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000004200 | Hello, You need to undergo one blood test for beta-ChatDoctor and TVS scan to rule out conception at the earliest. In exclusion of pregnancy, other reasons are hormonal imbalance, stress, ovarian cyst, vaginal/ pelvic infection etc. You need to consult with gynecologist following initial test reports. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet & Chat Doctor. Take some antacid to reduce acidity. Good luck. | |
000004201 | Hi, Thank you for quarry, As you mentioned your sugar level its too high patient may go into diabetic coma on such high sugar level if sugar level is not in control it causes its complication in each and every organ of the body so controlled your sugar level. You 1st must understand about it two types of diabetes Type 1 and type 2.in type 1 diabetes always required insulin because body is not producing insulin.in type 2 only resistance develop which may increase with medication. You must check with a diabetalogist and proper dosage of insulin or metformin adjustment required. Do daily exercise, stop alcohol and smoking, reduce fat, rice,salt, canned juices, sweets and bakery product. Close monitoring of Sugar level along with proper follow up with your Chat Doctor. Wish you a good health. | |
000004202 | In my opinion you are undergoing a stressful relationship. As you rightly said you attires do things to attract the attention of your husband, but it goes otherwise, and he gets more irritated with you. You are trapped in a vicious cycle where you are unable to find a way out. I would recommend you to go to a therapist who can do analysis of your situation more objectively and help you to overcome the situation. | |
000004203 | Welcome to Chat Doctor .1. The possible causes are lymph nodal enlargement.2. Lymph nodal enlargement is seen in cad if any infection / inflammation / underlying systemic causes / malignancies. 3. There are chances of inflammatory changes localized with the inner were due to constant irritation to the skin, if possible use softer ones for a wile, until it gets healed.4. Visit a doctor and get examined, if necessary doctor may ask for an ultrasound scan. Which will help in identifying the nature of lesion, and extensions. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. | |
000004204 | HI. This looks to be most probably be due to urinary tract problem like infection or a stone on the left side. Another possibility is of left sided colitis. Another one | |
000004205 | Hi Kaye! Good afternoon. I am Chat Doctor answering your query. As per the history narrated by you about the swelling on the back of your friend, this seems to be a slow growing lump, which intermittently gets inflamed giving rise to pain. The common such swellings could be a Desmond, a colonial cyst, or a sebaceous cyst. However, it needs a physical examination of the lump and so, I would advise you to get it clinically assessed by a general surgeon along with related investigations for a definitive diagnosis and proper management. Till then, he could go for an anti-inflammatory Chat Doctor. 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. I wish you an early recovery. Chat Doctor. | |
000004206 | Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better health. | |
000004207 | Hello, Welcome to Chat Doctor, Asthma is condition where there will be hyper responsive by reached bronchial tree following exposure to an irritant. The irritants may be microorganisms, food, dust, mites, pollen and chemicals, exposure to any of these to which you are very sensitive will stimulate the mucosal cells of respiratory tree to release histamine and causes narrowing of the bronchioles and produces the symptoms of asthma. If you are able to identify the triggering factor which is causing these symptoms, you can avoid those and prevent the occurrence of the episodes. You can identify the allergens by undergoing skin prick test and find out the allergen and try to avoid them. Thank you. | |
000004208 | His have gone through your complaintsYour sonogram report says that collapsed gall bladder with a couple of gall stones. Nothing to worry unless you develop jaundice, severe pain at right upper abdomen & fever. If you develop any of these symptoms please consult Doctor immediately. As you are saying small stony there is possibility of coming down to bile duct causing obstructive jaundice. Gall bladder stones are well visualized when it is distended. Best is gone for scan in fasting. Before night avoid fatty meal. Thank best regardsVasundhara | |
000004209 | Degree understand your concerns went through your details. Usually anger is due to irritation. Irritation can be due to frustration or disturbance from others. Stress is another factor with which people do become short-tempered. Over and above, a sort of low self-esteem and low self-confidence also triggers anger and aggression. Before advising the method to deal with the client, we would like to know more information about the client. We need to assess the dept of the clients anger. Is it just anger as an emotion is anger disorder? Proper assessment of the client would provide the necessary insight. Emotional anger and aggression can be approached with the help of anger management therapy and slight lifestyle changes with awareness. Anger disorder, most probably, could require treatment with the help of a psychiatrist and psychotherapy. I strongly suggest you to advise your friend to consult a psychologist personal or online. The problem can be cured, for sure. If you still need my assistance in this regard, please use this link. http | |
000004210 | Hi there, welcome to Chat Doctor, thanks for your question. The initial treatment for back and leg pain attributable to disc degeneration would include | |
000004211 | Hello, There are two possible diagnoses | |
000004212 | Hi, thanks for sharing your health concerns with Chat Doctor! If I were your treating Doctor for this case of multiple body lumps, I would like to go for some biopsy/FNAC test from the axillary or knee swellings as the thyroid goiter is there for so many years; it might be a bad disease like malignancy or lymph nodes! Therefore, no wastage of time.... I suggest you to go for an FNAC and CT scan of the region (s) for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. | |
000004213 | Hello misunderstand your concerned did ejaculation early due to excessive sexual stimulation. It may be occurred if you did sex after long time of abstinence from sexual activity. So I think you have done not any problem, If problem persist you have to consult the urologist or psychiatric to exclude the medical and psychiatric cause after proper investigations. Doctor give you following advice | |
