Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised.  Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. I think your query answered.


Hi sir/madam, I am concerned that your son is suffering from HERD and vomiting. Gastric juice, bile juice can give a yellow tint to vomiting. One or two episodes of yellow colored vomiting is not a cause of concern but if yellow to green colored vomits persists, it may suggest intestinal obstruction and should be evaluated without ignoring. Regarding HERD, as long as your child is gaining weight adequately regurgitation is not a big issue. But if he doesn't gain weight he needs to be evaluated further. So just keep a watch for persistence of yellow vomits and weight gain. Take care.  Chat Doctor. Balaji


Dear madam, Although blurred vision is not described well in literature as symptom of anemia, I have seen many patients who have this symptom, which gets better after correction of anemia. I send patients to ophthalmologist in any case just to rule out associated eye problems. You may also do the same thing. Transfusion of blood is not the solution for anemia. It is just a temporary measure to bring up the hemoglobin level. We need to evaluate your husband to know the cause of anemia and treat the cause. This would actually solve the problem. Hope I have answered your question. If you have any further questions I will be happy to help. With regards,


Hello, Depressive disorder is a type of mood disorder and this occurs in episodes and show recurrences. But that doesn't mean that you have to take medicines regularly for life. As per guidelines, if a person remain symptoms free and function normally socially and in personal life for around 2 years on treatment then the treating doctor can think of gradually reducing the doses. Since, you have mentioned that you are doing well on medicines you can discuss with your doctor and ask for reduction of the doses. Hope I have answered your query. Let me know if I can assist you further.


Hi, Both Caver ta 50 mg and Nan oleo are only helpful for Erection problem, both did not have any role in Sperm production. If you do not have any Erection problem please avoid those tablets. Your semen count is (0.05 million/ml) is very low. You need detailed Fertility work up. Please do repeat semen analysis with minimum 3 days to max 5 days Sexual abstinence. Check your early morning fasting Serum Testosterone, Serum FSH, Serum Prolactin, Serum LH, Check for Varicocele (Scrotal Doppler scan). If any correctable problem u have correct the problem first then take the following Chat Doctor.  If Everything normal take Tab. Caring (Twice daily for 3 months) and Tab. CCQ 50 mg (Daily night for 25 days in a month for 3 months).


Hello, Cold could be due to allergic condition, and it may not cause high blood pressure, if this is the high blood pressure noted even if this is taken with cheap kind of machine but still it created the doubt in high blood pressure, and it has to be ruled and for that it is better to see the physician, blood pressure reading you have taken can not be taken as final reading, but it can not be neglected until and unless proved either right or wrong. Hope I have answered your query, let me know for further assistance.


Hi, You shouldn't worry, just encourage your friend. The doctor will prescribe medication for blood clots. If your friend takes the medication regularly and follows healthy lifestyle, everything will be OK. In mild strokes the most important goal is to prevent further strokes, which is done with blood thinners and lifestyle changes. Hope I could help nourishing a good health to your friending case of further questions don't hesitate to ask


Hi there, Thanks for using Chat Doctor. Your husband needs immediate medical attention. He has developed hepatic encephalopathy probably precipitated by alcohol binge. This is a complication or cirrhosis of liver. The brain function is affected due to building up of toxins which are not eliminated by the damaged liver. He needs in patient treatment. He may require treatment with lactulose bowel wash, Rifaximin, Header. Get medical attention immediately. Is this answer helpful?


Hi Thereafter going through the details provided by you your symptoms looks like of cardiac ischemia. Its advisable that you should consult a cardiologist personally as early possible. Till that time I would like to suggest you to take complete bed rest as if you exert your cardiac ischemia can worsen up. Also, I would like to suggest you to keep sublingual arbitrate with you so that if at any time if your condition worsen you can use it on time. I wish you good health


HelloThanks for asking query on Chat Doctor. As I understand you are suffering from enteric fever (typhoid) and mild jaundice, which could be related to enteric fever itself. You have not given complete details of your Liver function test. I assume you would be on antibiotics. Diet for you would be soft diet with less of spice and lots of liquids. I would some rest especially if you feel fatigued, having fever or pain in abdomen. Usually it takes about 10-14 days for recovery. Take care.


Hello,TIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising title of antigen from 1


Hi. Very sorry to hear about your mothers' illness. I am sure a CT scan of chest must have been done before proceeding onto biopsy. If not, it should be done. From the description you have given index of suspicion for malignancy (cancer) should remain very high in this case. Since she has a previous history of breast cancer I suspect that it's a breast cancer relapse in lungs producing multiple metastasis. Other possibilities are primary lung cancer with metastasis or primary cancer elsewhere with lung metastasis. The exact primary disease will be confirmed by histopathology report of biopsy. Immunohistochemistry IOC will also help in narrowing down on the diagnosis. Once diagnosis of cancer is confirmed, metastasis in other body parts should be ruled out with an ultrasound scan of abdomen & pelvis and a bone scan. I hope your query has been answered. You can discuss it with the treating oncologist as well. Thank you for choosing Chat Doctor.


Hello Thanks for posting at Chat Doctor. Symptoms of heart blockages are chest pain, tightness in the chest, chest discomfort, breathlessness and pain in the hand. Crawling sensation in the chest is atypical pain and does not seem from coming from the heart. However, it's always wise to get evaluated. So please go ahead with the stress test which you are scheduled next week. As of now I don't think there is anything to worry about. In the meanwhile you can start taking antacids as such feelings can be caused by hyperacidity and gas problems. Wishing you good healthRegards


Hello, I have studied your case. Most probable reason for your symptoms could be postural problem. When such patient comes to my hospital we usually take x-ray spine to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this helps. Wish you speedy recovery.  Take care.


Hi, Thanks for posting your question here, I will try to answer it to the best of my abilities. If contraceptive pills don't work for you, why not just calculate the days when you ovulate? These are the danger days when you can get pregnant. This is how you calculate it - count 14 days from your last period, the next 4 days after that are the danger day, i.e. the days you are ovulating. So just to be on the safe side, for 7 days instead of the 4 I mentioned avoid intercourse, and you should be okay. I hope this answered your question.


Hi, Thank you for posting your query.First, I would like to reassure you that the itchy rash and skin lesions in the lumbar region are not related to the lumbar canal stenosis. They are two separate problems. The skin rash needs to be evaluated by a dermatologist. The most likely cause could be urticaria, and may be related to an allergy. Use of antihistamines agent such as levocertizine or cetirizine tablets would be helpful. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/


Hi and thank you for choosing Chat Doctor to post your concern. I read carefully your question and in my opinion your chest pain is a noncardiac chest pain since your cardiac examinations turned out good. Do you have any other complain about example cough, difficulty breathing? I am supposing no since you don't mention in your question. This make me think that is less possible a chest pain associated with the respiratory systems your pain influenced by eating or does it worse while supine, or increase in intensity with movements of the body? It would help me to have this information to narrow the differential diagnosis of your chest pain. Now my conclusion is that the most possible causes of your chest pain are as follows


Hi, From history it seems that she might be having acute infection in her external ear giving pain and swelling behind the ear. Due to acute infection she might be having symptoms like malaise, body ache, pain in limbs, knees etc. Give her one course of antibiotic and anti-inflammatory medicine course for 3-5 days. Put antibiotic ear Chat Doctor. Within a day or two she will start improving. Ok and take care.


Dear friend. Thanks for sharing your concern. Your history suggests that you had a traumatic extraction, and post extraction it became a case of Chat Doctor. Do not worry, white spots that you are seeing is due to local application of medicament there. Gum soreness will slowly subside as it takes time in complete wound healing. Please maintain good oral hygiene and do warm saline rinses. I would suggest you to revisit your dentist for clinical evaluation. Of a course Based upon that starting a course of antibiotic is recommended. Hope it helps. Take care.


Hi. Thanks for your query and an elucidated history. The causes of pain on the right side - the feeling of sharp needles beings pricked and like a little bag bust inside you can be due to


Hello, I have gone through history of your son. I can understand your concern as mother.first let me tell you that metoprolol 25 mg is not high dose.secondly slow heart rate usually does not produce sudden death. I would like to know what exactly was defect in heart and what surgery was performed ?many a times congenital defects though surgically corrected may have residual problem which may trigger arrhythmias and sudden cardiac death. I would like to know what was report of autopsy? I certainly respect your emotions as a mother, but it's my duty explain what may be truth. I would be surely interested to know autopsy report. My condolence to family.


