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000001700
Hi, dairy have gone through your question. I can understand your concern. You have vitamin D deficiency, and you are taking supplements. Your x-ray is normal so no any bone lesion. It may be due to arthritis only. Your calcium level is high normal. However, you should check your ionized calcium level once. If it is high then check your parathyroid hormone level. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
000001701
Hi, Welcome to Chat Doctor forum. As you describe it is difficult to classify her into a disease, It may lead to a disease, may be the schizophrenia. Otherwise it may lead to the depression, etc. I advise you to consult a psychologist for diagnosis and treatment. She should receive love and affection, in spite of her behavior. And must have balanced, and nourishing food. Wishing her a quick and complete recovery. Thank you.
000001702
Thanks for posting this question in ChatDoctorI am a neurologist and epilepsy specialist responding to first of all let me tell you that treatment of epilepsy largely depends upon the exact type of epilepsy (it may be a focal epilepsy due to brain tumor, scar related to head injury or other cause, or it can be genetically mediated generalized epilepsy). For a proper diagnosis of epilepsy, a neurologist will need EEG test and MRI scan of brain; both of these data are not available to me in your case. Let us see your case. I understand that you had a head injury. This might have resulted in a focal scar in the brain which can cause epilepsy. I am not sure the exact severity of head injury and if there is a scar or not. One interesting thing which you have to note that some types of epilepsy namely primary generalized epilepsy can become worse after treatment with Oxcarbazepine. However, this possibility is low in your case but cannot be excluded without a long term EEG and MRI scan of brain. Once, a long term EEG and MRI can identify he exact type of epilepsy. We will have the following options1. If focal
000001703
Thanks for your question on Chat Doctor. I can understand your concern. Since you are having heart disease from birth, we should first rule out cardiac chest pain in your case. So immediately consult doctor and get done 1. ECG 2. 2d echo 3. Stress test. If there is some problem in any of the above-mentioned tests then you need to consult cardiologist and start appropriate treatment. If all these reports are normal then no need to worry much for heart diseases. Musculoskeletal pain is more likely. So tale painkiller and muscle relaxant Chat Doctor. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Don't worry, you will be alright. But better to rule out worsening of heart disease first. Hope I have solved your query. Wish you good health. Thanks.
000001704
Thanks for your question on Chat Doctor. I can understand your concern. Yes, COPD (chronic obstructive Pulmonary disease) can affect pregnancy. COPD is chronic, progressive inflammatory disease of lungs. It causes breathlessness, recurrent lung infection, heart failure, arrhythmia, Pulmonary hypertension etc. And all these can worsen in pregnancy. So control of COPD is must if patient is planning for pregnancy or already pregnant. With controlled COPD, normal pregnancy can be achieved. So no need to worry much for pregnancy with COPD if COPD is fully controlled. So be cautious while having pregnancy with COPD. Strict control of COPD is needed to achieve normal pregnancy. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
000001705
Hi, Thanks for asking the query, Prolonged use of certain antibiotics can lead to the development of oral thrush, it is the infection of mouth caused by candida fungus. Signs are presence of raised creamy white lesions in oral cavity along with pain. It is well treated with antifungal Chat Doctor. You can go with symptomatic treatment at home by regular mouth rinsing with antiseptic mouthwash solution. Maintain a good oral hygiene and
000001706
Hi, dairy have gone through your question. I can understand your concern. You have vitamin B12 deficiency. You may have some problems with absorption of it b12 from gastrointestinal tract. Furthermore, you injectable it b12 is the better choice. Furthermore, you should take a course of injectable it b12. 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.
000001707
HI, Thank for asking to ChatDoctorI really appreciate your concern looking to the given history here I would like to ask you that you used the words \"Night fall\" did you mean \"Nocturnal ejaculation\" if this is right then let me tell you that this is physiological phenomenon and not the disease, but this is great myth, so need to worry about this it won't cause anything, hope this information helps you, take care and have a nice day.
000001708
Welcome to ChatDoctorI have read and understand your query hope this will be useful you having any associated flu or heart burn? Do you smoke ? A runny or stuffy nose, A feeling of liquid running down the back of your throatFrequent throat clearing and sore throat, sour taste in your mouth or any coughing up blood? Prolonged cough can be managed with few home remedies and an ivy leaf extract cough syrup. Take a lot of fluids, particularly warm. A teaspoon (5 grams) of honey in warm water is a good home remedy. Take an anti allergic along with a cough syrup. Quit smoking if you are a smoker. A cough caused by acid reflux can often be treated with lifestyle changes alone. This includes eating smaller, more frequent meals; waiting three to four hours after a meal before lying down; and elevating the head of the bed at night. I hope this would help you. You can reach me anytime with any other queryRegards Chat Doctor.
000001709
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Your symptoms are associated with specific arm movements. This is characteristic feature of musculoskeletal pain. So do following things for better symptomatic relief in pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant Chat Doctor. 5. Apply warm water pad on affected areas. Do all these for 1 week, and you will mostly improve. If not after 7 days then get done chest x-ray and ECG to rule out any lung and heart disease respectively. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000001710
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. Along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Quit smoking and alcohol if you have these habits. 6. Lose weight if you are obese. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000001711
Hi, thanks for posting your concern in the Chat Doctor. The symptoms suggest that you have got both upper and lower respiratory tract infection. To rule out pneumonia you will need to have a complete blood count, CRP, X-ray Chest (PA view) done. A detailed clinical examination combined with investigations will help to specify a final diagnosis. In case of a bad pneumonia, you may also need injectable antibiotics and in patient treatment. Taking only Acetaminophen will not fault the progression of the disease or development of complications. So, you should urgently consult your physician or a pulmonologist for further evaluation and management. For any further information please write back to us. Regards.
