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000001100 | Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky. Methadone is both effective as long-lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further. | |
000001101 | Hello, thanks for writing in. A high prolactin level can cause ovulation problems, hence It's essential to do a workup for the cause and treat it- usually medicines suffice.Additionally, it maybe linked to an under functioning thyroid as well as the Chat Doctor. Hence, please consult a gynecologist or endocrinologist who can diagnose, correct and monitor the hormonal imbalances. Your periods also need to be regularized. A healthy lifestyle, exercise, with a nutritious diet devoid of processed & preservative rich food will help you to feel healthy, achieve a hormonal balance naturally and increase chances of pregnancy. Please do write in if you have any more queries. Bye. | |
000001102 | Welcome to the ChatDoctorI completely understand your concerns. I see such cases in my clinical practice. Alkaline phosphate levels in your daughter are quite high and needs to be immediately investigated. In view of her recurrent illness history you may go for following investigations | |
000001103 | Hi greetings You are absolutely normal. There is no harm in night emissions or masturbation. It is a sign of virility and proves that you are perfect. One important factor is about any infections in your genital organs like STD. If any history of STD then you need to treat that completely. After that it could be the secretions from your Penis making you feel as semen. Even if semen nothing to worry. Now anything in excess is bad, so you should be restricting watching porn.limit to 5 to 10 min only. Masterbation can be done weekly twice or thrice so that you can enjoy better. You can start some sort of exercises daily to improve your physique and try to learn meditation. You can also concentrate on your studies or professional to divert your mind. Hope my answer helps you. Regards | |
000001104 | Degree understand your concerns went through your details. I suggest you not to worry much. I think, this is due to obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http | |
000001105 | Hi, Thanks for posting your query. Your liver function test is normal (as figures mentioned by you) except slightly raised GOT/ SEPT. Are you an obese person? Fatty liver is a common ultrasound finding and deranged GOT/ SGPT may be due to fatty liver. Your pricking pain doesn't appear to be due to liver pathology. What was your gall bladder status? You should also go for endoscopy. You should consult with internal medicine specialist / gastroenterologist. Take care, | |
000001106 | Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question | |
000001107 | HiT hank you for your question to Chat Doctor. Leg pain and weakness can stem from pressure or intrinsic pathology of the nerve. To find out the cause and location of your problem I would recommend getting Electromyography and Nerve Conduction testing (EMG/NCV) of left leg. For my patients I would also get MRI of the lumbar spine because lumbar disc herniation is a common pathology that causes leg pain and weakness. Rarely thoracic disc herniation (midback) can lead to such symptoms and MRI of the thoracic spine would be the next step if no correlating picture is found in lumbar spine. Hope this is helpful. I will be happy to answer any questions you may have. | |
000001108 | Hii would like to start answering your query by telling you that thankfully you don't have any form of oral cancer. The white discharge oozing out of your gums is just pus from the periodontal pockets due to gum disease. You can wait to get back to your country for the treatment which would include OPG x-ray to see the condition of alveolar bone some other dental examinations. Meanwhile you can go to any local dentist and ask him to do scaling that is dental cleaning. If periodontitis is not severe then scaling can even fix your problem. Take care | |
000001109 | Hi...by what you quote I feel that the kid is having pro Chat Doctor. If there is vomiting you can use Syrup Ondansetron as prescribed by your pediatrician. If diarrhea 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. I suggest you use zinc supplements (Z&D | |
000001110 | Hi, Thanks for coming to ChatDoctorI can feel the pain you are going through since 2011Exhaustion and heart sore can be symptoms of uncontrolled hypothyroidism and complicated / unresolved griffins thing to do is to do a thyroid hormone level (T3, T4, TSH) checked, if they are not normal, then the symptoms for which you are worried about are because of hypothyroidism. Then consult an endocrinologistHypothyoridism is a risk factor for having such symptoms in response to stress (emotional crisis you are referring to)In addition, being in regular with a psychotherapist or interacting within people of your age etc. will help recovery | |
