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I keep having a tightening feeling in my chest that also moves its a way into the back of my throat. I am an asthmatic but I took some puffs from an inhaler and it stills it doing it. I have had a cold the past few days but it felt like it was getting better. This has been happening on and off the past couple days but only lasts in 20 minute increments. Should I be concerned? Any OTC that will help?
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Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, you're all symptoms are mostly due to uncontrolled asthma. Asthma is chronic allergic inflammatory disease of airways. It needs regular long course treatment to achieve proper control of symptoms. So instead of taking irregular inhalers and OTC (over the counter) Chat Doctor. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT will tell you about severity of the disease. And treatment of asthma is based on severity only. You should start inhaled bronchodilators and inhaled corticosteroid regularly. Oral combination of antihistamine and anti-allergic
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Dear Sir, Im a 33 year old male. Since last 2 days, Im feeling some kind of spike in my heartbeat, once in 15 to 30 mins (sometimes in an hour gap) the beat goes very high, like as it will be when i run for 100 mts. Only one beat happens like that after it becomes normal. I have consulted with the general physician, he said it could be because of the gastric or acidity. Please advise me
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Hello dear, thanks for posting your query here. You might be having what is called as paroxysmal tachycardia. Most likely you seem to have paroxysmal supra ventricular tachycardia. Please try to get your ECG done during tachycardia but if that is not possible due to the short lasting nature of your tachycardia, consult your doctor for a 24 hour Holder study as you are having very frequent episodes. After identifying the exact cause for your symptoms, the best treatment can be offered to you. I hope this would help you. Thanks and all the best
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hello doctor, my mother has severe shivering fever every evening (102 to 108) and she can t eat food all the day and if she try to eat food after second bite , she got vomitting....and my mother s age about 50 and 5 years before she had a heart bye pass surgery and 1 and half year before she had stones in kidney and cured . Now she only drink water . And the blood test shows she only had 0000 blood count day before yesterday and 0000 bc yesterday .. She having this fever for last 10 days..
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HIT hanks for the query. From the description of the symptoms it looks like your mother probably has an infection. It is difficult to predict the source of this infection with the information provided. I will suggest that you take her to a physician as soon as possible. He/She will examine her and perform tests like urinalysis, Chest X-ray; urine and blood culture etc. and prescribe appropriate antibiotics. Hope this helps Good luck.
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I am 40 years old female my ankles have been swelling severely I have a fever of 100.7 this is been going on for two weeks I get heartburn severe and tightening in the chest that does not happen all the time will lose control of bowels and then be constipated.
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Hello, As the history mentioned heartburn and tightness in the chest at age 40 I do not want to panic you with anything unusual. This might be acidity but still on a safer side taking an ECG or ECHO should be on a precaution basis to rule out the cardiac pathology. The only reason to mention this is that you mentioned ankle swelling. Ankle swelling occurs due to lack of venous return and this only happens when there is weakness of the cardiac muscle to pump out the excess metabolic waste. It might not be the case as well, but an assessment of the same can make us tension free. Taking to bowel and constipation I will tell you that this may even lead trouble for the venous return and one needs to get rid of it. Having castor oil or having any acidity medication should help ease of the system. As you mentioned the symptoms I feel you are entering the 40th year and menopause can be anywhere close by. Having a lack of bone mineralization is also common. Doing some regular blood and urine routine should be of great help. Also, try doing regular slow weight-bearing exercise and this should help to manage the metabolic functions to stay optimum. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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my 19 month old daughter started sneezing with a runny nose(clear water like)I attributed it to dust and change in weather and started allegra 2.5ml morning and evening for two days after which it cleared but 2 days later she seems to be coughing now and then ,should I give her piriton-cs?she has no congestion as of now
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Hi.... some amount of cough while the kid is recovering from cold is very common. You need not treat this cough as this is a protective reflex. Body produces cough to went out the secretions which have formed during the viral cold. As the kid coughs, the secretions come up, but the kid will not be able to spit it out. So they will swallow it. It will come out in the form of vomiting or in motion. But if this kid is becoming breathless due to cough then it needs treatment and I suggest you consult your pediatrician regarding this is the kid develops breathlessness. Regards -
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a 21 year old daughter at college. seems to have exercise induced asthma with cold trigger (just recently.) more concerning is two episodes of blurry vision in her right eye, after waking from a nap. Duration less than 5 minutes. One episode had a headache. the Md up at school placed her on prednisone for her lungs, albuterol inhaler, Advair and zyrtec. Could these systems be related to the meds?
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Hello. Thank you for asking at Chat Doctor. I went through your daughters history and would like to make suggestions for her as follows
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my husband age is 40 and is suffering with Asthma since 2005. regularly he has irritation in his throat and swelling near eyes. he is allergic to dust and he had blood test where everything is negative only esnophilia count is very high. can you help me how to reduce this count which doctor can i go in hyderabad india. kindly help me
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Hello, You must ensure your husband visits an Allergy specialist for specific IGE tests against aeroallergens. The raised eosinophilic can also be due to uncontrolled asthma and therefore a follow-up lung function test will be required. Depending on the allergy results, he may have allergic asthma or non-allergic rhinitis with intrinsic asthma and will require long action antihistamines with alone nasal spray for the rhinitis. The asthma control needs to be reviewed with the Asthma questionnaire, and inhalers adjusted as per the lung function tests or the questionnaire. Thanks.
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HELLO!I HAVE CELIAC DISEASE, I HAVE KEPT A STRICT GLUTEN FREE DIET SINCE JAN 2011. I CANT EVEN GO OUT TO EAT WITHOUT GETTING SICK ANYMORE. NOW, FOR THE PAST COUPLE MONTHS IVE BEEN HAVING EXTREME STOMACH PAIN WITH STOOLS, VOMITING/HEADACHES OCCASIONALLY, EXTREME LOWER BACK PAIN, EXCESSIVE WEIGHT LOSS, FATIGUE, TONS OF FLOATERS IN MY EYE AND IRRITABILITY. WHICH IM ONLY 30 BUT I FEEL LIKE 70! 57 DOWN TO 121LBS NOW. I THOUGHT I ATE VERY HEALTHY! DONT DRINK OR SMOKE. BUT I DID SMOKE WEED FOR LIKE 2 MONTHS FOR RELAXING! BUT STOPPED... ;-(ALSO WHEN I GOT DIAGNOSED WITH CELIAC SHE SAID MY PANCREAS WAS FAILING.WHAT DO YOU THINK COULD BE WRONG NOW!?1?
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Hello! Thank you for the query. There is no straight answer for your questions without some tests. It can be pancreas indeed. Due to pancreas insufficiency, it does not secrete enzymes digesting fat. It can cause fatty, bad smelling stools, abdominal pain, diarrhea, weight loss. Such stools usually float. Your symptoms may be also caused by partial bowels' obstruction due to Crohn's disease. It can also give similar symptoms. Abdominal pain is like cramps. Please visit your doctor as you do not seem to be improving. Abdominal ultrasound, blood work, pancreas tests, liver tests, urinalysis and abdominal X-ray should be done at first. Colonoscopy might be necessary as well as abdominal CT. Hope this will help. Regards.
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hi doctor this is prasanth from india... recently i m under going severe hair fall.. i was critisised severely by my friends as i m just 20 years of age... since my father is bald, it may be because of heridity problem i may posses hair problem... but its really a worrying factor for me... i lost most of the hair and i m very close to baldness.. my forehead is very big.. suggest me a solution to get back my hair and some to increase the hair density since it is very less in nature...
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Hello dear, The symptoms & case history mentioned in your post suggest that you might be having An Chat Doctor. Also known as Male pattern baldness, it usually follows a pattern of receding hairline & is related to genetic makeup and male sex hormones. Management includes
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I have chest tightness and am taking plavix 75mg and coumadin 4mg. or 3.5 mg. I have an LVAD that is working properly and am checked at the LVAD clinic once a month. I also am in constant A-fib since November & the LVAD dr. told me that can be a cause of the discomfort, but I am still concerned. My husband doesn t want me to call the nurse, because he feels she will send me to the hospital for unnecessary tests. I get chest tightness almost every day & then it goes away but is very uncomfortable while it is there. Could it be coming from A-fib. Thank you in advance for your reply. I am 67.
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Hello dear, thanks for your question on Chat Doctor. Chest tightness with history of Atrial fibrillation (AF) and LEAD should be evaluated for coronary artery disease. AF is a risk factor for blood clotting and embolism. So we need to rule out coronary artery obstruction in your case. So better to consult cardiologist and get done1. 2d echo2. Stress test3. Coronary angiography. If all are normal then no need to worry about coronary artery disease. But better to consult cardiologist and discuss all these.
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hello i am inquiring about about man boobs from the age of 13-19 i have always had man boobs even at a point were i was only 65 kg 5ft 7. And i have got used to them to be honest but recently i have been getting fed up of them due to me going to the gym and working out a lot i can get every part of my body the way i want it through exercise accept from my man boobs although i think i am just overweight at 74kg at the moment although i have just come down from 83kg and it really just puts me down how no matter how much effort i put in i cant get rid of them if i went to the doctors about this what treatment could they offer and how affective i have tried taking large amounts of zinc to try and reduce estrogen production but it didn t really work either
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Hello, Thanks for the consult... Brief answer, Surgery is the preferred treatment of choiceDetailed explanation,1. I read your query. I am happy to help you. You mentioned that there is a lot of fat under your nipples.2. You have already taken zinc tablets to reduce estrogen release and also done fitness by doing Jim so that you reduced your weight from 84\u00a0kg to 74\u00a0kg but still no change in your boobs size3. The best treatment of choice is by doing surgery for gynecomastia which reduce the fat under the nipples4 consult general surgeon or plastic surgeon Hope this information helps...
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Ive been having severe headaches since I got pregnant in 2011 they keep getting worse, I have no dental insurance and Im pretty sure its my wisdom tooth on the top right that has came partially through and broke off,now I hVe pains that put my in bed just needing sumthing hot to put over my face, it runs from my temple to my ear to my nose down the front n back of my neck, I believe its my tooth bc I stuck my finger on it n tried wiggle it to see if it was loose and pain shot into my temple and neck. Ive had 10 docs tell me ten diff things...cluster headache,migraine,tension, sinuses.... Ive been threw the books...spinal tap, tc scans...all with nothing to show for it. Sometimes ibuprofene works depending on how bad it gets before I get to my medicine but it interrupts my daily life, I lost my job due to it! If my teeth r causing health problems that arent related to my teeth would my insurance pay for it?
