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hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also whole abdomen ultra sound reflected fatty liver -II and rest everything came normal including liver shape and size.Gastro prescribed :-Heptral 400 mg twice dailyEvion Vit E 400 IU dailyGlycomet 500mg twice daily(weight loss)Zyloric 100mg 3 times daily(for high uric acid)Is it safe to take all medicine for fatty liver -ii or do i need to change or add any other medicine in it ?RegardsMike	Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe Chat Doctor. It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you 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: hiI have got LFT done in which ALT and AST , GGT and are almost triple the normal range and Uric acid test is also double . Also whole abdomen ultra sound reflected fatty liver -II and rest everything came normal including liver shape and size.Gastro prescribed :-Heptral 400 mg twice dailyEvion Vit E 400 IU dailyGlycomet 500mg twice daily(weight loss)Zyloric 100mg 3 times daily(for high uric acid)Is it safe to take all medicine for fatty liver -ii or do i need to change or add any other medicine in it ?RegardsMike ### Answer: Hi. I went through your concerns regarding your condition of fatty liver and a high ALT level. It's a condition in which triglycerides are deposited in the liver. In 20% of patients which causes inflammation in the liver and high ALT level, the condition is called NASH.NASH is more dangerous than fatty liver. 20% of patients with NASH will develop cirrhosis of liver. Your condition is NASH. It is a control able condition. The first line management is achieving weight loss by lifestyle n dietary modification. You should avoid junk foods, oily foods and sweets. You should continue combination of capsule ursodeoxycholic acid 250-300 mg once a day and capsule vitamin E 200-400 mg once a day. This combination has shown promising effect in clinical trials. Ursodeoxycholic acid is a safe Chat Doctor. It has narrow spectrum of side effects like nausea, vomiting, diarrhea, headache, dizziness and dyspepsia. But most of the patients tolerate it very well. Clinical data has also shown proven role of metformin which you are already taking. You have been prescribed appropriate treatment for your condition (NASH). You should continue this treatment regimen and try to lose weight. You should continue Pyloric which is for your high uric acid. But it has no definite role in fatty liver/NASH. I wish you good luck.
I AM PATIENT OF DEPRESSION SICE 5 YEARS AND ALSO FEEL IRREGULAR HEART BEET REASON OF MY VALVE SIZE SLIDE HIGH DR SAY ITS M.V.P can sodium valproate increase b.p and also that possible heart issue I feel high b.p 130/80 and some time its down 110/70 I AM TAKING sodium Valproate O-1-1 Inderal 0-1-1 TRIMA 0-1-1	HiFirst 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: I AM PATIENT OF DEPRESSION SICE 5 YEARS AND ALSO FEEL IRREGULAR HEART BEET REASON OF MY VALVE SIZE SLIDE HIGH DR SAY ITS M.V.P can sodium valproate increase b.p and also that possible heart issue I feel high b.p 130/80 and some time its down 110/70 I AM TAKING sodium Valproate O-1-1 Inderal 0-1-1 TRIMA 0-1-1 ### Answer: HiFirst ChatDoctor.
hi i m 30 yrs old female i m suffering from tb. my symptoms is feverish. i already taken 6 mounth madicine AKT-4 kit. then i leave after blood test. but after 1 or 2 mounths i do mantoux test it is positive what i do? i have no kids, i have problem in consive. on feb 2007 i got marriage. plz help me .	Hello were (are) a tubercular patient and took treatment for 6 months. Months test is still positive even after 2 months treatment stopped. Now for confirmation of tuberculosis get in these tests.==Sputum examination for A F B, if no sputum then get it through nasogastric tube.==Bronchoscopy, because you stopped the treatment, so this is important because Months is still positive.==Chest X RAY, particularly see healed calcified & fibrosis. Also confirm whether FRESH lesions present or not present.==Sputum for TB CULTURE and sensitivity test.==Blood test for C B C (leukocytosis in mild to moderate cases of T B) E S R (if > 100 mm highly suggestive that still T B is active).==Protein Purified Derivative (PPD0-Tuberculin Skin Test. The main question is about the lesion of tuberculosis. As far as about pregnancy, even after 7 years of married life, consult an INFERTILITY specialist and get his opinion. But I recommend you consult a CHEST & TUBERCULOSIS specialist and get his treatment. Hope you will understand seriousness about T B treatment.	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 m 30 yrs old female i m suffering from tb. my symptoms is feverish. i already taken 6 mounth madicine AKT-4 kit. then i leave after blood test. but after 1 or 2 mounths i do mantoux test it is positive what i do? i have no kids, i have problem in consive. on feb 2007 i got marriage. plz help me . ### Answer: Hello were (are) a tubercular patient and took treatment for 6 months. Months test is still positive even after 2 months treatment stopped. Now for confirmation of tuberculosis get in these tests.==Sputum examination for A F B, if no sputum then get it through nasogastric tube.==Bronchoscopy, because you stopped the treatment, so this is important because Months is still positive.==Chest X RAY, particularly see healed calcified & fibrosis. Also confirm whether FRESH lesions present or not present.==Sputum for TB CULTURE and sensitivity test.==Blood test for C B C (leukocytosis in mild to moderate cases of T B) E S R (if > 100 mm highly suggestive that still T B is active).==Protein Purified Derivative (PPD0-Tuberculin Skin Test. The main question is about the lesion of tuberculosis. As far as about pregnancy, even after 7 years of married life, consult an INFERTILITY specialist and get his opinion. But I recommend you consult a CHEST & TUBERCULOSIS specialist and get his treatment. Hope you will understand seriousness about T B treatment.