000001712
Hello dairy understand your concerned you have this sex before the 7 days of the period then there is no chance of the pregnancy. (as it has 30 days regular period). In regular period, ovulation is occurred at the 14th to 16th date. But you have sex 7 days before the expected period date. At this time there is no ovulation and so no fertilization will occur. I do not think there is any need of the pill. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent the unwanted pregnancy. Hope this may help noncontact further if follow up needed Best regards
000001713
I have gone through your question and appreciate your concern. Most of the time back pain is neglected as trivial one even doctors. I think it is Better to consult orthopedic specialist and Get MRI of spine done to reach correct diagnosis. General measures to reduce back pain are Avoid bending forward and lifting heavy Weights. Lie on flat hard bed. Hot fomentation thrice a day. Muscle relaxants and analgesics will help. Local application of analgesics gel. Muscle strengthening exercises will help in long Term. Thanks. U can write me back for any query.
000001714
Hello and welcome to Chat Doctor forum, As you wrote, pain after a month of getting your wisdom molar extracted is something which needs to be checked thoroughly. Without checking clinically, I cannot suggest you any treatment but I would like to ask you to do warm saline rinses or Betadine rinses, in order to relief some pain. Your dentist might prescribe you antibiotics and anti-inflammatory only after ruling out the cause. So kindly visit your dentist soon. I wish you good health.
000001715
HI. Thanks for your query. As per the history you have provided you are already suffering from IBS and Crowns- It may be either of it. You are bleeding in intestines in spite of the medicines means you need to get a review. I would advise you the following
000001716
Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have fibroadenomas as it's a tender breast lump. Your age is not mentioned.Hence, Please check out with your ER Surgeon who would treat it accordingly.FNAC under USG guidance would fix the diagnosis. Till then don't worry. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.
000001717
Hi, thank you for providing the brief history. As the history suggest that due to the fall in the past there will be some bony pathology which subsided in the past and also have a way for the soft tissues like the intervertebral disc to land into pathology which is one of the commonest reason I find in my clinical practice. Having a thorough clinical examination and MRI of lumbar spine will help further study of the lumbar and sacral spine along with the soft tissues. Treatment of choice will be simple medication for pain relief and physical therapy like therapeutic ultrasound therapy and TENS therapy. Exercises will be recommended to improve the muscle strength and stabilize the spine. Regards Jay In Chat Doctor.
000001718
Hello, As you are mentioning that you got your tooth extracted and after that you felt some white stuff coming out from the socket, it looks that this white stuff is pus which is coming out as infection is still present there. You should visit your dentist and get an x-ray done of that socket as the healing of socket starts within 1 week and there is no pus, but if in your case there is infection still present then there must be some part of root left there. Hope it will help you.
000001719
Hi, As you have kidney stones, your problem may remain for long time and at the same time recurrent urinary tract infection will take place. While consulting urologist you ask about, Is it possible that stone might come by itself with taking plenty of water ? Does stone will come out with IV fluids ? Any damage in kidney due to stones ? Can have recurrent UTI ? Any chance of having kidney stones in future ? What food or vegetables not to be taken ? Stones are of Calcium oxalate or Phosphate ? Ok and take care.
000001720
Thanks for your query, I have gone through your query. The decayed tooth might cause infection and result in pain swelling difficulty in mouth opening. Before that consult your oral physician and take a radiograph and check the status of the tooth. If sufficient tooth structure is there then it can be saved by doing root canal treatment. If it is gone completely then it has to go for removal under local anesthesia. I hope my answer will help you. Take care.
000001721
Hello, thanks for the query to Chat Doctor. C. Here I want to make very clear that you need not fear about this swelling. You are a patient of asthmatic allergic bronchitis, that's why there are sneezing, runny nose, redness in the eyes. Actually all these problems are due to allergy. As far concerned about the swelling it is not serious, but you have to keep in mind that this swelling may be due to some infection (any type, we call this a lymphadenitis i.e. enlargement of lymph nodes in the neck. Please consult a physician and get a blood sample, ti will reveal the cause and after this, if you need arises you can take treatment in spite of pregnancy. Have a good luck.
000001722
Hi Thereafter going through your query I understand your concern. I would like to tell you that Urinary tract infections are more common, more severe, and carry worse outcomes in patients with diabetes & often caused by resistant pathogens. Poor immune system, poor metabolic control, and incomplete bladder emptying, fungal infection may all contribute to the enhanced risk of urinary tract infections. The treatment for your UTI will depend on what type of infection it is. But You can prevent UTI by practicing good Hygiene techniques like-Wiping front to back is essential-Go to the bathroom and empty your bladder immediately after sexual intercourse.- Every time you empty your bladder, try to make sure it is fully empty.- Keep your diabetes under the best possible control. Hope to have been Helpful. Kind Regards
000001723
Hi... I understand your concern and agree that the weight of your kid is less than 5th percentile according to his age. But there is no use of appetite stimulants in kids. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -
000001724
Hi dear. Lower respiratory infection presents with fever and cough. My advice to you will be. Get a chest X-ray done in App and lateral position to rule put pneumonia or any consolidation, if there are changes Consult a physician.check his CBC, and blood culture. He should be started on antibiotics if his fever persists and congestion .you can continue giving paracetamol for fever .hope this helps.
