Hi, Thanks for writing in. You have a kidney cancer which is probably in early stage. In this situation completely freezing the tumor is a good treatment option. It is called cryotherapy and in this the tumor cells are frozen and destroyed. Just like heat therapy, we have cold therapy. Considering your age at 84 years, surgery might develop complications and bleeding might be difficult to control. Surgery and neoadjuvant chemotherapy with radiation therapy is recommended for young patients, but it is important to know your general condition and if you can withstand the surgery. Cryotherapy is a safe method and will control your cancer. Please follow up regularly with your doctor. Please do not worry.


Hi and sorry about what you are going through. You carry solucortel just in case you need some more steroid hormones to cope with stressful situations. The body normally increases the production of steroid hormones during stress. Because you have Addison disease, this is impossible for you and we will need the external administration of this. You may need this in situations like an accident, loss of a dear one, going through some very difficult moments, severe illness etc. Getting a new one is best from a pharmacy. However, you may use any syringe if you must use it now and there is no other way of getting around the problem. I strongly recommend that you do all to get the advised syringe as soon as possible, too. Wish you a good health. All the best in all your endeavors to get the new syringe.


Hi...just elevated liver enzymes of this level of what you quote without any other associated symptoms cannot be correlated with the liver enzymes alone. Elevation of liver enzymes is of very non-specific value and does not mean anything unless it is being corroborated with other disease evidence which you query doesn't mention anything about. As of now if I were you treating pediatrician I suggest - you need not worry about this liver enzyme. Regards -


Hello Shiv and welcome to Chat Doctor. As a Urologist, i understand your anxiety.You're having kidney failure, which may need dialysis, depending on electrolytes and kidney function tests. Anemia is a result of that. Now a kidney biopsy is needed, to find out the cause of the failure. Further treatment will depend on reports. You also need to do these tests


HIT hank for asking to ChatDoctorI really appreciate your concern if this varicocele then in my opinion this need to be repaired as early as possible to prevent further damage and anything worse happening chronic state of this disease could be having bad clinical outcome, it is all depends upon the type and status of defects and that can only be seen after opening the scrotum, take care and have a nice day.


Hi and welcome to Chat Doctor.  As a Urologist, i can understand your anxiety. Whenever the stones move, they can lead to bleeding and the blood turns to clots in the bladder. Later when the person passes urine, its expelled. The pain develops, when the stones move inside the kidney. The blood causes the pink tint to the urine. Chat Doctor. Also take stone dissolution treatment. The stones must be treated after check-up with a Urologist.


Hi, Mitral valve prolapse is a genetic disorder involving the Mitral valve. Treatment depends upon the severity of Mitral Regurgitation (leaking of the valve) and symptoms. If regurgitation is severe and the patient has symptoms, surgery (mitral valve repair) is indicated otherwise medical management is enough. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello! Welcome and thank you for asking on Chat Doctor! I read carefully your question and would explain that these episodes could be related to physical or emotional stress (anxiety). I recommend to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer the values to your GP. Furthermore, I would also advise consulting with your GP for a careful physical examination, a resting ECG, a chest X-ray study and some blood lab tests (PCR, sedimentation rate, complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes), to exclude other possible secondary causes of uncontrolled high blood pressure. An ambulatory 24-hour blood pressure monitoring (Holder) may be needed to examine better you blood pressure trends during the day. Hope to have been helpful! Best regards!


Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor.  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. 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 . First as you are telling you are still having swelling so please don't try to walk and put weight on injured tissue. It will make the condition worsen. As there was twist in your ankle , in this type of injury sprain occurs. Now you should not ice on it now you should dip your foot in a bearable hot saline water. And when you lie on bed you should do only ankle toe movements in a pain free-range of motion.  This will make you free from this sprain condition. Thanks


Hi and welcome to Chat Doctor, thank you for your query. Usually pus indicate subcutaneous infection due to follcilitis, abscess or some other. Cancer is rare at this site with such manifestation especially in your age, so this is the last thing to think of. You should just visit doctor who can evaluate is it necessary to prescribe antibiotics, or it must be surgically Chat Doctor.  Also, biopsy can be done to be 100% sure about diagnosis. But I am sure that this is just lipoma or inflammation atheroma. Wish you good health. Regards


Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Ciplox can not prevent an episode of GBS. Ciplox can only treat the diarrhea. GBS is an autoimmune response. There are noways as such to prevent the occurrence of GBS. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy


Degree understand your concerns went through your details. I suggest you not to worry much.  From the description you gave, I am to understand that you have some sort of adjustment problems and apprehension about speaking in public. This may not amount to classic case of anxiety. But can be categorized as general anxiety. Still need proper diagnosis. Therefore, do not jump guns. At times, you are very confident, and that is what counts. Gain confidence from those positive incidents and those experiences helps you to be bold. 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.


HIT hank for asking to ChatDoctorI really appreciate your concern looking to the given history here I would like to inform you that as long as the consciousness is concern or question of unconsciousness or coma is concern it all depends upon the conscious level and that is being decided after the clinical examination, and it is the score that gives the idea about the prognosis too, and this is called \"Glasgow coma scale\" you better ask the doctor, hope this is information helps you, have nice day.


HelloFresh and chest pain may be due to many reasons like acidity, musculo skeletal, cardio pulmonary causes etc. You may need clinical correlation and further investigations. You may need routine hologram, random blood sugar, chest X-ray (PA view), ECG in all leads. Further investigations like ECHO may be advised after evaluation. After clinical evaluation you may be advised mammography. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.


Hello friend, Thank you for posting your query through Chat Doctor. I feel sympathy for you not because of your disease but because of your poor understanding about your disease. Lymphedema is not your disease. Lymphedema simply means the accumulation of lymph at a particular area because of poor lymphatic circulation and defective removal of lymph from the area affected. Just imagine what happens when you pluck out a bud from a plant when you really want to remove the plant as a whole. Instead of destroying the plant with its roots, you are trying to remove the buds. You will only experience further growth of more buds from more areas in the plant. Just like that you are not doing anything to remove your disease in its totality. There will be surely an underlying disease that makes you suffer from lymphedema. Approach a physician who will help you to diagnose your disease after all necessary investigations. Still a conventional medical specialist cannot offer a satisfactory answer for your queries and that is why your doctor said you need not any more go to him. Very often the removal of the plant with its roots is not possible for him. He can maximum suggest another therapy, another machine or another stockings for you. Because the root of your problem lies in your genetics and for time being conventional medicine cannot offer any genetic or constitutional treatment for you. Therefore, I can suggest confidently that you may approach an expert Homeopathic physician known to you, or you can very well get back to me with all your details. I think I can offer cure for your lymphedema. Homeopathy cure YOU and YOU only. With Best Wishes, Chat Doctor.  J. VargheseHomoeopath


Hi, Thanks for writing in. It does seem like an allergy. The tingling in the hands can be due to swelling which can compress the nerves. It's unlikely to cause tingling in your legs. As of now, you can take Tablet Cetirizine 10 mg once daily during the daytime and Tablet Ben Chat Doctor.  Also apply an ice pack on the area. Apply calamine lotion on the affected area as well. If you don't get relief in 1-2 days, please see your physician. Hope this helpsRegards


Hello, so there are stones in both of your kidneys, and you are also having pain. Homeopathic and Desi medicines will take longer to act. I would suggest you to go a urologist as you may need HY Chat Doctor. If it doesn't work then he might remove the stones by some surgical procedure if at all required which will be decided after you consult him. So for now show to a urologist and take advice from them. Thank you


Hello dear, I can understand your concern. In my opinion the chances of pregnancy are rare because you both were protected i.e., he was using condom, and you were on combined pill.Moreover, true intercourse did not occur as he did not enter into the vagina. So there are rare chances of pregnancy. And missing the pill a few days later might not affect this intercourse. If you had any unprotected sex during the missed pill time then it might pose risk for pregnancy. I suggest you to do a urine pregnancy test a week after missed period for accurate results but not before the expected period. So relax. Avoid stress and check for the period. Best regards...gynecologist


If you take painkillers it may cause hives and gout is increased in high protein diets like milk cereals get test for food specific antibodies like milk wheat potato egg rice Chaney nuts go for elimination diets start withdrawing milk and diary completely from foods your arthritis uric acid and allergies will come down in 3 wrest you avoid after food gets there may be one or 3 foods all will be solved I am sure


Hi. Thanks for your query. Noted your history of bumps behind the ears, hair line, chest and had jacuzzi and change of multiple hotels. It is obviously due to either of it as the causative agents were present. Bed bugs usually cause bites more on the extremities and trunk. If jacuzzi had caused such a problem, the things would have been all over the body. Hence, the possibility of it having die to some skin allergy of non-specific cause can be the reason. Consult a Dermatologist and see the causes and get treated if the problem does not resolve in a few days on its own.