i have a bruised looking area with a small lump underneath the bruise like a zit sort of under my armpit it is a little sore if you put pressure on it. it has been there for longer than a month so yesterday i decided put a needle in it and squeeze all that came out was blood but it doesnt hurt at all today. im just wondering what it could be??	Hi. Thanks for your query and an elucidated history. This looks to be an infected sebaceous cyst. You need to take an antibiotic and anti-inflammatory medicines. Get operated only if these medicines do not help to alleviate the lump and symptoms	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 bruised looking area with a small lump underneath the bruise like a zit sort of under my armpit it is a little sore if you put pressure on it. it has been there for longer than a month so yesterday i decided put a needle in it and squeeze all that came out was blood but it doesnt hurt at all today. im just wondering what it could be?? ### Answer: Hi. Thanks for your query and an elucidated history. This looks to be an infected sebaceous cyst. You need to take an antibiotic and anti-inflammatory medicines. Get operated only if these medicines do not help to alleviate the lump and symptoms
Hi, may I answer your health queries right now ? Please type your query here...have recently cut back sodium drastically to lower high blood pressure, got severe constipation drinking lots of water today, mineral oil enemas last night, any advice greatly appreciated	Howell come to ChatDoctorI really appreciate your concern, first thing you need to do is stop worrying about this, no need to be over conscious if you do not pass the stool for couple days, if this is not the constipation due to some intestinal disease then nothing to worry at all. Constipation is such condition that makes the parson conscious if not pass the stool, I advise to 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, may I answer your health queries right now ? Please type your query here...have recently cut back sodium drastically to lower high blood pressure, got severe constipation drinking lots of water today, mineral oil enemas last night, any advice greatly appreciated ### Answer: Howell come to ChatDoctorI really appreciate your concern, first thing you need to do is stop worrying about this, no need to be over conscious if you do not pass the stool for couple days, if this is not the constipation due to some intestinal disease then nothing to worry at all. Constipation is such condition that makes the parson conscious if not pass the stool, I advise to Chat Doctor.
HI, as i was carrying my 10month old son on my right hip I felt as though someone kicked me in the right side of my lower abdomen and I yelled out as it was sudden, sharp, kinda like a pop or something. i almost dropped my son and i had to lean over forwards to regain myself, I had tingling and my body was very flustered and heating up for abit. I stood still for a bit incase it happened again but it hasnt since, No pain afterwards at all	Hi, From history it seems that carrying your child on your hip and with some unusual movement at hip might have produced lower abdominal muscle spasm giving all these symptoms for a while. After spasm gone you felt relaxed. Nothing to worry.If you require apply some muscle relaxant, analgesic cream over the part. 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: HI, as i was carrying my 10month old son on my right hip I felt as though someone kicked me in the right side of my lower abdomen and I yelled out as it was sudden, sharp, kinda like a pop or something. i almost dropped my son and i had to lean over forwards to regain myself, I had tingling and my body was very flustered and heating up for abit. I stood still for a bit incase it happened again but it hasnt since, No pain afterwards at all ### Answer: Hi, From history it seems that carrying your child on your hip and with some unusual movement at hip might have produced lower abdominal muscle spasm giving all these symptoms for a while. After spasm gone you felt relaxed. Nothing to worry.If you require apply some muscle relaxant, analgesic cream over the part. Ok and take care.
I am experiencing my left side lower lip shivering every now and then from 2 days. It just happens for a second and then goes off. I had problem in chewing food and now its gone. I have started with some fat burners recenly and am worried what would be the reason. Kindly suggest	Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to anxiety or an electrolyte imbalance. I would not exclude an irritation of the facial nerve too (facial spasms). Anyway, I agree with you that the fat burners can contribute to your symptoms, considering the fact that they may cause a lot of changes in your metabolism, electrolytes and even increase irritability and anxiety. If the problem persists, I would first recommend stopping these substances. If this tip does not help, consulting with your doctor and performing some tests (including blood electrolytes) will be necessary. Hope you will find this answer helpful! 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 experiencing my left side lower lip shivering every now and then from 2 days. It just happens for a second and then goes off. I had problem in chewing food and now its gone. I have started with some fat burners recenly and am worried what would be the reason. Kindly suggest ### Answer: Hello! Thank you for asking on Chat Doctor ! Your symptoms could be related to anxiety or an electrolyte imbalance. I would not exclude an irritation of the facial nerve too (facial spasms). Anyway, I agree with you that the fat burners can contribute to your symptoms, considering the fact that they may cause a lot of changes in your metabolism, electrolytes and even increase irritability and anxiety. If the problem persists, I would first recommend stopping these substances. If this tip does not help, consulting with your doctor and performing some tests (including blood electrolytes) will be necessary. Hope you will find this answer helpful! Kind regards,
1 am a 76 year old mail- i have an enlarged prostate. recently i have found blood when going to the bath room right after having sex with- it would seem to me i still have some seman when i start going to the, and when this is flushed away the bright red blood vanishes ant my urine is clear. this has happened twice , both times as a result of our sexal activity about a month apart. i was told that it could be a result of the strain on my prostate. i had my last psa approx 6 months ago and it was under a three. i have had some lower back on and off for several years and some pain in my hip area. i did have an mri/body and it indicated my prostae was clear. any advice as i;m still worried. also had my bladder checked/scloped in the doctors office, and was told everything look normal. however i read some place that diccomford in the loer back,upper leg and hip/rump area could be a sign of prostate cancer. could you please advise if further checking is nessary? im am still very concerned. thank you very much. joe black 608-868-3413=my e-mail is YYYY@YYYY again thank you .	HIT hank for asking to ChatDoctorI can understand your concern you have already completed 75 years, the bleeding you see could due to the bladder cystitis it is common in this age group and this is not the cancer, this will come around with the "Sodium citrate liquid" have it three to four times in day with good amount of water, the bleeding will go away, and nothing to worry take care and have nice 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: 1 am a 76 year old mail- i have an enlarged prostate. recently i have found blood when going to the bath room right after having sex with- it would seem to me i still have some seman when i start going to the, and when this is flushed away the bright red blood vanishes ant my urine is clear. this has happened twice , both times as a result of our sexal activity about a month apart. i was told that it could be a result of the strain on my prostate. i had my last psa approx 6 months ago and it was under a three. i have had some lower back on and off for several years and some pain in my hip area. i did have an mri/body and it indicated my prostae was clear. any advice as i;m still worried. also had my bladder checked/scloped in the doctors office, and was told everything look normal. however i read some place that diccomford in the loer back,upper leg and hip/rump area could be a sign of prostate cancer. could you please advise if further checking is nessary? im am still very concerned. thank you very much. joe black 608-868-3413=my e-mail is YYYY@YYYY again thank you . ### Answer: HIT hank for asking to ChatDoctorI can understand your concern you have already completed 75 years, the bleeding you see could due to the bladder cystitis it is common in this age group and this is not the cancer, this will come around with the "Sodium citrate liquid" have it three to four times in day with good amount of water, the bleeding will go away, and nothing to worry take care and have nice day.
