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my mother has developed kidney stone at right kidney,which is 40mm size.medicines(zurig40mg&portrate mb6) has been using from last 2 years,but no result. what is the best treatment for it? which doctor shall i consult? blasting is neccessary for it? she has sugar& BP also,her age 52 yrs.thanking you... | HelloThanks for query. Your 52 years old mother has been detected to have stone of a size of 40 mm in her Right kidney. Considering the size of the stone being 4 cm in size Extra Corporeal Shock Wave lithography (ESL) is not possible in her case. The only best treatment option for her is to get the stone fragmented and removed by a procedure called Per Cutaneous Nephron Lithotomy (PCNL). This surgery is done by a well-trained qualified Urologist under spinal anesthesia, and she has to be hospitalized for 3 days. Diabetes and hypertension that she has will be taken cared of by a team of physicians. Chat Doctor. |
Hi I was having mild intermittent stomach pain and consulted a local doctor.He suspected gastroenteritis and recommended medicines like Spasmonrindon and Baycip TZ.During follow up, I told him about problems I am experiencing due to gas. And he gave me Pentom 40 (Pantaprazole) and Baycip tabs. After taking first dose of these meds, I am experiencing stomach pain.Could you please tell me what could be the reason and should i stop using these medicines? | Hi. Thanks for your query. Intermittent mild stomach pains was suspected by your Doctor as Gastroenteritis and you took Spasmonrindon and BSCIP TZ, Pen tom 40 started later, Shifted to Plain BSCIP. Since you need antibiotics, you need to be changed to another antibiotic like Definite which is stomach-friendly, as you have got pain in abdomen which can be due to not responding to BSCIP or due to gastritis. Continue rest of the medicines. It may take a few more days to get settled. |
I have a lump at the base of my neck on the right side. My doctor thinks it might be arthritis, since I have arthritis in my fingers. I was sent for an ultrasound, no results yet. The lump feels hard, like a bone, but I am occasionally having pain in my neck on the left, and some pressure when swollwing. I am 49, overwieght, but have last 20 pounds in the last 7 weeks. Firs noticed the lump 3 weeks ago. | Welcome to Chat Doctor .1. It could be lymph nodal mass after infection, of lymph nodal infection itself (lymphadenopathy), can be thyroid mass possibilities are more.2. Sinece you already had ultrasound scan done, wait for the result.3. It will give a complete picture of the lump, its nature and extensions and involvement of the adjacent structures (vessels) and so on.4. Nothing much to do now, only after the scan treatment / surgery can be planned.5. Hope it helps. Anything to ask ? Do not hesitate. Thank you. |
What could chronic low blood pressure with a systolic and diastolic being close together indicate? I am frequently light-headed, blood work is extremely good, but I have had blood in my urine present with 3 doctor visits. I am to have CTs done and a cystoscopy. I do have history of some flank pain, cloudy urine, mild hearing loss and just starting to realize I have had ringing in my ears occasionally over the last couple decades. Could my blood pressure be hypertension? Beginning to worry and become scared. | Hi, I understand your concern and I'll try to help you. Hypertension is a very common disease and is related to genetic factors and lifestyle that people have. Hypertension has no cure and patients need to change the lifestyle and often using medications to lower blood pressure throughout life. Your question is a bit confusing and I understand that you have hypertension for at least two decades, is a loss of blood in the urine (hematuria), flank pain, and ringing in the ears and is systolic pressure and very close diastolic. I will add Chat Doctor. The loss of blood in the urine and flank pain may be related to a disease that leads to the formation of stones in the urinary tract, known as nephrolithiasis. This disease is one of the most common cause of blood in the urine, as well as urinary infections. There are diseases that can cause increased blood pressure and hematuria secondary to kidney inflammation known as nephritis. To identify the cause of the loss of blood in the urine, it is important that your doctor search for the presence of these stones with tomography urinary tract and a cystoscopy, and seek signs of inflammation in the kidneys with specific blood tests. The ringing in the ears is usually related to poorly controlled hypertension or the vestibular system of the inner ear diseases. The vestibular system is one of the responsible for the body balance and when it is compromised can cause dizziness, feeling stuffy ear and tinnitus, being known as Meuni\u00e8re disease. Finally, when the systolic and diastolic are very close, the first thing to do is check if the devices and pressure measurement technique are correct. If these pressures are even close, it is important to search for signs of heart failure with loss of contractility of the heart muscle. This research can be done initially with an echocardiogram. It is important to look for a strict control of blood pressure levels to reduce the risk of complications secondary to poorly controlled hypertension as cerebral infarction, myocardial infarction, heart failure, kidney failure and blindness. To achieve this control is necessary to seek healthy lifestyle with proper nutrition, regular exercise, weight loss, sleep apnea control, in addition to the rigorous use of antihypertensive medications. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. |
I ve had a dull throbbing ache in the right lower part of my abdomen. I just recently got off of birth control (depo provera) after being on it for 14 years. Could I be having symptoms of having a upcoming menstrual cycle already. If not how long to wait to see a doctor if the throbbing pain persists?What a scam. | Hi. Thanks for your query and an elucidated history. You were on Demo Proverb for 14 years and suppressed the hormonal axis. It will take a lot of time for your body-clock of hormones to set us and hence it is better to check hormone levels. The cause of the right lower abdominal pain can be over-activation of the Ovary, either there is ovulation or so, causing the pain in lower abdomen. It is better to see a Gynecologist and undergo ultrasonography to clear the matter and to have some treatment only if required. |
Hi, My mom is around 55 and she recently found that her BP is 165/90 with dizziness/uncomfortable then and then along with tiredness. She is taking meds for bone problems (most probably osteoporosis). What can be the reason f.or HBP all of a sudden? Her ECG result is okay.Please let me know what could be the concern. | Hello dear, as your mom is 55 years old, the most common reason for having high BP at this age is idiopathic. But we need to rule out other secondary causes as she suddenly developed high BP! First I would like to get her kidney function tests and ultrasonography PUB done as she is on long term medications for osteoporosis which are likely to be vitamin D supplements and calcium. This is to rule out any kidney problem that can cause high BP. Second, I would like to get her Renal Doppler done to rule out renal artery stenosis which is actually a good cause to have as it is curable in most of the cases. Now if all these tests come negative, that would mean that your mom has got primary or idiopathic hypertension. Then please get her eyes checked for any effect of high BP on her eyes. |
My BP is 157/90. Its been about this high over the past week. I went to urgent care last week and they set me up for an appointment for this Friday. Should I go to the ER since my BP is up and I am feeling dizzy, a little disoriented, and just out of sorts? | Hello, Your actual blood pressure values are high, but there is no need to go to the emergency room for the moment. I would recommend having some rest and avoiding salt and caffeine intake. If these blood pressure values persist, I recommend consulting with your attending physician for a physical exam and some tests to investigate for possible causes underlying secondary hypertension |
I went to ER with chest pains. Results no heart attack. Had echo and stress test next day and the dr said enlarged heart ? I ask what causes that aND he said high BP, but Ive never had | Hello, I have gone through your query. Thanks for using ChatDoctor.in your information there is some paradoxical information. ECHO can not be normal if heart is enlarged. But sometimes thickened wall of ventricles produce enlarge shadow on X-ray chest, this may be a possibility. Commonest cause of such thickened heart walls is high BP.few normal readings of blood pressure do not rule out hypertension. I suggest you to get Ambulatory BP monitoring RO rule out hypertension in your case.I need to review your ECG, echo to guide you properly best wishes Chat Doctor. |
Me and my spouse have been trying to get pregnant again. I have followed all of my OB advice on timing our intercourse. Due to our work schedule we have intercourse early in the morning around 8am every other morning. We seem to be missing the mark still. I have had an ultrasound, and I have great blood flow to both of my ovaries. My spouse is 23 years of age. We have intercourse staring from day 8 of my cycle to day 20 every other day. Should we change it to every morning instead of every other morning? | DearWelcome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. You are doing everything right as advised by your OB. Good to learn that. Internal factors contribute to conceive than External factors. State of mind, love, affection, intimacy etc. do count. All these emotions do have positive impact on the conceiving. We know about some hormones, but we do not know about so many other hormones., The above said emotion trigger those unknown but effective hormones which can make you conceive. Your timing is right. You are doing well in all other things. But don't just focus your attention towards getting pregnant. But be attentive towards affectionate, lovable and intimate sexual relationship. Enjoy each seconds of sex and conception should happen its own. Remember it is gods gift. Treat it as one. Hope this answers your query. Available for further clarifications. Good luck. God bless you. |
I have been told I have carrpeal tunnel, tendinitons and kienbock in my right hand, my main hand i use. would surgery be the best answer. I have stage 3 kien bock. I cant bend my hand forward, and it hurts in everyday use ie... doing hair, cleaning my self using the computer and numerous things. | Hello, Surgery is good if it is disabling the movement due to pain. Using hot water fermentation and MFR along with therapeutic ultrasound therapy and TENS therapy should help reduce the spasm of the flexor retinaculum of the carpal tunnel. Since you are a computer desk worker it needs to be modified and simple stretching and strengthening exercises for the hand and forearm should be done. Hancock is avascular necrosis, and we need the CT/MRI for the same to see the status. If necroses then surgery will be of good choice to look for and if not then with conservative management you should do well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
hi, i had blood test results back last week and its came about i have a low platelet count, i have had two tests now and low on both. i am tired and very dizzy almost all of the time, could you tell me a little more please... my doctor has asked me to go back for more tests in two months time, im worried and dont really understand why i have to wai so long. i am a 22 yr old female. i have suffered with panic attack for years too amd feel they are just getting worse, please help. thanking you. | Hi, dairy have gone through your question. I can understand your concern. You have low platelet count. There are many causes of low platelet count. Simple viral fever, malaria, dengue, immune thrombocytopenic purpura, most of the leukemia all can lead to low platelet count. You should go for complete blood count, peripheral smear examination. If needed go for bone marrow examination. First find the cause of your low platelet count and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
