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I have lupus sle and was diagnosed in 2008. I was just told today that my ct scan shows i have emphazema and copd. I just got over a terrible case of pnuemonia where i was hospitalized for a week. i havent smoked in over 8 years. Is it the lupus causing all of this and what do I excpect now, health wise? | Thanks for your question emphysema is the dilatation of alveoli. Alveoli are the gas exchanging structures in the lung there are millions of alveoli in lung alveolar dilatation is causes by smoking from the last 3 you have not smoked but maybe you have earlier been smoking other causes of emphysema can be environmental smoke and alone intrinsic deficiency that is an enzymedialatation causes emphysema or COPD is a disease of lungs which causes emphysema in my patients I diagnose COPD by a chest X-ray and confirm it by a spirometryafter diagnosing I start them on inhaled medications which is the standard treatment for copddisscuss these points with your pulmonologist so that u get the best treatmentthanksfeel free to ask more questions may god bless you with good health |
sir i am mazhar from india and i am having erection problems from last couple of months..my sperm count is also very low..i am able to ejaculate by masturbation but the erection is not right for intercourse..also even if i try it i loose ercetion immediately..i love my wife and i dont want to loose her..she thinks that i dont like so i have this problem..please help me..i consulted a doctor and he prescribed be ashwamed capsules and winofit gold..but its in vain.. | HelloThanks for query. You have problem of Erectile Dysfunction which is psychogenic in origin. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. Chat Doctor. . You need |
5 year old has swollen lymph nodes, huge tonsils with white pus pockets on them and a gray furry tongue. dr at expressmed put him on penicillin 5 days ago and there is still not change in his condition. should i wait out the medicine or get him in to his pediatrician? how long does it take to treat tonsillitis (strep test came back negative) | Hello, I would hope to see improvement after five days. I would take my child to the pediatrician to see if antibiotic needs to be changed or dosage increase. Certainly do not delay if symptoms have gotten worse or additional symptoms such as a fever have developed. Severe tonsillitis will take more than five days to treat, and chronic tonsillitis may require more than medication if not responsive. It is important to have your pediatrician follow the progress. Additional diagnostic testing may be considered since you have ruled out Strep. The coating on the tongue can indicate a secondary infection such as an oral yeast infection. Make sure you have followed proper dosage instructions. Thank you for your inquiry. |
Hello doctor, a relative is suffering from pitting pedal oedema with itching and inflamation and the sight is horrible. He is also suffereing from liver chirrosis and something called ascites. He is 43 years old. So can he become stable again just by medications or does he necessarily needs to get a liver transplant ? | Hi welcome to Chat Doctor... Noted you are having cirrhosis.... You might have portal hypertension secondary to cirrhosis.... Get your spleen palpated.... For edema take diuretic Chat Doctor. ... Low salt diet taken.... Ultimate treatment is liver transplantation but decision taken according to severity. It is needed when impeding severe liver failure.... It is costly.... If not possible then for portal hypertension TIPS like less invasive procedure done... Carrot, Indian gooseberry, spinach ,avocados, dandelion, lemon are some good foods for liver.... Take care. Consult gastroenterologist with keeping this in mind. |
my husband get frequent fever. Last year, he got fever 5-6 times. In the month of November, he caught flu and December again he got fever, in January he caught typhoid and he was suffering from fever again recently.Normally fever is followed by mild headache and leg pain. What test we should go for? | His understand your concern and situation. As your husband is having recurrent infections it is matter of concern. It could be related to lifestyle. I would suggest that you must make sure he must exercise regularly or walk for half an hour. Eat protein rich healthy and balanced diet with multivitamins and calcium supplement. As for recurrent infections it seems he has low immunity. I would suggest mammogram, urinalysis, liver function test, blood sugar levels checked. I would also suggest him to undertake an HIV test. Take care Chat Doctor. |
First I was a pretty good runner and now I cannot run a mile without having to stop. My chest tighten and it s hard to get air. I am wheezing the almost the whole mile. It feels like a have something stuck in my throat and it burns when I am running. | Hi thanks for asking question. Here are few possibility.1. First check your hemoglobin level, as in anemia there might be difficult breathing on exertion.2. Second if you have habit of smoking and associated cough present then chronic obstructive pulmonary disease has to be ruled out by chest x-ray and pulmonary function test.3. If you have hypertension then early heart failure case might present with difficult breathing on exertion. ECG will be helpful.4. With advance age stamina as that of young age is not there, So problem has to be individualized accordingly. I hope my suggestion will help you. Avoid stress and wish you good health. |
black spots under feet no medical history, i smoke cigarates little pain in lungs so left now, my father also got that spots and his blood check up nothing about hiv or aids presented he have diabetes is this come from genes, spots are growing in little size but numbers are decreased. i donated blood twice so whats wrong with this spots. | Hi and thanks for the query,It's ok you were thoughtful, and the HIV test is ok. It might be important to know when you developed these spots. Whether they are painful or not or whether they give you any itches. All these parameters are very valuable. Pathologies commonly associated to such spots could be infectious, vascular inflammatory disease and cigarettes could be implicated in case of specific cigarette associated arthritis. Syphillis could produce such sports. It might necessary to get the test for syphilis controlled. I suggest you consult a dermatologist for a proper medical heck up. Thanks and best regards, Bain LE, MD. |
On July 21st 1995, at age 41, I had a right radical mastectomy that was a stage 3+. I had the aggressive breast cancer. December 8,1997 my breast cancer returned in lymph nodes in my right under arm area that was a stage 4. January 1998 the Bone Marrow Team in Indianapolis, IN I started an experimental autologous stem cell transplant. A group of nine Indianapolis doctors, the Mayo Clinic and John Hopkins all agreed my cancer would probably make a 3rd appearance. Since I found both of my original cancers, I was advised to be vigilant. Five weeks after the transplant and 6 weeks of radiation we were transferred to High Point, NC. I had double pneumonia in December of 2000. It scarred my lungs. January 2017 we retired and moved to Florida to be near our only child and her two sons. The master bathroom was full of Black Mold and the Kitchen had a couple of areas too. My new Hematologist/Oncologist told me I tested positive for Lupus. If my cancer returns and I have Lupus too, how could that impact my quality of life? | Hello, Having a positive antinuclear antibody does not conclude that you have lupus. Do you have the following symptoms? -Patchy hair loss, oral ulcers, and nasal ulcers. -History of seizures or strokes, blood clots, active joint pain, and stiffness. -Color changes with cold exposure and pain in the digits, skin rash and photosensitivity. Lupus diagnosis can be made only by putting together many of these criteria. I doubt you have lupus. You can see a rheumatologist to run the other tests for lupus too. Hope I have answered your query. Let me know if I can assist you further. |
i HAVE A PROBLEM OF PHIMOSIS. erection size is 5 inches. un-erect size is 2 inches sometimes 1 inches. skin is attached to forehead. my normal circumsion is looking very small when compared to other(may be genetical disorder). but during erection it is good. can u tell me how much cost it will take to remove foreskin attached to forehead and also tell me the hospital name where i have to go in andhra pradesh | HelloThanks for query. If you have been confirmed to have Mitosis the only best option is to get circumcised. Consult qualified General Surgeon close to your place for evaluation and get circumcised. The cost should not exceed more than 7-8 thousand Rs. Chat Doctor. This is a simple surgery done under local anesthesia as about patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. |
My father aged 79, weight about 70 kg., is suffering from spine TB. Doctor has recommended to take AKT 4, and for the last four and half months. Now doctor has switched on to AKT 3, still he is not able to walk. Doctor has advised strict bed rest.My question is whether this treatment is in order. Second when he will be able to walk. Whether any other medicine is to be given | HI and thank you so much for this query. I am so sorry to hear about the spinal TB that your father has and the resulting complication of being unable to move. From the information you have provided, this treatment plan is the classical treatment for tuberculosis. The truth is that they change from country to country according to national guidelines. Doctors simply apply the recommendations handed down to them in this case. This is exactly how I would have treated a similar patient in my clinic. This treatment would again be modified towards the end to a two regimen Chat Doctor. The goal of treatment here is to stop the progression of the disease. Restoring most functions is always very difficult and in most cases not fully recovered. We can only hope that he regains some of his lost functions, but the hopes on this are largely determined by how much damage the disease has caused already. I would have suggested that he gets pyridoxine tablets as prophylaxis for isoniazid toxicity given his age. Check whether the doctor considered this as well. This is simply for the comfort during treatment and doesn't really change the outcome if no side effects results in abandonment of treatment. I hope this ad |
I have been taking cipralex for about 10 years now. I am currently taking 10mg a day. I think I may be pregnant and I am scared of stopping my medication as I suffer from severe anxiety, is there anywhere i can find out some up to date info on cipralrx and pregnancy? | Hello, and I hope I can help you today. Cipralex is a medication that is used to treat a number of disorders including depression and anxiety. It is in a class of medications called SSRIs which overall have been widely studied during pregnancy. Some types of SSRIs have been shown to have a with Chat Doctor. These can include jitteriness, difficulty sleeping, and transient rapid breathing called tachypnea. All SSRIs have been shown to have a risk for this to some degree. However, use of the product during the pregnancy has not shown to be harmful or cause birth defects. You may want to speak of health provider about considering changing her medication or tapering it as your pregnancy progresses. There are other classes of SSRIs, like Prozac, which have been to your meant more widely studied during pregnancy and whose effects are better known. So if you are not yet pregnant, it may be worth having a discussion with your mental health provider about your pregnancy plans and possibly changing to a medication that may have a better known safety profile during pregnancy before you conceive. If you are already pregnant, you do not need to worry about discontinuing the medication in the first trimester, as the only ill effects of SSRIs have been noted with use in late third trimester. I hope that I was able to adequately answer your questions today, and that my advice was helpful. Best wishes, |