A child dying of heart murmur suggests that he had a congenital heart disease, and he must have gone into Congestive heart failure and succumbed(commonly seen in these conditions). If ECHO was done, that could have explained the type of heart defect in the child. If the child has Chaotic CHD, in that condition a Hypoxic event can lead to seizures. Child Chat Doctor.  Apart from these conditions, brain abscess in CCHD or any structural malformation in the brain(Syn


Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should immediately consult cardiologist. T inversion on ECG is suggestive of ischemia. Your symptoms are also suggestive of ischemic heart disease. Most common cause for this is coronary artery blockage. You are having pre-diabetes and strong family history of coronary artery disease. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. 2d echo 3. Stress test (trade mill test) 4. Coronary angiography. You may require coronary stenting and other cardiac supportive Chat Doctor.  Don't wait at home, consult cardiologist and start treatment immediately. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi I had gone through your query and understand your concerns. I would come up with the possibility of DIVERTICULITIS may be the cause for your sufferings.-inflammation of balloon-like protuberance due to excess Gas pressure in intestines. Often caused by additives in food, or low blood sugar. Diet to follow;-high fiber diet which produces large volume of feces requiring wider diameter of colon, and gas. -refined food lead to hard stool. Softer stools do not strain the gut. X-ray with barium enema may confirm the diagnosis.  I hope this is helpful for you, thank you


Thanks for your question on Chat Doctor. I can understand your concern. No, you should not discontinue tamsulosin. Tamsulosin is good to prevent urinary symptoms like Chat Doctor. So continue with tamsulosin. Your erectile dysfunction is mostly due to lack of testosterone. Old age plus prostatectomy cause testosterone deficiency. No treatment is required because of your age (87 years). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Cellophane you for your query. Please stop googling and consult an Infertility specialist at the earliest. First get yourself investigated for the 2 miscarriages. Causes could be genetic, uterine abnormalities, hormonal disturbances, infections, autoimmune conditions etc. Next, have a complete PCs investigation panel done. Assess your tubal patency by HSG or laparoscopy. Have your partners' semen analysis done. Maintain a healthy BMI and take folic acid tablets. Also, with PCs, you might need help of ovulation inducing agents to conceive, as PCs patients have irregular ovulation and irregular cycles.Please consult an expert at the earliest. Take care.


Hello, Continue the medicine till week. Post which starts exercise for knee muscles. Like static hamstring and static qua Chat Doctor.  Post which resistance training should give excellent results. Most cases I see in my clinical experience of 12 years at your age have early signs of osteoarthritis of the knee. With exercise, they are better. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In


Hi, This looks like the baby is not liking the food. He might be choosy I guess! I would like to suggest you try different varieties of foods and present the food before him in some attractive ways


Thanks for your question on Chat Doctor. Seasonal cough is very common problem. It is mostly due to viral infection. Viruses are more cultivating in winter and humid season. So Viral upper respiratory tract infection is commonly causing seasonal cough. So my advice to you is to take annual influenza vaccine. It will give protection for 1 year. So very year you should take this vaccine. Another Chat Doctor.  This should be taken throughout the season. So consult your doctor and discuss all these. Because all these are prescribed medicines and prescription is needed for this.


Hi.I had gone through your query. In old age these type of emotional problems are common after stroke or vascular events. Depression or anxiety is associated with stroke in 40 to 50 cases. Hallucination is symptoms of psychosis, and it is associated 10% in patient of stroke. Mood variability or catastrophic reaction is common. Require psychological evaluation and treatment. Low dose antidepressant with anti-psychotic will help. But require detail evaluation before taking any medicines. Caution is required for Chat Doctor.


Thanks for your question on Chat Doctor. I can understand your situation and problem. There are many causes for lower limb edema in patients taking chemotherapy and radiotherapy. The common causes are1. Deep vein thrombosis (DVT)2. Hypoprotienemia and anemia3. Lymphatic obstruction of lower limb either by direct cancer spread or due to radiotherapy.4. Cardiac failure5. Renal failure.6. Rarely hepatic failure. So better to consult oncologist and discuss all these possible causes, and start treatment accordingly.


Hi, Dear,Good Evening, and Thanks for your query to Chat Doctor. I went through your query details in depth.-In my opinion, in relation to the facts told by you, its infected Boil post-Ring Worm infection(Jock itch/ or Tina Courts) with Boils with groin lymphadenitis with access.-LGA, soft chancre needs to be ruled out.-Remedy-Consult ER-Skin doctor would treat it with-a-Tb griesolfulvin / or Tb terminating for 2 was orally b-or, ketoconazole cream or itraconazole would fix the dieseasec-Tb-NSAIDs, for 5 days time. Hope this would resolve your worries about the lump. Wellcome again for many more queries to Chat Doctor online Clinic-from you and your friends


Hello Matt and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, i can understand your anxiety. First, i must congratulate you for taking this noble decision. Before a kidney transplant surgery, there are 3 tests, which must be matching


HiT hanks for your queryBased on your query, my opinion is1. Dizziness could be due to hypotension, as you have increased the dose of antihypertensives.2. It could be due to hypoglycemia. Skipping meals/ eating less/ loss of appetite may be some reasons.3. Ear problems can also cause dizziness. If you have ringing sensation in ears/ hearing loss consult your doctor for further measures.4. Besides taking the prescribed medications, be regular with your diet. Hope this helpsRegards


Thanks for contacting Chat Doctor with your health care concerns are worries about an epididymis cyst on your testicle. These cysts are very common and are not truly a concern for you. These are benign and do not cause any health care problems. If they do hurt a doctor may recommend removal but not usually. I think you can wait until your appointment in January to discuss this with your doctor. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns


Hello, I have studied your case. I think it is most probably collection of blood inside ankle. It is called hematoma. This is going to dissolve soon. I would recommend you to start hot water fomentation, antibiotic and NSAID.  I would also recommend you to apply compression bandage. Furthermore, I hope this answer will be helpful for you. Let me know if there is any other followup questions. Thanks


If your pain is due to muscle spasm at your back and loss of lumbar curve. Then I suggest doing exercise like spinal twisting, knee to chest one -one leg at a time keeping another leg on ground without lifting upper limb and with the help of your hands., pelvic bridging, and spinal extension, Lowe limb stretching in lying position. But do not do forward bending exercise. You can also visit a good physio who can understand the biomechanic of your problem and suggest you some good exercises. Here another thing is you can also take physiotherapy treatment like ultrasound to relax your soft tissue. As well, I must suggest to use hot pack regularly and frequently to have more of healing soothing and relaxing effect on soft tissues. Just follow this, and I am sure you will feel much better and will recover fast if you take some rest for next few days along with this. Take care.


HIT hank for asking to ChatDoctorI can understand this, you are having some kind of different and weird thinking about the problem that you have but in fact this is not at as you are thinking, like spleen enlarge, diaphragm does not expand, these are just your ideas, stop thinking in that way these could create panic, the pain that you are experiencing could be functional and would come around soon, nothing to worry about this, hope this information helps you, have nice day.


Raised potassium levels may have many reasons. One of them could be medications such as potassium sparing diuretics such as spironolactone, chloride etc. The others are kidney problems, endocrine problems etc. High potassium levels are dangerous to the heart, and it is important to find out the cause of the raised level. I suggest the following tests


Hi, Thanks for asking the query, According to your symptoms I suppose that you have developed infection at the site of extraction this could be due to food lodgment or there could be presence of any broken root piece an x-ray of the region is required. At home take lukewarm saline and antiseptic mouthwash rinses. Take a course of antibiotics and analgesics. Avoid consumption of hot and spicy foodstuffs. Hope you find this as helpful, Regards.


Degree understand your concerns went through your description. I suggest you not to worry much. Your periods are normal. Blood during periods do change colors often. You can have it confirmed from your friends or gynecologist. I don't think you are pregnant as all the four tests were negative. You should be confirmed about the results, not the false thinking or understand of yours. You can always talk to your gynecologist for confirmation. Don't take self decisions. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas.,


Hello Mr Mishra, How are you?  Stones in the gall bladder are a fairly common finding during USG of the abdomen. You do not need any additional tests to confirm the presence of gall stones.  Gall stones can cause pain in the abdomen and vomiting, but it does not cause swelling of the feet. So I hope you have gotten that complaint diagnosed and treated before considering surgical treatment of the gall stones. In 99% of the cases, the treatment is accomplished by \"Laparoscopic Cholecystectomy\" (removal of gall bladder by making 3 small cuts on the abdomen guiding the surgery through a small camera inserted). This is a fairly routine surgery and could be done within a cost of 30 thousand rupees at most hospitals. Hope this helps, and please do not hesitate to contact me for more details.


Hi There In some people after a while of sitting when they stand up back they feel their heart beating fast. This happens because when we sit some amount of blood get accumulated in the legs and when we stand back up that blood returns to heart making it beat faster. I would like to suggest you to stretch your feet and legs for a couple of times before standing up. This will help to avoid palpitations. Wish you good luck


Hi, I can understand that you are distressed by your anger outbursts. Your problems regarding high sex Chat Doctor.  Much more information would be needed to come to a definitive conclusion. However, you definitely would benefit from a psychiatric consultation. Evaluation will be done to determine whether your problems are due to underlying mood disorder or due to personality traits and accordingly treatment with medications or psychotherapy may be offered. Hope you found the information useful. Best wishes.


Dear Kuldeep, you have to be vigilant which food causes the allergy. If you identify any stay away from it. Count of 4 in eosinophil count is not alarming. You should also rule out any contact allergy. Cough is because you are inhaling some allergens. You have to rule them out one by one. in the meantime you can use long acting anti-allergic tablet available on the counter to relieve your symptoms.


