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000003600
Hello NaghmaThanks for your query. Please understand that Egg is immunoglobulin G which is elevated in response to an old infection.The values of Egg do not indicate any recent infection. To know whether you are positive for Rubella and CMV, you have to get IG M test done, which is immunoglobulin M, which is indicative of a recent infection, if it is elevated. If your IGM levels are increased, you need to avoid pregnancy till you are vaccinated against Rubella and immune to it. Your current values do not mean anything, they merely indicate that you are already immune against the diseases. Please get IG M tests done, and if negative, you can definitely proceed for pregnancy after proper pre conceptional counselling. Take care.
000003601
Thanks for your question on Chat Doctor. I can understand your concern. Better not to give any Over the counter (OTC) Chat Doctor. This can be dangerous. In my opinion, you should take him to the pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. By history and description, possibility of lung infection (pneumonia) is more. So chest x-ray is needed for the diagnosis of pneumonia. He may need higher antibiotic intravenously to control fever and cough. So don't give any OTC
000003602
HelloThanks for query. You have swelling and induration of Left testis and have done ultrasound scanning of scrotum and been diagnosed to have Orchids. Orchitis is an infection of testicle and is always associated with sever pain and other urinary symptoms like burning urination, fever etc. The other most common cause of swelling of the testicle without pain is Testicular Tumor. You need to consult qualified Urologist for clinical examination to confirm the diagnosis. He may advise for 1)Testicular Biopsy to rule out malignancy of testis 2) MRI of scrotum. Chat Doctor.
000003603
Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. There are two possibilities in you, one is gastritis and second is due to smoking. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Secondly, it may be due to smoking, as it causes damage to lungs. This pain frequently but not always increases on deep breathing and coughing etc. Treatment is reducing the smoking and if hurting a lot then needs NSAIDs like ibuprofen 500 mg or diclofenac 50 mg on whenever needed basis. Get back if you have any doubts.
000003604
Hi, Please note that some cardiac holes called septal defects close by themselves. Some when small cause defect only in infections, anemia or pregnancy. Large defects cause symptoms as repeated chest infections, decreased height and cardiac failure as a breathing problem etc. Such things can be evaluated by chest x-ray and stress echocardiography easily. Hope I have answered your query. Let me know if I can assist you further.
000003605
Hi, Panic disorders during pregnancy tend to make more concerned about pregnancy & the disorder itself. You are already having CBT & get good response. Please some relaxation techniques which will help you. The chest pain on left side & palpitation can not be heart trouble. As the site of pain there is different. To satisfy yourself . Get yourself examined by a cardiologist.an assurance from him will satisfy you . & this will remove your symptoms too. Thanks.
000003606
Hello am sorry for your husband and his situation. He suffers from DM, pneumonia , three surgeries, and today he is not responding. How was the sugar blood level? Did he previously smoke a lot? Because in persons witChatDoctororbidities and smokers too, the pneumonia (which is the inflammation of the lung tissue) is more aggravated in a smokers' lung. He is recovered in ICU ward with these problems. In my opinion the coma might be from DM or sepsis due to pneumonia too. I wish a fast recovery for your husband. Thank you Chat Doctor.
000003607
Hi, Welcome and thanks for posting your query to Chat Doctor. After reading your query it appears to be due to the closest possibility of \"Urticaria\". This is a condition caused by bursting of allergy producing cells known as \"mast cells\". As the chemical inside them is released causes the kind of rash which you mentioned. Kindly follow the suggestions below
000003608
Hi. By what you quote I feel that it could just be a passing viral illness. But if the nose bleeds recur again or if his behavior is altered you need to consult a physician. Bad headache associated with vomiting / reeling sensation of the head / unconsciousness/ seizures / ENT bleeds is an indication for evaluation. As there is nose bleed - I suggest you consult your pediatrician for this as soon as possible. Regards -
000003609
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because this can cause Fluttering and twitching sensations in rib cage. So consult doctor and get done 1. ECG 2. 2d echo 3. Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes, stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. And lose some weight. This will cause subjective wellbeing and treat your fatty liver too. Don't worry, you will be alright. But first rule out arrhythmia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003610
Hi, welcome to Chat Doctor. Zyloric and Eurostat, both are prescribed for high uric acid level in blood. Febuxostat is better alternative to pyloric with less allergic side effect. So, continue with Eurostat for at least 3-4 months and then check uric acid level. It is necessary to continue this tablet if someone has recurrent attacks of gout. Maintain adequate HY Chat Doctor. I think this would be helpful to you. Best wishes. TC.
000003611
Hi and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, I can understand your anxiety. Diet is very important in renal failure patients.1. Salt restricted to 5gm/ day. No added salt while eating food.2. 40gm protein/ day. Avoid red meat totally.3. 2000 calories / day in an adult, but adjusted according to body weight.4. No fresh fruits or coconut water, as they're potassium rich.!!5. Fluid intake should be strictly, urine output plus 400 ml/day. If you've any other doubts, send a direct question, in my name. Chat Doctor. Manga.
000003612
Hi, Welcome to Chat Doctor. If you have gastrointestinal symptoms like loose stools or vomiting then the chances of the pain you have to be due to appendicitis can be possible. Since you have history of burning micturition the chances of urinary bladder infection being the cause are more. You may have to be placed on antibiotics to get rid of the symptoms you have>do consume lots of water and Cranberry juice as this will reduce the load of the infection. Wish you good health.
