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000002900
Hello, Thanks for consulting Chat Doctor, Read your query, as you have bumps and white patches on back of tongue it can be due to some reason it can be due to presence of enlarged circumvillate papillae, oral thrush, or white lesion can be leukoplakia and redness and swollen irritated left side of mouth can be due to poor oral hygiene, gum problem that can be gingivitis. I will suggest maintaining proper oral hygiene, do warm saline gargle two - three times a day, and on gums you can apply ointment like gum paint, use mouthwash regularly, and consult dentist for visual examination of tongue and oral cavity. Hope this will help you. Wishing you good health. Regards,
000002901
Hello! Thank you for the query. There is no straight answer for your questions without some tests. It can be pancreas indeed. Due to pancreas insufficiency, it does not secrete enzymes digesting fat. It can cause fatty, bad smelling stools, abdominal pain, diarrhea, weight loss. Such stools usually float. Your symptoms may be also caused by partial bowels' obstruction due to Crohn's disease. It can also give similar symptoms. Abdominal pain is like cramps. Please visit your doctor as you do not seem to be improving. Abdominal ultrasound, blood work, pancreas tests, liver tests, urinalysis and abdominal X-ray should be done at first. Colonoscopy might be necessary as well as abdominal CT. Hope this will help. Regards.
000002902
Hi Dear, Welcome to Chat Doctor. Brief answer - Periodontal Abscesses per your query you have symptoms of gum swelling and tooth pain which is becoming generalized in nature it's because of presence of infection, plaque, calculus and food debris accumulated inside the gum area. Extraction of tooth i.e. pulling out of tooth is not a treatment option for your case as tooth pain is generalized in nature. I would suggest you to visit Periodontist once and get it examine properly. Go for root cleaning, curettage and root planning as you have debris inside gums which are causing detachment of gums from arch. Scaling is not the only option as you don't have superficial rather deep debris accumulation. Use antimicrobial mouth wash. Brush twice daily with proper brushing technique. Floss daily. Do warm saline or Betadine gargles to prevent bacterial build up. Go for flap re-positioning if its is advised by periodontist. Use Sensory or any antisenstivity toothpaste to prevent generalized arch pain. Hope your concern has been resolved. Get Well Soon. Best Wishes.
000002903
Hello! Thank you for asking on Chat Doctor! Your symptoms could be related to different possible causes like peripheral neuropathy or chronic inflammation. For this reason, I would recommend consulting with your GP and performing some tests
000002904
Hi, Thank you for posting your query. Steroids are required for treating multiple sclerosis (MS). However, it is often used for short duration, about three weeks in total. I agree that it may cause weight gain. But when you stop steroids, the gained weight normalizes. I suggest you continue with your schedule of diet control and exercises to attain the desirable weight. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
000002905
HiT hanks for using Chat Doctor I think, you have some adjustment problem. Sometime, due to some reason, people become obsess about any people. In that case, they feel the same way, you are thinking. Better to consult a psychologist and try to control such thoughts. You can also try some relaxation exercise that would keep calming or relax in tense situation. In case, you need further help, you can ask. Thanks
000002906
DearWelcome to Chat Doctor. Understanding your concern. As per your query numbness and tingling sensation on the face is because of nerve impingement or pressure on facial nerve which can lead to facial paralysis. Need not worry about it. Visit dentist once and get it examined to rule out nerve compression, neuralgia or other conditions like neuropathy. Go for physical therapy of facial muscles. Avoid opening mouth extreme wide while jawing. If it is not due to dental related cause visit neurologist once and get it examined. Doctor may prescribe MRI of brain as it could be related to stroke. Neurotrophic medication such as nerve supplement, methylcobalamine is effective to improve your symptoms. Hope your concern has been resolved. Get Well Soon. Best Wishes,
000002907
HelloThanks for query. You have not mentioned your sperm count in your query nor posted semen analysis report . You have been married since 4 years and expecting child however your sperm count is low (Oligospermia). The other problems like loss of libido and premature ejaculation are mostly due to anxiety. Clomiphene taken once daily for few months does help to increase sperm count. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation and increase sperm count. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 every day 4) Avoid alcohol and smoking. Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor.
000002908
Most common cause for Renal failure in our country is ignorance innocence and use of treatments like herbal medicines, siddha, unani etc. for some other diseases. That's what happened in your case. As the duration of Buddha medicine intake is short, probably your kidney condition would be reversible. Don't take these types of medicines and also educate your colleagues. All the best. If you have any questions feel free to contact me.
000002909
HelloThanks for writing to ChatDoctorYou have negative tidal test. You are not suffering from typhoid fever. Salmonella O or H antigen tier values equal or greater than 1
000002910
1. as you haven't mentioned your age, it is not possible to answer about PMS, is it PRE or POST menopausal syn Chat Doctor. You are just catching the fluid level which is wrong, instead check with your Doctor about your Renal function (Blood urea, Serum Creatinine, BUN,GFR) to make sure that kidneys are working properly.3. Motrin (Ezetimibe and Simvastatin) is used to lower high blood cholesterol level (please mention your current Lipid profile)?4. For how long you have been taking Spironolactone and for what symptom did your Doctor prescribed the same, any h/o hypertension?5. Because you are taking spironolactone daily, please check your potassium level as it causes dangerous Hyperkalemia, along with any noted acne, hirsutism,alopecia in you??6. Side and severe effects of spironolactone are persistent cough, muscle weakness, and
000002911
HiT hanks for using Chat Doctor In depression, you need antidepressant and that would help you to come out of depressive symptoms. You can consult any psychiatrist in your locality and start taking antidepressant as soon as possible. With medication, you would definitely feel better. You can also try some relaxation exercise. That help you to keep calm or relax. In that case, you need further help, you can ask. Thanks
000002912
Hi, dairy have gone through your question. I can understand your concern. You may have some inflamed cystic lesion or some benign tumor. You should consult your gynecologist and go for examination. Then take treatment accordingly. If needed you can go for biopsy of that lump to know exact cause. 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.