my father was admitted to the hospital with a high calcium level of 14. he has lost 20 pounds since january and is anemic. he was tested for cancer and thyroid issues, both negative. they found abnormal activity in the right kidney. what is our next step | Hello and welcome to Chat Doctor, The high calcium can be treated by first knowing the cause of high calcium levels. Since, you have a history of abnormal kidney function, the high calcium levels could be due to dysfunction of the kidney. The renal function tests need to be done. After assessing the kidney functions, the probable diagnosis can be known. I suggest you to consult a nephrologist for clinical assessment and thus management. Thanks and take care Chat Doctor. |
Hi, myself and my boyfriend had sex last week, some of it we used condom for some we didn t. He didn t come, would there be a chance I d be pregnant? Last 2/3 days getting very light period? Not due until next week. Don t know this guy too long..as in couple mths... ? Roisin | Dear Rosin, Since during some sexual contacts, he did not use condom, the probability of pregnancy does exist. Though he had not ejaculated inside your vagina, deposition of pre-seminal fluid (pre-cum) cannot be excluded. Pre-cum does contain some sperms which are capable of fertilizing an ovum. Pre-cum gets deposited without any sensation to a man. Please find out the evidence of your pregnant status by |
Bloody pressure was okay heart rate was okay but my breathing seems okay ATM but he said I could be having a panic attack which can make my heart sometimes pulse very quick but the area where my heart is does feel like something s blocked but why would the AE say about getting my thirodes checked is that linked to cancer? | Hi. I understand your concern. Need to go for cardiac evaluation and if it will come normal then we will think and consider it as panic attack. Psychological evaluation is necessary to diagnosed it as panic and anxiety attack. It can be treated with medicine and behavior therapy. In Medicines, combination like SSRI and benzodiazepine will be useful. In SSRI low dose sertraline / Escitalopram / paroxetine can help. Anxiolytic can be taken as and when required. Behaviour therapy /yoga/meditation /relaxation methods /deep breathing /proper sleep and diet can help. Glad to help you further. Get well soon. Thank you. |
I suspect that my son is anorexic. He is 6 ft. 2 inches, weighed 230 in the summer, now weighs below 180. He doesnt want to eat much, he vomits after eating any unhealthy food, he considers himself fat even though he is skin and bones. He doesnt want to talk about it with us. What is the best way to approach this? | Degree understand your concerns went through your details. I suggest you not to worry much. For anorexia, We approach with different strategies. Every strategy depends on the behavioral aspect of the client. In this case, you can tell your son that he is fat. Agree to what ever he says and sympathize. Slowly gain his confidence, and then you can take him to a psychiatrist for necessary treatment. Anorexia needs psychiatric intervention and then in the latter stages psychotherapy and lifestyle changes. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. |
I think I have M.E. as I feel tired most of the time; I m awake for a long time at night; I have tummy aches and indigestion much of the time. yet i eat healthy and have always had a lot of exercise, tho now I have little energy, all of which is very depressing.. Doctors can t find anything wrong with me, but life is hardly worth living. There s so much I want to do but can t . Can you help? | Hi, welcome to Chat Doctor forum. It appears that you have tummy aches, indigestion,little energy, it appears that you have some intolerance to some foods, like milk, milk products, or barley or hepatitis, or gall stones, or worms in the intestine. I advise you to consult a gastroenterologist for diagnosis and treatment. I usually prescribe to my patient with such symptoms' omeprazole, domperidone, and antacid gel, and albendazole. Wishing for a quick and complete recovery. Thank you. |
Hi, i used nuvaring for 3 months and for the fourth month i decided that i wantedto stop having periods. I inserted a new ring immediately after taking the old one out. I have been bleeding for three weeks. The first two weeks were spotting but now im having very heavy bleeding. Is this normal and how long will it last? | Hi, The current bleeding is due to the breakthrough effect of the hormone. As you did not have the with Chat Doctor. I would suggest a check-up by your consultant and take styptics and hormone supplements for arrest of the bleeding. You will also need mineral and vitamin supplements to make up for the blood loss. Maintain a healthy body weight as this can help in maintaining proper hormonal balance in the body. Hope you find this information useful. Take care. |
My dad is 62 years old and has been experiencing mouth pain, ear pain, dizziness, nausea, and is having sinus issues. Does it sound like he has an ear infection or sinus infection? I m concerned because he is so dizzy and cannot do much of anything now. He is such an active person normally. | Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that yes from the symptoms you mentioned it seems to be a sinus infection or sinusitis. It affects head, ear, face pains. You can take an antibiotics for him definite 200 mg three times a day under your doctors' guidance. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease. |
my 33 year old sister was having horrible diarreha about 1 month ago. She went to the Dr. at which time they ran test and found that she had Giardia and was also anemic. They gave her medication for the parasite. During that time, they also found liver lesions via ultrasound. She started feeling bad again and the diarreha returned this week. She went back to the Dr. and was diagnosed with c difficile and a protozoa. They are doing a contrast MRI to check the liver lesions tomorrow. What could be causing this? | Thanks for contacting Chat Doctor with your medical questions. I am sorry to hear about your sister who has had guardian and now clostridium difficile and a protozoan infection. From your description she has been treated with medication for the guardian, which by the way is a protozoan infection, and has diarrhea again. After taking any antibiotics the usual gut bacteria are also killed off and an opportunistic infection called clostridium difficile can grow. Since this is her first episode of C. difficile she will more than likely be on one or two additional antibiotics for 2 weeks. This may also kill of the other \"protozoan infection, so she would not need additional antibiotics. The liver lesions are more worrisome. They could be just simple cysts, or they could be actual cysts cause from infection. I would recommend keeping her appointment for the MRI to find a definitive answer to her problems. Hope I answered your question. Please contact us again with your medical concerns |
i had intercourse with my wife and we didnt use any protection that time , now its going more than 3 weeks and we dont want child .. is there any way to stop this and she got her mensuration on 12th nov and we had intercourse on 21st nov and then she has started taking medicine ................... from 3rd dec . is there any chance of pregnancy if by chance my some part of ejaculation she have that time | HI, I understand your concern. Yes, delayed periods are first sign of pregnancy. Still it needs to be confirmed by UPT after 8 days delay in periods. In your wives case. She had sex on 9th day of her menses. Ant unprotected sex around ovulation day is likely to result in pregnancy & Ovulation is 14 days prior to expected day of menses (it's 14th day in case of 28 days cycle. So pregnancy can be possible if your wife has regular & shorter cycles OR irregular cycles. The medicines she had started from 3rd December if hormonal medicine, may delay periods. SO she has to wait for menses & go for UPT if its delayed, IF pregnancy is diagnosed she will get a gynecologists' guidance for medical termination of pregnancy. Thanks. Thanks. Thanks. |
Hello doctor ,good morninI am pandian from karur.My wife has been suffering from depression for the past three years.Initially i didnt take any steps to recover her.After one and half years i went to the doctor for consultation. He gave treatment but it didnt works much.Then i went with her to a psychiatrist ,he gave tablets it works fine.She took tablets for 15 days then she came into normal mood.But after that she thrown away the tablets that she was not affected by any disorder.We take more and more steps to give tablets to her.But she doesnt took tablets.Her characteristics | Degree understand your concerns went through your details. I suggest you not to worry much. Psychic patients are like that. You need to convince them to take medicines. If she does not get convinced, she needs to be admitted to a psychiatric hospital and force-feed. These are the only available alternatives. Try taking her into confidence. Trust is the key here. Use someone your wife trusts. For your information, Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
Good Morning | Hi good morning. Welcome to Chat Doctor. I am Chat Doctor. Your concern is justifiable, but you need to know following things regarding norovirus infection which will be your answer.1) Norovirus is very contagious and affect all age group. It is very easily spread by infected person(their contaminated hands and articles touched by them) especially when they are in initial period of infection (12 to 48 hrs) where they don't have much discomfort.2) Most of the time virus shedding stops when person recovers from illness, but it may continue.3) My advice to you is if you really want to go for sail just ensure that before eating or |
For the last 15 yrs my EKG has come back the same. Stating normal sinus rhythm, possible left atrial enlargement, st &t wave abnormality, consider inferior ischemia, st & t wave abnormality, consider anterolatreal ischemia. I ve been to two Cardiologist and many doctors. No one seems concern. Should I me. Thank you | Hi, The statement about the ECG itself is a bit concerning as it says about some possibility of cardiac disease of vessels. However, if this has been for 15 years and you don't have any chest pain then the report may not be very accurate. In fact, these machines made reports are not very accurate. If you are already seen by 2 cardiologists, and they signalled ok, and you don't have any chest pain or shortness of breath then you should not be worried at all. Just ignore the report. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
sir My hand Shivvers when I am in crowd with many people in Home or with my friend - when I lift a glass of water / spoon . My mind starts thinking different & suddenly hands shivvers - I will try to avoid this situation. i went to family doctor - they gave me Nuerobion forte tablet to use for 1 Month - but of No use . Pls advise | Hi, the issue you are facing is due to lack of contraction between the different groups of muscles. I will recommend you to do some gripping exercises and upper limb strengthening exercises. Even focus on doing some fine motor activities like opening a scree and closing it. Opening a bottle cap and closing it. Squeezing a towel or a blanket. Once you regain the strength and co-contraction between muscles your precision level will improve, and you will get rid of the tremor kind situation you are facing with. Thank you |
I had spermatocele surgery last year. The pain went away for several months but is now back. The spermatocele doesn t appear to have come back, just the pain. It isn t too bad if I ejactulate every other day or so. My wife of twenty years can t keep up with my need to get some relief . Any thoughts? Is there something that the doctor can do? | HelloThanks for your query, based on the facts that you have posted it appears that you have undergone surgery for removal of spermatocyte last year and now getting pain in the same area. Spermatocele has tendency to recur again after removal. Please consult the operating surgeon for clinical examination and get ultrasound scanning of the scrotum done to rule out the same. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. |
