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I have some darkened tissue around the left side of the tubercle of the epiglottis, accompanied by ear pain and recently otitis media, which was treated by oral administration of doxycycline. I ve also had increased appetite recently and weight gain. I know that the epiglottis is located by the thyroid gland and this might explain the appetite change and weight gain. Is it possible this may be epiglottal cancer and if so, what is the general stage of progression of the cancer before it is caught. Also, what it the common treatment and five year survival and complete remission rate? Note that I am a smoker and a moderate drinker. Please give your feedback. I am a Nurse Practitioner and familiar with medical terminology.	Hi, how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis are voice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy.treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laminectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal.total laminectomy followed by chemo radiation. Overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DON'T THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCE AND CLEAR YOUR DOUBT.hope my answer helped you if you have any more queries I would be happy to 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 some darkened tissue around the left side of the tubercle of the epiglottis, accompanied by ear pain and recently otitis media, which was treated by oral administration of doxycycline. I ve also had increased appetite recently and weight gain. I know that the epiglottis is located by the thyroid gland and this might explain the appetite change and weight gain. Is it possible this may be epiglottal cancer and if so, what is the general stage of progression of the cancer before it is caught. Also, what it the common treatment and five year survival and complete remission rate? Note that I am a smoker and a moderate drinker. Please give your feedback. I am a Nurse Practitioner and familiar with medical terminology. ### Answer: Hi, how did you see your epiglottis?endoscopy pictures?symptoms for ca. epiglottis are voice change(most common)pain in throathemoptysisdysphagia and loss of weight(not weight gain)increased appetite and weight gain can be due to steroid use(if you have used any)confirmatory investigation for ca. epiglottis is laryngoscopy and biopsy.treatment for early cancer can be -radiation(80%cure rate) but associated with morbidity-partial laminectomy neck dissection (80-90% 5 yr survival)treatment for advanced cancer is multimodal.total laminectomy followed by chemo radiation. Overall cure rates and patient satisfaction is excellentWITH THE SYMPTOMS YOU SAID I DON'T THINK YOU HAVE A CANCER.GET EVALUATED BY ENT/HEAD AND NECK ONCE AND CLEAR YOUR DOUBT.hope my answer helped you if you have any more queries I would be happy to help you.
Hellow Doctor My name is Saba i am 17 years old and when i was around 5years old there have been mosquitose that has been biting me on my legs which caused me to rub my legs with my nails continously and today the black spots disturb m because my legs skin is white and it looks horrible with the black spots. can you give me a good solution	Hi You have many pigmented scars over the legs. Topical medications can definitely be of help to you in reducing the pigmentation to some extent, although only after proper treatment, we can know the results Since these are dark scars, I would advise that you should use a lightening agent like comic acid and vitamin C combination over the scars. This is a simple, harmless lightening agent which can be used for as long the blackish pigmentation is there. Also, try not to touch the area too much Use proper sunscreen (SPF>26) before going out in the sun so that the lesion doesn't darken any further Take a diet rich in vitamin C and antioxidants like Citrus fruits and lots of salads If after all the above measures, the scars tend to persist, then I would advise that you should see a dermatologist as there are various other measures for the treatment of pigmented scars like the use of chemical peels, dermabrasion etc. which a dermatologist can decide according to the type of scars. Hope it helps To wish you speedy recovery 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: Hellow Doctor My name is Saba i am 17 years old and when i was around 5years old there have been mosquitose that has been biting me on my legs which caused me to rub my legs with my nails continously and today the black spots disturb m because my legs skin is white and it looks horrible with the black spots. can you give me a good solution ### Answer: Hi You have many pigmented scars over the legs. Topical medications can definitely be of help to you in reducing the pigmentation to some extent, although only after proper treatment, we can know the results Since these are dark scars, I would advise that you should use a lightening agent like comic acid and vitamin C combination over the scars. This is a simple, harmless lightening agent which can be used for as long the blackish pigmentation is there. Also, try not to touch the area too much Use proper sunscreen (SPF>26) before going out in the sun so that the lesion doesn't darken any further Take a diet rich in vitamin C and antioxidants like Citrus fruits and lots of salads If after all the above measures, the scars tend to persist, then I would advise that you should see a dermatologist as there are various other measures for the treatment of pigmented scars like the use of chemical peels, dermabrasion etc. which a dermatologist can decide according to the type of scars. Hope it helps To wish you speedy recovery Chat Doctor.
i am mdr patitent i m taking canamycine inject hencypran 100 combutol 800 and moxy isuffer of jondice so stop all med for one month now jondice nearly clear i start inject 05 ten days befor moxy start 7 days a go will b start other medicine by time iafferaid my tb will be cure	Thanks for your question on ChatDoctor.M 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 mdr patitent i m taking canamycine inject hencypran 100 combutol 800 and moxy isuffer of jondice so stop all med for one month now jondice nearly clear i start inject 05 ten days befor moxy start 7 days a go will b start other medicine by time iafferaid my tb will be cure ### Answer: Thanks for your question on ChatDoctor.M ChatDoctor.
I took iPill 3 days back - after about 7-8 hours of taking it - i started having stomach ache and then throwing up the next day onwards. My body has been aching since then, accompanied with mild fever and feeling pukish most of the time. Body seems to be suddenly too drained out of energy. How to cure it?	Hi, Ipill can cause nausea, vomiting in certain patients. In such cases, you can take an anti-emetic one or two hours before taking the Chat Doctor. The symptoms will reduce in the following days after the	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 took iPill 3 days back - after about 7-8 hours of taking it - i started having stomach ache and then throwing up the next day onwards. My body has been aching since then, accompanied with mild fever and feeling pukish most of the time. Body seems to be suddenly too drained out of energy. How to cure it? ### Answer: Hi, Ipill can cause nausea, vomiting in certain patients. In such cases, you can take an anti-emetic one or two hours before taking the Chat Doctor. The symptoms will reduce in the following days after the
Hi I quit chewing tobacco, but still have some numbness in my tongue. The dentist says there are no signs of oral cancer. Does this get better in time, or the price to be paid for bad decision making? No sores or anything, just numbness that comes and goes	Thanks for your query, I have gone through your query. The numbness(anesthesia or paresthesia) can be because of the pressure over the nerve by a wisdom tooth, or a tumor or a cyst. The other possible cause can be any injury to the nerve by trauma or any injection at the site of nerve. Nothing to be panic, consult an oral physician and get yourself examined and take a screening radiograph like OPG to rule out the above said causes.Meanwhile you can take a nerve regenerating Chat Doctor. Take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. The numbness has nothing to with the use of tobacco, unless there is an oral cancer. 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 I quit chewing tobacco, but still have some numbness in my tongue. The dentist says there are no signs of oral cancer. Does this get better in time, or the price to be paid for bad decision making? No sores or anything, just numbness that comes and goes ### Answer: Thanks for your query, I have gone through your query. The numbness(anesthesia or paresthesia) can be because of the pressure over the nerve by a wisdom tooth, or a tumor or a cyst. The other possible cause can be any injury to the nerve by trauma or any injection at the site of nerve. Nothing to be panic, consult an oral physician and get yourself examined and take a screening radiograph like OPG to rule out the above said causes.Meanwhile you can take a nerve regenerating Chat Doctor. Take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. The numbness has nothing to with the use of tobacco, unless there is an oral cancer. I hope my answer will help you, take care.