000003613
Hello! Thank you for the query. Your symptoms are most likely caused by stones in the bile ducts. Adhesions which has appeared after the surgery are also possible. I suggest you to have blood work, liver tests (AST, ALT,GTP, AP), amylase, bilirubin, urine amylase and abdominal ultrasound. If stones will be found, ERCP procedure will be necessary and will cure these conditions. If no findings in these tests, abdominal CT should be performed to see if the pancreas is fine and if there is no other things inside the abdominal cavity. Hope this will help. Regards.
000003614
Hi. Thanks for your query. Good explanation of the findings. Hard lump-skin moves- 3 years.IT is possibly coming from the bone as Osceola/ or a lipoma, appears hard here as it is in the confined space / The best way to get a correct diagnosis is HRCT scan of the area and FNAC. The decision to whom should be contacted depends upon the CT scan findings. IF feasible, get this operated. It is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis-makes you tension-free
000003615
Thanks for your question on Chat Doctor. Metastatic appendicitis adenocarcinoma is the malignant tumor involving appendix. It is rare tumor to occur. But very aggressive in nature. It spreads by blood and lymph nodes. And presentation is similar as you mentioned like abdominal pain, vomiting etc. And this can be diagnosed only on histopathology examination. And this give rise to metastases in liver, lungs etc. So metastatic appendicitis adenocarcinoma means malignancy of appendix which has spread in liver, lung and other distal sites. It is not a good malignancy. Life expectancy is less than 1 year only.
000003616
Welcome to ChatDoctorGood Date pain while lying on the stomach may be caused due to an inappropriately healed incision site. You need to get an ultrasound to rule out disorders which can cause these symptoms. Get your vagina swab tested for infections like pelvic inflammatory disease. Regarding the breasts, how far along from your delivery are you. When did you stop breastfeeding. You may need to get checked for hypothyroidism and prolactin level as these can cause milky secretion. You could be having a urinary tract infection for which you need to get your urine tested and be on appropriate antibiotics. Get tested by a Gynecologist and follow his/her advice.
000003617
Hi. Thanks for your query. Read your history and understood your problem. The most probable reason for such of pain in left side of abdomen which gets intensified while passing urine and relieved by urine flow can be
000003618
HelloThanks for your query, based on the facts that you have posted it appears that you have low back pain, testicular pain which suggests presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical assessment and get following basic tests done to confirm the diagnosis.1)your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.2)Ultrasound scanning of abdomen to rule out presence f urinary stone, Please take broad spectrum antibiotics like \u010ceferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria.
000003619
Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged posterior auricular lymph node due to reactive hyperplasia or tuberculosis. Or you may have some cyst like sebaceous cyst or Desmond cyst or some abscess. You should go for examination. If needed to take a course of antibiotics. If you lump doesn't respond to treatment then biopsy diagnosis is advisable. 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.
000003620
Hello, I have gone through your query. Thanks for using Chat Doctor. Basically hyperthyroidism can lead to mild hypertension. And BP reading of 130/90 and 127/86 are marginal and you don't need any treatment for that. Inderal which is being given to you would control this level. Usually treatment of hyperthyroidism lasts for about 2 years. Looking to your present reading you just focus on hyperthyroidism along with salt restriction and follow healthy lifestyle. My best wishes Chat Doctor.
000003621
Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Following are the lifestyle situation which causes heart issues.1. Age (age more than 55)2. Strong family history3. Stress and anxiety4. Type A personality5. Hypertension and diabetes6. Obesity and dyslipidemia7. Sedentary lifestyle etc. Since you are active and doing exercise, I don't think they will post pone surgery. Toe surgery is done mostly under local anesthesia. So no Hardin it. Better to consult cardiologist after surgery. At present no need to worry much. Get done surgery.
000003622
Thanks for your query. I have gone through your query. Nothing to be panic, keep an eye on your child for any changes like rashes or vomiting or any discomfort. If you find any of these symptoms then immediately consult a pediatrician and get it evaluated. If you don't find any symptoms then nothing to worry. Be careful from now on wards with your kid regarding Chat Doctor. I hope I have answered your query. Take care
000003623
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having gastritis and HERD (gastroesophageal reflux disease). Your symptoms are typically worsening during ovulation and menses (stress related) and after eating food. So all these favors gastritis and HERD more. So follow these steps for better symptomatic relief. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start pantoprazole tablet on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Go for walking after meals. 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.
000003624
Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. If you just had this problem Acutely, it might be due to sore throat. If this is a chronic problem, this requires further investigations like
000003625
Hello the pain you mentioned arises in the flank and moves forward resembles to renal pain and as u stated that you had urinalysis which contained ABCs which are actually dead white cells referred as pus cells signify renal infection. However you did not mentioned the actual no. of the ABCs as they may be insignificant to yard a positive culture or if u had performed the culture and sensitivity test after using Cipro and then u can get the false negative result. However for the current pain you are having which is more likely to renal pain I would recommend you to increase your fluid intake. Repeat urinalysis and perform an ultrasound pelvis and ultrasound PUB, thanks with regards Chat Doctor.
000003626
HelloYour findings may suggest tubercular infection in right upper lobe. You are rightly suggested to take medicines for six months. Generally antitubercular medicines sterilizes tubercular bacteria in two- three weeks, so it is incapable to infect other persons. You should take extra precaution during first month like don't get very close to other persons and avoid kissing etc. Cover your mouth during cough. These will prevent spread of bacteria to other persons. Take healthy and nutritious diet. Get well soon. Take Care Chat Doctor.