My grandfather is about 90 years old and his creatinine value is 3.11.. his urea is 80. His blood pressure is all under control. what should be done. Especially tell me what diet to follow and what foods to avoid because I thinkIits because of wrong diet the value has gone high.. | Hello and welcome to Chat Doctor. As a Urologist, I must assure that the urea and creatinine values, show your grandfather has kidney failure. A faulty diet, is not the cause of kidney failure. The most likely cause in an 80-year-old, is an obstructive prostate gland. That will need to be evaluated, with a urine culture, PSA, and an ultrasound scan of the abdomen. Treatment of prostate gland will depend on the reports. Dietary advice is to restrict salt intake to 6gm daily, avoid fresh fruits, coconut water and any potassium rich food. Also try to restrict protein intake more than 40gm daily. When you visit your nephrologist next, meet the dietitian and get the diet sheet. You must check your urea, creatinine, sodium, potassium and uric acid. You may contact me for any doubts. Chat Doctor. Manga. |
I ve had wrist pain on and off for years now. It hurts the most when I bend it backwards - I have a limited range of motion because of this. There doesn t seem to be a trigger for the pain either. I work at a computer all day and it never hurts when I type, only when it s bent backwards or if there s any pressure on it. I m wondering if it could either be tendonitus or maybe early onset arthritus? I m only 24 and it s been on and off since I was about 17. | Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried |
My daughter who is now 2 years 1 month, was having fever since yesterday. Took her to clinic and was given paracetamol. She started to having diarhoea after taking the medicine and today her motion is in green colour. Is it normal as she didn t have any solid food yesterday? | Hi, The diarrhea is not caused by paracetamol, but is part of the febrile illness (probably acute gastroenteritis). If she is otherwise active, playful and taking feeds, nothing to worry. Continue paracetamol as needed, and give ORS solution or salted rice water in frequent small sips after each stools to avoid deny Chat Doctor. I also used to give zinc suspension 5ml once daily for 14 days to promote bowel recovery. If fever is not getting down in 2-3 days, she becomes lethargic, not taking feeds or persistent vomiting, kindly review with doctor, as this may need antibiotics and other measures. Hope I have answered your question. Let me know if I can assist you further. |
I have been told I should take Xolair, but I have many concerns, My last IEG was 1400, I have chronic sinus affections, have been put on prednisone many times and have had years of antibiotics.... taken singular, various, puffers and so on... Is there anything nature to take, with out all the side affects, leading to other problems... ready to crawl into a hole.... | HI, I understand your concern. I would suggest-1) Get your allergy testing done. Avoid allergens & get a desensitization treatment. 2)Adopt a healthy lifestyle.containing-moderate exercise in form of walking, yoga exercises, respiratory exercises. - Diet with high proteins, vitamins, minerals carboy Chat Doctor. - hobby work -apart from your duty hours, keeping you in positive (put half face mask to avoid fumes of vehicles/road dust. - A sound sleep for 8 hours with help of Logan |
Hi name is Derek i am 50yrs old and have been taking dihydrocodiene for approx 12yrs up to 600mg per day my questiston is what is the best way to come off them.i am 5ft 10 inches in height and weigh just under 8 stone. your help in this matter would be most appreciated. | This is going to need close supervision. At 100-150 mg/day. A program with Suboxone, meetings, family involvement will work the vast majority of the time. And at much higher doses it is hard to get onto the Suboxone because it would precipitate with Chat Doctor. Gradual lowering of dose with other medications to handle side effects as they arise. There can be individual issues that I couldn't be aware of that would even further complicate the situation. I cannot say in your particular case, but his is some general information. |
So I recently had my arm implant taken out I had it for 6 months and decided it wasn t for me! My ob Said it could take weeks for me to get back to normal. A week after I started to get pains in my lower stomach across my c-section I recently in the past 3-4 days have had yellow discharge not smelly or am I itchy its just thick | Dear patient, the normal vaginal discharge is clear, white, thick or thin, non odorous and not associated with any itching, whereas an abnormal vaginal discharge is yellow or green, with or without foul smelling, with or without itching and with or without lower abdominal pain. The abnormal vaginal discharge usually results from the infection in vagina or infection in cervix, uterus and fallopian tubes which is called pelvic inflammatory disease (PID). Lower abdominal pain is usually associated with PID than with the infection in vagina alone so in your case chances of PID seems more than the infection in the vagina alone as your vaginal discharge is yellow, itchy and associated with lower abdominal pain even if it is not foul smelling .PID has no relationship with the implant removal but may be related to IUD, number of sexual partners, general hygiene maintenance, douching technique and other factors. So you can have a gynecological consultation done whereby the doctor may advise you following test and treatment. USG abdomen. Urine routine and microscopy. STD screening tests. Cervical swab for gram stain and culture and sensitivity.Meanwhile you can receive following treatment . Tab ciprofloxacin tinidazole, one tab twice daily after meals . Tab doxycycline 100 mg twice daily after meals . Tab Tuscan one tab thrice died after meals before taking the tablets make sure that you do not have any allergy to these medicines, and you are not pregnant |
Hi, my husband a couple of weeks ago lifted something over 50 lbs and hurt himself. He has had previous hernia surgeries, and now he is swollen above his pubic area and it continues to hurt, and pain is worse. Could this be another hernia, or are there muscles there he could have pulled? Thank you for you time. | Hello share your concern Swelling in the groin region, above the public area with history of weight lifting and previous hernia surgery might be related to recurrence of Hernia would advise you to check it in a standing position while keeping a finger on the swelling, ask him to cough, if this swelling increases, or you feel any cough impulse than it could be a hernia most probably.Meanwhile, ask him not to lift weight againAvoid constipation, straining at stool or coughing Hope this answers your questionPlease feel free to ask for follow-up question I will be happy to help you Best wishes |
I have abdominal and lower back pain, get very hot and nauseated late at night. Can tolerate food in small quantity only. I have a VERY large hiatal hernia and my gallbladder was removed over 3 years ago. I also have a mild fever.The color of my urine and stool are of a normal color, as of two days ago my blood work does not show pancreatitis nor does the sonogram which was done at the same time, my face is yellowish but not my eyes. I am afraid to eat and fear I may have pancreatic cancer. I would appreciate your opinion. Thank you. | Hello, Thanks for the query to Chat Doctor. Forum. There is a misconception in your mind that you are having pancreatic cancer. All these symptoms, mentioned in the query don't simulate cancer (pancreas). Hiatus hernia as you mentioned is very large and large hernia causes. Dysphagia, develops gastritis or ulcerate, causing chronic blood loss. As you mentioned that there is nausea, abdominal pain, pale face, as all are due to hernia and loss of blood develop pale face. Stress is the main reason of hot flush. In my opinion don't desperate, get in complete treatment of Hiatus hernia, and you will be alright. Good luck. |
my daughter is 5 yrs old and is having 2 bumps above her two front teeth. painless and now we find one more beside thempl tell us what to do...we already took her to the doctor and she has been using antibiotics for the past 10 days and no improvement | Hello, Welcome to Chat Doctor, I can understand your concern as this small swelling on above upper front tooth can be due to periodontal problem or if tooth is carious due to periodontal infection or due to eruption of permanent front tooth also. For this you should consult your dentist and go for visual examination and IOWA x-ray to evaluate periapical infection or due to eruption of permanent tooth. In meantime alive her to do warm saline gargle two - three times a day. Hope this will help you. |
Hi sir. I am using depiwhite cream to remove brown spots from my face and i am using this cream for many months. I saw a little improvement at the start when I started to use it. But not seeing any improvement now. I do night shift and work in front of computer. I want to know can I apply this cream on affected areas of my face for whole night and can work witChatDoctorputer. Is computer produces UV rays which can harm my skin or should I discontinue to use it as not seeing improvement. Please suggest me. Regards, Dinesh | Dear Dishes you can apply the cream for the whole night.Today's computer with LCD screen do not emit UV rays so u need not worry. If your skin is photo sensitive then we may consider offering some photoprotective measures. If the current treatment is not helping much then a change of treatment regimen may help. Chemicals peeling may be added to the current regimen. The pigmentation you mentioned, has it been diagnosed as freckles /sentiments or plasma? The prognosis of both are different. Regards Chat Doctor. |
MOTHER IN LAW 8CM ANAL RECTAL CANCER MASS. CONTINOUS INCONTENT LOOSE BLACK STOOLS. ANYTHNG TO USE TO BULK UP STOOLS WITHOUT CAUSING OBSTRUCTION. IMMODIUM? MEtAMUSAL? SHE COLAPSED AT HOME BROKE RT ANKLE, TO REHAB AND FELL GETTING UP ALONE WALKER OR HELP AND SLIPPED ON LOOSE STOOLS. FX LT HIP NOW LOOKING TO GO BACK TO REHAB BUT STOOLS SO LOOSE. THINK NOT ABSORBING LOOSING WT. GOAL TO TAKE HOME FOR RADIATION AND PO CHEMO X ONE MONTH THEN SURGERY ANAL,RECTAL COLON RESECTION AND COLOSTOMY . CANT GET HER HOME WITH ALL THESE LOOSE STOOLS. HELP!!! SURGEON WILL NOT DO SURGERY WITHOUT CHEM PO AND RADIATION!!!! rEHAB WILL NOT LET ME DO CHEMO OR RADIATION IN THERE. INSURANCE WONT PAY FOR IT IN REHAB! HELP!!! GOING CRAZY IN lOCKPORT!!!! | Hi, loose stool may be due to infection or hypersecretion so detailed history required. Black stool cant be due to rectal or anal cancer. Black tarry stool should be due to upper G-I bleed and that can be a cause of collapse. So stool exam to be done, if necessary blood transfusion will be needed. Anyway anorectal cancer can be treated by chemo radiotherapy first, if not metastatic disease. Then surgery may be tried. First go for conservative management at a good hospital then think about definitive management. |
Hello, I have had a itchy rash behind my knee for a bout a month and a half that just doesn t seem to go away. I ve used bactracin, hydrocortisone, and this benadryl anti-itch cream, while it solves the symptom the rash itself seems to be getting worse. I am guessing that its a fungal rash? | Hi, thank you for posting on Chat Doctor. As per your history, you may have fungal infection(Tina corporal) or frictional dermatitis.my treatment advise would be |