000001111 | Thanks for using Chat Doctor. I understand your concern.1) You can apply fluocinonide generic solution 0.05% over the affected area in small amount, twice a day, maximum up to two weeks.2) You can use clobetasol propionate shampoo 0.05% once daily or clobetasol scalp solution(Cor max)0.05% apply over the affected area in small amount, twice daily, maximum up to two weeks.3)You can use topical calcipotriene solution or foam 0.005%(though little expensive)are also equally effective in treating scalp psoriasis. I would advise you to discuss this with your doctor preferably a dermatologist to consider any of the above prescription if it is appropriate for you. Hope this information helps you. If any further questions, happy to help you. Take care. | |
000001112 | Hi, I can understand your concern for itching on body while suffering from diarrhea. It is difficult to make an exact diagnosis of your condition with your current history. For what exact condition you were prescribed loratadine and in what exact dose you are taking it. In general loratadine is a very safe tablet. If I were your dermatologist then would have you to increase the dose of loratadine. It can be increased from 1 tablet to 2 tablets and up to 4 tablets if the itching is not controlled. The only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. Take care. | |
000001113 | Hi.dear Vijay., Thanks for choosing Chat Doctor., Retino-A... Retino-A (Retinoid) has several uses. Retina (Retinoid) is widely and popularly used for the treatment of acne, and can also diminish the visible signs of aging removing lines and fades sun spots. It is also used in conjunction with topical hair loss medications. Retinas main active ingredient, Retinoid works by increasing the turnover of skin cells and speeds up the shedding of dead cells........it has the following side effects like.... Chat Doctor. , Burning., StingingSkin redness., Itching..., Rash., Temporary changes in skin., pigmentation..., Sensitivity of the skin to light., Skin blistering..., Eye irritation..., OedemaFor best results...use this.,3\u00a0months period., PROEMOL......it is moisturizing cream and used to prevent | |
000001114 | Dear Ma'am, Sorry to hear about your husbands' problem. He is feeling better because of the chemotherapy (that is the reason why his symptoms have subsided) but it does not imply that the cancer has been completely treated. He would still require surgery because radiotherapy cannot be given to him. You can discuss the other options with your oncologist, but they might not be curative, and they include TURBO (transurethral resection of bladder tumor). | |
000001115 | Hello! Welcome and thank you for asking on Chat Doctor! Hiccups is a normal physiological reflex, related to the diaphragm movements. An elevation of the diaphragm or abdominal distension could cause this clinical scenario. From the other hand the heart lies over the diaphragm. That is why diaphragm elevations can cause palpitations. I recommend consulting with your attending physician for a careful physical exam and performing some tests | |
000001116 | Hi, Welcome to Chat Doctor. Bleeding gums can be due to bad oral hygiene, and due to inflammation of gums called as gingivitis. Coughing up blood in saliva is definitely worrisome. Itching could be due to many reasons, but most common is allergies to food. I suggest you get a detailed examination done by a GP near you to rule out causes of these symptoms. I would also suggest you get a complete lab workup to rule out bleeding disorders, and any kind of malignancy. Thanks. | |
000001117 | HelloThanks for your query. Based on the facts that you have posted it appears that you have undergone surgery for kidney stone. You have not mentioned the nature of surgery whether it was an endoscopic surgery like (PCNL OR URS). The pain that you are getting now is not related to previous surgery and can be due to recurrence of stone or due to spots in the kidney that you have mentioned in your query. Please consult qualified Urologist for clinical assessment and further treatment. Chat Doctor. | |
000001118 | Hi, I had gone through your question and understand your concerns. Oligocene Chat Doctor. (WHO grade 2). There are other possibilities of diagnosis with that MR result (high grade gliomas, metastasis). The treatment is surgical followed by chemotherapy and radiation therapy after the BIOS response. The treatment needs to be done on a specialized Neurosurgical Center. 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. | |
000001119 | Thanks for your query, I have gone through your query. The swollen papilla could be because of the inflammation secondary to deposits or any irritation, or it can be a fibrous arising from the interdental papilla. Consult an oral physician and get it evaluated. If it is a gingival enlargement or inflammatory origin then take a course of antibiotics and observe for 1 week, if it does not subside then get it surgically excised. If it is a fibrous then get it surgically excised. I hope my answer will help you, take care. | |
000001120 | Hi, Thanks for your query. Neck pain that you are having are suggestive of degenerative -spondylitic changes of the cervical spine. X-ray of neck in lateral view or MRI will help in the diagnosis. Treatment includes 1. Use of cervical collar helps in immobilization and brings relief. 2. Medical Chat Doctor. 3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. Hot fomentation helps in relieving acute symptoms.5. You can avoid using a pillow. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | |
000001121 | Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Mild degree of soreness and chest pain is common after choking spell. So at present, no need to worry much and hence no need to visit emergency room. But if he develops worsening of chest pain, coughing, breathlessness etc. than immediately consult emergency room and get done broncos copy to rule out aspiration into the lungs. So watch for these alarming symptoms. At present no need to worry. Hope I have solved your query. Wishing good health to your husband. Thanks. | |
000001122 | Hello you are on 4 moods stabilizers-Divalproex ER, Lithium and Neurontin and Seroquel, Wellbutrin as antidepressant. Incredible it is. Now mirtazapine as antidepressant and Asian for sleep. If I were to treat you, first thing I would do is stop Neurontin and lithium slowly, raise Divalproex to 1000 mg, keep Seroquel 150 mg and add nortriptyline. Each of my proposed change has a sound scientific basis. Lesser number of medicines with careful appraisal of the symptoms and appropriate to the relevant circuits in brain carries the best prognosis with minimum side effects Chat Doctor. | |
000001123 | Hello dear, I understand your concern. In my opinion it might be the due to hormonal imbalance created by demo. Anyways the pregnancy should be ruled out by doing a urine pregnancy test. I suggest you to consider doing the test. If the test is negative then the spotting might be due to hormonal imbalance.Don't worry. The irregular spotting, bleeding , absence of periods are the side effects of demo. Even after stopping the demo it will take some time for the hormones to come to normal level. Best regards... | |
000001124 | Thanks for your query, I have gone through your query. The canker sore is not related to the chipped wisdom tooth. Usually it occurs secondary to stress or nutritional deficiency. Nothing to be panic, you can take a topical anesthetic like lidocaine and topical analgesic like choline salicylate. Do saline gargling and lead a stress-free life. Regarding your wisdom tooth, you need to get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. I hope my answer will help you, take care. | |
000001125 | Most fevers in child Chat Doctor. Although febrile convulsions can occur in case of high rise of temperature, going by your description it rather seems to be benign sleep myoclonus which is not harmful, and you need not be concerned. It is normal and can occur in sleep. But I would strongly insist you to visit a pediatrician and to get the child assessed about the cause of fever so that it can be managed accordingly. | |
000001126 | Hi, Welcome to Chat Doctor, I understand your concern. Hair seen like that is not common in child Chat Doctor. If it's coming from inside that could mean he has swallowed some hair which is tying to get expelled undigested and getting entangled inside. If I were your pediatrician, I would refer you to a pediatric surgeon who can examine his rectum and try to take it out safely. Don't worry, the problem can be completely cleared. Take care. | |
000001127 | Hi and thank you so much for this query. I am so sorry to hear about these elevated numbers on your liver function tests They are not an indication for E/MRCP right now. More evaluation is needed to pinpoint the cause before making the decision whether these advanced endoscopic measures are need for diagnostic and therapeutic purposes. Cause like viral infections, autoimmune disorders, Chat Doctor. Also, an ultrasound would guide the decision-making process. I hope this ad | |
000001128 | Hi, Thanks for your query. I have read your query & I understand your concerns. Following is my reply | |
000001129 | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. PUT (pulmonary function test)2. Bronchoscopic evaluation. Post intubation following are the possible complications that can cause annoying cough.1. Bronchitis2. Tracheal injury and stenosis. So get done PFT to rule out bronchitis. Bronchoscopic examination is needed to rule out tracheal injury. So better to consult pulmonologist and discuss all these. | |
000001130 | HI, thanks for using Chat Doctor Severe acid reflux symptoms can be associated with ulcer formation. If your symptoms do not improve with the use of your medication then you can see your doctor for an assessment. To diagnose an ulcer, you would need imaging tests to be done. It is possible to have severe HERD that is not responding to medication. You may need to alter your diet to reduce your use of spicy/acidic/fatty or fried foods. I hope this helps | |
000001131 | Hello, With the past menstrual history and having missed your pills, pregnancy should be suspected. This is because you were no longer protected in this cycle. Please go ahead with home pregnancy test with a fresh early morning sample of urine 3-7 days after the missed period. If positive, you can go for a trans-vaginal sonogram to see the status of the pregnancy. If you wish for an earlier and better confirmation/exclusion, please go for the estimation of the serum beta-ChatDoctor titles. Hope this helps. | |