000001725
Hi...you are exactly right. This is collection of smegmas underneath the skin, and it is called stepmom. Usually it will subside by itself. Sometimes steroid creams at the penile tip by stretching the skin will help open the tight skin there a help in its expulsion. After that you need to clean the penis regularly while giving bath by retracting the penile skin as much as possible. I suggest you consult your pediatrician regarding this as the technique needs to be taught. Regards -
000001726
Hi.it is best if you consult with a doctor, preferably a general surgeon in regard to your concern. It may be any of the following benign breast lesions
000001727
Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test). Chronic cough not responding to antibiotics can be due to bronchitis. So we need to rule out this first. And PFT is needed not only to diagnose but also for knowing severity of bronchitis. And treatment is based on severity only. So PFT is necessary. Another possibility is chronic lung infection like TB or fungal infection. As routine antibiotics will not work on it. So chest x-ray is needed to rule out these. So better to consult pulmonologist and discuss all these.
000001728
Hello, Nebuliser machine is indicated if she is unable to use inhalers. Extra oral medication like Nicotine 400 or 600\u00a0mg at night helps along with Montelukast 10mgFor nebulizer, you need 2 res pules of Albuterol alternating with Ipratropium every 6 hours for a week or 10 days. Then you must switch to inhalers. If she is still unable to use inhalers, nebulizer must be given 12 hours apart. Best Wishes.
000001729
Hello. Thank you for asking at Chat Doctor. I feel your son is having an allergic respiratory disorder most probably allergic rhinitis with multi-trigger wheeze. I would suggest your son regular montelukast and levocetirizin which will help him to reduce both rhinitis and wheezing episodes. If this does not prevent his wheezing episodes, I would suggest adding regular inhaled corticosteroids using Metered Dose Inhaler with Spacer device with face mask. However, this depends on how frequent and how severe his previous episodes have been. I would suggest you to consult an Allergist who will advise allergy testing for him and may suggest what to avoid for reducing wheezing episodes. As a general rule, I would suggest him to avoid dusts, smoke and air pollutants. Hope this will be helpful to you. Wish your son the best of the health. Regards.
000001730
Hello, As you are mentioning that there are 3 bumps behind your front lower teeth, there can be three possibilities-first it can be possible that these are normal salivary gland opening which is present there, and you have noticed it now. -second it can be possible that your front teeth are infected and now the infection is spreading in the apical region and forming pus because of which there is swelling. -third possibility is that there must be some salivary gland infection which has appeared like this.In my opinion you should visit a good dentist and get it examined completely with an x-ray which will give you the diagnosis and help to solve the problem. Hope it will help you.
000001731
Hi, I appreciate your concern. Colon carcinoma usually presents with Iron-deficiency anemia, Rectal bleeding, Abdominal pain, Change in bowel habits, Intestinal obstruction. Nonspecific findings like fatigue, weight loss etc. can also occur. More advanced disease can present with abdominal tenderness, macroscopic rectal bleeding, palpable abdominal mass, hepatomegaly, ascites etc. So without knowing your detailed history, physical findings and imaging findings, it is very difficult to say the exact etiology. Hope it helps
000001732
Welcome to Chat Doctor .1. Its hair follicle infection (carbuncle / fur uncle) bacterial infection.2. Might have started after a shave and not using good antiseptic after shave (possible cause).3.Meanwhile until it heals do not shave, trim instead. As it will irritate again and dally in healing process.4. You should not scratch, compress the lumps as you are only complicating and causing delay in healing.5. If lump is not healing, a small incision and Chat Doctor. 6. Maintain local hygiene, avoid any irritant cloths constant rubbing, ad frequent clean with antiseptic liquid will help in fast healing. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
000001733
Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia usually takes 2-3 weeks for complete recovery. Your oxygen requirement is decreasing. This is suggestive of recovery. So you will definitely be alright after 4 weeks. So get done repeat chest x-ray to see how much pneumonia is recovered. Chest physiotherapy, deep breathing exercises, incentive spirometry are vital to achieve good lung functions after pneumonia.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000001734
Hi, Based on the information provided it seems \" like a benign insulin\" which is a cancer of - Beta cells that produces the insulin, and the surgical removal of this cell mass will be a cure of your problem. It's not a malignant pancreatic cancer you have been reading about, just a simple tumor that can be removed and 100% cure is obtained. Now for the insurance issues, some hospital will allow a cheap surgical option, NEEDY MEDS website will help you to locate such cheap location. Hope it helps.
000001735
Hi, Thanks for writing to Chat Doctor. Microdox contain doxycycline. It is antibiotic given for infections. I guess your doctor must have suspected sexually transmitted disease (STD)in you and prescribed microdot. The treatment for STD is antibiotic and avoiding sexual contact with wife, maintain good local hygiene. Once it is treated you can plan for pregnancy. You should confirm from your doctor that the disease is cured. Hope I have been helpful. Regards Chat Doctor.