i had unprotected sex with my g.f on 7th march.....her period date was 2nd march...........not taking any risk she took I-pills after 80 hrs.........today she took the urine pregnency test...the result was negative.......is there any possibility of her getting pregnent | Hi Mam, I had gone through your query and understood your concerns. Dear mam, pill has to be taken within 72 hours the earlier, the better .if missed she should have gone for IUD.there are chances (10%) she is pregnant. Check for urine pregnancy test after 1 week if she doesn't get periods Hope this guides you. 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. If you do not have any clarifications, you can please close the discussion and rate the answer. Thank you. Wishing you good health |
hi I hear my heart rate in my right ear., all the time it even wakes me up. I have been on high blood presure meds. I have tryed relaxing the musles. I have gone to a ear doctor we have put in tubes. nothing. went too a nother doctor and found out I have tintes heart rate one. I really need some help it driving me nutssss. | Hi, Motrin (low dose Aspirin) is prescribed to prevent blood clots in the heart vessel to avoid a heart attack. It doesn't influence cholesterol levels. For lowering cholesterol levels specific medications are used called statins. If your husband underwent a stress test, and it was positive for ischemia, he should be referred for coronary angiography. It is a specific investigation to image heart vessels and found which one is blocked that causes ischemia, if such a vessel is found, then the doctor opens it. I would advise you to talk to your doctor and discuss further steps and coronary angiography. Hope I have answered your query. Let me know if I can assist you further. |
I have had a fairly persistent cough for about 9 months, sometimes with quite a bit of mucus. I have taken a lot of medications for it under a doctor s supervision, but have had little relief. I do not wake up during the night coughing but am concerned about COPD. I smoked for about 20 years, but quit 25 years ago. What do you think I might have? | Thanks for your question on Chat Doctor. I think possibility of COPD (Chronic Obstructive Pulmonary Disease) is high. You have many features suggestive of COPD. Like1. History of smoking.2. Long duration of symptoms3. Cough with expectoration. So I advise you to consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test). PFT will not only diagnose COPD but also tell you about severity of the disease. And treatment is COPD is based on severity only. So better to consult pulmonologist and discuss all these. |
Dear Dr I am a patient of PV for the last 3 years with hypothyroidism for the last 6 years. I am presently on 15mg Predesolone+100 mg Azithroprine+188mcg thyroxine+1 shellcal + Multivitamin+ Vitamin E + VIT D weekly. 3 years before when I was diagnosed PV I was given 32mg Methylpredesolone which was tapered from time to time over about a year and when completly stopped it relapsed after a fortnight. Again I was restarted with 48 mg Methylpredesolone which is now tapered to 12mg + 100mg Azithroprine (50mg morning& evening). At 8mg methylpresolone+ 100mg Azron my I did not get any lesions for about a month but all of sudden there were several lesions on face, body & scalp. Then I consulted other Doctor who administred me 140g IVIG. After IVIG my lesions were reduced, my skin health improved and itching disappeared altogather. After about a month of IVIG again 7-8 lesions appeared and was put on 30mg predesolone {instead of Methyl)+100mg Azron which is now tapered to 15mg Predesolone+100Azron. I am not getting any lesions now for about 2 weeks and my Dr is suggesting to taper it to 10 mg which I am doing from tomorrow. He is also suggesting 2 infusions of Retumbix 0.5g each over a gap 15 days each & thereafter 1 more infusion of IVIG ne month thereafter. Now I request you to please suggest the best course of treatment. I am 60 yrs old male with 5 -2 height & 72 kg body weight, with hypothyroidism. With regards skk | Dear SKK, it's really a pressure upon you to gulp so much of medicine, which I would not like my patients to continue for such long, lifetime. You can't stop it either. I would rather suggest my own such patients to get support of pure herbals to gain some resistance against disease. To start with Turmeric, Holy basil leaves, Manisha, Need powder, Malawi and Duchy alone would help you a lot. But may be it's slower in action. But what did you gain after getting so many fastest acting medicine. Even if you have to take slow medicine for life, what's the harm when there's no side effect, no interaction with Chat Doctor. But you will find in few weeks what benefits you will gain in few months ahead. If you are in India, you get all the herbs at some Pan sari shop i.e. herbal grocery shop. Get all these - clean, grind and mix in equal ratio. Take with pure honey if not diabetic. Otherwise, with water. We may also help you in getting these if you so desire. Globally you may get capsules of much cos containing extracts or powder of these herbs. I prefer Himalayas pure herbs' series. For any other query, pl write direct question. I want that you must start taking support of these herbs. In few weeks you will start realizing the benefits. These all will not only detoxification, cure but also raise your immunity. |
I had a broken knee cap in 1999 that healed completely. Have had complete use if it. Now I am starting to get pain (Level 7-8) on one side o that knee. If I garden for example within 3 hours I am sorry. Or some days I just get shooting pains in that right knee. Have had 3 steriod injections, with little relief | Dear patient What is your age ? It seems you are past middle age since three steroid injections already are given most probably for osteoarthritis of the knee. You ate having symptoms of osteoarthritis of knee and this needs to be investigated. I would advise X-ray of involved knee anteroposterior(standing) and lateral views and skyline view of patella. This will help in confirming diagnosis. If X-ray report is showing arthritis you need to consult expert orthopedic surgeon with report. Meanwhile, avoid squatting and cross-legged position. Take tab diclofenac 50\u00a0mg SOS for pain relief. All the best. |
Sir, I am 25 years old. When I pull the skin of my penis it pains. Actually in the lower part, a small part of skin of penis is attached with anus. May I know is it natural or not and is any surgery is required. May I know the name of the disease and which department of health care I will show my problem. | HelloThanks for your query, based on the facts that you have posted it appears that you have pain while retracting your foreskin over glans and have noticed a tag of skin (Adhesion) attached to glans. Please consult qualified Urologist for clinical examination to confirm the diagnosis. He may do excision of band (Frenuloplasty) under local anesthesia. This will solve your problem permanently. Chat Doctor. |
hello, A 50 yr. old patient reported to the dental clinic with tingling sensation over the right cheek region for 2 months. No h/o trauma, dizziness , severe headache, paraesthesia, running nose , URTI, blurring of vision. No sign of inflammation, no tenderness over maxillary sinus region. NO intraoral pathology detected which could explain the symptom. please kindly give your opinion on the probable causes of the symptoms with treatment plan. | Hello according to the dental history pf patient it seems that patients nerves are affected.I would like to know about patients oral habits like smoking or tobacco chewing because ingredients present in it irritates the mucosacausing tingling sensation.I would advise to give European forte for relief and refer to neurologist. In case of smoking or any hazardous oral habits kindlydont continue. Avoid rubbing your cheeks.maintain oral hygiene. Rinse mouth with warm saline water twice daily. Regards Chat Doctor. |
I had an abscessed tooth, and must wait at least another 10 days to get it extracted. I was on 7 days of antibiotics, the last one being today but I ve noticed tenderness where the initial lump was. Is this cause for concern, or just the continued healing process? | Hi, If you have an abscessed tooth then taking antibiotics for 7 days is sufficient and after this you can proceed for extraction under antibiotic cover for another 3-5 days. If there is severe infection with a lot of pus and swelling then you can complete 10 days of antibiotics and go for extraction and even after extraction you need antibiotics for another one week or a minimum of 5 days. The tenderness of lump is due to infection only and not a part of healing. So it is advisable to get checked by your dentist and if now it is fine you get the tooth removed. Also, you can do warm saline gargles and antiseptic mouthwash gargles. Apply Lidocaine gel over the lump to reduce soreness and pain. Take anti-inflammatory painkiller like Advil along with antibiotics. Hope I have answered your query. Let me know if I can assist you further. |
My 16 yr old son originally presented with painful urination, after urine tests, swab cultures, CT scans. The only thing found is an enlarged liver and elevated liver enzymes. Help I dont know what to do, he is still in extreme pain during urination | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. He should see hepatologist first. This may be infective disease such as viral hepatitis or reinfection, but also some other liver issues should be considered such as Gilbert disease or gallbladder stones. Also, metabolic a dhormonal imbalance may lead to formation of kidneys and gallbladder stones. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. |
I have been seeing black fluffy like specks in my semen, I thought it probably was just blood, but it has been showing up for months, I am virgin and i do not have any STD, i am pretty worried about this, what do i have?also, I have back pain, it gets pretty bad after i masturbate, maybe I could have an infection? | Hello appreciate your concern. Looking at your description, you might have got infection of urogenital tract, may be due to poor hygiene during masturbation. In my opinion you should go for urine test for microscopy and culture. According to reports, you may require a course of antibiotics under medical supervision.Meanwhile, take plenty of fluids 3 to 5 liters per day either plain water or fruit juices, which will help by flushing off the urogenital tract. Maintain good hygiene. Hope I could answer your question, please feel free to ask for further clarification. Best wishes |
ok, ive been having alot of lower stomach pains in the center area. 6days ago i had sex and it hurt so bad i couldnt move from a fetel postion for about an hour. now im 5 days late on my period and still have stomach pain. should i be worrying myself about anything? | Welcome to Chat Doctor. 1. The history and symptoms suggest most possible cause of pregnancy need to be ruled out in the first place. Get a urine pregnancy test done to confirm the possibility.2. The pain you have experienced during the intercourse could be the muscular and skeletal strain - A muscle relaxant cream will be helpful in these cases.3. In this case for both the stomach pain and delayed periods - an ultrasound examination will be confirmation.4. Ultrasound will evaluate the possible cause like gallbladder pathology, biliary, kidneys, partially bowel abnormalities and Presence / absence of pregnancy.5.Meanwhile get UPT - urine pregnancy test done, if symptoms persists gets an appointment, needful investigation and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http |
hi there i got stung by a weaver fish last year on the hand and had a anthlatic reaction and ever since ive never been 100% right, and ive been getting alot of heart palpitations alot over the last yr which are getting worst, and this last 6 days ive been getting headaches and heart palpitaions and shortness of breath and neck ache and a sharp pain wat lasts a second or tw then goes n then cums bk on the left side near the arm pit | Hello, I understand your concern and would explain that your symptoms do not seem to be related to the heart. Anxiety may mimic this clinical situation. Anyway, before coming to this conclusion, I would recommend consulting with your attending physician for a careful physical exam, an ambulatory 24-48 hours ECG monitoring in order to exclude possible cardiac arrhythmia and some blood lab tests (complete blood count, PCR, ESR for inflammation, thyroid hormone levels for thyroid gland dysfunction, etc.). You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. |
