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Hi doctor, I am a post renal transplant patient, my differential count states that RBC | Hi, don't worry just be relaxed. RBC predominantly normochromic normocytic snot a ca cause of concern. It means most of your RBC are normal size and color. Few may be micro cystic or microcytic. So its normally happen. It's not a cause of concern or urgently call doctor. Don't worry about that. 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. |
My Doc has informed me that Hydrocod Will now require a Triplicate RX, for my severe Spine pain. He has recommended a Morhone Pain Patch, yet currently has prescribed Tramadol, which I am not tolerating well. I am on Neurontin for nerve end pain and Cymbalta. I had no probs with Hydrocod, yet am experiencing side effects with the Tramadol. I am female, 68 years of age. What do you recommend? | Hi, thank-you for providing the brief history of you. As the medicine are symptomatic relief for most spine cases and also medicines will be not good on long run as seen by me in the clinical practice, I recommend you to undergo physical therapy and regain the muscle strength and flexibility. By which the pain and aches will be reduced. Also, your age is 68, so you need a thorough body conditioning for which a Geriatric rehabilitation will help to avoid much of the medicines due to aches and pains. RegardsJay In Chat Doctor. |
Lumpy mass on top of right ankle bone, Been there abt a month. No injury to it. Just appeared. Can squeeze the mass and it feels a little like pus or even like a giant spider bite would be. But it doesn t go down. Not real inflated, but painful if I forget and lay on that side. Put pressure on it and it is Really sore. Ankle bone area looks red. No oozing. No fever or other symptons. 60 yrs. old. On my feet from 3 | Hi! Good evening. I am Chat Doctor answering your query. From your history and your job of on your feet for such a long period, the first diagnosis whicChatDoctores to my mind is a varicose vein of your leg, even though it could be confirmed only after a physical examination. If I were your doctor, I would advise you for a Doppler ultrasound of both lower limb vessels, which could diagnose a varicose vein. However, it could be a bursa (a kind of benign cyst)of the ankle due to some kind of continuous pressure over the ankle. If this is diagnosed, then avoidance of pressure might reduce of it of its own. Further management would depend on the diagnosis made. Till then, you could go for an anti-inflammatory Chat 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. |
29 year old male, normal day to day activities, 59 175 lbs..no family known family history with hypertension, medical background is normal for age, surgery on broken foot. blood pressure is reading 136/90 at pharmacy...this is staying consistent. Normal diet. Is this something we should worry about? | 136/90 is not a reading that should make you worry. Instead, you should be cautious and start taking precautions. I would have advised my patient to bring the blood pressure down to around 120/80. The measures include regular physical activity with cut down on sedentary activities, a well-balanced diet with reduced intake of salt and activities that reduces stress in life like meditation and others. I would follow up my patient for 6 months after lifestyle modifications. If the blood pressure remains the same despite intensive lifestyle modifications, I would suggest medications at that stage. Hope I have answered your concerns. Thanks. |
i am suffering from penile discharge for the past 1 month. only when i think of sex my penis enlarged and some sticky water comes out of it, i want to consult a doctor is VD specilist is correct doctor for this problem and also tell me is this disease serious or not as i am unmarried and getting married in two months. | Helots could be urethral discharge and can be suggestive of underlying Urinary tract infections, you are right you need to consult VD specialists for physical check up and a battery of tests like urine examination and urine for culture and sensitivity testy may require a course of antibiotics under supervision of your Doctorow need not worry you will be alright after the treatment, and you can get married Have plenty of fluids Maintain good hygieneHave multivitamin and food supplementsThanks for your question, please feel free to ask for more clarification I will gladly answer you Wish you good healthRegards |
Hi, i get these sudden numbness in my eye, cheek and left arm area. Can you please advise what it could be related to? I have been suffering from panic attacks from a young age. Could that be the cause? i have not been to the doctor 3 times last month and there is never something wrong with my heart, lungs etc. But having these symptoms of numbness etc is really desturbing. | Hi, Thank you for posting your query. It is possible that these episodes are related to the panic attacks. However, it is also important to exclude any underlying Ties (transient ischemic attacks) (lack of blood flow to the brain), as a cause of your symptoms. You can get screened for the risk factors for Ties such as diabetes, high BP, high cholesterol, etc. and consult a neurologist. You could benefit from aspirin tablets. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
Hello I have a child who is nine years old and she has been diagnosed with Separation Anxiety. I cannot afford to continue the counseling services and to be honest there was no improvements when she was attending. However she has been having some pretty serious incidents with starting back to school this year. It takes me over an hour of forcing her to get dressed for school and then four of us to remove her from the vehicle once we get to school. She will only sleep on pillows in my room because she refuses to sleep in her own bedroom I need to know what options do I have for getting some kind of help for her. I have tried everything and I am exhausted. HELP | Degree understand your concerns went through your details. I suggest you to continue the professional counseling service. You have a child who is troubled with separation anxiety. I see. Is this child yours, or you are a teacher / counselor / stepmother? Why this child is having separation anxiety? Because we are dealing with a delicate subject and delicate innocent client, wee need to be cautious. Separation anxiety will be cured when time passes. But being the caretaker, you need to excise caution on many aspects. I suggest you talk to a child psychologist. I need to assess the child thoroughly in order to provide you any advice. That may not be possible given the online status between us. Please understand. If you require more of my help in this aspect, please use this URL. http |
I need help. I feel really low and depressed. I over think things and that causes rows with my partner. I get irritated and angry easily so scream and shout and i feel so bad because that isnt the real me. He finally had enough and left last week. My job is getting me down. It is only a house keeping job in a care home but i used to love it but now i wake up every morning dreading to go in. I am very emotional and cant stop crying. Even have tears now as i never thought i would be like this. I want to be the happy and bubbly girl that i used to be but i dont know how. please help me | Hi Madeline, Welcome to Chat Doctor, and thanks for your question... I understand how distressing it can be to go through such difficult times. Firstly, it is a good thing that you are able to have an insight about your problems and your current emotional state. I would appreciate you for gathering the initiative to seek help despite feeling low and dejected. From the description that you have given me, you seem to be going through a depression. The depression also seems to be causing you significant social and occupational disturbances. Hence, it is quite important that you seek professional help at the earliest. I would suggest that you have a consultation with a psychiatrist who would be able to assess you in detail and advice you the appropriate management plan. There are various treatment options available - medication, psychological / talking therapies, etc. Personally, I feel that since you seem to be having significant interpersonal difficulties also, you may benefit from psychological therapy, in addition to medication. It is also important to keep talking to and sharing your feelings with someone close to you, so that, in times when you are unable to think clearly or lack motivation or initiative, they will be able to guide you. Wish you all the best.- |
Hi, i have been trying to get pregnant for a long time know it was not happening but know I have taken alot of pregnancy tests they all came back negative but know i have about 5 that say positive to make sure i took a clear blue digital and it came back negative i dont now what to think can you help me | Dearpregnancy test comes positive when you have Chat Doctor hormones in your body.to give you proper guideline I need to know your age, weight, pattern of your menstrual cycle, any medicines you are taking, any surgery you had in the past. I need to see the semen report of your partner, his medical history, any medication he is taking?job profiles of both of you. But dear remain stress-free Chat Doctor. |
Denzel, a 46 year old man, is working with his physical therapist on a set of back exercises. Around four weeks ago, Denzel was helping a friend move and attempted to lift a heavy box. Since that incident, he has had severe pain in his lower back. His health care provider prescribed physical therapy three times per week to treat the condition. | Severe back pain need rest and medical treatment in the form of painkillers. After controlling severe pain slowly start physiotherapy. First you consult euro surgeon and take opinion then do accordingly. You may have disc prolapse. There are so many types of treatment modalities. Chat Doctor. Epidural steroid injection. Surgical intervention. When you are having severe back pain, and if you try to lift the heavy objects with one side it will further exaggerate disc prolapse. Kindly avoid those work. |
Hello! My husband has a sudden dent in the back of his head. Lower left side. Very strange; indentation behind/near left he, looks triangular, quarter size, sinks down in the middle. He was about 3 wks ago hospitalized for sudden, unexplained high BP which they could not control in the ER after 9 hrs of pounding him w/2 dif kinds of BP meds. He was admitted and floor doctor added a new med (for lower number), which seemed to help. His BPs been fine post release. He just turned 50, white male, white collar but high stress level job, very active & health oriented. Was competitive body builder through 1994; still in the gym regularly, eats healthy diet, etc. Thoughts? | HIT hank for asking to ChatDoctorLook mam the history given here is indicative of Blood pressure problem as such you have not given reading of his pressure it became difficult to comment on it, again the dent you said has nothing to do with the blood pressure neither with any other clinical condition it might have been there since birth, it might be sighted coincidentally by you so just forget about it, it won't harm to your husband anymore, the blood pressure will also be in well control soon just take it easy and have faith in your/his doctor have nice day. |
My 9 week old was diagnosed with ezcema and has an oozing smelly slime like substance constantly coming from behind her ears and in the creases of her neck. It smells really bad and never seems to dry no matter how many times I wipe it. What is going on with my baby? She was given an oral med for five days and a cream. It seemed to clear up while she was taking it. Right after, it came right back | Thanks for the question your description it seems that your child is suffering from Seborrhea dermatitis. Such child Chat Doctor. Usually this condition subsides by the time the child reaches two years of age. Wiping will not help. These lesions are very itchy and scratching causes flaring of the condition. Keep nails of the child trimmed, always (they grow very fast at this age). Keep in touch with your pediatrician and skin specialist. |