I am a 21 year woman I have had a lump on my breast for 2 years a biopsy has been done and result were neg for cancerous tissue..Since then I have 2 more lumps in the same breast i am becoming more worrisome but doc keeps saying it is nothing I feel I should get a second opinion but not sure were to go and how to get in touch with a doc to give me a second opinion	Hi. When in doubt always go for a second opinion. The best way is to consult a Surgical oncologist / General Surgeon, get an FNAC done and if negative you do not have to worry. If you still have doubts and if there is going to be no deformity, get the excision biopsy done. This is very important to be cured of the cancer-phobia.	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 21 year woman I have had a lump on my breast for 2 years a biopsy has been done and result were neg for cancerous tissue..Since then I have 2 more lumps in the same breast i am becoming more worrisome but doc keeps saying it is nothing I feel I should get a second opinion but not sure were to go and how to get in touch with a doc to give me a second opinion ### Answer: Hi. When in doubt always go for a second opinion. The best way is to consult a Surgical oncologist / General Surgeon, get an FNAC done and if negative you do not have to worry. If you still have doubts and if there is going to be no deformity, get the excision biopsy done. This is very important to be cured of the cancer-phobia.
Hello doctor My father had paralysis attack in Jan, 2012. currently his treatment is going on from PGI Chandigarh. But after having attack in Jan he had another attacks twice in Aug and Sep. his left arm and leg got twisted completely and he was not able to speak for few minutes. After that he was normal as earlier. My question are: 1. What precaution should we take to avoid these attacks further? 2. Doctor suggest Liofen XL 10 mg to soften his nerves of left arm as this is not working at all, is this fine to go ahead with that? 3. What all action should we take immediately once he has attack? 4. Any medical advice to bring back him to normal activities of his own?	Dear Friend, I link the cause of seizure in your father is cortical infarct. He should be started on antiepileptics firstly. Liofen is good Chat Doctor. During attack, he shod be laid on soft surface on his side. But prevention is better than cure, so start an antiepileptic immediately. Physiotherapy can help him to do well.	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 My father had paralysis attack in Jan, 2012. currently his treatment is going on from PGI Chandigarh. But after having attack in Jan he had another attacks twice in Aug and Sep. his left arm and leg got twisted completely and he was not able to speak for few minutes. After that he was normal as earlier. My question are: 1. What precaution should we take to avoid these attacks further? 2. Doctor suggest Liofen XL 10 mg to soften his nerves of left arm as this is not working at all, is this fine to go ahead with that? 3. What all action should we take immediately once he has attack? 4. Any medical advice to bring back him to normal activities of his own? ### Answer: Dear Friend, I link the cause of seizure in your father is cortical infarct. He should be started on antiepileptics firstly. Liofen is good Chat Doctor. During attack, he shod be laid on soft surface on his side. But prevention is better than cure, so start an antiepileptic immediately. Physiotherapy can help him to do well.
I m 17 years old on I m no birth control and February 18 I miss taking a pill and slipped on taking the pill at the same time, in mid march I had sex wit somebody an he didn t have on a condom an he pulled out (we made sure of it) an we did it again two weeks later with out a condom. at the end of every month I usually have my period but it didn t come at tre end of march, could I be pregnant?	Hello dear, you should do a urine pregnancy test and see for the result. If negative wait for a week because February was a 28-day month so give 2 days benefit of doubt. If you still don't get your periods in a week then repeat pregnancy test if still negative visit 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: I m 17 years old on I m no birth control and February 18 I miss taking a pill and slipped on taking the pill at the same time, in mid march I had sex wit somebody an he didn t have on a condom an he pulled out (we made sure of it) an we did it again two weeks later with out a condom. at the end of every month I usually have my period but it didn t come at tre end of march, could I be pregnant? ### Answer: Hello dear, you should do a urine pregnancy test and see for the result. If negative wait for a week because February was a 28-day month so give 2 days benefit of doubt. If you still don't get your periods in a week then repeat pregnancy test if still negative visit your gynecologist.
Ive been having dark brown discharge about a week before my period. I am on birth control, I take the pills. Sometimes I take it a couple hours later than I should and I sex with my boyfriend. I had sex with my boyfriend when I was supposed to start my period in May but it never came because I spotted in the middle and had switched birth controls. I then had sex with him again but when I was on the pill on the 15th and he did NOT cum inside of me. Could I be pregnant?	Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. 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: Ive been having dark brown discharge about a week before my period. I am on birth control, I take the pills. Sometimes I take it a couple hours later than I should and I sex with my boyfriend. I had sex with my boyfriend when I was supposed to start my period in May but it never came because I spotted in the middle and had switched birth controls. I then had sex with him again but when I was on the pill on the 15th and he did NOT cum inside of me. Could I be pregnant? ### Answer: Hello, Here, you need to undergo one blood test for beta-ChatDoctor and TVS scan (around 4 weeks from LMP) to rule out implantation bleeding. Other reasons are pelvic/ vaginal infection, old endometrial tissue, hormonal imbalance (with effect of the pill), uterine pathology etc. Following initial test reports, you consult with gynecologist to proceed next line investigation after clinical examination. Take suggestive measures accordingly. Maintain genital hygiene properly. Take healthy diet with folic acid supplement. Good luck.
