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mother 86-post hosp stay of 3 days 1 CT abd. done--full of stool. IV antibiotics given. Abd. was severely distended and remains so. Has not felt well for two months now! Stated pain started below left breast (this was before hosp admission) Now the pain is posterior--above the left hip she says around her waist line area. She states it is SEVERE but if she sits it goes away. She also cannot hear out of one ear (this began about a week ago--MD took wax out but she still cannot hear Prior to this she was a very active woman...is now having confusion as well ...B/P is up as well--systole over 100 | HI. What is the result / report of CT abdomen? ? I think she needs soap water enema as CT is showing full of stool. With the age the evacuation becomes a problem and impacted stool can give rise to pain / distension. One should get the colonoscopy done after a preparation (not now) meaning cleaning of bowl and rule out cancer or other possible causes. The other pains you say again can be due to impacted xenoliths. Hearing - go for audiometry to know if this is age related. BP looks fine - not above normal |
hello Doc, i have a child whose cd 4 count has reduced and at the momment he has malaria and was put on anti malaria and an antibiotic today he looks great but my worry is that he has lost alot of weight what type of foods can i give him so that he is a ble to gain abit of weight. many thanks | Hi, I am not aware of the present age and weight of the child. Reduced CD4 count can reduce immune power of the child. This can cause recurrent infections that itself resulting in poor weight gain. So keep him away from people with fever / cough / cold / loose stools, seek early medical attention for any febrile illness and take all feasible immunizations as suggested by your doctor. Also, food and water hygiene need to be taken care of. In diet, what we can do is- Increase the frequency of feeds, increase calorie density of feeds by adding oil/ghee. Give a good balanced diet with enough calorie, protein, fat, fruits and vegetables. Hope I have answered your question. Let me know if I can assist you further. |
Hello,I had my right, top and bottom wisdom teeth removed six days ago. The surgery went well but the pain is still pretty bad 6 days later. The pain is mostly coming from my remaining molars biting the inside of my cheeks/gums which have become swollen around the extraction site. The gums around the bottom extraction site, where the stitches are, are extremely sore (it almost feels like a bubble when I touch it with my tongue), and have turned white. Once again, it is extremely painful because I keep on biting down on the area with my remaining molars. Is there anything I can do to lessen the swelling? I will be getting my stitches removed in 2 days. Thanks for your response! | Hi mo thanks for asking your query. Complications like pain, swelling and Erasmus are anticipated after third molar extraction follow post op instructions completely gargle with saline water twice a day for one week it will promote healing maintain good oral hygiene take antibiotics and analgesics for subsiding infection, swelling and pain. Avoid touching the stitches with tongue, and biting your mucosafollow these instructions completely thanks |
My father (age 70+ years) has heart blockage and he is staking medicine for last 14 years. Last 2-3 years, he is also suffering with Parkinson (that way he lost the balance in movement). Due to Parkinson problem, his movement is very restricted and slow. He is not able to walk first and not too long. This way his life has been going on. However very recently in one morning after waking up he has noticed that that there is some red patches in his right arm and it is also swelling and acing. One day later his also noticed that his right leg after the knee part, the muscle is very stiff and also acing. And the color of his right arm and right leg also changed. Based on the recommendation of the cardiologist, all the tests have been done (altra sonography, blood test, droppler sonography in legs). Dr. told that this is kind of Thrombosis due to which blood is clotted.. In between his hemoglobin ratio was dropped to 7. So for that purpose, 3 bottles of blood has been given to my father. The current condition is that color of hand/arm is becomes normal but swelling and aching is still there. Dr. has given some anti-biotitic. We are not sure whether treatment is going in right direction or not. Also we would like to know what may be reason for shelling in hand and arm and how we can overcome from it. many many thanks ...waiting to get some response ... Manab | Hi, Report of Doppler study of leg veins has not been mentioned. DVT(Deep vein thrombosis) of leg (swelling, tenderness, and erythema/red patches as mentioned)can occur due to venous stasis-favored by age-incidence increases with advancing age and prolonged bed rest (4 days or more). Leg DVT is about 10 times more common than upper extremity DVT but DVT involving both arm and leg is rather uncommon. Cellulitis/superficial thrombophlebitis is another possibility as he was prescribed antibiotic with response(color of hand/arm became normal). Spontaneous DVT in old age needs exclusion of deep-seated malignancy (e.g. pancreatic cancer), as malignancy is associated with hyper-coagulability of blood. Hope I have answered your query. Let me know if I can assist you further. |
Before 1 year i check my BP(160/100) doctor give me nicardia 10mg daily 2 tablets i take evryday tablet before 6 months i check my BP(140/70) still i am taking daily twice tablet now i am 42 years age.Hole life iam taking tablet or i stop my medicine(Nicardia 10mg).Pls, advice me.I am smoker. | Greetings! Welcome to Chat Doctor, and thank you for your question. I understand your concern. If a diagnosis of high blood pressure (hypertension) is now established, and treatment, as above mentioned, is installed and adhered to, then it may be also for a lifetime. You see, blood pressure figures have to be controlled, if you are diagnosed with hypertension. Every long-standing, constant finding of high blood pressure figures, higher than 140/90 mmHg, is accompanied by slow, gradually progressive, but certain damages to all organs in the organism, starting from the heart which has to pump, for a long time, against an increased resistance in the periphery. There, of course, are a lot of Chat Doctor. One of them is the calcium channel blocker, nifedipine, which you are already on. No matter what medication is used, the final aim is to keep blood pressure figures under 140/90 mmHg. Also, I would recommend you to quit smoking, as it affects blood pressure, have a healthy physically active lifestyle, i.e. 60 minutes of physical activity every day, and limit your salt intake in diet, as much as you can. I hope I was helpful with my answer. Wish you a good health. Kind regards, |
For about a week I ve been having really sharp pain down my right leg. It s also a numb tingly feeling ontop of the pain. I ve also been having sharp pains in my lower stomach. I dont think its a blood clot because I dont have any discoloration or swelling. Please help.. | Hi. It looks you are a female patient. A combination of a lower abdominal pain and severe pain down one leg which has developed into numbness is always suggestive of a spinal cord problem. I would advise you an MRI of the lumbar and thoracic area and of the abdomen particularly of the posterior wall to rule out any disease of the spine like tuberculosis or so, Ilio-psoas abscess and so on. Get an examination done by an Orthopedic Surgeon / General Surgeon, get appropriate treatment as per the findings. |
hallo I have noticed a lump developing between my ear my jaw .. The area is very sore but is not painful if left untouched. I also have constant popping in my ears. I have not in anyway injured myself, or been knocked on the head at any time over the last few weeks .. I also have a cough ..Can you maybe tell me what it likely is ..? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query pain behind ear and jaw could be because of impacted tooth. Sometimes impacted tooth get infected because in case of periodontal flap there is deposition of food debris and bacteria, which cause infection. I would suggest you to consult oral surgeon for proper examination and treatment. Doctor may order X-ray or orthopantomogram. Doctor may prescribe antibiotics like amoxicillin or in severe cases doctor may recommend impaction wisdom tooth means surgical extraction of wisdom tooth. Doctor may also rule out lipoma, cyst or Osceola. Doctor may also refer you to ENT specialist. For now maintain proper oral hygiene, do warm saline rinses and give warm compresses to affected area. Take ibuprofen or acetaminophen for pain and swelling. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
cough during last two months, not frequent but with a straining sound, after visit to a hill station(yercaud) the condition worsened, yesterday i had wheezing for the first time in life at 12 | Hello dear... Wheezing is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma). Formoterol will provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)Budesonide is a corticosteroid which takes care of the inflammatory process in airways. Other than that, Montelukast preparation can also be used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing bronchoconstriction. So.it will be better to consult a Pulmonologist for further management. And make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care |
Hi, I have been experinecing bouts of crying for no reason at all atleast once a week for the past 4 and a half months sometimes getting so worked up it is hard to breathe others just tears running without any noise i am not actually sad about anything when this happens could it be a hormone imbalance? | Hello. Based on your symptoms, you may need to consider a few things in addition to a possible hormone imbalance. Four and a half months is a significant duration now. And if these bouts of crying are affecting your life significantly, you could consider the possibility of a Depressive Disorder. And the depression can come from hormonal imbalance including thyroid hormones, stress, significant life events or idiopathic (without an identifiable cause). You may also have to check whether this is a seasonal occurrence (Seasonal Affective Disorder). Low functioning thyroid gland can lead to a condition called Hypothyroidism, which presents as sadness, lethargy, weight gain, etc. With Estrogen increase, we usually expect some physical changes in addition to the mood changes. Physical changes include bloating, headaches (common), swelling of hands and feet, etc. Over all, if sadness of mood is not your primary symptoms, you may be able to say that there could be a physical reason for your symptoms. You may have to visit your GP and get some blood work done. Hope this helps. Abhijeet Deshmukh, MD |
I have a hard lump under my chin seemingly attached to the right side of the chin bone. It is a very hard, immobile bump about the size of a marble. My chin does not appear swollen at all but my skin is noticeably lighter where the lump is and no hair grows on it. does this sound like something serious? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have lump under chin which is immobile and hard could be due to enlargement of submandibular lymph node or due to inflammation of submandibular gland. It could be due to cystic lesion from thyroid gland as well. Need not worry much. You should go visit general physician once and get it examined. Get ultrasound done to find out exact cause and extent of etiology. You should go for fine needle aspiration cytology as well. You should take proper antibiotic course along with anti-inflammatory medications. Chat Doctor. Start treatment after proper diagnosis. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
My friend had a second back surgery the second surgery was for a herniated disk, now almost three months after surgery he is in chronic pain has numbness in the groin and anal regions, his leg twitches and has a mind of its own he cant sit and is limited on how much he can stand for fear of falling. He has now been on morphine for about two months thats how much pain hes in is that normal for this type of surgery? | First I would like to know what was patient complaints before surgery. Are these new symptoms after surgery? Does he have any bladder issues? Due to severe disc herniation one may present with severe leg pain and numbness and weakness and such patients gradually recover after discectomy. However, if this is new after surgery this needs to be investigated and It's normal to have such numbness and so much pain. Thanks. |