000002913
Hi. Thanks for your query. Read your history and understood your problems. You have small stools with creamy colored froth. You also have mild pain in abdomen. The pain intensifies when you try in the toilet. Such a history is seen in patients suffering from Colitis. This may be more due to amoebic colitis as it gives mild pain which increases on passing stool, has creamy froth. There can be a super-added bacterial infection too. I would advise you the following
000002914
Hi and thanks for the query, Its important you recognize already that its due to a change in diet. The first thing might be tried to know whether the symptoms you are experiencing are also experienced by others who ate the same food. This could be important to give an idea on food intoxication. If others are not complaining, that it would be worthwhile somewhat avoiding the particular food type in the future. Depending on whether you are experiencing only abdominal pain, or is accompanied by diarrhea or vomiting the management would be different. If pain is mainly above the navel and moving to the back, this could be indicative of gastritis, and if present, antacids could give relief. If its only abdominal comics, anti-spasmodic Chat Doctor. In case symptoms persist for two or more days, you might to consult your primary care physician for reevaluation. For now, antacids and antispasmodics, as advised by your pharmacist could be very useful. Thanks and best regards, Luchuo, MD.
000002915
HI THANKS FOR YOUR QUERY AS PER DISCUSSION YOUR DAUGHTER SHOULD HAVE EXERCISE INDUCED ASTHMA WITH SINUSITIS(INFECTION AND/OR INFLAMMATION OF SINUSES) CAUSE OF HEADACHE MIGHT BE SINUSITIS. During normal breathing, the air we take in is first warmed and moistened by the nasal passages. Because people tend to breathe through their mouths when they exercise, they are inhaling colder and Chat Doctor. In exercise-induced asthma, the muscle bands around the airways are sensitive to these changes in temperature and humidity and react by contracting, which narrows the airway. This results in symptoms of exercised-induced asthma, LIKE-- Coughing with asthmaTightening of the chestWheezingUnusual fatigue while exercisingShortness of breath when exercising
000002916
Hi, The sperm count and active motility of sperm have not been mentioned here. So report is incomplete. The sperm morphology is 75% abnormal and 25% normal. According to strict criteria, 4% normal morphology also can be enough for conception. However, I need to check your count and active sperm motility. So attach the report to comment further. Don't worry even though countless because assisted reproductive techniques available for reproduction. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000002917
HiT hank you for asking Chat Doctor. I have gone through your query. You can practice squeeze and stop technique. You can wear a condom or condom with anesthetic which will decrease the excessive stimulation on penis and there by prevent premature ejaculation. Furthermore, you can also do thought changing when about to near ejaculation. Anxiety and stress if your have should be controlled as these can cause premature ejaculation also. Breathing exercises for stress relaxation will be helpful for this. If all these not helping then you can approach a psychologist or sex therapist for behavioral therapy. If that is also not helping then SSRI group Chat Doctor. Hope this may help you. Let me know if anything is not clear. Thanks.
000002918
Hello, I can understand your concern for hyperpigmentation and skin darkening. After analyzing your query I can get that you have the problem since a quiet long time. It can be related to simple \"Post inflammatory hyperpigmentation\" or also known as PIN or could also be due to some genetic condition. In all of these conditions the color giving cells are over active and are produce more color to the skin. The resulting situation is manifested as slightly increased pigmentation over the affected area. I generally give the latest treatment with comic acid, licorice extract, niacin amide or if required the atelier acid based creams and other latest ingredient in the treatment. You can take further guidance from a dermatologist. All the best.
000002919
The swelling of abdomen and scrotum is due to low protein content of blood as the proteins are being lost due to leakage from the damaged kidney membranes due to nephrotic syn Chat Doctor. The solution of the condition can be brought about only by controlling the inflammation of the filtering membrane of the kidney, for which the prednisolone has been prescribed. If you feel that the condition is worsening, please visit the ER rather than waiting for the doctor's appointment but if you feel that the condition is more or less the same, you may wait till tomorrow.
000002920
Hi, Any type of chest pain should be taken seriously and should be evaluated to rule out the possible cardiac cause. Cardiac pain does not change on respiration, but it occurs after exercise or exertion and relieves after rest. Cardiac pain is never localized and is diffusely present over the chest. So you should get yourself evaluated. I'll advise you for an ECG, 2D echo, Chest X-ray and a stress test. The definitive medicine will depend on the results of above-mentioned tests. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000002921
Hello welcome to Chat Doctor. You have got high blood pressure and hence your doctor has started you on medications for the same. BP medications are usually to be taken for a long term duration. The dose may be lowered or increased according to the BP. If your BP control is good, then the dose can be decreased. But most patients need it for a long term duration. Since you are newly diagnosed, you can start with diet, lifestyle modifications and daily exercise along with the medication. If your BP is well controlled a trial off medications can be given. Your LDL cholesterol also is higher, and you should also be started on cholesterol lowering medications like statins. Wishing you good health. Regards.
