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000004500
Good evening Rebecca. Well knowing your past history of lupus and sudden spiking of blood pressure, do consult a rheumatologist as soon as you can. I won't suggest you wait too long. With lupus, we do know that Disease flares are expected. With spiking blood pressure, it is mandatory to see that it is not affecting your kidneys. Renal involvement can present as a rise in blood pressure initially. Consult your rheumatologist urgently and meanwhile get your blood counts, urine routine checked. Hope the information was useful.
000004501
Hello, Since the option was thought to be causing serious adverse effects, I think to that it should be stopped gradually. I think you can monitor your sons seizures frequency after stopping option. If no increase in frequency then I think there is no need to add another AED. If there is an increase Kendra, for example, is a possibility. Discuss with the Neurologist for these issues. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000004502
Dear-thanks for using our service and will try to help you with my medical advice. Back pain with bleeding could be secondary to kidney stone, pyelonephritis or bladder infection. Other possibility as cervical or ovarian lesion should be considered too. You need to have a urine sample for urinalysis and culture to find out if it is coming from the urinary track. If this comes back negative, you will need to see your gynecologist for further evaluation. Cooper T IUD can be irritating the cervical area and be the reason of your pain and bleeding. I hope my advice will be helpful. Feel free to contact me for any medical advice Chat Doctor.
000004503
Thanks for your question on Chat Doctor. In my opinion we should rule out arrhythmia in your case. As arrhythmia causes irregular heart beats which in turn gives feeling of tickling something in chest. And coughing produce legal stimulation (parasympathetic) which is slowing the heart rate. So you feel better after coughing, this indicates possibility of arrhythmia more. So get done1. ECG2. Holder monitoring (24 hours recording of ECG)If both are normal then no need to worry much for cardiac cause. Stress and anxiety may be the cause. So avoid stress and tension. Be relax and calm.
000004504
Hi, I think you should go for evaluation first. Do a thyroid profile and APA profile too. Talk to your doctor regarding this. These tests can help you know the cause of abortions. You can take some extra medicines like progesterone, aspirin and heparin as soon as you get to know about your next pregnancy. You can conceive naturally. In IVF, they will know about the quality of embryos, so chances of abortions are less. But you can give a try to conceive naturally also. Hope I have answered your question. Regards Chat Doctor.
000004505
Hi, Thanks for writing in. The problem can be vitiligo, Idiopathic mutate hypomelanosis etc. Hypopigmentation would need long period of treatment with photosensitizing Chat Doctor. Without actual visualization of the skin it is not possible to comment on nature of pigmentation. Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser. Hope this helps. Regards
000004506
Hi welcome to Chat Doctor forum, The laser treatment sometimes cause purple patches on the skin up to some time and slowly go away. If it is long since you had laser treatment it could be some allergy on that hand may be due to some allergen on that hand like watch strap, bangle or something of that sort. I advise you to consult a physician for diagnosis and treatment, He will try to find out the allergen and advise you to avoid some such things which are allergic to you. Besides I advise you to follow some diet recommendations as avoid taking fish, other seafoods, and brinjal. Wishing for a quick recovery, and thanks for calling.
000004507
Hi, Anti-TB medications are generally well tolerated by most patients however acne can occur as a side effect of vitamin one of the anti-TB medications that you have been taking. Other common side effects of anti-TB medications include orange colored urine, saliva or tears, redness and itching of the skin in sunlight, peripheral neuritis, joint pains, flu like symptoms, and liver injury. You must report to your doctor if you develop symptoms of liver injury like fever, right upper abdominal pain, vomiting, and jaundice. Hope I have answered your question. Let me know if I can assist you further.
000004508
Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that the there is running nose, few days ago diagnosed as an eczema. In my opinion eczema and running nose is due to allergy and this is a precursor of asthmatic allergic bronchitis. Usually I have seen that that patient develops bronchoconstriction, cough, runny nose itching over face (mild) . All these symptoms are very common and in my opinion not a cause of concern. Only a potent bronchodilator Chat Doctor. I don't prescribe antibiotics to my patients. Only anti-allergic and bronchodilators are sufficient. In my opinion consult a physician and get a treatment. When your child will attain 14-15 years, he will get rid of these symptoms due to sex hormones. Good luck for your little one.
000004509
Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. Most of the people sense the heart beat as normal and understand this and accept it as a normal, physiological phenomenon. Some people, like yourself, sense this as a pathological phenomenon. I understand that. Every minimal change in perceived \"physiological\" or normal functioning, is interpreted like pathological things. This is a cause for anxiety or fear (situational anxiety) in these people and may or may not be followed with a panic attack due to one questioning him/herself \"am I going to die?\" \"What is wrong with me?\" etc. Every time we assume a lying down position, our heart, that beats by vibrating our chest wall, comes closer to a certain area of the rib cage. If lying on the left side it is so close to the chest wall that can even vibrate the bed you are lying on. All the other symptoms you mentioned are triggered by the anxiety attack you have, because all types of anxieties have one thing in common
000004510
DearWelcome to Chat Doctor understand your concerns went through your details. I suggest you not to worry much. This is not what you are worried of. You may be physically aged. But mentally you are still strong enough. Your running business and your intellect shows that fact. The reason behind your low concentration could just be over strain and stress. Take developments calmly and you shall see the difference. Take rest and give rest to your brain. Exercise regularly and energize your body and mind. Rest will take care of itself. Hope this answers your query. Available for further clarifications. Good luck.
000004511
Hi, You can apply minoxidil cream (Romaine) directly on your scalp, it helps hair re-generation. To avoid itching you can take non-sedating antihistamine (Levocetrizine), one SOS before application. Finasteride (Alopecia) is a daily pill that you should take under a consultant. It slows down hair loss while promoting new hair growth. Yes, Ni sim gives hair regrowth solutions to both men & women. It neutralizes DHT (dishy Chat Doctor. Take adequate mineral, protein & vitamin. Autoimmune condition, Alopecia create has no cure, it causes rapid hair loss. Hope I have answered your query. Let me know if I can assist you further.