000004214 | HAI, Shingles you will have burning sensation, pain. Redness and vesicles. The symptoms may likely to persist for more than a week. It is a self limiting disease in an immuno-competent person. Tablets of Acyclovir in adequate dose along with painkillers, Antibiotics to control secondary infection and vitamins are necessary. You have to put appropriate Chat Doctor. Otherwise, sometimes you may likely to suffer from a condition called as Post Herpetic Neuralgia. That is even after healing of the lesions, symptoms of pain and burning will persist for months together. So immediately consult your dermatologist and get cured soon. | |
000004215 | Thanks for the question. So your sons mother-in-law has three main issues. She is unable to walk due to tumors has bleeding catheter. She has low WBC count. Whether she will be able to walk in future can only be told by a scan of the spine. If it has shown no major fracture, she might walk after treatment. Bleeding from the catheter needs to be investigated whether it is due to low platelet counts or due to heparin therapy, Low platelet counts will require platelet transfusion and if it is due to heparin then heparin needs to be stopped for few days and plasma transfusion and vitamin K has to be given. For low WBC growth factors will be required. Antibiotics are also required to prevent any infection in between. Hope this solves all your queries. Regards | |
000004216 | HIT hank for asking to ChatDoctorJust do not worry every thing will be okay ! This is not the indigestion but could be acidic problem and will come around soon with the Omeprazole 40 mg and the domperidom start this tab, just one tab at evening time at least for six weeks, one more thing which is very important and that is to keep your anxiety level very low no stress at all, try to sleep well eat more alkali food no smoking to alcohol no coffee before bedtime, you will definitely go to have a good result have nice day. | |
000004217 | Child not able to speak at the age of 5 yrs raises a serious issue with him. He might have a neurodegenerative disease or problem with his cognitive function or mental status. Enchephobol(Pyridine which is similar to pyridoxine) is a neuroprotective Chat Doctor. This helps to improve the cognitive function of brain along with memory boost with improvement in verbal and logical reasoning and mental quotient.it's a good supplement to improve mental status. I suggest get an MRI brain to rule out any serious neurodevelopmental disorder. | |
000004218 | Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your blood pressure values are above the normal ranges. But this could be just an episode of high blood pressure, related to a big amount of salt intake or anxiety. I recommend you to closely monitor your blood pressure, different times during the day for the next week (in sitting position, after 15 minutes of total relax) and report these values to your GP. You need to perform a complete check-up | |
000004219 | Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a toe infection. I suggest to use HY Chat Doctor. I also suggest using an antibiotic cream for local application such as Newsprint cream. I suggest covering it with a sterile bandage. If the symptoms does not improve you should see a surgeon. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! | |
000004220 | Chest tightness and difficulty breathing are normal symptoms of Anxiety disorder but its also normal symptoms for Asthma. I would get heart palpitations (irregular heart beat), and shooting pains through my chest and arms. The only way to find out if you have asthma is to take the medication for a test run. If you feel better after using it, then its just that. The doctor can also put you on a test run of antianxiety medication for a week or so. It's best to just give it a try to find out what you have, because anxiety and asthma are difficult to diagnose by having tests done. As for the type of anxiety medication you should try, I would recommend Effector XR, or something similar. You can ask your doctor. I wouldn't recommend Zoloft as it can make you depressed. It is possible for one test to come back differently than another. It can all depends on a lot of different factors. I hope this helps a bit. | |
000004221 | Hi, I would suggest the following tests to start with | |
000004222 | Thanks for your query, I have gone through your query. The infection could be periapical granuloma or cyst. After root canal treatment if the infection does not subside then the root tip of the tooth has to be removed(discectomy) with retrograde filling. If it is a cyst then nucleation of the cystic lesion has to be done. Consult an oral physician and take a radiograph to rule out the extent of the infection and later decide the management part. I hope my answer will help you. Take care. | |
000004223 | Hithanks for your query can feel your concernsCyprodiol is contraindicated in pregnancy advise you to have a pregnancy test immediately and if you are pregnant, then stop taking these tablets.I also advise you to take iron supplements and folic acid after consulting your doctor, as hemoglobin of 9 is also low. Improve your diet. Add meat, vegetables and fresh fruit to your diet and also dewormwishing you a speedy recovery am available for your help regards Chat Doctor. | |
000004224 | Hello, Low platelet count occurs due to low platelet production or increased destruction of platelets. An enlarged spleen leads to increased destruction of platelets in peripheral blood. Thus, the cause of decreased platelets in your peripheral blood is enlarged spleen. In such a situation, surgical removal of the spleen helps improve platelet counts in your peripheral blood. Hope I have answered your query. Let me know if I can assist you further. | |
000004225 | Hi and welcome to Chat Doctor. It may be both, but also it may be signed of fatty liver or acute liver damage sue to viral hepatitis or alcoholic hepatitis. You need to check other liver markers such as bilirubin and ALP to have complete diagnostic picture and also liver ultrasound is required. False positive results are not common, and protein shake will rarely cause liver enzyme abnormalities. Wish you good health. Regards | |
000004226 | His have gone through your question. You are saying that 2 gall bladder stones are there.no symptoms as of now. But you didn't mansion what was told for elevated bilirubin and how much it elevated & how were the other liver parameters. If you have elevated bilirubin due to hepatitis and not due to gall bladder stones, nothing to worry much. If the raised bilirubin due to stones causing calculus cholecystitis better is to go for surgery of gallbladder. If you have any queries regarding it happy to answer you. Thank with best regardsVasundhara | |