000001736
Hi welcome to Chat Doctor. I have gone through your question. To conceive not only your site should be clear. Your partner also should have normal reports. I would advise getting done semen analysis of your husband if not done. If normal plan naturally do intercourse in fertile period on alternate days. Then consult gynecologist if not get success. Hope I answered your question. Would be happy to help you further. Take care.
000001737
Hello Patti.welcome to Health Care Magic Usually lithium is not reported to cause side effects of lymphadenopathy, so don't worry about lithium dosing. Capital is known to causes serious skin side effects and serious hypersensitivity in susceptible individuals and lymphadenopathy may be seen with it. So lymphadenopathy may be probably due to some other cause. Kindly visit a doctor for proper investigation. ThanksTake Care
000001738
Degree understand your concerns went through your details. I suggest you not to worry much. I suggest you should be some more descriptive. The problems are simply mentioned manias, a lot of noises in my ear and loss of hearing etc. These simple terms are not enough. Psychiatrists and psychologist treat after thorough examination of whole symptoms. Therefore, please be descriptive. I suggest you to call me at night after 8 PM. I am from Ottapalam, Alaska. Phone 9995407714. We shall work together for a cure. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
000001739
Hello and thanks you for your query. I am Chat Doctor and I will try to help you as much as I can with my answer. This may be caused by certain bowel disorders such as food allergies, I inflammatory bowel diseases or steathorhea and liver dysfunction. Allergy tests and liver work up is required. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health.
000001740
Cannabis per se can cause various heart issues including fluctuations in blood pressure, heart rate, spasm of heart rate is too clogging of the art is causing heart attack. So by all means cannabis even social use is not advised in patients who have any kind of heart issues. You had pacemaker put for a heart block, per se cannabis will not interfere in the functioning of the pacemaker, However as a cardiologist I cannot recommend that you continue the use of cannabis, as the risk of ill effects in long run are not worth the calming effect you experience. Try weaning yourself off. Regards Chat Doctor.
000001741
Dear patient Infra red light cannot repair broken ligament at your spine. So we need to first confirm what is the actual problem by doing MRI of spine. It gives detail of ligaments , disc a and nerve roots. So visit a radiology center nearby you and get it done. If its grade 1 or 2 tears it will heal completely with rest for one month. If its grade 3 it needs to repaired surgically. Visit expert spine surgeon and get yourself examined.
000001742
Hi! Welcome to Chat Doctor. I read your query. Check for any cavity in that tooth or adjacent teeth. Your symptoms are of dental abscess. I suggest you to visit a dentist and get an x-ray done. You need to get either RCT or extraction of tooth depending on condition of tooth. You need to have an antibiotic course on prescription. Painkillers like diclofenac etc. will help to ease pain a bit. Do warm saline rinses if warm water does not hurt. It will help in releasing pus. Final treatment is done by dentist after examination. Hope the answer helps you. Thank you.
000001743
Hello, Regarding conservative treatment for the prolapsed disc, these are a few things you should follow.1. Avoid bending forward and weight lifting.2. Sleep on the hard bed and always sit straight with back support.3. Use a lumbosacral belt in the daytime.4. Give hot fomentation on the affected part.5. Apply diclofenac gel and give massage to the part.6. Do spinal extension exercises as tolerable.7. Take gabapentin and nortriptyline.8. Take any good muscle relaxant. Try these all for 1 month and still your pain is not relieved then there is no option other than surgery. Hope I have answered your query. Let me know if I can assist you further.
000001744
Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that tuberculosis is communicable disease. If the diagnosis is made by biopsy of the node than it is confirmed diagnosis. Otherwise you should do biopsy to confirm tuberculosis. It is spread by respiratory route so to take a leave until you are all clear with the tuberculosis is necessary. But in all cases open case of tuberculosis is communicable to others not the close one. If you have sputum TB positiver than and then you are communicable disease. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor.
000001745
Hello. I have reviewed your query and here is my advice. The children behavior is never masturbation. As you already know it is a normal behavior. But if the frequency is increasing and the girl becomes careless, then the problem is never normal. Here you should take this as behavioral disorder. Child Chat Doctor. Their behavior can be changed with the help of many psychological techniques like distraction, reward, punishment etc. Use them wisely. I can help you if you need. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further.
000001746
HiT hanks for posting your query on ChatDoctorI appreciate your concern for your father. Your father must be given the treatment immediately. The wound should be cleansed, Injection Tetanus toxic should be given. Then he must receive the anti rabies vaccine on the following days
000001747
Hi, The pain is most probably a muscular pain but however it could be from a pinched nerve too. It should settle using Ibuprofen, but I would suggest over-the-counter Tylenol for the pain as it does not cause the side effects coming from using Ibuprofen. I would however suggest that you not take either of them on an empty stomach. Also, it would be prudent that you abstain from alcohol, if at all during the period of your medication. You could also use an antacid before you have some food.
000001748
Thanks for question on Chat Doctor. In my opinion it is a acid reflux only. As lactose intolerance cause diarrhea first. And for acid reflux try to follow all these simultaneously for better control.1. Avoid oily, spicy and hot food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Quit habits like smoking or alcohol if you have.5. Lose weight if you are obese.6. Take proton pump inhibitors. 7. Go for walk after meals.8. Keep 2-3 pillows under head in bed.
