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14 year old girl suffering from spina byfida at lower part and sometime shivering hands | HelloThanks for your query. I will try my best to provide you with the best possible professional recommendations to your questions. Myelomeningocele is a birth defect in which the backbone and spinal canal do not close before birth. Most child Chat Doctor. Shivering hands might be due to neurological losses. It should be treated accordingly. For patients of spina bifida Follow-up examinations generally continue throughout the children life. These are done to check the children developmental level and to treat any intellectual, neurological, or physical problems. So I advise you for regular check up of your girl from physician. Yet again, I do hope that you have found something helpful, and I will be glad to answer any further queries. Regards |
i am 36 weeks pregnantand there is lot of itching all over my doctor hasd prescribed Tab cetrazine and udiliv once daily For two weeksand told come for blood tests is it anything serious? also let me know if these tablets are safe during pregnancy | Hello dear, I understand your concern. In my opinion the itching all over the body during the last trimester might be routinely seen in pregnancy. But it is always better to evaluate by doing liver function test. If they are normal the itching can be considered physiological. Nothing to worry. Tab.cetirizine and Ad\u00edlio are safe to take during pregnancy, and they are usually given at times of itching or allergy in pregnancy. So relax mostly the itching might be physiological. Best regards... |
Last month I saw the doctor about feeling pins and needles throughout my head, blurred vision. No pain, just annoying feeling. Had a MRI which was negative. MRI negative for tumors appeared normal. Ordered to stop Crestor see if that was the cause. Pins and needles went away after three days but now I can feel my pulse throughout my head. Good B/P 120/68. Blood sugar around 160. Labs are all normal. Where to now? | HIT hank for asking to Chat Doctor I really appreciate your concern, it is being said that one question should be asked to a patient who is having headache, and that is \"Who is your headache?most of the headache does not have any pathology and are functional in origin, you have to keep your self away from such functional elements to get immediate relief, I would advise you to have \"Acetaminophen with diazepam twice a day this will give good relief from headache, stop worrying and have nice day. |
I have a couple questions to ask but first my name is tameish an im 24 weight bout 140...anyway first question y do i feel dizzy when i stand up or standfor to long sumtimes i feel like i going to faint or pass out or sumthing so i always hold on to sumthing | Hello, Thrash many causes for giddiness while standing. Most common causes are like postural hypotension or infection or BPPV or anemia or posterior circulation stroke (stroke in young, very rare) etc. You have to get it done ECG, chest x-ray, blood pressure checks up in standing and supine position. Holder monitoring and MRI brain may useful. Please consult your physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I am 32 Yrs old. i got married 2 years back. recently i came to know that i have tube blockage. one doctor told me that i have to do labroscopy. but another doctor told me to do injection of placentrex for 15 days.my husband sperm count is normal. whether inj help me to remove blockage. kindly advise us please. | Hi, Placentrex is injectable medicine derived from placental extract. It is an empirical medicine and is believed to dissolve the adhesions. However, I have got a doubt how much it will help you in getting the blocked tubes reopened. There is no harm in trying In. Placenta. Tubal recanalization is not an emergency surgery. If the tubes still remain blocked (which is most likely possibility), you will have to undergo tubal recanalization - by Laparoscopy or by Laparotomy. The success rate of tubal recanalization in terms of pregnancy is somewhere around 60% with Laparoscopy having a better success rate. Hope I have answered your query. Let me know if I can assist you further. |
a few months now i feel breathless, feel to get more air while rushing to work, always feel weak in my chest, feel tired most of time. There is pins and needles in my right shoulder blade. also had totsl recontruction of my right shoulder 10months ago and still pain every now and then, am very busy at work, been busy with my sons weeding which was 8th of april and ocassion was for 4 days. with all this happening does this mean I am still very stressed or do I have heart problem. | Hi welcome to Chat Doctor... Here resp causes like COPD or asthma like resp causes ruled out first ... Spirometry useful for that ... If needed chest x-ray done ... If above two condition present bronchodilator Chat Doctor. ... If still cause not clear EKG done along with blood pressure measurement to rule out LVF like cardiac cause If still cause not clear it could be anemia or excess stress ... For Anemia detection HE estimation done According to cause further management guided ... Take Paradise |
i have taken loette tablets for 2 yrs and frm last 1 yr i have stopped, now willing to get concieved i have undergone Hsg test as well, now i have got a ist period after my HSG, i am now in confused status, i am scared whether i will get concieved or not | Hi there Please do not panic. If you have regular cycles, your fallopian tubes are patent and partners semen reports are normal then you need not worry about the pregnancy. Low dose contraceptive pills do not have any negative impact on getting pregnant. Please start on Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you happen to have unprotected sex act in this period, then You Stand chance to get pregnant. I hope this answer helps you. Thanks. |
Am I able to take norethisterone as an emergency contraceptive? I have had unprotected sex, I am age 43, I was still bleeding from my period but I have a 26 day cycle and have been bleeding for 10 days. I am not on the pill, but have norethisterone 5mg tablets available. Can I use these, and how many should I take? | Noerthisterone is not a contraceptive pill....in fact it can be given for irregular bleeding like you are having.....since you were continuously bleeding a ND your intercourse happened on day 10 of cycle...mostly you don't have a chance of pregnancy....but you can take pill 72 for emergency contraception and for bleeding to stop take treated...mesenteric tabs for 2 to 3 days....u can start on Noerthisterone next cycle to regularize your periods.....but it will not give contraception |
I had tooth pulled 6 weeks ago and the dentist broke a piece of my maxilla. I am having severe pain in my jaw that goes by my ear and up the right side of my head totally up to the top of my head. I use a heating pad and take Ibuprofen around the clock. How long should this take to heal? I am miserable. | Hi. Welcome to Chat Doctor . As per your query the healing depends upon the depth extent of fracture as well as whether it is in a condition that it will resolve on its own or needs surgical intervention for resolution. I would suggest you to consult an Oral Surgeon and get evaluated and along with clinical evaluation a thorough radiographic evaluation is a must for ruling out the extent of fracture and time duration of healing. In case if the broken segments are not in their original position they will fuse in wrong positions and cause further complications. In case if the broken segments have moved away they will not fuse and there will be continuous pain and discomfort and will require manual reduction and fixation of the fracture segments. Pain can also be due to unhealed sockets known as Chat Doctor. . As of now you should take higher painkiller like Tramadol for relief but consulting an oral surgeon is a must. Hope this information helps. Thanks and regards. |
My 4 month old nephew has always had a yellowish tint to his skin, but now his eyes and skin are very yellow. He is in the hospital currently...He has and enlarged liver and spleen, blood in his stool, very thin blood, and has developed a heart murmur. They say that his organs are beginning to turn yellow...They cannot figure out what is wrong...any ideas? | Hi thanks for contacting Chat Doctor... Noted here your nephew having jaundice... With hepatosplenomegaly. Here you have to consult pediatrician for this.... First hemolytic anemia should be ruled out. His peripheral smear examination done with relic count and serum LDH... If needed from blood electrophoresis done to rule out hemoglobinopathies... Detailed history needed to rule out congenital hyperbilirubin syn Chat Doctor. ... If needed liver biopsy needed to done... Complete LFT investigation with liver enzymes and viral marker done. If bilirubin not control by |
I have mastrubation problem doctor treating me now my neck is very itchy doctor giving me antibiotics then taximo 100 still problem is there now doctor giving me clavam 625 my chest and hands are very thin without mass my liver paining after eating i get acidity then i have to take rebicip please help me | HelloUpper abdominal pain may be due to many reasons like liver or gall bladder problem, acidity,pancreas, kidney problem etc. You may need clinical correlation and few investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, ultrasound of abdomen, upper GI endoscopy. Ultrasound of abdomen and upper GI endoscopy are very important in your case, and it can exclude many causes. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor. |
I HAVE A DRY COUGH @OCCASIONAL CENTRAL CHEST PAIN @COUGH UP WHITE SPUTUM. WHEN I RETIRE TO BED IF I LAY ON MY BACK MY UPPER CENTRAL CHEST IS BUBBLY BUT WHEN LYING ON MY RIGHT SIDE IT IS BETTER. MY DOCTOR GAVE ME 500mg AMMOXYLLIN 7DAY COURSE OVER THE PHONE. WHAT COULD THIS CHEST COMPLAINT BE. | Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with whitish sputum is commonly seen in lower respiratory tract infection (LETI) and bronchitis. Amoxicillin is antibiotic and good Chat Doctor. But if you are smoker then bronchitis is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule lung infection. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So consult pulmonologist and discuss all these. First diagnose yourself and then start appropriate treatment. Quit smoking if you are smoker. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
HI, I am a 45 yr old female and I have high blood and cholesterol i take antidepressants (zoloft ) and med for my hi blood pressure and cholesterol. I recently had some blood work done and my hemoglobin level is at 7.7. after doing some reasearch on the internet, i am finding that eating ice can be causing this anemia. i do eat ice constanly thruout the day and drink a great deal of water.My question is can eating ice be causing anemia? | You have a moderate grade anemia. You have high BP and cholesterol. Eating substances having no nutritional value e.g. Clay, Ice is called PICA and is considered sometimes a sign of iron deficiency anemia, though there are controversies regarding this. This may be associated with some other psychological disorders. If I were your treating physician I would have suggested you to undergo some blood tests including complete hologram, ESR, reticulocyte count. That may help to find a way to diagnose the pathology behind your anemia and if possible can cure you. Wish you good health. |
