Hello, Welcome to this forum. A pelvic pain is not uncommon in late trimester when your fetal head enters into your pelvis. It compresses the pelvic structures towards periphery, which could cause such a pain. Along with, are there any possibilities of constipation or urine infection inside you, which could cause this sort of pain? However, just start to taking sat bath twice a day. This could be done by sitting inside a bucket full of warm water up to your umbilicus. Next, rule out whether you have any constipation or urine infection. As this is mostly physiological, your doctor will unlikely induce you at 37 weeks for this. You can try Advil 650 mg which is an OTC Chat Doctor. However, please contact your OBI consultant if you feel any form of intense pelvic pain, tightening of abdomen along with discharge per vagina ; which signifies the onset of labor Sincerely,


Hi, thanks for writing to Chat Doctor. It is not recommended or advisable to get exposed to radiation (in any form) during the first trimester of pregnancy (during first 3 months). This is because \"Organogenesis\" (formation of body parts) occurs in the fetus during the first 3 months. If you are exposed to radiation during this period, there is likely possibility that the fetus may develop congenital abnormalities. There is no purity or guarantee that a lumbar epidural steroid will provide you relief throughout your term of pregnancy. Hope this information is helpful. Good day


Hi I did review your concernHypokalemia can be due to multiple reasons ranging from kidney problems to GI problems. Most important is to rule out whether you have concomitant hypertension with it or not to rule out any a Chat Doctor. Your creatinine is slightly high and creatinine clearance and EFR are low indicating that your kidney is not excreting metabolites properly. I believe what now needs to be done is and arterial blood gas analysis and detailed study of your urine in terms of 24 hr potassium in urinalysis and blood urea nitrogen. I hope this helped me know if you have any more questions or concerns. Wish you all the best.


Hind, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply Costco cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for your pigmentation and the treatment required can only be suggested after proper skin examination. Certain treatments like chemical peeling and microdermabrasion can help you a lot. Argipeel can give you results in un Chat Doctor.  Take care.


Hello, No usually if they do colonoscopy why will the prostate get inflamed? There is no connection also. If there is any fistula or sinus they would have found out in colonoscopy. Maybe they might have introduced infection which might have caused you the generalized infection and also prostate which is confusing to you. Whatever the etiology by taking antibiotics it will get subsided. Next time before colonoscopy takes prophylactic antibiotics if you are so concerned about it.  Hope I have answered your query. Let me know if I can assist you further.


I'm a little surprised you didn't say that you called 911 if you are sure he became unconscious which is usually not hard to tell. It is certainly possible for someone to choke on something without making a noise, but usually a witness can describe other things happening such as a sudden flushing in the face and the person themselves usually becomes desperate and may even thrash about trying to dislodge whatever they are choking on. I think you need to get your husband evaluated as he may have had something else happen that caused that entire event.


Hello, Welcome to Chat Doctor, Wart which is painless and itching are the classical of Wart which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). For fungal infection you can use topical clotrimazole cream over the lesion. If it is not improving you need to undergo lab investigations like KOH mount. Thank you


Hallow Dear, I pill contains Progestational medicine. After taking these pills, some amount of spotting to bleeding is common to occur (break through bleeding); even sometimes the regular expected period also may get delayed up to one week or so. After such delayed period, usually trail bleeding is not known commonly. However, your period has appeared rather earlier than the expected period. It is likely that this was not a regular period but was an extension of break through bleeding. Now this bleeding you have got may be your regular periods. Alternatively, this is some trail bleeding after your regular period. Very rarely it may happen so. Such bleeding would stop within few days. If it does not, you may take some Progestational pill like Devilry till the bleeding stops; 4-7 days after discontinuing these pills, you will again get some bleeding for few days (mostly you won't require this). If the bleeding is minimal, you may ignore it. Such irregularity is not reported occurring in subsequent months. I hope this helps you.


Hello, Thank you for your question. Infertility is defined as the inability of a couple to become pregnant after one year of unprotected intercourse in women under 35 years of age and after six months in women 35 or older. The ability of a couple to become pregnant depends on normal fertility in both the male and female partners. Because pregnancy requires normal fertility in both the male and female, health care providers routinely involve both partners in the evaluation.A woman can have trouble getting pregnant for different reasons. Include


HiT hank you for asking ChatDoctorI have gone through your query. If you got an itchy rash from your boyfriend then it is most likely a fungal infection like Tania corporal. The shot he got could be antihistamine which even can give to allergic rash. For itch with fungal infection I treat with ointments of clotrimazole or powder or soap of ketoconazole for local application. I also advise fluconazole tab for oral intake weekly once for 1 month to stop recurrence.Anyhow, it is better to confirm it with a dermatologist. Hope this may help you. Let me know if you have any further query.


Hi, Your frequent headache and numbness of the arms can be due to abnormal posture. Try to be careful about your posture especially while working on the computer and sleeping. Use a small pillow while sleeping. For improving your appetite go for a walk, take in a lot of fluids and a lot of roughage in diet - green leafy vegetables and fruits. Try to avoid tea, coffee, spicy and oily food. Make sure you take your medicine related to thyroid regularly because uncontrolled thyroid levels can also lead to navigability and swelling. If possible get some investigations done like repeat thyroid function tests, complete blood count, vitamin B12 levels, and X-ray cervical spine (neck). This will help in proper diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further.


Tithe blister like feeling that you can sense through your tone might be the parotid papilla. The parotid gland (the gland around your ear opens into the oral cavity on the inner surface of the cheek, usually opposite the maxillary second molar tooth) and its duct are associated with the main nerve of your face (the facial nerve) . Any swelling /stone /enlargement /abnormality in the gland/salivary duct associated, can lead to unnecessary stimulation of the nerve and lead to the pain that you have mentioned usually in the area around the ear. Please visit an oral physician to rule out the above and note the precise time of pain and any stimulant associated (like immediately after meals, the swelling might subside), oral Chat Doctor.  Hope this could be of some help. Take care,


Dear Tracie thank you for the question. Let me start by saying how sorry I am that you have to suffer like this. To answer your question Yes it is quite possible that these sudden spasms and cramps you are having is due to Chronic Lyme disease or Post Treatment Lyme disease syn Chat Doctor. However, I would be remiss if I did not tell you the following.1) Get an electrolyte panel done


Hi, Sorry but your history is not clear. Let me tell you the basis of ovulation & periods. Normally periods are 28 days +/- 7 days, bleeding of up to 7 days is normal. To know the exact date of ovulation, Subtract 14 days from Average length of cycle, e.g.- if periods every32 days, 32-14= Day 18 is day of Ovulation. If your cycle is regular, don't worry about any other hormones. Because if you have abnormal levels of Thyroid or Prolactin hormones, you will not ovulate, hence your periods will be prolonged or irregular. Repeat Prolactin (early morning around 6-7 am, empty stomach). Do consult infertility specialist if level is too high (up to 30\u00a0ng/ml or mcg/Lt is normal). Prolactin can rise for varied situations e.g. - lack of sleep, anxiety, after sex, anxiety even seeing the syringe ! If your cycle is regular rule out other causes for infertility like Husband - Semen parameterize- Tubal patency- SG (X-ray with dye) or SSG (Scan with dye) or laparoscopy. All the best Chat Doctor.


Hi, It may be allergic urticaria and allergic rhinitis. Consult the dermatologist for the perfect diagnosis and proper treatment.  I would recommend you to take antihistamines like bepotastine under supervision of your doctor. Avoid contact with suspected allergens and also avoid dietary stuff which may precipitate the disease. Hope I have answered your query. Let me know if I can assist you further.


Dear Ma'am, Sorry to hear about your complaints, but I am glad that you are seeking medical advice for the same. The symptoms you are describing are typical of fibroadenomas, which is associated with pain in the breasts which increases before menses and subsides after the periods, only to recur again after z few days. It is also associated with multiple small lumps/ cysts in the breast. Majority of the times this condition is not associated with any risk of malignancy. You just need to follow up regularly with your surgeon and get regular (yearly) USGS done. For the pain the doctor can start you on It E (Evian) capsules and oil of evening primrose capsules. These help in reducing the pain. Other measure you should take are --reduce caffeine intake-wear a comfortable breast support (like a sports bra) Usually this condition subsides with time as it occurs due to hormonal imbalance. Hope you get well soon. Rohan KhandelwalBreast Surgeon


Hello Welcome to ChatDoctorYou didn't mention age of your child. It's really important to consult your dentist because if child is 10-13, teeth are in erupting stage & trauma at that time may lead to developmental anomaly in eruption. One thing is very clear that your child has got a soft tissue injury & has lost some bone covering. So It's necessary to consult dentist for getting stitches if required. Along with that antibiotic & analgesics are required. Also do take care of his oral hygiene. Take Disregards Chat Doctor.


Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern.First you have to be sure that are you really suffering from Typhoid or not. Widal test that must have been done is not sensitive. So, tell me since when are you having fever and of what grade. As far as your query is concerned, you can take Iran with Mathis is my best opinion for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD


Hello, It is not uncommon to need a bite adjustment after a restoration such as only, crown or filling. Usually the new restoration is causing an interference. This often occurs on a movement from side to side called excursive movement. Please make sure this is checked and adjusted. From your description, this may involve other teeth than the tooth recently restored and still require further adjustment. Currently, you should stick to a soft diet. Give your mouth a chance to adjust. Take some Tylenol or Motrin, if necessary. Long dental procedures with local anesthesia can cause stress on the jaw. Do you grind your teeth? If so, do you wear a night guard? You could consider purchasing a soft night guard to reduce pressure on your teeth. These are available we are dental supplies are sold such as your pharmacy. This may offer you some temporary relief. If your discomfort does not begin to decrease with time, please consider having another clinical exam with a second opinion. This will determine if the restoration was done properly. If you have no contact with the tooth and your bite continues to feel off, the only may need to be redone. Do you have any other dental treatment planned that may affect your bite? This may be a factor concerning the current restoration as well. Thank you very much for your inquiry. I hope my suggestions are helpful and that you feel better soon.


Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? Is swelling on both sides of neck or not?  In my opinion it is better to diagnose it by examining rather than illustrating, anyway, based upon your history, if these are red pimples with a pus then it is a myogenic infection mean it may be due to staph, plus strep can also cause it , BUT, it can be a viral infection with super added bacterial one too.  As far as vibration is concerned i don't think its indication here in this scenario. If you're having associated URINARY TRACT INFECTION then it can be justified.if you don't get any improvement then consult your doctor again meanwhile stay calm and use acetaminophen to relieve pain get well soon Hope your query is adequately ad Chat Doctor.


HI. Paracetamol alone will not help for pain in abdomen. Since you have pain in the lower abdomen which increases on pressure, and now you have a bad stomach too; I would suggest you to consult a Doctor to get examined, investigated and get a prescription of a proper antibiotic, probiotic and supportive medicines. Get a course for 5 days. If you do not get a complete relief you may need further investigations like ultrasonography.


Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows


Hi,1. Seizures are often precipitated on stopping antiepileptics. So the answer is yes2. Long list of side effects like liver, bone,blood problems, skin rash, gum swelling. But dangers of the disease eclipse the side effects. And blood levels should be measured so that she does not get excess Chat Doctor. 3. Calcification is unlikely to disappear.4. If seizures are effectively controlled, and she has regular checkups future will not be a problem. But she will have to be careful in pregnancy and take extra folate. And she will not be able to


Thanks for your question on Chat Doctor. She is mostly having inflammatory swelling due to blunt abdominal trauma. Blunt abdominal trauma causes 1. Damage to Internal organs like intestine, stomach etc. 2. Injury to abdominal muscles. 3. Injury to skin, subcutaneous tissue and fat. She is mostly having muscular and subcutaneous tissue damage which is causing inflammatory reaction and appearance of swelling. But better to rule out internal organ damage. So get done ultrasound examination of abdomen first. If this is normal then no need to worry about this swelling. It will gradually resolve by its own in 1 month.


Hello As you mentioned that your nephew treated for ulcerative parotitis with SILVER NITRATE, you are right, and I do agree with you that he was treated and cured. But do to any reason the papers were not published and that's why not over internet. However, logic is there ulcer very easily respond to silver nitrate. 2nd point is that ulcerative parotitis causes due to acquisition of HSV, N.gonorrhea or C.trachomas. Sometimes it is due to sexual contact. Sometimes Guardian Zambia is also causative organism. So in your nephew the causative organism may different type, while in your case may be different type. You can use silver nitrate because it is the best wound healer. Hope this information will be useful for you.


Hi Thereafter going through your query I understand your concern. I would like to tell you that the upper limit for BP is 140/90. But your symptoms are more suggestive of anxiety disorder and anxiety causes temporary spikes in blood pressure. In this situation anxiety should be treated, and high blood pressure will be treated itself. This requires a treatment done with anxiolytic.It's recommended for you to consult a Psychiatrist for further management. Hope this will helping Regards


Hello, I suggest your daughter see a doctor and do some routine blood tests, an ECG, a cardiac sonography, a chest x-ray, a24h ECG Holder monitoring and to control the blood pressure sometimes a day for a few days. These are to give the doctor basic information about the patient health conditions and to conclude if there is a health problem and to give the right treatment if there is one. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Your mother is suffering from radiation induced gastric ulcers which are a common occurrence after radiation. The same get aggravated by stress and lead to regurgitation and throat pain. She needs to take Tab. Pantoprazole 20\u00a0mg twice daily and Spy. Machine gel 2 teaspoonful thrice daily. That should relieve her symptoms. At the same time, some useful precautions include avoiding spicy food, coffee, tea, mint, chocolate. Eating food 2 hours before going to bed and elevating the head end of the bed will help further. If her anxiety is excessive and persistent, it would be advisable to add an antianxiety Chat Doctor.  Alpha 0.5\u00a0mg at bedtime).


Dear patient low back pain for last 6-month falls under chronic backache, and common reason are 1. Muscular 2. Instability 3.lumbar spondylosis. If pain occurs only on sitting and activity which reduces on rest possibility is of muscular pain. If pain also occurs at night chances of spondylosis is increase. You need to do X-ray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Please get it done from radiology center nearby you. Meanwhile, start tab moral 4 mg nice a day with diclofenac sodium 50 mg twice a day for pain relief. Hot water fomentation with water bag helps in reducing pain. If X-ray is abnormal please consult orthopedic surgeon nearby you. All the best.


Hello Yes you can take glucosamine, it c and it D with CALCIUM. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to do MRI. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related chest pain is more likely. No need to worry about heart diseases as your ECG was normal. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


As you are a doctor we would discuss likewise.  Mostly you have essential hypertension.  When you say LVH on echo, it means the BP was on higher side to cause LVH, as you say telmisartan and clear are good Chat Doctor.  Now on the important issue of beta blocker, you tend to get bradycardia with ten 50\u00a0mg in a day, as you are on so many years on beta blocker, and we want to medically manage HD, we should optimize the dose.  Do try replacement of atenolol with Weibull, which has intrinsic sympathomimetic activity, so bradycardia is less than compared to ten. Take blood pressure at different times of the day, and dose the antihypertensive accordingly to minimize peaks and troughs. Lastly get you TSH and free t3/ free t4 next time to see whether we are over treating or undertaking hypothyroidism


Hello dear, Thanks for writing at ChatDoctorAs your son is only 12 year old. And last year he went for surgery and now in present if he has very much difficulty in breathing due to internal structure of nose the medication alone will not help. If there is a severe block then it could pressure on his other veins damaging it. So it is better to go to a specialized, who could diagnose the actual problem and suggest you betterHowever if your child goes after the doctor say for surgery then make sure it is done from specialize person in that field. But you don't need to worry, these surgeries do not have mucChatDoctorplications and now days done successfully without any complication but a proper study of that individual case or condition is neededThanks Chat Doctor. IqbalPsychologist & Psychiatrist


Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your cervical spine MRI report indicates just chronic degeneration of the cervical spine, without any clinical significance. There is no description of brain MRI. Coming to this point I would recommend consulting with an ENT specialist for a physical check up and labyrinthine tests to exclude an inner ear disorder. Taking Meclizine or Dimethyl Chat Doctor.  Hope you will find this answer helpful! Best wishes,


Hello dear, I understand your concern. In my opinion there is no chance of pregnancy in your case. Usually there is scope for pregnancy when the semen is ejaculated inside or around the vagina during the fertile period. Roughly a week before and after the periods and period days come under safe period which means there is no chance of pregnancy even with unprotected sex. This is applicable only in case of regular cycles as the period can be predicted. So there is no chance of pregnancy in your case as it was done during the period. So relax. Avoid stress. Best regards...


Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having strong family history of heart diseases, better to first rule out cardiac cause for your chest pain. So get done blood pressure monitoring, ECG and 2d echo. If all are normal than no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar kind of pain. So if you are having stress and tension than avoid them, be relaxed and calm. Don't worry, you will be alright. But first rule out heart related diseases. Hope I have solved your query. Wish you good health. Thanks.