Please I have persistent ear and throat infection.. Mucus always in my throat that makes me to spit all the time like pregnant women. Ear always itching some times experience painful sensation and fluid filled ear. I have used different antibiotics like ciprofloxacin, augmenting even ketoconazole all to no avail. I have been battling with this infection for years. Right now I have sore throat | Hello, Do you have any breathing inconvenience? Do you have any nasal block/ear pain? My suggestion is, you can take X-Ray of Head and Neck and refer an ENT surgeon for further basic Endoscopy examination. As you have mentioned, you have taken many antibiotics now you can take T. Levocetirizine BD (twice daily morning and night) and salt water gargle for symptomatic relief. Hope I have answered your query. Let me know if I can assist you further. |
Hello Doctor,,I am 45 years old female. I have cervicel (shoulders) problem , its old ,, in cold seasons i become sick with this problem,,... I also have a a problem that my heart beat becomes very fast some times but I take indral then it becomes normal.... and my blood pressure becomes low some time... I just wrote this all that can a women like me take Vitamin n mineral supplement.... I heared and watched about INDIAN PRODUCT \"REVITAL WOMEN\".. Is it safe for me ,.. , I also take asprin some times.. .. | Hello, I have studied your case. Due to compression of nerve root there can be pain in your neck. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Take medicine revival women consulting your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
Why did my doctor prescribe that I take 1/2 Prednisolone once daily and not 1 twice daily as recommended. Also he want s to see me on day 11 of my cycle, he also spoke about injections....This is all so confusing to me as I never tried to conceive but married now and need help. | Hello, unfortunately, your question does not provide the necessary details to understand your situation and treatment. For example, you haven't mentioned the reason that prednisolone was prescribed. I do not even know whether you're talking about local treatment (creams) or systemic treatment (pills). I can only make a general comment about prednisolone treatment. Treatment with corticosteroids (like prednisolone) may affect the way the body modulates complex hormonal systems. When a patient takes corticosteroids more often than once every morning, the risk is even higher. Prednisolone can be used once per day, or many times per day depending on the disorder. Therefore, there is no right or wrong dosage... I hope I've answered your question. Please let me know if you need further assistance. Kind Chat Doctor. |
my daughter is 10 years old and her right kidney removed when she was nine month. She has been suffering frequent URT infection. She is now showing a signs of maturity breasts have started growing. I take her urine for test, result shows that she has got many epithelial cells of 10-12HPF . What does it indicate. I need your helpJoan | Hi. The particular urine routine report which you are mentioning is a normal report. You need not worry about it. I will suggest you the symptoms of urinary tract infection so that you can be on the Alert and as of now be reassured. The symptoms of urinary tract infection include - high grade fever with chills and rigors/ pain or burning sensation while passing urine/ increased frequency of urination with passage of small quantities of urine every time/ vomiting/ pain abdomen. If these are not there you need not be concerned about urinary tract infection. Regards - |
I had broken ribs since last October from coughing with a bad cold, they are still hurting, I also have pain in what feels like my stomache muscles, it feels almost like a runners stich that is constant it is on both sides but feel it most on the left | Thanks for your question on Chat Doctor. You are mostly having chest pain due to poor healing of fractured ribs which causes muscular injury too. And both these can cause pain on deep breathing, coughing and sneezing. So try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting. 2. Avoid strenuous exercise. 3. Avoid bad postures in sleep. 4. Take good painkiller and muscle relaxant. 5. Take calcium supplements. 6. Apply warm water pad on affected site. 7. Wear chest belt to avoid mobilization of affected area. |
I have a small little lump feels like a little pea in between the end of my neck and shoulder, kind of on my trap muscle at the end of my neck beginning of spine, it doesn t hurt however I can feel a shooting pain go to my lymph node at the back of my head, the small lump has just appeared however I feel fine and don t feel sick or anything. What could this small lump possibly be? It feels firm | Hello and welcome to Chat Doctor, A firm swelling midway between end of neck and shoulder could be a swelling arising from the muscle or the surrounding soft tissues. A X-ray of the region will help to determine the site of origin and extent of the swelling. The X-ray should be followed by an aspiration cytology from the swelling. In aspiration cytology, cells are aspirated from the swelling, spread on a slide and stained with appropriate stains. This investigation will determine the exact site of origin of the lesion and its nature. Management can be planned after clinical assessment, performing relevant investigations and thus treatment. Thanks and take care Chat Doctor. |
Hi Doctor,My name is Kavitha and i am writing for my husband. He is 29, has come problems in the lungs. Some fluid is accumulated in the lungs and there is a mass of 7.2cm, all the test results says there is no lungs cancer cells, or tb. Can any one please help me out with this. Many Thanks for your help in advance. Kavitha | Hello dear Kavita, warm welcome to Chat Doctor.come have evaluated your query for your husband in details .* There must be definite diagnosis for the management.* The type of pathology is mandatory to guide further. I recommend lung biopsy from the mass for deciding further plan of action.* It would be of great help if you attach his reports of lab, x-ray , Ct scan herewith so that I can guide you still more accurately. Hope this will help you for sure . Wishing him fine recovery. Welcome for any further guidance. Regards . |
Started lifting again after a 3-4 month break. I noticed today that from beginning to end I was feeling moderately winded. Like I was breathing fine but felt like I wasn t getting enough oxygen or something. Didn t feel dizzy but I did feel a bit cloudy. This happened last time I lifted but managed to become more sporadic the more i worked out, where I would have great days and bad days. Did some research on pulmonary hypertentison, not sure if that s the culprit. I just turned 23, I weigh 125lbs, I ve always been mostly active, eat plenty of fruits and veggies. Was diagnosed with allergy induced asthma last year, but during these breathing episodes I m not wheezing at all. Just increased heart rate and the feeling that I m breathing fine just not getting the oxygen. Any ideas? Thanks in advance | Thanks for your question on Chat Doctor. I can understand your concern. Since you are having allergies, possibility of early bronchitis is high in your case. Untreated allergies can cause airflow limitation. And this is the main cause for bronchitis and feeling of not taking enough oxygen. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is must for the diagnosis of early bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. |
Why is it when I take my mental meds such as Zoloft 100mg I ve been on it for a while I do have a lot of issue at hope child with disabilities and other things I put everyone first , I have seizure and no more ca. But I feel like my mind is still frakin raicing and talking 100miles per hr that I have to put head phone on with music to tune it out . What s up with that, am I going crazy? | 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. Zoloft is an SSRI and the moment you start this medication there is a serotonin boost in the body. It may cause this confusion state in some but over a period of time if you are tolerating the side effect then there is no need to worry. However, I fail to understand why does it happen this often that you have to restart the medicine. It is not one of the wise things that you should be doing. It's always wise to stick to your medicines regularly. 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 |
my uncle age is 40 year old his creatinine is 1.7 and B.Urea is 46.7 HB 8.5 so the some doctor says to the first stage demage of kidney condition plz gime the amswer. | Dear, Yes your uncle is having first stage of renal failure and if adequate precautions are not taken, he shall fast progress to full-blown renal failure. You should get is USG PUB done and rule out any obstructive cause. If it is hypertensive or diabetic then either of conditions need to be treated very well. Cut down on his protein and see a nephrologist for further attention. It is very important; a stitch in time shall certainly save nine |
I am having stomach related problem.On consulting my local doctor I got informed that I have the problem of excess bile formation which becomes so frustrating for me.Whenever bile reflux increases more than the acceptable level ,it raises my anxiety level up to such great extent that I am not being able to sleep whole night.During this time belching becomes very frequent as well as fear. | Hi, How are you? My name is Chat Doctor. I am a surgical gastroenterologist and I hope to answer your question today. I am sorry to hear all the issues you are having. Bile reflux is very rare condition, and it usually happens after a part of the stomach has been removed due to various reasons. I am pretty sure (reading your symptoms) that you are suffering from acid peptic disease with gastroesophageal reflux. This usually happens due to excessive acid secretion in the stomach. Also during the night, while sleeping acid seeps into the throat and can go into the lungs which causes coughing and sleeplessness. A combination of lifestyle modifications and medications usually can control the symptoms in up to 95% of patients. Avoiding smoking, alcohol, spicy food and heavy meals is the key. Small frequent meals should be the norm. Also avoid citrus fruits. Please do not lay down for a minimum of 2 hours post eating. And while sleeping in the night, make sure the head end of your cot is raised 15 - 30 degrees. An over the counter antacid (pantoprazole, omeprazole etc.) has high efficacy in decreasing acid production and this coupled with a prokinetic (risperidone, metaclopramide) prevents the reflux. Your condition is very easy to treat. Please do consult a physician who will be able to prescribe these medications. Hope this helps and hope you start to feel better. Please do not hesitate to write back for further clarifications. |
hi, below is my husband s laboratory result,i hope you can help me and tell me is he infertility or not.everything seems that is good but the liquefaction time is >1.0 and the count is 0.6ml.pls tell us if there is any chance to have a baby on a natural way or if there is any medicinces he could have? his age is 27,weight 64kg height i think hes 6.2 and his medical history is good.thanks | Hi.welcome to our site.I have analyzed your question thoroughly.I understand your problem.my opinion is that,1.normal liquefaction time should be 20 minutes. If it is prolonged, it suggests an infection in the genital tract. Antibiotics should be taken to control the infection.2.normal sperm count should be at least 20 millions per ml of semen. If it is less than this, it is called oligospermia. Certain Chat Doctor. You can consult with your treating doctor for this. Thank you. Hope I have answered your question. |
Hi, I am Kamal. I have been smoking for 14 Years..Daily an average 5 cigarettes. Now I am planning to quit. I would like to diagnose my body for the effects of smoking..what are the diagnostics available today? Also please suggest which doctor( specialization) to consult? | Hi welcome to Chat Doctor... According to history you are heavy and chronic smoker ... Smoking can release elastane, and it can damage lung elastic tissue .... Smoker can develop following disease ....1. Bronchitis and emphysema (COPD)2. Restrictive lung disease 3. Interstitial lung fibrosis 4. Lung cancer 5. Smoker more prone for infections also . As such smoking having multiple effect on body .... To detect for above disease following investigations available ...1. Chest x-ray 2. Spirometry 3. If needed lung biopsy Its good you have taken decision regarding stoppage of smoking ... Consult pulmonologist for that ... Take care Regards |