i have fsh to lh ratio..1:1 and scan showed little polycsystic ovaries. i am 5.2 and my wt is 73 not decreasing ... from long time... gyny advised me to take benforce m tablet. can i take it? what are its side effects? is it safe? how it will help Pcod and conception	Hi there! I understand your concern. Polycystic ovary syn Chat Doctor. Women with PCs produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant. Overweight and insulin resistance is also seen in most patients. Enforce m contains antioxidant and metformin. Metformin is a	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 fsh to lh ratio..1:1 and scan showed little polycsystic ovaries. i am 5.2 and my wt is 73 not decreasing ... from long time... gyny advised me to take benforce m tablet. can i take it? what are its side effects? is it safe? how it will help Pcod and conception ### Answer: Hi there! I understand your concern. Polycystic ovary syn Chat Doctor. Women with PCs produce higher-than-normal amounts of male hormones. This hormone imbalance causes them to skip menstrual periods and makes it harder for them to get pregnant. Overweight and insulin resistance is also seen in most patients. Enforce m contains antioxidant and metformin. Metformin is a
My husband has a small rash on his thigh that is cresent shaped and is painful....like he has a fever in the skin around it. It does not have blisters. There is also a rash and bump in his groin area that is particulary sensitive and also another small rash spot on his lower back. He did recently also have a cold sore on his lower lip Could this be shingles?	Hi, As per your query, your husband has symptoms of painful rash on the thigh and starting across the body which occur because of clogging of skin pores by debris and bacteria, contact dermatitis and could be due to viral infection. Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY Chat Doctor. 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: My husband has a small rash on his thigh that is cresent shaped and is painful....like he has a fever in the skin around it. It does not have blisters. There is also a rash and bump in his groin area that is particulary sensitive and also another small rash spot on his lower back. He did recently also have a cold sore on his lower lip Could this be shingles? ### Answer: Hi, As per your query, your husband has symptoms of painful rash on the thigh and starting across the body which occur because of clogging of skin pores by debris and bacteria, contact dermatitis and could be due to viral infection. Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY Chat Doctor. Hope I have answered your query. Let me know if I can assist you further.
Hi, I have low stomach acid problem. I tried to buy betaine HCL, but it is not available in the medical stores in india. Is there any special brand name? Could you please recommend.	Ayurvedic treatment- have a small piece of ginger,some black salt and few 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: Hi, I have low stomach acid problem. I tried to buy betaine HCL, but it is not available in the medical stores in india. Is there any special brand name? Could you please recommend. ### Answer: Ayurvedic treatment- have a small piece of ginger,some black salt and few ChatDoctor.
Hello Dr. After IVF, can take ova shield tablet to conceive. Because I married and completed over 5years, still no more baby. both of us everything is normal but till now never become conceive, so I tried IVF no use, now I changed the Dr. and take ova shield tablet for two months. Pls say something, would I conceive this month?	Hi, I think ova shield can be taken after IVF. You can try every 2 to 3 days after your periods stop to increase chances of your pregnancy. The chances of conceiving with ova shield is 7 to 10 percent in one cycle. Hope I have answered your question. If you have any other query I will be happy to help.	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 Dr. After IVF, can take ova shield tablet to conceive. Because I married and completed over 5years, still no more baby. both of us everything is normal but till now never become conceive, so I tried IVF no use, now I changed the Dr. and take ova shield tablet for two months. Pls say something, would I conceive this month? ### Answer: Hi, I think ova shield can be taken after IVF. You can try every 2 to 3 days after your periods stop to increase chances of your pregnancy. The chances of conceiving with ova shield is 7 to 10 percent in one cycle. Hope I have answered your question. If you have any other query I will be happy to help.
I have had symtoms of acute diarrhoea and weght loss of 9 lbs over a period of nearly 3 weeks. I have been staying with my son-in-law who was diagnosed with giardia after a stay in New Zealand. My daughter is also showing symtoms. Analysis of my stool sample shows nothing. Should I still take anti-biotics as suggested by my local nurse?	Hi, dairy have gone through your question. I can understand your concern. Your stool sample is negative for parasites, and you have completed the course of antibiotics then no need to take antibiotic now. Take proper fluid diet. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using 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 had symtoms of acute diarrhoea and weght loss of 9 lbs over a period of nearly 3 weeks. I have been staying with my son-in-law who was diagnosed with giardia after a stay in New Zealand. My daughter is also showing symtoms. Analysis of my stool sample shows nothing. Should I still take anti-biotics as suggested by my local nurse? ### Answer: Hi, dairy have gone through your question. I can understand your concern. Your stool sample is negative for parasites, and you have completed the course of antibiotics then no need to take antibiotic now. Take proper fluid diet. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor.