000001749
As you told 2deco is negative, and stress test is also negative, so other possibility is of nerve compression or nerve root pain as the complaint you told according to that is the possibility of this. Second important thing is your posture during sleep this is also responsible for such problems so correct sleeping posture if not. Rule out for nerve compression or nerve root pain. You can take physiotherapy also.
000001750
Hellohow are you?yes you have a spasm due to bite and inflammation at the tendon site. So need not worry because it is not a very serious condition. Just follow my instructions and take care. If possible remove the sting if it is there with precautions. Apply ice pa cat the site for 10-15 minutes. Take anti-histaminic Chat Doctor. Take paracetamol or broken to relieve pain and inflammation. If swelling and inflammation is very severer than consult your doctor for short term corticosteroids. Get well soon
000001751
Hi, thanks for sharing your health concerns with Chat Doctor! Hi, If I were your treating Doctor for this case of a lump near leg calf area following some blow, I would come up with only two possibilities like an organized hematoma and a slowly remodeling/tearing of underlying bone ! You might apply ice/cold compress there and avoid rubbing...! Therefore, nothing to worry about this and try not to get infected there! I suggest you to go for an X-ray/USG and FNAC test of the lump for confirmation and to relieve your concerns! 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.
000001752
Hello Ravi and welcome to Chat Doctor. As a Urologist, i can fully understand your concern. The stone needs to be treated. With kidney failure, hes likely to develop bleeding after a surgical procedure.That's the cause for the blood clots in urine. The stent causes irritation in the bladder. The same with the catheter. Both cause irritation and pain. You have to bear with it. Realize that the stent is temporary and will be removed in short time. His kidney failure will need dialysis, as and when indicated. Wishing your father well. Chat Doctor. Manga.
000001753
Hi, From history it seems that you might be having some degenerative changes in your cervical and thoracic spines giving this problem. Due to pinched nerve pressure you get this pain. Go for x-ray cervical and thoracic spines. After report go for treatment accordingly after consulting your orthopedic surgeon. Take some calcium and multivitamin supplements. Physiotherapy and short way diathermy will give you relief. Ok and take care.
000001754
Hi dear, The Tuberculosis is absolutely curable if the treatment is taken regularly and completely as prescribed by the treating doctor. You have already said that its cured. Regarding Asthma, it is not a curable disease, though, it is a preventable disease, that is, its progression can be halted on a regular treatment. Moreover, deep breathing exercises like Panama are known to have beneficial effect in asthma. Avoid cold and dust including household dust and pet animals to avoid asthma attacks. Have a good health
000001755
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart and lung diseases for your symptoms because heart diseases like arrhythmia and lung diseases like asthma and bronchitis can cause similar symptoms. So consult doctor and get done 1. ECG, 2d echo and blood pressure monitoring to rule out heart diseases. 2. Clinical examination of respiratory system and PFT (pulmonary function test) to rule out asthma and bronchitis. It all these are normal then no need to worry about major heart or lung related diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000001756
Hi dear, The symptoms you mention in query are probably due to Force spots. They are variant of sebaceous gland. These harmless small white bumps inside the lips are visibly sebaceous or oil-producing glands. There are many treatment options available for such lumps like Electron desiccation, Pulsed dye lasers and Micro-punch technique. I would suggest you to consult dermatologist for proper diagnosis and rule out conditions like oral thrush, herpes simplex or a canker sore. For now apply lip balm containing SPF 15 and apply raw honey at night. Hope your query is solved. Get Well Soon. Best wishes,
000001757
HelloThanks for writing to ChatDoctorSlight amount of chronic microvascular ischemic loci are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels. Iischemic changes resulting from blood vessels changes in diseases like hypertension, diabetes mellitus, dyslipidemia. So, you need monitoring of conditions that leads to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. You need investigations like routine hologram, RBS,LFT, RFT, Lipid profile, ultrasound of abdomen. Proper treatment depend upon findings. Hope I have answered your query. Take Care Chat Doctor.
000001758
HelloThanks for your query, based on the report of your semen analysis that you have posted it appears that your semen analysis is well within normal range as per WHO standards as far as sperm count, morphology and motility of sperms is concerned except presence of pus cells. Presence of pus cells indicate infection of either Seminal vesicle or Prostate which can be cured by taking antibiotics for 4-6 weeks. Chat Doctor. .
000001759
Hi, thanks for posting in Chat Doctor I have understood your concern 1. Your post radial sugars are high so you need increase in the morning dose as a tablet or basal insulin. I can suggest you to take tab.januvia50mg once in the morning, recheck the sugars after one week and needs dose adjustment. If not getting controlled with tablets, better to take low dose basal insulin.2. Reason for giddiness may be due to hypotension or vertigo. Or uncontrolled blood sugars, or I can suggest you to get done CZECH BP check while having giddiness tab.vermin 8 mg twice daily for 5 days3. Your weight is more and that is also contributing to uncontrolled sugars suggest you to reduce weight by regular exercise and diet control. Hope this helps you any further questions please let me know thanks
000001760
Hi. Thanks for the query. I have gone through your query and can understand your concern. As per your complaint it looks like there is problem with the jaw joint that can be either due to dislocation in the jaw joint or the soft cushion present between the two bony ends of the jaw joint known as Articular disc is displaced. So my advice to you is to consult an Oral Physician or Oral Surgeon and get evaluated and a clinical examination and investigation like Panoramic x-ray can help in ruling out the exact cause and treatment can be done accordingly. You can be advised painkillers and muscle relaxant and along with it Physiotherapy, night guards will also be advised. Also avoid excessive mouth opening like during yawning laughing etc. You should take a soft diet. Massage the sides of the face with round gentle movement of fingertips. Hope this information helps. Regards.
