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My father had an heart attack 2 weeks before. After that we admitted him in an hospital. they gave the initial treatment. After we went for angiogram. But the doctor didnt give the proper analysis report now we are in confussion weather my father have to get angioplasty or it may cure thru medicine?
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Hello dear thanks for posting your query here. As your father had a heart attack 2 weeks back, so now if your father still gets angina and if the blockage of vessels is >50% in left main and >70% in the other vessels, then he definitely needs revascularization that can be either angioplasty or bypass operation depending upon the degree of blockage and number of vessels involved. But if your father doesn't get any angina now but has blockage in the vessels, then he can get a stress test to find out the significance of those blockages whether they need to be opened or not. I hope this will help you. All the best
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My 3 yr old son has upper stomach pain and cramping, no fever. His stools are soft and full of white jelly like strings. We had the Dr out last night and she says its a flu. He woke up this morning, got up, got all sweaty, limp and pale. I was in the other room so I can not be sure if he fainted. He has thirst and wants to drink but not eat. I put him into bed after having him drink electrolytes. he is resting easy now. Should I take him to the er if he has another episode of fainting and sweats.
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Hi. Thanks for your query and an elucidated history. Since there is softness and white jelly like strings and now associated problem that he became sweaty, limp and pale, this is highly suggestive of an intestinal infection. This is the reason he is not eating. Dehy Chat Doctor. I would advise taking him to the hospital, get admitted start on intravenous fluids and antibiotic, probiotic and symptomatic treatment. Investigations of blood, urine and stool will be done, and he gets appropriate treatment.
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hi my dad has been diagnosed with a tumor on the liver which has blocked the bile duct... has been in hospital in and out since march 25th.2014. is in again and is on Clindamycin and IV fluids is awaiting opperation and is suffering a lot hes lost a lot of weight and his voice has become weaker. im not happy with the outcome they know what is wrong with my dad and are doing all the tests again and again. to find out what hes got. thanks joanne sorry i didnt know that i had to pay i thought it was a free service thanks bye.
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As far as tumors of the liver are concerned they range in variety from SIMPLE BENIGN tumors to AGGRESSIVE MALIGNANT ones..... Keeping in view your scenario that tumor has involved the bile duct it seems to be an AGGRESSIVE lesion BUT again thorough testing is required in order to get the right diagnosis. Some differentials are as
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my son has a persistent sore throat for a month now. saw a doctor and they thought it was sinusitis, treated him with Zithromax for 5 days and now it is back. He had swollen lymph nodes in neck when seen 2 weeks ago. says throat is still sore. He is 20 years old and just quit smoking 2 weeks ago. He smoked about 3 years. Hes worried about cancer.
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Hi, dairy have gone through your question. I can understand your concern. He may have some upper respiratory tract infection like sinusitis, and it leads to reactive enlargement of lymph node. He should go for fine needle aspiration cytology or biopsy of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Don't worry about cancer. At age of 20 chance of cancer is very low. So just be relaxed. Avoid smoking. . Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
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At present I am taking the drug Afinitor...in the past few days I have developed severe pain in my lower jaw where a root canal was done about 7 years ago. I went to the dentist and they said the tooth is OK and gave me some antibiotic pills to get rid of the infection...I have only been taking them for about 1.5 days but still have the pain so I have been taking extra strength tylenol (2 every 4 hrs)...sometimes this works and sometimes it doesnt...I am also using a cold compress on the area but am still not getting much relief. I am now considering taking some Tylenol 3 (with codeine)! Do you think this poses any problems in interaction with the Afinitor.
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Hello, Thanks for posting your query. The pain at the site of root canal treated tooth, may be due to re-infection. I would suggest you to visit a dentist and get reject or extraction of tooth done, depending on the severity of tooth infection. Take complete course of antibiotics-analgesics prescribed. Brush and floss your teeth daily. Rinse your mouth after every meal. Visit a dentist in every 6 months. Take care.
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I had my jaw broken in 3 places November 2011...for almost 2 years now I have been dealing with swelling an open sore under my jaw and pain you would not believe. I had insurance when this happened and it was wired shut and all of that good stuff....the pain is intolerable now and the maxofacial surgeon that did the operation to begin with will not even see me now. I believe the metal plate needs to be removed.
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Hello, I can understand your concern. As about 2 years has passed since and there should be absolute healing without any complication by now in the fractured bones. Presence of swelling and open sore wound in the fractured area indicates towards defective healing or persistent infection. You may have to consult another Maxillofacial surgeon in absence of your previous one for the examination of the surgical site and investigations like x-rays to check the process of healing and diagnose the reason of persistent problems. Based on the results, further treatment options can be advised. I hope this answer guides you well. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best,
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Hi Doctor,I am suffering from nose allergy since from 6 years, its very worst , after getting this allergy i started coughing very badly every day in winter season. later i used to get breathing problem and whistling in winter only. doctor told it is allergic bronchitis. nose problem will happen only when i go to home town but now i am at Bangalore and working now i don get much of nose problem but in winter time i suffer a lot. does yoga will help to my problem?. i am very damn!! hate this problem even so many times wanted to suicide . i want to get rid of this completely please assist me on this. please help me.
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Hi I had gone through your query and understand your concerns. I would come up with the possibility of ALLERGY is the cause of all your sufferings. An allergy is as an overreaction to usually harmless substance that the immune system determines is harmful, even if it is not. When the immune system is challenged with an allergen (substance which causes an allergic reaction) it becomes sensitized, committing the allergen memory. From that moment forward, the immune system recognizes the allergen and sets up a defense by releasing the chemical into the blood that may cause various symptoms. Without remove the cause the diseases cant be cured. That is, without remove the allergy your sufferings cant be cured. Treatment plan;I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your complaints In treating allergy, homeopathy also aims at strengthening the patients constitution and eradicating the underlying conditions such as sensitivity to cold air, nasal allergies and asthma which are often behind your sufferings. Homeopathy offers a safe and a natural treatment for allergy. A great advantage that homeopathic treatment offers along with the treatment of allergy is that it also strengthens your immune system, thereby preventing you from recurrent attacks. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. Or mail me at Chat Doctor. Co.inI hope this is helpful for you, thank you
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I got my 4 wisdom teeth removed and went for a follow up five days later and my doc irrigated my sockets and then filled them with paste now should i irrigate them with the syringe he gave me after 24 hours? Because some of the paste came out when i tried
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Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, you have mentioned that you have undergone extraction of wisdom tooth, your dentist has irrigated your socket and given you ZOE packs inside socket, don't worry you irrigate socket it will help you in healing of socket, Do warm saline gargle two - three times a day after 24 hours of extraction Hope this will help you. Wish you good health.
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Im Miss Rivera, I just want to confirm if its safe to take nordette twice in a week as an emergency contraceptive. I know its a regular birthcontrol pill and it is not an emergency contraceptive and yet is it used by few people in high dose like 4 pills with in 120hours after intercourse but I was just told to take it as a precaution.
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Hi thanks for your question. Yes you can take regular contraceptive pills in high doses for emergency contraception (EC)theoretically speaking taking EC twice a week is safe, but it should not be made as routine as EC causes a lot of irregular and heavy bleeding sometime to the dangerous level along with a lot of gastric upset and menstrual cycle get disturbed. It should be reserved for emergency use only. Hope this answers your question.
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Dear Doctor, My girl friend has been on Yasmin for the past six months but last month we shifted to femilon. So my question is it safe to have unprotected sex in the seven days after the proper use of the 21 tablets without missing any tablets? Further if you miss a tablet do you need to use another form of protection and for how long? Thank You Dileepa
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Hi Dilemma, it is safe to have unprotected sex anytime during the cycle if the pills have been taken regularly over time. Still, for the pills to be fully effective following guidelines should be adhered to. The first pack of pills should be started from preferably the 1st or 2nd day of the cycle, the first day of cycle being first day of menstruation. If it is started within the first 5 days of the cycle, no other back up method of contraception is required. However, if it is started after the 5th day, a back-up method like condom is required during the intake of first 7 active pills. Once the active pills are started they should be taken without a break, at preferably the same time, every day usually after meals. At the end of 3 weeks she will start the placebo pills. After 3 to 4 days of the placebo pills, she will have her periods and she should start the next pack in continuity of the old one the day after the last placebo is taken. If the periods are delayed by 7 days she should get a urine pregnancy test done. If she misses one pill she should take it as soon as she remembers or two pills together the next day. If she misses two pills consecutively she should continue the pills as usual, but you should use a back-up method for the next 7 days along with the pills.
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i am 43 years old male weighing 54kgs. i am maintaining high lipid value by hereditary as i am veg by birth. Total cholesterol
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Hello! To my knowledge, Mega 3 is not recommended specifically for controlling the levels of lipids in blood. The values of your lipid profile that you report, are not bad (a little higher than the normal range). And the good cholesterol (HDL-chol) is in very good levels. In my experience, with these values that you report, I would recommend only a control diet and regular daily physical activity. If you have other questions do not hesitate to write. Thank you for using Chat Doctor ! I wish you a good health!
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I smoked for 30 years and then stopped for 4 years. Before I quit I experienced black phlegm periodically. I started back smoking on 12/30/13 and am having trouble stopping. I don t have a cough, and am experiencing very little shortness of breath. However, sometimes in the morning when I wake up I can hear my lungs when I attempt to cough. My back also hurts. I know I need to stop smoking, but is this a sign of copd or cancer?
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Thanks for your question on Chat Doctor. In my opinion you should get done some investigations like chest x-ray and Pulmonary Function Test (PFT) to rule out COPD and cancer. As smoking causes both and symptoms like shortness of breath is also seen in both. Back pain is mostly due to weakness, and again it is seen in both. So we need to get done basic investigations. In my opinion chances of COPD are more in your case. So get done chest x-ray and PFT for the diagnosis of COPD. And suit smoking as soon as possible.
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A palm thorn penetrated my knee about a month ago. Though I never had arthritis before, I now have a mild case in my right knee, puncture healed, tetanus shot next day, no warmth or swelling--just light arthritis. Ultrasound showed nothing. My GP does not know what to do. I live in Maui, HI, and no doctor here for it. I can fly anywhere to get this taken care of. Who would be the best doctor to see?