i need to know whether i may be pregnant or just have a stomach bug. see, my husband and i had unprotected sex only 4 days ago. i wasn t at all great, in fact it only lasted 2 minutes. anway, like a day or so later, i felt more happy and alive than i ve ever felt in my life. i just felt so calm and at peace. weird. then yesterday, i had a slight problem of keeping everything in. i can keep it all down just not in. i also felt realy tired during the middle of my shift at work. oh and on the secon day i had nasty leg pain. and now today, i have a big problem keeping everything in and i woke up with a mild sore throat and a headache . i called in from work because i don t want to go to the bathroom every 5 minutes. i know pregnancy doesn t typically happen overnight and that they typically don t show flu-like symptoms but i ve read that they can and i know that not everyone is the same and no two pregnancies are alike. and i d rather have this diarrhea than be throwing up every 5 minutes. still, what do you think? bug or pregnancy? also need to know when i should test because i have irregular periods and my last one was right at the end of september, if that helps. | Hello, Early pregnancy can show symptoms like tiredness, sleepiness, headaches, nausea and excessive urination and a raised temperature. You are perhaps having an infection. If your periods are irregular and not in the 28-35 day zone, then it is difficult to predict your ovulation time. You can nevertheless test with a HPT and with the result, you may consult a gynecologist for further management. Good luck. |
During MMA practice I landed hard on the lower left side of my back. 6 hours later I was doing a cardio workout and felt pain deep inside on that lower left area of my back. Nothing horrible but it did interfere with my workout. Could this be my kidney? | Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern.It's unlikely to be due to, injury to the kidney. The kidney is well protected by the rib cage. However after an examination by a doctor, you should get a scan done. Get an ultrasound or CT scan of the abdomen. This will give an accurate idea, of the cause of pain. If you've any doubt, send the report, as a direct question. Chat Doctor. Manga. |
I am nauseous when hungry, stomach pains when I eat anything. I have type 2 diabetes, high blood pressure. I also have low b12 (I am on my 3rd shot) tired a lot of the time. Also I have a elevated white blood count. I have lost 23 lbs in 3 months. I am scheduled for colonoscopy in 3 weeks but could use some relief now or at least a idea of what might be wrong. | Welcome to Chat Doctor. If you are having long-standing diabetes like more than 10 years you are prone to get more side effects. Given significant weight loss. You must get checked for Gastroparesis where your stomach will not move properly leading to nausea. This occurs from the neuropathy from diabetes. You should strictly control your sugars to stop the progression of Gastroparesis and neuropathy. |
I am 68 years old retired person and had by-pass heart surgery two years back. I am on dose of daily pills after my surgery and had been advised to minimize the water intake by 1.5 litres a day and drink only when thirsty. Since last 2 weeks I have following problems | Hi welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of heart failure secondary to ischemic changes in the heart leading to heart failure. I advise you to get an ECG,2 D Echo, lipid profile, hsCRP immediately to confirm the diagnosis. Chat Doctor. Coronary angiogram with or without stenting will be the procedure of choice. Consult your cardiologist for expert management. Hope I have answered your query at the moment, Post your further queries if any, Thank you. |
Hello Doctor, I am suffering from allergy & as per the our family doctor advice I have started consuming Levosiz 10 1 tablet in a day since last one year and feeling comfortable now. Please let me know, how harmful to an individual health when he consinuously consumes Levosiz 10 & what pre-cautions should be taken to over come from any side effects. | Hi Venues. DEPOSIT is a 2nd generation Antihistamines which block the action of HISTAMINE(cause of allergy). So it is helpful in allergic reaction. Side effects are very few and only occurs in continuous long term use. These may be-1.light headedness2.nausea (feeling like omitting)3.sedation (increase sleep)4. Chat Doctor. Loose motions you can take it but try to take as less than possible. Best of luck. |
Hello,I have had pain in the center of stomach - right below sternum/rib cage. Ate 1/2 of a sandwich and an hour later got very nauseated, pain and very bad gas which all lasted 3 days. This previously happened a month ago also with me - the same symptoms but I threw up 3 times in one day last time. What do you think it is. Its been 7 days now and still have the pain under rib cage. Thank You. | Hi, Thanks for posting your query. Do you have acidic belching/ retrosternal burning pain/ difficulty in swallowing? Do you have constipation/ watery diarrhea and spasmodic abdominal pain? With the available described details, there appears to be possibility of gastritis. Presence of pain in defined region suggests the diagnosis. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, serum amylase, liver function test, renal function test, ultrasound imaging and endoscopy for better clarification. You should also go for chest x-ray. You should also go for urea breathe test for H. Pylori. Treatment depends on exact diagnosis. Meanwhile, you should take proton pump inhibitors along with probiotics and antispasmodics. Take care, |
my age is 70 hgt 5 6 weight 63 kgs undergone complete thyroid removal operation due to cancer.taking eltroxin 100 mg 2 tab early morning before food. frequent body cram and catch. calcium 500 mg 2 a day at present I am taking. calcium level is 7 only. please advise | Hello, Your calcium level is 7. In best of my knowledge calcium should be between 9-11 mg percent. So your calcium levels are very low. Low calcium, magnesium & low blood sugar may lead to cramps in arms and legs. You should do following to correct your level of calcium |
Im 24 years old and i have sexual feelings against my mom love to watch it dressing , love to touch parts of her body and when she in the bathroom she let the door little bit open and when she finish pee she up her panties out of bathroom i used to spy on her and sometimes i want fuck herafter i watch her and touching i go to bathroom and masturbate when i finish i fell shame that i have this feelings against my momi dont know what to do and her in my country we dont have sex until we married , plz help me | Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. These are just obsessive negative thoughts. We all know, we cannot behave in the given way with our mother. You are having sexual urge even when you have nothing to do with your mother. The more you try to escape from the situation, the more obsessed you will be. Therefore, the best method is to ignore this. Promise your self that you will not fancies with your mother and ignore the urges. Keep yourself busy. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. |
I recently went to the ER without insurance and was found to have had gastritis and symptoms of anxiety . I ve since received a letter in the mail indicating that I need a follow up due to lab work demonstrating elevated liver enzymes and calcium . There were red cells found in the urinalysis . My question is, what do you recommend I do to have these tests done and what possible problems might I be facing given these test results? I don t want to ignore my health but the bill I have from that ER visit is nearly $5,000 and I haven t a penny to spare. Thank you | Hello, Thanks for the query to Chat Doctor. Forum. If the level of serum A S T (S G O T) & A L T (S G P T) very high, i.e. > 50 I U then it is a cause of concern. If level is still very high get in ultrasound of liver for any evaluation of diagnosis. If urine contains 2-5 red cells in H P F, need not worry at all. If full field with blood or red cells then get in ultrasound of kidney and ureter. Now question is what to do? In my opinion wait & watch, if you feel any discomfort then consult a doctor. Good luck. |
Hi Dr Samuel, I have been trying for second child for over 2 years now, I have been going to fertility clinic and have been taking clomid (1x 50mg for five days in my cycle). I did a blood test today and an ultrasound and the ultrasound has said that i have 4 follicles and one of them my doctor thinks its a cyst because it was bigger than the other three. She has advised me not to have intercourse because in case all the other follicles ovulate. what do i do? we really want another child or 2... Is she advising me not to have intercourse because of the chance of having multiple births? Your response would def put my mind at ease. Thank you in advance Carla | Dear user, welcome to Chat Doctor. Multiple pregnancy is an adverse effect of ovulation induction, but this doesn't mean stopping treatment. Of course, you should have intercourse with your husband if the follicles reached mature size (after taking the Chat Doctor trigger). Don't worry about the cyst as it is a functional cyst and will resolve spontaneously. If six months of ovulation induction have passed, do not repeat the same step. You will need to reevaluate your tubal patency, and you husbands semen parameters, and manage accordingly. I wish you good luck and getting pregnant soon. |
im latha n 25 years old. n i hav regular periods. im trying 2 conceiving .doctor advisd me take 3 tablets of siphene 50mg for five days from the 5th day of my period. but i missed one day n continued on d next day. is it cause any problem? im so afraiding.plz advice.........? | Hi, it is okay. Just track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for next 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. |
Hi, may I answer your health queries right now ? Please type your query Hi I have been diagnosed with a urine infection that went to my kidneys. I suffered excruciating back pain and it continues after being on antibiotics for 4 days. I also started to get calf cramps that have persisted all day. Is this normal? | Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You are having pyelonephritis kidney infection as per mentioned history. If oral antibiotic is not working than intravenous antibiotic can be prescribed for 5 days. Kindly mention your USG abdomen and urine reports to guide you further. I suggest you to investigate with urine culture report to guide you further. You can Consult urologist for examination. Hope I have answered your question. Let me know if I can assist you further. |
Had a nuclear stress test October 2010 which was normal. Cardiologist said he considered me in a low risk category at that time. Was given this test because I was having PVCs. Had annual physical today and doctor said EKG was abnormal - and mentioned non-specific. He said he would fax EKG to the cardiologist to review. I have good cholesterol | I understand it is somewhat scary. But modern medicine has many treatment modalities for cardiac diseases. So do not worry much. Anxiety, you are feeling can be due to two reasons. If your anxiety started after you came to know your cardiac problem, it is secondary. If it is before that it is primary. You didn't mention your anxiety in detail otherwise I can tell you more.However, any anxiety can be managed easily with low dose short-acting benzodiazepines medicines as well a with SSRI without any cardiac side effects. Just ask your doctor about that. |