For the past month, randomly, my heart beats harder than usual and faster. It continues to do so for hours. I was diagnosed with mild asthma when I was 15, I m 20 now, but I also smoke a lot, daily. I m not sure if any of those play into account but, I keep having to take really deep breaths to feel like I m getting enough oxygen and it s extremely worrying when I m just relaxing and I can feel it almost fighting for hours. What could this be and what should I do?? | Hi, first and foremost QUIT SMOKING NOW ! You are having early signs of ROAD -Chronic obstructive airway disease. You only are responsible for your well-being, so don't let your health slip away from your grasp. Consult a Pulmonologist/Physician, get done a Chest x-ray and follow his advice. But as of now quitting smoking is of utmost priority for you, and I am sure you are strong-willed enough to do it. Take care and wish you good health and a bright future ahead. Chat Doctor. |
I am 4 weeks pregnant dr. said i miscarriaged but my ChatDoctor have doubled i still fill pregnant my ChatDoctor started 430 when i miscarriaged went back to dr. they went to 850. but im still bleeding could i still be pregnant they did ultra sound and didnt see a sac | Hello, Thanks for posting in Chat Doctor. Chat Doctor is a hormone secreted from the placenta and uterine wall junction. You said you are still bleeding, that means you did not have yet finished total abortion. It is still incomplete abortion. It occurs when some part of product of concepts is still attached to the wall mimicking that pregnancy is still there and continue to secrete hormones thinking pregnancy is continued. Either you observe for few more days until the bleeding stops on itself or if it does not stop, kindly consult a gynecologist as you may need small procedure called as dilatation and curettage where they will completely clean the uterus of any remaining bits n pieces. Then the Chat Doctor values will decrease. Hope it helps you. Thank you |
Will be 30 this year, have missed my period for 10 days, have been having period like cramps for the past week but no periods, last 3 days i spotted light brownish discharge like thing, now for the last 2 days ( yesterday and today) been having really bad stomach cramps and lower back pain , took urine test on 14th ( 8 days late) and tested negative. Could i be pregnant? Kindly help | Hello, Thanks for your query. As the UPT has come negative most probably you are not pregnant, but not to forget it could be a SUBCLINICAL pregnancy as well. So nothing to worry, just wait for few days you might get your normal periods. And if your subsequent periods are abnormal, I suggest you consult your doctor. As you are already 30 I suggest you plan your pregnancy fast. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. Wish you good health. Chat Doctor. |
I suffer from lipoedema and have developed many nodules in the affected area below the waistline. However today my therapist noticed a moveable small lump on my ribs (slightly larger than the nodules). The lump has since moved from the side of my ribs to just under the breast. I am going to my doctor tomorrow to ask about it, but I am getting myself really anxious right now. I have lipoedema in my upper arms also, and wondered if nodules could develop above the waistline? The lump is nippy painful. | Hello! Thank you for the query.First please do not be worried. From your description, this lump is a lipoma. It's a benign soft tissues lesion, which does not turn into a cancer. It can be associated with lipoma, as this lump is also build of the fatty tissues. Its very characteristic for lipoma to be painless, movable and rounded. It's usually soft when you palpate it. To confirm this diagnosis, soft tissues' ultrasound can be done. If it bothers you, can be removed by a general surgeon. Hope this will help. Regards. |
Hi,iam suffering from seviere upper back pain,there is no problem in mri scan,doctor sujested to take dulot 20 mg for 3 months,but this capsule is using fot anti depression?why he prescribed for me?can start to take this capule?is there any side effects? | Hello, back pain mild to moderate may occur due to postural causes. When severe there may be underlying problem. But as your MRI is negative, it may occur due to somatoform disorder i.e. without actual pathology but due to chemical imbalances in brain. So your doctor might have suggested u the anti-depressant medication. The side effects are present but are mild. So it's better if u use them and have regular consultations with your doctor to review your symptoms n side effects. Don't worry n take care. All the best. |
hello doctor i have thyroid for more than 6 years. im taking 100 mcg eltroxin regularly. got married last year. we r trying for baby since got married but didnt conceive. before marriage my periods was irregular. after marriage i started to take clomifene tab & ChatDoctor inj 4 or 5 times, that time my periods was almost regular.i have discontinued those tablets from nov 2012. now my periods is almosy regular between 28 to 32 days. my last lmp was on 26 feb, till now i did not get my periods. this is my 45th day. i did a home preg test yesterday ie apr 10th but it came negative. i checked my thyriod level in jan my T4 level is 12.3, T3, TSH levels r within normal range. now i want to know why my period is delayed this time.will thyroid levels be altered during summer & is my period delayed due to my thyriod or will i be conceived. should i take a blood test ? please reply me as early as possible | Hi, Thanks for the query. You once consult gynecologist and go for blood test for pregnancy and ultrasound. By this the possibility of the pregnancy can be found out and also in the absence of pregnancy the cause for delayed periods can be identified. Thyroid levels can be altered depending on many factors like activity of individual, but there may not be seasonal variation. So you once get examined for other factors also like POD, prolactin levels etc. After the workup the possible cause can be identified and treated. For more details you can ask me through |
just advised by bedridden brother has something called acetobacter. has been living in a nursing home for 13 months. presently diagnosed with pneumonia which was treated with course of anti-biotics. now discontinued. how dangerous is acetobacter. im told its resistant to antibiotics. | Hi, Welcome to Chat Doctor. Acinetobacter is a gram negative bacteria which is a communal but is becoming a pathogen in recent years. It is one of the pathogens associated with hospital infections. These bacterium are resistant to many broad spectrum antibiotics. But it is susceptible to combination antibiotics and carbapenems. I suggest you get a sputum culture and sensitivity to decide the appropriate antibiotics for the Acinetobacter isolated. Thanks. |
I have a patient aged 49 years with mucoal primaries. in tongue (Malignant Melanoma). No neck nodes initially N So, Hemiglossectomy done and level 1, 2 and 3 nodes removed biopsy negative. Nodes After one year level 4 node involved. Radical Neck dissection done. What is the future course of action. | Malignant melanoma of the tongue is a rare and aggressive cancer that has the tendency to come back and spread. Your treatment so far appears to have been correct and scientific. My only concern is to rule out that the cancer has not spread to other parts of the body. For this, a PET scan will be ideal as it will scan the whole body. If it has not spread then there is no further treatment needed except close follow up with an oncosurgeon. |
what s the best method to eradicate psychological effect of musterbation? thanks and good day... | Hello. If you want to know how you can minimize psychological effects of masturbation, you have to first clear any doubts in your mind about the widespread myth that masturbation is bad for physical health. Once you are able to reduce the anxiety about any bad physical effects, you will be able to focus on working on the anxiety related to any psychological concerns. Irrespective of age, false information about effects of masturbation can lead to unnecessary anxiety. First, you need to work on any guilt related to masturbation. There is no reason you should harbor the guilt. If you are not causing any trouble to anyone in the society, masturbation is a natural process. You also need to avoid attaching too much pleasure feelings to masturbation, as it may lead to a few problems in sexual performance in the future. The problems are not related to any physical weakness. They are due to the habitual pleasure seeking via masturbation. I hope this reply helps you a bit. Please write back if you need more information. Take care Abhijeet Deshmukh, MD |
My 5 year olds left foot (top toward toe joints) looked red (very dry looking) and almost broken open in a couple spots), but then between toes on top and underneath the skin was peeling off really bad. What could this be? His other foot was completely normal. | Hi...by what you quote this looks like a cellulitis or local skin and soft tissue infection of the region. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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. |
hi this is sudesh here from mangalore.My father is a cancer(CA colon-T4 NO MO) patient and he is 80 yrs old.Surgery had been done and the tumour was removed 2 yrs back.again after that CEA reading was bit more and he was under oral kemotherapy.after which CEA had reduced to normal reading of 2 and now again after 6 months when we chk it was 16.My question is -can it be cured completely or only controlled.Now what is the next treatment that needs to be given | Hi, dairy have gone through your question. I can understand your concern. Your CEA level is increased further. It may due to some growth of colon cancer. Chemotherapy is needed according to the need. He should go for ultrasound abdomen or ct scan abdomen to check any visible growth. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
I AM ON IMPLANON AND I BEEN ON IT FOR 2 ALMOST 3 YEARS NOW AND I HAVE HAD INTERCOURSE EVERYDAY MAYBE 3 TIMES A DAY SINCE OCTOBER 2012 . I FEEL MOVEMENT AND SEE MOVEMENT IN MY ABODMAN AND NEAR MY BELLY BUTTON . WHAT DOES THIS MEAN . I VE NEVER HAD ANY ISSUES WITH MU BIRTH CONTROL .MY BODYHAS BEEN CHANGING I M LOSING AND GAININH WEIGHT | Hello, Implanon is sub dermal contraceptive method, used for 3 yrs and effective more than 99%. It has some side effects & it varies from woman to woman like irregular period with prolonged amenorrhea, headache, Wt change, DVT, abdominal discomfort, nausea, fatigue, mood swing etc. Do a USG lower abdomen with some hormone test to rule out underlying pathology along with some clinical examination may be needed. Avoid stress, take healthy diet, control body wt by regular exercise and need proper sleep. Do periodic health checkup to your doctor. Be well. |
My husband had foot fusion surgery a week ago, has been home and fine. He just started with the chills, slight fever and nausea. Could this be a sign of a possible infection in the foot. The foot is bandaged, toes appear fine and there is no noticeable difference in foot pain. | These are nonspecific symptoms which can occur with any kind of infection, including a cold or a viral infection. They do not necessarily indicate the foot is infected. If there were an infection in the foot, he would experience local symptoms there, such as redness, swelling, heat and pain. You should let the surgeon know about the fevers and chills. S/he may want to take a look to be sure it's not the foot. If he develops other symptoms such as a sore throat or cough, then its likely due to a virus or other infection, and not his foot. Hope this helps. |