i have a back pain that gets be out of bed every morning from 3 am - 6 am and is usually painfull for a good 12 hrs the pain eases off just before bed time but is with me most of the day ...left side probably in line with the heart , is not effected by moving or stretching ...stools are normal .no bloating or gas feels like a nail stuck in my back	Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from acute backache. Treatment of it is rest and analgesics. DICLOFENAC three times a day after meals. Sometimes strong analgesic(such as attract three times a day after meals) is required. I think your query answered. Welcome to any follow-up query.	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 back pain that gets be out of bed every morning from 3 am - 6 am and is usually painfull for a good 12 hrs the pain eases off just before bed time but is with me most of the day ...left side probably in line with the heart , is not effected by moving or stretching ...stools are normal .no bloating or gas feels like a nail stuck in my back ### Answer: Hi, Welcome to Chat Doctor. After going through your query I think your You are suffering from acute backache. Treatment of it is rest and analgesics. DICLOFENAC three times a day after meals. Sometimes strong analgesic(such as attract three times a day after meals) is required. I think your query answered. Welcome to any follow-up query.
my father is recently being diagnosed with abdominal TB. He also has poor liver function (liver cirrosis). I heard that medications for these severely affects liver functions. Is there any other way out.	There is no other way out as he will have to take the TB Medicines for a year at least for permanent cure and go for regular follow up every fortnight. Remember that Patient compliance is very important in Tuberculosis for better 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 father is recently being diagnosed with abdominal TB. He also has poor liver function (liver cirrosis). I heard that medications for these severely affects liver functions. Is there any other way out. ### Answer: There is no other way out as he will have to take the TB Medicines for a year at least for permanent cure and go for regular follow up every fortnight. Remember that Patient compliance is very important in Tuberculosis for better health.
I am having sciatic nerve pain. Starts in my right hip & goes down to my foot which is tingling & numb. I have had this before but never with as much pain as this time. It takes my breath away & lasts for quite awhile. I have a back brace that seems to help. I take 15mg of prednisone daily for lung problems. Aleve seems to give some relief but I am concerned about the two drugs causing stomach problems. Tylenol doesn t seem to help much Thank you for your opinion,peggy	Hello, There are so many causes of sciatica pain, but treatments are several but non-surgical treatment is temporary. Although treatments are:you can take hot/cold therapy:apply hot water fomentation for 20 mins. Hot therapy reduces the spasm and numbness or induce the blood circulation. Cold compresses or therapy reduce the swelling over nerve and numbness. Apply ice cubes within towel over your back for same time and don't exceed this therapy more than 20 mins to avoid skin burn. You can apply massage with mahanarayan oil 3 to 4 times a day.it reduces the muscle spasm and increase circulation and range of motion. Exercises:Do isometric spinal extension exercises 3 times a day as ankle stretching, lie on your back bend your knees and raise your waist and hold up to 20 secs than release and repeat it again for 10 times. Avoid forward bending, weight lifting, long sitting and standing it will increase the pain. Stretching do hamstring stretching so that sciatic nerve got relax.	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 having sciatic nerve pain. Starts in my right hip & goes down to my foot which is tingling & numb. I have had this before but never with as much pain as this time. It takes my breath away & lasts for quite awhile. I have a back brace that seems to help. I take 15mg of prednisone daily for lung problems. Aleve seems to give some relief but I am concerned about the two drugs causing stomach problems. Tylenol doesn t seem to help much Thank you for your opinion,peggy ### Answer: Hello, There are so many causes of sciatica pain, but treatments are several but non-surgical treatment is temporary. Although treatments are:you can take hot/cold therapy:apply hot water fomentation for 20 mins. Hot therapy reduces the spasm and numbness or induce the blood circulation. Cold compresses or therapy reduce the swelling over nerve and numbness. Apply ice cubes within towel over your back for same time and don't exceed this therapy more than 20 mins to avoid skin burn. You can apply massage with mahanarayan oil 3 to 4 times a day.it reduces the muscle spasm and increase circulation and range of motion. Exercises:Do isometric spinal extension exercises 3 times a day as ankle stretching, lie on your back bend your knees and raise your waist and hold up to 20 secs than release and repeat it again for 10 times. Avoid forward bending, weight lifting, long sitting and standing it will increase the pain. Stretching do hamstring stretching so that sciatic nerve got relax.