my wife at beef at McDonalds and woke up with a horrible rash, jpont stiffness and some joint weakness in her left hand. Her PCP{ said it is a food allergic reaction. My concern is e-coli. But she does not have abdominal pain or diahrea. He put her on a dose medrol pack. Should she be tested for e-coli? | Hi I did review your concern. Ecoli infection would ideally not cause any joint problems unless it is disseminated. I would consider something else like autoimmune condition like lupus or other infection like streptococcus.I would recommend you to consult a doctor and get the rash evaluated and get routine blood and urine test done to see if there is anything wrong in the tests. Rash will help us direct the cause and appropriate treatment hope this helps thank you for choosing Chat Doctor .wish you all the best |
For a few months I have been waking a couple of times during the night at least with hand numbness. Sometimes it is one hand, sometimes it is both. I sleep primarily on my back. When I wake up with one numb hand and turn to the opposite side, the numbness goes away. I was thinking it could be nerve compression behind my should blades. I am 44 year old professional female and I do a lot of typing during the work day. My only health problem is hyperlipidemia and that is well controlled with Zocor 20 mg. I am 5 3 1/2 tall and weigh 126 pounds. | Hi, Sensory supply of hand is by 7th and 8th cervical nerve, most commonly because of compression. Compression may be at root level, trunk level or nerve level. Since in the present case symptoms are bilateral and are present in the whole of the hand, most probably compression is at the root level. An MRI and nerve conduction studies would be required for final diagnosis. Hope I have answered your question. Let me know if I can assist you further. |
Hi, I am 30 yrs old female. Last year I got married. Since then we were planning to have a baby. Never used any contraceptions. Both got tested and found normal and also we had one round of councelling on positions etc. Now Doctor has suggested Plancentrex inj. (IM) 2mL on alternate days to me for inproving the thickness of endometrium and egg size. Can I get conceived now? | Hi, Placentrex is an extract of human placenta used for tissue regeneration and repair. Its use is restricted to the genuine cases as it is a human derivative with the risk of serious anaphylactic reactions. Endometrial thickness can also be improved by using hormones. Good endometrial thickness is necessary for proper conception, but conception can occur only if there is proper ovulation and timely fertilization without any male in Chat Doctor. Since your reports are normal, you can expect to get pregnant any time now. Good luck. |
am suffering from breathing problem from many years like wheezing not able to breath properly need help please help me am not so rich to pay a high amount n get treated if somebody knows any medicine plz do let me no thank you in advance am vinesh | Hi, firstly you should be investigated and diagnosis should be made. There may be simple cause and with routine medicine you may be cured. Routine blood checking,x-ray chest mostly will give you clue about your problem. Some time eosinophilic may produce this type of picture, then a course of simple medicine like DI ethyl carbemazine can your problem. Yes if there is some obstruction in respiratory tract, then it may be costly affairs. |
I have 3 hard bumps behind my front lower teeth, if I lay my tongue flat on the bottom of my mouth its touching the end of my tongue, one is bigger and theres two smaller ones. I have another smaller one at the left side below my teeth thats also hard, they all can move around and it slightly hurts when I do, please help | Hello, As you are mentioning that there are 3 bumps behind your front lower teeth, there can be three possibilities-first it can be possible that these are normal salivary gland opening which is present there, and you have noticed it now. -second it can be possible that your front teeth are infected and now the infection is spreading in the apical region and forming pus because of which there is swelling. -third possibility is that there must be some salivary gland infection which has appeared like this.In my opinion you should visit a good dentist and get it examined completely with an x-ray which will give you the diagnosis and help to solve the problem. Hope it will help you. |
HI,THANKS FOR BEING SO KIND. I HAVE SORT OF THICK FLESH OR LUMP SORT INSIDE MY LEFT TESTICLE. IT ONLY PAIN WHEN I SQUEEZE IT. ALSO THERE IS LONG VEING WHICH I FEEL LIKE A HARDEND THREADWHAT CAN BE DONE. I DONT KNOW THE CAUSE. ITS THERE FOR THE PAST SAY 4 TO 5 YEARS PLUS | Welcome to Chat Doctor. 1. The history suggest possible cause could be mass lesion on the first place.2. Followed by infections / inflammations - which can be treated by antibiotic treatment.3. If you are my patient I would have asked for an ultrasound scrotum to evaluate the lesion / mass.4. Ultrasound will help in assessing the nature of lesion, its source and extensions. At the same time the venous pathology what you feel also can be evaluated.5. Depending on finding treatment will be, if necessary FNAC - fine needle aspiration cytology to assess the cells involved. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. |
About 6wks ago I injured my right shin with a hard bump on a grocery cart. All this time there is severe pain, redness and soreness to the area and about 3 inches above and below the initial site. There has not been the usual black, blue, and discoloration that follows a bruise and my doctor wants to performa an ultra sound. It hurts to the touch and is painful when doing nothing at all. Having a sock cover the area causes discomfort and I feel my doctor is not doing enough to remedy the situation. | Hi, I have studied your cafetiere can be tibial bony contusion. As x-ray may be essential to rule out fracture, so I will advise consulting doctor. As hematoma is there, you need to take rest and use splint or compressive cr\u00eape bandage to reduce swelling. Watch for increase in redness, infection. Take precaution to avoid infection around hematoma. Do not use hot fomentation or massage you can do ice fomentation. If required you may need to do blood investigation for prognosis and recovery. 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. |
Can using a knee brace that is too tight on my left knee which I had a meniscus repair on two months ago cause swelling on my left ankle I put it on tight and bowled 5 games there is no pain but definitely edema of. The right side of the ankle and slight swelling above the ankle. | His there, Yes the knee brace that you are using might be too tight that is causing this pressure symptoms at ankle as swelling which is due to disturbance in circulation. Kindly get another brace with one size bigger. And you need to remove the brace at nighttime As you underwent meniscal repair i advice you to take rest and avoid sports and serious activity. Hope this will solve your problem. Thank you. |
Hi, Ive recently completed a online self assessment for ADHD and the results indicate that it might be a problem. Im considering going to a walk in clinic with these results to get a prescription of Adderall as I have taken it in the past and found it beneficial in the short term while I get my life back on track. I have no family doctor in this city because of my move to this city. | Degree understand your concerns went through your details. Attention deficit hyperactivity disorder is a developmental neuropsychiatric disorder in which there are significant problems with executive functions (e.g., attentional control and inhibitory control) that cause attention deficits, hyperactivity, or impulsiveness which is not appropriate for a persons age. Once you start relying on online assessments, you will find you are affected. You should consult a psychiatrist for differential diagnosis because most of the psychiatric symptoms overlap with many types of mental disorders. If you require more of my help in this aspect, please use this URL. http |
i have long sufferd from bad pain where my head and neck meet up in back, like being stabbed in base of head and neck feels crushed and breaking, lately eyes are sunken and hurt too. could i have chiari malformation? or is this something less scarey than that that i can fix? pain kilers dont help at all | Hi, In my opinion that could be cervical disc herniation due to a Chiara malformations which is very rare, while cysts, ganglia, aging, over lifting heavy objects, vigorous movements are more common. For my patients I recommend x-rays, MRI for proper diagnosis and evaluation but for now some hot massages with topical muscle relaxants, physiotherapy and yoga and some bed rest will be fine. Please consider positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. |
I was hit with extreme ferocity almost 7 years ago and was knocked to the cement floor. I injured L3-S1. I have rods in back at L5-S1; however I had laminectomy w/o fusion from L3-L5. My mid back hurts terribly. I was diagnosed with a chest wall contusion and now have scare in my lungs.My midspine vertebrae are now moving closer to my front. I was told my spinal cord is ok. The pain is becoming excruciating. What can be done? | Hi, Thank you for providing the brief history of you. As you mentioned you had an injury 7 years ago and for which you underwent a surgery. Now, since you have a pain in your mid back region, I will suggest you to take some ultrasound therapy via the physical therapist. Also, you need to do regular breathing exercises, As breathing exercise is not only going to move the rib cage but also the thoracic vertebrae as well. As your spinal is ok, may be your physician must have told you this, we need to look for the exercise rehabilitation which can help ease the pain. As you should know that the thoracic vertebrae which is your mid back region, these vertebrae do not have many movements except for a few degrees of movement. You must be having a para spinal muscle spasm which can be helped with ultrasound therapy, Physical therapist will perform this. Post that a rehabilitation plan to be implemented in two formats1. Short term goals2. Long term goals. Short term goals, Reduce the pain improve respiration increase strength in upper and lower limbs Long term goalsFocus on core stabilityImprove shoulder girdle musclesStrengthen the spinal muscles the long term goals, You need to keep practicing this exercises as you should always safeguard your spine. Due to the injury of the past, The physics of the load bearing spine has been modified. So a proper care is always a good way to good health hope to see you cheerful soonRegardsJay In Chat Doctor. |
Hi I had my appendix removed via keyhole surgery 3 weeks ago everything went well and I was able to go home the following morning was on pain relief for jus over a week I went back to work a week later too. But the past 5 days I have had seriously bad pains in the left hand side of my tummy just by my belly button. It very hard to sit stand walk and bend. Is this normal | Hi and welcome to Chat Doctor. It is hard to say is it normal. Any pain is abnormal, but it is questionable is it caused by intra-abdominal inflammation or abdominal wall disorder. Usual intra-abdominal cause can be gallbladder stones, diverticulitis, ureteral stones, or pelvic organs' infection if you are female. I suggest to do basic blood work and ultrasounds first and then CT scan if pain persist. ALso, if you are older than 50 you should do colonoscopy. Wish you good health. |
hello? hey, i accidentally slid my gum down a wood and the wood slid up from the front of my teeth up to my gum towards the superior labial frenulum. Now, there s a hold in the middle of the superior labial frenulum. Will that cause any medical trouble? I m more concerned with a potential of infection from accumulation of bacteria might occur. | Hello and welcome to Chat Doctor This kind of injury with a foreign object requires prompt treatment to prevent infection. You need to consult a surgeon for clinical examination of the wound. If it is an open wound primary closure under local anesthesia is needed to be followed by course of antibiotics and analgesics. Since the wound is in the oral mucosa, it will heal up fast. So don't delay in visiting the surgeon. Thanks and take care Chat Doctor. |
