that you may have an ovulation problem (since you are on metformin, are unable to conceive & have delayed periods). So, my suggestion for you is to register yourself at a good fertility clinic with your partner & get yourself fully evaluated. Once a cause is found you may be offered a specific treatment which may be ovulation induction in your case. Wish you best of luck


Hello, Welcome to Chat Doctor. You are affected by a disorder in which iron accumulates in brain and other cells. It is due to mutation in gene called FTL gene. Please avoid intake of iron supplements. At present, there is no absolute cure for Neuroferritinopathy. You need physiotherapy and NSAIDs for painful joints. Adequate calorie intake is necessary. Only symptomatic management is currently available. Do all necessary investigations like Ferritin level in blew, MRI brain etc. Consult with your family doctor and Neurologist as well as genetics expert to have a better management and followup. Hope this helps. Take care.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of viral upper respiratory tract infection (URI) is more. But better to rule out pneumonia because you are having fever and Chest pain. So get done chest x-ray to rule out pneumonia. If chest x-ray is normal then no need to worry about pneumonia. Viral URI is more in your case. So Chat Doctor.


Hello. Thanks for writing to us. The lower back pressure that you are feeling could be related to a muscle fatigue due to a recent viral infection or mild deny Chat Doctor.  Most of the time this can be taken care of by taking mild painkillers having plenty of fluids and fresh fruits orally. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http


Thanks for your question on Chat Doctor. I can understand your concern. We need to first rule out cardiac cause for your symptoms because you are smoker, obese and having age more than 50. So you are at risk for heart diseases. Get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are mostly having HERD (gastroesophageal reflux disease). Smoking, obesity and old age are known risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning chest pain. So avoid stress and tension. Lose weight and quit smoking as soon as possible. Avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitors and prokinetic Chat Doctor.  Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hello ! I read your question carefully and understand your concern. I think your symptoms are very likely to be migraine. The blurring vision and numbness in your arm and hand are migraine aura, common symptoms preceding migraine headache. I don't think that there is a connection between your ear troubles and your migraine attacks. Two attacks per month are not too much. I would recommend treatment with Sumatriptan or Sumatriptan within the first symptoms preceding headache. These Chat Doctor.  If your attacks become more frequent, you should consult with a neurologist, have a good physical examination and other tests to rule out other causes. A prophylactic treatment may be initiated in that condition. As for your ear you should consult with an ORL specialists, if the pain persists. Hope to have been of help! Greetings,


Hi, thanks for writing to Chat Doctor. Based on the description, I think that you have suffered Acute lumbosacral strain. The general treatment guidelines are as follows -* Give adequate rest to the inflamed area making it to heal and recover* Avoid involving in activities that produces pain* Ice packing for 10 minutes once in 2 hours* Moist heat application over the affected area* Analgesic & Muscle relaxant medications as needed. If you don't find any relief with the above measures, a detailed clinical examination along with appropriate investigations are needed to establish a diagnosis. Hope this information is helpful. Good day


Hi and thanks for the query. Pains in the lower right side of the abdomen can really mean so many things. What has to be suspected and ruled out is acute appendicitis? Others include kidney stones, UTI etc. Taking tramadol and Tylenol may only mask the true picture of this condition and make it more difficult to assess and treat time. Also, if it is caused by an infection, they in no way slow down the progress of this infection but gives you a false feeling of no pains. Because it is getting even worse and gradually been aggravated by breathing, I will suggest you see a doctor and get evaluated. We should have an idea of what is wrong or rule out potentially dangerous causes before settling. So much information is lacking right now. Hope this helps. Wish you good as you get this pain evaluated and appropriately treated. Chobufo, MD!


Hi, There is no medicine or brace which is likely to help you in correcting bow legs at this age. If bow legs are troubling you then get them corrected surgically corrected-only the deformity and not the joint part. It will help you in reducing the joint damage also, and now we have methods where you do not have to in bed rest also. Please discuss with your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. Anxiety can cause HERD (gastroesophageal reflux disease). And this can cause gives feeling of chest tightness, nausea, breathlessness etc. So follow these steps for better symptomatic relief.1. Avoid stress and tension, be relaxed and calm. Consult your psychiatrist for counseling sessions. You may need anxiolytic Chat Doctor. 2. Take pantoprazole tablet on empty stomach twice daily.3. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.4. Go for walking after meals. You will mostly improve with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello, welcome to Chat Doctor. Multiple attempt to cut wrist and suicidal tendency points toward severe psychiatric illness like depression and psychosis along with some personality disorder related traits. Some time because of lack of insight it is difficult to bring patient in treatment. Many times in severe cases, along with counseling Chat Doctor.  As he is having suicidal ideation, then urgent and involuntary treatment may be needed in his case. For help, it is better to visit nearby psychiatrist. Wish you good health and all the best.


Here you have told you have symptoms like heart burn, heaviness in eye, back pain and weakness. This all symptoms could be related to with Chat Doctor. You have also mentioned you take some medication. But your explanation is not clear which medication it is and for what it is, as well you have not informed about your previous medical history so specific guideline is not possible but can suggest in general as bellow. First you consult a doctor and do your blood test for complete blood count, vitamin B, calcium check. Then also go for ECG. Now based on report if anything gets detected follow treatment. If all reports are normal then you need to visit a Castro neurologist because it can be related to gastritis. And let him examine. Again as per his evaluation follow treatment. Now if that is also normal then visit an or tho and get your self examine for back pain and take treatment as per his advice. Here for normal back pain I suggest physiotherapy is a good option of treatment. In last, I suggest you to change your lifestyle and food habits. Do not eat spicy food. Maintain your food timing. Have good break fast, average lunch and minimum dinner possibly at or before 8


Hi, dairy have gone through your question. I can understand your concern. Your mother has brain cancer and operated multiple times.  She also took radiotherapy.  Now she has complications like meningitis. Her symptoms are due to meningitis. She should go for CSF examination.  Then she should take intravenous antibiotics accordingly. Continue her radiotherapy according to advise.  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.


Degree understand your concerns went through your details. There are no treatment available to reduce the size of penis and testicles. There are many quacks out there who eyes your money and could give you false promises. Do not fall prey to them. Penis size is purely genetic. The length could vary according to masturbation but not more than plus or minus 5 millimeters. Shrinkage is also natural but not due to masturbation. Slackness and hanging could also natural but not due to masturbation. Therefore, I suggest you to ignore these genetic aspects and concentrate on your sports. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http