000002922
I will advise u to increase your sperm count through ayurvedic and natural treatment. Follow healthy diet plan includes nuts (almond, cashew etc.) steamed food in your daily food intake. Avoid junk, fried foods. Take a pomegranate daily and add more vegetables and fruits daily. - gives u antioxidant property. Do walk for 3 to 5 kilometers daily. Avoid stress and have a sound sleep. Oil bath once in a week. Medication
000002923
Hello! Welcome on Chat Doctor ! Your symptoms are not indicative of any brain tumor. Tension type headache seems to be the main cause of your complaints. This is a benign type of headache, which is related to psychological stress. For this reason, I recommend you to focus on your anxiety and try to manage it better. A lot of physical activity (Yoga, aerobics, sports, running, etc.) can help in this regard. Hope you will find this answer helpful! Best wishes,
000002924
Hello Kennan;welcome to Chat Doctor Egg positive of TB suggests old infection and not an active infection. The reason for problem in conception of your friend can be many like irregular periods;PCs;TB;Ovulatory cycles;male infertility etc. just to name a few. There is no immediate solution for it and your friend, and she has to get investigated fully to find the cause and once the cause is treated she will become pregnant. So tell her to consult a Gynecologist and get treated. Thanks
000002925
Hello Jamie, since you say that you can not afford a dentist so approaching dental students or free dental camps organized by various hospitals can definitely help you. I would suggest that before deciding to go for a denture just get your full mouth check up done and I think that should be affordable. avoid going for implants as the procedure requires blood tests and all. Any tooth that can not be saved can be extracted and the others with good prognosis can be conserved. Yes definitely you can be a good candidate for dental students and don't worry they perform their treatments under supervision of highly qualified doctors.....take care. Hope this may help you
000002926
Degree understand your concerns went through your details. I suggest you not to worry much. I hope you consulted a child specialist regarding the symptoms you mentioned here. Furthermore, I could see the problems are a bit more complicated. Realistically, these symptoms could more physical than psychological. Please consult a child specialist before approaching any psychologist or psychiatrist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
000002927
Hello, You should take your anti-diabetic medication stamen before food, or within 15 mins of starting your meal at the most for optimum action. Your HAC is still higher and after the change in medication, do repeat the test after 3 months. However, you may do a fast and post lunch sugar after 2 weeks or so to know the trend. Your calcium levels are, yes you may stop supplement and rather concentrate of acquiring adequate calcium and vitamin D from. Regards Chat Doctor.
000002928
Hello. Thanks for asking from Chat Doctor. I can understand your concern. As you have had ACD 10 weeks before and similar symptoms have recurred, it might be due to compression at same level. This has happened due to
000002929
Hi, dairy have gone through your question. I can understand your concern. She may have enlarged thyroid or some enlarged lymph node. SHR should go for thyroid function test and ultrasound neck. It will give you exact diagnosis. If needed go for fine needle aspiration cytology or biopsy. 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.
000002930
Hi there. Thanks for writing in. You are already on pain relieving medications. What you can do is avoid sleeping on the affected shoulder. Serratiopeptidase might help relieve the internal swelling/ edema. Vitamin C tablet might help improve healing process. Application of pain relief gel like diclofenac gel might help. The gel should be lightly applied and not massaged on the affected area. If massaged, can cause burning sensation in the skin. Half an hour after application of gel, do hot fomentation on the affected area. Do hot fomentation 3-4 times a day. If none of the measures seem to help, do consult a physiotherapist. You might also want to get your Vitamin B12 levels checked. Hope my answer was helpful to you.
000002931
Hello and welcome to Chat Doctor, As you described, your root-canal treated lower right side teeth is periodontal affected resulting in abscess formation. If you are not willing to retain the teeth, it has to be extracted and replaced with fixed prosthesis. The prosthesis will prevent shifting of adjacent teeth. Regarding your left lower teeth, if it does not have any problem associated, no need to worry. I Would suggest you to maintain good oral hygiene. Prevent plaque accumulation on the affected site. Take care.
000002932
HELLO AND WELCOME, Since your affected teeth affected with dental caries at the age of 9 years, the decay has spread into periapical area causing abscess thereby cheek swelling occurs. I WOULD Advise you to get an x-ray of the tooth to know the present condition of tooth and treatment can be planned based on that. If tooth can be saved, RCT HAS TO BE DONE AND CROWN HAS TO BE PLACED. IF tooth cannot be saved, it has to be extracted, and a removable/fixed denture can be replaced. Hope this suffices. Regards Chat Doctor.
000002933
Hello, As your aunt has a past medical history of chikungunya, there will be some post pathological effects of the disease. Swelling, pain, tiredness, muscle weakness, joint inflammation are common. Having a Chat Doctor. Also, as for chikungunya, the patient tends to have muscle weakness by which the joint space reduced and the compression on joint due to bony friction will be present and needs to perform exercises under a guided physiotherapist, so the muscle stays active and strengthened. This will help avoid pain. If she has any cardiac profile and has already into menopause then the swelling will be common due to lack of venous return and hormonal changes. Getting involved in the Physical exercises is recommended in patients with chikungunya. Recent research studies show there are optimum improvements in patients with chikungunya by having regular physical exercises. Monitoring the blood pressure, blood glucose, vitamin D and calcium levels are of utmost importance under a physician. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In
000002934
Hi, Thanks for the query. I understand your concern. Demo injection is a long acting contraceptive. takes about 9 months on an average for resuming ovulation/fertility. You had been off the injection since 2 months. The symptoms you have (no menses. Moodiness. Loss of appetite etc. are with Chat Doctor. Still if you have doubt. You can go for home pregnancy test after 3 weeks of having sex. After you start having regular periods...you can do LH surge test to confirm ovulation then try for conception. Thanks.