Dear patient Shoulder manipulation is indicated for shoulder stiffness to regain range of motion. It is done under general anesthesia, and we call it MEGA (manipulation under general anesthesia) mainly done for frozen shoulder but is helpful in shoulder stiffness from any condition. Here patient is given general anesthesia and under IIT guidance shoulder is manipulated with abduction, external and internal rotations and flexion extension movements. There is risk of fracture of bone is osteoporosis. Better way of getting range of motion is arthroscopic release of inferior glenohumeral ligament.  All the best.


Hi ! Good evening. I am Chat Doctor answering your query. Although it requires a clinical examination of your abdomen, from your history it seems that possibly the pain could be due to a calculus in the common bile duct or there could be some kind of pancreatic inflammation. IBS would be the last diagnosis I would consider for this kind of pain. If I were your doctor, after a physical examination of your abdomen I would advise you for an ultrasound of whole abdomen with special attention to the biliary tract and the pancreas. In addition, I would also get done a few of the blood tests like a CBC, a serum amylase and lipase, an LFT and KFT to aid in the diagnosis and management. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.


Hello, Spasm is not due to disc but due to lack of salt and calcium. You need to take vitamin D 60000 unit on weekly basis. For disc, it does not dissolve, but pain may decrease. If you can manage that then there is no need of surgery. In case you want complete pain relief then surgery is only option. In that we remove disc from that are with the help of endoscope. It is very small surgery and there is no bed rest. You can walk from second day of surgery,


HelloThanks for your query, based on the facts that you have posted it appears that your mother has been detected to have a cyst in her kidney. The kidney cysts are from birth and benign in nature and do not need any active treatment and are left alone. Please do not worry as far as cyst is concerned. Please go ahead and get her Cystoscope examination done to find out the nature of the lesion in her bladder. Chat Doctor.


Hello, I have studied your case and can assure you that it is nothing to be worried about. This is a small wound which is not healed completely. To get better of this I would suggest you to apply antibiotic cream over the wound and make sure it is not wet or dusty. Soon it will heal completely. You may have removed the skin over it, but it is not a serious thing as it will going to come again.  Let me know if there is any other followup questions.


Thanks for your question on Chat Doctor. I can understand your daughters situation and problem. No need to worry about heart related diseases because her ECG is normal. Possibility of musculoskeletal pain is more. But better to get done chest x-ray to rule out pleurisy. She is having chest pain on deep breathing. This is seen in pleurisy (inflammation of pleura). So get done chest x-ray. I'd this is normal than no need to worry about pleurisy. Musculoskeletal pain is more likely in her case. So ask her to avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Give her painkiller and muscle relaxant Chat Doctor.  Apply warm water pad on affected areas. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your daughter. Thanks.


Hi, I am Chat Doctor.  I have read your question and understand your concerns. Let me try to help you 1The Topic of the question is \"Suggest treatment for brain metastases\" But you have asked about Pain medication 2. Question 2


DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN BUT YOU HAVE EVEN INCOMPLETE DATAENLARGED HEART COULD BE EITHER DILATION OF HEART OR HYPERTROPHY OR BOTH.  I WOULD SUGGEST YOU TO CONSULT A CARDIOLOGIST AND GO FOR A ECHOCARDIOGRAPHY YOU COULD MESSAGE THE ECHO REPORTS AND IF YOU COULD MESSAGE THE TABLETS YOU ARE TAKING FOR HYPERTENSION AND THE LATEST BP I COULD HELP U HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS


Hi.... 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 probiotics like enterogermina. Home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Regards -


.mam your ultrasound report says that there is no pregnancy (years ).there is no retained products .as in some abortions some products remain in uterus .no myometrial mass means there is no fibroid so just relax cycle sometimes get delayed wait for next month if the cycle is not regular by then please get accessed for he . Tlc . Dlc .ESR... Thyroid status as your ovaries and uterus are normal if you have any further query then please come back to Chat Doctor site .I will be happy to help you with regards Chat Doctor.


Hi there thanks for asking this on Chat Doctor, no need to worry you don't need a tetanus injection for parrot scratch. Its usually given wounds where you are exposed dirt or soil because the bacteria causing tetanus is found there. On the other hand since you are saying a parrot scratched you there may a chance of you getting a disease called psittacosis. If you develop symptoms like fever, joint pain, difficulty in breathing, diarrhoea you consult with a nearby physician. The treatment is a course of antibiotic like doxycycline or chloramphenicol.


Hi there, she can affect kidney the best way to detect is RBC in urine examination> 4, urine spot protein creatinine ratio > 0.2 and high DSNA and low c3 levels. Then we call it lupus nephritis.  In your case stone is also present. So RBC can be because of stone also. It is important to rule out SHE nephritis as it is more dangerous. X-ray may not be helpful.  If you wantvimaging study to document stone size and number than ct pub plain should be done. It has no effect on future pregnancy.  If the stone is a single stone of 3 to 5 mm as in the ultrasound.  There is no need of anyvtreatment before pregnancy.  If a problem arises it can be tackled as such chances are very less as it is a very small stone. Chancellor cancer are only there if your age is greater than 50 yrs in that case also ct should be done before cystoscopy. And most likely cystoscopy will not be needed. Best wishes.


Hello and thanks for your question. If you have Helicobacter pylori as the stomach infection causing your ulcers then it may take several weeks for the medications to work and give you some relief. This infection is treated with a combination of proton pump inhibitors like omeprazole and antibiotics. If you are not feeling better soon then I think you should ask for a referral to a gastroenterologist. Regards


Hi, And large pieces of information are missing that are needed to make good advice. First, no, Fish oil, more commonly known as cod liver oil, is usually safe in most people and is not known to cause the brain effects that you mentioned. Now, I think there is some lesion found in your brain MRI, and I would like to know the exact report or see the scan before I can comment on it. But yes, that lesion can be a cause of not only your symptom of the arm, but also the heaviness of the head and imbalance when you walk. Since the exact report is not mentioned, I will not be able to conclude what may be the cause of your symptoms. It could be anything ranging from stroke and TIA, to declination such as MS, to infections like NCC. So without the report or the scan I cannot comment on the treatment.  I have tried to make it as simple as possible. Let me know the report/scan, and I will try to help you further. Hope I have answered your query. Let me know if I can assist you further.


Hypothyroid patient use to have side effects like fatigue, weakness and pain in muscles, stiffness in muscles, increase body weight due to water retention, and increased heart rate etc. Here you have explained you have mild back pain which is radiating to the chest. There could be few possible causes for this. 1. It may be because of muscle weakness and stiffness in back muscle as a side effect of hypothyroidism or mechanical back pain too.2. Chest pain could be because of increase water retention in body and increase heart rate putting more pressure on heart. Here for both above cases I suggest doing thyroid test and if it's not in control do proper treatment. Even after that if you have mild back pain I suggest getting examine your back with physio or or tho and take treatment. As well follow postural correction and spinal exercises as per physiotherapist guideline. For chest pain check if it is increasing walking up hill or while exerting yourself with breathing difficulty. If it is increasing then do ECG and treadmill test and based on result consult a cardiologist for proper examination and evaluation. As well, he will also help for treatment. I am sure you will be fine if you just follow above steps. Take care


Hi Welcome to ChatDoctorI have gone through your query, I found you have trouble in your throat and had recovered from 4 nose bleeds. If you are taking aspirin or other blood-thinning medication, these can also contribute to frequent nosebleeds.  If I were your physician, before your nosebleeds get worse or more frequent, I would have referred you to an ear, nose and throat specialist to look inside your nose for any growths or masses to find out the cause. It is my suggestion, don't worry about anything. Get your self thorough check up from a specialist.  This is the first step, you have to take. He is the right person to guide you to, what to do.  God willing all can be ok , But if there is anything you are suspecting, can be cured, these days. You just take care of your lifestyle. Diet should be simple, nourishing and regular containing all nutrients - fibers, minerals, vitamins salts and water. Avoid fried , fast foods bakery products Take lemon juice twice, before meals. Take coconut water . Its great coolant & antioxidantInclude buttermilk in lunchConstipation should not be allowed Exercise, Yoga, Panama ,Anglo Film will strengthen your mind and body and make your immune system stronger to fight the disease, if you have any Rest also is very important for your well-being. Wish you all the best. Hope this helps you solve your query Don't hesitate to get BAC if you have any further query.


Hello, I have studied your case and MRI report. Physiotherapy like ultrasound and inferential therapy will give quick relief. For these symptoms analgesic and neurotrophic medication like pregabalin and methylcobalamine can be started consulting your doctor. Till time, avoid lifting weights. I will advise checking your it B12 and it D3 level. Your lumbar scan also shows some disc bulge but not compressing nerve root. So continue physiotherapy for lumbar spine also. Epidural injection shot may help if no relief. Avoid lifting weights. Avoid bending forwards. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.


Hello, Well, it is really strange as the titanium plates are strong enough and do not get broken so easily. But an exception has to be always ad Chat Doctor.  If the plate is now changed, I do not think that there will be a problem again or the plate will get broken, so you need not worry about it. Also, if the scar is unaesthetic, you can consult a plastic surgeon and get her examined and can discuss scar revision surgery. She should also prefer softer meals and avoid stress. Hope I have answered your query. Let me know if I can assist you further.


Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Blood pressure variation is common during start of any new medications and periods of stress. If the blood pressure goes above 180/110, you need to meet your doctor soon.2. You need to distress yourself. Stress also increases gastritis which is causing you plenty of gas formation.3. Take medications regularly and try to maintain blood pressure within the normal range. Take low sodium diet, along with normal fiber rich nutritional diet. Do moderate exercises along with weight reduction, it will all be very helpful. Not to worry. Hope it helps. Any further queries, happy to help again.


Thanks for contacting Chat Doctor.  Dear Ahumada Namath as all your sons tests are normal you should ask your doctor to evaluate for Juvenile Rheumatoid arthritis and if that is also ruled out then it is probably not a physical problem. Child Chat Doctor.  It would be good idea to en-quire at school and meet his class teacher and classmates to get to the root of problem. Also shower him with love and affection and get him talking about his problems, he may trust you and tell you. Regards


Hi, As with the history it appears this should be just a boil which usually comes up to some people due to excessive body heat. Nothing to worry about it.  If it has gone flat and no other reaction than I don't think anything is major to worry about. As medicine is all about being going with clinical symptoms and since nothing present now then it should be ignored. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.


Hi sweet, Thanks for writing in.  You seem to have postinflammatory hyperpigmentation and scar formation. For pigmentation as a general rule-Avoid sun exposure Use a good sunscreen of SPF 30 and repeat application every 3 to 4 hours Take antioxidant and vitamin C supplements.  You can apply Vania cream at nighttime over the affected area.  You need to consult a dermatologist as dermatology being a visual field, the cause for scar and the treatment required can only be suggested after proper skin examination.  Take care.  Chat Doctor.


Hi, Thank you for asking question on Chat Doctor.Five-year-old babies eat candies as well as other snacks in between meals and usually do not wash the mouth. They sometimes neglect brushing teeth also and hence they develop bad breath. Attend to their oral hygiene carefully and make them gargle with Listerine mouth gargling solution 2 times daily and if possible avoid candies and snacks frequently. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics


Hi, dear. I have gone through your question. I can understand your concern.  Sore throat, mild fever, headache all symptoms are suggestive of some viral infection. Low blood count is common in viral infection.  So you should take treatment of viral infection. 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 in my opinion you should visit a Pulmonologist and get yourself evaluated as chemicals cause pneumonitis in early and delayed formPulmonologist may request for a chest X-ray to see if there is any urgent intervention required or motif these symptoms persist and chest X-ray has changes your Pulmonologist may prescribe you low dose of corticosteroids for a short period to counter the inflammatory process, or he may add leukotreine inhibitors for the samethanksfeel free to ask more questions


Hi, Thank you for providing the brief history of you. As the pain is radiating in nature, a thorough neuromuscular assessment is advised. This kind of pain occurs due to pinch of the nerve root in the lumbar spine and radiates down the leg depending upon the dermatome and motor regions. Also, with simple physical therapy, you should get maximum benefits. As per the research, majority of cases recover with physical therapy and have a better functional ability. RegardsJay In Chat Doctor.


Thank you for the question. Fifteen days of infection are definitely of concern. But at times infections doesn't get controlled immediately. Consult your pediatrician regarding further investigations and change of medicine as per need. Is stools frothy too? Then respiratory infection should also be looked for. This is weaning period you can try top feed with consultation with your doctor. You may ask to add some probiotic /prebiotics, which will help replenish intestinal bacterial flora.


Thanks for your query, I have gone through your query. The smoking increases the incidence of infection, or it can aggravate the infection. The reason for this could be the amount of heat and negative pressure during smoking. For the tooth infection you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). I hope my answer will help you, take care.


Hi welcome to Chat Doctor... Noted you have diagnosed with asthma ... It is allergic condition in which patient having hypersensitivity to certain allergen... For confirmation pulmonary function test done... If repeated asthma attack occurs then Metered dose inhaler like long acting palmetto or foretell with steroid needed.... As asthma allergic condition itching can occur by histamine when exposed to allergen... Try to identify allergen or do allergy test ad keep exposure to it minimum... Your child also overweight ... Reduce his weight ... As obesity create problem in breathing... Passive smoking exposure avoided... Onion having anti-inflammatory action. So take cooked onion ... Take care.


Ultrasounds at 29 weeks are not as accurate as we would hope them to be. Once babies reach approximately 18 weeks, they start growing at different rates. It's difficult to know if your baby is actually 28 weeks and is big, or is 30 weeks and is small, or is 29 weeks and right on. Ultrasounds at 29 weeks can be up to 2-3 weeks off, actually. The estimation of 29 weeks is just that, an estimation. In short, no, it is not entirely possible to know the exact date you conceived 27 weeks previously.


Hi, Let me inform you that low blood pressure cannot be itself happening, and it is the medical emergency if ever happens due to loss of fluid from the body even blood that may cause the hypotension (Law blood pressure). Second, it can be due to starvation, low water intake. Third, it can be due to vasovagal shock (most common condition is seeing the bleeding condition). All the mentioned conditions are medical emergencies that demand immediate medical attention. You have not mentioned any symptoms here, as long as the given symptoms that you described here may demand cardiac evaluation and other vascular condition. Till then Chat Doctor.  Hope I have answered your query. Let me know if I can assist you further. Take care


Thanks for your query, I have gone through your query. The space in between teeth can be secondary to the loss of supporting bone because of the gum infection. The other possible cause can be a fractured or broken filling or decay in between two teeth. Consult an oral physician and get it evaluated. You need to take a radiograph to rule out any bone loss and tooth infection. If there is a gum infection, you need to get the teeth cleaned(scaling and root planing with graft placement). If there is tooth infection, it has to be treated with RCT and crown. I hope my answer will help you, take care.


thanks for your query can feel your concerns cause of lower hemoglobin should be sorted out and treated accordingly. Mostly it is deficiency anemia. You can start with iron supplements after consulting your doctorImprove your diet. Add fresh fruits and vegetables to and avoid junk food and soft Chat Doctor. So I advise you to contact your doctor for complete clinical examination and certain tests to rule out occult blood loss wishing you good health regards


Hi. Thanks for asking in Chat Doctor. Mirena IUD contains progesterone. It releases progesterone slowly for a period of 5 years. Amenorrhea (absence of period), bloating, breast tenderness and abdominal cramps are all due to the progesterone released from IRENA. Absence of periods indicate that the progesterone level in your body is high and that may be the reason for the side effects. Though IRENA releases progesterone, it does not suppress the regular synthesis of progesterone from ovaries and that may be the reason for the elevated level of progesterone. With Chat Doctor.  Progesterone will prevent the implantation of fertilized ovum in the uterus. Also, an IUD serves as a foreign body in uterus and prevents pregnancy and so the chances of pregnancy are minimal with IRENA. You are anxious about conception because of absence of periods. Although the failure rate of IRENA is only 0.1 to 0.4%, it is better to rule out pregnancy through blood test as you have decided because that will relieve your anxiety. I hope this is useful to you.


HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the painful lump in your wives back. Cough and chest pain is co-incidental illness as the lump in itself is not painful as told in your query facts. So you need 2 treatment for these 2 ailments.Treatment -a-Chest pain and cough-is due mostly to Bronchitis and could be treated by -NSAID and antibiotics with script from your family doctor.b-For the lump -it appears to be-Sebaceous Cyst from your tests findings.c-This needs Excision Biopsy to rule out any other possibility ? As Lipoma ? Dermatofibroma?etc.-Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!


Hi and welcome to Chat Doctor, thank you for your query.it does OT matte if she has elevated these findings if she doesn't have any symptoms related to liver or pancreas. Score may because of liver and pancreatic duct obstruction, but it should be verified by specific tests. Red is very rare, and it is not the first thing to think of. Treatment is very demanding, but the exact diagnosis should be established first, before it starfish you good health. Regards


Hi, The typhoid attack might have been severe in your case, and it will take more than 15 days to recover. If you have taken 15 days treatment then you should take nutritious home cooked food for about a month and half or 6 weeks. The food should preferably be home cooked and not spicy. What happens is that typhoid causes depletion of energy and this can take a bit longer course in some. Few people report weakness for 3 months after typhoid. It will also help if you can repeat tidal test to make sure that you do not have any chronic infection.


Hi, In most cases, this is a sign of reinfection or kidneys stones. This is mainly self limiting and doesn't require any specific treatment, and you should just be patient and have fluids to promote urination.  Less likely it may indicate possible bleeding in urethra, bladder or kidneys from popped vessel or some other cause.  If this continues you should do urinalysis, monoculture and kidneys ultrasound to rule these main causes out. You should Chat Doctor.  Also, avoid sexual intercourse and have keep good hygiene. You should reduce salt in your diet as well since this could lead to increased risk of urinary stone formation.  Hope I have answered your query. Let me know if I can assist you further. Take care


HiT hank you for asking ChatDoctorI have gone through your query. Your back pain can be due to nerve impingement syn Chat Doctor.  Narcotics only give temporary pain reliefs.X-ray of lumbosacral spine followed by MRI will be needed to rule out your condition for proper management. But better to consult an orthopedic and start the proper therapy. I usually give NSAIDs like diclofenac muscle relaxants like thiocolchicoside neurotrophic


First you are saying that you a cancer affected and had been treated twice. Your complaint of frequent headache with difficulty in recognizing known people suggests that you may probably have mass lesion on the left side of your brain. May know your age and for what cancer you are treated previously and do you have history of smoking?these are all known complications of brain tumor or may be metastasis from previous cancer site. Any vomiting, blurring of vision and any weakness in the limbs kindly consult any neurosurgeon as early as possible. He may advise you to CT/MRI brain.