I have what appears to be a part of a bone protruding on my right upper wrist area. (perhaps the the trapezium bone???) It is not painful unless I bend my wrist, especially back as when I push off a surface to rise from a sitting position. I dug holes with a bulb digger a few days ago and stressed both hands and wrists, but didn t notice the protrusion until today after flexing my sore hands. I heard a small pop which may or may not be related. Should I be concerned? | Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised along with x-ray of both hands with wrists. As the occupation you are doing may lead to repetitive strain and stress of the wrist joint movements. This kind of shifting of the carpal bones is called the move mental changes in the anatomical position. Since the pain is only when you perform to apply weight while getting up from a chair, using a wrist brace while performing work should provide an additional stability of the carpal bones and avoid the future control of the impact happening due to repetition of movements. RegardsJay In Chat Doctor. |
I feel fatique my head feels woozy my blood pressure fluctuates a lot . mi am 80yrs old,,i had gall bladder surgery 3 weeks ago..I just don t feel normal in my head I take 20 m lisinopril daily I don t have headaches ever..sometimes a feel slight numbness in my left arm and sometimes a very slight discomfort in my back but most concern is my overall lethargy | Hello Welcome to Ask a Doctor service. I have reviewed your query and here is my advice. If you are going to read the blood pressure on your own then it may show great fluctuation, if you do not have any symptom then it is nothing to worry try to consult the physician for blood pressure and let the physician decide about this, it seems to be the fibromyalgia which is common condition in this age, it is kind of functional disorders and not due to any pathological changes, try to come out of the stress, try some aerobic exercise, and stop worrying, just forget about the blood pressure and it's ever creating some doubt then consult the physician and discuss it but no need to create any idea. Hope I have answered your query, let me know for further assistance. |
dear sir , right now im 7 month pregent & with in 2 or 3 days i felt little bit problem in my gums & teeth in morning when i brushed my gums are bleed & also pain in my neck some time i felt it having tonsil is this tonsil or what is their any problem sir plz suggest me what should i do sir ............thanks | Hello! Thank you for posting here. You did not mention if there is any gum swelling and your normal oral hygiene. When did you get your last scaling done. Professional scaling must be done every 6 months. I suggest you to see your dentist for a clinical examination. Pregnancy gingivitis can occur during pregnancy, but poor oral hygiene contributes to this. So, I suggest you to maintain a good oral hygiene. Brush twice daily and mouthwash thrice a week. Use floss daily. Dental treatment can be done in the 2nd trimester. However, if this is pregnancy gingivitis, you can take scaling in two sessions. Apply gum tone gel in the gums thrice daily for 5 minutes and rinse it off. It is ayurvedic and you can safely apply it. Do not ingest. Neck pain cannot be due to this. Infections in the teeth and gums can cause tonsil infections. Hope this helps. |
my 13 yr old daughter has had pain in her right side for over a week. when she eats seems to worsen, and when walking alot pain gets worse. they had ran test to check appendix, kidneys gulbladder and tons of bloodwork everything came back good but she is still in alot of pain. what can be the cause of it? | Hi. Thanks for your query. The diagnosis of a pain in a girl of 13 is sometimes difficult and not easy to be accepted by the parents. < test to check appendix, kidneys gallbladder and tons of blood-work everything came back good> indicates there may not be an organic / bodily problem. This may be IBS= irritable bowel syn Chat Doctor. Also get colonoscopy, CT scan of the abdomen done. A trial of anti-psychotic medicines is worth if all the tests are negative. |
Sorry if my english is bad, i m Dutch (14 years old) I have a little problem, on the skin of my back. I first found out just a few minutes ago. I went to the living room because i had a stinging pain in my left armpit, and while I was typing this my right armpit also began to ache. probably just a little infected sweat gland. I ve had this before. But now, the real problem. I did a few sit-ups in bed (because if i do it on the ground my ... lumbar curve (Spine Anatomy site)? hurts) Then i went to the living, like i told U before. And when i lifted my shirt so they could look, they saw something on my back when i turned to walk away. There are/were dark yellowish on each vertebra (on the part of the spine that sticks out and that you can see with meager persons, like me | Hello, Since your age is not advanced enough to be considered emancipated by the State in which I practice I am not permitted to provide you with medical advice unless it comes with your parents or guardians permission. However, it certainly doesn't sound serious but if you are bothered by it to any degree for either aesthetic or curiosities appeal then, may I suggest that you ask your parents or guardian to please bring you before a physician for a personal examination. If you'd like to send digital photographs to my attention I'd also be happy to oblige an opinion, however, you would have to ask them to conduct the consult with me. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I ve been experiencing spotting for the past 7 days. The week before last, I was on 875mg of amoxicillin twice daily for a case of strep. My period should be coming in 4 days. I ve been on birth control to align my periods and they always come every four Tuesdays. Did the amoxicillin somehow affect my birth control and how it syncs my periods? I ve never bled between periods while on the pill. Please help. | Hello, Thanks for trusting us with your health concern. You are right. The infection and the antibiotic can cause the spotting as there is reduced efficacy of the oral pill in these circumstances. If you have not had any intercourse during the course of the treatment, especially during the second and third weeks of the cycle, you need not worry about conception with a possible failure in contraception. This spotting is likely to be premenstrual. Please do not worry, it should settle down with the next course of pills. Get help from an expert if the spotting persists. Hope this helps. |
HELLO SIR MY SON HAS CHRONICAL KIDNEY DESEASE DUE TO HYDROUTERONEPHROSIS DOCTORS AT CMC VELLORE TOLD THAT HE MAY NEED A KIDNEY TRANSPLANTATION 3 OR 4 YEARS LATER. WHETHER THE KIDNEY TRANSPLANTATION DONE TO SUCH A SMALL CHILD ,IF SO HOW IT IS AVAILABLE TO MY LITTLE CHILD AND HOW MUCH OF EXPENSES DOES IT COST | Hellenes your child might need transplant preferably from an HLA matched sibling/parent.HLA typing is done before transplant and who so ever is matched(preferably siblings or parents) is the sonar to avoid transplant rejection. It is the treatment of choice in your case so whether young or old, they have to do it for the survival of your child. We have pediatric nephrologists available all over the world, and also pediatric surgeons, so it's their specialty to treat young souls so you DNT need to worry about the age. About expenses I would say that the procedure itself along with the HLA typing here in Pakistan costs around 1-2 million. I DNT know about your country but yes here in Pakistan we have an institute in Karachi city where it is offered with minimum expenses and sometimes free of cost to non-affording patients. Its called SHUT.you can take information from your expert doctor also. I hope it will help |
My mom coughed out blood yesterday and she felt so pressured and tense that time and her chest started to have pain because my dad and mom were fighting yesterday and my mom was just so quite but she cannot take the pressure and then suddenly she coughs continually and she saw blood on the trash can. But it happened only once, she just have chest pain today. She coughed once but not violently its like normal cough only. | Hi, Your mother having blood in sputum that is called hemoptysis. The following causes have to be ruled out like |
Hi, Ive had an US today to see if I have gallstones, the doctor who examined me found a couple of small ones but also said my Gallbladder is collapsed, please can you tell me if I should worry. I know I have to make another appointment with my GP but the waiting time is making me anxious. | His have gone through your complaintsYour sonogram report says that collapsed gall bladder with a couple of gall stones. Nothing to worry unless you develop jaundice, severe pain at right upper abdomen & fever. If you develop any of these symptoms please consult Doctor immediately. As you are saying small stony there is possibility of coming down to bile duct causing obstructive jaundice. Gall bladder stones are well visualized when it is distended. Best is gone for scan in fasting. Before night avoid fatty meal. Thank best regardsVasundhara |
I have sharp sometimes knife like pain in my right side of chest or lung while I strain, breathe in, and pain afrer I swallow food and beverages no sickness or fever or cough I m 35 I do have copd and have blebs but I don t know what is wrong with me it s been like 4 days now can anyone help me please | Thanks for your question on Chat Doctor. Pain on inhalation, coughing is seen in pleuritic pain. Pleurisy (inflammation of pleura) can cause this type of pain. Causes of pleurisy in COPD patient are1. Infection like pneumonia.2. Pleural effusion.3. Pneumonthorax4. Pulmonary contusions. So please get done chest x-ray first to rule out these causes. If chest x-ray is normal than it must be muscular pain only. So avoid painful movements and take good painkillers and muscle relaxant. |
A doctor dx me with MS back in October, but afterwards said no because there were no lesions on MRI. Still have numb, lack of sensation on both arms, legs, feet, and sides of my mouth/cheek area. My vitamin levels are within normal limits and no Lyme Disease.. | Hello Thank you for trusting Chat Doctor Dear this is Inflammatory disease involving central nervous system, even though your in remission little damage to myelin already takes place probably that is the reason for your problem. Most of the patients clinically evident ms ultimately experience progressive neurological disability. Gadolinium enhance lesions at baseline highly suggestive of future ms. You may need Immunosuppressants, so please consult your neurologist he will examine and treat you accordingly. |
hey so ive had some pain on my bottom right gums,theres a small cut its sort of healing ,it looks greyish. And my front bottom gum got scraped/cut a bit.I just used a new tooth brush,sometimes i brush too hard. Is there a way to speed up the healing or relieve the pain? | Thanks for using Chat Doctor. Read your query. If I were your treating dentists, I would advise you to apply mucosal or denote ointment on the lesion two to three times daily till the symptoms subside. Avoiding spicy food will be useful. Avoid further trauma to the gums and lips while brushing and do not apply too much pressure while brushing. If the symptoms persists more than a week, have it reviewed from your local dentist. Hope this was useful. Thanks and regards. |
Hi, may I answer your health queries right now ? Please type your query here...hello doctor, I will be 30years in sept this year, I had a baby when I was 28years and started taking pills. I lost my baby in march last year and stopped taking the pills to have another baby but its a year since I stopped and still havent conceived. Am really very confused | Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. |