000004227 | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have small lump on bottom jaw don't worry this can be due to periodontal problem due to deposition of food debris. Consult dentist and go for investigations IOWA X-ray if there is periapical pathology then go for Root canal treatment, if there is periodontal problem then go FPR Scaling and root planning. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. | |
000004228 | Your description is incomplete as word gastric is not indicating exact problem, whether there is indigestion or flatulence or hyperacidity or pain or gastritis is there or is there formation of any gastric ulcer etc. The medicines you are using are in majority are antacids and immune boosters. Worms are main reason for abdominal upset. Yes you must treat them, and can use medicines for worm eradication. | |
000004229 | Hi welcome to Chat Doctor. I understand your query and concern. High blood pressure with Left ventricular hypertrophy should be evaluated for Dilated cardiomyopathy. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. | |
000004230 | HelloThanks for your query, based on the facts that you have posted it appears that your external urinary meats is swollen and red since few days and have burning while passing urine and ejaculation is painful. This is most likely to be due to inflammation of urethra or Urethritis. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. 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. | |
000004231 | Thanks for your query, I have gone through your query. The bleeding, swollen gums and pain could be because of the gum infection like pregnancy gingivitis. It is common in pregnancy, nothing to worry it's because of the hormonal changes and deposits over the teeth. Consult an oral physician and get your teeth cleaned, because it should not cause further infection. It is a non-surgical procedure, you can get it done. But do not take any medicines by your own or without any prescription. The growth or ulcer could be a myogenic granuloma that occurs in pregnancy. Nothing to worry you can take topical anesthetic and analgesics like Anabel gel for the pain. After delivery you can get it removed surgically. Do not take mouthwash containing chlorhexidine and antibiotics like tetracycline. You can do saline gargling and maintain oral hygiene. I hope my answer will help you, take care. | |
000004232 | Hi. Thanks for your query and an elucidated history. The indication for the severe lower abdominal pain and loss of appetite may be | |
000004233 | Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. Yes doctor was right deep wounds who usually need a stitch should not be left open they catch infections. According to your history you seem to be having an infected wound in which there is ongoing infection. I hope you are taking antibiotics suggested by the doctor regularly. This wound is not healing and still bleeding because when there is infection and inflammation in the wound it delays the healing process, as infection settles down healing will start to speed up automatically. I would suggest you to take care of your wound, keep a good hygiene, don't let it get wet, take antibiotics regularly, if you were my patient I would have suggested you to take Augmenting 1 gram twice a day, I hope you are already taking antibiotic. For pain, you can take Tylenol or Broken. Daily cleaning and | |
000004234 | HiT hanks for your query at Chat Doctor. I understand your concern and situation. I would advise you not to worry so much as the doctor might have evaluated the patient. You must give him paracetamol or Advil, tepid sponging and if itching then cetirizine. Monitor temperature. Get routine mammogram and serological test for tick borne fever. Depending upon the results antibiotics may be started. Hope I answered your query Chat Doctor. | |
000004235 | Hello, I can understand your concern. The first possibility from your description of the swelling and location seems to be presence of authors ulcer or canker sore. However, these ulcers are very painful, and you are not having much pain which negates the possibility. Secondly, the location you have described has a minor sublingual salivary gland. If this gland or duct passing saliva is traumatized due to some reason, it can develop a swelling. This swelling usually hurts while eating and otherwise does not hurt. Thirdly, it could be a cyst developed in the area. Cysts are fluid filled cavities that are lined by the epithelium or a small lining of cells. Cysts are painless unless infected. However, it is very difficult reach a diagnosis until the swelling is examined. I would advise you to visit a dentist for the examination of the swelling regarding its texture, exact location, symptoms, color and size. You might have to go for blood test and biopsy. Based on the examination and test results, diagnosis can be made and management can be advised. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best, | |
000004236 | Hello, As a physician, as you have sudden sharp shooting pain in the anus, my probable diagnosis is anal fissure or fistula or hemorrhoids or trauma. Can I come to know whether you have blood in stool or complaints of constipation? I will suggest you to consult with surgeon for per rectal examination. That will give a clear-cut diagnosis. I will suggest you to apply An ovate ointment locally and tablet Solo. I will also suggest you to review here with detailed history or consult with the surgeon. Hope I have answered your query. Let me know if I can assist you further. | |
000004237 | Hi Anil Safari, Welcome to Chat Doctor, and thanks for your question... Irrational fear, false beliefs, paranoid ideas, hearing voices, etc. are indicative of a type of psychiatric problem called psychosis. Now, psychosis can be due to various psychiatric illnesses or sometimes, due to medical causes also. Such psychiatric illnesses may include delusional disorder, severe depressive disorder, schizophrenia or late-stage dementia. Sometimes, sudden onset of psychosis in an elderly person can be due to a primary medical cause or a brain pathology. Certain medication like steroids, can also result in the development of psychotic symptoms. You need to take her to a psychiatrist who will be able to assess her in detail to determine the probable cause for these psychotic symptoms. If he suspects any medical cause or brain pathology, then she may have to undergo a few tests and maybe, a brain scan to detect any such causes. Treatment will also depend on the nature of the cause. For example, if she has a primary medical pathology, then that has to be treated first. If her psychosis is part of a depressive disorder, then she may require anti-depressants, in addition to the treatment for the psychotic symptoms. If it is part of a delusional disorder or schizophrenia, then anti-psychotic medication would be the primary line of treatment. All the best. - | |
