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000002400 | Degree understand your concerns went through your details. I suggest you not to worry much. Stress and anxiety and itching rashes could be related. Stress Can Cause Hives. Mental stress increases the amount of corticosteroids released from you a Chat Doctor. Hives develop after the release of histamine from immune cells in blood vessels near the skin causing swelling, heat, and itching. Reduce stress and live happy. Enjoy life. 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. Hope this answers your query. Available for further clarifications. Good luck. | |
000002401 | Hi, I understand your concern and would explain that it is important to differentiate between heart failure and a sleeping disorder, which can mimic this clinical situation. For this reason, I recommend consulting first with her cardiologist for a physical exam, a cardiac ultrasound and NT pro BNP levels. It is also important performing pulmonary function tests and a chest X-ray study in order to exclude a possible lung disorder. If all these tests result normal, I would recommend starting mirtazapine in low doses in order o help with sleep and anxiety. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. | |
000002402 | Hi, Thank you for providing the brief history of you. A thorough Neuromuscular assessment is advised followed by an MRI of lumbar spine. As you have a history of disc degenerative changes, a thorough assessment is required to be followed by an MRI to see the status of the disc. As, nerve carries dual functions - motor and sensory. So the pain and weakness are the two abnormal symptoms usually noticed with the degenerative disc disease as it pinch the nerve roots. I will advise to undergo physical therapy - therapeutic ultrasound therapy and TENS therapy to reduce pain. Also, core stability and spine muscle strengthening is required. Along with this, add on to the lower limb strengthening exercises which will help regain the confidence and strength in the lower limb muscles. In my clinical experience we receive patients with similar issues, and we recommend physical therapy due to the success in the research. Majority respond well and regain the functions back. RegardsJay In Chat Doctor. | |
000002403 | Hi, dairy have gone through your question. I can understand your concern. Your ALT level is normal. No need to worry about your ALT level. There is minor lab to lab variation and instrument and kit wise variation in result. So no need to worry about ALT. Statin is not responsible for that. Liver hematoma is accidental finding, and it is also not responsible. Statin does not increase the blood glucose level. Take low fat diet with high amount of polyunsaturated fatty acids. Continue your statins according to advise. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. | |
000002404 | Thanks for your question on Chat Doctor. In my opinion you are not having these due to your blood pressure medicine. You may have bronchitis. It is basically an inflammation of bronchi, which causes edema and more sputum production. Whitish sputum indicates inflammatory process, not infective process. Do better to consult pulmonologist and get done PFT (Pulmonary Function Test). This will help you in diagnosis of bronchitis. It will also give you severity of the disease. You may need bronchodilators and antihistamine. | |
000002405 | As u have mentioned according to your history you're a case of patent vitally intestinal tract with on off discharge and infection and umbilical granuloma .this is congenital but if you're sure that it developed after surgery than this is a complication and its sinus tract with discharge from port site in laparoscopic surgery u need thorough investigation and examination but our operating surgeon and also have second opinion for same. Even residual stones in tract may cause this problem if contents of gallbladder are spilled during surgery | |
000002406 | Hello and welcome to Chat Doctor .com. This is going to be a rather long answer. Please bear with me as I talk through this. I will also quote a study on this disease process from a journal, Pediatrics. The article is entitled Acquired Microcephaly | |
000002407 | Degree understand your concerns went through your details. Pain on the right scrotum in itself needs investigation. You consulted a doctor, and he conducted an ultrasound and said everything is alright and there is nothing worry. I hope the ultrasound was conducted within the last one year. Otherwise, please do the ultrasound once again. Secondly another reason for the pain could be simple obsession with the pain. Anxiety and depression can be the reason for the obsession. Stress and strain of the muscles could have been the reason, and you mistook as any serious disease and obsessed. Such an obsession could become psychosomatic and can manifest as pain. If you still need my assistance in this regard, please use this link. http | |
000002408 | You have not stated your age. Pain and cramps in your abdomen might be due to some chronic infection like amoebas or even because of any stone in kidneys or ureters or even gall bladder as you are having it on the right side. Cramps plus loss of appetite might be due to chronic infection like tuberculosis. Is all this associated with weight loss? If so and if you are above 40 years, get yourself examined to rule out cancer. So first you need to do an ultrasound of abdomen and consult a medical practitioner. | |
000002409 | Hello, I have studied your case. There are various procedure which include chemonucleolysis, ozone therapy and injection Dylan. MRI spine will show any disc bulge is there or not. And when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care | |
000002410 | Hi and welcome to Chat Doctor. Its elevation is common found in many disorders must most usually is alcoholic, viral, autoimmune or toxic liver damage. The most common liver disorders are fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated Chat Doctor. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest going step by step. If you don't have any symptoms then this is just slight and reversible liver damage. Wish you good health. | |
000002411 | Hello, I have gone through your query and here is my advice. As per your history it may be due to strain and stress. For further assessment he may require complete hologram, lipid profile and electrocardiogram, after physician consultation. For that he may require tablet sildenafil 1 hour before the sexual act. Avoid smoking and alcohol. Avoid stress. Hope I have answered your query, let me know if I can assist you further. Chat Doctor. | |