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Hello! Thank you for posting in Chat Doctor. Please get the wisdom tooth removed immediately. Postponement of treatment further will let the infection spread to other areas of your head and neck. This is radiating pain you are experiencing in the head and neck. It is common that toothache radiates to the neck, jaw,face, head and neck. Cluster headache, migraine and all pains must be considered only after ruling out any dental pain. Do not complicate a tooth pain for general health issues. Take amoxicillin500mg and metronidazole400mg. Also take retool 10\u00a0mg DT thrice daily. This will reduce the pain and infection, I strongly suggest you to see your dentist for the removal of the tooth. You did not mention which country you are from. Talk to your insurance company regarding the benefits they give you. Regards.
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my creatin is 3.8.in october 2011 it was 2.9.my current gfr is 16. kindly advise whethewr I should get A.V. fistyula is to be done at present and what level of creatine an gfr i need dialysis.please let me know at this stage any other medication can help to avoid dialysis. i am diabetic and have B.P.for about 10 years which is under controlR.Shah Newyork Usa
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Dear Shah, It is very important to have preemptive AVF at this stage, though you might not require dialysis in near future. It is best to have good glycemic control and blood pressure control which can postpone your dialysis. The only way to ovoid dialysis is kidney Transplant. There is no specified creatinine level at which dialysis is initiated, its the symptoms like breathing difficulty, loss of appetite and persistent nausea/vomiting which decide initiation of dialysis in patients having
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Hi there, I had treatment for cervical cancer 8 years ago in the form of chemo and radiotherapy. At that time surgery wasnt an option so therefore i still have my uterus intact. Is it possible for cervical cancer to come back after this period of time and if so what would the sypmptoms be and what are your chances of success again.
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Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of cervical cancer recurrence is there, irrespective of surgery in the past. Means even if you had hysterectomy, recurrence can be there. Since you didn't undergo hysterectomy, chances of recurrence are higher in you. Symptoms of recurrence are foul smelling vaginal discharge, lower abdominal pain, bleeding per vagina, weight loss, anorexia, low grade fever etc. And regarding future treatment, you need to first get done staging of the cervical cancer. If it is localized cancer than surgical removal with post opera chemotherapy and radiotherapy are options. If it is metastatic cancer than palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are the options. So if you have any of the above-mentioned symptoms than consult oncologist, get done staging and star appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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I have made a unprotected sex with my girlfriend,and i advise her to take unwanted 72.our sex intercourse was on 11th dec at 11
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Hello, Thanks for posting your query. With an intercourse soon after a menstrual period in a regular 28-30 day cycle, there is no need for emergency contraception. This is because the week before and the week after the period is safe as ovulation occurs two weeks prior to the onset of the next period. In the future, I would suggest use of regular contraception if you wish to avoid pregnancy. Use of emergency pill should be restricted to one or two occasions per year since the high hormone content creates hormone imbalances and can affect future fertility. Hope this helps.
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Hello I have been to many doctors trying to find out what is wrong with me. I have been having some abdominal pain and pelvic pain and rectal pressure along with nausea. I got a pylori test done and an ultrasound botChatDoctore out negative. I dont know why I am having this pain and it has been two months and I am unable to figure this out. I am 23 years old. female. 148 pounds.
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Hi. Thanks for your query. Read your history and understood your problem. The symptoms of abdominal pan, pelvic pain along with rectal pressure and nausea needs to be investigated properly under the care of a Gastroenterologist as you have already consulted many doctors without any relief. I would advise you the following
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Stabbing sever Back (mid to upper part) Pain last for about 10 minutes & simultanously my right jaw also give slight pain . these attacks are irregular & some times appear within 3 t0 4 months . started 15 years ago & had my heart checked & though I think my be linked to degeneration of my spine discs. No loss of breath but sharp pain internal around the spine . Has this any coonection with heart attak or trapped nerve who should consult heart specialist or nuerologist
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Hi thank you for trusting ChatDoctorI read your query and understand your concernFirst I am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease In my opinion it may be due to any disc herniation at cervical or thoracic spinet is treatable and isn't risky should consult a neurologist If it was generated from heart 15 years it's a long time, and you should be suffering a lot of complications by discuss with your doctor about my opinion Hope I have been of hellish you good health and fast recovery Feel free to ask for further questions or doubts Best regards Chat Doctor.
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Hi, I am Milind, diagnosed sero negative arthritis,with Rh factore positive.ANA TEST IS NEGATIVE.I am on celecoxib 200 1bd,Leflunomide 20 1 od & Hydroxychloroquine 200 1 bd. My overall condition is stable & without pain episode ever since medicine started 5 month back. HOWEVER, I am fealing weakness & mascular pain on stress. My physician has given Myoril 4mg 1 bid for week. HOW long these medicine will continue? Do you suggest any other reasone for weakness & mascular pain. I am non diabitic, no history of hypertension,lipid profil, LFT, RFT & BIOOD PICTURE REPORT NORMAL. AGE 53Y MALE, WT 90KG HT 165 CMS.
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Hi, Thank you for providing the brief history of you, Since you mentioned you have been diagnoses with Hero negative arthritis and on medication which is helping is good news. As you mentioned your symptoms of muscular weakness and weakness, these are a part of the RA symptoms. What you need to come out of these symptoms is indulging yourself under a physical therapist who will help you learn how to make the muscle stronger and balance your functional activities without losing more energy. Since you have a pathology, the body mechanism will be running out of energy to support the needs of the cellular mechanism. Undergoing physical therapy session will help your muscles to become stronger, improve the metabolism, improve the fatigue levels to lower down, and overall body conditioning. After all, exercise is the natural way of healing the body as post exercise the body produces its own medicine to heal the body. I recommend you to learn the exercises from a physical therapist. Important note
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I am a female of 48 years age . At times my hands start trembling and I get the feeling as if my heart is running very fast. This happens only for a few moments and I become alright in a couple of minutes. I have normal BP and Thyroid. However blood sugar fasting remains around 110 to 117 since last 10 years and PP sugar is always in normal range. My mind gets triggered to a depressive stage very fast to a level wher I try to commit suicide. Have tried atleast 20 times in the last 20 years but was counselled and saved by husband. My friends consider me very sweet and humble but I start getting extremely negative thoughts as soon as I hear someone even routinely commenting adverse remarks regarding me. These thoughts keep building up leading to a stage where I want to commit suicide. So I have 2 problems - 1. My hands tremble at times (2-3 times a year) with feeling of my heart running like a vehicle engine. 2. Getting emotional triggers leading to suicidal tendencies. - from India
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Hello and welcome to Chat Doctor. Thanks for your query. The symptoms of trembling of the hands, rapid beating of the heart, etc. appear to be anxiety-related. You also seem to be having a problem with controlling your emotions and have engaged in self harming behavior multiple times. Such emotional instabilities and self-harming behavior could be indicative of a personality disorder, probably a borderline personality disorder. I would recommend that you see a psychiatrist for a detailed psychological assessment and further treatment. There are good psychological therapies which can help you control your emotions and your dysfunctional thoughts, and teach you better coping and stress-management skills. Sometimes, medication may also be beneficial in such cases. Wish you all the best.
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My daughter is four days old and was born with jaundice , her jaundice level is at 21 today coming from 18.5 yesterday. Yesterday we received two biliblankets and had her wrapped in them for the twelve hours in between receiving them and going to the dr. The doctor this morning said she looked great. Should I be concerned?
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Morelikely she has physiological jaundice, pretty common can u shed some more light on the age of baby (I mean preterm or normal term baby)is there any history of maternal jaundice during pregnancy?well if it persists, the jaundice might need further evaluation for its cause, but we have to right now consider it as physiological or newborn jaundice I would like to know the weight of child, the general activity of breastfeeding and how comfortably the baby sleeps thanks
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hi,i am 27 years female.i am pregnent for 6 months and this would be my 3rd child have haemoglobin 3gm.i will be thankful to u if u could advice me wheather to transfuse blood or not? as my doctor suggest me to have good diet and wait till delivary.thank you
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Hello, With such a low hemoglobin level, it is most essential to get blood transfusions to replenish the levels and this done, explore the cause for such lower levels. Infections should be promptly treated and any issues like bleeding hemorrhoids and/or fissures should be taken care of. Nutrition should be Chat Doctor. Nutritional supplements should be given, and iron levels should be further maintained through injections or oral medication. Fetal well-being should be monitored throughout. Hope this helps.
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I discovered that my colon was full of stool and gas, experienced major abdominal pains, my body was swollen, my skin was red and thick, my elbows, underarm, and bikini line was black, my shoulders are bigger, there was an entire week where walking became difficult and I had lack of energy and difficulty focusing or processing any information. My ankles were swollen. I then received enema in the hospital and was then able to walk again. Everytime I get rid of waste, I have more energy and balance each time, and I feel better and am able to think more clearly. I have taken amoxycylin and the swollenness has gone done, the redness from my skin has begun to fade, and my body is shrinking. Does this mean that there is an infection inside my body?
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Hello. Amoxicillin is not given usually for gastrointestinal infections except for Helicobacter pylori. For Helicobacter amoxicillin is given together with erythromycin + antacid Chat Doctor. What you explained earlier are symptoms somewhat similar to Helicobacter pylori infection(not all of it). So that may be why you had somewhat relief after amoxicillin course. Still you better meet your family doctor investigate your symptoms.
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My gums swell up whenever I eat chocolate or certain kinds of shellfish. This started about 3 years ago after a visit to the dentist for a deep cleaning. I went to an allergist, and he said that I am not allergic to chocolate or shellfish as far as he can determine, but I may have some sort of contact allergy with my gums. Is there anything that I can do to either make the swelling go down right away, or stop it altogether without having to change my diet. My teeth have become crooked because of the swelling over these three years. Thank you.
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Thanks for using Chat Doctor. Read your query. Allergic reaction to the gums (contact dermatitis) can be due the preservatives or any of the flavoring agents in these things which is causing you the swelling of gums. I would advise you visit an oral surgeon and get it evaluated, if necessary a biopsy can be done. Recurrence of the allergy using the same products will confirm its diagnosis. Avoiding the products is usually recommended. Get your teeth cleaned and check it for the irregularities and get it treated. Avoid the allergens. Hope this was helpful. Thanks and regards.
