input
stringlengths
1
11.2k
output
stringlengths
10
3.44k
instruction
stringclasses
1 value
formatted_prompts
stringlengths
182
11.9k
I have a red spot just above my left ankle about 4 inches in diameter which has been there ever since I had a large cancerous tumor removed from my left groin about three years ago. I have used various medicated creams on it but it does not go away. I have light shooting pains in it occasionally. I recently sprained my ankle and it got worse. I am 92 years old and diabetic. Is there some medication or medicated cream that might help?
After hearing your history I would advise you to use voting gel in the affected area. Volini Gel contains Diclofenac Diethylammonium Topical, Menthol Topical, Methyl Salicylate Topical and Ileum Line Topical as active ingredients. Volini Gel works by reducing pain and delayed onset muscle soreness, providing relief of musculoskeletal aches and pains, reducing the pain providing relief from pain. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a red spot just above my left ankle about 4 inches in diameter which has been there ever since I had a large cancerous tumor removed from my left groin about three years ago. I have used various medicated creams on it but it does not go away. I have light shooting pains in it occasionally. I recently sprained my ankle and it got worse. I am 92 years old and diabetic. Is there some medication or medicated cream that might help? ### Answer: After hearing your history I would advise you to use voting gel in the affected area. Volini Gel contains Diclofenac Diethylammonium Topical, Menthol Topical, Methyl Salicylate Topical and Ileum Line Topical as active ingredients. Volini Gel works by reducing pain and delayed onset muscle soreness, providing relief of musculoskeletal aches and pains, reducing the pain providing relief from pain. Regards Chat Doctor.
My baby is 3 months and she just threw up a small amount with brown colored mucous-like throw up in it. It was about the size of a silver dollar. Should I be concerned. She has never done this before. I checked her temp and it is normal and no behavioral cues.
Hi... if the baby is feeding normally and otherwise active you need not worry about this. Red flag signs if something sinister is going on in the baby at this age would be - 1. Stoppage of feeding completely.2. Fever above 101 degrees Fahrenheit.3. Respiratory distress and fast breathing.4. Abnormal spontaneous bruising on the skin. Regards -
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My baby is 3 months and she just threw up a small amount with brown colored mucous-like throw up in it. It was about the size of a silver dollar. Should I be concerned. She has never done this before. I checked her temp and it is normal and no behavioral cues. ### Answer: Hi... if the baby is feeding normally and otherwise active you need not worry about this. Red flag signs if something sinister is going on in the baby at this age would be - 1. Stoppage of feeding completely.2. Fever above 101 degrees Fahrenheit.3. Respiratory distress and fast breathing.4. Abnormal spontaneous bruising on the skin. Regards -
i m 33yrs old male. and been diagnosed with pernecious anemia doc had advised for v12 injection on monthly basis. I have off lately been irregular in taking the medication on monthly basis and now recently when i got by HB count done it shows as 12.8.. pls tel me if it is ok to do moderate gym workout in this condition.. i dont feel that tired.
Hi, Welcome to Chat Doctor, You are already taking treatment for Anemia and your Hemoglobin is also reasonable 12.8 GMT and can continue to take B12 injection on monthly basis, and you can start work out gradually. My advice would be to start cardio work out initially later on weight training may be done. There should not be any problem in Gym. If there is any intake of alcohol it must be stopped completely. Take care Good luck to you,
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i m 33yrs old male. and been diagnosed with pernecious anemia doc had advised for v12 injection on monthly basis. I have off lately been irregular in taking the medication on monthly basis and now recently when i got by HB count done it shows as 12.8.. pls tel me if it is ok to do moderate gym workout in this condition.. i dont feel that tired. ### Answer: Hi, Welcome to Chat Doctor, You are already taking treatment for Anemia and your Hemoglobin is also reasonable 12.8 GMT and can continue to take B12 injection on monthly basis, and you can start work out gradually. My advice would be to start cardio work out initially later on weight training may be done. There should not be any problem in Gym. If there is any intake of alcohol it must be stopped completely. Take care Good luck to you,
Hi Dr. s I got my semen analysis a few days ago, rest all is normal excelt on thing i.e. my sperm has a -3 grade which is fast but undirected movement. Does this need any treatment? If so what sort of treatment should I get? Is this a cause for not getting my wife pregnant? I am married since last 4 years and my wife had 3 miscarriages and the last one was 1 and half year ago.
HelloThanks for your query. Your semen analysis revealed motility of the sperms to be grade 3. Normally it is grade one sperm which move in a straight direction are capable of fertilizing female eggs to result into pregnancy. The minimum percentage of grade one sperm accepted by WHO standards are 12-15% to result into conception. Truly speaking there are no medications that can increase the percentage of grade one sperm.However, Following measure will help to improve the motility of sperms to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day. Chat Doctor. 4) Avoid alcohol and smoking.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi Dr. s I got my semen analysis a few days ago, rest all is normal excelt on thing i.e. my sperm has a -3 grade which is fast but undirected movement. Does this need any treatment? If so what sort of treatment should I get? Is this a cause for not getting my wife pregnant? I am married since last 4 years and my wife had 3 miscarriages and the last one was 1 and half year ago. ### Answer: HelloThanks for your query. Your semen analysis revealed motility of the sperms to be grade 3. Normally it is grade one sperm which move in a straight direction are capable of fertilizing female eggs to result into pregnancy. The minimum percentage of grade one sperm accepted by WHO standards are 12-15% to result into conception. Truly speaking there are no medications that can increase the percentage of grade one sperm.However, Following measure will help to improve the motility of sperms to some extent.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day. Chat Doctor. 4) Avoid alcohol and smoking.
My 3rd old has had a little big of blood after wiping, we were told to change his diet. More fibre etc, today him after he had a BM there was bright red blood & quite a bit... Really worried any advice?? We are making an appointment with his DR tomorrow..
Hi, Welcome to Chat Doctor, The problem that your child is facing is not commonly seen in this age group. Bright red blood and increased quantity is not suggestive of infection alone, and I am thinking of a surgical cause a possibility. Most probably due to some injury at the exit point of the stools. You Need to consult doctor at the earliest, and you might need to meet a pediatric surgeon too. Wish your child a good health. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My 3rd old has had a little big of blood after wiping, we were told to change his diet. More fibre etc, today him after he had a BM there was bright red blood & quite a bit... Really worried any advice?? We are making an appointment with his DR tomorrow.. ### Answer: Hi, Welcome to Chat Doctor, The problem that your child is facing is not commonly seen in this age group. Bright red blood and increased quantity is not suggestive of infection alone, and I am thinking of a surgical cause a possibility. Most probably due to some injury at the exit point of the stools. You Need to consult doctor at the earliest, and you might need to meet a pediatric surgeon too. Wish your child a good health. Take care.
I have a small lymph node in lower area of left side of my neck. I have had a seriously swollen shoulder from rotator cuff problems. Can this be a cause of the node? I had a Pet 6mths ago and it has slightly enlarged. I suffer from awful sinus drainage and clering throat because of it. I am so afraid it is cancer. PET this Friday. I hhave been in remission for 6yrs Dr. says it is not likely to be that. I can t stop mashing to find this thing. Help.
You said you are in remission now. That means you must be having history of cancer. If you have history of cancer biopsy of the enlarged node needs to be done. Else you can take a course of antibiotics and wait till sinus discharge subsides. Cervical node enlargement occurs with throat infection and other head and neck infections commonly. In such case you can wait.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a small lymph node in lower area of left side of my neck. I have had a seriously swollen shoulder from rotator cuff problems. Can this be a cause of the node? I had a Pet 6mths ago and it has slightly enlarged. I suffer from awful sinus drainage and clering throat because of it. I am so afraid it is cancer. PET this Friday. I hhave been in remission for 6yrs Dr. says it is not likely to be that. I can t stop mashing to find this thing. Help. ### Answer: You said you are in remission now. That means you must be having history of cancer. If you have history of cancer biopsy of the enlarged node needs to be done. Else you can take a course of antibiotics and wait till sinus discharge subsides. Cervical node enlargement occurs with throat infection and other head and neck infections commonly. In such case you can wait.
my sis has high creatinin level of 111, her left kidney has parenchymal disease and she had a right kidney stone removed from years back though current result proves that her kidney is clear. she wants to know what are the dos and donts and what are the risks for having this high level of creatinin and parenchymal disease, what important things do we need to ask from her doctor if we have her checked up. thanks alot. god bless.
Firstly I would like to correct that it is 11.1 mg /DL of see. Creatinine and not 111. If the see. Creatinine levels or this elevated for a long time and is asymptomatic I suggest having an AV FISTULA created at the earliest. She may land up any time in uremic seizures, her bones will be brittle n prone to fractures, she would be having loss of appetite and muscle catabolism due to chronic acidosis. Regarding diet absolute vegetarian diets low in potassium. Avoid fruit juices and fruits especially banana, watermelon ... Can have small bites of apple, guava and papaya. BUT GET FISTULA DONE EMERGENTLY COM IT TAKES 6 WEEKS FOR IT TO MATURE AND ANY EMERGENCY DURING THIS PERIOD SHE WILL HAVE TO TAKE EMERGENCY DIALYSIS WITH ITV ACCESS WHICH IS PRONE TO COMPLICATIONS OF INFECTIONS.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: my sis has high creatinin level of 111, her left kidney has parenchymal disease and she had a right kidney stone removed from years back though current result proves that her kidney is clear. she wants to know what are the dos and donts and what are the risks for having this high level of creatinin and parenchymal disease, what important things do we need to ask from her doctor if we have her checked up. thanks alot. god bless. ### Answer: Firstly I would like to correct that it is 11.1 mg /DL of see. Creatinine and not 111. If the see. Creatinine levels or this elevated for a long time and is asymptomatic I suggest having an AV FISTULA created at the earliest. She may land up any time in uremic seizures, her bones will be brittle n prone to fractures, she would be having loss of appetite and muscle catabolism due to chronic acidosis. Regarding diet absolute vegetarian diets low in potassium. Avoid fruit juices and fruits especially banana, watermelon ... Can have small bites of apple, guava and papaya. BUT GET FISTULA DONE EMERGENTLY COM IT TAKES 6 WEEKS FOR IT TO MATURE AND ANY EMERGENCY DURING THIS PERIOD SHE WILL HAVE TO TAKE EMERGENCY DIALYSIS WITH ITV ACCESS WHICH IS PRONE TO COMPLICATIONS OF INFECTIONS.
Hi, I have just banged my leg on the corner of my coffee table. Below the right knee to the right hand side, It actually brought tears to my eyes. It came up in a bruise straight away an now there is a hard round lump underneath the bruise. is the lump anything bad do you think?
Hi, The lump is a normal occurrence after this type of injury. There will be swelling and bruising which will have caused blood to collect in the area causing the lump to appear. It may last a few days before receding. In the meantime, take paracetamol and ibuprofen for the pain. Keep your knee moving with your normal daily activities otherwise it may become stiff. A compression knee support may help. Also try a cool compress to the area. Hope this helps you. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I have just banged my leg on the corner of my coffee table. Below the right knee to the right hand side, It actually brought tears to my eyes. It came up in a bruise straight away an now there is a hard round lump underneath the bruise. is the lump anything bad do you think? ### Answer: Hi, The lump is a normal occurrence after this type of injury. There will be swelling and bruising which will have caused blood to collect in the area causing the lump to appear. It may last a few days before receding. In the meantime, take paracetamol and ibuprofen for the pain. Keep your knee moving with your normal daily activities otherwise it may become stiff. A compression knee support may help. Also try a cool compress to the area. Hope this helps you. Chat Doctor.
My father has malignant melanoma and has recently undergone the gamma knife for his brain mets. Today he woke up with multiple blueish black lesions on the skin under the arm that he originally had surgery on for the infected lymph nodes 18 months ago. He has no pain there, but they were not there yesterday. Is this more mets?
Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of metastasis is more. Malignant melanoma is known to cause skin metastasis and maxilla is common site for metastasis. So bluish black skin lesions can be due to skin metastasis. So get done clinical examination and if needed biopsy of the lesion to rule out metastasis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My father has malignant melanoma and has recently undergone the gamma knife for his brain mets. Today he woke up with multiple blueish black lesions on the skin under the arm that he originally had surgery on for the infected lymph nodes 18 months ago. He has no pain there, but they were not there yesterday. Is this more mets? ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of metastasis is more. Malignant melanoma is known to cause skin metastasis and maxilla is common site for metastasis. So bluish black skin lesions can be due to skin metastasis. So get done clinical examination and if needed biopsy of the lesion to rule out metastasis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
I have been diagnosed with GAD since recovering from prostate cancer & possible duodenal cancer that was determined to be non malignant both within the past 2 years. I have tried 5 different SSRI s and 3 different SSNI s, none of which provided any relief. Side effects for most made my anxiety worse. I have also seen 4 psychiatrists with some minor success. CBT offering some help, the others, EMDR & Talk Therapy very little. The only relief I get is with 1MG Lorazepam as needed with no side effects. Why all the negativity re this medication.
Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. Good luck
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have been diagnosed with GAD since recovering from prostate cancer & possible duodenal cancer that was determined to be non malignant both within the past 2 years. I have tried 5 different SSRI s and 3 different SSNI s, none of which provided any relief. Side effects for most made my anxiety worse. I have also seen 4 psychiatrists with some minor success. CBT offering some help, the others, EMDR & Talk Therapy very little. The only relief I get is with 1MG Lorazepam as needed with no side effects. Why all the negativity re this medication. ### Answer: Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. Good luck
My right side hurts, but not really low. Kinda in the middle. But it only hurts when I sit down, stand up, cough, any sudden movement like that. It feels like something s being jiggled out of place and the pain is a sharp twinge. It started as a normal stomachache then moved to my right side.
Hello, As the location of the pain isn't mentioned it is difficult to put a comment which is directed towards the pathology. As you mentioned the stomachache and pain moved, I suspect it to be the higher side of the lower back where you are getting pain. This can be due to organs compression over the muscular system. A diagnostic ultrasound scan will help to figure out the actual organ pathology and medicine will be prescribed based on that. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My right side hurts, but not really low. Kinda in the middle. But it only hurts when I sit down, stand up, cough, any sudden movement like that. It feels like something s being jiggled out of place and the pain is a sharp twinge. It started as a normal stomachache then moved to my right side. ### Answer: Hello, As the location of the pain isn't mentioned it is difficult to put a comment which is directed towards the pathology. As you mentioned the stomachache and pain moved, I suspect it to be the higher side of the lower back where you are getting pain. This can be due to organs compression over the muscular system. A diagnostic ultrasound scan will help to figure out the actual organ pathology and medicine will be prescribed based on that. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
Hi, My friend, age 28 was diagnosed with seizure disorder in 2002, CT brain shows L frontal granuloma with surrounding edema , Had eptoin for 3 yrs thereafter. Gradually tapered as the per advice of neurologist . Recently he is experiencing some vague Headaches, with some giddiness occas. Having doubt whether he needs to get suggested by neurologist. He underwent blood work, dx with Impaired fasting glucose under control by diet & exercise.
Hello, It's important to ascertain the giddiness you describe is actually not minor episodes of seizures. The headaches may be associated with it. Please get the opinion of the Neurologist who will be able to rule out Seizures and decide whether you need to start on medications again. A repeat Brain Imaging might be necessary to determine about Granuloma or other causes which can lead to seizures. Also keep a close watch on the Blood sugar levels as increased blood sugar levels alone can precipitate Seizures. Hope this helps!
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, My friend, age 28 was diagnosed with seizure disorder in 2002, CT brain shows L frontal granuloma with surrounding edema , Had eptoin for 3 yrs thereafter. Gradually tapered as the per advice of neurologist . Recently he is experiencing some vague Headaches, with some giddiness occas. Having doubt whether he needs to get suggested by neurologist. He underwent blood work, dx with Impaired fasting glucose under control by diet & exercise. ### Answer: Hello, It's important to ascertain the giddiness you describe is actually not minor episodes of seizures. The headaches may be associated with it. Please get the opinion of the Neurologist who will be able to rule out Seizures and decide whether you need to start on medications again. A repeat Brain Imaging might be necessary to determine about Granuloma or other causes which can lead to seizures. Also keep a close watch on the Blood sugar levels as increased blood sugar levels alone can precipitate Seizures. Hope this helps!
I ve been going to the gym (cardio and weights) I have a slight pain on the right side with a lump type feel. It is located right below my ribcage. when I was on the elliptical yesterday my heart rate went up to 155 during the tough workout. should I be concerned.
