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000003400
Hi. Thanks for asking in Chat Doctor. You have not mentioned if you have vomited out the sugar pill or the hormonal pill. Efficacy of the OCP depends upon the UN interrupted intake of hormonal pills. No harm can occur if you have vomited the sugar pill but if it was a hormonal pill, then surely the contraceptive protection would be reduced. You need not fear about pregnancy as you have used plan B after the intercourse. But your next menstrual cycle can be delayed because plan B also contains progesterone and a high blood level of progesterone can delay periods. This delay, again can create confusion and doubt about pregnancy. So if your period is delayed, do pregnancy test and rule out pregnancy as that will relieve your anxiety. I hope this is useful to you.
000003401
Hello, I have studied your case and I think that there can be many reasons of such pain. Like lack of vitamins, fatigue but I do not think it is related to factor V. So I would suggest you to visit an orthopedic surgeon and get your vitamin B 12 and vitamin D examination. If there is lack of this vitamin it can cause such symptoms. Also, some time there can be lack of carnation in muscles. So for that you need to take Acyl carnation. Factor V deficiency make you susceptible to clots. Avoid OCP as they can also promote clots.
000003402
Hello, Viral meningitis may indeed present this way, although you can never be certain about the diagnosis without a lumbar puncture. The apparent lack of fever after the first 24 hours despite the continuation of the body aches and the rest of the symptoms does not rule out meningitis because fever may be lacking altogether in up to 5% of cases and also because the painkillers may have masked the fever - you might have had fever, but the painkillers eliminated it. Migraine is possible as well particularly if you have a history of migraines, and you recognize the pattern of the pain. Stiff neck is not expected in migraine through, but a stiff neck can only be evaluated by a doctor. So in conclusion, meningitis is possible with the symptoms you have. Therefore, a visit to the ER is appropriate. Hope I have answered your query. Let me know if I can assist you further.
000003403
Thanks for your question on Chat Doctor. I can understand your concern. Yes, your left sided chest complaints can be due to heart diseases. Soreness of heart area with heaviness of left arm are common symptoms of cardiac diseases. So better to get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Gallstones usually give right sided complaints. So better to first rule out heart diseases in your case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003404
Hi, In most cases this is caused by small biliary stones or pancreatic stones, and he should do ERCP or MRI biography to rule this out. Other causes are alcohol, metabolic disorders or tumors of biliary duct. These are serious issues if so many attacks occurred, and it should be evaluated so that treatment can be started as soon as possible. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,
000003405
Hi, Symmetrical circular skin lesions could be ringworm or atomic dermatitis, or it could be a form of fungal infection. But skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
000003406
Hello dear, I understand your concern. In my opinion the scanty menstruation could be due to hormonal abnormalities due to thyroid abnormalities, overweight or obesity. Kindly consult a gynecologist and rule out the above said causes by doing thyroid profile. Weight reduction in case of overweight or obesity is important.Don't worry. Avoid anxiety and stress regarding pregnancy as they delay fertility further by causing hormonal imbalance. Also get your partners' semen analysis done. If everything is normal there are definitely scope for pregnancy. Best regards...
000003407
Thanks for your question on Chat Doctor. I can understand your concern. Yes, chest pain and fever are connected. In child common causes for fever and chest pain are pneumonia and bronchitis. So better to first get done chest x-ray to rule out pneumonia. If chest x-ray is normal then get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. She might need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of reports. Don't worry, she will be alright. First rule of bronchitis and pneumonia. Hope I have solved your query. I will be happy to help you further. Wishing good health to your child. Thanks.
000003408
Thanks for asking gone through your question, your 14-month-old child having problem of constipation. If I was your treating pediatrician then first I would evacuate the loaded abdomen by giving spy lactulose 2ml per kg per day. And after motion passed I would keep the dose of lactulose 1 ml per kg per day. So that your child pass one soft motion daily, for that I would titrate dose of lactulose. The above treatment is one part of treatment, other is giving fiber diet. Fiber content is good of whole grain, cereals, Give your child just 250 ml of mild daily, rest diet should be of cereals . Cereals form bulk of stool and frequent motions, Treatment may be continued for 2-6 months. Taper the dose of lactulose according the effect. I also give spy multivitamin and iron spy 1\u00a0mg per kg per day to improve appetite. Hope i able to give answer to your query
000003409
Hello, I have studied your case. Nor co and percent are from same family of opioid medication. So they have same tendency of dependence. As you have taken Nor co for 3 years he wants to reduce dependence by shifting to percent. You can take neurotrophic like methylcobalamine with pregabalin for disc pain. MRI spine and EMG will help to decide necessity of surgery. 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
000003410
Thanks for your question on Chat Doctor. I can understand your concern. Since you had valvular heart disease in the past, we must rule out heart related diseases like heart failure or coronary artery disease (CAD) for your current symptoms. Because heart failure and CAD are common after valvular heart disease and cause similar symptoms like breathlessness on exertion and chest pain. So get done ECG, 2d echo and stress test (trade mill test) first. You may need diuretics and other cardiac supportive Chat Doctor. Don't worry, you will be alright with appropriate treatment. Consult doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003411
Hello, thanks for using Chat Doctor. I had gone through all the data posted. By water bubbles in lungs doctor meant to say there is fluid in lungs suggestive of pulmonary edema. It suggests that patient is still in critical condition. As patient had suffered massive heart attack its pumping capacity goes down and blood gets congested in lungs which causes water content to move from blood vessels into lungs causes respiratory distress for which Ventilator is necessary. So your patients condition is still critical. Hopet his helps.