Hi Im A 43 yo woman.. Lately my cycles became shorter like 24 days and I ovulated this cycle sa early as day 7 last cycles I ov like day 9.right after ov I feel pre Af cramps on and off until I get my period then they stopis there a chance fir m to conceive?My day 3 FSH is 15 my E2 is 59 | As we get older our reproductive cycles can change either by shortening or lengthening as well as other signs like hot flashes or night sweats that may be signaling that we are coming closer to the end of our reproductive lives. However, ovulation can persist until the time in menopause and more and more women are conceiving later in life. If you are ovulating which can be suggested with an ovulation prediction kits, increase in basal body temperature and increased progesterone level in the luteal phase then conception can still be possible. In your specific case your FSH is on the higher end of normal but E2 is still within normal limits. An AMH level can let you know how much ovarian reserve you have left and conception may be possible with timed coitus, ovulation prediction, basal body temperature charting and recognizing signs of ovulation in your own body. Of course, it is also important to verify the semen analysis of your male partner or prospective father of baby. At 43 years old it is also important to remember that there is an increased maternal age-related risk of having an aneuploid like trisomy 21 risk of approximately 1 in 50. A good OB/GUN generalist or reproductive endocrinology specialist can help to guide you in this endeavor. |
I just completed 6 weeks of physical therapy for a diagnosis of achilles tendon. They worked on reposturing my weight from the balls of my feet to my heels, stretching the tendons with exercises and graston tool. Although I have gained more range of motion in the ankle I continue to have my main symptom of heel pain, especially after sleeping and sitting for more than 30 minutes. They have suggested I see a podiatrist for other options. I still have questions about if this has been helpful treatment, if I should be using orthotics or specific show types, if my S--- sock helps in bed or need a boot, if a podiatrist can help. I have been suffering for 5 months. | Hi, thank-you for providing the brief history of you. As you have Achilles tendon and with Physical Therapy you are helped it is good that you continue further. As your ROM has improved and also the strength now needs a bit of correction of the proprioception. Using a balance board training will help further more and also walking on a ground with bare feet. In my clinical practice only physical therapy, balance board training, bare feet walking on ground, grass, standing on the acupressure plate etc. helps patients regain the normalcy of life. RegardsJay In Chat Doctor. |
HELLO, i ve been diagnosed w/accute chronic pancreatis, yesterday I had an emergency endoscopy done and had an inflammed esophgus (excuse my abuse of spelling this evening), basically my dr said i several infections my body was trying to fight, due to a 2005 GBS Ryouen surgery i m still experiencing long term effects, which includes continued weight loss, i m now to skinny for my own frame and piece of mind, it has led to malabsorption of a lot of needed nutrients, so at this moment i m having severe night sweats to the point of having to change sheets in middle of morning, i rarely get a good nights sleep, i have chronic leg inflammation severe pain, i m currently undergoing several test from neurologist, pain management doctor, i,e. doppler pvr, eeg, many lab chemistry, while they something is wrong none are quite sure what, i gave up drinking hard alcohol, and that helped for a while, i started drinking wine, but my gastro dr said 0 alcohol intake, so now doing that, but in the mean-time I have flare up s that swell my feet and legs and is very painful, i have dermatolgist issues during this time as well usally peeling of the feet and break out of my face, i don t know what is going on with my body, but do believe the baseline is from more than 6 years of malabsorption and has now compromised my immune system, i m also working with a hematologist who has noted some slight changes to my liver, i just don t know where else to go in terms of getting a definitive answer, i can t tolerate any more weight loss, every time i have a flare up it attacks my body on every level including loss of appetite. HELP PLEASE, I use to be a very energetic happy women, now walking up a flight of stairs i feel like i m 200 years old. Any recommendations are greatly appreciated. On a positive note my GI dr has given me a prescription for Creon and Diflucan and w/24 hrs i m feeling better (oh but also have pain med) unless I would just feel like one big thrumbing pain. I also had a bio done on the esophgus (again excuse my mis spellings tonight) signed, I WANT MY LIFE BACK | First, please do understand that, infections do happens in every human being. Secondly it is not the end of the universe & life!! So please instill a positivity in yourself and just give some more time to your body to recuperate. Leave smoking and other alcoholic beverages because it helps body to fight better with infection. Start some sort of daily Yoga or mind concentration technique. Please follow this for one week and reply. |
Hi,i m kayshel, 25 years old. I m not a smoker. I have my recently chest x-ray it saids there is an ovoid calcific density overlying the 4th anterior rib. Heart is not enlarged. Diaphragm and sulci are intact. Impression | Thanks for your question on Chat Doctor. In my opinion you should not worry much about this report. In Calcified lesion on chest x-ray, possibility of malignancy is very, very less. So no need to worry about cancer. Any lung infection after healing produce either fibrosis or calcification. So you may have TB or other bacterial infection in past which after healing gives calcification. But better to take follow up x-rays annually to check for any increase in size. Most probably it will remain static only. |
Hi, I just want to ask regarding on my problem. When I make a deep inhale, I can feel something is aching near on my liver . Its on upper right and upper left part of my belly about 2 inch below my nipples. It just started 2 days ago. I don t feel anything if I will breath normally. I can feel it if I make a deep breath. Is something wrong on my liver or just a muscle pulled right behind my ribcage? | Hello! Thank you for the query. Strained muscle theory is possible. But your pain can be caused by some other reasons like broken rib, lung disorders or gall stones. It is advisable for you to have at least the chest X-ray and ribs X-ray, abdominal ultrasound. Fool blood work with liver and pancreas enzymes should be performed as well. Always when chest pain appears, heart condition should be checked with ECG. If this tests will all came negative, strained muscle can be the reason of your pain. Hope this will help. Regards |
I got my wisdom teeth out three days ago, and since then, my tongue has been very swollen and numb. The left half of my lip and chin are numb as well. When I try to open my mouth, the left side of my tongue hurts. I cant eat anything solid, not even soft things like eggs. I havent been able to call the dentist or oral surgeon because its been the weekend and presidents day. What could be wrong with me? I know that its possible that it could be nerve damage, but how could I go the rest of my life without being able to eat solids? I hardly eat because of this and I dont know what to do. | Hi. Thanks for the query. Numbing of the lip, chin and tongue occurs due to traumatic injury to the inferior dental nerve while removal of the wisdom tooth as many a time the inferior dental nerve lies very close to the roots of wisdom teeth. Many a time there can be slight injury leading to temporary numbing and the sensation will start recovering in a week. But if the nerve is split into two parts then unfortunately the numbing can be permanent. Pain and swelling after extraction is not abnormal and will gradually improve in next 2-3 days. So my suggestion is to consult an Oral Surgeon and get evaluated and a clinical examination and x-ray only exact condition of the nerve can be ruled out. As of now take anti-inflammatory painkillers like Ibuprofen for pain and swelling and do cool compresses. Take vitamin B complex supplements as it helps in nerve regeneration and repair. Hope this helps. Regards. |
I was involved in a motorcycle accident back in march 15, 2014 I broke my pelvic bone had to put plate in front and back and screws ... I am having a lot of pain I can t walk for another 6 weeks. I was looking to get a lymphedema pump to help pain, swelling and circulation.....help please | Hello, I have studied your case history. You will need X-ray of bone where implant is placed. There is possibility of impingement of implant along soft tissue. As bone union is complete and implant is producing pain you can remove implant consulting your doctorClinical examination is important to know site of pain. You can also send x-ray photo on my profile. So implant removal is the best solution for pain if loosened or infected. Lymphedema pump may not help for pain reduction. 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. |
hi, i had a root canal a week ago, i still have to go back, as he only removed the root, to remove the pain, he had a cancellation, and i coulnt stand the pain anymore. that tooth is sensetive, which he said would happen, but my gum, i a little swollen, and hurts, i am tking 600 mg of ibuprofen every 6 hrs nd using 1000 mg of tylenol in between. i get pain every 3 hrs so have to use the tylenol too. i am on an antibiotic too, but it doesnt seem to be helping | Hello there, Root canal treatment is done on the infected or decayed tooth to remove the infected pulp tissue and to relieve the symptoms of pain and sensitivity permanently by devitalizing the tooth. Any remnants of the dental pulp or the tooth nerve tissue present in the root canals leads to pain and discomfort. Analgesics like ibuprofen will relieve the pain temporarily, once the root canals are disinfected and filled with permanent canal sealing material and the procedure is completed pain is relived permanently. So get the treatment completed as soon as possible followed by crown coverage of the treated tooth. I hope this helps, take care. |
what types of rehab are adequate for a crushed l5? I am seeing a Chiropractor and he is treating me with traction, this eases the pain significantly...I wish i could keep doing this but financially it all adds up. I have severe pain constantly and would like a home remedy . I tried yoga , but the bending forward does not work at all for me--too painful!! I know i need to go in when my legs and my gait change... I would love to be pain free!! | HAI,1. Wedge compression fractures of vertebra can be managed conservatively or surgically.2. If there are no symptoms like tingling or numbness or weakness in your legs then you can go for conservative treatment. Conservative treatment requires strict bed rest on hard surface +/- traction for minimum 3 weeks. For having your meals you can sit up to 30 degree for say 10 mins. All toilet habits should be carried out in bed. Care of back with prevention of bed sore takes priority. If you want to turn to your side, you are not supposed to do it by yourself. Rather you should be logged rolled with help of 2 persons. Once the pain decreased by 3 weeks you can start standing with limited sitting activities and then gradually getting into your day-to-day activities.3. Surgery is indicated if there is any associated neurological complications or when early mobilization of the patients takes priority. Soon after surgery, patient will be able to sit, walk and do his routine activities.4. Applying ointments, massage, hot fomentation might compromise the health of your skin over the spine. They might aggravate muscular spasms also. |
my baby is 3years old and has been complaining of a sore upper soft palate for the past 3days. i have noticed upon viewing her mouth that it has a yellowish colour as well as her inner cheeks. she has no fever and is eating but complains about the the pain periodically and cries. please help | Hi dear, I understand your concern. Soreness, yelowish cheeks suggest dermatitis. If baby would like she should since mouth with soda water and Chlorhexidine or you can wash her mouth with cotton. Then you should apply Pastoral, it is very helpful antiviral, antibacterial and antifungal medicine, use it 3-4 times a day. For healing of inner surface of cheeks you can apply vitamin E. For boosting immunity of baby I usually advice Zirconia 5 ml daily for prophylaxis of any diseases. Hope I answered your question. If you have any further questions, please. don't hesitate to contact us, I am always happy to help. Wishing your baby good health |
My father is 57 years old last weak he felt numbness in his left foot and hand suddenly we took him to hosbital the ct was normal also they have done eco ekg eeg and dapplor sono mri and mra exept mri which show some white spot others were normal he was in hospital for 4 days and become well whit no problem but yestrday he felt numbness again till now he doesnt become well And now his doctor want a pelvic and abdominal sono?! | Hello, your father probably had minor sensory stroke in the last week. The white spots that you are describing on MRI may be indicator of reduced blood supply to those areas causing damage. Frequent stroke within such a short span is a cause of concern. The common risk factors which need to be taken care of are - high blood pressure, diabetes, high cholesterol and smoking. Pelvic and abdominal ultrasound is done for a variety of reasons which may be directly or indirectly related to patients disease. You can clarify with treating doctor before going ahead with these tests. Good luck. |