000004512
Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation may occur. Medical (proper antibiotic regimen) and surgical (excision or incision and
000004513
Welcome to Chat Doctor, In view of the fact you have diabetes, you might be developing a form of \"neuropathy\" a painful condition of the nerves. Topical application of ointments containing Capsicum (red pepper) has given some of my patients' relief. If overweight, lose the weight. Try not to sit too long. Use a sacral or social tuberosity support cushion to help alleviate the weight on joints as you sit. The doctor can properly evaluate you and if it is nerve pain, there are medications to help with that as well. Best Wishes to You, Kathryn Shatter, MS, RDN
000004514
Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that it is the case of typhoid. You have to continue with the treatment. It will take a month or two to recover. Meanwhile, do not eat heavy diet eat more in frequency few in amount. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.
000004515
Hi, Thanks for the query. I understand your concern. Actually you should have waited till complete cure confirmed by treating doctor. A good nutrition needful dietary supplements for having good health & resistance was desirable. Still never mind... as you have already conceived... you can do all the things even now....take needful treatment as per your treating doctor&gynecologists advise. Go for regular pregnancy check up investigations advised. Take the treatment advised regularly. Avoid contact/exposure to any infection. Thanks.
000004516
Hi, Yes, there is a high risk of side effects on its prolonged use. Betnesol (dexamethasone) is a potent steroid commonly prescribed for the treatment of various inflammatory conditions. On prolonged use this much dose of Benson forte may cause thinning of the skin and bones, increased blood sugar, cataract, peptic ulcer, abnormal hair growth, stretch marks, weight gain, lethargy, impaired kidney functions and increased risk of infections. I advise you to consult your treating doctor if you experience the side effects as listed above so that he can prescribe an alternate effective but a safer medication or a possible dose reduction of Benson. Hope I have answered your query. Let me know if I can assist you further. Take care
000004517
1.any history of protein loss or nutritional disorder?2.any emotional/physical stress?3.treatment of this condition is long term because due to disturbed immune system, duration of treatment is not proportional to the extent of the skin involvement.4. Copper level is 29 (units??), as it has different parameters with different Physicians.5. Avoid oranges, sweet lime, excessive sour, salt and fermented food/fruits.6. Use of medicated oils and Malayan Nikita (Immunomodulator) will result in better improvement, consult with your Physician there.
000004518
Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases because your extensive cardiac work up is normal, and you are too young (23 years) for heart diseases. Also, no need to worry about lung diseases as your chest x-ray is normal. Sometimes, musculoskeletal cause can also cause left sided chest discomfort. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Take painkiller like ibuprofen if required. Avoid stress and tension if you are having stressful life. 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.
000004519
Hello, Cannot say in your particular case, but generally, it is the function that is the indicator of how serious the knee problem is. So, difficulty in straightening out, fluid distending it, it's moving in the wrong direction are some of the indications that something is broken. The instability can predispose to even more damage because the knee moves in an uncontrolled way. Small problems still might be fixable with surgery like a loose tendon or a chip falling off of cartilage. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000004520
Hello Caroline, every pathogen is contagious. Pseudocodes is no exception. The infectivity and transmission mode may differ between pathogens though. Pseudocodes in particular can be transmitted by touching surfaces exposed to it, like the patients body or objects the patient handled. What you can do is to make sure there is clean air in the room, use gloves and avoid unnecessary contact with the patient and any object. Washing your hands afterwards is very important. Pseudomonas infections can be difficult to treat so you've got to take the aforementioned measures. I don't mean to scare you though, because in most cases - even if pseudocodes colonizes your body - you won't get sick. I hope I've helped! You can contact me again, if you'd like more information or clarifications. Kind Regards!
000004521
HelloWelcome in Chat Doctor. Regarding your query for constant cough and cold to your 3+ years old child, though you are giving him ayurvedic medicines for increasing immunity. Considering all aspect of medical history, suspicion of asthma in your child by your family doctor I would like to tell you that asthma is an allergic disorder, and it has got familial history as well. My suggestion is that you should consult a pulmonologist and first diagnosis should be confirmed by pulmonologist after that doctor will tell you about what to do and what not to do for your child to prevent or minimize the episodes. Probably above answers your query. Regards.
000004522
Hello dear Vinay Kumar, warm welcome to Chat Doctor.come have evaluated your query for your brother inlay thoroughly.* Precautions to be followed-Allow him plenty of liquids to maintain HY Chat Doctor. - Prefer to provide soft, light, bland digestible diet.- Avoid spices, junk food, non veg, oily etc.- Requires rest for certain period depending upon the severity.- Must keep all hygienic precautions to prevent spread to family members as wash hands thoroughly after washroom use, before eating. Avoid sexual intercourse if active.- Regular follow up with doctor. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care.
000004523
Hi, I had gone through your query and understand your concerns. This is a common problem experienced by women taking birth control pills. Wat you are taking is a combined pill(levonorgesterl and ethinylestradiol) which contain both estrogen and progesterone. It will take 90 days(3 months) to restore your normal ovulation and periods, once you stop the pills. So hopefully you will have ovulation by mid-March and bleeding by last weeks of march. And be warned that this can vary from person to person. So don't do unprotected Sexual intercourse, as you can still become pregnant these days, if sperm reach your uterus. 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 questions. Wishing you good health.
000004524
Hello, It is certainly not healthy to have bleeding gums especially after you just cleaned your teeth. Bleeding gums is a serious symptom of gum disease that you should add Chat Doctor. You should always have a regular checkup with your dentist to see your overall dental condition. He therefore can treat you if he sees anything wrong with your gums. Do not attempt to self-medicate, it is much safer if you consult a doctor and inquire have the condition checked.