Hi, thank-you for providing the brief history of you. As to let you know one of the primary act is thorough musculoskeletal assessment is advised and also the cardiac clearance before undergoing gym. It is on a safer side to get clearance and then proceed. As mentioned by you that you have a pain under the rib cage or below it, it could be most of the time a muscular pain. Due to overtraining there will be a sudden muscle spasm due to stretch contract mechanism on the elliptical. Taking a rest with hot water fermentation should reduce the pain and after 3 days you can go back to gym. Also, if the pain doesn't come down, than taking up a thorough musculoskeletal and cardiac assessment is advised on a safer side. Since you have discomfort on the right side, the worry is less, may be just a muscle spam on the right Hyperion Chat Doctor. It should subside in short time. This is on of the common injury in gym, as the body is not prepared to undergo the stress & strain on the muscles. Undergoing slow and steady training under guidance will help avoid such injuries in the future. RegardsJay In
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I ve been going to the gym (cardio and weights) I have a slight pain on the right side with a lump type feel. It is located right below my ribcage. when I was on the elliptical yesterday my heart rate went up to 155 during the tough workout. should I be concerned. ### Answer: Hi, thank-you for providing the brief history of you. As to let you know one of the primary act is thorough musculoskeletal assessment is advised and also the cardiac clearance before undergoing gym. It is on a safer side to get clearance and then proceed. As mentioned by you that you have a pain under the rib cage or below it, it could be most of the time a muscular pain. Due to overtraining there will be a sudden muscle spasm due to stretch contract mechanism on the elliptical. Taking a rest with hot water fermentation should reduce the pain and after 3 days you can go back to gym. Also, if the pain doesn't come down, than taking up a thorough musculoskeletal and cardiac assessment is advised on a safer side. Since you have discomfort on the right side, the worry is less, may be just a muscle spam on the right Hyperion Chat Doctor. It should subside in short time. This is on of the common injury in gym, as the body is not prepared to undergo the stress & strain on the muscles. Undergoing slow and steady training under guidance will help avoid such injuries in the future. RegardsJay In
I am 34, male, healthy.. I have been ADHD my whole life... I was taking 25mg Adderall....time release capsule.. good on stomache pains, but not lasting long... now im on 20mg twice a day.. IR... stomach sucks... what can i do... is there a big difference between Generic ... and Adderall
Degree understand your concerns went through your details. I suggest you not to worry much. Ad Chat Doctor. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am 34, male, healthy.. I have been ADHD my whole life... I was taking 25mg Adderall....time release capsule.. good on stomache pains, but not lasting long... now im on 20mg twice a day.. IR... stomach sucks... what can i do... is there a big difference between Generic ... and Adderall ### Answer: Degree understand your concerns went through your details. I suggest you not to worry much. Ad Chat Doctor. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
Hi I have a reddish brown circular rash that originally started between my breasts and now it is spreading down my back the best way to describe the rash is some parts look like pure circles and other circles have merged to make several blobbs from top of my back across shoulder blades and is itchy when Im warm
Hello, Thanks for the query, You might have developed fungal infection. The area under and around breast is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi I have a reddish brown circular rash that originally started between my breasts and now it is spreading down my back the best way to describe the rash is some parts look like pure circles and other circles have merged to make several blobbs from top of my back across shoulder blades and is itchy when Im warm ### Answer: Hello, Thanks for the query, You might have developed fungal infection. The area under and around breast is very moist and is prone to develop these infections. Treatment can be with oral antifungals as well as with topical antifungals. Various antifungal powders like candid are available. These can help reduce the moisture as well as control the infection. Please don't use any steroid, it can worsen your conditionPlease meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor.
hello my 5 month old grandson is being sent to a specialist for high levels of calcium and something about his thyroid. He was big when he was born and he s big now he weights 21 pounds and he cries a lot not as much as he used to. They thought he might have acid reflux but ... anyway what could it be? Nothing serious serious I hope
High calcium levels, or hyperkalemia as it is called, may be caused due to excess of certain hormones secreted by the parathyroid glands which are small dot like structures on the wall of the thyroid gland. Treatment depends on the magnitude of the problems caused. Appropriate HY Chat Doctor. A vitamin D derivative called calcitonin can be given. Dialysis or destruction of the parathyroid glands may be required in more extreme cases. Please remain in the follow-up of your doctor, and he will be better able to explain the gravity of the scenario and its management.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hello my 5 month old grandson is being sent to a specialist for high levels of calcium and something about his thyroid. He was big when he was born and he s big now he weights 21 pounds and he cries a lot not as much as he used to. They thought he might have acid reflux but ... anyway what could it be? Nothing serious serious I hope ### Answer: High calcium levels, or hyperkalemia as it is called, may be caused due to excess of certain hormones secreted by the parathyroid glands which are small dot like structures on the wall of the thyroid gland. Treatment depends on the magnitude of the problems caused. Appropriate HY Chat Doctor. A vitamin D derivative called calcitonin can be given. Dialysis or destruction of the parathyroid glands may be required in more extreme cases. Please remain in the follow-up of your doctor, and he will be better able to explain the gravity of the scenario and its management.
Me and my boyfrnd were having sometime togthr sexually. he did not enter me fully. but we just tried putting the penis tip into my vagina. he came after taking it out. (we are sure about that. ). there was some cum above my pubic region but not anywer near to my vagina. and also it was a dry process. i was not having any lubrication at all. is der ny chance of getting pregnant? we also came to knw abt the precum and its chances to make pregnant. we r little worried. kindly give an answer as soon as possible.
Hello dear, I understand your concern. In my opinion there are rare chances of pregnancy. Usualy there is scope for pregnancy when semen is ejaculated inside the vagina during the fertile period. There is very rare chance when then semen outside the vagina resulting in pregnancy. Byt anyway confirmation is done by a urine pregnancy test. The test needs to be done a week after missed period if at all the period is missed. The first sign of pregnancy is missed period. Other signs of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period In case of pregnancyAnyway overall the chance of pregnancy is very rare. So avoid stress and wait and check for the period. Hope this helps. Best regards...
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Me and my boyfrnd were having sometime togthr sexually. he did not enter me fully. but we just tried putting the penis tip into my vagina. he came after taking it out. (we are sure about that. ). there was some cum above my pubic region but not anywer near to my vagina. and also it was a dry process. i was not having any lubrication at all. is der ny chance of getting pregnant? we also came to knw abt the precum and its chances to make pregnant. we r little worried. kindly give an answer as soon as possible. ### Answer: Hello dear, I understand your concern. In my opinion there are rare chances of pregnancy. Usualy there is scope for pregnancy when semen is ejaculated inside the vagina during the fertile period. There is very rare chance when then semen outside the vagina resulting in pregnancy. Byt anyway confirmation is done by a urine pregnancy test. The test needs to be done a week after missed period if at all the period is missed. The first sign of pregnancy is missed period. Other signs of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period In case of pregnancyAnyway overall the chance of pregnancy is very rare. So avoid stress and wait and check for the period. Hope this helps. Best regards...
I am always tired, exhausted. I can t walk up stairs without getting out of breath and feeling like I m about to pass out. (I ve been diagnosed with orthostatic hypotension??.) I feel like everything drains out of me when I walk, even slowly, upstairs. Even if it s only a few steps. I m breathing hard, hr goes way up and I feel like my blood pressure plummets.usually can t stand up straight until it goes away and feel like my legs are going to give out on me. Also if I squat down everything starts to go black when I stand back up. All my labs are normal and cardiac said my heart is fine altho it did show some tachy some brady and pvc s. My EKG showed a short PR. What is wrong with me??
Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult cardiologist and get done1. 2d echo2. Stress test3. Holder monitoring (24 hour recording of ECG)4. Coronary angiography SOS (if required). You are having irregular heartbeat with orthostatic hypotension, this suggests possibility of arrhythmia or coronary artery disease (CAD). So better to get done above investigations first and diagnose yourself and start appropriate treatment. So consult cardiologist and discuss all these.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am always tired, exhausted. I can t walk up stairs without getting out of breath and feeling like I m about to pass out. (I ve been diagnosed with orthostatic hypotension??.) I feel like everything drains out of me when I walk, even slowly, upstairs. Even if it s only a few steps. I m breathing hard, hr goes way up and I feel like my blood pressure plummets.usually can t stand up straight until it goes away and feel like my legs are going to give out on me. Also if I squat down everything starts to go black when I stand back up. All my labs are normal and cardiac said my heart is fine altho it did show some tachy some brady and pvc s. My EKG showed a short PR. What is wrong with me?? ### Answer: Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult cardiologist and get done1. 2d echo2. Stress test3. Holder monitoring (24 hour recording of ECG)4. Coronary angiography SOS (if required). You are having irregular heartbeat with orthostatic hypotension, this suggests possibility of arrhythmia or coronary artery disease (CAD). So better to get done above investigations first and diagnose yourself and start appropriate treatment. So consult cardiologist and discuss all these.
I am a generally articulate person, but recently I feel as if i am unable to find the exact words to express my thoughts in a timely manner, and sometimes have to restart sentences multiple times; someone told me these could be symptoms of pregnancy? If I were pregnant it would be less than a month since conception, so would these symptoms arise that early?
These symptoms can occur in early pregnancy, but first you need to confirm your pregnancy by a urine test or an ultrasound
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am a generally articulate person, but recently I feel as if i am unable to find the exact words to express my thoughts in a timely manner, and sometimes have to restart sentences multiple times; someone told me these could be symptoms of pregnancy? If I were pregnant it would be less than a month since conception, so would these symptoms arise that early? ### Answer: These symptoms can occur in early pregnancy, but first you need to confirm your pregnancy by a urine test or an ultrasound
Hi, I need an advice regarding the possibility of being pregnant. I m a virgin. Me and my boyfriend were messing around yesterday somewhat and things got a bit *hot*. We didn t have penetrative sex, but he fingered me and I gave him a handjob. He touched his penis- while pulling it out of his pants- but then I immediately started giving him a handjob so the contact was brief and I don t think there was any precum as his penis was not even fully erected yet. After a few moments he began unzipping my jeans, etc (so he definitely has brushed his fingers against my clothes) and then fingered me (but not very deep). Also it was day 21 of my cycle (usually my cycle varies from 27 to 31 days, so I guess my ovulation should has happened already). I understand that chances of me getting pregnant are very low but still... should I be worried?
Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about pregnancy. For pregnancy, Intercourse in vagina and ejaculation of semen in the vagina is must. This should be happened during Fertile period (ovulatory) period of your cycle. Since you don't have Intercourse in vagina and you're were not in your Fertile period, no need to worry about pregnancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I need an advice regarding the possibility of being pregnant. I m a virgin. Me and my boyfriend were messing around yesterday somewhat and things got a bit *hot*. We didn t have penetrative sex, but he fingered me and I gave him a handjob. He touched his penis- while pulling it out of his pants- but then I immediately started giving him a handjob so the contact was brief and I don t think there was any precum as his penis was not even fully erected yet. After a few moments he began unzipping my jeans, etc (so he definitely has brushed his fingers against my clothes) and then fingered me (but not very deep). Also it was day 21 of my cycle (usually my cycle varies from 27 to 31 days, so I guess my ovulation should has happened already). I understand that chances of me getting pregnant are very low but still... should I be worried? ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about pregnancy. For pregnancy, Intercourse in vagina and ejaculation of semen in the vagina is must. This should be happened during Fertile period (ovulatory) period of your cycle. Since you don't have Intercourse in vagina and you're were not in your Fertile period, no need to worry about pregnancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
can i use nicip tablet for hot boil,, i have got a hot boil on my eye,, which has become so big and is paining a lot my email address is YYYY@YYYY Ive been using this tablet since two days,, but there is no use.. Please help me out.. thank u so much
Hello, Let me tell you that NICAP is an anti-inflammatory analgesic agent, and it can relieve pain and inflammation, but it can not cure the boil. I suggest start taking Definite tablet twice daily for three days, and you are also advised to do hot fomentation on the boil 2-3 times daily. It will help relieve the symptoms and cure the boil. Hope I have answered your query. Let me know if I can assist you further. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: can i use nicip tablet for hot boil,, i have got a hot boil on my eye,, which has become so big and is paining a lot my email address is YYYY@YYYY Ive been using this tablet since two days,, but there is no use.. Please help me out.. thank u so much ### Answer: Hello, Let me tell you that NICAP is an anti-inflammatory analgesic agent, and it can relieve pain and inflammation, but it can not cure the boil. I suggest start taking Definite tablet twice daily for three days, and you are also advised to do hot fomentation on the boil 2-3 times daily. It will help relieve the symptoms and cure the boil. Hope I have answered your query. Let me know if I can assist you further. Take care
I had a spider bite brown recluse most likely had it lanced and drained spent 6 days in the hospital been home for about a week now i have 3 abcess on my leg one was very large and painful it just burst before i was able to go to the doctotor, but unlike wen they drained the spider bite that was full of puss and some blood this was full of brite red blood and alot of it and it has continued to blled since it burst about 11 hrs ago?
HI, thanks for using Chat Doctor Discharge from an infected area would contain a mixture of pus and blood, so it is not unusual that blood was present in the abscess. You may still need to see your doctor because even though the abscess burst some pockets of pus may still be present that would need removal. Additional antibiotics may be needed. I hope this helps
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I had a spider bite brown recluse most likely had it lanced and drained spent 6 days in the hospital been home for about a week now i have 3 abcess on my leg one was very large and painful it just burst before i was able to go to the doctotor, but unlike wen they drained the spider bite that was full of puss and some blood this was full of brite red blood and alot of it and it has continued to blled since it burst about 11 hrs ago? ### Answer: HI, thanks for using Chat Doctor Discharge from an infected area would contain a mixture of pus and blood, so it is not unusual that blood was present in the abscess. You may still need to see your doctor because even though the abscess burst some pockets of pus may still be present that would need removal. Additional antibiotics may be needed. I hope this helps
I am a 25y/o female and i have a knot/lump on the back of my neck below my hairline. I have had it for a few days now, it came out of nowhere. The size is smaller than a pea and sometimes I feel a slight burning sensation coming from it. What could it be?
Hi, dairy have gone through your question. I can understand your concern. You mostly have posterior cervical lymph node enlargement. ITIS due to some infection in head and neck area. You should complete a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am a 25y/o female and i have a knot/lump on the back of my neck below my hairline. I have had it for a few days now, it came out of nowhere. The size is smaller than a pea and sometimes I feel a slight burning sensation coming from it. What could it be? ### Answer: Hi, dairy have gone through your question. I can understand your concern. You mostly have posterior cervical lymph node enlargement. ITIS due to some infection in head and neck area. You should complete a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
good morning sir, sir my father was suffering for kidney parenchymal disease so he was problem with pains of both legs,chest pain ,blood test result are urea-69 mg%,creatinine-2.8mg%,uric acid-8.4& rbs-78mg%,Hb%-9.4 urine routine test is normal o he was suffers big problem he was medcines taken ultracet,folic acid tab,nodon tab,etc.... sir but he was taken medcine but not cure what is problem plz details me sir,
Hi, Your serum urea, creatinine is at higher side. So it is suggestive of deterioration of kidney function. Underlying because specific treatment should be priority. Diabetes and hypertension are common cause for that. Your physician should check your blood pressure and medication given for that if needed. I suggest you consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: good morning sir, sir my father was suffering for kidney parenchymal disease so he was problem with pains of both legs,chest pain ,blood test result are urea-69 mg%,creatinine-2.8mg%,uric acid-8.4& rbs-78mg%,Hb%-9.4 urine routine test is normal o he was suffers big problem he was medcines taken ultracet,folic acid tab,nodon tab,etc.... sir but he was taken medcine but not cure what is problem plz details me sir, ### Answer: Hi, Your serum urea, creatinine is at higher side. So it is suggestive of deterioration of kidney function. Underlying because specific treatment should be priority. Diabetes and hypertension are common cause for that. Your physician should check your blood pressure and medication given for that if needed. I suggest you consult Urologist for examination. Hope I have answered your query. Let me know if I can assist you further.
My husband had bronchitis 2 months and has asthma. He was a firefighter for 10 yrs several years ago. Since his recent sickness, he hasn t felt right and now says it feels like he is breathing through cobwebs or cotton candy, fiberglass type of feeling in the upper part of his chest. Some days are worse than others. What could this be?
Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. By your history and description, in my opinion he might be having worsening of underlying asthma and bronchitis. Lung infection is the most common cause for worsening. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out worsening of bronchitis. He may need antibiotics, antihistamines and additional inhaled bronchodilators for better symptomatic relief. Hope I have solved your query. Wishing good health to your husband. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My husband had bronchitis 2 months and has asthma. He was a firefighter for 10 yrs several years ago. Since his recent sickness, he hasn t felt right and now says it feels like he is breathing through cobwebs or cotton candy, fiberglass type of feeling in the upper part of his chest. Some days are worse than others. What could this be? ### Answer: Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. By your history and description, in my opinion he might be having worsening of underlying asthma and bronchitis. Lung infection is the most common cause for worsening. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out worsening of bronchitis. He may need antibiotics, antihistamines and additional inhaled bronchodilators for better symptomatic relief. Hope I have solved your query. Wishing good health to your husband. Thanks.
hiya i have a 1 yr old girl who has a bit of a cold she has a runny nose very snoty when sneezing there is a little bit of blood there i took her doctors yesturday for this and asked for something for her and they told me there is nothing they can give her what is ur opinion
Hi, As per your query, your child has symptoms of runny nose and sneezing which is due to upper respiratory infection. Need not worry. I would suggest you visit Pediatrician once and get it examined. You should get routine blood tests done to check the level of infection and start treatment accordingly. You should avoid the use of spicy, sharp oily and fried food substances. Furthermore, you should take a combination of antibiotic Levofloxacin along with anti-inflammatory medication. Furthermore, you should avoid cold carbonated beverages. Apply mist humidifiers in the room. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hiya i have a 1 yr old girl who has a bit of a cold she has a runny nose very snoty when sneezing there is a little bit of blood there i took her doctors yesturday for this and asked for something for her and they told me there is nothing they can give her what is ur opinion ### Answer: Hi, As per your query, your child has symptoms of runny nose and sneezing which is due to upper respiratory infection. Need not worry. I would suggest you visit Pediatrician once and get it examined. You should get routine blood tests done to check the level of infection and start treatment accordingly. You should avoid the use of spicy, sharp oily and fried food substances. Furthermore, you should take a combination of antibiotic Levofloxacin along with anti-inflammatory medication. Furthermore, you should avoid cold carbonated beverages. Apply mist humidifiers in the room. Hope I have answered your query. Let me know if I can assist you further.
