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000003800
Thanks for your question on Chat Doctor. I can understand you problem and worry. You can follow these steps for better control of diabetes in your husband.1. Diet modification. Avoid sugar in everything like milk, juice etc. Eat more and for LE green leafy vegetables. Give him high fiber diet. High fibers can give you feeling of full stomach, so further food intake can be avoided. Avoid large meals, instead give him frequent small meals. Avoid high calorie diet like oily, cheesy food.2. Regular aerobic exercise in the form of brisk walking, jogging or trade mill. Go for walk after meals. This will increase metabolism and reduce post meal sugar spike.3. Take insulin regularly. You can also give long acting insulin (24 hours action) to prevent daytime fluctuations and provide glycemic control throughout the day.
000003801
Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms may be related to an autonomic neuropathy. Have you measured your blood pressure lately? A low blood pressure or orthostatic hypotension could explain this clinical scenario. I recommend consulting with your GP for a careful physical examination, a chest x-ray and some blood lab tests
000003802
Hello, It can be fungal infection of superficial skin over scrotum. The antifungal cream or powder can be applied over that. If you post a photo of lesion than further comment will be easy. Wear loose cotton cloths and avoid tight clothing. If no improvement then consults nearby dermatologists for detailed evaluation. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000003803
Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Your cholesterol and particularly LDL which is the bad cholesterol is on the higher side. It is probably due to stress and recent weight gain that you have mentioned. I suggest that you immediately go in for some lifestyle changes like
000003804
Hi and welcome to Chat Doctor. Yes, but it is not likely that this blockage would happen after so many years. These findings can be elevated in any liver disease including viral hepatitis, cirrhosis or infections. Most common cause is fatty liver, and it is treated by certain medicines and diet. You need to regulate your blood sugar and lipids. Avoid alcohol, fatty food, fried food, certain Chat Doctor. Regulate body mass. If there is fever and pain under right rib cage, you should do some tests to rule out cholangitis. Wish you good health. Regards
000003805
Thanks for your query, I have gone through your query. The pain can be because of the inflammatory response secondary to the trauma to the lymphatics. It can also be because of the Chat Doctor. The sensitivity particularly when air enters that area is because of the exposed dentin of the next tooth to the extraction site. Nothing to be panic. Continue the same medicines. You can take painkillers like diclofenac 50\u00a0mg BID with a serratiopeptidase tablets. For the sensitivity, you can use desensitizers like strontium chloride. Apply over the teeth and leave it for a minute and brush your teeth with normal brush. Do it twice daily, for a week. I hope my answer will help you, take care.
000003806
Hi, Thanks for posting in Chat Doctor. I understand your concern. It appears from your description that you are having delay in ejaculation rather than premature ejaculation. Premature ejaculation means getting ejaculation soon after inserting penis into vagina, most often within a minute of sexual activity. Since you are able to ejaculate during masturbation, things are fine and normal with you. Delay in ejaculation could be due to lack of proper sexual stimulation or Aurora and due to apprehension or anxiety. Spend more time during foreplay to get enough stimulation. Penetrate slowly and relax in between while having intercourse. Use proper lubricant to achieve good lubrication. You must remember that every sexual activity doesn't always end up with ejaculation. Gradually, you should be able to overcome it and perform normally. Hope the information provided would be helpful. All the best. Chat Doctor. S., MBBS., MD.
000003807
Hi, I am Chat Doctor. It is an incidental finding. If the development of your child is normal, mild dilation of bilateral lateral ventricles can be normal, and is not of much significance. So if every other thing is normal, I do not think it is cause of concern. 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 questionsTake care.
000003808
Hello, and I hope I can help you today. Fertomid is a type of fertility medication used help to cause ovulation in women who have trouble getting pregnant. Because you did get pregnant (even though you had a miscarriage), unless you have been trying since then for over a year and been unable to conceive, the Fatimid medication will not likely increase your chance of pregnancy significantly. Therefore, even if you forgot to take some pills, you still have a significant chance of pregnancy as you are still very young, especially if you have regular menstrual cycles. If you and your husband have not been trying to conceive for more than a year on your own, I would not recommend using any fertility medication. Using Fatimid for more than four menstrual cycles can actually reduce your risk of pregnancy, as it decreases the effect of estrogen on your uterine lining. 80% of healthy couples will conceive within one year if they are having regular (at least 2 to 3 days per week) intercourse without contraception. One in 10 pregnancies will end in miscarriage, which means that 90% of the time couples will conceive a perfectly healthy pregnancy after a miscarriage without any form of medical treatment. So in summary, missing the Fatimid tablets this particular month will not likely affect your chance of conceiving this cycle if you already ovulate naturally. I strongly recommend trying to get pregnant naturally for one year before using any type of fertility medication, as your body has proven that you can conceive even though that pregnancy did not work out. I hope that I was able to adequately answer your question today, and that this additional information was helpful. Best wishes,
000003809
Hi, I have gone through your question and understanding your concern, it is common to have this kind of soreness and discomfort after stress fracture. If I were your therapist, I would recommend you exercise therapy along with some ligament strengthening exercises, because after fracture the exercises which we do they only strengthen the muscle not ligaments. Ligament only get strength with stabilizing exercises. I would recommend you to go for this therapy program which includes, hot fermentation for 10-15 minutes around the affected area, start with some stretching for ankle muscle (in all movements of ankle)per stretch hold for 7-10 minutes and repeat it 5 times per action, just stretch up to pain starts just stretch in limit. After that go for stabilizing exercise like stand with both hand support and try to balance on affected leg just for 1-2 minute and repeat it for 5 times. Apply ice after every that, so it will not cause any pain after treatment. Start this with patience and I hope u will get improvement.