Hi, I want to ask the problem about my jaw . My jaw is clicking/popping for almost 4 years now everytime I open my mouth wide. Though until now, I don t feel any pain or caused me troubles but it just pops. It s kind of irritating as it is not normal like any other people I knew. I consulted several dentists for their opinion but they had different insights/procedure to treat it. Some say I need to wear splints or mouth guard then wear ortho .. some say I need my 3rd molars to be removed. As I am confused with the procedures and worried about the assurance of the treatments , I still need guidance. By the way, I only have 2 third molars (not impacted and grew in the right alignment) located in the ends of my lower jaw. I never been extracted and my teeth are complete. I also have no impacted tooth and all grew in right direction but I have spaces in teeth but not so much far apart. Most of the dentist also said that I have a bad bite. Sometimes I find myself in the morning with a different/abnormal bite but get backs to normal as minutes passes. Please advise me what to do/follow. I really appreciate it. thank you | Hi.from your history it appears that basic problem is in the temporomandibular joint. Clicking sound on opening widely is basically seen when the disc of TMJ interfere in the movement of condole, this condition is known as internal derangement of TMJ. There r several ways of treating it.1.take muscle relaxant and analgesics for 2 weeks and avoid wide mouth opening. 2.TMJ arthrocentesis can be done, in which lavage of joint done by normal saline and then HY Chat Doctor. In rare circumstances discoplasty and meniscoplasty can be done. 4.causal correction should be done and splints can be used. Go to oral surgeon for your problem. Wish u good health |
I had a hysterectomy on 7/29/13 for endometrium cancer, grade 2. The invasion was 6 mm with the thickness of the myometrium of 8 mm, The pathology report was negative for any metastasis and the lymph nodes were all negative. I had a PET/CT Scan on 10/17/13 which was negative for and recurrent or metastatic endometrial carcinoma. I am wondering if I should have radiation to the pelvis as my doctor suggest or not. I am 75 years old, still working and have been healthy until now. | Hi and thanks for the query, I do not think this is a moment you should bother about having radiation for this cancer. I think the negativity of early examinations to check for invasion of other nearby organs, and also early intervention with the surgery is a high guarantee not to bother. I think for now, you just remain watchful, continue doing the regular check-ups and report any unusual symptoms to your doctor if you notice any. At this point, I do not think you really need radiation therapy. Kind regards |
Hello Doctor Question no1 | Degree understand your concerns went through your details. Masturbation thrice in a week is not at all unhealthy and depending on your age and other medical conditions, even once per day is healthy. Back pain could be due to the strain you are exerting on your back during masturbation. Alter your position and way of masturbation. Sperm and semen contains mostly fructose, amino acids, citric acid, phosphorus, potassium, and hormones known as prostaglandins. Swallowing semen is not unhealthy but is considered weird and unnatural. Avoid it. If you require more of my help in this aspect, please use this URL. http |
Hello sir...I am a 19 year old student living in India...I don t know whats wrong with me....I just cannot control my thoughts....I feel with each day I am starting my life again. This is happening to me from 2 months. I find it extremely hard to concentrate on anything and to speak with someone. I find it really hard to study. Whenever i sleep i feel I was awake all the time...I am unable to figure out how to change this situation. There is no one to whom I can share this. Whatever I do, after that thoughts come in mind that i shouldn t be doing it. Also my heath is deteriorating. I am not able to change this. please help me sir....please.... | Degree understand your concerns went through your details. I suggest you not to worry much. From the given description, it is very difficult to diagnose your problem. Vaguely it is understood that you are anxiety. But need to ascertain what type of anxiety disorder you are experiencing. Due to the anxiety disorder you are also experiencing uneasy feelings and loss of self-confidence, esteem, negative thoughts, self-pity etc. Please consult a psychologist soon. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
I have a cough had it 8 days, not long I know.Feel like Im choking but cant bring up any phlegm, tried over counters meds, hot drinks etc. feeling sick, diarherra started today . cough like bark like Im on 60a day!! Non smoker. chest sore but from coughing I think. just as bad during the night. dont want to waste drs time but need it sorted as back in work Monday in school | Hi thanks for contacting Chat Doctor.... Noted here your main complaint is cough... Are you having habit of smoking ??? If yes then fibrotic lung disease or bronchitis or asthma has to be ruled out. Emphysema also need to be ruled out..... Do following investigation.... Respiratory examination. Chest x pulmonary function test by spirometry useful for differentiating restrictive and obstructive lung disease.... According to cause treatment has to be done.... You can get your sputum cytological examination as it might suggest toward diagnosis.... If wet cough is there then bucolic Chat Doctor. ... Hope your concern solved. |
I have had a twitch in my left arm for the past week off and on. It only lasts for a few seconds at a time. It is located on the inner part of my arm right below the bend. I also just noticed there is a hard tight area right there near where it has been twitching. I can feel it more when my arm is laying flat stretches out | Hi, Thanks for your query. 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. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
hi hello..im just looking for an answer to my urinalysis.which giving pus-20-25. rbc 10-15,, i do culture and sensitivity but after three days its no growth.. up to now im suffering of pain in my lower back hips and my legs are aching.....i hope u can help. or do i need to go to my oby gyne? | HelloThanks for query. Presence of RBC and Pus Cells in urine are suggestive of active inflammation of the bladder.(Cystitis)Since your urine culture is negative for any organisms. Please take urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Ensure to Chat Doctor. To keep your urine dilute This will help to control dysuria. This should work for you to resolve your problem. |
my father suffering from cml reported in march , his wbc count a that time was 1,75000 by chemotherapy it goes down but comes upto 1100 then dr start giving medicine to increase wbc and bring down platelet count but again now it comes to 91,000 is is a regular process in such cancer as dr is giving very costly treatment should we continue dr. | Hi, dairy have gone through your question. I can understand your concern. Your father is suffering from chronic myeloid leukemia. It's quite common to have fluctuations in WBC count with treatment. Treatment depends on stage of disease. Imaging percolate is the Chat Doctor. 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. |
I have a 23year old daughter who was diagnosed with PCOS and Anemia,she constantly get muscle spasms in her calves and thighs and toes on a daily basis,she also mentioned to me that her toenails are turning dark and one of them is thick and is slightly lifted off the toe ,could all of these problems she having come from her previous diagnosis .She s taking 2000 mg of metformin started a week ago from 1000 mg a day and she started taking 325 mg of iron 3 times a week .Thank you .My Email address is rhinehart essence @ gmail.com | Hi welcome to ChatDoctorI have gone through your query. I can understand your concern . Actually, The symptoms of your daughter, discoloration on toenails and muscle spasms when suffering from anemia are natural. RBC's transport oxygen throughout the body as Anemia is a condition where the number of healthy red blood cells (RBC's) in the blood is lower than normal. , so a shortage of these cells can be serious and can cause all the symptoms . Anemia is not an actual disease - it's a condition that's caused by some other problem. There are basic ways you can develop anemia |
My daughter came home from playing baseball all day with a blister on the bottom of her foot. The blister was popped and 2 red lines are coming from it towards her leg. I cleaned it out put on polysporin and covered it. I also marked the lines with a pen to see if they are getting bigger. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have blisters in foot. Well there can be many reasons for symptoms you mention in query like sun burn, fungal infection, bacterial infection, allergic reaction or frictional blister. I would suggest you to keep your foot clean and Chat Doctor. If condition doesn't get well then consult dermatologist for proper examination. Doctor may order certain test along with physical examination to check the tenderness and consistency. Doctor may prescribe oral antibacterial or antifungal depending upon the diagnosis. Doctor may also prescribe salicylic acid for keratinization. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
My husband has had something like clusterfp headaches along with intermittant fevers - none over 101. Fevers come and go all day, headaches are everyday also and occur on the top of the head - not migraine symptons - no other causes we can identify. Went to the Dr after 2 weeks and he found nothing. They did bloodwork - said white cells were normal. We don t know what else, if anything, they looked for. His fever tonight is 100.6 - the Dr told him to take Excedrin - which he does 3-4 times a day. But we are concerned since he is never sick. Was diagnosed recently with prostate cancer and the uroogist suggested a wait and see approach sisnce the numbers did not suggest a more aggressive approach. Could that have anything to do with his fever and headaches. What else should we have family Dr test for? Thanks | Hello friend, Your husband is in a diagnostic conflict. That means, he is now worried about the diagnosis of prostate cancer and the present symptoms are not because of the cancer but because of the scare it produced in him. Please stop all Chat Doctor. They will not do good for the patient. Allow the fever to run its course and once the fever is over, he will feel more released, with improvement of appetite and reduction of fatigue. In the meanwhile, subject him to a counselling or psychotherapy in order to free him from the scare of cancer. For the production of cancer of the prostate, definitely he had a psychic cause that was related with the family, child |
I have speech problem. I am 64 and taik like 10. I some times sutter and cant get my words out. I recenly had a depression and have Parkinsons . It also effects my thinking as seen in this note. I would like to find out the cause so it can addressed. Thank you very much. | My dear friend, I am sorry to say that speech problems are a part of Parkinson disease during its course. Medicines which you take for parkinsonism will help to improve speech too so visit your GP for change or increase of dose. Depression needs treatment by antidepressants and by increasing your network of friends and relatives. Don't feel lonely go out and spend time with relatives, don't brood over your health. Try to think positive. |
Hello, My wife has a painful Bakers cyst behind here right knee. she has a history of osteoarthritist in both knees and fingers. She has responded quite well to bee venom therapy for the osteoarthritist when she would target the stings according to accupuncture tables or charts. She insist she does it where it hurts. Bee venom therapy has been very effective at releeving the pain and gaining back almost complete full motion after a couple treatments. The bakers cyst has only recently become painful over the course of less than a week. Last week the doctor told her it was a Bakers cyst and at the time it was not painful so nothing was done. The pain has now become unbearable and alieve does not seem to be providing any relief. She wants to try the bee venom therapy and wants to know the administration site that would correspond to accupuncture therapy. Is the administration site different for the Bursa? or is it recommended to correspond with the osteoarthritis site which is just below the inside of the knee but about two inches below the patella? any suggestion would be appreciated. As a side note I can not get her to rest the knee. she is just too active and will out work ten other normal people even thouh she is a very spry 68 years young. Where should she sting herself? | **1. Bee Venom Acupuncture [BVA] is a kind of herbal acupuncture, but most claims have not been proved to the scientific standards of evidence-based medicine and are anecdotal in nature, thus prior to opting for this therapy you must seek opinion of Orthopedic Surgeon.PS. Due to paucity and methodological flaws in the existing clinical studies, it is premature to Chat Doctor. However, the effectiveness of BVA for arthritis is likely to be a promising area of future research |