Hi,I fell at work the other day, and I have been feeling severe pain on my lower back and buttocks since then. I also noticed like some blood stains on my underwear after this happened, as if I was bleeding from my vagina. Its not the first time I have fallen at work, I have tried many muscles rubs and pain killers but none seems to actually work. Do you think it might be more serious than just pain?Thank you for your advise. | Hi welcome to ChatDoctorI have gone through your queries regarding back pain caused after an injury. I can understand your concern. Dear After the back has been strained or injured, bad posture can make pain worse. It takes time to come back to comfortable situation & recovery depends on how deep is the injury and your resistance power. Get enough vitamin D from sun exposure daily, as vitamin D helps keep your bones, including your spine, strong. Take diet having all essential nutrients , fibers, proteins, minerals, vitamins nuts in natural form. Chat Doctor. Since your body is composed mostly of water, staying HY |
Hai Sir,I am suffering from mentally disordered but i had completed MCA and doing job also. EEG scan result is disordered, CT Scan and remaining scanning is good.Doctor suggest to me use Oxeteol 300(1-0-2)dose and LoboZam (0-0-1)dose.I am using these tablets from 5 years onwards.Some times i feel something different.i know all these things.I am irritating about using these tablets.Give me suggestion for my problem. | Hi, Abnormal EEG show malfunctioning of electrical activity of brain which is a common cause of seizure disorder. In many seizure and related disorder CT scan and other imaging studies may be normal. Extol used for seizures and as mood stabilizer. As every seizure can be very dangerous, so it is better to continue with your medicines. I hope this information has been both informative and helpful for you. Wish you Good Health. |
My urine tested positive for Staph. I was seen for Nausea, Vomiting and Diarrhea with Dehydration. I had an elevated WBC. Should I be concerned? I left the hospital a few days ago and they just called to tell me my urine came back positive for Staph. I have been feeling extremely weak. Does any of this sound like something I need to see the Dr about right away or can I wait. | Hello and welcome to Chat Doctor, Presence of bacteria in urine (Staphylococcus) and a raised WBC count suggests urinary tract infection. I guess you have had urine examination. A culture sensitivity of the urine sample can be done. This test will identify the antibiotic most effective against the bacteria. Symptoms of nausea, vomiting and diarrhea can be due to sepsis. Sepsis can occur secondary to urinary tract infection. You need to consult your doctor for clinical examination, and prompt management of deny Chat Doctor. Fluid replacement has to be instituted for deny |
about 6 months ago i was playing soccer and i got kicked really hard on my leg and because of that i had a really bad bruise all the way down to my ankle and there is a lump where i got kicked. My concern is that the bruise is gone but the lump is still there. Should i be concerned? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that due to sudden blow there has been traumatic injury to the soft tissue fibers leading to inflammation of soft tissues leading to accumulation of inflammatory fluid and swelling. Bruising and lump formation is due to ruptured blood vessels secondary to injury leading to blood spillage into soft tissues and there is also HEMATOMA formation. At times the Hematoma gets localized and encapsulated and become a firm mass that can take a long time to resolve. Nothing to worry as it will get resolved soon. You can do alternate warm and cool compresses over it. Apply Heparin gel over it as it helps in disruption of Hematoma. In case if there is no improvement in another one month after doing the following remedies consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. |
I had finished dophiston before 3days and today i did pragnancy test by pragnancy strips and it gives like positive result i mean that the second line i.e pragnancy line was slightly shown in the strip and did the test today for four times but the result was same am i pragnant or not | Hi there, From your question, your pregnancy test kit is mildly positive. That means |
Hi I m 15 male. I have a pain in the lower part of my stomach , 2 days ago I had this Same pain but back the it was she extremely sharp pain and made it hard to sit upright. Now I m sat in my bed trying not to move because when I do it hurts, I have previously had gastro .. something (Sorry can t spell it ) . Bit this feels like more of a pain and after looking at symptoms online it looks like appendicitis , especially after feeling around the area and some pain does seem to be from there and right now I can feel a slight pain. but if I am wrong then my parents won t be to Happy at me for getting them out of bed. What do you think? | Hi. Gastroenteritis itself may lead to abdominal pain. The cause of abdominal pain in your case may be incomplete treatment of Gastroenteritis. If the Pain is on the Right side and lower part of the abdomen, it may be Appendicitis. Apart from pain, there may be vomiting and fever in appendicitis. Please take complete course for Gastroenteritis and Observe. If the pain still persists, Ultrasound abdomen should be taken. All the best. |
the first time I had sex with my girlfriend was 83 dags ago and the ultra sounds pictures shows the age of the foster (babe) 89 dags. and that means thereare 6 dags lost I mean I didnt have sex with here at that time, and I am really in doubt about being the father.I need an advise if the ultra sound can make mistakes about giving the exact right age.hope to hear soon from youbest regards | Hello, I have gone through your query and here are your answers |
Hello, 5 weeks ago I had surgery to repair a fibula fracture. The surgery required some metal hardware for repair. Now, I have some firm tissue that has gathered into a lump approx 45% up my tibia. This lump is directly under a red wart that I have had on my chin for about 18 yrs, I am 34. Just curious to gather any ideas of what it may be. I will be following up with my ortho, but curious and anxious about this development. Any info or references to read up on what you think it could be are greatly appreciated. Thank you and best regards, Harold | Welcome to Chat Doctor. 1. The changes what you have observed at the post-operative site can be hematoma formation with features of cellulitis.2. In other possible thing could be edema post-operative site - but generally not seen after 5 weeks time. 3. I think in terms of bad healing process - it may need as small incision and cleanup the wound and a course of antibiotics would be helpful.4. And an imaging study CT / X-ray to see the status of the bone and implant and any infective features.5. If it is there for so long and not causing any discomfort - possibilities include lipoma - fat cells containing lump. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http |
I was diagnosed with primary bilary cirrosis back in 1996. I didnt know much about it since that was before computers !!! I am wondering if this disease can be held at bay or is it definite the liver will get worse and I need a transplant or possibly die from the cirrosis? | Hi thanks for asking question. Here you have primary biliary cirrhosis. Close clinical follow-up necessary in your case ... Ursodeoxycholic acid with fenofibrate could be useful... Cholestyramine with liquid can be useful. Take low fatty diet. Fruits more... If still no improvement then transplantation may need... This is autoimmune disorder. So for its treatment methotrexate like Chat Doctor. But its utility not well established so not used commonly.Meanwhile, if portal hypertension develop beta blocker or diuretic may be needed. Take care. |
my mom is 78 years old. she just had here kidney function tested because they were going to change her blood pressure medicine. The test came back they said her kidney function is not perfect, but no details. My mom s blood pressure is currently running 160 or higher with 95 on the bottom. Previously it was 190/100 plus. She is currently taking Lisinopril 40mg, amlodipine 5mg and atenolol 50mg. Today she mentioned she is retaining fluid in her feet (new symptom has not been an issue in the past). She also said her urine is frothy. | Hi, thank you for quarry. If a patients age is below 85 and on antihypertensive medication her BP should be 140/90. According to guidelineACEI like lisinopril, Ca channel blocker like amlodipine is going on along with beta blockers.ACE decrease the proteinuria and prevent glomerular injury also. If BP is not controlled than Diuretics must be added.it depends upon the serum potassium level that which diuretic group is to be added. Diuretics also reduce the pedal edema and blood pressure. So consult your |
My right side of my chest suddenly began to hurt this evening. It feels almost like I ve pulled a muscle, but the sharp pains seem to be random and not when I make certain movements. The pain also seems to slowly be making it s way to the center of the chest. Is this common for pulled muscles in the chest? | Thanks for your question on Chat Doctor. I can understand your problem and situation. I don't think your chest pain is due to muscle pull. Because muscular pain aggravates in certain position and movements. And it is also confined to the area of muscle, not moving to the center as in your case. So better to rule out cardiac and pulmonary causes first. So get done ECG to rule out cardiac cause. Get done chest x-ray to rule out pulmonary cause. If both are normal than this can be due to muscle pull. But better to rule out other causes first. |
I am a female. 19 yrs old, 5 3 tall and 183 pounds though I don t look it. I have asthma but that s not the issue. I have a problem with my hands. They tremble from time to time, occasionaly I have dropped things. When I try to grip things tight, it s like I am not even trying. Also when I touch cold things, the pain spreads all the way to my elbows. I also have aches in my ankles and knees. I don t know what to do, I m really worried about my hands though. | Hi, There can be many reasons for trembling / tremors of the hands. It can be related to brain disorders (stroke-reduced blood supply, infections, genetic disorders), liver or kidney disorders or hyperthyroidism (increase thyroid hormone). Besides, there can be simple reasons like stress, anxiety, depression or anemia (low hemoglobin). Not only this, tremors can even be Chat Doctor. I feel that first do some lifestyle changes. Reduce the intake of tea and coffee. Try to be relaxed. Go for some relaxation and hand muscle strengthening exercises especially related to your hands. Do get your asthma medications renewed to rule out that they are not responsible for tremors. If still the symptoms persist then you must go for some investigations like complete blood count, CRP, thyroid hormone and sodium, potassium. Take care. Hope I have answered your question. Let me know if I can assist you further. |
I have been diagnosed with spinal stenosis in Oct. 2012 and I have muscle pain in legs and arms since 2007. In 2006 I had hart attack and stent put in because of high cholesterol. I was taking statins since then and my muscle pain were worse. In August 2012 my cardiologist just took me off statins and muscle pain never improved, it getting worse over time and my cholesterol level now is | Hello, I have studied your case. For spinal canal stenosis it's better to do surgery and get decompression done. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