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I was diagnosed with H. pylori by RUT. I completed my 14 day course of triple antibiotic therapy on Dec 22. I am on an antireflux capsule now for total of 6 weeks out of which I have completed 3 weeks. I dont have any pain in chest but I still have the sensation of food being stuck up in the lowe end of of the throat. The EGD showed hiatus hernia but on 2nd opinion with another docotor i was told that there is no hiatus hernia only the opening has been a bit enlarged. What do the symptoms after the treatment suggest
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HiT hanks for posting on ChatDoctorSorry to reply to your query late. Hope you are ok by now. Will still like to reply your query if it may still help you. Any of the 2 diagnosis from both Doctor could be correct. However, unless I examine you I may not know with certainty what could be the problem. Being treated for H pylori may not stop your symptoms immediately. Healing is progressive and this is why you had to go on an anti-reflux/anti-secretory for some weeks again after your antibiotherapy. If I were your treating Doctor, I will, would have treated as follows
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I was sitting in class when my pulse suddenly started to accelerate and i got light headed my nose started to run I became extremely uncomfortable and I wasnt able to sit still. My hands are quaky and I feel like I just got punched in the stomach. What could this mean?
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Hello! Thank you for asking on Chat Doctor! Your symptoms seem to be caused by a panic attack. I would like to know your age. Have you experienced other similar episodes before? I recommend consulting with the GP for a careful check-up (physical examination, a resting ECG, a routine blood test, blood pressure monitoring, thyroid hormone levels, blood electrolytes, blood sugar, kidney and liver function tests). If all the above-mentioned tests result normal, the most probable cause would be a panic attack. Hope to have been helpful! Greetings!
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Hello I have been catching infections over and over since my surgery in December where they removed my gallblader. I was put back in the hospital for 7 days after the surgery since then I keep getting infections white blood count is at 0000 and will not get normal. Doctor keeps trying different antibiotics and it last for 2 weeks then Im sick again and off work for a week at a time or two.
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Hi, Welcome to Chat Doctor, It seems that you might have some infective loci or some infection spreads in the blood. If there is local infection at the site of surgery, go for testing of pus for culture and sensitivity test. If there is suspected infection in the blood then go for blood culture and sensitivity test. After reports your doctor will prescribe specific antibiotic medicines for long period to clear the infection. Rule out diabetes. Ok and bye.
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My son has a temperature, I can tell it is raised, but I dont have a thermometer to check exactly how high. He is refusing any form of medicine. Is there anything I can do to reduce his temperature? I have given him a cool bath, which worked temporarily but it has now returned. He isnt really drinking but will take sips. Trying to give him medicine just led to him becoming hysterical.
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Hi, dairy have gone through your question. I can understand your concern. He has history of fever. He should go for some blood tests like complete blood count, malaria parasites and urinalysis. Then he should take treatment according to diagnosis. For fever, he should take paracetamol. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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hello doctor... my uncle is admitted in icu for last three days...multiple tests has been done to investigate the reason..........my uncle is having abdominal pain and he is unable to eat...when he eats he immediately vomits...he is a diabetic patent...his sugar level is above 400...and bp is quite high....he once had hepatitis c...he completed his course...now liver test has been done and the reports says his liver is enlarging with some pores formation... n his heart test revealed that three of his valves are closed.... i just need a good piece of advice from you...what kind of treatment should he recieve........ thank you
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Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. Your uncle got admitted in I.C.U.with abdominal pain, unable to eat, vomiting, he is diabetic with above 400, hypertension, had hepatitis C, liver tests says enlargement wit pores formation. Three of his heart valves are closed. It appears that due to heart problem there is enlargement of the liver, which is causing pain. Hypertension, and diabetes nourishing the problem. First B.P. and diabetes should be controlled, then if possible and age permits can attempt for transplantation of the liver. Wishing for a quick and complete recovery. Best regards.
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Hello, I am currently scheduled for a pvi ablation soon. My E.P. Thinks it is pac s that trigger it. My question is, when I lift weights, I get these pac s during and after. However, when I train aerobically, I do not get them. What do you think?.......thanks
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Hello, Oh, this is a common pattern. Aerobic doesn't raise blood pressure necessarily; weights do. BUT, if you do the aerobic then the weights the circulation changes, and it might not affect the BP. And this is verifiable by getting blood pressure monitors and checking the BP during various exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I am 41 yrs old & have type 2 diabetes & recently lost about 15 lbs for no reason. I have been eating better but not that much better & I have a stressful new job that could be the culprit but im scared b/c i know my body & i usually dont just shed 15 lbs in 2 mths with little to no effort. I am drinking more water lately but dont know if thats from the diabetes symptoms or not. Im scared something more serious might be wrong with me. I also pee frequently but I always have even before being dx w/diabetes,i went from 155 lbs down to 140 which is great but im scared b/c i usually have to work much harder to lose weight
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Hello, Thanks for the query. I have gone through the details given and do understand your concern. However, there is no mention blood glucose level (fasting or PP) and HbA1c%, so there is no way to know whether diabetes is well controlled or not. Secondly no mention ChatDoctor. Persons with diabetes do lose weight at times fairly rapidly, particularly when it is uncontrolled with high blood glucose. That causes excess glucose loss through urine as well as increased frequency of toilet visits including getting up at night. In a well controlled diabetic FBG should be If blood glucose is not well controlled eating well can actually lead to more of glucose loss through urine. So my suggestion is please check your fasting, PP glucose levels and HbA1c% and try to bring those in the above recommended range. Then weight reduction will stop. Strict blood glucose control is the remedy. Thanks
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i am 55, female, height 5 6. weight-90.. suffering from high bp for last two months with bp ranging from 160/85 to 170/95 even after taking medicines like telsateran, amloguard, alphadopa, targit 80 every day. i hav been hospitalised twice within this period before medication experincing shortness of breath, dryness of throat, dizziness etc. i hav been detected LVH . trop T was negative. what should i do?
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Hello, I would explain that your blood pressure values are still high, which means that your current antihypertensive therapy is still not effective in controlling your blood pressure values. For this reason, I would recommend increasing the dose of your antihypertensive Chat Doctor. LVH is related to uncontrolled high blood pressure. So, controlling high blood pressure would be the best way to help reduce the progression of LVH. Regarding the shortness of breath, I would recommend performing an exercise cardiac stress test in order to exclude coronary artery disease. Hope I have answered your query. Let me know if I can assist you further.
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Yes, I have had a sinus infection for 2 weeks. My GP prescribed an antibiotic (Azithromycin) and Prednisone. I have finished both but my symptoms have changed and gotten worse. My chest is congested and I am coughing more with greenish mucus. What should I take now?
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Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Repeat chest x ray2. Sputum culture and sensitivity. You have taken treatment (antibiotics) and still not improving, rather worsening, so we need to rule out worsening of infection by chest x-ray. And in pneumonia, we should first identify the causative organism and then guide antibiotic therapy according to sensitivity report. So sputum culture and sensitivity report is needed to titrate antibiotics. Haphazard use of antibiotics should be avoided in pneumonia as it will increase Chat Doctor. So consult pulmonologist and start appropriate antibiotics according to sensitivity report.
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Dear Sir,I am from Dhaka, Bangladesh. Age 45years. I am a patient of CKD and my doctor is asking to do kidney Biopsy for further treatment. Would you please advise me as per following info what I need to do exactly and if I need to do biopsy of kidney then who will be the best Doctor at CMC vellore and how would I can get an appointment asap ?Urine examine report shows
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My dear friend, your report says that you are having diabetes and dyslipidemia (lipid disorders).Hence, there is possibility that you are having diabetes related kidney disease. In most of the CDs kidney size decreases, diabetes is an exception to this rule.The same is your report. Look, for diabetic kidney disease, renal biopsy is not at all recommended nowadays, unless any other type of renal disease is suspected in a diabetic patient. You are prone to have urinary tract infection because of diabetes. So the first thing you must do is to do a culture sensitivity of your urine and if it comes positive then take antibiotic as per the report(after consultation with a reliable doctor because for your renal problem dose adjustment is necessary). Urinary tract infection is a very common cause to decompensate the stable status of diabetic kidney disease.In the meanwhile have an eye check up-FUNDOSCOPY to rule out diabetic retinopathy. Have your blood sugar, pressure and lipid tightly controlled. There are some Chat Doctor. Consult a nephrologist or good internist for detailed follow up. You can get them in your country or if you wish you can come to India. Good luck. By the way, your problem is very common among plentiful diabetic patients so don't panic.
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I recently finished my birth control pack (the active days). I never take the last week because theyre just placebos, and i usually get my period 3 days after i stop the active pills. so say fridays my last active day then by monday usually. now its thursday and nothing. Ive have cramping, and today just some spotting. Is it normal to skip periods while on the birth control pill? so far (for a year) its been pretty consistent.
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Hello mam, thanks for trusting Chat Doctor. In my opinion do your urine pregnancy test which is negative get a pelvic ultrasonography and b Chat Doctor testing because it can be an early pregnancy or worse ectopic tubal pregnancy and then visit a gynecologist with reports In case you have further questions you can consult me on Chat Doctor forum and I will be happy to helpmate care and wish you all the best. Chat Doctor.
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Hello sir! I am a 26 years old woman. I have a baby aged 6 years old. I am suffering from pain in the upper left side of my abdomen. The sonography report is normal and there is a point noted in report that a fluid is in POD. But when i touch the affected area of my abdomen that there is an hard object just like a ball.so sir will you please suggest me; what the problem may be?
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Hi, Thanks for using Chat Doctor. Minimal amount of fluid in POD is normally found in females which is due to rupture of ovarian follicle. As your sonography of abdomen is showing normal report, and hard felling on left abdomen could be a muscle mass. Not to worry about that. Pain abdomen could be due to gastritis. Medications to reduce gastric acid secretion helps reduce your pain. Hope this helps you. Regards
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So my boyfriend had been waking up in the morning with brown stuff on his teeth and a little bit on the sides of his mouth. It doesnt smell, I asked him. He said it happens some morning. It he doesnt know what it is or anything of what could be causing it. It kinda worries me so Im looking around. What do you think could be happening,?
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Helloi have gone through your query.How's his oral hygiene? Brush twice a day, flossing once a day? Mouthwash? How's his diet? Any brown stuff during the day as well? Smoking? Alcohol? Relevant medical history? Last time he had a checkup or dental cleaning?There's alot of factors to consider. Sometimes it can occur due to gingivitis.it can cause gums to swell and bleed and if mixed with your saliva at night the brown discoloration could stick to your teeth. It can be due to the salivas' viscosity also. Some people have thicker and discolored saliva which will stick to the teeth better. You may want to go to a dentist and get it checked out. Hope this ans helpsRegards
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my wife had breast cancer. went through chemotherpy and radiation. it was a aggrasive cancer, this was june 2009. she has been very well. six weeks ago her cycle changed. she has now been bleeding heavily for 6 wks. she had a scan on her insides today and was given a letter to take back to another department in the hospital, where we believe we may get a answer. the problem is my wife (and self included) are afraid this thing may be back! there was a cyst and thirod mention? is this cancerous?? were simple people and need answers. Please help My wife is 39 and i am 48 years old.