000003627
Hi there ~ All that you mention in your history for your husband, including exposure to ticks, an alcohol problem, family history of heart attack, physical stressors and recent chest pain along with exposure to varnish and his inherent non-modifiable risks of being a middle-aged male are contributing factors to his hypertension (high blood pressure). I believe that using relaxation strategies like breathing exercises - Panama, yoga, meditation, regular scheduled activities as well as exercises are helpful with the high blood pressure. These are nonmedical interventions. Modification of lifestyle including diet is one part and using medications is another. It is always helpful to seek the expert advise of a qualified doctor or your family practitioner in regard to any persistent problems. I hope this helps. Take care and have a good day !
000003628
Hello, I have gone through the query and understood your concern. As per your sonogram, the follicles do not seem to have ruptured, considering their size. It is essential for a follicle to release the ovum to enable fertilization. Phaeton can be used safely and is useful to prepare the endometrium. You have to establish ovulation. This can be done by measurement of the basal body temperature, ovulation studies and enhanced by hormones. Your chances of conception are good as you have good follicles. Hope this helps.
000003629
Hi...you can give with either water or milk. It all depends on the palatability of the kid - that means you can try both and continue with what the kid likes - for example if she likes it with milk - then continue with milk or otherwise - water. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Regards -
000003630
Knucke area is peculiar in the sense that the knuckle joint is just beneath the skin. Therefore any seemingly superficial skin injury in the knuckles especially open wounds is of concern to us orthopedic surgeons' BEC there is a high likelihood that bacteria and other foreign body can easily penetrate the joint and be left there. This injury can be easily missed out and be treated as a superficial skin wound. Skin can heal but if there is continued swelling here are possible causes you have an infection of the tendonoryou have an infection of the join tor you have an infection of the boner lastly it can be an abscess BEC of retained bacteria just underneath the ski nits very less likely to injure a bone(fracture) via table saw injury...bones are strong against slicing forces so less likely. Bones are more often injured via bending twisting or crushing.
000003631
Hi ! Good evening. I am Chat Doctor answering your query. Even though the EPT could be negative, I would suggest you to go for a serum Chat Doctor estimation and an ultrasound of abdomen to confirm or rule out with certainty an unsuspected pregnancy. Apart from that an ultrasound would also give the treating doctor the latest information on your endometriosis. I would suggest you to anyway consult a gynecologist for a clinical examination and related investigations for a definitive diagnosis, and further 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
000003632
Hi, thank you for providing the brief history of you. As you been in a wheelchair and going through your history I can understand that it is a painful thing to have so many issues and ignorance by the physician. As in my clinical practice we offer the best care and time to queries of the patients, may not be so important according to us but for a patient it is important as the patient is desperate to know how his future is going to be. As you are currently under a physical therapy and also diagnosed with MS. I will advise you to understand that MS is something different to deal with the medication as all Chat Doctor. Regain the functions and also will help the body to reproduce its own internal medicine. In many cases of MS in my clinical practice we have a team approach to help the patient and never ignore the smallest query by patient or a symptom too. In case you need any more assistance I will surely be present to help you. Never give up as many MS cases in my practice I Have seen recovering when a team approach is provided. Also, you can have a look to a YouTube channel of pfizernews and there many doctors have spoken about how better an MS can be handled and fought as well. This is just a single example. As we understand your queries and request you to keep undergoing the physical therapy and make a deep communication between you and the medical team. If you have any queries you can ask me and I will be happy to help you. Regards Jay In
000003633
Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion there is very less possibility of cancer in your case. But better to rule out this at early stage. So consult dermatologist and get done biopsy of the lesion and send it to the histopathological examination to rule LUT cancer. This is the best way to diagnose cancer if present. So get done biopsy and diagnose this.
000003634
Hi. From your description I feel the child must be suffering from a viral associated wheeze. Obviously an underlying cardiac disease also has to be ruled out. Her coexistent genitourinary infection might be a cause of fever but the cause of cyanosis and breathlessness is usually cardiorespiratory problem. If you have any further questions in this regard I would please to clarify. Chat Doctor. S. Sri Vichy Chennai
000003635
Well don't worry it's a common response to IV insertion after removing the iv cannula it takes a while for the small hole in your veins to plug up or close during these time some blood escaped to the surrounding tissue hence the bruisingitll feel sore yes but rest assured you would be fine the pain is caused by phlebitis (inflamed vein) which is just a healing response of the vein after a puncture wound in this case a needle warm compress can help since it would improve the circulation in the area thereby improving the healing response and washing away the pain chemicals
000003636
Hi. Thanks for your query. The pain in this area with a swelling on one side can be due to an abscess or symphysis diastase as you rightly thought about. The only way to get a proper diagnosis is by clinical examination by an Orthopedic Surgeon, and/ or MRI (MRI is safe in pregnancy). The treatment will depend upon the diagnosis. IF an abscess - needs a nice course of pregnancy-safe antibiotics and anti-inflammatory medicines. If dialysis- anti-inflammatory may be sufficient. Gynecologists opinion about an early Caesarion section can also be sought if the problem is severe.