000001761
Hepatitis A causes infective hepatitis and jaundice. Although her jaundice has subsided, complete resolution of such an infection and the pain could be related to that. But it is hard to comment surely as she needs to be examined clinically. Treatment depends upon the cause behind. Still, giving her pantoprazole and demonic, half a tablet each, may give her some relief. Please get her examined by a doctor and decide on the treatment accordingly.
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Welcome to Chat Doctor. 1.No, the history you have given does not suggest any cancer, it only suggests a superficial/ subcutaneous lump with pain.2. That could be hair follicle infection, lipomas, or superficial abscess.3. Would recommend you to see the doctor / GP, he will examine the case and do needful investigations done.4. If there is any pus discharge / collection noted - a course of antibiotic would help.5. If in case its bigger a small incision and Chat Doctor. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.
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Thanks for your query at Chat Doctor! I went through your query! Legalon, is of plant origin containing Silymarin. It is a cell membrane stabilizer and capable of protecting the liver against deleterious agents and of restoring damaged liver cells to normal. You can take Legal on (35 mg) 3 time daily for long periods. Various studies are still evaluating its role but initial results have shown benefits. Kindly describe other complaints so I may guide. Kindly monitor LFT regularly. Chat Doctor. You can get viral load tested. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care!
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Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and
000001765
Hi, dairy have gone through your question. I can understand your concern. Your father has chronic myeloid leukemia. His total count is high. His platelet count is normal. Spleen enlargement is common in CML. But stage depends on the percentage of blast cells he has. Please send me the report of differential count so that I can help you further. Treatment options are imaging & HY Chat Doctor. Hope I have answered your question, if you have any doubts then contact me at bit.ly/
000001766
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Pernicious anemia is due to intrinsic factor deficiency and is an autoimmune disease and will require It B12 injections.2. Iron deficiency is due to reduced intake and possible reduced acidity due to gastric atrophy. Acid helps in increased iron absorption.3. Iron infusion or injections will be more useful. Followup reticulocyte count after 15 days will confirm improvement. This will give overall improvement. Hope it helps. Any further queries, happy to help again.
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Hi! Good morning. I am Chat Doctor answering your query. This could be a hematoma (collection of blood) due to the trauma, which has not yet got absorbed. A simple hematoma would gradually get absorbed of its own unless there is persisting oozing or if it gets infected. The exact status could be known by a clinical examination by a surgeon and a fine needle aspiration if need be. Therefore, I would suggest you to get an appointment with a general surgeon for an appropriate diagnosis and further management. Till then, you could go for an anti-inflammatory 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.
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Hello, Welcome to Chat Doctor, Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog on the hand, and it has not led to any bleeding, according to WHO categorizes it has been categorized into Cat II. Cat II requires active immunization with antirabies vaccine on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. You need to take a shot of tetanus injection too. The aforementioned treatment will protect you against developing the disease rabies. Thank you.
000001769
Hello, thanks for using Chat Doctor. Ca 125 as you already know is a marker for cancer. It increases in cancers of the digestive system and those of the reproductive system including the ovaries, fallopian tubes, endometrium of uterus etc. It is highly used in the diagnosis and follow-up of ovarian cancer. Ca 125 is not specific to a particular disease and does not necessarily indicate a malignant disease. It could be elevated in benign conditions such as uterine fibroid as well. From your history; heavy menses, anemia, enlarged uterus etc., there is a good chance that what you have is a uterine fibroid. The only problem is that the ca 125 level is far above the normal which is 35 (300 in your case). The appearance of uterine fibroid on ultrasound is particular, and you should see your ultrasonographer to say if the mass was not well round and with borders and characteristic of fibroid. If it's a fibroid or none metastasized cancer, hysterectomy will be just fine. Best regards and hope this helps. Chat Doctor.
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Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. This can be due to an infection. It should be examined and if it is simply an abscess, you should be given a course of antibiotics like Augmenting. If it still persists, You should get a FNAC of that area, to be sure of the diagnosis. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy
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Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an infection. I recommend consulting with your GP for a physical exam, an X-Ray study of the spinal cord of this region and sacrum, a complete blood count, PCR, ESR for infection. A lumbar puncture may be needed, if suspicions of an infection of the fused vertebral bodies is suspected. Hope to have been helpful! Wishing all the best,
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Hi, thanks for using Chat Doctor In general, it is thought that ovulation occurs about 10 to 17 days after the onset of the last period. If the periods are irregular, it is more difficult to pinpoint the exact time. In most women ovulation would not have occurred by day 8 but having said that, it is possible to get pregnant at any time in the cycle, the chances are just greater at different times. White curry discharge is usually a sign of a yeast infection which can easily be treated, yeast infections can occur in the absence of pregnancy. Signs and symptoms in early pregnancy include
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Hi, Thank you for posting your query. I appreciate the amount of care you are taking to keep this problem in check. Various types of treatment are beneficial for cervical disc disease. Regular physiotherapy, including neck extension exercises are very useful. For pain relief, IT and ultrasound are useful, traction is useful in some. Using a soft cervical color, especially while traveling, is very useful. For severe pain, use of medications, such as pregabalin is useful. Regarding follow, MRI of cervical spine is useful. There is no need to do it on regular basis, it can be repeated as per need and on the basis of symptoms. Best wishes, Chat Doctor.