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Hi, dairy have gone through your question. I can understand your concern. Your wife has history of breast cancer and taken treatment. Her current problem of heavy bleeding has no relation with breast cancer. She may have adenomyosis or fibroid in uterus, and it leads to heavy bleeding. You should go for ultrasound abdomen and endometrial biopsy. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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Hi im xxxxxxx.. Im suffering from nervous disorder for the past 8 yrs, i have undergone treatment with many reputed doctors but its of no use.. None of them were able to detect wats my problem..Atlast an yr back i took Accupuntre treatment.. Doctor told im suffering from facial spasms, he encouraged me it can be cured but i was hopless.. to his gurantee my pain on my jaws & cheeks area were reduced to an extent.. But there was continous pulling of nereves & muscles on my cheeks & head.. i couldnt laugh much, lift weight objects & even cry to too.. i had tried attempting sucide too due to this disease & makes my face looks very awkward. i want to know is there any permanent cure treatment for facial spasms.. I havent reached the core level of this disease.. I couldnt laugh & my left eyes will be quite bigger compared to the right one.. this can be easily identified in my photos but not directly.
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Hi Saran ya, If your diagnosis of facial spasm is confirmed, then consult a euro surgeon for a second opinion and management. Facial spasms can be controlled either by oral medications / Botox injections/ Surgical intervention(if it is due to Facial nerve compression). Although you have to take regular medications or repeat Botox injections at regular intervals(maybe once every 3 myths), under your neurosurgeons' guidance it will temporarily relieve your problem. Surgical intervention will be finalized only by your neurologist/ neurosurgeon after monitoring your response to oral Chat Doctor. Every problem has a solution. So Never Ever give up and have positive thoughts. Consult a neurosurgeon in your area for confirmation of your diagnosis and early intervention. Take care
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I woke up with horrible acute pain in my lower right side of my gums associated with my back tooth and now its radiating into the bone a little as well. Is this my wisdom tooth or could this much pain start this quickly from just inflamed gums in a localized area (either from stuck food from last night or some other acute gum disease)?
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Dear friend. Thanks for sharing your concern. The cause for acute pain could be an impacted wisdom teeth. The tissues covering the teeth acts like a pouch and accumulates food debris there. Upon bacterial multiplication, on decayed food debris and infection the pain arises.it may contain pus too.Therefore, I would like to suggest you to visit your dentist and get yourself examined. An x-ray can be very helpful in establishing better diagnosis.Meanwhile, please do antiseptic mouth rinsing and warm saline rinses. Hope this helps. Thanks. Take care.
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I am having white discharge and itchy,burning sometimes whenever i wash,I keep it clean ,I am having Novelon tab and maprate 10mg prescribed by my doctor.Is it the side effect or is it another infection which need to be treated ,if yes what should I do.
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Hi, The combined pill contains two female hormones estrogen and progesterone. These pills increase blood levels of estrogen which may lead to an increase in vaginal discharge. Hormonal pills can also alter the vaginal pH causing more rise in vaginal infections. Vaginal infections can cause abnormal vaginal discharge and may require treatment. Hope I have answered your question. Let me know if I can assist you further.
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my daughter is 25 weeks pregnant ,she is 39 about 16 stone,5ft 4in has asthma and felt unwell all the time with being breathless even using inhalers and feeling weak and sick ,tests at the hospital have come up with nothing,can you ? thanks from a worried mom.......
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Hi, I had gone through your query and understand your concern. It seems that your daughter has poor asthma control. This is very important to have good asthma control during pregnancy since it may affect the child. If you could mention the name of the inhalers, it would help me to give you a precise suggestion. If I were the treating physician, I would first confirm the diagnosis by objective test, check for triggers and follow up thoroughly for any abnormality related to pregnancy. Then I would, I advise steroid inhaler twice daily and albuterol inhaler as required for asthma and other medications if required. Since this is a prescription medicine, so my opinion is
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Hi, my name is Gwen. I ve been having problem with my feet for almost 1 year. Therefore, I ve seen 3 different doctors. Although, they all have came up with several different diagnoses. First, plantar feshiitis, tendonitis, peripheral nerve, and/ or inflammation because I suffer from fibromyalgia. Medicaid does not pay for me to see a Podiatrist. So, I am taking Gabapentin 300 mgs a pill at night. I can barely walk on my feet due to the discomfort. I need serious help! What do you suggest?
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HiTheres a simple symptomatic remedy which may help you... Do contrast bath of feet in cold and hot water tubalternateky 1 minute every dip. Continue for 10 minutes. Do twice daily, morning , evening.wear elastic cr\u00eape supporting bandage after contrast for daytime removing at night. Avoid heels in footwear, use flats. Take Alive tab twice a day after meals plus neurobiology forte once daily for a fortnight. If gabapentin helps OK to continue otherwise switch to lyrics 75\u00a0mg BD. Avoid prolonged walk or standing.in between work, rest your feet on front stool for 25 minutes to raise it. Plz report after 15 days progress on this site. Any orthopedic doctor even though not a podiatrist, should be consulted as well. Use Shock absorber insoles in footwear to avoid pressure of body weight on soles of feetThanks
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Hey doctor,, im tierd and feeling sick for 1 year and half i had 1 year ago monospots test positive and now become negetiveand now 1- i have cmv igg postive 2 - tuberculin positive 3- losing wight and feeling tierd allll the time plz help me
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Hello, CMV Egg positive means that you had CMV infection in the past. It has no relevance now. It will always come positive and means presence of antibodies towards CMV. Tuberculin positivity along with loss of weight and feeling tiredness indicates a possible TB infection and would require further tests like X-ray chest, sputum test, quantiferron TB gold test etc. to confirm it. In addition, get tested for anemia, hypothyroidism,serum IT B 12 and IT D also. Consult an internal medicine specialist for management. Thanks
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can tetraysal stop me becoming pregnant, myself and my partner both are taking a course for skin condition. i stopped my pill 6 months ago due tio family history of breast cancer and my skin has broken out with acne as well as my hair has became very tthin, i never experiened any of this 12 years ago when staeted pill. i am 30 now. i do not want to have to take antibiotics conntinuously
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Hello, It is not recommended that you continue to take tetracycline if you wish to become pregnant. A short course of topical medications such as benzoyl peroxide or yeti NBIC acid gel is recommended. There are certain other blood tests such as complete blood count, It B12 levels, Ferritin levels, Antinuclear antibody, TSH that can help understand why you are losing hair. Please stop taking antibiotics if you wish to get pregnant. Best Wishes.
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Hi My son is 2 years old he has had intermittent diarrhea for 11 days which has been coupled with some vomiting. We are awaiting the results of a stool sample which won t be back til next week. The diarrhea has stopped a little and the poo is no longer watery. The thing is, his stools are now very dark green and have black lumpy bits and mucus in them. His mood is very good although he is quite pale. his temperature is fine and he has a bit of an appetite, for which i am giving him very plain biscuits and watery squash. No dairy products at all for 4 days. Basically, what do i do? Do we just wait for the results of the stool sample and keep with the plain diet or is there something else I can do? I have been cleaning and disinfecting as instructed and nothing seems to be getting better. Thanks for your help
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Hi, No need to do anything active as he is on the recovery path already. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. Don't worry. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I had a ct scan that states urinary bladder is midly distended what does that mean? Showed a cyst in my Kidney 1.6 cm. and i have multiple small mesenteric nonspecific lymph nodes present. I have been in pain for about 9 months (like the flu) which my doctors have been treating me for fibromyalgia . Just wondering if all of this could be related?
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Hi and welcome to Chat Doctor. Urinary bladder holds the urine that flows down from your kidneys (you may be knowing that). Hence, unless you have emptied your bladder by passing urine just prior to the scan, it is normal for it to be containing some urine and hence distended. One or two odd simple cysts in the kidneys are a normal feature and nothing to worry about. These two have noting to do with Fibromyalgia. In regard to your other health issues (fibromyalgia in particular), it would help to know more about you and details of your symptoms and tests before giving any opinion. Best wishes. RB
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I was told that HPV is dramatically rising in seniors and that men are not easy to test for HPV and that even so, they could test positive or negative and still be infected? Is that true? What are the risks for single seniors who are wanting to date in their senior years and be sexually active? For men? For women? What do we have to watch out for? I am a widow, with no history of HPV and don t want to risk my health. But i want to marry again and worry about the health of a man, who cannot be tested, to ensure his health status won t risk mine.
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HPV is a common skin infection transmitted through sex and is an STD. The older population is still at risk for contracting HPV but the number of seniors with HPV is much lower than the general younger population. To protect yourself from contracting HPV I would recommend the use of condoms. Condoms are the only safe prevention to stop the spread and contraction of HPV. I hope this answered your question. Please contact Chat Doctor again with your health care questions and concerns
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I have the problem of trigeminal nauralgia for last 4 years and also have multihealth problems including depression and sleeplessness and thyroid and psoraitc arthritis. .iiam taking zeptol cr 300 twice and treptomer sr 50 for nanauralgia.but my doc asked me to change it to oxetol 300 at night and reduce zolfresh.is it safe to use as I am already suffering from so many side effects of medicine.medicine.i am 41 year old
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Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question
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I m a 44 y.o. male. I m about 5 11 , 190 lbs. I was diagnosed with a weak, enlarged heart about a year ago. Recently, I have this feeling in the middle of my chest (between my breasts) that something is leaking. This happens once in a while. However, NO PAIN. And it feels cold.
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Cellophane you for asking in Chat Doctor I understand your concern. I do not thing that your complaint is related with cardiac problems. It might be a gastrointestinal problem.Maybe a lot of gases in your intestine or an acidic reflux in your stomacher this does the tests as follows
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hi, i am a 14 year old female., i have very dark red and purple mini spots in small areas on both of my upper thighs. they arent itchy, but are irritating and scaly. they are raised from the service of my skin,, and hurt immensly when touched. what is this??