My husband has 895 Gamma Gt. He is 55 years old. Has been dinking for 30 year and has stopped since 3 months because he suffer from Cluster headaches. Sgot:: 73, Sgpt: 146. More than this, the last test he had shows a risk with an arter of heart. Thanks for your help! He is also smoker!
Hi thanks for contacting Chat Doctor. Your husband has s definitely at high risk. Noted 30 year of alcohol Chat Doctor. So he could have fatty liver or cirrhosis like condition.USG witChatDoctorplete liver profile done. Second because of smoking and alcohol is at the high risk for ischemia heart disease. I will advise you to do your husbands serum lipid profile also and measures blood pressure. If both are high then treated accordingly like with that of statin and amlodipine like antihypertensive
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My husband has 895 Gamma Gt. He is 55 years old. Has been dinking for 30 year and has stopped since 3 months because he suffer from Cluster headaches. Sgot:: 73, Sgpt: 146. More than this, the last test he had shows a risk with an arter of heart. Thanks for your help! He is also smoker! ### Answer: Hi thanks for contacting Chat Doctor. Your husband has s definitely at high risk. Noted 30 year of alcohol Chat Doctor. So he could have fatty liver or cirrhosis like condition.USG witChatDoctorplete liver profile done. Second because of smoking and alcohol is at the high risk for ischemia heart disease. I will advise you to do your husbands serum lipid profile also and measures blood pressure. If both are high then treated accordingly like with that of statin and amlodipine like antihypertensive
Hi, may I answer your health queries right now ? Please type your query here...I believe I have acid reflux which is affecting my gums and teeth. I am scheduled to have eight teeth and toris removed this wednesday. Do you see a problem having the oral surgery done?
Thanks for your query, I have gone through your query. In acid reflux the teeth will get damaged secondary to the acid attack on the teeth resulting in erosion of the teeth. If sufficient tooth structure is there, then we can save the teeth by doing RCT. If the tooth structure is not there then it has to be removed. The teeth can be removed and Tori can also be removed but the antibiotics and analgesics should be of lower dose since this will cause gastric irritation and may cause vomiting and heart burn or gastric pain. Even the painkillers prescribed after the surgical procedure can worsen the acid reflux. So be careful and take precautions like antacids at regular intervals before the medications prescribed after surgery. I hope my answer will help you, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, may I answer your health queries right now ? Please type your query here...I believe I have acid reflux which is affecting my gums and teeth. I am scheduled to have eight teeth and toris removed this wednesday. Do you see a problem having the oral surgery done? ### Answer: Thanks for your query, I have gone through your query. In acid reflux the teeth will get damaged secondary to the acid attack on the teeth resulting in erosion of the teeth. If sufficient tooth structure is there, then we can save the teeth by doing RCT. If the tooth structure is not there then it has to be removed. The teeth can be removed and Tori can also be removed but the antibiotics and analgesics should be of lower dose since this will cause gastric irritation and may cause vomiting and heart burn or gastric pain. Even the painkillers prescribed after the surgical procedure can worsen the acid reflux. So be careful and take precautions like antacids at regular intervals before the medications prescribed after surgery. I hope my answer will help you, take care.
Hi I have had a breast lump remove under general anaestic 5 days ago . I feel the same as I did when I came out of surgery Physically Fatigued! Im a very active 54 year old have a text booked blood pressure, I cant do daily shores or go back to work. I have difficulty getting out of bed and even having a shower!! Which Im fanatic about!! Please help!!
Hello! Thank you for the query. Please note that any surgery is an immense effort for whole organism. We can compare it to taking part in car accident for example. So this is a typical reaction for surgery. Your body needs to rest to get back to normal. It takes time and It's hard to accelerate it. So if you do not feel any part of your body weaker (like one leg or arm is weaker), no headache, no dizziness and pale skin, your heart rate is lower than 100, rest is all you need. If any of mentioned symptoms is present, you should consult your doctor right away as stroke or anemia are possible. Hope this will help. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi I have had a breast lump remove under general anaestic 5 days ago . I feel the same as I did when I came out of surgery Physically Fatigued! Im a very active 54 year old have a text booked blood pressure, I cant do daily shores or go back to work. I have difficulty getting out of bed and even having a shower!! Which Im fanatic about!! Please help!! ### Answer: Hello! Thank you for the query. Please note that any surgery is an immense effort for whole organism. We can compare it to taking part in car accident for example. So this is a typical reaction for surgery. Your body needs to rest to get back to normal. It takes time and It's hard to accelerate it. So if you do not feel any part of your body weaker (like one leg or arm is weaker), no headache, no dizziness and pale skin, your heart rate is lower than 100, rest is all you need. If any of mentioned symptoms is present, you should consult your doctor right away as stroke or anemia are possible. Hope this will help. Regards.
worried about blood pressure for the last week as high as 160/104. Was normal one month ago at docters office. I am 50 years old, normal weight and healthy on vegetarian diet and exerise every day.Do have family history of high blood pressure, mother had problems starting about 40 year old Should I have this checked out or give it some time?
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you are 50 years old, and you do have heredity for hypertension. According to this, I think we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. In most cases' people with hypertension does not have any symptom but leaving this values untreated slowly modifies your heart muscle. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values day and night. A cardiac echo to evaluate heart chambers and a fool blood analyze. After having a fool view of the situation we can decide how to treat your hypertension. But my opinion is that you should do this thinks now and not leave them for the future because it is much better if we act and treat hypertension faster in time. Hope I was helpful. Wish you good health. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: worried about blood pressure for the last week as high as 160/104. Was normal one month ago at docters office. I am 50 years old, normal weight and healthy on vegetarian diet and exerise every day.Do have family history of high blood pressure, mother had problems starting about 40 year old Should I have this checked out or give it some time? ### Answer: Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain and give you my opinion. We talk about hypertension if we have mean values that exceeds 140/90 mmHg. Hypertension is divided in two groups: essential or idiopathic hypertension without an identifiable cause and secondary hypertension, usually in young ages, meaning that is a secondary cause of it. This cause might be a renal disease, an endocrine problem, a cardiovascular pathology. As you explain, you are 50 years old, and you do have heredity for hypertension. According to this, I think we are dealing with essential hypertension. It is a chronic disease. It has not a definite cure, but it should be treated life long. In most cases' people with hypertension does not have any symptom but leaving this values untreated slowly modifies your heart muscle. So, if I was your treating doctor I will recommend a holder pressure monitoring for 24 h, to know your mean values day and night. A cardiac echo to evaluate heart chambers and a fool blood analyze. After having a fool view of the situation we can decide how to treat your hypertension. But my opinion is that you should do this thinks now and not leave them for the future because it is much better if we act and treat hypertension faster in time. Hope I was helpful. Wish you good health. Best regards.
Hello docotor, I am having severe abdominal pain for the last 2 weeks. It is kind of vague contracting type of pain, lasts only a few seconds then comes again, with lot of belching. I consulted a gastroenterologist and he did an endoscopy, nothing was found, and the pain is still there. I am taking, rabeprazole sodium and Cilakar. I am having high blood pressures. I just want to know what it could be?. Is it due to BP or something else?.
Omeprazole can be taken. There can be many reasons for abdominal pain. Alcohol intake can also cause abdominal pain. Rarely, high BP can cause ischemia of the intestinal walls causing pain.it depends on the age.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello docotor, I am having severe abdominal pain for the last 2 weeks. It is kind of vague contracting type of pain, lasts only a few seconds then comes again, with lot of belching. I consulted a gastroenterologist and he did an endoscopy, nothing was found, and the pain is still there. I am taking, rabeprazole sodium and Cilakar. I am having high blood pressures. I just want to know what it could be?. Is it due to BP or something else?. ### Answer: Omeprazole can be taken. There can be many reasons for abdominal pain. Alcohol intake can also cause abdominal pain. Rarely, high BP can cause ischemia of the intestinal walls causing pain.it depends on the age.
sir my child suffering in gall bladder stone since 2 years ,it found in 15 days back after diegonised the size of the stone is 7mmx6mm and 6mmto4mm in gall bladder,so many dr adivace to take a remedies not foe surgery plz advice me he is 8 old son.
Hi, Thank you for asking question on Chat Doctor. Oral Ursodeoxycholicacid for period of 2 years may dissolve the gall stones. But the may recur after stopping the treatment. Obstruction of bile ducts by gall stones may be relieved by ERS following ERCP (endoscopic procedure) or Lithography to break stones into small particles so that they will be excreted in feces. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: sir my child suffering in gall bladder stone since 2 years ,it found in 15 days back after diegonised the size of the stone is 7mmx6mm and 6mmto4mm in gall bladder,so many dr adivace to take a remedies not foe surgery plz advice me he is 8 old son. ### Answer: Hi, Thank you for asking question on Chat Doctor. Oral Ursodeoxycholicacid for period of 2 years may dissolve the gall stones. But the may recur after stopping the treatment. Obstruction of bile ducts by gall stones may be relieved by ERS following ERCP (endoscopic procedure) or Lithography to break stones into small particles so that they will be excreted in feces. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics
I have a lump on the left side of my shoulder a little near my neck inside the collarbone. When it first happened 3 days ago my collarbone and my neck hurt...I wonder where it comes from and there is not any more real pain but I take ibuprofen....What should I do??? It seems like it will go away but I don t know.
Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, I feel that possibly you have got a lymph node inflamed in your neck region, which could be due to any infection in the Chat Doctor. If I were your doctor, I would do a general physical examination of yours with special attention to your head and neck region along with the oral cavity, and would consider advising you for a short course of broad spectrum antibiotic along with an anti-inflammatory
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a lump on the left side of my shoulder a little near my neck inside the collarbone. When it first happened 3 days ago my collarbone and my neck hurt...I wonder where it comes from and there is not any more real pain but I take ibuprofen....What should I do??? It seems like it will go away but I don t know. ### Answer: Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, I feel that possibly you have got a lymph node inflamed in your neck region, which could be due to any infection in the Chat Doctor. If I were your doctor, I would do a general physical examination of yours with special attention to your head and neck region along with the oral cavity, and would consider advising you for a short course of broad spectrum antibiotic along with an anti-inflammatory
I woke up yesterday morning with a few red bumps on my lips & hands let it go for a few hours and my whole body was covered but my mid- stomach& back and my lower legs. Ive been treated for allergic reaction since I was a kid due to contact with certain soaps & etc.. I get a steroid & Benadryl next day it usually cleared right up. This time I Went to the doctor this and told her the only things Ive done differenly at home is bought a new scented dryer sheet and I used rubbling alcohol on my face the night before as well as using hydrogen peroxide as a oral rinse. She than prescribed me prendisone for it for a week. 40mg -2days than 30mg 2 days and so on till its gone. Its been 24 hours and my rash isnt any better & seems worse, Im extremely, nauseous & very tired and irritable is this normal if not what should I do???
Hi, rash following contact with a new antigen is presumed to be allergic. You should at least have responded to steroid by now. Since there is no response, the possibility of other causes of rash like a viral rash should be considered. Watch out if you develop fever or pains. If that happens, revisit your doctor. Hope this helped.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I woke up yesterday morning with a few red bumps on my lips & hands let it go for a few hours and my whole body was covered but my mid- stomach& back and my lower legs. Ive been treated for allergic reaction since I was a kid due to contact with certain soaps & etc.. I get a steroid & Benadryl next day it usually cleared right up. This time I Went to the doctor this and told her the only things Ive done differenly at home is bought a new scented dryer sheet and I used rubbling alcohol on my face the night before as well as using hydrogen peroxide as a oral rinse. She than prescribed me prendisone for it for a week. 40mg -2days than 30mg 2 days and so on till its gone. Its been 24 hours and my rash isnt any better & seems worse, Im extremely, nauseous & very tired and irritable is this normal if not what should I do??? ### Answer: Hi, rash following contact with a new antigen is presumed to be allergic. You should at least have responded to steroid by now. Since there is no response, the possibility of other causes of rash like a viral rash should be considered. Watch out if you develop fever or pains. If that happens, revisit your doctor. Hope this helped.
I have gallstones. Should I get my gallbladder taken out? II have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many "horror stories" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for?
Hi, Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. You need to avoid fried food, carbonated Chat Doctor. Furthermore, you should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have gallstones. Should I get my gallbladder taken out? II have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many "horror stories" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for? ### Answer: Hi, Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. You need to change your dietary habits first. You need to avoid fried food, carbonated Chat Doctor. Furthermore, you should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards,
i have a pain the is becoming increasingly worse in the last day, it feel like a pulled muscle ( i m very active) however it is tender to the touch also if I cough it hurt. Its located under my lower rib cage and continues just below.. if I squeeze my side I can fill the tissue is tighter has a know,, maybe I have a knot in my oblique? but why is it getting worse
Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are mostly having musculoskeletal pain. But we need to rule out pneumonia as it can cause pleurisy (inflammation of pleura) and chest pain on coughing. So get done chest x-ray first. If chest x-ray is normal then no need to worry about pneumonia. You are having chest pain due to excessive coughing. So start antihistamines for suppression of cough. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i have a pain the is becoming increasingly worse in the last day, it feel like a pulled muscle ( i m very active) however it is tender to the touch also if I cough it hurt. Its located under my lower rib cage and continues just below.. if I squeeze my side I can fill the tissue is tighter has a know,, maybe I have a knot in my oblique? but why is it getting worse ### Answer: Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, in my opinion you are mostly having musculoskeletal pain. But we need to rule out pneumonia as it can cause pleurisy (inflammation of pleura) and chest pain on coughing. So get done chest x-ray first. If chest x-ray is normal then no need to worry about pneumonia. You are having chest pain due to excessive coughing. So start antihistamines for suppression of cough. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright.
Had dental procedure six days ago. I am resistant to the local anesthetics and required quite a bit more ( 7 injections) to eliminate pain, was a little foggy when I left there. ( this resistance is normal for me). I had a perio cleaning, a molar extraction, and a bone graft implanted. The dentist closed with stitches. Because I had a perio deep cleaning on the other side of my mouth and have an aortic valve surgery scheduled in a month, I have been on amoxicillin for 2 weeks and just finished that today. Note that I do not get headaches. Ever. After the extraction, I have not had pain or problems with the wound itself , nor fever or sickness, however, I have had a mostly-pressure headache constantly for the entire week, and it does not seem to be lessening. It is not sharp like a migraine must be, but I also seem to have a light-sensitivity going on as well as the tension-type headache.
Hello, Your surgery is still considered recent, and you are in an initial healing stage. It is not uncommon for you to experience some discomfort. Take anti-inflammatory medication and finish all medication as prescribed. Report your condition to your treating dentist. This is the best recommendation for evaluation post surgery. Upper extractions and surgery raise some concern if there is a sinus complication during the healing process. Do you experience any congestion in your sinus area? This can explain a pressure headache. It is not unusual to experience a pressure sensation with a large amount of inflammation after multiple dental procedures. Again, anti-inflammatory medication may help you deal with this discomfort and your discomfort should continue to decrease with time. There is greater concern if you feel this condition is worsening. Thank you for your inquiry. Please schedule a follow-up visit with your dentist.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Had dental procedure six days ago. I am resistant to the local anesthetics and required quite a bit more ( 7 injections) to eliminate pain, was a little foggy when I left there. ( this resistance is normal for me). I had a perio cleaning, a molar extraction, and a bone graft implanted. The dentist closed with stitches. Because I had a perio deep cleaning on the other side of my mouth and have an aortic valve surgery scheduled in a month, I have been on amoxicillin for 2 weeks and just finished that today. Note that I do not get headaches. Ever. After the extraction, I have not had pain or problems with the wound itself , nor fever or sickness, however, I have had a mostly-pressure headache constantly for the entire week, and it does not seem to be lessening. It is not sharp like a migraine must be, but I also seem to have a light-sensitivity going on as well as the tension-type headache. ### Answer: Hello, Your surgery is still considered recent, and you are in an initial healing stage. It is not uncommon for you to experience some discomfort. Take anti-inflammatory medication and finish all medication as prescribed. Report your condition to your treating dentist. This is the best recommendation for evaluation post surgery. Upper extractions and surgery raise some concern if there is a sinus complication during the healing process. Do you experience any congestion in your sinus area? This can explain a pressure headache. It is not unusual to experience a pressure sensation with a large amount of inflammation after multiple dental procedures. Again, anti-inflammatory medication may help you deal with this discomfort and your discomfort should continue to decrease with time. There is greater concern if you feel this condition is worsening. Thank you for your inquiry. Please schedule a follow-up visit with your dentist.
My daughter-in-law had a baby 2 months ago. At that time she had a prolapsed Uterus and started hemorrhaging. She was given 4 units of blood. She now is having severe breathing problems but all the pain she is having has now moved to right below her Right shoulder blade and around her upper right quadrant.
Hello, Most probably it will be a contusion or musculoskeletal pain. As of now, you can use analgesics/anti-inflammatory combination like diclofenac/serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My daughter-in-law had a baby 2 months ago. At that time she had a prolapsed Uterus and started hemorrhaging. She was given 4 units of blood. She now is having severe breathing problems but all the pain she is having has now moved to right below her Right shoulder blade and around her upper right quadrant. ### Answer: Hello, Most probably it will be a contusion or musculoskeletal pain. As of now, you can use analgesics/anti-inflammatory combination like diclofenac/serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
Dear Dr Lundi,Hello. I am nineteen years old and for the past few years I have been having these sudden sharp, pin-pricking pain in my left breast only. These are not related to my menstrual cycle. Theyre totally random. Just comes out of nowhere and goes away suddenly as well. Also I have this clear watery fluid coming out of my left nipple and occasionally the right one, ONLY on squeezing them. I also have these two tiny lumps joined together, painful when pressed, in my left breast. Ive noticed them for about a couple of years now, and there hasnt been any change in their size. I had a mammogram done of my left breast but the reports were normal. I am really scared if its breast cancer. I would appreciate some help.Thanking you.