My daughter had a bloody nose and after cleaning her up she got light headed and fainted. While she fainted her body started shaking like she was having a seizure. I blew slowing on her face while this was happening and she was only out for less then a minute, but what causes the body to shake like ths? | Hello, Unfortunately for physicians \"shaking\" is a very vague term, and it could mean many kinds of movements, ranging from tremulousness of the body, to flailing, to arrhythmic shaking to rhythmic shaking and all have very different implications. However, I will give you the most common cause of what you saw. Most likely what occurred is called \"convulsive syncope\" which means that when you pass out you have some jerking movements, but it is not considered a seizure. What happens is that blood flow is disrupted to the brain and the person loses consciousness. Because the nerve cells are suddenly deprived of oxygen, they fire abnormally for a few times causing body jerking, but when the person collapses blood flow is restored and the movements stop. So essentially the movements are caused by passing out and not by a seizure. Likely what happened also was what we call a \"vasovagal reaction\" in which due to stress, emotional response among other things, the blood vessels dilate and blood rushed down from the head into the legs causing a person to pass out. The classic example of this is when a person who is getting their blood Chat Doctor. It is not considered abnormal, and can happen to anybody. Lastly, just to describe what a true seizure looks like. Typically, what happens is that a person will first stiffen up, the eyes will turn up into the head with the eyes remaining open. There is often a very loud scream due to the abdominal muscles tensing up and expelling air from the lungs. The stiffening phase is then followed by a rhythmic, whole body shaking. When I say rhythmic I mean that the jerks occur at regular intervals and at the same time in all extremities of the body. The gradually slow down and the person becomes limp and often is breathing very hard. When they wake up there is almost always confusion that lasts several minutes and then slowly the person returns to their normal state of mind. Hope I have answered your query. Let me know if I can assist you further. |
I m on 4mg of klonopin a day and I just found out I m pregnant. I suffer from severe panic attacks and I m also on bupropion 150mg and and 100mg of sertraline for to help with both depression and anxiety. I have cut down on the klonopin to 2mg but I m scared it will harm the baby. I m only about three weeks along. Is there any options to look at as far as replacing the klonopin to something safer? Thank you do much!!! Ivy | Hello, thanks for the query. I admit that your concerns about the baby are indeed well-informed. Clonazepam (Klonopin) is a benzodiazepine which is known to cause conditions like cleft palate in baby. Similarly, though very low, but sertraline can also cause some problems in baby like pulmonary hypertension. Though data on bupropion is not definite; but all in all its safe to avoid all of these 3 Chat Doctor. Also, bupropion exacerbates anxiety symptom & may not be a good option for your problem. Hence, you can switch to less risky options like Escitalopram which are relatively safer for your baby & you can consult a Psychologist to learn antigenic relaxation exercises, cognitive behavior therapy (CBT), exposure & response prevention rituals (ERP), deep breathing exercises which are tad slow but proven to improve anxiety & panic attacks. Lastly, do try yoga, Panama & 30 minute daily physical exercise in addition to all these. You can revert to me for further help. Good luck |
I used lidocaine topically a number of years ago and my face swelled up, had to go to doctor to get a shot to reduce swelling. Went to the dentist today. Had to have two cavities filled without anesthetic. If I am allergic to lidocaine, are there alternatives to use? | Thanks for your query. I have gone through your query. If you are allergic to lidocaine, you can get the treatment done under other local anesthetic agents like bupivacaine or anticline. Most of the time people will be allergic to the preservative(methyl paraben) used in local anesthetic agent not the lidocaine. So you can use a local anesthesia without the preservative. Or you can get a test dose done to find out whether you are allergic or not. I hope my answer will help you. Take care. |
I have been diagnosed with aspergers syndrome, but this diagnosis was just the conclusion of one counseling and no tests or anything else. i just wanted to know weather there are any tests or any other technique available which could answer correctly that what problem exactly i have i mean there are so many other diseases which are having similar symptoms like paranoid syndrome,psychosis,compulsive obsession disorders and many others .please answer. | Hi I would say there are rating scales available which could be used to make a diagnosis of Asperger's disorder, but they are not mandatory in many parts of the world for making a diagnosis. It would be considered the best practice in the western or developed world to use the rating scale, but again an experienced clinician might need none. Based on the fact that you are able to process information quite well (differential diagnoses like OCD etc. being mentioned), communicate so well in written language etc. suggests to me that it might not be you who has been diagnosed with the Asperger's syn Chat Doctor. If I am wrong, then your level of high functioning is a very good prognostic (predictive) factor for your wellness in the future. I wish all the best for both you and the other person. |
My partner (male, aged 39 and very fit - a roofer by trade) has had problems with his head, when relaxed, it tilts to one side and he cannot stop it, even people have commented that they can see his head going off to one side. He went to his GP who told him this was normal in a man of his age and that he would have to learn to live with it! I am not convinced; I would have at least expected to have some kind of scan? | Hi there. I welcome you to Chat Doctor. I understand your problem. The symptom you described is most likely of acute tortillas, in which the persons head tilts towards one side. They may experience deviation of the eyes and protrusion of the tongue, shoulder pain, back pain, headache, neck cramps, muscle tightness, or burning sensations. Too. This can be caused due to several reasons like trauma to the neck or spine, infection of head and neck, infections of the sinuses, ears, mastoids, jaw, teeth, or scalp, certain Chat Doctor. |
i have one and half year boy baby am going by the job carring my son also please tell me sir for this travelling he will get any problem of health ( travelling at kancheepuram to chennai ) please give any health tips form me and my son now also am feeding to my son | It seems you do not have any help at home. First and foremost rule for you is nourishing food for yourself and child both. Start taking child off the breast milk. One feed at a time. Get him on solid nutritious food. You have not mentioned what travelling means you take. In a year or so he will have to be admitted to nursery then travel will be reduced. This travel may not have effect on the child, but you should be careful with yourself. Its better if child remains in your care rather than day care. |
I was told years ago that I have vericose vanes in my scrotum. The only problem that I ve ever had was some blood loss (2 or 3 times) but it would clot quickly. The last time a couple of years ago. My problem now is that a few of the tiny blood dots (I ll call them) are feeling as though I m being pinched (under the scrotum). What type of doctor would I go to see for this problem? | Hello share your concern, I had gone through your question diligently, and I will try to help you out in the best possible campus filled pimples on the testis can be caused by infection from urine or stool and sexually transmitted infection or multiple sebaceous cyst and can be allergic as wellie you can upload me a photograph and answer my these questions I will be able to help you Bettencourt age and relevant medical history if any like diabetes or liver disease? Have you ever had similar problem in pasting my opinion you should see your doctor for physical check up and investigation to rule out infective conditionMeanwhile you can apply antibacterial or antiseptic ointment like mupirocinMaintain good hygiene you can take Ibuprofen for pain? Hope this answers your question, Please feel free to ask for more clarification, I will be happy to help you Best wishesThanks and regards |
My daughter is 12 years old & has been a Vyvanse patient since she was 7. As a child, always having a full head of hair...she is suffering from severe hair loss. She started off on 20 mg. & now that she has moved up to 60 mg. the hair loss is even more uncontrollable. We were always told she had alopecia, We use steroid topical cream for her scalp, but locations of baldness are changing. Nothing seems to be working for her & we need help!!! | Hello, Perhaps she has alopecia errata. I don't think Vyvanse is the cause of her hair loss. I request you to kindly upload a few images of the affected area so that I am able to have a look and guide you accordingly. If it is indeed alopecia errata then she may require either intraluminal steroid injections or topical potent steroid applications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. , Dermatologist |
I ve had chronic lower back pain from 8 to 15, my GP has done nothing but prescribe medication that does not work (no x rays or pelvic exams!), what should they have done? I get it on my period, when i walk for a bit and when i need a bowel movement. I got my period at 12 but yet still had back pain at 8, its happens more now that i have periods. Please help its influencing my life so much, i cant go out with friends knowing that we will walk a bit. | Hi, Backache commonly occurs due to slip disc or pinched nerves, muscle pain/stress. You can have X-ray or MRI done to rule out any pathology, visit an orthopedic surgeon. Take rich calcium diet & multivitamin supplement. The cramps that you have during periods is called amenorrhea & you need not worry about it. Take antacid & spasm one so when discomforted. However, if you have intense pain visit a gone & get examined to rule out PID or endometriosis. Hope I have answered your query. Let me know if I can assist you further. |
My son has been having issues with his gallbladder we know. He has had ultrasound and it showed sludge. Had a hyda scan and something showed on it. Today he had a Endoscapy scan and now tonight he is running fever of 99.5 and has thrown up 4 times in last hour and half. Im unsure if I need to take him in and be checked! | Hi.it is best if you take your son to a doctor, preferably a general or a pediatric surgeon, for physical examination and clinical evaluation. He may be experiencing cholecystitis (inflammation of the gallbladder) secondary to his sludge. This, in effect, causes fever and vomiting. Diagnostics (such as imaging and liver function tests) will be recommended as needed. Medical (proper antibiotic regimen) and surgical (cholecystectomy, laparoscopic or open, if indications are found) management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
hi my names kayla im doing an assignment on all the different contractions im currently writing up about menopause ive looked up on line and people have said it contagious and others have said its not? is it? and how? also would you be able to do a wax (beauty treatment) on someone with menopause? and where would you professional refer them too? thanks.. | Hi, thank you for putting up your query on Chat Doctor. Yes dear, you can do all beauty treatment on a woman in menopausal age group.- it is not at all contagious.- it is a physiological response of the body in which function of ovary ceases and women cannot become pregnant.- it is a natural phenomenon, all women has to go through in her life.- as per my opinion, they need most of the beauty treatments, as at this age, there skin is damaged due to aging like wrinkles, change in skin texture. These women require counselling and procedures like rejuvenation can help them maintain a healthy skin. Hope, I answered your query. Thank you. |
I am a virgin, 21 year old boy, i m suffering nightfall problems since 2 years , but now i feels urine impurity while urination, due tom this i feel weakness as feel back pain and leg fatigue , tell me treatments of this problem...i m worried about this..... | Hi, Night fall occurs of person don't do regular masturbation. So it is not a matter of worry. Don't worry about night fall. It is not the cause for your fatigue. For your fatigue I suggest you investigate with CBC, serum TSH estimation and vitamin D estimation for primary work up. You have mentioned some urine impurity. For that I suggest you investigate with urine routine microscopic examination. Hope I have answered your question. Let me know if I can assist you further. Take care. |