U should be worried regarding this..... Visit some good pathology lab and get you following blood levels done.... 1. Alpha Veto Protein 2. Beta Chat Doctor........ both are markers for testicular tumors....... As you're giving history of 4-5 days and hard swelling... IT MAY BE SOME MALIGNANCY.... Examination by some good oncosurgeon and blood levels I suggested and incisional biopsy is necessary to arrive at conclusive diagnosis......... Immediately consult an oncosurgeon...


Hello, I had gone through the case and found that you must go for the MRI of spine and know the exact cause of pain. Also do vitamin D3 blood test. There might be lumbar spondylosis, slip disc, herniated disc or sciatica. Take calcium once day and Vitamin D3 once a week. If pain is severe then go for physiotherapy. Otherwise, do back exercise After getting the diagnosis. Different type of exercise for different cause. But take medicine what I suggest you for 3 months. Your pain will subside. Hope my answer will be effective for you. Thanks


Thanks for your question on Chat Doctor. I can understand your concern. Blood clots in lung is known as Pulmonary embolism (PE). It is treatable condition. So no need to worry about death. Treatment depends on severity and size of PE. If patient is critical and size of embolism is large then surgical removal of embolus is needed. But if size is small and patient is stable (maintaining blood pressure) then anticoagulants (warfarin, Coumadin etc.) and thrombolytic Chat Doctor. So no need to worry about death, take her to pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.


Hi, Your symptoms are highly suggestive of some form of stress or generalized anxiety disorder more than anything organically wrong with either the brain or the ear.  If the sounds of music bother you to an extreme extent you may have a condition referred to as biophobia which represents a persons extreme aversion to certain sounds or groups of sounds resulting in a sense of heightened irritability, stress, fear, etc. Basically, it's an extreme emotional state triggered by sonic stimuli. You could benefit from a full and complete physical examination with historical reporting of your symptoms as to when they began and if they were any different in the past but the likelihood of there being anything inside the head or ear causing the problem is almost nil in my opinion. Hope I have answered your query. Let me know if I can assist you further.


Hello, The most important thing to know in this situation is what is her weight? If she is growing well, then she is getting enough food, even if it doesn't seem like it to you. At 6 months, she may still prefer formula or breast milk to solid foods. She will also have growth spurts and growth slow-downs that might change her appetite and cause her to have days of eating more or less. Please get her weight and see if it is OK in comparison to her last check. Take care. Hope I have answered your question. Let me know if I can assist you further.


Hello, Thanks for writing to us. While on hormone contraception, if antibiotics are used for any purpose, the efficacy of contraception is decreased and failures can occur. If you are pregnant, you should get a definitive reading on HPT if the hormone levels are sufficient. Else, you can go for the blood test for pregnancy as this is more sensitive and specific. I would also ask you to go for a trans-vaginal sonogram to confirm/exclude pregnancy for sure and also to know the status of the pelvic organs. Further management can be planned accordingly. Hope this helps.


Thanks for your question on Chat Doctor. I can understand your concern. Blood in spitting can be due to either diseases of oral cavity or due to lung pathology. Sinus disease cause blood from nose, not bleeding in spitting. So better to first Getaway done detailed examination of oral cavity to rule out oral pathology. If this is normal then you are mostly having hemoptysis (blood in sputum). So get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung infection and bronchitis. As both of these can cause hemoptysis. So better to first diagnose yourself and then start appropriate treatment. Sinus pathology is less likely in your case. Hope I have solved your query. Wish you good health. Thanks.


Respected user, hi I evaluated your query thoroughly.*middle chest pain has so much differential diagnosis apart from muscle ( name intercostal) pain as Gastritis, Costco Chat Doctor. *For definite comments I strongly recommend consulting with all details of pain as intensity, type, severity, frequency, duration ; associated with heart burn, abdominal burning, cramps; any breathing difficulty; work pattern;tobacco consumption;taking any


Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation do not have any adverse health or sex effects. Masturbation is natural and even animals do it. For a youngster of age group 13 to 17 masturbation every day is normal. After that also it is normal, but people get engaged in some other activities like games, education, career etc. which are more engaging and energy consuming. There are people who masturbate daily even at middle adulthood. The trouble is lack of knowledge and the anxiety arising out of it. Feeling guilty will trigger anxiety. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Thank you for posting your question. Any fever that is as high as 104, with or without hallucinations does warrant an ER visit. The hallucinations just reinforce the fact that your child needs to be taken to the ER at least to bring her temperature down as quickly as possible. Though it is quite possible that a virus may cause such possible, other causes like a bacterial infection especially a urinary tract infection should be ruled out. Although such high fever is known to cause delirium and altered sensorial in a few patients, if such behavior continues even after the fever has come down, then a brain infection also needs to be ruled out. If you have any more doubts do write back.


Respected user, hi I evaluated your query thoroughly.* The pain in upper body may or may not be associated with the lung tumor* Details lacking here are - pain type, intensity, frequency, severity, radiation anywhere, exact site aggravating relieving factors - onset of pain in relation to finding of lung tumor - associated palpitations, perspiration, vertigo, cold body - all other associated symptoms of whole body as fever, weight loss, others - cough, breathlessness present - reports in details - smoking, use of abuse substances - sleep, appetite details Kindly provide with these details. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you best recovery from the same. Regards dear take care.


Thanks for the question your description it seems that your child is suffering from Seborrhea dermatitis. Such child Chat Doctor.  Usually this condition subsides by the time the child reaches two years of age. Wiping will not help. These lesions are very itchy and scratching causes flaring of the condition. Keep nails of the child trimmed, always (they grow very fast at this age). Keep in touch with your pediatrician and skin specialist.


Hi, False positive pregnancy tests may be observed when medications containing human chorionic gonadotropin are administered as when performing ART procedures. Aspirin does not interfere with the results. With three consecutive positive results, you are pregnant and there should be no doubt about it, and you can get a trans-vaginal sonogram for further confirmation. Please consult your doctor for further support. Good luck.


HelloYour chest X-ray findings may suggest suspicious infiltrate in both upper lobes. It may be due to infective etiology. You are rightly advised for apicolordotic chest X-ray. It is a special view to visualize apical area because apical area is overlapped by bony ribs and clavicle. Normal chest X-ray(PA view) may miss the findings. Apicolordotic view overcome this problem and its helps in better evaluation of apical areas. Empirically you may be prescribed antibiotics. You may need to follow up chest X-ray. If findings and symptoms doesn't improve then tuberculosis etc. should be excluded. Get well soon. Take Care Chat Doctor.


Hello SWAT, after you have ruled out heart blockages by doing an angiography (which is the most common reason in diabetic patients) , the next is what is called microvascular disease may cause dilated cardiomyopathy.  Due to diabetes there are certain degenerative changes in the heart muscle vasculature which will cause slow deterioration of heart function causing dilated cardiomyopathy.  Medicine optimization would cause reversibility and control of symptoms.  If the EKG finding are favorable, and you have symptoms Inspire of medical therapy a form of pacemaker (cardiac resynchronization therapy) may help improve the heart function. A more detailed evaluation is needed for the same. Regards Chat Doctor.


Good day. The radiation therapy given to face and neck area for tongue cancer has the following side effects


Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between a cardiac chest pain and local musculoskeletal inflammation (including Costco Chat Doctor.  For this reason, I would recommend first performing a cardiac ultrasound, a resting ECG and cardiac enzyme levels. Other tests to consider would be a chest X-ray study, complete blood count, PCR, ESR for inflammation.  You should discuss with your doctor on the above tests. In the meantime, I recommend trying acetaminophen for the pain, coupled with a PPI (Omeprazole, Pantoprazole) for possible acid reflux.  Hope I have answered your query. Let me know if I can assist you further. Take care


Hello, It contains female hormone similar to progesterone. You should always know that microbes is recommended for use in pregnancy only if the need is clinically established. In your case, it has been given for maintenance of early pregnancy under specific circumstances. As it has been prescribed to you for the maintenance of early pregnancy, it is recommended to take this tablet regularly as advised. Hope I have answered your query. Let me know if I can assist you further.


HI, thanks for using Chat Doctor The effort is a steroid and the cetirizine is an anti histamine. These medications should be adequate to treat her allergic response. There should be some improvement within 24 to 48 hours. It may not be complete improvement at that time, but it would then continue to resolve. There are no food restrictions, but she should make sure that she uses the steroid on a full stomach to avoid irritation of the stomach lining. It should be used on mornings after breakfast or tea. I hope this helps


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 queryPlease understand the following things-1. Nebulizers are for different medicines. Some medicines are steroids and others are non-steroidal medicines known as bronchodilators.2. Maybe your baby was having too much wheeze. In that case iv is a better form to give the medicine. However, I would still continue the nebulizers.3. You should not self-medicate. A baby may not need steroids which you may be giving the child because you are on it, and because you have limited knowledge of the medicines (obvious from the query)Suggest get an x-ray chest of the baby. I 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.