000002412 | Hi, Sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc. it becomes semen. So if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall. Now masturbation does not cause weakness or defect in sexual organ (energy lost is almost similar to doing other activity in muscle contraction n relaxation). It gives pleasure during act of masturbation and later calmness which is thought as weakness. Your height and weight are normal. So in my opinion you don't require supplementing any diet if you are taking balanced diet. Hope this will help. For any queries feel free to ask. THANKS N REGARDS | |
000002413 | Hello, Blood in sputum or nose can be very trivial or can be very serious. In pregnancy that too around 33 weeks vascularity of the mucosal area increases so bleeding from such areas can be considered physiological. If your chest is clear on auscultation, and you have consulted general physician, then don't worry about some serious reason for this bleeding. It can be because of the cough and mechanical trauma to the respiratory tract. I just want to know why you are using Esprit. If it is mainly for some preventive purpose, then you can stop that tablet which can be a contributory factor for your bleeding. Anyway now you are in 33 weeks now it's the time to stop Esprit that is 34 weeks. So do consult your gynecologist about stopping the Esprit. Hope I have answered your query. Let me know if I can assist you further. | |
000002414 | Dear, Musculoskeletal chest pain has no relation to fast heart beats, it may be due to anemia or generalized fatigue. Diclfenac Sodium 75 (Voltaren) once daily for 3 days will treat your chest pain combined by a muscle relaxant and get away from cold air .you may need to visit your doctor to check out the cause of fast heart beat but don't worry, it will be a minor cause and simple treatment will push it away. Thanks | |
000002415 | Hello, I have gone through the query and understood your concern. If the blood, urine, hormone levels, tubal patency tests and sonogram of the pelvis are normal, you can wait for 6 months to one year. If you still do not conceive, you should be tested for anti-sperm antibodies and other incompatibilities. Regular sexual intercourse should be practiced at least on alternate days during the fertile period. You should lie down flat for 30 minutes after the act, on your back if you have an anteverted uterus and on your stomach if you have a introverted uterus. Hope this helps. | |
000002416 | Hi Julie...thanks for sharing your problem here in this forum.you have made your eyebrows wounded by waxing...eyebrow area is having more loose tissue so whenever wounded there is more swelling here.I will suggest you to wash the area with cold water. Do use ice packs wrapped in some gauze to reduce swelling. Apply some antibiotic cream with soothing effect like poly fax plus 3 times a day after washing.it will also reduce pain as well.if pain is sever you can take ibuprofen for it...hope this will work.thanks Chat Doctor. | |
000002417 | Hi. Thanks for your query. You are in the period and the congestion can lead to the symptoms like mild Diarrhea you have. IF there is no fever and intestinal problems. Wait and watch. If associated symptoms - go for check up with the Surgeon, ultrasonography to see that there is no local collection of a clot or infection or sequel of sterilization procedure Bloody discharge can be due to regular periods. | |
000002418 | Well, you certainly are taking the right actions to help fibromyalgia. Some of it is due to depression and antidepressants are generally used for it. Otherwise, it is perhaps a dysregulation of the nerves that damp down pain. This is more or less corrected by exercise up to the point of the exercise causing pain. The pain from the exercise resets pain perception. It is temporary and needs to be done regularly. | |
000002419 | Hello, As the symptoms you mentioned this appears to be related to venous return. Before this, I would like to ask you if you have any Diabetes or high blood pressure issue. If so please kindly get it checked and monitored by a physician. Next, this bluish or blackish or purplish discoloration is due to something called varicose veins. You need to meet up a vascular surgeon and get a Doppler scan done, so we can some inputs if that is the one. There might be a possibility that you may be put under some medication for the same. You can use hot water fermentation and do the maximum exercise of the calf muscle like ankle toe movements keeping the leg over the pillow. Pain will subside with painkillers but we shouldn't ignore the varicose veins as this may later stage give more trouble if left unnoticed. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. | |
000002420 | Hello Welcome to Chat Doctor I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants/Antianxiety agents like SSRIs (Escitalopram, sertraline, paroxetine etc.)2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck Regards | |
000002421 | Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor forum. Your mother got severe pain since 1 month, and pain since 1 year. The pain is burning, cramping, spastic, time to time, increasing after food, Sometimes diarrhea, Nausea, loss of appetite. She had gastritis, pancreatitis, duodenites, diabetes, and hypertension. Gastritis and duodenites may be cured completely, but pancreatitis can recur, other 2 also have possibility or recurrence. Which all these symptoms, diabetes and hypertension should under control. I advise you to consult a physician for diagnosis and treatment. Wishing for a quick and complete recovery, Best regards. | |
000002422 | Hello, Thanks for your query. After going through your query I came to know that you have period like cramping and lower back pain (very dull). Your husband and you had intercourse a couple of weeks ago that was unprotected using the pull-out method. As you are breastfeeding your 4-month-old child regularly, so it is likely your first period since being pregnant and having your baby. But I will advise you got pregnancy test to rule out pregnancy. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care | |
000002423 | Thanks for your question on Chat Doctor. In my opinion we should first rule out cardiac cause for your low blood pressure and chest discomfort. So better to consult cardiologist and get done ECG and 2D Echo and Blood pressure monitoring. If everything is normal than no need to worry much. Get done thyroid level. As thyroid problems may give similar symptoms. If this is also normal than your symptoms are mostly related to anxiety and stress. So better to avoid tension. Be relax and calm. | |
000002424 | Hello, Thank you for trusting ChatDoctorThe symptoms you are describing is likely to be Lyme disease caused by Cordelia infection. The concerning symptoms are you being off balance and headaches. Possible Lyme meningitis needs to be ruled out. Treatment is with antibiotics. Lyme meningitis will require IV ceftriaxone. Please be advised to follow up with the emergency room. Hope this answers your questionsPlease ad Chat Doctor. | |