000003412
Dear user first I feel your worry about that problem and I know you are confused now and want to find solution, but there are items you should know.........allergy to antibiotics doe snot be diagnosed and confirmed from your history of taking it and rash appearance as there is always misdiagnosis of allergy to antibiotics...if you had taken antibiotic in the past and develop rash it denote mean you are allergy it may be because of infection or other causes..............so you should be confirmed to have allergy or not through tests........skin test is very helpful for that we inject intradermal dose of antibiotic detected, and we repeat the test for that ...........you did not mention in your words that you had skin test for these Chat Doctor. .......if you think that you had symptoms or confirmed diagnosis of allergy in the past it doe snot mean you are allergic now............allergic reaction to
000003413
Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of hypertension and heart disease is more. Left sided chest pain, dizziness, blurring of vision etc. are seen in hypertension and cardiac diseases. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. All these are needed to rule out cardiac cause. If these are normal then acute gastritis can cause similar symptoms. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors. Hope I have solved your query. Wish you good health. Thanks.
000003414
Hello. Psoriasis is a possible diagnose to consider. There are different types of psoriasis, one of them is inverse psoriasis. Inverse psoriasis, the lesions occurs in large folds
000003415
Hi, Thanks for posting in Chat Doctor. I have read your description and understand your concern. What problems you are encountering with itching sensation in the vaginal region could be an inflammation of the skin. Kindly do the following to overcome it. 1. Wash the area with mild antiseptic solution like Salon twice daily. 2. Take Tablet. Levocetirizine once a day to control itching. 3. Apply Aureomycin with HY Chat Doctor.
000003416
Hello -The right side of the brain could cause symptoms on the left side of the body. So, tingling on the entire left side of your body that is new is a bit concerning, and I would discuss this with your doctor ASAP. While it may not be related to your old stroke, it could be a symptom of a possible new one. Migraines are probably not related to your stroke. A migraine could rarely cause the symptoms of tingling as well.
000003417
DearWelcome to ChatDoctorWe understand your concerns went through your details. I assure you everything is fine. You know blood travels through veins and arteries. You will be able to feel pulses wherever thick arteries are available. Head, neck, shoulders, arm, wrist, thigh, stomach sides, knee, calf, feet etc. are areas where which arteries are present. You could feel the pulsation at all these places. If you obsess with these pulsations, you will become anxious and your heart beat increases due to the anxiety. Please donor misinterpret it. Your doctor told nothing is wrong with you. Accept it and be happy. Take care. If you still need my assistance in this regard, please use this link. http
000003418
Hi Dear Welcome to the Chat Doctor, Every medicine has got some or the other side effects. Side effects should be weighed with the beneficial effects of the Chat Doctor. Then they should be used accordingly. Rubired is an iron product, necessary for the blood production, Gemcal is calcium suspension. Helps in bone maturation. Cypon is an appetite stimulant not much recommended as it causes some sedation to the baby. Hope the query is answered. Thanks
000003419
Hi and welcome to Chat Doctor .... Spiramycin has activity against Chlamydia trachomas, Toxoplasma Gandhi..... Toxoplasmosis (treatment)Tobramycin is used as an alternative agent in the treatment of toxoplasmosis during pregnancy. {10} Pyrimethamine and sulfadiazine combination is considered to be more effective than tobramycin.however its side effects are little as compared to the other regimen.....yes you have optimum chances of pregnancy after clearance of infection...
000003420
Degree understand your concerns went through your details. I suggest you not to worry much. Attitude can be changed with experiences. They automatically change when you suffer from the previous experiences. Now you are suffering, worrying, therefore the attitude is supposed to change. You are worried and pitying self. You are dissatisfied with your life. That is why you are thinking about suicide. Dissatisfied minds always are like that. This lasts very short period. Then you shall realize such worries are of no use. Then attitude changes. Attitude changes according to main three factors. 1. Environment. 2 Education and 3. Experience. Other that these, If you sincerely want to change your attitudes, it changes. Find a personality development trainer. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
000003421
Hi, as you mentioned with your difficulty in breathing with is increasing as days are passing. So let us understand first the mechanism of breathing. Respiratory system is the only source of providing oxygen to the body as, oxygen is the fuel need for the human life to survive. Also, due to smoking the respiratory system has become weak and there is no such medicine to make it strong or recover again. What can heal with medicine is the symptomatic help for removal of secretions or infection. Since you been smoking also, an added disadvantage has occurred to the respiratory system by weakening the alveoli. Alveoli is the place where the exchange of gases between the respiratory system and blood takes place. In short, it's the place to purify the blood. Also, as you are 64, your muscles of the respiratory system has also got weaker. What need to provide the best help to the respiratory system is to improve the capacity of the lungs which will help you avoid breathless and also improve the quality of blood in the body. I will advise you to do regular breathing exercises which will help improve the strength in the respiratory muscles and the lung tissues. Also doing meditation will help control the brain activity as brain regulates the involuntary control of the respiration. For making the ease of the respiratory system it is advised to perform regular breathing exercise to keep the functionality of the lung to the optimumregardsJay In Chat Doctor.
000003422
Greetings. Welcome to Chat Doctor, and thank you for your question. I understand your concern. Lisinopril is a safe and effective Chat Doctor. Normal blood pressure standardized worldwide is
000003423
Hello and welcome to ChatDoctorSince you do have a thyroid problem, this could be the main cause of hair fall. Do continue the treatment as advised. You may most probably have to continue this life long to keep the levels in normal range. This will also help your skin and hair. Other causes to consider are age, genetic, any lifestyle or residence change, stress, any history of recent illness like typhoid, any chemical procedures, etc. You can start on supplements daily like Collinear. This needs to be continued at least for 2-3 months along with proper thyroid medication. Apply Recite hair oil to the scalp at night. Do consult a dermatologist as well, to assess your type of hair loss and to assess the results. They may also suggest some routine blood tests if required. Once your hormonal levels are normal you will notice improvement in hair growth as well, but it will take time. If medical methods do not work at all for you, certain new surgical procedures can be considered such as PRP.hair transplant etc., as will be advised by your consulting doctor after observation, if and when required. Hope this helps.
