Hello, and I hope I can help you today. Anxiety is not normally a side effect of birth control, but if you are taking a traffic (pill that has a different hormone dose every week) pill your hormones are at the highest level in the third week of the pack, which may give you Pm symptoms.  So you may be having some type of reaction to the hormone fluctuations. I suggest you speak with your healthcare provider and try switching to a lower dose pill and also one that is the same hormone dose all month, called monophasic. There is a monophasic version of the pill you are on, called Preview (without the TRI) but I think personally you would benefit from a completely different kind of hormone if you have mood side effects. I hope I was able to answer your question today and that my advice was helpful. Best wishes,


Hi welcome to Chat Doctor forum.  Thanks for asking a question to Chat Doctor. F.  Your stomach suddenly became sour, and tender, hurts when you move or breath in, at the upper central part of the belly.  Most probably it is due to the green tea, and raspberry ketones also can cause the pain. Probably you have taken them in empty stomach, or they may show irritation without any reason also.  If you happen to get the gastric pain it could be due to gastritis or ulcer. Other causes are pancreatitis, gall bladder pain, hepatitis.  Such occasional pains usually subside automatically, if no relief consult a surgeon for diagnosis and treatment. You may have to go for M.R.I.besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best wishes.


SWELLING IN COLLAR BONE IS NOT RELATED TO YOUR SYMPTOMS. SWELLING MIGHT BE DUE TO FRACTURE IN THE PAST. SWELLING IN COLLAR BONE IS MOST COMMONLY DUE TO MOUNTED FRACTURE.ARE YOU SURE ITS MOUNTED BONE OR MIGHT BE ENLARGED LYMPH NODE.REGARDING OTHER SYMPTOMS LIKE HEADACHE, DIZZINESS AND WEIGHT LOSS COULD BE DUE TO SOME LONG STANDING ILLNESS. EVALUATE YOUR SELF FOR ANY MALIGNANCY, ANEMIA ETC. ANGIOEDEMA DOESN'T FIT IN. CONSULT INTERNAL MEDICINE SPECIALIST.


Hello and welcome to Chat Doctor forum, As you suspect the hole in gums arise due to ulcerous condition.Localized periodontal infection also can cause this. I suggest you to get scaling done. Bone loss and periodontal pocket formation can be checked through x-ray and clinical examination. Depending on the condition, treatment can be planned. Vitamin supplements and plenty of nutritious rich food has to be taken. Hope this helps.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint difficulty in opening mouth along with pain seems to be due to persisting Chat Doctor. . You are given wrong information that packing the socket will delay healing. So I would suggest you to consult an Oral surgeon and get evaluated and a thorough clinical evaluation along with x-rays of socket can help in diagnosis. In case if there is any left out root piece or foreign body in the socket removal of the same can help. In case if there is


Thanks for your question on Chat Doctor. I can understand your sisters situation and problem. She is having metastases in liver and bone. This is classified as stage 4 cancer, inoperable cancer. In this stage only palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are indicated. Stem cells, thermal therapy etc. is useful in stage 1 - 2 cancer. Once cancer is in stage 4, these newer treatment will not help. So better to consult oncologist and discuss all these. Start appropriate palliative treatment for her. Hope I have solved your query. Wishing good health to your sister. Thanks.


Hallow Dear, During pregnancy, there is generalized engorgement of the breasts as a whole. This is due to the hormonal changes in the body. Though the breast is seen on the front side of the chest wall, it has got a tail which extends up to the armpit. This is known as The Axillary Tail of the Breast.  As the breasts get engorged, depending up on the degree of engorgement, this Axillary tail also gets engorged. So what you are feeling the soreness and swelling under the armpit is nothing but the part of breast engorgement involving the Axillary tail of the breasts. I do not feel you need any second opinion. In fact, I have given you the second opinion with physiological and anatomical explanation.


Hello, You have a history of borderline hypertension, on & off numbness of the arms & hands, nausea, vomiting, headache, varicocele & HY Chat Doctor.  You are suggested to get physically examined for hypertension & get treated for it. Hypertension can be the root cause that triggers many of your symptoms.  Maintain a normal blood pressure level. You can do thin with the help of antihypertensive (calcium channel blockers, thiamine diuretics, Ace inhibitors, etc.) medications under a doctor. You can maintain it by regulating your diet. Avoid alcohol & addictions if any. Avoid red meat, trans fat, full-fat dairy, butter, etc. Since you have symptoms of nausea, abdominal discomfort, indigestion; get liver function tests done. A sick liver will cause fatigue, exhaustion & weakness. Get treated at the earliest. Take boiled homemade food. Take food that is easily digestible in small amounts 4-5 times a day, take veggies, soups, ORS & juice to keep yourself well HY


Hi, Welcome to Chat Doctor. Fungal infections of face, neck and back are commonly caused by dermatophytes and are termed as Tania or ringworm infection. These infections are easily treatable by very good antifungal medications available nowadays. I suggest you get those rashes examined by a skin doctor for confirmation and get a fungal culture done. Get a prescription for antifungal Chat Doctor.  Fungal infections of skin are more common in persons with unmaintained personal hygiene and also in chronic illnesses. If you feel that fungal infection is getting worse than causes for immunocompromised like diabetes, prolonged illness, malnourishment and HIV have to be ruled out. Thanks.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint hairball can occur due to a number of causes like nutritional deficiency like Anemia, hormonal imbalances like Thyroid disorders and polycystic ovarian syn Chat Doctor. I would suggest you to consult a Trichologist and get evaluated, and he can advise you investigations like hormonal assay, complete blood picture, Pictogram and Endoscopy. You can be advised to apply Minoxidil 5% lotion over the scalp. You can also take Biotin supplements along with a combination of Multivitamin and Mineral supplements. You can also apply warm coconut oil over the scalp and gently massage the scalp. You should


Hi and welcome to Chat Doctor. It sounds like reinfection at first, but it can also be anybody infection including respiratory ones or thesis bacteremia. You should do basic blood tests and blood culture for a start. It is hard to find the exact cause but some hormonal/endocrinologic and metabolic disorders should be considered. Check your thyroid and steroid hormones if female. Wish you good health.


Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Anxiety requires treatment with Escitalopram or venlafaxine. Flu requires treatment with paracetamol. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link


Thank you for the question. Adenoca in liver confirmed by biopsy means it has to be treated. Some liver surgeons prefer partial hepatectomy if it is localized in liver and not spread anywhere, which can be done by Pet scan, cholangiographic and some other tests, while some prefer chemo and irradiation, thermos ablation of mass. I would suggest you to consult Once surgeon specialized in liver surgery/Gastroenterology. Prognosis may be still fair if there is no local spread


HelloWelcome to Chat Doctor Anti rabies vaccination protocol should be similarly followed for cat bite as well. There was bleeding at site means it is a category III wound. If you have taken full course vaccination within last 2 years, now you just need to take 2 intramuscular doses of Raipur vaccine as on day 0 and day 3. Previous complete course of vaccination implies 5 intramuscular or 4 intradermal doses with 1 booster at day 90. Hope I answered your query. Any more query is welcome.


Dear friend. Thanks for sharing your concern. Coquitlam can be definitely taken for pain relief in case pain due to erupting third molars. Other analgesics are ibuprofen and diclofenac. But painkillers gives temporary relief. For permanent cure x-ray is required. This is to judge the availability of space in the jaw for eruption of third molar. Therefore, I would advise for a clinical evaluation by your dentist. Meanwhile, warm sine rinses might help to localize the infection. Further, on consultation suitable antibiotic can be started along with analgesics. Hope it helps. Thanks. Take care.