000004238 | Hi, Welcome to Chat Doctor, Shivering and Jerking in a 1-week-old baby with no other possible causes can be due to a couple of things commonly - low sugar levels in the blood and low calcium. I would suggest the baby to be breastfed more aggressively every 2 hourly. That's the best you can do at home. I would suggest you to consult a pediatrician, so that the moments can be witnessed, and appropriate blood tests can be done before any medical therapy is initiated. Sometimes these subtle moments can be normal in a neonate. Hope the info helped. Take care. | |
000004239 | Hi, From history it seems that there might be having developing abscess over that region. This can be due to ingrown hair follicle infection and part remained more wet due to perspiration and less airy. Her might require one course of antibiotic and anti-inflammatory medicine course for 5 days. Once abscess is formed, it might require incision and Chat Doctor. With antibiotic medicine there are all chances of clearing the infection. Ok and take care. | |
000004240 | Hi yes natural remedies used to relieve pain from keloid. Baking soda along with HY Chat Doctor. Lemon juice can be applied over affected area because it contains it c which act as antioxidant. Today aloe vera gel getting popularity as it moisturize the skin along with decreasing inflammation. Honey application also heal it. Keloid is become of excess fibroblast proliferation which is inhibited by applying garlic. Take vitamin A containing foods like carrot, papaiya etc. | |
000004241 | Hi, Thanks for writing in. It is important to know the age of your husband to comment on his blood pressure. Any person over 70 years will have blood pressure up to 150/ 90 mm Hg. Therefore, if his blood pressure is 168/ 100 mm Hg then he surely has hypertension and this requires attention. The light headdress and fatigue might be due to hypertension and also probably if your husband is recovering after passing the kidney stone. Please provide him adequate amounts of fluids and juices so that any other smaller stone stuck anywhere along his urinary tract might be passed out. Medicines need to be given to control his blood pressure. If his blood pressure is consistently high then please discuss with his doctor and try and know if he is taking any medicines which might increase the blood pressure. Shoulder tip pain might be due to indigestion. Please do not worry. | |
000004242 | I read your question carefully, and I understand your concern. Regarding your first question, yes it is normal to wait for a week or so, it doesn't change much in the tumor evolution while careful planning can change the outcome. As for your second question, it is a hard one to answer. There are many types of brain tumors, some more aggressive some less. So each of them carries a different prognosis. That will be better determined after the surgery and the biopsy results. I hope things work out for the best. | |
000004243 | HelloThanks for query. You have been diagnosed to have a stone of size of 9 mm in your kidney. It is very optimistic to expect the stone of size of 9 mm to pass down spontaneously . The best option is to get it fragmented by a procedure called Extra Corporeal Shock wave Lithography(ESL). This is simple procedure and does not require hospitalization nor anesthesia and is carried out as out patient procedure and gives very good results. Chat Doctor. . | |
000004244 | Cellophane you for your query. It appears that you have an ovarian cyst in the left ovary. Without looking at the ultrasound report, it is difficult to say what is causing it. It could be simple follicular cyst. However, since you are having a history of irregular cycles, it could also be an endometriosis cyst or a hemorrhagic cyst. I need to have further details of the scan done. Please consult an Infertility specialist. You might need to have a diagnostic laparoscopy to evaluate and / or treat the cyst, as well as assess patency of your fallopian tubes. Meanwhile, have your husbands' semen analysis also done. Take care. | |
000004245 | Hi. The stomach virus is said to have caused this if all the relevant investigations are normal. You have to get the following investigations | |
000004246 | Hello, Welcome to Chat Doctor, The history and symptoms suggest me that you may be having some infection in the nipple of your breasts. But to confirm what exactly it is you need to subject yourself for physical examination. I would suggest you to undergo CBC to know whether there is any infection. For your symptoms I would suggest you to follow1. Apply hot fermentation to the affected nipple.2. Oral Ibuprofen, to reduce the pain.3. Oral antibiotic like Tab Autoclave, 625\u00a0mg, twice daily for five days. Thank you. | |
000004247 | Hello! Welcome on Chat Doctor ! It is less likely that your symptoms are related to the bulging disc. Anyway, I would like to know if you have any skin changes in the feet. What is your past medical history? Do you suffer from diabetes? Coming to this point, I would recommend consulting with your GP for a physical exam and some tests | |
000004248 | Hi, Thanks for your query. I have read your query & I understand your concerns. 1) You have low live sperm count in your report. It is called oligospermia. This is a condition where there are no sperms in the semen. 2) You have to do following blood tests | |
000004249 | Hi, During normal delivery all pelvic girdle ligaments get stretched resulting in post delivery pain/aches. I would strongly advise you to wait for 6 weeks as they usually subside with simple painkillers. Please make sure that the painkillers you use are safe during lactation. Ask your gynecologist for the same. If the pain increases or persists after 6 weeks you must visit your physician or an orthopedic surgeon. Regards | |
000004250 | Hi thanks for contacting Chat Doctor... Noted you have jaundice with high Sept.... Do you have alcohol habit??? If yes then over Chat Doctor. ...and so these values... Avoid alcohol if having habit.... Second if you are obese and no alcohol habit then non-alcoholic steatohepatitis might be the cause .USG done for it.... Thirdly for rule out viral hepatitis viral marker study like Bag detection done by ELISA.... As you have jaundice you definitely having one of the above liver cause.... If no cause identifiable and if sore throat with lymphadenopathy present then CBC done with serological study to rule out infectious mononucleosis.... Consult gastroenterologist for detail examination..... Take care. | |