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Dear patient Thorn prick cannot lead to arthritis of knee joint. It can only lead to foreign body reaction an around thorn which is painful. Thorn was removed from knee or its still lying inside? If not removed it may be lying inside. I would like to advise MRI of the knee joint to confirm diagnosis. MRI also helps in ruling out other knee pathology and also identifies thorn if left inside joint. Visit radiology center nearby you and get it done. You need to consult expert arthroscopic surgeon nearby you with report. All the best.
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I am having severe pain in my lower abdomen. It s across my whole abdomen, from side to side. It is a constant stabbing pain. It gets worse when I walk, stand up or sit down. It hurts if I even barely touch my stomach. It hasn t gone away since yesterday around noon. I was told several months back that I have Gallstones, but I m not sure i this is related to that. It is extremely difficult to get seen by my doctor and I don t know what to do. I tried ibuprophen, advil and mortrin and nothing helps. What could be going on? Should I go to the Emergency room?
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Hi, Your symptoms may be suggestive of gallbladder stones, so you should do at least an ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleurodynia and should be considered if gallbladder stones are ruled out. Hope I have answered your query. Let me know if I can assist you further.
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Hi, with no warning or obvious reason, my continuous pain has begun in my lower left arm. It started a few hours ago with just a stiffness in my wrist, but has continued to the rest of my forearm and slightly to my fingers... What could this be? I am a 21 year old female.
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Hello, As this sounds to be due to nerve root entrapment at the cervical or the wrist level. Getting it examined will be of help. Either it can be cervical Radiculopathy or carpal tunnel? But need an assessment to claim one. Also, doing hot water fermentation to the neck, posture correction, static neck exercise, shoulder stabilization exercises should help reduce the symptoms. Kneading massage over the Trapezius muscle will be useful. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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hi doc, im 26yr old female primigravida my 30th week of pregnancy has just started n recent ultarsound 4 days bk shows everything to be alrite,i have an intension to travel by car for a period of 12 hour to my village with my family ,ill be not driving ofcourse,baby s movement is gud ,plz tell me would it be safe to travel by car at this stage?
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Hallow Dear, If you are in a developing or undeveloped country, the conditions of the roads are not good. So I would not advise you car travel. However, if you are in a developed country where the roads are in very good condition, car travel is allowable. I would urge you to advance travel by two weeks. Pregnancy is most stable in the second trimester; i.e. between 12 weeks to 28 weeks. After 28 weeks, the uterus becomes more irritable to stress and strain and thus there is always a risk of preterm delivery due to travel. So try to travel before 28 weeks. And then travelling at a stretch for 12 hours is going to be quite uncomfortable and strenuous for you at this stage of pregnancy. In the car you are in sitting position throughout the travel. I would advise you to have a break after every 2 hours for about 15-30 minutes when you get down from the car, ease out your legs and back, pass the urine and then restart the travel. I know this will increase the travel time by about an hour or more, still it is better for you and your baby. Otherwise, the best travel is air travel; however airlines also accept the passengers under 28 weeks of pregnancy and that too with an Obstetricians certificate. Hope you will reschedule travel by two weeks earlier.
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I hit my knee a couple of weeks ago playing with my son and passed out! It felt like i hit my funny bone. I just thought i hit it to hard. Then a few days later i hit my heel on the chair at my house and passed out. Well i was like whats wrong. I rubbed it off and kept going...Till this morning i hit my ancle and passed out.. What could it be??
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Hello, I would explain that this is an overreaction to the pain. You should know that this is a physiological reaction, which is related to the activation of the legal nerve due to a strong pain. It is more prominent in sensitive persons. But, this does not mean that something serious is going on. Try to relax and don't worry about it! Hope I have answered your query. Let me know if I can assist you further.
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I ve been having stabbing pain in my shoulders and upper back. There s also been super unusual weakness in my upper arms. I m feeling severely fatigued as well, I thought maybe that was Thyroid related, but my primary care physician checked all basic labs and says Thyroid is normal. I do have neck and spine problems if that helps.
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Hi.noted history of stabbing pain in shoulders, upper back and weakness in arms along with history of neck and spine problems. It is best if you consult with a doctor, preferably a neurologist or an orthopedic/spine surgeon, for physical examination and clinical evaluation. Nerve impingement of different etiopathogenesis must be ruled-out. Diagnostics (such as MRI, x-ray, ct-scan) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
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My boyfriend and I have used protection in having sex. We started 6 months after I was with him (3 years later after we were good friends)... I also am on birth control and take it religiously. We are both 19 years old. On Christmas night the condom broke and ever since Christmas of 2012 he has been severely worried about me possibly being pregnant. I have had normal periods, been to the doctor, nothing reassures him. During the Christmas time his grandfather died, his mom was having mentally ill spells again, etc. He had a lot going on, but I still cant explain his irrational fear of me being pregnant. Its better to worry than be naive about me not getting pregnant, but nothing I say to reassure him that I not, helps. Nothing. Severe anxiety runs on his mothers side, as well as his brother. He doesnt really worry as much about other things, just about me being pregnant. He worries a great deal more when his mom calls him, or if he has any contact at all with her. Does my boyfriend have a problem or is this normal?
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Hi Adhagarty, Forum, Considering family history of mental illness, having irrational - excess fear, thoughts about imaginary pregnancy, not able to relived by reassurance - \"definitely indicates that your boyfriend might have some kind of Mental illness \". Exact kind of illness only be determined after detailed in person interview by psychiatrists.It's important to know that when such symptoms start disturbing relationship and affects work efficiency then its right time to go for psychiatrist consultation. Earlier the treatment you start more chances that positive outcome will occur.This illness can occur to anyone, at any age but can be fully treatable. So please consult to the nearest psychiatrist earliest. After thorough evaluation he will give you various options, and you can choose best amongst which suits. Hope this helps. Best regards.
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I have been experiencing what feels like muscle spasms & twitching under my left breast/rib cage area. I also have IBS and have been having diarrhea off and on more so for the past month. (Appendix removed October 2012) I have a doctor appt next week, but I am looking to ask the right questions. I have also recently went off the Depo Provera shot (last one was January) after being on it for about 15 years. I haven t gotten my period, but was wondering what kind of withdrawal symptoms I may feel. I have gotten crampy feelings and spotted very little in April. I also have tenderness in the upper areas of both breasts (not pregnant). I had a full exam in January and was ok. I had hematuria (large amounts in November 13 and trace amounts Jan. 14). Nobody could really tell me anything (I thought passed kidney stones) which I ve had before. CT scan did show 2 small ones in left kidney.
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Hi, Thanks for your query. From the description provided it seems that you have muscle twitches or articulations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. Articulations have a variety of causes, the majority of which are benign. The most likely and common causes for these are1... High levels of stress, anxiety,nervousness or excitement or anger.2... Consumption of excess of alcohol or caffeine.3...low levels of calcium, potassium,magnesium etc4... Low levels of IT B125... Use of medicines like anti asthmatics, anti seizure, weight loss medicines etc6. Certain disorders like hyperthyroidism or hyperparathyroidism. I would advise you to get tested for above-mentioned causes, stop alcohol and caffeine, do regular stress buster exercises like breathing exercises and yoga and taking good nutritious diet. Taking methylcobalamin supplements and electrolyte fluids will be helpful. If some deficiency comes in your tests, then take those supplements. 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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sir i am male doing masturbation from my 12th year,now my age is 23years i ll do it twice a day,when i was did masturbation i feel my legs and spinal card are paining and total body is going to be soo tied after this attempt,also is their any problem in feature for me.
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HiT hank you for asking ChatDoctorI have gone through your query. You are worrying too much. But too much masturbation is not good. It may have a psychological impact. You can change that by deviating your mind to some hobbies. You can do daily exercises like swimming jogging or playing games which will deviate your energy and you won't get the feel for masturbation.The have could be due to the award posture while masturbating or excessive stroking of hand. Hope this may help you. Let me know if you have any further query.
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this morning i woke up with just a little drop of whit clear looking fluid on my penis hole. This is the first time that has happened, but for the last two months it burns when i pee or sometimes i just pee a little when i feel like i need to go more. sometimes it takes a few moments for me to pee can you please help me.
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HelloThanks for query. Small quantity of white clear fluid seen on tip of the urethra and burning urination strongly suggests inflammation of Urethra (Urethritis). Get your routine urine test done to rule out active infection. Please take broad spectrum antibiotics like Cefuroxime along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Get the prescription of medicines from your family Physician. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. It should get cured within a week.
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Hi, i am on cerazette and i have melasma. The GP advised to remain on cerazette but i am noticing an increase in skin pigmentation around my face. What s your advice? I have tried other pills and they seem to worsen the condition too. Should i stop taking cerazette? Thanks
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Hi, Use progesterone only containing birth control pill. Plasma (facial hyperpigmentation) is a common side effect of combined oral contraceptive pills such as cigarette which appears to be due estrogen hormone present in it. I advise you to take progesterone only containing birth control pill which is less likely to cause plasma. Plasma may fade away slowly after stopping cigarette tablets. Hope I have answered your question. Let me know if I can assist you further.