hello, ive been walking up with cramps and peeing hurts abit some times when i pee first thing in the morning. and my stomach had gotten bigger so much after i started taking birth control . i dont know how i am gaining so much weight i was a vegetarian for a month but i still gain up to 15 pounds.... is it the birth control ? or i have an infection in the bladder ? uterus kidneys ? somthing ? | Hello, and I hope I can help you today.First, the cramping and pain you are experiencing with urination are most likely symptoms of a urinary tract infection or UTI. Otis have nothing to do with your method of birth control, and can potentially spread to your kidneys, so you should have an evaluation with your local physician to make sure you do not have a bladder infection. Regarding weight gain and its relationship to taking birth control, modern low-dose pills in general have been shown to not cause weight gain across the general population. If you have been on the pill for longer than three months, it wouldn't be unreasonable for you to see your women's healthcare provider and see if an alternate brand of pill might agree with you better, but there are usually other reasons in addition to the pill why someone would gain that much weight in a short period of time. So in summary, you're burning and pain with urination has nothing to do with your birth control or your gaining weight. You should see your local physician or healthcare provider to have your urine checked to make sure you do not have an infection and if you do, to get appropriate treatment. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes, |
Hello father is a patient of Chronic Kidney Disease. He is undergoing Haemodialysis twice a week since Oct 2008, which started when he was admitted to hospital after Heart attack, which was followed by Angioplasty. This resulted in steady increase of creatinine and dialysis started then onwards.LAst week, his upper hand swelled enormously due to ( i think) blood oozing out and accululating inside his upper arm) just above the fistula) from fistula due to accidental wrong way of puncturing the needles of the pipes for haemodialysis (during one of the dialysis sessions). Thereafter he was prescribed Bruffen 200 mg thrice daily after food for 5 days, with application of ice pack on the swelled hand( we can see clotted blood and his hand has become violet because of that). Is this okay for him and his heart and can taking Bruffen be detrimental/fatal to his health/heart. We are from India, Kolkata. He is 66 and with hypertension with medications and diabetes from long years. What can be effective now?? Or is continuing medication advisable.He is on medication like, Nikoran 10, concor 5, zytanix, rabicip, He is having breathelessness at any minimum exertion. Please help - A Biswas +91-0000 | Hello, As such Broken is strictly to be avoided particularly in heart and kidney patients as it can cause per se increase in Creatinine and when you are on Ace inhibitor / ARB for Blood pressure and strengthen the heart, Broken has unfavorable interaction which may harm the kidney further. So per se I would advise you to avoid Broken if possible. As he is already on dialysis, so a short course is so.times sometimes of to take, however I would suggest that it is taken only if plain paracetamol 650 mg is not effective. Regards |
I have had this itchy feeling crawelling feeling it started on the outside of my private parts on one side an itchy feeling, I then went to the doctor and she thought it could be excem a and gave me bento ate gel and a body wash, but know the crawelley itchy feeling is all over and keeps me awake at night I have tried taking anti histamine but that does not seem to help, it is there during the day but because I am busy doing things its not so irritable,do you think it could be my liver , I do like a glass of wine although its low in achol I do have a glass most nights, also I have a cat that sleeps on our bed but on his own blanket I am very fusy about being clean and wash all bedding regularley in a non bio powder as I have always had sensitive skin and hav not changed any washing products please help. | Hello! Thank you for the query. Liver problem is rather hardly possible. Jaundice can cause itching (I suppose this is what you are thinking of) but usually it affects whole body, not genitals only. With liver problem you should also have yellowish skin, easy bleeding, easy bruising. Your problem is rather caused by fungal infection in genital area. This area has a special, humid and warm environment which makes it prone to fungal infection. I suggest you to consult dermatologist. In a meanwhile please try to wash it regularly, wear loose underwear. Hope this will help. Regards. |
Hello, I m at 22yo female and I ve been experiencing problems with my lips for the past three months and it has gotten much worse in the past 2 days. The best way I can describe the feeling is as a tightness in my lips - they look slightly swollen and feel dry (but not chapped or cracked). Sometimes it is painful or itchy as well, but always uncomfortable. I haven t had any sores on my mouth until the last day or two (but that is most likely a result of my aggressive itching) and I don t have a history of cold sores or anything like that. I ve tried a multitude of different lip chaps (I know not to use anything with dye in it because I get allergic reactions to those) and have mostly used vaseline to deal with it, but I feel like this is not enough anymore. Any thoughts as to what might be causing this problem and what I can do about it? | Hi, You seem to have chronic charities. There may be erythema, Chat Doctor. You might have mild pain, burning and itching. There may be some cause. Lip licking might exacerbate the disease. Sundays exposure, cosmetics, lipstiks toothpaste, dusts...etc. might be responsible. Vitamin B complex deficiencies, anaemia or nutritional inadequacy might cause the disease... You consult dermatologist for firm diagnosis and treatment of its cause. Have blood tests to rule out any internal disease or vitamin deficiencies. You may take folic acid 5 mg thrice a day with iron tab. Antibiotics may be needed if there is secondary bacterial infection. Apply antibiotic cream with mild steroid like mpmetasone. You may avoid soap, cosmetics and lipstick for good and fast result. Avoid bad habit of lip licking, if it is there. Do not traumatize the lip skin with your nails. You might get good result after few weeks. I hope this would help you in your treatment. Thanks. |
Hi, may I answer your health queries right now ? Please type your query here...MY mother was diagnosed with portal vein thrombosis, spleinic vein thrombosis, and gastric varacies. Her female cancer markers are up in the 400 range, and she has type 2 diabetes. She has seen a number of doctors and had many tests. Her next test is a petscan after she can get her blood sugar levels down to a good number. Would it be a good idea for her to see a vascular surgeon for the portal vein and spleenic vein thrombosis. They only seem focused on the cancer. The blood cancer doctor seems concerned about the varacies, etc., but her practitioner is going too slow. She left her internal medicine doctor about 10 months ago. The doctor had personal problems effecting her performance as a doctor. I keep telling my mother to go to a doctor specializing in diabetes also. She is also a very high strung worry wart and drinks coffee and coffee creamer and most of her life has had a bad diet. She lost a lot of weight, down to 107, but finally got on one shot of insulin a day to help somewhat stabalize her diabetes. She has been on pills for her diabetes for I believe around 8 years, but has had stomach problems ever since she got her gall bladder removed when she was around 33 years old. She is 74 years old and also has had diverticulosis and diverticulitis. That has been in remission for a while. She still has a metal clip from the surgery on the gallbladder inside. I will totally understand if you don t respond to this very complicated case!!! Thanks if you do!!! | Thanks for posting your queries. From your description it is clear that your mother is suffering from multiple systemic disease. She has diabetics on Insulin. She has manifestations of Portal hypertension and gastric disturbances also. It will be easier if u detail some more information firstly name of the cancer marker. Is It CA-125 blood level? Is your moms Blood sugar level controlled? Is mother anytime had abdominal swelling and blood vomiting? |
hello , Im having problems with my confidence, I feel like that Im going fail in everything. Mostly of the times I have problems reacting whenever someone tells me to do something its like as if I was in different world and I do not pay attention. I also talk to fast but I never had this problem before its a couple of years Ive been talking this way. I was a special education student through out my elementary years and secondary years, but I lived in brazil and didnt any have problems learning. But I have a problem I feel like that im slow in certain thing like my motor skills, memory is kind of bad too I forget a lot of things during tests, is there anyway I can improve my confidence, my coordination, reaction, my speech, thinking skills please I really need your help Im only 19 years old. | Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. The symptoms like lack of confidence, feelings like you will fail in everything, as if you are in different world, symptoms of poor concentration etc. should be given proper attention. Such symptoms could point toward depression. You have been to special education school and this also supports some psychiatric condition responsible for these symptoms. You also have symptoms like forgetfulness, lack of co-ordination and these are hampering your day-to-day routine. So I'd advise you to visit a psychiatrist for help. Medicines like SSRIs especially Fluoxetine, Escitalopram etc. can help to reduce the symptoms. These medicines will also help to improve the focus. Please consult a psychiatrist for help and prescription of these Chat Doctor. Thanks, Hope this helps you. Take care |
My husband got into a bad cycling accident 3 days ago where he had a large gash on his forehead and road rash throughout his body. Today he has a lump on his neck about in inch about where it meets the back/shoulders. It does not hurt to move or to push on it but hes starting to have a bad headache. Should we be concerned and should we head back to the ER for them to check out? | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of neck lump with headache-This lump in the neck appears to be of hematoma-as it's not painful on movement or to push. It would cause bad headache-due to the tissue trauma and tensile hematoma in the lump. Could be treated by-Cold compresses/Antibiotics/ Voltaren gel locally / with Tomophobe point locally would resolve the lump fast. If it liquifies, it may need to be Aspirated and compression bandage-to treat it. I would suggest consultation with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N. |
My brother has a left renal cortical cyst measuring 15 mm in size. His Creatinine is at The residual urine is about 125 ml. The Lab Tests were done in connection with his present problem of urination esp. at night time. Whether without surgery this cyst can be eradicated or not ? Whether the urination problem is correlated with this cyst ? Kindly advise in this regard. | Hello, I have studied your case. Cyst of 15 mm size is quite large and can not be eradicated without surgery. Residual urine volume is large indicating bladder out let obstruction. For finding functional status of kidney you may need to do further investigation like MVP, genogram. Problem may not be related to cyst. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