Thank you for query. It may be due to fungal infections. Please take following precautions. Use loose cotton clothes and inner wears. Keep area Chat Doctor. Apply antifungals like terminating which is fungicidal. Once subsides use regularly antifungal dusting powders like candid or absorb powder to prevent recurrence. Maintaining moisture free area is most important to prevent recurrence. Check if you have any diabetes. Consult doctor if it does not subside. You can get back to me for any clarifications.


Hi, He had any similar episodes or any history of migraine in the past? Headache, abdominal discomfort and vomiting can suggest a viral illness or early gastroenteritis. Sometimes migraine also can have a similar presentation, although here abdominal pain is less common. Anyhow, as he is getting better now, we need not worry now. Give paracetamol or ibuprofen for pain if needed. If symptoms does not clear out in 2-3 days, kindly take him to a pediatrician. Take care. Hope I have answered your question. Let me know if I can assist you further.


Degree understand your concerns went through your details. The symptoms you provided do correspond more or less to stress disorder. But you need to investigate more. These symptoms could also manifest in many mental disorders such as bipolar, depression, anxiety or even schizoid personality disorder. I suggest you to convince your boyfriend for a visit to a psychiatrist. If you require more of my help in this aspect, please use this URL. http


Hi there, None of the above medications, and fruit when taken so early in pregnancy are known to cause any deformity in the baby. So your wife can safely continue the pregnancy. Get her ultrasound done to know to condition of the baby, and get exact dating of the pregnancy, Follow up regularly with 11-14 weeks NT scan and 20 weeks anomaly scan. Make sure she takes proper vitamins, iron and calcium, as having back to back pregnancies may render her iron and calcium deficient. Hope this helps. Regards.


Hi thanks for asking question. Noted you have hepatitis c infection. This infection acquired by contaminated syringe, needle, blood transfusion and sexual route... Herbal product in excess is not good. But the Chat Doctor. Anyhow, here in hepatitis c chances of chronic infection is more... So take care of liver by taking low fat diet. More fruits. Refined food avoided. Trans fat diet like cheese, meat, butter, junk food avoided. Avoid alcohol. One tsp cumin seed with milk useful. Papaiya good... Take care.... Clinical regular follow-up necessary.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, high cholesterol can cause chest pain. In my opinion, we should rule out cardiac cause for chest pain. You are having three risk factors for heart diseases. Diabetes, high cholesterol, sedentary lifestyle. All these can lead to coronary artery disease (CAD). In early stages of CAD, resting ECG cannot be normal. So you should definitely get done 2d echo, stress test (trade mill test) and coronary angiography (if required) for the diagnosis of CAD. Strict control of diabetes, cholesterol level and weight reduction is needed. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello and welcome to ChatDoctorI have read and understood your query hope this will helpful the history provided by you, I could say that you are suffering from SEVERE hypertension. And needs urgent treatment... I will advise you to consult your GP immediately and start taking medications.at your age Chat Doctor. .but before starting medicines you should also have renal function test and serum electrolytes levels at least... Meanwhile, you should have strict dietary salt restriction. Try to lose weight and do regular exercise. I hope this was helpful...you can reach me any time with any other queryRegards


Hello, As per your history, it may be due to nerve compression at the lumbar spine level.  For further assessment, you may require MRI back, nerve conduction studies after consultation. Till then, you can take tablet acetaminophen. Apply diclofenac gel or ointment locally. Heating pads will also help.  You may require tablet Pregabalin and multivitamin after consultation.  Do regular physical therapy. Hope I have answered your query. Let me know if I can assist you further.


Patients who undergo cholecystectomy, frequently complain of pain in the that area after surgery, and it is known as post-choelcystectomy syn Chat Doctor.  By the looks of it, you are also suffering from the same. There are many causes for such a pain and cancer is a very unlikely cause. As you have a family history of colonic cancer, I recommend that you undergo colonoscopy to rule out any growth in your colon. A simple Ultrasound will give information regarding the liver and can rule out a cancer in that area. You should consult your doctor and discuss the further line of management with him. Hope you get well soon.TC


Hi! Good evening. I am Chat Doctor answering your query. Even though a clinical assessment is required, from your history it seems to be more like a spreading subcutaneous hematoma due to the blood not being able to clot by the action of clean injection which prevents clotting. If I were your doctor, I would first advise you to discontinue the clean injection for the time being after consulting the doctor under whose guidance it was started, and then go for all the investigations like a clotting profile, and the scan for which you were waiting. I would also start a prophylactic antibiotic in case this has to be aspirated out. All the management would depend on the reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.


Hi, Thanks for writing in. Bellini duct carcinoma is a cancer involving the collecting duct in kidney. He is getting sufficient dose of morphine, but sometimes patients develop what is called tolerance and then the pain relief does not happen with the usual dose of morphine. Mobizoz contains a combination of pain relievers and muscle relaxants for relief from boy ache after chemotherapy. It contains chlorzoxazone 500 mg, diclofenac sodium 50 mg, paracetamol 500 mg which are helpful to reduce pain. Please give him this medicine after food to avoid gastritis. Pain and twitching can be due to the chemotherapy and usually improves over 3 to 4 weeks. Please give pain medicines only when necessary. Please do not worry.


Hello appreciate your concern It could be an infected boil or a sign of STI securely transmitted infection you can upload a photograph and provide me more information like relevant medical history and since how long it has been there, I will definitely help you in the best possible way. I see patients with similar complaints in my clinic and I would advise them for a course of antibiotics under supervision with cleaning and Chat Doctor. Maintain good hygiene keep it cleans an apply antiseptic ointmentThanks for your question Best wishes


Hi, dairy have gone through your question. I can understand your concern. Small quantities of alcohol is beneficial for health.  But no definite effect on coagulation.  You can not replace the Chat Doctor.  You should go for coagulation profile.  Take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi. If your swelling is not increasing in size and you don't have fever or any open wound to cause infection of the hematoma, then I guess you should not worry and just wait for the hematoma to be resorted naturally. I don't think an MRI would add anything additionally though you may confirm all else is normal. Take some non-NSAID analgesics like tramadol and cold fomentation for pain relief. Thank you.


Hello. Thank you for asking at Chat Doctor. Symbicort make take 1-2 weeks to give its maximum effects. However, it is extremely important to make sure that it is being taken properly as you are not experiencing any improvement at the end of 1 week. I would like to suggest you to review your inhalation technique. Shaking the inhaler for 5 seconds before use, inhale it with right technique, rinsing the mouth with water without swallowing it are very important steps for using it. If they are not followed correctly, the Chat Doctor. Also, rather than using two puffs in the morning, I would prescribe 1 puff each in morning and evening. So I would suggest you to make sure dosing schedule with your doctor. Hope this will be helpful to you. Wish you best of the health. Regards.


Hi Angelika, You need to take some more rest. One week, post abortion is too early to start your sexual life again. It is better to wait for at least 3 weeks before resuming the sexual activity. Have you got a check scan done post the abortion? If not, please get a scan done to make sure that there are no products of conception, remaining in the uterus.  Chat Doctor.  In any case, it is better for you to get a physical examination done by your primary care physician. I wish you get well soon.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Citrobacter kosher is always pathogenic in the body. So you should test yourself for the culture and sensitivity. Once the report is available you can take the treatment accordingly. Completed treatment should be taken. Hygiene maintenance is important tool and should be adopted. It will help us equally in the treatment as antibiotic do. Please adopt good handwashing practice. This will also help us in treatment. In alternative to taking a will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor


You have not mentioned if you are a smoker. If so, pl stop smoking as the first and most imp step. Pl start taking inhalers like Aeroflot/Former. Take another inhaler called Ti ova once a day and tab Doxyphyllin 400 MGM twice a day. A course of antibiotic like Augmenting or Aeroflot for 5 days should be taken. If symptoms are very bad take Prednisolone 20 MGM once a day for 5 days. Antacid for gastritis should be taken as gastritis can aggravate the symptoms. Chest physiotherapy and deep breathing exercises are good for COPD patient.


In such conditions, Ayurveda approach to treat Data Pitta vitiation by way of herbals have been often highly successful by raising general resistance in body against such allergens as well as curing the conditions. To my own such patients, I advise starting Turmeric and Need leaves powder immediately and add Manisha herbal capsules for controlling the problem. Its harmless and safe. For further guidance you may seek consideration through direct question. Hope it helps your father-in-law too - it will.