000002425 | Hello and welcome to Chat Doctor, Low hemoglobin level is often associated with fatigue and tiredness. A hemoglobin level of 7 has to be managed by blood transfusion as well as iron supplements. Presence of small sized myeloid cells is not characteristic of CML.CML is characterized by increased white blood cell count, increased number of precursor myeloid cells. Constitutional features of fever, fatigue, enlarged spleen are also present. Since, the cause of anemia is iron deficiency, you are advised to take iron supplements for at least 3 months and then get blood iron levels re-checked. Thanks and take care Chat Doctor. | |
000002426 | Hello, Any injuries to the abdominal wall, always better to rule out any injury or damages to internal organs also. If such a Patient comes to me in my clinic, I suggest him to get this evaluation done Immediately1) An Ultrasound whole abdomen2) X-Ray erect abdomenReview with a General Surgeon. If you have any further queries related to this medical condition you can get back to me. Hope I have answered your query. Let me know if I can assist you further. | |
000002427 | Cellophane you for asking in ChatDoctorThis situation may occur mostly in normal persons. As you explain that you feel a kind of discomfort in your chest better to do | |
000002428 | Hello and welcome to Chat Doctor, The squamous cell carcinoma is not directly related to the kidney function tests. Kidney diseases do not show up early in the course of disease because the kidney compensates it. The normal kidney takes over the functions of diseased kidney tissue. The renal function tests turn abnormal only when the disease becomes advanced. You have mentioned that you acquired wound infection for which you took some antibiotic. There are some groups of antibiotics which affect the renal functions. The compromise seen in renal functions could be due to these antibiotics. You need to consult your doctor for management of the compromised renal functions. Thanks and take care Chat Doctor. | |
000002429 | Hello Sir, your present problem does not seem to be related to your gall bladder surgery. Following exercise if you develop jamming feeling it most probably your fast heart beat that you feel after exercise .can you tell me what's your blood pressure in normal days? Please provide me the details about your rashes when they develop? Timings? Type of rash? Its distribution. Over body? Did you notice jaundice or yellowish discoloration of your body? Will help me sort your actual problem... thank you | |
000002430 | HI. As per the history you provided this looks to me a case of colitis and /or enteritis. What are your associated symptoms? How is the stool-loose, sticky, bloody ?ant associated nausea, vomiting, fever, weakness or so. I think a course of an antibiotic along with metronidazole and antispasmodic like dicyclomine for a 5-day course should solve the problem. Please let me know more about other symptoms if you have Chat Doctor. | |
000002431 | Hello, I went through your reports. Two and half years back ANO Rectal Surgery was performed followed by Chemotherapy and radiotherapy. Your main complaints are painful constipated stool and bleeding. These two complaints are the common problems post operative in this operation. How is the operated area wound. If the wound is there proper cleaning and Chat Doctor. Even if the wound has healed well, Site bath (sitting in a Betadine diluted warm water 20 MTS for as much time as possible) after each defecation, Laxatives at night and painkillers 2 or 3 times a day may be helpful. Anvil PM you can take in the night. Other | |
000002432 | It is very uncommon for radiation to precipitate atrial fibrillation especially if it on the right side. Scatter is very rare with the latest technology radiation. You haven't mentioned chemotherapy. Some chemotherapeutic agents like doxorubicin and trastuzumab can have an effect on heart, but the effect is mainly on heart muscle, though rhythm disturbances can also occur. But these effects are not long lasting, and she would revert to normal with time | |
000002433 | Hello, Evaluate your diet and try to eliminate foods that might contribute to this condition. Rule out any deficiencies or excesses in your diet and maintain balanced vitamins. Make sure that you have had blood tests to rule out systemic factors. Diabetes is known to have as associated condition that changes your breath due to ketone production. Bacterium studies of your oral environment may show an imbalance in your oral flora. I generally do not do this during routine dental exams. Consider visiting a periodontist to further evaluate tissue and bone health. Your comments concerning the throat describe the possible condition of tonsil stone formation or tonsillitis. You have consulted the correct doctors. Continue to try and determine specific triggers. Thank you for your inquiry. I hope my suggestions are useful. | |
000002434 | You have not mentioned the day 21 serum progesterone level (suggests about ovulation)It is reassuring to know that rest of your baseline subfertility investigations are normal. What is your BMI? Do you have regular cycles? Usually women with PRO have irregular cycles as they do not have regular ovulation. I suggest that you take closed/tamoxifen +In Chat Doctor for six cycles along with ultrasound follicular study. Ultrasound examination helps us to make sure that ovulation is occurring. If conception does not occur with this treatment then I would discuss with you two options of management. Either to start induction of ovulation with hormones or laparoscopy and ovarian diathermy for polycystic ovaries. Pregnancy rates between laparoscopic ovarian diathermy after 6 to 12 months follow up and six cycles of ovulation induction with gonadotropin are the same. Laparoscopic ovarian diathermy carries the risk of surgery. However, the rate of multiple pregnancies is lower in women who conceive after ovarian diathermy. Take one tablet of folic acid daily. To increases your chances of pregnancy, maintain normal BMI, quit smoking (if you are a smoker) and have intercourse at least three times in a week. For women with PRO maintaining normal BMI extremely important. Even reduction of just 5-10% of body weight corrects the hormonal imbalance and improves chances of conception. I hope I have answered to your satisfaction. If you have any further queries feel free to contact me through Chat Doctor | |
000002435 | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (cold). Bronchitis is inflammation of airways. And it gives feeling of hot and warm on inhalation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