000004525
Hello dairy understand your concerning sperm analysis
000004526
Hello, As you told that your father is a known the case of a diabetic. In a diabetic patient, it is very hard to treat simple infections. And, if proper care is not taken, amputation may be needed (worst case scenario) so my advice, please take your father to a surgeon as soon as possible. He will do proper Chat Doctor. And make sure blood sugar level is under control. Hope I have answered your query. Let me know if I can assist you further.
000004527
Hi I can understand your concern....Don't worry. Hepatitis A resolved with time. Here are few suggestions for fast recovery... Take low fat diet. Trans fat diet like baked pastry, burger, pizza, non veg food avoided. Use very much less oil in cooking. And only good oil like sunflower oil breadfruits taken more. One tsp papaya seed with lemon juice good herbal remedy. One tsp crushed cumin seed with water taken daily. Green leafy veg salad included in lunch and dinner. Avoid alcohol.... Continue with ursodeoxycholic acid... Hope your concern solved... Chat Doctor.
000004528
Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart related diseases as your ECG is normal. Possibility of bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of PFT report. Inhaled treatment is the best treatment for bronchitis. 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.
000004529
Hi. Thanks for your query. The colonoscopy can give rise to immediate complications of perforation, peritonitis and septicemia. Colonoscopy can not give rise to the long term effect after 4 weeks as you have. It is possible that the preparation for colonoscopy, laxative misuse might have disturbed the intestinal flora causing all the rumbling and pain in the abdomen. As you have not mentioned, I take the colonoscopy report is normal as is CT scan report. Take a course of an antibiotic and metronidazole. Add pre and probiotics to the prescription. Avoid all the foods and beverages which you must have noticed by this time to increase your abdominal problems. A treatment on the basis of suspected IBS- Irritable Bowel Syn Chat Doctor. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is
000004530
Hello, I don't think that the medicine for your elevated blood sugar is causing the pain in your groin area. I suggest continuing your medicine for the sugar and have your groin area evaluated with the urologist or any general practitioner to evaluate for possible inguinal hernias. The doctor will do a complete physical examination on the area and might request for an ultrasound. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
000004531
Hi, Thank you for posting your query. It is unfortunate that his pain has not completely settled even after about six months of rest and physiotherapy. Pars fracture pain is unlikely to persist for this long. Also, L4-5 disc degeneration pain should get better with physiotherapy. So, I would suggest further evaluation with bone scan and may be a local epidural injection for pain relief. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
000004532
Hello and welcome to Chat Doctor. As a Urologist, let me opine, that your scan report shows, 1. A 7\u00a0mm stone in lower part of Right kidney.2. A 6.5 mm stone in the upper part of Left kidney.3. The right upper part of tube Chat Doctor. This will need treatment, as they're large. The right ureteric stones must be cleared first, as that side kidney is blocked, and kidney function will be affected. This can be done with endoscopic surgery.(URS-lithotripsy). If you've any other doubts, you may contact me with a direct question.
000004533
Thanks for asking your question completely understand your problem no need to panic but need is to consult a pulmonologist and to come to a diagnosis after some investigations needed like ECG, spirometry, chest X-ray. This type of breathlessness and chest pain can occur in bronchial asthma, pulmonary embolism and many other diseases. So better to get yourself checked.thanks/regardsfeel free to ask more questions may god bless you with good health
000004534
HI, thanks for using Chat Doctor In addition to the allergy medication that you have been using, you may need a topical steroid nasal spray. This would help to reduce your nasal symptoms such as swelling, runny nose, congestion. Examples are Flonase, rhinoceros, escort, adnexa prescription may be needed. In addition, a topical decongestant such as normal saline or striving would also be helpful. These would be available over the counter. I hope this helps
000004535
Hello. Thank you for writing to the cream that you kept on using for 4 years contains a super potent topical steroid i.e. clobetasol propionate 0.05%. This strong steroid is not recommended for face and never for such a long duration. Two weeks is the upper limit for it if in case it has to be used on face. Potent topical steroids can cause side effects like acne, skin thinning, sun sensitivity, persistent redness and telangiectasias (steroid induced rosacea), hirsutism etc. on regular use. The skin problems that you experience right now are part of the side effects that I just mentioned.Your skin would be sensitive and would turn red, specially in sun and would also feel Chat Doctor. I suggest you to use a broad spectrum sunscreen throughout the day to protect your skin from sun. Reapply sunscreen every 2-3 hours whenever outdoors. At night, you may use a non-comedogenic moisturizer. Topical immunomodulators e.g. pimecrolimus, tacrolimus have a role to play in steroid induced rosacea and can be tried after discussing with a dermatologist. Your skin would take some time to recover back and sunscreen and moisturizer is all that is recommended, right now. Regards
000004536
HI, thanks for using Chat Doctor I am sorry that your father is unwell. It is possible that the black spot that was seen represents a mass or defect in the bone. If the mass on the kidneys is malignant, it is possible that the black area on the bones represents spread to that area. The mass on the kidney would be sent to the lab for analysis to determine if it is benign or malignant. You and your father should speak to his doctor. I hope this helps
000004537
Hi, thanks for writing to Chat Doctor. As all modalities of treatment have failed to provide you complete relief from pain, the next available option is surgical decompression. As you rightly said, endoscopic surgery is a better option than conventional open procedure. Endoscopic discectomy offers early return to your activities and generally, no bed rest is needed after this procedure. But, it has to be done by a surgeon having adequate experience in that field. Hope this information is helpful. Good day
000004538
Hello namaskarbrief answer surgery is recommended for hernia repairDetailed answer am glad to know that your clinical profile is improving very rapidly like down gradation of fatty liver from grade 3 to grade 2. Hernia may get complicate as time passes so it's better to get it operated as earlier possible you may start getting the all those symptoms you mentioned.I tried to keep it simple for you, feel free to ask for follow regards
000004539
Hallow Dear, Prolactin levels between 25 - 30 NG/ml are within normal range. Therefore, your prolactin levels of 21 NG/ml are within normal range. You do not have to take any treatment to bring down prolactin. If all your tests are normal, please get your husbands' semen examination done. Also try to find out the patency of your tubes and the normalcy of the uterine cavity by hysterosalpingography and Laparoscopy. If all these are normal and still you are finding problem in conceiving, you fall in the category of unexplained infertility. Such cases may require Artificial Reproduction Techniques. Initially you may start with Intrauterine Insemination. Please report to an Infertility Consultant.