I m a healthy 35 years old woman, Christmas Eve I fell on my rib (under my right breast) and heard a pop. Next day i was fine, no pain, nothing but 2 day later i woke up with a stabbing pain at this same spot and still have it . I feel relieve when i sleep on that side, it seems to relieve my pain. But if i touch a single point it hurts like crazy. What could it be? I have no bruise, i don t see any bump and it feels all in place when i touch. | His would suggest you to take an x-ray chest to rule out any rib fractures. Broken rib can be present even without a bruise or swelling. Painkillers should be taken to reduce the discomfort. You can also apply an ice pack to the area to reduce pain and decrease swelling. Just make sure you wrap it in a thin towel first. Hope that was helpful. Let me know if I can assist you further. Regards Chat Doctor. |
i am having a hard time breathing, I have insufficient air in my lungs when I breathe and must gasp for air. I yawn too much. I am a semi-professional marathon runner and do not understand this problem that started 1 month ago. Is there anything I can do? | Hi welcome to Chat Doctor... You have air hunger problem.... First if you have stress full situation than it can occur.... So avoid taking stress..... Then after asthma or any other obstructive lung disease has to be rule out. Pulmonary function test by spirometry will be useful for it.... If needed chest x-ray done .... Just check your blood pressure .... If No cause found then cardiac cause like heart failure ruled out by ECHO (although chances very less).... Take care ... Consult pulmonologist for it. . |
For the past 3 days ive been experiencing sharp stabbing sensations in my right side of my abdomin and also for about a week ive been getting fluttering sensatiins too in my middle of my abdomin ... tonight the pain was a bit more painful but once calmed down after about a minuet i started to get sharp pain in my right hip and leg .... are all these linked or is it all in my head? | HelloSign this type of pain, you are feeling may be due to these possibilities, these include.1 Renal calculus, as this is the most common cause of such pain. Get in ultrasound of urinary tract system.2 Urine infection is the another most common cause. Diagnosis can be confirmed by urine culture examination.3 Chronic appendicitis is another such cause. Ultrasound of abdomen is an important examination in this case. However, there are so many reasons of such pain as, ovarian cyst (if you are a female patient or salpingitis) , amoebic colitis or intestinal infection. I recommend you please consult a physician and get his opinion because first physical examination is important to locate the site of pain as this pain is also radiating toward lower side as in hip and leg, so may be a pain bone related. Good luck. |
Hi. I have got urticaria from last one year and its not going away. I am taking levocitrazine every 48 hrs to remain symptom free. The itchings starts from head and than back arms hands and eventually whole body. I couldnt find any aggravating or reliving factors. I also have dust mite allergy and mellburry plant allergy it causes sneezing and water from nose. Kindly help me with my urticaria. | YOUR ALLERGY IS INVOLVING SKIN URTICARIA IS ALSO ALLERGYTAKIN NONALLERGIC AFTER 48 HRS IS NOT SOLUTION CAN CONSULT ALLERGY SPECIALIST DOCTOR WHO CAN DIAGNOSE THE CAUSE OF ALLERGY FOR FOODS GO FOR ELIMINATION AND FOR POLLEN GO FOR IMMUNOTHERAPY THIS WILL COVER BOTH ALLERGIES URTICARIA AND SNEEZINGTILL YOU CAN USE THAT ANTIALLERGICTAKE NON-OILY NON GREEDY NON-SPICY WOODLOT OF WARM WATERFORD MEDICINES LIKE PARACETAMOL IBUPROFEN CALCIUM VITAMIN IRON DIET SUPPLEMENTS AND MULTIVITAMINS NON TOXIC SOAPS SHAMPOO OILS CREAMS OINTMENTS AND BODY APPLICATION MATERIALS LIKE LENA DYES ETC |
I have general gum recession on my bottom teeth and slight recession on my upper canines. Im thinking about getting gum grafts to cover the exposed root surfaces. But as Im currently wearing braces, Im not sure what I should do. Should I wait until the orthodontic treatment is over and then get gum grafts? Or is during the orthodontic treatment fine? | Dear friend. Thanks for sharing your concern. As you are wearing orthodontic braces for teeth alignment, your teeth will take new position due to it root movements.Therefore, it is best to go for gum grafts only after that. Also remember mild recession can itself get corrected after orthodontic braces removal. It is only in severe recession cases you need to get your gums covered with tissues through grafts. That will reduce your teeth sensitivity as well as enhance esthetically. Meanwhile, it is advised to get your teeth cleaned once, upon consulting your orthodontist, because deposition of calculus and stains also leads to gum recession. Maintain very good oral hygiene, and you can use antiseptic mouth rinses too. Hope it helps. Thanks. Take care. |
My TSH is 7.35, FT4 is 1.2, FT3 is 211. I dont want to go on higher dose of synthroid 88mcg presently. It was raised from last year 75mcg none of my symptoms disappeared when it was raised. I tried cytomel cant take it. I suspect it is my adrenals. Any other ideas. Thanks | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Reduced thyroid hormone levels is causing elevated TSH due to positive feedback. 2. If thyroid hormone levels are normal with thyroxine therapy, the TSH level will come back to normal.3. If the TSH level is normal, all your symptoms will disappear. There is nothing wrong with increasing thyroxine levels, as it supports your overall body function.4. A Chat Doctor. |
HELLO DOCTORAM HEPATITIS B PATIENTMY REPORTS AREHBSAG----> POSITIVEHBEAG---->NEGATIVEANTI HBE----> POSITIVELFT----> NORMALHBV DNA ----> NEGATIVE(,6 IU/ML)PLEASE HELP METHERE IS ANY POSSIBILITY TO BECOME HBSAG NEGATIVEANY MEDICINS ARE THERE FOR MY PROBLEM | Hi thanks for asking question.... Let me know you since how long you have this hepatitis bag positive ???? You have formed protective antibody...HBO DNA and Head negative so not in replication stage... So mostly with time you might be negative and get complete cure If immunity present.Meanwhile, take Ad\u00edlio tablet ...150 mg daily. Fruits more.... Take rest.... Chat Doctor. ... If itchy less present Ben |
i am 28 weeks pregnant with my 2nd child. with my first child i developed severe preclampsea. i had a dip stick urine done on me yesterday because i was having some problems, it showed i had high amount of trace protein. then they tested me at the lab and my protein was negative but i had crystals and very high bacteria. could you tell me what is going on, they didnt do the 24 hr urine, but why would they show different | Hello misunderstand your concern. Presence of bacteria and crystal suggests urinary tract infections/cystitis/Glomerulonephritis. Pregnancy is a risk factor to develop UTI as change in urinary tract in pregnancy and uterus compress the bladder lead to incomplete voiding of urine lead to more chance of UTI. Yes UTI may cause low birth weight baby and pre term labor. So contact your doctor and take treatment, and do not stop treatment without consult the doctorAdvice for you Chat Doctor. Wear pure cotton loose inner caretaker shower rather than bathRepeat the urine test and culture after 14 days or after completion of treatment to know eradication of infection. Hope this may help you Best regards |
i would like ask some personal question...i got married before 5 months .but i cant conceive...what is the best time to get conceive ? ...i have less lubrication during sex is there any possibilities to increase that | Hi well come to Chat Doctor. TO CONCEIVE the best time to do intercourse is between. 12 to 15th day from first day of your last period.IIT is the time when ovulation Oscars usually. You may record your Body temp during those days usually body temperature is on higher side on day of ovulation. To increase lubrication better not to use anything from outside do some foreplay before doing intercourse which will add to your excitation will give you better secretion. Thanks |
I am 49 years old. I am having dull pains on the left side of my chest just below my collar bone. I have not experienced any shortness of breath, although I have gotten light-headed and faint before. I went to the ER with Chest pains a little over a month ago and the Stress test, EKG, and Echo all came back ok. They thought it may have been stress related. I was a pack a day smoker but have quit. I had no symptoms for about a month after going to the hospital but now they seem to be more persistent. My blood pressure has been normal when I check it. Wondering if I should go back to the Cardiologists to have more test done? I think the reasons for the original anxiety I was under are mostly gone now. Any suggestions? | Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems non-specific muscular pain manifested with underlying anxiety regarding cardiac issue.* Suggestions for better outcome.- No need to consult cardiologist for further tests as EKG, stress test, echo are normal.- Lifestyle modifications are of vital part of your recovery * Regular walking, deep breathing exercises, YOGA * Soft, light diet with avoiding more oils, spices, beverages. * No smoking or alcohol of any form. * Avoid stress, anxiety with meditations sessions. * Regular sound sleep of 8 hrs. * Check to get normal smooth bowel movements. * Avoid weight lifting of any type for sometimes. Hope this clears your query. Welcome for any further doubts. Regards. |
Hello. I am a 42 year old healthy male with no increased risk behaviors for cancer . I have trace hematuria (no stones...confirmed). It could be nothing I suppose, but I have a herniated L4 L5. Could this possibly cause this? Stiffness and pain experienced with the disk, as well as some flank pain and trouble (pain) flexing abs...particularly in the AM | Hello, Thanks for posting this question in ChatDoctorLet me clarify your problems in detail as follows |
Age | Hi, dairy have gone through your question. I can understand your concern. It may be due to kidney infection or hormonal imbalances. You should go for urine routine and microscopic examination. It will give you exact diagnosis whether you have kidney infection or not. Then take treatment accordingly. You may need oral contraceptive pills to regulate your bleeding. So consult your gynecologist once and take treatment for that. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you very good health. |
I have a painful red veiny patch on the middle left side of my palate for about 10 days now. I dont remember really how it appeared. I vaguely remember burning my palate from that side with food, but not so sure about that either. I use corsodyl toothpaste and mouthwash, it hasnt improved really. Today, I started using igloo gel rapid relief for mouth ulcers. It just numbs the irritation by creating a filter on top, so it stops the irritation with food. When should I start getting worried about mouth cancer? Thank you... | Hello, A red vein patch present since ten days is not necessarily due to cancer. If you remember burning it, then yes, it can be due to burning with some hot foods. So, my suggestion is to consult an oral Physician and get evaluated so that it can be clinically checked. You can be advised a course of antibiotics if there is infection and along with it anti-inflammatory painkiller like Advil to reduce inflammation. Along with it, do cool water rinses or suck ice to reduce inflammation. Avoid spicy and hard foods and take soft meals. If you use mouthwash, use a dilute solution and not concentrated one. Hope I have answered your query. Let me know if I can assist you further. |