I have very bad sciatica pain for one month . Two of my dics are move and they have several compression on sciatic nerve my doctor told me that I have to go through the surgery but any home remedy to stop the pain I have bad pain in my right leg it doesnt go away even I use ice or heat pad	Hello!My name is	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 very bad sciatica pain for one month . Two of my dics are move and they have several compression on sciatic nerve my doctor told me that I have to go through the surgery but any home remedy to stop the pain I have bad pain in my right leg it doesnt go away even I use ice or heat pad ### Answer: Hello!My name is
Hi, Im a 24 year Girl.... I feel choked at night and not able to sleep.. I keep coughing the whole night. One doctor asked me to go for endoscopy as he predicted That I could have thick Mucus problem.. but the test came clean and he said its all in my mind... :(But every time during this period of year when the weather changes to cold, I face the similar problem... Please help me as Ive my exams next week...	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out seasonal bronchitis in your case because you are having symptoms every year in cold weather. Bronchitis is inflammation of airways and this in turn causes bronchospasm and chest tightness, Breathing difficulty etc. So consult pulmonologist and get done PFT (Pulmonary Function Test). If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.	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, Im a 24 year Girl.... I feel choked at night and not able to sleep.. I keep coughing the whole night. One doctor asked me to go for endoscopy as he predicted That I could have thick Mucus problem.. but the test came clean and he said its all in my mind... :(But every time during this period of year when the weather changes to cold, I face the similar problem... Please help me as Ive my exams next week... ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out seasonal bronchitis in your case because you are having symptoms every year in cold weather. Bronchitis is inflammation of airways and this in turn causes bronchospasm and chest tightness, Breathing difficulty etc. So consult pulmonologist and get done PFT (Pulmonary Function Test). If PFT is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Dear Dr .. I am a 52 years old woman with olive skin tone and i ve two kids ... I v hyper pigmentation in underarm folds ,back of my neck and elbows all my life ... i ve used every lightening and bleaching product in the market or in spas ..i ve achieved some improvement (60%) but they have never been vanished ... it is a long battel with hyperpigmentation .. Can this symptom be insluin resistance and i had never been diagnosed properly ? i want to get rid of this pigmentation , very embarassing and annoying ... by the way i m not obese and i had always heavy regular periods .. Any advice ???	First u SHD know that this area have more pigmentation as compare to rest of body. If you are not diabetic n obese don't worry n don't pay attention on it. Still u want to concern than apply combination of retinoid, comic acid, albumin n it c at bedtime.	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 .. I am a 52 years old woman with olive skin tone and i ve two kids ... I v hyper pigmentation in underarm folds ,back of my neck and elbows all my life ... i ve used every lightening and bleaching product in the market or in spas ..i ve achieved some improvement (60%) but they have never been vanished ... it is a long battel with hyperpigmentation .. Can this symptom be insluin resistance and i had never been diagnosed properly ? i want to get rid of this pigmentation , very embarassing and annoying ... by the way i m not obese and i had always heavy regular periods .. Any advice ??? ### Answer: First u SHD know that this area have more pigmentation as compare to rest of body. If you are not diabetic n obese don't worry n don't pay attention on it. Still u want to concern than apply combination of retinoid, comic acid, albumin n it c at bedtime.
A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician?	Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. 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: A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician? ### Answer: Dear user, Thank you for contacting us a Chat Doctor for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn Chat Doctor. Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards,
i have a herniated dic in my neck at L4 and L5...i also have a genetically narrow spinal cord canal. My spinal cord is being compressed. The symptoms were mostly numb and tinly hands.....but in recent months i am losing fine motor control and leg strength with balance issues. Has the time come for surgery? Any alternatives? I am a 46 year old female,,,,i have lost 60 pounds in the past 5 months to try and elleviate spinal pressure but to no avail.	Hello, Since there are neurological problems such as problems with fine movements, etc. I think you should not delay surgery. This in order to stop worsening and hopefully to improve your current symptoms. Discuss with a Neurosurgeon for these issues. 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: i have a herniated dic in my neck at L4 and L5...i also have a genetically narrow spinal cord canal. My spinal cord is being compressed. The symptoms were mostly numb and tinly hands.....but in recent months i am losing fine motor control and leg strength with balance issues. Has the time come for surgery? Any alternatives? I am a 46 year old female,,,,i have lost 60 pounds in the past 5 months to try and elleviate spinal pressure but to no avail. ### Answer: Hello, Since there are neurological problems such as problems with fine movements, etc. I think you should not delay surgery. This in order to stop worsening and hopefully to improve your current symptoms. Discuss with a Neurosurgeon for these issues. Hope I have answered your query. Let me know if I can assist you further.
Hi i was last on the depo in january of 2013. I am 32 years old and have went back for any of my injections for about five months now. My last period was May 31st until June 5th. Me and my husband have been very active alot but I still have negative pregancy tests. My period did not come on and now its July. I am having crazy food cravings, constipation, and frequent urination. I dont know whats happening and I believe if I go to the clinic and get a blood test, its gonna say negative. I am totally confused maybe I am pregnant, or maybe not. Help!!	Hi, Welcome to Chat Doctor, By 5 months the effect of demo should not be there. You may wait for few more days to go for urine test for pregnancy. If the period is not regular and late ovulation fertilization time may be delayed. It will be better to consult gynecologist in case your pregnancy test remain negative and not having period for a check-up. TO ENHANCE THE CHANCE OF PREGNANCY YOU MAY CONSULT YOUR DOCTOR AND GET BOTH OF YOU EVALUATED AND TAKE MEDICINES AS ADVISED.	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 was last on the depo in january of 2013. I am 32 years old and have went back for any of my injections for about five months now. My last period was May 31st until June 5th. Me and my husband have been very active alot but I still have negative pregancy tests. My period did not come on and now its July. I am having crazy food cravings, constipation, and frequent urination. I dont know whats happening and I believe if I go to the clinic and get a blood test, its gonna say negative. I am totally confused maybe I am pregnant, or maybe not. Help!! ### Answer: Hi, Welcome to Chat Doctor, By 5 months the effect of demo should not be there. You may wait for few more days to go for urine test for pregnancy. If the period is not regular and late ovulation fertilization time may be delayed. It will be better to consult gynecologist in case your pregnancy test remain negative and not having period for a check-up. TO ENHANCE THE CHANCE OF PREGNANCY YOU MAY CONSULT YOUR DOCTOR AND GET BOTH OF YOU EVALUATED AND TAKE MEDICINES AS ADVISED.