000002436 | Why crowning has in done? Did your dentist go for root canal treatment?if has done act and crown the tooth the it is ok, in that Casey we have to assume that the pain is taking place due failure of act.act can be failed for many reason starting from pts status to the faulty procedure. But if your dentist did not act, only he filled the tooth and the he went for vital tooth preparation, the pain might happen due to secondary caries, or chronic irritation to the pulp. But in both cases' treatment is same, first remove the crown, thn go for reject or act. And I believe there will not be any pain in future | |
000002437 | Hi. Hives in your case could be due to infection related or Chat Doctor. Hives are generally classified as Acute or Chronic depending on the duration of onset. Acute if less than 6 weeks and chronic if more than 6 weeks. In your case you have been experiencing it for 10 days... Means they are acute(Anyway take Levocetrizine 5\u00a0mg in the evening daily for 7-10 days. Take Fexofenadine 120 mg once daily during the day. Apply calamine. Get a few blood investigations like Complete Removal, Urine R/M, stool ova/cyst and Chest x-ray | |
000002438 | Hi, Thanks for writing in. It is important to know the findings of cancer in ovary that she is having. The CA125 level is also important to know. In patients of cancer ovary with pleural fluid showing metastatic cells indicates that the cancer has spread to other parts of the body, and probably she is having stage 4 cancer. Treatment is surgical debunking any tumor in the pelvis and then giving chemotherapy in cycles. Surgery will remove any tumor that is operable and chemotherapy will stabilize the disease. Survival in stage 4 cancer is up to 2 years with good care and treatment. Please do not worry. | |
000002439 | Hellowelcome to ChatDoctorwell, if I were your treating doctor then first and foremost I would have advised you to get done certain tests to evaluate the extent of disease and the present status as it will greatly help to choose the Chat Doctor. .tests done to evaluate COPD includes --(1) COMPLETE HOLOGRAM WITH ABSOLUTE EOSINOPHIL COUNT(2) ABG i.e. ACID BLOOD GAS ANALYSIS(3) PFT i.e. PULMONARY FUNCTION TESTS(4) CHEST X-ray (5) CT SCAN OF CHEST apart from the above tests it is very important to perform a physical examination including auscultation of the chest and this is not possible online so I would advise you to visit a pulmonologist for clinical evaluation and evaluation of the reports of your tests...as far as treatment is concerned, there are many | |
000002440 | Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node in your neck. It can be due to reactive hyperplasia, tuberculosis or lymphoma. In HIV reactive lymph node and tuberculosis both are common. However, it depends on your sexual history. If you have high risk sexual contact in past then there is chance. You should go for fine needle aspiration cytology of that lump and HIV testing. It will clear all doubts. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | |
000002441 | Hello, The symptoms seem to be related to rheumatoid arthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using cold compresses for local application. Furthermore, I recommend exercises and regular physical therapy. You should follow up with a rheumatologist for further evaluation. Hope I have answered your query. Let me know if I can assist you further. | |
000002442 | Dear Sir/mam, I understand your concerns about this pregnancy. In her case the following points should have betaken into consideration for a complete management of this case1- Due to the cramping and pelvic pressure your daughter has especially in the setting of cervical changes on ultrasound, a sterile spectrum exam must be done in order to see if the cervix is dilated, if the spectrum shows normal looking cervix, then a digital pelvic exam should be done to assess the dilation. 2- Your daughter must be put on the too to assess if she has contractions. If she doesn't then a rescue cervical circle can be done for prolongation of the pregnancy.3- urine infection must be rule out since it might be the reason for the cramping sensation. urinalysis and culture must be done.4- For the future pregnancies am early circle at around the timing for nuclei translucency can be done. Add to that vaginal progesterone also is a good idea. Best regards | |
000002443 | Hello, 200/121 BP is very high. As you are already having treatment for hypertension, then this much of high BP is not expected after treatment. * Check your BP once again, if its still high then do consult your doctor immediately as this much BP may lead to bleeding in body. Bleeding can be from nose as epistaxis but if it occurs internally then it might lead to serious outcomes.* Also keep some emergency medicine at home for emergency. You can keep capsule nifedipine (5\u00a0mg) at home and in emergency take it sublingual. You can ask your doctor about this capsule.* Keep an eye on salt in your diet and cut off extra salt from diet and do walk daily. Both these things will help in controlling high BP.* But for now consult your doctor first.* I hope you are satisfied with my answer. Thank you. | |
000002444 | Hi, The emergency contraceptive pill should be taken on the same day for it to have an effect, as such there is no point in taking one now. How long have you been on the pill, if it's been for a long time then there is a chance that you won't get pregnant. But in these things there is always a chance, especially if you were ovulating. Pills work by suppressing ovulation, if you miss one - you may ovulate. As such you can either wait till your period should start or take a home pregnancy test. I hope this answered your question. | |
000002445 | Hi welcome to Chat Doctor. I have gone through your question. Your both reports are normal and still having problem in conceiving is\" unexplained infertility\". The treatment taking you injection on 5/7/9 thy day and followed by follicular scan to do GUI intrauterine insemination is idle procedure. Continue this method as per your gynecologist advise. Hope I answered your question. Would be happy to help you further. Take care. | |
000002446 | Hi, Capsules should never be broken and consumed since the potency of the Chat Doctor. They must be swallowed as a whole. I would suggest you to visit your doctor for a re prescription of clindamycin since it cannot be obtained over the counter. You have not mentioned the age of the patient or the dose prescribed. This time you can get a lower dose 150 mg. Take care. Hope I have answered your question. Let me know if I can assist you further. | |
000002447 | Hello and welcome to Chat Doctor !!well given your history complete penetration has not happened, but it is not a necessity for pregnancy to happen, and the white liquid is what is called pre-cum which is produced to lubricate and may have active motile sperms my advice would be to wait for your girlfriends period if it doesn't happen get a urine pregnancy test and in the future be very careful about unsafe sex. Take care. | |