Hello there, I am Chat Doctor. Arius is an anti-allergy medicine. It helps control your allergic reaction and its symptoms. I think your cough is not related to any infection. It is probably because of allergy. Treatment of allergy is only avoidance of allergen. So now you need to find what is/are the allergen. By your observation or you can go for allergy testing. Second thing you may have inflammatory bronchitis which leads to


Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Fever of such duration should further be evaluated. In older age, urine infection is a possibility. Get following


Thanks for your question on Chat Doctor. I can understand your concern. Central chest pain after eating is commonly seen with gastritis. So follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals.3. Take pantoprazole tablet on empty stomach twice daily.4. Lose weight. Quit smoking and alcohol if you have these habits.5. Go for walking after meals.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Kidney or Renal cysts are round fluid-filled pouches that form in kidneys which sometimes may be associated with serious disorders that may prejudice the normal functioning of the kidneys.  But given that your USG report mentions it to be a simple cortical cyst, you don't have to Chat Doctor.  You are at peril of acquiring them as you get older, and I would want you to be wary of symptoms like fever or severe pain on your lower back or sides as the cyst might get infected because of urine


Thank you for your contact to Chat Doctor. It seems she had minor nosebleed that has stopped, it may require no treatment at all. She formed a clot at the site of the bleeding that stopped any further bleeding.  If the bleeding repeats, a doctor may cauterize it (seal the blood vessel) with a chemical called silver nitrate. Cauterization is most effective when the bleeding is coming from the very front part of the nose. In more complicated cases, a nasal packing may be required to stop the bleeding. The idea behind this is to put pressure from inside the nostril to halt the bleeding. Many types of packing are available, ranging from petroleum (Vaseline) gauze to balloon packs to synthetic sponge packs that expand when moistened.  I suggest --don't remove cloth, apply pile or tomophobe on the nose, rubber gently 2 times a day for 5 days


Hello and welcome to ChatDoctorIn most cases cause is benign and should not worry you. If this I soft and not painful then this in most cases indicates swollen lymph node, lipoma or atheroma. And if this is hard and immobile swelling behind the ear would be a bony swelling, most commonly known as Osceola. These swellings are generally asymptomatic and requires no treatment. However, if it increases in size, or you develop pain then I would like you to meet an ENT doctor for further evaluation and treatment. The other swelling in the neck is likely to be a lymph node and since it has not increased in size for past few years then you have nothing to worry. No treatment is required. Wish you good health. Regards


Hi, I have gone through your query. Cracks on penis is usually suggestive of fungal infection(Picture of the lesion is necessary for actual diagnosis). These can be painful and spread if ignored. He was using ointment for healing cuts. These ointments contain antibacterial, so there is no response. I advise him to use ointment containing antifungal like clotrimazole, maintain proper hygiene of the area and keep the cracks Chat Doctor.  Ibuprofen can be taken to reduce pain. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. You can contact me on my page http


Degree understand your concerns went through your details. Your current problem is due to anxiety related to ill-information or wrong knowledge. I assure you masturbation is safe and not unhealthy. But anxiety related to masturbation can provide you with mental stress and could give you performance anxiety. You can marry, and you will not have any erection problems. You should consult a psychologist for sexology related counseling. If you require more of my help in this aspect, please use this URL. http


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint sudden itching or irritation of tongue followed by lips seems to be most probably due to allergic reaction, and it seems that you are continuously exposed to some unknown allergen leading to itching or irritation of tongue and lips. It can be due to things like any food or medicine, any lip cosmetic, or any environmental allergen. I would suggest you to consult an Allergist and get evaluated and a thorough clinical evaluation and allergic tests like LAST test, Patch test, food challenge test can help in diagnosis and treatment can be done accordingly. On CE the allergen is diagnosed try TP prevent exposure to allergen to prevent the symptoms. You can take anti allergic like Levocetrizine or Ben Chat Doctor. . In case if there are recurring symptoms an Immunotherapy can be instilled to reduce the severity and frequency f allergic attack. Hope this information helps. Thanks and regards.


Hi, thank you for providing the brief history of you. As per your history it looks like a pinched nerve symptom. Undergoing a thorough clinical examination and if required an MRI should help understand the matter more, as due to pinched nerve in the lumbar region abnormal sensation is found. In my clinical experience most patients with such symptoms respond well to physical therapy. RegardsJay In Chat Doctor.


Hello dear,First don't worry and be relaxed. I have gone through your query thoroughly. I will provide you with my best possible advice. Your doctor gave you the right advice and medicine. Brain(azithromycin) is a Caroline antibiotic whereas clindamycin is a Glucosamine antibiotic. Both are from different antibiotic group. So no need to worry, have faith in your doctor, follow his/her medication and instructions as prescribed. Hope I answered your query there is any more query or question regarding this in your mind, you are welcome to ask me any time. Take Care of YourselfRegards


Hello need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, ultrasound and color Doppler of scrotum, urine RE/ME. Your symptoms may be due to many causes like epididymo-orchitis etc. Ultrasound of scrotum is important due to swollen feeling of testis associated with redness. It can assess many conditions in testis. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.


Hi I did review your symptoms. I would recommend you to get your rash and abdomen evaluated.Also, if lymph nodes are enlarged I would recommend a biopsy study of them since you have had weight loss. Later on a bone marrow biopsy me be required. Such a constellation can be seen in hepatitis C infection or other autoimmune conditions and so serum studies for these like Anti HCV and ANA tests are required. I hope this helps. Wish you all the best. Thank you for choosing Chat Doctor.


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor and I will try to help you as much as I can. Liver transplantation is extensive surgical procedure and electrolyte imbalance is common complication. Liver is organ that excretes hormones and enzymes required for sodium absorption and here some imbalance may occur after transplantation. Second cause may be kidney insufficiency and third too low salt intake. In every case, sodium can be replaced intravenously, and extensive tests are required to identify exact cause. I am sure doctors will find it. In general, this is not big deal. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.


Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Lump due to perifolliculitis with cellulitis, giving painful hard lump in formation, which overnight reduced down to bump with pinpointed pain too-suggesting the developing or maturing Furunculitis of the scalp hair. Second Opinion from Surgeon with Surgical Chat Doctor. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!


Hello, This is a very difficult question to answer since ultimately the decision must be that of the patient.  She, unfortunately, she has been given a TERMINAL prognosis of these tumors which are obviously no longer surgically amenable and sound as if they are growing rapidly.  I believe an important question the patient will want to ask the doctor is how much additional time do they think she can extend things by going on chemotherapy.  Also, she should ask the doctor to be very upfront about the expected side effects and how those are likely to affect her quality of life. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, I have studied your case with diligence. Due to ca breast there is possibility of spinal osteoporosis leading to back pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, You need to start supplement of calcium with vitamin D, it B12, and if osteoporosis is severe then bisphosphonates can be started. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You need to take diet rich in calcium and vitamin D. 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, After stenting and opening the coronary artery, without having a history of prior myocardial infarction a person is in a very good condition, and he can work like any other healthy person. Since has gone nine years from stenting, I would suggest you do a stress test and to see how is your working ability. Based on that the cardiologist can say if you can work out in the gym. Hope I have answered your query. Let me know if I can assist you further. Regard,


Hi Your brother has sclerotic hip with bone island, and he prefers to be in bed rather than working actively. I would like to know what exactly is the cause of sclerosis in the hip. Most commonly it is arthritis of hip which may be very painful while walking. In such Condition it is better to go for orthopedic consultation and see what he says. Most of these patients require joint replacement. Also ask your brother to use walking aids like crutches / walker which help in walking by reducing the load on hip.


You don't give antibiotics use spy fexofenadine 30 mg beta montelukast dispersible 4 mg busy vent pd 1/2 SF BD and tossed 1/2 SF night give for 7 days, but actual problem is milk if you stop giving milk and diary products child will recover no allergies will come when we add animal milk after 2 years child starts with these symptoms because child does not need milk after 2 years you add other substances and with Chat Doctor.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Diflucan is the right treatment. You should continue it under your doctors' guidance. Anal fungal infection can only be possible if you have severe immunocompromised state. I suggest you should check your HIV and diabetes status. If its HIV immediately treatment for HIV is necessary. Please also apply Candide ointment this is also helpful for you locally. Anal region is potential dirty site. If you maintain good hygiene there than infection can be cured early. Other household remedies won't work like garlic and other. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Hello, I read your message and understood your medical issue. I think this man must be sent to the hospital to do some examinations and to consult with a doctor. These symptoms and their rapid onset may be related to many diseases some of which may be dangerous. A migraine with aura is a possible diagnosis. This is a type of headache associated with strange sensations and sometimes with nausea and chills. The sense of disorientation associated with nausea and chills can be related to vertigo which can be caused by an ear infection, ear toxicity etc. or if it is due to a central because it can be more serious. An ear examination with an horoscope by a doctor is the first thing to be done followed by the general examinations including the neurological ones. Ear infection is successfully treated with Chat Doctor.  If the cause is something by a central origin a head CT scan must be done. If this is his first attack of migraine he must be careful to distinguish the triggers of his migraine headache and avoid them. OTC pain relievers are usually enough to control this type of headache. Next, if the worker did not use to have his meals regularly,


Hi, thank you for posting query at Chat Doctor. Alcohol ingestion and obesity are common causes of fatty liver disease. Advice for fatty liver


Degree understand your concerns went through your details. I suggest you not to worry much. How you diagnosed that your husband is depressed? He could just be stressed, disappointed with normal life situations. Situations arose out of job are always stressful. You need to talk to him. That is your duty as his wife and homemaker. A good relaxing chat with you should clear some clouds from his mind. Do it every day. Support him. If need be, consult a psychologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hello, I can understand your concern for liver function test. Your blood reports are almost normal. Total bilirubin is slightly high but within acceptable range. To do not have jaundice. Only in jaundice with total bilirubin >5 mg/DL, bile salt (which make bilirubin in liver) get excreted from urine and can be detected by biochemical test. Presence of bile salt in urine is indirect confirmation of jaundice. Absence of bile salt in urine is normal. Hope I answered your query. If you have any further question, I would be happy to help you. Have a nice day!