Hi mr samuel, i have a question which i tried to answer myself but i couldnt find any explanation and im worried. For about 4 days ago a big vein on my intern chin is inflammated and hurts me a lot and makes impossible the procedure of eating. I tried with salt to clean that area and drinking tea but i see no result at all... A week ago i also extracted a tooth so it might be from that the reason happen to me this? | Hi as per of your case history it suggests to me that, the big vein on inner side of the chin may also be a DILATED DUCT of the Salivary gland, or a Muscle, or it may be engorged and dilated lingual veins which are present on underside of the tongue. The first and second probability seems to have more chances, as it is not exactly clear from the site that you have mentioned in the case history. In case of salivary duct enlargement it is because of salivary duct stone blocking the path of the saliva secretion, which usually causes pain on times of having food. The second possibility (commoner), may be a muscle, which may be caused by Pinching trauma of Forceps which are used for extractions. Lastly engorged vein underneath the tongue are very rarely the cause for such discomfort. The first and second probability can be ascertained by a dentist only. So it is advisable to see the doctor/ dentist for his opinion. |
Hey doc. my girl and I were have sex and I had to stop and go take a piss when I got back into bed I could not get hard for the life of me. I also had a gassy stomach that night as well from something I ate. What could of caused me not to get hard again? | Degree understand your concerns went through your details. Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. You have not mentioned your previous experience with the same woman or other women. Usually, Ed is psychological. You also say you had acidity complaints during the intercourse. I also think you were too stressed and anxious. The most important organic causes are cardiovascular disease and diabetes, neurological problems, hormonal insufficiencies and Chat Doctor. I suggest you not to panic now and wait for a week before attempting next time. Then you can decide on consulting a physician. If you require more of my help in this aspect, please use this URL. http |
Hello, My name is BrianneI have an appointment tomorrow to receive my second birth control shot. My mom has to work so I was going to take myself but, they said that my parent or an adult who can sign for me had to be there. Im 17 so I was wondering cant I go by myself without a parent because under consent and confidentiality laws I didnt even have to tell my mother. So can you help me figure this out. | Hi Brianne, Thanks for the query. Usually in some countries a person can give consent for contraceptive purposes only after 18 years. Possibly because of that your doctor or hospital people might have told like that. So better to take your mother along with you as per the rules.And also it will be good if somebody accompanies you because sometimes side effects can occur to shots. If your mother is busy you can take help of some other family member. For more details you can ask me through |
I have had a cough for 7 months. It started out one day as a dry cough that progressed to coughing fits with mucus coming up. I saw a dr. after the first month and then an allergist after 3. I have had a pulmonary function test as well. My chest feels like it is expanded as far as it will go sometimes and I am constantly clearing my throat which feels like its got this moist stuff in it. I do not have post nasal drip and this cough does NOT bother me when I sleep. I am currently taking symbacort and albuterol with and inhaler and a nebulizer. I have not had a cough free day in 7 months. | Hello dear, The symptoms as mentioned in your post can be attributed to Allergic rhino-tracheo-bronchitis. Presented with similar complaints, I usually treat my patients with |
I have a red hard lump under the skin on my calf about half way down. it has been here for a couple of weeks. it started small as a red mark. I thought it was a bug bite when it happened. now it has grown is red, sore and warm to the touch ad much larger. it is larger than the size of a silver dollar. any ideas?? should i see a doctpr? | Hi. Thanks for your query. This is certainly suggestive of a spreading infection or reaction. You should consult a Doctor to make sure a diagnosis by clinical examination. You may need prescription based antibiotics, anti-inflammatory medicines and steroid if your Doctor feels so.They are of the calf is nasty in healing pattern and behavior, so better to be more careful. Let us not take this as a simple boil or insect bite. |
Just found out this morning that I need to have my gallbladder removed. the hida scan number was 12. White blood cell count was slightly elevated last Wednesday. I would like to know my options. Is there a possibility that it will heal? I really would like to keep the thing if possible. I have read that some people dont improve with surgery, and I dont want to go there. Any advice you could give would be appreciated. Oh, and I am a 41 year old female. Post menopausal at that, if that helps. | Hi, This is caused by stone in bile duct and is very common condition. Only effective treatment is surgery, but you can reduce symptoms if you change your dietary habits first. You need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then ursodeoxicolic acid or ultrasound ESP procedure can be done, but surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Wish you a good health. Kindly regards, |
I was in a pretty bad car accident Feb 1st of this year, following that I was given an xray of my lower back because of the intense pain I was experiencing. They found that my L5 was fused to my Sacrum, and it made sense seeing as I have had lower back pain many other times in my life. I am a 21 year old female, and have been an avid runner/swimmer and was hoping I could get some answers as to when I would be able to get back into exercising. The pain isnt awful, and I would rather exercise with pain then not do anything at all. My physical therapist hasnt been able to give me any clear answers on treatments or what is actually wrong with me, just that the bones are fused, the disc is very very small, and apparently there is nothing degenerative. I would appreciate any information at all seeing as my PT doctors have given me next to nothing. | Hallo dear friend, thanks for writing to ChatDoctori he studied your case see fusion of L 5 [sacralization of lumbar vertebrae] is finding on X-ray, and it may not be related to your accident, it may be present since long time so fusion of l5 is not cause of your pain MRI SPINE done? You should do that see whether any disc compression you need some neurotrophic like pregabalin with methylcobalamineand calcium supplement with it D take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine strengthening exercises in younger age group we can go for decompression surgery if disc is large hope this information will help you for further details you can contact me on Chat Doctor. Com |
i woke up friday morning with wat i thought was a sore back. by saturday morning the pain was horrendous everytime i breathe . i went to the hospital at 2 this morning as i couldnt breather properly and was told it was muscle strain xx the pain is there continuously but more so when i breathe x | As per the symptoms yes it looks like muscular pain only. I suggest to use hot pack on your back. This will help to relax the soft tissue at back. As well also apply pain relieving ointment for some more relief. Here since you have complained of pain mainly when you wake up in morning looks like associated with muscle catch, so I suggest you should also take muscle relaxant tablet for one or two days. You can also take painkiller if needed. In case if you have pain from your back to legs radiating along with numbness then there could be possibility of problem with your lumbosacral spine, disc, or nerves coming from these levels. For this I suggest taking MRI of back and check with orthopedic doctor. Here based on report he will suggest surgical correction in case there is major damage at spine, disc level. In case its normal or mild to moderate issue then he will ask you to take physiotherapy. For all above cases I suggest visiting physio for postural correction, spinal exercises suggestion and if needed treatment. This will help to reduce inflammation, pain, and will help to improve strength and stamina of your spine. Take care. |
Hello. I have Sickle cell disease and I have chronic daily pain, but I have recently noticed that for the last year I ve had runny & stuffy nose, swollen lymph glands, and low grade fever. It has been an ongoing problem. I can t figure out what it is. I am currently taking Morphine 60 mg, Percocet 10-325 mg, Folic Acid 1 mg, hydroxyurea 1000 mg, neurotin 600 mg twice a day, zantac 50 mg, ibuprofen 600 mg, and potassium. I was once diagnosed with MRSA. I notice that I have a very high number or sickle cell crisis as well. No doctor can seem to figure out why I am having pain daily or why I m having the runny nose and swollen glands. I am diagnoses as sickle cell SC. My hemoglobin is usually around 7-12. I do have a CBC and various of other blood test don t monthly. I m not what could be the cause of all of this, but I need an answer please. Thank you. | Hi, dear. I have gone through your question. I can understand your concern. Sickle cell crisis is common in patients with sickle cell disease. Frequency is variable in variable person. No, any known causes are there. Inter current infection can precipitate crisis. You should take oxygen therapy. Take regular folic acid and HY Chat Doctor. 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. |
Hi am 33 yrs old. I have a 4 years old child. last year i planned for other child but got a miscarriage after 8 weeks, Doctor told me that sack was there but heart beats were not there, after two month my miscarriage i again conceived. This time heart beats were there but yolk was absent and after 7 weeks heart beast also gone. I had all the test told my doctor to find the reason for the same but all test were clear . After taking a gap of around 9 months again i want to plan and i visited a gynecologist he prescribed me Placentrex IM (twice a week till 3 week), Biorox 150 for( 5 days),satrogyl 200 for (3 days,Folinex daily) and Neogest 200 for (10 days from 18th day of my monthly cycle ). Now i am confused that if any complications have not been deucted then why i have to take all these medicine. Please help if you have any answer. Thanking you Suman | Hello Samantha you for your query. Firstly, without knowing the cause of your previous miscarriages, please do not plan a pregnancy. Please consult an expert gynecologist for thorough preconceptions counselling. Commonest cause of miscarriage are genetic reasons. Ideally, karyotyping of products of conception should have been done. You and your partner should undergo genetic evaluation. Intra uterine infections should be ruled out, and treated if present. Uterine and cervical abnormalities should be screened out. Autoimmune causes of abortions should be evaluated by appropriate tests. Also, your hormonal profile to check for hormonal imbalance as a cause of abortions should be done. Take regular folic acid supplements. Only after detailed testing, once you have the cause in hand, you should plan your next pregnancy. Take care. |
i keep having a sharp pain behind the right knee...feels like a vein pulling, very wierd feeling. Then I stood up and walked to my kitchen and had absolutley no sense of balance. I was dizzy and falling to the right without control. What could this be? | Hello, Sharp shooting pain can be due to ligament instability. Take hot water fermentation and do knee exercises. You should be fine. In case the pain is not coming down for a week or so then an MRI is advised to rule out the possible soft tissue injuries. Feeling dizzy and having no control could be due to low blood sugar and has nothing to do with the knee injury. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
I visited a doctor on 09/12 and had an ingrown hair that was infected and needed to be drained I was told this was in result of strep infection. My lab results showed that my Eosinophils was a 0.43 and I had the same test done on 09/17 and it s now higher showing 0.45. I had my wound checked on Wednesday 09/17 and there are no obvious signs of it still being infected. It is actually healing. She has not prescribed an antibiotic because she feels that my fevers are caused from stress. I was hoping you could please offer some advise. | Hello and welcome to Chat Doctor, The normal range of eosinophils is from 1 to 6 per 100 white blood cells. Thus, 0.43 or 0.45 eosinophils is normal and nothing to worry. Ingrown hair has lead to bacterial infection, however, the infection has resolved and healed thus there is nothing to worry. Bacterial infections associated with ingrown hair can lead to fever and high levels of neutrophils in blood and not eosinophils. Eosinophils increase in case of allergies and parasitic infections. In the meanwhile, you can take antipyretic (fever lowering Chat Doctor. Thanks and take care |