Degree understand your concerns went through your details. I suggest you not to worry much. It is always said \"failure is the stepping stone towards success\" and you seem to oversee it. Please do not blame yourself for your plight. You are to be blamed but not because you did not study, but because you did not study properly. Approach and attitude, they are the key to any success. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span OS below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


**1. Cough with throat pain could arise from pathology concerning pharynx [pharyngitis], larynx [laryngitis] and bronchi [bronchitis] is one of the commonest symptom seen in General Practice, thus prior to any alternate medicine, do consult an ENT and/ or Chest Specialist for necessary Management and Examination.2. Since you are getting repeated attacks of cold, thus are usually allergic and/or with decreased Immunity, thus prevention of recurrent attacks is the main aim of treatment. Deep breathing Exercises. Steam Inhalations 3-4 times a day. Avoidance of allergens [dust/cold Chat Doctor.  Vitamin A


Hello,First, I would like to reassure you that you should not feel disheartened about it. It is important for you to understand that at the peak of her fertility, any healthy woman around thirty years of age has approximately 1 in 5 to 6 chance of becoming pregnant during the fertile period of her cycle. This chance may become less due to a number of factors - increasing age, timing, and frequency of intercourse etcetera. In your case, the fact that you are not staying with your husband regularly, and he is based abroad reduces your chance of becoming pregnant. Besides your marriage is very recent. A guiding principle for starting to investigate for sub-fertility is when a woman has not conceived for twelve months of having regular sex with her partner. This criterion has not been met in your case. However, given your health concerns - diagnosis of horseshoe kidney and PRO, it is important to start an investigation and plan for the conception. Horseshoe kidney is a condition that is there from birth and can occur together with malformations and problems linked to the reproductive parts. It may be worth getting imaging done for the kidneys, ureters, bladders as well as for the uterus, tubes and varied. The blood tests for a renal function should be done and review of results with a Urologist or Gynecologist may be useful. Please get your blood pressure checked as sometimes this can occur with this condition.PRO or polycystic ovaries is a condition that is common, occurring in one out of three women. Sometimes it resolves with correction of weight, lifestyle changes, Sometimes medications may be necessary. Giving combined pills for 3-6 months is sometimes offered to manage irregular periods if fertility is not much of a concern. Moulton is a contraceptive pill, so it might not be the preferred method in your case. Closed and Phaeton might be a better alternative, however, the intercourse has to be properly consummated, timed to the fertile period of your cycle and occur every two days to maximize the chances of conception. I would like to emphasize that for any investigation and management to deal with conception and pregnancy, it is important to include and involve the partner as well. Hope I have answered your query. Let me know if I can assist you further.


Thanks for your question on Chat Doctor. I can understand your concern. No, it is not advisable to conceive during any cancer of the body. Pregnancy causes extreme stress to the body. And this can flare up cancer and can cause spread to distal organs. The treatment, you are taking is also teratogenic. And hence it can damage and deform growing fetus. So better not to get pregnant. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi...as you have had 1st rhinoplasty done three years ago you can go for 2nd one but remember that adhesions formed as a result of 1st surgery.so due to this the 2nd surgery is always difficult but still you can go for it...as for as the flatness is concerned it is unpredictable whether the absorption of cartilage will occur or not...mostly the cartilage taken from the ribs are not absorbed so early.still unpredictable...hope my answer will help out you...thanks Chat Doctor.


Yes sir/ma'am....you are right once your sugar ll get controlled properly all get some relief in neuropathy...it's a diabetic neuropathy pain very difficult to treat, but it is treatable condition and many Chat Doctor.  U take Tab Gabapentin NT start with 100 mg/10\u00a0mg then increase the dose if no relief.and controls your BP and cholesterol too. Take low fat low salt diet. Do yoga and exercise regularly.


Spitting up blood, swollen glands, and an abnormal chest x-ray indicate a serious process in the lungs. It could be infection (tuberculosis is a big concern), some kind of inflammatory process (similar to lupus), or even cancer. Prominent Hilary markings could be swollen lymph glands in the chest near where the lungs start from the major bronchial tubes. The peritonsillar abscess a year ago is not likely related. He could, however, have an abscess deeper down in the lung passages. Seeing a pulmonary doctor promptly and getting the lymph nodes biopsied is exactly what he should do. Hope this answers your query. If you have more questions, I would be happy to answer them.


Hello, Most probably these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated caffeine, smoking, alcohol, thyroid problems may aggravate these.  So before going ahead we need to confirm it. You'll need ECG, Since these are not frequent ECG may be normal sometimes, so in that case you'll need 24 holder monitoring which can diagnose these. You should also get echo done to look for functioning of heart.  Furthermore, you should also get thyroid test done.  Avoid smoking, alcohol and caffeinated products. You should also discuss with your local doctor regarding Metoprolol XR 25 mg once a day, which will suppress these beats, after confirmation of diagnosis. Hope this helps you and get back if you have any questions.


Hello dear... as a mother i completely understand your worry. Your kid seem to have seasonal rhinitis. You can try a lot of home remedies to treat this...give him warm water to Chat Doctor. .you can do this twice a day. Avoid giving milk at night as it aids in mucus production. You can give him Catherine meds at night for a week after consulting your doctor for the right dose for his weight give him turmeric milk and also honey with little pepper. This will reduce his cough and sputum. Thank you for you query hope my answer was helpful. Do rate my answer.


Hello Thanks for using Chat Doctor .com From the details provided it looks to me like he is suffering from pseudo-medically refractory epilepsy along with psychosis and depression. I call it pseudo because of the inadequate dose and poor compliance with the medications. Other causes for recurrent seizures are sleep deprivation and wrong selection of medications for the type of epilepsy.  I recommend you to see an Epidemiologist for classification of epilepsy and then to choose right medicine for the type of epilepsy. Inspire of this he remains refractory with good Chat Doctor.  Sincerely,


Hi, Ovamet contain Camphene Citrate help to increase FSH and LH, induce ovulation and increase chance of pregnancy. There are several documented regimens regarding Ova met. The most common regimen is to take the Camphene (Closed) starting on day 5 after the start of menses for 5 days ending on day 9. Another regimen is to start on day 4 through 8 and a recent publication indicates the Closed can be taken on day 1 through day 5 with a very successful pregnancy rate. So regimen varies form doctor to doctor. You can follow your doctors advise and go for USG scan/ovarian follicle study for monitoring after taking it. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards,


Thanks for putting your query up at Chat Doctor. I am sorry that your daughter has dermatomyositis. Dermatomyositis (DM) is a connective-tissue disease that is characterized by inflammation of the muscles and the skin. While DM most frequently affects the skin and muscles, it is a systemic disorder that may also affect the joints, the esophagus, the lungs, and, less commonly, the heart. The mechanism is immune-mediated damage to microscopic vessels of skin and muscles and gives rise to muscle atrophy. The diagnosis can be confirmed by muscle biopsy, EMG, and blood tests. This disease has no known cure but the immune reactions that result in the disease, can be kept in control using certain medicines. She therefore needs the medicines, and it is no need to worry about side effects as without them the condition would worsen even further. Dermatomyositis is often associated with celiac disease and hence a gluten-free diet is recommended. In other words avoid wheat based products altogether. It is believed that certain dietary regimens like Paleo Diet are beneficial. Okay To Eat


Hi, dairy have gone through your question. I can understand your concern. You may have lichen plans, Bartholdi cyst, some other benign cyst or soft tissue tumor.  You should go for examination. 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.


Thank you for query.it is due to balanoposthitis now it is causing you fibrosis by the description given. Please consult surgeon immediately for examination and confirmation. It may require simple procedure like slitting or circumcision. Clean the area with warm water twice daily.it may trouble you during intercourse as it progresses. You can get back to me for any clarifications with the photos. Chat Doctor.


Hi. Thanks for your query. Read the history and understood it. To recapitulate


HelloYour mother X-ray findings suggests mildly under inflated lungs means less expanded lungs than expected. Normally chest X-ray(PA view) is taken in full inspiration. Under expansion may be due to less inspiratory effort, restrictive lung disease etc. She needs proper clinical correlation.PUT(Pulmonary function test)can be done if needed. There are also prominent bronchial calcification and probable calcified lymph nodes at the inferior right him, it may be due to many causes like healed infection, occupational disease etc. It is not an active lesion and mostly it doesn't require any treatment. Get well soon. Take Care Chat Doctor.


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


Hi, Thanks for writing in. At age 73 years, having a blocked right kidney and obstruction in stomach or intestine is a medical emergency. It is suggested that you please clarify details on the kidney block and intestinal obstruction. A blocked kidney can be observed and taken care of for a few days if kidney functions are acceptable. However, obstruction in intestine is an emergency situation and the patient must not be ignored. She might surely require upper GI or ultrasound, but those investigations are to be done under the directions of a surgeon who is overlooking the intestinal obstruction. Please also regulate her fluid intake as per instructions from her doctor and keep her HY Chat Doctor.


Hello, As you already got help from the chiropractor I think you should start doing exercises for the neck and shoulder. Since with the chiropractor they can release the locked facet joint and post which the muscles have to work and for that you need to do some exercise. Use cervical collar for now. Then do static neck exercises, shoulder girdle, static biceps and static triceps. This should help in the long run to avoid the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi, dear. I have gone through your question. I can understand your concern. You may have enlarged axillary lymph node due to tuberculosis or reactive enlarged or malignancy.  You should go for fine needle aspiration cytology for exact diagnosis. Then 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.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult doctor for these symptoms. Your symptoms are more suggestive heart diseases like congestive heart failure (CHF) and coronary artery disease (CAD). So better to consult cardiologist and get done ECG, 2d echo and stress test. You may need coronary angiography if any of these tests is showing abnormality. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


HelloThanks for query. Based on the facts that you have pain in back and history of urinary stones in the past the possibility of recurrence of the urinary stone has to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis. Chat Doctor.