Good Day, and thank you for being with Chat Doctor ! I would recommend to rush to the emergency room, so they would be able to contact your urologist. Trauma to the penis may lead to formation of stricture again.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at


HelloThanks for your query, based on the facts that you have posted it appears that your boyfriend has nothing but Mitosis from childhood. Please consult qualified general surgeon or Urologist for clinical assessment. He needs to get circumcised. This is a simple surgery carried UT under local anesthesia as an out patient procedure. The results of the surgery are gratifying, and he will have normal erection and enjoyable sexual life throughout rest of his life. Chat Doctor.


Hello and welcome to Chat Doctor. Thanks for your query. I'm sorry about your fathers death and I understand that you are going through a difficult time. It is common to have some depressive symptoms after the loss of a loved one - this is called a grief reaction.  But if the symptoms are excessive or prolonged, then it may be indicative of a pathological grief or a depression. Since you mention that your symptoms are quite prominent and distressing, I would suggest that you see a psychiatrist for a detailed evaluation. There are effective treatment options in the form of counselling or sometimes, medication, which can help you overcome your problems. Wish you all the best.


Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog for which you have taken a shot of TT injection and antirabies vaccine. Active immunization with antirabies vaccine should be taken on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. There is no restriction of food and the water during the treatment of dog bite. If you are an alcoholic you need to avoid it since it may hamper the production of protective antibody titles. Thank you.


Degree understand your concerns went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders


Hi, Thanks for writing in. Symptoms including momentary absent-mindedness, dizziness and numbness involving hands and feet should not be ignored. These might have a common origin in the brain and can occur due to reduced blood supply in certain areas or any similar abnormality limiting the functions of the brain. It is suggested that you consult your neurologist at the earliest and get your neurology clinical examination done in detail. Depending on your examination findings, your doctor might advise you to get an MRI scan or CT scan done for the brain. This will rule out any possible condition which might cause your symptoms. The above can be considered mini stroke like episodes, and you should not wait anymore.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out thromboembolism in your case. Vasculitis patients are at increased risk of thromboembolism. So they may dislodge and cause Coronary artery blockage (chest pain) or retinal artery blockage (blackout) etc. So better to consult your doctor and get done 1. ECG 2. 2d echo 3. D dimer study 4. CT angiography You may need blood thinners like warfarin. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thanks for your question on Chat Doctor. I can understand your situation and problem. Yellow sputum us suggestive of infective etiology. Since you had pneumonia, possibility of recurrence of pneumonia is more. So, better than consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and sputum culture and sensitivity report. Repeat chest x-ray is needed for the diagnosis of recurrence of pneumonia. Sputum culture will identify the causative organism. Sensitivity report will guide us about effective antibiotic treatment. By these, inappropriate use of antibiotics can be prevented. This will prevent Chat Doctor.  So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks.


Hi, Actually you will need a neurosurgeon for choosing the best permanent treatment according to his physical examination. My advice would be according to degree of cases. Mild cases of bifacial spasm may be managed with sedation or Carbamazepine (an anticonvulsant Chat Doctor.  Microsurgical decompression and botulinum toxin injections are the current main treatments used for bifacial spasm. For moderate to severe cases we use Microvascular decompression appears to be the most popular surgical treatment at present. Microvascular decompression relieves pressure on the facial nerve, which is the cause of most bifacial spasm cases. Excellent to good results are reported in 80% or with a 10% recurrence rate. Approximately 10% had previously failed surgery. Side effects include hematoma, swelling, infarction, and brain death. Botulinum toxin is highly effective in the treatment of bifacial spasm. It has a success rate equal to that of surgery, but repeated injections may be required every 3 to 6 months. But it is a bit expensive. Hope the above information helps you. Let me know if I can assist you further.


Hi, I did review your problem It is possible to get infected with Hep B and Hep C with this scenario. Since the needle was very fine the amount of blood inoculated will be less however there remains a probability. Best would be to take post exposure prophylaxis for Hepatitis B in form of BIG and then vaccination for Hep B routine schedule. Symptoms of Hep B and Hep C may occur or may not occur at all but usually take 45-180 days. You can get a serum check after 2-3 months for antibody and antigen liters and see from there Jewish you a healthy life ahead.


Hi dear, your friend who is having headache vomiting dizziness and forgetting. But you didn't mention that such symptoms occur episodically or continuous. If such symptoms occur episodically then think for the seizure as in post seizure phenomena such signs and symptoms occur. otherwise think for some brain related pathology. So first go for MRI brain. And first start with simple analgesic and antacid then see for the cause. Such features also occur in migraine. For that Tab amitriptyline 25\u00a0mg HS and also Tab Propranolol 40\u00a0mg sustained release. Also Tristan for SOS pain tenement


Hi In Chat Doctor.  It will help to conceive faster. As she is not ovulating regularly on her own she will need assistance in the form of tablets (iPhone which she is already taking). Just understand that one ovulatory cycle with tablets will give 25% chance of pregnancy (50-60% with 3 cycles). So be patient & continue treatment (with 6-8 cycles chance of pregnancy will be around 70-75%. If you add GUI, chance will increase to around 75-80%). If you be patient & follow prescribed treatment there is definitely good chance of pregnancy. By doing GUI, chance will increase by approx. 5% per cycle. You can go for it. Wish you good luck.


Thanks for your question on Chat Doctor. I can understand your concern. Skipping of heart beat with chest pain and breathing difficulty are commonly seen in arrhythmia. It is heart disease with problem in rhythm of heart. If not treated promptly, this can lead to serious complications. So better to first get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart diseases. But if any of these is abnormal then you need treatment. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi...by what you quote (as you say the kid is otherwise active and playing around) I feel that it could be cuts marmots which gives the skin a blotchy appearance, and it is a self limiting one and nothing to worry about. It can occur due to changes in the ambient temperature also. But.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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, I would hope to see improvement after five days. I would take my child to the pediatrician to see if antibiotic needs to be changed or dosage increase. Certainly do not delay if symptoms have gotten worse or additional symptoms such as a fever have developed. Severe tonsillitis will take more than five days to treat, and chronic tonsillitis may require more than medication if not responsive. It is important to have your pediatrician follow the progress. Additional diagnostic testing may be considered since you have ruled out Strep. The coating on the tongue can indicate a secondary infection such as an oral yeast infection. Make sure you have followed proper dosage instructions. Thank you for your inquiry.


Thanks for your question on Chat Doctor. I can understand your concern. Possibility of lower respiratory tract infection (LETI - pneumonia) is more in your friends case. Yes, cold weather must have contributed to her current illness. She is also a cancer survivor and took chemotherapy and radiotherapy. This makes her immunocompromised and more prone for infection. Her symptoms like fever, chest pain, breathing difficulty etc. favor pneumonia more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. Sputum culture and sensitivity report. Chest x-ray is must for the diagnosis of pneumonia. Sputum culture will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. Don't worry she will be alright. Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks.


Hello, As sitting for long hours working on a computer in a static position may lead to troubles like lower limb tightness, pain in knees, swelling etc. based on the pathologies they have in the past like blood pressure, high sugar levels, less physical activity, pain and aches of the back, etc. I will advise you to get involved in the physical exercise 30 minutes a day which will. Help improve the overall muscle strength and avoid fatigue setting in faster in the muscles. Also, do posture correction while working on a computer. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hello, I hope you are very well. Nutritional management in a patient with hepatic cirrhosis is essential for their control. The diet should consist of a caloric intake of 30-35 kcal/kg/day with a protein intake of 1.2-1.6 g/plot/day, with proteins of high biological value being recommended. These requirements are necessary to maintain an adequate body condition and also prevent or precipitate episodes of hepatic decompensation of hepatic encephalopathy type. I suggest that you go with a nutritionist to provide you with an adequate diet plan according to the area where you live and to consider nutritional supplements.