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Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your queryStool disorders are well known in patients of IBS. So the passage of mucus is not too surprising. The stools quality may change even during the IBS condition. So maybe that is why you are feeling surprised. As to the pink color, there is a high possibility that the color is due to the pigment of something that you may have eaten, This food substance can cause the pink discoloration. However, to be on safer side, have stool for occult blood tested. If It's negative, you need not worry and the color is due to other causes, not blood. If it is positive, a colonoscopy may be needed to look for the source of blood hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck.
000001775
Hi, I have gone through your query. Xiaflex was previously used for the treatment of Dupuytrens contracture. Now it has been approved for use in Parodies disease. Main action of this medicine that it dismantles the fibrous tissue which led to bending of penis. The Chat Doctor. There are 4 cycles of treatment with it. 2 injections are given in each cycle and later on penile remodeling is done, if required. It can correct up to 30 degrees of curvature. Final decision should be made by treating doctor. Do consider positive feedback as a credit to my work. Let me know if you have any further questions.
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Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, you should not with Chat Doctor. Incomplete treatment can develop resistant in the organisms. Which makes your condition untreatable. Completing the course has advantage that it will clear up all the bacteria. Thereafter infection won't recur. You can also apply antibiotic cream over the bump like polypoid. Please wash the area frequently with soap and water. Avoid injury to the affected part otherwise it will keep recurring. I will be happy to answer your further concern on bit.ly/
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Thank you for asking! Polymyositis is muscle inflammation disease and hyperkalemia may develop from the illness and from the medicines too like servitude in your case. Next trouble is your Vegetarian nature, So seek a nutritionist for guiding better regarding avoidance of potassium rich supplements. Avoid steroids and any medicine that may cause hyperkalemia. Seek help as slight deranged potassium can be lethal. Take care
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Hello.I would like to know the detailed history of this child starting from fetal life. Was your pregnancy normal, or were there any complications?was he delivered vaginally or through c-section?if c-section, what was the indication? Did he cry immediately after birth?or was their any history of delayed cry?any neonatal ICU admission?any history of neonatal jaundice requiring phototherapy or exchange transfusion? Any history of CNS infection in the past? Give me detailed developmental history like when he started having neck holding?social smile?sat with or without support? When he started walking? When he started talking? Any family history of child with developmental delay? How about the siblings? I want to have a detailed analysis of this child in the light of the answers to these questions. Thanks
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Hello, Thanks for your query. Scarlet fever causes a sore throat, high temperature and a rash. It usually occurs in child Chat Doctor. It has become much less common and less serious than it once was. Full recovery is usual. Treatment is with a course of an antibiotic. It is important to finish the full course of antibiotic, even if symptoms soon go, as this helps to prevent possible complications. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
000001780
Hi. The pain in the back seems to be a back spasm.which can be cased due to various reasons...a sudden over activity.sudden twisting can land you to that issue... Don't worry...keep icing your spine frequently say once for every 2 hours for 15 mins.don't force any activity on your spine.take rest... As your muscle allows slowly stretch your low back by bending your bent knees towards your chest.while you are lying on your back. Hope this is helpful to routinely revert in case you need any more clarification...
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Hi, If I were your treating Doctor for this case of ankle lump, I would come up with only one and one possibility that is a sebaceous cyst or folliculitis! Nothing to worry about this and try not to get infected there again and again! You might need to take oral antibiotics for these... I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! 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.
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Helots history of illness and symptoms are not an indication of any particular disease. With the help of these symptoms at least, it is very difficult to establish any diagnosis. As you mentioned that she is having PCs, fever off & on, frequent urination, stuffy nose and difficult to breath. Stuffy nose and breathing problems may be due to bronchoconstriction (either due to allergy or infection) . While PCs is another disease. Fever on & off may be due to infection either urine or upper respiratory infection. At this stage I recommend you please visit a physician and get his opinion as physical examination as well as clinical examination is important in this case. Good luck.
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Hi, Thank you for posting your query. I need some more information to better understand your problem and give my advice.1. Since how long are you having these symptoms?2. Has it happened only once or does it recur?3. Have you lost consciousness during these episodes? Possibilities include a seizure phenomenon and vitamin deficiency. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
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Hello, Lower back pain may be due to 1. Back muscle spasm.2. Lumbar spondylosis.3. Renal pain.4. Pancreatitis pain.5. Herpes zoster. Until examination is done it is difficult to say what it is. Use tablet aerosol Mr (Don't take if you have chronic kidney disease) twice a day for five days. Use local application of painkiller gel with hot or cold compression. If symptoms not improved please get it done x-ray of LS spine get treated accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care
000001785
HelloThanks for query. The problem of Erectile dysfunction needs to be investigated to find out the cause of ED. With normal Testosterone levels and unresponsive to Viagra, the cause of E. D is most likely to be Vasculogenic. Consult qualified Urologist for clinical examination and get Color Doppler Scan of the Penis done to confirm /rule out arterial insufficiency or venous leak as a cause of your ED. If proved to be due to arterial insufficiency it can be treated with newer modality called Extra Corporeal Shock Wave Therapy (EST)to penis. This helps to develop collateral vessels and thereby increase blood circulations to the erectile tissue to achieve hard erection. Chat Doctor.
