You have got the wright medication Penicillin is the treatment of choice for all stages of syphilis, with the type of penicillin and dosing based on clinical staging of the disease. Latent syphilis (i.e., without symptoms) is detected by serological testing and is divided into early latent syphilis (acquired within the preceding year) and late latent syphilis or latent syphilis of unknown origin. Nontreponemal (RPR/V Chat Doctor.  Successful treatment is associated with a 4-fold or two-tube decline in tier (i.e., from 1


Hi I hope you are very well The alteration that you present in your liver chemistry according to ALT levels is a moderate elevation, with a hepatocellular pattern. Your diagnosis may actually be a fatty liver, however, this is a very broad spectrum that includes hepatic stenosis and steatohepatitis. You have metabolic risk factors for fatty liver such as your overweight / obesity and dyslipidemia. You should have a checkup for suspected diabetes mellitus and systemic arterial hypertension. There are several non-invasive studies to evaluate the degree of fibrosis or even cirrhosis, the one with the highest diagnostic yield is the transient cartography (Protest), however, to differentiate between stenosis and stenosis hepatic biopsy should be performed. The importance of detecting a steatohepatitis is for prognostic purposes, since the progression to cirrhosis is greater. The treatment indicated in these cases is mainly non-pharmacological, the loss of weight is fundamental as well as a modification in the lifestyle, a balanced diet, increase in the physical activity. An approximate loss of 5-10% of weight is suggested in a period of 6 to 12 months, this is associated with an analytical and histological improvement. There are very few Chat Doctor.  One of them is vitamin E in doses of 400,000 to 800,000 U / day especially in people who do not have diabetes mellitus. Other medications currently being used are statins like simvastatin that you consume, as it has antibiotic properties.


Hi!, Welcome To Chat Doctor forum, Big red spots on thigh, seems to be a fungal infection. And it is also associated with itching. The second possibility I would say would be an allergic reaction (less likely). You can first start with using antifungal creams and tablets for first 2 weeks and then decide whether to continue it or not. The usual course is of 4 weeks. If you don't respond in first 2 weeks then switch over to a steroid cream. Along with this you can take any anti-histaminic tablet like cetirizine to relieve itching. But as these medicines are prescription based, so you should consult a dermatologist and should not try it yourself. I'll be available to guide your further if needed. Regards, Chat Doctor.


Hi there. Pain over the upper shoulder and back region most commonly is myofascial in nature. That is there are these certain areas of the upper back that are known to act as trigger points. It feels like a dull aching, sometimes cramping pain. Low levels of vitamin D, Improper posture while sitting at work, sleeping on a hard pillow can cramp these muscles of the neck and upper back and can lead to this. So I suggest you get an appointment from a physiotherapist and ask for a trigger point release which is quite effective. Also get guidance for proper sitting posture and get your vitamin D levels checked. If the level is low you might need to take some supplementation for the same. Local analgesic ointments and sprays can alleviate your pain to some extent. Do look out for any numbness, tingling sensations or weakness in your hands for which you might need to see doctor and get yourself evaluated for a possible spine related problem. Thank you.


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Stem cells from umbilical cord could be helpful, if the baby is not suffering. HLA incompatibility will be low. 2. Beta-thalassemia is a hemolytic anemia and not an autoimmune disease. Regular blood transfusion along with plasma apheresis to remove iron could to be helpful.3. Yes, it is true. You can give a try in relation to stem cells. This is still under research. Do get fetal DNA analysis to confirm the baby is not suffering from Beta thalassemia - it's an inherited disorder. Hope it helps. Any further queries, happy to help again


HiT hanks and welcome to Chat Doctor. If you give whole cell pertussis shot it will be painfulAcellular pertussis vaccine is painless. But IAP recommend whole cell pertussis vaccine even though painful as it offers better protection. Tripacel (Tap) vaccine by Events Pasteur contains 5 purified pertussis antigens combined with diphtheria (>30 I.U.) and tetanus (>40 i.u.) toxic. It is safer and painless and fewer side effects. Single dose vaccine cost is variable around 500 to 600 rupees. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam.


Thanks for your query, I have gone through your query. The white stuff on the area where the stitches have been put is nothing but a soft tissue slough. Nothing to be panic, it is common after surgery. The other possible cause can be food debris over the stitches. Do saline gargling and keep the area clean. Rinse your mouth thoroughly soon after eating anything. Regarding the swelling, it will be there for another one day, because the damaged lymphatics will take 24-48hrs of time to recover so nothing to worry. You can take analgesic with anti-inflammatory Chat Doctor.


Hello dairy understand your concerning positive pregnancy could be due to1. Done very early in the pregnancy2. Done with diluted urine and Failure to follow instructions properly while doing test3. Chemical pregnancy/miscarriage4. Positive pregnancy test as some time pregnancy test will give false negative testPregnancy test will give positive result 8-10 days after the missed period. I would suggest going for blood Chat Doctor test after consulting the gynecologist for final confirmation of the pregnancy. Blood Chat Doctor is more accurate test and give positive result only 10 days after the unprotected sex.Meanwhile, avoid stress, take healthy diet, Chat Doctor.


Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In some patient collagen deposition is extra abnormally. I suspect same in you. The only problem to your problem is applied steroid cream over the wound area. Whenever you have even slight injury you should start applying the steroid cream under your doctors' guidance. The extra collagen you have can only be treated is surgical excision. I advise you to visit nearby surgeon which will guide you regarding excision procedure. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist.


Hi. I can understand your concern. Yes possibility that it is due to your lungs.Don't worry, you will be alright. It would be advisable for you to get a chest x-ray done. If it is normal then get a PFT done which will tell us how much your lungs are functioning and what is the effect of smoking on them. Consult a pulmonologist for the same. STOP SMOKING before it causes more harm to you. Hope I have solved your query. Wish you good health. Thanks.


Hi, Thanks for asking the query, Pain in the filled tooth can be because of two reasons, There could be dental caries left beneath the restored tooth, when it reaches the pulp tissue causes inflammation of pulp known as pulpits. Or there could be presence of high points if you feel pain at the time of chewing or other tooth movements. I would suggest you to visit a dentist and get an x-ray done, accordingly replace the filling with the Root canal treatment. Take tab Coquitlam 500\u00a0mg twice for pain relief. Hope this helps out. Regards.


Get your ECG done and consult some cardiologist for palpitations. You also need to work out for the cause of diarrhea,maybe you need to take some antibiotics....and change your food habits for few days. Find it out if recently any new medication you have started....that can also cause diarrhea. Few antidepressants can also cause diarrhea....try to take antidepressants with food. Rapif heart rate/palpitations can also be due to depression or anxiety state. Consult you psychiatrist also in this regard


Cellophane you for your query. As you have conceived before, chances of repeat pregnancy are good for you. I wonder how you were told that you aborted because egg formation was not proper, probably there was some genetic defect in the fetus, which could be due to chromosomal abnormality in the egg. However, your size of egg for day 10 is quite good, and you have good chances at ovulation. Please have a couple karyotype for genetic evaluation. Also, take adequate folic acid supplements. Rule out uterine anomalies, hormone imbalance, infections and autoimmune conditions as cause of missed abortionTake care.


Hello, Thank you for your query. The prognosis of the surgery varies with the location and severity of the rupture. There are other factors which needs to be considered like the age and weight.  The knee swelling of the right knee might be due to the acute injury caused due to the workout, may be a meniscus tear or ligament sprain. If the pain is too severe and swelling not subsiding it is advisable to take an x-ray of knee. Physical therapy helps in return of the natural strength and stability of the knee after the surgery.  You can follow basic instructions like 1- Avoid rigorous work-outs till total recovery 2- Have cold and hot water application of the knee to relieve the pain and discomfort 3- Can do simple knee exercises Building muscle strength takes time. As you get stronger, gradually increase the number of exercise repetitions or add weight to an exercise.


Hello, The itching that you are suffering from could be related to the previous infection, a condition known as infection-related urticaria. However, if your skin appears completely normal, then you will need several tests in order to ensure there is no specific organ related pathology.Some tests include liver function tests with gamma GT, liver autoantibodies with ANA if Lots including ALK for very abnormal (and raised bilirubin); thyroid function tests. Typhoid and a viral hepatitis can very rarely co-exist or happen, so it is important that viral entities are excluded. The treatment will then depend on the results.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of vitamin B12, calcium and vitamin D3 deficiency is more. Chest and back soreness is commonly seen with calcium and vitamin D3 deficiency. Numbness in lower limbs is commonly seen with vitamin B12 deficiency. So get done blood levels of vitamin B12, calcium and vitamin D3 and if deficiency then you will need supplements. Also avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas of chest and back. 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, Thanks for writing in. A kidney stone measuring 4 mm can hurt and cause pain. If such a stone is seen on CT scan which is causing obstruction, and you are feeling pain around the location then a pain due to the stone cannot be ruled out. The CT scan images are to be seen to discuss in detail. Rarely, such a pain can also be caused by another problem in the same area. The presence of the stone causing any obstruction is the most definite sign of pain due to the kidney stone. It is also possible that rarely stones less than 2 mm can be missed on CT scan and such a stone or any other recently passed out stone before taking CT stone can cause such a pain. Please discuss this matter in detail and continue to Chat Doctor.