Hi, dairy have gone through your question. I can understand your concern.  Chemotherapy has many side effects like nausea, vomiting, acidity, hair loss, weight loss, immunosuppressive actions etc. He should take Proton pump inhibitors like pantoprazole or omeprazole and ondansetron to avoid gastrointestinal side effects. 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, It is unlikely to get pregnant during the first month after coming off the deposit as return to ovulation usually takes a couple of months at least. Your symptoms are not specific to pregnancy, they could be pre-menstrual as well. Yet, if you wish to exclude/confirm pregnancy, you can get blood test for pregnancy done as urine tests may not be helpful. You can get a trans-vaginal sonogram done after the pregnancy test and see a gynecologist for further management. Hope you find this information useful. Wish you good health.


Hi, dairy have gone through your question. I can understand your concern. PSA is prostate specific antigen. Normal level is below 4.  Level between 4 and 10 is suspicious of prostate cancer.  And level of more than 10 is highly suspicious for prostate cancer.  So you should not weight for one month to consult urologist.  You need urgent biopsy and if it is cancer then start treatment as early as possible. Consult your doctor urgently and start 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.


HelloThanks for query. The report of your semen analysis that you have posted is well within normal range of WHO standards as far as sperm count, motility of sperms and morphology of the sperm is concerned.However, the presence of 2-4 pus cells suggests infection of either prostate or Seminal Vesicle which can be cured by taking antibiotics like Doxycycline for one month. Repeat your semen analysis after completion of course of antibiotics to be rest assured about that infection is controlled completely. Chat Doctor.


Hello, There is an only minor disc bulge and there is no compression or stenosis of nerve roots. Nothing much to worry and exercise, and symptomatic management will be enough for your case. Posturing exercises and physiotherapy can be helpful to reduce pain intensity. Pregabalin is required only in case of severe pain.  Exercises like standing extension and Half cobra stretches (which can easily learn from the internet) will be effective.  Sit-ups and squats must be avoided. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi tachycardia is a condition in which the heart beats faster than the normal rate, it can be because of anxiety, anemia, medicines and a number of causes, infection can also be a cause of tachycardia. Mild tachycardia is not a problem but if heart rate is more than 120 in that case low dose propranolol should be taken with ENT medicines. Exercise daily for 45 miutes, walk for 30 minutes, avoid too much stress, dont eat heavy food thank you


Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is high in your case. So better to get done PFT (Pulmonary Function Test) 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, inhaled corticosteroid and antihistamine Chat Doctor.  So first diagnose yourself and then start appropriate treatment. Wish you good health. Thanks.


Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned in history about the tingling sensation, it is very uncommon until the cast is applied too tight. If the cast is applied too tight then the nerve is getting compressed and the symptoms of tingling is arose which needs an attention. In case if the cast is not tight, I will advise to undergo an MRI of the lumbar spine as, any soft tissue injury in that area will lead to pinching of nerve root and produce symptoms. Also, a vascular assessment is needed to cross confirm is any DVT is present for which a Doppler is advised. As, until a thorough neuromuscular assessment is performed the diagnostic tests are an optional. Based on the assessment the diagnostic tests will be planned. RegardsJay In Chat Doctor.


Mam left ventricular configuration, means the border if formed by left ventricle which may be normal or mildly enlarged and unfolding of aorta is old term suggesting the mediastinum is mildly enlarged, as I am not a radiologist, I will stick to clinical relevance which will be helpful to you.  As you suggested your BP was on a high side It's likely there will be some thickening of your heart muscle, which we call concentric LVH. I will assure you its normal and you shouldn't worry about the same.  However, if available just to confirm what I suspect based on short history you have mentioned, do get a 2d echocardiography if available.  Regards Chat Doctor.


Hi. Thanks for your query and an elucidated history. Noted the history of pain in the groin, biceps and calf after flu. Also noted history of Hernia surgery. After infection with flu, which is a viral infection, it and the inflammation thereupon affects the old injured area, scars and so on, hence you have got the pain in particular areas only. The pain in the testicle must be a referred one, or a neurological. I would advise you the following


Hi Sarala, The blood clot could have been removed surgically at the time when the incidence occurred in 2010. If the surgical intervention was not done, then it should have been managed medically. Prompt and immediate medical attention is necessary in this kind of Hemorrhagic stroke. Early intervention prevents motor and sensory disability. I am sorry, you have not mentioned his treatment that he underwent in 2010. In the later periods, regular physiotherapy can help in bringing back the motor ability of a person. In your fathers case, his walking ability can be regained though not to 100%. The blood clot will dissolve in due time. Speech therapy can help him get back his normal speech, but the percentage of recovery cannot be commented on, and it is individualized.  I hope to have answered your query.


It would be better if you send pictures of your inflamed joints too. But as you say that you have been told that you are suffering from Psoriasis Arthritis, you need to control your pain and inflammation in joints. What medication you are using?Once you should use NSAID (Tab. Diclofen 50\u00a0mg three times a day) that you have to use for reducing pain and as you have to use it for a long time you should take Cap. OMEPRAZOLE to reduce acidity in stomach. It. D supplement, you should take, but of some good company. Second is that you have to use Disease modifying anti-rheumatic Chat Doctor.  You should not suffer, because with proper care and management this disease can be well controlled, otherwise it can cause permanent joint disability and that will not be curable. However, you should start doing following things immediately and on regular basis


Thanks for your question on Chat Doctor. Breast cancer can spread by three ways. 1. Local spread 2. Lymphatic spread 3. Homogenous spread. Through homogenous spread, breast cancer involve distal organs like lung, liver, bones, brain etc. These are known as metastasis. So bone metastases are common in breast cancer patients. So your relative might be having metastatic bone cancer from primary breast cancer.


Hello, Usually penis is in curved position when get erected. But if curvature excessive as you have mentioned than it might lead trouble in sexual intercourse. Hence, it needs to be corrected as surgical treatment might be needed. But without physical examination decision cannot be taken. Consult urologist for examination and discuss your case. Hope I have answered your query. Let me know if I can assist you further.


Hello There After going through your medical query I understand your concern and I would like to tell you that heart beat is ever-changing phenomenon depending upon your activity level, stress and physiological changes. Most likely you are facing anxiety which is why rhinitis (ringing in ears) is also there.It's recommended for you to take some anxiolytic for few days to relieve your symptomsHopefully this information will answer your query. Kind Regards Chat Doctor.


Hi, Both Chat Doctor.  M2 tone is herbal product


Hi, Thanks for writing in. The commonest cause of increased urination a age is from severe urinary infection. The urinary tract is occupied by many bacteria and this leads to the increased frequency and urge to pass urine. Other causes like diabetes is less likely at your age. Anxiety itself might cause increased urine formation leading to getting up frequently at night to visit the washroom. Please Chat Doctor.  Doing a urine culture and sensitivity test is also important. It will tell the severe it of infection and if you require a short course of antibiotics to be taken for 5 to 7 days. A urine alkalizer is also good to take. Please do not worry.


Hi, Thanks for writing in. Low blood sugar means the amount of sugar level in your blood is below normal. The brain and other organs in the body require sugar for metabolism and proper functioning. If the sugar levels go below normal then there is compromise in the functioning of the organs. The brain consumes a good amount of sugars in blood as its requirement. If it does not get this nutrient then there will be delay or sluggish functioning in the brain. This is known as hypoglycemia. When the brain function is below normal at that time a person starts getting warning signals in the form of dizziness and vertigo.


Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all.  Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, Thanks for your query. From description, it seems to be soft tissue injury. Large swelling might be due to haematomaformation(collection of blood). I suggest you to consult an orthopaedician nearby for a detailed examination. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care


Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump inside your ear. Well there can be many reasons for lump in ear like infection also known as Otis external, cyst, swollen lymph node or hematoma from minor injury. I would suggest you to consult ENT specialist. Doctor will examine with horoscope and order test like CT scan, MRI or x-ray to confirm diagnosis and rule out other causes. Doctor may prescribe antibiotics (amoxicillin) for at least 10 days, remove with the help of suction device or remove it surgically. For now keep your ear Chat Doctor.


Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further.


HI! Welcome to Chat Doctor .com. The symptoms of brain tumors depend on tumor size, type, and location. Symptoms may be caused when a tumor presses on a nerve or damages a certain area of the brain. They also may be caused when the brain swells or fluid builds up within the skull. These are the most common symptoms of brain tumors


Hi, Welcome to Chat Doctor, I am Chat Doctor It is confirmed that you both are not primarily infertile as you have a child.  Have you tried for child by doing regular intercourse for one year?  If not, then wait. First go for natural method by doing intercourse during 10-18 days in a menstrual cycle counting the day of first bleeding as day one.  If the natural method fails then there may be secondary infertility which needs a thorough work up.  So, it is better to wait for some month and keep trying.