000004540
Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly. So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.
000004541
Hello, and I hope I can help you today. Calcium supplementation during pregnancy is helpful, as women use calcium to make breastmilk for the baby. Vitamin C is an important part of normal healthy diet as well. However, the type of calcium or of vitamin C really doesn't matter as they all are effective and safe supplements for pregnant women. The most important type of supplement that a woman requires during pregnancy is that of folic acid. Woman must take at least 400 mg folic acid per day to help prevent certain types of birth defects. It may be easier to just buy prenatal vitamins. Prenatal vitamins usually have all the required vitamin and mineral supplements essential for healthy pregnancy in one tablet. There is no need to take additional supplements unless specifically prescribed by the doctor. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes,
000004542
HelloAvapro contains irbesartan. It is an antihypertensive. Though it may be hematologic in some patients but usually it doesn't cause high liver enzymes. Nexium contains omeprazole, and it is not expected to cause hepatotoxicity. Endep is also not expected to cause shaking sensation in body. You may have had elevated liver enzymes like ALT, AST. Increased ALT and AST may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. You may need few more investigations like routine hologram, random blood sugar, viral markers, lipid profile, ultrasound of abdomen. You may need to take tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. Get well soon. Take Care Chat Doctor.
000004543
Thanks for your question on Chat Doctor. I can understand your concern. Cough of more than 2 weeks duration seen in bronchitis and lung infection. Get a chest x-ray done if it 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). Vomiting could be due to gastritis. Take lots of liquids.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
000004544
Hi. Thanks for the query. Chat Doctor. . Yes, it is true that Recast infusion can increase the risk of osteoporosis and to get the teeth extracted you should get off the dose of Recast for at least 3 months.Also, if you wish to get the Dentures, first of all the teeth should be removed followed by complete healing of the bone and gums and then only if there is sufficient bone then denture can be placed. As of now for
000004545
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of aspiration of foreign body in lungs is more. Sunflower seed in airways and lungs causes irritation and inflammation. So it can cause infection and granuloma formation. This can cause future complications also. So better to consult pulmonologist and get done bronchoscopy. It is endoscopic examination of airways and lungs. It is not only diagnostic but therapeutic also means if seed is their then we can remove it through bronchoscopy. Furthermore, it is done under local anesthesia with mild sedation (midazolam). Furthermore, it is not painful or cumbersome procedure. So repeat don't worry about it. It is necessary in your case so get it done. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
000004546
Hi. History of a miscarriage followed by pain in the lower abdomen can be due to intestinal obstruction. You say your ultrasonography report is normal. This means it excludes the Ovarian cyst, Salpingitis, lymph node enlargement, cystitis, enteritis and so on. IT is better to go for Contrast enhanced CT scan of the abdomen, enterocolitis, Diagnostic Laparoscopy for diagnosis and may be for a treatment.
000004547
Hello dear, I understand your concern. The cal pol is the safest Chat Doctor. It is prescribed for fever, any non-specific muscle or joint pain in pregnancy. It can be taken with the prescribed dosage with no harmful effects to the fetus. But I suggest you to rule out the cause of fever and get the cause treated along with symptomatic treatment. The blood counts might be need to do to rule out any infection.Also, as there is leg pain any signs of cellulitis like swelling, redness etc. should be checked for, and I hope that was done. Once the cause is diagnosed and treated it will subside. Take adequate fluids up to 2-3 liters per day to prevent deny
000004548
Hi, Yes, itching is a normal phenomenon. It occurs because of continuous friction and because of the healing process, .there is nothing to worry about You need to keep cast boot for 2-3 weeks and then gradually shifts back to normal. Avoid overstretching after the removal of cast boot. Yes, you can walk with cast boot, but only indoors. Prevent hanging your legs and keep them elevated whenever possible. Take care. Hope I have answered your question. Let me know if I can assist you further.
000004549
Hi, Welcome to the ChatDoctorBrief. History is incomplete, I would appreciate if I would know some answers of my questions. Detailed answer.... Since first I want to know that how did you get to know that your child has bilateral ear infection and viral infection. As in ear infection there can be discharge from ears, decreased listening, pain in ears etc. I would also like to know whether your child is having runny nose, red eyes, or cough. So your child can be treated accordingly. I would be happy to hear you further. Chat Doctor.
000004550
Thanks for your question on Chat Doctor. I can understand your situation and problem.You're all symptoms like chest pain, tightness and left arm pain, after exercise suggest need for investigation to rule out cardiac cause. Your age is not supporting cardiac cause, but symptoms are strongly suggestive of cardiac cause. So better to get done1. ECG2. 2 d echo3. Stress test (trade mill test)To rule out cardiac cause. If all are normal then no need to worry about cardiac cause. But cardiac cause should be rule out first in your case.