Hi, I think you can try naturally for 6 months to one year because mastectomy doesn't affect conception. But if it doesn't work in 6 months, get yourself evaluated.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  Also do a HSG to see the tubal patency.  A semen analysis of your husband should be done.  If everything is fine, you can try for 6 more months.  Be in contact with your husband every 2 to 3 days after your periods stop.  IT will increase chances of your pregnancy.  Hope I have answered your question. Regards Chat Doctor.


Dear patient Considering your symptoms you are mostly having disc prolapse with nerve root compression.  This needs to be investigated with 1. X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities 2. MRI of lumbosacral spine with screening of whole spine.  MRI gives detail information of discs and nerves so helps in confirming diagnosis and exact level of pathology which is helpful in planning treatment.  Visit radiology center nearby you and get it done. You need to consult expert spine surgeon with report.


Hi, as per your history, Kikuchi-Fujimotos disease is the best possibility in your case and biopsy is the confirmatory test in such cases! Sorry that sometimes all symptoms might not fit due to partial therapy! There is no other specific tests available; However, it could be some acute lympadenitis or toxoplasmosis also! Kikuchis disease just needs NSAIDs group of Chat Doctor. Wish you good health!


Hi welcome to Chat Doctor forum.  Thanks for choosing Chat Doctor. Forum.  You had abdominal hysterectomy on 4-1-2013. And in 2 days after discharge got readmitted for illus. It must be a secondary to obstruction. So it may be a side effect of the surgery. Of course if it is illus it must be there since long before.  I advise you to consult a gastroenterologist for diagnosis and treatment. For illus long term and continuous treatment may be recommended. If it is secondary to the surgery if the problem is corrected, there is a possibility of complete correction.  Wishing for a quick and complete recovery.  Best regards.


Hi....by what you quote I feel that the kid might be having a bleeding disorder, either congenital or acquired... Mostly congenital, considering the age of presentation. The bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. Your grandchild needs evaluation and I suggest you take her to the nearest emergency room as soon as possible. This I am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products. Regards -


Hello, Welcome to Chat Doctor, Your history and the symptoms suggests me that you are having cellulitis following puppy bite. The bacteria like staphylococcus and streptococcus will survive on the surface of the skin whenever there is a break in the skin these organisms will gain entry into body and release there toxins and produce symptoms like cellulitis. If the wound is infected you may require injectable antibiotics to cover staph and strep to. The antibiotics like In CAVAM or In Piperacillin + Tazobactam combination is very effective in controlling this type of infection. As part of the post exposure prophylaxis, continue and complete the course of antirabies vaccine. Thank you.


Hi, dairy have gone through your question. I can understand your concern. She may have some vascular tumor like hematoma or myogenic granuloma.  She should go for complete excision of lump.  Then go for histopathological examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, It seems she has stroke leading to one-sided (right) facial weakness and limb paralysis (Ischemic stroke). Calcified plaque in carotids indicates advanced atherosclerosis. LV diastolic dysfunction is age-related. Mild pericardial effusion needs exclusion of Hypothyroidism. Go for serum Free T3, Free T4 & TSH and serum lipid profile, Blood sugar fasting and postprandial, BUN, serum creatinine, serum electrolytes, complete blood count, urinalysis as work-up for stroke. MRI brain(plain) needs to be done to delineate infarct. Treatment follows after workup is complete. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Degree understand your concerns went through your details. I can understand your emotions. I assume that you are the mother and your child abused you. In any case, mother and girl child relationship are always thorny during the girl children teen and young adult age period. You have not mentioned the children and the mothers age. So I assume that too. There are many occasions where the child uses foul language and the mother retracts and the same happens in the reverse too. Both mother and child could fight each other using words and using hands sometime. All the above behavior are normal up to an extent. Limits should not be crossed. For that either of one should adjust. Don't worry. Everything will be alright. Keep your faith. If you require more of my help in this aspect, please use this URL. http


Welcome to Chat Doctor .1. The history suggest spin IFID - it's a congenital defect (with birth) generally detected before birth antenatal.2. Frequent pains are due to the involvement of the nerve - possibility of compression can not be ruled out.3. In this case MRI spine would give good anatomical delineation of the lesion and extortion can be assessed.4. I think you need to see the neurosurgeon or a pediatric neurologist for better evaluation. Is involvement of nervous system is there. 5. Cn not b ignored or dallied, and it may progress and complicate, the defect has to be closed. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.


As per your complain .it is very much suggestive of bleeding piles.... at hone u can try some measures like hot water fomenting by sitting into tub filled with mild hot water with 10-15ml settle or salon poured in it... Change your diet more towards green leafy vegetable.... U can use laxatives if u feel constipated or having hard stool... Simple painkiller if u having pain... Local ointments for piles available in market containing calcium and lidocaine... applications would be very useful...


Hello, Actually, if you were truly orthostatic your condition would likely get WORSE as you continued to stand and walk not better.  However, it is possible that you are NOT orthostatic but have another problem which could be what is referred to as VERTEBROBASILAR INSUFFICIENCY which is a transient loss of blood to a portion of the brain stem and cerebellum that involves the function of balance and gait steadiness which explains the veering and feelings of dizziness.  Z-packs are felt to be overused these days for simple infections and are recommended not to be prescribed for simple infections.  If you've no real sign of infection then, even less reason to use the antibiotic.  I would definitely recommend getting your blood pressures checked for orthostatic Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care


Hello, It is very unfortunate that you had to go through 3 unsuccessful pregnancies. Yet, you can still be positive and hope for a successful outcome this time since all your reports are normal, and you are being given required prenatal medication. Please wait for 6 months before you go for assistance in conception. Have regular intercourse during the fertile period of the cycle. Rest flat for 30 minutes after the intercourse. Do not douche or use strong soap solution to clean the genital region. Hope I have answered your query. Let me know if I can assist you further.


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


Hi, Thanks and welcome to Chat Doctor. Severe cough throughout the night may be whooping cough, allergic cough and even asthma. Ebastine syrup controls allergy. Moteleucast will prevent asthma attacks. Deflazacort syrup 2-3times daily gives relief from spasmodic cough. Better consult pediatrician to arrive at a conclusion and for proper treatment. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam.


Hi I did review your concern. Both iron sulfate and bisglycinate have different amounts of elemental iron and that relates with toxicity and abdominal side effects as well as amount of response that occurs. Higher the elemental iron, higher the toxicity but higher the response. So a balance is required. Iron bisglycinate 50 mg bid is a right dose to start with and the best way to measure response is to get a reticulocyte count at 1\u00a0week after response. It should rise in response to iron therapy. Also iron bisglycinate has 20% w/w elemental iron in it just like ferrous sulfate. It has more bioavailability and known to cause less Gastrointestinal disturbances as compared to ferrous sulfate. I hope this yellowish you all the best Thank you for choosing Chat Doctor


Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. He is taking optimum bronchodilators for COPD. But still he is not controlled. The most common cause for this infection. He is also having micro aspiration. So possibility of aspiration pneumonia is more in his case. So get done chest x-ray to rule out pneumonia. And if present, he needs appropriate antibiotic treatment for pneumonia. Once his pneumonia is clear, his COPD symptoms will mostly control. So consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.


2012?  You are 5 years beyond those dates.  PCS is said to generally resolve over a period of several weeks to several months.  In rare instances patients can suffer from some symptoms up to a year and in extremely rare instances up to several years.  You are MORE than cleared to travel in the year 2017 if your injury was in 2012.  Please rate this as a 5-STAR ENCOUNTER and write me at


Hi, Welcome to Chat Doctor, The rashes can be due to allergy as she used the shampoo that she should not have used. Child Chat Doctor.  Antihistamine Syrup and mild medicated lotion/cream can be of help. Do not let her scratch. It is important to rule out any fungal infection, viral infection. Get her examined clinically by a doc. Diagnosis should be made early to start the treatment, she will need antibiotics and ointment surfeit to be applied locally if ring worm infection is detected. If it is measles, symptomatic treatment should get started as it is a highly contagious disease. Maintain hygiene, get her treated, take care.