Hi, From history it seems that you might be having some chronic soft tissue infection of your breasts. You require evaluation of your case. Consult your GAEC and get your breasts examined thoroughly. If require you may require Mammogram again. Ok and take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Dear Dr Lundi,Hello. I am nineteen years old and for the past few years I have been having these sudden sharp, pin-pricking pain in my left breast only. These are not related to my menstrual cycle. Theyre totally random. Just comes out of nowhere and goes away suddenly as well. Also I have this clear watery fluid coming out of my left nipple and occasionally the right one, ONLY on squeezing them. I also have these two tiny lumps joined together, painful when pressed, in my left breast. Ive noticed them for about a couple of years now, and there hasnt been any change in their size. I had a mammogram done of my left breast but the reports were normal. I am really scared if its breast cancer. I would appreciate some help.Thanking you. ### Answer: Hi, From history it seems that you might be having some chronic soft tissue infection of your breasts. You require evaluation of your case. Consult your GAEC and get your breasts examined thoroughly. If require you may require Mammogram again. Ok and take care.
I am a firefighter, and i know it puts a lot of strain on joints. However over the last month or so I have noticed my the inner most side of my elbow (if extended) appears slightly swollen, kinda "squishy", and is tender to touch as if it was a bruise. However it has not changed.I have also noticed a "knot" on the top of my shoulder that is tender to touch and that my should cracks a lot more, and "pop" in a lot more places then before.
Hi I am Chat Doctor. . I hope you feel better soon, I think you may have arthritis or tendinitis as they may show your symptoms. You may use painkillers (NSAIDs) like Tylenol 400 mg tabs when needed as they will help in reducing your pain and inflammation, hot gentle massages with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements will be effective for most of the cases. In more chronic and severe cases steroid tabs or injections may be prescribed if required. If these knots persists or increase in mass I recommend some lab investigations and X-ray and follow them up with your orthopedic for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am a firefighter, and i know it puts a lot of strain on joints. However over the last month or so I have noticed my the inner most side of my elbow (if extended) appears slightly swollen, kinda "squishy", and is tender to touch as if it was a bruise. However it has not changed.I have also noticed a "knot" on the top of my shoulder that is tender to touch and that my should cracks a lot more, and "pop" in a lot more places then before. ### Answer: Hi I am Chat Doctor. . I hope you feel better soon, I think you may have arthritis or tendinitis as they may show your symptoms. You may use painkillers (NSAIDs) like Tylenol 400 mg tabs when needed as they will help in reducing your pain and inflammation, hot gentle massages with topical anti-inflammatory gels, muscle relaxants, B12 vitamin supplements will be effective for most of the cases. In more chronic and severe cases steroid tabs or injections may be prescribed if required. If these knots persists or increase in mass I recommend some lab investigations and X-ray and follow them up with your orthopedic for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.
Should a person see a doctor if they have a large (1 1/2 round by 3/4 high) hematoma on the cheek bone caused by a fall? What can be done for it? Will it dissipate by itself? If so, how long should it take? What kind of doctor should this person see?
Hello, Hematoma is nothing but a collection of blood. Generally, it will settle by itself in three to four days. As of now, you can apply ice packs for symptomatic relief and faster recovery. If swelling persists, you can consult a dental surgeon and evaluated. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Should a person see a doctor if they have a large (1 1/2 round by 3/4 high) hematoma on the cheek bone caused by a fall? What can be done for it? Will it dissipate by itself? If so, how long should it take? What kind of doctor should this person see? ### Answer: Hello, Hematoma is nothing but a collection of blood. Generally, it will settle by itself in three to four days. As of now, you can apply ice packs for symptomatic relief and faster recovery. If swelling persists, you can consult a dental surgeon and evaluated. Hope I have answered your query. Let me know if I can assist you further.
Hello,I am looking for a solution to my severe jaw and temple pain. I recently got a crown put in on my right lower molar, it has been nearly two weeks and Im still experiencing severe jaw pain. Im having trouble opening my mouth to eat and Im taking 800 mg ibuprofen for the pain but as soon as it wears off, the pain is unbearable. Ay suggestions?
Hello there, Thanks for writing your query, Pain in the jaw and temple area post crown placement on the tooth indicates problem with the crown coverage. If the prosthetic crown is not in CAUSAL HARMONY with the jaw it leads to pain and discomfort during chewing and clenching. The crown needs to be evaluated for any high points and sharp margins that interfere with the normal occlusion. Consult a dentist and get the crown examined, SELECTIVE GRINDING of the crown will help in resolving the problem. I hope this helps, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello,I am looking for a solution to my severe jaw and temple pain. I recently got a crown put in on my right lower molar, it has been nearly two weeks and Im still experiencing severe jaw pain. Im having trouble opening my mouth to eat and Im taking 800 mg ibuprofen for the pain but as soon as it wears off, the pain is unbearable. Ay suggestions? ### Answer: Hello there, Thanks for writing your query, Pain in the jaw and temple area post crown placement on the tooth indicates problem with the crown coverage. If the prosthetic crown is not in CAUSAL HARMONY with the jaw it leads to pain and discomfort during chewing and clenching. The crown needs to be evaluated for any high points and sharp margins that interfere with the normal occlusion. Consult a dentist and get the crown examined, SELECTIVE GRINDING of the crown will help in resolving the problem. I hope this helps, take care.
my left and right foot keep twitching. It doesnt actually move, it just feels like the muscle is randomly contracting and relaxing. Ive not experienced any other symptoms. This twitching started at night about a week ago and now occur randomly throughout the day.
Dear patient muscle twitching is common sign of deficiency of serum calcium i.e. hypocalcemia. It is also common in patients with anxiety and stress. Are u anxious or in stress? Does this twitching occur only when you are free and thinking over? If yes its sign of anxiety. I would like to advise serum calcium levels to rule out hypocalcemia. Meanwhile start tab shell 500 mg twice a day with tab Clairol 60000 units once a week for 4 weeks. Visit to your nearby physician will be helpful.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: my left and right foot keep twitching. It doesnt actually move, it just feels like the muscle is randomly contracting and relaxing. Ive not experienced any other symptoms. This twitching started at night about a week ago and now occur randomly throughout the day. ### Answer: Dear patient muscle twitching is common sign of deficiency of serum calcium i.e. hypocalcemia. It is also common in patients with anxiety and stress. Are u anxious or in stress? Does this twitching occur only when you are free and thinking over? If yes its sign of anxiety. I would like to advise serum calcium levels to rule out hypocalcemia. Meanwhile start tab shell 500 mg twice a day with tab Clairol 60000 units once a week for 4 weeks. Visit to your nearby physician will be helpful.
Hello, My daughter is 2.5 years old and she started having fever around week back. She was consulted with a pediatric and got some medicines. The fever subsided for a few days and then came back again strongly. Did Blood work for Dengue. The result is as follows Dengue Antibody IGM is 17.5 PB units, ESR 95mm/hr, platelets 3.42 lak. Is this a dengue fever?
Hi, dear. I have gone through your question. I can understand your concern. Your dengue IGM is positive. You are suffering from dengue. No need to worry. Just Chat Doctor. Take antipyretic as and when required. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello, My daughter is 2.5 years old and she started having fever around week back. She was consulted with a pediatric and got some medicines. The fever subsided for a few days and then came back again strongly. Did Blood work for Dengue. The result is as follows Dengue Antibody IGM is 17.5 PB units, ESR 95mm/hr, platelets 3.42 lak. Is this a dengue fever? ### Answer: Hi, dear. I have gone through your question. I can understand your concern. Your dengue IGM is positive. You are suffering from dengue. No need to worry. Just Chat Doctor. Take antipyretic as and when required. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.
Ok need help I had a yeast infection used 1 diflucan which I told my MD that I needed the 2 dose pack but only prescribed the 1 then it wasnt getting any better then I scratched and I got a tear and its near the area where urine comes out and burns like crazy! tried vaseline, neosporin, and even putting a bandaid over the slit on my inner labia magor, now my question is what can I use to help with the sting from urine?????? Can I use liquid bandage?
Hello, Welcome to Chat Doctor, The history and symptoms are suggestive of severe fungal infection, you require physical examination to know the extent and spread of fungal infection. This area is prone for fungal infection as it is a normal communal free genital which are kept under control by helpful organism. Whenever there is a change in environment it will activate and produces the symptoms. For your symptoms I would suggest you to undergo KOH mount to know the hype, and we can plan for the treatment. You can keep the area clean and Chat Doctor. Apply antifungal cream over the lesions along with antihistamines to reduce the symptom of itching. Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Ok need help I had a yeast infection used 1 diflucan which I told my MD that I needed the 2 dose pack but only prescribed the 1 then it wasnt getting any better then I scratched and I got a tear and its near the area where urine comes out and burns like crazy! tried vaseline, neosporin, and even putting a bandaid over the slit on my inner labia magor, now my question is what can I use to help with the sting from urine?????? Can I use liquid bandage? ### Answer: Hello, Welcome to Chat Doctor, The history and symptoms are suggestive of severe fungal infection, you require physical examination to know the extent and spread of fungal infection. This area is prone for fungal infection as it is a normal communal free genital which are kept under control by helpful organism. Whenever there is a change in environment it will activate and produces the symptoms. For your symptoms I would suggest you to undergo KOH mount to know the hype, and we can plan for the treatment. You can keep the area clean and Chat Doctor. Apply antifungal cream over the lesions along with antihistamines to reduce the symptom of itching. Thank you.
I am in Stage IV of Cirrhosis of the Liver/Autoimmune Hepatitis. My blood work came back positive a couple of weeks ago. My Dr is in Raleigh, NC and I just moved to Atlanta, GA a couple of weeks ago. My Dr in Raleigh said it was imperative that I seek a Dr here in Atlanta or neaby. Can you recommend a Dr to me. I am also on Medicaid. Thank you.
Hi and thanks for the query, It is important to know what came back positive in the blood work up. Was it an infection or was it the presence of absence of viral ;particles? It is important to know what was positive exactly in order to institute an appropriate treatment. Antibiotics are needed in case of infection and antiviral agents, and at times liver transplants in some cases could be offered. More information is required and seek the opinion of your gastroenterologist. Kind regards
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am in Stage IV of Cirrhosis of the Liver/Autoimmune Hepatitis. My blood work came back positive a couple of weeks ago. My Dr is in Raleigh, NC and I just moved to Atlanta, GA a couple of weeks ago. My Dr in Raleigh said it was imperative that I seek a Dr here in Atlanta or neaby. Can you recommend a Dr to me. I am also on Medicaid. Thank you. ### Answer: Hi and thanks for the query, It is important to know what came back positive in the blood work up. Was it an infection or was it the presence of absence of viral ;particles? It is important to know what was positive exactly in order to institute an appropriate treatment. Antibiotics are needed in case of infection and antiviral agents, and at times liver transplants in some cases could be offered. More information is required and seek the opinion of your gastroenterologist. Kind regards
Hi, I have been taking anti-depressents for Anxiety and know they have sexual side effects but they side affects have increased my sexual desire greatly and now it won t go away to point it is painful to have this feeling in me. I have told my doctor and he said it is probably not related to the medication and is just a coincindence. What ways can I fix this urge? Any medication etc?
Hi, Antidepressants usually cause sexual dysfunction in the form of loss of libido (low sexual Chat Doctor. Increased sexual
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I have been taking anti-depressents for Anxiety and know they have sexual side effects but they side affects have increased my sexual desire greatly and now it won t go away to point it is painful to have this feeling in me. I have told my doctor and he said it is probably not related to the medication and is just a coincindence. What ways can I fix this urge? Any medication etc? ### Answer: Hi, Antidepressants usually cause sexual dysfunction in the form of loss of libido (low sexual Chat Doctor. Increased sexual
Have right foot pain for approximately two weeks, on 2/28 my foot pain woke me in the middle of the night. My foot was very swollen and tender to the touch. Went to the ER, doctor diagnosed me as having Gout, took my blood and wrote me a prescription for indomethacin. At my follow up visit with my regular doctor, she said no way gout , blood is below the range and u don t fall in usual gout criteria. Took X-rays of the foot, no broken bones. Now is sending me to podiatrist, what is wrong with it?
Hello, Did you have a history of trauma, fall, or long walking or running lately? From the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. Normally, in the x-ray that you did arthritis should have been visible. The second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. This cannot be seen on x-ray, but only on bone CT scan or scenography. There is even more rare disease such as infection or tumors that need to be distinguished. Maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. Hope I have answered your query. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Have right foot pain for approximately two weeks, on 2/28 my foot pain woke me in the middle of the night. My foot was very swollen and tender to the touch. Went to the ER, doctor diagnosed me as having Gout, took my blood and wrote me a prescription for indomethacin. At my follow up visit with my regular doctor, she said no way gout , blood is below the range and u don t fall in usual gout criteria. Took X-rays of the foot, no broken bones. Now is sending me to podiatrist, what is wrong with it? ### Answer: Hello, Did you have a history of trauma, fall, or long walking or running lately? From the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. Normally, in the x-ray that you did arthritis should have been visible. The second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. This cannot be seen on x-ray, but only on bone CT scan or scenography. There is even more rare disease such as infection or tumors that need to be distinguished. Maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. Hope I have answered your query. Let me know if I can assist you further.
My name is Hassaan. I am 26 years old Boy. I never have Sex. I have a problem when I masturbate, after masturbating I feel little pain in my chest on rite side near nipple. and My rite breast is more bigger than left side.And I notice that my rite side breast is gradually increase in size. Kindly Tell Me what it is ?
Hi, You should consult with your physician and to run further tests to determine why your right breast is increasing: - breast ultrasound-chest X-ray- cardiac tests (EKG, stress test, Holder monitoring, cardiac echo). The diagnosis will be made based on the test results. To my opinion, it might be lipoma or other tum oral types. Hope it was of help! Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My name is Hassaan. I am 26 years old Boy. I never have Sex. I have a problem when I masturbate, after masturbating I feel little pain in my chest on rite side near nipple. and My rite breast is more bigger than left side.And I notice that my rite side breast is gradually increase in size. Kindly Tell Me what it is ? ### Answer: Hi, You should consult with your physician and to run further tests to determine why your right breast is increasing: - breast ultrasound-chest X-ray- cardiac tests (EKG, stress test, Holder monitoring, cardiac echo). The diagnosis will be made based on the test results. To my opinion, it might be lipoma or other tum oral types. Hope it was of help! Chat Doctor.
After washing my underpants I kept them to dry , to my surprise I see thousands of red ants around it. Is that a sign of becoming Diabetic ?? Is it any thing to do with diabetes ? I started washing it with warm water but after washing it also Red ants around it making me scared . Kindly answer
Red ants or for that matter any ant will get attracted to urine containing sugar (glucose) and the underpants soiled with such urine. Go for urine routine examination to confirm Glycosidic. You may be diabetic or having renal glycosidic. The next step would be estimation of blood sugar fasting and postprandial. If inconclusive go for Glucose tolerance test with 75 G of glucose.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: After washing my underpants I kept them to dry , to my surprise I see thousands of red ants around it. Is that a sign of becoming Diabetic ?? Is it any thing to do with diabetes ? I started washing it with warm water but after washing it also Red ants around it making me scared . Kindly answer ### Answer: Red ants or for that matter any ant will get attracted to urine containing sugar (glucose) and the underpants soiled with such urine. Go for urine routine examination to confirm Glycosidic. You may be diabetic or having renal glycosidic. The next step would be estimation of blood sugar fasting and postprandial. If inconclusive go for Glucose tolerance test with 75 G of glucose.
I WOKE UP WITH SEVERE BACK BACK PAIN ON sUNDAY AM RIGHT UNDER THE RIB CAGE. I HAVE HAD LIQUID DIARRHEA SINCE Monday AM WITH SEVERE HEADACHES, LOTS OF NIGHT SWEATING AND A HEATING PAD SEEMS TO HELP MY BACK. I AM 51 YEARS OLD CAN THIS BE PERIMENOPAUSE?