As I have gotten older I have noticed people treating me like I am slow.I admit I have trouble understanding things and am clumbsy.I have suddenly realized this while at the dentist office the other day and the dentist asked me if I make big decisions by myself or is someone helps me.Things have been getting harder to do and I feel different or perhaps I have always been this way and never thought about it.Mabey because I am an adult and 38 years old now but it feels as if my brain has not grown with my body.I still have interests that a kid would have such as playing with toys and playing games and adult type activities do no interest me.I sometimes forget peoples names and what day or date it is.I have not had any head injuries..Some people have asked me if I had aspergers and I had to look up the word online.The description describes me a lot.In school I was labled as developmentally delayed.My IQ when tested in jr high was 141 yet I can t understand some simple things.My mobility is getting worse and it s harder to get around.More then one person has asked me about my tremors.These tremors cause me to spill whatever I am drinking in my hand or cause jerky sudden movements.I do not how to go about this.Should I go see my primary care doctor about this or see a psychiatrist about this? | Hi and thank you so much for this query. I am so sorry to hear about these troubling symptoms and difficulties that you have described. I will suggest that you see your primary doctor for a more detailed interrogation, review of medical records and a complete physical exam. Depending son findings, he may want to do some more test that would offer more information. With is supplemental information, he would be able to tell whether you need specialist attention if beyond his scope or not. If you do, he would coordinate you care and referral as you may often need more than one specialist to get your condition well evaluated and managed. For sure, you would most likely need to get consulted by a neurologist and a psychiatrist to help map out what is the problem. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health. |
i had knee surgery 5 years ago. and have seen 6 doctors and had 3 different types of surgery to see if any thing would help. nothing. i take norco every 4 to 6 hrs and only have relief for a couple of hours. now i had my other knee done and i have the same problem, even the pain shots do not help | Hello, I have studied your case. You may need bone scan to see increase uptake near knee implant. This uptake increased due to loosening of implant or infection around implant. This can be differentiated by investigate like CRP, CBC, ESR.PCR culture is very useful if infection is suspected to find culprit organism. PET SCAN will also give more details. If infection is confirmed debridement/ revision operation is required. 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. |
Hello! Heres the thing. I finished an orthondontical treatment 8 mothns, this being palate expansion and open bite correction. When i was installed the retainer i felt that my back teeth from the lower jaw were still rubbing the top teeth, not overlapsing them, but not what was supposed to be. I was told that i hada sever over bite in the beginning of the treatment, and even though it hasimproved a lot i am not entirely satisfied. I dont know if it is my fault for any irresponsibility during the treatment, or forgeting to use the rubber bands etc,but i supporteda lot of pain from the palatal expansion and it seems that it wasnt enough. Well at the moment i am wearing a retainer and lately i feel that my teeth are getting worse, even though i wear it every day,all the time. My question is | Thanks for your query, I have gone through your query. The minor open bite can be corrected with removable appliances. Since you are telling you are facing relapse and not happy with you previous treatment, you can get it is retreated with braces. The duration of the treatment depends upon the amount of open bite. Consult a good orthodontist and take an opinion. You better take a permanent retainer so that there won't be any relapse after treatment. I hope my answer will help you. Take care. |
I m 59, male and overnight my middle finger on my left hand, top knuckle, has become so painfull that I can t use it. It kills me just to put my sox on in the morning. It has been this way for 2 days. I had a very small metal splinter in the same finger but could this be the cause? | Helloif metal splinter has penetrated, possibly it may cause inflammation and swelling to account for symptoms, if It's still side an x-ray can confirm, in meantime do hot water fomentation and take Advil thrice a day after meals and arrange to see an orthopedic doctor. If need be, splinter should be extracted out to allow healing, any foreign material in tissues provokes reactionary inflammation and swelling and sometimes, infection, so take care thanks |
I was eating all of a sudden felt my inside of mouth against my lower teeth . Feels like when you bite inside mouth and it gets warm and swollen and tingling but no sores nothing inside or out but it feels like when you can feel swollen gland and there is bump but just under lip inside face. I have been sick for week not sure if related | It looks like that your lower tooth is infected. It can be because of decay. As you do not have any hot and cold sensation, it means the tooth has become non-vital and pus formation is there. The pea size lump is the abscess which is formed on the tooth. For this you have to visit dentist, who will do clinical examination and take x-ray and find out the extent of decay. This tooth will require Root Canal Treatment. The abscess can only be Chat Doctor. |
I hv tuberculosis lymphodenitis. I recently completed 2 month course of streptomycin after undergoing surgery for drainage of the pus in the abscess on the left side of my throat. I am regularly continuing with my other medicines for TB. Recently, I ve been experiencing palpitations during the night. Is it a side effect if meds or should i be worried? | Thanks for your question on Chat Doctor. I can understand your concern. No, Chat Doctor. Palpitations are common with cardiac diseases, infection, stress, anxiety etc. So better to consult doctor and get done ECG and 2d echo to rule out cardiac diseases. Also get done complete blood count (CBC) to rule out infection. If all these are normal than no need to worry much for your palpitations. Possibility of stress induced palpitations is more in your case. So avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks. |
I am Nivas My wife and myself are trying to have a child since 9 years. I am 39 and she is 35. My semen test revealed extremely low count (<10 million) and low motility. For that the doctor has prescribed to take oligo care tablet for 2 months.after treatment improve my semen count. My wife underwent laparoscopes and it was found that she had cysts in her ovary and left overy is dry.after aparoscopes some infection in surgery place .we take treatment near general surgen doctor it willcure. After rwe will go another doctor for treayment with all repots she says no problum , give fertil 50 mg tablet,support imupux tablets since 5 months ther was no use what can I do now | Hi, here your sperm count is low. It should be minimum greater than 20 million. After treatment repeat your sperm count. Your wife having cyst in ovary which is usually treated by OC pills. To conceive first 7 day of menstruation and last 5 day of menstruation sex not helpful. Chance of conceiving best at 10 to 17 day of menstruation. TAKE HEALTHY DIET.AVOID FAST FOODS. More protein. More water. If still you not conceive then detailed investigation done. Like, male serum FSLH level, Male s.testes tone, hologram, female thyroid profile, female s.prolactin, hysteroscopy,laparoscopy etc. |
Hi, I have been on cerazette for about 8/9 month now and haven t had a problem with it, i was on penicyllin antibiotics, i took my last set of antibiotics on wed 5th january and had intercourse early wednesday morning, I was worried i could be pregnant, so today I took a pregnancy test and it was negative, is there need to take another one at a later date or do you think i am worrying far too much.. Thank you | Dear Madam, Your narration could not clarify when did you have your menses, whether you missed it and on which day the cycle you had sexual intercourse. Also, cannot figure out whether you are still on Cigarette, which is a birth control pill. In that case the chances of pregnancy are very remote. To guide you further on the urine pregnancy test |
Hello Dr Gopi, My name is Teresa, I am 52 yrs old I weigh around 13stone 5ft 5in tall. I am a little concerned about my problem which arose about 3 yrs ago. I worked in a nursing home, when this day I let a nurse take my blood pressure and it was 140/90 and she told me that that was very high, this got me very worried so I ended up going to doctor and then proceeded to have a monitor fitted, all was ok, but over the past year I have been feeling my heart beat fast on occasions and this worries me sick, I am constantly feeling my pulse, and I am now totally frightened every time I go to doctors and they go to read my blood pressure and I know its going to be so high before they start, because when I enter the surgery I can feel my heart thumping out of my chest and beating so fast, I was there yesterday and it was 200/110. I feel this is all down to the origional fright I got 3 yrs ago, and I have never settled since, and I am so anxious and nervous. Please can you tell me if this is like a white coat syndrom, or maybe the reason for all this could be anxiety or could it be due to me have hot flushes and high temperature and night sweats from the menaupause, I have not had a period for nearly 3 years. I am not on HRT and I eat healthy, I dont smoke or drink, I eat lots of fruit and veg and drink beetroot juice now and again. Please could you advise me what is happening to me.......Thank you. Teresa Belfast. | Hello thanks for asking from ChatDoctorYou are a 52 years old female with average height and weight. You have started feeling that your heart beats fast and this is making you sick. You have palpitations, and when ever you go to doctor your BP comes in higher range. Most likely the high BP is due to White Coat Hypertension. This is psychological rise in BP while entering a hospital, and it may also present with other symptoms of anxiety. But you are having palpitations, restlessness which couldn't be explained by anxiety alone. Most likely the reason for such symptoms is panic attacks with anxiety. You are already on HRT for menopausal syn Chat Doctor. I would advise you to consult a psychiatrist for such symptoms. Some medicines like Propranolol, Atenolol which are beta blocker |
Noticed small itchy pimple like areas just behind and to the sides of my scrotam...... Work long hours and sometimes develped a similar rash juat from sweat and friction...goes away when i. Not working in those conditions..and babypowder helps alot......this time its seeming to last longer....... | HelloThanks for your query, based on the facts that you have posted it appears that you have multiple sebaceous cysts over scrotum. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Please take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Observe to maintain proper personal hygiene by washing your private parts with warm water twice daily. |
I started low dose birth control on Friday May 4th. It was the first day I had blood spotting for my expected menstrual cycle. I have taken the pill every day since at almost the exact same time. And I have not had sex or any physical contact with any men at all during this time.My period was unusually light for an entire week. I thought maybe this was a result of the pill. But now it is 15 days later and my period is still going. Today was the heaviest day yet. Can this be because of the pill? I should probably mention that I am overweight (5ft 3.5 inches 209 lb). I have an appointment with my doctor on 5/30 but now Im getting concerned. | Hi. Thanks for asking in Chat Doctor. Light or heavy flow, delayed or frequent period, irregular period, spotting and bleeding between period are all the different types of effects of OCP seen in various people in the initial few months. It will take 3 to 6 months for the period to get regularized after starting the pills as you are taking a low dose birth control pill. Although you are not sexually active, you should continue the pills irrespective of the bleeding after the permitted gap for menstrual period. The bleeding will be controlled when the hormonal level increases if the pills are taken regularly. Obesity with light period may indicate POD. The OCS can result in weight gain in the long run and so you should reduce your weight. Since the bleeding has increased and is persistent, it is wise to consult the |