000004551
Hello have read your query. There is possibility of lumbar canal stenosis leading to symptoms. I will advise you MRI spine. In lumbar canal stenosis there is narrowing of spinal canal leading to burning sensation. Epidural steroid shot may help you. Physiotherapy like ultrasound and matrix therapy may help you. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
000004552
Loose motion or diarrhea in infants occurs primarily due to viral cause, although it can also be caused by certain bacteria. Unless associated with bloody stools, no management of the cause is required. All you need to do is to give ORS so that the salt and water balance is maintained. Prevention of deny Chat Doctor. Eco norm contains beneficial bacteria replenishing which helps in correcting the diarrhea. Continue giving it for a few days. Also give SYR Zirconia (contains zinc) for a few days. No other medication required. Just give proper nutritive diet and things will be fine in no time.
000004553
Hello, You need to get an extended panel of allergens tested to know what your allergies are. This can be done in the form of skin tests (but you need to stop all your current medications for 2 weeks) or get a blood test done (stopping medicines is not necessary), called specific IGE test. You have allergic rhinitis/asthma, and vaccination (which is called allergen-specific immunotherapy) can be done only after the allergens are known. This immunotherapy can be done in the form of injections or Chat Doctor. Many patients find they can stop all medications (allergy medications), while other patients find that they work much better than they used to before. You have to get in touch with your local allergist to discuss the above options. Best Wishes.
000004554
Degree understand your concerns went through your details. Masturbation has no direct side effects. Masturbation is healthy, natural and is a normal adult procedure. Almost everyone across the globe masturbate and get sexual pleasure. But in your case, at your age, masturbation twice a day is not advisable. You can do it thrice a week safely. Otherwise, your wrong knowledge about the negatives of masturbation can make you anxious and health obsessive. May be because of this health anxiety, you are experiencing the premature ejaculation. Don't worry. You will be able to do well sexually after marriage. If you require more of my help in this aspect, please use this URL. http
000004555
Hi, In her age if she takes her medications regularly, follows healthy lifestyle she has all chances for good life expectancy. So you should encourage her not to get disappointed, take her medications, eat healthy food, low in animal fat and salt, exercise regularly. It is very good, that she stopped smoking. Hope I could help nourishing you good health In case of further questions don't hesitate to ask
000004556
Hello and welcome, this can be an ulcerous condition called authors ulcer.it can be treated with tab.flanzen-10\u00a0mg;3 times daily for 3 days and tab.wysalone-5\u00a0mg-3 times daily for 3 days. Please discontinue any oral habits like tobacco or pan chewing if you have any;as it can lead to burning mouth and limited mouth opening called oral submucous fibrosis-osmf. Please add vitamin-b containing food to your diet. Hope you get well soon. Always clean your mouth after every food intake. Use soft-bristled tooth brush and tongue cleaner to clean your teeth.
000004557
Hallow Dear, I would have appreciated had you mentioned what type of coil you have got in your body. There are two types of coils - copper coil and hormonal coil. In fact hormonal coil reduces the vaginal discharge. Copper coil is known to increase vaginal secretions in some cases. In fact at the age of 47, vagina is more Chat Doctor. Increased vaginal secretion is from the uterus and mostly due to the reaction of the uterus to the copper coil inside. However, the possibility of infection should not be ignored; however it will more likely cause yellowish foul smelling discharge. Vaginal infection (bacterial vaginosis) also causes increased mucous discharge. Increased discharge due to bacterial infection will require a course of antibiotics treatment. If the coil is the source of infection, it needs to be removed. Please report to your Gynecologist to find out an evidence of infection and treatment if it is found. If the coil is making you so uncomfortable, you may get it removed and opt for other suitable contraceptive method more suitable for you with the advice of your Gynecologist. I hope this helps you.
000004558
Hi, dear. I have gone through your question. I can understand your concern. You may have some cystic lesion like Desmond cyst or may have some adnexal skin tumor. You should go for excision biopsy and then go for histopathological examination. Then take further treatment accordingly if needed. 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.
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AFTER GOING THROUGH YOUR BRIEF CASE HISTORY, IT IS NOT CLEAR WHAT IS THE CAUSE OF LIVER PROBLEM IN YOUR SON.IT BECOMES EASY TO TREAT THE DISEASE ONCE YOU KNOW THE CAUSE.SO I WILL SUGGEST YOU TO DO VIRAL MARKERS FOR HEPATITIS B AND C.ALSO I FEEL EXACT DIAGNOSIS CAN BE MADE BY LIVER BIOPSY.SO IT IS ADVISABLE TO CONSULT HEPATOLOGIST AND GET IT DONE. I HOPE MY OPINION WILL HELP YOU TO DECIDE FUTURE COURSETHANKS Chat Doctor.
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If the child has history of Hashimoto thyroiditis, and history of skin allergies, This condition could be due to the same problem. Hashimoto is associated with Subcutaneous candidiasis, vitiligo and alopecia and other epidermal dysplasias. These bumps could suggest another allergic reaction to any antigen, or it could be due to a dermal infection(? Fungal). I suggest you consult a dermatologist and by that time, give her tablet Atari one tablet daily. Thanks and regards
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Hello, Welcome to Chat Doctor, The history and symptoms of your mother suggest that she may be having some allergic manifestations and viral infection. As your mother is having these symptoms for more than one week, she should be evaluated thoroughly. I would recommend her to undergo lab investigations like CBC and absolute eosinophil count (AEC). The results of these investigations will help us to make a proper diagnosis and to manage the case. For the present symptoms I would suggest her to follow1. Oral antihistamine2. NSAIDs to control the fever.3. Apply Calamine lotion. Thank you.