Hello, Im 15 years old and I ve just started going on the pill, this is the second time as the first one made me feel very bloated and caused my constant tummy pain, but now I ve started this pill I am experiencing, constant bloating, feeling sick, back pain, I ve been on my period for about two weeks now since I started it, I constantly feel as if I need to poo and some times I will have a very sore stinging wee, please can you let me know if this is related to the pill or is something complete different, thankyou	Hello, and I hope I can help you today.First, in the first month of use, all birth control pills will cause some degree of side effects of bloating, breast tenderness, nausea, mood changes and irregular bleeding. This is because when you first are taking the pill, your body is still making its own hormones, so essentially the hormones on the pill are sort of tricking your system to make it think that you are pregnant. This is why many women get symptoms that are sort of like pregnancy in the beginning when they start the pill. However, burning with urination and back pain are not usually due to side effects of the birth control. These are actually symptoms of urinary tract infection, which can happen to any young woman when they are deny Chat Doctor. Urinary tract infections require a urine test that needs to be performed in a doctor's office to determine if you need treatment. So in your case, I would recommend continue to take your pill and trying to take it as close to the same time every day as possible will hopefully make your breakthrough bleeding stop. However, I do recommend you see a doctor or other healthcare provider to get your urine tested to make sure you do not have an infection, as if he is urinary tract infection is not treated it can spread your kidneys and make you very sick. I hope that I was able to adequately answer your question today, and that this information was helpful to you. Best wishes, and I hope you feel better,	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, Im 15 years old and I ve just started going on the pill, this is the second time as the first one made me feel very bloated and caused my constant tummy pain, but now I ve started this pill I am experiencing, constant bloating, feeling sick, back pain, I ve been on my period for about two weeks now since I started it, I constantly feel as if I need to poo and some times I will have a very sore stinging wee, please can you let me know if this is related to the pill or is something complete different, thankyou ### Answer: Hello, and I hope I can help you today.First, in the first month of use, all birth control pills will cause some degree of side effects of bloating, breast tenderness, nausea, mood changes and irregular bleeding. This is because when you first are taking the pill, your body is still making its own hormones, so essentially the hormones on the pill are sort of tricking your system to make it think that you are pregnant. This is why many women get symptoms that are sort of like pregnancy in the beginning when they start the pill. However, burning with urination and back pain are not usually due to side effects of the birth control. These are actually symptoms of urinary tract infection, which can happen to any young woman when they are deny Chat Doctor. Urinary tract infections require a urine test that needs to be performed in a doctor's office to determine if you need treatment. So in your case, I would recommend continue to take your pill and trying to take it as close to the same time every day as possible will hopefully make your breakthrough bleeding stop. However, I do recommend you see a doctor or other healthcare provider to get your urine tested to make sure you do not have an infection, as if he is urinary tract infection is not treated it can spread your kidneys and make you very sick. I hope that I was able to adequately answer your question today, and that this information was helpful to you. Best wishes, and I hope you feel better,
hi Im a female of 49 yrs of age. Ive been having this very dull ache on the left side of my chest since yesterday morning. while the pain is persistent, it does not get worse with more activity or breathing in harder or holding my breath or even sleeping positions. it is just a constant light ache and nothing more and sometimes I feel my left back also involved ..sometimes .. I am worried that it can be a problem. a good friend of mine passed away last week of a heart attack. He was also 49. thank you	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out cardiac cause first for your left sided chest pain. So better to get done 1. ECG 2. 2d echo. If both are normal then no need to worry about cardiac chest pain. Simple musculoskeletal pain can be the cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected site. But better to first rule out cardiac chest pain. Hope I have solved your query. 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 female of 49 yrs of age. Ive been having this very dull ache on the left side of my chest since yesterday morning. while the pain is persistent, it does not get worse with more activity or breathing in harder or holding my breath or even sleeping positions. it is just a constant light ache and nothing more and sometimes I feel my left back also involved ..sometimes .. I am worried that it can be a problem. a good friend of mine passed away last week of a heart attack. He was also 49. thank you ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out cardiac cause first for your left sided chest pain. So better to get done 1. ECG 2. 2d echo. If both are normal then no need to worry about cardiac chest pain. Simple musculoskeletal pain can be the cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected site. But better to first rule out cardiac chest pain. Hope I have solved your query. Wish you good health. Thanks.
I have pins & needles across my chest and starting to go down my left arm, the sensation started this morning and comes & goes within a few seconds. I am a dibetic & have had heart surgery could you give me some idea what might cause it. I am a 76 year old male reasonably fit walk often & play golf twice a week.	Hello! Welcome to Chat Doctor, and thank you for your question! I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x-ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further, tests (like a coronary angiography, etc.) may be needed if suspicions are raised. Hope to have been helpful! Best wishes,	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 pins & needles across my chest and starting to go down my left arm, the sensation started this morning and comes & goes within a few seconds. I am a dibetic & have had heart surgery could you give me some idea what might cause it. I am a 76 year old male reasonably fit walk often & play golf twice a week. ### Answer: Hello! Welcome to Chat Doctor, and thank you for your question! I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x-ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further, tests (like a coronary angiography, etc.) may be needed if suspicions are raised. Hope to have been helpful! Best wishes,
Dr.My husband age 44, i am 29 .We have a second marriage. But I have a child. My second marriage is done in one year. But we have no child.We meet one doctor, and prescribed fertisure medicine. my husband,s motilility is very low. Dr. how many months this medicine is used, which time this medicine is effected.	Hello, I have gone through your query and understand your concern. Fertisure M is a supplement in the form of anti oxidants which would help him to increase sperm motility. You should rule out any other cause causing infertility like infection. If there is any sign of infection, he may need broad spectrum antibiotics. Further we cannot surely how long he has to take feature M. Because this may work in many and not in some and the effectiveness vary from person and person and also on other factors like age, previous infections, etc. Recommend him to take natural foods to increase the sperm count like garlic, ginseng, pumpkin seeds, walnuts, asparagus, bananas, dark chocolate, oysters etc. Further if he is a smoker, he should stop smoking and taking alcohol too. My recommendation is to recheck the sperm analysis after 3 months of taking this Feature M to know about the status and discuss with your treating physician. Hope this helps. Please write back for further queries. Wishing you 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: Dr.My husband age 44, i am 29 .We have a second marriage. But I have a child. My second marriage is done in one year. But we have no child.We meet one doctor, and prescribed fertisure medicine. my husband,s motilility is very low. Dr. how many months this medicine is used, which time this medicine is effected. ### Answer: Hello, I have gone through your query and understand your concern. Fertisure M is a supplement in the form of anti oxidants which would help him to increase sperm motility. You should rule out any other cause causing infertility like infection. If there is any sign of infection, he may need broad spectrum antibiotics. Further we cannot surely how long he has to take feature M. Because this may work in many and not in some and the effectiveness vary from person and person and also on other factors like age, previous infections, etc. Recommend him to take natural foods to increase the sperm count like garlic, ginseng, pumpkin seeds, walnuts, asparagus, bananas, dark chocolate, oysters etc. Further if he is a smoker, he should stop smoking and taking alcohol too. My recommendation is to recheck the sperm analysis after 3 months of taking this Feature M to know about the status and discuss with your treating physician. Hope this helps. Please write back for further queries. Wishing you good health.
my hand veins swells(bulged out) and pain on the dorsal side sometimes.. yesterday same thing happened but my whole hand i mean right arm was paining bulged veins were only on the dorsal side of right hand but pain starts from the upper arm(right)... could you tell me what is the problem?	Hello, It is a normal variant and does not indicate any specific disease 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: my hand veins swells(bulged out) and pain on the dorsal side sometimes.. yesterday same thing happened but my whole hand i mean right arm was paining bulged veins were only on the dorsal side of right hand but pain starts from the upper arm(right)... could you tell me what is the problem? ### Answer: Hello, It is a normal variant and does not indicate any specific disease condition. Hope I have answered your query. Let me know if I can assist you further.