000003810
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are not having chest infection. It is mostly bronchitis. You had exposure of chemical (paint material). On inhalation of this chemical, inflammatory reaction is seen trachea and bronchi. This causes bronchitis which in turn causes coughing, tightness in chest, catarrh, sore throat etc. So better to get done PFT (pulmonary function test). It will not only diagnose bronchitis, but it will also tell you about severity of the disease. Inhaled treatment is the best treatment for bronchitis. Don't worry, you will improve with inhaled bronchodilator and inhaled corticosteroids. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003811
Hi, Polycystic ovaries do respond very well to treatment and conception is seen in most of the cases. Only, the prior assessment should strictly adhere to a protocol and this includes a complete hormonal study including thyroid status, insulin resistance, serum Prolactin and RHEAS levels, tubal patency tests and trans-vaginal sonogram. Induction is usually done in ascending doses with regular monitoring for a maximum of up to six cycles. Addition of Metformin to reduce insulin resistance has shown to be beneficial in many cases to help ovulation and conception. Please have timed intercourse, maintain a healthy weight and a healthy diet. Hope this helps.
000003812
HI, Welcome to Chat Doctor, I read your query and I appreciate your concern regarding this issue. If I will be your treating doctor I would advise you to- Take Defense Chat Doctor. - I would start you on amoxicillin/clavulanic acid 625\u00a0mg thrice a day for 7 days. (It is a prescription medicine, so you need to visit the nearest doctor to get it)- Take acetaminophen for pain & fever-Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.- Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID
000003813
Hi, Thanks for the query. I understand your concern. Your pregnancy like symptoms negative pregnancy test suggest irregular periods due to hormonal imbalance. You have to get investigated with USG pelvis for polycystic ovaries, ovarian cyst, thyroid function tests. serum FSH ALH.... consult a gynecologist for pinpointing the cause followed by specific treatment... your cycles would resume normal ovulatory pattern. Tube testing if needful)would be performed to confirm tubal patency. Side by side semen analysis of your husband would be tested to confirm normality. With 3very thing normal you can plan for baby... you would succeed soon. Thanks.
000003814
Hi madam, welcome to Chat Doctor, I understand your problem, maybe this all is happening become of your weakness or low hemoglobin, so, please check once, if its low, then start iron sucrose in weekly once, for 10 weeks, for present u have to use paracetamol 650 thrice a day, for 5 days, .... for your gastric use pantoprazole+levosulpride tab before breakfast for 3 months... take some green leafy veges, Chat Doctor. . Hope u satisfy with my answer, thank u
000003815
Hi.welcome to Chat Doctor.I understand your problem. Since you work in a software company hair loss in your case may be due to stress and lack of sleep.my opinion is that,1.avoid stress.2.have adequate sleep of about 8 hours in a day.3.take nutritious foods.4. Chat Doctor. 5.take iron and multivitamin tablets once daily in the nighttime. Thank you. Hope my answer will help you. Feel free to ask your questions.
000003816
A leaking in one of the heart valve is a common finding in elderly patient because of calcium deposition at that level. The amount of regurgitation might vary, and the majority of the patients have only a mild problem. If the problem worsens, symptoms of heart failure might occur, like shortness of breath or swelling of the legs, and they can be managed by increasing the amount of water tablets in most of the cases. I hope this helps.
000003817
Hello, Thanks for consulting Chat Doctor, Read your query, as you have loss of appetite, lethargy, nausea, weakness this can be due to side effect of local anesthesia, nutritional deficiency, Chat Doctor. For this I will suggest you to take proper sleep of 8 to 12 hours, don't take stress, take proper nutritious healthy diet, take soft diet, you can also start with vitamin B12, folic acid supplements by consulting with your doctor. If your weakness, nausea and itching continues for more than 24 hours you can report back to your doctor to evaluate for hemoglobin, malnutrition. Hope this will help you. Wishing you good health.
000003818
Hi...your son seems to be going through a viral illness. You are right in giving paracetamol. ITIS usual in viral illness to have body pains and especially of the limbs. But only thing which you need to look for is - his activity when there is no fever and if he is active when there is no fever, you need not worry. If the fever doesn't settle in another 48 hours or if his activity is getting depressed or if his limbs are getting a reddish rash kindly consult your pediatrician. Regards -
000003819
Hi welcome to Chat Doctor. You must understand that liver is the chemical factory of the body that processes all that we eat. So if it is affected, we must reduce its work load by eating very small amounts at a time, more frequently. We must also eat foods that are easily digested, and give the liver plenty of sugar so that it does not have to work to produce sugar from the glycogen stored within it. So give your daughter very small frequent non-oily meals, and more of fruits and sweetened juices till she is better.
000003820
HelloThanks for query. Twitching sensation or discomfort in loin could be due to kidney stone and needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine 2) Ultrasound scanning of abdomen and pelvis. Further treatment if required will depend upon result of these tests and final diagnosis. Chat Doctor.
000003821
Hello, When too much Sega builds up underneath your foreskin and because you sweat a lot or don't wash your penis regularly the possibility of odor is common. It can create smelly white chunks that can cause bacteria to grow. If left untreated, your penis can become inflamed or infected. Wash your penis daily and keep it neat and clean and Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.
000003822
Hi. Thanks for your query and an elucidated history. I have read your history and understood your problem. History of hepatitis noted. Since you developed pain in abdomen after the hepatitis with burning sensation this is more likely to be due to gastritis or an ulcer. I would advise in such a case the following
000003823
Thanks for your question on Chat Doctor. In my opinion you are having viral infection. You're all symptoms are typical of viral fever. But I still advice you to get done CBC (Complete Blood Count) to rule out bacterial causes of fever and malaria. And flu shot has protection for one year only. The influenza virus changes its morphology annually. So new vaccine has to be taken every year. So in my opinion, since your vaccination protection is over, I think you are having viral fever only. So first treat your viral infection with plenty of fluids, multivitamins and anti-inflammatory Chat Doctor. And then get done your flu vaccination.