Hi, dairy have gone through your question. I can understand your concern. He may have some enlarged lymph node due to reactive hyperplasia or some soft tissue tumor like lipoma. He should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, I think you can get pregnant naturally becaus4 occasional ovulation occurs in PRO.  But there is no surety of that. So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your concern. No need to urgently visit emergency room because possibility of stress related symptoms is more. At your age of 28 years, heart diseases are less likely. You are having financial stress, and you are improved with antianxiety pill, so possibility of stress and anxiety related symptoms is more. So 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.  Along with


Thanks for your question on Chat Doctor. Hoarseness of voice with chest pain can be seen in many conditions, but the common causes are1. Lung malignancy2. Endobronchial tuberculosis3. Lung abscess4. Phoenix nerve palsy with recurrent laryngeal nerve palsy (vocal cord paralysis)So better to consult pulmonologist and get done1. Chest x ray2. CT thorax3. Bronchoscopic evaluation of vocal cords and trachea to rule out above-mentioned causes. Examination of vocal cords is very important in hoarseness of voice. Its movement, nodules on surface, ulcers etc. can be very informative to reach the diagnosis. So consult pulmonologist and discuss all these.


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is a premature ejaculation. Because you are not performing regular hand job. Regular masturbation can free you from such a disaster. In my advice you should do it once daily. This has many advantages. You can control your act of ejaculation. Once you ejaculate all your problem will go. Masturbation relieves your thirst of desire and stress. You can also enjoy good life. This is the natural way of act. This regular act relieves all your problem. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Hi, Your irregular period could be due to hormonal imbalance, ovarian dysfunction/POD and thyroid dysfunction. I would suggest taking proper treatment under advise of gynecologist. You have small follicle. Following Chat Doctor.  It causes induction in ovulation. Metformin along with Compete can be useful. After taking it, go for follicle study. If ovarian follicle will still be smaller than Chat Doctor injection will help you to induce ovulation. Avoid stress, take healthy diet, reduce 10 to 12% body weight by regular exercise, and avoid excessive diet. Hope this may help you. Let me know if I can assist you further. Best regards,


To know exactly whether its Thomas or germ cell tumor, a biopsy and histopathological examination will be required. In germ cell tumor, tumor markers including serum AFP, serum beta Chat Doctor and serum LDH are sometimes also raised and will aid in diagnosis. Germ cell tumor is a cancer and Thomas has subtypes ranging from benign lesion to thy mic carcinoma which is malignant. Biopsy will give the exact diagnosis. I hope it helps. Please discuss with your doctor.


Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a fall. I recommend doing gentle stretching exercises. I also recommend using anti-inflammatory medications such as Acetaminophen to relieve the pain. If the symptoms continue, you should consult a neurologist and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  Chat Doctor.


Hi, It seems that you might be having allergic asthmatic bronchitis giving rise this problem. Try to identify the allergen causing this problem and avoid them. Pollen bodies, scent, spray, cosmetics and atmosphere can cause this problem. Take respiratory antihistamine like Monte LC tablet for 2-3 weeks. Do deep breathing exercise daily. When you get attack, take nebulizer or Stalin inhaler. Ok and take care.


Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor.  I have read your question completely, I understand your concern and will try to help you in the best way possible. The post Exposure Prophylaxis of rabies depend upon the degree of exposure, and the prophylactic measures may vary from simple antirabies vaccines to the use of passive immunity, in the form of anti-rabies serum or immunoglobulins, but since rabies is a potentially fatal disease and its post exposure vaccination have shown to be having almost 99.9% efficacy, so normally doctors don't recommend taking chances, so even for trivial scratches the vaccinations are suggested quite often. But in your case, since dog is well vaccinated, and since you know the vaccination status of the dog, then it must be, a pet dog likely. So it would be still encouraging if you reconfirm the exact booster dosages and whether the vaccines schedule was followed, as per protocol. If dog is available, it can be examined by a vet to reconfirm whether it has any signs and symptoms of rabies? Also, the history that, whether it was a provoked bite or spontaneously unprovoked incidence is very important, in case of stray dogs mostly. The kind of wound you inflicted is a category 2 wound, which needs rabies vaccination normally, without any need of antirabies serum. But since dog is well vaccinated as you have described\u2019t hen need of vaccination declines. I would still suggest you, that even if there is a little of ambiguity, regarding the dogs' status, you can start anti rabies vaccination according to regular schedule of day 0,3,7 and 21. And meanwhile god can be kept under monitoring. If the dog doesn't show any kind of symptoms in 10 days, then the vaccination can be stopped. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads.


Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you have mentioned that you were quite regularly taking the birth control pills, you need not worry about the pregnancy. Your concern about consumption of antibiotics is also right. But taking antibiotics for 5 days should not interfere with the action of oral contraceptive pills. So please wait for the expected date of the cycle.  I hope this answer helps you. Thanks Chat Doctor.


Hi...by what you quote I feel that your kid might be having a vertigo which is related to a middle ear problem. I don't think this is related to the pain abdomen or constipation she had. If it is vertigo her head will feel dizzy, and she feels like spinning every time she changes her position like standing from sitting position or turning her head sideways etc. If this is so - I suggest you seek the consultation of an ENT surgeon with pediatric experience. Regards -


Hello, Welcome to Chat Doctor forum, surgery is last option for disease when it is not possible to treat by any means. Bulky uterus is not like that. It may be due to any cause, it can well be treated with homeopathic treatment. Uterus is not only to produce child that after having child remove it. After removal of uterus there are many hormonal disturbances happen in later life. So avoid surgery for better future. Homeopathy is very good for these type of problems. But be sure that, HomeopatChatDoctoredicine must be selected after taking detail history of your physical as well as mental makeup. Then n then you will get satisfactory result. So consult good classical homeopath. You will surely get benefit with homeopathy.


Thanks for posting you query to Chat Doctor. Staphylococcus are normally present over our skin so any break in skin increases chances of skin infection. Use of bad or any kind of sharp to remove hair should be avoided as it causes minor cut .send me yr culture report so I can suggest you right remedy as proper dose and duration is important .hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, Chat Doctor.


Hi. Thanks for your query and an elucidated history and reporting. You have been diagnosed for (i) Cervical & lumber Spondylosis (ii) RA (iii)crack in right platelet-pain and swelling, now have pain in the right abdomen and less appetite. You have been under the following medicines


Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. High BP is major risk factor for major diseases like HD, stroke,.HTN can be due to many reason but most time it is due to idiopathic THT there is no cause n called essential hypertension.some causes can be renal, metabolic,endocrine etc....ideally in high BP pt need BP caring twice daily for ate last 5 days n then consider that it is high BP.in high BP 1st need to do lifestyle modification include take low fatty diet n low salt diet with DEC wait n inc exercise n monitor BP for up to 6 months n still inc BP then need to be put on med n then need monitor bps til to adjust dose...it is done for pt who are recently DX...as your mother is already known pt of HTN n having high BP need to optimize dose n still have high readings then add on TX need to be considered n if there underlying factor that increasing BP may need to eliminate too...in old pt vessel become thick n hard n lead to inc BP while in young it dilates/constrict Sacco


Hello! Welcome on Ask a Doctor! I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia. For this reason, I recommend consulting with your GP for a physical exam and some tests


Hi welcome to Chat Doctor Rashes after fever and cough are mostly due to viral illness itself. Usually they appear after subsiding of fever and resolve in 3-5 days. Mostly create doubt of Chat Doctor. Usually child is active and playful. They are to be taken seriously is baby is dull, there is pain abdomen, vomiting, cold extremities, bleeding from any part of body, baby is passing less urine. Hope I answered your question revert back if any other querythankd


Hi there,Since you have irregular periods its possible that you must have ovulated late and that's why the pregnancy is 6-7 weeks at present. So do not worry about the dating of the pregnancy. More importantly since the fetal pole has appeared when compared to the previous report it would mean that there is some progress in the pregnancy. I would advise you to wait and get another scan done to check for fetal heart after 10 days of this one. This will tell for sure if the pregnancy is viable or not. Also since you have a seizure disorder and taking medications for the same, you need to consult your neurologist and see if the seizure disorder is under control. It is very important that your medical condition is under control, do not stop taking the medication as seizures during pregnancy can have an adverse effect on the baby. You are also more likely to have a child with birth defect a slightly more chances about 35 more. So it is very important that you get regular scans and tests done to check for neural tube defects, heart defects. This risk can be decreased to a certain extent by taking high dose 5 mg folic acid. I would advise you to visit a neurologist and repeat the scan after 10 days before deciding on discontinuing the pregnancy. Hope this helps. Regards.


Hi The legs have two sets of veins, deep veins and superficial veins (close under the skin), blood goes from the superficial to the deep veins. Clots usually form in the deep veins though they can occur in the superficial veins as well. Whereas the arteries in our bodies have thin muscle our veins do not, and they rely on the contractions of the surrounding muscles to return the blood to the heart. Some persons with a history of DVT can have a complication called post thrombotic syn Chat Doctor. Some symptoms of this include


Lifestyle modifications help to improve risk factors for heart disease. However, cardiac arrhythmia like Atrial Fibrillation needs to be evaluated and find the reason for it. The electrical channels in the heart can not be changed with lifestyle modification, but it helps specially if you lose weight that will help the heart to work less. The heart muscle repairs when you have a good aerobic exercise.