i have controlled asthma , aspirin allergy and nasal polyps. This condition is longstanding. I also have a platelet function disorder. I cannot smell and feel chronically congested. I had polyp surgery more than 15 years ago but the polyps grew back immediately. I am scheduled for surgery in april. What can I do to prevent regrowth post surgery? Also I had a serious bleed after the first surgery. What are your suggestions? | With my experience to stop regrowth of polyps and bring back other symptoms to normal you have to find out which food you are allergic tons polyps recurrence is due to milk, wheatmpotato, rice egg nuts get blood serum tested for food specific antibodies for milk wheat and others as describedFoirst go for elimination diet then for desensitisationEven if you stop all milk and diary your medicines will be reduced and all symptoms will decrease and even asthma will subsided take anti allergic Montelukast and fexofenadine combination twice a days tossed 1/22 SF apply newsprint h eye ointment in nose but seawater Chat Doctor. |
Sharp severe pain in lower right abdomen, cant move my eyes with wanting to be sick and going dizzy. I can barley move I am so dizzy. My stomach is very swollen /bloated. I am having really bad lower abdominal pain also. Feeling very weak and tired. Listless almost. I have to keep laying down. Stiff neck and headaches. Generally feel very unwell. | Hi. This can occur due to an acute problem in the abdomen. The most probable causes are ;Peritonitis meaning inflammation of the membrane covering the abdomen within inside. There is a possibility that there is a perforation of intestine or a severe process of inflammation is going on in the lower abdomen like enteritis. I would advise to |
my daughter just had her wisdom teeth removed on Wednesday. She is bleeding, but not all the time down the back of her throat. The doctor said she sneezed at one point after waking up and this caused it. He gave her an antiobotic to stop any infections, but what I read about posterior nose bleeds concerns me. If its not all the time, but two days later, should I be concerned at this point. | Hello & welcome, Bleeding after removal of wisdom tooth can be due to dislodgement of the clot which is formed in the extraction socket. Here the clot might have been removed due to sneezing & if it is so, then you should take your daughter to the dentist. He will replace the gauze pack & bleeding will definitely be stopped. She should take care of the wound by not doing any gargles as it may dislodge the clot again. Use of ice pack application externally may help in the situation to reduce the bleed. Ask her to swallow any bleed if it comes & not to spit. Take care. |
hi i am having a sharp pain near and around my heart i am only 18 and it doesnt make sense i went to teh doctor and they said everything was fine.But iam having trouble breathing and it hurts really badly, i have a slight cough and sharp pains that make it unbearable to get up or walk. I have had this since thursday, please help me | Thanks for your question on Chat Doctor. I can understand your concern. First no need to worry about heart diseases because at your age of 18 years, heart diseases are uncommon and your doctors visit was normal for heart problems. Sometimes undiagnosed stress and anxiety can also cause similar symptoms in teenagers. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Sudden onset feeling that bridge of foot was broken, but no trauma. The top bruised and the second from last toe had a large purple/black spot on it that would get bigger if I pressed it. My foot and ankle both were in pain. Now, 2 moths later, I still feel the pain, however it is localized in the bottom upper pad of my foot. It doesn t hurt at all times but when it does, it is extreme pain. I have the clotting disorder Factor V Leiden, as well as having a history of DVT, one being in my femoral artery... I noticed today that my middle toe, and second to last toe were boughed out from one another and it was difficult to walk, so I pushed from both the inner and outer ridges of my foot. I didn t feel like anything was reset, but rather a crunching sound between loose bones. Shortly thereafter, I noticed that my skin got paler, my fever went up, and bright blue, sometimes buldging veins were appearing all over.... Also there are pinprick red dots appearing and pea sized purple ones. I haven t put my body under any strain. I do smoke but quickly cutting down. I am a 5 0 woman 25 years old, 108 lbs and fairly healthy... Please tell me if any of these are related or at least a guess at a diagnosis, I would appreciate it.. | Hi, Your pain symptom may be attributed by plantar fasciitis, while the bruise and ecchymosis part to be due to clotting impairment. Mark on your toes appears to be due to trivial trauma which got unnoticed or from tight shoes. All you need to do is to wear soft soles, use silicon heals, do ice fomentation twice or thrice a day avoid wearing tight and high-heeled shoes. Take care. Hope I have answered your question. Let me know if I can assist you further. |
I had an episode the other day like nothing I ever had before. Extreme dizziness with weakness, confusion, nausea, and stomach cramps. Hypoglycemia vs heat stroke. I m on Metformin for insulin resistance but hga1c always good, no sticks required. Hot weather but I was not home and building was air conditioned. | Hi I see your concern to these symptoms are quite similar to each other for heat stroke and hypoglycemia but look you don't have any history of sweating that is main symptom in hypoglycemia but one thing I want to mention over here that you don't need to worry about medicine metformin has a very, very rare episode of hypoglycemia with its please be sure that it's a heat stroke and stay in cool places |
hes , hi i have MS and i have had 4 strokes ( TIA S ) in the past 4.5 yrs , well its been a month and i have no function of my left hand and arm is numb , had a MRI with and without contrast and showed no stroke HOWEVER hospital wanted to keep me over night for IV Steroids but could not because i care for my parents who are very ill . Could it possible that i have had a MS flare up ? i have had them before but not this bad where i have no use of my L hand ! Also i had a chest xray done today and i have had a R node on my lung ,and today its still there but now my L lung has a bigger node what could this be ? | Hello! Welcome on Chat Doctor ! I read carefully your question and would explain that it is necessary investigate for the nature of these lung nodes, which could just inflammatory lymph nodes or a tumor. An infection can not be excluded either. Biopsy may be needed if they persist. From the other hand, the fact that the doctors wanted to put you on IV steroids after the MRI results, indicates that your symptoms are related to a relapse of MS and IV steroids would help improve your situation. You should discuss with your doctor on the above issues. Kind regards, |
i was born with golden hars syndrome which causes bad teeth and have had to deal with abcessed teeth for years now.im currently on medication to fight off another LR Abcess on the jaw.I have 5 teeth left to get orally cut out.Is this considered a medical condition since i have had this issue since a child?? Im on penicillian VK and was on amox 850 before that.The company i work for refuses to consider this a \"medical condition\ | Hello, I understand your frustration. Use the words \"medical necessity\" when discussing your dental treatment. You must treat your abscesses in your moutChatDoctoring from your teeth. You have dental problems as a result of a medical problem. Your medical coverage probably excludes dental treatment except for certain surgeries. Try consulting with an oral surgeon or root canal specialist, an endodontist, to see if there are some codes that overlap between dental and medical conditions that can be utilized. In some instances, a refusal of coverage under a dental code allows submission to medical coverage. Keep open your discussion. Do not give up. This is a difficult area to ad Chat Doctor. |
when using 2 morning after pills in 13 days, Do they still work?Hi Ive been concerned a bit lately because my period is 11 days late and today, I had a little bit of bleeding and now is a completely brown discharge and its minimal. at first I didnt worry about my period being late because I took 2 morning after pills, 1. the 13 of march and the other one the 26 of march 2013, my period came at that time the 18 of march was gone by the 24th of march and it was completely normal.. now it doesnt look like my period at all... Ive been feeling quite sick lately as well, Ive felt a bit of nauseas, heat rash, feel very hungry when Im never hungry i could normally be a day without eating (now i feel like i could eat anything) headaches, itchiness and sleepiness..but Ive taken 4 pregnancy urine tests in different times, they all come negative... would i still be pregnant after using morning after pills? | HelloThanks for your query. The altered bleeding pattern that you are facing is due to the double dose of morning after pills. Even a single dose of morning after pills produces irregular and unpredictable bleeding. If you have taken 4 negative pregnancy tests, chances are extremely remote that you would be pregnant now. Mostly the problems you are facing could be attributed to erratic intake of emergency contraception. However, please consult a gynecologist to confirm the diagnosis. Also, please switchover to a reliable method of birth control in the future. Take care. |
hello sir i want to ask about my bro he has been behaving very strangely from last 4 years..dont take meal regularly..like to stay alone..also now from few months he is talking with himself.. he is very short temper..also harm himself...pls give ur opinion about it..what necessary step we should take to make him normal.. | Hello He is showing symptoms like strange behavior, irregular meals, like to stay alone at home or decreased socialite. He is also talking to self or muttering most probably. He has tendencies to harm self or others and is short-tempered. As per my opinion these symptoms should not be overlooked and need proper consultation of psychiatrist. Such type of symptoms can occur due to some psychotic episode. Even early stages of schizophrenia can be one possibility. There is urgent need for treatment. Treatment in form of antipsychotics like Olanzapine, Haloperidol, Risperidone, Aquitaine etc. is needed in psychosis. Proper family support to patient is necessary for better results. Thanks, hope this helps you |
My mother in law is 85 yrs old. She slept for over 24 hrs. We suspect that it may be an overdose of Trica sleeping pills that she takes. There was some frothing in her mouth after she slept. There is one strip of 10 tablets of .5 strength which is missing. Could this be the reason? | Hi, Trick is a benzodiazepine commonly prescribed for the short term treatment of insomnia and other conditions. Its common side effects include Chat Doctor. Based on the history your mother-in-law seems to have taken larger doses of Erika resulting respiratory depression and coma. She should be immediately taken to the emergency room of your nearby hospital for further assessment and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care |
hello sir, my husband has been diagnosed with anxiety avoidance personality disorder and effective bi polarity. he has been given clonorest thrice daily, lamosyn 100 twice daily and escitalent plus once at night. he has been taking these for last 3 days. he hes been complaining of sleepiness during day time. is it normal or he needs a chance in his medication? what other supplements he needs to take? | Hi, Thanks for writing to us, I went through the history you have provided. Three days of taking medications is not sufficient to comment whether he needs any change in his medication. Congress is clonazepam and is given to your husband only for immediate relief in his anxiety. But if it is inducing sleep during the day then the dose can be reduced or even stopped. It is given for reducing anxiety while Escitalopram starts showing benefit. Hope this helps Chat Doctor. |