000003824
Welcome at Chat Doctor I have gone through your query and being your physician I completely understand your health concerns.... Alcohol do cause increase in MCV.... But in my opinion you should get your it b12 levels along with folate levels measured. Since deficiency of these two gives this picture too. Meanwhile, stay calm and meet hematologist... Hope your query is adequately answered Regards Chat Doctor.
000003825
Hi. Thanks for the query. If you have a tooth infection and there is pain then probably infection has deepened to the level of nerves leading t nerve inflammation and pain. Yes you can take Reflex but in place of Aspirin Ibuprofen will be better. Keflex will help in reducing infection while Ibuprofen is a painkiller. Warm saline gargles will not cure the infection so getting the tooth treated is a must. So my suggestion is to consult an Oral Physician and first get an x-ray of the tooth done. If the nerves are also infected then better to get Root Canal Treatment of the tooth done. Hope this helps. Regards.
000003826
Degree understand your concerns went through your details. I suggest you not to worry much. OCD is a mental disorder and not a disease. Normally mental disorders do not need medicines as cure. You need to ascertain your past to find the reason for your OCD. There has to be a trigger. Find out and once the trigger is found treatment with the help of psychotherapy becomes easy. Cognitive Behavioral Therapy (CBT) has been proven to be very useful in treating OCD even without medicines. You can consult a clinical psychologist for further advice. ORP lease post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck.
000003827
First thing is that any X-ray abnormality needs to be evaluated. The best test is to see if you have a previous X-ray and compare. If it is a new abnormality then further testing needs to be done. If your PPD was clearly positive then tell them, and it may not benefit to repeat a PPD. But sometimes it is mildly positive, and it becomes more positive later, in that case it may help. But do tell your doctor that your PPD is positive.
000003828
Hello dear. First you should know the exact cause of bleeding. It can be due to some blood abnormality (like low platelet count, coagulation abnormality), due to prostate tumor growing in bladder or new cancer of bladder or due to radiation effect. Discuss these factors in detail with your doctor. An MRI of the pelvis may be done. If it is due to radiation effects then you can go for hyperbaric oxygen therapy. Regards
000003829
Thanks for your question on Chat Doctor. Mucus production is normal physiological response to any injury to the lung. Injury can be due to anything like1. Organism (infection)2. Inflammation3. Allergy4. Foreign body etc. So we have to identify the cause first. If allergy is the cause for this than complete avoidance of allergen is needed. Anti-allergic Chat Doctor. So I vice you to first consult pulmonologist and discuss these.
000003830
Hi, The itchiness of scalp may be due to seborrhea dermatitis most probably. The lesions in thighs and buttocks may be related with this problem. Exact cause is not known. Yeast like satyriasis oval may be responsible. Stress, worries and anxiety might exacerbate the disease. The hair loss can occur in seborrhea dermatitis. You consult dermatologist for firm diagnosis. He might give antifungal like ketoconazole, antihistaminic like levocetirizine and steroids in tampering dose. And he may advise applying mild steroid lotion on scalp and cream on thigh and buttock lesions. And shampoo the scalp with ketoconazole containing shampoo. Avoid stress and worries. Have patience for the good result. I hope you got my answer. Thanks.
000003831
Hello. Thanks for using Chat Doctor. From the description of your symptoms this can be related to your previous diagnosis of appendicitis. This condition presents with diarrhea, however apart from these symptoms other symptoms to look out for are fever, chills and vomiting. This could also be viral gastrointestinal infection leading to diarrhea since this can also provoke inflammation of appendix. Complete blood test and ultrasound would be able to rule out the appendicitis apart from clinical diagnosis. You should revisit the ER again and have your full abdominal checkup done. Feel free for further queries. Regards.
000003832
Hello, Asthma is only one of the causes for a breathing difficulty. There are other causes related to the heart, the lungs, blood, fluid retention, anemia, embolism etc. A lung function test (spirometry) will help in diagnosing asthma and some other lung diseases. In asthma, a albuterol inhaler relieves the acute symptoms whereas steroids are more beneficial for prevention. Aspirin can make asthma worse. So it is important to have your symptom diagnosed correctly, and then the appropriate treatment can be advised.
000003833
Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have compressed a nerve in the neck somewhere that might be causing radiating pain. Possibility of a cervical disc prolapse, or an injured nerve is likely. I suggest you get a X-ray of neck and that region as well as an MRI and Nerve conduction velocities to find out the exact cause. Physiotherapy, analgesics,anti-inflammatory Chat Doctor. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless.
000003834
Hello First I will advise doing x-ray and rule out any unicortical fracture in your finger. According to your history it looks that there is possibility of injury to soft tissue due to injury. If you are having swelling and pain you can strap your finger to get proper rest to joint. And apply cr\u00eape bandage for support and compression. Use ice packs to reduce swelling, inflammation and pain. Physiotherapy with ultrasound and Tens will help you, For early healing you can take Tab Colin [it C] and antioxidant with anti-inflammatory [Tab enzymic plus]. If there is no relief them you may need to consult doctor again. 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
000003835
Hi Welcome to ChatDoctorI have gone through your query regarding low level of potassium. It hapent due to imbalanced food and less water intake. Potassium is an important mineral vital for the regular functioning of all of your bodies cells, tissues and organs. An adult needs about 3,500 milligrams a day. Potassium, along with sodium and chloride, helps make electrolytes, which help to form body fluids. Eating healthy for heart health can actually help and prevent and improve high blood pressure save heart attack. Gulping on only medicines will not help in getting permanent relief unless you follow regular, disciplined lifestyle and change food habits from much of carbs , fast, fried foods, tea, coffee, alcohol, smoking to natural simple nourishing diet full of essential nutrients and supplements like lemon, ginger, garlic , Aloe vera. Potatoes and bananas are especially good sources of potassium, which also is found in many meats, milks, fruits, vegetables, and fibrous whole grains. , coconut water. And Regular exercise yoga, deep breathing, proper rest & sound sleep Avoid worry, mental stress, anger constipation at any cost , All if followed sincerely, regularly will strengthen your immune site which gives resistance from diseases for happy, healthy disease free life Hope this helps solve your query Take care All the Westmont hesitate to come back if any further query.