000003424
Hallow Dear, I feel you should get certain medical knowledge which will clarify many of your doubts and also get some important messages. Firstly, she should not have instituted termination of pregnancy by abortion pills without Gynecologists advice. These medicines are prescription medicines and should be taken with appropriate prescription and advice; lest the risk of many complications. Now regarding her ?fresh pregnancy
000003425
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, chest tightness, pressure, belching, burping etc. Along with Chat Doctor. 1. Avoid stress and tension. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals.4. Quit smoking and alcohol if you have these habits. 5. Keep 2 - 3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003426
This entire problem can be cured permanently without any operation, and it is true. For more details please mail me on \"bharat80_shah@yahoo.com\" so that I will give you details of certified Nutritionist (doctor) who will give you solution after checking your all reports. I am engineer and working in pharmaceutical company as Manager. My intention behind this write-up is to give me self-satisfaction by providing and helping people to get permanent cure from such lifestyle diseases.
000003427
Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you probably over strained your muscle, you need to 1 Put warm compresses at the site of pain2 avoid positions that cause it3 Take Paracetamol SOS and apply diclofenac cream at the site of pain 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.
000003428
Hi, I have read your query & understand your concern. Your girlfriend is taking contraceptive pills Holstein 24 Fe regularly, at the time of sex you had taken precaution in form of with Chat Doctor. . All This thins suggest sufficient of protection & there seems to be no chance of conception. You are concerned as she did not start her menses while on placebo pills. This can be due to psychological stress leading to hormonal disturbance. / with
000003429
Hello, AKT - 4 kit is meant for treating tuberculosis, but you should wait for its effects. As tuberculosis is a chronic disease, he relieve takes time and most of the patients have to take it for one year or even more. Please remember to take this kit regularly as your doctor has advised you. You can not afford to miss even a day. Please be assured that if tuberculosis has been diagnosed then it is certain that you will get appreciable relief. Please take plenty of water and proper food. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000003430
Hi. Thanks for your query and an elucidated history. . Sexual intercourse a couple of days ago can not cause pregnancy related symptoms like you have - bottom of your belly keep hurting now and then. This must be either dye to scar or most probably due to Cystitis as a part of urinary tract infection - UTI or PID-Pelvic Inflammatory Disease. I would advise you to take an opinion and examination as well as tests of urine and blood and ultrasonography of the abdomen. This will help to get a proper diagnosis and treatment
000003431
Thanks for your question on Chat Doctor. In my opinion you should first get done ECG to rule out cardiac cause for your chest pain because smoking can cause cardiac damage. If ECG is normal than no need to worry much for cardiac cause. Chest pain and shortness of breath in smoker can be seen in pulmonary causes like bronchitis. So consult pulmonologist and get done chest x-ray and PFT (pulmonary function test) to rule out bronchitis. For the treatment, smoking cessation is the primary thing. You have to quit smoking as soon as possible. You may also require inhaled bronchodilators. So consult pulmonologist and discuss all these.
000003432
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is likely to be infection. After colonoscopy only infection can give you a pain. I also suggest you to take a injectable antibiotic and then visit to the hospital immediately. You can take tramadol tablet under your doctors' guidance for pain. But thereafter hospitals visit is necessary. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
000003433
Dear patient you seem to have lumbar canal stenosis may be due to disc prolapse. Diagnosis needs to be confirmed by MRI of the lumbosacral spine with screening of whole spine. It is very sensitive and specific for diagnosis of spine pathology. Please get it done from radiology center nearby you. Meanwhile, start tab regain x 75 mg one at bedtime along with tab attract twice a day. If MRI report is abnormal you need to consult spine surgeon with report.
000003434
Hello and welcome to ChatDoctorIt sounds like you have developed an allergy. Was there any history of taking any new medication, or applying anything prior to the rash? Any history of long sun exposure? Any food or Chat Doctor. You can start applying Clobetasol cream lightly twice a day foe 7-10 days and observe. Also take antihistamine like Exocet 5\u00a0mg for the itching. Check for spread of the rash or new ones appearing. If there is no improvement do consult a dermatologist and consider infection as well. A biopsy of the leathery area maybe one if needed as advised. Hope this helps. While on treatment, avoid any items which you are generally allergic to and do not scratch the area. Use a mild soap.