I am 53 yrs old and at age 47 I had a mild heart attack with 1 stent placed in the RCA. Now in the last few months I have been having what my Dr calls angina. I have been taking Imdur for this but in the last month or so I have been having more episodes as many as 20 a day. I had chest and arm pain thursday for about an hour that did not go away so i went the the ER and then to the cath lab for heart cath but my Dr said everything is fine, so what could be the cause of the pain that I am having? Any suggestions as the where to look next. | Hello welcome to Chat Doctor. Since you have got yourself evaluated by an angiography and your doctor has cleared you from the heart side, means that the stent is working well. Angina can be caused by microvascular ischemia, which means the smallest vessels of the heart arteries are having blocks. These blocks cannot be seen by angiography nor can be scented. The treatment for microvascular ischemia is antianginal, statins and anti platelets. You need not worry because it won't cause you any health issues. Other causes if chest pain here should be excluded. Like hyperacidity can mimic chest pain of cardiac origin. Please take a course of antacids for 14 days and see if your pain abates. Another cause can be Costco Chat Doctor. This inflammation can be contained by using anti-inflammatory medications like diclofenac and ibuprofen. Next Vito levels should be checked. Bit D deficiency can also cause rib pain, bone pain fatigue. Please check your It D levels and take correction for it D of they are low. You have a low probability of this pain originating from cardiac causes. So please continue taking tour cardiac medications and along with it take antacids, diclofenac and It D correction as advice. Wishing you good health. Regards |
My gender is male and my age is 32 years. My SGPT level has been upto 110 for 3 years. I have problem of little bit high blood pressure sometimes. And also have some gastric problem like indigestion sometimes and stomach gas often. I dont use large quantity of medicines. My father is suffered from hepatitis C, but my hepatitis resulte were negative 2 years ago. What would be the cause of elevaiton and how it should be treated? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Elevation in SGPT has many causes which need to be investigated |
Hi, I am experiencing severe muscle pain two days after a fairly benign workout (about 10 minutes of lunges and squats using just bodyweight). I ve worked out much harder in the past, with heavy weights and not experienced anything like this. I can hardly walk, sit, or stand. My quads are even painful to the touch. Coincidentally, I have also developed a bumpy reddish rash on one side of my neck and later inside the opposite wrist. Cannot think of any new food or contact that might be causing it. Thanks | Hello, As per what I feel the muscle pain is due to DOES, which is called the delayed onset of muscle soreness. Which is common most times when one has done an exercise after a long time. This particular DOES takes 2-3 days of time to wean off as it's a soreness in the fibers of the muscle. You can do hot water fermentation and the pain will come down little which will help you perform ADL. Rest assured DOES don't last more than 2-3 days. Continue exercise but at a slow pace. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
Im a 17 year old male. Im 6 feet tall and 210 pounds. i feel sick to my stomach but moreso in my chest. I feel tired and it feels like theres pressure in my chest. I also feel lonely even though I have plenty of friends and a loving family. My parents are recently divorced and I feel that may be why im so sad. Ive been sleeping a lot but am still tired. whats wrong with me? | Degree understand your concerns went through your details. I suggest you not to worry much. From the description I can see you are disappointed and are stressed. Disappointment in life events can make any person tired, remorse and inactive. That is the mental stress you are having now. From that mental stress, due to inactivity, you also feel physical illusions such as pressure in chest region etc. One or two counseling sessions should do you good. Don't sit idle. Concentrate on your studies and other physical activities such as games. You already know IDLE MIND IS DEVILS WORKSHOP. The disappointment you are having now should be cleared within some two months (you will learn to overcome it). During that time, you should not lag behind in studies. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
I am on the pill and not due for 1 week break for another 6 days. I had sex 9 days ago, after wards I bled. There was bright red blood on toilet roll when I wiped. This lasted for a few hours. I had sex again 4 days ago and since then there has been pink blood on toilet roll when wiping. Also frequent urination and fatigue | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I think that your symptoms may be related to a hormonal imbalance or an infection. An inflammation of the cervix uteri could also cause similar symptoms. I recommend consulting with your gynecologist for a careful physical examination, a routine blood test, urinalysis, and an abdominal ultrasound. A colonoscopy may be needed. Hope to have been of help! Best regards, |
Sgpt 165 sgot 79 this is the result of my blood test..doc says i have a fatty liver ..she gave me legalon 140 mg..i am a drinker but its not consistent sometimes i drink too much sometimes a week without it..how fast can i reverse fatty liver ..thank you... | Hi, thank you for posting your query. I understand your concerns. My opinion is that you should not much worry about this as the fatty liver is a reversible condition. This can be achieved by simple lifestyle modifications for weight loss and taking right medication in right time. I would advise you to follow these instructions given below. Try losing 1 or 2 pounds per week not more than that, as it would lead to health problems. Go for cardiovascular exercises like brisk walking, running, swimming for 45\u00a0min a day, 6 times a week. Strength training 4 times a week. Avoid alcohol, quit from smoking. Avoid fatty foods, junk foods, deep-fried foods, simple sugars, pizzas, chocolates, ice creams, soft Chat Doctor. Have a balanced and healthy diet that should include complex carboy |
well ever since i was old enough to notice ,i had a Little bumps with a whitish end small but noticeable and not a lot around the ring of my penis but i went to a med and he told me that it was not herpes cause herpes cause pain,itching,and transportability,witch i dont have ,but i really want this to go away, what might it be ? | Hello, If you have shared a picture of these lesions it would be of great help for me to diagnose. With your given description it seems like force spots which are benign spots fades on itself although harmless. I still suggest you to take a formal consultation of a certified urologist and follow his advice with the diagnosis and treatment if needed any. Hope I have answered your question. Let me know if I can assist you further. |
6 yo complaining of back pain lower back at times, upper back and neck at others. This started in Nov 2010. Also has trouble getting through the day without a complete meltdown. Has enlarged adenoids and frequent sinus issues. Scheduled for adenoidectomy in April. Back xray was negative. Lyme titer showed reactive for bands 23 and 42. Pediatrician says that is negative. My daughter says that she always feels like she is getting sick-like she has strep without the sore throat. Can all of this be a result of the adenoids? | Thanks for asking. Keeping in mind the information provided by you like negative X-ray and other tests I will consider adenoids as culprit. Enlarged adenoids can lead to disturbed sleep due to interference in breathing due to throat narrowing caused by them. This is termed technically as obstructive sleep apnea. The next day untested brain and body can have multiple problems like sleepiness body aches. Adenoids enlargement also causes sore threat. So yes this can all be due to enlarged adenoids. I hope adenoidectomy will cure all this. Good luck |
When I went to my dentist last week for my regular six-month check-up and cleaning, the hygienist found an area of decay under the gum line on my upper second molar. I had noticed some periodic tenderness when I brushed that area, but I thought it was just an irritated gum. After the decay was found, an x-ray was taken of the tooth (which took three tries because of the difficulty of getting a good view of the tooth). The x-ray showed quite a lot of decay inside the tooth, but there is no decay on the outside. My dentist said that is pretty rare, but can happen due to bacteria getting inside the tooth. I have always taken good care of my teeth , and the others are in good shape, so I m really surprised and upset that this has happened. Previous x-rays didn t show any problem with this tooth, so this must be something that has developed pretty quickly. The options I was given were 1) Do nothing for now (I don t want to do this) 2) Do root canal and a crown, which would cost maybe $2500 total and require several appointments; or 3) tooth extraction. The affected tooth is above a bottom molar that has never come in fully, and the two teeth don t meet for much chewing. I also had an impacted wisdom tooth removed behind that area years ago, and that area will always be tender. Bottom line is that I can t and don t chew much directly on those back teeth on that side. I really hate to lose that tooth, but I m also reluctant to start down that root canal/crown road with the expense (I don t have dental insurance) and the possibility of trouble with it later. So I m on the fence and having a hard time deciding what to do. The tooth is not causing me much discomfort yet. Any thoughts, advice, or experiences would be appreciated. Thanks! | Well as you already said you are hating to spend the money but from the bottom of your heart you know what you require - ROOT CANAL. About the X-ray I have to say that it is not rare because dental decay is usually like this what appears on top is just like the tip of an iceberg. The decay is much greater inside. So trusting by your hygienist who should not be doing a root canal you require a root canal. However you can delay it with painkillers if it pains, but keep the area very clean. Thanks |
Hi, may I answer your health queries right now ? Please type your query here...8 yr old g.dtr on Tylenol for fever 3 days. No fever now but still not eating & seems shaky, wants just to sleep, but not sleeping normally. I don t think she has been going to bathroom either. Has drank water | Hello, Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will be there for 4 to 7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. |
I am 37 year old African-American woman. I have developed an area under my chin and on my chest that is bumpy and doesn t clear up. I ve had this condition since I got ill over 7 years ago. The illness is gone, but this is something I ve been left with. A dermatologist diagnosed it as candida on the chin and inside my nostrils. I have taken the medication, which made the lesions smaller but but it never clears and its itchy at times. I believe I also have warts on my hands caused by HPV. | Ello, Welcome to Chat Doctor, Your history and the clinical symptoms are suggestive of fungal infection over the face and chin along with Wart or Condyloid Alumina over your hands. Wart which is painless and itching are the classical of Wart which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). For fungal infection you can use topical clotrimazole cream over the lesion. If it is not improving you need to undergo lab investigations like KOH mount. Thank you |