My son 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked	Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.	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 15 months old has running fever, cough and loose stomach for last two days, we have given Meftal along with CEFI now doctor changed the CEFI with Novamox 30ml, please advise if it is safe and will be effective as earlier combination of meftal & CEFI not worked ### Answer: Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
I am a 63 year old woman who has lead an active life.In the last year I have gone downhill drastically. I was told that in an MRI to check for kidney stones they noticed that I might have nutcrackers syndrome.can you explain? It seems that I have symptoms associated with this.	Hi thanks for writing ! Nutcracker syn Chat Doctor. Symptoms might be blood in urine and flank pain. It is an anatomical abnormality and does not cause stones. You can write back with your queries.	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 63 year old woman who has lead an active life.In the last year I have gone downhill drastically. I was told that in an MRI to check for kidney stones they noticed that I might have nutcrackers syndrome.can you explain? It seems that I have symptoms associated with this. ### Answer: Hi thanks for writing ! Nutcracker syn Chat Doctor. Symptoms might be blood in urine and flank pain. It is an anatomical abnormality and does not cause stones. You can write back with your queries.
My 11 year old daughter has had a sore throat, cough, headache for 2 weeks. Woke up at 4 am with a temp of 101 now has a sore stomach with sharp pains around the belly button area with Daria. She gets the chills bad then gets really hot. I gave her Advil at 4 pm 4 hours ago. Last temp was 99.6.	Hi dear, This indicates a bacterial infection going on. May be from UTI appendicitis or gastroenteritis.Anyhow, this need antibiotic treatment. Kindly see your doctor without any delay for evaluation and treatment. Wishing for a faster cure. 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: My 11 year old daughter has had a sore throat, cough, headache for 2 weeks. Woke up at 4 am with a temp of 101 now has a sore stomach with sharp pains around the belly button area with Daria. She gets the chills bad then gets really hot. I gave her Advil at 4 pm 4 hours ago. Last temp was 99.6. ### Answer: Hi dear, This indicates a bacterial infection going on. May be from UTI appendicitis or gastroenteritis.Anyhow, this need antibiotic treatment. Kindly see your doctor without any delay for evaluation and treatment. Wishing for a faster cure. Thank you.
During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink.	Hello and welcome to Chat Doctor, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouth rinse to gargle. Rinse your mouth after every meal. Get the pus within the lump Chat Doctor. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. 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: During pregnancy i hard bad allergies, i notice a little lump on the left side of my tongue its not painful dont even notice its there unless I look at it. But I notices every time my sinus get infected badly it grows a little. just a pea size. i am very worried. could it be a sign or oral. I am 28 years dont smoke or drink. ### Answer: Hello and welcome to Chat Doctor, Gum infections are common during pregnancy. Such pregnancy gingivitis has to be treated by maintaining good oral hygiene. Get your teeth cleaned. Use chlorhexidine mouth rinse to gargle. Rinse your mouth after every meal. Get the pus within the lump Chat Doctor. Please do visit your dentist for further evaluation. Use soft-bristled toothbrush to clean your teeth. Hope this helps.
I had a accident last month at the beach body surfing where i hit the ocean floor head first. I has a ct done and it stated i had a prolapsed disk at c4 - c 5. Im now having erectile dysfuntion and vertigo symptoms. What type of doctor should I go see? Im not really having much back pain or tingling of arms.	Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction). Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor. Manga.	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 accident last month at the beach body surfing where i hit the ocean floor head first. I has a ct done and it stated i had a prolapsed disk at c4 - c 5. Im now having erectile dysfuntion and vertigo symptoms. What type of doctor should I go see? Im not really having much back pain or tingling of arms. ### Answer: Hello and. As a Urologist, I must advise you to consult a neurologist first. A prolapsed disc is a significant finding, and unrelated to ED(erectile dysfunction). Vertigo is likely due to the injury, due to inner ear problem. That's easily treatable after identifying the cause for it. Linearizing and prochlorperazine are commonly used.ED(erectile dysfunction), will need to evaluated after resolution of the disc problem. If you want my expert opinion, send the report as a direct question. Chat Doctor. Manga.
I have had a migraine for the past five days. I think I may have a sinus infection. Im having trouble seeing clearly (my vision is great) and also sensitivity to light. If I lie down the pain increases and also if I tilt my head forward. If I tilt my head backward only while sitting up I get some momentary relief. Also when I am able to blow my nose that provides temporary relief until it fills up again. My nose is not always blocked up but I know there is mucus in my sinuses because I can feel the pressure in my face. My cheeks are also more red than usual. Are there any home remedies for clearing up a possible sinus infection?	Helloo.read through your query...I suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(Panama)for 15mins3)practice yoga or any other exercise for 30 mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) Chat Doctor. .it will benefit you.I have experienced it...be happy and follow. Hope your benefitted something from this reply.have a healthy 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: I have had a migraine for the past five days. I think I may have a sinus infection. Im having trouble seeing clearly (my vision is great) and also sensitivity to light. If I lie down the pain increases and also if I tilt my head forward. If I tilt my head backward only while sitting up I get some momentary relief. Also when I am able to blow my nose that provides temporary relief until it fills up again. My nose is not always blocked up but I know there is mucus in my sinuses because I can feel the pressure in my face. My cheeks are also more red than usual. Are there any home remedies for clearing up a possible sinus infection? ### Answer: Helloo.read through your query...I suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(Panama)for 15mins3)practice yoga or any other exercise for 30 mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) Chat Doctor. .it will benefit you.I have experienced it...be happy and follow. Hope your benefitted something from this reply.have a healthy day!!