there is a spot on my lower lip that has been very dry, almost like sandpaper. it is slightly swollen and numb, like what it would feel like if there were a piece of tape just on that little spot. it does not hurt but it is uncomfortable. no matter how much exfoliation i do or how much chapstick i use, it has stayed there. i am concerned.	Hi, Probably it might be an infection from bacteria or fungus. It can also be due to some allergy. The spot needs to be examined by a dermatologist to find the exact cause. Try not to remove it by yourself, as it can get infected more. Also make sure you wash your hands, in case you are touching it. Hope I have answered your query. Let me know if I can assist you further. 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: there is a spot on my lower lip that has been very dry, almost like sandpaper. it is slightly swollen and numb, like what it would feel like if there were a piece of tape just on that little spot. it does not hurt but it is uncomfortable. no matter how much exfoliation i do or how much chapstick i use, it has stayed there. i am concerned. ### Answer: Hi, Probably it might be an infection from bacteria or fungus. It can also be due to some allergy. The spot needs to be examined by a dermatologist to find the exact cause. Try not to remove it by yourself, as it can get infected more. Also make sure you wash your hands, in case you are touching it. Hope I have answered your query. Let me know if I can assist you further. Regards
I seem to have thrush in my cheeks gums and am in the middle of an antibiotic treatment for a sinus infection. Any ideas? I am a 75 year old male in fairly good health but have been down with this for a week or so. Very tired, had a bad cough but that has lessened . YYYY@YYYY	Thanks for your question on Chat Doctor. I can understand your concern. Some antibiotics can cause oral thrush. Antibiotics kill bacteria. In doing so they also kill natural human flora of mouth. This causes thrusChatDoctormon antibiotics causing this symptom are amoxicillin, cephalexin, doxycycline etc. So if you are taking any of these antibiotic, you should definitely call your doctor and discuss changing antibiotic. You can take probiotic tablets for oral thrush. 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: I seem to have thrush in my cheeks gums and am in the middle of an antibiotic treatment for a sinus infection. Any ideas? I am a 75 year old male in fairly good health but have been down with this for a week or so. Very tired, had a bad cough but that has lessened . YYYY@YYYY ### Answer: Thanks for your question on Chat Doctor. I can understand your concern. Some antibiotics can cause oral thrush. Antibiotics kill bacteria. In doing so they also kill natural human flora of mouth. This causes thrusChatDoctormon antibiotics causing this symptom are amoxicillin, cephalexin, doxycycline etc. So if you are taking any of these antibiotic, you should definitely call your doctor and discuss changing antibiotic. You can take probiotic tablets for oral thrush. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Hi, I am 28 years old.Ten days ago I was suffering from Dengue fever.I was ok then again I became sick and temp raised up to 103 degree.I got my blood test today.It says Serum ALT SGPT is 236 U/L.From the internet I have learnt that this is not normal.Please suggest me what to do with it.	Hi welcome to Chat Doctor .... Noted you had dengue infection with elevated liver enzymes.... Here you need to maintain plasma volume as you have dengue with more and more water Chat Doctor. ... Papaiya like fruits useful.... For few days take soft and bland diet. Avoid alcohol. Fatty and fried food taken very less. Non veg food avoided.... Even if after recovery from dengue and after that few days liver enzymes elevated then complete LFT profile done with viral marker study for further work up..... 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 28 years old.Ten days ago I was suffering from Dengue fever.I was ok then again I became sick and temp raised up to 103 degree.I got my blood test today.It says Serum ALT SGPT is 236 U/L.From the internet I have learnt that this is not normal.Please suggest me what to do with it. ### Answer: Hi welcome to Chat Doctor .... Noted you had dengue infection with elevated liver enzymes.... Here you need to maintain plasma volume as you have dengue with more and more water Chat Doctor. ... Papaiya like fruits useful.... For few days take soft and bland diet. Avoid alcohol. Fatty and fried food taken very less. Non veg food avoided.... Even if after recovery from dengue and after that few days liver enzymes elevated then complete LFT profile done with viral marker study for further work up..... Take care.
Hi morning , recently my husband felt pain in left arm n now a tingling / dwelling of bubbles in his left arm...it feels as its running in veins. After having alcohal tht feeling reduces but otherwise...pain ..feeling of bubbles etc etc persist. Is it something which i should be worry about as he is ignoring it saying it s happening cz of improper eating habits? Regards Savita	Hello, What you describe sounds like a nerve irritation, not something to do with his diet. This can come from the nerves in his arm directly or from the origin of those nerves in the neck. If the problem persists he will need to see a neurologist to sort this out. 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 morning , recently my husband felt pain in left arm n now a tingling / dwelling of bubbles in his left arm...it feels as its running in veins. After having alcohal tht feeling reduces but otherwise...pain ..feeling of bubbles etc etc persist. Is it something which i should be worry about as he is ignoring it saying it s happening cz of improper eating habits? Regards Savita ### Answer: Hello, What you describe sounds like a nerve irritation, not something to do with his diet. This can come from the nerves in his arm directly or from the origin of those nerves in the neck. If the problem persists he will need to see a neurologist to sort this out. Regards
25 year old female 5 foot 7, 200 lbs.. Allergies to most fruits and veggies peanuts will kill her , poor diet mostly carbs pasta , breads & pizza . Symptoms: clammy, low grade fever body aches . Happens often for the last three months maybe longer.. What can I do to get better in all aspects. My weight is bad I know! Thank-you	You have food allergies basic allergy may be due to milk, wheat,potato and all other foods exaggerates the allergies get blood serum tested for food specific antibodies an hen go for low dose sublingual immunotherapy for foods	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: 25 year old female 5 foot 7, 200 lbs.. Allergies to most fruits and veggies peanuts will kill her , poor diet mostly carbs pasta , breads & pizza . Symptoms: clammy, low grade fever body aches . Happens often for the last three months maybe longer.. What can I do to get better in all aspects. My weight is bad I know! Thank-you ### Answer: You have food allergies basic allergy may be due to milk, wheat,potato and all other foods exaggerates the allergies get blood serum tested for food specific antibodies an hen go for low dose sublingual immunotherapy for foods
Hi doctor. I m 11 days post 3 day embryo transfer. I had my first beta today which read less than 1. Is it any chance I could be pregnant? Have you seen anyone else with this reading but went on to being pregnant? Many thanks in advance. My email address is YYYY@YYYY	Hi, Welcome to Chat Doctor. I read your query and I understand your concerns. Following is my reply:1) If beta Chat Doctor is less than 1 it is unlikely that you are pregnant.2) Unfortunately there is no chance of it rising further almost me know if you have any more 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: Hi doctor. I m 11 days post 3 day embryo transfer. I had my first beta today which read less than 1. Is it any chance I could be pregnant? Have you seen anyone else with this reading but went on to being pregnant? Many thanks in advance. My email address is YYYY@YYYY ### Answer: Hi, Welcome to Chat Doctor. I read your query and I understand your concerns. Following is my reply:1) If beta Chat Doctor is less than 1 it is unlikely that you are pregnant.2) Unfortunately there is no chance of it rising further almost me know if you have any more queries.