000003637
Hello, Welcome to Chat Doctor, As you are diagnosed to have Mono infection, which is caused byEpstein-Barr virus (ABV) is very common and usually occurs in childhood and early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Because of reduced immunity you may all these weird symptoms. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you.
000003638
Hi I did review your concern and question. Your lower back pain can be due to multiple reasons. I would advise you to consult a rheumatologist for complete evaluation including-xray, cbc, esr, crp-MRI spine,HLAb27 if required afterwardsFinding the right cause is important to start right treatment in back pain About the bruise you need to be investigated for CBC, platelet count and coagulation profile. Also, both back pain and bruise can be related with respect to an autoimmune phenomenon. I hope this helped me know if any more questions or concernsWish you best luck ahead
000003639
Hi, your child had an operation for Aortic valve regurgitation. Now he has bilateral pleural effusion. This condition is a bit worrying because effusion could be due to the inability of heart to completely pump the blood out. This leads to back pressure and effusion. Get an Echocardiography done to get a view of the current status of aortic valve function along with ejection fraction. If you live in a high tubercular endemic zone, get a Koch work up in form of an ESR and a contour test. Also, consult your cardiologist. Thanks and regards.
000003640
Thanks for contacting Chat Doctor with your medical questions am sorry to hear that your son has chicken pox and that the rest of the family is now exposed. The chicken pox virus is extremely contagious and at this time the entire family has been exposed and if they never had chicken pox will probably get it. For the child Chat Doctor. For the adults it could be more serious. It is possible though that you and your husband had chicken pox when you were child
000003641
Hi, you had laminectomy 15 years back, Now suffering from the lower back pain, taking diazepam 5 mg, Now you are suffering with dizziness, altered gait. Tests done every thing is normal. You are suspecting it to be due to the diazepam. There could be another reason, like atherosclerosis, ischemia of the brain, or something of that sort. I advise you to consult a neurologist for diagnosis. Thank you.
000003642
Hi, Thanks for writing in to us. Sorry to hear about the cancer your friend is fighting. Blood cancer might occur in many types and the patient symptoms vary. The new blood cells are produced in bone marrow. It is possible that the bone marrow in your friend is producing immature cells and this prevents formation of normal blood cells. In this way there is no new blood cells that are normal and all the cells released from the bone marrow are immature. For this reason he requires blood transfusion regularly. It is unlikely to be hemophilia which is a disease in which blood does not clot, and the patient has blood loss. Gene therapy and stem cell research is still going on with research trials in selected countries. This information of the availability of any trials and if your friend can participate will be known only if you contact any cancer research center in you place and give them detailed information about his illness and blood counts. Immune modulator therapy and bone marrow transplant might work and this needs detailed discussion with his doctor. Please do not worry.
000003643
Hi. Thanks for your query. It is good that you did Tidal test for typhoid and this is equivocal. It looks that you are either a traveler or eat out of the home. You should get investigations for other causes also as the test is equivocal meaning can be positive or negative. I would advise you the following
000003644
Hi, Welcome to Chat Doctor, I have read the query and understand the problem. Sweaty palms with fever should be evaluated further. As you said you had been treated with typhoid, so you should go for tidal test for follow-up testing and check the which tier is showing. Other tests also be done like routine blood counts, thyroid function tests and urine examination to detect any infective the underlying cause. However, most excess sweating is due to excess sweat glands or their hyper-stimulation. That causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Here are some tips to stop this sweating. Always take balanced diet and Chat Doctor. Avoid tight-fitting clothes rather wear loose clothes. Wear cotton material clothes and avoid synthetic silk. Bath with antibacterial soap like detail, savlonUse antiperspirants and deodorants together like aluminum chloral
000003645
Thanks for your question on Chat Doctor. I can understand your concern. Due to strong family history of ischemic heart disease (HD), high blood pressure and high cholesterol, you are at high risk of development of HD or other heart diseases in the future. So better to follow these steps. 1. Strict control of blood pressure is needed. So take your antihypertensive Chat Doctor. Get done regular (monthly) blood pressure monitoring with doctor. 2. Strict salt restrictions in diet is needed. 3. Avoid oily and fatty food. 4. Do regular aerobic exercise like running, cycling, swimming etc. 5. Avoid stress and tension if you are having stressful life. 6. Get done regular lipid profile, ecg, 2d echo and stress test once a year. 7. Start lipid lowering agents like atorvastatin or rosuvastatin. 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.
000003646
Hello, Thank you for using Chat Doctor. I read your question and understood your concern. You may have plantar fasciitis, so I recommend you to use custom-made shoe inserts with arch supports. Also check your osteoporosis as you may need calcium and vitamin D medication. Diabetes affects also the nerves of the legs, so you take medication for neuropathic pain such as LYRICS. Non weight-bearing exercise and sport such as swimming, water Derby and stationary bike is good for you to lose weight but not walking nor jogging.