Hello, Since these sensations are typically seen before menstrual bleeding, possibility of Premenstrual Syn Chat Doctor.  It is very common in women to have PMS. Most common cause for this is hormonal changes during menstrual cycle, so no treatment is required. Just assurance and counseling are needed. Sometimes multivitamin tablets containing folic acid, vitamin B 12, vitamin d3, niacin and pyridoxine are beneficial. Avoid stress and tension, be relaxed and calm. Hope I have answered your query. Let me know if I can assist you further.


Hello...thanks for trusting the Chat Doctor doctors for your health related issues.don't worry pregnancy couldn't happen in your case. For pregnancy following things required-1. Penis should be inside the vagina.2. There should be ejaculation inside the vagina.  But in your case above things not happened, so don't worry. RELAX.pregnancy is not only the cause of delayed menses. There is many pathological n endocrinological causes behind it.


Dear friend don't worry. The pain may be musculo-ligamental type, that may occur due to sprain after much walking/running. It will subside in few days by its way. You can take analgesic like ibuprofen or if severe pain combination of diclofenac + paracetamol + chlorzoxazon/serratiopeptidase for temporary relief. For severe symptoms got examined by your family doctor first. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon.


Hi, It is very common for infants and child Chat Doctor.  Its more common during winter seasons. A normal child can have 10 -15 episodes of a cough and cold per year. If a cough and cold persist continuously for more than 2 weeks or if there are thick yellowish or greenish nasal discharge with high fever or sudden worsening of the symptoms, then we need to attend and treat it with or without antibiotics. For the current issue, I would recommend a decongestant like MANTRA


I don't think that she is overdosing/addicted, though that is a possibility. The chance are more that she forgets the medicine she has already taken.Therefore, as soon as she feels uncomfortable, she remembers again that she can take a pill and goes to take it. I think the best solution, and a little uncomfortable for you is to stop leaving her medication up to her. You can leave her medicines that she needs to take in a separate box. The morning and evening doses you can give to her yourself. In other words, you start medicating her.


Hi, The green pills are inert. They do not contain hormones. They contain iron and minerals. The white, light blue and blue pills contain hormones. These are taken in the first three weeks. The green pills are taken in the fourth week. You are protected while taking green pills too, because of the effect of hormone pills you have taken in the first three weeks. You can afford to miss these green pills. Furthermore, you are still protected. But it is important that you start the next pack as per schedule i.e, on the 29th day. I hope I have answered your concerns.


His can understand your problem. H pylori infection which normally causes break in the lining of the stomach (peptic ulcer), the following treatment is found to be effective in killing the bacteria (Helicobacter pylori) and also to promote the healing process. From your query it seems you have not received the proper treatment. If you were my patient, I would have begun your treatment as follows


Hello madam, thanks for your query.let me first clarify that TUBERCULOSIS IS CLOSELY RELATED WITH INFERTILITY.IT IS ONE OF THE MOST COMMON CAUSES OF INFERTILITY IN FEMALES IN DEVELOPING COUNTRIES.... A POSITIVE PCR FOR TB IS HIGHLY SUGGESTIVE OF REACTIVE TUBERCULOSIS .YOU HAVE TRIED MANY PROCEDURES SO FAR TO CONCEIVE ;but I would like to tell you that you will not conceive unless this TB IS COMPLETELY CURED., since TB is known to block the fallopian tubes arresting the ascent of sperms. Hence you need to get chest ray and refer yourself to an expert pulmonologist for 9monthANTI TB THERAPY.ALSO YOU SHOULD GET YOURSELF HSG-hysterosalpingography. To assess the patency of your fallopian tubes, assess the requirement of surgical clearance of blocked. So best wishes to you.


Hi, welcome to Chat Doctor forum. I understand your concern. In my opinion stomach pain going down to legs are related to menstruation. As you are having light period also. So No need to worry. It will go off once your period will stop. If still it persists then consult any gynecologist for the diagnosis and treatment. I usually prescribe my patients in this condition tab-Meftal spas,1 tablet as & when required.


Hi... Thank you for consulting in Chat Doctor. By what you quote I put forth these possibilities - 1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in- Chat Doctor.  The sound will be more heard during sleeping and feeding.2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-


Degree understand your concerns went through your details. I suggest you not to worry much. This is very easy to interpret. Your son is masturbating. He must have learned this from somewhere. But he don't know what it is and any other details about it. Now it becomes your husbands' duty to make your son understand what it is. If your husband is not available, you can venture into it. But your son should be aware of masturbation, and he should be taught not to do it in public. Counseling also should do good for your son. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Thank you for your question. I appreciate your concern, especially as your granddaughter is an infant. From the history you have provided, it seems to be a viral, most probably a rota viral infection which is common among infants. It usually settles in 5 to 7 days, although a few loose stools a day can persist till 14 days. The main advice I give my patients is to not worry about the number of loose stools, but to look at the oral intake of fluids and feeds, how much urine she is passing per day and her activity. If any of the above three is decreased Chat Doctor.  I would suggest the following


Hello, Thank you for your contact to Chat Doctor, I understand your concern and will give a resolution over it. If I am your doctor I advise you that there is practically a chance of getting Hepatitis C virus infection to you. The chances of getting infection decreases if you have taken the primary care like washing hand applying antiseptic solution etc. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist.


Hello! Thank you for asking on Chat Doctor! Your symptoms may be related to anxiety. Anyway, I would recommend consulting with your attending physician and performing some tests to exclude other possible causes


Hi and welcome to Chat Doctor. Thanks for the query. Statistically, this ranges between 6-12 months, but it is individual and depends on the cause of liver failure. In cases of alcoholic cirrhosis it may be longer, and in tumors it may be shorter. If there is no possibility of liver transplantation then there is no some other treatment methods which can prolong life. I hope I have answered your question. Wish you good health. Regards


Hello, I can't comment on your case because I don't have enough information to do so. I can explain why antihistamines may help though. Antihistamines do act against allergic reactions, but they also reduce the amount of nasal discharge. A runny nose may become Chat Doctor.  Patients with nasal and sinus problems usually benefit from reduced nasal discharge. I hope I've answered your question. Please let me know if you need further assistance. Kind


Hi, Thanks for writing in. Merkel cell cancer is a rare and aggressive form of skin cancer. It is influenced by sun exposure and appears as a painless nodule in the skin. If there are lymph nodes involved then it is stage 3 cancer. Since the reports have come as inoperable, surgery might not be the best treatment of choice for him at present. Chemotherapy and radiation therapy are two important strategies that might have to be planned by his doctor and given in a regulated manner. Radiation will limit the aggressiveness of the cancer and reduce tumor size. The chemotherapy will destroy the cancer cells. Please do not worry.


Hello, Your symptoms can be due to an allergic reaction. Causing choking in the throat and swelling underneath the tongue. Thyroid swelling can also cause a problem but if levels are fine then it is probably an allergy. So my suggestion is to consult an emergency room and get evaluated. A clinical examination and a blood test can be done for confirmation. If needed an endoscopy can be done. For now, you can take anti-allergics like levocetirizine to relieve the symptoms. In case if it is an allergic reaction a steroid shot can also be given to reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further.


Hi, Thanks for the query. According to the history, your husband seems to be hypertensive and is having chest pain. Even though the ECG was normal, I would suggest getting an Echocardiography done. The enzyme test sometimes comes normal if done too early in a heart disease. As far as age is concerned, yes he is young, but it is quite common these days to see young hypertensives to have heart disease. I would suggest a repeat visit to your cardiologist, get an Echocardiography done and take medications as advised by your doctor. Hope I have answered your query. Let me know if I can assist you further.


Dear I am sorry for health problem you are experiencing. I think that the thing more important to do is to control what happens with fracture during time. You should take contact with a neurosurgeon and realize periodically radiological examination. Those sounds you are caused because spine vertebra have lost their physiological posture probably due to lumbar fracture. I would recommend lumbar fortress and talk to a neurosurgeon. Wish you all the best


Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems non-cardiac in nature as all cardiac work up is revealing normal results.* As per the intensity and pattern, it is more likely to be ligament or acute muscle spasm related witChatDoctorpression of underlying neurons.* MRI would be of great help after thorough clinical examination. Wishing you fine recovery. Regards dear.


Hi, As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But, you have to keep patience. You might get relief slowly. And due to some factors it might relapse. You are right, throat infection might precipitate the disease. In fact any infection..... Remember it is a controllable disease. You consult nearby dermatologist for firm diagnosis and perfect treatment. I would like to suggest few things as follows....- accretion 25 mg daily - methotrexate 15 mg weekly in three decided doses of 5 mg 12 hourly. - Blood tests .routine & LFT may be done at regular intervals-Steroid with salicylic acid point may be applied twice a day on the psoriasis lesions.- Soap bath should be avoided. - All precautions may be taken to avoid Chat Doctor.  Winter might worsen due to


For your information, the listed mental conditions are very rare to occur together. Over and above your girlfriend is just 20. These conditions are very problematic and should be treated to the core. Regarding disability. These conditions alone cannot be a case of disability. Each state government has different means of measuring mental disabilities. Please consult a civil psychiatrist in your state for more details.


Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. 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. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.


Hi, Thank you for the query. Cheek bite is a most common problem among every individual. Cause for it varies, may be due to a sharp margins formed due to attrition of the teeth in aging , due habits like tobacco chewing. Usually if left unattended it may lead to formation of cancerous lesion due to repeated trauma. Selective grinding in case of sharp or irregularity in teeth can be done. Another possibility is lack of proper occlusion when closing the mouth or biting or chewing the food. If it is because of improper occlusion then it requires correction of occlusion. Your dentist can diagnose the reason for the cheek bite and treat accordingly.  Hope the information will help you.


Pain in testicles at this age could be due to trauma or infections most commonly. If it is an acute event with sudden onset pain and color change in his scrotal area, then it is advised that he is seen by a doctor immediately. If it is gradual with fever more of infection. His genitals along with a thorough abdomen examination will be done. If there is any suspicion, he might be directed for an ultrasound scan


Hi, Thanks for writing in. Sorry to hear about your fathers' illness when you are away from him. The main criteria in this situation would first be the serum creatine and blood urea levels, if they have been stable for last 3 weeks or not. If they are unstable, he can go in for renal failure at any time (matter of weeks). The second point is how he is responding to pneumonia treatment. Has any particular pneumonia treatment medication further deteriorated his general health condition or not. You may discuss the above two points in particular keeping in mind his recovery from pneumonia with his present kidney function. Hope this helps.


Hi. Thanks for your query. It is good that you know these are non-menstrual cramps. The most probable reason can be IBS, meaning Irritable Bowel Syn Chat Doctor.  You may get them whenever you are n stress or have taken some foods or beverages which can instigate this problem. Do you get other associated symptoms like bloating, loose motions or so ? Another possibility is that you may have a lesion in the transverse colon. I would advise you to go for the following investigation when you are suffering from cramps


Hi, Pain and redness in the areola of the males can be due to infection, cysts, hormonal changes, fibroadenoma, mastitis, gynecomastia, breast injury (friction with clothes while jogging), runners nipple, diseases involving the testis, hereditary chromosomal trisomy (Klinefelters disease) or male breast cancer.  Get physically examined and get all screening tests done to get treated at the earliest.  In the meantime take Acetaminophen (Tylenol) and apply Calamine lotion for pain relief. Do not scratch or massage.  Hope I have answered your query. Let me know if I can assist you further.


Hither is no permanent cure for ITP. But there are various Chat Doctor.  If she is maintaining platelet counts well and not bleeding much, regular followup with the hematologist is enough. Steroid dependent patients especially with significant bleeding may be considered for a surgery called splenectomy. However, the decision is best taken by the treating doctor after discussing both the pros and cons. It is very important to lose as much weight as possible. All the best


To confirm whether this is a hernia or not, there area simple tests you can do at home. It is hernia if it shows the following characters anytime during its development


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have sudden wrist pain and swelling. Well there can be many reasons for symptoms you mention in query like trauma, arthritis, carpal tunnel syn Chat Doctor.  Allergic reaction or local infection can also cause pain and swelling in wrist. You can also put your wrist in hot water tub for 15 minutes daily and take ibuprofen or acetaminophen for pain. Do not lift heavy object with arm and give proper rest to your arm. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination, urine test. Doctor may recommend surgical removal or may prescribe antibiotics, allopurinol along with anti-inflammatory. Doctor may also recommend physical therapy. Doctor may fix the abnormality by plaster, splint, bandage in case of fracture OR may recommend surgery in case of fracture and hematoma. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns.  What is your age and sex? Why u have done blood transfusion? Any other associated problem? Like diabetes or hypertension?  Rise in BP do occur after blood transfusion due to rise in intravascular volume, that's why after blood transfusion it is always wise to give patient IN LAST to prevent the volume overload.  In my opinion u need to be examined fully by a physician since merely upon the basis of your history it is very difficult to comment.  It is very imp to look at your kidneys' status as well as other comorbidities.  Do meet your doctor so that appropriate management can be initiated in time.  Meanwhile stay calm get well soon Hope your query is adequately ad Chat Doctor.


Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having mostly HERD (gastroesophageal reflux disease). Uncontrolled HERD is the common cause for worsening of COPD. And chest heaviness with bloated stomach are the features of HERD more. But better to rule out cardiac cause first as COPD patients and at high risk for cardiac disease. So get done ECG.  If ECG is normal then HERD is likely cause. 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. 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 - 3 pillows under head in bed to prevent reflux. 7. Avoid alcohol and smoking if you have these habits. Don't worry, you will be alright.


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done PFT (Pulmonary Function Test) to rule out bronchitis. Bronchitis is inflammation of bronchi, and it is common in smokers. Cigarette smoke causes persistent irritation and inflammation of bronchi. These cause chest tightness, coughing etc. So better to get done PFT. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and antihistamine Chat Doctor.  And for your lung nodule, you have to get done follow-up CT scan after 6-9 months to see for nodule size. If size is static or decreasing then no need to worry but if size is increasing then you need to biopsy to rule out cancer. Your back pain is mostly due to muscular strain because of lifting your baby. So get done PFT and start treatment accordingly for your chest tightness and coughing. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, dairy have gone through your question. I can understand your concern. You may have leukoplakia, hyperkeratosis or squamous cell carcinoma. You should go for biopsy of that area. Biopsy will give you exact diagnosis. Symptoms of cancer are weight loss, weakness, anorexia, local mass or lump etc. Don't worry much about that. Consult your doctor and go for biopsy. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.


Hi, dairy have gone through your question. I can understand your concern. She has gall bladder cancer and stones. First she should go for cholecystectomy. She should also check for spread in liver or other organ. Radiotherapy and chemotherapy is required according to stage and grade of cancer. Consult your oncosurgeon and 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 very good health.


Hi, thanks for using Chat Doctor The main treatment for an allergic reaction is the use of oral anti histamine, avoidance of the precipitating event (the use of medication in your case) and in severe cases, prednisolone may be needed. At present there is nothing else that would be recommended at this time. If your symptoms worsen then your doctor may consider a course of prednisolone. I hope this helps


Thanks for your question on Chat Doctor. I can understand your concern. Numbness in the chest is mostly due to heart and lung diseases. So better to get done ECG and 2d echo to rule out heart diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung related diseases. If all these are normal then no need to worry much. Quit smoking if you are smoker. Vitamin b 12 deficiency and anemia can also cause numbness in chest. So get done vitamin B 12 level and hemoglobin estimation. If deficiency then you need supplements. Don't worry, you will be alright. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi, Thanks for writing in. Multiple fibrolipoma is a rare benign hereditary syn Chat Doctor. 002% has been reported. Men are affected twice as commonly as women. Being a benign condition it will not cause any risk to health in any person having it. However, there can be slight discomfort due to appearance of lumps of variable size measuring from few mm to 5 cm. Marriage is advisable as it is a rare condition and is completely benign. However, it is better if you tell your spouse about your condition and get her to understand that this condition is not dangerous to you in the future. Small lipomas can be treated by surgical excision. Please do not worry.


Hi, dairy have gone through your question. I can understand your concern. You have chorionic hemorrhage. It is common and no need to worry.  You should take complete bed rest and if needed you can take blood thinner like aspirin or heparin.  Your hematoma will either absorb or bleed out. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.


Hi, dear. I have gone through your question. I can understand your concern. You have low platelet count, but there are many causes of that.  If it is simply due to some viral infection or other infection you can have normal count without any Chat Doctor.  But if you have immune thrombocytopenic purpura then you have to take steroids to suppress immune mediated destruction of platelets. So if you have ITP then take


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a lump inside the nostril that is painless and does not cause any pain or bleeding but cause breathing difficulty seems to be a Nasal Polyp. A nasal polyp is a soft tissue growth in the nostril that is commonly due to chronic irritation in the nasal passages or allergies or chronic infections. I would suggest you to consult an Otolaryngologies and get evaluated and a thorough clinical evaluation and nasal endoscopy can help in diagnosis. In case if Polyp is confirmed as the cause he can advise you to take oral as well as nasal steroids as it can help in shrinkage of the pulp. In case if it does not regress with steroids then surgical removal of the polyp can be advised to you. Hope this information helps. Thanks and regards. Chat Doctor.