What are the side effects of LIPIKIND F tablet? I have been consuming the tablet for about 2 months for reducing my cholestrol level. I also have Mild lever enlargement. Does it create any side effect for that problem.? Can i take ayurvedic medicines along with LIPIKIND F? | Hi, Incomplete data like age, gender, any associated medical issues, alcohol intake, purpose of taking Ayurvedic medicines, etc. not given. Limiting F is commonly used for the treatment of elevated cholesterol and triglycerides. It can cause stomach upset, muscle pain, tenderness, weakness, and liver dysfunction. So, it may cause inflammation of the liver which needs to be monitored carefully. If you develop upper abdominal pain, nausea and jaundice you must report to your doctor for an alternate effective but a safer medicine to reduce your cholesterol level. Since you have not given the exact name of Ayurvedic medicine hence it is difficult to ascertain whether it will be safe or not if taken along with Lipikind-F tablet. Hope I have answered your query. Let me know if I can assist you further. |
Hi, after over a month of feeling like I had the worst cold of my lifetime, I finally went to a doctor. I woke up with so much pressure in my right ear and it felt like it needed to POP but wouldnt, all day. The Dr told me I had severe sinusitis. He prescribed me a zpack and some nasal steriod spray. Which I still havent taken because I have bad anxiety attacks and cannot take any medicines without getting anxieties. Now, 3 days after hoof to the Dr | Respected user, Warm welcome to Chat Doctor.come have evaluated your query thoroughly.* Suggestions for better recovery-Avoid exposure to cold, maintain room temperature.- Inhale vapors of boiled water with added tincture Benson or Karol capsules with blanket covered over the head 5 minutes each session 4-5 times a day.- Continue current medicines.- Deep breathing exercises with YOGA . Hope this will help you for sure. Regards. |
hi doc my name is farwa m from pakistan . age 25 . i am nt well since 20013. i feel weekness in my whole body specially in legs. i got tested twice . for all the rutine tests n and all tests were normal eccept Ra factor it was positive . after that doctor gave me vitamin b complex tabs till now i am using them but my legs are weak more than the first time i visited my doctor . and i cant move my whole body easily . my muscles are kinda rigid ,stiff and now m also facing back pain .muscles stiffness is more on right side and also i have double vision problem since day one of this problem | Hello, I have studied your case and I think your medicines are not complete. If you are having stiffness with Ra factor positive then you need to take HCQ, SAAB and Methotrexate. Also, you need to start taking calcium and vitamin D 3. I would recommend you to meet a rheumatologist and discuss this case with him. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks |
Hi, my baby (now 9 weeks old) has been suffering from painful wind and bowel movements. I have to sit with her massaging her tummy on the left side which sometimes help. She has intermittent but frequent pain. Its exhausting for her and me. I combine feed her but sure she had it when I exclusively BF her. She has soft but bitty yellow poo which has been smelling vile sometimes. Doctor has prescribed calpol and lactulose but this doesnt seem to be helping. She can scream whether very watery of soft. Some weeks ago I noticed white mucus coming out a couple of times and think that was when she seemed she had diarrhoea. Please help | Hello, This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to Chat Doctor. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is |
I have had pains in the middle of the chest below or in the lower center of the chest. I have a heavy feeling of something in the same area when I wake up and it feels like some organ is there or something. After waking up and standing the pain and the feeling goes away. I have a trapezium strain on the left side at the same time for the last four days. What is going on? | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of lower central chest pain, chest tightness, pressure, heaviness, gaseous distention of stomach etc. So take proton pump inhibitors and prokinetic Chat Doctor. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I had a mild stroke in 2013. I was fine, just playing Scrabble with my husband, when a warm sensation traveled from my lower extremities through the urinary tract and within minutes my left eye became impaired and I lost vision in that eye. I naturally thought it was an ocular migraine since I ve gotten many in the past with auras around the eyes but this seemed concentrated in the left eye only. NO OTHER STROKE SYMPTOMS...I immediately went to the kitchen to chew a 325 aspirin and my husband called my eye doctor because I do have Glaucoma and a history of very debilitating migraines. I also have A-fib. It ended up being a stoke and no one knows whether it came from the eye or the A-fib. although I wasn t presenting with A-fib at this time and believe me, I KNOW WHEN I HAVE A-FIB--very symptomatic. Today I had that warm sensation travel up my body just like before but without loss of vision, no face droopiness, no numbness in arms, speech OK, just scared to death. Grabbed another aspirin...I ve been taking Plavix for 2 months but there are so many side effects I was going to quit it tonight and go back to the 81 mg. aspirin...now I ve had my aspirin for the day. I was lying down when this happened and my back [middle] was hurting me a lot but I do have LUMBAR and Cervical spine issues. I also cannot tolerate blood thinners or anti-arrhythmic drugs. I m a cancer survivor as well [breast cancer]. What was that unusual warm sensation? It scared me because it was just like the one I had last year. I feel OK now but still shaky and was tempted to just go to the ER but I m savvy about medicine having worked in 2 hospitals and NIH for 32 years. I also have Hyponatremia if that helps any. Have trouble holding blood sodium levels in the normal range. Thank you. Sally | Hi, thank you for providing the details about your health condition. What I am able to understand is the metabolism of your cells needs a booster along with the immune system. Usually performing regular - meditation, Breathing exercises, general body exercises, will help improve the metabolism. As you are a cancer survival and Stroke as well, you need to focus on improving the cellular Metabolism. As body is the medicine of its own, many major issues are taken care by body. Also, for the neck and back pain you need to see a physical therapist who by using the therapeutic ultrasound therapy and TENS therapy will help reduce pain. Besides neck and back spine Strengthening exercises are advised to improve your body. Body if not in momentum will lead to the lack of the cellular functioning and later end up anywhere, where there are weak zones. Also, by doing the regular exercises the Chat Doctor. I hope you understand the importance of exercises. Maybe it is little to do a day but with little only the bigger improvement comes. Also, after stroke, breast cancer, cervical and lumbar spine issues you need to perform physical therapy to improve the Metabolism, immune system and get strength. You can discuss the same with the physician.regards Jay In |
I have had lower back pain for 3 weeks. Saw a physcian assistant last week. Gave me exercises pulling knee to chest, bridging, ect.. Been taking ibuphren once or twice a day. Been appling heat at night. The pain is not as bad but still there. I have noticed getting more stiff when getting up from sitting. Im 41 and not overweight. What could be causing the pain? Should I see my primary care doctor or another doctor? Would a MRI be helpful? Thanks | Hi, From history it seems that there might be having degenerative changes in your lower spines giving this pinched nerve pressure symptoms. There might be having some stiffness of back muscles as well. Go for x-ray lower vertebrae for osteoarthritis. Avoid sedentary lifestyle. Go for daily physical exercise like walking, swimming etc. Go for back extension exercises daily. Take calcium, vitamin A and D supplements. Ok and take care. |
Me and my boyfriend had sex on April 21st. We used protection. The next day I ate unwanted 72. After 5 days I had my periods. The cramping was dreadful and it lasted for a longer time like 7 days. But this month there is no sign of my periods. I don t know what s wrong. I feel light pain in my lower stomach but it comes and goes. My last period was on April 28th. I am worried. Can it be the side effect of the pill? Or is it pregnancy? Help! | HelloChatDoctor user I understood your concern and My opinion is that yes unwanted 72 can cause delay in your period, pain and excessive bleeding, but you should do first urine pregnancy test with velocity kit to rule out pregnancy first if it comes negative than please wait for few days your period will come If it does not come by than you require medicine to get periods I hope my answers help you Thanks |
my mother is 48,she is has gone through two operation of gole stone and uterus in same day after that,doctor said she has a acute renal failure now she is in dialysis thrice in a week.and recommended to take potassium less diet. please allow me the diet chart. | Hi and welcome to Chat Doctor. As a Urologist and kidney transplant surgeon, I can understand your anxiety. Diet is very important in renal failure patients.1. Salt restricted to 5gm/ day. No added salt while eating food.2. 40gm protein/ day. Avoid red meat totally.3. 2000 calories / day in an adult, but adjusted according to body weight.4. No fresh fruits or coconut water, as they're potassium rich.!!5. Fluid intake should be strictly, urine output plus 400 ml/day. If you've any other doubts, send a direct question, in my name. Chat Doctor. Manga. |
I ve been suffering from hip pain since I was 13 now 28. Doctor s can t seem to find anything wrong. The pain is always there. I ve done a x-ray, CT scan, MRI and ultrasound of my hip. Nothing has come up. I ve been waiting for a year and a half to see a specialist. Haven t received a call. I just want to know what the cause of my pain is. Do you have any suggestions? | Hello, Pain may be neurotic in origin or bursitis or disc prolapse or ureteric stone may present like referring pain. Please get it done MRI spine or thyroid profile, bone scan may useful. Serum vitamin D level or folic acid levels are useful. Use tablet Zanaflex once a day for five days. Physical therapy, regular exercise may useful. If symptoms not improved, please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. |
My children s father is in the hospital with congestive heart failure. He is 45 years old. He has been smoking meth for almost 15 years. The doctors say that he is only using 15-20% of his heart. My children have a million questions and I have no answers. All of the doctors and specialists are very kind and professional but my children want to know if he is going to die soon. | Hello, I have gone through case details of your husband, worry of your child Chat Doctor. At the age of 45 in a smoker who has heart failure can have the following causes.1. He might be long-standing hypertensive either silent or irregular on treatment.2. Ischaemic heart disease I.e.blockage in arteries supplying blood to heart.3. Cardiomyopathy, primary disorder of muscle of life. First 2 conditions may be reversible once properly treated and evaluated. Last condition is progressive. But if your husband stops smoking, takes proper medicines and regulate his physical activity. He can have fairly good life span. My best wishes |
What causes full body numbness like this? Almost 3 weeks ago I felt an odd sensation on my left shoulder and after poking it a little I realized it was numb. It felt weird but didn t affect my day. The next day it was still there with no change until about 8 | Thank you for asking Chat Doctor. My name is Chat Doctor. Well I would like you to get checked blood sugar level and get scan of cervical spine with brain cuts to rule out any pathology in cervical spine and brain which is leading to the problem you are having...if it comes normal then relax and take Cap.pregabalin 75\u00a0mg once a day along with simple analgesic and muscle relaxants for 03 weeks...avoid heavy work and keep small pillow while sleeping Hope this may help you. Let me know if anything is not clear. Thanks. |
Hi, My sister and I both get fatty big lumps under our arms in our armpits which grow with the menstrual cycle and then get smaller after my period. She is getting hers removed as they have become quite large and dark colored. If they are removed will the deposit come back elsewhere? Or just back into the armpit?Is it just something in our diet which cant be excreted and therefore stored? Should I get an allergy test done?Thanks | Hi. The tendency of the body to deposit lumps of fats in armpits or elsewhere is nothing to do with Allergy. It's directly related with metabolism of fats and some other factors. After surgery too there is no guarantee if would not re deposit at armpit or elsewhere. If I were your doctor I had suggested you to take some Ayurveda medicine which is very successful in preventing such lumps such as Anchor GGUL. As per individual history and current condition some other medicines are also combined. Hope this answers your query. |