000003836
Hello, I have studied your case and I think that you are having cervical spondylitis. In this condition there is nerve compression in neck with radiculopathy in hand. For pain, you need to follow these steps.1. Intermittent cervical traction is most helpful. You can arrange that home or visit a physiotherapy center for this. You need to take traction for at least three weeks.2. Avoid using very high pillow or keeping neck in same position for long time. You can use soft cervical collar.3. Tablet Pregabalin M one daily at nighttime.4. If pain is not controlled with above measures you can take Me Chat Doctor. MRI is needed in severe cases resistant to all above measures. I hope these steps will be helpful for you. Let me know if there is any other followup questions.
000003837
HelloThanks for query. Based on the facts that you have described the small lump that you have on foreskin since one year is most likely to be a Sebaceous Cyst, However the diagnosis can be confirmed only on clinical examination in person. You need to consult qualified General surgeon for clinical examination .he would be the best judge to decide need for it to get it excised along with sac (in Toto). This is a simple surgery done as an out patient procedure and offers permanent cure. Please do not worry this is definitely not HIV. Chat Doctor.
000003838
Thanks for your query. I had gone through your query and understand your concern. Brief answer
000003839
Thank you for writing in Chat Doctor. The said gentleman has 3 problems all three of which are incapacitating and without much treatment options. A delicate balance has to be achieved in order to reverse the changes. Again the prognosis depends upon the severity of the disease processes. The lung problem is due to to be Chat Doctor. Overall the prognosis in the said case is not satisfactory. Regards
000003840
Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you need to get X-rays done to see the condition of your patella, the knee cap bone, moreover there is a possibility that your patella would have had some fracture, and what you feel now is callus as a result of healing of the bone. I hope that answers your query. If you want any more clarification, contact me back. Thanks
000003841
Hi, thanks for using Chat Doctor The pain is likely related to soft tissue injury to that area. It may have occurred due to the heavy lifting that you were doing. If you have no history of allergies or problems with anti-inflammatory painkillers then you can consider using them for pain relief. These would include medications such as ibuprofen, aspirin, Catalan, Voltaren, Celebrex. These should be used on a full stomach to reduce any irritation to the stomach. If the pain continues despite using the medication appropriately then you should consider a visit to your doctor. I hope this helps
000003842
Hi, dairy have gone through your question. I can understand your concern. Your ESR is high. It is a matter of concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should consult your doctor and search for the cause of high ESR. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
000003843
Hello, Avoid Nonvegetarian diet after Typhoid fever because Nonveg food is difficult to digest, and gastrointestinal system is weak after Typhoid fever am I giving you brief idea about diet that should be taken after fever1. Avoid food from outside 2. Avoid fatty/ fried spicy food for few days3. Take homemade freshly prepared light food like chapati, Dalian, curries, Fruits etc4.plenty of fluids.5. Vegetable juice. Carrot, cucumber, and green leaf vegetables juice well to provide the basic nutrients (Homemade freshly prepared)
000003844
For mucositis, make him do gargles with Xerox sachets. 1/2 a sachet in a glass of water twice a day. He may also do frequent gargles as much as possible with a pinch of sodium bicarbonate and a pinch of common salt. For pus secretion, you may have to take broad spectrum antibiotics like ciprofloxacin. If pus is persistent a pus culture should be done to determine the antibiotic which is susceptible. Clean the wound area with warm saline or Betadine solution. Apply newsprint powder.
000003845
Symptoms of liver cancer airtight loss (without trying) Loss of appetite Feeling very full after a small meal Nausea or vomiting An enlarged liver, felt as a mass under the ribs on the right side An enlarged spleen, felt as a mass under the ribs on the left side Pain in the abdomen or near the right shoulder blade Swelling or fluid build-up in the abdomen Itching Yellowing of the skin and eyes (jaundice) Regards Chat Doctor.
000003846
Hi, happy to help you on your health concern on part of Chat Doctor! In the present case of subcostal swelling or lump, if I were your consulting physician, I would just consider a possibility of hernia before anything else and would suggest USG of the region for confirmation! However, as per your description, it could be some other lump like lipoma, neurofibroma, cyst, dermatofibroma or even lymph node! Therefore, try to avoid constipation and straining while defecation and reduce weight... If you are still worried, please get examined by a surgeon or get some FNAC like cytological examination or revert to us. Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best health!
000003847
Hello there, This complaint of heel pain indicates that you might be suffering from plantar fasciitis. Treatment comprises if you are wearing high heels foot wear, change it to soft chap pals, change of activities as you are dancer you might need to rest for a couple of weeks, anti-inflammatory medicine. Get a consultation with orthopaedician, you might also need a X-ray of foot for evaluation. Thank you
000003848
Hello, The USG scan showing normal cardiac visibility at 6 weeks gestation and multiple separations indicate to chorionic hemorrhages which is a matter of concern. With bed rest and taking pregnancy supporting hormone (progesterone -- as per advice of treating gynecologist) would help. Please don't worry. Follow the advice properly and go for repeat scan after 12 days to confirm. Hope I have answered your query. Let me know if I can assist you further.