my frnd is having chest pain frm 7 to 8 mnths. doc told her ecg is slightly diffrnt bt its ok. nd gave medicine happi 20 and gemcal. her age is 20. is it ok?	HiT hanks for your query. Chest pain at this age is often due to non-serious causes. As the ECG is OK, you can continue this treatment for some time and see how she does. I think she will do just fine. Hope this helps. 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 frnd is having chest pain frm 7 to 8 mnths. doc told her ecg is slightly diffrnt bt its ok. nd gave medicine happi 20 and gemcal. her age is 20. is it ok? ### Answer: HiT hanks for your query. Chest pain at this age is often due to non-serious causes. As the ECG is OK, you can continue this treatment for some time and see how she does. I think she will do just fine. Hope this helps. Regards
My 3 yr old son has allergies....red eyes, watery, itchy, itchy skin, runny nose. The claritin is not helping. I took him to the doctor & he gave me some eye drops & nasonex. Its been 2 weeks and my sons eyes are still pinkish and itchy at times. Can I use an OTC eyedrop instead to help with the irritated eyes?	Hello. Thank you for asking at Chat Doctor. I went through your sons' history. From the history, I would first think of allergic rhino conjunctivitis. From your history, I would suggest you as follows:1. I would like to know which eye Chat Doctor. Personally I prefer loratadine eye	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 3 yr old son has allergies....red eyes, watery, itchy, itchy skin, runny nose. The claritin is not helping. I took him to the doctor & he gave me some eye drops & nasonex. Its been 2 weeks and my sons eyes are still pinkish and itchy at times. Can I use an OTC eyedrop instead to help with the irritated eyes? ### Answer: Hello. Thank you for asking at Chat Doctor. I went through your sons' history. From the history, I would first think of allergic rhino conjunctivitis. From your history, I would suggest you as follows:1. I would like to know which eye Chat Doctor. Personally I prefer loratadine eye
Hello im 33 yr old female 19 weeks pregnant and i just checked my blood pressure and heart rate and was wondering if you could tell me if they are what they are supposed to be.My heart rate was 85 beats per minute.And my Blood pressure was 119/65 are these normal?	Hi, Your blood pressure and heart rate are absolutely normal at this stage of pregnancy. Even in normal health your these parameters are normal. 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: Hello im 33 yr old female 19 weeks pregnant and i just checked my blood pressure and heart rate and was wondering if you could tell me if they are what they are supposed to be.My heart rate was 85 beats per minute.And my Blood pressure was 119/65 are these normal? ### Answer: Hi, Your blood pressure and heart rate are absolutely normal at this stage of pregnancy. Even in normal health your these parameters are normal. Ok and take care.
Hello sir, Today is my day 17th and my left ovary measures a follicle of 21mm on day 17th. Doctor advised me to take follicle rupture injection on day 18 after scanning. Is it the right time to get the inj. If a take the follicle rupture inj. On one cycle does it mean I have to take it on every cycle for making the follicle rupture? I was on clome 100 from day To day 5. And have taken 2 IVF M 7.5 inj of day 3 and day 8. What are tha chances of getting preg after taking the ChatDoctor inhj. Thanks for help in advance	Hello, Thanks for letting us know your health concern. The need for repetition of the injection in successive cycles depends on the response. The chances of ovulation are higher with the injection. However, the size of the follicle seems to be more than the optimum required. Regular intercourse, on alternate days at least, is required for positive response. 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 sir, Today is my day 17th and my left ovary measures a follicle of 21mm on day 17th. Doctor advised me to take follicle rupture injection on day 18 after scanning. Is it the right time to get the inj. If a take the follicle rupture inj. On one cycle does it mean I have to take it on every cycle for making the follicle rupture? I was on clome 100 from day To day 5. And have taken 2 IVF M 7.5 inj of day 3 and day 8. What are tha chances of getting preg after taking the ChatDoctor inhj. Thanks for help in advance ### Answer: Hello, Thanks for letting us know your health concern. The need for repetition of the injection in successive cycles depends on the response. The chances of ovulation are higher with the injection. However, the size of the follicle seems to be more than the optimum required. Regular intercourse, on alternate days at least, is required for positive response. Hope this helps.
sir, my daughter is 19 months old. she was suffering from heavy caugh &cold along with fiver 20 days ago. doctor suggested ambrodil s with antebiotic and fivago. then given. caugh and fiver gone .now she is again suffering from caugh. can ambrodil be given for 3 ml thrise a day?	Hi.... By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. 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: sir, my daughter is 19 months old. she was suffering from heavy caugh &cold along with fiver 20 days ago. doctor suggested ambrodil s with antebiotic and fivago. then given. caugh and fiver gone .now she is again suffering from caugh. can ambrodil be given for 3 ml thrise a day? ### Answer: Hi.... By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards -
I have been suffering with abdominal pain for about a week, I was admitted to hospital where they found a blood filled cyst on my right ovary. That has now gone but i am still having pain on my right side...The hospital have blood tested me to make sure that i didnt have infection in my appendix. I am now starting to get back pain on my left side. Also prior to this a water sample indicaated i had puss cells however this was not picked up on a following sample	HelloPreviously pain was on the right side due to blood filled ovarian cyst, that resolved (according to you). Now pain recurs but on both side (pain in back also on left side) . Such type of pain on both side may be due to these reasons, This includes.1 Poly Cystic Ovarian Disease (pod) . Once again get in ultrasound of both ovaries because recurrence is very common in ovarian cyst, particularly if proper treatment is not taken.2 The next reason of such pain may be due to renal calculus on both side or on one side. So get in ultrasound of both kidneys as well complete urinary tract system.3 The next reason such pain may be due to salpingitis (infection in fallopian tubes) Gynecological examination will rule out the disease. In my opinion consult a surgeon / gynecologist and get their opinion. Hope this information will 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 have been suffering with abdominal pain for about a week, I was admitted to hospital where they found a blood filled cyst on my right ovary. That has now gone but i am still having pain on my right side...The hospital have blood tested me to make sure that i didnt have infection in my appendix. I am now starting to get back pain on my left side. Also prior to this a water sample indicaated i had puss cells however this was not picked up on a following sample ### Answer: HelloPreviously pain was on the right side due to blood filled ovarian cyst, that resolved (according to you). Now pain recurs but on both side (pain in back also on left side) . Such type of pain on both side may be due to these reasons, This includes.1 Poly Cystic Ovarian Disease (pod) . Once again get in ultrasound of both ovaries because recurrence is very common in ovarian cyst, particularly if proper treatment is not taken.2 The next reason of such pain may be due to renal calculus on both side or on one side. So get in ultrasound of both kidneys as well complete urinary tract system.3 The next reason such pain may be due to salpingitis (infection in fallopian tubes) Gynecological examination will rule out the disease. In my opinion consult a surgeon / gynecologist and get their opinion. Hope this information will helps.