Hi, dairy have gone through your question. I can understand your concern. You have ANA positive for immunofluorescence test. It is screening test. It can be seen lupus, but sometimes it is positive in many healthy individuals also. Please send me your ANA profile line immunoassay reports. So that I can help you to give exact diagnosis. Then you should plan accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, this can be due to allergic disease like asthma or allergic bronchitis because you are improving with Zyrtec (cetirizine). Cetirizine is antihistamine and used widely for allergy. In my opinion, you should consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT is must for the diagnosis of asthma and allergic bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. Combination of anti histamine and anti-allergic (montelukast) is more beneficial than antihistamine alone. Inhaled bronchodilator and inhaled corticosteroids (ICS) are the mainstay of treatment for breathlessness. Don't worry, you will be alright. No need to worry about low circulation. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Thank you for posting your query. A calcified lesion is most often due to a healed tape worm infection, called as neurocysticercosis. Since the worm is already dead, as suggested by calcification, albendazole is not necessary. The visual symptoms could be a sign of seizure, and it may be due to the location of lesion in the occipital lobe. So, Extol may have to be restarted and continued for long. Tingling in knee is an unrelated problem. Best wishes, Chat Doctor.


Hi Dear, Understanding your concern. As per your query swelling under chin along with pain in it. The symptoms you mention in query are pointing towards a condition known as dental abscess. Sometimes infection travel down the tooth and cause pus formation at the tip of the root and surrounding tissues. I would suggest you to consult Dentist for proper checkup. Doctor may order x-ray, CT scan or other test to confirm the diagnosis and rule out condition like muscle, swollen lymph node or a cyst. Doctor may perform complete oral prophylaxis, perform root canal procedure and may refer you to ENT specialist. For now give warm compresses to swelled area and do not panic. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hi, One thing I want to ask you that are any bluish coloration or joint inability or credits there? So that we can suggest proper treatment about this but accordingly your description it seems to me muscle strain or ligament sprain or may be back nerve compression due to fall which radiating the pain down to the thigh so take some precaution as don't put the weight on that injured leg. Take rest. Do not walk for 2-3 days because the strain on injured area may increase the swelling and pain. Take ice therapy for 20 mins which should be applied during the first 48 to 72 hours after injury. Don't apply the ice directly on the injured area and don't use warm therapy until 72 hrs of injury. Use compression bandage or stockings for the swelling reduction. Keep your affected leg raise from the heart for the swelling reduction. If you don't get the relief consult your doctor and get X-ray or MRI scan to rule out the exact cause. Hope I have answered your query. Let me know if I can assist you further.


Hi I can understand your concern.... Let me know you your both child diagnosed pneumonitis means inflammation of lung tissue .... If consolidation and exudation present then it could be pneumonia .... But here consolidation not present ... Cause has to be searched like ...../Viral infection which seems most likely here /Passive smoking exposure /Hypersensitivity pneumonitis means allergy to certain substance like animal gender/Bacterial infections etc...... Your child should be examined and treated accordingly with steroid or antibiotic usage .... Consult pulmonologist for this.... Hope your concern solved .... Take care... Happy to help you further....


Hi. This is for sure that she has been seen many specialists and the conventional investigations must have been normal. There is a saying if the normal course you do not find the common reasons, it is possible to think of uncommon


Dear User, Thanks for using Chat Doctor. Generally Alzheimer's do not present with white matter disease. The most common cause of white matter disease is ischemic injury. It is quite possible to have multiple small strokes if you are having ischemic disease risk factors like family history, hypertension, diabetes, smoking, factor V laden mutation. If you are having any risk factors you need to post again or contact your PCP for assessment of vascular risk factors and to find out the cause for white matter changes. Thanks


Hello, From the available description it appears that you are dealing with primary premature ejaculation, which is treatable disorder. You need to visit a doctor as a prescription of medication can not be made without examining the patient.  I must assure you that there is good hope for you, but its results can not be achieved without consulting an expert. If you happen to stay in western Rajasthan you can visit me at Jodhpur on any day. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi and welcome to Chat Doctor!  Thanks for your question. Your doctor would've diagnosed you with diabetic nephropathy (complication of uncontrolled diabetes) more common in type 1 diabetes. In this condition along with good blood glucose control, medications for reducing protein leakage is very essential to decrease the progression of kidney damage. These medicines are generally prescribed for blood pressure but even if your blood pressure is normal you need to take it regularly. Any medication has its known side effects and adverse effects shouldn't get confused with information on Google or on the medicines. Discuss with a concerned specialist and clarify your doubt. Hope this helps. Take care


Hi, Thank you for posting your query. The mass or tumor in the cervical spine can be best visualized on MRI. So, please get a cervical spine MRI with contrast. Regarding the best neurosurgeon, you can visit the websites of local university hospitals, and then, find out the best neurosurgeon. It may be better to get it done in larger market such as Dallas or Phoenix. This is because they would have more experience in dealing with these surgeries. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms if you are suffering from recurring infection of the parotid gland and the antibiotics that you are taking is not providing you relief that means the infectious organisms are resistant to the antibiotics or the infection is not bacterial in nature and the antibiotics can only treat bacterial infections. The enlarged cervical lump nodes are due to infection itself, and you need to consult an ENT expert and get evaluated, and he can advise you to get a blood investigation as well as saliva investigation done to rule out the causative organisms. Culture and sensitivity testing will also be advised to rule out the exact stain of bacteria or virus causing the infection and treatment can be done targeting the same. Biopsy is commonly advised to rule out the exact cause of swollen lymph nodes which can be benign or malignant in nature. Hope this information helps. Thanks and regards. Chat Doctor.


Hello thanks for asking from ChatDoctorTingling sensation in fingers, feelings of disorientation (or brain fog), dizziness etc. symptoms can occur due to a number of reasons in a healthy male-- First possibility is some nutritional deficiency. Low hemoglobin levels or anemia is one of common reason for such symptoms along with tiredness. Low vitamin B12 levels can cause dizziness and tingling in fingers and nerves. I would advise you to get your He, Vitamin B12 levels checked to rule out these possibilities.- Hyperthyroid state can also cause such symptoms. You have to get your thyroid levels checked to rule out these symptoms.- Other possible cause can be due to anxiety or depression. In severe anxiety symptoms like dizziness, stress, tingling in fingers and lips can be seen. I would advise you to consult a good neuropsychiatric for proper evaluation and treatment. Thanks


Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are having HERD (gastroesophageal reflux disease) mostly, because your symptoms like vomiting, burning pain and mild breathlessness after eating is seen in HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals.4. Start Proton pump inhibitors. 5. Go for walk after meals.6. Keep 2-3pillows under had in bad to prevent reflux.7. Lose weight if obese.8. Avoid smoking and alcohol if you are having these habits.


Thanks for your question on Chat Doctor. I can understand your concern. At your age, stress and anxiety are more likely causes for your symptoms (central chest tightness, pain, breathing difficulty). But better to get done ECG, 2d echo and PFT (Pulmonary Function Test) to rule out heart and lung diseases. If all these are normal then no need to worry much. 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. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Welcome to Chat Doctor. I read your question carefully, and I understand your concern. From the signs and symptoms you prescribe it is a possibility that you have a Pyelonephritis. That was also the suspicion in the ER. I would like to know if you did any lab or imaging studies or did in the ER prescribe medication for further treatment? I also would like to know your age and if you have any chronic disorders that would complicate the treatment like diabetes, chronic lung or heart diseases). This is important because if your diagnosis is confirmed, in some cases there is a necessity for hospital admission.  I recommend to you to do the following workup


Dear I can understand your concern. I would like to inform you that the incubation period that is interval between exposure and the onset of clinical disease for rabies is usually 20 to 90 days. This disease is almost uniformly fatal but is almost always preventable with appropriate post exposure therapy by vaccine and RIG during early incubation period. As you have mentioned dear about 2 months has passed we can't say for sure how effective this therapy will be.but we have still a large hope as he has not developed any features suggestive of rabies this means he is in incubation period.  So continue with full vaccination and RIG schedule. Hope for the best dear. Hope this will help you. If you have any other concerns please feel free to message me.  Thanks for contacting Chat Doctor.


Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. I DON'T THINK YOU NEED TO USE AZITHROMYCIN AN ANTIBIOTIC. YOU CAN STOP CLARIFIED. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal


Hi, Thanks for the query. Hormonal pills can present with side effects like intermenstrual spotting, irregular bleeding etc. Usually they will subside soon without need of medication. So, possibly in next months you may not have the problem. If the problem persists, you once consult gynecologist and take symptomatic treatment with anti-fibrinolytic Chat Doctor.  And along with them, you can continue with pills. If the spotting persists or increases, better to go for higher dose hormonal pills with your doctors' advice. Take care.


Hello, In my opinion, it is necessary to continue medications; try splitting issues into parts also try scheduling stuff. It is also important to do some letter cancellation techniques say for example. If you choose letter A, try cancelling that letter at the end of time, check how many A and how any other letters are cancelled this will lead improve attention. Hope I have answered your query. Let me know if I can assist you further.