000002448 | Dear Friend, greetings from Chat Doctor. Understand your problem. You need not take tablets but get the lipid profile repeated after a month with a fasting blood sample. Try to reduce your triglycerides by proper diet and exercise. Do walk for an hour a day. Avoid sugar and carboy Chat Doctor. Take good proteins like sprouts to take more fiber rich diet like green leafy vegetables, oats. Milets either in boiled or in bread form. Thank you for contacting us and do contact us for more questions. | |
000002449 | Hi, Thanks and welcome to Chat Doctor . A one and a half year old baby, if he passes less than 4 motions/week it is called constipation. You may use some laxative for constipation. I usually prescribe Lactulose syrup. Feeding fiber containing and energy dense foods like whole wheat bread, leafy vegetables will prevent constipation. Excess of milk consumption leads to constipation. Hope this answer serves your purpose. Please feel free to ask further queries if any. Chat Doctor. V. Subrahmanyam. | |
000002450 | It's normal to have some discomfort after act completion for 1 to 2 weeks. The root canal filling makes the tooth tender. The reason for your pain can also be food impaction around the cut tooth which is the space created to fit the crown. If your dentist has done the RCT procedure well then your pain will go in another week or so. Meanwhile you should avoid chewing food from the affected side. Take some anti-inflammatory Chat Doctor. And most importantly while getting the crown placed be sure that all the teeth are in contact. Sometimes the new crown is high relative to adjacent teeth and this can aggravate the pain. Take care | |
000002451 | Hi, I had gone through your question and understand your concerns. I just want to ask a few questions.1. Did you get the vaccines on time?2. Were the wounds washed with soap and water? Do not worry. I would suggest you to - Apply Mupirocin ointment locally.- Take warm compress over the area- I would start tablet Diclofenac along with tablet sanitizing to relieve the pain. Visit a surgeon. He/she can examine the wound and correlate clinically. 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. | |
000002452 | Biting is one of the differential diagnosis for a blister on lip in a 9yr child.it should heal in a matter of 1-2 weeks completely. As u said it started as an enlarging blister with bleeding and grown in size in an irregular shape, so the child should undergo biopsy to rule out malignancy. As family history also suggestive of cancer in the mother, you need to consult dermatologist or pediatric surgeon for biopsy and to proceed further. | |
000002453 | Hi Welcome to Chat Doctor, I understand your concern. Your symptoms could be related to underlying pathology in the heart. So I advise you to get an ECG,2D Echo, lipid profile immediately. Monitor blood pressure and heart rate immediately. Chat Doctor. Exercise daily for 30 min. Avoid smoking and alcohol if any. Consult cardiologist for expert management. Post your further queries if any, Thank you. | |
000002454 | Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, the type of symptoms you describe fit into fleeting arthritis, which is an inflammatory group of arthritis, where multiple joints get involved one after the another, and then slowly start getting corrected. This type of arthritis is usually a sequel of any past episode of viral fever, and can be associated with swelling and redness in eyes, or irritation in urination. These may not be present. The treatment is usually a short course of steroids to suppress the aberrant immunity, so that no damage is done and the body slowly recovers. The medication is to be taken under direct supervision of the doctor hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. | |
000002455 | Hi, Diabetic being the major risk factor for getting coronary artery disease, people having diabetes frequently suffer from the same. To tell you better I'll need the Angiography report. But as your doctor has already told you that he needs a bypass, prognosis depends on heart functioning (LVEF) at the time of surgery, how good diabetes is controlled and any other associated comorbidity. Exact prognosis can only be told after examining the patient. If the heart function is good, and he is healthy enough, I hope he won't face any problem during or after surgery. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | |
000002456 | Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns... Based upon the history you have provided you should require workup...what about the texture of your liver on ultrasound? Is there any associated ascites? What about serum albumin levels and bilirubin?? What is the genotype of your HCV??? Is there any lesion on ultrasound??? Nowadays new Chat Doctor. ....it's a pill which to be taken daily for six to 12 months depending upon the genotype...it is very effective and to date cure rate is 95%. And without any unwanted side effects of interferon therapy... Consult hepatologist regarding this new | |
000002457 | As pediatrician I can understand you concern, but milk is not the only diet for a 9-month-old infant. In fact he must have been started supplementation at 6 months of age with food stuffs like chichi, Dalian, DAL, puddings etc. child Chat Doctor. Initially infants do not accept salty foods but on repeated feeding for few days they usually develop taste. As far as your concern let him take your feed as much as he wants ... instead o giving him formula milk, feed him with above-mentioned food stuffs along with finger foods, mashed potatoes, etc. m sure he will develop taste and start gaining weight, also there would be no signs of iron deficiency as seen in only milk fed babies. | |
000002458 | Hi, The red rash occurring on the face off and on may be inflammatory acne or rosacea. For firm diagnosis, you consult dermatologist. Stress, anxiety, tension, excessive sun exposure, exercise, travelling, oily food might trigger the disease. Antibiotic like azithromycin or minocycline for long time would give good result in both cases. Clindamycin gel application at night would improve inflammatory acne. And metronidazole gel on rosacea might improve cleanse the face with antiseptic liq like detail. After long treatment you might be benefitted. I hope you got my answer. Thanks. | |
000002459 | Welcome to Chat Doctor .1. Possible cause could be ductal Eurasia (dilated ducts) as it increased after having baby.2. Other possible the lesion has grown in the size.3. If you are my patient I would have examined first and then send you for an ultrasound breast, to evaluate the nature of the lump (cystic, solid, mixed), source (duct, breast tissue, fat) and its extensions (chest wall, vessels, ducts).4. Depending on the findings - FNAC might be needed (fine needle aspiration cytology)5. Depending on FNAC findings operative or not will be decided. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | |
000002460 | Hi madam, your daughter most likely has upper respiratory tract infection which most of the time its viral, and rapid heart beats is normal during fever unless if its above 180 beat / minute.because she is an infant I recommend seeing the pediatrician and do a physical exam because sometimes pneumonia can present with these symptoms and especially high grade fever, and physical exam is very helpful in the diagnosis. I hope this is helpful | |
000002461 | Hi, dairy have gone through your question. I can understand your concern. Your lump behind ear has no relation with sunburn. Your lump may be sebaceous cyst or Desmond cyst. Or it can be some enlarged lymph node due to reactive hyperplasia or soft tissue tumor like lipoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | |
000002462 | Thanks for your question on Chat Doctor. I can understand your concern. No need to take aspirin as your ECG is normal. Normal ECG rules out cardiac chest pain. In my opinion, you are mostly having musculoskeletal pain. So follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. 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. | |
000002463 | Thank you for your question Mr. Sivaraman. Cervical spine lordosis has no permanent cure apart from a surgical intervention. But for the pain you are experiencing I would suggest that you take some muscle relaxants Tab Nova MR twice a day, avoid lifting heavy weights and give sufficient breaks in between your work to avoid over straining your hand. If the pain in your arms and hand saree very troublesome you may also apply a cr\u00eape bandage to work to reduce the pain. Hope this information was helpful to u. Do get back to me for any further queries. Chat Doctor. | |
000002464 | You have not mentioned your age which is very important in case of arthritis which is quite common in elderly people above 60 years of age. As per your history I will advise you to take some painkiller like attract or biozobid-plus only when pain is worse enough or disturbing your routine work. Apart from this you can take some calcium supplements like shall or toscal-gem once daily preferably in afternoon along with some multivitamins like metilda-forte or meganeuron-plus. You can do some physiotherapy exercises after an expert opinion of physiotherapist. | |
000002465 | Generally speaking if there was a significantly harmful contaminant you would see signs of a problem fairly quickly. It is never good to give anyone, especially infants, fluids contaminated with plastics. Plastics can have hormone like effects or other toxic effects, but these are mostly a problem when exposures occur again and again over time. Usually a single exposure won't cause serious problems. | |
000002466 | Hello, Thank you for asking at Chat Doctor. I went through your history, I assume that you have allergies to molds and would like to make suggestions for you as follows | |
000002467 | Hi, Thanks for asking the query, The above symptoms which you have mentioned are due to wisdom tooth removal, these are common symptoms which will subside after sometimes. You follow the post extraction instructions given by the Dentist properly. Take complete course of antibiotics and analgesics prescribed to you. At home take lukewarm saline and antiseptic mouthwash rinses. Avoid anxiety, stress take complete rest. Hope you find this as helpful, Regards. | |
000002468 | 1. since you are suffering from the symptoms since the age of 6, any history of injury to muscles, bones, joints,tendons, soft tissues?2. Any wear and tear, overuse, spine problem, poor circulation, varicose veins.3. Since it's quite a long time, hopefully deep vein thrombosis or any clot is ruled out.4. Were investigations like Doppler study carried out to rule out DVT? Or RA factor, ASO title were done to exclude Rheumatoid arthritis, rheumatic fever in childhood?5. Check your potassium and calcium level, as low concentration (deficiency) result in nerve dysfunction and leg pain.6. Regarding painful vein | |
000002469 | Hello, Welcome to Chat Doctor, The history and symptoms are suggesting me that you are having upper respiratory tract infection. This infection is may be due to viral or bacterial infection. The symptoms are in favor of bacterial infection, which is leading to yellow mucus from the respiratory tract. For the symptoms I would suggest you to follow1. Steam inhalation with Vocals.2. Tab Augmenting, 625 mg, twice daily for 5 days.3. Oral Monte LC, once in a day in night.4. Syp Ambrosia S. The aforementioned measures will help to reduce the symptoms and improve the condition. Thank you. | |
000002470 | Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply | |
000002471 | It sounds like he may have cellulitis, which is an infection in the skin. Often before an infection shows up, you can get flu-like symptoms, like muscle aches and feeling sick. If he could hardly get out of bed, then I think he is quite sick and should be seen for it right away. An infection in the skin can easily cause blood poisoning (sepsis) and can be very dangerous. He may need someone to take him to emergency, but he should be seen and started on antibiotics right away. Hope this helps. | |
000002472 | Hello, If you could please describe the precise lesions you see or how you feel them, estimate the size by comparing to a known object. Locations of lesions, clustering or not. The dermatitis you are having might not even be directly related to your pregnancy. But if they are pregnancy related, then you should allow sometime for hormonal balance to be established in your system and suppress the symptoms by either applying HY Chat Doctor. 05% cream on the lesions or taking oral antihistamines. Another possibility is if the above treatment doesn't work, you might be having scabies (strange right? But it is quite possible given the locations you have mentioned). If that is the case, you'll need to take appropriate treatment with anti-scabies lotions. Your daily skin lotion too, should be re-checked as it might be the cause and by stopping and switching your soap might help your situation. I will suggest you pay a visit to a dermatologist for close examination and proper management if above do not work. Not able to examine the rashes myself makes it difficult to give you exact management. Best wishes and regards | |
000002473 | Hello, As per your description, your son might be suffering from Urinary Tract Infection. As he developed fever with rigor followed by sweating along with stone in kidney. So he may have infection in urine that causes fever. First, get some tests done to confirm like Urine routine microscopy with Urine culture sensitivity. Along with that kindly rule out other causes of fever like Malaria and Typhoid. According to report, treat the patient with proper antibiotics. If its UTI then better you start Tab Nitrofurantoin 100 mg twice a day with Cronin 650 mg SOS for 7 days. And for renal stone, don't be panic. If stone size is less than 10 mm then better treat conservatively and give plenty of water. If more than 10 mm size, then contact Urologist for further management. Thank you | |