Hi. For the past couple of weeks, Ive been having bad pains in my heart and chest area. It hurts the majority of the time, and especially when I laugh. It feels like its burning, and sometimes it feels like something is popping. Im 13, female. It hurts a lot, any idea of what may be going on? Thanks! | Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain is commonly due to heart diseases but at your age of 13 years, heart diseases are very uncommon. But better to get done ECG and 2d echo first to rule out heart related diseases. If both are normal then possibility acute gastritis is more as a cause for your chest pain. Stress and anxiety are the risk factors at your age. So if you have stress and tension then avoid them, be relaxed and calm. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi my 19 year old daughter had the implanon implanted in November. By December, she was no longer the happy go lucky girl she had always been. She became doubtful, withdrawn, crying all the time, unhappy, socially withdrawn, clinging to me, sleeping a lot, generally unhappy. We had it taken out 4 weeks ago and nothing has changed. Yesterday she was diagnosed by her gp with depression and provided with a script for medication. I am asking how long it takes for the body to return to normal and if she will at all. We are sad and need some help. Thanks | Degree understand your concerns. I went through your details. I suggest you not to worry much. Implant implantation seldom creates depression. But some medicines given after the implantation as anti bionics and pain receivers could cause depression. Over and above, laziness and IDL mind after the implantation procedure coupled with inactivity could have triggered depression which is normal for any 19-year-old. But it is not clear that why she is unable to come out of that depressive state even after 4 weeks vacation. Put her into hectic schedule and keep her busy in her academics and career. Being busy should help her immensely. Also, please ignore her when she says something about her depression and other problems. Please post a direct question to me in this website. Include as many details as possible. I shall prescribe some psychotherapy techniques which should help for sure. Hope this answers your query. Available for further clarifications. Good luck. |
Have had swollen foot, started with sore middle toe. have had xray and blood test. xray found nothing brocken. bloodtest came back showing an infection. prescribed antibiotics. what causes an infection like this when the skin has not been brocken? its on the inside. | Hello, Welcome to Chat Doctor, History of sore toe and swollen foot suggests me that you are having some infection of the skin and the symptoms are suggestive of cellulitis. The cellulitis can produce symptoms like this, for these symptoms I would suggest to follow1. Oral antibiotics like Tab Augmenting, 625 mg, twice daily for 5 days.2. Maintaining the good hygiene of the toe and the foot.3. Topical Metro ointment. These medications will helps to control the symptoms and improve the condition. Thank you. |
I have no insurance and two months ago I had an upper molar abcess that had to have a drain put in and I was told I was very lucky! Now for two days I have one growing on the bottom and tonight it is a golf all size. I am dizzy, vomiting, dirrareha (sp) and y mouth and jaw bone hurts. When I go to th ER they refer me to a dentist that I cannot afford and they will not see me. Every tooth is black an rotton to the gums. Do I go back to the ER or am I going to die with these teeth? Hydrocodone is no longer working. | I will suggest you to start antibiotics containing amoxicillin and clavulanic acid, HY Chat Doctor. Also, you should know that taking medicines in case when you have tooth decay is not the solution so do visit your dentist for sure even if your problem subsides by medicines temporarily and make sure to get all your teeth which are rotten/decayed treated which may either need to be removed or filled to avoid any further such incidences. |
I was bitten by some type of spider during the night, its been just over 4 months since the bite, the first couple of months it didn t see to bad and actually looked like it was getting better , as they time went by it slowing started getting worse, now it is really red and around the bite and very painfully ,the bite it self has turned in to a sore that it looks like hole ,I also stepped on a nail in my sisters yard a couple months back and was wondering if by chance by stepping on the nail would have had anything to do with it getting worse? | Hello, Thank you for trusting ChatDoctorStepping on nails is not the likely cause for your symptoms. The spider bite could be possibly by a brown recluse spider which can cause the characteristic skin ulcer. Most cases heal by itself. However, complications like an infection of the wound can prevent healing. In such cases treatment with antibiotics and skin debridement. Please be advised to follow up with your primary care provider to confirm the diagnosis and appropriate management. Meanwhile, apply mupirocin antibiotic ointment and take Tylenol for pain. Hope this answers your questions me know if you need further clarifications Chat Doctor. |
I saw a specialist about my kidneys after my GFR came back low after routine blood work. The specialist took my off one medication saying he was sure it was bringing my GFR levels down. Today I got a summary of my visit in the mail and he diagnosed me with Stage 3 chronic kidney disease. I ve had no other tests other than blood work and no ultra sound. Can he be wrong | Hi, Thanks for writing in. Chronic kidney disease is based on the compromised filtration rate of the kidney tubules which is known as glomerular filtration rate or GFR. In stage 1 disease GFR is more than 90In stage 2 disease GFR is 60 to 89In stage 3A disease GFR is 45 - 59In stage 3B disease GFR is 30 - 44In stage 4 disease GFR is 15 to 29In stage 5 disease GFR is If you are in stage 3 then it is important to know if it is 3A or 3B and this shows moderately reduced kidney function. Your doctor will know the details and provide you required treatment. |
Hello, I woke up this morning with some slight pain in my stomach just under the belly button. I think it might be gas pain, but Im not sure what to do. This pain seems to come and go. If this is gas, what can I take to relieve the bloating and pain? | Hello dear, The symptoms as mentioned in your post is attributed to accumulation of gas secondary to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as |
hi, doctor... I m very thin boy of age 18 with height 5.8 feet and weight 45 kg. I am fit and healthy, i have not any other internal diseases bt my body is very thin. I mastuburate twice daily. Does mastuburating make body thin? Answer it and can you suggest how to be simply dat? | HelloThanks for query. You have been indulged in masturbation twice daily since long time and worried about your general health and body being lean. Masturbation is the safest and simple way of having sexual satisfaction without a female partner, and it is natural and normal for a man at the age of adolescence There is myth in a mind of common man that excessive masturbation is the reason of all sexual problems and general health. But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Chat Doctor. |
My mom is 90 years old, she has a heart valve problem (just a background). The issue currently is a quarter size purplish/blue spot on her thumb with swelling, redness and pain. It started from a tiny white bump on her skin. She did not prick her skin at all prior to the tiny white bump appearing. This is her third strange infection on her fingers in less than 6 months. | Hello Thanks for posting here. As per your description it seems that she develops clots or embolic in the small arteries of the hand which leads to obstruction in blood supply and hence pain, swelling and redness. Sometimes vegetation (bacterial growths on valves) can lead to embolism or throwing away of clots from the heart to distant vessels, in this case arteries of her hand. Please do a 2 D echo to rule out these vegetation son the valves. Another important cause may be atherosclerosis of the hand arteries due to old age. Atherosclerosis causes the arteries to thin out leading to deficiency of blood supply and the above symptoms. In that case an upper limb Doppler is advice but since it involves only the thumb or finger it is unlikely to be picked up by a Doppler scan. I advise you to do a 2 D echo and start her on blood thinners like Esprit 75-150 mg. She should do well on that. If 2d echo does not show any vegetation, you can start her on tablet Rental 400 mg twice a day, which is a medication that increases the microcirculation. Wishing her good healthRegards |
Hi.My brother is suffering in Gastroenterology/ liver cirrhosis and doctors of bangladesh says 60% of his lever already damaged. Now we have decided to go to CMC. Plase provide us an email address where we can send our investigation report for your advice. | Hi I can understand your concern. Noted you have severe cirrhosis. Ultimate treatment for it is liver transplantation. So for that mostly you are going to CMC.Meanwhile, I can give you some advice for improving life. Take fruits more with green leafy vegetables. Avoid alcohol and smoking. Trans fat like cheese, burger, butter, meat, junk foods avoided. Refined food not taken. Give him very less oily meal ... Use very much less oil while cooking. If possible mild exercise done. Papaiya seed powder with lemon juice can be taken... If portal hypertension present beta blocker can be started. For ascites diuretic can be given. Wish him good health.... Take care... Chat Doctor. |
Hi, my daughter is 5 years old. She had a stomach ache last night and thought it was just something she had eaten that didn t sit well. After close to 2 hours on sitting on the toilet, I noticed her stool as wet, sandy and salt&pepper in color. She had eaten eggs, bacon and rice in the morning. Hot dog in the afternoon and a bite of McDonald McRib in the evening, not much of any appetite. Can please provide me any information as to what may cause her stool to be what I have just described? Thank you Allenn | Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
Hi, Dr. Samuel, I am Md. Zarif from Bangladesh. The problem of my wife her ovaries are not perfect size for concept. Todays size 10 x 12 cm, 9 x 10 cm etc. because before 6 days we use the injection of Menugon. Because our Doctor said Menugon increased the size of ovaries & the perfect size of concept 19 x 19, 20 x + . So what can we do now? | Hi welcome to Chat Doctor. I have gone through your question. Ovary size not matter with fertility, but follicle size concern with fertility. Ideally 19/20 mm size follicle should be there to rupture and to get fertilization. So I would advise taking follicular stimulating medicines like camphene from 3rd day for 5 days after consulting gynecologist, and should be followed with follicular scan. Hope I answered your question. Would be happy to help you further. Take care. |
For the past three months, it has been very hard to walk. I am only 38 years old. I have had two spinal fusions in 2005 and 2007. Someone rear ended me leading to these surgeries. I am now experiencing very sharp pains in my feet . Burning from my lower spine to my thighs, and it feels like the tendons are super tight to where my legs just don t seem like they want to work. Standing from a laying down or sitting position is almost unbareable. Once I get walking it all calms down, but it takes about a minute or two. | Hours is a post spinal fusion status (operated twice) and now have developed sharp pain, burning sensation and spasticity of lower limbs. At the first place were you operated upon at the same spinal segment twice, or it was different segment? What is the spinal segment? What was the cause - Intervertebral disc prolapse or tumor? Surgeries are usually taken up in cases of intervertebral disc prolapse when all other conservative managements fail or when there is a severe spinal canal stenosis. It is also not uncommon to land up with a failed back syn Chat Doctor. Whatever the case now you need to get the following investigations done |