this problem started from 19years. only in the month of april&may my stool comes semi solid no fever my stool report say nil and i have taken all the rport such as scan.	It can be acariasis. Avoid outside food during these days. You can have a course of metronidazole under the supervision of physician.	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: this problem started from 19years. only in the month of april&may my stool comes semi solid no fever my stool report say nil and i have taken all the rport such as scan. ### Answer: It can be acariasis. Avoid outside food during these days. You can have a course of metronidazole under the supervision of physician.
Hello Doctor, I m writing to you from India. My 3.5 year old son is suffering from diarrhoea since last morning... have been giving him ORS and a little milk... hes active otherwise, except that hes getting weaker due to no intake of food... hes epileptic and is on Leveracetam 2.5-2.5 per day. He was diagonized with bilateral hippocampal atrophy when he was 2 yrs old. He suffered his first seizure at 14 months. Can i give him nor metrogyl. If yes, what would be the ideal dosage and for how many days should it continue (given the fact that its an antbiotic)? Many thanks in advance for your advice, doctor...	Hi...this seems like a viral diarrhea to me. There is no need to use antibiotic unless there is blood in the stools. Actually metro is metronidazole and can cross-react with some antiepileptic medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D 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 Doctor, I m writing to you from India. My 3.5 year old son is suffering from diarrhoea since last morning... have been giving him ORS and a little milk... hes active otherwise, except that hes getting weaker due to no intake of food... hes epileptic and is on Leveracetam 2.5-2.5 per day. He was diagonized with bilateral hippocampal atrophy when he was 2 yrs old. He suffered his first seizure at 14 months. Can i give him nor metrogyl. If yes, what would be the ideal dosage and for how many days should it continue (given the fact that its an antbiotic)? Many thanks in advance for your advice, doctor... ### Answer: Hi...this seems like a viral diarrhea to me. There is no need to use antibiotic unless there is blood in the stools. Actually metro is metronidazole and can cross-react with some antiepileptic medications. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
I have had an odd red rash on the back of both of my knees for a few days now. I typically don t notice them unless my jeans rub against them. They kind of look like skin would if you scratched it too much, no bleeding or oozing. The other day I was stupid enough to shave my legs with a barber-shop style hair trimmer (my husband uses it to shave his head, he s in the military ). It s been about 4 days since then though, could that have caused it? I also read somewhere that rashes on the back of your knees could be a sign of HIV . I ve had the same sexual partner for almost 2 years now, and he was tested a few months ago and came back negative. Any ideas or feedback would be great. Thanks!	Hi.thanks for your therefrom what you describe, it appears that you are starting to have an edematous rash behind your knees. You can apply a mild topical steroid for a few days on the lesions and have oral anti-histaminic tabs if it itches. I do it think you are showing any symptoms of HIV due to occurrence of a simple rash. However, since edematous / similar rashes tend to be persistent and recurrent, you should consultant dermatologist to get the appropriate therapy started. 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: I have had an odd red rash on the back of both of my knees for a few days now. I typically don t notice them unless my jeans rub against them. They kind of look like skin would if you scratched it too much, no bleeding or oozing. The other day I was stupid enough to shave my legs with a barber-shop style hair trimmer (my husband uses it to shave his head, he s in the military ). It s been about 4 days since then though, could that have caused it? I also read somewhere that rashes on the back of your knees could be a sign of HIV . I ve had the same sexual partner for almost 2 years now, and he was tested a few months ago and came back negative. Any ideas or feedback would be great. Thanks! ### Answer: Hi.thanks for your therefrom what you describe, it appears that you are starting to have an edematous rash behind your knees. You can apply a mild topical steroid for a few days on the lesions and have oral anti-histaminic tabs if it itches. I do it think you are showing any symptoms of HIV due to occurrence of a simple rash. However, since edematous / similar rashes tend to be persistent and recurrent, you should consultant dermatologist to get the appropriate therapy started. Hope this helps. Take care!
My Liver Function Test results :- Bilirubin - total, serum by Diazo Method---------- Observed 0.40 Bilirubin - Conjugated, serum by Diazo Method--------- Observed 0.10 Bilirubin - UnConjugated, serum by Calculation------- Observed 0.30 SGOT (AST), serum by Enzymatic method --------Observed 19 SGPT (ALT), serum by Enzymatic method --------Observed 28 Alkaline Phosphatase , serum by pNPP-kinetic --------Observed 83 Protein (total), serum by Biuret method --------Observed 6.67 Albumin, serum by Bromocresol green method --------Observed 4.07 Globulin, serum by calculation --------Observed 2.60 So, are my test results ok?	Hello,Your results are absolutely normal and hence there is nothing to comment upon it.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 Liver Function Test results :- Bilirubin - total, serum by Diazo Method---------- Observed 0.40 Bilirubin - Conjugated, serum by Diazo Method--------- Observed 0.10 Bilirubin - UnConjugated, serum by Calculation------- Observed 0.30 SGOT (AST), serum by Enzymatic method --------Observed 19 SGPT (ALT), serum by Enzymatic method --------Observed 28 Alkaline Phosphatase , serum by pNPP-kinetic --------Observed 83 Protein (total), serum by Biuret method --------Observed 6.67 Albumin, serum by Bromocresol green method --------Observed 4.07 Globulin, serum by calculation --------Observed 2.60 So, are my test results ok? ### Answer: Hello,Your results are absolutely normal and hence there is nothing to comment upon it.Thanks
Hello, I have a tingling nipple for some time now. It comes and goes, i went to two doctors because i had a neck spasm that went down to my chest area and left shoulder . I didnt ask them about my nipple because i was busy firguring out what was wrong with my neck. They told me its a spasm and needs time to get better with some medication. Now i feel a bit better, but the nipple tingling is making me concerned. I have anxiety disorder and im on medication for that. When im stressed lately, i feel the tingling. But when im busy and not thinking about it, i dont feel it. I really dont know what to do!	Hi, Thank you for posting your query. Your problem is partly related to anxiety, so, please stop worrying about it. Tingling confined to nipples alone can not be a serious neurological disease. Please get your breasts and nipples examined by a doctor to exclude any local problem. Best wishes, 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, I have a tingling nipple for some time now. It comes and goes, i went to two doctors because i had a neck spasm that went down to my chest area and left shoulder . I didnt ask them about my nipple because i was busy firguring out what was wrong with my neck. They told me its a spasm and needs time to get better with some medication. Now i feel a bit better, but the nipple tingling is making me concerned. I have anxiety disorder and im on medication for that. When im stressed lately, i feel the tingling. But when im busy and not thinking about it, i dont feel it. I really dont know what to do! ### Answer: Hi, Thank you for posting your query. Your problem is partly related to anxiety, so, please stop worrying about it. Tingling confined to nipples alone can not be a serious neurological disease. Please get your breasts and nipples examined by a doctor to exclude any local problem. Best wishes, Chat Doctor.