000002474 | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having cough with hemoptysis (blood in sputum) and greenish expectoration. All these suggestive of lower respiratory tract infection (LETI - pneumonia). You are also not improving with routine cough medicines. So better to get done chest x-ray for the diagnosis of pneumonia. You may also require antibiotics, bucolic and expectorant Chat Doctor. Hope I have solved your query. Wish you good health. Thanks. | |
000002475 | Thanks for your query, I have gone through your query. The implant failure could be because of the rejection by the body or improper maintenance or systemic conditions like diabetes or smoking or immunocompromised state. Consult an oral planetologist and take an opinion. You can get your blood sugar level checked. We cannot do any investigations after removing implants. It has to be done before placing the implants. You should get a CT done to check the density of the bone to place implants. Nothing to worry now. If all the blood investigations are normal then you can wait for 6 months after grafting and place the implants again after 6 months. I hope my answer will help you, take care. | |
000002476 | Dear Luke, there is a chance that this sign could mean something serious but don't be concerned until you do further diagnostic test. It's important to know do you vomit blood, coughing up blood, or you just noticed it in your saliva. The first one means that you have some serious gastritis, gastric ulcer or esophageal disease. Coughing up blood is also a serious symptom which could be sign of pneumonia, COPD or even cancer so this needs to be ruled out. Blood in the saliva could be seen due to some lesion (ulcer, tumor, gingivitis, teeth disorders) of mouth or pharyngeal mucosa. So depending on what I've just said you should definitely do Castro, pull and ORL examination. Wish you good health, | |
000002477 | Hello... Thanks for choosing Chat Doctor for your query.... It is quite distressing for the would be mother to deal with nausea vomiting. I think you should get your ultra TSH, HbA1C, fasting sugar done. Is it single or twins pregnancy. If everything normal you can try some home remedies...it is advisable not to have any kind of liquid after getting up in morning for two hours. You can have Chat Doctor. | |
000002478 | Thanks for your question on Chat Doctor. I can understand your concern. You're all symptoms are suggestive of mostly stress and anxiety related HERD. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of Central pain and tightness. So stress management is very important in your case to relieve these symptoms. And for this, you should 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. You should also start proton pump inhibitors. 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. | |
000002479 | Hi. This is a classical finding of a fissure-in-ano, you have described. Occurs due to strain at pooh as you have rightly mentioned. The simple treatment which you do at home is | |
000002480 | Hello, Thanks for using Chat Doctor. I can assure you that keeping hip in body is not going to harm you can easily continue this for as long as possible. I have seen patients with 35 years with hip implant inside and there is no side effects. So you do not need to be worried about this. I would also like to tell you that it is not right to remove hip implant and no doctor is going to do this as it is not medically acceptable. I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks. | |
000002481 | Thank you for asking Chat Doctor. My name is Chat Doctor. You have mentioned your open Gall bladder surgery and a wound which was although healing, but now it has developed Pus and at times of removal of bandage, it bleeds slightly. Let me clear your concept regarding some points of key importance-you have mentioned that you have a big cut which was a Lauro hole, probably. Laproscopic holes are quite small and most of the time they just need a single stitch enough for their approximation and healing and their scar are very small. One of the key purpose of Lauro surgery is Cosmetic which means avoiding big and visible scrap on patients skinsoThis big Scar which you are mentioning is due to Open surgery which needs Naked eye evaluation and proper exposure so that's why it needs much bigger Scar than Lauro. Your second concern is regarding wound healing wound healing varies from patient to patient, Generally it takes the duration in the Range of 1-2 weeks and after that duration stitches are removed. Some factors which are vital in wound healing,-Sterilization and infection control during and after surgery -Early mobilization of the Patient-Diet of the patient -Post operative wound Care your | |
000002482 | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that a couple of small dots or holes over the gum seems to be infection or injury to the area that can be caused due to the braces while can also be due to trauma caused by toothbrush or any hard food. It can also be due to viral infection causing cold sores that generally occurs in clusters. Another common cause can be inflamed minor salivary glands present in that area. I would suggest you to apply an antiseptic and steroid oral ointment combination over the area. If there is soreness you can also apply numbing gel containing Lidocaine. You can start doing warm saline gargles and also do antiseptic mouthwash gargles. Take a soft diet and maintain a good oral hygiene. Chew a vitamin C pellet daily. In case if there is still no improvement consult a Dentist and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. | |
000002483 | Hallow Dear, If you are menstruating regularly with cycle of bot 30 days, you can expect egg release (ovulation) about 2 weeks after the last menstrual period. Some amount of light bleeding, may be with some pain in the abdomen can be experienced on and around the day of ovulation. It is called Mittelschmerz. Your bleeding seems to be this type. Also, this bleeding could be due to the birth control pills you have taken after the intercourse. In fact post-coital emergency contraceptive pills within 72 hours of the intercourse would have been more effective in avoiding the pregnancy. However, you had unprotected intercourse during this period. So the possibility of pregnancy cannot be ruled out. I would advise you to get Beta Chat Doctor test done 10 days after the last unprotected intercourse to find out the evidence of pregnancy. Alternatively you may wait for menstruation. If you miss it, perform pregnancy test on overnight morning first urine sample about a week after the missed period; earlier the test may report false negative results. I hope this helps you. | |