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Hello! Thank you for asking on Chat Doctor! I understand your concern, and would like to explain that when facing with low blood pressure values, the two main points to investigate are
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Hello No doubt, you developed influenza 8 years ago. Now having so many complications and symptoms, may be due to the after effect of that disease (8 YEARS AGO) . At present, you are having so many symptoms but by merely reading these symptoms, it is very difficult to establish any clear-cut diagnosis. In such cases I advise my patient to take montelukast+ albuterol tablet, once or twice in day (although most patient respond to once a day and normal dose is also once in day) . Since this is a prescription Chat Doctor. Since breathlessness (asthma type) caused by bronchoconstriction, so you will get complete relief. But you are also having stiffness in joints, blurred vision, short term memory loss, so once again consult a physician and get his opinion. Good luck. As you mentioned that you took Flagyl and tetra and got relief, so this shows that all these symptoms may be due to gram -ve bacterial infection. Get in blood for culture and
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Hi, Thanks for writing in. A sample diet for your father who is stage 4 cancer patient is given belowEarly Morning cup of tea (sugarless) with 2 plain biscuits like Marie or Thin arrowroot or RuskBreakfast2 Maratha with curd (no sugar) or 2 plain Otis with egg/ paneer or 2 idles with chutney/samba or 1 bowl of PMA or Fatimid mornings or a whole fruit (apple or guava)LunchSalad with Otis (2 to 3) or rice (1 bowl) with DAL/ samba and a cup of vegetable. Occasionally you can add some light fires in lunch. Non veg can also be added (2 pieces) or an eggAfternoonTea/ juice/ milk (sugarless) with 2 biscuitsDinnerSame as in lunch with slight variation. Dinner should be lighter than lunch
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Hi you have not described your nature of work but reading your summary I think that you do a lot of work on computer. In my opinion this pain has its origin in neck and when the muscles are stretched, esp on one side(R in your case) then muscles go into spasm and pain starts. I will prescribe Painkillers, Muscle relaxants and Neck Exercises for 10 days and would control your pain only by exercises later. If there is no relief in 10 days then I would get X-Rays of cervical Spine and treat accordingly.
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Thanks for consulting at Chat Doctor. Your son if suffering from cough since 5 years and is on inhalers and medications for Asthma. He had transient relief for 3 months when he was prescribed steroid nasal spray. Causes of chronic cough in child Chat Doctor. Relief by steroid nasal spray suggest that your child is probably suffering from Allergic Rhinosinusitis along with Asthma. I think for proper treatment your son needs to examined by ENT specialist and Pediatric Pulmonologist. Investigations like CT PNS, Pulmonary Function Tests, Tests for Allergens etc. can help in diagnosis.
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Hello, I would be happy to help you with your question. This is not typical for a birth control pill start. It might be related to irregularity in your cycle that existed before your started the pill. I really cannot tell based on the limited information provided. In your case, I would recommend
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Hai.looks like your into post-traumatic stress that too with such major problems. The problems what u have mentioned can be due to new intracerebral changes affecting the motor areas of the brain especially the speech, appetite,memory area please meet your neurologist to go ahead for a ct brain or MRI brain to rule out any cause you have more likely chance of suffering from a small stroke in these areas, due to your be Chat Doctor. Good luck
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Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about cardiac chest pain as his angiography is normal. Chest Heaviness, chest pain are seen with acid reflux also. So tell him to follow these steps.1. Avoid large meals, instead take frequent small meals. Avoid hot and spicy food.2. Avoid stress and tension, be relaxed and calm.3. Take pantoprazole tablet on empty stomach twice daily.4. Go for walking after meals. Keep 2-3 pillows under head in bed to prevent reflux.5. Quit smoking and alcohol if he has these habits.Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
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Hi and welcome to Chat Doctor. Thank you for your query. I understand your concerns and I will try to help you as much as I can. Erection problems can have many causes. These include
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Hi. Thanks for your query and an elucidated history. The bumps can be due to reaction to chickenpox vaccination, or it appears more to be due a condition called pyoderma which is common in this age group. Continue antibiotic treatment. Send pus or secretions form the wound for gram staining and culture and sensitivity. You may please apply liquid Provide Iodine to the affected parts so that the skin is made sterile, and the spread may be avoided. Give multivitamin syrup too. Consult a Dermatologist just to confirm it is pyoderma and to get a prescription for the medicines.
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HelloWelcome here. I can understand your concerns. There are certain kits available in the market which can give you the idea about your ovulation. If your cycle runs between 27 and 34 days, your ovulation may range between days 13 and 20. Start testing with kit on day 11 and continue until day 20 or so. Days between 13 and 20 would be most fertile for you. Have unprotected intercourse within these dates. If this doesn't works, then you can consult your nearest doctor for further examination. Hope this helps. Thanks.
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You have not mentioned your age which is very important in case of back pain. For treatment of severe lower back pain you can take some painkiller like biozobid-plus or ultracet-mr only when the pain is worse or disturbing your daily work along with some calcium supplements like shackled or toscal-gem once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface.
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Hello, During infection (mild or severe) there will be a high count of white blood cells with increased neutrophils. Whenever there is an infection, there will be the elevation of glucose (only when are diabetic). My suggestion is, please have these tests, first, fasting blood sugar and postprandial sugar levels (your age is not mentioned in the query). Hope I have answered your query. Let me know if I can assist you further.
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Thanks for your question on Chat Doctor. In my opinion you should get done bilateral venous Doppler study of lower limbs to rule out Deep Vein Thrombosis (DVT). As most common cause for lung clots (pulmonary embolism) is DVT. And you need to take blood thinner medicines after diagnosis of pulmonary embolism. You are having constant shocking pain also. All these favours' possibility of DVT. So better to consult vascular surgeon and get done venous Doppler. In this test flow in veins is checked and any obstruction due to thrombosis is there or not can be picked up. So get done this.