000004251 | Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms seem to be related to a musculoskeletal disorder. I would recommend having some rest for some days. Holding a cervical collar may be helpful. For the pain I would recommend taking painkillers like ibuprofen, coupled with a muscle relaxant like Flexeril. Your symptoms will improve gradually. If the problem persist, I would recommend consulting with your doctor for a physical exam and a cervical spine X-ray study. A cervical spine CT scan may be needed. Hope you will find this answer helpful! Best wishes, | |
000004252 | Hello, Can't possibly know if it is serious without an examination. And, inflammation occurs after the injury and increases. This causes accumulation of tissue fluid (swelling) the swelling causes the joint to be (temporarily mostly) deformed by the tissue fluid and less mobile. The tissue fluid distorts the area and makes it pull. Warm water causes resorption of the fluid. Elevation moves it out by gravity and deep water submersion pushes it out. So, warm water soak in deep water such as a pool usually helps fairly quickly. Hope I have answered your query. Let me know if I can assist you further. Take care | |
000004253 | Hi thanks for asking question. Here are few possibilities in your case.1. First you might have generalized viral infection of liver and kidney that is hepatitis and glomerulonephritis. So respectively elevated liver enzyme and protein in urine. 2. It is advisable to do ultrasound examination and serum viral marker to rule out viral hepatitis.3. If symptoms not decreasing with symptomatic management and empirical antibiotic then biopsy done to rule out secondary amyloidosis like condition.4. Lastly still cause not clear and enzymes elevated then liver biopsy done to rule out other causes. Wish you good health. You can consult physician for further work up. Chat Doctor. | |
000004254 | Hello! Welcome to Chat Doctor. Yes, your concern is very true. Before we label it as IBS, it is important that we have ruled out all other possibilities. Gluten sensitivity, lactose intolerance should be ruled out. For IBS, stress needs to be relieved. Yoga & meditation help a lot. Avoid late night meals, hot/spicy food, alcohol. Hope this information is useful to you. Wish you a healthy life. Thanks. Regards. | |
000004255 | Degree understand your concerns went through your details. Please understand, masturbation is normal and natural, even animals masturbate. In any way, masturbation cannot affect your health directly. Therefore, the stagnation in your growth during the current year, cannot be linked with your habit of masturbation. Please do not link these two because such linking could cause unnecessary anxiety and obsession. You will grow in height. You have time up to the age of 22. Before that, any period, you will experience a phenomenon called growth spurt. During growth spurt, you will grow by almost 3 to 4 inches within a year. Concentrate on your education please. If you require more of my help in this aspect, please use this URL. http | |
000004256 | Hello Brain CT scan findings are absolutely benign. There is only soft tissue swelling noted in left temporal region, it is trauma related, and it will resolve with time. You may need analgesics only. It is good that brain parenchymal are absolutely normal. There are signs of sinusitis in maxillary and ethmoid sinus. Sinusitis treatment is both conservative and surgical. Treatment can be planned after consulting ENT specialist. Get well soon. Take Care Chat Doctor. | |
000004257 | Hello, Here we need to evaluate for the cause. Do you have any other disease like any chest pain, or history of heart attack? Although hyperventilation is can cause these symptoms we still need to evaluate the cause. For this you'll need one holder monitoring. If its showing some abnormalities then further test will be guided accordingly. Also, are you taking any Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. | |
000004258 | Hi, Thanks for writing in. Please re confirm the condition of your cousin as vascular dementia instead of vestibular dementia as mentioned. Vascular dementia is caused by reduced blood flow to the brain because there is a problem with the blood vessels that supply it. Parts of the brain become damaged and eventually die from a lack of oxygen and nutrients. However, unlike other forms of dementia, many cases of vascular dementia can be prevented. Once vascular cognitive impairment progresses to vascular dementia, the disease can only be slowed down, not stopped. Medicines may help control some symptoms. It is important to know the cognitive impairment and as you have mentioned that his mental acuity is impressive, I think he will not have many problems if taking regular medications. | |
000004259 | Hello dairy understand your concerned you have done sex once your period will delay by more than 7 days then urine pregnancy test will give true positive test. But Condom was not broke then no chance of pregnancy. If your period will not come then it could be due to hormonal imbalance and ovulatory dysfunction. It can be induced by progesterone pill. But no chance of pregnancy if you did sex 7 days after delayed period. Avoid stress, take healthy diet, Chat Doctor. | |
000004260 | Hello! Thank you for the query. Night sweats can always indicate a cancer. However, it does not have to be stomach cancer. As she has COPD I assume she smokes. Nausea and reflux indicates some digestive tract problems. And she is 53. Such age gives increased risk of colon cancer. He should have chest CT, abdominal CT (pancreas should be checked), upper GI endoscopy and colonoscopy performed. Full blood work, CEA, CA 19.9 CA 125 should be done as well. Hope this will help. Regards. | |
000004261 | Hi, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate Chat Doctor. Meanwhile, you can follow these measures | |
000004262 | Hello! Welcome to Chat Doctor! Thanks for writing to us, I have studied your case with diligence. Physiotherapy like ultrasound and TENS will help in early healing of torn ligament. I will advise doing MRI ankle for soft tissue involvement if pain remains persistent. Till time, you can continue physiotherapy and also use supportive splint or brace. You can start tab tender for early healing of ligament consulting your doctor. 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 | |