Apart from diarrhea every thing else you have described fits into the premenopausal symptoms description
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I WOKE UP WITH SEVERE BACK BACK PAIN ON sUNDAY AM RIGHT UNDER THE RIB CAGE. I HAVE HAD LIQUID DIARRHEA SINCE Monday AM WITH SEVERE HEADACHES, LOTS OF NIGHT SWEATING AND A HEATING PAD SEEMS TO HELP MY BACK. I AM 51 YEARS OLD CAN THIS BE PERIMENOPAUSE? ### Answer: Apart from diarrhea every thing else you have described fits into the premenopausal symptoms description
I am aged 42, Male, Diabetic for the past 8 years (Gycomet GP1 tablets 1-0-1 half an hour before food ). When i checked my Hb1Ac last (end Feb13) it showed a reading of 7.3. My BMI is 20.5 Last month end i did a TMT test as part of my companys periodic health checkup and the result was Negative. The doctor said that i had done well! I worked out for more than 10.5 minutes and in the last stage of the TMT test my BP was 90/160. It is normal ? where during normal times my BP reading was 80/130. In the abdomen ultrasound it showed a subcortical cyst in the lower pole of the right kidney measuring 1.7cm x 1.8cm with a calcific speck seen on the wall of the cyst. Is this something to worry about? Do i need to consult anyone for this ? All my blood work result was normal. Also, all the other organs as per whole abdomen US scan was normal. P.S., Chennai, India
Hi friend, Welcome to Chat Doctor Heart rate and Blood pressure MUST rise during TMT - if not, it is heart disease! Your test is normal / you have reversed the values - it must be 130/80 - NOT 80/130 - the higher figure is systolic and comes first. The cyst is not big / on the cortex and calcified mean simple / nothing to do except repeat after one year...if symptomatic, see Urologist... Watch your lipids... Take tarnishing speedy recovery God bless Good luck
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am aged 42, Male, Diabetic for the past 8 years (Gycomet GP1 tablets 1-0-1 half an hour before food ). When i checked my Hb1Ac last (end Feb13) it showed a reading of 7.3. My BMI is 20.5 Last month end i did a TMT test as part of my companys periodic health checkup and the result was Negative. The doctor said that i had done well! I worked out for more than 10.5 minutes and in the last stage of the TMT test my BP was 90/160. It is normal ? where during normal times my BP reading was 80/130. In the abdomen ultrasound it showed a subcortical cyst in the lower pole of the right kidney measuring 1.7cm x 1.8cm with a calcific speck seen on the wall of the cyst. Is this something to worry about? Do i need to consult anyone for this ? All my blood work result was normal. Also, all the other organs as per whole abdomen US scan was normal. P.S., Chennai, India ### Answer: Hi friend, Welcome to Chat Doctor Heart rate and Blood pressure MUST rise during TMT - if not, it is heart disease! Your test is normal / you have reversed the values - it must be 130/80 - NOT 80/130 - the higher figure is systolic and comes first. The cyst is not big / on the cortex and calcified mean simple / nothing to do except repeat after one year...if symptomatic, see Urologist... Watch your lipids... Take tarnishing speedy recovery God bless Good luck
Hi I am a 22 year old female that was diagnost with HPV and I have a orange pink discharge and lost of pain in my lower stomach I had a pap one year ago that came back irregular I m worried that I have cancer does this sound like I have cervical cancer
Hi welcome to ChatDoctoryour symptoms are related to infection in the cervix by HPV. Start taking medication as suggested by your doctor. You need a periodical pap smear and ultrasound abdomen for early diagnosis of cervical dysplasias thereby cancer.thank you
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi I am a 22 year old female that was diagnost with HPV and I have a orange pink discharge and lost of pain in my lower stomach I had a pap one year ago that came back irregular I m worried that I have cancer does this sound like I have cervical cancer ### Answer: Hi welcome to ChatDoctoryour symptoms are related to infection in the cervix by HPV. Start taking medication as suggested by your doctor. You need a periodical pap smear and ultrasound abdomen for early diagnosis of cervical dysplasias thereby cancer.thank you
I have discovered a lump inside my left buttock which is causing me discomfort and soreness when pressed. On examination it seems to have spread from where bottom of my spinal area meets the top of my bottom. There is no visible redness or boil like things on the outer of my skin. Could this just be a cyst or something more serious?
Hi.it is best if you have it checked by a physician. Based from your description, it could just be a simple cyst or an abscess. A physical examination by your clinician would be of great help. Diagnostic evaluation such as photocopy and imaging, and management (medical or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have discovered a lump inside my left buttock which is causing me discomfort and soreness when pressed. On examination it seems to have spread from where bottom of my spinal area meets the top of my bottom. There is no visible redness or boil like things on the outer of my skin. Could this just be a cyst or something more serious? ### Answer: Hi.it is best if you have it checked by a physician. Based from your description, it could just be a simple cyst or an abscess. A physical examination by your clinician would be of great help. Diagnostic evaluation such as photocopy and imaging, and management (medical or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
hellomy wife was told that her ultrasound showed an unremarkable cyst or growth and her doctor said that it was small. She has been experiencing back pain at the end of her period, other than that she has no other symptoms. She had 2 CA125 tests that showed her protein to be high. Can this be due to cancer or are there other reasons for these results?
Hi, Ovarian cyst is a common phenomenon. Ultrasound can reliably differentiate between a benign ovarian cyst with some other suspicious ovarian tumors. CA-125 very often increased in many non-malignant causes. Mastectomy may be an option in treatment of ovarian cyst, but that can be decided by your gynecologist. If any suspicious lesion is found on imaging more radical surgery should be done and pathology report should be obtained. Consult your gynecologist.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hellomy wife was told that her ultrasound showed an unremarkable cyst or growth and her doctor said that it was small. She has been experiencing back pain at the end of her period, other than that she has no other symptoms. She had 2 CA125 tests that showed her protein to be high. Can this be due to cancer or are there other reasons for these results? ### Answer: Hi, Ovarian cyst is a common phenomenon. Ultrasound can reliably differentiate between a benign ovarian cyst with some other suspicious ovarian tumors. CA-125 very often increased in many non-malignant causes. Mastectomy may be an option in treatment of ovarian cyst, but that can be decided by your gynecologist. If any suspicious lesion is found on imaging more radical surgery should be done and pathology report should be obtained. Consult your gynecologist.
When I get extremely upset, which is not often, I experience a tingling sensation on the back of my scull. Recently it happened but this time I felt it all over my whole body. Its not painful it just feels like the sensation you might feel if your foot falls asleep. It goes away when I calm down. What could be causing this? Am I having a panic or anxiety attack? Should I see my doctor and if so will he be able to find out whats wrong if it is in fact a physiological condition? I have an iron defficiency, but im otherwise in good health.
Dear thank you for sharing with us your health problem. Iron deficiency cant explain the symptoms you are experiencing. My recommendation is to explore thyroid function (T3,T4,TSH) if there come normal than you are experiencing a panic disorder. You should avoid caffeine Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: When I get extremely upset, which is not often, I experience a tingling sensation on the back of my scull. Recently it happened but this time I felt it all over my whole body. Its not painful it just feels like the sensation you might feel if your foot falls asleep. It goes away when I calm down. What could be causing this? Am I having a panic or anxiety attack? Should I see my doctor and if so will he be able to find out whats wrong if it is in fact a physiological condition? I have an iron defficiency, but im otherwise in good health. ### Answer: Dear thank you for sharing with us your health problem. Iron deficiency cant explain the symptoms you are experiencing. My recommendation is to explore thyroid function (T3,T4,TSH) if there come normal than you are experiencing a panic disorder. You should avoid caffeine Chat Doctor.
Ive been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help.
Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Ive been to a urologist and we covered everything. Prostate exam, xrays, and ultra sound... diagnosis unsure, so doc gave me a month of antibiotics 3 months. I finished the meds but here I am again with the same pain in testicles and abdomen. Ouch! Pain maybe 7, testicles feel heavy... please help. ### Answer: Hi. Thanks for your query. Noted your history and understood the concerns. You have already seen the urologist and undergone all the necessary tests, prostate, X-rays, ultrasound yet the diagnosis was unsure. So the Urologist gave you a long courses of antibiotics, but the pain is here again 7 on a scale of 10. The pain in the testicles and abdomen with feeling of heaviness indicate that there may be either a local problem which can be diagnosed by MRI of the scrotum. If there is a doubt, there is always a chance to take a second opinion of another Urologist or a senior General Surgeon. Scrotal support to elevate off the weight is also needed.
Hello Doctor!I am suffering from Kidney from last 10 years and I am on regular CAPD.I have rashes on my back and areas around spine. Tried scabies treatment of Elimite (my nephro consultation) but did not work. I have had many a times Pseudomonas Aeroguinosa infection of the bladder many times. I think it is folliculitis problem because all the symptoms are same as mentioned on various websites.First there is a small tiny and very itchy bump and after few days it develops pain grows bigger and after that it dries.There are many tiny itchy bumps developing on my back and thighs thus causing a lot of itchyness. Please help me.
HIT hank for choosing ChatDoctorChronic renal problem later or sooner causes some kind of skin manifestation, in certain cases, you need to see the renal function test, if turned abnormal then correct it, you can have words with your nephrologist, for the scabies" Gama benzine lotion would be very nice to apply this all over the body at night for three days, wash your linen in hot water, treat all the garment with chlorohexadine solution, you will get the nice result, have good day.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello Doctor!I am suffering from Kidney from last 10 years and I am on regular CAPD.I have rashes on my back and areas around spine. Tried scabies treatment of Elimite (my nephro consultation) but did not work. I have had many a times Pseudomonas Aeroguinosa infection of the bladder many times. I think it is folliculitis problem because all the symptoms are same as mentioned on various websites.First there is a small tiny and very itchy bump and after few days it develops pain grows bigger and after that it dries.There are many tiny itchy bumps developing on my back and thighs thus causing a lot of itchyness. Please help me. ### Answer: HIT hank for choosing ChatDoctorChronic renal problem later or sooner causes some kind of skin manifestation, in certain cases, you need to see the renal function test, if turned abnormal then correct it, you can have words with your nephrologist, for the scabies" Gama benzine lotion would be very nice to apply this all over the body at night for three days, wash your linen in hot water, treat all the garment with chlorohexadine solution, you will get the nice result, have good day.
My 7 year old has a bad cough it s all day long barely able to reduce it with cough syrup or drops and now complains it hurts in his temples when coughing should I be concerned and take him to the ER ? Or should I just set up an appointment and try to keep him comfortable till then?
dont worry just keep him ChatDoctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My 7 year old has a bad cough it s all day long barely able to reduce it with cough syrup or drops and now complains it hurts in his temples when coughing should I be concerned and take him to the ER ? Or should I just set up an appointment and try to keep him comfortable till then? ### Answer: dont worry just keep him ChatDoctor.
I have a history of Thyroid cancer.. I am post treatment 9 years.. I recently had a MRI done and it said few scattered subcentimeter lymph nodes within the neck soft tissues.. should I be worried? Should it be checked further? Thanks for your time. . YYYY@YYYY
Sub centimeter nodes doe snot mean anything. To tell lymph node enlarged, it should be more than 1.5 cm. hence, I advise to followup after 3 month with neck MRI and monthly to examined by the doctor to see any enlargement of lymph node
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a history of Thyroid cancer.. I am post treatment 9 years.. I recently had a MRI done and it said few scattered subcentimeter lymph nodes within the neck soft tissues.. should I be worried? Should it be checked further? Thanks for your time. . YYYY@YYYY ### Answer: Sub centimeter nodes doe snot mean anything. To tell lymph node enlarged, it should be more than 1.5 cm. hence, I advise to followup after 3 month with neck MRI and monthly to examined by the doctor to see any enlargement of lymph node
can severe pain and mild swelling with warmth central located in the most tender spot, be torn rotator cuff. and exhibit serious pain 8 months after a serious fall which resulted in a broken shoulder on opposite side. I have unexplained pain 10+ scale. Regular xray yesterday showed no fractures, no arthritis. Can you get a rotator cuff tear and have no symptoms and then with out additional injury or unusually use begin exhibiting pain as severe as the broken extremity from last Halloween
healthier is difference in rotator cuff tear and supraspinatus tendinitis, whereas in former the movement of shoulder is impaired especially abduction and rotation while lifting arm sideways, in tendinitis there is pain and movements may be painful and not restricted as such, an MRI may distinguish the two. So consult a shoulder surgeon or orthopedic surgeon. In your case, it may be tendinitis. Take Advil thrice a day after meals for 7 days and do hot fomentation, rest arm in a broad arm sling for 10 days., it may help but if not go to orthopedic doctor for investigation. Also apply anti-inflammatory gel like voltarenthanks
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: can severe pain and mild swelling with warmth central located in the most tender spot, be torn rotator cuff. and exhibit serious pain 8 months after a serious fall which resulted in a broken shoulder on opposite side. I have unexplained pain 10+ scale. Regular xray yesterday showed no fractures, no arthritis. Can you get a rotator cuff tear and have no symptoms and then with out additional injury or unusually use begin exhibiting pain as severe as the broken extremity from last Halloween ### Answer: healthier is difference in rotator cuff tear and supraspinatus tendinitis, whereas in former the movement of shoulder is impaired especially abduction and rotation while lifting arm sideways, in tendinitis there is pain and movements may be painful and not restricted as such, an MRI may distinguish the two. So consult a shoulder surgeon or orthopedic surgeon. In your case, it may be tendinitis. Take Advil thrice a day after meals for 7 days and do hot fomentation, rest arm in a broad arm sling for 10 days., it may help but if not go to orthopedic doctor for investigation. Also apply anti-inflammatory gel like voltarenthanks
Hi. I had a housemate who had this grotty blistery thing all over his feet, which I seem to have caught. I had hoped that when he moved out it would have cleared up, which is not the case. Between the toes, and on the side of my foot Ive had several outbreaks, and when the blisters burst it seems to spread. The blisters and sites in general are very itchy. In the last week I had a large one of these blisters develop on the bottom of my foot, and when it burst it has become quite painful and red and seems to be infected. The skin around this area is also very itchy and is painful to walk on. In the last two weeks I have been working in a very dirty workshop, which would include exposure to dust, dirt and chemicals, and since my work boots are old and full of holes it is more than possible that some of this stuff has gotten into my shoes and to the infected site.Now, Im planning on going to the free university doctor on Monday, because as a student I cant afford to go to one of the emergency weekend docs, so I would like to know if there is anything I can do to reduce swelling or fight infection in the meantime.Thanks muchly :)
Hi there, As you have rightly concluded, we need to deal with the wound infection first, and deal with the blisters later when your university doctor can have a look at it. What I would recommend right now is some anti-inflammatory tablets like diclofenac or even ibuprofen to help deal with the swelling and pain on walking. For the infection itself, if you could get your hands on some antibiotic cream like mupirocin or acidic acid it would be useful to apply it twice a day to help control the infection. If you are not able to get the antibiotic cream, find yourself some antiseptic cream with chlorhexidine or iodine to just help kill off whatever surface bacteria is there. Try to clean the wound twice a day with some antiseptic solution to just get rid of any discharge and bacteria that is collecting on the surface. Keep it as Chat Doctor. Your university doctor would reassess it on Monday and be able to prescribe you oral antibiotics if needed, and further treatment for the blisters itself. Hope this helps.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi. I had a housemate who had this grotty blistery thing all over his feet, which I seem to have caught. I had hoped that when he moved out it would have cleared up, which is not the case. Between the toes, and on the side of my foot Ive had several outbreaks, and when the blisters burst it seems to spread. The blisters and sites in general are very itchy. In the last week I had a large one of these blisters develop on the bottom of my foot, and when it burst it has become quite painful and red and seems to be infected. The skin around this area is also very itchy and is painful to walk on. In the last two weeks I have been working in a very dirty workshop, which would include exposure to dust, dirt and chemicals, and since my work boots are old and full of holes it is more than possible that some of this stuff has gotten into my shoes and to the infected site.Now, Im planning on going to the free university doctor on Monday, because as a student I cant afford to go to one of the emergency weekend docs, so I would like to know if there is anything I can do to reduce swelling or fight infection in the meantime.Thanks muchly :) ### Answer: Hi there, As you have rightly concluded, we need to deal with the wound infection first, and deal with the blisters later when your university doctor can have a look at it. What I would recommend right now is some anti-inflammatory tablets like diclofenac or even ibuprofen to help deal with the swelling and pain on walking. For the infection itself, if you could get your hands on some antibiotic cream like mupirocin or acidic acid it would be useful to apply it twice a day to help control the infection. If you are not able to get the antibiotic cream, find yourself some antiseptic cream with chlorhexidine or iodine to just help kill off whatever surface bacteria is there. Try to clean the wound twice a day with some antiseptic solution to just get rid of any discharge and bacteria that is collecting on the surface. Keep it as Chat Doctor. Your university doctor would reassess it on Monday and be able to prescribe you oral antibiotics if needed, and further treatment for the blisters itself. Hope this helps.
trying for a baby i am 24 years old i have been trying for a baby since september no luck so far, i have been getting 2 periods a month, i am very emotional and finding it hard to cope with all the negative tests, its breaking my heart, i look at other girls and think why them and not me i want it soo bad, but its happening to everyone around me it ferls like im falling in a downward spiral of depression
Hello, Welcome to Chat Doctor. I have gone through your query and Would like to reply in detail as follows:1. Get HSG done to check tubal patency.2. Get husbands semen analysis done. I hope your doubt is clarified. Let me know if you wish any other information.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: trying for a baby i am 24 years old i have been trying for a baby since september no luck so far, i have been getting 2 periods a month, i am very emotional and finding it hard to cope with all the negative tests, its breaking my heart, i look at other girls and think why them and not me i want it soo bad, but its happening to everyone around me it ferls like im falling in a downward spiral of depression ### Answer: Hello, Welcome to Chat Doctor. I have gone through your query and Would like to reply in detail as follows:1. Get HSG done to check tubal patency.2. Get husbands semen analysis done. I hope your doubt is clarified. Let me know if you wish any other information.