Hi, as you mentioned your symptoms, the pain cannot be related to the previous surgery of shoulder. As to which surgery was performed and for what issue makes an important here. Also, the shock nature of the pain is always referred to as the pain travelling through the nerves, when the nerve is pinched in its course or may be at its root. Taking an MRI of the cervical spine, NCV and EMG will help understand further what causes these symptoms. Also, if you can try performing neck strengthening exercises and trapezius Strengthening exercises and see for a week. If the pain level comes down then the pain is neuropathic in nature and an MRI will provide a good input. Usually with exercise things come to 99% of success. With the grace of God I wish you a good health


Hello, Your symptoms point towards this diagnosis


Welcome to Chat Doctor. Thank you for posting your query. I can understand your concern for your son. You are pretty anxious about him. Let me assure you that there is not much to worry. This lump on the forehead is perhaps a bruise only. Apply cold compress (ice packs) over that area twice a day for 4 days. It would have been great if you had mentioned his age or his body weight. Still I can help you out. If he complains of pain or cries out on touching, give him syrup paracetamol (125\u00a0mg/5 ml) 10 mg/Kg/dose twice daily for 4 days.e.g if his weight is 20 Kg, he requires 200 mg = 8ml = One and a half teaspoon like that. It is easy. You can also take him to a pediatrician . He /she can examine him and correlate clinically. Post any other question. We will be happy to help. Have a nice day. Regards.


Thanks for your question on ChatDoctor.in my opinion you are having nothing but palpitation. Fluttering dealing in chest is most commonly seen in palpitation. And after 50 minutes of treadmealeven normal person can have high heart rate. But worrisome symptom in your description is lightheadedness. These demands repeat stress test and stress echocardiography. As possibility of decrease blood supply to brain in stress which causes lightheadedness. So consult cardiologist and discuss all these.


Hi, A Lymph node of that size in the arm pitfalls under the category of insignificant lymphadenopathy and need not be worried about, please. Unless he has symptoms like extreme pallor, anemia, bone pains, chronic fever for more than a month, loss of appetite and weight loss - you need not worry, please. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, Thanks for your query. The pins and needles in fingertips that you are having are likely to be related to a nerve root compression at the level of lumbar spine. Other causes include injury to spinal cord, Lack of blood supply as a result of plaque formation in the blood vessels, diabetes, stroke, multiple sclerosis and underactive thyroid. Abnormal levels of calcium, potassium, or sodium in your body and a lack of vitamin B12 can also cause tingling sensations. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Hi, I don't think taking less water has any effect on your chance of pregnancy.  If you are not sure that you are ovulating or not, you can track your ovulation by ultrasound or ovulation detection kits.  If you are ovulating, you can try naturally for at least 6 months.  Be in contact with your husband every 2 to 3 days after your periods stop.  If it doesn't work, then you can try some medicines for growth of your follicles. Hope I have answered your question. Regards Chat Doctor.


Dear Concerned., Thanks for writing to us. In a c/o Cerebral Arms, in addition to Cybercafe, radiological embolization as an adjunctive therapy also. The Cybercafe allows delivery of high doses of targeted radiation with sub-millimeter accuracy, such that the lesions surrounding normal brain is subjected to very minimal harm. Such accuracy is critical for preserving as much brain function as possible. Most patients experience minimal recovery time and can return to normal activities following their treatment. Depending on the tumor type, size and location, many patients need only one treatment with the Cybercafe to destroy their tumor. Before the Cybercafe Surgery., the patient will be admitted for observation, then taken for CT navigated embolisation procedure for reducing the blood supply the size of the lesion. Before a patient is treated he or she may undergo a series of tests such as MRI, functional MRI, CT, and CT angiography. A multidisciplinary team of physicians including a neurointerventionalist, neurobiologist, neurosurgeon, and stroke neurologist carefully review this data to propose the best plan. The process of embolization is done under general anesthesia. An artery in the groin is punctured and catheterized so that guide catheter is pushed up to the neck and up into blood vessels supplying the AVM. Embolus producing agents are then injected into blood vessels supplying the AVM so that the clot artificially produced will block blood supply to AVM and the same regresses in size. As an elective procedure the patient will stay for 03-05 days. The embolisation is done in stages to prevent thrombosis and hemorrhages from occurring in normal parts of the brain. After regressing of AVM lesion, adjunctive Cybercafe therapy and Radiation therapy is done to achieve total removal of AVM. Levipil 500 mg (Levitiracetam)is an antiepileptic Chat Doctor.


I strongly suggest checking your blood report different parameter with also calcium and vitamin D test.  And as per the result take medication with your doctor advice.  I also suggest taking multi vitamin and multilingual supplement along with omega 3 which will help as anti-inflammatory and support for your bodies normal functioning as well for internal strength or immunity development. And if you feel too much of pain in body then can take painkiller medication for time being.  Hope this was useful for you.  Take care


Hi, dear. I have gone through your question. I can understand your concern. Post cholecystectomy pain is common finding in practice. You have few possibilities.1. Stone stucked in cystic duct stump2. Stone in common bile duct.3. Spasm of sphincter of oddi4. Peptic ulcer disease.5. Alkaline reflux. Your doctor prescribed a correct treatment, and you will have relief after some time. But if you don't get relief or symptoms worsens then you should for the gastrodusodenoscopy. Hope it will help you. Thanks


Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, possibility of COPD (chronic obstructive Pulmonary disease) is high in your case. Long-standing asthmatic bronchitis can cause COPD. And you're all symptoms with chest x-ray are suggestive of COPD more. So you need to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT is needed for the diagnosis of COPD. It will also tell you about severity of the disease. And treatment of COPD is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Pulmicort is inhaled corticosteroid. But better to first consult pulmonologist and diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi... Thank you for consulting in Chat Doctor. This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor.  Unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the kid in lying position after feeding till the baby burps out the swallowed air.2. If the baby is still crying - put in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Hi ! Good evening. I am Chat Doctor answering your query. To distinguish if it is a hernia or not, you have to reach to the ER of a nearby hospital and get it clinically assessed by a general surgeon. Hernia could give rise to discomfort in the area without a visible bulge, but can be diagnosed by clinical examination. A hernial bulge in its initial stages will also be reducible while you relax, and comes out on increased intra-abdominal pressure. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


HelloThanks for your query, based on the facts that you have posted it appears that you are likely to have Inguinal Hernia However this can be confirmed only on clinical examination by a qualified General Surgeon. Please consult qualified general Surgeon for clinical assessment and further treatment. If turns out to be positive you need to get surgery of Hernia repair done.In the meanwhile take painkillers like Diclofenac or Broken twice daily. Chat Doctor.


Hi welcome to ChatDoctorPain during periods is most commonly due to hormonal imbalance. Get an Ultrasound abdomen to rule out any abnormality in the reproductive tract and also get your hemoglobin checked., if normal you need not worry. Chat Doctor. Take hot fluids and listen to music during periods. You can try keel s exercises to receive uterine spasms and pain intern. Consult your gynecologist for expert management. Thankyou


Hello, I can understand your concern for the Chat Doctor.  After reviewing your query it appears to be related to the intertwine or fungal infection of the 4th and 5th toe space. It is quite common to find such kind of feature in this area due to moistness and closed area by shoes. There is more of tendency to get frequent fungal infections at this area. In my patients I generally prefer to use an antifungal creams such as clotrimazole or ketoconazole at the affected area. Maintaining a good hygiene and reduction of moistness by antifungal dusting powders helps a lot in early resolution of the area. DO not go for any parlor procedures such as pedicure or related things as can cause further proliferation. All the best.


Dear Rash mi, Travel by air is safe in the second three months of the pregnancy (14 weeks to 28 weeks). After that the uterus goes on becoming more and more irritable and the risk of premature delivery goes on increasing in flight. Though, the airplanes have controlled pressure inside, the risk of preterm labor cannot be completely ruled out. So after 28 weeks of pregnancy, air travel, particularly international air travel should be avoided. The airlines also do not accept the pregnant passengers after 30 weeks of pregnancy without certificate from an Obstetrician; and my experience tells that most of the Obstetricians are reluctant to issue such certificate. If the delivery process starts on the board, there are constraints of availability of the facilities for conducting delivery on board. Moreover, according to the international rule, the problem of nationality of the baby arises for them. Of course, being Indian, you can opt for the Indian citizenship for you child, however, depending up on the aerial zone of a nation where the delivery takes place, you can opt for the nationality of that country; or the airline itself being an area of the nation to whom it belongs to, you may opt for that nationality also. This is all greatly complicated, hence the airline rules. I feel you should avoid international travel after 30 weeks of pregnancy. If you are less than that period (7th month), you may choose to travel; however do consider the date of return. If your return is within this time, you may travel. I hope this provides you a clarity in taking your decision.


Hi SO sorry for your kid to have that. This happens mostly in the weaning period as your baby is getting adapted to complementary feeds. YOUR baby had Dysentery from your description which needs to be treated with antimicrobial- definite. The Most important thing is to give her plenty of ORS fluids for each stool(25-50ml/stool) to prevent deny Chat Doctor. Give her Zinc syrup 5ml for 14 days along with a probiotic like Enterogermina which are palatable. For nappy rash, please avoid diapers and apply a zinc oxide cream to keep it


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of Chat Doctor.  Need not worry. I would suggest you to do warm saline gargles. You should take cough expectorants. You should take antibiotic Levofloxacin in combination with antiallergic medication. Visit pediatrician once and get it examined. You should get chest X-ray done and start treatment after proper diagnosis have been made. Avoid oily and sharp food.