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Hi, You probably may be having follicles. There may be erythematous popular eruptions. They may be painful. It is an infection of hair follicle. It may be caused by staphylococci. You consult dermatologist for firm diagnosis. Oral antibiotic like minocycline 50 mg twice a day for few weeks may be taken. Anti-inflammatory Chat Doctor. Apply antibiotic cream like sisomycine. Have detail bath. You may feel better after few week treatments. I hope you got my answer. Thanks.
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I have a high blood pressure problem and have been taking pill for the past 10 years. I am 58 years of age, a woman and married with twin boys who now live 7 and 14 hours drive from us. The doctor and elevated my pill intake of 1 ramipril (10mg - i think) in the morning and 1 at night and in the past 3 weeks, because my blood pressure came higher, he told me to take 2 in morning and 1 at night, after 2weeks of this, I asked him if I could only take one pill, another kind that would do the same, but only 1 per day, so he has given me Coversyl HD (8mg + 2.5) on trial to see what it will so. I have been on these coversyl for the past 10 days and my blood pressure is more normal than with other pills that I was taking. Last night after having people over for supper and when they left around 11pm, I was feeling bad and went to bed and my heart was pumpping real bad, at 114 per minute so I took an Ativan to relax and took deep breaths but I was so tired and was shaking with this. at 4am, I woke up and check by blood pressure and it was good but my heart rate was still showing 94 so we went to the hospital and I got out 1 and 1/2 hour later with only the doctor telling to rest that my heart beat should go down and I have to go for a blood test to check my Thyroid gland. Can you give me an idea of what made my heart beat go fast even at rest. By the way I had a glass of red wine with my supper and a small glass of Porto wine after supper with the desert....what is happening with me and tell me what I should do.....
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Hi and very pleased to answer you. The causes of tachycardia are multiple and can be
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I am a 17 year old male currently at sixth form and hoping to either go to uni or the army. i took an online test to see if im depressed, and it said that i MAY (stressed it wasnt a diagnosis, which is why im here) that i may have mild to moderate depression. I am happy sometimes, but then i think about my life and i just think its worthless, like im a pathetic nobody, and i am, quite frequently, thinking about ways i would kill myself. I dont have an urge to do it, but i believe that i would if i hd the willpower or something to drive me. I have had horrifically low self esteem for years, had a spec needs class a few years ago to help and it did, apparently im improving but i cant even ahve an argument without almost getting teary. i need a diagnosis before i go see a doctor to see if it may be real or if its in my head
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Hi, Thanks for using Chat Doctor. You are having Major depressive disorder. But one should also rule out bipolar mood disorder and personality traits. You should consult the psychiatrist as soon as possible. Doctor, after making confirm diagnosis, may start anti-depressant Chat Doctor. You may also get benefit by counselling and psychotherapy sessions to improve your self-esteem. Meanwhile, you can also do stress management and relaxation therapy like yoga or meditation for better control over stress. Thanks.
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Yesterday afternoon, I think I had food poisoning. I started getting cramps/pain in the lower abdomen. I wasn t able to defecate. I began sweating. I threw up once and continued to have pains. In the evening, when I was finally able to deficate, I started bleeding from the rectum. The blood was light red and watery. Today I am still bleeding. The bleeding only occurs when I try to deficate. What should I do? What should I eat? Do I need to be concerned?
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Hi. You need to be concerned as this is a cause of concern. The probable cause of your symptoms is gastroenteritis, colitis being severe enough to cause the bleeding you have. I would suggest you the following
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I have a question about my mental health.When I was little, I had voices, like people screaming, shouting, and raspling voices whispering at me. It doesnt happen during the day anymore. Just in dreams. But now I have music in my head. It plays loudly, and the music I have never heard before. It doesnt cause me problems, but I thought I should ask. Sometimes I cant hear myself thinking.
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Degree understand your concerns went through your details. I suggest you not to worry much. A paralysis, or auditory hallucination, is a form of hallucination that involves perceiving sounds without auditory stimulus. There are three main categories into which the hearing of talking voices can often fall
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hi there i am a nursing student, i would like to know if a patient who has suffered a cerebrovascular accident and is unconcious and comatose for the past 10 day will be on a ventilator and what specific care she would need espically her nutrition and psychiological need. this is a sample of the scenario You are assigned to a stroke unit where you are to care for a 54 year old female who had suffered a severe cerebrovascular accident that has rendered her comatose and unconscious for the pass 10 days. she is married with two children ages 18yrs and 22yrs. vitals on assessment were temperature 37.5 degrees Celsius, pulse 88 beats per minute , blood pressure 105/65mm/hg, respirations 12 breaths per minute, spo2 without oxygen is 90%. Patient is catheterized and urine appears concentrated, she has in a nasogastric tube for feeding purposes.
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Hi, Thank you for posting your query. In this given situation, good nursing care is of paramount importance in ensuring the patients good recovery. Feeding through Rules (nasogastric) tube should be done every two hours. Please ensure the patient is at 30-45 degree elevation and not in supine position during feeding. There should be adequate protein in the diet as per dietician advice. Regular position change should be done every two hours.DVT stockings should be used to prevent clotting of blood in the veins. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
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I have had knots to form over the last year in the krook of my elbows. They seem to be muscle related and become sore and achey after doing a repetitive or strenguous exercise with my arms. I wonder if they are related to donating plasma on and off for a few years. Another one has popped up the last few weeks and I haven t given plasma in this arm for almost a year.
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Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the sore lumps which popped up last few was, most probably are due to the -post-donation thrombophebitis with fibrosis tissue in it-.2-Still you should check up for the Drums disease-which are painful lipomas, which could be other possibility for such lumps, without any relation to the donation.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A Good Day.!!
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my 34 months old son is having a stuffy nose for a couple days now. Hes got no other symptoms aside from the stuffy nose and every time he blows, the mucus is greenish in color. He had an ear infection recently. I was wondering if I could give him fenistil to help clear it.
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Thanks for posting your query on Chat Doctor! I appreciate your concern for your son. Apparently he is suffering from upper respiratory tract infection. Since the color of the mucus blown is greenish, so I am of the opinion that he is having bacterial infection and that too Pseudocodes has to be ruled out. Take an opinion of child specialist since recently he had ear infection. The doc might prescribe definite for your children illness. Best regards/1
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Dear Doctor,i am 33yrs old and i have a problem with IGA Nephropathy, creatine level is 1.8, 24hrs urine protein is 4020mg and i am having pain in the kidney area too. Will it damage the kidney, i have done biopsy of kidney and waiting for the result. Doctor is advising to take steroids. is it ok or should i go for further checkup. please advice me in this regardsam
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Hithanks for posting in ChatDoctorI have understood your concerning nephropathy should be treated otherwise it leads to gradual kidney damage and failure.it should be treated with1.steroids as first line treatment2.immunosuppressive therapy if patient is not responding to steroid sit is controllable, but there is chance for relapse of the disease. I can suggest you to go for steroid treatment. Hope this helps you any further questions please let me know thanks
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hello dr, i a having pcos problem abt 4 years... first my prescribed me metformin. but my heath is not improved that much. after that she suggested me a tablet named oo sure... and she td me that the egg is also rupturing.. for that i take fertomid.. now i want to get pregnant.. is it possible? please reply me...
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Dear member, Thanks for writing to Chat Doctor. The tablet metformin is good for PCs though you may have gut problems like nausea and diarrhea. You need to have a low calorie and low carboy Chat Doctor. Sure is good for the quality if egged. You will need tab Fatimid to induce egg growth and injection Chat Doctor to induce ovulation. If your husband count is good then you should time intercourse around ovulation. Please call back with reports if you have any questions and for detailed discussion regarding treatment. Thanks
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I have recently been diagnoised with anemia, my general doc seems to be pushing for a surgeon to look at me, I believe other tests could be done prior to a surgery consult. Also recently had a lymph gland swell horribly in the left side of my neck and he seems to have no concern for that.
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Hi, dear. I have gone through your question. I can understand your concern. You may have anemia. You should go for anemia profile test first. Then you should take treatment according to cause of anemia. Lymph node swelling may be due tor reactive lymph node hyperplasia. You should go for fine needle aspiration cytology and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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my husband has had stomach ache for about 4 days and diarrhea now he is getting pain in his private area he has already had a operation down below to remove a infected ball but that was when he was younger now hes getting this pain i am worried about it what could it be.
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Hello appreciate your concern for your husbandStomach pain might be related to gastritis or acid peptic disease due to stomach hyperacidity, another possibility is pancreatitis, gall stones or cholecystitis. Pain in private area might be related to urogenital infection or referred pain due to kidney stone. I see patients with similar complain tiny complaint and I would advise them for battery of tests like blood for hemoglobin, CBC, serum amylase, liver function test, urine culture and an ultrasound if need be. I would advise him to take antiacidity medicines like pantoprazole or sanitizing group of Chat Doctor. Ask him to have plenty of fluids and maintain good HY
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My friends 12 yo son is always sick. He is severely under weight, always pasty & pale, has no appetite, does not like food, he is constantly sick to his stomach & throwing up. His Drs say they do not know what it could be. Please let me know if you have any ideas.
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Hello If these are his only symptoms I am sure that he would have been evaluated for hypothyroidism already, and it should have been ruled out as the doctors have been taking care of him. But at the same time I would suggest testing him for Epstein-Barr and there is a possibility of chronic fatigue syn Chat Doctor. I suggest you consult his position with this tip and get him evaluated. Hope I have answered your query. Let me know if I can assist you further.
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I have a calcified granuloma on the right upper lung. This problem keeps me from grabbing good opportunity to work outside Philippines. My present work shows I have a clear lungs and no calcification has been identified. Also we have annual physical exam and found to be normal chest findings. Please help how to heal and what I am going to do. It is possible to submit my old films for a comparative study for me to be able to become fit.
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Thanks for your question on Chat Doctor. Calcified lesion on chest x-ray is most commonly seen in old healed infection. Most commonly TB. So it will remain same throughout the life. What you need to prove is that, this lesion is inactive, and you are not infectious. Only after this you will get work permit. For all these you need to get done CT THORAX and Bronchoscopy with BAD (Bronchoalveolar Lavage) analysis for AFB.CT gives much more clear idea about lung lesion than chest x-ray. So consult pulmonologist and get done CT and copy. If both are negative for TB than you can prove that this lesion is inactive, and you are not infectious.
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My GP told me it looks as though I have a split cervix and this may be due to trauma at birth. Does this sound possible? It is three years since I gave birth so I would have thought any damage would have healed by now. Could this have anything to do with HPV?