Hi, Thanks and welcome to Chat Doctor .22 months child can eat the normal diet taken by adults except the food must be thoroughly boiled and soft and free from spices and chilies. You can give rice with mooing DAL, rice with curd or buttermilk, soft bread, smashed potato, fruits and boiled vegetables or veg soups. Boiled egg may be tried, mutton or chicken soups can be offered. Gradully breastfeeding is with Chat Doctor. Hope this reply is OK for you. Please feel free to ask further queries if any.


Hi. Insect bite hypersensitivity can present as red raised spot which might increase in size over the next 2 days and can sometimes blister. It is usually associated with burning sensation and/or itching and pain. It is usually self resolving, but sometimes patients are in great discomfort, so they need medicines for relief. Painkillers and anti allergic scan be used for symptomatic relief and topical Steroid antibiotic combination ointments/ cream might help in faster resolution of the discomfort and skin condition


Hello, Since you don't have any appointment slot now and time is moving on. I would recommend you to take up the physiotherapy sessions which might include the ultrasound therapy and TENS therapy. Also, the inclusion of exercise for maintaining the ROM and joint stability will help improve the muscle strength and overall joint functions. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi, Panadal is commonly prescribed for the symptomatic relief of fever, and it is found to be very effective in reducing the raised body temperature. You seem to have developed some sort of upper respiratory tract infection for which you may need to take a course of suitable antibiotic along with paradox after consulting a doctor. Hope I have answered your question. Let me know if I can assist you further.


Hi...it could be a Costco Chat Doctor.  As you are camping I will tell you the danger signs as to when you need to get him to medical attention - 1. Pain getting aggravated too fast.2. Breathing difficulty.3. High grade fever.4. Inability to breath normally.5. If there had been a history of injury at the painful region.Otherwise, as of now for the pain you can use Paracetamol at appropriate dose. Regards -


Respected Sir, hi I evaluated your query thoroughly. Now by this time you know very well it's anxiety induced. Fine it's true. Giving some simple looking suggestions to get you faster recovery from the same. How much it will last is in your own hands, till you desire it will not leave you.* Have adequate sleep of 8 hours.* Engage yourself in regular basis deep breathing exercises and YOGA for 30 min. daily not for only current situation but make it a habit for rest of your life and see the difference on your own.* Manage your schedules in busy life as such that body gets enough relaxation on daily basis not only at week ends.* Maintain HY Chat Doctor. * Avoid smoking / alcohol consumption if at all doing.* Keep laughing from inside to rejuvenate your inner happiness. Hope my trying helps you to certain extent. Thanks for using Chat Doctor & reading my answer with concentration. Regards Wishing you a happy healthy life ahead. Bye Dear Take care.


Hi! You got a common pattern lump! In day to day practice I often get such lump on the upper jaw causing sensitivity and pain in the mouth and after proper examination and some tittle investigations like microscopic / pathological test, I come to following diagnoses


HelloMosquito repellent contains permethrin compound. When consumed in toxic dose it can cause mild to severe toxicity depending on the dose and body metabolism. The symptoms may be mild nausea, vomiting,abnormal movement of body, increased salivation, respiratory distress and even respiratory failure and coma. As your child has not consumed the liquid and just chewed the stem, chances of toxicity are less. But as I said it depends on body metabolism and metabolism of every child is different, be careful with the symptoms I mentioned above. Once there are toxic symptoms only washing of mouth and giving plenty of fluids is not sufficient. One should consult emergency room for proper assessment and management if needed like gastric lavage, inj atropine, IV fluids etc. I would suggest you to be careful with any abnormal symptoms and if there is any consult emergency medical room immediately. Regards


Thank you for the Questions there are so many causes of left lower abdominal pain, from those causes ovarian cyst and kidney stones are also culprit for the pain which you have been already diagnosed. Other causes can be ectopic pregnancy, Sigmoid diverticulitis (large colon infection), Salpingitis (infection in the fallopian tube), Gas in the colon, Constipation can also case pain in lower left abdomen. For further evaluation You can discuss with gynecologist and General surgeon. Hope my answer is helpful for you. Plz do not hesitate to ask further regarding your symptoms and signs. Regards, Chat Doctor.


Hello, Your sore throat might be due to smoking as it acts as an irritant to the throat and lungs and may provoke infection as well. Red bumps over penis has the number of reasons ranging from irritation, infections and certain skin conditions like eczema and psoriasis. If these bumps are recovering itself with just good lubrication it's fine, if not go and see your doctor you might have encountered some sort of infection. Hope I have answered your question. Let me know if I can assist you further.


Hi heartlands for asking your queryMandibularis Tori are abnormal bony protuberance in lingual aspect of oral cavity which hinders with speech, diet and overall life satisfaction, so people usually get TEM removed either surgically or by laser which is an atraumatic ablation of Torino remove it surgically you can consult any maxillofacial surgeon but for laser treatment I will prefer you to consult the one who has skills in laser dentistry search the one I will say you must go to you family dentist he/she will guide you and give you a better referral where this treatment should be Longshanks


HiT hank you for your question. One of the reasons for persistent pain is pseudoarthrosis or nonunion at the attempted fusion site. Stenosis is narrowing of the spinal canal that predisposes to paralysis. If that is the case documented on your MRI you will need to see a spine surgeon as surgery is indicated in that scenario. A CT scan of the cervical spine can diagnose the nonunion. It can be effectively treated with surgery which is a last option if pain is the only complaint, and it is not effectively controlled with pain management modalities.


Hi, As per your query you have symptoms of red rash with tiny bumps on the side of the wrist which seems to be due to contact dermatitis. Well, there can be many reasons for symptoms you mention in a query like an allergic reaction, psoriasis, skin infection, fungal infection. Need not worry. I would suggest you keep your skin clean and Chat Doctor.  If the condition doesn't get well then consult a dermatologist for proper examination. The doctor may prescribe immunosuppressants along with anti-inflammatory and corticosteroid ointment.


Degree understand your concerns went through your details. I suggest you not to worry much. In one sense everyone is crazy. Our brain learns and understands things relatively. That is the underlying factor of perception. Synesthesia, is not considered as a disease, but is a perception related disorder. In your case, your condition is also defined as a perception based, sensory organ based disorder, but not considered as a disease which requires treatment. Ignore these symptoms and concentrate on your career and education. If you require more of my help in this aspect, Please post a direct question to me in this URL. http


Hi, Brief.go for pregnancy test. Detail. Though it seems less likely that these symptoms are because of pregnancy.but to decrease the anxiety you may go for pregnancy test. Some time stress and anxiety can cause these symptoms not sex .and hormonal changes for example estrogen surge can cause soreness of nipples and premenstrual syn Chat Doctor. Which will subside after menses. Hopefully my answer will be helpful.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per you query you have symptoms of spreading raised white bumps on neck and ear which is pointing towards a condition known folliculitis due to hair follicle infection, and it could be due to contact dermatitis as well. Sometimes it occurs due to allergic reaction as well or side effects of certain medicine. I would suggest you to wash your face with cold water and apply tea tree oil. Apply cold compresses to your face 2-3 times a day. Take antihistamine Chat Doctor.


Hello, time, The findings on your ultrasound shows that you have many stones from small to fairly large size. Gallbladder distension can mean some degree of inflammation. Even though you say that you have not heyday acute attack, it could be a disaster waiting to happen. Problem is, one of the small stones can get stuck in the bile duct, that is the channel that brings bile into the intestine. Then you can have severe abdominal pain, fever,chills, yellow jaundice and hospitalization. This could result in complications like rupture of the gallbladder and peritonitis. If you had a large single stone, there were options to treat with laser or Chat Doctor. In your case, the best option is surgery. This can be done as same day surgery through laparoscopic approach. Recovery is shorter, and you will not have large incision. Stomach bloating and gas could be symptoms of gallstones.Sometimes, you may have a hiatus hernia and HERD to explain this. I wish you good such and be well.


Hi.to answer your question, yes, gallbladder problem can cause abdominal pain. The usual presentation is colicky in character, located on epigastric to right upper qua Chat Doctor.  It may be secondary to an infective or obstructive (gallstones or lesions) pathology. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat diet is also recommended. Hope this helps. Good day!!~


Hi, I have gone through your question. I can understand your concern. You have weakness and its due to anemia. You should search for the cause. Furthermore, you may have iron deficiency anemia or may be some other reason. So go for CBC and PS examination.  And if required go for further investigation like ferritin, it b12 or bone marrow according to your doctors' advice. Once you find the cause then take treatment accordingly. You will definitely get benefits. 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.


Thanks for your query, I have gone through your query. The bumps on the gums could be multiple periodontal abscesses because of the gum infection. Or it can be multiple excessive bony growths(exocytoses). Consult your oral physician and get yourself examined and get your teeth cleaned and take a course of antibiotics if it is of gum infection. Do saline gargling. I hope my answer will help you. Take care.