Hi, Masturbation does make the nerves weak when we do it in excess. It affects the brain and the spinal cord. it's not necessary to affect your vision as such. If the optic nerve is weak already masturbation will worsen your eyes' health. A healthy diet will restore your energy slowly but steadily. You can include nuts, fruits and vegetables. It's good to consume vitamin A containing food like papaya ripened mango that will benefit your eyes. Spinach and other leafy vegetables also help you improve your vision. It's advisable to reduce your mobile or laptop using time. Once you feel restored within few months you may gradually start your sexual activity. Take care. Hope I have answered your question. Let me know if I can assist you further.


So you are having high blood pressure and cholesterol, also diabetic so at higher for heart disease. Do u have any chest pain or heaviness especially on exertion.CRP can be elevated in any inflammation like viral illness or any infection. But if no other infection or disease is there then it points towards heart disease so if u have any chest pain or even if not you can get your stress test done. Also take proper medicine for sugar, cholesterol, blood pressure. Avoid addiction and healthy lifestyle, regular exercises.


Hi, You seem to have halogen effluvium . You may be having some cause...like anemia, vitamin and nutritional deficiencies, thyroid dysfunction, stress, anxiety, worries,travelling, any other internal disease, certain Chat Doctor. .etc. Poor hygiene and poor nutrition may responsible for halogen effluvium. You consult dermatologist for firm diagnosis. To control hair fall and to improve hair growth you may take biotin 10 tabs daily for few months and apply mild steroid lotion on scalp at night daily. For hair oiling and shampoo use herbal preparations. Take treatment for few years. Have patience.for the good result. I hope this would help you. Thanks.


Thanks for your question on Chat Doctor. I can understand your concern. At your age of 18 years, possibility of angina or other heart diseases is very rare. But since you are having habit of daily marijuana smoking, you are at increased risk of heart diseases. And so we need to first rule out cardiac cause in your case. Get done ECG and 2d echo. If both are normal than no need to worry about angina or other cardiac diseases. You might be having muscular pain mostly. So take simple painkiller and muscle relaxant Chat Doctor.  Quit marijuana smoking as soon as possible. It is not good habit. Hope I have solved your query. Wish you good health. Thanks.


Hello, yes it could be a stone which body is trying to push down but It's either big to move down or it is stuck. It's not necessary that there will be shooting pain or radiating pain downwards. It can be just a dull aching pain. As you already have history of having renal stones, it might be a possibility that you have got it again. I would suggest you to get repeat USG scan of abdomen done. And also after this treatment consult a dietitian for recurrent occurring renal stones. Thank you


Thanks for your question on Chat Doctor. As a rule, any left sided discomfort should be evaluated for cardiac cause. So get done1. ECG2. 2D Echo. To rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. You may have anxiety related symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it. You may need anxiolytic Chat Doctor.  So better to avoid stress and tension. Be relax and calm.


Hello, Strong chest pain that starts suddenly can be due to heart disease, and you will need to see urgently your doctor to rule this out. Your doctor will listen to your heart and lungs and will order an ECG, heart ultrasound and blood tests such as Troponin. If the doctor highly suspects a heart attack he may give you treatment before receiving the results of these tests. I hope this answers your query. I remain at your disposal for further medical assistance.


Hello, Thanks for consulting ChatDoctorRead your query as you have pain in jaw due to cold wind or cold weather this can be due to some reason like it can be associated with periodontal problem, wasting disease like Attrition, Abrasion, or it can be due to Trigeminal neuralgia. For this I will suggest you to consult oral surgeon for examination and evaluation. Inmeantime maintain proper oral hygiene. Hope this will help you.


Hi thanks for writing here. Depiwhite contains comic acid,vitamin C and antipollen. It is effective in treating post acne hyperpigmentation. Masque will increase penetration of the cream, you can use this, but initially do patch testing for 48 hours and then go for use since sometimes these may cause allergies. Apply only at nighttime, sunprotection is must, apply to whole face, mask can be removed in 30 minutes, you can apply cream overnight if there is no irritation. Take care.


Hi welcome to Chat Doctor. I understand your query and concern. Elevated pulmonary arterial blood pressure in your case needs good control. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart, CT Brain. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor.


Hello, With above medications, your period will be regularized and ovulation occurs properly. Ovarian cyst will be under control but can't be eliminated and PCs symptoms will be reduced. However, chance of pregnancy is quite low on taking KRIMSON-35 as it a weak contraceptive pill. It is better you will try to conceive after completion of the treatment course. In the meantime, you will take folic acid and vitamin supplements regularly. Key treatment of ovarian cyst


Hello, Welcome to Chat Doctor, Genital wart is caused by Human Papillomavirus (HPV), which affects only the skin, and it will be localized to the wart. I would suggest your sister to apply 5% McQuade cream over the wart on alternate days for 4 months. Before application of this cream you need to apply Vaseline over the wart, and then you have to apply the McQuade cream.Meanwhile to boost up the immunity she needs to take orally capsule Lincoln, daily for 30 days. Once the wart is cleared by topical application of cream she will become free from infection. Once the wart is cleared by the topical medicines she will become will be non-infectious. During the treatment she should adopt health lifestyle like avoiding unprotected sexual activity, multiple sexual partners and going to commercial sex workers. Thank you.


Dear patient The nature of injury you describe seems not grievous. But only thing that is bit of worry is blurring of vision. It would have been better if you had described the exact nature of blurring of vision. If that was just transient phenomenon then there is nothing much to worried about. But if the symptoms are ongoing then you need to consult a doctor. I don't think presence of past epilepsy has anything to do about of present set of complaints


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. Omeprazole is antacid and effective only in gastritis related chest pain. Gastritis related chest pain is not on both side. So I think you should stop Omeprazole. Apply warm water pad on affected areas of chest. Take painkiller and anti-inflammatory Chat Doctor.  Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Wear chest belt. You will mostly improve with all these in 5-7 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, dairy have gone through your question. I can understand your concern. You may have hemorrhoid (piles). You should take plenty of water and high fiber diet. Avoid constipation. Avoid spicy and oily food. Local anesthetic gel like lignin is helpful in pain relief.  Hot water bath is helpful. These all are conservative treatment.  If you have no relief from these then surgery is the last option.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Welcome to Chat Doctor. 1. The symptoms and history suggest the most possible cause could be - enlarges lymph nodes.2.This lymph nodal enlargement is seen in case of any inflammation / infection, can be localized or systemic cause. 3. Other possible cause could be lumped from the breast tissue or lactational changes with dilated ducts.4. For better evaluation I would suggest getting an ultrasound examination - ultrasound will exactly helps to evaluate the nature of the lesion, its source and extensions. 5. If necessary - an FNAC - fine needle aspiration cytology to evaluate the cells involved and can be treated accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http


U have not mentioned anything about your age. From history I can assume u as female. I would like to know whether u attained menopause. If so the calcium level may be less, and it can also cause the symptoms mentioned in your question. The chances of it being bone cancer are very rare. Anyway you get your bone scan done and c whether the bone mineral density is fine. Ur basic problem is fear. U have read something from net and is worried about that. For your satisfaction and to be confirmed THT u don't have bone cancer u can take a PET Scan


Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that she has developed delusion of persecution and some sort of psychiatric illness possibly schizophrenia. You should take her to psychiatrist for detailed evaluation and management. Doctor may advise you to take anti-psychotic agents like risperidone or olanzapine or piperidine. She may also do well with insight oriented psychotherapy. I hope it will help you. Thanks.


Hi, thank-you for providing the brief history of you. A thorough clinical knee assessment is advised followed by an MRI. As you have pain in the medial side of the knee, this could be related to two issues. One - medial collateral ligament injury, or Early OA knee. After an MRI will help understand the soft tissue structures within the knee joint. Also, physical therapy will help improve the knee strength and full functionality as well. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor.


Hi, There does not seem to be any connection for taking pill and then having this. It seems to me that you have a prolactin. This is a prolactin secreting tumor and thus accounts for your high prolactin level. The prolactin level then causes inhibition of the FSH in some cases. Thus, you need to meet a gynecologist who needs to operate and remove the tumor or at least give you some therapy for it. You might also have some symptoms like blurring of vision. I hope this helps you. Chat Doctor.


Hi, dairy have gone through your question. I can understand your concern. There are many causes of large RBC. B12 or folic acid deficiency is common cause. Alcoholism or liver disease may lead to large RBC. Go for complete liver function test. Many people have large RBC without any known causes. You should also check your sugar level. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health


Hi, First bipolar is disorder in which patient has episodes of mania and depression on different points of life. Treatment also needed change according to patient mood. Due to that it is advisable to have regular psychiatrist visit. For current assessment and treatment, you can visit psychiatrist in Delhi with treatment record, so that he can give you prescription for T-Meat-50 or its alternative. I hope this information has been both informative and helpful for you. Wish you Good Health.