000003435
Hello, Thanks for posting your query. Strictly use Higher (Diclofenac) as you have been prescribed by your physician. Never self-medicate or adjust your dosage yourself. A typical dosage is twice a day, once in the morning and again later in the evening. Always medicate after a meal and wash down with a full glass of water. For best results, try to always dose at the same time(s) each day. If any side effect persist or worsen, contact your physician. Possible side effects may include
000003436
Hi, Thank you for posting your query. Your symptoms require investigations to confirm the diagnosis. Regarding a valve leak, you would need to see a cardiologist and undergo an echocardiogram to confirm the diagnosis. In addition, you should also see a neurologist, and undergo an EEG and MRI brain to confirm or exclude a seizure or any other internal brain problem. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
000003437
Hello, I can understand your concern. Adenoids are lymphoid tissues in child Chat Doctor. Usually, this lymphoid tissue is reduced in size and disappears on its own as the child ages. However, sometimes that is not the case the tissue persists which causes breathing difficulty, speaking difficulty, snoring, abnormal development of teeth, mouth breathing, frequent ear infections etc. Unfortunately, medicines cannot cure it and the only permanent solution to all the above-mentioned problems is surgical removal of this lymphoid tissue which has not disappeared on its own. It is a very common surgery performed in child
000003438
Hello, I had gone through the case and found that if there is angioplasty has done then might be pain present due to insertion of femoral vein, but this is very rare. There might be other cause like-Slip discMuscle spasmSciatica nerve pain. For slip disc diagnosis go for vertebral X-ray.Meanwhile, take painkiller and muscle relaxant gel for local application. Take rest. Hope my answer will be effective for you. Thanks
000003439
Hello Welcome to Chat Doctor. Your BP of 116/59 is optimal and should not cause you these symptoms. Medications in the group of Systolic also have an additional beneficial effect of lowering the heart rate. But in some percentage of population, the heart rate becomes too low with these medications. Hence, I advise you to check tour heart rate and do an ECG. If the heart rate BOH manually and on ECG are lower than 55 systolic should be stopped and substituted for another medication. If heart rate is greater than 55 per minute then you must record your BP regularly to see if it Chat Doctor. If BP remains low then systolic can be speed. Wishing you good health. Regards
000003440
Hi Food particles or saliva is aspirated into the lungs while tube feeding. This will be unnoticed but can cause serious pneumonia. Your Grandpa who is coughing now May have aspiration pneumonia. Get a Chest Day and rule out pneumonia. You can prevent aspiration pneumonia. Make him sit upright during feeding and for 1 hour after feeding is stopped. If it is difficult to sit, keep the head of the bed elevated at least 30 degrees.
000003441
Hello, I think you these are related to your shoe or footwear and the medium u walk. Correction of gait and also having flexible footwear should solve your problem. Your endurance levels look good by history only thing is troubling which I see is the footwear. Try walking barefoot and see if the pain comes. If pain doesn't come then your footwear has issues. And if it comes then the foot muscles need some exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
000003442
Hi, Thanks for writing in. Yes, this does sound like an allergy. It is often difficult to identify what you are allergic to apart from things like seafood which cause allergies in a lot of people. The white marks could be healing skin (since you said you had a pretty bad reaction last month). I would suggest you have Tablet Cetirizine 10 mg once a day for 2-3 days, and you should be fine. Hope this helpsRegards
000003443
Hi, I had gone through your question and understand your concerns. There are a number o patients with epilepsy resistant from anti-epileptic Chat Doctor. Certain focal epileptics with localization on temporal lobes of the brain are subject of treatment by surgery, (Functional Neurosurgery). The patients that may have benefit from this type of surgery are selected carefully from Neurologists and Functional Neurosurgeon, so I suggest you to visit a center whose specialty is in Functional Neurosurgery. 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.
000003444
HI, I understand your question & concern. At 37 weeks, baby starts depending down in pelvic cavity. That is why mild contractions of uterus & a bit more jelly like vaginal discharge are common at this stage of pregnancy. Delivery is occasionally possible so early. Better to rule it out with internal check up by your obstetrician. Diarrhea with jelly like substance in stools suggests infection. Also, mild abdominal pain throughout day might come from bowel infection. Please consult your doctor & get proper medication for diarrhea. Take plenty of water with sugar/ pinch of salt in it Or ORT powder in water/take rest. Thanks.
000003445
Hello, I have gone through your query and understood the concern. It is very unfortunate that your pregnancy terminated with an ectopic. The risk of another ectopic pregnancy increases 20 times with a history of one ectopic. In other words, 1 out of 10 women can have a recurrence. If there are two or more ectopic pregnancies in the past, this risk becomes 50 %. However, normal pregnancies can happen in about 60 percent. Thus, I would suggest going for another pregnancy after sufficient gap and monitoring the pregnancy very carefully right from the early days. Serial serum beta-ChatDoctor titles are recommended and if there is an abnormal increase, an ectopic can be suspected. This, combined with serial sonograms can help in the diagnosis in addition to the detection of the early symptoms as you are already experienced. Hope this helps.
000003446
HelloIncreased ALT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver, altered lipid profile,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. It helps in regeneration of liver cells. It is good that you are not taking alcohol. Get well soon. Take Care Chat Doctor.
000003447
Degree understand your concerns went through your details. Please understand masturbation is normal, natural and never unhealthy. Masturbation cannot lead to impotency or any other sexual problems. Your masturbation habit cannot adversely affect your child bearing ability. Therefore, don't worry about that aspect. But I suggest you to reduce the masturbation frequency to three or four times a week because masturbation is energy consuming. If you masturbate at the present rate, your energy will be very low, you will not be able to do other day-to-day duties like studying, exercise etc. As a result you will be anxious, as you are feeling now. If you reduce your masturbation to three or four times a wee, it will never affect your sexual life. It cannot cause any dermatological problems. It cannot cause any health issues except anxiety. No other side effects. If you require more of my help in this aspect, please use this URL. http
000003448
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis or lung infection. Both of them are common after upper respiratory tract infection (sinusitis) and cause similar symptoms. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray to rule out lung infection. 3. PUT (pulmonary function test) for the diagnosis of bronchitis. You may need higher antibiotic (if it is lung infection) or inhaled bronchodilator and inhaled corticosteroids (if it is bronchitis). Don't worry, you will be alright. But 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.
000003449
Degree understand your concerns. You are diagnosed with anxiety disorder and you're slipping into depressive disorder now. Be very careful and informed. Time and again it has been proven that medication alone cannot cure depression and anxiety. You need yoga, meditation and psychotherapy. Yoga and meditation helps in streamlining body metabolism and thinking process. Psychotherapy help you streamline lifestyle. Consult a psychologist and yoga therapist for further advice. Wish you speedy recovery.