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my mom is 46 and suffering from wheezing so she daily takes the asthalien which has in turn spoiled her food pipe and she is not able to consume a proper food even wit the least spices in it...pl suggest a remedy to these steriods and is it good for her to consume nutrilite health suppliment daily because shes got sugar and blood pressure
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Thanks for your question on Chat Doctor. I can understand your concern. First let me clear your false belief. Stalin is having albuterol. It is short-acting beta 2 agonists (SAGA). It is not corticosteroid. Stalin is having half life of only 2-3 hours. So it is not ideal for long term control. In my opinion, you should start long acting inhaled bronchodilator like (formoterol or albuterol or geotropism). Their action last for 12 hours. So wheezing can be controlled for long duration. These are ideal Chat Doctor. . So better to consult pulmonologist and discuss all these. Don't worry, she will be alright after starting these
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Is knee pain while sleeping a common problem ? . It seems when I sleep on my side ( and do most of the time ) my left knee will start to pain me , so then the pain will wake me up , and once that starts it goes on all night . What can I do about this ? . Thank you
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Hello, What I understand by the history is there is some imbalance within the knee joint leading to such symptoms. Firstly I would like to know what is your age? Are you having high blood pressure? Are you diabetic? Have you met any accident or injury to knee recently or in the past? Since all this question remains unknown what I feel is there is instability of the knee joint and that needs correction. Trying out wearing a knee brace in the night before sleeping should help avoid any unwanted pressure on the internal structures of the knee. Next, I will recommend you to do a checkup with an orthopedist for physical examination of the knee. Also, doing strengthening exercise for the knee will be of great help to get the stability of the knee joint and avoid unwanted abnormal pressures. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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I am a 62 year old male who eats very healthy but am experiencing abdominal pain and nausea after eating most meals. (pain is in my central upper abdomen) This has severely reduced my appetite over the past 1-2 years and has caused me to loose almost 20 pounds of body weight ( 6 feet tall, currently 155 pounds). No problem with constipation or diarrhea. An endoscopy, endoscopy, abdominal ultrasound, abdominal CT Scan, and HIDA scan have all been negative. What is the cause of my abdominal pain and loss of apetite?
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Hello, Thanks for the query to Chat Doctor. Forum. Since all the tests as endoscopy abdominal ultrasound, C T scan, hide are normal, so good thing. Still pain in epigastric (pain in the center of abdomen as in your query). May be due to as, Tension (stress), hyper acidity (mild degree don't show any findings in endoscopy), Hypertension. As your age is 62 years and pain or fullness with loss of appetite may be due to hypertension, so please consult one more physician and get his opinion. Blood pressure on three occasion on three days will find out exact result. Get in blood for lipid profile. Good luck.
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Hi, Just had blood tests. My alt is 32 and my AST is 28. I have been treated for uterine cancer 3 years ago. I have an over active thyroid, under dr. care. I am overweight but have been exercising and have lost 15 pounds. Why are my ALT and AST higher than before, 18, 21?
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Thanks for your question on Chat Doctor. In my opinion you should not worry much about your slightly elevated STOP (AST) and SGPT (ALT). Since you are obese, possibility of fatty liver is more. This is due to excess body fat which is accumulating in the liver. And cause fatty liver. This can give slightly alteration in liver function and cause slight elevation of ALT and AST. No treatment is required except weight loss and exercise. So continue exercise and avoid oily, fatty and junk food. Eat healthy food. Repeat ALT and AST after 2 months.
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hello am a 57 year old man who has umbilical hernia done 14yrs ago immediately after the operation I notice that by abdomen was hard and sticking out like I was 9months pregnant. I went back to the surgeon and he said, there was nothing wrong. I went to a plastic surgeon and he said my abdominal muscles were stretched. but he told me a general surgeon might be able to help me I tried exercise running and got little results. I would like to get rid of this problem for good. Can you possibly help me with this.
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Dear thanks for the question. Firstly I would like to inform you that you need to visit general surgeon as your treatment depends on physical examination of the abdomen. If I were your treating surgeon I would have gone for ultrasound scan of your abdomen after thorough examination. It could be recurrence of umbilical hernia or simply sagging related to obesity. Umbilical hernia would require surgery again and for obesity you have several options (liposuction, exercises, diet control). I hope I have clarified your queries. Do write me for follow-up queries. Please rate my reply. I wish you good health. Thank you
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I am under your consultaincy for last three years my next appoint is on 28 of this month and my no is 57 my question is should i get a chance on the 28 or on 29 in any case i should submit my paper on which date as iaam an outsider suffering from parkinson please consider my case
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Hi, as you mentioned you have Parkinson's disease I will try to help you with my knowledge. Since Parkinson is a disease where the brain has an imbalance by the dopamine secretion. For this the Neurologist will prescribe you medicine and your symptoms like tremor, rigidity will be controlled. Treatment will be symptomatic. Later on you should focus on doing regular physical therapy. As physical therapy will help you control the symptoms of tremor and rigidity. your mobility will also improve, and your systemic functions will be better. After taking the medicine which will balance the dopamine secretion in brain you need come closer to regular exercises. As exercise will help you to produce the natural dopamine and with later stages your medicine will be reduced. What needs in Parkinson disease is the active control of brain and bodily functions. Which can be made by regular physical therapy. I have seen many Parkinson cases and 90% have responded well with the medical and physical therapy joint combination. Before we lose a lot of physical function and allow brain to get slow down, it's better to start the physical therapy and medicines on time. Prevention is better than cure. On any questions regarding exercises you can ask me.regards Jay In Chat Doctor.
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My mother is 72 yrs old. she had gamma knife surgery aug. 12. since the surgery , she has been having panic attacks, feeling like she cant breath. she also feeling like theres a problem with her heart. she has been in and out of the hospital . they have done - MRI , CT SCANS and the works. they cant find anything. were also to the point to belive it is all in her head. HELP
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Hi, Thank you for posting your query. Your mothers clinical symptoms are suggestive of panic attacks and anxiety neurosis. Her major investigations including MRI and CT scan of head, as well as other investigations are normal, which rules out any serious problem with the heart or brain. As of now, she needs a psychiatric evaluation. Starting her on antianxiety medication such as clonazepam would help. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/
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i am 43 years old , i use hair color, which is causing allergy to my skin and it is spreading in other parts of body like arms and groain area. in am suffering from skin allergy for last 4 years. use mommate cream and taking allegra 120 mg. please suggest me proper treatment. rj singh
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Dear RJ, You seem to have a delayed chemical hypersensitivity (Type IV) against certain hair coloring chemicals and recommend you have a patch test before using any more hair dyes. For the moment, you need a systemic corticosteroid like prednisolone 1-2\u00a0mg/kg BY for 15-20 days to control this reaction and also need to continue the Allegra 120\u00a0mg until all of this is resolved. As for the other skin allergy I am not sure what it is, but a formal testing is recommended. Thanks.
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My 2 yr old had a huge bowel movement. I was cleaning her I noticed her urethra is red and tender. When I was bathing her she was uncomfortable when I was washing her. What is it? Does she need antibiotics? She eats plays jumps as usual. But when she urinates she is uncomfortable
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Helots a common condition in female child Chat Doctor. You should get her urine tested as Urinary infection is common in young girls. Another cause is pin worms for which you may give her syrup Albendazole 10 ml and repeat after about two weeks. Redness and pain in the external genital passage could also be due to bacterial or fungal vulvo-vaginitis for which you need to consult a Pediatrician. Local hygiene by daily washing with a mild soap and water twice a day will help prevent recurrence of this condition after being properly treated with appropriate medication as prescribed by your children Pediatrician. Best wishes for your children quick recovery.
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Hi, i was in the shower and felt a pea size lump under my armpit. after a few days I felt another next to it. Now lump does not hurt but my right upper/chest kinda feel hurt or numb/tingling and now i feel it on my right arm. I am very worried. kindly advise
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Hello. Thank you for using Chat Doctor. The pea size lumps that u feel in the armpit area, are the lymph nodes which are enlarged. This could be due to various reasons, ranging from a mild infection to cancer. You have not mentioned your age or other details. If you do not have any other complaints or lumps elsewhere in your body, it could mostly be only a reactive/inflammatory lymph node, which would subside with an antibiotic course. Do consult your local physician for the medicines.
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Hello Dr.,my son is 3 year old and last 3 months whenever he have cold and cough he is having weasing problem and the doctor advice to use duolin inhaler everyday.I want to know my son is only 3 year old and continuosly using this inhaler will create any problems for my son...plaese advice...arun..kerala
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Hi Welcome to the ChatDoctorI understand your concerns. You child seems to be suffering from recurrent pulmonary wheeze. It occurs commonly due to hypersensitivity and hyper responsiveness of airways to certain allergens in the surroundings. You may try following measures to help him
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Have this small painless lumps around my neck on both arms and stomach. had a check 4 years ago and a biopsy was done on one of them and was told it is a sabecious cyst. Is there need to worry? they are still in the same exact positions. Do i need another check now?
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HI. Great finding of so many sebaceous cysts, one of which was biopsy proved to be sebaceous cyst. There is no need to worry as such as they are never going to transform into cancer or so. But they are going to be a potential source of secondary infection. I would advise you to get them removed, all of them so that again you are going to have a tissue / biopsy diagnosis and the best part is you remain disease free.
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Hi, may I answer your health queries right now ? Please type your query here...my mom has an allergy problemmeansher serum immunoglobin level is highso i want to get my mom get curedwhich treatment to do?answersirplz my mom is really suffering
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Hello and welcome to Chat Doctor, The level of immunoglobulin E (IG E) is expected to rise in cases of allergy. The high immunoglobulin level can be controlled only when allergy is controlled or treated. Thus, I would suggest you to consult an immunologist to first find out the allergen causing the allergy. Avoiding the allergen is the treatment of choice for allergy. Besides, immunosuppressants can be used to control the symptoms of allergy. Thanks and take care Chat Doctor.
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Hi, may I answer your health queries right now ? Please type your query here...hi my girlfriend is 16 years old, and about 2 weeks ago after a basketball game, she come out of the locker room crying and she said it felt like somebody sitting on her chest. She had troubles with this when she was little, and the doctors diagnosed her with svt and then put her on medicine, but it has now come back. What would be the best thing for her to do?
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Thanks for your question on Chat Doctor. I can understand your concern.SVT (supra ventricular tachycardia) is recurrent. In young patients, Radio Frequency Ablation (RFA) is the treatment of choice. It is safe and permanent cure for SVT. So consult cardiologist and get done Electrophysiology study (EP study) of heart to identify the abnormal impulse pathway. Once abnormal pathway is identified, cardiologist will ablate that pathway. So no recurrence is seen. Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks.