000002935
Hi, Thanks for asking. I understand your concern. If you & your husband are normal after treatment, you should give a fair trial for normal conception(take It E & folic acid . Both of you/ know your ovulation time by using LH surge test & have unprotected sex around the estimated ovulation day. - If you do not conceive in 3-6 months, / if the counts are low-go for GUI/ test tube baby. - In case the sperm count is non-promising. You can take advantage of sperm donation & GUI/ test tube baby. Wish you all the best. Thanks.
000002936
HiT hanks for posting your query. Well the possibility of stroke is high as a 100% blockage is heart vessels usually be associated with certain degree of blockage of blood vessels to brain. I would recommend you get a Carotid artery Doppler which checks for blockage in blood vessels of brain. Or else he better consult a physician who will evaluate and advise accordingly. But kindly do consult. Hope this information was useful to you. Any further clarification feels free to ask. Regards.
000002937
Hi, I have gone through your query and understood the concern. The medication you have taken should be effective. Moreover, if you are in the safe period of your cycle, you are naturally protected. Another alternative is to ask for the insertion of an IUD as a measure of emergency contraception. This also serves future purposes. Please remember that your menstrual cycle is going to get disturbed for one or two months as you have consumed high hormone doses. Your next natural period may get delayed, and please get further help from an expert if you become overdue by ten days. Hope this helps.
000002938
He might have small intestinal TB rather than stomach TB. Amoebas also involves small intestine/some part of large intestine. If he has taken medicines for both diseases in form of a Complete Course, he should be fine. U can go for an oral+iv contrast CT scan of him. Now, the diagnosis of a lax cardiac can be confirmed by an upper GI endoscopy with manometry (if available). Lax cardiac may cause acidity with reflux.
000002939
Hi ! Good evening. I am Chat Doctor answering your query. If I were your doctor, immaterial of whether the lump moved or not, I would refer you to a general surgeon for a clinical examination and a possible FNAC (fine needle aspiration cytology) for an initial diagnosis, followed later by an excision biopsy electively. Further management would depend on the reports. 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. Wishing you an early recovery. Chat Doctor.
000002940
Welcome to Chat Doctor .1. It looks like a bacterial infection (carbuncle / fur uncle) hair follicle infection.2. Not always a course of antibiotics will help in case of infective lumps / collection / abscess.3. In this case the treatment of choice will be - small incision and Chat Doctor. After that a course of antibiotics.4. The remedies in this case is avoided shaving underarm and deodorants - as all these cause irritant and delay healing effect. You can use trim until complete heal.5. You can change your doctor if you are not happy, but sometimes just antibiotic treatment will not help, procedure is needed.6. Furthermore, you can not leave it, complications can be there. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
000002941
HI. Thanks for your query. Diabetes has to be well under control for the effectiveness of any antibacterial treatment including that of Tuberculosis. The treatment was correct in the initial phase. After the relapse you may need a second line of treatment under the guidance and observation of a Physician. This is important as the same Chat Doctor. Secondly, you need to have a proper diagnosis done by Laparoscopy and confirm whether there is relapse or aftereffect / sequel or complication of TB. This is the most important aspect.
000002942
Hi, It will not be hard to determine the difference between a MASS LESION or an infection since there are several diagnostic studies such as PET SCAN, ULTRASOUND, and finally FINE NEEDLE BIOPSY that can all help differentiate between those 2 entities. Also, blood tests can help when looking at high white blood cells and/or the presence of fever etc. Hope I have answered your query. Let me know if I can assist you further.
000002943
Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Seborrhea dermatitis, which secondarily leads to hairball and thus It's important to treat it first hand. I would recommend you a short course of oral antifungal Chat Doctor. Use a medicated shampoo containing ketoconazole and salicylic acid twice a week. Take antihistamines as required for itching. Avoid excessive use of hair oil. As for the hairball, start oral supplements containing biotin and other essential vitamins and minerals (Collinear new) once a day for at least 3 months. Hope this will take care of your query. Thank you
000002944
HiI understand your concern. Pitting edema in lower leg might indicate renal pathology. Though there are various causes of edema. Complete blood testing with Renal/Liver/Thyroid functions test will be advisable to reach root cause of it. Physical examinations?blood pressure?blood sugar is also necessary. So consult physician and get assistance from him. I hope I have answered your query. Feel free to ask. Thank you.
000002945
Hello, Thanks for choosing Chat Doctor, Quenching teeth is medically termed as bruise.It's mainly related to the stress, anxiety,bad Chat Doctor. Etc... Do you quench vigorously in a particular moment? If it's related to the above-mentioned then you have to decrease the stress.but it may be due to other various reasons.like malocclusion. Consult with Dentist for whole mouth check-up...Don't neglect this...bruise can lead to temporomandibular joint problem... Get your proper treatment done... Wish you good health... Regards...
000002946
Hi, Thanks for writing in. If you do not have any ulcerative wound in your mouth or lumps in the neck region then there is no risk of cancer at present. A throbbing pain in the throat and jaw can be due to many reasons including sore throat due to infection. You have taken a good decision to quit smoking, but please do not start even one cigarette as it is an addiction, and you will get into the habit again. Most people have craving for smoking after few months, but you should avoid any smoking from now. For sore throat you can do gargling and this will help you to soothe the throat and get comfort. Please do salt water gargle twice daily for a week, and you should be feeling better. In case you want to completely confirm the absence of lymph nodes and thyroid problems then do an ultrasound scan of neck. Please do not worry.