My husband has stage 4 cancer Dr s gave him 6 month s to a year he has swollen feet and they are red and very cold from the knees down,is having trouble with urien can t tell when he goes all the time he wants no Kemo,or any radiation just wants to be kept pain free with pain pills what do I have to look forward to I take care of him at home. thank you Mrs Floyd Ohmit | Hi, dairy have gone through your question. I can understand your concern. Treatment of any stage 4 cancer depends on site and type of cancer. Despite treatment prognosis remains poor. Life expectancy is not good. So there is no problem in not taking chemotherapy or radiotherapy. Morphine based Chat Doctor. It is prescription based medicine so 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 4 yr old son has clusters of raised flesh colored bumps on his elbows and knees. They itch him sometimes. I can t tell if the scabby looking thing on some of them are from his scratching, or if they just turn that way. I noticed the bumps a week ago. They are not going away, and they are spreading down his arms and legs. I tried to put hydro cream, but he says that it doesn t help. I was just going to take him to urgent care in the morning, but would like to know if I should or not. | Hi...by what you quote, I feel that it could be a hand foot mouth disease or any other viral exanthem. Please do not use steroid cream (HY Chat Doctor. If the kid is otherwise active and playful, need not worry about emergency care. But if you can upload an image of the lesions in this website for me, I would be even more glad to guide you more accurately....other option see your doctor as skin conditions are best diagnosed after seeing directly. Regards |
have these little red rashes that come up on my cheeks near my nose , in front of my ears and behind my ears , chin between my eyes, when it flares up its real red and dry, sensitive and the rashes always come up in the same spot, my doctor always wants to give me hydrocortisone, which doesnt help, I have used elidel on it and it helps sometimes, any ideas? | Hi, The red rash occurring on the face off and on may be inflammatory acne or rosacea. For firm diagnosis, you consult dermatologist. Stress, anxiety, tension, excessive sun exposure, exercise, travelling, oily food might trigger the disease. Antibiotic like azithromycin or minocycline for long time would give good result in both cases. Clindamycin gel application at night would improve inflammatory acne. And metronidazole gel on rosacea might improve cleanse the face with antiseptic liq like detail. After long treatment you might be benefitted. I hope you got my answer. Thanks. |
Hey I have a question so me and my girlfriend had only about 2 seconds of sex last friday and I pulled it out because I wanted protection and I only put in th e tip of my penis in and im pretty sure I had precum. So during that night she told me she had thick white discharge and she told me she never had them before. She also told me that her stomach was hurting but she thought it was the chipotle that we ate. The next morning she had some discharge and sharp pains in her stomach when she was eatting... so on that day she took plan b one step, 22 hours after unprotected sex. She felt better the next day. So today on wednesday we had foreplay clothes were on and just makingout and had a blowjob. Later she told me shes getting those white discharge again.. long story short do you think she is pregnant? | Hello, and thank you for using Chat Doctor ! From your description of the events it is very unlikely that she is pregnant. If you want to be sure, it is very simple and inexpensive to get an over the counter urine pregnancy test. The brief period of penetration is enough to cause pregnancy in some cases, but since she took emergency contraception so soon afterward, this is very unlikely. Emergency contraception is quite effective when used up to 72 hours after unprotected sex. However, it is not recommended to be used regularly, because of side effects such as irregular vaginal bleeding. Having said this, your girlfriend still needs to make an appointment to be seen by her doctor. The thick white discharge that you are describing could be caused by a yeast infection, or it could be caused by a sexually transmitted disease (STD). The most common STD in women is chlamydia. If untreated this can lead to sterility, so it is very important that she be treated appropriately for whatever is causing her symptoms. I hope I have given you some useful information, and wish you the best of health. Sincerely, |
I have a largish lump on the right side of the neck. The right side of my neck seems a little larger compared to the left. The lump is more visible when i turn to the left side. For a few weeks i have felt a strange kind of pressure on my throat on the right side. I am 45 years old and in generally good health. I have been experiencing bad headaches over the last few days. I have a history of nephritis. I weigh around nine stone and am 5foot 4inches. | Thanks for your question on Chat Doctor. In my opinion, you should consult doctor and get done 1. Clinical examination of neck 2. Ultrasound examination of neck. Following are the possible causes for your right sided neck swelling. 1. Enlarged lymph node 2. Lesion in superior vent cave or right carotid artery. 3. Hematoma in muscle (right sided sternocleidomastoid). So better to get done ultrasound examination of neck. Possibility of lymph node enlargement is more. If so, then you may need fine needle aspiration cytology (FNAC) for the diagnosis and treatment. |
My mother in law has lung & brain cancer. She has been hospitalized & diagnosed with VRE now as well. I have a 2 year old grandson & my daughter in law is pregnant. I am concerned about the risks to them. We care for my mother in law in our home however, my grandson & daughter in law do not live with us they just visit. | Hi, Thanks for writing in. There is no additional risk to your grandson and daughter-in-law however the Vancomycin resistant enterococci should be contained. Please see that hygiene is maintained and there is no contamination around at home which might increase the chances of infection spreading to others. Since the grandson and daughter-in-law visit occasionally, there is no particular risk of the vancomycin resistant enterococci disease spreading in the house. Please do not worry. |
hello iam suffering from adhd and my grades are not looking good i am enrolled in college and i know alot of friends who take medication for adhd and do reallywell its hard to think about school work while at home specially if i am by my tv or computer is there anything that can help me put more interest and effort on my school work | Hello and thanks for writing in. I understand that you are going through a difficult time due to your problems of poor attention and concentration. Now, the first thing that needs to be done is a detailed psychological assessment to confirm whether you have ADHD or not. This is normally done with a clinical assessment by a psychiatrist and certain rating scales. If a diagnosis of ADHD is confirmed, then further treatment can be planned. Treatment is available in the form of stimulant medication like methylphenidate, dextroamphetamine, etc. as well as psychological / behavioral the railed So, please consult a Psychiatrist for a detailed evaluation and further treatment. |
Dear Sir,My father got three strokes. He was fine but for few months got vomiting tendency. If we stop drug for a day it comes again. On the other side he has lost his physical and emotional balance. He is under a Neurologist but progress is nothing. Plz advise me.kind regards,Bijan | Hello! Welcome to Chat Doctor and thank your for your question! I understand your concern, and would explain that these are common symptoms after brain stroke (also called pseudo Bulgar palsy). Unfortunately there are no specific medications, which are proved to improve this situation. The best therapy in this case would be physiotherapy and psychotherapy. Recovery after stroke takes time. It is greatest in the first few months, and gradually plateaus, although small gains may be made for the next 1 to 2 years. I recommend continuing the anti vomiting medications(besides the other antihypertensive and prevention therapy) and try time after time to make proves if he can swallow without vomiting (some patients remain with a feeding tube for months). A psychiatric consult may be needed to establish the proper therapy for his mood changes. Many persons have depression after stroke, which makes their recovery more difficult. Hope to have been of help! Best wishes, |
hellow my close relative is suffering from severe lower backache doc told after examine x ray that it is l5 s1 disc degeneration he gave painkiller and antacids pain releaved but nausea is persistent since yesterday what is reason and treatment of nausea..shud v go for further investigation blood tests r within normal limits | Disc degeneration itself usually doesn't cause nausea. Pain from the disc problem and painkillers can cause nausea. If he has only been having nausea for a day or 2 after taking painkillers, I would not worry about it. If he were my patient, I would ask if the nausea started after taking the pain pills. If it did, I would consider changing the pain medicine or prescribing something specifically for nausea. If he had lots of problems with nausea before taking painkillers or if it continues after he stops them, I would start investigating further. Hope I have answered your query. If you have any further questions I will be happy to help. |
Have been experiencing some lingering symptoms that i would want to attribute to Candida or acute parasitic infection(protozoa). The symptoms are as follows | Hi, For erectile dysfunction- get relaxed. Avoid stress and stop smoking and alcohol. Try keel exercise. Do NOT take any medicine without consulting the doctor. Get examined by doctor and do the tests as It's important to find out the cause. Take medicines only after having seen by the doctor. The problem can be related to stress, but can sometimes be because of diabetes, heart disease, hormonal problem etc. Hope I have answered your question. Let me know if I can assist you further. |
why my penis goes soft | I would have liked a bit more of courtesy in asking in full and taking time to give some more details as we are all doctors here giving our valuable time to answer your questions....but hey that's life, ain't it? The male sexual response cycle is made up of excitement (arousal and erection), plateau, orgasmic and resolution phase. If you are having erectile problems, it could be because of many reasons...wrong or short sexual arousal (you don't like your sexual partner or whatever it is causing you erection in the first place etc.) or it could be because of some physical problems or could be the medicines that you are taking or many other reasons, depending on your age. Do consult a doctor if it is a repeating pattern. Good Luck. |
i am facing back pain namely L5 S1 form last 2 month, i had never been wounded by execeises nor been involved in any sports. but problem continously occur. even i consult with physicians but al in vein.. please write me the solution....Mubashar Ali form Pakistan | Hi, thanks for posting your concern in the Chat Doctor. You have mentioned in your history that you were having pain in L5S1 region. I need to know whether any imaging (X-ray or MRI) was done to rule out underlying cause. Although you don't have a history of trauma, mechanical back pain may occur due to prolonged faulty posture. If not yet done, imaging of the LS Spine would be necessary to rule out any spinal abnormality. Low back pain may occur due to reasons other than musculoskeletal abnormality too. A detailed history would rule out the possibilities.1. Do you have a history of fever?2. Does your pain radiate from the back?3. Is your pain continuous or intermittent or related to certain posture?4. How are your bladder and bowel habits? You should avoid having prolonged analgesic use for your pain, because it may cause nephropathy, gastritis or peptic ulcer disease. For pain relief, you may temporarily have Tab Paracetamol 500 mg twice daily after meals. Please have plenty of oral fluid. Bed rest for 2 days. Ispagulah husk 2 SF in a cup of water at bedtime. Please consult a local orthopedic doctor for further evaluation. For any further questions, please write back to me directly. |
my son is 2 year 8 months old he has mild bronchitis problem so in every 2 months he is affected by cough problem and will not take food regular and above all if we insist to take food it will come back through vomitting while he cough.he is not getting proper sleep at night due to cough and also start vomitting we wnet to see ayurvedic DR , he said this is one type of allergy avoid milk and milk products and also give some medicine such as dashamoola kadathrayadi kashayam,kanakasavam+amritharishtam+dasamoolarishtam and haridrakandambut he is not taking it regularly what should i do whether there is need for all these medicine what is the main medicine in this for him | Hello, Welcome to Chat Doctor, Your son may be having lactose intolerance, because of which he's having all these symptoms. Try to avoid milk and milk products along with the dairy products. For his present condition I would suggest you to give1. Syrup Bricarex2. Antacid Chat Doctor. Oral antibiotic syrup for 5 days can get these medicines by consulting your pediatrician, the symptoms will improve with these remedies. Thank you. |