000003647
Welcome to the ChatDoctorI have gone through your question and understand your concerns. Your child seems to be suffering from motor delay which can be due to mild cerebral affection due to premature birth. Don't worry. She seems to be progressing well in social, emotional and cognitive development. Fine motor skills and gross motor skills are a bit delayed but with good physiotherapy, they may improve over time. Ayurvedic massages are also useful. Hopefully this will help you. Take care
000003648
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, at your age (58 Yeats), arrhythmia (rhythm disturbances in heart) can cause similar symptoms. Arrhythmias like atrial fibrillation, atrial flutter, supra ventricular tachycardia etc. can also cause skipping beats. So better to get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). You may need anti arrhythmia Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003649
Hi, Thanks for writing in. A black spot on the kidney requires detailed evaluation It is important to know the exact report details of the MRI which was done. The concept of black and white appearance on MRI scan is not specific at all times. There are many images taken during MRI scan and structures might appear black or white depending on the image sequence. If her doctor has pointed it out as an abnormality then it is to be followed up closely and in detail with the help of additional investigations. A complete kidney function test might help to know if she has any kidney function which might be related to the compression fractures at the back. However, the routine tests are normal and therefore doing other tests might help. If it is a cyst in kidney then there is no concern. Please do not worry.
000003650
Hi Their understand your concern for your health and I would like to tell you that a heart function of 25% is quite low which need to be evaluated thoroughly to find out the cause of such a low LV function. For that your cardiologist may advise you to go for a coronary angiogram to check the status of your heart vessels which could be the most important cause of your low heart function.No not going to involve heart surgery at this point of time. And one more important thing is to STOP SMOKING (IF YOU DO).I wish you good health
000003651
Hello, Based on your description of your complaints, you seem to be having venous insufficiency of your lower limbs. This commonly in layman term is called as venous insufficiency of lower limbs. That is the veins of lower limbs usually pump the blood from lower limb to heart, after injury to lower limbs or due to any other because they become weak or loos there ability to pump blood back to heart completely. This results in them becoming thick or engorged and sometimes these small veins look bluish and enlarged. These changes are usually seen when you do a color venous Doppler and arterial Doppler of lower limb. Sometimes these discolored veins also are seen after taking some medications. In most cases, the treatment will be exercises and compression stocking application of lower limb. I would request you to consult your doctor again and ask him to clear your doubts. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further.
000003652
HiT hanks for your query with Chat Doctor, as you mentioned you have already taken antibiotics there is no need to take antibiotics again and again which is not god for general health where one can develop Chat Doctor. Anyways coming to your problem I think you have an open canal where the food can lodge in canal leading to pain with secondary infection. I would suggest you to visit your dentist for further completion of the treatment under aseptic conditions. Fever is also because of secondary infection only. Blood in the saliva may be due to remnants of pulp nothing to worry but as mentioned complete the treatment if it is not done, Hope this helps you
000003653
Hello, Well, some signs you should be a concern to are inflammation of the tattoo which means tattoo may be hot when you touch, it is more redness than normal, it hurts to you a lot when you touch, and you find your eyebrow tattoo inflated then you must be worried. Other signs you may take into consideration may be scratching of tattoo or unusual pain. About the soreness you mention, alone with no other sign it is not a problem and Vaseline will help. Hope I have answered your query. Let me know if I can assist you further.
000003654
HelloThanks for your query, based on the facts that you have posted it appears that your husband has acquired Gonorrhea after having sex with other woman which was treated with antibiotics.However, during his recent visit your Chat Doctor. This is known fact that infection remains dormant for a couple of months and recurs again without any sexual contact especially if the Gonococcal infection is incompletely and treated
000003655
Hi, Usually, high blood pressure patients start tolerating high BP. If your mother is not having any major symptom besides high BP, let her take her medication and physical rest. She must avoid all physical and mental exertions for the next 3 or 4 days. Even morning walk should be avoided for the next 3 or 4 days. Ask her to avoid tea, coffee and alcohol also. Ask her to relax. Hope I have answered your query. Let me know if I can assist you further.
000003656
Helpfulness of pelvi-calyceal system may indicate obstruction in Chat Doctor. It may be calculus, PUJ obstruction etc. Since ultrasound of PUB doesn't mention any calculus, other causes should be searched. You may need MVP(intravenous paleography).MVP is important in assessing PUB obstruction, function of Kidneys etc. You may need some intervention depending upon findings. Empirically you are rightly advised to take plenty of water. CT biography may be needed after evaluation. Get well soon. Take Care
000003657
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that your friend has abdominal pain, No, gums infection can't lead to diverticulitis, for that you should consult Physician, But your friend should go to dentist and get oral prophylaxis done, Poor oral hygiene lead to growth of bacteria in oral cavity which can cause many gingival and periodontal problems, Hope this will help you. Wish you good health.
000003658
Welcome to Chat Doctor. 1. The history and symptoms suggest the most possible cause is hair follicular infection / inflammation in the first place.2. The next possible cause could be abscessed with collection of the infective material / pus with in.3. In both cases I would recommend you not to interfere the lump by scratching, pressing as in that way you will increase the infection and complicate the condition.4. At this point I maintain local hygiene, clean the area with antiseptic liquid - soft and gentle. And need a course of antibiotic therapy that will heal the infective process. 5. If the lumps are big and complicated stage, it may need a small incision and Chat Doctor.
000003659
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have small child with swollen cheek and discoloration of teeth, don't worry this can be due to carious tooth having Pus formation. As there is no any ayurvedic treatment you should consult dentist and go for restoration if possible, if cant be restored go for extraction of tooth. Hope this will help you. Wishing you good health.
000003660
HelloThanks for query. Bumps on shaft of the penis are mostly Sebaceous Cysts. Penile skin is rich in sebaceous glands hence more prone to get this cyst due to accumulation of sebum beneath the skin. Normally they fade away without any treatment .but need to get excised in Toto if you get infected or increase inside. Consult qualified Surgeon for clinical assessment and further treatment. Chat Doctor.