Hello . My mum has cirrhosis of the liver and has been in and out of hospital for months . She was so so ill couldn.t eat drink walk messing etc . Doctor had diagnosed mum as having a few weeks this was over two weeks ago .She is on morphine patches .but all of a sudden the last few days shes walking eating well drinking chatting laughing like shes getting better. I just don.t understand what is going on? The district nurse mentioned getting the hospice nurses in now but she seems like shes getting better . Please could you let me know if this is normal Thank you
Hi thanks for asking question. Noted your mother having liver cirrhosis. Usually if diet control and lifestyle measures are taken then survival can be longer. It is good to see that your mother is improving. But cirrhosis is not cured ... If she developed any complication like varietal bleeding or ascites then consult your doctor for its management.Meanwhile, take low fat diet. Green leafy veg and fruits useful. Transfat avoided like cheese, burger, chips, meat etc... In diet minimal oil taken, and only good oil used like peanut or sunflower oil. She can do mild exercise. Wishing her good health. Take care.... Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello . My mum has cirrhosis of the liver and has been in and out of hospital for months . She was so so ill couldn.t eat drink walk messing etc . Doctor had diagnosed mum as having a few weeks this was over two weeks ago .She is on morphine patches .but all of a sudden the last few days shes walking eating well drinking chatting laughing like shes getting better. I just don.t understand what is going on? The district nurse mentioned getting the hospice nurses in now but she seems like shes getting better . Please could you let me know if this is normal Thank you ### Answer: Hi thanks for asking question. Noted your mother having liver cirrhosis. Usually if diet control and lifestyle measures are taken then survival can be longer. It is good to see that your mother is improving. But cirrhosis is not cured ... If she developed any complication like varietal bleeding or ascites then consult your doctor for its management.Meanwhile, take low fat diet. Green leafy veg and fruits useful. Transfat avoided like cheese, burger, chips, meat etc... In diet minimal oil taken, and only good oil used like peanut or sunflower oil. She can do mild exercise. Wishing her good health. Take care.... Chat Doctor.
good night i have been haing yeast infections on and off for yeas i did a paps mare and the result says abnormal bacteria . i have done test for std,hiv and aids they all came out negitave.my partner penis is often chafed and i also feel chafed inside and somtimes itching.i dont know what to do anymore i have tryed it all please help me
Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: good night i have been haing yeast infections on and off for yeas i did a paps mare and the result says abnormal bacteria . i have done test for std,hiv and aids they all came out negitave.my partner penis is often chafed and i also feel chafed inside and somtimes itching.i dont know what to do anymore i have tryed it all please help me ### Answer: Hello appreciate your concernRecurrent yeast infection can be related to diabetes or low immunityThis could be due to PID, fungal infection like candida or bacterial vaginosis would like further information to guide you Bettencourt age and complete medical history would advise you for few investigations like blood for hemoglobin CBC Liver function test, blood sugar, urine culture and sensitivity test and vaginal swab for culture and KOH fixation testy may require a course of antibiotics or antifungal either in the form of oral Chat Doctor.
My grandson when he was born had a small opening on top of his nose. The doctor said it was a tract that didnt completely develop. Hes now 18 months old and has developed an infection and the bridge of his nose is swollen and at the hospital getting an iv of antibiotics. what is this tract?
For an infection and swelling of nose you can give your grandson some antibiotic preferably syrup moxikind-cv or syrupzifi-cv after expert advice along with syrup ibugesic-plus or syrup broken junior for pain and swelling. Do hot water fomentation over the local site.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My grandson when he was born had a small opening on top of his nose. The doctor said it was a tract that didnt completely develop. Hes now 18 months old and has developed an infection and the bridge of his nose is swollen and at the hospital getting an iv of antibiotics. what is this tract? ### Answer: For an infection and swelling of nose you can give your grandson some antibiotic preferably syrup moxikind-cv or syrupzifi-cv after expert advice along with syrup ibugesic-plus or syrup broken junior for pain and swelling. Do hot water fomentation over the local site.
Hello. For the last 2 months I ve had major problems with my left knee. Can t lift leg up from a seating position. It feels like its going to hyperextend when I walk. Can t walk normal anymore. Not sure if I tore or separated a mcl or something. The main problem is that it s not getting any better.
Hello, What I understand that the knee is too weak now to take the weight of the rest of the bones below the knee. Are you having any kind of pain? What is your age and are you having any signs of high blood pressure or diabetes? Kindly get it Physically examined by an orthopedist and do an MRI scan of the knee. The history sounds more of the full ligament tearing. Taking immediate action will be good as if avoided later the knee internal structures which are of course soft tissue will get damaged and land into the early signs of Osteoarthritis of knee and will demand knee replacement. The earlier, the better. Take an MRI and meet up and orthopedist at the earliest for the better outcome of the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello. For the last 2 months I ve had major problems with my left knee. Can t lift leg up from a seating position. It feels like its going to hyperextend when I walk. Can t walk normal anymore. Not sure if I tore or separated a mcl or something. The main problem is that it s not getting any better. ### Answer: Hello, What I understand that the knee is too weak now to take the weight of the rest of the bones below the knee. Are you having any kind of pain? What is your age and are you having any signs of high blood pressure or diabetes? Kindly get it Physically examined by an orthopedist and do an MRI scan of the knee. The history sounds more of the full ligament tearing. Taking immediate action will be good as if avoided later the knee internal structures which are of course soft tissue will get damaged and land into the early signs of Osteoarthritis of knee and will demand knee replacement. The earlier, the better. Take an MRI and meet up and orthopedist at the earliest for the better outcome of the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.
Both my son and I woke up feeling fine on Monday give it an hour after being up we both now have fevers. Our heads were hurting really bad and our bodies are life less. We are more motivated today but his one eye is blood shot and my face , teeth still hurt. Is this something we should go get looked at or will this pass soon?
Hello, You both can have viral fever in which there is marked muscle weakness and so you need to take rest. I suggest you both to take Paracetamol 500 mg SOS for relief from fever. Take decongestant tablet of cold associated. Chat Doctor. If no improvement in three days than investigate with CBC, got, Sept, IG M Elisa dengue for primary work up. Hope I have answered your question. Let me know if I can assist you further
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Both my son and I woke up feeling fine on Monday give it an hour after being up we both now have fevers. Our heads were hurting really bad and our bodies are life less. We are more motivated today but his one eye is blood shot and my face , teeth still hurt. Is this something we should go get looked at or will this pass soon? ### Answer: Hello, You both can have viral fever in which there is marked muscle weakness and so you need to take rest. I suggest you both to take Paracetamol 500 mg SOS for relief from fever. Take decongestant tablet of cold associated. Chat Doctor. If no improvement in three days than investigate with CBC, got, Sept, IG M Elisa dengue for primary work up. Hope I have answered your question. Let me know if I can assist you further
i did an iui on 9th jan & my dr has put me on microgest, last time when i was on microgest i was feeling sick but this time i have none of the side effects i had last time jus the white discharge & that also not as much as last time Do youthink i could be pregnant??
Hello, IUI may present like symptoms of pregnancy like implantation bleeding, menstrual delay, tenderness in breasts, nausea, fatigue, cravings and aversions. Consistently high body temperature may also observe. Please mention your symptoms. White discharge not a symptom of pregnancy. Take care. Hope I have answered your question. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i did an iui on 9th jan & my dr has put me on microgest, last time when i was on microgest i was feeling sick but this time i have none of the side effects i had last time jus the white discharge & that also not as much as last time Do youthink i could be pregnant?? ### Answer: Hello, IUI may present like symptoms of pregnancy like implantation bleeding, menstrual delay, tenderness in breasts, nausea, fatigue, cravings and aversions. Consistently high body temperature may also observe. Please mention your symptoms. White discharge not a symptom of pregnancy. Take care. Hope I have answered your question. Let me know if I can assist you further.
my son has been having pain in his right side and more into the middle of his abdomen. He constantly feels like he is going to get sick. He has missed 9 days of schoo counting today. he has had a CT scan and an Ultrasound. BotChatDoctore back fine. They found enlarged limp nodes in that area. I have heard many people say that they had the same thing and the results came back with these test that they didnt need their gallbladder out. then they had a HIDA scan and it showed differently. Once the gallbladder was removed, they felt much better. Help me please. more importanly, how can i help my son?
Hi. Thanks for your query and concern for your son. Young boy missing the school due to pain in abdomen on the right more in the middle of abdomen. Constant feeling of sickness. The CT scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site. The gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child. The reason for the pain in abdomen is obvious. Get the relevant tests of blood, urine and stool, Tidal for Typhoid, Quantifier gold test for Tuberculosis, Ultrasonography guided FNAC ID the nodes are just bellowed the anterior abdominal wall. Give him a 7-day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. Give additional course of 2 more weeks and see the results. He will be fine by then. If there is no regression even after 3 weeks course, he needs Laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: my son has been having pain in his right side and more into the middle of his abdomen. He constantly feels like he is going to get sick. He has missed 9 days of schoo counting today. he has had a CT scan and an Ultrasound. BotChatDoctore back fine. They found enlarged limp nodes in that area. I have heard many people say that they had the same thing and the results came back with these test that they didnt need their gallbladder out. then they had a HIDA scan and it showed differently. Once the gallbladder was removed, they felt much better. Help me please. more importanly, how can i help my son? ### Answer: Hi. Thanks for your query and concern for your son. Young boy missing the school due to pain in abdomen on the right more in the middle of abdomen. Constant feeling of sickness. The CT scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site. The gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child. The reason for the pain in abdomen is obvious. Get the relevant tests of blood, urine and stool, Tidal for Typhoid, Quantifier gold test for Tuberculosis, Ultrasonography guided FNAC ID the nodes are just bellowed the anterior abdominal wall. Give him a 7-day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. Give additional course of 2 more weeks and see the results. He will be fine by then. If there is no regression even after 3 weeks course, he needs Laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports.
My GP has said for some time that I have an auto immune disorder . She doesn t seem to have a solution or name other than fibromyalgia. I have been diagnosed with many inflammatory diseases and am in nearly constant pain from one source or other. (Asthma, Fibrosis in Lungs, Arthritis (including spine and all joints), Fibromyalgia, Celiac Disease, Costochondritis). Any medications that have been able to provide relief my now be taking a toll on my liver and causing symptoms of failure according to my Dr. I am unsure what type of specialist I should be looking for to try to find a solution and some relief.
Thank you for your question! I understand your concern. Symptoms of fibromyalgia (FM) are diffuse pain all over the body with some tender points, joint pains, weakness, sleep disturbances and mood disturbances. They frequently interfere with our daily activities. First thing you have to know is FM is benign condition, but take long time to cure. Aerobic exercises, though give you pain and fatigue for short time, it will help you a lot to improve your condition. So, keep doing aerobic exercises. Maintaining regular time for sleeping also helps your condition. You can try amitriptyline tablets. Consult your physician to know the dosage according to your weight and symptoms severity. It is okay to follow up with your GP and there is no need of consulting a specialist. Wishing you fast recovery!
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My GP has said for some time that I have an auto immune disorder . She doesn t seem to have a solution or name other than fibromyalgia. I have been diagnosed with many inflammatory diseases and am in nearly constant pain from one source or other. (Asthma, Fibrosis in Lungs, Arthritis (including spine and all joints), Fibromyalgia, Celiac Disease, Costochondritis). Any medications that have been able to provide relief my now be taking a toll on my liver and causing symptoms of failure according to my Dr. I am unsure what type of specialist I should be looking for to try to find a solution and some relief. ### Answer: Thank you for your question! I understand your concern. Symptoms of fibromyalgia (FM) are diffuse pain all over the body with some tender points, joint pains, weakness, sleep disturbances and mood disturbances. They frequently interfere with our daily activities. First thing you have to know is FM is benign condition, but take long time to cure. Aerobic exercises, though give you pain and fatigue for short time, it will help you a lot to improve your condition. So, keep doing aerobic exercises. Maintaining regular time for sleeping also helps your condition. You can try amitriptyline tablets. Consult your physician to know the dosage according to your weight and symptoms severity. It is okay to follow up with your GP and there is no need of consulting a specialist. Wishing you fast recovery!
Hi, I am 16 years old. In the last two days I ve started to bleed from my vagina after I pee. I have the Implanon in my arm, have not had a period in 5 months and also I am bloating a lot in the abdomenal region. I am getting a knotting sensation in my rib/ lung area and stomach. And slight cramps, but next to none in my stomach. Have you any idea what the problem could be?
Howell come to ChatDoctorI really appreciate your concern, such bleeding could be menses (irregular) and this is common phenomenon in this age, other abdominal symptoms are nothing to take anything with this, and neither this is to worry about anything, hope this information helps, take care and have a good day.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I am 16 years old. In the last two days I ve started to bleed from my vagina after I pee. I have the Implanon in my arm, have not had a period in 5 months and also I am bloating a lot in the abdomenal region. I am getting a knotting sensation in my rib/ lung area and stomach. And slight cramps, but next to none in my stomach. Have you any idea what the problem could be? ### Answer: Howell come to ChatDoctorI really appreciate your concern, such bleeding could be menses (irregular) and this is common phenomenon in this age, other abdominal symptoms are nothing to take anything with this, and neither this is to worry about anything, hope this information helps, take care and have a good day.
i am a 27 yrs old female from Nigeria, i have this rashes on my buttocks , which has been there for over 15years, i have tried all sort of creams and treatments on it, all to no avail, presently am using skin-neal cream, i have also tried funbact-A.. sometimes it goes off at the start of treatment, but surfaces back after some few days.... it does not itch me, but make me uncomfortable while undressing. please i need help from a dermatologist urgently.
Hi non-itchy irritable patch over the buttock can be localized chaotic patch.I think it is right for birth.in increases in size as age increases.it will more prominent in winter and rainy season. There is no permanent treatment for it. Use of Clemens oil before bath and use glycerin soap and apply amulet lotion in the morning and diprovate-g ointment in the night
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: i am a 27 yrs old female from Nigeria, i have this rashes on my buttocks , which has been there for over 15years, i have tried all sort of creams and treatments on it, all to no avail, presently am using skin-neal cream, i have also tried funbact-A.. sometimes it goes off at the start of treatment, but surfaces back after some few days.... it does not itch me, but make me uncomfortable while undressing. please i need help from a dermatologist urgently. ### Answer: Hi non-itchy irritable patch over the buttock can be localized chaotic patch.I think it is right for birth.in increases in size as age increases.it will more prominent in winter and rainy season. There is no permanent treatment for it. Use of Clemens oil before bath and use glycerin soap and apply amulet lotion in the morning and diprovate-g ointment in the night
I have a pain in my upper back with shortness of breath, also i have a dry cough . When i do any physical activity i feel dizzy and sweat really fast . Im not over weight and i have just quit smoking about 1 week now . Should i go to my hospital now?
Hello, I have studied your case. You need to investigate for reason of shortness of breath and sweating, I will advise checking your BP, routine blood investigation and Eggs I will advise visiting doctor near you for checking your vitals. 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
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a pain in my upper back with shortness of breath, also i have a dry cough . When i do any physical activity i feel dizzy and sweat really fast . Im not over weight and i have just quit smoking about 1 week now . Should i go to my hospital now? ### Answer: Hello, I have studied your case. You need to investigate for reason of shortness of breath and sweating, I will advise checking your BP, routine blood investigation and Eggs I will advise visiting doctor near you for checking your vitals. 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
Hi - i am 41, i had my child at the age of 24, and no children thereafter. we are planning for a child desparately now, but my gyna says my egg quality is poor, one miscarriage happened, one IUI failed, one IVF failed. doctors are saying i should go for donor egg, i am not in favor of this. my DH is health, he is 42, his sperm is perfectly fine. what should we do? SS
Hello SST hanks for writing to us with your health query. You should have testing of ovarian reserve. This is tested by measurement of a hormone called AMH (anti Mullein Hormone). It is also measured by AFC (astral follicular count) - counting number of astral follicles on ultrasound on day 2 of your cycle. Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for GUI and IVF. If your doctors have opined that your ovarian reserve is poor, you have to accept that. Supplements like DHEA might slightly improve this, but it is not proven conclusively. Yes, the answer for you is egg donation / adoption. Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favor of failure, not success. Hard as it is to arrive to terms with this, the earlier you do, the better. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi - i am 41, i had my child at the age of 24, and no children thereafter. we are planning for a child desparately now, but my gyna says my egg quality is poor, one miscarriage happened, one IUI failed, one IVF failed. doctors are saying i should go for donor egg, i am not in favor of this. my DH is health, he is 42, his sperm is perfectly fine. what should we do? SS ### Answer: Hello SST hanks for writing to us with your health query. You should have testing of ovarian reserve. This is tested by measurement of a hormone called AMH (anti Mullein Hormone). It is also measured by AFC (astral follicular count) - counting number of astral follicles on ultrasound on day 2 of your cycle. Also, your capacity to produce good quality eggs can be judged easily by your response to the stimulation injections given for GUI and IVF. If your doctors have opined that your ovarian reserve is poor, you have to accept that. Supplements like DHEA might slightly improve this, but it is not proven conclusively. Yes, the answer for you is egg donation / adoption. Of course, the alternative is following your heart and going for more costly attempts at IVF knowing fully well that the odds are in favor of failure, not success. Hard as it is to arrive to terms with this, the earlier you do, the better. Take care.
Hi, I a having alot of symtoms that similar to HIV/aids and the main ones are my penis hurts, chest and back pain, ear and throat pain, fatigue. I have got tested for HIV and all the stds and they came back negative.Can u please tell me what can be the cause of these symptoms?
Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different causes responsible for the same as - underlying Pyrex of unknown origin - deficiency of nutrients, vitamins, trace elements, minerals - low hemoglobin levels - others. Hope this may help you. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hi, I a having alot of symtoms that similar to HIV/aids and the main ones are my penis hurts, chest and back pain, ear and throat pain, fatigue. I have got tested for HIV and all the stds and they came back negative.Can u please tell me what can be the cause of these symptoms? ### Answer: Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* There are different causes responsible for the same as - underlying Pyrex of unknown origin - deficiency of nutrients, vitamins, trace elements, minerals - low hemoglobin levels - others. Hope this may help you. Regards.