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Welcome to world's the largest online health forum. I appreciate your visit here. Yes HPV can cause infection and cervical injury during childbirth becomes more of a possibility with HPV Positive woman. Split in the cervical (cervical injury and tear) must have been healed up by now. You can go for a transvaginal examination and diagnostic tests to confirm the diagnosis your GP made for you. Hope it's all you needed an answer for. Healthiest Regards!
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hi Doc,i am facing some situation in which my Husband get angry easily on a smaller things..which he dont like and sometimes even he hurt them self also by beat of his forehead on walls....he is having a bolod clots also in his mind..Please suggest me what i need to do in such situation and how i will handle my husband..can u help me on this?Thanks
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Hi, Thanks for writing in. I do not understand how you are saying there are blood clots in his brain/ mind without getting any medical investigation done. At first, please take him to a psychiatrist who will assess him for his short temper and provide suggestions for anger management. You can explain at that time about this hurting the head on walls. If felt necessary, a CT scan brain might be done to rule out and injury in the head. Hope this helps.
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have been trying to conceive for three years but have failed.my gynae put me on letrozole and hyponidd combo but failed too. later she ntroduced me to injections which have also not bore fruits... what could be the problem because i do ovulate normaly. cecyl
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Hi there, After going through your query, I am of the opinion that
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My husband is suffering from Kidney stones which started about 2 days ago. He has been drinking lots of water with lemon but nothing is helping. This morning he threw up and is having hot and cold spells. Should I take him to the hospital? or do you have some suggestions for me?
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Good day, and thank you for being with Chat Doctor !! I am very sorry to hear that your husband is suffering from acute kidney stone attack. If he has fever, intractable pain and intractable vomiting then it is time to rush him to the emergency room. Spontaneous passage of stones depends on stone size and as a general rule if it is smaller than 0.5 mm it has an 80-90% chance of passage. Let him Chat Doctor. Pain medications will surely help (any NSAIDs) during this very painful episodes.
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hi im a young lady of twenty one years old,im am 1.69m n weigh 64kg.i started experiencin loin pain a mionth ago n went to the clinic n was given paracetamol n pro pantheline not sure bout the spellin,n the pain keep on comin time and again.what can i do now?
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Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. As the pain is recurrent in nature, you should have an abdominal scan done. Its called an ultrasound-KUB scan. Loin pain is commonly caused by a stone.It's relieved by anti-spasmodic medication, in form of tablets or injection. It may also be caused by a muscular sprain. Avoid lifting heavy objects. If you've any doubts, send the reports to me as a direct question. Chat Doctor. Manga.
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Hi I have 6 months old puppy..she bite me ..but a small scratch in my fingers.. .. last 3yrs ago I also bite a big dog but I go to hospital for 3 sesion of enjection of anti rabies...my question is the anti rabies inject me last 3yrs ago has expired?? Tnx
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Hello, Welcome to Chat Doctor, Rabies is a 100% fatal disease but 100% preventable by proper and adequate treatment. Dog is the known reservoir of rabies virus and can transmit rabies by biting. As you were bitten by a dog for which you have taken three dose anti rabies vaccine three years back and once again you were bitten by a puppy. According to WHO categorization you will be categorized into Re-Exposures. Re-Exposures should receive two doses of anti rabies vaccine on days 0 and 3. Thank you.
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I have a red bump on the back of my head that is about the size of a big pea. It is somewhat hard and kind-of sensitive to the touch. Ive had it about 2 months. At first I thought it was a pimple and i popped it, but it just would not go away, now its a red pea sized lump. Have any idea what this may be and how I can get rid of it?
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Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause of the red bump on back of your head-Though not much information is there in the query, On the existing information it seems that you have-Chronic Subacute Boil/Hair follicle caused post combing trauma Or it could be Sebaceous Cyst witChatDoctorbing bruise and soreness/Or could be Epidermis Cyst. Chronicity with soreness confirms it to be infective but needs to be ruled out from other causes of the scalp lump. Remedy-Consult Surgeon for Second opinion, who would treat it by investigation and clinical examination from many causes of such a scalp lump. Anti-inflammatory / Antibiotics would reduce in few days time. If not, Surgical Excision Biopsy with HPR would treat it totally.Don't Self treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist.
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I HAVE BEEN TOLD BY SEVERAL DRS. IN EMERGENCY ROOMS I HAVE BAD LUNGS. I HAVE ASTHMA AND I GET DIFFERENT TYPES OF PNEUMONIA S ANY SUGGESTIONS ON TREATMENT PLANS? I HAVE HAD ASTHMA SINCE I WAS 28 YEARS OLD AND HAVE TO RELY ON STEROIDS TO KEEP ME ALIVE TO REDUCE THE INFLAMATION IN MY BRONCHIAL TUBES?
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Hello, Welcome to Chat Doctor, Asthma is condition where there will be hyper responsive by reached bronchial tree following exposure to an irritant. The irritants may be microorganisms, food, dust, mites, pollen and chemicals, exposure to any of these to which you are very sensitive will stimulate the mucosal cells of respiratory tree to release histamine and causes narrowing of the bronchioles and produces the symptoms of asthma. If you are able to identify the triggering factor which is causing these symptoms, you can avoid those and prevent the occurrence of the episodes. You can identify the allergens by undergoing skin prick test and find out the allergen and try to avoid them. Thank you.
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I am 59. I have a fibroid tumor that measured 6cm in 2013. It now measures 8 cm. my gynecologist is recommending a complete hysterectomy. I have very few symptoms, spotting occasionally. My mother, 79 has just been diagnosed w ovarian cancer. This is a concern for me. What should I do?
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Hi, Thanks for writing in. There are two parts to your query. For your fibroid which is progressively increasing in size, it is possibly causing a lot of discomfort and bleeding during your periods. In this case, if you have finished your family and do not desire to have nay more child Chat Doctor. As you say that you only have spotting then you can choose for a mastectomy procedure or arterial embolization instead of hysterectomy. Please discuss the treatment options with your doctor and then take an informed decision. Regarding your mother who is confirmed to have an ovarian cancer, if it is in the first stage then surgery is compulsory. Even after surgery she might be given chemotherapy and radiation therapy to suppress the cancer cells. Since you have not mentioned the stage of cancer in your mother I guess that it is stage 1 cancer. Treatment should be given completely, and she should follow up with her doctors when required. Please do not worry.
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Can a vaginal bacterial infection paired with a yeast infection cause fever symptoms/mini hot flashes along with vaginal gas bubbles? Ive been diagnosed with a bacterial and yeast infection and am being treated as of yesterday. I am wondering about the fever symptoms and bubbling.
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Thank you very much for contacting Chat Doctor. In our body any infection is defense by fever. Fever is a defensive phenomenon. Vaginal yeast infection is most common. Itching, irritation, rash is common symptoms in vaginal yeast infection. Overgrown of yeast and bacteria may cause more worsen symptoms. Vaginal discharge is helpful for culture test by this way yeast or bacterial growth can detected. In Uncontrolled diabetes more changes of vaginal infection. According to your doctors' suggestion start antibiotics or steroid treatments. Wish you a Good health. Take care. Thank you very much.
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hi, i am taking alaxan for 4-5months already coz before i have a abdominal pain so every time i take alaxan the pain is gone...then i was just diagnosed that i have ovarian cancer so i still continue taking the alaxan for my pain, i am taking 3x a day..is it bad for me? is it true that it will affect my liver or kidney?d
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Hi, Thanks for the query. Alahan contains two Chat Doctor. Potentially they can lead to kidney damage if used for prolonged periods in high doses. Pain of malignancies is severe and there is a need for painkillers. Are you on any chemotherapy? As chemo usually kills the cancer cells and decreases the pain so the need for painkillers decreases. Try to decrease the dose of Alahan from 3x to 2x and then 1x. There are other groups of
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Hi, My 2.5 year old son puked last night without coughing or having high fever what seemed like large pieces of food because he didn t chew enough. Today he puked again and after about 10 minutes we gave him chamomile tea with honey which he puked again. He had a very watery diarrhea earlier
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Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Does your toddler attend daycare where he might have gotten a germ from another child? If he is an otherwise healthy child and has not been exposed to farm animals or contaminated water, then he probably has gastroenteritis due to a virus. In a young child who has vomiting and diarrhea, the most important thing to do initially is make sure he does not become deny Chat Doctor. I suggest that he not be given anything by mouth for the next 6-8hours. If he hasn't vomited, offer 2-3 ounces of room temperature Mediate, apple juice, or pear juice. After another 2-3 hours, if there is again no vomiting, offer the same amount of fluids. Allow him to sleep. When he awakens, if he wants to eat, let him select whatever he wishes to eat. Usually the diarrhea runs its course in a couple of days. Monitor for deny
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hi i am a 34 year old mother of an 8 year old girl, and ive been trying to get pregnant for a long time now, and i feel like time is against me and that im doing somthing wrong ,my sex life is good and were both farely heathly .so what would you sugesst louise
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Hi, Thanks for writing to Chat Doctor. You will conceive soon. Be stress-free. You are suffering from secondary infertility. Means you will have first child normally and then you won't conceive. This may be due to weight gain, increasing age, hormonal imbalance. I would suggests you to get your thyroid profile done and prolactin level checked. Also get your husband semen analysis. I would suggest you to undergo follicular study. By this you will know you are ovulating or not and also time. If all are normal I would suggest you to start with ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. Thus increasing chances of conception. You can discuss this with your doctor. If 3 cycles are unsuccessful then you can go for GUI. GUI is intrauterine ingestion of sperms. Hope I have been helpful. Regards
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My husband went to urgent care today for a cold and a cough that he has had for a couple of weeks. They also noticed he had a ear infection and his blood pressure was very high. 164/92 and was taken again 142/90. They gave him cough medication , agar 80 MCG oral inhaler and Amoxicillin and Clavulanate potassium tablets 875 mg/25mg. My question is can he take this medication and can he wait to see his doctor on Monday for his High Blood Pressure or should he go to the ER. Madeliene Carmona.My husband is 58 years old, 201 pounds
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Hello Cardona have gone through the medical details provided by you of your husband and I totally understand your concern. I want to assure you that don't worry he can take these medications safely even in high BP. These are just ANTIBIOTICS and will help treat infection. And your husbands Blood pressure is not that high, It's just slightly raised (142/90 MMH) and probably it will settle down by itself once infection is cured. I wish him Good Health
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I have on three different occasions had pain on the upper left side of my back just a little above my waist that extends to my side and front (or vice versa) that causes vomiting and upset stomach. I have to sit up in the chair to sleep because the pain is so severe that I can t lay down. It s also very painful to get up from a sitting position. Emergency room keeps saying muscle spasms so they giuve me muscle spasm and pain prescriptions and send me home. The occasion have been four months apart starting with Sep 2014
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Hi welcome to ChatDoctorI have gone through your query regarding severe pain in upper back and can understand your concern. If we find out and remove the real cause of our pains, 90% of our problem is solved. It is often caused by poor posture. Upper back pain has become a familiar complaint from people who work at computers most of the day. Often, upper back pain occurs along with neck pain and/or shoulder pain. Often, muscular irritation and upper back pain is due to either deconditioning (lack of strength) or overuse injuries. Muscle strains, sports injuries, auto accidents, or other injuries can all result in pain from muscular irritation. Low immunity due to lack of activity, lack of essential nutrients & hydration and faulty lifestyle are some basic causes for your sufferings. A correct diagnosis of back pain requires diagnostic tests (such as an MRI scan) and correlation with physical symptoms are required to determine the extent of the damage and develop a treatment plan. When you must lift, bend your knees and keep your back straight. Avoid twisting. Keep the load close to your body. Getting Inclusion of balanced diet with essential nutrients and antioxidants in natural form, plenty of fiber raw ginger, garlic , calcium and vitamin D, a spoon of Turmeric powder and 35 ml of Aloe Vera may help prevent osteoporosis, which can lead to compression fractures and back pain. Regular walk, stretching exercise-from head to toe when you are not in pain , yoga, Panama, deep breathing, meditation. All help alley pains and give resistance to body from diseases and gradually help alley pains , will gain healthAvoidance of fried, fast foods , tea coffee, alcohol, smoking over exertion, sleeplessness dehydration, all further help. Take 2-4 doses of Homeopathic ColcChatDoctor 30 / half-hourly to alley pains Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query.