Hi I have painful back , that seems to be locking or trapped nerve maybe , pain in middle of back . Struggling to wear a bra , it s worse when I do that . Have right pain in elbow (doctors tested for arthritis but not conclusive ) left arm upper I have an impingement which is also so painful . Help is it all related ? | Thank you very much for contacting Chat Doctor. You have problem of severe back pain that may be because of nerve compression or injury to nerve. Take one MRI that helpful for further diagnosis. Low calcium level and vitamin d deficiency may cause back pain. Check your calcium level also. Spinal nerve compression may cause back pain and elbow problem also. Consent physician for further diagnosis. Take MRI that helpful for diagnose. I hope my guidance is helpful to you. Take care. . Thanks. |
hello... well my question is the next, in february i went to the doctor because i needed to do me a medical for work in a company (the company sended me althougth i pay these exam lab) the doctor told me i am vih and i didnot know, He told me that is not a probllem for work but i have to go to the specialist and i went and the specialist told me i have my cd4 in 480 and i can work.. i am taking my antirretroviral.... the work is on the ship.. am i healthy with my cd4 in 480? can the company discriminar me??? what do you think doctor about my condition and about the work?? | Hi, dairy have gone through your question. I can understand your concern. You cd4 is normal. You can work properly with HIV. Furthermore, you can live a normal healthy life. No need to worry. No one can reject you on that basis. Continue with your anti-retroviral medicine. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi for a week now I have suffered from an itchy rash which is situated wherever my glands are i.e around the neck, armpits, groin and then the stomach area; and as the week has gone by it has become worse, spread and become painful. Only my gland on my neck is swollen but that has improved. I don t have a fever and I feel fine... so this is what is confusing. The past month I did have the flu, dont know if that has anything to do with it as I did take antibiotics, can you maybe help me? | Hi, It may be allergic dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take antihistamines like levocetirizine and oral steroid in tapering doses. Apply mild steroid cream on the affected areas. Avoid the contact with suspected allergens. Avoid the foodstuffs which might trigger the allergy. Hope I have answered your query. Let me know if I can assist you further. |
Good DayI have been having a serious back pain for a while now. I play football at youth level and about 3-4times a week. On the lower right side of my back starts to hurt when i play football then it builds up gradually until i cantt walk properly. My back becomes very tight and there is a very sharp pain. This happened to me last year but it was only like for a week and then it went. Now this year it has been for about 4weeks now. Through last week i rested my back and didnt play at all. Did a lot of stretching every morning but it still hurts. Today during training the same back problem happened again. | HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to intervertebral disc injury of lumbosacral area or sacroiliac joint arthritis. An orthopedic examination is necessary to rule out this and an X-ray followed by MRI might be required if there are positive signs of disc herniation. For such cases i advice NSAIDs like diclofenac, muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also recommend physiotherapy and muscle strengthening exercises along with this. Hope this may help you. Let me know if anything is not clear. Thanks. |
HI my 18 month old daughter has red eyes for 4 days, they are not overly red so I don think it is pink eye, however she is rubbing them as if they itch, it started with one eye and now appears to be both, thus far she has had no other symptoms and is eating, drinking and playing as normal | HI...by what you quote I feel that she might be having a viral conjunctivitis. Usually it will start in one eye and the spread to another. Sometimes it can get secondarily infected with bacterial infection and hence might need antibiotic eye Chat Doctor. I suggest you consult your ophthalmologist because - EYE conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Regards - |
hi there, i seemed to have developed a lump of some sort in the pubic hair region just above the penis and over to the left. its currently quite small, but is very slightly visible when looking down. it feels like some sort of cyst when pressed with my fingers and is not sensitive to touch. im not sure how long its been there, but ive noticed it this last week. any ideas? | Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At Chat Doctor. I studied your query in depth and understood your concerns. Causes for lump above penis in pubic area- as follows-Mostly they are ?hernia -inguinal direct /indirect. Check with ER Surgeon to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and Chat Doctor. Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards Chat Doctor. |
Hello, I am 12 years of age and in my right hand i have been experiencing aching which seems to feel as if the bones and veins hurt and feels slightly numb and sometimes tingles. This causes incredible pain and the weakness in my hand can barely hold onto a pencil for a few seconds without dropping. The areas where this is affected is the palm, back of my hand as well as where the pulse is (inner wrist). My family and myself have googled symptoms and cant seem to find a end result of what my hand is feeling. Thank you. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in the hand. Well there can be many reasons for symptoms you mention in query like carpal tunnel syn Chat Doctor. I would suggest you to apply warm compresses on hand thrice a day, give proper rest to his hand, do gentle message with almond oil and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper diagnosis. Doctor may order CT scan or MRI along with physical examination. Doctor may prescribe muscle relaxant along with anti-inflammatory and recommend physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
My maid has rashes on the skin, which starts as a small spot and then on itching,it becomes a big rash spot @ 1\" -2\". It also becomes black in color. The spot does not have any swelling. This condition seems to be exists for 6 months now. It has started to show more prominently since last 2-3 months. She has seen a couple of doctors. She was prescribed Tri-o-bloc cream. She used it for 2 -3 weeks and stopped it since its expensive. The next doctor prescribed Tenovate NM cream, Laveta tab, Betnesol tab and AF 400. The condition has not improved. Please advice. | Tithe data you have provided is insufficient. The most important data here is site. Where is the black spot located? If on face then we are dealing with plasma. But from what I can guess from history you have provided is that the patient has Tina incognito. But ti tell with certainty I need the location of the lesion and if possible a photograph. Treatment of this condition is oral and or topical antifungals for appropriate duration. Incomplete treatment will lead to relapse. Hope it helps Regards Chat Doctor. |
I was taking care of an 8*4 year old gentlemen for the past two years. He has a cather and I changed his bag twice a day day & night bags. I recently was hospitialized with a Staph infection/Mersa. I was clipping hang nail off my thumb fingure Within (2) days I developed a big boil like blister. I went to the ER of my local hospital where I was immediately hopsitalized for (2) days with IV s and antibiotics. It has been over two wks and I am doing much better. My fingure is almost healed. My question is could I have been around too much bacteria with changing is catheter and the home he lives in. I tried to be careful and used gloves along with washing my hands. Can I be at risk to get this terrible staff infection back??? | Hello, thank you for your contact to Chat Doctor. If I am your doctor I suggesting you yes there is a strong risk of getting this deadly bacterial infection again. And also the source is the patient itself. You have to take proper cleaning of hand, have to wear gloves, use hand sanitizer etc. These bacterium are resistant to many routinely prescribed Chat Doctor. If you have to ask me anything you can contact me. Chat Doctor. Infectious disease specialist. Thank you. |
My 8 year old son just started taking 25 mg of Seroquel last Friday for ADHD. He was on Focalin XR in the morning and Focalin 15 mg at noon along with 2 mg of Intuniv in both morning and afternoon. He is struggling in school only taking Intuniv this week. Dr. totally changed his meds and his teacher has contacted me twice this week to let me know he has been having issues focusing and is very aggressive. I d like to put him back on his reg meds tomorrow. Can I still give him the seroquel at night time if I give him the Focalin in the A.M? I am unable to reach his doctor. Thanks so much! | Hi and thanks for questions. Your son have ADHD so focal in is good Chat Doctor. But I think It's in very high dose. Start with low dose like 5 mg in morning and school time. Not took int univ until u reached at highest dose of focal in and still not effective. Seroqual as such not much effective in ADHD, if severe behavior disturbance than start with risperidone 1 mg at night dose. Give medication for 15 day if not improve than consult psychiatrist first. Thanks |
I have coronary heart disease for many years and have been on statins all that time. Recently my PCP took me off the statins, and now after three months I am having chest, left arm pain. Can being off the statins be enough time for the cholesterol deposits to increase enough to cause this pain? | Hello thanks for posting here there are some factors that need to be cleared here. If your doctor has stopped statins, then it must be due to low cholesterol levels. So get your cholesterol levels checked. If they are high you need to be started on statins. 3 months of being off statins can increase cholesterol deposits but not on its own. Other factors must be taken into account like diet exercise and lifestyle, and the type of cholesterol you eat. Also do a treadmill test which can give you an idea if there are significant blockages in your heart arteries. I usually prescribe my patients with coronary artery disease lifelong statins in small doses unless they are causing significant side effects. Thank you |
Hi, ive been getting random rashes it first started inside the top right side of my ear now under both of my breast more on the right one and also welt like rash between my butt cheeks & outter edge of my vaginal area. Im starting to get worried I do plan getting it checked out but I dont know what type of dr I should see | Hi, The rash that started on ear fold following to between the breasts and buttocks is indicating a probable fungal infection. However, atomic dermatitis is also to consider. You should see a dermatologist and run skin scrapping examination under microscope to determine the right diagnosis. For the moment, I can only advise you to apply HY Chat Doctor. Keep good local hygiene. Hope I have answered your query. Let me know if I can assist you further. |