000003450
Hello, Prediabetes can be treated with lifestyle modification such as
000003451
Laryngoscopy is a procedure done by specialist till your neck level or upper respiratory level to view the larynx and surrounding area for problems like voice change, hoarseness of voice, dyspnea, irritation cough etc. It can not affect back spine practically. There is possibility that his spine was extremely weak due to osteoporosis and due to some improper posture while doing the procedure spine came under pressure, and he started having the problem. Burning sensation and pain in back shows damage to either soft tissue near the spine or damage to spinal nerve or disc at that level. However the conformation can be done by MRI of affected spinal level. Based in result here you have to take opinion from spinal surgeon or orthopedic doctor on further treatment planning. Boost the patient with calcium and vitamin D as directed by doctor. In severely damage spine here doctor may ask for surgical correction also. In that case you can also take secondary opinion and go ahead with needed treatment. After this consult a physiotherapist for rehabilitation part and also take suggestion in posture as well spinal exercises which will help the patient further to improve strength and stamina of spine. You can also use hot pack at home for some more relief and soothing effect on soft tissues. Take care.
000003452
Hello. I have been through your question and understand your concern. Meningiomas of the orbit are benign conditions, but carry the risk of compressing the optic nerve causing decreasing the visual acuity, like in your case. If such eventuality is progressing, then there is a clear indication of surgery to remove the meningioma. Maybe the vision in your right eye will not return completely normal, but for sure it will not get worse, which seems a concrete possibility if left untreated. I definitely recommend the surgery at this point. Hope this helps, please feel free using MHC for further questions
000003453
Hi, Thanks for writing to Chat Doctor. You should consult the same counselor again for this problem if possible. This might be due to of his compulsive phenomena.CBT with pharmacotherapy will really be quite helpful for him and as well as for your healthy relation. You did not have mention whether he was prescribed any medications, is he taking it or not and what kind of sessions took by that counselor. In OCD, initially pharmacotherapy is very helpful and for maintenance, cognitive and behavior therapy has an excellent result. Hope I have answered your query,
000003454
Hi Welcome to Chat Doctor . I have gone through your query and can understand your concern. Decreased body temperature is common after sweating & this might be symptom of excessive sweating & doesn't denote any problem. Tooth decay doesn't cause decreased body temperature and sweating. You should visit a dentist for treatment of dental decay, if you have them to prevent any dental complications. Decreased body temperature and sweating is commonly due to systemic conditions like low blood sugar, excessive sweating, low blood pressure, etc. so you should visit physician, if problem persists & blood tests may be required for diagnosis. In meantime, you could take acetaminophen & Chat Doctor. Don't worry you would be finessing your query is solved.
000003455
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, don't worry painful bump can be due to sinus opening present due to Periodontal problem or Periapical Abscess due to carious tooth. You should consult dentist and go for investigations IOPAxray and go for treatment, periodontal problem Go for Scaling and root planning. If periapical access go for Root canal treatment if needed. Hope this will help you.
000003456
Hello, That bump on your knee cup is suprapatellar bursitis, a collection of fluid in the bursa due to overuse or inflammation or friction kneeling down often, praying or profession position. I think you should go to the doctor to aspirate it with needle and put an elastic bandage. If you don't aspirate, there is a chance of infection. Wish you quick improvement. Hope I have answered your query. Let me know if I can assist you further.
000003457
I think you need to have a good diagnosis. Trembling fingers/hand when attempting to write or use writing implement is more likely ESSENTIAL or ACTION TREMOR not Writers Cramp. However, a neurological examination can tease these things out if you see someone. Treatments are vastly different depending upon the diagnosis. If you'd like to discuss this in more depth please write to me at
000003458
Hello, Welcome to Chat Doctor. Your problem less likely due to only hormonal imbalance. At this age hormonal imbalance cause increase stress in life. Which can precipitate psychiatric illness like in your case. In BPD patient frequently have mood swing and depressive symptoms. BPD is treated by mood stabilizers, antidepressants and antipsychotic medicines. Hope you are already on treatment. Same time you need to wait for treatment response, as medicine take 3-4 weeks to show improvement. Wish you good health and all the best.http
000003459
Hello. Thanks for writing to us. The pain on the right side is likely to be due to musculoskeletal origin. It could be due to an injury to the area or a muscle spasm in the area. He needs rest, hot fomentation, painkillers and muscle relaxants for relief. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http
000003460
Hi. Thanks for your query and proper history. To think of the commonest causes first, the cause of the pain in the stomach near your belly button can be intestinal infection. As you have a history of small cell lung cancer 3 years ago, the secondaries from this cancer can be present in the lymph nodes of the mesentery and can cause similar pain. This can be confirmed by ultrasonography, tests of the blood, urine and stool and a physical examination by a Surgeon, the treatment will depend upon the findings. Till then complete a 5-day course of an antibiotic with metronidazole, probiotic and activated charcoal with anti-spasmodic tablets wherever necessary.
000003461
His suppose you are from India and this is ghar I Khan. I think whatever she is doing is due to insecurity deep down. It is good that you love to stay in your inlays home. If one of you keep some patience and try to look AR others view point, before jumping to any conclusion, things are likely to improve. Try to observe 2-3 things, don't say anything which can hurt others, never raise your voice, maintain eye contact, remember to praise where appropriate, even if it is a minor issue, TAKE CARE & HOPE FOR A GOOD SAS BAKU RELATIONSHIP Chat Doctor.
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Hi Mam, Welcome to Chat Doctor, I understand your query and concern. Excess weight gain in your case can be treated with strict diet and good physical trainer. I advise you to avoid fat foods and fried foods. Eat oats, fruits,vegetable salads regularly for dinner. Regular exercise for 30 min under supervision of physical trainers is helpful. Anti obesity Chat Doctor. I advise you to get an ECG,2 D Echo to confirm the diagnosis. Consult your cardiologist for expert management. Post your further queries if any, Thank you.