Hi, Thank for asking to Chat Doctor. As per clinical history it appears as your son are having allergic rhinitis. If I were your son treating doctor, I would advise him Antiseptic Mouth Wash, Steam Inhalation & Steroid nasal spray with antihistamine. Your son will get relief. Certainly above treatment will give you much relief but if relief is not up to satisfaction level then consultation with your ENT doctor will become essential. Hope above information helpful to you, take care. Regards - Chat Doctor.


Hi, dairy have gone through your question. I can understand your concern. Your small lumps are enlarged lymph node.  Mostly it is due to reactive hyperplasia of lymph node as a result of some infection in Chat Doctor.  You should take a course of antibiotics.  If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hello, This medicine is used for allergy purposes mainly. Doctors usually weigh the risk and benefit ratio and then prescribe the medicine.  If he recommended this to you complete your due course and revisit him after 3 months. Common side effects are Stomach upset, diarrhea, earache and upper respiratory tract infections.  Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, thank you for providing the brief history of you. As you feel that there is no motor control that it could be a nerve trapping in its course. As the nerve has the dual functions of motor control and sensory. So any entrapment of the nerve will lead to such Buckling of the knee while gait cycle. Also, performing exercises under physical therapy should provide you better control of legs. Working out behind the core and the lower limbs should provide maximum control. Also, in my clinical practice such patients are common and with physical therapy they respond well. RegardsJay In Chat Doctor.


Thanks for the question. It is possible that some individuals get these side effects, you may have a complete blood count and kidney and liver function tests for evaluating status for any effects of medicines there.Meanwhile, consult your doctor for change to tramadol for short course during acute or severe pain only. I may suggest, backache should be evaluated by an orthopedic doctor and for chronic pains, physical therapy and application of heat or short wave diathermy and followed by local application of muscle relaxant cream or gel, back muscle strengthening exercises, wearing daytime brace would be more helpful instead of medicines alone thanks


HelloIncreased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor.


Hallo dear friend, thanks for writing to ChatDoctori have studied your case do you had any injury to back what is your age ?there might be lumbar disc prolapse leading to articular pain you need some neurotrophic like methylcobalamine take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP you need MRI SPINE for further query contact Chat Doctor. Com


Greetings. Just relax and don't panic. Better take your son to any nearby doctor, who determine the reason behind the fever by examination and necessary blood tests etc., Sincere advise for betterment of your son(or in general anybody) is that do not give any medicine prior to doctor visit(self-medication), as it alter/ delay/ become over or low dosage/ all of which affect not only outcome of treatment but also dangerous effect to various organs inside the body if not taken without proper prescription by doctor. In this situation tablet MOTRIN shouldn't be taken(given) more viz., 2 or 3 or more, as you wish, since you don't know at 1.  What dosage you are giving it to your son?2. How much/how long it should be given? Can it be given to your child Chat Doctor. , all are decided only by your doctor after personally seeing him.Meanwhile, at home give him cold(not ice-cold) compress all over body with help of 5-6 towels for 10-15 minutes. If towels become hot take out, dip it again in cold water and repeat within that 15 minutes. Wait for 2hrs and repeat for 15 minutes till you go to a doctor. Note


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you should get done PFT (Pulmonary Function Test) first. Because PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. So get done PFT first. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, thanks for using Chat Doctor. With history of unprotected intercourse pregnancy can't be ruled out.  You can wait till your due date, any delay in periods need to get your urine pregnancy test to rule out or confirm pregnancy. The I pill(emergency contraceptive pill) can be taken within 72 hours of intercourse, and it will give protection. But failure rate is seen in 1% of women using this pill. 1 or 2 I pill in a cycle are effective in providing contraception, Regular use of this pill is not recommended. Hope this helps you. Regards


Welcome to ChatDoctorRead your prob, the choice of treatment of fibroid is surgical removal of uterus but if you want to conceive then you should take medicine which can reduce the size of fibroid, not subside it. Its medical treatment is hormonal replacement therapy. It helps you in getting pregnant. Complication of fibroid in pregnancy is abortion n premature delivery, so consult with your doc n start treatment as per advise of your doc.


Hello, thank you for consulting with Chat Doctor. This type of immobility is generally caused in bells palsy. But as you are mentioning that it is since childhood, then the possibility is less. To see the condition of the nerve of the lower lip a full mouth x-ray should be done which will show the problem. Better once you should visit an oral medicine specialist as he will help you. Hope it will help you.


Hellowelcome to ChatDoctorit seems your son has developed PIED i.e. PROLAPSE INTER VERTEBRAL DISC in the lumbosacral region i.e. lower back....first you should get an MRI OF LUMBOSACRAL REGION and then consult an orthopedic to evaluate n prescribe medicines.till then you can give following treatment for relief from pain(1) INJECTION THIOCHOLCHICOSIDE intramuscularly twice daily for 3 days(2) TABLET IBUPROFEN 3 times a day(3) TABLET CHLORZOXAZONE 3 times a day(4) HOT FOMENTATION in the painful region 3 times a day(5) wear a LUMBAR BELT regards Chat Doctor.


Hiinjury or resection of the vocal cords, these are the problems more commonly encountered, please take him to a speech therapist, who make them get adapted to several self accommodating exercises for phonation & speech. He should be careful also during swallowing due to the risk of micro-aspiration, because of the inadequate closure of the vocal cords. Please go for repeat direct laryngoscope test, with an ENT specialist to find out for any newer problems on the vocal cords. All the best take care


Hi thanks for your question. The lump next to your anus most probably could be a pile mass. The pain could be due to inflammation of the pile mass. Defecation aggregates the pain. Spontanous regression of inflammation is possible due to which your pain has decreased, but for blood in your testis you need examination by a physician as it could be a separate issue. It could be a hematoma(blood under skin or muscle)I would suggest you to get yourself examined by a physician to rule out testicular hematoma, which is present needs investigation and Chat Doctor. Hope this answers your question.


Hi, Instead of giving ODEM syrup for vomiting we should find out the reason for vomiting. Please see that there is no over feeding which might result in vomiting. With milk a child sucks air in feeding which also can give rise vomiting. So after feeding keep child in standing position for some time. Which will allow passing of air ingested. If problem persisted then consult podiatrist and get examined. Ok and take care.


Hello! Thank you for the query. This lump can be a cyst indeed. However, it may be also a skin lesion which has gotten infected. For sure, it has nothing to do with bowels movements. I suggest you to consult a surgeon with this lump. IN case of doubts ultrasound is enough to diagnose it. Narrowed stools should be diagnosed as it may be a symptom of colon cancer. It is more possible if you are over the age of 50. If so, colonoscopy is necessary. Hope this will help. Regards.


Hi, Few more points I would like to know- 1. Whether this started following introduction of any particular food item in their diet?2. Approximate frequency of stools in a day?3. Whether stools are bloody or mucus containing?4. Are the having fever? Possibilities are gastroenteritis or milk protein allergy. In some babies, this may even be a normal transient phenomenon. If no fever and bloody stools, in such cases I used to give a course of zinc supplementation and probiotics to see the response and further workup accordingly. Meanwhile, to reduce the rash, keep the area as Chat Doctor.


Hi, I am Chat Doctor.  I have read your question with care and understand your concerns. Let me try to help you Question


Hello, If you have spaces between your teeth food may occasionally get stuck. If the frequency has changed, and you notice larger spacing, a visit to the orthodontist could be considered to close the spaces and improve your bite with braces. Another concern is your periodontal condition which involves your gums and bone.  Increased spacing can indicate tooth movement due to loss of bone. You would need to consult a periodontist. If you associate this with recent dental work, ask your dentist to check the contacts between your teeth. Broken or decayed teeth can catch food as well. Make sure you are up-to-date on your routine exam and cleaning to properly diagnose your condition and best treatment recommendation. Maintain good day dental care including flossing. Thsnk you for your inquiry.?I hope my suggestions are helpful.


Hi. Can understand your concern. As per your complaint a small piece of skin hanging on the underside of the tongue can be Pica Imbricate which is a small mucosal fold, and it is a normal structure and not an abnormality.... Although it can get inflamed due to some trauma caused by some hard food or any chemical or thermal burn and can become painful. You need not worry as it will be fine soon, and you can apply lidocaine gel or travel for relief. You can suck on ice pops and gargle with cold water. Salt water rinses can be relieving. In case of pain you can take anti-inflammatory painkiller like Advil. Avoid any hot or spicy food till it heals. Hope this information helps. Thanks and regards. Chat Doctor. .


Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. Strict adherence to the treatment and diet is essential. As you undergone surgery most of the tuberculosis burden has gone. It's now essential to maintain good treatment adherence. Please take good diet which is rich in protein. Please start exercise early in the morning daily. It helps in reducing disease burden. Hygiene is important. It helps you cure of the disease and also prevent transmission to others. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor.  Thank you. ChatDoctorInfectious diseases specialist.