My jaw is locked and tonsil , tongue are sore. As of Friday am on antibiotics to get inflammation down so absess wisdom tooth can be removed. I was told if the antibiotics dont respond I will have to be admitted to the hospital and receive IV antibiotics. How long should I give the oral antibiotics to reduce the swelling before I decide on the next course of treatment | Hiusually 5 day oral antibiotic course is sufficient to reduce the swelling. The main problem in your case is not the antibiotic but the lock jaw due to spam in your muscle, so along with antibiotic take muscle relaxant too. Do warm saline gargles 5 to 6 times a day and try to break the muscle spam by putting ice cream sticks between your front teeth, gradually increasing the number to increase the mouth opening. .once the lock jaw is open then rest of the problem can be taken care of subsequently. Take care. |
Dear Doctor,I feel the burning sensation the entire day. And also every day early morning only, around 2 AM I started feeling terrible uneasiness over my upper abdomen near the center of the rib and that continues for at-least a couple of hours. I also feel an air pressure is pushing against my ribs from inside at that time. This is the case for past one week and that stage is totally unbearable. I couldnt lay down and also cant sit/walk during those hours. I dont know to clearly explain the problem, but this is how it feels. Kindly suggest doctor. Day by day this becomes severe.whatever, I sense it happens around the upper abdomen near the center of the rib. Thanks.Now as prescribed by a doctor I am taking below medicinesNEXPRO-L 40g (before breakfast)ZINETAC 300g (before dinner)NORFLOX - TZ (after dinner)SIBOFIX 400g (after dinner)Regards,Kasi H | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are characteristic of HERD (gastroesophageal reflux disease). But better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. You are having HERD. 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 central burning pain, gaseous feeling in chest and abdomen etc. So better to follow these lifestyle modifications along with Chat Doctor. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2 - 3 pillows under head in bed to prevent reflux. 6. Avoid alcohol and smoking if you are having these habits. Don't worry, you will be alright. |
Hi! I had been taking the Pill for about four years and quit last September. Well I am back on the pill as of two months ago, but my boyfriend and I have been sexually active for approximately three months. He doesn t wear a condom but instead pulls out. I don t have exact dates for anything, but I m on the pill. And I KNOW I should have started my period Saturday. Today is Monday and still no period. On this pill I normally have terrible cramps but theres been no cramping as of yet. I ve had sore breasts for about a week now and diarrhea as well. I ve had a brown spotting that only comes when I wipe down there for about a week now as well. ( Implantation bleeding? I m not sure) Anyways. I just wanted to know what you would recommend I do. Is it too early to take a pregnancy test? | Hi, I have gone through your query and understood the concern. If you have been regularly using the pill for the past two months now, you should have a protected cycle. So, chances of failure are less. Though you have been having unprotected intercourse even before the start of the pill, if you had the normal with Chat Doctor. Your symptoms are suggestive of a hormone imbalance and hence, a breakthrough bleed. Home pregnancy tests may not read well now, and you can get benefit from the blood test for pregnancy. This can be aided by a trans-vaginal sonogram to know the status of the pelvic organs. Further management can be planned accordingly. Hope this helps. |
I am a white married 68 year old male. I haven t smoked since 1980. In June of this year I came down with pneumonia. 3 X-rays and 2 CT scans since I have a nodule in my upper portion of my left lung. They did biopsy on my lymph nodes and they came back negative. The nodule biopsy came back as a typical cells. now they want to do another CT scan with needle biopsy to get more information and next step would be take half the lung out to remove nodule. I am active and feel fine. My question is this, cant they just monitor the area instead of all these probes? | Diagnosing a pulmonary nodule can be a tricky feat. The best approach is to determine the likelihood of the nodule being cancerous or malignant. Having a smoking history is of course the strongest risk factor for cancer. The presence of atypical cells is also concerning for the possibility of cancer, although this by itself is not diagnostic. At this point, you can decide between removal of the nodule versus very close monitoring of the nodule with serial CT scans. Removal of the nodule may involve removing an entire lobe or just a segment, depending on the size of it. Monitoring with CT scans is an option, but you should talk to your doctor more about the characteristics of the nodule. There may be other factors that made your doctor feel that leaving the nodule there is risky. To summarize, both serial CT scans and removal of the nodule are options. Which one you choose should be based on the characteristics of the nodule, your risk factors, and the changes of the nodules on serial CT scans. I hope this provides some clarity to your situation. |
Hi sir! i had TB In my right kidney since 2009 than after check out it was already stopped fuctioning than do operation and r startemove my right kidney and i took one year TB drugs after all i was ok till 2012 this year my right leg hurts and my right testies became bigger specially when i walk alot hurting too and get more bigger and now i have pain in my left kidney too one week ago please i need advice and help of you thanks | Hello, Thanks for the query to Chat Doctor. Forum. Extra pulmonary tuberculosis, if not treated well or incomplete treatment reoccurs. As you are complaining the right testis is bigger and hurts specially when you walk, so I want to tell you that normally the size of right testis is somewhat bigger than left so need not worry. 2nd question is right leg hurts, but you have not mentioned the site of pain so difficult to evaluate diagnosis. The main cause of concern is pain in the LEFT kidney, may be, 1 Tuberculosis, diagnosis can be confirmed by blood examination for C B C, E S R (if very high chances are of tuberculosis), MRI, also blood examination for serum CREATININE level for kidney function. Then consult a nephrologist and get his opinion. 2 Renal stone, diagnosis can be confirmed by ultrasound so for go for this. 3 Renal infection, get in urine culture and sensitivity test and consult a urologist after this. As already one kidney removed so at present consult a Nephrologist at once and get his opinion. Good luck. |
I had a CT scan of abdomen to r/o ventral hernia vs. diastasis and results showed broad based diastases of vental wall and indeterminate right midpole renal hypodensity measuring 15mm. with ultrasound recommended. My Dad had kidney cancer. should I be worried? | Thanks for your question on Chat Doctor. In my opinion you are having cyst or benign lesion mostly. But better to get done ultrasound of kidney for more information. If this normal or saying cystic benign lesion than no need to worry. Repeat ultrasound after 3 months. But if suspicious lesion is found than go for biopsy and histopathological examination to rule out malignancy. So get done ultrasound of kidney first. |
I ve been having severe abdominal pain it burns right in the middle and to my mid back. A CT showed large amout of stool in colon. Ive taken mag citrate, dulcolax pills, sennekot s, dulcolax suppositories. I ve mostly passed mucous. What is wrong with me | HI. The pain in the middle of the abdomen along with midback is more suggestive of Pancreatitis and rarely missed in CT scan also. You need to undergo tests of blood- particularly Pancreatic - amylase and lipase along with other routine tests. You may need upper GI endoscopy and Endoscopic ultrasonography to ascertain the cause and ERCP. Since you are passing mucus and CT scan has shown large amount of stool in colon, I would advise you get a repeat CT scan, bowel preparation in the form of soap-water enema, regular or so orally and then to undergo for Colonoscopy and if required biopsy. This may solve your problem or lead us to a proper diagnosis and treatment according to the reports. |
I fell from barricade and landed on my right knee,after x ray there was no fracture nor dislocation on my right knee but am going to a severe pain, a doctor said there was some fluid on the xray results but no fracture nor dislocation what medicine will prescribe for me. | Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. You may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce locking episode and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Large meniscus injury can be managed by arthroscopic repair. 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. |
I am 34 weeks pregnant and have had a few issues with skin tags near my genitals, and i recently noticed a larger what seemed to be a skin tag near my anus, and thought nothing of it, but it just tore while i was in the shower and now i am bleeding quite a bit, what should i do? | Hi, Chat Doctor. I welcome you to Chat Doctor VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. 1) First do not panic. 2) apply pressure with clean cloth or cotton swab at the bleeding point. Once bleeding stops after 3 to 4 minutes, you can apply local antiseptic ointment. 3) Skin tag near vaginal opening is normally seen in many women, but please get it confirmed from your doctor if tag near anal area is not a thrombosed pile Please take care not to pull out these ski. Tags. I hope this answer helps you. Thanks |
Hey I am 16 and Im on the pill but I been having dirt or brown liquid and blood clots coming from my vigiana and I just got treated for yeast and bacteria also three stds and I dont have them anymore I been retested and came back negitive why is this happening? How do I stop it? Also this is been going on for almost a week, my birthcontrol is a three month thing and I only get a period once on the third month last week. | Hi and thanks for the query, Brown discharge and blood clots require that you should be sure and very sure that a period has gone past. It is not unusual to experience such phenomena towards the last days of the menstrual period. It is important that you note other signs of STI like urinary problems and lower abdominal pain If absent, you might another review for it might not be an STI. Consult your primary care physician if symptoms persist. Kind regards |
I have been experiencing some chest pain. I was going to get it checked out yesterday when all off a sudden at work my boss told me I looked flushed and told mento sit down. She then asked me how I was feeling. I said okay and all of a sudden my chest started burning really bad and then the burning went from head to toe. I thought I was going to die. My body was also tingling and the pain was a 10/10. Blood test normal.. EKG normal.. Enzyme test 0.01. Do you have any clue what is going on? | Hi thanks for asking question in Chat Doctor... Here sudden chest pain with flushing and sweating can be due to here two reasons....-ischemic heart disease or -panic attack...Sometimes it could be by pulmonary embolism .... Here ECG or echo done to rule out cardiac cause... D dimer for pulmonary embolism... If no significant cause present then by taking severe stress you can have such panic attack... Counselling done by psychiatrist for it.... Hope keeping this in mind you can solve your concern by contacting doctor. Take care. Chat Doctor. |
Hello Doctor, My widal test shows | HelloThanks for writing to ChatDoctorYou have negative tidal test. You are not suffering from typhoid fever. Salmonella O or H antigen tier values equal or greater than 1 |
Hi, My 6.5 year old son developed severe spring allergies in the spring of 2013. He had them again this year. The thing that I am unsure about is that each year after his allergies have initially blown up is that he gets a fever with very little other symptoms every three weeks, +/- 2 days like clock work. The fever is about 102 and goes away after 2-3 days. This goes on from the onset of his allergies until the fall. Is it possibly tonsillitis or something that is causing the regularly spaced intermittent fever? | Hi, thanks for using Chat Doctor Fever occurs as a result of the bodies inflammatory response. Though this inflammatory response most commonly occurs as a result of infection, it can also occur due to allergies and in severe trauma. Since the fever starts with his allergies, it likely that they are related to this. Tonsillitis would be associated with sore throat and this is not likely the cause unless he complains of this symptom. You can use paracetamol or ibuprofen (if their history of allergy to these meds) to help with the fever. I hope this helps |