000003463
Hello, Thank you for writing to us, As you had described I could found that you may have some injuries or something like jerk or anything. But as you are not described that from when this problem you are facing. So that first is to take rest. Because it allows injured tissue and even nerve roots to begin to heal, which in turn will help relieve lower back pain. However, more than a few days of rest can lead to a weakening of the muscles. So, if by resting it not happens than you should have to concern doctor. Suggestion -Take rest if not solved, Concern good physician with your query they will help you after check up physically. Hope you will found details helpful. Thanks &
000003464
Hello and welcome, Scanty menses indicate that most likely the endometrium was affected. Unfortunately the chances of pregnancy for endometrial tuberculosis are very low. Only 5 - 10% conceive. I understand that you are trying for a baby, but it is best that you do know the chances of a successful outcome. As of now, I suggest that first a tubal patency test must be done to check if the tubes are open as TB damages the tubes. If they are open then estrogen patches can be used to help the endometrium to grow. If repeated closed is used then it also further thins the endometrium, so closed is not recommended for more than 6 cycles. I prefer to combine it with an GUI procedure if tubes are open. For the long term if these measures fail then surrogacy using your own ovum is an option as you can have your own child with it. Hope this was helpful. Thanks for the query. Feel free to ask more. ChatDoctor Badge
000003465
HiT hanks for your query at Chat Doctor. I understand your concern and situation. I would like to tell you not to worry. You must visit a physician and get any discharge or skin scrapping testing done for gram staining, microscopy for fungal elements and culture sensitivity for aerobic and anaerobic bacteria. Take treatment based on antibiotics' sensitivity results. It seems to be Chat Doctor. Get treatment done and problem will resolve.
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Hello, Unfortunately, there is not too much to be done in this clinical situation. Stenting can be tried in case there is no presence of myocardial infarction, but now the damage seems to be done. Anyway, I would like to directly review her test reports, in order to be able to give a more professional opinion. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the x-ray and video x-ray is performed which shows some sort of anatomical changes in the bone position looking for the further management will be possible. Kindly meet up a physical therapy, as with videotaping there ankle joint can be made stabilize. Using an android is also the another option. Performing guided physical therapy exercises for strengthening the muscles around the joint should help regain the mobility of the ankle joint. As it is a weight-bearing joint it needs a proper strength and stability. Recovery can be slower than expected as she is 60 Years old. In my clinical practice most geriatric cases respond well to physical therapy. RegardsJay In Chat Doctor.
000003468
Hi, Trigestril is similar to the pill trefoil in action and the usage. The pill should be started on the first day of the census. The first tablet that should be taken should be from the first red tablet area. The tablets should be taken at roughly the same time daily and should be taken within 24 hours of the previous tablet. After the first tablet, you should continue taking the tablets in the order given by the arrows on the pills cover.http
000003469
Hi dear, I have gone through your question and understand your concerns. The symptoms you are having are suggestive of pregnancy. Sometimes the ovulation is delayed and hence the conception is delayed. In this scenario, the urine pregnancy test comes positive a bit delayed. I will suggest you to get a repeat urine pregnancy test after one week to confirm the diagnosis. Hope you found the answer helpful. Wishing you good health. Chat Doctor.
000003470
Hi, Thanks for writing in. Kidney transplant is a common surgery now, and it is done in most cities. The transplanted kidney should be from a matching donor and this is a voluntary donation in India. Buying or selling kidneys is illegal. The coast of the transplant is for surgery and recovery. This is around 3 to 5 lakhs Indian rupees. It can be higher if there is any problem. Please know that even after kidney transplant the person should be on long time medicines which will cost few thousands of rupees every month. The native kidneys are not disturbed during kidney transplant. The new kidney is put in the pelvis. Effectiveness of kidney transplant is based on many factors including primary cause of kidney failure, age of the patient, immunity and host graft rejection and the surgery. Many kidney transplants are successful on patients getting dialysis. Usually kidney transplant is done before 60 years of age. If patient is healthy then it can be done at 61 years of age after getting clearance from ethical board. Please do not worry.
000003471
Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). It may be acid peptic disease or recurrence of pancreatitis. So I will advise you to visit a Gastroenterologist who will evaluate you and treat accordingly. Meanwhile, for pain you may take a proton pump inhibitor and an analgesic containing tramadol and acetaminophen. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
000003472
If your son has had lichen plans for a year, it's better to do a biopsy and confirm it because it can be diagnosed specifically by biopsy of the lesion, a simple procedure. Once the diagnosis is confirmed, It's simple to manage with antihistamines to stop the itchiness and if large lesions derogate will surely help .as long as it is limited to skin and not involved oral mucosa, flagyl is not needed.
000003473
Hello, thanks for using Chat Doctor. I had gone through all the data you have posted. As you father was a cardiac patient and h/o pulmonary edema (water in lungs) he might be on ACE inhibitor (Angiotensin converts enzyme) which can cause persistent Chat Doctor. Allergic cough starting at 64 yrs and persisting for 1 month is rare. We need more details like CBP report or chest x-ray if it was done. Take tab. Montelukast +fexofenidine 1-0-0 for 3 days and spy. Corex 2 tsp two times a day. If cough persists, discuss with your doctor and try to change ACE inhibitor to ARB. Hope this helps.