My mother has Afib and has been hospitalized 3 times in the last 6 months. Fluid in lung - had to be drained- diagnosed with Pluercy but they cannot find what is causing it. She has been doing great for three weeks and though she does not sound like she has any fluid in the chest or lungs she is experiencing sudden serious pain after taking one of her breathing treatments. She lives at home by herself and house a nurse come in 3 days a week to take vital, etc. She also has some swelling in her lower legs, feet and ankles. Temp is 99.8 and BP was 124 over 88. and heart rate was 85. Can you tell me what could be happening? | Hello and welcome, She is highly likely having congestive heart failure (CHF). CHF is a clinical syn Chat Doctor. From atrial fibrillation. Variety of heart diseases can cause CHF such as atrial fibrillation, hypertension etc. Leg swelling is typical for CHF and patients also develop pleural effusions. She should have initially brained natriuretic peptide level (BNP) obtained. Increased BNP shows fluid overload. Certain medications (e.g. calcium channel blocker) may also cause leg swelling, and increased BNP excludes medication side effects. Transthoracic echocardiogram should be performed to distinguish systolic vs diastolic dysfunction, evaluate structural changes and heart performance. Treatment depends on the pathological condition of the heart which caused CHF. Overall treatment includes beta blockers, diuretics and ACE inhibitors. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Among MD |
My mom had knee surgery a few months ago and she has recently had these bruises that will itch and then flare up with red lumps like an allergic reaction they last a couple of days and when they disappear her skin stays a darker shade of her normal skin tone. Her surgeon said it might be a reaction to the pain meds and to just apply hydrocortisone cream. It doesn t seem to be helping any suggestions?? | Hello, Thank you for asking at Chat Doctor. I went through your mothers history and would like to make suggestions for her as follows |
HI , I just have blood test done and WBC is 11.8 also neutrophilis 8.4T.My doctor is concern and she sent me to repeat the test but the next appointment is only Dec 28Back in May WBC was 11.3 but i was having a strep throat at that time so she was not concerned.Now she told me I might have Leukemia.... | Hi, Looking at the history and laboratory findings, I do not think a diagnosis of leukemia can be made on basis of total WBC count of 11.8 and high neutrophil. Leukemia is commonly associated with high count and increased immature cells in peripheral blood and bone marrow biopsy is necessary for confirmation. Your report looks like a case of necrophilia probably due to infection or inflammation somewhere in the body. Any further queries, happy to help again. |
Good Mornins Sir,This is ranga rao calling from tenali, a.p. india, sir, my wife is suffering with rectum cancer since 2009, intially we used homeo medicine but there is no resutly after that we went in alopathi inthe month of march, 2011 thedoctar did radition along with chemo tablets, tumor was diluted 90% now,she got fisher the tool is going on throug vegina since 8th july, 2011. the doctor has told it is bad. sir, is there any treatment in naturopathy. pl. | Hi, Thanks for writing in. Your wife seems to be having a surgical complication arising out of radiation to the rectal cancer. The rectal tissue might have become friable due to radiation and chemotherapy and this caused a false passage between the rectum and vagina. Unfortunately there is no cure in naturopathy for the above treatment. It is strongly advised that you consult an oncosurgeon preferably specialized in gynecology and surgical oncology for surgical correction of the problem. This problem cannot be treated with medicine and further waiting can cause more complications and discomfort. Infections can also happen due to the communication between vagina and the rectum and this can cause significant problems in the future. |
my son is 13 years old, he has coloboma. For the past year or so he has complained of chest pain after running. He has had chest x-rays and an EKG and they showed nothing wrong, he has not been diagnosed with asma.. Would a stress test show if there was something the x-rays can t see? | Coloboma sometimes accompanies what is called CHARGE syn Chat Doctor. ECG can role out the electrical and functional abnormalities of the heart, but it doesn't show defects or structural abnormality .so an echocardiogram is the gold standard method to diagnose these defects which some times can present with chest pain or exercise intolerance. I highly recommend doing ECHO to this young man , and I hope he doesn't have any defects and this pain is a musculoskeletal pain. |
hi.i am from delhi and my name is anshu. i have a dark complexion n have heard about this cream named meladerm.i dont trust this but i want to try this also.where can i get this cream in delhi and does it actually works? can i get a lighter complexion by appying this cream? | Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. Avoid MESODERM or any similar product as it contains ingredients which can actually damage your skin. I would suggest you to get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY |
My name is Prem Kumar 38 years oldMy Total cholesterol. - 212Triglyceride serum - 295HDL cholesterol direct - 54LDL cholesterol - 99VLDL cholesterol - 59NON HDL cholesterol - 158Total HDL cholesterol ratio -3.9Some time my BP get 100/160So What should be do | Hi, Your blood lipid profile is normal, so it does not indicate dyslipidemia and thus there is no need for any treatment or diet. Regarding these blood pressure spikes, you should know that they could be related to anxiety, caffeine intake or physical activity. But if these blood pressure values become persistent, I would recommend performing some further tests to investigate for possible metabolic causes underlying high blood pressure and also start antihypertensive therapy. Hope I have answered your query. Let me know if I can assist you further. |
I am a 12 year old male. As early as 7years I find that my heart beat so heavy and fast some times. It feels very uncomfortable it some times force me to cough to feel better. It been happening more often as I get older. Like every 2 months. It last for about 3o secs. Can you please help. | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern.Don't worry, it is nothing serious. There are different reasons why someone experiences fast and heavy heart beats. It might be a simple sinus tachycardia. This means that your heart beats over 100 beats for minute. We expect that your maximal heart rate must be 220 minus your age. It might be a different rhythm issue. It might be what we call supra ventricular tachycardia. You might feel that your heart begins running fast and hard suddenly for some seconds, and it goes away. This tachycardia s might happen because of simple emotional stress, anemia, hyperthyroidism, a congenital heart anomaly ect.it is quite known in cardiology that Jung ages experience this kind of palpitations, and they are nothing serious. So, my opinion as a cardiologist is that you should do an electrocardiogram, an echo-cardiograph and a holder monitoring just be sure. Mean wile avoid caffeine products because they rise heart frequencies Hope I was helpful. Best regards. |
Hello doctor Hope you r doin f9...I m trying to conceive from May 2013 but till now I am not able to get pregnant ..After all the tests done doctor found out that my husbands sperm count is good but the rapid fast moving sperms r less than 50% so she suggested us to go for iui..I also had an miscarriage in sept 2012 although that was not planned and it was very early miscarriage as doc was not able to c anything on ultrasound..n she called it chemical pregnancy Now recently I have done blood test and it showed that my blood group is A negative and my husbands is A positive..so do u think I should go for screening before iui...as i already had one miscarriage n it mite hav formed antibodies that time..Pls doc suggest me ASAP Best wishes | Hello and welcome to Chat Doctor! I read your story very carefully! The fact that your husbands moving sperm is less than 50% then your doctor is right to suggest you go for an GUI, meaning artificially placing the washed sperm of your husband into your uterus in order to increase the chance of pregnancy. Since you already had an abortion it means that you are able to conceive and maybe the low quality of husbands sperm is the problem. Therefore, GUI seems the best option for you. As regards the rhesus issue, yes, you should be vaccinated against anti-rhesus antibodies, but this is done once you are pregnant, usually at week 28 and 34 of pregnancy, in order to protect your second baby. Therefore, you need this only if you plan to have a second child since non-vaccination is not harmful for the first baby. However, if you are pregnant then the medical staff will definitely remind and suggest you to get vaccinated regardless of your attention to have a second child or not. Best ! |
Hi my name is suzzi. Im 22 and im in school. I have no isurance or way to pay for dental care . growing up as a child i never took care of my teeth . Now as a young adult i have unhealthy teeth. My teeth hurt, my gums are thin, I have white spots on my gums, and I have poor credit. Also I dont qualify for medicaid. Im wondering if their is any at home treatment i can do to clear this up. or if i need to just go to the denstist, and if i do just need to get my butt in the clinic. do you know of any free or low income clinic that can help me in Salt Lake City Utah? Im really worried and i dont want my teeth to fall out. | Hello, Thanks for posting your query, To maintain your teeth healthy follow the following measures |
hi When i am school in the age 16 i got pimples and i was pinched and pressed.before that i have smooth and fair face...after my school that pimples has become small holes and became black under my eye and total chin and forehead .At that time i used so many but no use..now i am 29 can you tell me how can reduce pores and black skin on cheeks and for head..and I am looking old. | Hi...dear poem., Thanks for choosing Chat Doctor., Pimples are called ACNE VULGARISM., common in You\u2019re age...due to hyperactivity of Hormones., So don't worry... Maintainance and hygiene of face is., very important...so just follow.,1) Frequent washes with FAST BAR... Triclosan soap.,2) Topical application of ZYCLINE-NANO or CLINDAC-A gel., clidamycin 1% cream...nighttimes.,3) Morning times SUNSCREEN LOTION is mandatory.,4) Tab... Isotretinoin 20 mg daily for 2 months gives very good result.,5) Take fresh fruits and vegetables...ok., thanQ |
i was in a car accident 6 days and diagnosed with a concussion and sprained neck. I had CAT scan and will have mri on Monday. I am still very nauseous (have to take meds) and very very tired. I also have diarrhea since the accident. I am taking it easy and seem to sleep a lot which is NOT me. Is this just normal while I heal? | Hello, I have studied your case. I will advise you MRI spine and if there is any cord compression with lower limb weakness then you may need decompression. Decompression is necessary if neurological deficit or bladder involvement is there. Due to medication there can be diarrhea and sedation. If there is no neurological involvement then conservative brace or rest is sufficient minimal wedge compression just bed rest is sufficient. Later on follow rehabilitation and physiotherapy. 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. |
Please tell me first, how much is your fees? The Drs online Always charge at least $25-100 payment. I can t afford it(sorry). I got hurt in car accident few yrs ago & lost job-No pension, nothing! Lay on back numbness, but no pains. I can(old) move easily,but do so..Sleep is 3-4 hrs/night. Lost some wt I went to Int.Med=Nml lab, but MRI l/s, thorax=5+ HNP ( old) now. It takes effort to walk,etc.. Thanks for helping me..MEDI-CAL Drs don t help here... | Welcome to Chat Doctor I have gone through your query and understand your concern. This question of your is posted in free question section, so I want to clear you that you have to pay nothing for this. You got accident due to which you may have got injury to spinal cord due to which you may be having numbness in the part lower to injury and back. Mecobalamine is helpful in reducing numbness. Multivitamin and trace elements supplements are of use. Further medical advice can be given by seeing your investigation such as x-rays and MRI. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care. |