recent creatine kinase test was 199, 10 points over the norm, we did this test because of some muscle pain and cramps that last for days and weakness in the thighs, knees, and calfs. is 10 pts over something to worry about? I have been diagnosed with fm, cfs, and taking statins...??? | Hi, as mentioned by you for the pain and the creatinine levels may be you will be consuming more medicines which has lead to the increase in the levels of the creatinine. Also, by performing exercises for the like - core stability, pelvic floor Strengthening, spine Strengthening, etc. will help improve the pains. Under the guidance of the physical therapy the exercises can be performed, and the muscle strength can be achieved. Also, the use of physical agents like - Therapeutic ultrasound therapy and TENS therapy will help reduce the pain and spasm. Usually if followed properly the rehabilitation plan, parents recover with 90-99% of the success rate. With the grace of God I wish you a speedy recovery |
I am 34 years old I have a acidity problem for last 6 years I have used lot of medicine but stil in a same position I lost my weight also I did my ultrasound test report showing that my liver is little bit big and lot of gas in my stomach and lower part of the abdomen . When I use medicine I am feel better and when I stop to eat medicine it starts, kindly advise me medicine . | Dear .... Many thanks for the mail. A slightly big liver usually does not mean anything serious unless the liver function tests show some abnormal readings. So an LFT needs to be done. Like wise ultrasound evidence of gas in the stomach also does not mean anything. You will require an endoscopy test if not already done and I need to know the report. If you feel better while you take medicine denotes that you have some acidity problem. I suggest you continue the same medicine till you send me the reports I asked for. Taking these medicines for a long period of time will not cause any harm. Rgards |
I am a 21 year old male dont drink or smoke.for the past month I have had a really heavy chest and have trouble breathing like I cant get a full breath sometimes I cant yawn as I cant get a full breath sometimes my back aches and I have a slight cough | Thanks for your question on Chat Doctor. I can understand your concern. Chest tightness, Heaviness with breathing difficulty in young patient (21 years) should always be evaluated for asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. First diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I am suffering from an acute sciatric pain.. Plz guide me about the treatment that i shoud go for...following are the results of my mri report. Lumbar spondyolosis with diffuse disc desiccation , diffuse disc bulge with posterocentral protrusion with annual tear at l4-l5 level causing bilateral foraminal narrowing widout definite nerve root compression, diffuse disc bulge with central and left paracentral protrusion at l5-s1 level causing bilateral foraminal narrowing witChatDoctorpression upon bilateral traversing nerve root (l greater than r) and secondary canal stenosis | Hello, The MRI report of yours shows that there is disc protrusion and compression over the nerve roots. Your symptoms are explained by this compression. The treatment options include medications, surgery and physiotherapy. Physiotherapy is necessary in all patients. If there are no definite deficits (like sensory loss or weakness) then trial of medications with bed rest can help most of the patients. If medications are not helping or if there are deficits, then surgery is recommended. You neurologist/ neurosurgeon/ spine surgeon can guide you on this. Good luck. |
Hi, My name is Courtney and im 20 years old. Recently i have had a tight chest and sometimes a burning sensation in my upper right quadrent. Every time i cough i get a metal taste in my mouth like im holding quarters on my tounge. I could use some help im lost. Thanks | Hello hope the answer helps you. As far I am getting you are having trouble with burning pain with unexplained metallic taste of mouth, how about your weight are you obese and addiction of alcohol and smoking as your symptoms are suggestive of GOOD. You must avoid smoking, excess alcohol and coffee after food donor lie down immediately. And in sleeping slight head elevation will prevent burning to metallic taste along with spicy food abstinence. Also start Spy Davison 10ml three times along with Santa or Gases for regular 15 days hope it will help if not then be needing Castro consult |
MY WIFE IS HAVING THYROID BUT AND FROM LAST YEAR SHE ADDED DEPRESSION WITH IT. HER PROBLEMS IS SHE CHANGING HER MOODS FREQUENTLY. I.E. SOMETIMES SHE IS TELLING PLEASE PURCHASE FOR A LAND AND SOMETIMES SHE REITERATED TO MAKE A HOME AND SOME TIMES SHE STARTED TO GET OUT OF MY HOME. AND I AM STAYING IN ABROAD AND SHE IS STAYING AT HOME AND DOING A GOVT. JOB IN A SCHOOL. WHICH IS HER BEST JOB AND ENTERTAINMENT AT ALL. AND LIKE TO LISTEN MUSIC. ETC. AND SHE IS UNDER TREATMENT FOR PSYCHIATRIC IN KOLKATA . PLEASE HELP ME. | Hi there, Thanks for writing in. First thing to do is check if her thyroid problem is under control. Thyroid disorders sometimes present with depression. Once the thyroid disorder is treated, the depression might get cured. Another thing you can do is tell her to do regular exercise 5 days a week, as exercise releases endorphins in the body which might make her feel good. Also tell her to sign up for yoga or relaxation classes which will help her to relax, and might relieve her from depression. Hope this helps. |
I have had right side pain for quite some time. I went to the OBGYN and she did an exam and found nothing wrong. I went to another doctor and he told me I had to get more fiber. I have been eating 20 grams daily and drinking a lot of water. I had pain since then. I had two ultrasounds and the first ruled out appendicitis and found my gallbladder wall was thickening. The second found I have fibroid tumors/ovarian cysts. I have had pain since then. This pain is on my right side but higher than my pelvic pain. This pain is in my right rib area and it radiates to my lower and middle back and under my shoulder blade. I am not sure what this is. Should I go to a doctor about this? | Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you need to understand that the character of pain you describe could arise only by internal abdominal viscera pathology. I would recommend you to get your CT abdomen with pelvis with contrast done and that is a very sensitive investigation to rule out any anatomic abnormality. Moreover getting some enzyme tests can also help delineate the problem. See a gastroenterologist for this purpose. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. |
Please Dr.I had a serious cough 3 months back and it was treated but since after the cough stoped,i have continued to have some minor chect pain.What should I do ?I am a Nigerian but currently on a business trip in Mumbai India and will be in hyderabad india on a market research for 2 days before flying back to Nigeria. My name is Donatus Obioma and I am 40 Years old male. | Thanks for your question on Chat Doctor. I can understand your concern. Coughing causes straining to ribs and intercostal muscles. So excessive coughing can cause musculoskeletal pain. So do following things for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain.2. Avoid heavyweight lifting and strenuous exercise. 3. Apply warm water pad on affected areas of chest.4. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
i was just wondering about some symptoms my friend is having....cant get thoughts together and body is twitching involentary off and on almost like they are going to have a seziur it comes on then starts to go away ten comes on again. back of head is tngling.neck muscles very tense,, bad headache | Hi, Thank you for posting your query. I agree with you that your friend could be having seizures, based on the description that you have provided. If possible, take a video of these events and show to the neurologist. In addition, MRI brain and EEG tests are also required for confirming the diagnosis. Another possibility could be non-epileptic seizures, if your friend is under stress or tension. There is no need to worry, as both the conditions are well treatable. 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/ |
hi the pther day i went to the hosiptal due to my back of my head goin numb they said everything was fine a couple of days late my left side of body went tingling not numb but weak i was wondering what is this and why do it only act while smoking weed | Hello, It seems to me that you have answered the question yourself. If the episodes occur when smoking marijuana then that is the most likely cause. Smoking marijuana may manifest with many neurological symptoms, phenomena like numbness and tingling are common sensory alterations associated with smoking weed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
last Fri. my husband s inner left elbow became swollen, red, hot ..a patch about the size of the palm of your hand. Called doctor friend who said put cortizone ointment and ice...it reduced the swelling some, not all...next night it did the same thing..went to a doc in the box..he gave him an antibiotic ointment and pills...this is third night and it looks about the same. He is just about to start chemo and radiation for squamous cell cancer of the throat. Who do we see? | Hi, thank you for providing a brief history. The last sentence in your history makes a point here to discuss. Since your husband is prepared to undergo the first chemo you need to avoid a lot of the medication on a safer side to the chemo to be effective. On the other hand if your husband had a swelling and hot feeling sensation near the elbow you should see if he has not hit it somewhere by mistake. If possible an x-ray will give an input. Later on meeting a vascular surgeon will help you get some inputs too. Discuss all things along with your oncologist as he should plan the chemo accordingly. With the grace of God I wish your husband a speedy recovery and good health in future ahead. |
Hi i am a 29 yr old female with I.H. I m hearing a whooshing sound in my ears headache on left side of face and moving towards the upper right neck pain and stiffness my muscles are weak especially my legs and arms my left side towards my back is killing me I have been put on 500mg or diamox 4x daily but having a problem urinating can u please help I don t what to do | Hi, thank you for giving a brief history of you. Kindly see that for your Titans you can do gargling with water continuous for about 60 seconds. This will help the facial and throat muscles to get some strength. Along with it, you can do hot water fermentation for your neck region. Post that do some small neck strengthening exercises like static neck strengthening exercises. Also try doing some core strengthening exercise like Pilates. Suppose in case the pain doesn't come down then you can meet up an or tho for which he might guide you for an MRI of spine which will help come closer to diagnosis. For the exercises you can meet up a physical therapist who can help you to learn proper exercises and also assess you. Taking a help from an expert is always on a benefit side. With the grace of God I wish you a speedy recovery |
I had a lump under my arm for about 2 months. A doctor was going to do a biopsy and then decided not to. I kept cleaning the area well and it finally went away. Then a sore and painful rash appeared in thes same area. It was there for about a month and again finally went away. Once more, my doctor just told me to keep an eye on it. Now, I have some soreness in the muscles from this same arm. Should I be worried and consult a different doctor? | Hi. Thanks for your query and an elucidated history. Definitely yes, You should consult another Doctor |