000003474
I read your question carefully, and I understand your concern regarding side effects. It would have been useful if you had mentioned also the tablet dosage, there are different Sine met tablets with different concentration of its components, so hard to judge how high a dose is what you have been prescribed. Sine met is not a curing Chat Doctor. So not taking it won't have any effect on disease progression, it is safe. You won't have the desired effect though. Also skipping it doesn't mean you won't have side effects after the other two dosages (if you have any side effects at all). So I wouldn't skip this dose, only if you experience side effects can you lower the dose, but not by skipping one dose but by taking say 1/4 tablet 3 times daily. I hope to have been of help.
000003475
Dear friend, thank you for your consultation.it seems that you have a low pressure in comparison to your age. And the sudden bout of lightheaded, dizziness all these are because of sudden fall in pressure. But from my day to day clinical practice I am telling you your back pain has nothing to do with your fall of pressure. So I think your blood pressure profile is not normal, and you should go for a complete clinical examination and necessary investigations to know the cause. For this you can take suggestion from your GP also.my best wishes for you, thank you.
000003476
Hello dear, What your wife calls mild stroke is most probably not a stroke. It is Bells palsy rather. In stroke mostly(unless it is a poutine stroke which also impair eye movements), there is only facial deviation and blinking of eye is not affected. Please take her soon to a neurologist as early treatment with antivirals and short course of steroids enhance the recovery significantly. Even if it is stroke, early treatment is must for recovery and to prevent recurrence. I hope it helped.
000003477
HelloThanks for query. Your daughter has severe pain in kidney area and ultrasound scanning and CT revealed HY Chat Doctor. This is suggestive of presence of obstruction of the ureter in middle portion of ureter. In the majority of cases it is due to the impacted stone in the ureter. This can be confirmed by doing radiological tests called Intro Venous Paleography.(MVP). Consult Urologist for evaluation and get the I.V.P done under his supervision. You need to confirm that her creatinine levels are normal before going for I.V.P. Further treatment will be decided by him and will depend upon the results of test, position of stone and degree of obstruction.
000003478
Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that shivering may be a sign of anaphylactic shock or infection. For this reason, I recommend bringing him to the ER for a physical exam and some tests
000003479
Hello, Yes, it is possible. You are having vigorous coughing and chest pain on inhalation. These are commonly seen after aspiration of a foreign body like sunflower seeds. So better to consult pulmonologist and get done chest x-ray and bronchoscopy. If both these are normal then no need to worry about aspiration of sunflower seeds. Bronchoscopy is not only diagnostic, but it is therapeutic also. It will remove a foreign body if it is in the lungs. Hope I have answered your query. Let me know if I can assist you further.
000003480
Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the CT report you have mentioned. This report is suggestive of brain damage caused by age and smoking. So his delirium is due to brain damage. His breathlessness is due to COPD (chronic obstructive Pulmonary disease) caused by smoking. So give him inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Smoking cessation should be done as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
000003481
Hi welcome to Chat Doctor... You have taken full dose of vaccine..... Your antibody title is more than 10 according to your history, so you are safe from hepatitis b infection.... Still your liver enzymes value slight elevated... So for that repeat liver enzymes study after few days along with bag detection to rule out bag positivity ...(chances of positivity less likely as you are immune)Also check your fresh antibody title report ... If title between 10 and 100 than booster dose given ... Take care. Advise
000003482
In my opinion you should stop worrying. For immediate relief have some painkiller along with a muscle relaxant for 3-5 days depending upon the pain and symptoms and have proper bed rest for a week. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locally
000003483
Hi, dairy have gone through your question. I can understand your concern. He should not go for surgery with blood thinner. He should stop blood thinner, and he should take antagonist of that blood thinner. It K is also helpful. Consult your doctor and start treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
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Hello, Your probable diagnosis
000003485
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint persistent sore throat along with yellow mucous can be due to number of causes like chronic upper respiratory tract infection, sinusitis, post nasal Chat Doctor. . I would suggest you to consult an Otolaryngologies or a Pulmonologist and get evaluated and a thorough clinical evaluation and investigations like sputum culture, throat swab culture, chest x-ray and blood tests can help in diagnosis and treatment will depend upon the cause. You can be advised a course of antibiotics, anti-inflammatory painkiller, decongestants, Multics, warm saline gargles, steam inhalations and use a humidifier in your room. Chew vitamin C pellets and suck throat lozenges. Hope this information helps. Thanks and regards.
000003486
Thank you for following up. It seems he has allergic cough. I suggest-1. Hypoallergenic diet-avoid chocolate, nuts, flavors food, strawberry,honey, lots sweets etc.2. Antihistamines(Cetirizine, Allegra) can be used according to age for 10 days.3. Ambroxol 2 mg/kg/day, divided for 2 times for 5 days4. Check blood test, do throat culture and sensitivity to antibiotics.5. Steam inhalations6. Rince gurgle with Chlorhexidine.7. Zincovit 1 tablet for 1 month.8. Charcoal 1 tab/10 kg for absorption of allergens Take care Chat Doctor.
000003487
Hell. Welcome to Chat Doctor forum. HEPATITIS -B is a series and devastating health issue in INDIA. There are 45 million cases in INDIA and are ranked after china. Chronic HBV infection - 4% of population. It is a serious issue in sense of economics, infectivity,cirrhosis and cancer.3/4 of HBV in India is through mother baby transmission. Natural history of HEP-b depends upon the host immune response. Vigorous immune response results in acute hepatitis(ALT more than 400) and it results in either death or in 95% cases recovery.5% cases become carrier, cirrhotics,cancer etc. Get yourself investigated for Lots, ultrasound abdomen and HBV- DNA. If ALT raised then get a liver fibrosis or biopsy done. Treatment available is in form of viral suppressive like ENDEAVOR, TENOFOVVIR AND TELMIVUDINE and IMMUNOMODULATORS like PEG- IFN. BE in touch with your Gastroenterologist for the guidance and treatment. Thanks and good luck.