I woke up one day with a bruise 3cm in width on my left side of my body. Round the edge of it it is blue/grey of a normal bruise but in the middle its purple with a small lump in the centre thats a lighter colour. The little lump is uncomfortable to touch | Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the small lumps on left side of your body, mostly is due to the -insect-bite with central lump with light color with blue/purple bruised area around the lump.2-The hurt after touch is due to the cellulitis post-insect bite.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A Good Day.!! |
Iam 30 year old,my Semen Analysis report is colour - grey white, volume - 2.0ml,reaction - alkaline, total sperm count is 45 million/ml, and progressive Sperm is 50%, non-prograssive 20%, non-motile 30%, sperm morphology unremarkable, pus cells 3-5 /hpf, are these report normal..plz reply | Hai, your semen report is normal as per your quoted text. Volume, ph, total count were within normal limit. Active forward progression should be more than 50 %- yours s 50%- considerably normal. Pus cells-occasional pus cells will be there-it indicates infection, but normal semen didn't contain pus cellsmorphology.is normal (typical cells) I conclude your semen report is normal. Thank you hope I answered your query. |
I ve been on birth control for over a year and a half. I m good about taking it everyday around the same time. I had sex Thursday, took the pill that night, but then I forgot the next night. I realized and took it the next day at around 12pm. I m worried I m pregnant... | Hi, Dear. If you took your pill the next day then there is nothing to worry about. But you should take care of taking the pill every day. Do not worry about pregnancy because long term pill users have a constant amount of hormone in their blood, so missing a single pill will not affect your contraception. But you are supposed to take the remaining pills regularly.be stress free and happy. 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. |
Hello, I fell down my stairs a week ago and still have a really bad bruise on my left rear end cheek and my upper left side of rib cage really is still sore. It is very painful when I sneeze and when I take deep breathes I feel a popping feeling in the area on my back where I landed . I have been feeling shortness of breathes and at one time even felt really heavy in the chest and had a difficult time breathing. Im going to the Dr. this week but was wondering what you thought. Sincerely, Jolene | Hi there, the bruise on the back cheek will get better in a few days and should not have a lasting effect, but the chest injury could be serious and the symptoms you have been describing of shortness of breath and difficulty breathing could be due to !)muscular injury or 2) due to broken ribs 3) damage to the lung parenchymal by the broken ribs. You will need to visit the ER to get an x-ray taken to rule out the possibility of a broken rib. Do not wait for the appointment but go right away for an exam. Take care. |
I handled a kitten that I now suspect has rabies. This was just a couple of hours ago. There is no sign of any skin punctures, it did not bite or scratch. I do not believe I came in contact with any saliva. What should I do? Do I need medical attention if no sign of epidermal compromise exists? Can I wait until symptoms occur to get treatment or is it an immediate need? | Hello, Thanks for posting your query, I have read through your query and can understand your concern, The ideal management of post exposure rabies is as follows |
hi doctor.im having white patches near my mouth part and some on my cheeks.i consulted my doctor and she gave me malagard 50,evmozone to apply only on white patches for 10 days and then ICTHYNE-H to apply in night after stopping EVMOZONE and also suggested me DERCLEAN facewash.Im having combination skin,after applying all this im feeling my skin even more oily.what should i do and will these creams improve my skin tone and will there b any result on acne | Hi, it seems that you are having satyriasis Alba, superficial eczema. It is characterized by hypopigmented mild scaly patches , with mild or no itching. It is harmless and self curable condition. Furthermore, it may be due to worms, infection in body, malnutrition, sun rays, soap etc. Try to remove all causes and apply mild potent steroid cream or tacrolimus 0.03 percent. Take vitamins, anti worm tab. . Still, you may consult the expert. .ok |
Hi, I have medium size hard lump on my face, upper cheek bone, under the corner of my eye. This has happened once before and went away over the course of a day or two. I was rubbing my face and felt it again. Its not causing pain or affection my vision, just minor discomfort. | Hi! This lump should not be neglected... Yes, its location is very critical and if further enlarged, can affect not only your looks but also your eye and nose! This one is an infected inclusion cyst or some benign skin tumor-like lesion like histiocytoma or dermatofibroma! A simple 2-minutes needle biopsy can confirm the diagnosis and please don't rub/poke it. And see a dermatologist/surgeon for a direct examination and treatment plan!regards, |
Hi my husband has lumps and swelling on his head which look a bit like a brain very strange we have looked up a lot of things nothing seems to fit he has had this for a while it doesn t hurt but after shving his head to nearly bald it s really bad what do you think? | Hi, dairy have gone through your question. I can understand your concern. He has lump on head and looks like brain. First he should check for any bony defect. If there is no bony defect then it's not brain. It can be due to some soft tissue tumor or skin adnexal tumor or Desmond cyst. He should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
lump under chin I have a lump, I would say about an inch back from the tip of my chin towards my throat. It is deep under the skin. I have had it for almost a year and my doctor said or was nothing. It recently tripled in size and he told me it was a stone in my salivary gland so he put me on keflex. And when it enlarged I started getting large welts on my face. Anyways, the keflex seemed to make it go down but didn t get rid of it. Now a week after I have finished the anti biotic it is growing and I am breaking out in welts again. | Hi! This is another very common that we see every day in our clinic, and thank you for writing this problem to you! In cases of submandibular/submental swellings, I get 5 types of diagnoses as follows |
I started feeling Ike a cold or something coming on 10 days ago, I was extremely tired and a cough started by the 4th day. No running no or sneezing, I went to the doctor the 5th day and was told my lungs are clear and the cough would be the last to go. I feel tired and the cougChatDoctores in bouts, and is uncontrolable. Is this something that will subside on its own? Cough drops dont help much, Im drinking so much water, I do anyway, but have upped it two fold. | Hello are feeling cold for 10 days with cough and tiredness (5th days). Cough syrup is not providing any relief. While lungs are clear. Such type of symptoms may be due to, these possibilities, these include |
Hi I actually have a pus gums right over my front tooth. I have taken antibiotics the first week that I first got it. I have 6 more days before I go back to the dentist for my root canal treatment but I would like to try and drain it first. because its really uncomfortable with where it is situated. I am at the point where I just want to jam a pin through my gum just to drain it.Does anyone know how? p.s. aside from doing root canal? i really want to know if theres another option, treatment, or solution about this. As i heard after rootcanal is done by the dentist your tooth could be dark in the future. or else the tooth will removed? and i dont want that to happen. please help me, thankyou in advance | Thanks for asking to Chat Doctor. As you have said that you have pus collection in gums in relation to upper front teeth and your dentist advised you for root canal treatment. And you might have history of trauma to upper front teeth before some years. This should be a case of periapical abscess. So in this case, as your dentist advised you, root canal is necessary for permanent cure. And if your tooth is not black now than there are fewer chances of tooth blackening after act if copious amount of HY Chat Doctor. Take care and get well soon |
i have developed fundic gland polyps in my stomach but fortunately they r not malignant. there are several of them n im supoosed to remove some of them periodically n stop using proton pump inhibitor for my fifteen yr old gastitises problem. i have been advised to take kinpride tabs instead. I want to know if these tabs are as effective as proton pump inhibitor and whether they have any side effects on longer use. | Hi there ~I understand your concerns. I am also glad that the polyps are not malignant. I wonder why you stopped using the proton pump inhibitors, however kin pride can be very effective as ell. Furthermore, I think that regular visits with an upper GI endoscopic, once in 3-6 months, to get the specimen tested pathologically would allay your anxiety. Furthermore, I also would recommend that you visit with a psychiatrist to detail the onset and course of progression of your symptoms and have a biopsychosocial treatment to the condition. I hope this helps. Take care and have a lovely day! |
Hi there,I get my period round about the 15th or a few days after and I did not get it in may that time which was not a problem because I was not having sex at all and have gotten my period the previous month.I did not think too much about it because if I dont get it on the 15th then ill get it at the end of the month round about the 27-29 I did not get it yet .I had unprotected sex on the 24th of May and on the 6th day after I had unprotected sex until yesterday 2 June I started getting weird dull cramps.Now I just feel pressure there also my breasts started swelling and becoming sore yesterday and is still sore today.The problem is he pulled out before he came so Im not sure if Im pregnant because I didnt get my period my discharge is milky a bit creamy white? | Hi, Thanks for your question. I guessed from your history that having delayed periods is not unusual for you but this time you are concerned because of the history of unprotected sex & the cramps. You can clear your doubts by doing a pregnancy test & I also recommend you to have a transvaginal ultrasound to exclude an ectopic pregnancy which may produce these cramps & is a serious condition if not treated early. All other symptoms are non-specific & may be present even if a woman is not pregnant. Hope this clears your query. Regards. |
Hi i have a problem that only arises after consumption of alcohol after intercourse and ejaculation i have overwhelming urge to pee accompanied by burning pain in head of penis. This is pretty uncomfortable and lasts for 30 to 40 mins any ideas? Thanks | Degree understand your concerns went through your details. I can understand. Rough sex always effect inflammation of the smooth parts of your penis. After sex urination salivates the rashes, and therefore it burns. This is natural reaction. It is also evident that you are practicing rough sex after having alcohol, because without alcohol you donor have any of the give problems. That in itself suggests, your intercourse with the influence of alcohol is the basic problem. Restrain in the case of alcohol and rough sex. Take care. If you still need my assistance in this regard, please use this link. http |