000003661
Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are high liver enzymes findings but still not critical, so I don't think it is necessary to postpone treatment if you ask me. However, you should consult it with doctors who prescribed this specific treatment. You should also take Sylvain for liver protection and avoid alcohol completely. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor.
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Thanks for your query, I have gone through your query. Some people vomit or feel like vomiting when they brush their teeth. This is because the toothbrush that contact with the back part of the oral cavity. This, in turn, activates a persons gag reflex, thus causing the person to instinctively throw up. When the bristles contact the soft palate you will feel like vomiting. Nothing to worry, while brushing you need to be sure of not contacting or stimulating the palatal mucosa with the brush. I hope my answer will help you, take care.
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Hello, If you have regular 28-30 day cycles and have missed a period, you should get investigated further since the home pregnancy test is negative. I would suggest a serum beta-ChatDoctor title assay along with a trans-vaginal sonogram. If pregnancy is excluded, you need further investigations like hormonal profile, general check up, blood counts, urinalysis etc. In the absence of pregnancy, a missed period could mean hormonal imbalance caused by several factors like sudden weight changes, stress, infections or certain medications and once everything is clarified, a period may be induced. Hope this helps.
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Hi and welcome to Chat Doctor. It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise. Second option is pancreatic disorders, you should do certain tests to verify is there any kind of pancreatitis. Wish you good health.
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Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply
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Hello. Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like - a. Did you have such episodes in past? b. Did you have fever? c. Did you have headache? At present, I would like to make suggestions for you as follows
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Welcome to Chat Doctor I have gone through your query and understand your concern. You are having neuropathy both hands. It may be due to compression of your nerves in cervical spine region due to compression of nerve roots. You have not mentioned your age to judge the cause of disease. You may need your MRI of cervical spine to see compression. Other causes of neuropathy such as thyroid disease and diabetes should be ruled out by proper investigation. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
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Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from chronic sever backache. Treatment of back pain exercises and analgesics (diclofenac). Sometimes strong analgesic(such as attract three times a day after meals) is required. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation can be taken. You need to do MRI TO RULE OUT DISC PROLAPSE and other causes. I think your query answered. Welcome to any follow-up query
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Dear patient you are suffering from bronchitis, a chest infection caused due to recurrent sore throat and tonsillitis. You need to improve your bodies immunity. As decreased body defenses leading to recurrent sore throats and tonsillitis. Take high amounts of proteins and a tab of lime every day. Get a chest x-ray done and start a course of antibiotics by consulting a pulmonologist personally. I advise you to get your tonsils removed as they are the primary source of you repeated infection. Undergo tonsillectomy. Best of luck, take care.
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Hi.noted history of lump on the arm. It could be a fibrous (fibrous tissue formation), lipoma (fatty deposit) or a cystic formation. It is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Other diagnostics and management will be directed accordingly. If it is any of the benign lesions mentioned above, definitive treatment is surgical excision and antibiotic treatment. Hope this helps. Good day!!~ Chat Doctor.
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Thanks for your question on Chat Doctor. I can understand your concern. Since you are having recent travel history, possibility of either lung infection or bronchitis is more for your symptoms. Your symptoms like headache, dizziness, weakness, nausea and breathing difficulty are common in both of these conditions. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid. So first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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Thank you for the question. For lose motions ORS and water is definitely needed.This medicine as you said has good effect on motions. Medicines do have other effects too. These medicines are bad to taste, also it leads to metallic taste which obviously the toddler is unable to explain but expressing it in the for of vomiting. Infection will take some time to resolve along the time color of motions will change.In the meantime you can give the child medicine on empty stomach and offer something immediately after it, so he does not continue with after-taste of the medicine, stop vomiting. Have patience.
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Hi... If I were your treating doctor then. I would like to know the details of injury sustained.in detail.as of now with details available with me. I would suggest you to ice up the injured area...keep it compressed with a compression bandage.keep icing your calf muscles ...if possible slowly knead her calf muscle so that it help her in relieving spasm and associated stiffness which be an indirect cause of her knee pain...Don't hang your foot keep it elevated...from foot to mid-thigh...with a pilot... Take it easy on your activities don't try to bear weight and keep attempting movement to check if it is painful. Once these episode gets over.and heal completely I suggest you to have a good ankle glute rehab program... balance and proprioceptive program for 6 weeks... Hope this is helpful for you. Kindly revert in case you need further clarification....
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Hi & welcome.Seafood is an important source of Omega-3 fatty acids which have liver protective action. It can be either in form of fresh, canned or frozen sardines, salmon, mackerel, tuna, trout, blue mussels, calamari, etc. Fish oils like Cod liver oil also contains a good amount of Omega-3 fatty acids hence can be consumed. Along with seafoods listed above eat plentiful amounts of raw fruits and vegetables, especially dark green leafy vegetables and orange, yellow, purple and red colored fruits and vegetables as they contain various vitamins, anti oxidant substances which protect the liver. Avoid taking spicy foods, cigarette smoking, fatty meals, etc. Hope this answers your query.
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If you or your child has an earache that is often accompanied by a stuffy or runny nose and a sore throat and fever, it is likely that the ear pain is due to an ear infection. Medicine for Ear Infections To ease the pain of an ear infection, your doctor may recommend a pain reliever, typically acetaminophen or ibuprofen, which also helps reduce a fever. Aspirin should be avoided in child Chat Doctor.