000003488
Hello ! I read your question and understand your concern. In my opinion the symptoms you describe may be related to postpartum depression. It is a very common disorder affecting women after delivery. The repeated analysis and MRI are another argument in favor of this diagnosis. This is not a neurological problem, but a psychiatric one. I would recommend you to bring her to a psychiatrist, to examine here and to choose the best antidepressant for her. I am sure she will get better after starting an antidepressant. She has anxiety too, and here twitches in the body and the gastric pain are related to that. An antidepressant in effective against anxiety too. Hope to have been helpful! Best wishes,
000003489
Hello........ Thanks for your query. Delusions and hallucinations are only two of the symptoms of schizophrenia. There are other symptoms like apathy, emotional indifference and disorganized behavior. A patient usually does not have full insight into his symptoms in a psychotic illness like schizophrenia. If you are insistent, I would suggest a second opinion from a second psychiatrist after a detailed evaluation. Wish you good health. Regards Chat Doctor.
000003490
Thank you for posting query at Chat Doctor. Noted that you have complete resolution from HCV infection after treatment. At present, your treating physician prescribed steroids. He maybe NOT knowing your HCV history. Exogenous steroids decrease immunity and may cause reactivation of HCV infection.i advice you to take a second opinion from your treating hepatologist. Though low dose steroid may not increase HCV RNA tier but it's better to avoid taking steroids .you may take anti histamine medication to counter the rash, hope to answer your concern. Wish you good health. Any further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.
000003491
Hi thanks for contacting Chat Doctor... Noted here all his symptoms is because of depression... Stress induce panic attack can lead dyspnea... You have to try to fill his brain with positive thoughts..... Motivate him in study and work.... Endulge him in some activity like sport. Avoid situation that lead stress. If needed behavioral therapy given by psychiatrist..... Antidepressant Chat Doctor. . Enough sleep and exercise taken.... Take care.
000003492
Hi you had a minor accident injuring your right shin about 15 yrs ago, and you feel indentation on your shin which is increasing now. At that time you were told that you have nerve damage. In my clinic practice, for this kind of unilateral swelling with previous history of injury, I will investigate on the lines of Deep Vein Thrombosis, by getting a color Doppler as a first step. Also, I would give you compression stockings, anti-inflammatory painkillers and limb elevation for a few days.
000003493
Hello, As most foot correction cases need to be helped with the insoles as they help to avoid the abnormal transfer of the weight to the joints and leading to the abnormal anatomical position of the bones. If the orthopedist has advised for the same I will recommend undergoing the same. Also, along with this doing hot water fermentation and feet muscle strengthening exercises is advised to activate the muscle groups which aren't activated and leading to abnormal weight transfer to different angles. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
000003494
Hi ! Good evening. I am Chat Doctor answering your query. With the history of trauma, possibly the lump near your eyes is a hematoma (collection of blood) due to the hit. This might take at least three weeks for it to get absorbed by the tissues. If it does not, then you might have to consult a general surgeon to rule out any chances of a continuing accumulation of blood, or an organized hematoma, which might require some kind of intervention. The hematoma might reduce with aspiration and a pressure bandage for the present, but one can not rule out recurrent accumulation of blood in it. Therefore, it would be better not to do any invasive procedure on it without any definite medical indication. I would rather suggest you to get it clinically examined by a general surgeon in your area for proper management. 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.
000003495
HI, thanks for using Chat Doctor Vaginal yeast infections can be itching, and they are associated with a white-yellow discharge. There are oral tablets that can be used to treat this infection that would not depend on whether you were having your period or not. The main one is fluconazole 150\u00a0mg. Only one dose of this medication is taken. This is the best option since you are currently menstruating. It should be available at your local pharmacy though you may need a prescription. I hope this helps
000003496
Hi welcome to Chat Doctor... You have history of gall bladder surgery .... You are having pain while urination... So it could be stone somewhere in urinary tract or acute urinary tract infection .... The infection could be secondary to surgery . Investigate your case with ....1. Urine routine microscopic examination. (First initial portion of urine is discarded and urine collected early in morning)2. Urine culture only if needed 3.USG abdomen 4.CRP You need to give full course of antibiotic along with urinary alkalinize like potassium citrate ... Avoid excess spicy foods .... Take care Advise
000003497
Hi. Thanks for your query and an elucidated history. Yes, you are right, the concern of cancer of the colon has to be investigated immediately by having colonoscopy after a good preparation and also to have the CT scan of the abdomen and hip joints to whether the two problems are related or not. It is possible that the cause of the pain on the right side of the abdomen be due to colitis or co. Pain in the left hip looks to be a different problem as it is there for 2 months. A good physical examination by an Orthopedic Surgeon and a CT or MRI can help to get a proper diagnosis. During such a problem it is always better to have an early diagnosis.
000003498
HI, thanks for using Chat Doctor Persistent coughing can result in pain in the muscles and other soft tissues in the chest. It can also cause discomfort in the throat. You can use an oral anti-inflammatory painkiller to help relieve the pain that you are experiencing. This includes medications such as ibuprofen, Catalan, Voltaren, naproxen. One of these can be used, it should be available over the counter and should be used on a full stomach. I hope this helps
000003499
Hi welcome to Chat Doctor... Here you are taking correct treatment for typhoid fever.... Swollen throat suggest there might be pharyngitis associated. ... Chest pain could be from bronchitis or from muscular pain secondary to typhoid . Just now continue given treatment and maintain HY Chat Doctor. . If symptoms increasing than digital chest x-ray done....Meanwhile, avoid heavy fatty diet . Avoid excess spicy foods .... Fried food taken less... It is better to take small meal with frequent interval... Fruit juices taken more .... Maintain HY