000003849
Hi, dairy have gone through your question. I can understand your concern. She may have hematoma or other vascular tumor. You should go for examination. If needed go for ultrasound study. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
000003850
Hello, As the history mentioned heartburn and tightness in the chest at age 40 I do not want to panic you with anything unusual. This might be acidity but still on a safer side taking an ECG or ECHO should be on a precaution basis to rule out the cardiac pathology. The only reason to mention this is that you mentioned ankle swelling. Ankle swelling occurs due to lack of venous return and this only happens when there is weakness of the cardiac muscle to pump out the excess metabolic waste. It might not be the case as well, but an assessment of the same can make us tension free. Taking to bowel and constipation I will tell you that this may even lead trouble for the venous return and one needs to get rid of it. Having castor oil or having any acidity medication should help ease of the system. As you mentioned the symptoms I feel you are entering the 40th year and menopause can be anywhere close by. Having a lack of bone mineralization is also common. Doing some regular blood and urine routine should be of great help. Also, try doing regular slow weight-bearing exercise and this should help to manage the metabolic functions to stay optimum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
000003851
Thanks for your question on Chat Doctor. I can understand your concern. Most common cause for chest pressure is stress and anxiety. But better to rule out cardiac diseases first because he is taking NTG (nitroglycerin) for chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003852
It's not herpes but a kind of friction reaction caused because of extra and frequent wiping of nose post rhinorroea or running nose. You should concentrate on treating running nose. Wipes will reduce. Friction will reduce. The rule is avoided the cause of ailment. In the context if you use herbal approach, it will be far better and cure permanently. Chiara Habitat and Shading oil for running nose and for scabs Atari oil is unprecedented cure formulas in classical Ayurveda which we try on our own patients. Yes, get your sugar level checked too. We can help you more through Chat Doctor if need be or any Ayurveda doctor can. Hope it will help you.
000003853
Hello dear, As per your narration it seems that you are having peripheral neuropathy like symptoms. It can occur due to many reasons like diabetes, vitamin deficiency, vasculitic, toxin, Chat Doctor. You need a proper evaluation and investigation. You need to consult a neurologist. Some investigation like nerve conduction study, blood investigation and if needed nerve biopsy may be done. As for treatment, in many cases symptoms improve and recovery occurs, but prognosis depends upon cause. Hope you found the answer helpful. Wishing you good health.
000003854
I appreciate your concern and asking on Chat Doctor. 1. The common side effects of Addie (methylphenidate) include irritability, reduced appetite and sleep disturbance. The side effects of Fret (fluoxetine) include nausea, bloating, dyspepsia and sometimes restlessness. It can sometimes lead to lowered sodium levels in the elderly, seizure and stiffness in muscles but these are rare effects. The duration of treatment is generally in months to years, and you need to discuss with your treating doctor. I hope you find it helpful.
000003855
Hello, Thanks for choosing Chat Doctor for posting your query. I can understand what you are going through. In a contemporary society virginity is given a very high importance. That the reason you are worried as you have been a part of this culture. Would you have thought of the same way if you were in US or UK culture? You need to visit a psychiatrist who can help with some ventilation about the current event. May be discussing this matter with your husband will also help you in case he is very understanding. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link
000003856
Hi, It seems like you are too worried. It is quite common to have subtle asymmetry between two sides of our body parts on close observation. As your doctor said, it is because of the difference in amount of fat tissue beneath skin on both sides. The pain is caused by undue pressure. This an extremely rare site for cancer in child Chat Doctor. Since he is totally asymptomatic and your doctor has reassured you after examining, you need not worry, just be relaxed. Hope I have answered your question. Let me know if I can assist you further.
000003857
Dear Madam, I understand your problem. You must have undergone some trauma to your front teeth several years before root canal treatment was done.That's the reason for the resorption of the teeth and color change. Your dentist has attempted saving the tooth since it's not mobile and it's savable. Now the bleeding might be because of the gum problem surrounding the tooth and the veneer. They would have attracted food and plaque which resulted in inflammation of gums and in turn bleeding. Just clean under the gums around that tooth with a dentist and take antibiotics. Nothing to worry about this bleeding and the lifespan of your tooth. Hope your query is answered. For further queries pleased hesitate to contact back. Thank you.
000003858
Hi, many thanks for the query! To prevent recurrent stone formation, you need to do- Metabolic workup of 24 hrs urine sample, Sr. PTH, Sr. Calcium, Sr. Uric acid. As per the reports, appropriate dietary instructions can be given. If your Sr. Uric acid is raised, then uric acid synthesis inhibitors like allopurinol can be started, urine alkalizing agents with your Urologists opinion. Zerodol contains diclofenac, that may cause more acidity, gastric problems as side effects if taken without antacids. Take diuretics, antispasmodics (dicyclomine, Chat Doctor. If your stones are causing obstruction to urine outflow, viz. lodged in ureters, they will cause back pressure changes in the form of HY
000003859
Hello Welcome to Ask a Doctor service I have reviewed your query and here is my advice. It is not the medication causes the tiredness, but it may be the general debility causes the tiredness, low hemoglobin may be the cause of tiredness and these need to be ruled out, care need to be taken for healthy diet and some extra vitamin supplements. Hope I have answered your query, let me know for further assistance.
000003860
Dear patient you have suffered blunt trauma to chest, shoulder and lock jaw which I think is serious problem. Don't take this lightly and get yourself examined from emergency services personnel. I would like to advise radiograph of chest and skull to rule out bony abnormalities. Also lock jaw required urgent treatment and reduction. Also, you are getting headache which might be due to head injury. If you get vomiting or convulsions kindly do CT scan of skull plain SOS contrast. All the best.