Hi, welcome to Chat Doctor. First, don't be panic as cancers have tendency to grow rapidly. If it shows red, black, blue colors, it may be a vascular malformation. Sometimes, similar features are also seen in a nevus which is present since birth. You can get an ultrasound done to understand the underlying disease. If, it comes to be vascular malformation, it can be managed with excision or chemotherapy. In case it is a lipoma or other solid tumor, it can also be excised simply. So, once the ultrasound of the lesion is done, you can see a general surgeon for sorting out the correct management of the problem on the basis of the ultrasound report. Hope, you get well soon.


Hi, thanks for writing in Chat Doctor. High enzyme levels is suggestive of liver dysfunction. Performing biliary surgery in such a patient could cause further liver damage to the extent of failure as well as a very high chance of bleeding during surgery. Your mother needs to be put on supportive liver treatment till the enzymes normalize and thereafter to be considered for surgical intervention. Regards


Hi, Thank you for posting your query. I have noted your symptoms. I agree with your GP, that your symptoms are not suggestive of something serious and are most likely due to benign articulation syn Chat Doctor. Furthermore, I think you are worried about MND (motor neuron disease), also called as amyotrophic lateral sclerosis (ALS), which is unlikely in your case. In ALS, there would be thinning of muscles, as well as weakness of hands & arms. However, if in doubt, please consult a neurologist and get electromyography (EMG) done. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,


Unexplained shoulder and arm discomfort with no apparent reason in a diabetic should be investigated. After you're sure the symptoms aren't the heart trying to sneak up on you, another possibility is nerve origin symptoms. Nerves in the neck or in the group of nerves that lie beneath the collar bone can be irritated. When they are, the shoulder and arm bother you as described. The person who can help prove this is a neurologist, either by examining the arm and reflexes or sometimes studying nerve function. Start with your primary doctor and make sure that it's not heart first.


Congested nose and cough are signs of viral respiratory tract infection, its usually is a self limited disease but if the cough is very disturbing you can give him any cough syrup which will not remove the cough, but it will decrease its intensity, you can give him sine cod syrup 4 times a day. If your child has fever, difficulty in breathing, or rapid breathing watch out, because these are signs of pneumonia and physical exam is needed by his pediatrician. I hope this helps


Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that it is normal to feel a throbbing heart beat during this examination. It is not related to any nerve damage, and all the healthy persons experience this feeling. It may be related to anxiety and to the abdominal pressure during the examination. As far as you didn't feel any tingling in your legs, it means that your nerves are not affected by any disorder (or compressed). So there is nothing to worry about! Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greetings!


Hello and welcome. Thanks for sharing your concern. The broken tooth/teeth should be ad Chat Doctor. It should be rounded with the help of aerator(dental instrument). After that if required a smooth and merging filling should be done on the affected teeth as per the requirement. After that please apply Denote as a local applicant at the affected area 3 to 4 times daily. Simultaneously take capsules B complex for around 15 days, and it should heal. Hope it helps. Thanks. Take care.


Hi, Thanks for writing in. It will help to know the entire disease and treatment history in details. It is possible that there is a new tumor that has developed in the shoulder or there effects of radiation or chemotherapy which is giving her the pain. Cancer is a difficult disease to treat, and the manifestations might be different in every patient. It is possible that in your mother-in-law, there is a tumor that is infiltrating the nerve supply to the arm or the nerves are getting pinched due to the chemotherapy and radiation effects. The main cancer and any spread to nearby areas is important when we discuss the condition of the patient. If she is not having any recurrent cancer in the operated area, opposite breast or the arm and shoulder then her condition can be called stable. Pain varies with every patient and appearance of pain can also be due to a benign cause in the absence of any cancer activity after treatment. Please do not worry.


Hi. The squeezing type of pain as you have described, which increases gradually, gets a relief only on medication followed by a feeling of being kicked and bruised on the right side can be due to the following


Hello, If I could have a look at your ECG then I would give you a definite answer. However, if your echo and nuclear stress test results came back normal, then absolutely nothing to worry. Also, you should know that the increase in blood pressure during the stress test is normal, and the top number sometimes can go as high as 200. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi, dear friend, thanks for sharing your problems you detailed here, you may have infected sebaceous cyst or developing access, but it needs more detail from you. Abcess at developing stage causes inflammation and pain and after few days pus may form. So first you consult your family physician and start primary treatment. Thank you for sharing queries. Please share for any other queries. Get well soon dear friend.


Hello, Welcome to Chat Doctor, As you are having fungal infection, which is causing all these symptoms like fishy odor and the white discharge. The fungus is the normal comedians of the genitals, which are kept under control by the helpful organisms present in the normal vaginal flora. Whenever there is change in environment in the genitals the helpful organisms are not able to maintain acidic PH in the vagina, and it may lead to its symptoms. As you are having these symptoms I would suggest you to follow1. Keep the good hygiene of the genitals2. Oral Antifungal Chat Doctor. 3. Topical antifungal creams.4. Course of antibiotics to prevent secondary bacterial infection. These measures will help to control the symptoms, and then you can think about the management of fibroid. Thank you.


Hi, No, this is not anything to be worried about. The stretch marks are a result of damage occurring to the deeper layers of your skin as you rapidly gain weight during pregnancy. After pregnancy the layers of skin will heal, but there will be some scarring of these deeper layers. This will be felt as lumpiness. Now that you are pregnant again, the changes to your skin will start again, and it will feel the previous scarring. About 8 in 10 women develop stretch marks and there is no totally effective cure for them, unfortunately. I hope this has helped you.  Chat Doctor.


Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. F.  It appears that he had a fever of intestinal origin, probably enteric fever. That is why he had stomach pain followed by fever. It also will have sneezing and cough as well, which in turn will have upper respiratory tract like symptoms and nose bleed etc. I advise you to consult a pediatrician for diagnosis and treatment. He may have to undergo series of blood Tests for confirmation.  Wishing for a quick recovery.  Best regards.


thanks for your query can feel your concerned, these are symptoms of anemia. Latent iron deficiency manifest like this. Your hemoglobin level is maintained in normal range, but your stores are depleting slowly.I advise getting your iron profile and if it is low then take iron supplements after consulting your doctor. Calcium supplements and milk is useful for leg cramps. Improve your diet. Add fresh vegetables, fruit and meat to your diet avoid soft and cold Chat Doctor. Take a consultation of ENT doctor regarding your tonsils Hope I have answered your query am available for your help regards


Hi, thank you for providing the brief history of you. Since your symptoms looks closer to the nerve getting trap into the cervical spine it is giving you all the symptoms like - pain, numbness, tingling, weakness, etc. I will recommend you to take an MRI, so the extent of injury can be pr\u00e9cised.Also, most cases with such symptoms gets better with physical therapy. Like therapeutic ultrasound therapy and TENS therapy. Also post that, simple neck exercises and then slowly strengthening the muscles of the upper limb will help to reduce the pain numbness also.90% of patients recover by physical therapy and then doing the same at home on a longer run will help you find a permanent relief. Also, acupressure will not stand for a long time since it's only a symptomatic time being relief. The pain you are facing is directly due to muscle weakness, once the muscle is stronger the problems are at 1%. Your full contribution is more important to get a permanent cure. I wish to see you soon without pain and aches. With the grace of God I wish you a speedy recovery regards


Hi thanks for asking question. Noted your father-in-law has done liver transplantation... Now enzymes' elevation. So should be investigated. Here it could be chance of hepatitis b or c infection. Viral marker study done for it... And yes if history of hepatitis b or c and transplantation Done because of it then probably this infection should be sought... There are also chances of transplant rejection ... So should be searched for... If needed for correct diagnosis biopsy can be done.... Take care... Chat Doctor.


Hello thanks for asking from ChatDoctorThe symptoms you have mentioned like biting callus on skin of body could be occurring due to some impulse control disorder. These symptoms are related to compulsive nail-biting or odynophagia. As you have mentioned already that the problem get aggravated by anxiety provoking stimuli. I would advise you to consult a Psychiatrist for treatment. The complaints are causing significant distress to your social and personal life and also causing your body to look ugly so consulting a psychiatrist is need of hour. Medicines like Fluoxetine have very good results in decreasing these compulsive undesired behavior. Attend behavior therapy sessions for relaxation. Thanks, hope this helps you.