Hello, If you have had a series of tests already which have failed to show any definite pathology in the stomach or related organs, and you have been examined by a doctor who wishes to perform an endoscopy then. By all means have that particular test completed before anything else. However, if this is also unable to demonstrate any pathology then, I believe you may wish to consider that anxiety and stress may be to blame for the symptoms.  Abdominal pain, bloating, gassy feelings can be brought about by such psychological pressures, and it may be worthwhile speaking to someone on how to perform relaxation exercises and on how to use breathing techniques to feel more comfortable both physically and mentally.  You may wish to become part of a gym and get into a workout routine as well as this can also divert painful vague symptoms away from the referred area and improve your ability to relax once you've exerted yourself a bit. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, It appears to an acidity and reflux disease. Do you also have upper abdominal pain, nausea, bloating, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts.


Hello mam, As you had described I would suggest going to physician as soon as possible. Normally I recommend taking rest for some days but as your problem I read, I would only recommend to concern physician. And another suggestion is please try to away for some days from intercourse because it will hurt you more than enjoyment. So, Talk with your partner to not having intercourse for some days, till concern physician and what he/she suggest follow strictly. If you still want remedies than keep resting and use Heat/Ice Packs. It helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately. Hope you will find it out helpful. Thanks And


Hi, doctors take many criteria in to account for prescribing antihypertensive medicine. They are age of the patient, other co morbid condition, like associated obesity, lipid level, prostate problems etc. Also tolerability of patient, fluctuation of blood pressure and level of blood pressure is also taken into account. On the basis of all these factors doctors prescribe medicine for blood pressure. Thanks for using Chat Doctor.


Hi, Thanks for writing in. Cancer is a difficult condition to treat and at times certain lesions in organs like liver might not respond as expected. Liver metastasis occurs in many patients with cancer. Treatment of liver metastasis not responding or showing slow response to chemotherapy includes the following methods.1. Surgery.2. Neoadjuvant chemotherapy.3. Local ablation (e.g. radiofrequency ablation).4. Adjuvant chemotherapy.5. Intra-arterial chemotherapy.6. Selective internal radiation therapy (SIR)Please discuss the above options with your doctor as there are criteria to provide treatment and the patient must have a cancer that shows features within the criteria of treatment. Please do not worry.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, he is mostly having stress and anxiety related HERD (gastroesophageal reflux disease). But better to get done ECG to rule out heart diseases. If ECG is normal then no need to worry about heart diseases. Stress, anxiety and depression cause laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gastritis, chest pain, chest tightness, burping etc. So control of anxiety and depression are must in his case and hence better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic and anti-depressant Chat Doctor.  For stomach problem, give him antacid like proton pump inhibitors. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.


Hi Rooney Thanks for writing in With S Ty phi positive and not responding to oral antibiotics, febrile patients need to be taken care of The GI complications of typhoid are very difficult to handle so if the title has increased I would suggest get her hospitalized with a good physician and start parental antibiotics Hope this helped write back in case of concernWishing your daughter a speedy recovery


Hi. I understand your concern. Yes it is serious as she had already attempted for suicide. Need to go for emergency psychiatric consultation. Hearing of voices or auditory hallucination may indicate psychotic illness. Voices that are commanding or giving threat may indicate schizophrenia or related illness. Intensive indoor and supervision treatment are advisable. So consult psychiatrist and get further assistance. I hope I have answered your query. Thank you.


Hi, Noted your short but an elucidated history about a growth on abdomen that when squeezed oozes out blood and oily material, shaved a lot in this area, looks to be pubic area. The character of the lump in lower part that is most probably the pubic area indicates this to be a cyst of skin origin hence the oozing out of oily material and blood. Since this is a cyst it will secrete the liquids till the inner lining is alive. Hence, I would advise you the following in such a situation


Hi light scabs on face and eyes rules out scabies. Scabies does not occur on face.I think she is suffering from severe atomic dermatitis. It can be treated by application of daily moisturizer all over body and application of private g ointment over the lesions can cure the condition. Use of Atari 25 mg at night. Antibiotic twice daily can cure it. Use of tacrolimus ointment daily can prevent recurrences


Degree understand your concerns went through your details. The scabbing and blistering could be due to some allergen, and could just be for the time being. Ask your wife to keep good hygiene, and you too do the same. At the same time, make sure that your wife is not having lubrication problems. Tilted penis definitely not the cause and cannot cause discomfort. That is in a way blessing in disguise. If you require more of my help in this aspect, please use this URL. http


Hello, As you were diagnosed with polio and operated 30 years back for the same for having good lower limb which can assist in walking, now the symptoms you are facing is due to post-polio syn Chat Doctor.  During this there are some symptoms out of which you are facing one.  I will advise you to contact a competitive physiotherapist who can help improve your muscle strength and also the gait.  In my clinical practice of over 12 years, there is nothing heard as a reappearance of polio, it is diagnosed as post-polio Syn


Hellowelcome to Chat Doctor yes of course you can conceive if u had an ectopic pregnancy. Do not worry about the tilted uterus. What treatment was given to u when u had an ectopic pregnancy? Anyhow with any treatment given you still have one-sided tube and ovary so do not worry. One tube is enough for you to conceive. The only thing you should keep in mind is that you should go see your gynecologist as soon as you miss your period/pregnancy test is positive, so it can be confirmed that the pregnancy is intrauterine as ectopic pregnancy may re-occur if u have had one earlier. So just be careful and don't worry it will be fine.


Hi, more details are required. I think your friend had a blocked kidney tube due to stones and so a tube has been put into her kidney from the flank to Chat Doctor.  This is done to reverse the kidney swelling and prevent further kidney damage due to blocked kidney tube. It is also done in case the urine in kidney is infected or pus-like (hydronephrosis or infected IN). If tube gets blocked, check that it is not getting twisted or kinked, it is not getting compressed while lying down. If still gets blocked, probably changing to a larger size tube will help. Her urologist will be the best person to help. Good luck.


. Stomach pain usually occurs due to oily, spicy food, disturbed diet pattern, stress,over eating... You have to take more simple, liquid,high fiber diet. Chat Doctor. You can take pantoprazole mebendazole with risperidone. Enzyme preparations will be helpful. Avoid oily, spicy food. Avoid stress, anxiety.go for exercise regularly. Consult your treating doctor for further diagnosis and medical management.


Hi, I have gone through your question. Yes, you can go for IVF as your age is 35, and you are suffering from endometriosis. Conception is very difficult in endometriosis because the fallopian tubes are distorted, and their function is suboptimal. Since you have taken 2 cycles of ovulation induction with aerosol, and failed to conceive, therefore I would suggest you to get in vitro fertilization as further trials of ovulation induction can lead to ovum depletion and decreased ovarian reserve for in vitro fertilization, if required later. Hope you found the answer helpful. Wishing you good health.


Hi, Welcome to Chat Doctor. You seem to have Boil in early stages below the belly button, as only blood gushed out when you pressed it out.Hence, I would suggest you to get Second Opinion from Surgeon, who would direct for its management after needful physical and radiological check up.-Treatment-Cold Compresses.-Tab Anti-inflammatory under guidance from your doctor.-Antibiotics to treat boil/fur uncle causing that lump below belly button.-Test Blood for FBS /PPS/ and Thyroid profile, to rule out any accompanied primary or hypothyroidism with secondary diabetes as you had diarrhea concurrent to the lump.-Surgeons consultation and needful further treatment as directed from him. Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at Chat Doctor. Welcome for any further query in this regard. Good day!! Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS


Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. Any fracture in a joint can cause the whole area to pain. Foot and scaphoid fractures definitely needs attention. If the fractures are minor, undisplaced, plaster immobilization should be enough. If It's displaced, it may require surgical intervention. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless.


Hello, I had gone through your query and understand your concern.WBC count increases whenever there is infection in the body. As it is evident from your question, your mother had pleural effusion which means collection of fluid around the lungs. There are many reasons for this. I suppose your doctor has sent that fluid for analysis which will help to know the reason behind such fluid accumulation. Once the infection is completely cleared WBC count will come back to normal. It takes time. You need not do anything for this to happen. Normal platelet count is 1.5 to 4 lakh/MCL. Our body will try to produce more platelets when the count is low. I have seen many cases with platelet count even below 40000 and recovering well without any blood transfusion. Low platelet count will cause bleeding disorders. Keep watching for any bleeding from nose, bleeding in the eye, giddiness. If your mother develops any of these better to take her to an ER. A persistent low platelet count calls for further evaluation. I suggest you to take repeat platelet count. I hope that it will come normal. Take care of your mother. If you have any other queries, feel free to contact me.


Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to gall bladder. In my opinion, you should definitely rule out cardiac chest pains. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes women approaching menopause can show similar symptoms due to hormonal imbalance. So consult gynecologist for this. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hello and welcome to Chat Doctor, Continuous low grade fever with raised ESR is suggestive of chronic disease e.g. tuberculosis. Tuberculosis is usually associated with low grade fever, night sweats, weakness, decreased appetite, tiredness, and fatigue. The symptoms mentioned by you can be due to typhoid, however, typhoid does not usually cause an elevated ESR level. I suggest you to consult your primary healthcare provider for clinical examination and relevant investigations. A Manitou test and X-ray chest should be done initially. Management will be decided once the result of the investigations is received. Thanks and take care Chat Doctor.


Hello, Thanks for the query. If high fever is there then a higher dose of Paracetamol (Solo 650) may be needed. What is the weight of the patient? Dose can be 10 -20 mg per kg per dose for 4 times a day with a maximum of 4 g in 24 hours. Following a single dose, one may not see sudden reduction in fever. Plus even if fever does come down on taking adequate dose of paracetamol, there is always a possibility of fever coming back after about 5 to 6 hours as the blood levels of the Chat Doctor.  That is why dosage is advised every 6 hours initially. The antibiotic given helps to treat and remove the cause (infection) for the fever. So in that case to a single dose is not going to be helpful. A minimum of few doses of antibiotic (2 to 3 days, 625 mg three times a day) has to be given. To help a better recovery give a good deal of fluids along with normal food. Preferably 1 to 1.5 liters of oral ready


Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. MAKE SURE ONE THING


Degree understand your concerns went through your details. I suggest you not to worry much. Stress and anxiety and itching rashes could be related. Stress Can Cause Hives. Mental stress increases the amount of corticosteroids released from you a Chat Doctor.  Hives develop after the release of histamine from immune cells in blood vessels near the skin causing swelling, heat, and itching. Reduce stress and live happy. Enjoy life. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.


Hi, I understand your concern and would explain that it is important to differentiate between heart failure and a sleeping disorder, which can mimic this clinical situation.  For this reason, I recommend consulting first with her cardiologist for a physical exam, a cardiac ultrasound and NT pro BNP levels. It is also important performing pulmonary function tests and a chest X-ray study in order to exclude a possible lung disorder.  If all these tests result normal, I would recommend starting mirtazapine in low doses in order o help with sleep and anxiety. You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further.


Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised followed by an MRI of lumbar spine. As you have a history of disc degenerative changes, a thorough assessment is required to be followed by an MRI to see the status of the disc. As, nerve carries dual functions - motor and sensory. So the pain and weakness are the two abnormal symptoms usually noticed with the degenerative disc disease as it pinch the nerve roots. I will advise to undergo physical therapy - therapeutic ultrasound therapy and TENS therapy to reduce pain. Also, core stability and spine muscle strengthening is required. Along with this, add on to the lower limb strengthening exercises which will help regain the confidence and strength in the lower limb muscles. In my clinical experience we receive patients with similar issues, and we recommend physical therapy due to the success in the research. Majority respond well and regain the functions back. RegardsJay In Chat Doctor.


Hi, dairy have gone through your question. I can understand your concern. Your ALT level is normal. No need to worry about your ALT level. There is minor lab to lab variation and instrument and kit wise variation in result. So no need to worry about ALT. Statin is not responsible for that. Liver hematoma is accidental finding, and it is also not responsible. Statin does not increase the blood glucose level. Take low fat diet with high amount of polyunsaturated fatty acids. Continue your statins according to advise. 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.


Thanks for your question on Chat Doctor. In my opinion you are not having these due to your blood pressure medicine. You may have bronchitis. It is basically an inflammation of bronchi, which causes edema and more sputum production.  Whitish sputum indicates inflammatory process, not infective process. Do better to consult pulmonologist and get done PFT (Pulmonary Function Test).  This will help you in diagnosis of bronchitis. It will also give you severity of the disease. You may need bronchodilators and antihistamine.


As u have mentioned according to your history you're a case of patent vitally intestinal tract with on off discharge and infection and umbilical granuloma .this is congenital but if you're sure that it developed after surgery than this is a complication and its sinus tract with discharge from port site in laparoscopic surgery u need thorough investigation and examination but our operating surgeon and also have second opinion for same. Even residual stones in tract may cause this problem if contents of gallbladder are spilled during surgery


Hello and welcome to Chat Doctor .com. This is going to be a rather long answer.  Please bear with me as I talk through this.  I will also quote a study on this disease process from a journal, Pediatrics.  The article is entitled Acquired Microcephaly


Degree understand your concerns went through your details. Pain on the right scrotum in itself needs investigation. You consulted a doctor, and he conducted an ultrasound and said everything is alright and there is nothing worry. I hope the ultrasound was conducted within the last one year. Otherwise, please do the ultrasound once again. Secondly another reason for the pain could be simple obsession with the pain. Anxiety and depression can be the reason for the obsession. Stress and strain of the muscles could have been the reason, and you mistook as any serious disease and obsessed. Such an obsession could become psychosomatic and can manifest as pain. If you still need my assistance in this regard, please use this link. http


You have not stated your age. Pain and cramps in your abdomen might be due to some chronic infection like amoebas or even because of any stone in kidneys or ureters or even gall bladder as you are having it on the right side. Cramps plus loss of appetite might be due to chronic infection like tuberculosis. Is all this associated with weight loss? If so and if you are above 40 years, get yourself examined to rule out cancer. So first you need to do an ultrasound of abdomen and consult a medical practitioner.


Hello, I have studied your case. There are various procedure which include chemonucleolysis, ozone therapy and injection Dylan. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care


Hi and welcome to Chat Doctor. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor.  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health.


Hello, I have gone through your query and here is my advice. As per your history it may be due to strain and stress. For further assessment he may require complete hologram, lipid profile and electrocardiogram, after physician consultation. For that he may require tablet sildenafil 1 hour before the sexual act. Avoid smoking and alcohol. Avoid stress. Hope I have answered your query, let me know if I can assist you further.  Chat Doctor.


Hi, Sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc. it becomes semen. So if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall. Now masturbation does not cause weakness or defect in sexual organ (energy lost is almost similar to doing other activity in muscle contraction n relaxation). It gives pleasure during act of masturbation and later calmness which is thought as weakness.  Your height and weight are normal. So in my opinion you don't require supplementing any diet if you are taking balanced diet. Hope this will help. For any queries feel free to ask. THANKS N REGARDS


Hello, Blood in sputum or nose can be very trivial or can be very serious. In pregnancy that too around 33 weeks vascularity of the mucosal area increases so bleeding from such areas can be considered physiological. If your chest is clear on auscultation, and you have consulted general physician, then don't worry about some serious reason for this bleeding. It can be because of the cough and mechanical trauma to the respiratory tract. I just want to know why you are using Esprit. If it is mainly for some preventive purpose, then you can stop that tablet which can be a contributory factor for your bleeding. Anyway now you are in 33 weeks now it's the time to stop Esprit that is 34 weeks. So do consult your gynecologist about stopping the Esprit. Hope I have answered your query. Let me know if I can assist you further.


Dear, Musculoskeletal chest pain has no relation to fast heart beats, it may be due to anemia or generalized fatigue. Diclfenac Sodium 75 (Voltaren) once daily for 3 days will treat your chest pain combined by a muscle relaxant and get away from cold air .you may need to visit your doctor to check out the cause of fast heart beat but don't worry, it will be a minor cause and simple treatment will push it away. Thanks


Hello, I have gone through the query and understood your concern. If the blood, urine, hormone levels, tubal patency tests and sonogram of the pelvis are normal, you can wait for 6 months to one year. If you still do not conceive, you should be tested for anti-sperm antibodies and other incompatibilities. Regular sexual intercourse should be practiced at least on alternate days during the fertile period. You should lie down flat for 30 minutes after the act, on your back if you have an anteverted uterus and on your stomach if you have a introverted uterus. Hope this helps.


Hi Julie...thanks for sharing your problem here in this forum.you have made your eyebrows wounded by waxing...eyebrow area is having more loose tissue so whenever wounded there is more swelling here.I will suggest you to wash the area with cold water. Do use ice packs wrapped in some gauze to reduce swelling. Apply some antibiotic cream with soothing effect like poly fax plus 3 times a day after washing.it will also reduce pain as well.if pain is sever you can take ibuprofen for it...hope this will work.thanks Chat Doctor.