Hello dear. Ulcer at the edge of tongue can be due to trauma, stress, food allergy, deficiency of It B12, Zinc, etc. Management consist of


Hello, and I hope I can help you today. The greatest likelihood in your situation is that you have gestational diabetes. The majority of the time during routine prenatal care for diabetes somewhere between 24 and 28 weeks. Ketones, a byproduct of sugar metabolism being present in your urine along with sugar backs up the diagnosis. If you're test for gestational diabetes was performed more than a month ago, or if you never had one, I suggest you share these results with your healthcare provider as they may want to repeat the test. Gestational diabetes can be controlled sometimes with diet, however many women require oral hypoglycemics or insulin to control their blood sugar. This risk is increased in women who are obese or who have a family history of diabetes. So needing additional help in reducing your blood sugar during pregnancy is common and is not the fault of an inability to properly follow a proper diet. So I suggest for the benefit of the health of your pregnancy that you make an appointment with your prenatal care provider and that you discuss your results with them, they may want to do more intensive screening for diabetes and depending upon the level of your blood sugar may prescribe medications. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,


Hi First I would like to make it clear to you that arthritis has nothing to do with Bone Density increase as such. Arthritis is an inflammation of the joint causing joint pain and limitation of movements. In early stage painkillers like Ibuprofen help, but they cannot be taken for long due to its side effects. For long term, if the pain prevents you from doing your daily activities it will be better to go for Hip Replacement.


HelloThanks for query. The problem of Erectile Dysfunction that you have is age related. As the age advances there is fall in serum testosterone by 1% for every year. This lowered serum testosterone is one of the factors is the cause of Ed. Other factors like senile atherosclerosis involving the blood vessels of penis leading to reduced blood flow to penis along with neuritis are important factors leading to ED. There are so may agencies and manufacturer marketing various Chat Doctor. But none of these have any scientific base for their claim. I would suggest you not to fall in such plays.Instead, consult qualified Urologist for scientific evaluation of your problem and further treatment. Taking Sildenafil or Calls on demand will help to resolve the issue.


Hello dear, I understand your concerns for your father. If he has suffered a paralytic stroke, he will improve in natural course of the illness with proper physiotherapy, nutrition and medicines(antiplatelet like aspirin, statins , nootropic Chat Doctor. This thoughts' thing probably has been told to you, just as to bring stress factor down, which ultimately may help somehow in the recovery of injured neurons by the unknown mechanisms, which are not precisely defined. Moreover, beyond offering some mind relaxing techniques, it may not be under your control, so the best thing to do is regular medicines and good physiotherapy. I hope it helped.


HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to fungal infection Tina corporal. If you send a picture then it will be more helpful in identifying. A visual examination with your GP or dermatologist will help to rule out this. If you were my patient with such condition then I would recommend using antifungal ointments like terminating or fluconazole for local application and fluconazole tablet weekly once for 1 month orally. Hope this may help you. Let me know if anything is not clear. Thanks.


Hi, you have to use the tablets prescribed by your doctor. As closer will cause induction of ovulation, and phaeton will maintain the luteal phase they are needed for conceiving and maintenance of pregnancy. You can follow the growth of your follicle by ultrasound examination. After using the tablets you plan that you and your husband stay together between 12th to 16th day of your cycle. By this the possibility of conception increases. Including with this you have to maintain your weight in normal range and should take good diet. Take care


Hello and welcome to Chat Doctor,vitamin B 12 deficiencies usually leads to anemia and symptoms associated with anemia like tiredness, lethargy, weakness etc. Neuronal disorders can also be associated with deficiency of vitamin B 12 deficiencies. The symptoms that you have mentioned- nervousness, light headdress can be due to deficiency of vitamin B 12. Thus, vitamin B 12 supplements are required to recover the vitamin B 12 deficiencies. Thanks and take care Chat Doctor.


Hi, Thanks for writing in. It is possible that your symptoms of severe pain in the head and neck regions are due to irritation of nerve roots in the cervical spine. This is known as radiculopathy. It happens due to nerve root irritation due to slight movements including when you are asleep. This causes pressure on nerves roots and pinching of the nerves. This is followed by sudden shooting pain from the neck to the head and can also be experienced behind the eyes. Please avoid use of pillows when sleeping and sleep on a hard mattress. Avoid making sudden head and neck movements. If you feel severe pain at night then apply a little ointment containing pain reliever and muscle relaxant. Please discuss treatment available for degenerative cervical disc disease with your doctor and if surgery might help. If you are not sure of getting surgery done then please continue injections and also make inquiries about new procedures like radio frequency ablation or laser assisted surgery for a better outcome. Please do not worry.


Hi, I went through your query. Gall bladder stones often cause pain along lower border of right ribs or at the right shoulder or back. Stones can also result in colicky pain and spasms s in your case. If the stone occludes the neck of gall bladder it can get swollen, and you may feel a lump. But a lump could be there for other serious causes too. But since your CT indicates no other problem it seems gall bladder stones are responsible for your symptoms. Hope this helps.


Hello ! I understand your concern. I think that it may be related to your inner ear. Furthermore, I would like to know more about your ear. Have you noticed noise in your ear, or loss of hearing into the sear? Have you measured your temperature lately ? I would recommend you go to the doctor and have to examine your ear and have a routine blood test. Dizziness, fatigue, headache and fever can be caused by an infection to your ear. It may be just stress, but I recommend you to rule out ear problems first. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes,


There are good remedies in Ayurveda for stone formation in kidney urethra etc.;the touch me not plant (Patanjali in Sanskrit language)whole part is a good remedy. Alkaline oriented foodstuff is helping out clear crystal stones.(tributes terrestrial (a plant in Ayurveda if used as decoction would relieve your immediate pain. If not available ...please consult an Indian Ayurveda Physician who will help you out.


HI welcome to Chat Doctor,1st of all i would like to know if you are under some specialist guidance or not? Taking any medicine has got a rationale. If your not ovulating you are supposed to take closed, if your ovum is not rupturing at a particular time u SHD take Chat Doctor(a follicular study is a God way to know if u require Chat Doctor or not). And if you are taking proverb to get your periods then take for 5 days without any gap n u oil get your periods within 3-5 days after stopping proverb(u must b taking proverb irregularly that's d reason your starting your periods in d middle of cycle!).  Start induction from 2nd day but under qualified medical supervision. Now, as u eV taken blood for long other causes of an ovulation should b sought for, n treated accordingly. So best of luck & take care.


Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. If PFT is normal than no need to worry much. Stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. First rule out bronchitis. Hope I have solved your query. Wish you good health. Thanks.


Hi, dairy have gone through your question. I can understand your concern. You may have either hemoptysis or hematemesis.  You need x-ray chest, ultrasound abdomen and endoscopy. It will give you idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, I would recommend a repeat urine routine examination and a pelvic and kidney, ureter, and bladder (PUB) scan to rule out any anatomical defect. Adequate HY Chat Doctor.  Give boiled and cooled water to the baby in warm-season about four to five ounces per day. You can always change the amount depending on the feeding of the baby. Hope I have answered your query. Let me know if I can assist you further.


Hello Maria. As a Urologist, I can fully understand your concern. An ultrasound scan can easily detect scarring of kidneys, due ti infections. A dialysis is advised only when, theres very poor kidney function. A kidney transplant is the other option. Kidney failure causes anemia, for which, blood transfusions(3), were given. It also causes nausea and omitting, as creatinine rises in blood. Block of kidney due to stone, is another cause for the omitting. Renavive isn't advised by Urologists, due lack of scientific study. Maintain low salt, low protein diet, no dairy products, and limited fluids. If you've any other doubts, send it as a direct question, to me. Chat Doctor.  Manga.


HelloWelcome to Chat Doctor Dear patients' son, as your mom is suffering from Potts spine, her low grade temperature is because of that only, though she has been taking AKT4 for last one month and generally fever stops with in one or two weeks after starting AKT4 but sometimes it may take 2 to 3 months for the temperature to subside, so you need not worry about that, her LFT report showing SGPT of 182 is a bit high and if it is more than 3 times the baseline SGPT value which is there in previous LFT then it may Warren to hold AKT 4, if previous LFT is not available, then you continue with AKT4 and get your LFT repeated after 1 week, if that shows SGPT of more than 540 i.e. more than 3 times the current value then AKT4 will need to be held till hepatitis subsided and then ATT can be reinstituted again, this will be done by the doctor who is treating her for POTTS spine. About her enlarged liver, it may be due to fatty liver which is common in diabetic patients, but may even be due to Chat Doctor. You consult you doctor who will access her LFT reports and will see if she is not developing


Hello! Thank you for your question on Chat Doctor! Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain. Another cause of repeated falling may be the HY Chat Doctor.  I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy. Hope to have been helpful! Greetings!