i got hurt at work which caused pain in my back that radiated to my hip and down my right leg. Then the pain stopped in my right leg and went into my left leg I got a cortisone shot in my right lower back area. The pain stopped in both legs. Then all of a sudden my left arm went numb and was tingling then it traveled into my shoulder blade and neck.The pain is excuriating. I am losing feeling in my left hand and the pain in my cervical area is so bad it hurts to hold my head up. I ve been prescibed Gabapentin and Norco. But there is no treatment plan for the pain. What do I do. I can t handle all the pain. I cannot use my left arm. At times when I raise my left hand it will just randomly hit me in the face. Please tell me what I should do.. | Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and leg. I will advise you to do MRI whole spine screening. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If not relieved then you may need surgical decompression. 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 |
Hello doc....i had undergone a mastspis operation last year.i went to a doctor for breast examination coz i was feeling a lump kind in my right breast specially near d nipple m aerola area....the doc prescribed me mecgla capsules...my breast also have lost its shape and have begun to sag...will this capsule help me in removing my problem | Hi, dear. I have gone through your question. I can understand your concern. You may have some benign breast lesion like fibroadenoma or fibrotic disease, or you may have malignant lesion like ductal carcinoma. You should go for fine needle aspiration cytology of your breast lump. Then take treatment accordingly. Lumpectomy is advisable for benign lesion and radical mastectomy for malignant lesion. Consult your doctor and plan 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. |
ive been smoking since the age of 12. I am currently 28, however, I didnt start smoking heavily until I was around 18-19. I recently quit and it has been almost 3 weeks. What are my chances of getting lung cancer. I am worried because I saw a chest x-ray and I saw white patches, but the nurse said they were nicotine deposits. Im confused. Can one be mistaken for another? | Thanks for your question on Chat Doctor. I can understand your concern. White patches on chest x-ray should be evaluated for lung masses (cancer). Smoking is the biggest risk factor for lung cancer. You smoked for almost 16 years. This duration is sufficient to produce lung cancer. So in my opinion, you should definitely consult pulmonologist and get done CT thorax. CT thorax is far superior to chest x-ray in diagnosing lung cancer. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Six months ago I had a wreck. I had multiple injuries including a baseball size contusion on my upper left thigh. Recently, I ve been experiencing a mild pain on the site and upon deep palpation I felt a marble size cyst like in the injured part. What is this and why is it painful? | Hi, You mentioned a rather severe trauma to the left thigh at upper thigh. A dull pain and cystic like sensation in deep palpation is suggestive of a hematoma or a post-traumatic cyst formation within the deep muscles. In some cases a partial muscle rupture does not heal completely, and the pain persists for quite a long time. What is especially important in your case in which area of the upper thigh is traumatized? This is important because there are important nerves at medial and posterior parts of the upper thigh but not very remarkable ones at anterior and lateral sides. Overall, I suggest that first you take a sonography of the soft tissue at the trauma site. The result of the sonography will guide the physician for their next steps towards you complete improvement. Meanwhile, one of the helpful things that you can do is a regular stretching of the traumatized muscles (at least 10 times a day, each time 15-20 seconds of stretch, best to be done after a warm-up). Hope I have answered your query. Let me know if I can assist you further. |
my father was admitted to the hosp with a hemoglobin of 5 he had some dark black tarry stools prior to be admitted, normal edndo scope and colonoscopy. 2 weeks later my sister felt tired and had some black tarry stools, she went in and her hemoglobin was at 5 and she was in ICU for 4 days and all test were negative, now they are both home and both of them have been experimenting black tarry stools no abdominal pain and the m.D. cannot firgure this out, what should we do? my father is 84 and sister is 57 and sister has no health problems, my father is diabetic | Hello, Low hemoglobin is not responsible for fatigue and black tarry stools. In fact black tarry stools are due to bleeding in the upper gastrointestinal tract (GIT). Bleeding from upper GIT causes black tarry stools and the upper GIT bleeding leads to anemia or low hemoglobin levels. Anemia or low hemoglobin level is responsible for fatigue. Thus, examination of upper GIT is required to know the cause of bleeding. Thanks and take care Chat Doctor. |
I suspect that my son has mono. We are awaiting his blood test result tomorrow. He seems to have some of the common symptoms of mono. If results are positive, how long until he can play contact sports? Can he attend school with mono? Thank you! | Hello, Usually we ask patients not to play contact sports for 6 weeks if they have mononucleosis, but if he plays regularly his doctor may make it a shorter time if he gets regular exams to make sure his spleen is not enlarged. The danger in playing contact sports is that if the spleen is enlarged it could rupture. Symptoms of mononucleosis are fatigue, sore throat, abdominal pain and low grade fevers. Regards |
hii i m medical student..initially before 45 days night dry cough started..i think that was due to dust & fibres of my blanket...then I have taken DILO bm expectarant..but still it was disturbing me even after citrizine then cold attacked me..that result in cough ...I have taken montair LC& azithromycin..now cold is okay but still dry deep cough making me irritable..now one syrup ZEDEX..in my hands widEXL-250& montair LC...but m load by thinking side effects of these drug i m taking for 45 days...please give me advice my x-ray &blood tests r normal wid 30ESR level | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done PFT (pulmonary function test) to rule out asthma. Because nighttime continuous coughing, even with Chat Doctor. So get done PFT for the diagnosis of asthma. It will also tell you about severity of the disease. And treatment is based on severity only. So get done PFT. So consult pulmonologist and first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. |
hi i had to pick my daughter up from school today, since three this afternoon shes been suffering from a headache high temperature and bad stomach pains, i took her to the doctors last week they gave me antibiotics for her ear infection, what else could be wrong with her now? | Hi, hi temperature, headache and pain abdomen in a child can occur due to stomach infection leading to acute gastroenteritis. There can be a history of eating something from outside which has resulted in infection in intestine. The child should be given medicine like Tuscan which contains have seen to relieve pain. Antibiotic like metronidazole needs to be given depending on the examination by doctor. Give soft diet to child. Give more Fluids to child. An examination by doctor should be done so that we may not miss any important finding. Take care. |
My daughter has a severe bruise on her calf and it has a real hard lump in the middle of it and it has bruised all the way down her leg to her foot and the bruising is dark purple? Could you please tell me if I should be concerned about this or what we should do about this? | Hi. Thanks for your query. This looks to be post-traumatic, meaning after a trauma. Dark purple bruise with a lump is suggestive of a hematoma. It is possible that she does not remember how it occurred as it would have been mild Because of the typical fat distribution in this area, it was not noticed easily. If this is bruise, the treatment is conservative. Anti-inflammatory medicines would help if given in a proper dosages. IF it is not painful, if the local temperature is not raised you can have a wait and watch policy. Keep it under observation and will settle in one to 3 seeks time. If you are suspicious of an infection, you have to start her on an antibiotic and anti-inflammatory medicines. Yes, you should be concerned about this. |
I always go red when I am in school and meeting new people. It happens everyday at school and I hate it. When I go red I fell like everybody is looking at me and it just gets worse. Ive tried looking on the internet on how to help not going red and not to get embarrassed but nothing seems to work. It happens in all subjects even when I feels comfortable it just happens and I hate it. | Dear, We understand your concerns went through your details. I can understand. Social anxiety disorder is one of the most common mental disorders. But I doubt whether you have it or not. Many students of people will behave like you in front of a crowd or when in a stage or podium. This symptom alone cannot be categorized as SAD.SAD is an anxiety disorder characterized by an intense fear in one or more social situations causing considerable distress and impaired ability to function in at least some parts of daily life. Note \"considerable distress and impaired ability to function\". I do not think you have it. Your problem is just the beginning of simple anxiety related to a bunch of people. The more you get experienced in that aspect, the less it still disturb you. So leave the problem aside and concentrate on other issues which are unavoidable. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http |
on the inside of my cheek i have to round white patches which is making me so uncomfortable during meal times and while brushing my mouth. its been there for over a week now. there is also one red sore on the left edge of my tongue opposite to the white patches . I thought it would heal by itself but it doesnt seem. what can I do about it. ( Im 28 and a man.) Thank you. | Thanks for your query, I have gone through your query. The white patch could be because of the chronic irritation by the teeth to the cheek(frictional keratitis or irrational fibrous). Or it can be lichen plans or leukoplakia or candidiasis. The soreness over the tongue could be a traumatic ulcer, or it can be authors ulcer. Consult a good oral physician to rule out these two conditions. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. If it is lichen plans then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. If it is frictional keratitis or traumatic ulcer you have to treat the cause by reducing the sharp usual edges of the teeth which are causing trauma. I hope my answer will help you, take care. |
I am seven months pregnant and I was just diagnosed with Glioblastoma Multiforme Brain Cancer Stage 4 a week ago What should I do?? The doctor is suggesting that I get an abortion done but I dont want to as it took me and my husband six years of trying to get a baby. He says if I undergo the surgery, I may miscarry or if I go through the pregnancy, it will be too late for any treatment. Apparently without treatment of this cancer, the survival time is about three months. He also said that the stress of child-birth could have serious effects on me. I am so confused. Please help. | Hi, dairy have gone through your question. I can understand your concern. You have nuroblastoma multiform. It is WHO stage 4 brain cancer. You should take treatment of cancer as early as possible. You can not go through pregnancy. Because prognosis is very poor if cancer is not treated. If you get proper treatment in time then there can be chances of survival. You can get pregnant if you survive. SO take treatment as early as possible and terminate the pregnancy. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