000002484 | Hello! Welcome on Chat Doctor ! I read carefully your question and would explain that your symptoms seem to be related to neurological complications of Lupus. In fact as there is no cure for Lupus, there is also no cure for your complaints. But you can try symptomatic treatment. For this reason, I would recommend starting Duloxetine. This is an antidepressant, which is also very helpful in chronic pain or neuropathic pain. Considering the fact that Lupus affects both the central and peripheral nervous system, this Chat Doctor. A brain MRI and a nerve conduction study are also needed. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, | |
000002485 | Hello, It could be an upper respiratory tract infection. Allergic cough is another possibility. As there is a fever, antibiotics can be started empirically. Consult a pediatrician and he will direct you accordingly. A chest X-ray and blood routine has to be done as a preliminary investigation. Stalin syrup can be given according to the body weight. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. | |
000002486 | Hello! I read your question and understand your concern. In my opinion the way pain on your back, problems with feet and headache may be related to a cervical disc problem. But trouble with memory is not caused by cervical disc. I would recommend a cervical spine CT scan and a head CT scan for the memory problems. A full blood work for inflammation would be helpful in rheumatic pain. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes | |
000002487 | Hello. Your panic attack can occur due to | |
000002488 | Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, abscess, infection or malignancy. You should go for ultrasound study. Don't afraid of telling it to your parents. It has no relation with masturbation. You need investigation and treatment. 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. | |
000002489 | Good morning.!! Babies up to 1 year can pass stools even up yo 15 times a day. Consistency can range from solid, semi-solid to watery. Colour can be anything (worry only if she passes fresh blood). You need to worry only when she becomes dull, not taking feeds, not passing enough urine per day (minimum 6 times) etc. Consult your doctor if any of these red flags are seen. Thank you, have a nice day.!!! | |
000002490 | Welcome to Chat Doctor I have gone through your query and understand your concern. Whenever you feel pain in hip joint you can get your hip join revise. It will take nearly 15 years to hip joint to revise. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. | |
000002491 | 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. If there is no sign of viral hepatitis then it may be another type of liver damage due to alcohol, autoimmune hepatitis or bile duct obstruction. Extensive Gastroenterology work up should be done. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. | |
000002492 | Hello, I just read through your question. It is possible that the mold from the tub toys are responsible for this. You can treat the fever with Tylenol or Motrin. The congestion may last up to a week, but then it will resolve on its own. If the fever persists beyond 2-3 days, or the congestion beyond 1 week, I recommend consulting with your doctor. Hope I have answered your query. Let me know if I can assist you further. | |
000002493 | You have developed angiogram with urticaria. In this patient have recurrent episodes of swelling of particular and personal area along with transient raised itchy rash over body... As anti histamines are the first line treatment start with oral fexofenadine or levocetrizine under dermatologist supervision. Steroids have a place only if antihistamines won't help... Treatment should last for long without gapping for earlier relief...thanks | |
000002494 | Hi, dear. I have gone through your question. I can understand your concern. You may have lump or it may be ribbed. Just go for ct scan to know the origin of lump and Amy connection with rib or not. If needed go for FNAC of that lump. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. | |
000002495 | Thanks for your question on Chat Doctor. I can understand your concern. Bilateral upper lobe infiltration is seen in following lung conditions. 1. Tuberculosis 2. Acidosis 3. Chronic hypersensitivity pneumonitis 4. Silicosis 5. Pulmonary fibrosis. So to confirm the diagnosis you should get done bronchoscopic evaluation. This includes BAD (bronchoalveolar lavage) analysis and lung biopsy to confirm the diagnosis. Treatment of all This is different. So better to consult first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
000002496 | HIT hanks for using Chat Doctor In case, you specific phobia, you need both antidepressant and psychotherapy. You should consult your psychiatrist for management. With antidepressant like paroxetine, gradually, these symptoms would decrease and with psychotherapy like exposure therapy, you would be able to control anxiety as well thoughts that lead to phobia. In case, you need more help, you can ask. Thanks | |
000002497 | Thanks for your question on Chat Doctor. I can understand your concern. No, pain is not due to air pockets. In my opinion, you are mostly having pleuritic chest pain. It is seen with pleurisy (inflammation of pleura). Chest pain on coughing, sneezing is characteristic of pleuritic pain. Most common cause for this is lung infection (pneumonia). So better to get done chest x-ray to rule out lung infection. You may need antibiotic, anti histamine and anti-inflammatory Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. | |
000002498 | Dear user, don't worry of if it is nothing but lumbar spondylosis. You just take inferential and ultrasonic therapy for 20 - 25 days. With some regular back muscle strengthening exercises you will improve. But you need to correct your sitting posture, as it may be the cause of pain in back. Sit straight always don't bend forward while sitting, avoid lifting heavy objects for few days. Wear LS belt. Within a month your pain will reduce. | |
000002499 | Thanks for your question on Chat Doctor. I can understand your concern. Your brother is having orthopnea. Orthopnea is breathing difficulty in supine position which is relieved by sitting position. Most common cause for orthopnea is heart failure. He is above 50 years and also a smoker. So he is at risk of heart diseases like congestive heart failure. So better to consult cardiologist and get done ECG, 2d echo and stress test. He may need diuretics and other cardiac supportive Chat Doctor. He should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks. |
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