Hi. Thanks for your query. You are in the period and the congestion can lead to the symptoms like mild Diarrhea you have. IF there is no fever and intestinal problems. Wait and watch. If associated symptoms - go for check up with the Surgeon, ultrasonography to see that there is no local collection of a clot or infection or sequel of sterilization procedure Bloody discharge can be due to regular periods.


Well, you certainly are taking the right actions to help fibromyalgia. Some of it is due to depression and antidepressants are generally used for it. Otherwise, it is perhaps a dysregulation of the nerves that damp down pain. This is more or less corrected by exercise up to the point of the exercise causing pain. The pain from the exercise resets pain perception. It is temporary and needs to be done regularly.


Hello, As the symptoms you mentioned this appears to be related to venous return. Before this, I would like to ask you if you have any Diabetes or high blood pressure issue. If so please kindly get it checked and monitored by a physician. Next, this bluish or blackish or purplish discoloration is due to something called varicose veins.  You need to meet up a vascular surgeon and get a Doppler scan done, so we can some inputs if that is the one. There might be a possibility that you may be put under some medication for the same. You can use hot water fermentation and do the maximum exercise of the calf muscle like ankle toe movements keeping the leg over the pillow. Pain will subside with painkillers but we shouldn't ignore the varicose veins as this may later stage give more trouble if left unnoticed. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.


Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants/Antianxiety agents like SSRIs (Escitalopram, sertraline, paroxetine etc.)2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck Regards


Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor forum.  Your mother got severe pain since 1 month, and pain since 1 year.  The pain is burning, cramping, spastic, time to time, increasing after food, Sometimes diarrhea, Nausea, loss of appetite.  She had gastritis, pancreatitis, duodenites, diabetes, and hypertension.  Gastritis and duodenites may be cured completely, but pancreatitis can recur, other 2 also have possibility or recurrence. Which all these symptoms, diabetes and hypertension should under control.  I advise you to consult a physician for diagnosis and treatment.  Wishing for a quick and complete recovery, Best regards.


Hello, Thanks for your query. After going through your query I came to know that you have period like cramping and lower back pain (very dull). Your husband and you had intercourse a couple of weeks ago that was unprotected using the pull-out method. As you are breastfeeding your 4-month-old child regularly, so it is likely your first period since being pregnant and having your baby. But I will advise you got pregnancy test to rule out pregnancy. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Thanks for your question on Chat Doctor. In my opinion we should first rule out cardiac cause for your low blood pressure and chest discomfort. So better to consult cardiologist and get done ECG and 2D Echo and Blood pressure monitoring. If everything is normal than no need to worry much. Get done thyroid level. As thyroid problems may give similar symptoms. If this is also normal than your symptoms are mostly related to anxiety and stress.  So better to avoid tension. Be relax and calm.


Hello, Thank you for trusting ChatDoctorThe symptoms you are describing is likely to be Lyme disease caused by Cordelia infection. The concerning symptoms are you being off balance and headaches. Possible Lyme meningitis needs to be ruled out. Treatment is with antibiotics. Lyme meningitis will require IV ceftriaxone. Please be advised to follow up with the emergency room. Hope this answers your questionsPlease ad Chat Doctor.


Hello and welcome to Chat Doctor, Low hemoglobin level is often associated with fatigue and tiredness. A hemoglobin level of 7 has to be managed by blood transfusion as well as iron supplements. Presence of small sized myeloid cells is not characteristic of CML.CML is characterized by increased white blood cell count, increased number of precursor myeloid cells. Constitutional features of fever, fatigue, enlarged spleen are also present. Since, the cause of anemia is iron deficiency, you are advised to take iron supplements for at least 3 months and then get blood iron levels re-checked. Thanks and take care Chat Doctor.


Hello, Any injuries to the abdominal wall, always better to rule out any injury or damages to internal organs also. If such a Patient comes to me in my clinic, I suggest him to get this evaluation done Immediately1) An Ultrasound whole abdomen2) X-Ray erect abdomenReview with a General Surgeon. If you have any further queries related to this medical condition you can get back to me. Hope I have answered your query. Let me know if I can assist you further.


Cellophane you for asking in ChatDoctorThis situation may occur mostly in normal persons. As you explain that you feel a kind of discomfort in your chest better to do


Hello and welcome to Chat Doctor, The squamous cell carcinoma is not directly related to the kidney function tests. Kidney diseases do not show up early in the course of disease because the kidney compensates it. The normal kidney takes over the functions of diseased kidney tissue. The renal function tests turn abnormal only when the disease becomes advanced. You have mentioned that you acquired wound infection for which you took some antibiotic. There are some groups of antibiotics which affect the renal functions. The compromise seen in renal functions could be due to these antibiotics. You need to consult your doctor for management of the compromised renal functions. Thanks and take care Chat Doctor.


Hello Sir, your present problem does not seem to be related to your gall bladder surgery. Following exercise if you develop jamming feeling it most probably your fast heart beat that you feel after exercise .can you tell me what's your blood pressure in normal days?  Please provide me the details about your rashes when they develop? Timings? Type of rash? Its distribution. Over body? Did you notice jaundice or yellowish discoloration of your body? Will help me sort your actual problem... thank you


HI. As per the history you provided this looks to me a case of colitis and /or enteritis. What are your associated symptoms? How is the stool-loose, sticky, bloody ?ant associated nausea, vomiting, fever, weakness or so. I think a course of an antibiotic along with metronidazole and antispasmodic like dicyclomine for a 5-day course should solve the problem. Please let me know more about other symptoms if you have Chat Doctor.


Hello, I went through your reports. Two and half years back ANO Rectal Surgery was performed followed by Chemotherapy and radiotherapy. Your main complaints are painful constipated stool and bleeding. These two complaints are the common problems post operative in this operation. How is the operated area wound. If the wound is there proper cleaning and Chat Doctor.  Even if the wound has healed well, Site bath (sitting in a Betadine diluted warm water 20 MTS for as much time as possible) after each defecation, Laxatives at night and painkillers 2 or 3 times a day may be helpful.  Anvil PM you can take in the night. Other


It is very uncommon for radiation to precipitate atrial fibrillation especially if it on the right side. Scatter is very rare with the latest technology radiation. You haven't mentioned chemotherapy. Some chemotherapeutic agents like doxorubicin and trastuzumab can have an effect on heart, but the effect is mainly on heart muscle, though rhythm disturbances can also occur. But these effects are not long lasting, and she would revert to normal with time


Hello, Evaluate your diet and try to eliminate foods that might contribute to this condition. Rule out any deficiencies or excesses in your diet and maintain balanced vitamins. Make sure that you have had blood tests to rule out systemic factors. Diabetes is known to have as associated condition that changes your breath due to ketone production. Bacterium studies of your oral environment may show an imbalance in your oral flora. I generally do not do this during routine dental exams. Consider visiting a periodontist to further evaluate tissue and bone health. Your comments concerning the throat describe the possible condition of tonsil stone formation or tonsillitis. You have consulted the correct doctors. Continue to try and determine specific triggers. Thank you for your inquiry. I hope my suggestions are useful.


You have not mentioned the day 21 serum progesterone level (suggests about ovulation)It is reassuring to know that rest of your baseline subfertility investigations are normal. What is your BMI? Do you have regular cycles? Usually women with PRO have irregular cycles as they do not have regular ovulation. I suggest that you take closed/tamoxifen +In Chat Doctor for six cycles along with ultrasound follicular study. Ultrasound examination helps us to make sure that ovulation is occurring. If conception does not occur with this treatment then I would discuss with you two options of management. Either to start induction of ovulation with hormones or laparoscopy and ovarian diathermy for polycystic ovaries. Pregnancy rates between laparoscopic ovarian diathermy after 6 to 12 months follow up and six cycles of ovulation induction with gonadotropin are the same. Laparoscopic ovarian diathermy carries the risk of surgery. However, the rate of multiple pregnancies is lower in women who conceive after ovarian diathermy. Take one tablet of folic acid daily. To increases your chances of pregnancy, maintain normal BMI, quit smoking (if you are a smoker) and have intercourse at least three times in a week. For women with PRO maintaining normal BMI extremely important. Even reduction of just 5-10% of body weight corrects the hormonal imbalance and improves chances of conception. I hope I have answered to your satisfaction. If you have any further queries feel free to contact me through Chat Doctor


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (cold). Bronchitis is inflammation of airways. And it gives feeling of hot and warm on inhalation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Why crowning has in done? Did your dentist go for root canal treatment?if has done act and crown the tooth the it is ok, in that Casey we have to assume that the pain is taking place due failure of act.act can be failed for many reason starting from pts status to the faulty procedure. But if your dentist did not act, only he filled the tooth and the he went for vital tooth preparation, the pain might happen due to secondary caries, or chronic irritation to the pulp. But in both cases' treatment is same, first remove the crown, thn go for reject or act. And I believe there will not be any pain in future


Hi. Hives in your case could be due to infection related or Chat Doctor.  Hives are generally classified as Acute or Chronic depending on the duration of onset. Acute if less than 6 weeks and chronic if more than 6 weeks. In your case you have been experiencing it for 10 days... Means they are acute(Anyway take Levocetrizine 5\u00a0mg in the evening daily for 7-10 days. Take Fexofenadine 120 mg once daily during the day. Apply calamine. Get a few blood investigations like Complete Removal, Urine R/M, stool ova/cyst and Chest x-ray


Hi, Thanks for writing in. It is important to know the findings of cancer in ovary that she is having. The CA125 level is also important to know. In patients of cancer ovary with pleural fluid showing metastatic cells indicates that the cancer has spread to other parts of the body, and probably she is having stage 4 cancer. Treatment is surgical debunking any tumor in the pelvis and then giving chemotherapy in cycles. Surgery will remove any tumor that is operable and chemotherapy will stabilize the disease. Survival in stage 4 cancer is up to 2 years with good care and treatment. Please do not worry.