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Hi and thank you so much for this query. I am so sorry to hear about this chronic kidney disease that your mother has and the need of frequent dialysis. Increasing the interval of her dialysis sessions would just make things worse by causing a sharp rise in the creatinine levels again. The best way forward is to strongly consider her for renal transplant as this is the single and most effective treatment of this condition. Dialysis does help in the short run but very unlikely to be an excellent method for long term purposes. I think her diet is too restrictive, and the doctors should consider increasing her daily calories. I hope this helps. Furthermore, I wish her well.
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DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN. YES LOSARTAN IS SAFE FOR HYPERTENSIONSEEING YOUR TREATMENT, YOUR PHYSICIAN HAS STARTED TREATMENT SUSPECTING YOU TO HAVE ANGINA THINK YOU NEED TO CONSULT A CARDIOLOGIST URGENTLY. GET A ECG AND IF POSSIBLE A ECHOCARDIOGRAPHY DONE DID NOT UNDERSTAND THE POINT WHY YOU WERE STARTED ON SOLO 650I SUGGEST YOU TALK TO YOUR PHYSICIAN WHY YOU WERE STARTED ON YOU NEED TO DESCRIBE YOUR SYMPTOM IF You're SUFFERING FROM DIFFICULTY IN BREATHING, BREATHLESSNESS, ANY SWELLING IN LEGS, ANY HISTORY OF CHEST PAIN. SO THAT I CAN HELP YOU IN A MORE DETAILED WHOLE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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HiT hanks for writing to Chat Doctor. Holding for some more time before ejaculation doesn't cause problem in motility of sperms. Don't worry about that. You should start treatment for PCs. I would suggest you to reduce weight which is main factor. With that if cycles are irregular you should start cops. Metformin tablet also should be started by your doctor prescription. I also suggest you to undergo follicular study to know you are ovulating or not and what is average day of ovulation so that you can plan accordingly. Hope I have been helpful Regards Chat Doctor.
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Hi, Thank you for posting your query. Your symptoms are suggestive of pre-syncope, where the blood supply to the brain is reduced for a short while. The predisposing conditions include exhaustion, tiredness, lack of sleep, hunger, fever, etc. There is no need to worry. You can consult your GP and get a general evaluation done. Low hemoglobin (anemia) should also be excluded. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
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Hi! Good morning! Welcome to Chat Doctor!!! How are you/Brief answer
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Hi Forum. It is not the age to think so much of the health. As you didn't have insurance you are thinking so much about your health. If you are ill your boat Chat Doctor. You must be having minor ailments like gastric irritation anemia etc for that you need to go to a physician for diagnosis and treatment. Besides advise you to follow some diet recommendations as avoid taking more of spiceschillies junk fewer and oily foods. Take more of green leafy vegetables pulses egg meat milk fruits juices and seafoods to build up general health and mental health and wellbeing. Try to follow some diversion procedures as reading and reading because you are in studying age. Thanks for calling.
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Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It appears you are possibly having megaloblastic anemia. It B12 deficiency commonly leads to increased MCV, anemia and leukemia.2. It B12 serum assay will confirm it. Multiple systemic symptoms suggest nutritional deficiency rather than oncology problem.3. However, do get a bone marrow biopsy done to rule out any malignancies in blood. Hope it helps. Any further queries, happy to help again.
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Hello, I have studied your case and I think that he needs an x-ray of the back to see if there is any loose implant or any infection which is causing this. There is no need to rush to emergency, but you should visit doctor in next available OLD. I hope he is not taking any heart medicines or any other tablets. These may also cause such bruising. Let me know if there is any other followup questions. Thanks
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Hi, Thanks for the query. As now your tubes are patent and normal you can plan for pregnancy now. Usually the effect of fibroid son fertility depends on the size and position of the fibroid. As you are having small sized fibroid that may not affect the fertility and pregnancy as told by your doctor. So you track your ovulation and plan unprotected intercourse around that period, which will increase the possibility of pregnancy. Regular antenatal checkups and ultrasound examinations are needed during pregnancy. For more details you can ask me through
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Hello.I suggest u to better stop the prednisone spy as its elevating ESR because it is a steroid and reduces immunity and so stop it and observe only with Atari spy.if your child is feeling God then u can stop the medicine .if still problem exists, consult pediatrician.rashes usually are allergic and cause need to be avoided and should be found by u at home.was all things are causing this rash need to be avoided for your child at home.so take care and avoid the allergen .
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Hi Nadia;welcome to Chat Doctor Your level of SGPT is mild high YES you have correctly noted that it is because of cholesterol medicine. These medicines do produce changes in liver function & so the SGPT & liver profile needs to be monitored. The only thing I would suggest is to consult your doctor & he may advise you to stop the medicine or may change it as you may require medicine for your cholesterol take care thanks
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Hello, Fractures which extend into the joint cavity can cause severe pain due to associated arthritis. As first line management, you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist you can consult an orthopaedician and plan for a steroid injection to the joint cavity. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about side effects by inhalers. Actually inhalers are very safe in long term use. They act locally and directly on lungs without going to blood. So inhalers don't act on other organs like kidney, heart, liver etc. So no systemic side effects by inhalers. You should also rinse your mouth after inhaler use to prevent oral complications. Also do pulmonary rehabilitation (deep breathing exercises and chest physiotherapy) for better symptomatic relief. So don't afraid of long term inhaler use. They are safe. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Hi ! From your history, the first diagnosis to exclude is a pelvic inflammatory disease, which may give rise to pain and cramps in the lower abdomen apart from low grade fever along with nausea and dislike for food. You have to get a routine urine test done and a culture sensitivity test if advised by your treating doctor who may also advise you for an ultrasound abdomen. The upper abdominal pain could be due this as well, or may be an independent entity. You may go for an antacid, a proton pump inhibitor and if not relieved may go for a review by your family physician. Wishing you an early recovery.