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During the winter Season I have been sick... High Temps, Coughing , Flu Symptoms with Aching Bones... this has een going on for about 6 Weeks with intervals of having the Chills which I sweat it Out with the Electric lanket... But when I get into the Cold the Aches n Pains Always come Back... Low energy & Tiredness are also Present ????
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Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of cough, fever and chills along with weakness in body. Well there can be many reasons for symptoms you mention in query like upper respiratory tract infection or viral pharyngitis. Need not worry. You should take throat lozenges to soothe throat. I would suggest you to consult ENT specialist for proper examination. Doctor may order throat swab test, viral culture test and CT scan to confirm the diagnosis and rule out strep throat. Doctor may prescribe anti-viral Chat Doctor. For now do warm saline gargles and take steam thrice a day. Avoid taking spicy and sharp food. Avoid cold carbonated beverages. Hope your concern has been resolved. Get Well Soon. Best Wishes,
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Hi80, may I answer your health queries right now ? Please typur ery here... I went for a blood pressure check, I m 17 1/2 weeks pregnant. My reading have been between 130/80-140/90. My first prenatal appointment it was 120/80. Is my blood pressure something to worry about
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Hallow Dear, Rise in blood pressure up to 130/90 mm of Hg is considered as High blood pressure during pregnancy. Usually the pregnancy induced high blood pressure is found after 20 weeks of pregnancy. So this high blood pressure at 17 1/2 weeks suggests that you had essential hypertension dating back to your pre-pregnant days. The other possibility is molar pregnancy where the fetus is replaced by grapes like tissue. Please get your ultrasonography done. Yes, 140/90 is definitely high blood pressure. One of your reading is 120/80 mm of Hg. There could be element of personal error or situational variation in some readings. Please monitor your blood pressure by daily checking which will give you clear idea. If you are found to have it more than 130/90 mm of Hg, then you will have to consider it as high blood pressure and follow your Obstetricians advice sincerely lest the risk of preeclamptic toxemia or Clamps (seizures). I hope this guides you in the problem.
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I suffer from Specific Polysacchride Antibody Deficency and Common Variable Immune Deficency. I take weekly subcutaneous infustions to bolster my immune system . I have not been an antibiotic in four years, both to treat infections and for profolactic reasons. Cultures have shown psydeumonisis, Strep , and Staph. I have NO immunity to Staph and Strep. While in MX last week on vacation I spat out a large mucous ball that was greyish in color with black striations (sp) throughout it. It is not the first time I ve seen this and have consistently reported this to my ENT. I am currentlty on 750 mg Cipro daily for profolactic reasons.
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Hi, being someone with feeble immunity, you are liable for bacterial and fungal infections. The ball you spat could be fungal! Get yourself tested for any fungal hype in sputum, and if positive, you need prophylactic antifungals. Prevention is always better than cure and treating fungal infections in an immune compromised patient is a difficult task. You may request your doctor for this. All the best.
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my mother is 76 yrs old . she is a known case of systemic hypertension. she has no other cormobidites. she was taking concor AM 2.5 . amlodipine 5 mg and bisoprolol 2.5. during that time her bp was 100/ 60, 110/60. she was taking this medications as per the direction of a cardiologist . She has 1/6 ASM no calcifications or clot and have good ejection fraction. since she was on concor AM 2.5 she will drowsy and sleepy after 1/2 an hour intake of concor. her pulse rate will be 60 to 65 . now she is on amlodipine 5 mg . after taking amlodipine her BP is 120/ 80, 130/ 80. should she take concor AM 2.5 mg instead of amlodipine 5 mg. thanks god bless
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Hi welcome to him understand your query and concern. High blood pressure should be treated immediately to avoid complications like ischemic stroke. I advise you to start Tab. Telma once daily. Monitor your blood pressure regularly for every one week. I advise you to get serum. Electrolyte s, complete blood picture,ECG2D Echo, lipid profile as a part of routine screening to look for any heart disease. I advise you to also start take Copilot, Ecosprin, atorvas once abnormality is detected. Restrict salt intake to less than 6 gm per day. Fruits and fruit juices are preferable. Take plenty of fluids. Avoid smoking and alcohol. Avoid fatty foods. Also take low protein high fiber diet. Exercise regularly for 30 min. Consult your cardiologist for expert management. Post your further queries if any, Thank you.
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My 1 year old son has 2 choroid plexus cysts. Our pediatricians are not very helpful, as I believe they are not familiar with what to do since CPC generally goes away before birth. So I am just wondering what kinds of effects (if any) does/will CPC have on my son? I.E
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Hello, Choroid plexus cyst occurs due to a slight deviation in the development of a small part of the brain where brain fluids circulate. It is not so uncommon in child Chat Doctor. If there is no other associated congenital anomalies, then no need to worry. If any associated anomalies or developmental delay are there, then we need to rule out any chromosomal defects. As you mentioned, usually choroid plexus cyst disappears before birth, but rarely it can persist after birth. Ideally it won't cause any vision/ hearing/ developmental defects. I would suggest you to follow up with nearby pediatrician, especially to look for any associated anomalies and his development. Hope I have answered your query. Let me know if I can assist you further.
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Male 32. I had pain on the right side of my stomach. went to the ER thinking it was appendicitis but they didnt find anything even after doing an ultra sound on my genitals. I am not in pain but I do feel something (feels like air inside) in my stomach and the bottom right side of it too. What could it be? It as been 3 days now they gave me oxycodone/acetaminophen. I took one before going to bed last night. Slept well. pain was gone when I woke up but with the time it came back. any idea/suggestion on that?
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Hi! Good evening, I am Chat Doctor answering your query. Appendicitis is not the only pathology which could give rise to such symptom on the right lower qua Chat Doctor. If I were your doctor, I would advise you for a stool test for ova and cyst to rule out colitis, a urine routine and microscopic examination followed if need be by a culture sensitivity test to rule out a UTI, and possibly an ultrasound abdomen to see if there is a ureteric calculus on the right side. Further management would depend on the result of clinical finding and reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.
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I have what feels like a small ball shaped object on my knee cap , and when on my knee it causes severe pain. Then the other day I fell onto my knee causing this ball shaped object to pop or open under my skin now I am in excruciating pain anytime it is touched , what is this and what should I do?
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Hi, Thanks for your query. Well, without a clinical evaluation it would be difficult to determine the cause of the lump. Possibilities that may need to be considered include enlarged bursa, lipomas, cysts, growths from underlying connective tissue etc. I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the X-ray of the area affected and FNAC (fine needle aspiration cytology) of lump under his/her guidance. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
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I have a large lump onon my nose in between my eye and the bridge of my nose. It feels like a hard water balloon. It doesnt give me much discomfort but i believe that is still growing, and is causing sinus pressure. It started to present itself about 4 years ago when some debris got blown into my face at a boat yard i worked at. I had a stye but when it went away i thought it was all over. Any help will be greatly appreceated thanks
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Hi, Welcome to Chat Doctor Virtual Clinic. I reviewed your query in context of all the facts of your query. Based on the facts of your query, the lump between your eye and bridge of nose, seems to be lacrimal duct Cyst/or Epidermal Inclusion Cyst or Sebaceous Cyst, after the trauma from debris to your face with resolved Style after the debris trauma to face area. Duration of 4 yrs restricts the lump cause mostly to Epidermal Inclusion Cyst or Lachrymal duct Cyst. Dermoid Cyst possibility is ruled out as they exist since birth and more in the middle plane. Treatmetnt-Second opinion needed from your ENT/OPHLM and General Surgeon, who would treat it accordingly.USG /So's CT skull would fix the cause of the painful nose bridge lump as above. For the cosmetic correction Excision and HPR study by Team of -doctors, for the nose lump under antibiotic, is suggested under guidance of your Surgeon. This would help you to plan treatment with your doctor. Contact with Premium question to ME, if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS
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Hello doctor am Sophy and am really confused am a virgin and I plan on having sex with my boyfriend on the 31st of this month but am really scared of getting pregnant and I have never taken any birth control pills before.I had my last period on the 6th of this month and it ended on the 9th.I need your advice doctor.thank you
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Dear Soft, I would complement you on starting your sexual life. If you had your menses on 6th of this month and are planning to have sexual debut on 31st, mostly it would be safe from pregnancy point of view. Egg is released (ovulation) 14 days prior to next expected menses. Egg has life of 24 hours while sperms are active for 3 days. Hence, a period of about one week around the day of ovulation is considered as fertile window. I shall presume your cycle to be of 30 days. Hence, your day of ovulation would be on 23rd and your fertile window would be from 19th to 27th. So 31st is far away from the fertile window. Hence, you will be having meager possibility of pregnancy due to sexual relations on 31st. However, safe period is one of the most unsafe method of contraception. Hence, I would advise you to take post-coital emergency contraceptive pills. These pills need to be taken ideally immediately but definitely within 72 hours of the unprotected sex. Any sexual intercourse after consuming the pills not protected against the pregnancy. So you can cover this sexual incidence with such post-coital emergency contraceptive pills within 72 hours. If you buy them well in advance, you can take the pills immediately after the intercourse. However, if you are planning to have regular sexual relationship, I would advise you to adopt some regular, routine and reliable contraceptive method like condom, birth control pills or intrauterine device with the advice of your Gynecologist. Use of post-coital contraceptive pills is recommended only for emergency purpose; its routine use is not safe. I hope this provides you sufficient information. Wish you a happy sexual life.