My 7 month old son has had a fever of 102.7 for about 3 days and its finally going back to normal, hea been sneezing and has a runny nose. Today I noticed a white spot on his gums and when I touched it to see if it was a tooth it moved. It was attached to the gums. What is that?	Thanks for posting your query to Chat Doctor. The teeth are erupting out from the gums which is normal during the eruption procedure. So, you need not worry about it. Also, fever and all do occur during eruption. Hope my answer will 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: My 7 month old son has had a fever of 102.7 for about 3 days and its finally going back to normal, hea been sneezing and has a runny nose. Today I noticed a white spot on his gums and when I touched it to see if it was a tooth it moved. It was attached to the gums. What is that? ### Answer: Thanks for posting your query to Chat Doctor. The teeth are erupting out from the gums which is normal during the eruption procedure. So, you need not worry about it. Also, fever and all do occur during eruption. Hope my answer will help you. Regards
Car accident 8 days ago with some seat belt bruises on side near right hip, chest tightness, feeling of suffocation, pressure in upper abdomen relieved only by standing and extending arms out to side or higher , rapid heart rate new onset atrial fib, shocks back to regular rhythm. Much discomfort with ths abdominal pressure, feel I can not lie down or I immediately get suffocation feeling, not getting much sleep, miserable.	Hi, I am sorry for the accident you went through. Your actual symptoms are due to car accident you had 8 days ago. I highly recommend consulting with your physician to get further tests to exclude internal bleeding like: - abdominal ultrasound-chest X-ray- cardiac tests: ECG, echocardiogram, holder monitoringWish 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: Car accident 8 days ago with some seat belt bruises on side near right hip, chest tightness, feeling of suffocation, pressure in upper abdomen relieved only by standing and extending arms out to side or higher , rapid heart rate new onset atrial fib, shocks back to regular rhythm. Much discomfort with ths abdominal pressure, feel I can not lie down or I immediately get suffocation feeling, not getting much sleep, miserable. ### Answer: Hi, I am sorry for the accident you went through. Your actual symptoms are due to car accident you had 8 days ago. I highly recommend consulting with your physician to get further tests to exclude internal bleeding like: - abdominal ultrasound-chest X-ray- cardiac tests: ECG, echocardiogram, holder monitoringWish fast recovery!
i ve been having swollen lymph nodes everywhere for weeks now. my entire body has what looks like thombrosis or ischemia everyday now, for hours a a time, with severe muscle aches, bruising, nerve pain , headaches, hearburn, backpain , neck pain , lump on sides of feet, popping cracking painful joints, especially in right scapular region and shoulder, but extends to all extremities.	You’re symptoms look more in favor of connective tissue disorder .get your AL blood tests and if possible get FNAC of lymph node to rule out TB or any other infection or inflammation	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 having swollen lymph nodes everywhere for weeks now. my entire body has what looks like thombrosis or ischemia everyday now, for hours a a time, with severe muscle aches, bruising, nerve pain , headaches, hearburn, backpain , neck pain , lump on sides of feet, popping cracking painful joints, especially in right scapular region and shoulder, but extends to all extremities. ### Answer: You’re symptoms look more in favor of connective tissue disorder .get your AL blood tests and if possible get FNAC of lymph node to rule out TB or any other infection or inflammation
I am a girl of 25yrs of age am married but is yet to conceive, were I live we use a public toilet please tell me can toilet infections stop me from getting pregnant ? 2, how can I cure or prevent toilet infections	Hellotoilet infections do not prevent but at same time it's not healthy to have recurrent infections even prior/post confinement. Try and keep toilet clean. Personal hygiene to be maintained. Make sure you clean your vital parts after using the toilet. Wash your hands. Chat Doctor. 5-3l/day.take it c supplements or in diet.in case of developing burning sensation of urine or frequent urination get a urine routine test done.TC	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 girl of 25yrs of age am married but is yet to conceive, were I live we use a public toilet please tell me can toilet infections stop me from getting pregnant ? 2, how can I cure or prevent toilet infections ### Answer: Hellotoilet infections do not prevent but at same time it's not healthy to have recurrent infections even prior/post confinement. Try and keep toilet clean. Personal hygiene to be maintained. Make sure you clean your vital parts after using the toilet. Wash your hands. Chat Doctor. 5-3l/day.take it c supplements or in diet.in case of developing burning sensation of urine or frequent urination get a urine routine test done.TC
a friend s grandson is 2 months old. Shortly after birth, he was diagnosed with Hershbergers disease. After the baby weighed enough, the attending doctor removed the affected area and reattached the colon to the large intestine. That corrected the problem for 2 weeks. Now, there is a narrowing at the reattached area and the baby is unable to push once again. The doctor said he has never seen anything like this before. The parents now must insert a tube into the baby s rectum and irrigate his intestines. What can be done?	Hi, I think that you are probably talking about hirschsprung disease. This occurs due to neurological defect at the colon region. Surgery is the only option. Repeat surgery should be done. 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: a friend s grandson is 2 months old. Shortly after birth, he was diagnosed with Hershbergers disease. After the baby weighed enough, the attending doctor removed the affected area and reattached the colon to the large intestine. That corrected the problem for 2 weeks. Now, there is a narrowing at the reattached area and the baby is unable to push once again. The doctor said he has never seen anything like this before. The parents now must insert a tube into the baby s rectum and irrigate his intestines. What can be done? ### Answer: Hi, I think that you are probably talking about hirschsprung disease. This occurs due to neurological defect at the colon region. Surgery is the only option. Repeat surgery should be done. Take care.