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Hi there. Firstly the cause of such severe pain needs to be investigated as it is not advisable to take too many painkillers. Pain on movement is mostly muscular in origin. Kindly get a X-ray of the painful area done. Kindly get a complete Arthritis panel blood test. Get these evaluated by an orthopedic. For the time being taken some anti-inflammatory and analgesic like Nicosia MR Take a cough suppressant. Tramodol tablets can also be taken if pain is not being controlled by the above. I hope my advice has helped Good luck
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HIT hank for asking to ChatDoctorIt is not infection neither related with your tooth problem, but it may be the hypersensitivity reaction to some elements may food, right now our aim is to rid out of this reaction and for that you need to take the second generation antihistamine and the levocetrizine would be a choice you need to take this tab, 10 mg three time in day will come around and if it does not go away with this then steroid would be needed for that discus it with your doctor have nice day.
000004592
Hi welcome to ChatDoctorI have gone through your query regarding elevated white and red blood cells. I can understand your concern . Dear, you have not given your age nor your blood count of your test. Abnormal, high or low, reading of counts can be indication of some grave problem and gives us warning against diseases So beware and mind it Prevention is better than cure Magnitude of the survival advantage from improved nutrition, can even be greater than the magnitude of the treatment effects being targeted in current clinical Chat Doctor. Your doctor has given you to recheck in 2 months time. I would like to suggest you to modify your lifestyle for enhanced of your immune system, side by side your physicians' guidance to fight the imbalanced blood counts, is one of the most effective treatment options in my view . Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking all will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction. Detoxing the body, boosting the immune system . One of the important strategies to achieve healthy body is a diet rich in fresh, raw whole foods. More of high Fiber, protein, fruit, egg fish, fish oil for Omega-3, green leafy veges. To keep metabolism on right path to increase the strength of immune system, take all supplements full of antioxidant serve as antibiotics. Raw garlic, gingerCoconut water, Bitter gourd juice 25-30 ml Lemon juice with water twice before meals, Turmeric powder, +a spoon of almond oil level spoon with a cup of hot milk with B/F & at bedtime, goats milk preferButtermilk with lunch Algebra juice 25 ml +AMLA juice 2 spoons Physical activity in order to renew healthy cell and rebuild itself, so you should make exercise a lifelong commitment, but never overdo. Do 30 mins walk/ exercise - from head to toe, yoga, Panama - deep breathing, Kapalbhatti / Laughing aloud. Proper rest, meditation & positive thinking, to detoxify mind & body & give immunity to your system, to accelerate the process of recovery. The condition is REGULARITYAbove regimen will surely gradually, help you to lead happy, worry free, healthy life ahead Many have been benefitted by These therapies which slow the growth of bacteria and kill on mass bases. Get an appointment with YOUR DOCTOR AFTER 2 MONTHS ANS SEE THE DIFFERENCE and review your reports please .HOPE THIS HELPS SOLVE YOUR QUERY Take care All the best. If any doubt mail at
000004593
Hi your husband had fall, hurt his shoulder badly and is now waiting for replacement. In my practice, if shoulder is hurt very badly then it is better to replace it rather than trying to fix it, and it is an acceptable method of treatment. After shoulder arthroplasty we expect relief from pain as a major benefit. Some exercises will be required and depending on exercises it may take about 2 months to recover adequately.
000004594
HI, thanks for using Chat Doctor It sounds as though you may have depressed mood disorder. This is diagnosed if a person has at least 5 of the following for at least 2 weeks
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Hello Drafter reading the case details provided by you, I would like to tell you that yes its true that probably your heart function have deteriorated over a period of time that's why you are having fluid accumulation in your lungs. As you have entered your 60s so it's better to upgrade from just a PACEMAKER to a CRT-P Or CRT-D as it will help synchronize your heart rhythm which finally improve the heart function (LVEF) and also prevent sudden cardiac death due to some arrhythmia. Good Luck
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Thanks for query. Latex allergy may be of three types irritant contact, allergic contact, immediate gallery reaction. The most serious reaction to latex. It can show up as rhinitis, conjunctivitis (pink eye), cramps, hives, and severe itching. It is rare, but symptoms may progress to include rapid heartbeat, tremors, chest pain, difficulty breathing, low blood pressure, anaphylactic shock. As you are saying that it happens overtime you wear latex gloves. If the reaction subsides on its own.it might be of allergic contact dermatitis .try avoiding those and use alternate latex free gloves. If you do not have rapid breathing and rhinitis(running nose)you would not need EPI.antihistamines would do well. Regards
000004597
Hello, i have gone through your query and understand your concern. If you had any intercourse, then you might be pregnant. Because you are having all the signs of early pregnancy i.e..1. Light pink discharge- it may be due to implantation bleeding2. Breast tenderness3. Headache, cramping and back pain are usual symptoms in early pregnancy. Progesterone with Chat Doctor. Thus please check Urine pregnancy test (HPT) to rule out pregnancy. If it is negative, then it may be a with
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The dizziness when you sit up can be explained by or tho static hypotension. It is mostly due to the antihypertensive meds you are taking, fluid deficit status are more rarely autonomic dysfunction caused by sleep itself. The blood pressure falling transiently when you move again gravity i.e. Sudden sitting or standing from sleeping position explains your symptoms. So I recommend reviewing your medication and try finding the culprit
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Hello, I can understand your concern it would be very helpful if I could see some pictures of your scalp.hairless maybe due to excessive ironing or using different products, avoiding it can help to reduce it. You may have halogen effluvium of female pattern hair loss.hairball may be due to lack of nutrients like iron or proteins in body, it may also be due to deranged thyroid levels. So to rule out halogen effluvium I would advise you to get your he, serum ferritin and thyroid levels tested.it may be genetic too. Application of minoxidil and oral biotin once a day can really be helpful to you. Hope it would help. Thank you