000004263 | Dear Noel, Thank you for posting your question to Chat Doctor. From your description above I can't quite understand how severe your acne is, if you have only white spots, or black spots and nodules as well. Anyway, I want to reassure you that acne is a very common problem that almost every teenager can expect to experience to some degree during the adolescent years, and that with the years it may go without the need of treatment, if its in mild severity. Some advises that may help are | |
000004264 | Hi Welcome to Chat Doctor. I understand your query and concern. Yes definitely your symptoms are suggestive of AF due to undue stress and anxiety. . Increase in heart rate is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate. | |
000004265 | Hi, hey dear. No need to fade up. You are a tough guy, and you are living with TOF without taking any treatment suggest you have very high moral. Treatment option of polycythemia are somewhat difficult, chemotherapy can help you. But till you search other options you should go for phlebotomy. Phlebotomy is the most easy and economic treatment for polycythemia. Consult hematologist and take treatment accordingly. Thanks for using Chat Doctor. | |
000004266 | Hi, thank-you for providing the brief history of you.a thorough musculoskeletal assessment is advised. As you have pain in feet this can be due to one of the possible reasons and needs a thorough assessment.1. Increased uric acid levels2. Calcaneal spur3. Plantar fasciitis4. Disc degenerative changes. After a thorough assessment we can come closer to the cause and the treatment will be guided according. With simple medication and physical therapy most cases recover and get maximum functional ability. In my clinical experience we get patients with such feet pain and post thorough assessment treatment is planned and majority responds well to physical therapy. RegardsJay In Chat Doctor. | |
000004267 | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You are having pain lower abdomen, and bleeding since 3 weeks, when a polyp is removed, and marina is fitted. G.P.prescribed period delay tablets for three weeks. Still no use. It is not fresh blood. It appears to be the infection, and bleeding made it still worst. Marina is expected to control bleeding, still you have its means it is something. I advise you to consult a cynic for diagnosis and treatment. First you get the marina removed, then the doctor may give you some antibiotic. Don't worry you will be fine with this. Best regards. | |
000004268 | Hi. I can understand your concern. Chronic cough is commonly seen in bronchitis and lung infection. Since your chest x-ray is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. | |
000004269 | Hi greetings from Chat Doctor White blood cells or leukocytes are the cells of the immune system. They protect the body against the foreign materials and infections. Reduction in white blood cell count leads to weakened immune system, as these cells are an integral part of the immune system. A person with low white blood cell count is at higher risk of bacterial, fungal and viral infections due to a compromised immune system. The infections of gastrointestinal system, lungs, throat and bladder are some typical examples of low white blood cell count infections. When you notice the symptoms of infection due to leukemia, you should immediately consult the doctor. Complete blood count and absolute neutrophil count are the commonly recommended tests for the diagnosis of leukemia. Sometimes, a bone marrow examination is suggested by the doctor for an accurate diagnosis. Besides that have a balanced and nutritious diet. Add more fresh fruits and vegetables to your diet. Avoid all junk and fast foods. Thank you | |
000004270 | Treatment of elevated hemoglobin levels is phlebotomy (blood-letting). The goal of phlebotomy is to keep the hematocrit around 45% in men and 42% in women. Initially, it may be necessary to do phlebotomy every 2 to 3 days and remove 250 to 500 milliliters of blood each session. Once the goal is reached, maintenance phlebotomy can be performed less frequently. A commonly recommended medication for the treatment of polycythemia is called HY Chat Doctor. | |
000004271 | Hi welcome to Chat Doctor... I can understand your concern.... You have dyspnea on walking few distances....as well as flutter ... Consult her immediately as it is suggestive of cardiac cause ... It could be arrhythmia or cardiac failure like case ..... Investigate with. ... Your blood pressure checking ...2D echocardiography .... Holter monitoring if needed.... According to cause treatment given with diuretic or other suitable Chat Doctor. ... Examine calf muscles. If swelling present DVT induce pulmonary embolism suspected .... D dimer estimation done for it ... Take care | |
000004272 | If your natural skin type is fairer, and you have got darker due to tanning then you can follow the following instructions for getting your natural skin color.1. Try to avoid going out in direct sunlight from 11 | |
000004273 | Thanks for your question completely understand your problempleuritis means inflammation in the pleura, that can cause pain definitely but if its pleuritic may be associated with effusion also, cause has to be figured out. Pleuritis can be caused by tb, pneumonia and many other causes. As u r in third trimester of your pregnancy u can have a chest X-ray done after discussing with your bog. Rest and best u can do now is having tablet paracetamol 500 for pain. | |
000004274 | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Midcycle Ovulation pain with Vaginal Spotting and Severe pain in lower belly/ hip and back. I would suggest waiting and watch. If pain persists, then you should have assessment from Your Gone doctor. If the pain does not persist, you should not worry. But if persists, I would suggest having second opinion from ER Gone Doctor.USG would confirm the above diagnosis and would rule out other possibilities also. Hope this reply would help you to plan further treatment with your doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS | |
000004275 | Thanks for your question on Chat Doctor. In my opinion you should first get done biopsy of the thyroid nodule (largest). Recurrent thyroid nodules and multiple lung nodules indicate cancer mostly. So for tissue diagnosis biopsy and histopathological examination is must. Thyroid cancers especially papillary cancer is notorious in lung spread and causing hyperthyroidism. So your supra ventricular tachycardia can be due to this only. So first get done the diagnosis by biopsy than start treatment accordingly. | |