000001786
Degree understand your concerns went through your details. I suggest you not to worry much. Shaking of legs simply does not point towards restless leg syn Chat Doctor. I advise you not to notice the restless legs yourself. Ask somebody to monitor you without you knowing it. Let him monitor you when you are at work, at school, at games etc. Then ask him how serious it is. If he says it needs to be corrected, then you start researching about it. Definitely not now. Worrying about a possibly non-existing problem can be the basic cause of the problem itself. Be wise. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
000001787
Hi, only paracetamol and anti-cold medicine is not going to core her respiratory tract infection and antibiotics are needed to be given to her only then she can recover well. Anti bionics like ampi-cloxacin or co-amoxi-clav or Rothko can be given to her a dsome vitamins including vitamin C should be given, but I advise you to go to a physician and let her examined physically to rule out pneumonia and other specific condition for which special attention is required and then follow the treatment. Thanks and with regard.
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Hi. Welcome to Chat Doctor . As per your complaint sharp points on the jaw where teeth are not present that are very painful during placing denture are due to formation of bony spicules and are formed due to left over sharp areas over the bone after removal or loss of teeth, and they appear as sharp elevations over the top of the jawbone and when the denture is placed the gums gets impinged or rubbed between 2 hard surfaces that is the bony spicule and the denture plate. It cannot be treated with mouthwash or any medication, and it has to be removed by trimming the bony spicules by a small surgical procedure known as Alveoloplasty. Once the bone gets smooth then wearing the denture will not be painful. As of now you should apply numbing gel containing Lidocaine over the painful areas to relieve pain. Hope this helps. Regards.
000001789
HelloElevated liver enzymes like SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, complete liver function test, viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care Chat Doctor.
000001790
Hi dear thanks for the query on Chat Doctor You need to get an examination by a physician. There are various swelling that can appear in neckThyroid swelling, hypoglossal cyst, laryngeoceleZekers diverticulum, lymph node swelling, lipoma or neurofibroma. You need an ultrasound neck... If swelling is solid a FNAC of the swelling for pathological diagnosis. Based on diagnosis treatment can be initiated. Thank you
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Hello! Thank you for the query. The most common reason of lower abdominal pain is urinary tract infection. You may have also frequent urinating, burning while urinating, blood in the urine, fever with this condition. Lower abdominal pain should be also checked with inguinal hernia, adductor muscles inflammation, appendicitis (lower right abdominal pain), diverticulitis (lower left abdominal pain), ovaries inflammation, ovaries cyst, pregnancy. Please consult your doctor and start with urinalysis, abdominal ultrasound and blood work. Hope this will help. Regards.
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Hi, If I were your treating Doctor for this case of severe pain under the left rib cage, I would come up with three possibilities, these include
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Welcome to the ChatDoctorI understand your concerns. You daughter seems to be suffering from either an inflammatory or an infective cause of illness. There could be many possibilities such as Viral fevers, connective tissue disorders such as systemic lupus erythematous, a bacteremia etc. I would recommend you the following measures
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Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that a comprehensive differential diagnosis should be done to differentiate between different causes of this clinical scenario
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Hello, welcome to Chat Doctor. It is usual to have guilt for 1-2 month after death of loved one, due to grief. But having excessive guilt for more than 2 years is not common. It is symptom of depression. Only explanation regarding cancer will not help him much. It is better to get him evaluated by psychiatrist. There are several treatment options are available like Chat Doctor. Wish you good health and all the best.
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Hello, As you have repeated infection of hair follicles, you can take tablet Ciprofloxacin, tablet Broken and Newsprint H ointment locally after consultation. To avoid repeated infections, maintain proper hygiene, remove hairs if possible, and use antiseptic soap. Bath daily two times if possible, keep yourself cool, and avoid heat and humid environment. I will suggest you to review back with detailed history or consult with dermatologist for detailed examination. Hope I have answered your query. Let me know if I can assist you further.
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Hi. I know how difficult to eat child of this age. U have improvised some following things1.give frequent small diets and small diet should be with extra calories(add sugar or ghee or oil). 2.never force the child for feeding. If he or she is hungry he will come ask or food definitely. Till 1yr parents are responsible for child feeding after that child can walk some can come and ask for it. 3. Always take breakfast, lunch and dinner in groups so child can enjoy feeding. 4.give minimal amount of milk5.give spy vitriol and spy zirconia bot are tonic which may improve diet. Hope you are getting your ans
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Thanks for posting on ChatDoctorNOrmally leukemia will show as high white cell count & not low (unless leukemic patient had aggressive chemotherapy)You are quite right that recurrent viral infections can lead to low WBC & subsequent fatigue. Due to her being on metformin & also having some other chronic medical conditions (RA, kidney problems etc.) - she must undergo few other blood tests if not already done - FBE, Fe ferritin, it D, ESR CRP, Lots, kidney tests, TFT. Hope this is helpfulThanks
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Hello dear, Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one. And in absence of any specific symptom, only rise in ESR has no clinical significance. Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR. In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective. Please let me know if you have any further queries. You can ask me a direct query on this website using the below link