I have an allergic reaction when ever i go outside in the day light the lights in my house are not bright and i have been toldi have solar graphia how can i get this to go away because i want to be a normal kid again im Only 15 and i cant go to school because of this and i cant honestly do anything its ruineing my life to be honest
Hi, Welcome to Chat Doctor, and thanks for posting your query to the forum. Your solar graphic is actually a problem of photo-dermatitis for which you are getting allergic reaction in sunlight exposure. Our human skin is a multi-layered structure, and it has tendency to wear and tear repeatedly on exposure to environmental factors. In certain situation when the exposure of the environmental factor is too high then the skin has the tendency to get red and itchy. These red areas appear as mild to moderate eruptions on exposed areas of body which are known as POLE. Simply saying sun burns. I would like to suggest you some more of remedies:1) SUN PROTECTION: by sun protection in form of proper covering and clothing. You must wear full sleeves clothes and gloves along with a hat every time you move out in sun. 2) Sunscreens: These do help but not as completely as covering body by clothes. Even then whenever the sunscreen is used-it should be used half an hour before going out as it requires 30 minutes to get activated.3) A LOT OF VITAMIN A and LYCOPENE IN DIET: Vitamin A plays a very important n role in sun protection. It along with certain antioxidants in our diet of fruits helps us best in reducing the damage to sunlight. SO I suggest you to have lot vitamin A and lycopene in diet. You should eat all fruits as well papaya, tomatoes and beat root containing these things in plenty.4) You can also have the antioxidant capsule but follow a good diet as the main part. Your tendency of sun burn will decrease slowly and might take multiple of months to get better form internally, so have patience as well best of measure as suggested above. I hope these information will help you.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have an allergic reaction when ever i go outside in the day light the lights in my house are not bright and i have been toldi have solar graphia how can i get this to go away because i want to be a normal kid again im Only 15 and i cant go to school because of this and i cant honestly do anything its ruineing my life to be honest ### Answer: Hi, Welcome to Chat Doctor, and thanks for posting your query to the forum. Your solar graphic is actually a problem of photo-dermatitis for which you are getting allergic reaction in sunlight exposure. Our human skin is a multi-layered structure, and it has tendency to wear and tear repeatedly on exposure to environmental factors. In certain situation when the exposure of the environmental factor is too high then the skin has the tendency to get red and itchy. These red areas appear as mild to moderate eruptions on exposed areas of body which are known as POLE. Simply saying sun burns. I would like to suggest you some more of remedies:1) SUN PROTECTION: by sun protection in form of proper covering and clothing. You must wear full sleeves clothes and gloves along with a hat every time you move out in sun. 2) Sunscreens: These do help but not as completely as covering body by clothes. Even then whenever the sunscreen is used-it should be used half an hour before going out as it requires 30 minutes to get activated.3) A LOT OF VITAMIN A and LYCOPENE IN DIET: Vitamin A plays a very important n role in sun protection. It along with certain antioxidants in our diet of fruits helps us best in reducing the damage to sunlight. SO I suggest you to have lot vitamin A and lycopene in diet. You should eat all fruits as well papaya, tomatoes and beat root containing these things in plenty.4) You can also have the antioxidant capsule but follow a good diet as the main part. Your tendency of sun burn will decrease slowly and might take multiple of months to get better form internally, so have patience as well best of measure as suggested above. I hope these information will help you.
ate a piece of koko chocolate and i felt like scratching hello! i ate a piece of koko chocolate truffle and the next thing i felt my nipples hardened and i felt like scratching. was that an allergic reaction?
Hello, Did you experience the same before when taking cocoa chocolates. You can be ? Allergic to chocolates. Please go through an allergic study for chocolates. If you continue then please stop taking chocolates. Thankyou.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: ate a piece of koko chocolate and i felt like scratching hello! i ate a piece of koko chocolate truffle and the next thing i felt my nipples hardened and i felt like scratching. was that an allergic reaction? ### Answer: Hello, Did you experience the same before when taking cocoa chocolates. You can be ? Allergic to chocolates. Please go through an allergic study for chocolates. If you continue then please stop taking chocolates. Thankyou.
In early Spring, I had a very hard, dry cough which did not respond to antibiotics. Had every test and scan to eliminate everything, which they did. XRay showed pleural effusions. This has been drained twice but came back. All testing shows fluid to be benign. Doctor changed a prescription I have been taking for years to see if I might have developed an allergy to it. Next XRay is to be 8-18-11. I know the fluid is still there but is not causing trouble. When I am lieing down at night and take a deep breath, it is a little uncomfortable, but not bad, and I am not bothered too much in the day. I am 63 and do not want to have surgery. Hope it won t be necessary. Is it dangerous to live with this condition? Thank you.
HelloProbably the pleural liquid might be from heart problems. Discuss with your doctor for this. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: In early Spring, I had a very hard, dry cough which did not respond to antibiotics. Had every test and scan to eliminate everything, which they did. XRay showed pleural effusions. This has been drained twice but came back. All testing shows fluid to be benign. Doctor changed a prescription I have been taking for years to see if I might have developed an allergy to it. Next XRay is to be 8-18-11. I know the fluid is still there but is not causing trouble. When I am lieing down at night and take a deep breath, it is a little uncomfortable, but not bad, and I am not bothered too much in the day. I am 63 and do not want to have surgery. Hope it won t be necessary. Is it dangerous to live with this condition? Thank you. ### Answer: HelloProbably the pleural liquid might be from heart problems. Discuss with your doctor for this. Regards Chat Doctor.
It all started with a small patch of raised itchy skin in the crease of my elbow the i began to have leaking raised itchy skin under one of my breasts. Now there is a small dry itchy patch on top of my vagina pubic area and dry itchy patches on the nape of my neck. Now its to the point where my arms, thighs, legs, butt, and arm pits itch as well..... how do i stop the itching???
HelloThanks for your query. You should consult a dermatologist. Multiple itchy and scaly areas could indicate a skin condition like psoriasis, lichen etc. It could also herald a liver disease. Also, moisturize your skin well, and avoid scratching or touching the areas. Get your blood sugars tested as well. All the best.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: It all started with a small patch of raised itchy skin in the crease of my elbow the i began to have leaking raised itchy skin under one of my breasts. Now there is a small dry itchy patch on top of my vagina pubic area and dry itchy patches on the nape of my neck. Now its to the point where my arms, thighs, legs, butt, and arm pits itch as well..... how do i stop the itching??? ### Answer: HelloThanks for your query. You should consult a dermatologist. Multiple itchy and scaly areas could indicate a skin condition like psoriasis, lichen etc. It could also herald a liver disease. Also, moisturize your skin well, and avoid scratching or touching the areas. Get your blood sugars tested as well. All the best.
I have bilirubin problem for 5 months. I take ayurvedic medicine but my bilirubin tests are fluctuation, how it makes, im so worried about this problem, i all avoid oily, fatty and sour food and also drink pliantly of water (i.e. 8 ltd per day), and also loss 10 kg during this period, now a days i have back and knee problem. Blood test reportsDate Bilirubin total Bilirubin Direct Bilirubin Conjugated S.G.P.T. S.G.O.T. Alkalire pho.June 5, 2011 1.2 0.6 0.6 69 19 10 June 21, 2011 0.9 0.5 0.4 51 July 11, 2011 1.1 0.5 0.6 44 July 21, 2011 1.0 0.3 Aug. 4, 2011 0.8 0.4 Aug. 22, 2011 1.2 0.4 41 25 10 Sept. 21, 2011 0.9 0.3 Oct. 19, 2011 1.4 0.6
Your bilirubin level don't seem high it is within normal limit and variations is of negligible. So if you don't have any problem then forget the bilirubin level. And if you have problems then consult physician. No need of repeated investigation for fluctuating bilirubin
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have bilirubin problem for 5 months. I take ayurvedic medicine but my bilirubin tests are fluctuation, how it makes, im so worried about this problem, i all avoid oily, fatty and sour food and also drink pliantly of water (i.e. 8 ltd per day), and also loss 10 kg during this period, now a days i have back and knee problem. Blood test reportsDate Bilirubin total Bilirubin Direct Bilirubin Conjugated S.G.P.T. S.G.O.T. Alkalire pho.June 5, 2011 1.2 0.6 0.6 69 19 10 June 21, 2011 0.9 0.5 0.4 51 July 11, 2011 1.1 0.5 0.6 44 July 21, 2011 1.0 0.3 Aug. 4, 2011 0.8 0.4 Aug. 22, 2011 1.2 0.4 41 25 10 Sept. 21, 2011 0.9 0.3 Oct. 19, 2011 1.4 0.6 ### Answer: Your bilirubin level don't seem high it is within normal limit and variations is of negligible. So if you don't have any problem then forget the bilirubin level. And if you have problems then consult physician. No need of repeated investigation for fluctuating bilirubin
MY SON HAS HAD STREPTOCHOCCAL INFECTION SINCE THE LAST ONE YR. HE WAS TREATED WITH PENICILLIN FOR 3 MTHS DURING WHICH HE SHOWED NO FURTHER SYMPTOMS OF IT. HOWEVER ,AFTER THE MEDICATION WAS STOPPED , WITHIN 3 WEEKS HE STARTED COMPLAINING OF A SORE THROAT - WAS UNABLE TO SWALLOW FOOD . ON THE NEXT DAY HE STARTED VOMITING (SALIVA AND MUCOUS LIQUID AS HE HAD NO FOOD). THESE ARE THE SAME SYSMPTOMS HE HAD SHOWN 3 MONTHS BACK. TODAY ITS THE 2ND DAY OF NOT EATING ANYTHING AND EVEN HALF A GLASS OF WATER CAUSES HIM TO VOMIT AND SOME IRRITATION (IN THE THROAT??) MAKES HIM WANT TO PUKE. HE HAS GOWN WEAK AND IS FEVERISH. EVEN CALPOL SYRUP HAS BEEN VOMITED OUT. KINDLY ADVICE. NANYA SEN
He must be examined for tonsils and adenoids. If there are large tonsils and chronic he of tonsillitis then tonsillectomy MST be done BCZ he will get recurrent fever and difficulty in swallowing and Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: MY SON HAS HAD STREPTOCHOCCAL INFECTION SINCE THE LAST ONE YR. HE WAS TREATED WITH PENICILLIN FOR 3 MTHS DURING WHICH HE SHOWED NO FURTHER SYMPTOMS OF IT. HOWEVER ,AFTER THE MEDICATION WAS STOPPED , WITHIN 3 WEEKS HE STARTED COMPLAINING OF A SORE THROAT - WAS UNABLE TO SWALLOW FOOD . ON THE NEXT DAY HE STARTED VOMITING (SALIVA AND MUCOUS LIQUID AS HE HAD NO FOOD). THESE ARE THE SAME SYSMPTOMS HE HAD SHOWN 3 MONTHS BACK. TODAY ITS THE 2ND DAY OF NOT EATING ANYTHING AND EVEN HALF A GLASS OF WATER CAUSES HIM TO VOMIT AND SOME IRRITATION (IN THE THROAT??) MAKES HIM WANT TO PUKE. HE HAS GOWN WEAK AND IS FEVERISH. EVEN CALPOL SYRUP HAS BEEN VOMITED OUT. KINDLY ADVICE. NANYA SEN ### Answer: He must be examined for tonsils and adenoids. If there are large tonsils and chronic he of tonsillitis then tonsillectomy MST be done BCZ he will get recurrent fever and difficulty in swallowing and Chat Doctor.
Five days ago I felt pain under my neck area and noticed several small lumps (next to each other) on my left side of my neck/throat. They re lower down my neck than where my lymph nodes are normally swollen, although I know I ve got lots of them all over. They haven t gone away yet. I noticed that when I swallow I feel something in my throat, I ve been tired recently and that I m always cold. Anything to worry about or just my body fighting off something so my lymph nodes irritated?
Welcome to Chat Doctor .1. The history suggest multiple enlarged lymph nodes in the neck region and as you said its chronic cause.2. Lymph nodal enlargement is seen in presence of local infection / inflammation, systemic cause and finally lymph nodal pathology itself.3. For better evaluation - after examination an ultrasound neck would help.4. Ultrasound will help to find out the nature of lumps its source and extensions.5. An FNAC - fine needle aspiration cytology to evaluate the cause / cells present.6. After that appropriate treatment can be taken. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Five days ago I felt pain under my neck area and noticed several small lumps (next to each other) on my left side of my neck/throat. They re lower down my neck than where my lymph nodes are normally swollen, although I know I ve got lots of them all over. They haven t gone away yet. I noticed that when I swallow I feel something in my throat, I ve been tired recently and that I m always cold. Anything to worry about or just my body fighting off something so my lymph nodes irritated? ### Answer: Welcome to Chat Doctor .1. The history suggest multiple enlarged lymph nodes in the neck region and as you said its chronic cause.2. Lymph nodal enlargement is seen in presence of local infection / inflammation, systemic cause and finally lymph nodal pathology itself.3. For better evaluation - after examination an ultrasound neck would help.4. Ultrasound will help to find out the nature of lumps its source and extensions.5. An FNAC - fine needle aspiration cytology to evaluate the cause / cells present.6. After that appropriate treatment can be taken. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
Dear doctor, since last 4 weaks aim having pain in the back righ side , ten inches above waist and not in the spine area, may be near kidney area. I got scanned my kidneys and are OK. scan says my liver is fatty. and I got belly 4 inches over my chest. my abdomen is not in perfect condition these days. constipation problem is experienced. pl guide me
Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice:- stop any medication being used for constipation for a week - thrice daily, take two teaspoon (or one big spoon) spatula husk with 200 to 300 mL water-increase warm water(at least 8 glass/day) intake-do not Chat Doctor. ) altogether-mix few
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Dear doctor, since last 4 weaks aim having pain in the back righ side , ten inches above waist and not in the spine area, may be near kidney area. I got scanned my kidneys and are OK. scan says my liver is fatty. and I got belly 4 inches over my chest. my abdomen is not in perfect condition these days. constipation problem is experienced. pl guide me ### Answer: Hi, Its difficult to figure out the cause of constipation. Constipation definition varies from person-to-person. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times per week). Some people with constipation may feel a sense that the bowels are not empty advice:- stop any medication being used for constipation for a week - thrice daily, take two teaspoon (or one big spoon) spatula husk with 200 to 300 mL water-increase warm water(at least 8 glass/day) intake-do not Chat Doctor. ) altogether-mix few
Father is 83, noticed recently that he gets confused, doesn t know at times where he is going when driving familiar areas he s lived in for years.. (He still drives). He s always had a temper but recently, every little thing seems to set him off.. Noticeable personality change.. is this a sign of Dementia? Sincerely, Kevin
Symptoms you are describing points towards Alzheimer disease. However, similar symptomatology with other associated features may be seen in other types of dementia. Please mention the sociology, duration, course of illness and any vascular risk factors and imaging findings if any to comment better. Hope my advice will help you. Take care. Don't forget to rate me.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Father is 83, noticed recently that he gets confused, doesn t know at times where he is going when driving familiar areas he s lived in for years.. (He still drives). He s always had a temper but recently, every little thing seems to set him off.. Noticeable personality change.. is this a sign of Dementia? Sincerely, Kevin ### Answer: Symptoms you are describing points towards Alzheimer disease. However, similar symptomatology with other associated features may be seen in other types of dementia. Please mention the sociology, duration, course of illness and any vascular risk factors and imaging findings if any to comment better. Hope my advice will help you. Take care. Don't forget to rate me.
I have a four year old who has had low grade temp every other week or so since winter. I dismiss this as cold/viral. She started last week AGAIN with a croupy cough and mild congestion which I treated with OTC meds. Yesterday morning she was sleepy acting and went down for a nap at 10 am after waking around 8 am and slept for 1 1/2 hours. She woke with a temp of 102.5 and has run a steady temp since then even with tylenol. The lowest it has been has been 100.5 although she does not really have other complaints and seems to be achey as she wants to be held then wants to lay on the sofa or bed next to us, wants her back rubbed then asks almost immediately for us to stop. SHOULD I have her seen today?
it's better to be checked by her pediatrician, to assess her respiration, croup usually is associated with low grade fever, a complete physical exam will confirm the diagnosis and respiratory status should be checked carefully by the examiner .hope she becomes better soon
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I have a four year old who has had low grade temp every other week or so since winter. I dismiss this as cold/viral. She started last week AGAIN with a croupy cough and mild congestion which I treated with OTC meds. Yesterday morning she was sleepy acting and went down for a nap at 10 am after waking around 8 am and slept for 1 1/2 hours. She woke with a temp of 102.5 and has run a steady temp since then even with tylenol. The lowest it has been has been 100.5 although she does not really have other complaints and seems to be achey as she wants to be held then wants to lay on the sofa or bed next to us, wants her back rubbed then asks almost immediately for us to stop. SHOULD I have her seen today? ### Answer: it's better to be checked by her pediatrician, to assess her respiration, croup usually is associated with low grade fever, a complete physical exam will confirm the diagnosis and respiratory status should be checked carefully by the examiner .hope she becomes better soon
A 45yr old man had pain in the toes so he went to a doctor for a medical check up. by the lab tests done to him he came to know that his uric acid levels in the blood was high (8.1). so th doctor prescribed him FEBUGET 40mg.and he is taking rabeprazole daily in the morning. after taking febuget he had 8episodes of diarrhoea. he is not having any inflamation in the toes,and his platelet count was normal. may i know what is the exact diagnosis and lifestyle modifications for high uric acid levels in blood, and adverse effects of T.Febuget
Hi, You consulted for Pain in toes? Is there is Gouty arthritis or not if no arthritis and serum uric acid level is high (Asymptomatic) Gouty Arthritis is treated by anti inflammatory Chat Doctor. Then one can try to what is the cause of high uric acid level. Why do you take Omeprazole? One can reduce high purine diet that means avoid Non veg diet. Avoid Deny
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: A 45yr old man had pain in the toes so he went to a doctor for a medical check up. by the lab tests done to him he came to know that his uric acid levels in the blood was high (8.1). so th doctor prescribed him FEBUGET 40mg.and he is taking rabeprazole daily in the morning. after taking febuget he had 8episodes of diarrhoea. he is not having any inflamation in the toes,and his platelet count was normal. may i know what is the exact diagnosis and lifestyle modifications for high uric acid levels in blood, and adverse effects of T.Febuget ### Answer: Hi, You consulted for Pain in toes? Is there is Gouty arthritis or not if no arthritis and serum uric acid level is high (Asymptomatic) Gouty Arthritis is treated by anti inflammatory Chat Doctor. Then one can try to what is the cause of high uric acid level. Why do you take Omeprazole? One can reduce high purine diet that means avoid Non veg diet. Avoid Deny
there has been a diagonsed case of slapped cheek at my daughters nursery. she has developed a raised rash on belly, but otherwise seems fine. Is it likely she will have/had slapped cheek aswell? If so what should i do with her - stay at home or go to nursery?