hi i am snehal, a male, and i am married before 3 yrs an i did my sperm count from genuine laboratory , and dr says that u have a very low sperms, so i want to know that how much sperm count needed to get a child? my report is below. Sperm Count | Hi, Thanks for your query. I have read your query & I understand your concerns. From what you describe it appears to be a report of oligoastenospermia (low sperm count with decreased motility). Minimum sperm count needed is 20 million per ml. Your counts are far less. I advise you see an infertility specialist to get prescription for antioxidant medication to improve your sperm count. With the present count only modality of conception is CSI (Intro Cytoplasmic Sperm Injection). Please ask details from your infertility specialist about the CSI procedure and other forms of ART. All the best. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. |
I have been to the doctor and I have a fungal infection in my groin area and anus and bottom area. Im using nilstat and before that canesten, but it doesnt seem to be going. Im a 56 year old female. Are there antibiotics that can cure this infection? | Hi, Welcome to Chat Doctor. I understand your concern regarding fungal infection taking longer time to heal. Fungal infections are superficial infections but take at least 6 weeks to heal completely. Local application of nil stat will definitely help but groin infections also need extra precautions as to avoidance of tight clothes, maintenance of personal hygiene and cleanliness is a must. I suggest you get a prescription for antifungals like flu can which are effective against fungi causing skin infection of groin. But this treatment has to be continued for 6\u00a0weeks to 3 months. Antibiotics would not be helpful unless there is superimposed bacterial infection. Thanks |
Hello Doctor, Im Dhanshree(23 yr ) ,1 yr completed to my Marriage, I have some problems as Three months ago i had too much white dispatch, in may my period second followsed 1 st by 10 days and it bled blackish same happened in June also, also I lost 3 kg last month and feel week,hair fall also followed here what is it? I m so confused as I had read about Uterus mouth Cancer some symptoms are like these one pls guide me for that | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are mostly having chronic cervices (infection of cervix) because at your age of 23 years, possibility of cervical cancer is very, very low. Cervical cancer is common in age more than 50\u00a0years, multiparous women, woman with multiple sexual partners, woman with HPV infection etc. Since all these factors are absent in your case, possibility of cervical cancer is less. Symptoms of cervical cancer are1. Lower abdominal dull aching pain with fever, weight loss and anorexia. 2. Bloody discharge from vagina. 3. Cervical mass or ulcer on clinical examination. So better to consult gynecologist and get done 1. Clinical examination 2. Microscopic examination of discharge. 3. Ultrasound examination of abdomen. Infective etiology is more likely in your case. So don't worry much about cancer, consult gynecologist first. |
My father, aged 87 years, is now suffering with skin rashes and he cannot control the itching. He has developed this problem since last two months. He is however not willing to go to a hospital or visit a dermatologist. What kind of safe medication can be given to him? | Hi, Itchy rashes over skin could be due to eczema, allergic hives, atopic dermatitis, Tina corporal etc. The important thing is to diagnose first rather than treatment. You can go to skin specialist for detailed history of your father and inspection of rashes to have a clear diagnosis. You might require topical corticosteroid like beclomethasone, clobetasol or mometasome with antifungal cream like fluconazole or itraconazole with antihistamines orally to reduce itching. Some time oral antifungal once dosage with prednisolone are also effective. So, you must take him to the doctor. |
Hi im 19 years old female from scotland, names Abbie Mcginley...Ive been signed off work for 3 months now wil irregulare heart beat and palpitations, also have SVT where my heart normally sits between 120-50bpm, ive been rushed into hospital 4 times with palpitations where ive missed beats or extra heart beats have came on. I got given bisoprolol fumarate 2.5mg, ive been on them for 3 days, 1st day experienced new palpitations where it was a heavy feeling and took bad hot sweats, yesterday was fine and today ive been having the feeling like my hearts going to stop..New kind of palpitations again where i have to jump up to get my heart to a normal rhythm, ive also been sick tonight and very dizzy and shaky, sore head and short in breath, heart rates sitting at 53. Should i stop taking these tablets? I do feel realy unwell and feel like im a pest if i phone NHS 24/7 or my doctor. Anything i can do? | Dear Amy your symptoms seem to be due to undue awareness of missed beats which is not unusual but in your case very troublesome.bisoprolol can help but sometimes in healthy young people, it can make normal heart beat very slow leading to dizzy/ sweaty spells as you describe. The slowing of normal heart beat can also ironically increase the frequency of extra beats and may seem to make your palpitations worse. I will suggest you stop bisoprolol and try non-pharmacological measures to suppress extra heart beats (they are due to irritable heart often secondsryvto stress). Try Mindfulness meditation and regular aerobic exercise which will help. I am not convinced you have SVT (someone has put a wrong label/ erase it as quickly as you can unless there is irrefutable ECG proof of a sustained SVT documented). Hope this helps |
my 8 year old daughter was diagnosed with cystistis 3 days ago and started on trimethroprim. She no longer has pain on weeing but has lower back pain and is slightly off her food and tired. I am giving her cranberry juice and encouraging lots of fluids. Do we need to go back to the GP? Or should I just keep her drinking lots and resting? | Hi, Do not worry as your daughter is going through such problems due to cystitis, which you are correctly treating. You can use some painkillers such as acetaminophen or ibuprofen for pain. You can also apply some warm clothes to her back to relieve the pain. Usually, I recommend my patients to put their feet in hot water with little salt and baking soda (very little) to relax. Massaging the pain area and legs are also helpful. I would also recommend doing a urine culture 2 weeks after trimethoprim use to see if there is any resistance in antibiotic use. It is good that you encourage your daughter to Chat Doctor. Hope it helped and quick recovery to your sweet! |
hi, my 3 yr old has a small grape sized hard lump on the outer surface of his upper rt arm. he had a insect bite in tht area 7 months ago but it didnt seem to resolve and has now grow to 2.5 cm in diameter n looks pustular but is hard on touch. should i be worried. it keeps getting bruised when my son bumps into things while playing. what else cud it be? dd? | Hi, dairy have gone through your question. I can understand your concern. He may have abscess forming infection or infected cyst or soft tissue tumor. He should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
My dad had a stint put in in October. Hes felt chest compressions and tightness in his chest the last few days. Last night he said it felt like his heart was leaking.... Does this make sense? He wont go to the dr. because he went Monday and the dr set up a stress test, but it isnt until March. | Hello, Brief answer |
Everytime I stand up, either I was laying down or sitting down, I get really lightheaded, and my vision goes black. I have to lean against the wall till it passes. It happens ALL THE TIME. It doesn t matter if I get up really slowly or not, it happens. I ll even sit for awhile before I get up to try to prevent it and I ll get up ridiculously slowly but it still happens. This has been going on for about 2-3 months now, every single day. Sometimes when I m laying down it ll happen too, I m just lying there and all of a sudden I m really dizzy. Also it doesn t matter how much sleep I get, I m tired all the time. Im a 23 year old female, I work out regularly, I have struggled with depression and anxiety in the past, but other then that I m pretty much healthy. | Your symptoms suggest diagnosis of postural hypotension leading to presyncopal attacks. This occurs due to some autonomic dysfunction. You need to get assessment for autonomic functions, blood sugar, ECG, supine and standing blood pressure for postural hypotension. In my opinion the definitive diagnosis will come after these investigations. For some relief you can increase salt and water intake and wear compression stockings in leg. Hope you recover early. Good luck. |
I was hit in the front lower right leg by a hard hit softball (about 4 below the knee and about 2 to the inside of the bone) on Sunday afternoon. The point of impact is swollen and bruised (as I would expect), but my whole lower leg is also swollen, about an inch or more larger in circumference from ankle to below the knee. The impact site is tender but there is no significant pain and no issues standing or walking. I have periodically iced my leg since the injury. Should I be worried about the swelling? | Hi, Thanks for your query. From description, it seems to be soft tissue injury. Swelling might be due to haematomaformation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
When in bed at night I can hear a wheezing sound, like wind that makes a whooshing sound. At times I experience a cough or two that removes a clear mucus the size of a pin head. During the cough I experience bothh in the back and chest a sharp staping pain. Most of the problem happens while in bed. If I lie on my back it is really bad. Also when l try to sit up after lying down the sharp pain in the back and chest happens Thanks,Anthony | Hello. Brief Answer |
Hello good evening. My name is Robert. I have a previous history of TLIF spinal fusion L5-S1 in 2011. I was involved in an auto accident in 6/11/13 while at work. I was struck from behind by a Frito Lay delivery truck and a sedan. I went to the ER, and was referred for Neuro Surgery. Neuro surgeon referred me to a neurologist who conducted EMG / NCV which indicated Chornic Bilateral Radiuclaphty. I requested Lumbar MRI which reported small central disk bulge at L5-S1 area, and Cervical MRI which indicated C4-C5 of a small subligamentous disk hernation at left ventral touching cord. I have felt moderate to severe pain for almost 5 months. I am scheduled to see a Neuro Surgeon in 2 weeks. I had previous bad experience with pain management, and I am wondering if I should reconsider having surgery again for the back and most likely neck. Any feedback is greatly appreciated. I do have a workers comp & third party attorney working on case recently.Thanks | Hello Mr Robert, you mentioned that EMG/NCV studies indicated chronic bilateral radiculopathy. Is this report for upper or lower limbs? If it is for lower limbs, with your previous history of TGIF fusion for L5-S1 and present MRI showing small central disc bulge at the same region you need not worry about this as it is already a pre-existing problem. Do you have such a severe neck pain n articular pain in both hands incapacitating your daily activities now ? Do u have any difficulty in gripping things with hands or do u have any difficulty in combing your hair or buttoning n unbuttoning of shirt? If u don't have any of the above-mentioned, small ligamentous disc herniation at C4-C5 region, I always advise you conservative treatment in the form of wearing a hard cervical collar when u r at work, analgesics like tab diclofenac 100\u00a0mg twice daily after food, one tablet pantoprazole 40\u00a0mg on empty stomach in the morning half an hour before breakfast, a pregabalin tablet 75 mg per day and physiotherapy (IT) n one week of bed rest is advisable. |
hello, i think i got a blood blister, possibly from sweating and friction. i went to bed last night with no issue, got up this morning and saw a purplish bump on my inner right thigh. not sure if i was bit by something or not. it started to pop , drained it somewhat , blood came out. not puss. the bleeding was not long lasting, as if an artery was ruptured. I bandaged it with gauze pad, washed it and put Neosporin on it. the nickel size elongated bump is now smaller, but similar in color. I may schedule with my doctor by calling tomorrow morning. I ve been looking online for remedies and possible idea on what it is. the very top of the bump blister had a small point, in the sense of it was harder and darker there, with somewhat of a peeling outer layer, as there was a faint perimeter of topical skin with white edges protruding. however, it is not hard to the touch nor painful, as when an ingrown toe nail occurs or swollen side of a nail bed with yellow pus and redness. | Hello, Welcome to Chat Doctor, After going through your history and symptoms, it seems you had developed a boil or folliculitis which is now showing signs of healing in the form of purplish hue and pigmentation. The area within the inner thighs is prone to infection because of moisture retention and thighs rubbing together as you have mentioned. You may use an antibacterial over the counter cream like mupirocin three times a day for 3-4 days. It will subside by one or two days. If it persists or aggravates you may have to contact a dermatologist for treatment. Thank you. |