Brown Spots hey my name is abhishek. Im looking for advice on skin diseases. I have some spots on my chest and around my neck. I dont actually feel any itching in them. I want to get rid of them and looking for the solution. please help ... | Hello and welcome to Chat Doctor I would keep a possibility of satyriasis tricolor. Clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation. Pityriasis tricolor is a superficial fungal infection caused by Malaysia Fur fur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. A single oral dose of an oral antifungal e.g. fluconazole 400 mg is curative OR Itraconazole 200 mg once daily for a week, is an alternative. If I were your treating dermatologist, I would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Post-inflammatory hypopigmentation takes some time to respond. Re pigmentation can be hastened by daily sun exposure for 5-10 minutesRepeated recurrences are common, and the patches may seem to persist forever, with new patches appearing while older one resolve. Those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e. 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Regards |
Hi, I am 39 and was diagnosed with mono 3 weeks ago. I took the doctors advice and stayed in bed for 2 weeks. During the 3rd week I started feeling much better until last night. Now the symptoms are back twice as strong and I dont understand why. Whats going on? | Dear patient. I understand your problem. The most important cause of recurrence of mono infection is due to decreased body immunity. YOU need to focus on your diet. Take high amounts of proteins like two boiled eggs everyday plus a milkshake along with your regular diet. Take a tablet of multivitamin every day. As the nutrition improves in the right direction, thereby immunity also improves and your symptoms will resolve fast. It's not uncommon to see the symptoms to recur. So be patient, you will get ok .mono usually lasts for maximum of 3 weeks. Improve your nutrition and be patient. You will get better. Hope this answers the question. |
Depression after long-term chronic pain? 9 back surgery on lumbar due to infection of cord. 4 cervical fusions....I hurt but how can I overcome pain and depression...after years of high doses of opioid....now have no reason to get up...its sad .what alternatives are there to opioid? | Hello, There are many treatments other than opioids that you can try to help with the pain. In particular, there are some antidepressants that can help with pain as well, such as duloxetine, that might be a good choice for you. So I would suggest discussing this with your doctor, and hopefully, that can help some with both your pain and your feelings of depression. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I had unprotected sex 2 days after my period ... took Next Choice 9 hours after. 6 days afyer taking the pill I had a period like bleeding (this happened while I was supposed to be ovulating) after the bleeding went away Ive experienced some discharge thats white and sticky. Whats the cause of that should I be worried? | Hi dear, The fact that you have taken pill 9 hours after and had bleeding like normal period, makes you quite safe from pregnancy. However, these are hormonal preparations and do leave some side effects in body. The discharge which you are experiencing, if not associated with foul smell or itching may be normal and nothing to worry about. In presence of any associated symptom, consult a gone for the treatment |
hi as i m planing to concieve i went for pap smear test (result was inflammatory smear) n den doc ask me to visit her once i get my mensus n den she gave me ovacare tab n den on 2nd day i went for sonography n which was normal n on tenth day i went for my follicular study n result was right ovary - 20x18mm light ovary - 15x13mm endo 4.5mm plz let me know if alls ok | There is no doubt that Ovaries are the most important part of the reproductive system. Without the fertilization of ovaries, conceiving a baby would not have been possible. However, ovary size not is always a cause of concern for infertility problems. The average normal size of ovary is In cm |
Hi my name is Delane Orr about a week and half ago my 18 year old lost his memory. There has not been no head trauma, no illness nothing. He has been in 2 different hospitals trying to find out answers. He has had CT s, MRI s, blood work and a spinal tap and everything has came back ok. The doctors can not give me a reason why this happenend what causes it, nothing. They say his memory may or may not come back. He claims he has a different name and a different family that don t exsist and gets up set when we correct him. If he does remember his name he still can t remember anything from the past. I just need help dealing with this what I should do and not do. PLEASE HELP!!!! | Dear Delaney, I understand your concerns. Losing all memories even the remote memory with preserved consciousness, and no other deficit in body, all of a sudden without any head injury, without fever or without any apparent reason is not seen in clinical practice. And with blood tests, MRI and CSF analysis being normal, adds on to this strange presentation. It does not seem to be a case of organic disorder. It is probably a conversion disorder. Please consult a psychiatrist. I hope it helped. |
i am allergic to cold and dust. nowadays i am suffering with breathing difficulty. firstly i will get cough then chest tightness following dyspnea. that time i feel like somebody is tightly holding my throat . are these symptoms are asthmatic ? kindly give me some solution for this | You are having allergy asthma is also allergic in almost 90% case sat present you can use short course of steroids with tab montelukast 10 mg bronchodilator spy BD and anti-allergic spy at night after the episode is over get for allergy tests to find out allergens avoid avoidable allergens and treat dusts and others by sublingual immunotherapy as this is the latest known permanent treatment according to international research |
Hi, I am 50 years old, 6 foot tall and weigh 94kg. I am on heart medication as I had a heart attack 6 years ago. I am also on thyroxine for an underactive thyroid. My recent semen analysis shows a motile sperm count of 1.9 million. This is based on | Hi, Welcome to Chat Doctor . According to your report your sperm motility is also less along with liquefaction delay and abnormal sperms are more. I suggest you to go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. So only good sperms are used. This increases chances of conception. You may go for 4 to 5 cycles of GUI before proceeding to IVF. Hope I have been helpful. Regards Chat Doctor. |
my wife was diagnosed with an end stage renal kidney disease and doctors was suggesting for a PD within a reasonable period of time. she started taking new medicines prescribed to possibly delay dialysis and she had been having black stool movement which according to friends were toxins coming out from her body as she does not eat foods causing black stools. Friends said that these are good signs that she may not possibly undergo dialysis. we are hoping that this is true but is it? | Hello and welcome to Chat Doctor. As a Urologist, I share your concern for your wife. Kidney failure-stage 5, has no option except, dialysis or kidney transplant. Initially a dialysis is started and person is then on a maintained dialysis.There are various types of dialysis, PD, being one of them. HD or hemodialysis is the most effective. Clear your doubts with a doctor, not friends. In kidney failure, a person develops low blood levels or anemia. To correct this, iron supplements are given, as tablets or injections, leading to black stools. If you want my expert opinion for any doubt, send to me as direct question. Chat Doctor. Manga. |
Hello, I am 36 yrs old, Asian with fibroids they has been monitored over the past 2 years with no change in the size. I am on a 21 day birth control pill and my periods come on time. My last period lasted a normal length ( start date July 29 and end date August 7). On august 7th I began taking an oral typhoid vaccine for an upcoming trip. I took the pills on alternate days (August 7,9,11, and 13). On the 12th of august I began noticing a light discharge. Each day up to today I have noticed an increase in blood flow (using a feminine cup that was filled only about 1 tsp per day.) sometimes there are clots. No cramping or nausea. This is the first time I ve experienced this breakthrough bleeding for as long as this is lasting. Is it possible that the typhoid vaccine could be a factor? Also I used to eat a low carb diet for the past 2 years and my diet is significantly different. Any advice would b great. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, typhoid vaccine has nothing to do with female menstrual cycles. There is also no relation with carboy Chat Doctor. Whatever your diet will be it can only be occurs with some other reason. You can think of surgical removal of the fibroid as it can also cure your all problem with spotting. But please take your doctors' advice before deciding anything else. It may be because of some different reasons. Many a time because of this fibroid intermittent bleeding can occur. Even in your case I feel the reason will be fibroid. I will be happy to answer your further concern on bit.ly/ |
I would like to know if these medications that were given to me... for my horrible cough causes more cough... last night I didn t even sleep! Which one with the best for the cough? Azithromycin 250 mg dose pack, Benzonatate 100mg, MethyIPREDNISolone 4mg Proair HFA | Thanks for your question on Chat Doctor. I can understand your situation and problem. Azithromycin is antibiotic and not cough suppressant. Benzonatate Is cough suppressant. But nowadays more effective and less sedative cough suppressant s are available in the market. Newer antihistamines are Very good cough suppressant. Methyl prednisolone is oral steroid and should not be given regularly unless strongly indicated. So better to consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis. And also discuss newer cough suppressant. Since these are prescribed Chat Doctor. |
I recently had a CT scan and found out I have multiple non obstructive kidney stones in my right kidney. My back and hip has been hurting but my doctor told me to just push fluids. I have experience this pain for almost 5 months now and really want my back to stop hurting. What are your thoughts. | Hi, The pain from kidney problem or stones can radiate to back side, groin area, testicles and to thigh region. So your pain is from kidney stones. As per your report, that doctor said to take liquids indicates that perhaps stones are small and can pass by urine. The only cure for this problem to ad Chat Doctor. As soon as stones are cleared you will feel free from pain. I don't know the size of stones and therefore can say whether you need other procedures like lithography. It would be better if you can submit tests so that it can be properly assessed. Hope I have answered your query. Let me know if I can assist you further. |
My dad is 79 and in February was admitted to hospital with Pneumonia. Unfortunately he had prior for many years had problems with swallowing and choking. He now has a gastrostomy tube and is nil by mouth as his Epiglottis is not working correctly. Is there anything that can be done we don t seem to be getting any answers | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, your father is having aspiration pneumonia mostly. He is having the following risk factors for aspiration.1. Old age2. Difficulty in swallowing3. History of choking4. Non-functioning epiglottisAnaerobic infection is the most common cause for Aspiration pneumonia. So better to get done sputum culture and sensitivity to identify causative organism and start appropriate antibiotic therapy. Just make sure that his antibiotic regimen contain anaerobic coverage. So discuss all these with his treating doctor and start proper treatment. |
I was diagnosed with mersa on my hand four days ago in the er. Prescribed antibiotics which didnt work. So the day before yesterday returned to the er and recd iv antibiotics. Which seemed to help, yesterday my hand looked better. Now, today it is draining, but very sore and still extremely swollen. Should I return to the er? | HI, thanks for using Chat Doctor If the pain is still severe and the hand swollen, it would be best to return to the ER or to your doctor as soon as possible for an assessment. There should be at least some minimal improvement, it is not expected that the symptoms should be resolved but some small initial positive change should be seen. MRSA can be difficult to treat, but it is possible that the infection may resolve with adequate treatment. I hope this helps |