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hi Doctor,My name is Nidhi. I have dark and light brown dots on my face. I believe it is due to the sunlight exposure. These brown spots are on my face since my early teenage and now I am 26 yrs old. please tell me how to make them disappear from my face. I am fair, so have these seen very clearly too. Thank you in advance for helping me soon.Nidhi
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Hello and welcome to Chat Doctor You most probably have freckles on your face. Freckles are flat, brown to tan males which are common in those who are fair skinned. They appear most prominent in sun exposed areas and Sun exposure tends to darken them. For freckles, you could use Bolivia gel during daytime and Aramaic acid gel (Aider) for nighttime use. You can also opt for chemical peeling session from a dermatologist. Glycol peel and Comic acid peel can both effectively diminish freckles. Always use a broad spectrum sunscreen gel, 1/2 hour before stepping out in the sun and regularly throughout the Dayan Oral It C supplement would also help with pigmentation. Regards
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i have had localized pain in the area of the deuodenam since I was 16. I am 49 and weigh 141 lbs. Last year I had a positive hyda scan for spasms of the gallbladder and had it removed. I was asymptomatic for a few months, but the pain has returned. I cannot link it to any particular food, but when it occurs, it is always after I eat. The pain can be so severe, I have been hospitalized. My diagnosis is IBS with constipation. HELP!
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Hi. The diagnosis is obvious as written by you, the IBS- irritable bowel syn Chat Doctor. I would advise you the following. Upper GI endoscopy, Colonoscopy, Enterocolitis that is barium study under fluoroscopic control to see for motility disorder, this can be due to annular pancreas. Occasionally Diagnostic laparoscopy helps in diagnosis and treatment as intestinal obstruction due to a band can be treated simply with a small cut.
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Hi i have a five year old boy, this morning was like any other morning, he was running around like a mad thing, ate a little, come two o clock he said he was hungry but didn t eat, then he said he was tired, so i let him sleep for an hour & gave him 7ml of ponstan, because his cheecks waere flushed red. then he seemed to be fine again until about nine, & his rosy cheecks returned & his temp was 39deg, i gave him 10ml of ponstan, his temp is now sitting at 38.8, he says nothing hurts, just tired? any ideas on what to do?
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Hi, welcome to this forum, from history provided it just seems to be exertion related tiredness, also it could be a creeping in viral fever. According to history his consumption of food is less compared to expenditure of calories. I would advise to give more attention on his regular feed and keep him well HY Chat Doctor. That would solve a lot of his tiredness. ThanksDisclaimer
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Hello, Whenever I eat food particles go between the gaps of my molars and cause pain. Hot or Cold food does not matter but food like chicken get easily stuck and cause pain. My tooth is fine no sensitivity at all. But the when food goes into them it pains a lot. I floss twice daily and use mouthwash once a day but still no relief.
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Hi, Thank you for posting your query. I had gone through your problem. Normally there should not be any gaps between teeth. But because of gum diseases in some individuals gaps will be formed between the teeth. Sometimes infection is seen beneath the gums. When every food is accumulated in these areas wage to moderate pain is felt. Pain will be severe if chicken like substances are accumulated in these areas because of putrefaction by the microorganisms. It is not possible to remove that infection by using floss or by using mouth wash. Profession treatment is necessary to get rid of the problem. So I would like to suggest you to meet the gum specialist i.e., periodontist. Hope my explanation would satisfy your query.
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i am a 31 yrs old female married since 3yrs .i had previously no issue now i have conceived since 3 months .i have been previously suffering from depression and i had been taking olimelt 10 mg but i stopped the medication before one month from conceiving as suggested by the doctor and i felt quite well.i also want to mention here that my mother in laws attitude has been very bad towards me from the very beginning and from a year my husband has also started emotionally hurting me and punishing mef for no reasons eg by calling my parents unnecessarily, by threatening to divorce me ,by not allowing me to meet my friends or parents etc.all this has started anxiety in me again and i fear for the well being of my baby.kindly suggest.
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Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety during and after pregnancy period is quite common and this is caused by various factors. The prime factor being the hormonal activity. That part is to be taken care of by your gynecologist. Work with your gynecologist. Secondly, the stress related to pregnancy and the expecting trauma and post-natal problems, could trigger depression and other related problems. Counseling is applied on this respect. You could also try exercise and meditation. Deep breathing also helps. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
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my grandaughter 22 yrs old has red rash starting to spread alll over her body, started on face and chest first, rapid heartbeat, and is very hot. the rashes are like a birthmark or burn, but not swelling, I gave her a antihystermin tablet. shes gone to sleep now, but rash isnt going, she was tired when she came in.im worried.
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Hello, Thanks for the query, She might be suffering from measles. It is a viral infection. Just give her anti pyre tics to control fever. Rash will disappear on its own. If there is any ulceration or fever doesn't go down you must meet a doctor. A photograph would have helped me in giving a closer diagnosis. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https
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Hi, I am having Sharp pains in lower abdomen above hips both sides, bloating and right chest pain near ribcage pains been quite constant for a few days now. Had mild pains in mid abdomen near belly button for abput a year now. Any suggestions? Thanks.
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Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you to stop eating from outside if you do. Outside food might cause intestinal infections specially meiosis in some regions which might give rise to gaseous distension and pain abdomen. For this I would advise you for a routine stool test for ova and cyst, and treat it if positive. At the same time I would advise you for a urine routine/microscopic and culture sensitivity test of your urine to rule out a UTI for pain on both sides of abdomen. In case you are a female, and are sexually active, I would suggest you for an ultrasound abdomen for ruling out chances of any missed conception/any adnexal pathology or chances of any stone diseases in the gall bladder. Also, a gynecological check-up for ruling out a PID (pelvic inflammatory disease) is important. Further management would depend on the investigation reports and the findings of a clinical examination by your treating doctor. 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. I wish you an early recovery. Chat Doctor.
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Hi Doc! My C-reactive protein as per fasting blood sugar is positive (96) Ref. range 0-6 mg/lt (qualitative method). My Vitamin D is 5.90. Erythrocyte sedimentation rate is 63 ( Ref. range 0-20 mm at the end of 1hr.) as per Westerngren method. I was admitted on 24th oct. to hospital with symptoms of difficulty in walking, joint pain, swelling, fever. The x-rays showed synovitis of the feet etc. The test for chikungunya came negative. I am on a lot of medication like eezflam, sompraz, trinerve, uprise D-3, Kalzin -c, ostium - kz, supanac 50mg, calpol 650 mg, becozinc, limcee. I have been told to repeat the test for chikungunya tomorrow 13.11.11. I am 39 yrs old. I have been told I have rheumatoid arthritis and severe D-3 deficiency. I am also onto physiotherapy. I want to know whether I would ever be able to lead a healthy life and how I can get back to normal routine. I am a working woman with two children.
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Hello, It looks from your details that you are having severe deficiency of vitamin D with RA. You should do following to have relief- -Your vitamin D levels are very low. With oral supplementation this takes to long to take it is to normal. I shall advise you to discuss injectable form of vitamin D to take it rapidly to normal. This will help in taking back some of your symptoms to normal. -The RA is one of chronic disease. For this you should take medicines for long term. Some time with long term therapy it goes into remission. Please do not despair. Keep your moral high. Please add yoga and meditation in your therapy plan. This will help you in recovering early and well. Hope I have answered your query. Let me know if I can assist you further. Take care
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My girlfriend and I have since the start of our 2 year relationship been experiences problems that appears to be sexual inadequacy. We just dont seem to have the chemistry to excite each other. We both led a normal sexual life before but with each other it is always a struggle. I am 34 and she is 27 and we are both worried that this continuous problem will ruin our relationship. We do not know what to do and are extremely frustrated. I am in love with her but i just dont seem to know what to do and i dont want to loose her.help
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Degree understand your concerns went through your details. I suggest you not to worry much. Sexual problems are normally due to mental causes rather than physical causes. You are talking about your girlfriend, not about your wife. Sexual relationship with girlfriend is always a cause of guilt. Such guilt could produce anxiety which in turn can be a cause of sexual problems. Also, you have not mentioned the type of sexual problem you are facing. Please consult a sexologist / psychologist to know more. If you require more of my help in this aspect, Please post a direct question to me in this URL. http
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Hi my son is 2.5 year old he got is first seizure in Jan 2015 following a panic shock he had seeing a balloon burst before him. Initially he used to go still and collapse, we meet a neurologist who said it is seizure and started with Valproic acid without eeg and MRI, After taking valproic acid he started getting tonic clonic seizure, so they started increasing it, but it became over dose in the blood and he was admitted at sick kids in canada, their doctors veined valproic acid at this time his MRI and EEG was normal and doctors started with keppra and clobazam, which again increased his Tonic clonic seizure so he was re-admitted , this time his EEG showed slow movement in the left side and they also said it showed some seizure activities. by this time he started getting absence seizure and drop seizures, now he is in ketogenic diet+ Keppra 500mg twice a day, lemotrogine 7.5 mg twice a day, clobazam 10 mg twice a day, still he has more than 30 drop seizure per day and more than 100 staring episodes(absence seizures). we are not sure how to control currently he is treated at sick kids in Canada. we are worried over dose of medication has causing him a problem. can you help us with how we should proceed as we are planning to bring him to Chennai India for treatment. NOTE
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Thanks for your concern shown here. Let us be clear that some time there use to be refractory epilepsy which is difficult to control. Now in the same time kindly check these things
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Hello I have a rash in-between my buttocks, it appears to be pinkish-red and it feels somewhat bumpy but I can also feel two lines on both cheeks of the buttocks and I do not know what caused it exactly, Im 18 and Im also a virgin so Im absolutely sure its not sexually transmitted
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Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and
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This past wednesday, after being home for an hour or two, I noticed that I had scraped the skin off a small area on the inside of my left ankle. There is a hard lump underneath the spot, and it is very sore all around the area, sore to walk also. Now the skin has very little coloring to it, but the soreness is continuing. Thinking it is a bruise from banging the ankle with my other foot.
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Hi! Thanks for sharing your recent health problem with Chat Doctor! After going through your description, as I feel or if I were your physician, I would like to consider nothing but an infective pathology in this case! Regarding the scrapping, skin ulcer, soreness, hardness, color and painful movements, I must think that there is some recent infection only with soft tissue involvement and in worse case ti could be some kind of arthritis or inclusion cysts also! Therefore, you must see a physician for a clinical examination, Chat Doctor.