000004276 | Hi, Thanks for asking the query, I would like to tell you that wisdom tooth extraction is not a simple procedure and often associated with post extraction complications like pain, swelling, difficulty in mouth opening, numbness, fever, malaise. You don't worry about the symptoms they will subside after sometimes. Follow the post-operative instructions given by the Dentist properly. Take lukewarm saline and antiseptic mouthwash rinses. Take complete course of antibiotics and analgesics. Maintain a good oral hygiene. Take care. | |
000004277 | Hi, Does he have any other symptoms like cough, nasal discharge, throat pain, ear ache or abdominal pain? Recent onset fever usually indicates an infection somewhere in the body. If no associated symptoms as mentioned above, this may be a viral fever which needs only paracetamol, plenty of fluids and bed rest for few days. If fever is not coming down by 4th or 5th day, or he is lethargic, we need to investigate to find out the cause. In such cases, after examining throat and ear. I used to order a blood routine test, urine microscopy and ESR/CRP to decide further. Your doctor will guide YouTube care. Hope I have answered your question. Let me know if I can assist you further. | |
000004278 | Dear serve understand your concerns went through your details. Depressive disorder is a chemical disorder. First you should differentiate between depression and disappointment. Disappointment also manifest symptoms which could mimic depression. Please provide more details for diagnosis. If you require more of my help in this aspect, please use this URL. http | |
000004279 | Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. You should write your age. MRI scan has the best resolution and far better, than CT or ultrasound scan. Anyway, dont worry about a black spot on kidney, seen on MRI scan. Most probably, they may be meaning a cyst, which is a fluid filled swelling. Such cysts are normally seen in many people and of no significance. You can safely wait for 6 months and repeat an ultrasound scan then. If you've any doubts, you may send them to me, as a direct question. Chat Doctor. Manga. | |
000004280 | Hi, You have described of feeling physically and mentally fatigued along with low mood and anxiety. These are also hampering your life to a great extent. You haven't specified for how long are you having these problems, but I assume from what you have told, that it is there for more than few years. I assume your physician had diagnosed you with chronic fatigue syn Chat Doctor. Your symptoms suggest you to be having a mood disorder, either depressive episode or dysthymia, rather than CFS. I would prefer to give you an antidepressant like tablet Bupropion. This shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family. So please Consult a nearby psychiatrist and live a happy fruitful life. | |
000004281 | Hello, I would be happy to help you with your question. In the setting of a negative pregnancy test at the time of a missed period, the chance of pregnancy remains very small. It is also possible that the test was just done too early based on some minor irregularity in terms of when you ovulated. Here is what you should do | |
000004282 | HI, thanks for using Chat Doctor Inhalation of certain cleaners can affect possibly significantly affect the respiratory system with chest pain, shortness of breath. If the symptoms are severe then it would be best to visit your doctor as soon as possible in case oxygen supplementation is needed. If they are not severe, then this may not be needed, and you can continue to monitor. In addition to monitoring your symptoms and placing yourself in a well ventilated area, there is no other home management unless you are an asthmatic and need to use your inhalers. I hope this helps | |
000004283 | Hi Raja, FSGN is focal segmental glomeruli nephritis which in turn caused by many diseases like diabetes, viral infection and some autoimmune diseases but the treatment and prognosis is depending on its grade and underlying disease, most of the time it will progress to chronic renal disease which requires hemodialysis along with disease suppressive treatment. When it progresses to end stage renal disease renal transplantation is the treatment. Take care | |
000004284 | Hi, Thanks for asking the query, Painful lump can be because of either due to gingival abscess due to accumulation of bacterial plague and calculus deep into gum pockets of front teeth , it can be due to periodontal abscess from the infected tooth, it can be authors ulceration , or block of salivary gland vesicle. I suggest you to get a complete clinical examination of the tooth by the Dentist. Take an OPG x-ray. Chat Doctor. At home maintain a good oral hygiene. Use chlorhexidine mouthwash gargles twice daily. Take vitamin supplements . Hope this helps out. Regards... | |
000004285 | Hi prashantithanks for coming to ChatDoctorAsthma is graded into controlled, partially controlled and uncontrolled based on the frequency of the symptoms. As per your symptomatology it seems to be uncontrolled or partially controlled, so it needs to step up your therapy...you have to change your inhaler....you may opt for formoterol and budesonide combination which will be your controller as well as reliever medication since its onset of action is within 3-4 minutes... Asthma except for your acute severe asthma is not a medical emergency... Your symptoms of anxiety and palpitation can be due to excessive intake of albuterol...so needs changing of inhaled medication. Meet your doctor and best wishes | |
000004286 | Hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. It is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. Best street meet is Adams(fluticasone) nasal spray twice daily, tab. Monte- LC (montelukast+cetirizine once daily at bedtime. All the best. Take care. | |
000004287 | Hello, There are a varied list of causes of the symptoms u mentioned. But what is more annoying to you?You\u2019re non muscle gain as u said can be due to nutritional or organic causes. But your weight for height is OK, so cant be nutritional but can be absorption defects due to varied causes or any organic causes which requires thorough examination. Regd. Anxiety it can be hyperthyroidism, but we require other symptoms which is not given here. But TSH being normal can be unlikely.others causes leading to it must be ruled out. Regd. Low sexual desire, are u on any other Chat Doctor. But looking from far away, I opine that the case is non-organic. Instead of brooding over getting diagnosed, kindly do yoga for 3-4 hour daily or running 4-6 km daily, endorphins and corticosteroid s will be released which causes reversal of all your symptoms and increases your sexual appetite, I am sure that u will reply positively after 1 month by following the precious advice. | |