000003861
Hi first of all the X-ray will never give such findings you mentioned. This must be the sonography report. You didn't mention the in findings of left kidney. The changes in right kidney do suggest some problem with kidney like maybe presence of infection (pyelonephritis)or changes of chronic kidney disease. These findings need to be interpreted in accordance with your detailed history, symptoms, signs and relevant investigations like urine routine, Rats. Please consult your doctor for the same. Regards
000003862
Hi, Yes, it is not advisable to two or more antidepressants together. 1. Taking bu pron along with talons may increase the risk of seizures, which may rarely occur with either medication. In addition, bu pron can increase the blood levels of Escitalopram, which may increase other side effects. 2. Bu pron and Walker may increase the blood levels and side effects of Norton. You may need a dose adjustment or more frequent monitoring by your doctor to safely use these medications. Contact your doctor if your condition changes, or you experience increased side effects. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000003863
As you have mentioned in your history that you are suffering from RA as well as your age is 69 years, both the factors have its own impact as far as back pain is concerned. You just have to take calcium supplements like tab shall 500 mg or tab toscal-gem once daily after meals along with some painkiller like tab kilos or tab attract twice daily after meals with tab rant ac or tab carotid twice daily before taking meals. As you are too old I suggest you to take painkiller not on regular basis but only when your back pain is unbearable or disturbing your routine activities. Apart from these you can also use voting gel or relax gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort.
000003864
Thanks for posting you query to Chat Doctor .this is a viral fever caused by hemorrhagic group of viruses. Viral feet usually went off spontaneously after 5-7 days, but you should maintain good hogan, HY Chat Doctor. Further, take him to investigation Complete blood count it will indicate platelet level as its low level responsible for rashes and bleeding. Continue with Allegra and Cronin but if condition goes worse immediately consult medicine specialist. Hope you are satisfied with my answer. Feel free to communicate if any query.regards,
000003865
Hello, Thank you for trusting Chat Doctor. AS you mentioned most probable cause of those changes on the MRI is the microvascular ischemic changes, one option of preventing further deterioration is aspirin 80 mg one pill per day, it is proven to be protective for different health issues for aging individuals, please check with your treating doctor the possibility of taking that, plus if you have any health issues which might contraindicate using it. Hope that helped.
000003866
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you are wearing bridge in front region where you are experience a pain don't worry it can be due to Periodontal problem may be there is Periodontal pocket formation. You do is apply ointment Gum paint on painful area of gums. Consult dentist and go for Curettage if there is periodontal problem. Hope this will help you.
000003867
Hi, Thanks for posting on Chat Doctor. After reading your symptoms I feel that you need to incorporate certain things in your daily schedule
000003868
Hi, The rash that started on ear fold following to between the breasts and buttocks is indicating a probable fungal infection. However, atomic dermatitis is also to consider. You should see a dermatologist and run skin scrapping examination under microscope to determine the right diagnosis. For the moment, I can only advise you to apply HY Chat Doctor. Keep good local hygiene. Hope I have answered your query. Let me know if I can assist you further.
000003869
Hi, welcome to Chat Doctor. Since, headache is occurring when child comes to home from school, he could be suffering from tension headache, weak eyesight or refractive error, or the child has got common cold. In my opinion, you should give ibuprofen syrup 15 mg/kg for headache and get the eyes examined by an ophthalmologist for refractive error. Revert with above reports. I hope this will help you. Take care.
000003870
Thanks for your query, I have gone through your query. The erythema nodosum can be secondary to certain Chat Doctor. Consult an oral physician to rule out the cause of erythema nodosum. You can get the implant placed if there is no defect in the bone and sufficient amount of bone is present. You need to take CT or CBCT to see the amount of bone present and density of the bone. I hope my answer will help you take care.
000003871
Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely visit to the hospital and rule heart related diseases because your symptoms are commonly seen with heart diseases. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. You are also having sleep disturbances, so this can cause stress and anxiety, and they then cause all the symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000003872
Hi!! I understand your concern regarding hair loss, but we first need to find out the cause and then treatment can be started accordingly. Common causes I have encountered in my patients are male or female pattern baldness, hair loss due to thyroid disorders, anemia, any long ailment or intake of certain medicines. You will have to undergo certain tests like serum iron, TSH and serum ferritin levels. The treatment can be started once we are sure of the cause of hair loss. Hope this has solved your query.
000003873
Hi, thanks for briefing your history. If you have persistent swelling of the feet than you need to check with vascular surgeon and get your vasculature checked. This can be done by Doppler scan. It will help to look into the veins and arteries to see any possible blockage for swelling. Along with this you can try doing HY water fermentation and do ankle toe movements as well which will help reduce swelling. After hot water fermentation I recommend keeping the leg above the level of heart over the pillow to Chat Doctor. Also, an x-ray if guided to be taken for any possible old fracture if any Present. With the grace of God I wish you a speedy recovery.
000003874
Hello. Thanks for writing to us. The constant pain under the rib cage on the left side could be due to a musculoskeletal inflammation, gastritis, hiatus hernia, or a cardiac cause. Inflammation of the lungs also needs to be ruled out after a proper examination. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http
000003875
Hello, Bipolar disorder responds greatly to sodium valproate 250\u00a0mg twice a day and build up to 1500-200\u00a0mg daily dosage (as required by the patient to remain stable). Quetiapine is also a mood stabilizer but the dosage you are taking is very low. It should be increased up to 300-500\u00a0mg or more (till 900\u00a0mg) for effective response. One should also get some basis blood tests-liver, kidney function tests, blood counts, TSH, Sr. Calcium and lipid profile. It is good to monitor weight- as all of these Chat Doctor. Do follow a healthy dietary region from the start to remain healthy.Don't worry, you will surely get better with proper meds and correct dosage. Wish you good luck.