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Recently we went for full body check up. My husband diagnosis by grade 2 (10.2) likely to be fatty liver. His sgpt level is 105. Pls suggest wether there is any major lever problem? What we will do now? He never take alcohol or any major medicine but he eat junk or outside food regularly. Pls help us by giving u r advice. Regards
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HI, thank you for posting your query in Chat Doctor. My opinion is that you should not much worry about this as the fatty liver is a reversible condition. This can be achieved by simple lifestyle modifications for weight loss. I would advise the patient to follow these instructions given below. Try losing 1 or 2 pounds per week not more than that, as it would lead to health problems. Go for cardiovascular exercises like brisk walking, running, swimming for 45\u00a0min a day, 6 times a week. Strength training 4 times a week. Avoid alcohol, quit from smoking. Avoid fatty foods, junk foods, deep-fried foods, simple sugars, pizzas, chocolates, ice creams, soft Chat Doctor. Have a balanced and healthy diet that should include complex carboy
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Hi, Can someone please help me? I have been with my partner for 2 years now.... we are due to get married next year (yay!) I came off the Depo-Provera in January (the month it was due). Since coming off the injection, my periods have been pretty sore (one of which involved hospitalisation in April) but they are now in a regular pattern and a little less painful. My fiance and I have been trying to conceive ever since coming off the pill but no such luck We have exhausted nearly every option ie
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Hi, Relax, first of at 24 years, and just off a long term contraceptive, you need to stop trying so hard. Ovulation kits, pregnancies, evening primrose are not really effective in conception, it would depend on the cause of infertility. You need to try naturally (without any reason to be that something is not normal) for a year.85% of couples will conceive naturally. If at the end of a year you are not pregnant, we could evaluate you then. Hope this helps. Regards.
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what type of doctor would you suggest can look at my son 14 years old with flat feet who has been wearing orthotics for over 5 years and is now complaining of knee and ankle pain and is sad he cannot play football anymore due to the pain in the knees. We are based in Dubai and would ideally like to consult with someone in the UAE or India or any great doctor elsewhere. Help please. thank you my email address is YYYY@YYYY
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Hello, With the history, it sounds that due to the usage of orthotics within the shoe for flat feet there is the cause of pain in the knee. This is one of the most common problems people face when they have flat feet. Using orthotics is only when there is walking. When a person is trying for sport the orthotics need to be avoided as it will apply high pressure over the joints of the lower limbs. The pain must have caused due to changing in the biomechanical forces in the joints due to this. What I will suggest as per my experience of 12 years in sports physiotherapy is that, avoid orthotics while playing sports. Use orthotics only when just walking. Try doing exercises like lower limb strengthening and balance board rehabilitation. This should give good outcome scores for the patient. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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The past two days I have had moments where I feel my heart skip or flutter and I lose my breath for a moment, yesterday it happened 4 time throughout the day and today it happened 7 or 8 times, its very scary and frightening, i have never experienced anything like this. I am a smoker and drink a lot of soda.
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Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to cardiac arrhythmia. Anxiety and physical activity can also be the cause of some palpitations and ectopic heart beats. I would recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests (complete blood count, fasting glucose, kidney and liver function tests, thyroid hormone levels, blood electrolytes). An ambulatory 24-48 hours ECG monitoring and a cardiac ultrasound are necessary to rule in/out a possible cardiac arrhythmia and examine better your cardiac function. If all the above tests result normal, the main cause of your symptomatology would be anxiety. Meanwhile, I recommend avoiding caffeine intake and have a good HY Chat Doctor. Hope to have been of help! Feel free to ask any other questions whenever you need! Best regards,
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My father was diagnosed with ealry stages of dementia 6 months ago and is on medication to slow the progression. Prior to Christmas, he developed \"noise\" in his head. sometimes he says it is a hissing; other times it is a feeeling of wind blowing in his head. it is very disturbing for him. he is agitated and not sleeping. We have had him to an ENT specialist several times, who says that it is not tinitis nor infection. could it be linked to the dementia?
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Hi, Welcome to Chat Doctor forum. It appears that the hissing is in his head, not in the ears. Tinnitus is felt usually in the ears. As you describe it appears to be the auditory hallucination, due to the dementia. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for diagnosis, and to exclude the tinnitus. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have recovery of the brain tissue, and general health. Wishing for a quick and complete recovery. Thank you.
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this couple of days i woke up late. and when i woke up i was about to pee and then my lower abdominal hurts and my back hurts. is this because i didnt pee at night and my lower abdominal are full of water and i didnt pee immediately while im asleep.??? and also i notice when im sitting my lower abdominal hurts but when im standing or walking its not hurts.
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Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You are getting lower abdominal and back pain when you are about to pee. When you sit lower abdomen hurts. It appears that you had Urinary tract infection, or stone in the bladder, or in the urethra. I advise you to consult a urologist for diagnosis and treatment. You may need to have M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
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I was pescribed with minoz od by my physician for rosacea 8 months back. Its been 8 months now i am not taking any medicine for rosacea since then Now that am 5 weeks pregnant am worried that my baby is safe or not although am not taking medicine since then. For how long one should not concieve after the acne rosacea medication has been stopped completely? Pls ans my query it would be of great help. Thanks in advance.
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HI, Thanks for asking. I understand your concern. Treatment of Rosacea is mostly local ointments. Added antibiotics if not responding to ointments. & in some severe cystic form of Rosacea needs Chat Doctor. You had been given Minor for the treatment which is a tetracycline derivative & is not known to have any untoward effect on pregnancy/ fetus. So rest relaxed. Isotrenatoin is known to have bad effects on pregnancy & the fetus also... but you have not used it(as per the information given) so nothing to worry about. Thanks.
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Hi,my baby is 1month old and I find she is very restless . I have a feeling that she has got stomach pain. She stretches a lot (while she is asleep and awake) and vomits most of the milk she had. she make a cough kinda sound also . My mother advice me to give his bonnisan as she used to give it to me when I was a baby. But i m confused whether it s safe, if so what dose should I give her. Please advice. Thank u
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Hi, 1-month-old infants usually suffer from colicky abdominal pain partly due to constipation caused by breast mid and early due to gaseous distension. It usually requires no medication, just good burping activity of the child and keeping in mind not to give anything else to the baby except mother milk. But if the child is restless and irritable, Syrup Colic aid 5 Chat Doctor. Vomiting the feed is considered normal if the child does it intermittently and vomits out thanks and regards.
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I am 29 years of age and trying for pregnancy about 5 months. My Gynecologist examine my uterus retroverted and nonspecific but I have no strong symptoms. I afraid that it could create a problem. I have no children & haven t any ultrasound procedure. Is retroverted uterus is a cause for infertility?
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Hi, Welcome to Chat Doctor. Retroverted uterus doesn't cause infertility. But sometimes associated endometriosis can reduce fertility. If you have no symptom of severe pain during menses/during intercourse (which rules out significant endometriosis), there is no need to worry about that. Also, 5 months is a short duration to think of infertility. Continue to try naturally unless there is some reason to worry (introverted uterus should not be a reason for worry). Hope this helps. Regards.
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I am being treated for pulmpnary embolism found on Jan. 30th. For now I m taking Fragmin until friday until my blood reaches 2. It is now at 1.78 for the coumadin. How long does it normally take the blood clots, which are small, to breakdown? I think it is the result of inactivity, I m writing a book.
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Thanks for your question on Chat Doctor. I can understand your situation and problem. For Pulmonary embolism, PT with INR should be kept between 2-3 to achieve effective anticoagulant effect. Since your INR is 1.7, you need higher dose of anticoagulant Coumadin, to maintain INR between 2-3. You need to take blood coagulant for at least 6-8 months. And resolution of Pulmonary embolism needs at least 6-8 months. So you can expect recover after 6-8 months.
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Good Day! I have a 5 year old nephew. Since he was 2 years old, he used to throw things that he handles everytime he is mad and everytime we don t follow whatever he wants. And when he does, we beat his hands. But still, he keeps on doing so. I even used a hot spoon once and tap it on his hands just to let him feel the pain but it didn t even work! And now, he even gets worst. If you scold him he will just cry and respond I don t love you anymore and sometimes he ll shout You are ugly! while throwing things! And when we tell them to stop doing something, he ll just stop for a while and do it again! I am thinking if he lacks attention because most of the time, his mother which is my siste, is not taking care of him and is not putting attention to him. By the way, his parents are already separated. I just need your help so badly. Please advise on how can we discipline this kind of kid and what should we do in order for him to change that kind of attention. Because his attitude is too much! What I am trying to say is that, we don t know already how to handle his attitude, even his nanny is giving up! Thank you so much and PLEASE help us!
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DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information it seems that the child is suffering from Attention Deficit Hyperactivity Disorder spectrum disorder and related aggressive hyperactive behavior. I strongly suggest the child to be examined and assessed by a psychiatrist for further treatment and advises. Please consult a psychiatrist ASAP. If you require more of my help in this aspect, please use this URL. http
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I am 61 yrs veri active lady. I have been detected with cerival spondylosis with nerve impingement syndrome ... x-ray report shows degenerative changes with an osteophytic and there is dececrease in intervertebral disc spaces between C4-C5 and C5-C6. I am taking treatment from physiothearapist,for last 25 days. The pain in the neck is better but in the arm its still about 30%. the dr. says, that with his treatment, i will not get pain in future, if i follow the exerices properly... Is it true....boz. i dont want to go thro the pain, again, in my neck and arm, which was quite unbearable. Also please tell me the dos n donts which i have to follow, for not getting the pain again. mrs. chopra
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HiT hank you for asking ChatDoctorI have gone through your query. Physiotherapy neck exercises and short term analgesics are main elements of conservative treatment in cervical spondylosis. Majority of patients get improvement if they do physiotherapy and exercise regularly. But it takes some time. You should maintain normal posture while sitting standing or lying down. You can use a rolled towel to put under your neck while sleeping instead of pillow. A cervical home traction devise also can be used. Hope this may help you. Let me know if you have any further query.