For a child with fever, you can give the child simply normal diet or anything that the child can tolerate. The diet should contain more of proteins as our body is made of proteins and the healing and repair process requires resources. Meat, fish and eggs contain proteins. Spinach, pulses, soda etc. are vegetable sources of proteins. If she is vomiting, be sure to give ORS along with. It is better to leave out milk for a week or so but if she can tolerate it, there are no issues. Give sponging with normal temperature to bring down the temperature if it is greater than 100.


However with leg pain may be due to viral illness. You should be concerned about nosebleeds and see if virus is affection his platelet count(factor necessary to make blood clot). Many viral illness lead to decreased platelet count which may lead to bleeding. Other cause may be trauma by nose picking for which you get him evaluated by ENT specialist though he is a big child, you can ask him if he does. During nose bleed episode pinch his nose, apply ice. If it continues go to ENT specialist.


Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time.


This is absolutely a normal phenomenon.  During sudden temperature change there is testicular muscle and ligamenta contracture which pulls the testes upwards. The question is why one is seen and one not actually this protective mechanism is still developing and will become fully established at the age when sperms need to be preserved inside testis. So nothing to worry, if the testis comes back and disappears.


Hi, Blood pressure is a bit low. But normal. Pulse rate is not high and again normal. It appears she has palpitations. At this age it might be due to anxiety or anemia. You can get her hemoglobin checked and if low, iron, B12 and folic acid treatment can be treated as necessary. Good nutrition is essential. Ask her to take salt rich diet and plenty if fluids. Because of abnormal diet, poor nutrition can cause anemia. If you have any further queries, happy to help again.


Hello, I understand and appreciate your question. Brief Answer


Hi, Thank you for the query. Loss of temporary restoration should be replaced with a permanent restoration with GIG or miracle mix , at least till you get a crown done for it. If the teeth is left unfilled then there are chance of re infection and breakage of the teeth when you bite on it. I suggest you to see your dentist and get the permanent filling done and plan for getting a crown placed on to it as early as you can and make sure you donor eat anything hard on the teeth . Hope this information helps you. Take care.


Thanks for your question on Chat Doctor. I can understand your concern. Atrial fibrillation (AF) is tacky arrhythmia. If not controlled, it can cause lethal and life-threatening complications. You are now symptomatic since last 1 week. So all these symptoms can be due to AF. And hence you need to treat AF as soon as possible. You are not improving with medical treatment, so you need Radio Frequency Ablation (RFA). Before this you need to get done Electrophysiologist study (EP study). So consult cardiologist and discuss all these. RFA is having excellent success rates. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


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


Hello, No worries, 25 mg is a low dose and usual dose of Losartan is 50 to 100 mg. So you try on 50 mg and if not responding it can be increased to 75 and then to 100. There are number of medicine which are available for this can be added if needed in the future.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then your medicine needs to be hiked up. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.  Hope this helps you and get back if you have any doubts.


Hi. Thanks for your query. This is almost 10 days that you are suffering from the symptoms. You also have headaches daily-pee- no appetite, tired and nausea. This can be due to severe urinary infection. I would advise you to go for the following tests


Hi...this looks like an eczema or a skin allergy or urticaria which too is a sort of allergy. Kin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.


Hello, The given symptoms (Fatigue, bloating, and pain conditions) could be due to fibromyalgia. Hypertension is a different from that, and it needs to be managed separately it does not cause the fatigue, bloating or other symptoms, but severe hypertension may cause the headache. Anxiety may create some effects on all the symptoms, first thing you need to do is to come out of the stress and anxiety. If I was doctored of this case, then I would try to treat this case with Amitriptyline Chat Doctor. 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.  I have read your question with care and understand your concerns. Let me try to help you.  1. No knee cartilage in Rt knee will not cause Shuffling gait. It will be arthritic gait 2. Rotator cuff surgery when 21 yrs old would not cause any rt arm swing. The arm will still swing 3. Rotator Cuff Surgery will not cause Tremors All your clinical features are classical of Parkinsonism and do not correlate with what you have thought. 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. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.


Welcome to Chat Doctor, Perhaps I can give you some insight into the few labs you have given, but we don't look at labs without specificity and the entire lipid panel, not just one value and be able to give you an accurate impression of what they mean. In general, a fasting laboratory glucose test 125 mg/DL and above verified in the same manner twice is indicative of a diagnosis of diabetes. 5.7-6.4 A1C is prediabetic, but you have not mentioned whether these values are fasting or postprandial.  A fasting triglyceride level is an independent risk for heart disease and standards recommend keeping it below 150 mg/DL.  A level of 219 indicates a need for a low fat, high fiber, low fructose/high fructose corn syrup diet. So, I hear you are worried about your health. I do see some risk factors you can lower. A good public health diet is the Mediterranean Diet with no added sugar, no alcohol, and cut the fructose out, eat whole food and avoid added sugar. You would benefit from an exercise program to stimulate cardiac circulation. I would suggest both cardio and strength training routines. If you need to lose weight, losing it will be most helpful for lowering triglycerides, sugar and increasing overall health. Keep in touch periodically with your personal doctor to have your labs monitored and explained. You gave me a UA without a creatinine. However, I would keep my eye on the kidneys if you were my patient.  A UA of 30 protein could be significant, would like to check with creatinine ratio. Possibility of decreased kidney function. What is your glomerular filtration rate (GFR)? If you are in early stages of kidney decline keeping your protein lean and low might preserve the functioning you have. In summary, if you were my patient I would counsel you on a low fat, high fiber, high water, lean low protein diet with no added sugar and limited fructose. Read labels, no high fructose corn syrup. I would also advise a full physical and referral to a Dietitian witChatDoctorplete labs, diagnosis and diet order for an individualized lifestyle plan. You will feel much better for doing something about your concerns now than later. My best wishes for your continued health. Kathy J. Shatter, MS.RUN


Hello dear, The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Management includes


Hello, Since you have used the above procedure, and you are not better, I would recommend you to go in a physical therapy center and use procedures such as ultrasound therapy, shock wave therapy, and magnet therapy for 20 sessions and see the results. If you see improvement continue more sessions. This is an overuse syn Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.


Hi. I can understand your concern. Yes lung injuries are seen and do take time to recover. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.


Hi I think you should try at least for a year if your periods are regular and there is no obvious problem.  But if you want, you can go for some blood test like Thyroid profile and prolactin level. You can try ovulation induction with timed intercourse for conceiving if you don't conceive in next 6 to 8 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chance of pregnancy. Hope it helps.


Hi, You should have mentioned the disease you are suffering from and the chemotherapy protocol in detail. For low platelet count there is definite guideline for management depending on clinical status and quantitative platelet assessment. So you should have also mentioned the exact platelet count. Anyway, chemotherapy induced marrow suppression generally reverses within weeks so in my opinion your tooth extraction will not be problematic. Consult your doctors.


Hi, thanks for writing in. Spicy foods are known to cause gastrointestinal upsets. You seem to be having two issues1. Upper abdominal discomfort. For this I would suggest you to take sucralfate suspension in the dose of one tablespoon after each meal three times a day for at least 5 days. Avoid spicy foods. Increase the consumption of bananas and cucumber which are natural antacids.2. Since the passage of stools is smooth you need not worry. Just take hot water fomentation for the perianal problem. That will relieve the symptoms. You can add half a sachet of magnesium sulfate powder to the tub of water in which you are going to sit for applying hot water fomentation. This remedy will give you instantaneous relief. Regards


Howell come to ChatDoctorI really appreciate your concern, Urinary tract infection in female patient is challenging, if the case is associated with other medical condition as it is being stated here then it would be more challenging.  Ideally giving antibiotic in Urinary tract infection without culture sensitivity test is not advisable, the test rule out the possibility of infection due to organism because it may not be the organism that could cause the symptoms, second administered antibiotic without the test could cause the resistance, in geriatric patient great care need to be taken for urinary symptom particularly in female patient it may not be the infection but the whole urinary system need to be taken under clinical consideration, the most important is source of infection it is to be found out. Hope this information helps.