I have a problem I havent had my period since January. I last menstruated in December 2013. I was on the progestin injection then I switched to the levonorgesterl and ethinylestradiol birth control pill. Could this be the cause of two missed periods. I have done 4 home pregnancy tests and they all came out negative.Please help I am worried | Hi, I had gone through your query and understand your concerns. This is a common problem experienced by women taking birth control pills. Wat you are taking is a combined pill(levonorgesterl and ethinylestradiol) which contain both estrogen and progesterone. It will take 90 days(3 months) to restore your normal ovulation and periods, once you stop the pills. So hopefully you will have ovulation by mid-March and bleeding by last weeks of march. And be warned that this can vary from person to person. So don't do unprotected Sexual intercourse, as you can still become pregnant these days, if sperm reach your uterus. 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 questions. Wishing you good health. |
Can I get hives and swollen mouth due to my iud? Ive been experiencing this problem for about 8 months. Ive been tested by my allergist and negative for foods. Some positive for seasonal allergies, but its getting worse. Especially when I menstrate. | Hello and welcome to Chat Doctor, I read your query and understood your concern. It is entirely possible to have an allergic reaction to have an allergy to your IUD metal (mostly copper). Talk to your physician about getting IUD removed if you have been experiencing such reactions only after the plantation of IUD. Also get antibiotic treatment for worms in your gastric system as the sometimes also cause similar reaction.Meanwhile, take anti allergic like cetirizine / loratadine for immediate relief. Hope I helped |
Good day Doctor, I was diagnosed with Rheumatoid Arthritis back in 2010 which started from joints of middle finger of my left hand and then spread to other parts of my body. I was being treated with Arava, Methotrexate, Folic Acid, Prednisolone and Calcichew. Later on, my doctor stopped my medicines as it was not that much effective and started giving me a dose of Actemra 600mg with Solu Cortef 100mg given every month. I was recovering but I started developing fungal infection on parts of my body including scalp. My doctor referred me to a dermatologist who upon conducting biopsy told me that I had Psoriasis. My treatment was changed and now as of date, I am being given Cimzia 200mg every 2 weeks. Inflammation of joints disappear while i am taking the dose but once I skip (even for 2 days), I feel stiffness. Moreover, fungal infection is getting worse day by day followed by severe itching. I am unsure if I am getting the right treatment or not. Kindly advise. Thanks for your kind courtesies. | Hello, Since you have been already diagnosed with Psoriasis by biopsy then maybe you are confusing with diagnosis of fungal infection but actually the patches you have be getting would be psoriasis patches. Like Rheumatoid arthritis, Psoriasis also is an autoimmune disease. Someone can be prone to autoimmunity because of some particular HLA system in the blood. Psoriasis is considered incurable chronic skin condition which needs continuous medical care to avoid further decoration. It may need topical medications include corticosteroids, vitamin D analogue creams like calcitriol, moisturizers,topical immunomodulators E.g.tacrolimus. And coal tar can also be used in treatment. I would suggest you to get checked by Rheumatologist, so it can be treated according to the stage of Psoriasis and Rheumatoid arthritis. Hope my answer is helpful, Chat Doctor. |
I had a full term baby on June 17, 2011. She passed away 5 days later and doctors arent sure why. I used to have 40-42 days cycles before i had her. Since June my OB has given me a pill to start my period in August (it started on AUgust 23). I had another period that started naturally on October 11. We are trying to have another baby (starting this last cycle) and today would be day 42 of my cycle. I have had two negative tests (one this morning). I read on WebMd that if you have a 49 day cycle that means you are not ovulating at all. So I am wondering if that is true? Could it be that I tested too early this time since I was basing it on my periods previous to my pregnancy? | Hi, it is true that if your periods delay for a long time every month, there can be probably no ovulation. Do, you need to get evaluated for that. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. You can track your ovulation by repeated ultrasound. If it is not happening, then there are medicines like camphene which can help you in ovulating. Talk to your doctor regarding this. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. |
hijust got to shanghai hail and healthy. The cab dude that picked me from the airport is got cough and all i noticed was the next day , i started coughing. I got a cough syrup here in china based in prescription but it degenerated to sneezing. Have taking ampiclox now thinkking it will help. Please how can u assist | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of viral Upper respiratory tract infection (URI) is more in your case. Viral infection are transmitted through coughing and sneezing. So you must be contacted this infection through Chat Doctor. Usually viral infection is self limiting. Symptoms subside in 1-2 weeks time. For symptomatic relief start antihistamines and anti-inflammatory |
My father whose age is 58 yrs . suffering from BLDCL type Lymphoma cancer. He had undergone through 6 chemo of R-chop along with Autologous BMT but not found positive result after duration of 8-9 months . Again 3 therapies had done...now they doctor has recommended for Allogenic BMT . Can you please suggest what to do now ?? | Hi, dairy have gone through your question. I can understand your concern. Your father is suffering from diffuse Large B cell lymphoma(DLBCL). It is a type of non Hodgkin lymphoma. Treatment depends on stage of lymphoma. Overall chemotherapy is the treatment of choice. However, if your father does not respond to chemotherapy then Allogenic bone marrow transplantation may help him. Consult your doctor and take treatment accordingly. 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 |
i am treating or esr since last six months. yesterday also i checked still it is 65. I am emale 47 years old. could you please let me know what is the reason. I have complete body pain, anckle pain, allergie, gastric problem. is this the symptom of some other desiese. what are the immediate checkup i have to do. doctor please help me. | Hello, Raised ESR or erythrocyte sedimentation rate is a test done to exclude underlying inflammation in the body. It also goes up in infections, and when the hemoglobin is low (i.e., anemia). Raised ESR (persistent) result suggests you need to exclude the above conditions mentioned. Follow-up blood tests |
I.ve got my first amalgam fillings at the age of 8 .almost 50 years ago. Later got 10 more. My symptoms are very different | Hello and welcome. Thanks for sharing your concern. After going through the history posted here, I can assure you that amalgam fillings are one of the best and strongest fillings. They do not produce such health hazards, as per the nature of material studied. Few signs and symptoms that you have mentioned here are definitely age related like tinnitus and loss of teeth. But sinusitis and high blood pressure requires medical attention. I hope the depressive thoughts would also go away once you start with your treatment and start feeling better.Therefore, please start with immediate ones and take care of yourself. Thanks. Take care. |
Hi, I am 34yrs old. I have a hard pea size lump on my left breast which is toward the middle rather than the outer side, (I would call it 11 o clock if 3 o clock were toward my left side). It feels farely close to the surface but deeper than a cystic pimple does. The skin over it is slightly darker (pinker) than the rest. I have no history of lumps, no breast cancer history in my family, no children & I finished my last period three days ago. Do you have any thoughts on this? | Hi.it is best if you consult with a doctor, preferably a general surgeon in regard to your concern. It may be any of the following benign breast lesions |
Hello Dr. my daughter is 2 yrs old n she is suffering from cold n allergi cough last few months. Dr advice her defcort syrup, agithral200 and asthalin she get well but just for 7 or 8 day n again she is suffered badly.Sometime dr also nebullised her , dr adviced her for blood test . Blood test report is all right. Now dr advice her to take alex syrup twice daily. I can t understand what is her main problem. Pls suggest what will i do for her . | Frequent colds and coughs are common in a 2\u00a0year old child, especially if going to a daycare center. These are mostly viral infections. But you also need to keep other things in mind like childhood wheezing and allergic rhinitis which is frequently seen these days. Does the child have wheezing and running/blocked nose with these episodes then you need to consult an allergist. Frequent use of cough syrups and antibiotics is not advisable. Also try to build the children immunity by giving nutritional supplements with consultation of your pediatrician. |
Hello, I am writing because I have had diahrea like symptoms for about a year. My liver enzymes were slightly up and last year I had an Ultrasound of the abdomen , whicChatDoctore back normal. What is the chances I might have advanced liver disease? I used to drink quite often. I am 28 years old and have had about 5 years of excessive drinking. | Your chances of having advanced liver disease are low, if I call advanced liver disease \"cirrhosis\". However, you may have some scarring in your liver which might be irreversible depending on the degree of inflammation you have had throughout the years, secondary to your alcohol intake or other reasons (such as viral hepatitis, medications, etc.). You should get follow up liver enzymes and liver synthetic function tests (such as albumin, coagulation tests, etc.), platelet count (the platelet count goes down when there is portal hypertension or scarring in your liver) and these would reflect how is your liver working. Talk to a gastroenterologist or hepatologist for further information. Hope that helped. |
my 3yrs old baby is having fever respiratory infections and swelling in neck area doctor said it is an infection in the lymph node and started antibiotics now she is having mild oedema over the face and her urine test shows albumine positive what may be the reason? | Hi! The swelling in the neck can be caused by swollen lymph nodes. During infection such as that of the respiratory tract, the lymph nodes get activated to fight these infections. They are part of the bodies immune response. Bacterial infection of the lymph nodes need antibiotics, so you need to continue the medicine prescribed by your doctor. Transient Protein in the urine on the other hand can be caused by fever, deny Chat Doctor. Transient because when you repeat the urinalysis, protein should be negative already. How high is the protein in her urine? However, there's also a disease called nephrotic syn |
hello.this is my echographie report.kindly suggest whet can i do?liver increases echostructure diffuse hyperechoic homogeneous and regular contours.permeable portal vein of normal caliber and flow hepatopetalgallbladder, spleen, head and body of the pancreas of normal appearancetail of the pancreas obscured by deigestifs gas (flatulence)kidney size, well differentiated and cavities pyelocalicielles fines.ils measure rd 119 * 46mm, rg respectively .............. 118 * 52 mm.absence of ascites.absence of deep adenomegaly.finding ..........echographic appearance can do evoke a hepatic steatosis probable.a compare to biology.flatulence + + (or other functional bowel disorder.)Nouveau !Conne | Hello. Diagnose is hepatic stenosis. Is a pathology related to overweight/obesity, fat food or frequent alcohol intake. It is not an important pathology, but you must control your weight and fat and alcohol consumption. Your doctor must control your pathology periodically requesting abdomen ultrasound and hepatic enzymes-GOT and GPT-levels in blood. The other abdominal organs are normal. I wish you good health.(In case the answer would have been useful please indicate this) |
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