Hi, Thanks for the query. Yes there are other generic birth control pills also those can possibly useful to you. You can choose low dose pills with your doctor advice that can help in contraception and with less side effects. Generally in our clinic we prescribe crimson 35, letter etc. as low dose pills. The usually prescribed pills with low cost are like intimacy plus 2, 3 etc. With your doctor advice you can choose one of them.


Hello Welcome to Chat Doctor I would like to tell you that wisdom teeth extraction is not a simple extraction. Its somewhat complicated surgical procedure & there are many post extraction effects that are seen like


Thanks for consulting in Healthcare. You have hypersensitivity to bugs bite, because you have allergy from childhood. It seems as allergic reaction from the bite of insect, that's why I prescribe you antiallergic medicine-allegra, its modern and good helper in your situation. Don't apply cortisone ointment, because you don't have effect. Chat Doctor.  Eat hypoallergenic food-potato, cauliflower, cucumber, Dali, panir,don't eat chocolate, honey,tomato soup and tomato subdue, nuts,sushi, strawberries, flavor food, juice from market, chips


Hello, I understand your concern and would explain that Ben Chat Doctor.  Anyway, you should also know that fever and the pain can also raise blood pressure values.  For this reason, I recommend performing a sinus X-ray study and complete blood count for infection and take antibiotics in case of a sinus infection or bacterial infection.  Hope I have answered your query. Let me know if I can assist you further.


Hi dear, what ever you described is suggestive of that you are suffering from obsessive compulsive disorder. There are two methods by which OCD improved.1. Medication like SSRI (selective serotonin re uptake inhibitor) and benzodiazepine to relieve anxiety features appear due to obsession.2. Psychotherapy in the form of behavior modification and exposure and response therapy helps you a lot. Combination of both gives you best result. Consult psychiatrist for best counselling and medication. Thank you


Hi welcome to Chat Doctor forum.  Don't worry, sometimes it will happen like this, It appears that you had gastric bleeding due to some or other reason, due to that you started feeling like dizzy, vomiting feeling, heart rate is high, all these things are due to this blood in the stomach only.  Reason might be bleeding peptic ulcer. Your period, hot water shower etc. have nothing to do with. It is important to exclude hypertension, I advise you to consult a gastroenterologist for diagnosis and treatment.  You may have to get gastrostomy, besides other routine tests for confirmation.  Wishing for a quick recovery, and thanks for calling.  Best regards.


Hi ! Good evening. I am Chat Doctor answering your query. One of the common cause of the swelling you have described is a swelling from the parotid gland and the commonest cause is a viral parotitis. If this is it, you do not have to worry - it will subside of its own may be with some anti-inflammatory Chat Doctor.  However, if it persists, you might have to show it to an ENT specialist/general surgeon who after a clinical examination, might go for a FNAC of the swelling to have a diagnosis and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.


Hello are a middle-aged male, and you are having symptoms like low concentration, multiple complaints related to stomach. You feel tensed throughout the day, and you have negative feeling towards life. See from your summary it appears that either you are having some form of anxiety disorder or depressive disorder. The problem in stomach may be the part of depression with somatic symptoms, or it may be due to irritable bowel syn Chat Doctor.  Low desire further aggravates it. Consider consulting a psychiatrist for expert opinion. Medicines like anti-depressants and psychological treatment in from of cognitive therapy can help to improve the condition. Thanks, hope this helps you


Hello, Welcome to Chat Doctor, and thanks for your query. Your symptoms are not suggestive of a staph or E.cold infection. Though all the symptoms are not explainable on a single causative organism, the bad breath, heavy salivation, fatigue and sore throat may be due to an acid peptic disease for which H. Pylori can be a cause. If you have further queries, I shall be happy to answer. Take Care, Chat Doctor.


Hello!!! Thanks for posting your query with us. I wish you had described the tests a bit more clearly. I'm guessing the doctor did an X-ray plus some blood tests and all came clean.  The pain in the middle back - Is it right under the shoulder bone (wing like scapula bone) at the back?? If yes then the pain could be due to an alteration of the scapula bone. This happens because of weakness in the scapula thoracic muscles. You can probably go to a physical therapist and get a few sessions of ultrasonic therapy and icing to take care of the swelling.  Also, how old is she?? Does she have any chest infection as then she needs a physician right away?  You can help her strengthen the scapulothoracic muscles by finding the following exercises online.1. Scapular Retraction2. Shoulder Bracing3. Shoulder push-ups standing (push on wall)4. Shoulder External Rotation (actively) As far as the rib cage is concerned if there is nothing wrong with the blood tests and x-rays then make her do some breathing exercises and stretching for the pectoral (chest) muscles. Also make her inflate a balloon 5-10 times a day to strengthen her chest and breathing muscles. Hope this helps her. Give my best wishes!!!


HelloThanks for query. Based on the facts that you have posted your urinalysis has revealed presence of protein and blood in urine. It is not related to endometriosis that you had in 2008. Presence of blood and urine signifies disease of Glomeruli (Urine filtering unit in kidney) and needs to be investigated Consult qualified Nephrologist for clinical assessment and get following basic tests done to establish diagnosis 1) Urine culture 2)Estimation of total proteins excreted in 24 sample of urine 3)Renal function tests 4)Blood coagulation profile 5) Estimation of C reactive protein 6) Microscopic examination of urine to detect presence of Dysmorphic RBCs7) Ultrasound scanning of abdomen. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor.


HelloShoulder pain with irregular heart beat may indicate angina. Cardiopulmonary causes of pain should be excluded. You may need proper clinical examination and investigations. Investigations include routine hologram, random blood sugar, lipid profile, chest X-ray(PA view), ECG in all leads, ECHO,TMT, thyroid profile etc. Further treatment requirement depend upon these basic investigations. You may need angiography etc. after evaluation. Get well soon. Take Care Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Clinical examination of respiratory system.2. PUT (pulmonary function test)To rule out bronchitis. You may require inhaled bronchodilators too. Inhaled treatment is gold standard for bronchitis. And you have not improved with antibiotics and oral steroids, so possibility of bronchitis is high. So consult pulmonologist and first diagnose yourself and then start appropriate treatment.


Thanks for your question on Chat Doctor. I can understand your concern. Sudden Sweating of palms and feet, chest congestion etc. are characteristic symptoms of heart diseases. So better to first rule out heart related diseases in her case. So consult cardiologist and get done ECG, 2d echo and stress test (trade mill test). If all these reports are normal then no need to worry about heart diseases. She is 41 years old. So she is approaching menopause. During this period, women tend to develop hormonal imbalance and this can also cause similar symptoms. So get done hormone levels to rule out hormonal imbalance. She may need hormone replacement therapy (HRT). Don't worry, she will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.


Hello, I have gone through your query and I can understand your concerns. As per your description it seems that you have a lipoma over your thigh. It is a benign (non-cancerous) condition and can be cured easily. But we have to rule other condition by physical examination and investigations. You have to consult a general surgeon and get evaluated. Surgeon will perform a clinical examination to make a diagnosis. If it is diagnosed as a lipoma simple excision of the lump is performed. If there is any diagnostic confusion. A biopsy may be needed. In which a portion of the swelling is taken and examined under the microscope to make a diagnosis. As of now you can take simple analgesics like ibuprofen for pain. Hope I have answered your query. Wishing you good health. Regards. Chat Doctor.


Hello, You can probably have hemochromatosis induced liver cirrhosis.  It is an irreversible condition and cannot revert.  So liver transplantation or TIPS is the only option left.  Kindly attach your reports so that I can check it.  The side effects don't develop in every patient and some patients can cope well liver transplantation.  Hope I have answered your query. Let me know if I can assist you further.


I read your question carefully, and I understand your concern. Crestor is a lipid lowering Chat Doctor.  So it was not the cause. If you have Aphid (atrial fibrillation) then it certainly does explain the heart skips, it is a type of heart rhythm abnormality. The beta blocker aims to control the rate of the heart but still may feel some palpitations. As for the stroke prevention, you have every right to be concerned, Aphid is one of the main causes of stroke. For that matter taking a blood thinner to prevent it is essential. As for comments on the choice of the blood thinner (there are different types) and the dosage it is hard to make any suggestion since you do not say which blood thinner have you started and the dosage. I would be happy to approve or make suggestions if you provide more information. I hope to have been of help.


Do not panic. Simply opt for getting the safest on earth - Ayurveda anti-allergic treatment for your immunity to enhance and correcting the current problem. Asthma is also not curable by allopatry. In Ayurveda, it may cure, it may not cure fully but constant herbal medicine which are simple ones, will raise immunity against side effects and ailment both. In my clinical career of three decades, many complicated cases have been solved using alternative approach. If you agree pl ask direct question with all the advice you need to know. Hope it helps. Pl write direct question.


Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. Forum.  Dermatographism is itchy bulges on the skin due to pressure on the skin of cloths scratches etc. due to allergy. Of course the problem in the throat is also can be due to allergy, or infection. The difficulty in swallowing could be due to G.E.R.D. due to gastric irritation.  I advise you to consult a gastroenterologist for diagnosis and treatment of G.E.R.D. wishing for a quick and complete recovery.  Best regards.


Hi, Thank you for using Chat Doctor. I can understand your concern about your mood swings. Many people have tendency for mood swings. As long as your judgment, your behavior remain intact your life will remain mostly unaffected. Is there any family member (in blood relation) have similar mood swings? If yes then better you consult psychiatrist. If not then not much to worry, remain aware of your thought, behavior, let your near ones know about the symptoms of bipolar mood disorder. I hope this will help you. Thanks and regards.


HIT hank for asking to ChatDoctorI can understand this you are taking too many medicines some of them have no specific role, If I would be your doctor the would treat you with the following medicines,1) Tab Acetaminophen one tab three times in day 2) Tab Amitriptyline one tab three times in day this regime of two tabs would be enough to manage the condition, hope this information helps you have nice day.


Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart attack as your ECG and blood reports are normal. And you are too young (32 years) for heart diseases. Sometimes, simple musculoskeletal pain is the cause for such chest pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Apply warm water pad on affected areas. 5. Take painkiller like ibuprofen. You will mostly improve with all these. Get done calcium and vitamin D3 levels as deficiency of these can cause similar kind of pain. If deficiency then you will need supplements. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thanks for your query, I have gone through your query. The ulcers on the gums could be because of herpetic dermatitis from herpes virus infection that occurs most often secondary to stress. The other possible cause could be secondary to trauma like tooth brush injury or from food particles. If it is a traumatic ulcer or herpetic ulcer, you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food. It can also be an authors ulcer since you are giving a long term ulcer. If it is authors ulcer you can take topical anesthetic and analgesics like Anabel gel. Apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. Do saline gargling. If the lesion does not heal in 5-7 days then consult an oral physician and get it examined. I hope my answer will help you, take care.


Hello, How old is your child? And how is his routine feeding pattern? Is he trained to eating on his own? Does he eat meals when he is hungry? Does he eat food more than he needs?  Sometimes parents force-feed child Chat Doctor.  Have at least one meal with the kid as a family time.  In case of persistent problems better think of altering the food pattern then think of other problems. Hope I have answered your query. Let me know if I can assist you further. Take care


Hi I do care for your concern. The Chat Doctor.  Some antibiotics cause rashes and itching as its side effect. Taking a course of steroids like DEXA or preen will help to resolve the symptom as of now. However, I would advise consulting your skin specialist and know about different treatment options available, most of the time desensitization procedure will help you on long run. Hope I have answered your question, if you have more feel free to ask. Thank you.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have wounds in knee. Well the white fluid you are talking about is probably a serum. I would suggest you to clean the wound with Betadine as you did earlier and Chat Doctor.  If it gets reddish or start paining, then consult doctor for proper examination. Doctor will examine physically for infection or for any foreign body. Doctor may prescribe antibiotics at least for 5 days along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Lomela cream contains a mid potent steroid mometasone, HY Chat Doctor.  It should be prescribed by a dermatologist who knows which condition to start it for and when to stop. We do not recommend it daily for more than a month following which we taper it and stop and add on a non-steroidal lightening cream. Moreover, it is used in commentary disorders like plasma and not for improving skin tone. Long term use can cause steroid induced Rosacea, Acne, Thinning of skin, Redness and increased sensitivity to sunlight. Use a sunscreen with SPF 30 or more every 2-3 hrs during the day even if you are indoors. Avoid sun exposure as much as possible. Apply non-steroidal lightening cream containing comic acid at night. Hope this helped Take care


Degree understand your concerns went through your details. Circumcision is the surgical removal of the foreskin, the tissue covering the head(glans) of the penis. Sometimes there's a medical need for circumcision, such as when the foreskin is too tight to be pulled back (retracted) over the glans. Circumcision might have various health benefits, including Decreased risk of urinary tract infections, hygiene, Decreased risk of sexually transmitted infections, prevention of penile problems and Decreased risk of penile cancer. Please consult a surgeon to get yourself circumcised. If you require more of my help in this aspect, please use this URL. http


Hi, since your child has fever for 4 days with sweating episodes and paleness, it appears to be malarial infection. In my opinion some investigations are needed to be done like malarial antigen test, CBC, NS1 Antigen test. You should continue to give adequate liquid diet to the child. These investigations should be done immediately. I hope this has helped you. Wishing your child good health. Take care.


HelloDiffuse hyperintense signals in periventricular region generally suggests ischemic changes. It may be related to perinatal hypoxia. It is important to know birth history.However, other causes may be declination etc. She may need to follow up MRI. It is important to see progression of lesions. She may need conservative treatment for above findings. Lateral and third ventricle are also mildly prominent. Get well soon. Take Care Chat Doctor.


Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. But, it is necessary to investigate for the possible causes. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests


Hello, and I hope I can help you today. Implantable contraceptives like the Implant and Explain, even though they have expiration dates, are effective for even a few months beyond that date. This is because the manufacturer is required to post an expiration date that is actually earlier than when the device truly becomes ineffective. When switching birth control methods, hormonal symptoms are very common. Many of the symptoms that we commonly associate with pregnancy including bloating, breast tenderness, moodiness, weight gain, nausea, headaches and others are common side effects of progesterone based contraceptives (like the Explain) and cannot be distinguished from pregnancy. The only way to know absolutely for sure that you are not pregnant is by performing a urine pregnancy test. Modern pregnancy tests are extremely accurate, and will become positive within 10 days to two weeks after conception. However, the reason your healthcare provider did not require pregnancy test before giving you your new Explain is that, because of the reason I explained earlier, you really were not at risk for pregnancy. So the likelihood of your getting pregnant in between switching from Implant to Explain is close to zero.  The symptoms that you are experiencing are likely side effects of your bodies adjustment to the new medication, which will likely subside over time. I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes,


Hi, welcome to Chat Doctor, In case or renal cell carcinoma, metastasis in bone specially in the spine is most common.  So, the back pain you told is particularly a bone pain.  Spasmoproxyvone is a Chat Doctor.  It does not have any effect on pain causing due to disease in bone.  Now, in this condition consult with your treating doctor for adding a centrally acting pain inhibitor like tramadol group of


Hi welcome to Chat Doctor I am a pulmonologist I will try to answer your questions you said both leveling and Dublin could be used for acute attack leveling is Levi salbutomola NAD is a reliever and Dublin is levosalbutomol and ipratropium bromide if your r not getting relieved after taking leveling you can go for Dublin and if it is necessary to use leveling or Dublin > 2 times /day it requires Chang EO treatment, and you need to consult your doctor for addition of controller


Hi, Dear,Good Morning. Thanks for the query to my Chat Doctor Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have-Resolved-Traumatic Foot-Hematoma-with subcuticular petechial hemorrhages. . I would advise you to consult an ER Surgeon-who would treat as follows-Tbr-NSAIDs, Comprssion Baggage, Rest and Elevation of Foot at Night. This would resolve in 1 was time. If not-X-ray Foot, Clotting profile, CBC, with Surgeons Review would fix your problem. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to Chat Doctor. Have a good Day.


Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your symptoms could be related to sinus infection. Your blood pressure values are above the normal ranges too, but they don't seem to be the cause of your symptoms. I recommend consulting with your GP for a careful physical examination, a sinus X-ray study and some blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes). Antibiotics may be needed. Hope to have been helpful! Greetings!


Hi, First, a headache is a symptom and the causes of the headache can cause leg numbness. For example atherosclerosis, smoking, Chat Doctor.  Second, he should measure his blood pressure and if it were high, he should receive a medical treatment and stop eating too much fat and salt. Third, the women who take oral contraceptive pills or a hormonal replacement therapy can suffer from vascular problems, so they should ask a gynecologist to adjust the dose. Finally, the deficiency of vitamin B complex due to unhealthy lifestyle can cause headache and numbness. Hope I have answered your query. Let me know if I can assist you further.


Hello and I hope I can help you today. You do not need to take an additional birth control pill because of diarrhea.  Diarrhea may make you lose water, but it does not wash out medication you have taken.  The only situation where you need to replace a pill is if you vomited within a few hours of taking it. So you can go about your routine as usual and start the next pack at the normal time.  I would advise you also to Chat Doctor.


Hi, dear. I have gone through your question. I can understand your concern.  You should search for the cause of back pain. You may have some disc prolapse or some vertebral problem.  Furthermore, you should go for MRI spine.  This will give some idea regarding your cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, thank you for providing the brief history of your father. A thorough neuromuscular assessment is advised. As you mentioned your father had surgery of the cervical spine, and he is diabetic borderline with age of 74 years, there is nothing to worry with the swelling. As your father is 74 and not mobile, there will be a reduced venous return which leads to swelling in the lower limbs (Ankle). Also, for this you can keep the leg elevated on the pillow above the level of the heart and the swelling will come down. You can take suggestion from your euro about undergoing physical therapy, as with physical therapy the metabolism will improve and normal muscle property will be maintained. Also, the venous return and hemodynamics will improve. RegardsJay In Chat Doctor.