Hi there. My girlfriend takes birth control regularly every day at the same time. We had sex and our condom broke, and we ended up taking a Next Choice emergency contraceptive almost immediately after realizing what had happened. She proceeded to take her birth control the next day as scheduled. We are worried about her becoming pregnant; have we taken enough measures to avoid this situation? | Hello, I have gone through your query and understood the concern. She is almost completely protected with the oral contraception she is taking regularly. In addition, emergency contraception also has been taken, which offers 98-99 percent protection in an otherwise unprotected sexual act if taken soon after. Thus, there is ample protection and no need to worry about failure. The high hormone content in the emergency pill can cause with Chat Doctor. If she becomes overdue by ten days please see a specialist for further help. Take care. |
I slipped and fell on a flight of marble stairs three weeks ago . I had huge amount of bruising which extended all around my back and down into my buttocks . No spinal issues as full range of movement no bladder or bowel issues however I have this huge lump just above my coccyx on my lower back it is visible through my clothing. Can you tell me what it is ? And how long it may remain ? All brusing has now gone Thank you Eileen | Hi ! Good evening. I am Chat Doctor answering your query. With the history of trauma and initial bruising transforming into a large swelling now, most likely a cyst has developed which might be containing liquefied blood in it. If I were your doctor, I would go for an FNAC of the swelling under very strict aseptic conditions and if need be would also go for an MRI to diagnose the origin of the lump. Till then, I would advise you for an anti-inflammatory along with a proton pump inhibitor Chat Doctor. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
How do non-motile sperm end up in a post-vas analysis 6 months after surgery? I was diagnosed with RNMS, and I understand that means a successful surgery, but how do they get in there in the first place? And might they be non-motile because the lab had to wait too long before doing the analysis? Thanks for your help. | Hi. Non-motile sperm can come in the sample either if the was has recanalized or through tissues which still secrete the sperm, and they are transmitted to the cut end of the Va's. There is a percentage of men who get this finding of non-motile sperms even uphill 3 years after the Vasectomy operation. It almost means that you are infertile which goes to say that the surgery has been successful, but the Ultimate test is absence of dead or alive spermatozoa. So I advice that you use some other form of contraception till the test shows absence of any sperms. Take care. Chat Doctor. |
Hello, I have a round, hard, cyst like lump I can feel inside my right labia near my clitoris. It does not hurt, but is very strange to feel. I am on my period and am not sure if this may be something related to that? I can isolate the lump and move it around locally but Im trying not to touch it too much for fear of damage I could do... | Hello this could be a Bartholdi cyst sebaceous cyst or an Stiff you can upload me a photograph and complete medical history I will be able to guide you bettering my opinion you should consult a gynecologist for examination and a battery of tests like blood for hemoglobin CBC ESR blood sugar and urine for culture and sensitivity test you may require a course of antibiotics under supervision of your doctor you should wash it with an antiseptic solution maintain good hygiene hot water bath Hope this helps you Best wishes |
Hi, may I answer yo hai i am devaraj (male) age 28 height 156 cm weight 56 kg i have musterbate since 2000 so i have doubt about my erection, ed, pe if i have this problem what can i do for recovery from that problem moreever pls give natural treatment in home only or home made treatment. Because i have poor family for high treatment. | Degree understand your concerns went through your details. Masturbation cannot harm your health. Masturbation is normal, natural and even animals masturbate. Masturbation will not cause any adverse health problems unless you exceed the limit. At your age, you can masturbate thrice or four times a week safely. Excess masturbation causes spending more energy and thereby you feel tired. Tiredness is stressful and results in anxiety. Lack of knowledge about masturbation and sex also causes anxiety like the one you have now. Do not worry. I reiterate. Masturbation is not unhealthy and cannot cause any erection or penis problems. If you still need my assistance in this regard, please use this link. http |
i have constant diahrhea. alot of pain in my lower left abdomen. i was exposed to heavy water a few yrs ago. it burnt my legs and feet. do you think i now have colon cancer? as i said there is alot of pain in my intestines. i have had precancerous polyops removed already. and when i void, there is always a pink discharge. | Hi, having constant diarrhea, pain lower abdomen, had burn of legs and feet, have colon cancer, had pancreas polyps and removed. You are already under the treatment, and you know all the facts, i to my patients with such symptoms give medicines for temporary relief, as sanitizing 300\u00a0mg, and dicyclomine HY Chat Doctor. When the diarrhea is frequent a combination of ofloxacin and ornidazole. Thank you. |
I have diabetes, asthma, hypothyroid. My father had heart problems. I was having chest pressure that was not getting better with pain that I thought might be pleurisy. I went to the doctor and they gave me meloxicam which seems to have helped quite a bit. They sent me to a cardiologist just to make sure nothing was wrong with my heart since I am diabetic. I saw the cardiologist and from everything I told him he does not feel it is my heart. He wants me to have a echocardiogram and a stress echocardiogram to make sure everything is okay. Does this really need to be done at this point? | Hiwith diabetes, asthma, hypothyroidism, positive family history of heart problem & chest pressure symptoms it is better to get evaluated totally accordingly as suggested by your cardiologist.the slightest doubt in the ECG in your status is also an indication, especially being diabetic. You can go for an echocardiogram, thread mill test, or stress echocardiogram, if these are all uneventful, with no positive signs, then not to worry. Requirement of an angiogram will be decided by the cardiologist based on these tests. All the best take care |
Yes please. I had Euflexxa injections in my left knee on 7/8, 7/15 and 7/25 was the last of three. I flew to Dallas TX from Philadelphia PA on 7/31. There was a connection flight both there and on the return so a total of four fights. I returned home 8/4. My left leg is swollen in the calf and ankle area. I am not feeling any hot spots. It is just the left leg. Should I be concerned about this? Would the injection be ok to fly so soon after? | Dear patient Intro articular euglena injections will not lead to swelling in ankle and calf. This is because joint cavity is not connected to intramuscular planes. Swelling might be frequent air travel which might lead to deep vein thrombosis, or it might be dependent edema. Is dorsiflexion of foot is leading to calf pain ? If yes than its deep vein thrombosis. I would like to advise Doppler ultrasound of left leg to confirm diagnosis. Visit radiology center nearby you and get it done. If its normal do not worry. If report us abnormal you need to consult expert vascular surgeon nearby you. All the best. |
hi doctor my friend drank harpic toilet cleaner 2 days ago .then after she puked immediatly but some part of it goes inside her stomach .. now after 14-16 hrs her stomach hurting badly plz tell me what should i do or what medicine should i gve it to her .. she dont wanna go to the doctor | Welcome to Chat Doctor, short answer |
hi my son is 8 month old he is passing very hard stools for the past four days .i tried castor oil(yesterday night three drops of castor oil mixed with mothers milk and today morning extra one drop mixed in hot water )but still the condition is same.Pls help | Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions |
I have a red itchy rash all over my body. the day it started I took a bath with purfumed salts and milk. do you think it would be the combination of the two to cause the rash or that I m allergic to these specific bath salts. I recently used bath salts that would seem harsher on the skin with no problem. I know the bath salts I used with milk are supposedly just sea salts and fragrance and paraben free. | HelloWelcome! I would be pleased to answer your question. From the description of the lesions they seem to be either an Allergic contact dermatitis. Which has become chronic at the moment. The Allergy can be due to external allergic agent. The response to the agent results in an itch scratch cycle. As in the more one scratches the more the area itches and so on. The first step in treatment is to break this cycle by giving relief from itching and instructing the patient to avoid scratching as much as possible. It can occur localized as in your case. Here is what will help |
my one of the close relatives(30yaers old,not obese) told me that yesterday he knew from the diagnostic test that he has hepatosplenomegaly with fatty liver,but there is no sign of nausia,vomiting,but slight pain have occour in chest for some days.he take alcohol rare/occasionally but his father died form cirrhosis of liver,i want to know that is hepatosplenomegaly curable or not?he has a 4 years old daughter. | Hi welcome to Chat Doctor ....Here is no need to become panic.... First consult good physician in your area with keeping my answer in mind .... The infection like malaria, typhoid can lead hepatosplenomegaly. For that malaria rapid card test or PS examination done.... For typhoid tidal test... Second infectious mononucleosis or cytomegalovirus infection can lead such presentation. For that lymph nodes palpated with history for sore throat.... Third rule out liver causes by liver function tests like bilirubin, serum albumin, PT etc... Fourth rule out hemolytic anemia and leukemia by peripheral smear examination ....if needed specific investigation done with HPLC..... I have given you best approach but physical examination and detail history will guide more specific investigation needed. Take care. Chat Doctor. |
my mother is 69 years if age, she has chronic heart failure, she has swelling in her legs, they are very purple, both feet have sores, there are bubble blisters on the feet and legs, her fingers are white to gray color, her nail beds are white, she has a whistle sound to her when she is breathing the her mouth, would it be time to call hospice and do we have approximate time frame of death | Hi, Thank you for your query. I can understand your concerns. Your mother has chronic heart failure (swollen legs, sore legs due to venous stasis, leuconychia/white nails, wheeze/whistle sound), most likely Cor pulmonale. White nails are due to hypo-albuminemia consequent to congestive nephropathy. Even advanced stage of heart failure can be treated and patient can live with restriction of physical activity. Consult a physician. He will be in a better position to answer your queries regarding prognosis. Regards |
i last had sex on 11th may while on holiday, i took my period on 2nd may but i got tablets from my doctor to stop them while i was away, on 11th may when i came home i stopped tablets and took period when i was home, i have then since had a period which i got on 11th june, but before this i have been very tired, feeling sick, constantly want to eat, very sore breasts and swollen stomach and sore back, is it possible to be pregnant, i have done test but was negative | Hallow Dear, The first cardinal symptom of pregnancy is missing a period. You have got period on 11th June. So no possibility of any pregnancy due to any sexual relation(s) before 11th June. For postponing your menses, you were on hormonal pills. These pills can cause tender engorged breasts, tiredness, nausea and other symptoms. Still, if you want a confirmation, you may opt for pregnancy test on the overnight first morning urine sample after 18th June. I hope this resolves your dilemma. |