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My dad is in the hospital with colon cancer stage IV they are not giving him any food or drink only ice chips and iv he is very very weak and vomiting brown foul smelling stuff. They said nothing they can do and as far as treatment. They are giving him morphine pill and shots as well as shots in the stomach. Is this the end for him? They are not telling us much.
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Hi.pain is one of the most common symptom present in cases of metastatic diseases. Treatment goal for your father now is just palliative, and not of curative intent. In these cases, pain management service/doctor is of great help in alleviating his pain, but as expected recurrence will be there, as the main culprit of the symptom is present. You can talk to your doctor anytime if you have questions, as it is your right to know as a patient/relative of the patient, especially when it comes to his prognosis. Usually, if it is metastatic already, 3-5years survival rate from the time of diagnosis, is the usual prognosis. Of course, take into consideration as well, if your father has other risk factors or diseases, other than his colon cancer. Hope this helps. Good day!!~ Chat Doctor.
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Hello dr I am 47 years old ,i am now suffering from stress and depression ,my dr give me cipralex 20 mg daily and deanxit 10 mg daily now I am feeling fine , I am using this medication since 2 years ,I stop the deanxit e last summer but my condition get worse , my dr recommend to take the deanxit e again .as I said now I am feeling ok.Can I stop the medication or I have to continue?
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Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Now that you have taken the medication for 2 years it is time to discontinue it. But the fact is that it should not be discontinued abruptly. You need to meet your psychiatrist and need to discuss with him the procedure of discontinuation. This needs to be discontinued gradually over 2-3 weeks. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link
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I have a habit where I find myself constantly biting the interior of my cheek and lips. it causes the inside of my mouth to become sore, and I have tried to stop but then I will find myself unconsciously doing it again. do you have any suggestions on how can break this habit?
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HiT hanks for using Chat Doctor Biting lips and cheek is sign of anxiety. In that case, you can try some antidepressant like paroxetine or Escitalopram that would decrease the anxiety. You can also try some relaxation technique like JPMR. To protect your inner lip or cheek, you can also use cotton. It would help to decrease biting effect till Chat Doctor. In case, you need further help, you can ask. Thanks
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My eight year old son has a large, firm knot that is growing on top of his right bicep. It is not red, it is not painful, there s no fever or trauma to his arm, it s been checked out and is determined that it s not a sist or just fatty tissue. They say it may be osteomyelitis, but he does not have any of the symptoms. Does anyone know anything else that could be going on? What are your thoughts??
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HI, Welcome with your query to Chat Doctor. Based on the facts of your query, In my opinion you need to check out the diagnosis before planning the treatment of your sons' biceps knot, with your Surgeon for a Second Opinion. Confirm the ambiguity of the cause of the lump. Xray of the shoulder / and or / USG / CT Shoulder /biceps area and FNAC Biopsy with Homeopath study would fix the cause from your Surgeon. There are many causes like -Sarcoma Granuloma/Fibrous/periosteal tumors/Erythema Nodes/ which need to be ruled out. As the fever /pain is not there, your case becomes more challenging and would need a team of doctors-Surgeon/Orthopedic/Physician to fix the diagnosis. Such a lump after proper diagnosis could be treated by your doctor according to its cause. Hope you got the answer for your query. Hope this would help you. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS
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I have a painful feeling in my mouth but my gums almost feel numb. I have had a cold for a day, have been taking nyquil and i have a cold sore that i have been taking lysine for and putting abreva on. it is really very painful more than numb now, i havent taken nyquil since 8 this morning and it is now 6pm
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Hello he read your query. Pain and swelling in gums may be due to gingivitis. You have NT mentioned your age. Gingivitis can occur due to any reasons.BT mostly due to poor oral hygiene. I suggest u to have a complete mouth scaling(cleaning) done. Meanwhile you can take metronidazole tab and amoxicillin plus calvulonic acid tab it'll help you with the sore throat also. Rinse your mouth thrice with a God mouthwash. If pain is more painkiller can be taken. Hope this ans helpsRgards
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Hi. I am a 20 year old woman (21 in a week). I have a small lump on the right side of my waist that appears ever since I was in 9th grade. It varies from the left or right side right by my hips. I am very skinny, and do not eat properly, but I eat a lot of junk food. This lump seems to be more prominent when I drink a lot of coffee. Last night I drank alcohol, and through the course of the day, the swelling and pain have both increased. Should I be worried?
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Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma. You should go for examination and if needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice. 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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I have a shape pain in my upper right chest went to tghe drs already had some test done everything came back normal except my EKG I go in for a stress test on the 12th of this month and we suppose go from there .my pain has been bareable for the past few days but today It is bad! I am having a hard tim doing anything dont know what to do should I wait for my appointment or go to the ER?
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Hello! Welcome and thank you for asking on Chat Doctor! I would like to know if the chest pain is triggered by deep breathing or body movements? This would be indicative of a musculoskeletal pain. Otherwise, is the pain is not triggered by deep breathing, and you are experiencing other symptoms like shortness of breath, palpitations, etc. I would recommend going to the ER for a physical exam, a chest X-ray study, a resting ECG and cardiac enzymes. Hope you will find this answer helpful! Kind regards,
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Hi Doctor, I have also been using 409 all purpose cleaner, for about 4weeks now, I m not my normal self, I feel lightheaded, dizzy and find it difficult to breath. I last used it on Friday but I m still feeling sick. Are you sure it won t affect my brain? Other medications I m taking are Diane 45 and deselex but I have been taking them for years so the only new thing is this 409 all purpose cleaner. Is it possible to get a stroke from this? I feel muscle weakness as well
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Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about stroke because cleaning solution can not cause stroke. Possibility of bronchitis due to inhalation of fumes from cleaning solution is more. Any fumes, when inhaled for long duration, can irritate lungs and cause inflammatory reaction. This is bronchitis. It causes breathlessness, fever, Giddiness, uneasiness etc. So better to avoid exposure to these fumes. Breath in fresh air. Consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If it shows obstructive airway defect than you may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
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Hi, I am 25, male and quite healthy. But, for the last 15-20 days I am experiencing slight pain in my left testicle and have discovered something as a lump on it. It seems the lump is on the testicle itself and not on the skin. The pain persists throughout the day. These apart, I have not experienced anything unusual as far as the functions of my testicles are concerned but am rather afraid about the lump-like thing. Please help
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Hi, dairy have gone through your question. I can understand your concern. You may have some infection like epididymis orchids or abscess formation or some testicular tumor. First you should go for ultrasound study. If needed go for fine needle aspiration cytology or 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. About 4 months ago a skin colored lump developed on my upper back. It almost looked like a pimple. It never went away and a few weeks ago it became red, hard and painful. It no longer hurts but is a blue-gray colour and is sensitive to the touch. I have never had this before. What could it be?
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Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, abscess or soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for fine needle aspiration cytology or biopsy of that lump. 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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Hello. Thank you. A new neighbor, very nice Vietnam vet. Looks like walking dead. Not one sign of meat or fat. Bones on face all protrude. Bones under butt checks are all there is. He informed me today he has hepatitis B. I dont know about B, but its contagious! This man goes to V. A. Hospital. He goes also, EVERY OTHER DAY, to attempt to give blood for tests. They poke him over and over but get NO BLOOD. They DO NOT KNOW WHY HES DYING, HELP. Sincerely Erin
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Hi;It looks like your neighbor has a serious malnutrition along with an uncontrolled chronic infection (hepatitis B) for a long time. He must be thoroughly evaluated for active hepatitis B infection and its long-term complications (liver damage, malignancies, concomitant hepatitis C or sexually transmitted diseases etc.). If patient is rapidly deteriorating, parenteral nutrition and examinations must be performed after hospitalization. You must also be cautious for physical contact with his body fluids while visiting him due to possible active hepatitis B infection (and other possible viral infections). If he is unable to take care of himself, or he has no relatives, you must call and inform social services. Hope your neighbor recover soon. Hasan Multi, MD
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hello my name is xxxx am 32 years old am 5ft 8 inches tall and weigh 64 kg. Last year i was diagonised with asthma condition and been on treatment being injected using diprofos, but i dont experience any change and the injections are becoming frequent almost weekly,my doctor assured me that i will feel better but am becoming worse, these days i cough throughout the night, what could be the problem?
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HelloNaturopathic and yoga treatments will be very effective to treat your asthma problem. Nature cure treatment like hot immersion bath, hot spinal bath hot foot bath before you go to bed for 15 min, asthma bath will give you good blood circulation to your lungs. Learn the yoga techniques like Surya mascara, bujangasana, Alabaman, pachimotanasana, padhastasana, area charabanc Ujjain Panama. And learn stress management techniques in yoga. Experience these treatments cure your asthma completely. Take care. Chat Doctor. ,
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sir my brother is suffering from typhoid. his TO titer is 1
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Hello, Welcome to Chat Doctor, The tidal test report of TO tier of 1
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I have persistent palpitations (nothing new, have had for years, but these seem more persistent), especially bad at night, with frequent skipped beat causing feeling like a bad electric shock. Doesnt seem to happen when exercising, but has made me nervous about going to the gym.
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You need to take an ECG to look for the rhythm. You might need to go for a 24hrs holder monitoring. There are some arrhythmias like supraventricular tachycardia or atrial fibrillation, and we have got treatment for that. We can do ablation as well as putting you on medication. But first thing is to diagnose the condition. So you should go for an evaluation(for ECG/Holstein case ECG is insufficient)
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I want to make my partner perganent, Can u advise me wat time and wat position i ve to do and one more thing before i used coconut oil for lubrication but in last two i hadnt used any those times i was bleed in my tip of penis.Can u suggest me which one is good, also my reletive pushing us by asking any good news
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Hi, First make it clear that there is no problem with you and your partner. Go for your semen examination and full GAEC check up of your partner. If these reports are fine then go for sex between 10th to 20 ETH day of her period cycle. Do not use any lubricant. Go for foreplay for some time before intercourse to excite sexually your partner so that there will be enough secretion of vaginal canal giving good lubricant. After sex do not allow your partner to go for cleaning or washroom for an hour. Put pillow below her back after sex to prevent semen coming out. Ok and take care.