000001132 | Hello there! I read your query and I want you to know that Misdiagnosed ulcers lead to perforations and pain under right Hyperion Chat Doctor. As you already have sepsis and a lot of surgical procedures, so there area lot of adhesions and post surgical unavoidable complications making your bowel very sensitive and explains all the symptoms you are facing. Rectal bleeding needs work up. Colonoscopy would be a good start witChatDoctorplete blood panel. Endoscopy for gastric mass is to rule out any gastric malignancy odds as they increase in cases like yours. If God forbid there is some malignant mass it would be better to intervene early. So that's what all this plan is about. Hope for the least try for the best and get prepared for the worst. I am sure you will be intake some special care of yourself regards | |
000001133 | Hello, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better | |
000001134 | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such types of defects usually closes after some tines. But in your case it has not close d. If such things happens it requires surgical intervention to close it. Because open space has communication with the spinal area. Because of this it frequently gets infected, as you mentioned now it is infected with the fungus. I advixevyou to get close it surgically. This is the final permanent solution for this condition. Till you visit the doctor you can make the area clean with frequent washing and Chat Doctor. You can use Betadine and polypoid powder. Please avoid injury to that portion. Wearing a cotton undergarments can help you more than synthetic garments. I will be happy to answer your further concern on bit.ly/ | |
000001135 | Thank you for posting your question. Fever cough especially when associated with cold in a 11\u00a0month old child is most likely to be viral. Some points that would favor it being viral is normal behavior in between fever spikes, presence of running nose or associated diarrhea etc. In such cases an antibiotic like azithromycin is usually not indicated. However, for the treatment of such conditions proper control of fever and symptomatic relief is all that is needed along with patience and monitoring of symptoms. In case you have started the course of azithromycin, completion of at least 3 days of the Chat Doctor. As the cough is relieved by leveling, I suggest you continue that along with other homemade remedies like honey, ginger or warm water or milk with turmeric to sooth the throat. For the cold you could use any antihistamines | |
000001136 | Dear sir/ madam based on your description I would examine your knee for local bony tenderness. Most likely it could besot tissue injury to knee for which I would recommend rest, immobilization in a knee immobilizer, some analgesics, ice fomentation for 1 week. Then when the pain and swelling subsides examine your knee ligaments and then decide on further management. Numbness might be due to direct injury to cutaneous nerves or edema in that area, so after giving rest for 1 week further examination is recommended. | |
000001137 | Hello, Welcome to Chat Doctor, You seem to be suffering from Acute urticaria. It is characterized by itchy red or skin colored raised wheals which is transient. The most common cause of acute urticaria is food. Seafood, meat, poultry, egg, milk, apples, brinjal, strawberry, coloring agents etc. are commonly implicated. It is subjective, and any food can cause it. Other common causes are medicines, infections, insect bites etc. In your case Cake is number one on the suspected trigger list. Avoid eating it. You may take antihistamine like Ben Chat Doctor. Hope this helped, Take care. | |
000001138 | Hi, dear. I have gone through your reports. I can understand your concern. You have report of your complete blood count. Your he is slightly low. Rest all parameters are completely normal. No need to worry. Just be relaxed. If you have any symptoms then 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. | |
000001139 | Hi, I appreciate your concerns. The risk factors for CKD in your case are diabetes and blood pressure of long duration. If the GFR remains below 60 for a duration of 3 months we label it as CKD stage 2. If you have significant amount of protein in the urine most likely you have kidney dysfunction secondary to diabetes. But there is nothing to worry as we have diagnosed it early and if taken precautions the EFR can be maintained for a long time. The key to prevent further progression at this point is a good control of blood sugar and blood pressure, weight reduction and regular follow up. The anemia is most likely secondary to nutritional deficiency as you are already taking vitamin supplements. I will e pleased to take any queries from you. Tx | |