Hi thanks for the query.IUD's usually don't cause gas/ bloating. As you told you are taking coffee in the morning, that may be the cause of your problem. Having tea or coffee in morning with empty stomach increases acidity. In my opinion, there is no need of IUD removal for these symptoms and only avoiding tea/ coffee and spicy food and having cold milk along with some antacids will help you. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL


Hello MRI findings suggests mild cerebral cortical atrophy. Generally this is an age related finding, but this is earlier in your sons' case as he is only 17 years old. Cause of mild cerebral cortical atrophy should be investigated. It may be sequel of past infection, generalized ischemia etc. You should consult neurologist. Mucosal polyp is left maxillary sinus may be due to sequel of chronic sinusitis.Long-standing infection may lead to polyp formation. Surgical removal of polyp can be considered after evaluation. Take Care Chat Doctor.


Hi and thanks for question.I will suggest u that u have vascular dementia, in that case treatment will very few for memory loss. I will suggest u that u will start antidepressant which help u in mood elevation along with always keep diary with u and write down important thing in for daily activities so if u forget than u will remember from that. Second don't be so hopeless and helpless because its only due to your strokes. Thanks


Hi, Thank you for posting your query. Cognitive symptoms following traumatic brain injury (TBI) spontaneously improve over time. However, COQ 10 and omega 3 fatty acids may help (there is no hard data in literature though regarding their efficacy). Another medication that could help you is paracetamol. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Hey. See dear, Masturbation does not cause any physical injury or harm to the body and can be performed in moderation. Yes, you should not make it an addiction or habit. In my opinion Masturbation has nothing to do with your shrank and smaller left chest. If your left chest is abnormally small when compared to the right one, then get it examined by a local doctor near you.Also, if you are feeling little weak, then concentrate on your diet, Chat Doctor.  This will keep your body fit and well. Hope I have answered your question. If you have any questions, then I will be happy to answer them. Take care. Regards.


Is the antihypertensive medication a calcium channel blocker like amlodipine? Calcium channel blockers have a side effect of causing pedal edema. If you're using it please consult your physician and consultant will stop the Chat Doctor.  Caution to be kept in mind as it is not the only cause of swelling it could be due to hypertensive nephropathy or other diseases affecting kidneys which has to be evaluated.


Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  Your daughter aged 16 years, has slightly higher liver enzyme. Waiting for ultrasound. Suffering from stomach pain, today on right side, since 8 months, feeling tired. Many medicines used but Invar.  She has elevated liver enzymes, but in such cases we should give treatment to other possibilities also. She should be treated for gastric irritation, lactose intolerance, worms, constipation, urinary tract infection etc. I advise you to consult a gastroenterologist for diagnosis and treatment. Furthermore, she may need to have M.R.I. besides other routine tests for confirmation.  Wishing her a quick and complete recovery.  Best regards.


Hi, I understand your concern and would explain that your symptoms could be related to blood pressure fluctuations, blood glucose fluctuations or thyroid dysfunction. For this reason, I would recommend a close monitoring of your blood pressure values. Other tests to perform are


Hello, Thanks for posting your query. First the cause of toothache has to be ruled out. The causes can be- Deep dental caries. Periodontal infection. Traumatic injury. Pericoronitis. Depending on the cause, tooth has to be treated. Decayed tooth has to be restored. If decay has progressed, get it extracted. Get scaling done. Maintain good oral hygiene. Take antibiotics -analgesics as per dentists prescription.


Hello, Welcome to Chat Doctor, I am Chat Doctor Your semen analysis report indicates low sperm count (normal is > 15 millions / ml or 39 million total count as per WHO 2010).  Motility is within normal limit (as per WHO 2010, normal motility is > 50%).  Morphology is within normal limit (as per WHO 2010, normal morphology is > 04%).  So, you have only low sperm count.  It is not caused by taking diclofenac.  You should take some coenzyme Q and vitamin E group of Chat Doctor.  Otherwise, you need nothing.  Regards.


Hello, Welcome to Chat Doctor, As your mom underwent a surgery on her leg for the wound which was measuring around 6 inches long and 3 inches wide. You don't want to infect the wound. To prevent the wound infection I would suggest you to follow1. Keep the wound clean and Chat Doctor. 2. Injectable antibiotics like In Cipro, twice daily and In Metro, three times a day for at least three days to prevent infection of the wound and this is followed by shifting into oral antibiotics.3. Inj TT, if not taken in last five years.4. Tab Acetaminophen will help to reduce the pain and fever associated with the wound.5.


Hello, I will explain to you how a viral illness behaves so that you can be more confident please. Fever of few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4 to 7 days. So, do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further.


Thanks for putting your query up at Chat Doctor. I understand your concerns for your 4-year-old son. Many child Chat Doctor.  Cold depresses our immunity and in the meanwhile certain viruses that are always around, do the harm. It also has an allergic component wherein non-harmful agents like dust are treated by the body with apprehension and results in cough. The tonsils which are located at the back of the neck, often become enlarged and play an important role in cough and cold. The tonsils regress with age and I guess you would have to wait till then when the tendency to catch cold would automatically come down. There is an internal connection between the throat and ear and hence during cold we often feel a pain in the ears. But that is probably not a cause for concern. There is no medicine that can change the genetic makeup of a person. I insist that you try to make your child gurgle with lukewarm water and if required give him some antiallergics after consulting your doctor. I hope that answers your query. Feel free to revert in case of further queries.


Hi, Thanks for your query. Based upon your description, I suspect that you might have injured the ligaments around the ankle joint. An initial X-ray of the ankle joint is necessary to rule out any bony injury. If X-rays are negative for any fracture, then MRI scan is needed to know the status of the ligaments around the ankle joint. I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Thanks for using Chat Doctor. Read your query. Based on what you have mentioned, looks like it is an infection from a tooth. It is an access caused which can be either from any of your lower tooth or from your gums(periodontal access). I advise you to visit your local dentist and get a check-up done and do what is necessary treatment. For the pain u can take paracetamol or ibuprofen (if you're not allergic to medicine). Do saline gargles. Visit a dentist and get treated. Hope this was useful for u. Thanks and warm regards.


Hello dairy understand your concerned you have problem in ovarian follicle maturation and rupture then pregnancy is not occurred without CCQ tablet.CCQ will help in maturation and rupture of follicle by increasing FSH & LH hormones. I would suggest consulting gynecologist and undergo USG scan and ovarian follicle study to know status of ovulatory function. You can take progesterone pill after ovulation to support implantation and early pregnancy. You can also start ova care, it helps in becoming pregnant. Use CCQ in next cycle for increase chance of pregnancy. Avoid stress, take healthy diet, Chat Doctor.


Hello! Thank you for asking on Chat Doctor! The episode you describe seems to be related to a transient ischemic attack or to an epileptic seizure. What were her blood pressure values? I recommend bringing her to the ER for a careful physical examination, and some tests


Hello dear Understand your concerned should consult skin specialist nearby you. Wart is caused by human papilloma mistreatment are below


Hi, Thanks for writing in. Elevated liver enzymes has many causes. It can occur in infections of the liver and intestines. It can also be seen in those who have regular alcohol intake. Taking painkillers for long duration also causes elevated liver enzymes. Treatment medications for some chronic diseases also causes increased liver enzymes. Your test report needs to be discussed with your clinical problems as 1% to 9% of people without symptoms have elevated liver enzymes. You may need evaluation for hepatitis, cirrhosis, or fatty liver disease among other conditions.


Hello, I have studied your case and your report. Yes you can do disc replacement surgery hematoma will not affect prognosis. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Coffee and other caffeine-containing beverages, like tea or energy Chat Doctor.  My opinion is that the panic you went through, only made things worse or \"put petrol to fire\", because it is well-known that also fear, anxiety, panic attack or any other psychologically enhanced situation can increase the heart rate and, subsequently, produce shortness of breath, more fear, dizziness etc. Therefore, I would recommend you to avoid large amounts of caffeine and try to have a normal 6-7-hour sleep cycle, mostly from 11 pm to 6 am. Also, be physically active and recognize this as a very healthy behavior, for at least 60 minutes a day. My opinion is that these are all the measures that should be undertaken, and no further action, at the moment. If you find this episode worrisome, and it is repeated with no known cause (because you recognize that this one is because of the caffeine), then an EKG would be in order, and, if judged appropriate by your attending doctor, further evaluation. I hope I was helpful. Take care.


HelloThanks for query. You are being treated for kidney infection and passing white substances in urine since very recently. The white particles that you are passing are clumps (Muck)of disqquamated epithelial lining of mucus membrane of urinary system more from the bladder mucosa which signify chronic infection (Chronic UTI). You need to do urine culture to find out organisms causing this infection and take appropriate antibiotic as per culture report. Ensure to Chat Doctor.


Hello, I have studied your case. It can be rotator cuff injury which may need MRI for confirmation. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. You may need to take rest for early healing. Also check your it B12 and it D3 in your blood. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take disregards Chat Doctor.