Hi, dairy have gone through your question. I can understand your concern. Her lymphocytes count is low. It means she has high neutrophil count. It suggests infection. You should not worry about cancer. It's not a cancer.Don't worry. Just be relaxed. Just consult your doctor and start 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


Helloi have gone through your query. You have not mentioned your age. What medications you are having now. Severe cold can show these type of symptoms like jaw pain.it may be due to an infection of sinus also called sinusitis. As you are not having the pain related to tooth. If I were your treating doctor i would keep you on a course of antibiotic like amoxicillin plus Slavonic acid and painkiller like diclofenac plus paracetamol first.i tank the problem would subside. If it doesn't then i would suggest you to visit a dentist. As some other medical conditions also causes pain in jaw like


Hi, Thank you for posting your query. It is unfortunate that you have problems for so long after the head injuries, and moreover, no proper diagnosis has been made. Your symptoms are suggestive of concussion and all the symptoms can be explained on its basis. Normal MRI rules out any major problem or injury in the brain. Abnormal sense of smell is related to partial damage to olfactory nerves or its central connections. We expect gradual recovery in your symptoms, however, it may not be complete. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/


Hi, Thanks for posting your query. Let me know the reports of your endoscopy also. With described symptoms, there is high chances of peptic ulcer disease. Peptic ulcer disease may be in form of chronic gastritis, fungal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer and adenocarcinoma of stomach. Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief. You should take frequent small amount meals. Your liver function test is also deranged, and it appears to be due to fatty liver. You should take proton pump inhibitors along with prokinetics for relief of your symptoms. Take care,


For itching all over the body you have to use Alabama or calamine lotion after an expert opinion of dermatologist with tab evil or tab cetirizine after meals to reduce the severity of your itching with tab rant ac or tab carotid empty stomach. If pain and inflammation is also disturbing you than you can take tab Coquitlam or tab broken after meals every 8-12 hours. Take bath with warm water as it will also help you to get relief from whole body itching.


Degree understand your concerns went through your details. I suggest you not to worry much because your problem is not that peculiar. So many young people do suffer from this type of thinking and apprehension and anxiety. Masturbation is not a sin, and it cannot reduce the length of penis and masturbation cannot make you tired. In fact, size of penis cannot determine sex life satisfaction. Even a two-inch penis can satisfy any lady. Your current trouble of premature ejaculation is mainly due to psychological disorder, here negative thinking. Tiredness and other weakness are all in your thoughts. Divert your energy and thoughts to more productive or creative things such as education and career or sports. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck.


Hello, Thanks for writing to Chat Doctor, I am Chat Doctor. Heart attack is a condition in which there is no blood supply to heart myocardium n lead to dying of heart muscles.risk factor for heart attack are age, gender(male >female), family history, DM,Smoking, HTN etc. ,but pneumonia do not case heart attack.but if patient already had heart disease than infection ca cause acute failure which may lead to death.if u can attach x-ray I can comment that what he saw on X-ray ....it can possible patient have heart attack n didn't note n his heart start facing like in patient old age, female,DM pain is not present called silent heart attack n this result patent don't know that he/she having condition n result heart functions goes down n if patent have infection this result in acute failure that can lead to death, n x-ray might showed enlarged heart sign of heart failure. I hope this answered your question, if you have more feel free to ask. Regards.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, hormonal imbalance and such chest discomfort can be connected. Actually, hormonal imbalance can cause stress, anxiety and mood swings. This stress and anxiety can cause chest pressure, tightness, pain etc. So first treat hormonal imbalance. So consult gynecologist and start hormone replacement therapy (HRT). Also consult psychiatrist and get done counselling sessions. You may also need anxiolytic Chat Doctor.  Don't worry, with proper treatment, your chest symptoms will also improve. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Hi.... by what you Quote I feel that your kid is having a viral fever. This does not require antibiotics. Usually when viral fever starts it will be there for 4 or 5 days. Unless the kid is having fast breathing or fits or seizures or bleeding manifestations or Rash over the body you need not worry about fever. What is more important is the activity of the kid when the fever comes down. If the kid is active and playing around when there is no fever it is Viral illness. You need not use antibiotics for this. Regards -


Thanks for your question on Chat Doctor. I can understand your concern. First we should first rule out heart diseases because you are obese and nowadays heart problems do occur in young age. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. For healthy and active lifestyle, avoid stress and tension. Be relax and calm. Avoid large meals, instead take frequent small meals.  Chat Doctor.


Hi, Thanks for writing in. Cancer is an important condition and chemotherapy should be given only after confirmation. Please tell your father to visit a cancer hospital and then get examined in detail. If there is doubt then please have imaging investigation and biopsy done. It is best to clarify even the smallest doubt of cancer before taking chemotherapy. Without confirmation no one should take chemotherapy as it can cause serious side effects and damage. First he should get a CT scan or MRI scan done and then a biopsy. In this way the cells from cheeks will be studied under microscope and any abnormal cancer cells picked up. There is usually no doubt in finding a cancer on biopsy. If not conclusive then a repeat biopsy is to be done. Doing a PET scan is advised if doubt persists and this tells a cancer in most cases. Please do not worry.


Hi. Welcome to Chat Doctor. Phaeton tablets contain Dy Chat Doctor.  It is used to treat endometriosis (growth of endometrial tissue outside the uterus causing pain and bleeding), infertility and spontaneous abortion (miscarriage) as in your case its prescribed because u had abortions. It is very much recommended in your condition. This has nothing to do with the present cancer that she is having. So don't relate these two and worry unnecessarily. Many pregnant women are prescribed with this


Hi, The recurrent stabbing pain in the abdomen that last for 15 seconds and comes every 20 minutes indicates that this is a spasmodic pain.  The associated bloating indicates a possibility of sub-acute intestinal obstruction.  I would advise you the following in such a situation


Hello, Well, since the recent news of how poorly efficacious most multivitamin/multi-mineral preparations do their jobs has become publicized it grounds my feelings that I've had for many years which is anything of a MULTI-anything is likely, not worth the capsule covering it comes in. And Durkin Gold is no exception in my opinion.  If your right middle finger is numb early morning only then, I wouldn't necessarily be suspicious of a nutritional deficiency so much as I might be concerned about a VASCULAR deficiency or a compression phenomenon going on at least over part of the MEDIAN NERVE that sub-serves sensory function of that finger.  I would also recommend measuring serum levels of whichever B vitamin your doctor is apparently concerned about that would cause such an ISOLATED presentation of 1 single middle finger on 1 hand (not a likely presence of a B12, B6, folate, or niacin deficiency in my opinion).  Then, based on those lab results I would prescribe the direct and single entity to the patient as necessary.  Otherwise, I might consider doing vascular Doppler studies and possibly an EMG/NCV study and maybe even an Ultrasound of the carpal tunnel which could avoid having to stick needles into the arm/hand. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.


Hi there, you seem to be very anxious to get pregnant, which you should not be. Within 6 days It's highly unlikely for the body to respond that way if you are pregnant. These could be just autosuggestion by your mind which is making you feel like that. Headache can be incidental. Anyway you can wait for three days after your missed period and confirm your pregnancy with a card test. It is as simple. In the meanwhile you can calm down and take healthy diet and lots of rest which will take care of your gurgling stomach and headache. Let nature take its course. Take care


Good Day, and thank you for being with Chat Doctor ! Yes there are studies that camphene citrate helps with sperm count and quality, and we use this if there is no correctable causes of low sperm count like varicocele and testicular atrophy and hormonal evaluation is normal also. Any brand will do as long as the active ingredient is there. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at


Hi.dear motive., Thanks for choosing Chat Doctor., Red rash around the waist in the child Chat Doctor. .,usually due to IRRITANT DERMATITIS., This irritation is due to silver waist thread., or Elastic thread in the underwear suit., So evaluate it and try to remove or avoid.,,1) Topical application of ... Calamine lotion in morning times., Dexamethasone and gentamicin cream nighttimes.,2) Syrup...levocetrizine 2 spoonful 3 times daily.,3) Syrup. Ofloxacin 2 Spoonful 2 times daily., ok...than


Hi thanks for asking question. Noted consolidation seen in x-ray.with b dyspnea. Suggestive of pneumonia.... Here it us chances of spread of organism through blood into various organ like kidney and over. So could be septicemia According to blood culture and sensitivity proper Antibiotic need. Second common cause of consolidation is tuberculosis .so has to be ruled out by sputum examination...Meanwhile, eat more fruits and healthy food. Hope your concern solved. Take care.


Hi, itching at anal region could be due to worms infestation at perianal region, anal tear, infection at perianal region. You should do stool for routine microscopy and stool for ova/cyst test. Deworming should be done by giving Albendazole. If there is no improvement then and examination by surgery specialist doctor should be done to rule out perianal tear, infection. Also, history of loose stools should be taken, because loose stools if acidic in nature can also cause itching. Have a good day.


Hallow Dear,1. You had fingered her vagina. Fingers never ejaculate semen. So there is no possibility of pregnancy due to fingering. 2. She had handled your penis which had some pre-cum on it. However, she had washed her hands after that. So there is no possibility of pregnancy due to that also. 3. You had wiped off your fingers which had some amount of pre-cum on it. Then after about half an hour you fingered her. Again, there is no possibility of pregnancy due to this act. So rest assured. She will not be pregnant due to any of these acts. I hope this gives you peace of mind.


Hi, I had gone through your question and understand your concerns. To my opinion you experienced a sudden decrease of blood pressure or decrease in cerebral blood flow, which is affected by hot water. The reason is quite simple. While most of the blood is directed to the skin to make the thermoregulation in front of the change of temperature due to the hot water, there remains less blood to supply the brain, thus experiencing a faint like episode. If you had a meal before the bath, some blood goes to the digestive system, extracting from the necessary amount to supply the brain. So don't worry. Don't eat before the bath. Consume enough liquids and take the bath to a lower temperature. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.


Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. ACL damage definitely can be cured. All you need to do is get a good quality MRI done to see exact amount of tear. If tear is incomplete it will heal with rest spontaneously. If It's complete, it can be surgically repaired. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless.


Hello, young man! I have gone through your case history.First let me explain to you that majority of viral infections are self limiting.,so also myocarditis. Sometimes it leaves behind sequel and may result in weakened pumping ability of heart. But in your case your echo report is normal which suggests that your heart has no residual dysfunction. So as rightly advised ...you may resume sports. Since you have recovered, no role or need of any medicine including cannabis. My best wishes for your sports Chat Doctor.


Hello, Yes fever with chills, pressure in pelvic area before an urge to urinate definitely goes in favor of urinary tract infection more significantly cystitis (bladder infection). It is more seen in association with conditions like high blood pressure (for which you are taking the medicines), diabetes or spinal injury or urinary stones. Fever indicates bacterial infection for this you need urinalysis report along with other investigations advised by an expert. Antibiotic like Norfloxacin along with alkaline syrup with a lot of water usually relieves the symptoms in few days. But as the condition is likely to become recurrent and chronic, full course of medicines are needed to cure it. Please consult your family physician.  Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.


Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* Many narrations have been given about the pain in depth, thanks for that details, but vital information about lump of 3 inches long is not there If it is externally seen, you are advised to upload its high resolution photograph (if no objection) and if possible reports till date as scanned copies of attachment.* At this juncture, I would tell this is not absolutely normal at all. MRI is strongly recommended for the same . Hope to clarify your query. Welcome for further assistance. Thanks for using Chat Doctor .com & giving opportunity to assistWishing fine recovery. Regards dear take care.


Hi thanks for asking question. You are suffering from Proteus infection that is common cause of UTI. Over boil, you apply local antibiotic cream. To get over this infection first try single dose ceftriaxone and then definite or levofloxacin taken orally for 10 days. If still no benefit then from affected tissue or fluid ex. Urine culture done for choosing antibiotic. If you are infected with multi Chat Doctor.


Hi,First, you should get evaluated for secondary infertility. There are various possible reasons like tubal block, ovulatory cycles secondary to post delivery weight gain and subsequent hormonal imbalance, pelvic inflammation, male factor and so on. If everything is fine, then you have to wait for a few months with continuation of treatment. Polite contains folic acid and if you are naturally ovulating, Camphene is not needed, and it could lead to hyper-stimulation of the ovary. Please consult your doctor for further advice. Good luck.


Hello, Thanks for sharing your health concern with us. In the current scenario, it is more likely that you are experiencing some hormone imbalance. If the intercourse occurred during the fertile period, however, pregnancy has to be excluded through a home pregnancy test done 3-7 days after the expected period with a fresh early morning sample of urine or the blood test. The chances of failure are very low with the IUD. A sonogram of the pelvis, preferably in the trans-vaginal route will help to clarify further. Hope this helps.


Hi, I understand your concern.  Though delayed periods, nausea & sore breasts are symptoms of possible pregnancy, confirmation is by pregnancy test & USG pelvis in 5 weeks pregnancy.  Such symptoms are also seen in thyroid, ovarian or pottery problems / POD. So in case conception is excluded, your friend should go through examinations/ investigations for these conditions-this will pinpoint the cause & can be followed by specific treatment & cure.  Thanks.


Hi...the medicines - Stalin inhaler and Position and Decor inhaler 100 and Dense A are safe for the kid. Nothing to worry about them. They have to be used like this for 1-2 months and then the patient will be reviewed again. But I suggest you stop Stalin Syrup. You need not use it when you are already using Stalin inhaler. Stalin inhaler is far more effective with lesser complications than syrup. I also suggest stop Maximo antibiotic as it is not going to be useful for respiratory infections. Regards -


Hi, From what you have mentioned, you seem to be manifesting symptoms of anxiety. An anxious state leads to increased heart rate, dizziness, increased sweating, tremors, tightness in chest. Often such symptoms can suddenly exacerbate leading to a heightened state of anxiety which results in panic attacks. I would suggest that you discuss your symptoms with your parents and consult a psychiatrist for initiating treatment. Medications like paroxetine would be beneficial in your condition and will help control your anxiety. In addition, you should start exercising daily. It will help you relax and feel better. I do hope that I was able to answer your query. Best wishes.


Hi... I have just red through your question - I think these are the possibilities -1. Stranger - due to concentrated urine. Give him a glass of sugar water followed by 2 glasses of normal water and this will settle the issue if he passes large amount of urine.2. Balanoposthitis - please consult a pediatrician as this might require antibiotic therapy.3. Urinary tract infection - Unlikely as there is no high grade fever or vomiting. But better to get a urine routine analysis done if the symptoms are not better by suggestion number one.4. Posterior urethral valves - get an ultrasound abdomen and pelvis done. Regards -


helloThanks for query. Based on the report of your semen analysis that to have posted I would state that your sperm count is very low compared to WHO standards (Oligospermia)and your semen is acidic in nature. It is vital important for semen pH to be alkaline so as for sperms to survive in acidic environment in vagina and to move forwards in to uterine cavity to fertilize female egg to result in to pregnancy. The Chat Doctor.


Hello, In the current situation, the best choice of contraception for you would be the IUD and the IRENA would perhaps suit better. You can as well go for permanent contraception through vasectomy or tubal ligation if you do not want any more child Chat Doctor.  To decide on the method best suited for your wife, she needs to see a specialist for a proper evaluation and after preliminary investigations, the appropriate device is given. If an IUD is inserted, regular follow up is mandatory. Hope your query has been answered. Take care.


Thanks for your question on Chat Doctor. I can understand your concern. Yes, it is possible to have breathlessness even if you are not a smoker. Not only cigarette smoke, pollution, dust, chemical Fumes etc. can also cause bronchitis. When they inhaled in lungs, they cause irritation and inflammation (bronchitis). And this bronchitis causes breathlessness. Inhaled treatment is the best treatment for bronchitis. You are not improving because you are not taking inhaled treatment. So better to consult pulmonologist and get done PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.


Thank you for choosing Chat Doctor I have looked through the question and can understand the stress that you must be facing. Based on the question, nephritic or nephrotic kidney disease. There is a chance that there is a chronic renal failure in which the body is not able to excrete the waste substances in the body. This will be most evident with a high level of creatinine in the blood. There are a few modalities of treatment for this. You can start on conservative treatment initially and if your son is stable, then he can control his diet and lifestyle habits so that he can avoid dialysis. Dialysis eventually will start as the kidney function worsens. After some time, itching of the skin and rashes will become prevalent. At this point, I would recommend him to get treated with dialysis. You can also start dialysis early to help him not develop any symptoms. Do talk to a kidney specialist, and you can confirm the Doctors opinions with me. All the best for your son.  Chat Doctor.


Hi! Thanks for writing to us describing your boyfriends' health problem;Well, the kind of calf lump could not be cancerous anyway; however, I would like to suggest following possibilities in his case


Dear Patient, the relation of pain of the meniscus to the foot cannot be direct, but indirect cause cannot be ruled out, it can so happen that you can walk in unnatural way to avert the pain of the torn meniscus, to regularly strain your ankle, and this can cause it to start paining. I feel you should see your doctor and get examined to see if the cause is the same of different. Hope that helps understand your problemThanks you


Hi, It Could be because of bronchitis(allergic or infective) or pertussis or seasonal asthma etc. You may undergo routine blood count, ESR with X-ray chest and pulmonary function test. You might require antibiotics (quinolones or accolades or amoxicillin with clavulanic acid) with cough suppressants (antiallergic antihistamines or mast cell stabilizers) and anti-inflammatories or analgesics on as and when required basis. You must consult your pulmonologist to get diagnosed first and then seek for treatment. Thanks and Regards,


Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Anti TB treatment is a long therapy. You have to take the treatment until you can completely cure with it. In many cases there is resistant in the tuberculosis bacteria. Thus, can cause treatment difficult to treat. I advixebuou should test for the Inexpert test. This test will detect the resistant to the tuberculosis bacteria and can give us idea regarding the cure. Please do not discontinue the treatment until you are fully cured. Surgical instruments are usually sterilized before they are used so, there is no chance of tuberculosis by this way. You can keep good local hygiene as this can be helpful for the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.


Hi, I am so sorry to hear about these not very stellar kidney function tests numbers and all the inconveniences that this has caused you. I have taken a look at these numbers. They are not ideal but somewhat just over the bar for the normal upper limit.  The good news is that these numbers have been stable over the months and implies that it is not an ongoing disease process. For now, these numbers are not alarming and undergoing further aggressive testing to explore even further may not be the wisest of decisions.  It is already good enough that this subtle increase has been picked up and would be monitored to see when more testing and intervention would be needed. There is no reason to be too concerned about this right now. As for water, Chat Doctor.  A benchmark of 1.5Litres daily would be a good start and adjusted accordingly based on daily activities and requirements. Hope I have answered your query. Let me know if I can assist you further. Take care