Hello! My 3 year old son went swimming to our gym pool with his dad, and after they were done, he started being very cold. After we got home we covered him with clohes and blanket. Maybe and hour after that he got fever. Gave him ibuprofen, fever went down, but it was back in few hours. My husband also said that my son may have swallowed some of the pool water. What can be the problem? Should I take him to the doctor in the morning? Thank you | Hi... Thank you for consulting in Chat Doctor. You did right in giving him Ibuprofen. Fever of few hours without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
Quick question. I noticed last night (this is the second time this has happened) that my son (3 yrs old) started hacking with a dry horse cough some hours after eating pizza. Trying to determine if he may possibly be allergic to anything in the pizza. Cheese? I don t know. He eats bread every day (whole grains) for sandwiches with lunch. But, I don t know just trying to figure it out..... | Hi, I had gone through your question and understand your concerns. You should be worried but not too much. It seems he was allergic to some ingredients of pizza, most probably to species. Try to avoid spicy food. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health. |
hello, my baby is 5 months old. from the last 2/3 days she is suffering from indigestion & gas problem. doctor prescribed decolic drops & neopeptine susp. she was ok yesterday, but now she has become restless & crying a lot. Any advice will be appreciable. thanks. ajit | Hi, Thank you for asking question on Chat Doctor. Bottle feeding babies usually ingest gas while feeding. Either breastfeeding or feeding with cup and spoon will prevent gas. What your doctor prescribed is OK, continue the same medicines. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics |
Hello. My martial art teacher punched me in the chest (left side). I literally flew away for 2 meters. My chest is strong. But this time it looks like it was more than I could take. it s been 3 days and I still have trouble breathing and a small force can put me in pain for 10mins. It doesn t seem to be broken. What s wrong with it? | Thanks for your question on Chat Doctor. You are having blunt chest trauma. And there are few complications of blunt trauma which can cause such symptoms. These are1. Pulmonary contusion2. Rib fracture3. Pneumothorax4. Muscular injury. So better to get done chest x-ray to rule out above causes. If chest x-ray is normal than it must be muscular pain. So try to follow these. Avoid strenuous exercise. Avoid heavy weight liftingAvoid bad postures in sleep. Take good painkiller and muscle relaxant. Apply warm water pad to pain site. Wear chest belt for minimal mobilization of affected area. |
My mother is 45 years old.She recently had an aneurysm surgery,september 13th,her blood pressure is stable,she doesnt have diabetes.1 month back she used to have headaches.Now the headaches arent there,but shes dizzy all the time.She also vomits,once sometimes twice a day.I would like an opinion as to what is the cause for this. | In all likelihood the after effects of anesthesia..... also possible would be swelling in the brain around the area of the surgery. These symptoms are likely being monitored by nursing and if they reach a certain severity level the surgeon will be notified. Otherwise, she'll get better in the next 24-48 hrs. The other possibility is that because of the aneurysm surgery itself there maybe been a bit of a bleed perioperative (during the procedure) or a bit postoperatively (after the surgery) and the expanding lesion or increasing pressure inside the head is causing the nausea/vomiting. So long as symptoms aren't really marching upward and becoming more intense she should be fine. Please rate this answer with STARS if it was useful to you and I would be very appreciative. |
I had a MRSA infection on the side of my nose. The doctor lanced the boil and Ive been on Bactrim for about two weeks. The doctor told me that the bump should go away completely. I still have a very small bump remaining. Also, when I pinch the skin, it is thicker than when I pinch it on the other side of my nose. Does this mean that the infection is not gone yet or is this a normal part of the healing process and it will take a long time to go away? | Hi, Welcome to Chat Doctor. I understand your concern regarding the bump. You can stop taking antibiotics as your wound has healed completely. There can be a slight thickening of skin at the incision site due to skin healing. Sometimes calcification can occur which might remain as a hard bump for a longer time. If you feel the size of the bump is increasing and if it becomes painful to touch then it indicates recurrence of infection. There is no need to continue antibiotics. Keep the area clean and Chat Doctor. Thanks. |
hello, My son is two years old, his ledt eye starting get since Christmas, we went to Urgent care and his regular doctor several times and they have said infection and gave him antibiotic drops and it came back again and the doctors said it s eye infection. It s not getting better, still red, very little discharge on the eye, and the during the past month, he had a red sty on his eye twice. The eye specialist couldn t examine him since he was crying so much, but said most likely it s allergies and the sty will go away on it it s own, which did. But the redness is not going away and the eye looks smaller than the other one. Can you please advise what may be causing this? Thank you | Hi...when style occurs the surrounding tissues would have swollen up. This is the reason for the eye to be looking smaller than normal. This may take 4 - 6 weeks to completely settle down. Do not worry. But style can recur again and if this happens I suggest you get back to your ophthalmologist. Once the redness and swollen tissues will get back to normal the eye will be appearing normal again. Regards - Chat Doctor. |
YYYY@YYYY 2012 ,I had a pneumonia shot but as soon as ir was injected a marble size knot appeared with discomfort . Problems health seem to get worse worser. What could of happen. I no longer see doctors. That injection added more problems to problems I was haveing due to statins. I also had to stop all meds. My date of birth 9-26-54. Hart and blood preasure meds up to 26/27 stoped due to reactions. Doctors refusals of help durning and comeing off statins reason for being off all with no care now. | Provisional Diagnosis-Functional benign A Chat Doctor. I studied your query in all the details put from you. I understood your health concerns. In my opinion, you need to check with ER Surgeon, as you seem to have post-Pneumonia shot-injection lump with discomfort. I would advise you to first control this problem and then consult with your cardiologist doctor for review of statin and other treatment, as follows-Anti-inflammatory / antibiotic medicines / with Cold compresses would control this post-injection knot. Hope this would help you to plan treatment with your doctor. Hope this would help to relive the stress of your queries. Write excellent review after reading this reply, if you find it helpful to you, so that your comments and reviews would help in rating my services for more Chat Doctor patients. Welcome for any further query in this regard to Chat Doctor and to ME. Wishing you fast recovery. |
I started to get an intermittent pain radiating from the top of my right thigh down to my knee. Almost like an interior cramp. It happens about every 30 seconds to a minute and last about 2-3 seconds each time. When it hits it really hurts, then goes away quickly. | Hello, I have studied your case. Possibility could be of lumbar disc compressing nerve root leading to sharp pain in thigh to knee. I will advise you to do MRI spine to see for any disc bulge. Another possibility of arthritis X-ray will rule out arthritis. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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. |
Hi,I had some pimples in One side of My face, two month before now its clear But some Black Marks are there,I went doctor yeasterday He suggest Supatret C gel , every day night i am using this Gel.How many days it will take to reduce my Balck spots.And my Skin having Small small Pores ,can i used this gel continusly the Pores will Reduce?or Can i take any other Treatment ? and which treatment is help to reduce My PoresKindly guide me Please | Thanks for query on Chat Doctor. Continue this cream, it will be helpful to reduce your black spots. It will take some time, about one month. Chat Doctor. Avoid oily, spicy food. Avoid stress and take proper sleep. Do exercise, yoga regularly, take proper local care. This cream will not show any response on pores. Microdermabrasion treatment will be helpful to reduce your pores. Keep in touch with your doctor. |
our 9 year old daughter has a swollen left forearm. It is tender to squeeze. She has had no injury to this arm. X-rays show no fractures. Blood work shows normal white blood count, no fever. She feels fine. No swollen or enlarged lymph nodes. blood work did show elevated soft tissue inflamanation. | Hi. It could be anything from a boil to cellulitis to an insect bite. Since there is no pain at present all you need to do is to give her anti-inflammatory medication, and in case of she started having fever or local rise of temperature you need to add an antibiotic as well. Dosages of these medicines are according to weight, so you have to visit a nearby clinic. Take care. Hope I have answered your question. Let me know if I can assist you further. |
51 male, I have an itchy,,sometimes moreso, on underside of penis head, shiny red, to darker red thin skinned, kind of senceitive also, with spells of twiching pain ,not bad just know its there. | HelloThanks for your query, based on the facts that you have posted it appears that you have itching on under surface of glans penis and your foreskin is red and thick. Many a times itching of the genitals is a presenting symptom of Diabetes. Please get your blood sugar tests on empty stomach and 2 hours after lunch done to rule out diabetes. If you turn out to be diabetic you will need to take opal hypoglycemic Chat Doctor. |
My daughter is 10 years. She is suffering from pain in her left-hand palm and arch of her left foot. ESR, CRP are higher than normal. Pus cells in urine test are high also. Index of Lupus anticoagulant is 22.7 ANA is positive speckled 1 | Dear user I would like to tell you that pain of the palm has some causes with different investigations needed Most common reason is a mild sprain or injury or trauma that your daughter must have sustained somehow. The symptoms like inability to grip confirms that.you may need to do x-ray testhypocalcemia in this age is common cause and need serum calcium measurement persistent palm pain can be due to cervical spine problems as nerve compression and need MRI for investigation also there is what is called tenosynovitis that increase feeling of pain of palmsless common causes as carpal tunnel can occur from thyroid disease, previous injury may lead to the same wish your daughter healthy life |
hey i had several bloodclots in my left upper arm after 9 monthes they took me off warfrian at the time the clots were gone i was off warfrian 30 days and they come back now i think there gone again i have been on blood thinner for 2 years they say my blood is ok this week it is 2.7 but my arm is killing me can you still get clots if your blood is that thin?m | Hello and thank you for sending your question. You have indicated that despite the fact you are on anticoagulation you have significant pain in your arms. The pain could possibly be related to some musculoskeletal problems such as a pinched nerve but in light of your history it is important that your doctor rule out additional blood clots. It is theoretically possible to have a blood clot even if the blood is thinned with Coumadin. If that is the case the Coumadin needs to be changed to an alternative anticoagulant. While it is unlikely that you have a blood clot it is important that you review this with your doctor so that appropriate diagnostic testing can be done. Thanks again for sending your question. |
I had a shoulder operation last Wednesday it was a open operation the cut goes from the top of my shoulder to the beginning of the arm pit. Now I m getting a burning feeling under my arm pit and can feel a couple lumps and I can t move my arm to have a look as I m in a sling and will be for a few weeks. | Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur. Medical (proper antibiotic regimen) and surgical (excision or incision and |
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