I have a uncircumsised penis and after sex with my gf I seem to keep geting sores under the forskin that makes it hard to pull back the skin and causes sores, I have had it happen with 2 different girls now and it always goes away I only get it about 4 or 5 times a year what can I use to treat it | Hello, Welcome to Chat Doctor .com! I really appreciate your concern. The best thing you can use in this case is condoms. It will prevent soreness because of lubrication. It is a contraceptive tool which also prevents transmission of sexually transmitted diseases (STDs). Other thing you can use is lubricant gel available in market. It prevents excessive friction but not useful against STDs. Hope my answer has solved your query. Take Care. Thank you. Best Regards. |
Few years ago, I have been diagnosed CLL plus pure red cell aplasia so for I have taken 45 units of blood transfusions. Could you tell me how aplasia can be treated. Is that Bone marrow Biopsy can be avoided as I had back injury few years back and some time nerve get pinched. so trying to avoid Bone marrow biopsy. A. B | Hi, dairy have gone through your question. I can understand your concern. You have to confirm the diagnosis of pure red cell aphasia by bone marrow examination. Treatment of choice is bone marrow transplantation. Till that you can take blood transfusion to maintain your hemoglobin level. 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. |
My uncle is in the ICU. He tried to kill himself by taking a lot of sleeping pills & blood pressure pills. His kidney isnt functioning properly. He is suffering from sever lungs infection. The doctors here are not confident enough to treat him. What should I do? | Thanks for your question on Chat Doctor. I can understand your concern. Your uncle is having severe pneumonia. Pneumonia is caused by infective organism. So the best treatment of pneumonia is identification of causative organism and starting appropriate antibiotic treatment. For this question you need to get done sputum culture and sensitivity report. If sputum is not available then Bronchoscopy and BAD (bronchoalveolar lavage) analysis should be done. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your uncle. Thanks. |
what home remedies do you recommend for an abscess on the labia mijora aside from going to the ER? is there a topical local anesthetic I can rub for the pain? like ambesol or something like that? the skin is really tender and thin to where I can pop it on my own if I can get past the tenderness to the head which is visible | HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely Bartholdi abscess. For my patients with such cases I do incision and Chat Doctor. It is a very small incision. So you don't need to worry. I also advise antibiotics like clindamycin. I recommend them to use intimate wash regularly to normalize vaginal bacterial flora and PH and there by prevent getting further infections. Hope this may help you. Let me know if you have any further query. |
I have a lump just under the scrotum area kind of in the crevis nest to the leg. It appears to be leaking some sort of fluid/puss. Last night I noticed it was bigger than before which is when I noticed the fluid more. I squeezed it and fluid came out. What could this possibly be. I am a 38yr old male 6ft tall 225lbs | Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query and understand your main health concerns. Cause of the Lump under scrotum-You seem to have boil secondary to fungal infection in that area, which is very common occurrence.(Jockeys itch with boil)Tell if it itched any time in past before this fluid discharge. Consult your ER primary doctor / and or Dermatologist and with his prescription take needful treatment. Hope this would help you to plan treatment with your doctor. Write excellent review if this reply helps to control your emergency health problem. Your experience and comments would help improve my rating for others. Visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. I would love to help you out of this emergency health issue. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant M.S. Genl-CVTS |
My daughter keeps breaking out with what we think is poison ivy or something like that. She is iching all over and broke out with rash here and there. It is driving her crazy. Some one has told us that she should use some type of bar soap that is found in the laundry section of stores after she is finished mowing her lawn. Any suggestions. Thanks. Janet | Cellophane You for contacting Chat Doctor. She is suffering from allergic reaction which is causing rash & itching. If you had told the age then it would have been easier to discuss. If a patient comes to my clinic with same complaints then I would recommend following things |
My friend recently had a bone-scan which they said looked like cancer in her spine..The bone marrow biopsy says no cancer...There are tiny holes in her bones, now going to do other tests..She is in bad pain, is there still a possibility she could have cancer and the bone marrow test missed it? The Oncologist has no idea what is going on | Good-evening. Bone marrow usually have a patchy involvement with cancer, and it is quite possible for a marrow biopsy to miss the cancer. Ideal way is to do a CT guided bone biopsy rather than a marrow biopsy. Also, a PET-CT scan will be an ideal test to look out for the origin of cancer, that is, the primary site from where the cancer is originating as it will help the doctor to sort out the final treatment. |
I had surgery a few weeks ago and my resting heart rate has gone from the 60s and 50s to 80 and 90s. When I stand up I am short of breath and start getting dizzy after a few minutes. I have never felt this exhausted.....anemia? What else could it be to cause this change? | Firstly what kind of surgery, and other Co morbidity, that will give me a clear idea of the possible reasons, and they can be varied, and just random naming would cause undue anxiety. As you think anemia, some infection may lead to the symptoms you describe. Many a time if it was a major surgery, the recovery itself till your tissue self-heal may lead to generalized body weakness which may recover by 2-3 weeks. Regards Chat Doctor. Chat Doctor .com/doctors/ |
Hello, I had an accident at work - 48 hours ago now. I walked into a fire bucket which someone had left in a doorway - obviously the bucket didn t budge, so I fell heavily. I have a black Eye and swelling to my face. I also injured my shin and this is what is worrying me. I have swelling which covers most of the length of my shin, and there is swelling to the ankle. I can bear weight on my leg but it is painful, and the swelling shows now sign of going down. Sometimes the area even feels hot to the touch. A first aider applied ice at the time of the injury, and I have been keeping my leg raised. Is there anything else I should do? thank you | God day .u have sweeping at shin-bone. Seems u have injured your lower limb WC needs1. X-ray to rule out any bony injury,2. Needs plaster support above knee or in mean Tom at home cr\u00eape may help u.3. U need medication to reduce swelling wiyChatDoctorbination of analgesics. Like trypsin chyme trip sin, with paracetamol and antacids.4. Most imp of all elevation of limb on 2 pillows and ankle and toes to help u reduce swelling. Consult your nearby orthopedic surgeon |
Hi, Im 30 years old, 5 foot 8, 138pounds and very active. For the past 6 weeks, Ive had a pressure on the right side of my chest when I breathe which causes me to cough all the time when taking deep breath or walking to work. I sometimes have chills at night and short of breath when walking for a while.I was prescribed anti-biotics because my doctor believed it was pneumonia due to chest pain, bloody taste when coughing a lot and chills. I was sent for X-rays but they later came back normal. After finishing the anti-biotics, I was still coughing and was sent for another x-ray to see if there was something but it too came back normal. Im still feel a pressure when breathing deeply and I cough of lot because of it, have chills at night on occasion, feel a little dizzy at times. None of the medications helped. I was prescribed Tussionex, Montelukast, and Advair. Nothing is working. I did an PFT and Asthma test over a year ago but everything came back normal. My doctor is puzzled ordered some blood work including CBC, sugar and cholesterol but everythign came back slightly better than normal. Therefore, I was referred me to Respirology but my appointment is not before 3 months. I dont think that Im crazy. Im writing here to see if anyone had any idea of what this could be? | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you should definitely consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Detailed PFT (Pulmonary Function Test) 3. HRC (high resolution CT). Possibility of small airway disease like bronchiolitis, early fibrosis etc. is more. So detailed PFT and HRCT are needed. If these are normal then no need to worry about lung diseases. Sometimes heart diseases can also cause chest tightness, breathlessness, cough etc. So get done ECG, 2d echo and stress test. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hello my name is Samantha, I am 23 years old and have had kidney stones and kindey infections due to my kideny stones since I was 5 years old...I have kidney stones again, but this time it feels like more than just kidney stones...I have done a lot of research and believe that I have Chronic Kidney Disease, could you please help me detemine if I have it or not?! | Hello Samantha and welcome to Chat Doctor. As a Urologist, i understand your anxiety.CKD is possible, if tests confirm it. As you've had kidney stones and infections since childhood, your kidney function can decrease, with time. You need to get examined by a Urologist. Do the following tests |
HI PAIN ABDOMEN LAST 25 DAYS IN EPIGASTRIUM ,(STRATED AFTER TAKING OUTSIDE FOOD AND ALCOHOL FOR A FEW DAYS)TAKEN AMOXYCILLIN500AND METROGYL400 TDSX8DAYS AND PANTOCID 40MG IBD LAST 20DAYS AND ALBENDAZOLE ITAB STAT( PREVIOUS HISTORY OF HIATAL HERNIA 4 YEARS BACK WITH HEALED DUODENAL ULCER)STILL HAVING DULL ACHING IN UPPER ABDOMEN BUT NO ACID REFLUX OR HEART BURN.WITHOUT ALCOHOL FOR LAST 25 DAYS AND NORMAL HOME FOOD.ULTRA SOUND IS NORMAL BLOOD REPORTS | Hi, Thanks for posting your query. You are most likely suffering from acute gastroenteritis. Absence of watery diarrhea doesn't rule out possibility of gastroenteritis. You should consult with your treating doctor/ internal medicine specialist and should go for thorough check up. You should take complete antibiotic course (definite and combination of oflaxacin & tinidazole), probiotics, antispasmodics, and continue Antacid DSR. Avoid milk and all milk products such as cheese, butter. Take soft diet with curd. Take care, |
I am 69 yrs old. My haemoglobin content is 10.4%. It has increased from 9 to 10 After taking normal iron tablets with folic acid and vit B supplements for 3 months. Are there any effective syrups or iron preparations that can enhance haemoglobin conten in my blood? I had recently undergone whole body check up. Rest every thing is fine except for this. Can you suggest any iron supplement, please. | Hello, THX to contact us. If I am your treating doctor I would like to advice you that Continue with your tablet of iron. Syrup is somewhat costly as compared to tablets and gives the same results as tablets. If you have to change the oral treatment than other option is you can take the injectables but they to are costly and obviously a painful. But seeing your hemoglobin level it is advice you to take the oral not the injectables. If you have anything else to ask please contact me. Than. Chat Doctor |
My question deals with ED.........I am capable of full erections, and have a satisfactory sex life. But I usually get only 1 solid erection per session. If I dont use it immediately.....then it is a no go. It seems that the blood is returning to general circulation.....and not remaining where I want it. We can usually coax a new erection...but as soon as stimulation(either manual or oral) ceases.....my erection goes away rather quickly. Are you familiar with this phenomenon?? Thanks in advance for your time. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You should take the sildenafile citrate. This will be helpful in good erection. Such phenomenon is common with some mens it's not a disease. Its psychological phenomenon. If you have to break this phenomenon you should think positively. Like you have to think that your erection will sustain it will not go. Secondly you can also think for the girl or women who can arouse you or sexually stimulates you. This thing will persist your erection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
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