000001140 | Thanks for your question on Chat Doctor. I can understand your concern. Best treatment of chest infection is identification of causative organism and giving appropriate antibiotic according to the organism. For this we need culture and sensitivity report. So send sputum culture and sensitivity report. If sputum is not available, get done bronchoscopic evaluation and BAD (bronchoalveolar lavage) culture and sensitivity report. This will guide you about effective antibiotic treatment. By this way, we can reduce the overuse of antibiotics and so resistance and side effects can be reduced. This will also speed up the recovery. So consult your doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
000001141 | The repair of brachial plexus injury depends on the amount of disability your brother is having as well as the duration and severity of injury. If the nerve had been injured at multiple places, nerve interposition grafting may have to be done, i.e., another nerve from the leg may need to be connected in between. In Kerala, for this you can go to Amrita institute. Otherwise, you can choose SIMIANS, Bengaluru. | |
000001142 | 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. | |
000001143 | 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 | |
000001144 | 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, | |
000001145 | 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. | |
000001146 | 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). | |
000001147 | 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. | |
000001148 | 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 | |
000001149 | 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? | |
000001150 | 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 | |
000001151 | 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. | |
000001152 | Hello,TIDAL test is not a diagnostic test in typhoid but during the 2nd week of fever raising title of antigen from 1 | |
000001153 | 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. | |
000001154 | 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 | |
000001155 | 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. | |
000001156 | 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. | |
000001157 | 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/ | |
000001158 | 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 | |
000001159 | 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. | |
000001160 | 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. | |
000001161 | 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 | |
000001162 | 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. | |
000001163 | 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 | |
000001164 | 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. | |
000001165 | 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 | |
000001166 | 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. | |
000001167 | 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. | |
000001168 | 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 | |
000001169 | 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 | |
000001170 | 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. | |
000001171 | 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. | |
000001172 | 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. | |
000001173 | 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 | |
000001174 | 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 | |
000001175 | 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 | |
000001176 | 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 | |
000001177 | 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 | |
000001178 | 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. | |
000001179 | 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. | |
000001180 | 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 | |
000001181 | 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. | |
000001182 | 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., | |
000001183 | 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. | |
000001184 | 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 | |
000001185 | 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. | |
000001186 | 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. | |
000001187 | 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. | |
000001188 | 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. | |
000001189 | 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, | |
000001190 | 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. | |
000001191 | 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. | |
000001192 | 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. | |
000001193 | 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 | |
000001194 | 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 | |
000001195 | 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 - | |
000001196 | .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. | |
000001197 | 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. | |
000001198 | 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. | |
000001199 | 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 |
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