000004288 | Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. It is look like sexually transmitted infection. I suggest you to do Grams staining from the lesion to check which organisms have caused this ulcer. Thereafter you can take treatment according to which bacteria have caused you the infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor. | |
000004289 | HelloThanks for query. You are detected to have non-functioning kidney due to mostly congenital PUB obstruction and headed for removal of kidney (Neurectomy). There are 1.8 % of general population having only one kidney from birth. The donor who donates his kidney or recipient who receives kidney during kidney transplant are both living normal life with only one kidney. In both the situations they are not declared to be disabled Do not worry having only one kidney does not make person disabled. Chat Doctor. | |
000004290 | Thank you for posting your query. Increased SGPT reflects hepatitis. Most likely, it might be due to empirical. However, you may get a viral serology done for Hep B and Hep C .if other causes of hepatitis are ruled out, then the enzymes would return to normal values in around 4 weeks (more or less). So you may recheck your enzyme after 3to4 weeks. Abstinence from alcohol is advice as you are already observing. Wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. | |
000004291 | Hi thanks for contacting Chat Doctor...... Here your chest pain most probably from referred chest pain secondary to acid reflux. . For that take pantoprazole capsule to reduce acidity .... Chat Doctor. ... Avoid excess spicy foods .... Heavy meal restricted .... Caffeine, chocolate like LES relaxant avoided . Put pillow below head while sleeping . Avoid smoking . Reduce weight if obese .... Stress test will help in rule out your cardiac health .... No need for worry ...go with stress test as mentioned by your doc... If than needed EKG or echo done. . Take care | |
000004292 | Hi, How are you? I am sure your doctor meant your \"He\" is low meaning your \"hemoglobin\" is low. Thisessentially means you have anemia which is very easily treated with nutritional supplements. Being deficient in \"Hep B\" is definitely good as this means you do not have hepatitis B infection. I would advise you to get vaccinated with hepatitis B vaccine to protect yourself against future risk of acquiring hepatitis B infection. Hoipe this helped and have a great day. | |
000004293 | Thanks for posting your query at Chat Doctor. Your daughter is suffering from a respiratory tract infection. The dose of paracetamol is 15 mg/kg/dose which is same as 4ml of P250 syrup which should be given at least at interval of 3-4 hrs. You can give her the doses accordingly. The dose of augmenting is unrelated, and you need not worry. Apart from these measures, I would insist you to go for cold sponging with water at room temperature and that should help in reducing the temperature. I hope that would help. Feel free to revert with further queries if any. | |
000004294 | Hi, welcome to Chat Doctor. Looking to your history, it seems that you are recurrent kidney stone former. It requires evaluation to determine the cause for kidney stone formation. Do basic urine report with culture, S.creatinine, venous bicarbonate, S.calcium IPTV and 24 for urinalysis for stone with stone chemical analysis. Maintain adequate HY Chat Doctor. Consult nearby nephrologist, or you can get to me also with reports. I think this would be helpful to you. Best wishes. TC. | |
000004295 | Hello & welcome to Chat Doctor, I had gone through the case, I want to know your family history of diabetes, hypertension, thyroid problem. Do you have any symptoms and sign of this problem right now like headache, obesity, rising of blood sugar etc? I will advise you to do Panama(ANULOM-BELOM) exercise for 15 minute daily for 1 week and then major your blood pressure, definitely your problem will resolve. If not then you have to consult the doctor for hypertension, who can advise you medicine, correct diet pattern and more exercise for it. Hope so your problem will resolve. Thanks & Regards Chat Doctor. | |
000004296 | Hi, Your symptoms suggest hormonal imbalance, and probably you are suffering from polycystic ovarian disease which is a common cause of infertility. Your neuropathic cycles and the fact that you conceived following depot injection go in favor. In such a case, natural conception is rare, and you need assistance. I advise you to see a gynecologist who can investigate you properly and put you on the necessary treatment. Your miscarriage could have been due to progesterone deficiency (likely in your case). Wish you good luck. | |
000004297 | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this palpitation is related to rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. It house a fluttering sensation, palpitations,difficulty in breathing deeply, anxiety. This extra beats might be sporadic and difficult to catch. So, it might happen to have normal electrocardiogram and experience palpitation. This is nothing to worry about if it happens once a wile. But, if it starts to bother you and interferes in your daily life than I would recommend you dome examinations to find a possible cause. Extra beats might happen because of stress, excessive coffee consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances, cardiovascular disease. So, I would recommend a cardiac echo, a full blood analyze to exclude anemia, hyperthyroidism, electrolyte imbalances and a holder rhythm monitoring to see your rhythm tendency. Only after this we can better judge what we are dealing with and how to treat it. Hope I was helpful. Best regards, Chat Doctor. | |
000004298 | Hitraumatic injury to the neck can have chances to cause injury to the cervical vertebrae or compression of the nerve roots those are painful spasms under stress painkillers can be of temporary help MRI is the ultimate investigation to see the extent of the injury. Better to use soft cervical collar to immobilize the spine & prevent further injury. Please meet a neurophysician or neurosurgeon take care | |
000004299 | Hello Jan, Your long-standing history of discoid lupus becomes significant here, and I presume you are on some treatment for your psoriasis/arthritis with an immunosuppressive agent. The common ones (at the start) are HY Chat Doctor. The painful lumps could either be your discoid worsening or some form of urticaria vasculitis that needs to be excluded. For the time being, you can either increase the steroid use (if you are on steroids) or start using a long-acting antihistamine like fexofenadine 180\u00a0mg twice daily until you have seen your Lupus doctor. Thanks. |
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