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I am having constant aching pain in my lower back which is causing tingling to my lower legs. I also have neck pain which is causing tingling into my shoulders and arms. I take Lyrica and Ultram twice a day but it is not relieving my pain. I have not been able to leave my home all week.
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HiT hank you for asking ChatDoctorI have gone through your query. Your problem of pain is most likely due to nerve compression by disc herniation or osteocyte Chat Doctor. A physical examination with an Orthopedic will give clue for that and an X-ray followed by MRI if needed of cervical spine and lumbosacral spine will confirm that. In such cases I treat my patients with NSAIDs like Diclofenac muscle relaxants like Thiocolchicoside neurotrophic
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Hi ,My husbad have sever right abdominal pain from past 3 months, ct,endo, colo, entero eveything is normal. but in stool test fectal calprotectin is 600 which suggest an inflammation. but doctor cant find anything in colonoscopy enteroscopy too. but in coloscopy biopsy we had reactive lympth hyperlasmia result is found. which suggest again sum infection is there. can u tell me what will the probablities for this. doctor said no for chrons or ulcerative since in visual ther is no ulcer.
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3 months of symptoms of pain in abdomen, normal investigations noted. Reactive lymph hyperplasia can be due to Tuberculosis, typhoid and other specific or non-specific infections. I would also recommend test of barium called Enterocolitis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder. This may give an additional clue. If the routine medical treatment is failed to give a relief, you can request for an empirical course of an anti-tubercular treatment after blood tests of Quantifier gold test for tuberculosis and see the results.
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I have anemia, I don t know what kind. I have had every test the oncologist can possibly give. They keep saying they are finding nothing, but know there is some inflammation somewhere. I am so exhausted. I have lost about 14 pounds over a period of 6 months. lost all my hair, had two blood transfusions
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Hi, Anemia that has no identifiable cause or that do not respond to treatment is, most commonly due to bone marrow diseases like myelodysplasia or aphasia. You need to consult a hematologist, not an oncologist as a hematologist would know much better about anemia. The fact that you required transfusions to keep Hemoglobin up suggests me that you might be having myelodysplasia, for which you may require bone marrow biopsy and karyotyping. Hope this helps.
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Hello I had a hysterectomy on Aug 7th the day after they found my hemoglobion was 7.8 then by thursday evening it was a 5.9 so the radioligist went in thru a artery in my leg and found a place that was oozing some blood and foamed it up and i had 2 bags of blood gave to me thru IV the next morning it was back up to a 8 and i came home which was Friday. I went to ER on Monday for a bad constipation pain but was relieved they checked my blood again and it was a 10 . My question is how long does it take to get it back to a normal level like 12 or so ? And when can I have a glass or 2 of wine
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Hi, welcome to Chat Doctor, and thanks for asking. The hemoglobin level should come back to normal within a month, if you are taking supplements. Wine is not contraindicated and is not a negative factor for low hemoglobin. If there are no other risk factors, you can take a glass of wine. Alcoholics are known to suffer from malnutrition. So try to keep up your nutrition and if required, take supplements. Any further queries, happy to help again.
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Hallo sir.. My three n half months old baby she is suffering from fever for last two days. Giving her sumol drops but it s not working. Fever is repeating after 3 hours. And few days back she was suffering from ear pain also pediatrician suggested Candibiotic . M giving her but she cries a lot sometimes a lot. She stops breast feed when she cries a lot . I cannot understand what is her problem?? And she sleeps at 3 at night she cries whole night sleeps late daily . What should I do? How can I know what s her problem???? Plz answer.
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HI. Greetings from Chennai...there are few possibilities - 1. Ear infection - Otis media2. Evening colic3. Acute CNS infection/ Myogenic meningitis 1st two are not dangerous, but the last one is. Fever of a 3 1/2-month-old kid with inconsolable cry, the third possibility should definitely be considered and the baby might need an expert Pediatric opinion and investigations including a CSF analysis. Regards -
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My MRI Report
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Disc bulge causing thecal sac indentation and mild spinal canal stenosis, seems to be manageable by conservative management. Conservative treatment options include-Analgesics (NSAID), Physiotherapy, Gabapentin/Pregabalin. Surgical treatment is indicated, if
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My daughter who is a healthy 21 years old young women not complaining of anything did a blood test at university. All the results are normal , but the cea tumor marker is 3.4. Should I worry ?
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Hello there.welcome to Chat Doctor forum. Both benign and malignant (harmless and cancerous) conditions can increase the CEA level. The most frequent cancer which causes an increased CEA is cancer of the colon and rectum. Others include cancers of the pancreas, stomach, breast, lung, and certain types of thyroid and ovarian cancer. Benign conditions which can elevate CEA include smoking, infections, inflammatory bowel disease, pancreatitis, cirrhosis of the liver, and some benign tumors in the same organs in which an elevated CEA indicates cancer. Do you have any family history of any kind of colon cancer?? You could get colonoscopy done to rule out any abnormal polyp or growth in colon? Or you could wait for a couple of months to see if the level is increasing? I would suggest you to consult an oncologist and discuss with him about the further management of your daughters condition. Hope this helps. Take care.
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I am 30 years old history of kidney stones and I have had a hysterectomy, about the last 2 months I have had pain in my lower left side. I have headaches all the time, very fatigue and confused at times. Went to the doctor thought I had a kidney stone everything came back clear. What is wrong with me? I am a CNA and do a lot of lifting everyday.
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Hi. Thanks for your query. Read and understood the history of kidney stones and hysterectomy. Now you have pain in left lower abdomen for 2 months, headaches all the time, fatigue, confusion all the time. The possible diagnosis can be a chronic infection of the intestines or PID or may be a mass or lymph nodes. I would advise you the following
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I have numbness on the inside of my mouth. My cheeks and lips. Feels like when the dentist gives you a novicane shot and your lips and cheeks are the last to go back to normal. Or i just got braces taken off of teeth and lips and cheeks are still sore. Every thing tastes dry, even water. I have had these symptoms for almost three weeks now.
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Hi. Thanks for the query. In case if there is severe bone loss that is leading to loosening of teeth then unfortunately the teeth has to be extracted as without appropriate bone support the teeth cannot be saved. Secondly if there is very less bone left due to resorption then yes, the implant cannot be done as it also needs sound bone to get integrated. But in such cases first bone grafting is done so that there is appropriate bone formation and bone thickness and height is available for placement of the implants. So my suggestion to you is to please send me your latest full mouth x-ray [Panoramic x-ray] and a scan of your prescription paper so that I can have detailed information and advise you how to proceed.Also, you should get treated by an Planetologist only. Hope this helps. Regards.
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my husband has had a high fever for 6 days, he has meningitis or enchepahitis, they cannot determine source of infection. in icu treating with mult antibiotics, he is sedated, all tests have been negative both bacterial and viral cuases what is his prognosis, on vent due to confusion and pulling at iv
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Hello, Your doctor is suspecting that husband is having meningitis. The main treatment of meningitis includes higher generation antibiotic which are effective against the cocci N.meningitis. Third generation cephalosporins like ceftriaxone, cefuroxime are main stay of treatment these days. If treatment is given properly and with susceptible antibiotics used and if there is no deterioration of nervous functions then prognosis is not bad these days. Hope this is helpful. Thank you.
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My wife suffering to attacked of mirgi. since first time its was came in 18 feb. till date came 3-4 time. Medicine is also taking for this mirgi. once she forget to take medicine. she will b fine. once she forgot then get attacked. doctor told her dont take ralationship with relationship with ur husband next 2 yrs. is there any pertamenent solution for that attacked or we faced this situation in future. her medical report is normal. pls suggest.
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Hi, It seems you are talking about epilepsy please see to it that medicines taken without fail. The treatment to be continued till doctor stops it.convulsion free state of 3 to 5 yrs required before stopping the medicine please discuss with your doctor.while on treatment contraception to be taken to prevent conception.sexual relationship may be maintained taking full contraceptive measures. Any missed period to be reported to doctor without delay .hope every thing be all right with you and your wife
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Am having a pulse ranging from 145 to190 and have been on cardizen and isoptin sr for 9 mnths with no change and of late i feel a strange chest pain and its hard to breathe. Am a female aged 31.whats the best way to slow down the heart rate and the chest pains?
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Thanks for your question on Chat Doctor. I can understand your concern. You are having arrhythmia (rhythm disturbances in heart) which is not responding to anti arrhythmia Chat Doctor. So you have to undergo ablation procedure. Arrhythmias if not treated can lead to heart complications and sudden death. You are having chest pain, so you need to control your fast heart as soon as possible. So better to consult cardiologist and get done Holder monitoring (24 hour continuous monitoring of ECG) and elctrophysiological study (EP study) for the diagnosis of arrhythmia. You will definitely improve with ablation procedure. These will reduce your heart rate a chest pain. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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I have been depressed since Grade 2 (8 years old) and was diagnosed then with depression. Since then (age 8 to 13) I ve gained a lot of weight due to bad eating and never exercising, and was started on routine anti-depressants (Fluoxitine) and then at age 14 I was more conscious about my eating and the weight-gain stabilized at about 200 pounds... Now I m 18 and still depressed, I don t know if it affects my daily normal activities or not besides extreme lack for motivation, and for the past few months I ve been exercising more (long walks of 45 min or so home from school and biking) but nothing helps. I m always depressed, and now university is coming up and my grades suck and I m overweight and get told I look very feminine and not masculine even though I m a guy and I want to be...
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HiT hanks for using Chat Doctor You should get your thyroid profile done. Sometime due to hypothyroidism or subnormal thyroid level, patient get depressive symptoms and weight gain. In that case, with thyroid hormone, you would feel better. Even if you profile come normal, you can take it for augmentation purpose with your antidepressant. That would keep you active as well as control your weight. Thanks
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