I always feel like I have to vomit but can t. It is very rare that I actually throw up. Sometimes when I eat spicy aciddy foods it result in me having that vomitting feelin again. I also get pain in my chest/ stomach a lot it s an intense throbbing pain and sometimes may burn . Now that I am on my menstraul cycle the pain is even more intesefied and vomitting feeling has increased.	Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. After having spicy food your symptoms rise, because there is physiological more release of acid for the digestion of food. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Risperidone, Antacids and Sucralfate as per guidance of your GP. Following steps should follow to lessen your symptoms:-Walk after eating a meal.-Exercise-Avoid coffee and chocolates.-Avoid Meals that are high in fat.-Avoid extremely hot or cold food.-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: I always feel like I have to vomit but can t. It is very rare that I actually throw up. Sometimes when I eat spicy aciddy foods it result in me having that vomitting feelin again. I also get pain in my chest/ stomach a lot it s an intense throbbing pain and sometimes may burn . Now that I am on my menstraul cycle the pain is even more intesefied and vomitting feeling has increased. ### Answer: Hello Good Evening, According to your symptoms you might be suffered from Gastric or duodenal ulcers which cause pain/burning sensation and nausea and even vomiting. After having spicy food your symptoms rise, because there is physiological more release of acid for the digestion of food. For the confirmation of your diagnosis you should go through UGI Endoscopy. After that you should be prescribed PPI, Risperidone, Antacids and Sucralfate as per guidance of your GP. Following steps should follow to lessen your symptoms:-Walk after eating a meal.-Exercise-Avoid coffee and chocolates.-Avoid Meals that are high in fat.-Avoid extremely hot or cold food.-Avoid alcohol and smoking
hi i am sandhya. frm india. my daughter is suffering from cold and cough,since 5 days.as prescribed by doctor i am using asthalin, azithral 100mg 5ml 2-times a day and also ascoril d but she is having vomitings also due to cough. canu suggest me watcan i doin this case	Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. I am unable to tell you whether you can use any specific cough suppressant or not as you have not mentioned the age of your daughter. Some cough suppressants should be avoided till 2 years of age. 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 am sandhya. frm india. my daughter is suffering from cold and cough,since 5 days.as prescribed by doctor i am using asthalin, azithral 100mg 5ml 2-times a day and also ascoril d but she is having vomitings also due to cough. canu suggest me watcan i doin this case ### Answer: Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. I am unable to tell you whether you can use any specific cough suppressant or not as you have not mentioned the age of your daughter. Some cough suppressants should be avoided till 2 years of age. Regards -
I have a few indentions on both sides of my skull ranging in little barely noticeable to pretty visible. I was hoping to find out if there is anyway I could maybe treat these if possible. I understand its perfectly normal but id rather fix it if possible. Any response is appreciated I am willing to send pictures if that helps.	Hello. I have been through your question and understand your concern. Dents of the scull are harmless and cause only esthetic problems. If you really want to remodel these you may need to have a simple plastic surgery with very good results. Hope this helps. Please feel free for further questions	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 few indentions on both sides of my skull ranging in little barely noticeable to pretty visible. I was hoping to find out if there is anyway I could maybe treat these if possible. I understand its perfectly normal but id rather fix it if possible. Any response is appreciated I am willing to send pictures if that helps. ### Answer: Hello. I have been through your question and understand your concern. Dents of the scull are harmless and cause only esthetic problems. If you really want to remodel these you may need to have a simple plastic surgery with very good results. Hope this helps. Please feel free for further questions
My daughter, 9 years old, had SGPT count as1180 in the month of Aug 2013 and after one month the SGPT level comes down to 492. 2 days back again test is done and now the SGPT level is 475.She is taking Udiliv*300 twice a day. I am very much worried about this level. Suggest food to be taken	Hello. Thank you for the query. Such high liver enzyme level indicates acute liver disease. It can be caused by Hepatitis viruses. This can not be healed with diet. It needs to be diagnosed and treated by hepatologist. That is why I suggest you to visit your doctor and start with viral tests done. 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: My daughter, 9 years old, had SGPT count as1180 in the month of Aug 2013 and after one month the SGPT level comes down to 492. 2 days back again test is done and now the SGPT level is 475.She is taking Udiliv*300 twice a day. I am very much worried about this level. Suggest food to be taken ### Answer: Hello. Thank you for the query. Such high liver enzyme level indicates acute liver disease. It can be caused by Hepatitis viruses. This can not be healed with diet. It needs to be diagnosed and treated by hepatologist. That is why I suggest you to visit your doctor and start with viral tests done. Hope this will help. Regards
I have a cyst under my scrotum, on the body by my anus, who should I go to to treat? It opened on Wed., and opened again yesterday, it seems like its pretty drained, but theres still the hard lumps in it, so I think I should see a Dr but Im on Medicare and dont have money to go to the wrong Dr. Please advise...	HelloThanks for query. Based on what you have stated I think you have a Perineal abscess which has already burst and opened. The hard lump that you feel is an induration of an abscess . You need to consult General Surgeon for clinical examination. If needed he may advise you to get it Chat Doctor. In the meanwhile take antibiotic like Augmenting and 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 cyst under my scrotum, on the body by my anus, who should I go to to treat? It opened on Wed., and opened again yesterday, it seems like its pretty drained, but theres still the hard lumps in it, so I think I should see a Dr but Im on Medicare and dont have money to go to the wrong Dr. Please advise... ### Answer: HelloThanks for query. Based on what you have stated I think you have a Perineal abscess which has already burst and opened. The hard lump that you feel is an induration of an abscess . You need to consult General Surgeon for clinical examination. If needed he may advise you to get it Chat Doctor. In the meanwhile take antibiotic like Augmenting and anti-inflammatory
Dr my son is 4 and a half, he had his first full front teeth extracted due to cavity 2 days back. He recovered well. Suddenly he is running a temperature of 102deg is this something to do with his dental procedure or we should consult our pediatrician.	Thanks for your query, I have gone through your query. The fever can be because of the inflammatory reaction that occurs following extraction. Nothing to be panic, you can take a course of antipyretic like paracetamol along with antibiotics like penicillin(if you are not allergic). If the fever does not come down in 2 days, then consult a physician and get it evaluated. I hope I have answered your query, 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: Dr my son is 4 and a half, he had his first full front teeth extracted due to cavity 2 days back. He recovered well. Suddenly he is running a temperature of 102deg is this something to do with his dental procedure or we should consult our pediatrician. ### Answer: Thanks for your query, I have gone through your query. The fever can be because of the inflammatory reaction that occurs following extraction. Nothing to be panic, you can take a course of antipyretic like paracetamol along with antibiotics like penicillin(if you are not allergic). If the fever does not come down in 2 days, then consult a physician and get it evaluated. I hope I have answered your query, take care.