thank you, Dr. i am 61 years old. quit smoking after abt 37 yrs. suffering from chronic one side nasal block, sore throat, dirt and dust allergy, sleep deficit ,pl suggest remedy, i will be ever grateful . K.Kanmani Portko , chennai, tamilnadu, india. my mail id | HelloWelcome in Chat Doctor. Regarding your query for sore throat, one-sided nasal block and dust allergy, though you were smoker at the beginning but quit the habit at the age of 37, and now you are 61 years old. Your medical history favors for respiratory tract infection involving nose and sinus with throat. Here one thing is very important that you are having one side nasal obstruction which is very important from treatment point of view as one-sided nasal obstruction may be because of-1- Deviated nasal septum.2- After canal polyp.3- Turbinate hypertrophy. These above may be ruled out by clinical examination and all above may give rise ti recurrent nasal infection with post nasal Chat Doctor. As you said that you are also having allergic symptoms, so I would like to say that in presence of infection allergic features always precipitates. So please consult your ENT doctor and get manage your problem. Regards. |
I have a 10 yr old son who got bit by something 3 weeks ago, they were red swollen blue pussy and hard. Very painful for my son. I took him to the dr and they said it was a spider bite, mind you there was about 10 bites all around his behind. He got antibiotics and some went away but now he is getting more around the same place. And his old bites now look like little black/blue crators. Do you have any idea or opinions I should consider? Thanks | Hello, Welcome to Chat Doctor, Only a few spiders are dangerous to humans. Most presumed spider bites are actually bites from other bugs. For your symptoms, I would suggest you to clean the site of the spider bite well with soap and water. Apply a cool compress over the spider bite location. If the bite is on an extremity, elevate it. Aspirin or acetaminophen and antihistamines may be used to relieve minor signs and symptoms in adults. Talk to your doctor if you have concerns. Thank you. |
After eating a caramel yesterday I felt a unpleasant sensation on part of my gum. It was bleeding. Didnt pay too much attention to it. Today however still the same and when I press on it a white/ yellow pus oozes out of where a tooth is set off line on my bottom jaw. I have been told that this could be the first signs of it about to fall out. | Thanks for your query, I have gone through your query. The bleeding gums can be because of the gum infection secondary to deposits. The pus discharge can be because of the gum or tooth infection. Consult an oral physician and get it evaluated. You have to take a radiograph to confirm the diagnosis. If there is a tooth infection, it can be treated with root canal treatment. If it is a gum infection, then it has to be treated with scaling or root planing. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole you are not allergic)I hope my answer will help you, take care. |
Hi, my name is Niesha. Im 14 and my mother passed away 9 months ago. Lately, I have been very sad and depressed. The only tings that make me happy anymore are my boyfriend and school. The rest of the time, I feel like there is nothing I can do to feel like the normal excited, funny me again. What can I do to feel like myself? | Hello Nisha. You are very young, and I am glad that you have reached out. You are grieving the loss of your mother, which is normal. Grieving can take any amount of time, and grieving is a very individualistic experience. It takes different lengths of time to get over the death of a very close person. One of the best things you can do is to be very good to yourself. Try to eat healthy, get enough sleep, and spend time with people and things that you can enjoy. Be okay with as long amount of time to grieve, no matter what anyone tells you. You need to know it's okay to feel sad after losing such an important figure in your life. Take note and praise yourself for the things that you do right and do well, like doing well in school. Praise yourself and reward yourself for a job well done. If your ability to function in school worsens, like your grades start to fall, you have trouble concentrating, then I would consider seeing a psychologist or other therapist for additional help. Journaling or talking to someone are two perfect ways to help you feel better. A therapist can also suggest other things to help you cope better. For now, just be very good to yourself and be okay with the time it takes you to grieve. Good luck to you and take care. |
Hello, I was recently in the ER for abdomial pain. I have an infection somewhere, high white blood cells count and a thickening was found in a cat scan of my ileum? Can you tell me what this could mean? I have a GI appointment scheduled for next friday, but my mind is racing. I am 29 years old, mother of 3, and need answers. I left the ER with no explanation or diagnosis, just two antibotics. | Hi Kayla.amorous. Thanks for your question. Your diagnosis is very simple. You had pain abdomen with white blood cell count increase and CT SCAN showed thickening in ileum. It is probably a case on Iliad or intestinal tuberculosis. There are other rare possibilities too-it can be a crowns colitis, malignancy involving ileum, volvulus or just infection of ileum, but this causes are very rare. But I am thinking why you have pain. Probably this causes sub acute intestinal obstruction, so you have pain. So continue taking antibiotics, taking a laxative as you need regular stool pass, take plenty of water with salt as in this cases chance of dyselectrolytimeia is high. Please do a straight X-ray abdomen to see any evidence of obstruction or perforation. If your pain subsided, passed stool, urine,become stable then you can leave in your house otherwise best to keep yourself admitted in any hospital/nursing home as in your cases sudden intestinal obstruction can occur and that is a Chat Doctor. Consult gastrosurgeon on Friday and follow his advice. Best wishes, |
Hello, My family and I have had a summer cough . The kids have basically gotten over it, but I, on the other hand have symptoms which seem to have gone another direction. For example, I m basically fine all day. However, once I go to bed it seems that fluid builds up in my lungs. Haven t done this before now though I do have allergies and sinus problems. Last night I went to sleep around 10 p.m. and by 12 | Dear friend, welcome to Chat Doctor. If you have sinusitis and cough, post nasal Chat Doctor. If you also have BP, are (how?)old, we need to rule out heart failure also ESPN. If you are breathless at night when lying down. Not to get scared, as both are treatable. But tell me, do you run fever?sputum production? Swelling over legs?any 2 D echo done for the heart? Any ENT checks? I would advise getting evaluated in detail by an ENT doc first and appropriate treatment. Pl. keep me posted. Good luck! |
Hi My mother age 80 radiation treatment for cancer of the vagina 2 years ago could radiation contribute to lowering of sodium level which has happen ended over the last two years now at 120 in hospital at the moment on saline drip any info would help at wits end thankyou | Hi welcome to Chat Doctor I have gone through your query regarding low sodium levels of your mother. I can understand your concern .THE CAUSES of low sodium, known as hyponatremia may be many. But apparently it may be outcome of - cirrhosis of the liver, congestive heart failure, nephrotic syn Chat Doctor. Radiation and other therapies also have good or bad impacts on our blood counts. Too little sodium in the diet alone is very rarely the cause of hyponatremia, although it can promote indirectly. A low sodium level in the blood may result from excess water or fluid in the body, diluting the normal amount of sodium so that the concentration appears low. Normal level of sodium in blood is 135 - 145 your mothers level is 120, which not very low and is manageable with |
Hi,I am 43 years old and I made ICSI operation on April 06, 2013 and the DR transfered 4 excellent eggs but i had light bleeding after 3 days and I got my period on April 16. I think that I am not pregnent so what will be my chances if I tried to do the operation again ??? By the way I just got married last year. | Hi Welcome to Chat Doctor Over all success of IVF/CSI is around 35-40 % (age of female < 35 yrs). As age increases quality and quantity of egg decreases and success rate comes down to around 10-20%(Females > 35 yrs). Maybe this time you were unlucky. You can definitely go ahead with another CSI. CSI with donor egg will give you much better chance. Other additional factors contributing to your infertility are equally important and should be taken care of. Take care. |
My husband has a lump the size of a golf ball in between his testicles and rectum. It has no color,and seems to be under the skin. He says it s very painful. He said he had it about a month ago and it went away and now its retuned and he says the pain is worried. Please advise. | Hi, There are mainly 2 possibilities. A perianal abscess (connected to the rectum or anus) or could be pariurethral abscess (connected to urethra). Or sometime could be just an abscess arising from skin or subcutaneous tissue. Both case requires initial course of antibiotics and if not responding would require a formal incision and Chat Doctor. The complication with Perianal abscess following spontaneous rupture or |
I had pregnancy induced hypertension in dec 2010 still on meds now also iron deficiency which causes weekness and fainting spells, my heart also races when i get a faint spell. I am on two types of iron materna and ferrum hausman chewables. How soon will i feel like myself again? please help its been one wk on meds now | HI, I understand your concern. Iron deficiency is hazardous in pregnancy - for maternal & fetal health. Its good you have already stated with iron supplements with your doctors advise. If you are digesting iron well, you should start feeling improvement in 3 weeks of medication. - Addition of proteins, vitamins C, B6, B12 & folic acid help improvement. - You should check your HBO in a month & consult your doctor. - injectable iron preparations/ blood transfusion is advised to non responding patients/ patients in late pregnancy. Thanks. |
Hello. I been taking the ChatDoctor activator capsules for 11 days. (2 in the morning and 2 around lunch). My period has been late this month for 7 days. I just took a pregnancy test and it came out positive.... Can it be due to the capsules? And also at this point if I were pregnant could those capsules have harmed the baby? Thank you. | Hi, ChatDoctor activator capsule does not cause positive pregnancy test. Your delayed period by 7 days and positive pregnancy test suggest pregnancy. This tablet does not affect the baby. I would suggest go for blood Chat Doctor test to confirm pregnancy as it is more sensitive and specific than urine pregnancy test. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you. Contact further if follow up needed. Best regards, |
My husband has pain and muscle weakness in his arms. Has to use both hands to lift a glass of water to his mouth in the morning. Then it eases up as the day goes on. Blood work is all OK. He has thalassemia minor. Would that cause it or something else? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe muscle pain in the arm. Well there can be many reasons for symptoms you mention in query like muscle spasm, nerve compression or heart problem like angina. But in your case the symptoms are probably due to muscle pain. I would suggest you to orthopedic surgeon in case of bone muscle problem. Doctor will take history, order CT scan or MRI along with nerve conduction test. Doctor may prescribe anti-inflammatory, nerve supplement, recommend physical therapy and particular stretching exercisers. For now stay calcium supplement, take ibuprofen or acetaminophen for pain and take proper rest. Gentle massage with sesame oil will be helpful. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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