000002947
Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. First do not panic. Endometriosis is a treatable condition. You will be able to get pregnant once again. If relationship between tubes and ovaries is not disturbed, then chances of getting pregnant are high. If there are adhesions between tube and ovary, then also you get pregnant by artificial reproduction techniques, like IVF. Usually endometriosis is treated with Injections like Bukharin Tablets like Anatole. Once the effects and growth of endometriosis is treated, you can opt for various ways to get pregnant. I hope this answer helps you. Thanks
000002948
Hi, I admire your positive outlook and congratulate you for the attitude. As you know your child is diagnosed to have Crohn's disease. This condition is inflammatory disease in intestine. She requires a long term medication as advised by gastroenterologist / pediatrician. Once she tolerates feeds, you can give any homemade food which is not too spicy. Try to give the lot of liquids food. Keep under continues follow up because disease can flare up any time. Strictly follow the medication regime suggested keeping the disease under control. 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 your child good health.
000002949
Your History suggests (1) you may be allergic to some garden related - pollen / flower or any other allergen which can cause such off and on symptoms.(2) You need to go for thorough workup like Throat Culture and Sensitivity test, Allergy panel test, other test which may be required after your physical exam.(3) Best option is when you get complaints next time, you go to a good medical facility and consult Internal Medicine Physician about your off and on complaints. Internal Physician would do physical examination and suggest further course most likely as I mentioned by me in 1 & 2
000002950
HiT hanks for posting your query. Back pain can occur in any lady who had c section for years together but it won't cause any curving of spine and any walking problem. So there must be some other problem causing curving of your spine. It could be due to fracture of spinal bones or weakness of spinal bones. Weakness of bones can occur due to calcium deficiency or vitamin deficiency. I advise you get x-ray lumbar spine serum calcium and serum vitamin D3 tests and revert with reports. If pain is excruciating get back physiotherapy weekly and take muscle relaxants after consulting your doctor. Any clarification feel free to ask.
000002951
Hi, You seem to have developed fungal infection. Groin folds are a very common site of fungal infection. It usually presents as a Chat Doctor. I suggest you to try an OTC topical antifungal e.g. Clotrimazole 1% cream, twice daily. In addition, I suggest you to take an oral antifungal e.g. either Fluconazole or Itraconazole, for 2-4 weeks. You may also take an OTC oral antihistamine e.g. Tab Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if I can assist you further.
000002952
Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
000002953
Hi.noted history of non-painful lump on the patients posterior thigh. It may be a case of lipoma (fatty deposit), fibrous (fibrous tissue formation) or a cystic formation. Other lesion types such as malignancy must also be ruled-out. It is best if you bring your friend to a doctor, preferably a general surgeon, especially if the lesion is bothering her. Diagnostics and management (medical and/or surgical) will be directed accordingly. Definitive management is surgical excision of the lesion with proper antibiotic regimen and daily wound care thereafter. Hope this helps. Good day!!~ Chat Doctor.
000002954
Hello, Welcome to Chat Doctor. I have read you history carefully and appreciate your concern for your daughter. I think your daughter is suffering from recurrent tonsillitis due viral or bacterial infection. You need to start antibiotics like amoxyclav or azithromycin. You should have her do warm salt water gargle if it is possible for her. Tonsils may also need to be removed if tonsillitis is recurrent, or they are really enlarged and obstructing breathing. It is recommended to consult an ENT surgeon for this. Hope this will be helpful. Do ask if any further question is there. Thanks for using Chat Doctor. Take care.
000002955
Hi, thanks for writing. Is her periods regular, 28 day cycle? If so, around day 14 is ovulation occurs. 12-16th day you should have an intercourse to attain pregnancy. If periods are irregular, get a follicular study on day 11 of your cycle and follow up on alternate day till follicle size reaches 20\u00a0mm. This is time ovulation occurs and should have intercourse. A repeat scan has to be done to see the signs of ovulation. Get a semen analysis also. If everything is normal try for 1 year prior to taking medications. Hope I have answered your query. Good day.
000002956
Hi, thanks for the query. Since when do have these concentration difficulties in studies? Starting from simple to more complex issues; we are usually able to concentrate better when whatever we are reading/doing is interesting for us & NOT MERELY Chat Doctor. Secondly, try & choose subjects/courses which you are really interested in studying & just don't study for the heck of getting a degree/academic qualification. Lastly, studies have time & again proven that average concentration span of human mind is around 30 minutes. Hence, if you are able to study for 30 minutes; you are actually doing good! You can devise 30 minutes study-10 minutes break (strictly 10 minutes!!) schedule to improve your concentration. Good Luck
000002957
Hello, Welcome to Chat Doctor, Wart which is painless and itching are the classical of Wart which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). Thank you.
000002958
Hello, For this reason, I recommend consulting with her attending physician for a physical exam and some tests
000002959
Hello, As he has a larger chest on the side than others, why don't you check for his spine? If he has a deviation of the same then it might be a postural habit which has been adapted over a period of time. An x-ray will only reveal the structural anatomical alignment of the ribs and spinal column. Wait till the film reports come post which you can think of the next step. For now, look for the postural correction and breathing exercises to avoid pulmonary system suppression. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.
000002960
Degree understand your concerns went through your details. I suggest you not to worry much. You guessed it correct. If you have social phobia and social anxiety at the age of 18 and if you do not take any treatment measures, it is for sure that your condition will worsen in the future. First you should consult a psychologist for a counseling session. Then according to his opinion you may need psychiatric intervention. Please work with your psychologist or psychiatrist. Please do not overlook your condition and shy away from treatment. You need them, for sure. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
000002961
Hello & welcome To Chat Doctor, Your history is not complete. Please let me know about your age, sex, duration of the problem, any history of diabetes, kidney stone or any urinary bladder problem. But till now you can do one thing, ultrasound of lower abdomen. After knowing the complete history, doctor can suggest you the correct treatment. Hope so you are getting the answer of your problem. Thanks & Regards Chat Doctor.