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I am 45 years old, women having knee pain. the knee gets locked and there is lot of noice when i move. I am under going physio theraphy and been I have been asked to take movon- p for knee pain. is this just pain killer or does it improve flexibility too
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Hello, If there is history of locking of knee i.e. sometimes you are unable to move your knee even on your will and there is block of movement, then I shall advise you to consult to your orthopedic doctor. In this case you may need an MRI to rule out injury or tear of your meniscus (a soft pad in knee). Loose bodies can also do this. The tablet Moon P is just an analgesic, it relives pain and inflammation. Hope I have answered your question. Let me know if I can assist you further.
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Dr., My 18 months old son is hardly anything since the last 2 1/2 months & has got a stomach infection( loose & infectious stools) since last 10 days.i gave him Oflamac M syp . but not much improvement.His LPT is normal except for SGOT/AST-40.1 & SGPT/ALt-44.8.Plz help.
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As your baby is 18 month old I assume that his weight would be around at least 10 kg. Please mention the weight also as it contributes a lot to your babies symptoms as the one of the most common cause of prolonged diarrhea is malnutrition. If your child is having rashes around the anal region then it might be due to zinc deficiency or due to cape. You can try following medication
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DEAR SIR,I recently come to know that i am having kidney stone at left side .At beginning stage i used to get pain at left side which is minor. no blood in urine(urine test), i confirmed using scanning and found of size 5mm. Doctor suggested to take Crystone tablet for 1 month along with lots of water . I followed the instruction for 1 month but i m still feeling its presence at left side and and feel it movement. So how to overcome this problem.
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Hi, many thanks for the query! You should do follow up USG PUB, FT, look if stone is stuck in ureter causing obstruction to urine outflow. Take antispasmodics, diuretics, painkillers with your doctors' opinion. If Sr. Uric acid is raised, take uric acid synthesis inhibitors like allopurinol, urine alkalizing agents with your doctors' opinion. Chat Doctor. Wish you a good health. Take care. Regards.
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i am suffering from jaundice, bilirubin count 3.5. I took rest for 15 days and i was gaining energy so i thought i was getting cured and so i started smoking. But after 15 days when i tested once more my bilirubin count has increased to 4.9. is there a problem with smoking.
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Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns. Are you having itching over body?? Are u having white stools and dark urine?? Do you have any blood disorder ? In my opinion smoking is not causing increase in bilirubin levels. You should better consult hepatologist regarding it to rule out the possible causes of acute hepatitis. Meanwhile, take rest and avoid spices. Do Chat Doctor. . Stay safe Regards
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Hey. Myself and my children have thalassemia. One of my daughter s hemoglobin count remains around 93 this is normal for us. I had to have 10 units of blood during each of my pregnancies. This is something my daughter expects when she gets pregnant. This is were my questions comes. She is very serious about a man. This man s mother and sister has scoliosis. He seems fine BUT, can he be tested for this? If he doesn t have it can his child? And, are there addition dangers for them to have children together?
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Scoliosis is believed to be caused by a combination between GENETIC as well as ENVIRONMENTAL factors including medical conditions that may trigger or favor the development of the disease such as cerebral palsy, Mar fans Syn Chat Doctor. There are no genetic biomarkers available yet or approved by the FDA for testing individuals with or without clinical evidence of scoliosis. There is a genetic test currently being looked at but not approved for adolescents diagnosed WITH scoliosis in order to predict future progression of curvature....but nothing for people who are not clinically diagnosed to predict the probability of offspring having the problem. Since I stated above that scoliosis is believed to be a COMBINATION of genetic predispositions and environmental factors there is no verifiable or certain way to predict the outcome of having child
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Good morning. My son met with an small accident while playing whereby his right forehand bones got fractured. It has completed almost 45 days now but the joint does not looks good. His doctor says it is OK, however We have consulted some more doctors here with mix opinion of going for surgery also. We are really too much worried and like to have expert opinion on it. I am attaching herewith pictures of xrays. Attach1 of first day and Attach2 of recent (before 1 week).
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Hi, I have studied your case with diligenceThere is possibility of million of fracture near hand due to injury. You can consult me with your new x-ray and further treatment. You can apply cr\u00eape bandage for support. You can contact me directly on my profile athttp
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I have been having pain in my lower right abdomen (slightly under where my belly button is and to the right) it is VERY painful ( stabbing pain) when I sneeze or cough or laugh too hard-- or try to sit up. I still have my appendix, but am not exhibiting any other symptoms of appendicitis . Could it be something serious? It s been two days now.
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Hello! Yes this can be an appendicitis. When you caught or sneeze your peritoneum is moving, and it hurts when it is irritated by some inflammatory process in abdominal cavity. If you do not have any others symptoms like nausea, mild temperature rise, and higher heart rate it does not rule out appendicitis, and even observation in hospital may be required. You need to have the least abdomen ultrasound and blood tests performed. If it might be a chance that you are pregnant, a pregnancy test should be done. Pain in this location is characteristic also for an ovaries inflammation and right kidney infection. Hope this will help
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Hello, I have at times Got in a state o Paralysis, Toda t was one of these days. I get were I can not get my self tomove. Today was bad I seen things I thought I had left my own house and was some where else. I seen someone in my house beg to be let lose. My arms were so heavy that I could not move them. I had to fight with what ever it was.what could cause this? I have in the and to yelled for someone to help me. My wife was here sometime, today by myself.
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Hi, Thank you for posting your query. I have noted your symptoms. You need to be evaluated by a neurologist to determine the cause of your symptoms. Clinical examination would be done first. Then, depending on the history and examination, you may require MRI of brain and spine. Blood tests for potassium may also be required, as low potassium can also cause paralysis. MRI brain would confirm or exclude any lack of blood flow to brain as a cause for your symptoms. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
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HI, I M ABOUT TO HAVE MY SHOULDER MANIPULATED! I BROKE IT IN MARCH AND I M A LITTLE WORRIED ABOUT IT .MY DR. DID NOT TELL ME THE FULL FACTS ABOUT THE PROCEDURE AND I WANT THE TRUTH, I FEEL I HAVE THE RIGHT TO KNOW. MY PT TOLD ME SOME BUT COULD YOU PLEASE TELL ME WHAT I REALLY CAN EXPECT, AND MAYBE NOT EXPECT? THANK YOU, KATHRYN AGE 62
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Dear patient Shoulder manipulation is indicated for shoulder stiffness to regain range of motion. It is done under general anesthesia, and we call it MEGA (manipulation under general anesthesia) mainly done for frozen shoulder but is helpful in shoulder stiffness from any condition. Here patient is given general anesthesia and under IIT guidance shoulder is manipulated with abduction, external and internal rotations and flexion extension movements. There is risk of fracture of bone is osteoporosis. Better way of getting range of motion is arthroscopic release of inferior glenohumeral ligament. All the best.
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I fell down a flight of stairs I have lower back pain, hip pain, neck pain, inner thigh pain, rib pain, shoulder pain, abdominal pain, and I feel pretty warm. I don t know if I should go to the doctors or not . The pain is acute and at one point was having sharp chest pain.
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Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. If you have only pain kindly take an analgesic tablet first. Even after taking tablet you still have pain, or you have any sever pain why doing routine activity do consult a doctor. You need to take an X-ray to see for any injuries or fractures.1) tab. Diclofenac 50 mg twice a day after food will reduce the pain.2) tab. Ranitidine 150 mg twice daily along wit the above tablet Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards!
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Hi! I had my periods on 23/2/2014 and had unprotected intercourse on 8th and 12th day of this cycle and took tab albendazole 400mg stat dosage on 15th day of the same cycle . Now I came to know that the pregnancy is to be avoided for 1 month after the last dose of albendazole. So worried if had already conceived would this dose harm my embryo or not? Plz answer my query .... Waiting for reply
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Hello, and I hope I can help you today. It is not recommended that Albendazole be taken during the first trimester of pregnancy because the medication has been shown to cause birth defects in laboratory animals if given during pregnancy. However, there are two reasons that you do not need to worry about the one dose of Albendazole you already took. The first is that there are no studies that Albendazole causes birth defects in humans at all. Secondly, you took the medicine at the time of conception and even though the Chat Doctor. Therefore, you do not need to worry about birth defects from the timing of when you took Albendazole. I encourage you to seek prenatal care early in pregnancy and get an ultrasound examination early to make sure the baby develops properly. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy,
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I recently started taking the birth control Beyaz. I have been bleeding for 15 days. It is heavy enough to require wearing a pad. I have also been nauseous and have had cramps. I have been religious about taking the pills on time and every day. I have a half marathon coming up, so I would really like to be period free for that race! Is this normal?
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Hi, Though it is common during the initial months of any birth control pill for menstrual irregularities to happen, I would ask you to see a specialist since you have had persistent bleeding for the past fortnight. Most often, such bleeding is a consequence of the altered hormonal milieu induced by the pill intake. Coagulation profiles and blood work is necessary to exclude any vascular factors secondary to the pill. You may need styptics and additional hormones to control the bleeding. Hope this helps.
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I AM 34 YEARS OLD SUFFERED LEAD POSOINING 2 YEARS BACK above 70 points. MY SPERM MORTALITY BECAME JUST 5% .LEAD IN BLOOD IS 14 POINTS NOW. HOW LONG IT WILL TAKE ON ITS OWN TO DECREASE LEAD LEVEL TO ZERO. CAN U SUGGEST SOME DAILY INTAKES TO FASTEN THIS PROCESS AS MEDICINES(CHELATION THERAPY) ARE NOW STOPPED FULLY.
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Hi welcome to Chat Doctor.... Here you have history of lead poisoning ... So if your blood lead level high like that of greater than 45 UG per DL than oral dulcimer like oral lead cheating agent can be given... Avoid further lead exposure and regular follow up needed ... Yes lead can affect sperm motility .... Avoid additional aggravating factors like smoking and alcohol....Seafood avoided. ... Chat Doctor. . Organic foods restricted ... To improve sperm motility hey forte tablet can be started that contain coenzyme Q10 and arginine like substance which help in improving motility ... Consult physician regularly .... Take care .....