Degree understand your concerns went through your details. I suggest you not to worry much. From the description, it is not enough to diagnose. Tiredness is due to laziness (if not otherwise diagnosed). People like to do nothing if there is an option. But we do a lot of work. We can't think of sitting idle for more than half an hour. That is because we are agile. But lazy people are habituated to sit idle and do nothing. Naturally they become lazy. Lazy mind is devils workshop and other behavioral problems like anger, aggression, irritability etc. follow. The best method to get rid of all these problems are to compulsorily engage yourself in activities. Go for a job. That shall change you. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


HI, thanks for using Chat Doctor Post nasal Chat Doctor. The became is one of the appropriate treatments for this. You may want to add an anti histamine to this. They are usually available over the counter. Bronchitis may also be contributing to your coughing. It would cause chest tightness and coughing. You may temporarily need a bronchodilator (medication to open the airways such as Ventolin) and a bucolic (medication to help break up the mucus, so it can be easily expelled). I hope this helps


Hi, I can only give general outlines of information without being there. Fortunately, that's pretty good in this case since it is like any other pain situation. First, defining what the problem is. On the one hand, it's done, you know what part is causing the pain, BUT why it is causing the pain is an issue. Mostly, this occurs with MINIMAL JOINT PROBLEMS, and it is from the hip cartilage wearing through AND the same way the brakes in the car make the most noise when ONE spot has worn through, so, the hip pain is the most when there is the FIRST spot wearing through. The pain decreases paradoxically when the hip become shot; and becomes a good case for hip replacement. So, MRI to see what's gone wrong. If something is stuck on one edge, removing it works. Otherwise surgery doesn't work well. Anti-inflammatories, physical therapy to learn ways to avoid hitting the sore place are some options. Hope I have answered your question. Let me know if I can assist you further.


Thanks for asking to Chat Doctor. I understand your concern. Short answer


Hi, Thanks for writing in. Diabetic coma might have affected his long term memory functions severely. Recovery of memory and cognitive functions takes time and the patient requires a lot of support and perseverance from friends and family. It will be nice if he can get himself in to neurological rehabilitation clinics and take intensive lessons to improve his memory and cognitive learning. He can be helped by doing crossword puzzles, reading books, playing word games and using the brain in doing tasks which require teaching concepts newly. He might not be able to get back his old memory, but he can be taught cognitive behavior therapy methods to store and process new information in his daily life. Furthermore, he should be taught few things each day and his progress in to be monitored regularly.


Hello, Thanks for sharing your health concern with us. From your description, it appears as though your wife is experiencing syncopal attacks possibly due to transient hypotension. This must have been aggravated due to the nausea and vomiting. Hypoglycemic states are also commonly observed during pregnancy. Maintenance of adequate fluid-electrolyte balance is necessary. I would suggest an opinion from her health care provider and if necessary, she may be taken for observation. Hope this helps.


Hello dear, thanks for your question on Chat Doctor. In my opinion your symptoms are more suggestive of anxiety. But better to rule out cardiac cause first. So get done ECG and 2d echo to rule out cardiac cause. If both are normal then no need to worry about cardiac cause. Anxiety appears more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. You may need anxiolytic Chat Doctor.  Don't worry, you will be alright.


Hello, As for a small girl of age 15, I don't think diuretic will be advised. Because this may lead to loss of fluid and lead to headaches as there will be a fluid loss in the body.  For her having to swell in the feet you need to get a proper examination of the feet if there is any musculoskeletal injury. Also, kidney examination needs to be done as due to kidney malfunction there may be chances of swelling. I think a proper examination is to be done before putting her on to the diuretic.  For headache, I will advise getting the eye checked up as due to strain in the eye muscles there may be a headache symptom. I will advise doing complete blood and urine routine, get the kidney assessed, eye examined etc., for coming to a diagnosis and then the treatment part. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hello, Fever of six days, high grade, sore throat, difficulty in swallowing, suggestive of tonsillitis. It needs to give an antibiotic course for five to seven days, also needs to search for any loculated pus in tonsils or lymph node. I suggest you for complete blood count (CBC), ultrasound neck. Less likely possibility of typhoid fever, urine infection. Hope I have answered your query. Let me know if I can assist you further.


Degree understand your concerns went through your details. I suggest you not to worry much. I appreciate your belief in Jesus. That is very good thing. The feeling that you are inside a dark hole, is to be interpreted in a broad view point. In my opinion, at times, every person feels so. When they are disturbed, deeply in trouble, nothing vengeful to do etc. At these times, they feel worthless and that is feeling empty within or feeling dark within or feeling being a dark hole. In every above cases, the worthlessness comes fore. Overcoming these are easy. You need to think positive. Worthless are everybody, still we are living with a lot of enthusiasm about life. Live life happily. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck.


Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Your G6PD may not be responsible for the night sweats and insomnia. Trazodone can cause night sweats, but they improve the sleep profile. If you are not benefiting from them then you may switch your antidepressants to mirtazapine or paroxetine which are antidepressants as well as help in sleep. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link


I understood your problem. Might be you involved in standing work for which there is engorgement of veins this could be result in varicose veins or deep vein thrombosis.I suggest my patients' limb elevation by applying pillow during bedtime and avoidance of much standing work.I generally suggest ultrasonography color Doppler to evaluate this kind of situations if not correct...hope you will be satisfied.


Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint you have symptoms of pain in knee which exaggerates on different movements like sitting on feet, jumping etc. It can be due to a number of causes like Traumatic injuries, Tendonitis, Bursitis, ligament or meniscus tears, Osteoarthritis,Iliotibial band syn Chat Doctor. . I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like x-ray, MRI scan or blood test can help in diagnosis and treatment can be planned accordingly. You can be advised to take anti-inflammatory painkiller like Ibuprofen, muscle relaxants like Chlorzoxasone. You can be advised to do cool compresses over the knee. Apply an analgesic ointment and put a knee cap over it. Elevate your leg while lying down. You should also avoid excessive exertion and also try to lose weight if you are overweight. You can be advised physiotherapy under supervision of a trained Physiotherapist. In case of no resolution treatments like Arthroscopy can be advised. Hope this information helps. Thanks and regards.


HI, Welcome to Chat Doctor with your query. Confirm the diagnosis before the Treatment Planning-By the facts of your query, In my opinion, you seem to have Post-auricular lymphadenitis from Ear infection after the Cold attack your baby-son got last week. Treatment-Antibiotics/anti-inflammatory treatment from your doctor, if responded would confirm the infective cause of it.Non-response would need Second opinion from ENT Surgeon who would direct further treatment after proper examination and investigations, accordingly. But don't worry as it is not Cancerous and Could be treated by -Surgical Excision with Biopsy, which would confirm further treatment line. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at Chat Doctor like you. Good day. Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS.


History to say that the scan report could not explain your symptoms. Usually all scanning are performed after fasting to facilitate well distension of gall bladder and better visualization of pancreas. Gall bladder is full when there is fluid inside(bile).collapsed gall bladder means it is contracted, means no bile in it. Usually it gets collapsed after taking fried/ oily foods. Because fatty food digestion requires this fluid for absorption into body. If you want to review, go with fasting for ultrasonogram abdomen. As for your symptoms are concerned, it's not related. Small fat containing inguinal hernia or uterine fibroid are nothing to worry. Check once your thyroid hormone levels. Thank Vasundhara


No need to give antibiotics for constipation.the watery stool could be most effect of taxi antibiotic...pls stop it if you're using for not passing stools.give him more liquids.one and half-time more than what he Chat Doctor. .continue feeding...if constipation persists, check his thyroid profile for hypothyroidism presents with constipation sometimes...give him lactulose 10 ml night dose for temporary relief of constipation instead of antibiotics.


Hi dear, I have gone through your question and understand your concerns. Inability to conceive or infertility can be due to many causes. You and your husband should be examined and investigated completely. Further treatment should be done depending upon the cause. If the ovulation induction has failed to result in pregnancy in your case, then you should go for intrauterine insemination. Hope you found the answer helpful. Wishing you good health. Chat Doctor.


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of low fever with body aches, and you had previous history of mono in the past. You symptoms seems to be due to viral infection due to compromised immunity of your body and susceptibility of getting infected. Sometimes initially the infection is viral but with times secondary bacterial infection occur, which cause further complication. I would suggest you to consult ENT specialist without any delay. Doctor may prescribe anti-viral (acyclovir) , antibacterial (penicillin) , decongestant along with anti-inflammatory. Doctor may order throat swab test, viral culture test, and blood test to confirm the diagnosis. For now take steam twice a day to relieve the congestion. You should take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes,


Hello, Thanks for posting your query in Chat Doctor forum. Usually post-surgical area will gradually reverts to normal. Antibiotics can enhance wound healing. The ill-defined area may recover once the overgrowth of flap has got removed. The area has to be irrigated using providing iodine and HY Chat Doctor. Rinse your mouth after every meal. Maintain good oral hygiene.an x-ray of soft tissue examination will help to diagnose any anomaly underlying. Take care.


Hello! Welcome to Chat Doctor. Pain in epigastric area suggests increased secretion of acid in your stomach. In my clinic, many such patients do come, to whom after examination of abdomen, I advise ultrasound of abdomen & pelvis, if necessary. You should avoid hot/spicy food, late night meals, alcohol, smoking. Also, try to reduce stress, if any, with yoga & meditation. Consult your doctor for medicines like omeprazole, spy. Sucralfate & upper GIs copy if needed. Wish you speedy recovery. Hope this information is useful for you. Thanks. Regards.