Hellowelcome to ChatDoctorwell, if I were your treating doctor then first and foremost I would have advised you to get done certain tests to evaluate the extent of disease and the present status as it will greatly help to choose the Chat Doctor. .tests done to evaluate COPD includes --(1) COMPLETE HOLOGRAM WITH ABSOLUTE EOSINOPHIL COUNT(2) ABG i.e. ACID BLOOD GAS ANALYSIS(3) PFT i.e. PULMONARY FUNCTION TESTS(4) CHEST X-ray (5) CT SCAN OF CHEST apart from the above tests it is very important to perform a physical examination including auscultation of the chest and this is not possible online so I would advise you to visit a pulmonologist for clinical evaluation and evaluation of the reports of your tests...as far as treatment is concerned, there are many


Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node in your neck.  It can be due to reactive hyperplasia, tuberculosis or lymphoma. In HIV reactive lymph node and tuberculosis both are common.  However, it depends on your sexual history.  If you have high risk sexual contact in past then there is chance.  You should go for fine needle aspiration cytology of that lump and HIV testing.  It will clear all doubts. 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, The symptoms seem to be related to rheumatoid arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using cold compresses for local application. Furthermore, I recommend exercises and regular physical therapy. You should follow up with a rheumatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further.


Dear Sir/mam, I understand your concerns about this pregnancy. In her case the following points should have betaken into consideration for a complete management of this case1- Due to the cramping and pelvic pressure your daughter has especially in the setting of cervical changes on ultrasound, a sterile spectrum exam must be done in order to see if the cervix is dilated, if the spectrum shows normal looking cervix, then a digital pelvic exam should be done to assess the dilation. 2- Your daughter must be put on the too to assess if she has contractions. If she doesn't then a rescue cervical circle can be done for prolongation of the pregnancy.3- urine infection must be rule out since it might be the reason for the cramping sensation. urinalysis and culture must be done.4- For the future pregnancies am early circle at around the timing for nuclei translucency can be done. Add to that vaginal progesterone also is a good idea. Best regards


Hello, 200/121 BP is very high. As you are already having treatment for hypertension, then this much of high BP is not expected after treatment. * Check your BP once again, if its still high then do consult your doctor immediately as this much BP may lead to bleeding in body. Bleeding can be from nose as epistaxis but if it occurs internally then it might lead to serious outcomes.* Also keep some emergency medicine at home for emergency. You can keep capsule nifedipine (5\u00a0mg) at home and in emergency take it sublingual. You can ask your doctor about this capsule.* Keep an eye on salt in your diet and cut off extra salt from diet and do walk daily. Both these things will help in controlling high BP.* But for now consult your doctor first.* I hope you are satisfied with my answer.  Thank you.


Hi, The emergency contraceptive pill should be taken on the same day for it to have an effect, as such there is no point in taking one now. How long have you been on the pill, if it's been for a long time then there is a chance that you won't get pregnant. But in these things there is always a chance, especially if you were ovulating. Pills work by suppressing ovulation, if you miss one - you may ovulate. As such you can either wait till your period should start or take a home pregnancy test. I hope this answered your question.


Hi welcome to Chat Doctor. I have gone through your question. Your both reports are normal and still having problem in conceiving is\" unexplained infertility\". The treatment taking you injection on 5/7/9 thy day and followed by follicular scan to do GUI intrauterine insemination is idle procedure. Continue this method as per your gynecologist advise. Hope I answered your question. Would be happy to help you further. Take care.


Hi, Capsules should never be broken and consumed since the potency of the Chat Doctor.  They must be swallowed as a whole. I would suggest you to visit your doctor for a re prescription of clindamycin since it cannot be obtained over the counter. You have not mentioned the age of the patient or the dose prescribed. This time you can get a lower dose 150 mg. Take care. Hope I have answered your question. Let me know if I can assist you further.


Hello and welcome to Chat Doctor !!well given your history complete penetration has not happened, but it is not a necessity for pregnancy to happen, and the white liquid is what is called pre-cum which is produced to lubricate and may have active motile sperms my advice would be to wait for your girlfriends period if it doesn't happen get a urine pregnancy test and in the future be very careful about unsafe sex. Take care.


Dear Friend, greetings from Chat Doctor. Understand your problem. You need not take tablets but get the lipid profile repeated after a month with a fasting blood sample. Try to reduce your triglycerides by proper diet and exercise. Do walk for an hour a day. Avoid sugar and carboy Chat Doctor.  Take good proteins like sprouts to take more fiber rich diet like green leafy vegetables, oats. Milets either in boiled or in bread form. Thank you for contacting us and do contact us for more questions.


Hi, Thanks and welcome to Chat Doctor . A one and a half year old baby, if he passes less than 4 motions/week it is called constipation. You may use some laxative for constipation. I usually prescribe Lactulose syrup. Feeding fiber containing and energy dense foods like whole wheat bread, leafy vegetables will prevent constipation. Excess of milk consumption leads to constipation. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam.


It's normal to have some discomfort after act completion for 1 to 2 weeks. The root canal filling makes the tooth tender. The reason for your pain can also be food impaction around the cut tooth which is the space created to fit the crown. If your dentist has done the RCT procedure well then your pain will go in another week or so. Meanwhile you should avoid chewing food from the affected side. Take some anti-inflammatory Chat Doctor. And most importantly while getting the crown placed be sure that all the teeth are in contact.  Sometimes the new crown is high relative to adjacent teeth and this can aggravate the pain. Take care


Hi, I had gone through your question and understand your concerns. I just want to ask a few questions.1. Did you get the vaccines on time?2. Were the wounds washed with soap and water? Do not worry. I would suggest you to - Apply Mupirocin ointment locally.- Take warm compress over the area- I would start tablet Diclofenac along with tablet sanitizing to relieve the pain. Visit a surgeon. He/she can examine the wound and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.


Biting is one of the differential diagnosis for a blister on lip in a 9yr child.it should heal in a matter of 1-2 weeks completely. As u said it started as an enlarging blister with bleeding and grown in size in an irregular shape, so the child should undergo biopsy to rule out malignancy. As family history also suggestive of cancer in the mother, you need to consult dermatologist or pediatric surgeon for biopsy and to proceed further.


Hi Welcome to Chat Doctor, I understand your concern. Your symptoms could be related to underlying pathology in the heart. So I advise you to get an ECG,2D Echo, lipid profile immediately. Monitor blood pressure and heart rate immediately. Chat Doctor. Exercise daily for 30 min. Avoid smoking and alcohol if any. Consult cardiologist for expert management. Post your further queries if any, Thank you.


Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the type of symptoms you describe fit into fleeting arthritis, which is an inflammatory group of arthritis, where multiple joints get involved one after the another, and then slowly start getting corrected. This type of arthritis is usually a sequel of any past episode of viral fever, and can be associated with swelling and redness in eyes, or irritation in urination. These may not be present. The treatment is usually a short course of steroids to suppress the aberrant immunity, so that no damage is done and the body slowly recovers. The medication is to be taken under direct supervision of the doctor 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. Thanks.


Hi, Diabetic being the major risk factor for getting coronary artery disease, people having diabetes frequently suffer from the same.  To tell you better I'll need the Angiography report. But as your doctor has already told you that he needs a bypass, prognosis depends on heart functioning (LVEF) at the time of surgery, how good diabetes is controlled and any other associated comorbidity.  Exact prognosis can only be told after examining the patient. If the heart function is good, and he is healthy enough, I hope he won't face any problem during or after surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.