000002962
Hi, Thanks for writing in. Liv.52 tablets are suggested to improve liver functions. These tablets contain herbal composition including Chicory and The Caper Bush which contains p-methoxy benzoic acid, which is a liver protective agent. Liv 52 is indicated for the prevention and treatment of viral hepatitis, alcoholic liver disease, pre-cirrhotic conditions and early cirrhosis, anorexia, loss of appetite and liver damage due to radiation therapy It will not work for kidney stone. For kidney stones you must take Cranberry juice.
000002963
Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that a lump that doesn't hurt in this region could be related to a lipoma or fibrosis. I do not think that it is malign or cancerous as it has been there for a long time, without spreading. I would just recommend consulting with your doctor for a physical exam. A surgical resection can be needed, if it disturbs you or interferes with your look. Hope you will find this answer helpful! Kind regards,
000002964
Hi. Welcome to Chat Doctor. I read your query. As you mentioned you had IPR done on your teeth. This can at time lead to slight discomfort post procedure. As for white spots on tongue and burning, there may be rough spots left on teeth after reduction. This may lead to trauma and frictional keratitis. I suggest you go to your orthodontist and get any brought point left smoothened and polished. Also, if there is any plaque or calculus, you can get oral prophylaxis done. If tolerable, do warm saline rinses. Massage gums using gum paint. Apply lidocaine gel before eating to reduce burning. Take multivitamin one tablet per day for 2 weeks. Maintain oral hygiene. Hope the answer helps you. Take care.
000002965
CAA.definitely its due to severe allergy to pepper spray.........if he is an asthmatic/allergic person, pepper spray/any irritant causes sudden lung blood supply constriction resulting in craving for oxygen..........AVOIDANCE IS THE BEST TREATMENT FOR ANY ALLERGIC CONDITION............if not subsiding please do use steroid sprays like fluticasone, beclomethasone propionate types response will be good with them.............needed to clean your entire house daily......an allergic person may super from reactions due to household dust
000002966
Thanks for your question on Chat Doctor. I can understand your wife s situation and problem. She may be having blunt chest trauma due to fall. And chest pain with breathing difficulty is common in blunt chest trauma. You should get done chest x-ray first to rule out rib fracture, pneumothorax, Pulmonary contusions etc. As all can cause post trauma chest pain and breathing difficulty. If chest x-ray is normal then she is mostly having musculoskeletal pain. So ask her to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, she will be alright.
000002967
Thanks for your question on Chat Doctor. I can understand your problem. In my opinion we should first rule out cardiac cause for your chest pain. So get done ECG. If ECG is normal than no need to worry much for cardiac cause. Pleurisy (inflammation of the pleura) can also cause chest pain on coughing and deep breathing. So get done chest x-ray to rule out possible causes of pleurisy like pneumonia, tuberculosis etc. If chest x-ray is normal than no need to worry much for pleurisy. Anxiety will be the cause. Many times, patient needs psychiatric counselling along with anxiolytic Chat Doctor. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright.
000002968
Hi, Thank you for posting your query. I appreciate the detailed description that you provided of your symptoms. First, biracial plexus injury can occur as a complication of difficult labor and delivery (shoulder dystonia), where shoulder of the baby comes out before the head. Treatment is with exercises, and I am glad to note that you have done well. Second, regarding the weakness of left side, it needs evaluation. It could be due to clotting of blood in the brain veins or arteries. An evaluation by a neurologist and a possible MRI of brain may be useful. Regarding the periods being irregular, it is most likely due to a condition called as dysfunctional uterine bleeding. The suspicion that your blood is stored in two sacs, etc. is not correct. Your gynecologist will help you understand your problem better. Best wishes, Chat Doctor.
000002969
First, you did not mention whether you had small cell cancer or not. Both have different treatment algorithms and outcomes. Small cell is generally more aggressive. Also, I would like to know if they removed the nodes or not and if they were involved by tumor or not (this would be in the biopsy report). If they were removed and are negative and the margins of resection are negative for tumor (this would mean that the tumor has been completely removed) then you would be in the 2nd stage (stage IIA technically but high risk due to large tumor size). So, I would recommend that you get further chemotherapy to decrease your chances of recurrence. The prognosis is good, and you have a 70% chance of being cured.
000002970
Welcome to Chat Doctor. 1. The history suggest the possible cause of the lesion at the site of the previous injury could be infective collection. 2. Though there is no history mentioned pain or fever infective etiology to be ruled out.3. Other possible cause could be lipomatous lesion - fat content.4. The Ultrasound examination is the investigation of choice in this case, ultrasound will help to evaluate the nature of the lump, its source and extensions.5. First thing one has to examine the lump, I do not think there is much to worry as there is no pain on touch. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http
000002971
Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair loss which seems to be mainly due to fungal infection, poor hygiene, and systemic causes. Need not worry. I would suggest you to wash hairs after proper massage with olive oil. I would suggest you to consult dermatologist for proper examination. Doctor may order blood test, skin patch test and can do physical examination. Doctor may prescribe you Chat Doctor. You should maintain complete hygiene. You should use Finasteride preparations. Furthermore, you should take supplements like vitamin A, Omega-3 and vitamin E. Hope your concern has been resolved. Best Wishes,
000002972
Hi ! Thank you for your query. Dear madam, Whatever information you have provided is insufficient to guide you. Low blood sugar is not related to autoimmune disease. Generally in autoimmune disorders the is hemolysis leading to anemia but that's not universal. High RBC count can be physiological or pathological like in polycythemia. I advise you to see you doctor and get her thoroughly investigated only then we can reach on to some conclusion. If you have any further queries feel free to ask. Wish you good health. Take care.