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Dairy understand your concern. You have been diagnosed to have depression. And you are under medication. Time and again it has been proven that medicines alone cannot cure depression. Change your lifestyle using psychotherapy. Change your body metabolism and way of thinking through Yoga. Decrease your pace of life through meditation. Consult a good psychologist and yoga master soon. Wish you speedy recovery
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Hello, If your pain is with swelling and in both lower limbs than there are some other reasons for that like
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Hi, thanks for using Chat Doctor Sneezing and nasal discharge are normally related to allergies. Treatment would involve avoiding the allergens if they are known and the use of medication. Montelucast is effective for allergies and is also used in asthma. A topical nasal spray would also help to reduce your symptoms, examples are alone, escort, Flonase, avamysYou would need a prescription from your doctor. I hope this helps
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Thanks for your query, I have gone through your query. The pain in the tooth could be because of tooth infection or gum infection. The tooth can become loose secondary to bone loss or any cyst or benign tumor. Consult an oral physician and get the OPG done to rule out the above said causes. If it is a tooth infection get it treated by root canal treatment. If it is gum infection get your teeth cleaned once. If it is a cyst or tumor you need to get it removed surgically.I hope my answer will help you. Take care
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Hi, Thanks for writing in. Masturbating with olive oil containing dead ants will never lead to bleeding from penis. Please be reassured that the olive oil had nothing to do with the bleeding symptoms. It might be that you have done rough and violent masturbation. There can be injury to the soft tissues of penis and urethra. This can cause small lacerations in the wall of urethra. When more force is exerted, this will cause bleeding during masturbation as the soft tissues are engorged with blood and blood vessels are dilated. Please avoid masturbation for 3 to 4 days and use lubrication while doing it gently.
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Degree understand your concerns went through your details. I suggest you not to worry much. As you already know that your girlfriend is an anxiety patient and undergoes treatment and been prescribed with Federal, you must make her aware and motivate her not to Chat Doctor. Consumption of any form of alcohol increases the anxiety symptoms and treatment mostly fails. Please correct her. As her boyfriend, you can only do that. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
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Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on Chat Doctor. We can't be sure that these symptoms you are experiencing now indicate heart failure without doing some examinations. Usually swollen ankles and feet are found in heart congestive failure, but in these cases, feet and ankles are more swollen in the evening and less in the morning. Kidney problems, diabetes, thyroid problems etc., may lead to similar symptoms. So to determine the real cause of these concerns I would recommend you to do some examinations to let us know more about your health.- Blood pressure monitoring-Blood sugar and lipids-Urine test, proteinuria- Liver enzymes, and kidney function indicators (creatinine, urea)- ECG-Heart ultrasound examination and cardiologist consultation doctor may ask for more examinations if he sees reasonable. After we get these results well be able to determine your condition and treat it accordingly. Feel free to ask us again on this website. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards! Chat Doctor.
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Hello there, Root canal treatment is done on the infected or decayed tooth to remove the infected pulp tissue and to relieve the symptoms of pain and sensitivity permanently by devitalizing the tooth. Any remnants of the dental pulp or the tooth nerve tissue present in the root canals leads to pain and discomfort. Analgesics like ibuprofen will relieve the pain temporarily, once the root canals are disinfected and filled with permanent canal sealing material and the procedure is completed pain is relived permanently. So get the treatment completed as soon as possible followed by crown coverage of the treated tooth. I hope this helps, take care.
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Hii Tiffany, You are currently suffering from irregular period and hormonal imbalance. So need to investigate properly to rule out pathology. Do Blood for FSH/LH, Prolactin level. You have to regularize period with medicine. Pregnancy is possible only if ovulation and sexual intercourse occur in correct timing. Do sex in missionary position. No use of contraception. Also avoid stress, tension and anxiety. Do light exercise. Take healthy diet and sleep well. All the best. For more detailed suggestion, mail me.....soumenmmch@gmail.com
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HiT hanks for choosing Chat Doctor for your query. Since TB is highly contagious disease, the close contacts of a person with pulmonary (lung) tuberculosis are prone to develop infection because TB spreads by Chat Doctor. Visit the treating doctor for the skin testing like Contour test. You will have to take Isoniazid tablet once daily for 6 months or Isoniazid and Rifampcin once daily for 3 months. This will prevent you from TB infection. This preventive treatment should be given to all family members including the housemaid and servants. I hope your query is being explained.Feedback in this regard is highly appreciated.
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Hello, Cannot say in your particular case, and it all depends on specifics like how much brain edema and what organism is infecting the brain. Bacterial infections severe enough to cause coma are generally fatal by that point even with the best care. Likewise, infection with amoeba are usually fatal by the point of brain edema. But neither of these are 100%. Soonest antibiotic as possible. Lowering brain swelling with steroids, or diuretics or hyperventilation or medical coma would be urgent. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist for your husband. Here is having chronic HERD (gastroesophageal reflux disease) which is causing bloating, heartburn, chest pain etc. This chronic HERD can cause asthma and breathlessness due to chronic reflux in the lungs. And they will cause shortness breath tiredness etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. He will need inhaled bronchodilator and inhaled corticosteroids. Control of HERD is also important. So avoid stress and tension, avoid hot and spicy food. Continue Prilosec. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
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Hello! Thank you for the query. It would be much easier to answer your question knowing at least pain location. Also, the type of laparoscopic surgery (gallbladder removal?) is important. Back pain and abdominal pain can be caused by gallstones, stone in the bile ducts, pancreas inflammation or urinary tract infection. I assume that you have gallbladder removed. If the pain is connected with nausea, dark urine, whitish stool, a stone in the bile ducts can be the reason. If you have any frequent urinating, burning while urinating, urinary tract infection can be the reason. I suggest you to have some tests done. Abdominal ultrasound, blood work, urinalysis should be done at first. Hope this will help. Regards.