000003876
Dear friend,first there is no such relationship between diarrhea and low back pain. And as FAS your back pain profile is concerned, your past trauma you experienced while playing is doing havoc on your backbone. We have a large nerve namely by sciatic nerve which goes down from hip to our two legs. So, weak muscles of back are causing pressure on this nerve .that is precisely why you are feeling weak in your legs .due to same reason taking rest causes our back muscles and nerves ralax.to reduce the pain you should start back muscle strengthening exercise regimen. Also stop lifting heavyweight putting pressure on back.don't lean bent forward too much unnecessarily.
000003877
Hi, If you are having recurrent syncope, then first medical and behavioral therapy is tried. If there is no response, then one can think of pacemaker. During giddiness or impending syncope, following maneuvers should be tried, Leg-crossing with simultaneous tensing of leg, abdominal, and buttock muscles, Hand grip, which consists of maximum grip on a rubber ball or similar object, Arm tensing, which involves gripping one hand with the other while simultaneously abducting both arms. Plenty of oral fluids and increase in salt intake may also help. Hope I have answered your query. Let me know if I can assist you further.
000003878
Hello, You may have got minor fracture in foot. We need to do X-ray of the involved foot anteroposterior and oblique views to rule out fracture. If report shows fracture below knee slab needs to be applied and visit to orthopedic surgeon nearby your area is needed. Limb needs elevation on two pillows. Avoid weight-bearing on involved foot. If X-ray is normal apply cold compression with ice packs, keep limb elevated. Apply cr\u00eape bandage. Visit to orthopedic surgeon for detailed clinical Examination is recommended. Hope I have answered your query. Let me know if I can assist you further.
000003879
Hi... Thank you for consulting in Chat Doctor. I have few questions for you -1. Has your son stopped bed-wetting at certain age and again started having it2. If so at what age he stopped and when did it started he had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
000003880
Thanks for your question on Chat Doctor. In my opinion it is PTB (Pulmonary Tuberculosis). Since TB is airborne infectious disease anyone can get the infection from TB patient. And 1 year stay in TB endemic area is sufficient to get infection. Tb bacilli have high affinity for upper and middle lobes as oxygen tension is high in those area and TB Bacilli need oxygen for growth. So any upper and middle lobe lung lesion should first be investigated for TB. The tests done for this are1. Sputum for AFB2. Bronchoscopy and BAD(Bronchi Alveolar Lavage) analysis for TB3. CT Thorax if your sisters sputum report is negative you can still diagnose TB by doing Bronchoscopy with BAD analysis and CT THORAX.
000003881
Respected user, hi I evaluated your query thoroughly.*You are not having simple musculoskeletal chest pain it's the underlying definite pathology giving unbearable chest pain.*You require Expert Clinical assessment, parameters correlating with the problem & then after finding the exact cause of pain, it's management is possible not before that. Hope this clears your query. Thanks for using Chat Doctor & keeping trust in our medical services. Wishing you fast speedy recovery from the same. Regards. Bye Dear take care.
000003882
Hi, thanks for using Chat Doctor If possible you should have allergy testing done to determine what you are specifically allergic to. Allergy testing can be done as skin tests or as a blood test, they can check for allergens in your environment, foods, medications, chemicals. This would allow you to eliminate what is causing the allergic response. It is important to avoid mental stress, over tiredness, alcohol, tight clothing as all of these are thought to cause or worsen the rash. You may require long term treatment with a non Chat Doctor. I hope this helps
000003883
Hello Rigoberto. I just have gone through your query. First never take your children problem for granted. By doing this you unintentionally are losing her faith in you. Always listen to your child and try to help her as much as you can. Try to believe in your child in her every single concern.Anyhow, as you said that she suffered 2 times from severe earache due to cold. I would suggest you to please get her ears checked from a good ENT specialist in your area. Only after that we would be able to judge what is wrong with her. There might be infection leading to pain, or any blockage or only earwax might be troubling her. I hope this helps you.
000003884
Ho, due to the fall there has been an injury to the rib cage, a sprain or maybe fine hairline fracture. However, be reassured, for rib fracture is always treated conservatively, and it heals on itself, so the pain will go of it some days. You may take an OTC analgesic if needed, however don't overdose and don't take it for long periods. Lastly if there is severe backache, do get screening test of spine done, as that is something we should not miss. The pain on bending down is nit cardiac and due to rib only as in this position all the ribs come near to each other aggravating pain. Hoping I could help Regards Chat Doctor.
000003885
Hi, It may be contacted allergic dermatitis most probably. However, consult the dermatologist for the perfect diagnosis and proper treatment. There may be some allergens responsible for the disease like soap, detergent, perfume, house dust, house dust mite, pollen, clothes... so on... As there is pregnancy, you should avoid oral treatment. Apply mild steroid cream. And avoid contact with suspected allergens. Hope I have answered your query. Let me know if I can assist you further. Take care. Chat Doctor.
000003886
Hello, As per my surgical experience, the pain is related to possible gravels or calculation in the kidney or ureter; constipation may be in relation with intestine motility-related or else. Though there is relief with plenty of liquids, it has turned back, which narrate the need for an ultrasound of the abdomen & pelvis to find out the cause and treat in accordance with that only. Primary relief with cranberry sachet or pills and analgesic as dicyclomine or diclofenac if no history of Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.