000002973
Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like complete blood count, estimation of serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions like getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care.
000002974
Hello, Anyway, the numbness in your leg could be related to a pinched nerve. For this reason, I recommend performing nerve conduction studies and a lumbar X-ray study. High blood pressure values could be related to anxiety. Anyway, I would recommend performing some tests in order to exclude other secondary causes underlying high blood pressure (complete blood count, PCR, ESR, thyroid hormone levels, blood electrolytes, kidney and liver function tests). 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. Take care Chat Doctor.
000002975
Hi.it might be folliculitis based from your description. It is an inflammatory reaction when you shave or remove hair from the area. It is very important not to get it infected by not manipulating or scratching the lesion, avoid shaving and products that may add irritation to your skin. Usually, these cases, resolved on their own. But if the symptoms are persistent, and there's growth of the lesion, a consultation with your doctor is best. Also, maintain a good hygiene and keep the area Chat Doctor. Hope this helps. Good day!!~
000002976
Hello! Welcome and thank you for asking on Chat Doctor! You should know that weakness of your hands is not related to the lumbar spine. In fact, it can be explained by cervical spine degeneration or spinal canal stenosis in these levels. Other possible causes to consider would be polyneuropathy, especially considering the fact that this is a common complication of acidosis. Coming to this point, I would recommend performing a cervical spine MRI study and a nerve conduction study for polyneuropathy. You should consult with a neurologist and discuss these issues. Hope you will find this answer helpful! Wishing all the best,
000002977
Degree understand your concerns went through your details. I suggest you not to worry much. From the description (if the description is correct) it seems that your sister is having amnesia. Amnesia is of different types and proper evaluation and treatment is required. First take your sister to a physician and the physician should decide what type of treatment she needs. Psychologist can do a bare minimum in amnesia. Probably you need to visit a neurologist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
000002978
Hi dear, it often happens during teething, because infection comes with dirty things, which baby bites and infectious saliva from mouth also causes diarrhea. I suggest-Enterogermina 1 sachet daily for 5 days.-ORS-Try to keep baby HY Chat Doctor. -Nitrofurantoin 1/2 tablet 3 times a day after meal for 7 days.-Z&D syrup-Rice diet, boiled water from pomegranate peels also stop diarrhea(50ml 3 times a day)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 and baby good health.
000002979
Thanks for your question on Chat Doctor. Black lung disease is caused by air pollution and coal dust. And not every one who inhaled it, got the disease. Only few who are sensitive to it got the disease. So it is quite acceptable to have disease in only one family member. For the diagnosis of this, presence of coal particles in lung is must. So bronchoscopy is done, and Lavage fluid is sent for the examination. And if coal particles are found than it is mostly black lung disease.
000002980
Hello Sudhakar. Welcome to Chat Doctor. Decision of using Stalin (which is a reliever medicine for asthma) or Aeroflot (which is a controller/preventer medicine for asthma) depends on how severe your asthma is and how frequently you need to use Stalin inhaler. Practically, if you need to use Stalin for more than twice a week I would suggest you to take Aeroflot daily. Or if you have to wake up at nights from wheezing frequently or wheezing stops you from exercising, also I would suggest you Aeroflot. Hope this will help you. Wish you best of the health. Regards. Chat Doctor.
000002981
HiT hanks for using Chat Doctor You should get your thyroid profile done. Sometime due to hypothyroidism or subnormal thyroid level, patient get depressive symptoms and weight gain. In that case, with thyroid hormone, you would feel better. Even if you profile come normal, you can take it for augmentation purpose with your antidepressant. That would keep you active as well as control your weight. Thanks
000002982
**1. Since there is tissue injury, thus in best interest it is wise to consult an Orthopedic surgeon to rule out any damage to nearby structures [ligament/tendons] before any alternate system of medicine is practiced/tried.2. In acute stage, when there is inflammation, massage is contraindicated, but you may contact a Physiotherapist or Sports Medicine Specialist to know more about the same.3. Till an expert opinion is awaited, you may try following preventive measures at home
000002983
Hi, Thanks for using Chat Doctor. Feeling like electric shock may be due to nerve involvement. I hope you are not taking any Chat Doctor. You can do regular proper exercise and avoid any unusual posture or pressure on that knee. Get done one EEG and EKG one to rule out any other cause. Consult your doctor once for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards
000002984
Hi. Welcome to Chat Doctor. I read your query. On right side as you mentioned the wisdom tooth is impinging the front tooth, it may lead to cavity and pain in front tooth. This may further need RCT and crown of the tooth in front of wisdom tooth if not take out in time. On left side, why would you prefer taking out an already RCT treated molar? The wisdom tooth is impacted, so it won't move enough to cause the closure of space from removal of molar in front. Also, you mentioned of swelled gums around wisdom teeth, which means peritonitis, i.e. there is already infection around wisdom teeth. I suggest you to get both the wisdom tooth extraction and restoration of teeth in front of them. The RCT treated molar needs crown as RCT weekend the tooth, and it can break under mastectomy force. If not at the moment, get a crown over it. Till then avoiding batting hard things from that side. Maintain oral hygiene. Do warm saline rinses. Hope the answer helps you. Thank you.