Hi welcome to Chat Doctor forum.  Thanks for writing to Chat Doctor. F.  As you describe you had viral hepatitis, followed by weakness and dizziness. 2 years back you had vertigo and treated with vermin 8 mg. Twice daily. You are feeling depressed, and tense.  After Infection and treatment for infectivehepatitis there will be weakness due to gastric irritation, if you get treated for that you will be fine so I advise you to consult a gastroenterologist for diagnosis and treatment.  The reason of vertigo could be of central origin as before, so you can use vermin as well till you get relief of the symptoms.  Wishing for a quick recovery, Best regards.


Chat Doctor.  India, Mob - 9902596161, khals2000@yahoo.co.in In women, LH and FSH levels can help to differentiate between primary ovarian failure (failure of the ovaries themselves or lack of ovarian development) and secondary ovarian failure (failure of the ovaries due to disorders of either the pituitary or the hypothalamus). Increased levels of LH and FSH are seen in primary ovarian failure. Low levels of LH and FSH are seen in secondary ovarian failure and indicate a problem with the pituitary or hypothalamus. Consult an


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


HelloHowever, there may be many reasons of INFERTILITY in male and female. In male azoopermia (oligospermia) is one of the most common reason and I have seen that this problem is a hereditary problem, but it is not scientifically proven. This may be the reason of delayed conception for your mother-in-law. Same reason may be in your case also, but before any judgement your husband must be examined for SEMEN analysis. You should get an ultrasound of Fallopian tube, uterus and also hormonal test for yourself. Get in complete fertility test and thereafter deal accordingly. Hope you will get good result.


Hi. Thanks for your query. Pain on the left side of the abdomen just 2 inches left of belly button lasting 30 seconds, not affected by eating, but have reflux and burping with pain, Chat Doctor.  I would advise you to undergo Upper GI endoscopy and ultrasonography. Once the diagnosis is made go for the proper treatment of PPI, Antacid, soft bland diet. For 3 months and you may be fine. If no relief, CT scan and Diagnostic laparoscopy may be required.


Hi Welcome to Chat Doctor. The backache in your case needs to be further evaluated since it does not resolve to standard analgesics. I advise you to get an MRI scan of your lumbar spine to evaluate any possible disc pathology like chronic disc prolapse/degeneration. This can help us to offer better and an early medical or required surgical management.IBS needs to managed with Chat Doctor. Rash behind the ear can be managed through topical antibacterial/antifungal creams, since it does not cause any systemic upset and ear discharge. Consult your doctor in regard to above. Thank you.


Hi dear. I understand your concern. She has anxiety based on situation.  Need proper explanation and support psychologically. Support her. Medicines like Escitalopram or paroxetine in low dose can be useful. But before that consult psychiatrist for evaluation of her mental status. So consult and get help. Ensure proper sleep and diet. Support her. Still have a query then feel free to ask. Happy to help you. Thank you.


Degree understand your concerns went through your details. I suggest you not to worry much. You had a panic feeling during your exercise session. Instead of ignoring and going forward with daily routines, you started thinking too much about it. Yes. Everybody has health concerns. You also had. But your health concerns were actually increasing day by day. Not reducing when some clarifications were given. When doctor said nothing to worry, you had more doubts. Then you started thinking negatively and increased your apprehension and thereby anxiety. Now you are clear that you have no physical ailments. Now accept the fact and exercise, laugh at you, ignore the anxiety symptoms and learn to relax. Psychotherapy shall provide good results. 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.


Hello, Welcome to the magical world of health care, I went through your query, and these are symptoms of problem with his brain, and the tests will only be significant when taken during the test. See a good neurologist. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks


Hello ! Pulmonary Fibrosis is a broad term. It can indicate a healed scar in the lung (most commonly due to treated TB in India) or it can indicate what is medically termed Interstitial Lung Disease (OLD) . In the former (post infective fibrosis) it is not a progressive disease. The latter (OLD) encompasses about 200 different causes of fibrosis and it most cases it can be progressive.  So the first thing that you should be asking your Consultant is what variety of fibrosis your parent has got and what is the exact diagnosis.  Coz the treatment for various OLD is different.  If there is any identifiable environmental or work related factor that has initiated the fibrosis then further avoidance of the factor is of utmost importance.  For few varieties of OLD steroid works while in few it doesn't.  So ask for the exact diagnosis, its extent of involvement in the lungs (whether localized or extensive, one lung or both the lungs), Ask for what all investigations need to be done to find out what OLD your parent has got, discuss the current status, treatment options and prognosis.  Ask for any lifestyle change that you need to incorporate.  Some IDs can be a manifestation of systemic disease so discuss whether it's the case in your parent, in which case the involvement of other organs also need to be investigated for in detail and treated.


HelloThanks for the query to Chat Doctor. Forum. Please note down the indication for which PROTOCOL i.e. ursodeoxycholic acid is prescribed.1 Dissolution of cholesterol-rich gallstones .2 primary biliary cirrhosis .3 Prophylaxis of gallstones in patients undergoing rapid weight loss. In my opinion it will not resolve fatty liver. Get in M R I of liver and consult gastroenterologist and find out the exact reason of fatty liver and then proceed. Good luck.


Thanks for the query. I think you don't need any surgery. MRI said mild narrowing of the lateral recess which may cause leg pain however it usually gets better with medicine and physiotherapy. Low back pain is generating from the bad disc. It usually gets better over a period such as few weeks (4-6 weeks). You are not a candidate for discectomy surgery. If she does not get better in next few months (unlikely) then we may have to consider doing total discectomy followed by spinal fusion or disc replacement. At present I would suggest trying medicine such as anti-inflammatory and muscle relaxants with fusion modalities like IT which will definitely improve her pain.


Hi, Thanks for the query. Most of your symptoms are non-specific and can be seen in many conditions like premenstrual phase, infections etc. So you better wait till your expected date of periods and if you miss the date, then go for pregnancy test. If possible you can prefer blood test for pregnancy which will give more accurate results compared with urine test. If test comes negative, you better consult gynecologist and take treatment to regularize your cycles and for ovulation induction, which can possibly help in getting pregnancy. Take care.


Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice.* This level of jaundice takes around 10-12 weeks of period for total recovery provided taken care properly.* Dietary restrictions are must for initial 6-8 weeks, then some relaxations are provided by the treating physician according to the clinical progress.* Sexual relationship has no issue with causing infection at all. 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 situation and problem. Yes, your dystonia can cause breathing difficulty. Breathing consists inspiration and expiration. Both these are done by muscles. Inspiratory muscles expand the rib cage and allows lungs to take air in. In expiration lung recoil and expiratory muscles allow air to breath out from the lungs. So in both these activities, muscles play very important role. Since you are suffering from dystonia, possibility of involvement of muscles of respiration is high. So dystonia is seeming to be the cause for your breathing difficulty. Consult your doctor and discuss all these and start appropriate treatment.


HI, thanks for using Chat Doctor There are some persons who have bleeding issues in response to demo proverb. These issues can last till weeks or months after the shot has been discontinued. There are medications that your doctor can give you to help decrease the bleeding e.g. primal. Your doctor may also suggest imaging of uterus to see if there are any other causes of prolonged bleeding such as fibroid or endometriosis. I hope this helps


Thanks for contacting ChatDoctorI am sorry to hear that you are concerned about white lumps that you have found on your penis and foreskin. This white bums are probable sebaceous cysts. These are completely benign and do not need to be treated. You do not need to be worried, and I can reassure you that these are very normal finding. Hope this answers your question. Please contact us again with your health care concerns and questions


Hello, Welcome to Chat Doctor, As you got hurt and injured your foot because of something which stuck in your shoe and lead to your symptoms. As there was a bleeding following the injury it may be a sharp object which has damaged your foot. I would suggest you to follow1. Clean the wound with the antiseptics2. Take TT injection if you have not taken in last 5 years.3. Keep it Chat Doctor.  You may require a course of antibiotics. Thank you.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you are suffering from viral infection and seems to be most probably influenza or flu and the symptoms of cold, cough, runny nose, body aches, fever seems to be due to it. As the viral infection resolve once the virus completes its cycle and as of now you can start taking supportive treatment to relieve symptoms like take Acetaminophen to relieve fever. Take Ibuprofen to reduce pains and aches. Take decongestants like Phenylephrine, Multics like Aerosol and anti allergic like Levocetrizine. You can do warm saline gargles, steam inhalations and use a humidifier in your room. You can do saline nasal irrigation and decongestant nasal sprays like Xylometzoline. Avoid spicy and chilled foods and sip on plenty of warm water. Take sufficient rest. Hope this information helps. Thanks and regards. Chat Doctor. .


Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. It looks like there is no infection in the wound. But there is definitely a puncture in the wound contacting it with the abdomen. Because of this puncture respiratory problem is arising. I advise you to visit the nearby clinic. They diagnose the puncture and seal the puncture so that you can take the breath easily. Glad to answer your further concern. You can contact me on bit.ly/ Chat Doctor. We wish you the best health at Chat Doctor. Thank you, ChatDoctor