Hello mam, my name is sukeshi.. My question is regarding my 2.5 years old son.. he is late in achieving every developmental milestone .. he is very aggressive also.. so can u help me in this regard?? If yes, I would like to meet you.. please revert back soon.. I am really upset and desperately need a help	Hi. This can be a case of ADHD. U do need to visit a pediatrician for detail evaluation. Also, the child will need euro developmental assessment for developmental delay.	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 mam, my name is sukeshi.. My question is regarding my 2.5 years old son.. he is late in achieving every developmental milestone .. he is very aggressive also.. so can u help me in this regard?? If yes, I would like to meet you.. please revert back soon.. I am really upset and desperately need a help ### Answer: Hi. This can be a case of ADHD. U do need to visit a pediatrician for detail evaluation. Also, the child will need euro developmental assessment for developmental delay.
I want to meet a Gynecologist for my sister, My sister has concived second time its her 1st baby, 1st time when she concived she has to abort that baby cause it was in the tube, hence as per Dr. direction she again concived after a gap of 1 year, but its now going to be 3rd month running and she is still in bed rest, we are taking all possiable precatutions but she still passed blood 2 days back, she usually had pain in her low abdomen. and she is suffering for cold & cough, please help us to find out the best gynocologist, her age is 31 years.	HelloThanks for your query. When there is an ectopic pregnancy or tubal pregnancy previously you need to be very careful next time. Regular scanning blood investigations should be done. Spotting or bleeding PV is not normal. You have to meet a doctor immediately and get the scanning done. 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 want to meet a Gynecologist for my sister, My sister has concived second time its her 1st baby, 1st time when she concived she has to abort that baby cause it was in the tube, hence as per Dr. direction she again concived after a gap of 1 year, but its now going to be 3rd month running and she is still in bed rest, we are taking all possiable precatutions but she still passed blood 2 days back, she usually had pain in her low abdomen. and she is suffering for cold & cough, please help us to find out the best gynocologist, her age is 31 years. ### Answer: HelloThanks for your query. When there is an ectopic pregnancy or tubal pregnancy previously you need to be very careful next time. Regular scanning blood investigations should be done. Spotting or bleeding PV is not normal. You have to meet a doctor immediately and get the scanning done. Regards.
I am 19 years old and have had a low grade fever (nothing over 100.0) for 6 weeks. I have been extremely fatigued and have had abdominal pain as well. I went to a doctor who tested me for mono, autoimmune disease, blood clots, blood infections, and malaria (this illness began 2 weeks after i returned from Dominican Republic). All of the tests came back normal. I am at a loss and so is my doctor...I need an answer!	Hi, I read your query and understand your concern. Low grade fever with fatigue and abdominal pain could be due to tuberculosis, if you're all other tests are negative. That Republic in endemic for it. So I would suggest that you get your serum ADA (adenosine deaminate) levels to help reach a diagnosis. Hope I have been helpful. 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 19 years old and have had a low grade fever (nothing over 100.0) for 6 weeks. I have been extremely fatigued and have had abdominal pain as well. I went to a doctor who tested me for mono, autoimmune disease, blood clots, blood infections, and malaria (this illness began 2 weeks after i returned from Dominican Republic). All of the tests came back normal. I am at a loss and so is my doctor...I need an answer! ### Answer: Hi, I read your query and understand your concern. Low grade fever with fatigue and abdominal pain could be due to tuberculosis, if you're all other tests are negative. That Republic in endemic for it. So I would suggest that you get your serum ADA (adenosine deaminate) levels to help reach a diagnosis. Hope I have been helpful. Regards
Hello Doctor, an employee of my husband (male around 40 yrs) has been sick over the past 2.5 months. He has come in to work at least 5 times saying he can t stop vomiting. He can t breathe and doesn t stop coughing. his doctor doesn t seem to be helping him. Any idea what could be wrong with him?	Hello, He is suffering from irritable bowel syn Chat Doctor. If his cough is also accompanied by the fever or weight loss then his chances of been infected by the tuberculosis is high if its without the fever, then he might be suffering from the IBS its like the intestinal disease but along with vomiting it is also accompanied by diarrhea if neither is the case then he must be suffering from asthma for its confirmed diagnosis an x-ray should be conducted. 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: Hello Doctor, an employee of my husband (male around 40 yrs) has been sick over the past 2.5 months. He has come in to work at least 5 times saying he can t stop vomiting. He can t breathe and doesn t stop coughing. his doctor doesn t seem to be helping him. Any idea what could be wrong with him? ### Answer: Hello, He is suffering from irritable bowel syn Chat Doctor. If his cough is also accompanied by the fever or weight loss then his chances of been infected by the tuberculosis is high if its without the fever, then he might be suffering from the IBS its like the intestinal disease but along with vomiting it is also accompanied by diarrhea if neither is the case then he must be suffering from asthma for its confirmed diagnosis an x-ray should be conducted. Hope I have answered your query. Let me know if I can assist you further.
a heavy object fell on my ankle in 2008 i still have pain and swelling an saw quite a few specialists and had a mri xray and ultrasounda and they cant find a problem i saw a neurologist he thought it was nerve damage but cant find anyting do you know what it might be	Any cause of peripheral neuropathy should be ruled out. Kindly check your blood sugar level both fasting and postprandial to rule out any diabetic neuropathy. Completely avoiding any movements can increase the pain hence daily walking is recommended. Physiotherapy can also be helpful in reducing the discomfort. Vitamin B12 and B6 are useful in reducing nerve pain. They are available in tablet forms which can be taken daily after food Hope I have answered your query. Let me know if I can assist you further. 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: a heavy object fell on my ankle in 2008 i still have pain and swelling an saw quite a few specialists and had a mri xray and ultrasounda and they cant find a problem i saw a neurologist he thought it was nerve damage but cant find anyting do you know what it might be ### Answer: Any cause of peripheral neuropathy should be ruled out. Kindly check your blood sugar level both fasting and postprandial to rule out any diabetic neuropathy. Completely avoiding any movements can increase the pain hence daily walking is recommended. Physiotherapy can also be helpful in reducing the discomfort. Vitamin B12 and B6 are useful in reducing nerve pain. They are available in tablet forms which can be taken daily after food Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor.