000002985
Hello and welcome to Chat Doctor. As a Urologist, let me explain this simple treatment principle. The left side kidney to bladder tube(ureter), has a 7\u00a0mm stone blocking the ureter at its lower junction with bladder, causing left sided block and pain, and thereby affecting the left kidney. Major part of urine formed is being flushed out from the right sided kidney. In flush therapy, person is asked to Chat Doctor. You may send the reports to me directly, for a better answer.
000002986
Hi!! I can understand your concern. In my opinion you had a post dated pregnancy which might be the reason for passage of stool in uteri. But that is not necessarily related to the liver enlargement that your doctor mentioned. Liver enlargement could be a congenital problem which needs proper investigation. There is a risk of recurrence of this issue in your next pregnancy, so I would advise you consult your doctor in your next issue.
000002987
Hi, I can understand your concern regarding achieve normal activity including sexual activity after the treatment like electrofiltration of genital warts...with HIV positive status. I am really sorry to say to avoid sexual activity for few months due to high chances of relapse of warts... as the immunity is poor. Skin is likely to recover in few weeks with proper treatment after the procedure. Hope this helps. Chat Doctor.
000002988
Hi there, thanks for asking. You can continue a benzodiazepine which is absolutely better to be prescribed by your doctor (to give a benzodiazepine which is not metabolized by your liver preferably and also considering other factors) to be able to tolerate the with Chat Doctor. Almost in all the cases' situation is reversible when it has taken just four years. Alcohol abstinence can lead to improvement from depression as well. You may ask your doctor to check your B12 level since it could be low in alcohol dependence. I wish you a good health.
000002989
Hello and welcome to Chat Doctor, Wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, swelling in the jaws, fever and chills. Wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth is usually undergoing inflammation known as peritonitis which may lead to swelling and bleeding gums. I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine. You start with antibiotic augmenting along with paracetamol and antic old tablets like levocetrizine to relieve the symptoms till you consult a dentist and get the tooth extracted surgically. I hope this helps, take care
000002990
Hi, You may be right. The rash is likely due to amoxicillin. Consult the dermatologist for the perfect diagnosis and proper treatment. First thing to do is to stop the amoxicillin. The other antibiotic like azithromycin may be given. Oral steroid in tapering dose, antihistaminics and application of mild steroid cream may be considered. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000002991
Hi Dear, Understanding your concern. As per your query you have symptoms of severe hair fall which could be due to- Sudden climatic alterations - Nutritional deficiencies- Hormonal changes-Dan Chat Doctor. I would suggest you to start taking supplements rich in biotin and take Finasteride preparations as well for hair loss. You should do oiling of scalp regularly to with coconut oil. You should consult dermatologist once and get it examined. Start treatment after proper prescription. You should keep your hair massaged to increase blood circulation. Avoid wearing cap for long time and take diet rich in multivitamins. Maintain cleanliness of scalp. Hope your concern has been resolved. Best Wishes,
000002992
Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal
000002993
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that you are suffering from Allergic Rhinosinusitis and can be due to allergic reaction to some unknown allergen and as anti-histamine suppress the gallery symptoms you get better by taking it. The clotted blood can be due to bleeding in the sinuses and nasal passages during inflammation that gets clotted, and now it is raining out with mucous. I would suggest you to consult an Otolaryngologies and get evaluated and a nasal endoscopy or MRI of sinuses can be diagnostic and treatment can be planned accordingly. As of now you can take steroid nasal sprays, saline nasal irrigation, steam inhalations and take decongestants oral as well as nasal. Hope this information helps. Thanks and regards. Chat Doctor.
000002994
Maybe you have to consult an endocrinologist too regarding your high blood sugar. Polyneuropathy can in some cases start from the upper extremities. But the numbness in the forehead and tongue doesn't comply with neuropathy diagnosis. Did the neurologist recommend the MRI and what region? Do you have any other symptoms or did the doctor found any other sign during the physical examination? I will be interested to know the MRI result or any other test that you've taken.
000002995
Welcome to Chat Doctor .1. Your symptoms more related to an infective etiology. First possible cause could be abscessed. (sore lump with pain on touch and growing in size with discharge)2. The lumps of 10 years history might be different to the present one (they might be lipomas - fat content)3. In this case if you are my patient - I would examine and confirm with an ultrasound and depending on size (an antibiotic treatment / incision and Chat Doctor. So I would suggest seeing your GP and get the needful tests and treatment done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
000002996
Thank you for the question.I would suggest you to take erosion forte once daily for 3 months. Sometimes there is delayed recovery of sensations of nerve as long as after 2 years so be hopeful.Also, if possible go to a vascular surgeon or have color Doppler for leg circulation just in case blood circulation is impaired, in any case it should be ruled out. You may seek help of physical therapist and do contrast bath to feet in cold and hot water alternately for 10 minutes for few days and do ankle, foot and toe exercises
000002997
Hello, I would explain that your symptoms could be related to a metabolic disorder. For this reason, I would recommend performing a resting ECG and some blood lab tests in order to investigate the possible causes
000002998
Hi, I passed carefully through your question and would explain that his uric acid plasma levels seem to be a little elevated. For this reason, I would recommend a low protein diet, avoid been and other similar vegetables and take plenty of water. If high uric acid plasma levels persist, I would recommend discussing with his doctor on the possibility of taking Allopurinol. Hope I have answered your query. Let me know if I can assist you further.
000002999
Hello, I have studied your case. Due to compression of this nerve root there can be neck and head pain. I will advise you to do MRI cervical spine for better diagnosis. For these symptoms 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. I will advise checking your it B12 and it D3 level. 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.