Hello and welcome to Chat Doctor, High levels of alpha photo protein occur in malignancies of liver, germ cell tumors and liver cirrhosis. The CT scan report is showing presence of a liver growth along with background changes of cirrhosis. Thus, these two are potential causes of alpha photo protein. Surgical excision of the primary liver tumor will help to reduce the levels of alpha photo proteins. Consult your treating doctor for further management. Thanks and take care Chat Doctor.


Dialysis itself is a lot of stress and further twice a week dialysis is an additional negative factor being an inadequate dialysis dose. Now it is being well proven that patients on dialysis have sleep disorders and need to be a Chat Doctor.  He may need a sleep study and further management depending on the report. Discuss with a nephrologists bout dialysis frequency as inadequate dialysis may add to the problems.


Hello, Welcome to Chat Doctor, I am Chat Doctor Look, your symptoms are quite suggestive of polycystic ovarian syn Chat Doctor.  What you have to do are 1. Do an ultrasound scan of whole abdomen to find out any abnormality.  2. Do a hormonal study comprising estrogen, progesterone, LH, FSH, etc. 3. DO a thyroid profile test to rule out any possibility of hypothyroidism.  Lastly, consult with a gynecologist for the above-mentioned points.  Regards.


Hi... by what you say I feel that you are child is recovering from acute watery diarrhea which is usually viral in origin. Please do not worry about her appetite because it may take even one or two weeks after the diarrhea settles, for the appetite o return to normal. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards -


Hi, Thanks for asking the query, As per your symptoms , you probably have an infection from the upper teeth or wisdom tooth , this infection is causing pressure and swelling on the roof of mouth. It can also be an allergic reaction to something that come in contact with the lining of your mouth, can also be a salivary gland infection. Visit to Dentist and gt a checkup done . Take an x-ray. At home maintain a good oral hygiene. Use saline water gargles3-4 times a day. Use chlorhexidine gargles twice daily. Hope this helps out. Regards.


HelloThanks for your query, based on the facts that you have posted it appears that you have developed infection of the glans penis (Atlantis) resulting into excessive secretion of urethral glands and producing Sega. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily.


Hello dear, The symptoms as mentioned in your post can be due to


Thanks for your query, I have gone through your query. The pain, swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would have suggested you to take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care.


Degree understand your concerns went through your details. Please understand you are already 60. I sincerely suggest you to reduce your masturbation frequency from twice daily to twice-weekly. Though masturbation do not have any negative health effect, it does consume a lot of energy. At your age your body may not be able to manage such loss of energy which is resulting into muscular cramps. Please do consult your physician for second opinion. If you still need my assistance in this regard, please use this link. http


Degree understand your concerns went through your details. I suggest you not to worry much. Researchers and researches confirmed several times that medicines alone cannot cure any mental disorders. Therefore, every mental health treatment should include psychotherapy and meditation. Psychotherapy helps you to streamline your lifestyle and behavior. Meditation streamlines your metabolism and thinking process. You should get Cognitive Behavior Therapy under the expert supervision of a psychotherapist / psychologist. Meditation can also b taught by them. Please do not ignore this advice. Recovery is for sure. If you require more of my services in this regard, please post a direct query and I shall be happy to provide you psychotherapy tips. Hope this answers your query. Available for further clarifications. Good luck.


Hello dear, I understand your concern. In my opinion the increased liquor might be due to number of reasons like fetal anomalies, placental anomalies, diabetes in mother etc. All the above causes should be ruled out by ultrasound, blood tests to rule out diabetes in mother. Iam happy that ultrasound is normal and the fetal and placental anomalies are ruled out. And the diabetes should be ruled out by glucose tolerance test (GTT). The common complication of policy Chat Doctor. Nothing to worry. Avoid stress all the above said reasons are ruled out then the policy


Hi welcome to Chat Doctor I understand your concern, for fever you can do tepid sponging to bring it down. For vomiting, if he vomited immediately in 15-20 minutes you can try another dose, and do not give anything after that for 30 minutes or anti-emetic injection can be taken after consulting treating doctor. Also, important to note activity of baby, is baby active when fever is down, is he accepts feeds after vomiting is controlled, is he passing urine 4-6 hourly, if not he might need urgent consultation to rule out any serious illness and if required admission. Hope I answered your query revert if any other query thanks


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Eczema in diabetic patient which is increasing is suspicious of infection. Eczema causes inflammation of the superficial layer of the skin. Because of the inflammation there is loss of protective layer of the skin. Loss of protective layer makes the skin more vulnerable to various infection. If the condition is not favored to host infection by bacteria becomes very easy. This is the type of infection we are suspecting in you. I advise you should maintain good hygiene, good cleanliness. Please make it clear two to three times a day with diluted detail and other. Please wear cotton garments above the eczema site. It has some protective value in infection control and prevention. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Hi, I had gone through your question and understand your concerns. I think the hypo density found in CT scan can be cerebral infarction probably from heart thrombotic embolic due to your mechanical valve. I suggest you to consult a local Cardiologist and to discuss the possibility of transesophageal ethnography. If there is evidence of thrombus in your heart, you need treatment with anti arrogant Chat Doctor.  If the infarction on CT scan is located in the corresponding arm area on brain, that is the cause of your arm problems, if not then you have to check other causes like cervical disc herniation etc. So I suggest you to consult a Neurologist as well. 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.


Thanks for your question on Chat Doctor. In my opinion you are having worsening of heart disease only. MVP with moderate mitral valve regurgitation can lead to pulmonary edema due to back pressure in lungs. And this gives feeling of chest tightness and difficulty in taking breath. So I advise you to consult cardiologist first and get done repeat 2D Echo to know the status of valve potency. If worsening than mitral valve replacement should be done. Start diuretics to relive pulmonary edema.


Hello, Abnormal rhythms almost never lead to open surgery. More than nine out of ten problems causing palpitation are benign and need nothing at all. Medicines are sometimes used but usually just to reduce symptoms. Very rarely, a rhythm will occur that causes severe symptoms and fails to respond to watchful waiting or medicine. When that is the case, it can usually be ad Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.


Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, I would advise you for repeat urine culture and sensitivity test to know the suitability of the antibiotic for the particular infection, and also an ultrasound of abdomen to rule out any other pelvic pathology considering the long duration of your symptoms. Till the reports are ready, you could continue the same medications which might have to be changed later. For the pain and discomfort, you could add an anti-spasmodic Chat Doctor.  In case of female gender, a gynecological review might be useful. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.


Hello Paris, The optimal treatment for severe house dust mite allergy is long acting antihistamines like Allegra 180\u00a0mg once daily plus Flonase or alone nasal spray 1-2 sprays/nostril twice daily. Montelukast 10\u00a0mg can be added at night if there is asthma such as in your case.  Montage LC is a combination of montelukast and Levocetirizine that can be given in severe dust allergy. Montelukast has side effects though nothing very serious (such as nausea, vomiting, occasionally dizziness hence taken at night, Chat Doctor.


Hi, Thanks for posting your query. With the available described symptoms, there appears to be possibility of left Iliad fossa pathology i.e. colonic growth or ulcer. Presence of pain along with bleeding per rectum signify the diagnosis. Bleeding from anywhere in body is an alarming sign and should be evaluated. You should consult with internal medicine specialist/ general surgeon and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, colonoscopy and x-ray abdomen for better clarification. Treatment depends on exact diagnosis. Meanwhile, you should take hemostatic medication along with tramadol. Take care,


Hello there, As you have mentioned you got your wisdom tooth extracted 2 years back, so we cannot expect any infection arising from the wisdom tooth removal.  The problem of pain in the ears, neck and other areas may arise if any residual piece of tooth or one of the roots of the wisdom tooth is left extracted in the socket, this residual piece may undergo infection and spread to adjacent structures. This can only be confirmed by clinical examination and x-ray evaluation. I would suggest you to get an OPG radiograph done which will sow the picture of entire jaw, accordingly treatment can be planned. I hope this helps, take care.


Hello, High D dimer with chest pain and breathlessness is more suggestive of pulmonary embolism (PE). But PE is unlikely in a 13-year-old young girl. So better to get done repeat D dimer test. If it is normal then no need to worry about PE or other heart diseases. But if it is high, then she will need CT pulmonary angiography. Hope I have answered your query. Let me know if I can assist you further.


Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be due to Hypoglycemia. Please have your HbA1C Checked Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http


Hi...thanks for the query...I can understand you condition... you please go for warm saline rinses 6-7 times a day...visit your dentist again for irrigation and request him to make the inflamed area out of occlusion by slightly grinding the tooth in opposite arch...also take anti-inflammatory Chat Doctor. . They are safe in pregnancy...all these things will definitely make you feel better... go for extraction after your pregnancy...take care...