Hello. Thanks for asking Chat Doctor. It seems your son is suffering from an upper respiratory tract infection. Metal P is usually given for abdominal pain. I would suggest to start with an antibiotic like amoxicillin 200\u00a0mg/5ml, Give 5ml three times a day. You can give Cronin syrup 5ml 4-5 times a day depending upon fever. You can give tepid sponging as well to reduce the fever. Keep him HY Chat Doctor.  Hope this helps. If you have any other queries/question please feel free to ask. Wish your son a speedy recovery. Thanks and Regards.


Thanks for your query, I have gone through your query. The pain, swelling can 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. Meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic)50\u00a0mg. Along with an analgesics like diclofenac 50\u00a0mg BID. Do saline gargling. I hope my answer will help you, take care.


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of allergic bronchitis (seasonal) is more. In my opinion, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast), 15 days prior to season starts and continue till season ends. Along with this, also take inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone) for the same period. You will mostly improve with all these. Since all these are prescribed Chat Doctor.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi.... I understand your concern by what you cope I feel that your kid might be having two possibilities.1. Migraine headache2. Intracranial tumor or neoplasm Right now no investigations are required. I suggest that you get her blood pressure checked once and if this is normal no need to do any imaging or scanning. This seems to be a migraine problem only. Whenever there are symptoms like this use of painkillers should be ok. Regards -


Hello, Your bilirubin levels are not that much concern-able high. Since it's slightly higher than the upper normal range provided your other liver functions are within normal limits. You do not need to worry at all about your results. Just repeat your tests after a period of 6 weeks to see if there is any change in it. If you find yourself itchy and getting jaundiced then immediately consult your doctor.  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 suggest you not to worry much.  Healthy and wealthy memory is possible only when your mind is very clear and without any stress and anxiety. All of us are human beings. We do have our own personal as well as social stress. Understanding those stressors and keeping ourselves emotionally away from those stressors can solve memory problems up to one extent. Secondly, you should understand that everything we learn (academically as well as from life) are stored in brain. Brain is actually limitless. Actual and practical Problem is recollection. To recollect something at appropriate time is quite possible when you are clear in your thinking and mind. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.


Thank you for writing on Chat Doctor. I understand your concern. You shouldn't worry too much. You scheduled for CT which men that it's not an urgency to do it. As a general rule prior to do a d dimer it's been done a prediction score for the risk of pulmonary embolus. I'm convinced that your doctor is suspecting pulmonary embolism. Pulmonary embolic are clots that normal are formed in the veins of lower extremity that travel and block pulmonary arteries. As I see you don't have any pain in the limbs which is a good thing and lowers the risk that you might have thrombus in the lower extremities. You have had a biopsy of your thyroid but the results of biopsy are not shown. It's a great importance to know the results of it. The biopsy may be related to these high d dimer. Periods general do not increase the d dimer The cases for high D dimer excluding the clot formation include infection which increases dimer at high level. Age, whit hit increases somehow and some other causes like pregnancy, trauma, surgery. You just have to wait, and I know is not easy to stay with fear, but a CT is going to be performed and a diagnosis hopeful will come and things can go for better. Wish you good health


Hello. Thanks for the query. Brief answer is there are combination treatments of Chat Doctor.  Detailed answer, if all your physical investigations till this point are within normal limits; then you are indeed suffering from anxiety disorder probably generalized anxiety disorder (pending further clarification of symptoms). There are a variety of medications available for its treatment & this condition is indeed treatable so rest assured! You need to visit your primary care doctor & en quire about SSRI (Escitalopram, sertraline, paroxetine etc.) or SARI (Venlafaxine, duloxetine, milnacipran etc.), Pregabalin which shall take care of root anxiety over a period of 1 month & SOS anxiety relief medications like clonazepam, Mizoram (both of benzodiazepine group) to reduce feelings of distressing tingling & numbness. Secondly, you shall be also helped by simple deep breathing techniques, antigenic relaxation exercises, yoga & Panama. Do feel free to contact for any further assistance. Good Luck


Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of 1. External piles 2. Grade 1 rectal prolapse are high. So better to consult bronchoscopist and get done bronchoscopic examination for the diagnosis of your anal painless lump. You may need surgical correction as your constipation is not resolved by high fiber diet. So first consult bronchoscopist and diagnose yourself and then start appropriate treatment.


Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Hypertension is divided into two groups. Essential hypertension that is a chronic disease and should be treated all live long. It has not an identified cause and is frequent in older agesSecondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. Resolving the causing factor might resolve hypertension. As you explain, you are under hormone replacement therapy. This makes me thing that you might be near or in menopause. It is quite known in cardiology that hypertension does appear in women during this period. So, if I was your treating doctor I will recommend some examination like a cardiac echo, a full blood analyze and a holder pressure monitoring to evaluate your values during day and niftier this we can better judge how to treat the problem. Hope I was helpful. Best regards, Chat Doctor.


Hello, I would like to tell you that heart emergency isn't popped in because of pigs that were an only cardiac emergency which never gave you any symptoms of its existence.  Now you are facing all post-surgery complications in which you are not that physically active person as you were.  You have to cope up with all these with a healthy diet, regular follow-ups with your cardiologist and medications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hello, You have visited many doctors and everyone said, the semen leakage is not a disease. That is true. Semen leaks or seeps when you strain your bladder. It is natural that semen discharges after urination. You cannot stop it. Even you cannot stop night fall. Therefore, I suggest consulting a psychologist for sex counseling. Take care. Hope I have answered your question. Let me know if I can assist you further.


Hi, Thanks for the query.  Breast tenderness, nausea, food carvings are some signs suggestive of pregnancy, but need not always be pregnancy.  +ve pregnancy test/ USG pelvis after 5 weeks pregnancy are the confirmatory signs.  In your case, lobectomy being done, It's less likely to be pregnancy (however re canalization of tubes followed by conception is possible in few patients) If it is not pregnancy, it can be - gastritis, acid peptic diseases, ovarian, thyroid problems., POD . Which have similar symptoms... they need to be evaluated & treated with help of a gynecologist./ general physician.  Thanks.  Thanks.


Hi, I have gone through your query and understood the concern. Your symptoms can occur during a very early pregnancy or during the premenstrual phase of the period due to progesterone effect. The vaginal discharge however, is abnormal and most likely due to hormone imbalance. Since you had both blood and urine pregnancy tests negative, pregnancy can be ruled out. A trans-vaginal sonogram will help to know the status of the pelvic organs. Weight disturbances, infections, stress, polycystic ovaries and certain medications also can create this clinical picture. Please get further help from a specialist in person. Wish you good health.


Hello dairy understand your concern Be relax as chance of pregnancy is nil.1. 4th day after the sex is the safe period. Ovulation is not occurred during this time, so no fertilization will occur.2. Unwanted 72 is 95% effective in preventing the pregnancy. Unwanted 72 cause delay in the period by 8-10 days. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards


Welcome to Chat Doctor There could be associated kidney damage which is why you have high blood pressure and swelling under eyes and blood, WBC in urine. You need antibiotics. Take enough water, restrict salt in diet. The stone develops due to infection which is not treated. Eat plenty of fresh fruits and vegetables. You can Chat Doctor.  You need to get other stone removed as well depending on size. As of now you need kidney function tests, DMS scan and antibiotics steroids for your kidney infection. Avoid as much painkillers like NSAIDs, use Paracetamol for pain as long as you do not have liver problem.


No, cephalic presentation is great news. It means babies head is down (in the correct position). The cephalic presentation should not affect whether she goes into preterm labor or not. As far as the growth is concerned, I agree with your doctor. Doppler's need to be evaluated to make sure baby is getting enough blood flow. Your wife will likely need monthly growth scans until she delivers. Good luck!


Hi, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lump in toe. With the limited information, there is a bit confusion about the heel lump?which is not clear from your query. The tennis ball size lump behind your toe, seems to be with a lot of infection and cellulitis around, from the data given from you. And it seems that this lump is for 1 year almost. Cause in your case-So Don't treat it on your own as it could be-Paronychia with Granuloma of the great toe/ or it could be Ingrowing Nail(Onychocryptosis with Pyoderma with Granuloma)/ or could be benign or malignant tumor due to chronicity of infected growth in the toe.Hence, would advise you to consult ER Surgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. So take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Remedy-So till the time you consult ER Or tho Surgeon and get his definitive opinion after above investigations, DONT WORRY AT ALL but you need to be concerned as it would complicate into some other problem associated with it.In the meanwhile, Daily Chat Doctor. Take Anti-inflammatory