000003887
Hello there....your dental surgeon is absolutely right....when you have the wisdom tooth very close to the nerve, at the time of its removal, there is some amount of pressure that exerts over the nerve (called neuropraxia). This cause reversible loss of sensation on that side of the lip and skin of face...but the tongue is supplied by a different nerve called lingual nerve...in few patients the nerve is located very close to the bone level where the tooth is present. Any injury while removal of the tooth will result in the same phenomenon....you experience all the symptoms you have mentioned...there are no medications at this point of time....it takes a weeks time for some patients...and years for some others...it would get restored at some point of time...don't worry.... keep consuming lots of water to avoid Chat Doctor. ...
000003888
Hi, Since you have already had rubella, you are immune to it. So you do not need to take the Kanamycin (Tobramycin) which is usually given when found to have TORCH infections. Phaeton and Naturalist are both progesterone are not required in your case, as cause of your previous abortion was rubella not hormone deficiency. Folic acid is the only Chat Doctor. It prevents brain and spine defects in the baby, and is taken up to 12 weeks of gestation. Hope this helps. Regards.
000003889
Hi dear, The mucus cyst can occur due to various reason like biting, accidental rupture of salivary gland, adjacent teeth causing chronic damage or cheek biting. It has no connection with shakes. Treatment is based upon the severity of the mucous cyst. Sometimes cysts may not require treatment and will heal on their own over time. Superficial cysts heal in very short times. But there are other treatment options available for severe cysts like laser therapy, cryotherapy and intraluminal corticosteroid injection. So I would suggest you to consult oral surgeon for proper treatment. Doctor may use a scalpel or laser to remove the salivary gland. Local anesthesia numbs the pain. Marsupialization is also one of the treatment option. Hope your concern has been resolved. Get Well Soon. Best Wishes,
000003890
Hello Welcome to Chat Doctor After an angioplasty there is a 5-7% risk of a restenosis or narrowing of the stents till the first six months. Since you have undergone the angioplasty only 5 months ago, this can be a possibility, and you must undergo evaluation for the same. Please do an ECG and a treadmill test which can suggest stent narrowing. Please visit your cardiologist with the above results. If the cardiologist clears you, please do a pulmonary function test to see whether this is more of a breathing issue than a cardiac one. Wishing you good health. Regards
000003891
Hi, I had gone through your question and understand your concerns. A possibility may be Occipital Neuralgia from compression or neuropathy of occipital nerves. I suggest you to consult a Neurologist and discuss this option too. 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.
000003892
HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that this may not be bacterial infection, but this could be allergic cough with acid reflux disease, if I would be your doctor then I would treat you with the following medicines, 1) Tab Levocetrizine 10 mg three times in day 2) Tab Omeprazole 40 mg once in day for few weeks, no need to worry about this every thing would be alright soon, have a nice day.
000003893
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint as you have fallen from stairs leading to landing on the right knee and in case if you are able to put weight over your leg while walking then one thing is clear that there does not seem to be bony fracture and is most probably soft tissue injury. The swelling can be due to accumulation of inflammatory fluid at the injury site due to soft tissue inflammation secondary to injury. Other causes of severe pain and discomfort can be due to injury to Anterior Cruciate ligament [ACL injury] or Meniscus tear. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and x-ray as well as MRI can help in diagnosis and treatment can be planned accordingly. In case soft tissue injury without any tear of meniscus or ligaments you can be advised to continue taking anti-inflammatory painkillers like Ibuprofen or Naproxen, continue icing and elevation and limit movement. In case if there is meniscus or ligament tear you can be advised to apply an analgesic ointment and brace it with a knee cap or crape bandage. In case of fractures or extensive wear and tear immobilization by placing a cast can help. Hope this information helps. Thanks and regards. Chat Doctor.
000003894
Hi, Whatever the blood pressure readings given by you, all are absolutely in normal range. Blood pressure and heart rate rises in response to any type of physical exertion as in your case. It takes variable time to stabilize heart rate & blood pressure after exercise. Why are so concern about your blood pressure? I want to know-1) Do you have high BP problem, if yes then on which medications.2) Any other associated illness like diabetes or cholesterol problems.3) Family history of high BP, diabetes, cholesterol problem. If you are a healthy adult then check your BP at least once in 3 months, do OG TT, Lipid profile once in a year.
000003895
Hi, Thanks for posting in Chat Doctor. I understand your concern. Sore throat could be caused due to mild bacterial infection. It can affect tonsils and cause tonsillitis. It can present as difficulty and pain during swallowing. You need not worry much about it as it can be cured. Kindly take the following measures
000003896
Hi. You are on the right tract of diet and medicines. Please take a course of tablet Sanitizing 150 twice daily and tablet Risperidone 10 mg at 8 hourly duration. (6am- 2pm - 10 pm. ) Sucralfate has to be taken 3 SF at 3 hourly duration and particularly on empty stomach to cover the stomach mucosa. Avoid oily and spicy food. The most important factor that everyone forgets is
000003897
Hello, I would explain that memory loss is not related to coronary stents. It could be a sign of dementia. For this reason, I recommend performing a brain MRI and consulting with a neurologist and performing some cognitive tests in order to investigate this possible issue. Regarding disability, it is important to evaluate the severity of your memory problems, in order to judge the degree of disability. Hope I have answered your query. Let me know if I can assist you further.
000003898
Hello, As per your clinical history is concerned, please follow like this
000003899
Degree understand your concerns went through your details. Sperm quantity and viscosity depends on many factors like stress, HY Chat Doctor. Low viscosity, color etc. never determines the health of sperm cells. Therefore, don't read too much into this. Secondly, there are many fluids which are mixed with your sperm while it comes out of your penis. The thickness is determined by these fluids. The wetness on your trousers could be due to involuntary leakage of semen, urine or other liquids. Keep your these parts clean and