Once the rash has developed, the child is no longer contagious. Hence, u can safely send your child to nursery.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: there has been a diagonsed case of slapped cheek at my daughters nursery. she has developed a raised rash on belly, but otherwise seems fine. Is it likely she will have/had slapped cheek aswell? If so what should i do with her - stay at home or go to nursery? ### Answer: Once the rash has developed, the child is no longer contagious. Hence, u can safely send your child to nursery.
I am suffering from Heart problem and doctor advised me anjioplasty.My age is 63 years,height is 5 feet,weight is 55 kg.I am also a patient of Diabities,high blood pressure.I got a heart attack in last july,2010.Please advise me.What is EECP ?is it available in AIIMS and how would be the cost?
Hello, EEC is basically a method to relieve anginal pain in patients who are not a candidate for angioplasty or bypass. Its benefit is plus minus only. It's not available in AIMS but in Vedanta. If you are advised angioplasty, then you should undergo it and EEC is not an alternative to it.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am suffering from Heart problem and doctor advised me anjioplasty.My age is 63 years,height is 5 feet,weight is 55 kg.I am also a patient of Diabities,high blood pressure.I got a heart attack in last july,2010.Please advise me.What is EECP ?is it available in AIIMS and how would be the cost? ### Answer: Hello, EEC is basically a method to relieve anginal pain in patients who are not a candidate for angioplasty or bypass. Its benefit is plus minus only. It's not available in AIMS but in Vedanta. If you are advised angioplasty, then you should undergo it and EEC is not an alternative to it.
my son has been having asthma flare ups over the past several months at least once a month. Every time his asthma flares up his doctor puts him on prednisone. Over the past couple months I have noticed his voice becoming hoarse in addition to having a cough. The coughing wakes him at night when he has the exacerbations . Is there anything else we can be doing to better manage his asthma? He is currently using symbicort
Hollowed this very carefully and you will get the desired answer for your son. ASTHMA :Airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of WHEEZE, SHORTNESS of BREATH(SOB0, CHEST TIGHTNESS &/or COUGH particularly at night or in the early morning (your son is having all these symptoms including hoarseness of voice, may be due to laryngeal edema (side effect of prednisolone or inflammation of larynx). Pollen, dust (fine dusting powder) mist, molds, pests (cockroaches) , fumes, smoking (active and passive) , sudden chance of temperature (increase or decrease) , as all these are predisposing factors which triggers asthmatic attack. If possible avoid these. When such patient visit my clinic I prescribe Montelukast+albuterol tablet once or twice in day. Dosage are 0.2 mg of / kg body weight of each tablet. Hot coffee and steam inhalation provide instant relief as these acts as bronchodilators. I never prescribe PREDNISOLONE my patient. This is only meant for serious cases.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: my son has been having asthma flare ups over the past several months at least once a month. Every time his asthma flares up his doctor puts him on prednisone. Over the past couple months I have noticed his voice becoming hoarse in addition to having a cough. The coughing wakes him at night when he has the exacerbations . Is there anything else we can be doing to better manage his asthma? He is currently using symbicort ### Answer: Hollowed this very carefully and you will get the desired answer for your son. ASTHMA :Airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of WHEEZE, SHORTNESS of BREATH(SOB0, CHEST TIGHTNESS &/or COUGH particularly at night or in the early morning (your son is having all these symptoms including hoarseness of voice, may be due to laryngeal edema (side effect of prednisolone or inflammation of larynx). Pollen, dust (fine dusting powder) mist, molds, pests (cockroaches) , fumes, smoking (active and passive) , sudden chance of temperature (increase or decrease) , as all these are predisposing factors which triggers asthmatic attack. If possible avoid these. When such patient visit my clinic I prescribe Montelukast+albuterol tablet once or twice in day. Dosage are 0.2 mg of / kg body weight of each tablet. Hot coffee and steam inhalation provide instant relief as these acts as bronchodilators. I never prescribe PREDNISOLONE my patient. This is only meant for serious cases.
hi my age is 29,weight is 55 kg,height is 55.my blood group is b-ve and husbands blood group is b+ve.planning for ivf.earlier had a molar pregnancy.d&c was dun twice and was given anti d.doctor has asked to get serum ict test done before ivf.why is it important for me to get this done???
HAI WELCOME TO Chat Doctor INDIRECT COMBS TEST TO BE DONE TO KNOW THE ANTIBODY TIER OF RH ANTIBODY IN YOUR BODY DUE TO 2 PREVIOUS ABORTIONS.IT WILL NOT AFFECT YOUR IVF. If it is rose you need frequent scan to know the well-being of your baby. REGARDS Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hi my age is 29,weight is 55 kg,height is 55.my blood group is b-ve and husbands blood group is b+ve.planning for ivf.earlier had a molar pregnancy.d&c was dun twice and was given anti d.doctor has asked to get serum ict test done before ivf.why is it important for me to get this done??? ### Answer: HAI WELCOME TO Chat Doctor INDIRECT COMBS TEST TO BE DONE TO KNOW THE ANTIBODY TIER OF RH ANTIBODY IN YOUR BODY DUE TO 2 PREVIOUS ABORTIONS.IT WILL NOT AFFECT YOUR IVF. If it is rose you need frequent scan to know the well-being of your baby. REGARDS Chat Doctor.
After a nasty attack 18 months ago, I was left with a broken jaw in 3 places. After two ops it was fixed to the best they can with 5 plates. Since then I ve not been able to open my mouth properly, would say there s a gap of 1.5 cm between teeth when fully open. During the last few wks I m suffering constant pain all down the left side of my face, hurts more when I move head up and down. Any ideas...thanks
Hello and thank you for your question. You need to have your jaw rebroken clinically and realigned correctly. Your bite is now off and this is affecting how your jaw moves around the jaw joint. Surgery would be the best option for you and possible orthodontic intervention to help get your teeth to touch correctly. Best wishes to you.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: After a nasty attack 18 months ago, I was left with a broken jaw in 3 places. After two ops it was fixed to the best they can with 5 plates. Since then I ve not been able to open my mouth properly, would say there s a gap of 1.5 cm between teeth when fully open. During the last few wks I m suffering constant pain all down the left side of my face, hurts more when I move head up and down. Any ideas...thanks ### Answer: Hello and thank you for your question. You need to have your jaw rebroken clinically and realigned correctly. Your bite is now off and this is affecting how your jaw moves around the jaw joint. Surgery would be the best option for you and possible orthodontic intervention to help get your teeth to touch correctly. Best wishes to you.
Hello.For the past 4-5 days, the right side of my stomach has hurt. Its not excruciating pain but it hurts. Made worse when I press on it. I have also had an on and off low grade fever (around 99.5 degrees) and nausea. Also, the right side of my stomach feels harder than the left side.
Based on your description, you seem to be suffering from gastritis. If that is the case, you would need to take omeprazole capsule once daily before breakfast for one and a half months. You also need to take small but frequent meals. However, the final diagnosis can be made only after proper examination and I strongly insist that you visit a doctor and get yourself examined. The low grade on and off fever needs to be investigated and is probably unrelated to your abdominal pain. You would need to get it investigated to rule out conditions like tuberculosis which could be a possible cause.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello.For the past 4-5 days, the right side of my stomach has hurt. Its not excruciating pain but it hurts. Made worse when I press on it. I have also had an on and off low grade fever (around 99.5 degrees) and nausea. Also, the right side of my stomach feels harder than the left side. ### Answer: Based on your description, you seem to be suffering from gastritis. If that is the case, you would need to take omeprazole capsule once daily before breakfast for one and a half months. You also need to take small but frequent meals. However, the final diagnosis can be made only after proper examination and I strongly insist that you visit a doctor and get yourself examined. The low grade on and off fever needs to be investigated and is probably unrelated to your abdominal pain. You would need to get it investigated to rule out conditions like tuberculosis which could be a possible cause.
recently (the last week) i have developed a cough, it didnt start out bad but the last 2 days i have been getting a bad taste in my mouth (metalic) but no mucus/blood has come up i took some cold & flu tablets but they arent helping, the cough is dry it starts in the throat but the more i cough it becomes chesty, is it the flu or somethign more serious?
Consult your doctor and do a chest x-ray to be sure for your actual lung statusRegards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: recently (the last week) i have developed a cough, it didnt start out bad but the last 2 days i have been getting a bad taste in my mouth (metalic) but no mucus/blood has come up i took some cold & flu tablets but they arent helping, the cough is dry it starts in the throat but the more i cough it becomes chesty, is it the flu or somethign more serious? ### Answer: Consult your doctor and do a chest x-ray to be sure for your actual lung statusRegards Chat Doctor.
I went to a dermatologist for this outbreak on my arms and back, they injected steroid into these places I had a small one on my cheek, I was sent home with antibiotic pills, I know see that it is a staphe infection and my cheek is swelling rapidly and it hurts, I put an ice pack on it, but I know heat brings it out right? what should I do, hospital?
Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that if you have such a swelling in the cheek it is advised to do culture and sensitivity from the wound. It is not advised to take steroid for such a lesion. Take treatment according to the sensitivity report. You can use topical newsprint powder along with antibiotics from sensitivity report to treat infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I went to a dermatologist for this outbreak on my arms and back, they injected steroid into these places I had a small one on my cheek, I was sent home with antibiotic pills, I know see that it is a staphe infection and my cheek is swelling rapidly and it hurts, I put an ice pack on it, but I know heat brings it out right? what should I do, hospital? ### Answer: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that if you have such a swelling in the cheek it is advised to do culture and sensitivity from the wound. It is not advised to take steroid for such a lesion. Take treatment according to the sensitivity report. You can use topical newsprint powder along with antibiotics from sensitivity report to treat infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.
hi i keep getting restless with a figitiy feeling inside, usually starts early eve and then stps but wakes me up in the early hours, it feels as though something is crawling around inside. i am 44 years old very active so i unsure if it is restless leg sydrome as i get it all over.
Hi, I think you should clear the doubt about the restless leg syn Chat Doctor. Any small touch of the intervertebral disc to the cervical spine may lead to abnormal nerve symptoms. It is a possibility that when a small touch to the spinal cord can lead to such symptoms. Post-MRI we can help you assist better. As your age is 44 we can expect some wear and tear of the spinal bones, disc and ligaments which can possibly cause some symptoms. For now, I will advise doing core stability exercises, spinal muscle strengthening exercises, hip strengthening exercises, static qua
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: hi i keep getting restless with a figitiy feeling inside, usually starts early eve and then stps but wakes me up in the early hours, it feels as though something is crawling around inside. i am 44 years old very active so i unsure if it is restless leg sydrome as i get it all over. ### Answer: Hi, I think you should clear the doubt about the restless leg syn Chat Doctor. Any small touch of the intervertebral disc to the cervical spine may lead to abnormal nerve symptoms. It is a possibility that when a small touch to the spinal cord can lead to such symptoms. Post-MRI we can help you assist better. As your age is 44 we can expect some wear and tear of the spinal bones, disc and ligaments which can possibly cause some symptoms. For now, I will advise doing core stability exercises, spinal muscle strengthening exercises, hip strengthening exercises, static qua
I am currently taking zaniflex but it is not helping. I have plate from C2-6. I have huge knots and muscle spasms chronically. My new pain Dr. Wanted to put me on Robaxin but I can t swallow easily and choke on big pills. Crushing is out of the question..,too bitter. I am also taking Nucynta 50 mg. and was told I could no longer take Flexeril with it because it can cause heart issues. What muscle relaxer is best for long term use and maybe in liquid oral form?
Do not is muscle renascent so long it has various side effects so do some stretching exercise. Is good for you also use hot pack ice pack after stretching.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: I am currently taking zaniflex but it is not helping. I have plate from C2-6. I have huge knots and muscle spasms chronically. My new pain Dr. Wanted to put me on Robaxin but I can t swallow easily and choke on big pills. Crushing is out of the question..,too bitter. I am also taking Nucynta 50 mg. and was told I could no longer take Flexeril with it because it can cause heart issues. What muscle relaxer is best for long term use and maybe in liquid oral form? ### Answer: Do not is muscle renascent so long it has various side effects so do some stretching exercise. Is good for you also use hot pack ice pack after stretching.
Hello Doctor, I am of 29yrs old and a mother of a 3 yr old. My husband is abroad and I am going to stay with him by Jan. We are not planning to have a second one until my kid is atleast 5. So I am looking for an opinion for having an IUD as we are not happy with condoms and scared of the side effects of pills. I consulted a doctor in my place and she says it is difficult for her to insert as the cervix is a bit above than usual and it would be very painful. I have read that this can also be done by giving local anaesthesia. I would like to have a second opinion on this.
Hi, With good positioning, there usually is no difficulty in IUD insertion. If I were your doctor, To facilitate the procedure I would ask you to come for IUD insertion just after census. I would advise you to take a tablet of Broken 2 hours before IUD insertion. This would take care of possible discomfort. I would ask you to pass urine just before the procedure and place you in lithotomy position and insert IUD. There is no need for any local cervical anesthesia. The prick of the local anesthesia would cause same discomfort as inserting IUD. Broken is enough to take care of the discomfort. I hope this helps.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Hello Doctor, I am of 29yrs old and a mother of a 3 yr old. My husband is abroad and I am going to stay with him by Jan. We are not planning to have a second one until my kid is atleast 5. So I am looking for an opinion for having an IUD as we are not happy with condoms and scared of the side effects of pills. I consulted a doctor in my place and she says it is difficult for her to insert as the cervix is a bit above than usual and it would be very painful. I have read that this can also be done by giving local anaesthesia. I would like to have a second opinion on this. ### Answer: Hi, With good positioning, there usually is no difficulty in IUD insertion. If I were your doctor, To facilitate the procedure I would ask you to come for IUD insertion just after census. I would advise you to take a tablet of Broken 2 hours before IUD insertion. This would take care of possible discomfort. I would ask you to pass urine just before the procedure and place you in lithotomy position and insert IUD. There is no need for any local cervical anesthesia. The prick of the local anesthesia would cause same discomfort as inserting IUD. Broken is enough to take care of the discomfort. I hope this helps.
My friend has cancer that has spread to his liver and periteium, he has been on chemo and avastin for 6 mos. they are taking him off chemo, he said because its damaging his liver and kidneys. Also both his hands and feet are raw and peeling from the chemo.....what are we looking at for time? He won t give anyone straight answers..
Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your friend. This is terminal malignant disease and prognosis is really poor especially if chemo can't be performed. Now, you can only do palliative treatment:relief his pain and prevent infections and weight losing. Everything else isn't in your hands and you just need to support him for these few months of his likewise you good health. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: My friend has cancer that has spread to his liver and periteium, he has been on chemo and avastin for 6 mos. they are taking him off chemo, he said because its damaging his liver and kidneys. Also both his hands and feet are raw and peeling from the chemo.....what are we looking at for time? He won t give anyone straight answers.. ### Answer: Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your friend. This is terminal malignant disease and prognosis is really poor especially if chemo can't be performed. Now, you can only do palliative treatment:relief his pain and prevent infections and weight losing. Everything else isn't in your hands and you just need to support him for these few months of his likewise you good health. Chat Doctor.
Dear Doctor, I had a swollen reddish Big Toe at front and later developed a puss. Accordingly Doctor removed the Puss. But the wound is not healing even after 2 weeks and it hurts when Toe strikes even gently and it again started to become reddish and swelling. But no pain when touched. Please suggest some home remedies if possible.
Hi, From history it seems that you might be having nail bed infection giving rise this problem. Due to injury there might be having soft tissue infection, swelling under the nail, it takes more time to heal. What is required is gone for regular Chat Doctor. Go for one antibiotic medicine course for 5 days. This will bring proper healing. Old nail might come out and new nail will come. Ok and take care.
If you are a doctor, please answer the medical questions based on the patient's description.
### INSTRUCTION: If you are a doctor, please answer the medical questions based on the patient's description. ### Question: Dear Doctor, I had a swollen reddish Big Toe at front and later developed a puss. Accordingly Doctor removed the Puss. But the wound is not healing even after 2 weeks and it hurts when Toe strikes even gently and it again started to become reddish and swelling. But no pain when touched. Please suggest some home remedies if possible. ### Answer: Hi, From history it seems that you might be having nail bed infection giving rise this problem. Due to injury there might be having soft tissue infection, swelling under the nail, it takes more time to heal. What is required is gone for regular Chat Doctor. Go for one antibiotic medicine course for 5 days. This will bring proper healing. Old nail might come out and new nail will come. Ok and take care.