Hi, I recently suffered kidney inflamation from infection. It was extremely painful. I was under antibiotics for 1 week. However, after 2 weeks, Im feeling the UTI is still there and my kidney is starting to hurt again. Can I get antibiotics from my pharmacist? Thanks | Hello and welcome to Chat Doctor. The infection of kidney is called pyelonephritis, and it is not easy to get it fully cured like a regular UTI. The return of the symptoms suggest that the infection has not completely subsided, and you require higher antibiotics. You cannot get them from your pharmacist. My advice is to visit a Urologist, and he will do a urine culture and antibiotic sensitivity and Ultrasound scan of abdomen. Then you will be admitted and will start on antibiotic injections for a week, depending on the test result. Hope this discussion will be helpful to you. Thank you. |
I had a two trigger point injections on Thursday. I have herniated disc, c5,c6. One TPI was by shoulder blade right side. Other was upper part of neck also right side. Thursday evening, had very little sleep. Had to position self upright. Swelling at injection site.( Lidocane, toradol.) Have had brutal pain since injection, back of right side of head to crown. I am getting really worried. I have percocet for pain and have had to increase dosage due to this. Please inform me as to what you think may have gone wrong, and when these symptoms should go away. Also, when to seek additional medical attention. Possible complications? | Hello. Thanks for writing to us. After an epidural steroid injection, it takes at least 3-4 days for the symptoms to start subsiding. The acute pain that you are having can be due to a hematoma formation in the area or a nerve injury caused by the needle. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http |
hello Doctor I m a teenager girl I have alot of problems that I can not tell to anybody sometimes I feel so much sad and dispointed I look for something..anything.. that makes me happy ...I just lose the sense of life and think about my goals and how it is hard to achieve it ... I always feel like that ..I love being alone and talk to myself like a crazy and cry without any reason besides everybody noticed that I m selfish I want everything and everyone only for me do you believe my best brother is getting married this july and I feel so sad about that I mean he will have a home and never think about me I m afraid to lose him he is my best brother I need advices pls Doctor | Hi, From your description you are having depression. Depression can occur due to many reasons which need evaluation. Try to do daily aerobic exercise and involve yourself with friends/family members. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialist like psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. |
I have received results from a recent MRI scan to my spinal area, It demonstrates degenerative changes at L2-3 and at L4-5 where is narrowing of the disc space. At L2-3 there is a small bulge which is indenting into the spinal, but not causing any significant transiting L3 or exiting L2 root compression. At L4-5 there is again a small bulge which is neither catching the exiting L4 nor transiting L5 root. I do not totally understand exactly what this means, so could please be a bit more specific. I have suffered with this complaint for 10 Years and it is becomming more and more unbearingly painful it is also limiting my walking distance to the extent that I fear both walking out alone and also paralysis at a later stage, Is there any possibility of surgery to remedy this complaint. | Hello, welcome at Chat Doctor. I have read details of your question with diligence. At present there is compression of your thecal sac, but it is not significant. There is also no compression over nerve root. But it looks that all these changes does lead to inflammatory changes at spinal cord. This is the reason why you are having pain at your lower limb.ain such cases there is a good role of physiotherapy. Your doctor may teach you some lumber strengthening exercises. These will be helpful for you. You may also ask for steroid injection therapy in spine. Hope all this will help you. With best wishes. |
18 , 6 foot 5 , 105 kgs , how long after getting all 4 of my wisdom teeth out can i have a ciggarette | Hello and thank you for your question. I would hold off on smoking a cigarette for at least two weeks from the time of the extraction. As a health care provider I would encourage you to quit smoking before the time of the appointment to help reduce the risk of post-operative complications, and to remain that way. Your body heals by forming a blood clot which is a matrix for the healing tissue and bone to form on. Cigarettes affect this in many ways, the suction you form on the cigarette itself can pull the clot from the socket and cause Chat Doctor. The smoke is hot and irritating which can cause pain, delayed healing and also |
having abdominal pain under the rib cage more on the right side with right sided kidney pain pain making it difficult to walk , vomiting and buring urination , haedache. xray showded lots of gas, had a enema - with no reflief, cant poop today and still having in the kidney and down the back to my butt | Hi ! Good evening. I am Chat Doctor answering your query. The pain on the right side with burning urination is most likely due to a urinary tract infection, which could also give rise to vomiting, headache due to fever. The gases in the abdomen could be due a reflex paralytic illus due to the pain abdomen. If I were your doctor, I would advise you for a routine/microscopic and a culture sensitivity test of the urine to know the appropriate antibiotic for the UTI, and an ultrasound abdomen to rule out a co incidental/associated right ureteric calculi. Further management would depend on the clinical findings and investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
my husband has severe depression and I wanted to know about it and the side effects. My husband has had many anti-depressants with no success. This new one has been given to him in the hospital as of 3 days ago. This is likely his last chance for help. He is also sucidle | Degree understand your concerns went through your details. I am sure that you are much worried and request you to be calm. Suicidal tendency is part of Depressive disorder. Anti-depressive Chat Doctor. Depression is a habit of the mind. Negative thinking habit. The neurons are habituated to think negatively. We have to change this habit. To change the habit, we need to identify the root cause of the problem. A psychologist can help you in this aspect. After identifying the problem and the understanding depth of the problem, he will suggest a series of psychotherapy techniques which are to be followed strictly. Then your husband could be saved from this disorder. Believe me. It is effective. For lifestyle counseling, mental counseling, health counseling, psychotherapy treatment and anxiety disorder treatment please visit http |
hi my son is 20, he has pain in his lower right side, by his right hip. it comes and goes for days after drinking alcohol and certain foods flair it up.he has been for numberous tests, blood work, Ct scan, x-rays & ultrasound. everything has come back good. he has been in and out of the hospital and our family Dr can not find anything wrong with him, its very frustrating | Hi, alcohol consumption rarely cause lower back pain and hip. As u have gone through many investigations but didn't find anything then two possibility occur1) pain radiculopathy on right side may or may not be radiating to right side of leg and can only be diagnosed by MRI LS SPINE and not by CT scan2) renal stone(less than 2\u00a0mm size) very rarely seen in PUB ultrasound but stone pain is usually associated with vomiting, anorexia or burning micturitionOther possibilities can be made only after clinical examination by doctor. |
The patient is a female age about 26. She is having a pain in her end of the spine which leads her to un-walk-able state. When this happens, it also causes a skin hive kind a thing which explodes and release darken blood as well as her back pain. She is my sister and would be great-full to help me out to analyse her issue. Thank you. | Hi, thank you for a brief history of your sister. As you mentioned it is in the end portion of the spine, and she is unable to walk. I will recommend you to get an MRI done and meet a neurologist. Sooner the action better the reaction. As I always believe that the personal examination is always better and more accurate you should meet up a neurologist and get an MRI done. It will help find anything serious is there or not. With the grace of God I wish your sister a good Health |
my mother-in-law has COPD and was exposed to blown fiberglass.. It is all over the laundry room, where I found out today that I have an allergic reaction on my skin! No fun... I don t have any respiratory issues (so far), but I am very concerned for her. What , if anything can we do? | Hello, Welcome to Chat Doctor, As your mother-in-law is having COPD, exposure to any of the allergen to which she is sensitive there will be acute exacerbation of the symptoms of COPD. So avoid exposure to this allergen, if she is sensitive to fiber glasses you can give her1. Bronchodilator inhalation having steroid and bronchodilator.2. Oral Antihistamines like Monte LC as it is a safe Chat Doctor. But these medications should be taken only after consulting your doctor. Thank you. |
Hi doctor, I have been diagnosed of Pulmonary embolism and I am currently on Acitrom - 3 mg everyday for the last 6 months. On recent scan, it is observed that the embolism is still existing in my lungs and have not diluted... at the same time it has not increased as well. It is in the lower lobes of the lungs.. What should I do next. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In your case, medical management is the best option. And action is the Chat Doctor. But we need to know its effect by PT (prothrombin time) report. For its anticoagulant effect PT INR should be at least between 2-3. So if this is not achieved, proper anticoagulant effect is not there. So blood clots will not resolve. So I advise you to consult pulmonologist and get done PT INR report. If your target INR is low then increase in citron dose is needed to achieve proper anticoagulant effect. Or you should start another anticoagulant |
Dear doctor .. I m on my vacation with my little 4 year old boy .. I felt like a small cyst on his back of his left side head it is painless and movable .skin is not red nor irritated He seems so healthy no weight loose fever or any other condition . I didn t sleep since 2 days so worried about my only son | Hi, Thanks for writing in. From the description of the cyst on the head, it appears that it might be a scalp swelling, There are many kinds of swelling involving the head and scalp. Some of these remain inactive for a long time and might become enlarged slowly with time. These are commonly cysts like sebaceous cysts and can have a central opening when looked at closely. There are other cysts like epidermis cyst or Desmond cyst. Dermis and epidermis are slow-growing benign cysts that typically occur in the scalp and the skull of infants and young child Chat Doctor. All these cysts are essentially benign. It will help to consult your doctors once you are back from your vacation. Please do not worry. |
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