My six 6 old son took his last dose antibotic this morning.....last monday he was diagnoised with strep throat and came down with hand,feet and mouth....all rash gone and no complaints. Shortly ago he was outside and walked in front of 12 yr old brother swing a plastic bat hit him in head....he did not cry but came in got on couch....he had glassy eyes, and felt warm to touch...checked fever said 99.9 then did again said 100.00 he was hungry ate three pieces of pizza now is up playing....could this be the hit or sick again	Welcome to ChatDoctorStreptococcal throat infections can be easily treated by antibiotics. Only thing is that you should complete the whole course of antibiotics, to prevent further risk of having rheumatic fever. In my opinion, this episode of trauma is not significant as there are no symptoms of any neurological injury by your description. Mild rise in temperature seems to be due to physical activity he was involved which seems to be perfectly fine. In case of any further questions, do call back.	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 six 6 old son took his last dose antibotic this morning.....last monday he was diagnoised with strep throat and came down with hand,feet and mouth....all rash gone and no complaints. Shortly ago he was outside and walked in front of 12 yr old brother swing a plastic bat hit him in head....he did not cry but came in got on couch....he had glassy eyes, and felt warm to touch...checked fever said 99.9 then did again said 100.00 he was hungry ate three pieces of pizza now is up playing....could this be the hit or sick again ### Answer: Welcome to ChatDoctorStreptococcal throat infections can be easily treated by antibiotics. Only thing is that you should complete the whole course of antibiotics, to prevent further risk of having rheumatic fever. In my opinion, this episode of trauma is not significant as there are no symptoms of any neurological injury by your description. Mild rise in temperature seems to be due to physical activity he was involved which seems to be perfectly fine. In case of any further questions, do call back.
My husband contracted ecoli in a nursing home, but the health dept says the facility told them he may have had it before he got there and it just grew to detectable amounts. He had been there for 6 months and had cultures before and it was never present. The infection was at his tracheostomy site and he is bedridden doesn t move doesn t care for himself and he is changed by aides who I ve seen wipe his bowel movements and put on cream and clothes without changing their gloves.My husbands physician told me that ecoli should not be present at a tracheostomy site and that it was more than likely due to unsanitary practices . Who is correct?	Hello, Your husbands' physician is correct. This was more than likely from unsanitary practices such as the ones you observed. 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 husband contracted ecoli in a nursing home, but the health dept says the facility told them he may have had it before he got there and it just grew to detectable amounts. He had been there for 6 months and had cultures before and it was never present. The infection was at his tracheostomy site and he is bedridden doesn t move doesn t care for himself and he is changed by aides who I ve seen wipe his bowel movements and put on cream and clothes without changing their gloves.My husbands physician told me that ecoli should not be present at a tracheostomy site and that it was more than likely due to unsanitary practices . Who is correct? ### Answer: Hello, Your husbands' physician is correct. This was more than likely from unsanitary practices such as the ones you observed. Regards
bottom side of penish there is small pimples with white head, problem is that when itching occur or some irritation takes place then i feel i have to go for urine but in every 15 mins when there is no itching everything is perfect. i am in this problem last 1 year any suggestion,i am using some cream to prevent them. Thanks in advance	Hi, It seems that there might be having some ingrown hair follicle infection giving this problem. Keep local part well shaved, clean and Chat Doctor. Rule out any local fungal infection after consulting your doctor. Apply triple action cream locally. 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: bottom side of penish there is small pimples with white head, problem is that when itching occur or some irritation takes place then i feel i have to go for urine but in every 15 mins when there is no itching everything is perfect. i am in this problem last 1 year any suggestion,i am using some cream to prevent them. Thanks in advance ### Answer: Hi, It seems that there might be having some ingrown hair follicle infection giving this problem. Keep local part well shaved, clean and Chat Doctor. Rule out any local fungal infection after consulting your doctor. Apply triple action cream locally. Ok and take care.
I am a black male weighing 245 pds. I have had emergency gall bladder removed. At that time they checck my liver and it was good. Now I am having hard pains in my lower abdomen. I pressed my lower stomach and it hurts. Can you give ma any ideals what it may be. I do eat spicey foods and love hot foods. I drink beer everyday.	Hi. Thanks for your query. I think the gal bladder was removed a time ago. And may not be related to the lower abdominal pains at all. This present problem can be due to enteritis, inflammation of the intestines. Take a course of an antibiotic for 5 days under the guidance of a Doctor, you need a prescription too. Stop spicy and hot food and bear for the time being.	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 black male weighing 245 pds. I have had emergency gall bladder removed. At that time they checck my liver and it was good. Now I am having hard pains in my lower abdomen. I pressed my lower stomach and it hurts. Can you give ma any ideals what it may be. I do eat spicey foods and love hot foods. I drink beer everyday. ### Answer: Hi. Thanks for your query. I think the gal bladder was removed a time ago. And may not be related to the lower abdominal pains at all. This present problem can be due to enteritis, inflammation of the intestines. Take a course of an antibiotic for 5 days under the guidance of a Doctor, you need a prescription too. Stop spicy and hot food and bear for the time being.
I have burning, numbness and pain in my heels and feet/toes. my right foot is worse than my left. both of my big toes have a bruise under the toe nail. if I sit to long it is hard to walk when I get up but if I am walking all day it is not to bad. I am 57 years old, 5 9 tall and 229 lbs. Sugar runs in my family.	HiT his numbness can be due to peripheral neuropathy especially in diabetic patients. Especially for long term diabetic patients. Methylcobalamine supplements will help to some extent to reduce the sensation. If not reduced kindly consult your treating doctor for adding gabapentin or pregabalin. All the best. 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 burning, numbness and pain in my heels and feet/toes. my right foot is worse than my left. both of my big toes have a bruise under the toe nail. if I sit to long it is hard to walk when I get up but if I am walking all day it is not to bad. I am 57 years old, 5 9 tall and 229 lbs. Sugar runs in my family. ### Answer: HiT his numbness can be due to peripheral neuropathy especially in diabetic patients. Especially for long term diabetic patients. Methylcobalamine supplements will help to some extent to reduce the sensation. If not reduced kindly consult your treating doctor for adding gabapentin or pregabalin. All the best. Take care