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What could cause a 33 year old males MPV to drop to 0? This count was taken twice in four days and both times came back zero? Patient was recently diagnosed with thrombocytopenia, platelet count was 32 and 29 when counts were taken at 0 MVP. Also, patient had been off steroids for eight and twelve days, respectively, and taking no other medications.
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Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Mean platelet volume is a measurement of average size of platelets.2. Abnormally low MPV can be seen in thrombocytopenia, as production is impaired.3. In immune destruction of platelets, it will increase due to presence of giant platelets. Absence of giant platelets could indicate better prognosis.4. Repeat test after a week for further evaluation. The present zero MPV is possibly due to non-evaluation by the machine due to thrombocytopenia. Hope it helps. Any further queries, happy to help again.
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Hello my 3 year old daughter is having cold and mild cough since 2 days. Her temperature is between 97.5-98.1. I consulted a doctor. He administered Ventrolin syrup - 3 ml if there is continuous cough and Calpol if temp rises above 98.6. I gave her Ventrolin last night as her cough became a little more frequent. But her cold has aggravated. She had a runny nose last day and tonight she is finding it difficult to breath due to blocked nose. She is scared of Nasoclear. I have T minic and Allercet with me. Will any of this address blocked nose issue?
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Thanks for asking I have gone through your question. Your 3-year-old daughter having cough, running nose and block nose. And you're giving her syrup Ventolin. If I was your treating pediatrician, I would add t mini in your treatment. T mini will give relief in running nose and block nose and cough. If you have syrup t mini then give 3.5 ml per dose thrice a day and if you have T mini Chat Doctor. 7 ml per dose thrice daily. This illness appears to be viral. Body will heal it in 3-5 day time hope I answer your query wish you health family
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Hello There Here is my Dillemma and what I have been dealing with for years. I am 31 now. This has been going on since early 20s Constant left Chest Pain. Feels like a Dull Ache that sometimes is tolerable but sometimes it flares up to a stinging, Burning muscle spasm. For the last 3 to 4 years years i have been to the ER on multiple occassions. Always get the Nine Yards EKG, Chest XRay, Blood work. Everything checks out great, Im discharged. Last visit was this week and the time before was in August. In then many times over years. I saw my primary care doctor who is a lung specialist as well. Gave me a full physical and at the end said im Healthy. 8 months ago i was diagnosed with a Hiatal Hernia and Acid Reflux. I probably had that for years. It causes Weird Symptoms. My GI Doctor thinks im experiencing the symptoms she diagnosed me with. It is very frightening. My Primary care Doctor gave me Carefate this week and my GI Doctor gave me Dexilant. I have had this awful sensation in my chest and at times i rather have my leg hurt all day, Nobody thinks I have a Cardiac Issues and give me clean bill of health. Could this be Stress and Axiety, It makes me panic for years
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Thanks for your question on Chat Doctor. I can understand your concern. Hiatus hernia can cause all the symptoms described by you, so do not worry and continue your treatment as prescribed by your GI specialist. Also eat small frequent meals instead of large meals. Exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
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I m addicted to masturbation , my average times per day has been like this
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Degree understand your concerns went through your details. Masturbation is natural and normal. You should understand masturbation cannot cause any health problems directly. But you must also understand masturbation consumes energy. You may feel tired and stressed after a masturbation. Over and above there could also be mental exertion. After the age of 20, the masturbation frequency should be three or four times in a week. You should reduce the frequency by engaging in physical / career / educational activities more and more. The more you engage in physical activities, the less you are left with energy for masturbation. Be with your friends and family whenever possible. This way you can reduce the frequency. If you require more of my help in this aspect, please use this URL. http
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HI I AM EMRAN FROM BANGLADESH.I GOT TYPHOID FEVER FOR LAST ONE MONTH.WHEN I FINISH MY MEDICATION THERE IS NO FEVER BUT ONE OF MY LYMPH NODE ON MY NECK SWELL LITTLE AND I GOT A BALL LIKE SOME THING UNDER MY JAW .PLEASE ADVICE MY WHEATHER IT IS A BIG DENGER FOR ME?MOREOVER I DO PROTECTED SEX WITH A SEX WORKER TWO MONTH AGO.IS THERE ANY POSSIBLITY OF HIV?
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Hi Em ran, Thanks for posting in Chat Doctor and understand your concern. Lymph node swelling in the neck is indicative of most commonly infection. HIV infection per se does not cause lymph node enlargement directly. It will decrease the immunity and thus gives a chance for secondary infection to happen. To know the reason behind your lymph node swelling, you can get Fine Needle Aspiration Cytology (FNAC) investigation done. That will tell you about the cause of the enlargement. Mainly, infection due to tuberculosis needs to be ruled out. Also, to be sure of your HIV status, since you are sexual activity, get your blood tested for HIV. Kindly visit a Physician with the reports for proper management. Wish you good health.
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I dont know if I may be pregnant, had unprotected sex my fiance 2 weeks back, but bought the emergency contreceptive pill, am however unsure if it worked or not. My vagina has been slightly itching for about 2 to 3 days, so I used the candizole vaginal tablet 500mg, am just a bit scared what are its effects on such a small foetus, should I be pregnant.
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Hello, thanks for using Chat Doctor. The fertile period of most women with a more or less 28\u00a0days cycle ranges from day 12 to day 16 (The first day of menses is considered day 1) depending on the regularity of the cycle. It is during this period that any unprotected intercourse is likely to lead to fertilization of the egg and consequently pregnancy. Emergency contraception is particularly effective in preventing fertilization or development of the pregnancy thus its wide use. If taken within the first 12 hours following intercourse, the success rate is very high. However, it has an acceptable success rate for up to 72 hours after the intercourse. Whether it did work or not, only a laboratory test will tell or if you have your menses, persistence absence of which will warrant investigation for pregnancy. Emergency contraception is made up of progesterone which is a hormone produced as well in pregnancy to maintain pregnancy when the pregnancy has already been implanted and there is no effect of the hormone on a developing pregnancy. The itching you talk of are likely to be yeast infection because they are predisposed by hormonal intake, and you took emergency hormonal pill. Candidate is a good anti-yeast Chat Doctor. Hope this helps you. Best regards
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I have been using approvel to reduce my bp since 2004 till last when my doctor prescribed me coveram since bp was a bit higher than normal, and almost a year now of been using coveram I have been having diarrhea and a peripheral neuropathy where I can t use my muscles like before what should I do? Do I stop taking coveram to another medicine? Is this peripheral neuropathy a permanent damage to my whole nervous system or there is a chance for recovery? Thanks a lot for any advice, Cimo,
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Hello! Thank you for asking on Chat Doctor! Regarding your concern I would explain to you that Cove ram is generally safe; it comprises Perindopril and Amlodipine and it doesn't seem that your referred complains of diarrhea and neuropathy be obviously caused by that Chat Doctor. Nevertheless, I recommend you to refer your complaints to your prescribing doctor to take a decision about the ongoing antihypertensive therapy. I suggest you to consult a neurologist for a comprehensive evaluation of your neurological status. Hope to have been helpful to you. Greetings!
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hi. ok i go through mood swings everyday. one minute ill be happy the next ill be yelling at my boyfriend for no reason and then thinking about suicide. I`m afraid to close my eyes because my mind only shows me horrible things. I rarely eat. can you help me please
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Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the given details are not at all enough for a diagnosis. You could possibly be disappointed. Disappointed with your boyfriend or disappointed with some life event which makes you irritated. That irritation could be the reason for your mood changes. Don't relate these mood changes with mood swings of depression. Introspect. Talk to your friends and parents. Be open. They can guide you out of the present scenario. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.
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Hello, I have been bit by something in cuba 4 weeks ago today. It has been determined yesterday that there is foreign matter in my foot and my tenon is swollen with fluid around the tenon. I was told surgery is required but then turned away and directed back to where I live. I have been trying to get this fixed in my hometown with no luck so I went elsewhere and they were great in finding but now they do not want to do the surgery. Today I have woke up with numbness right to my knee which has now extended above my knee since this afternoon. My family doctor has been sending referals to surgeons but no luck so far. Any suggestions? Never mind! I am not paying to get another useless answer
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Hello! Welcome on Chat Doctor! I carefully read your question and understand your concern. Your symptoms seem to be related to a progressive local infection. I am not sure if it is just a matter of surgery. The numbness that you are feeling indicates nerve compression (from inflammation or from the edema of the surrounding tissues). I recommend consulting with an infectious disorder specialist in order to investigate for the type of infection and find the proper treatment options. Antibiotics and NSAID (ibuprofen, naproxen) may be needed. Considering the progression of this lesion, I would recommend hospitalization in a specified center. Hope to have been helpful! Kind regards,
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I have a 10 year old who just got over with a flu accompanied by high fever, bad cough, head & muscle aches. He s feeling better now but complains he can t walk. He describes the pain in both legs as throbbing and can t stand for more than a minute because he loses his balance. What could this be?
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Dear Parent, Muscle pain is a very common symptom of a viral flu. There are some flu viruses which can cause inflammation of the muscles - a condition called myositis. In such cases the muscle pain can last for about a week or two after fever subsides. The pain usually comes down with pain relievers like broken. However, it is important to know if your child is not able to balance due to pain or is there something else going on. I suggest that you consult your pediatrician who can examine your child and give a proper diagnosis.
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CT Scan shows a 12 mm cyst in the lower pole of the left Kidney also a 1.6 cm hypodense mass in the left adrenal gland as well a prominent extrarenal right renal pelvis is present. I have sarcoidosis in my lymph glands and my lungs . Are these cysts a concern or should I put it down to my sarcoidosis and just forget I have them?
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Hi, Thanks for writing in. A 12 mm cyst in lower pole of left kidney is not a concern. However, you might get it followed up after 6 months by ultrasound scans to know any change in size and appearance. Cysts less than 30 mm are not of much importance. If you are above 60 years of age then an occasional cyst is an expected finding in the kidneys. The 16 mm hypodense area in the left a Chat Doctor.
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