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Hello and welcome to Chat Doctor, An abdominal pain with cramps may not be necessarily due to infection. Is there associated diarrhea, vomiting, etc.? If yes then these symptoms can be due to an intestinal infection. The treatment for amoebas is metronidazole. Ciplox is for bacterial infection. It is advisable to consult your doctor before starting any medication.In the meanwhile you can take a painkiller and anti-spasmodic- dicyclomine for the cramps. Take light food and avoid fatty and spicy foods. Thanks and take care Chat Doctor.
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His understand your concern.295 spectrum has many phases and for treatment it is necessary to go in detail about all symptoms that you have. The medicines are mixture of both anti-psychotic and antidepressant. If you have more psychotic symptoms than require dose adjustment, and it can only possible when we know all history since beginning.Revert with detail or consult the best psychiatrist in a town for further assistance. Thank you.
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Hello there I have read through your question and burning pain in the calf is an indication of nerve compression. Since it is in the lower leg it may be happening at the level of spine. I would advise you to get an MRI scan of the spine done. In the meanwhile try and avoid sudden bending movements or lifting heavy weight s. Try doing stretching exercises. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor.
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Hi, This type of pain is peculiar of two conditions, L4 nerve root compression or perineal nerve compression syn Chat Doctor. If not then it may be because of stress fractures or vitamin D deficiency. All you need to do is to get a thorough clinical examination done as the information you have provided is not enough to reach a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further.
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Degree understand your concerns went through your description. I suggest you not to worry much. You have not given your age. With no other symptoms pertaining to STDs, that part should not be suspected. The odor during intercourse is normal and is due to intercourse itself. The soreness could be due to lubrication problem. Get to your gynecologist and get a confirmation about this lubrication problem. Use of proper lubrication should clear the problem. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas.
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Hi there. Welcome to Chat Doctor. I have read your query. Do you have any pain in your hips while moving them around or walking ? Are any of your legs short ? It appears got could be having a fixed flexion deformity of your hip due to possible hip problems. You need to avoid lifting weights and minimizing stair climbing. Kindly consult your Orthopedic surgeon in this regard as investigations like X-ray or MRI may be needed to confirm. I hope I have answered your query. Thanking you.
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Hi Diane, The reason for the pain could be a pinched nerve, the one supplying your legs. Once a nerve is pinched at its origin from the spinal cord, the symptoms may be felt along its course too. This pinching can be caused due to many reasons and to find the reason you would have to get an MRI scan of your lower back or the lumbosacral spine. The frozen shoulder and this pain radiating to knee and foot are not related. Provided the MRI scan shows the reason for the pain, it can be managed with medications and physiotherapy and in case it doesn't help, you would require a surgery at a later stage.
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Hello, Thank you for posting on Chat Doctor. From your description, It's difficult to put forward a definitive diagnosis. I would thus suggest you to consult a dermatologist for proper management, or alternatively you can post pictures to me via direct query so I can help you in a better way. Given the history of Hypothyroidism and sudden development of itchy rash I would like to put provisional diagnosis of Urticaria or hives.It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will take care of your condition. Kindly spare some time to rate my answer and
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Hi missed beats or pauses in cardiac beating can be because of many factors it can be because of electrolyte disbalance, or it can be an arrhythmia for few seconds, or it can be av blocks.advicedHolter monitoring -a Holder monitor is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours, any arrhythmia or cause of missed beat or pauses will be recorded in it, according to its report we can further progress to electrophysioogical studies to rule out and treat the cause. But initially a 2d echo and holder has to be done
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HI, I understand your concern. Cervical mucus changes throughout menstrual cycle. So it can indicate fertile days. Cervical fluid is scanty / Chat Doctor. Becomes sticky & creamy before being fertile. *. When it becomes watery & egg white type fluid.it's an ovulating & more fertile stage. Ovulation is mostly on the last day of most fertile type cervical fluid. For conception to have sex 3 days before & 3 days after ovulation is recommended. * LH surge home test also helps in knowing ovulation. Thanks.
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HI, Dear,Thanks for the query to Chat Doctor. I understood your concerns about the choking cough which is unrelieved with 3 doctors. Dear, your doctors are doing there efforts and that's the limitation of the treatment for asthma currently. I would suggest to -Try simple tips for the reliefa-Reduce the work stress and take 7-8 hrs sleepb-adequate fluid intake band, frequent liquid meals mainly.d-stool check and urine check out the infective cause leading to stress your body.vapor -Steam inhalation 2 -4 times a day. Call back for special tips to my Chat Doctor clinic for the followup of 2-3 myths. Hope you could come out of the ASTHMA-if it is really an asthma diagnosis. Hope this would help you to plan the treatment with Your family doctor. Wishing you early recovery. You are always Welcome for further query to Chat Doctor in this regard. Have a Good Day...!!