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I am 37 years old. Two days ago I started having severe abdominal pain. The pain has been relentless, and keeps getting worse. I cannot hardly stand or move without sharp pains. The pain is across my abdomen at belly button level. I cannot even touch my abdomen without wanting to scream. I have been having bowel movements just fine. Could it be gall bladder? | HI. The signs and symptoms you have described are suggestive of Peritonitis. You can not move or can not touch abdomen is called a Rebound tenderness. This is a pathognomonic sign of a peritonitis, and you need an Urgent Surgical Exploration of the abdomen. Before surgery, you can undergo the tests of |
i had a medical abortion about 2.5 weeks ago, and about 2 days after i took the 2nd pill i noticed it became difficult for me to breath. i am very short on breath and am very fatigued, its also hard to sleep and i do not feel well rested when i wake up. i went to my doctor and my oxygen levels were very low. i was 86 then after walking for about 40 seconds my level was 76. my doctor couldnt believe it so we did it again and i started at 77 and my level then dropped to 66 after walking for under a minute. i had a ct scan and he said it was normal also my lungs sounded clear. my blood work showed i am not anemic. any ideas as to what it could be? i m trying not to become anxious however its hard not to be. I am to the point where I am yawning just to get a full breath of air. | Hello, As per your history and description, we should definitely rule out pulmonary embolism (PE) for your symptoms. Pulmonary embolism is known complication of medical abortion pills. And your fall in oxygen saturation on walking also suggests PE. For the diagnosis of PE, you need special CT scan known as CT pulmonary angiography. So, meet your pulmonologist again and ask for CT pulmonary angiography. Hope I have answered your query. Let me know if I can assist you further. |
My son had fever for last 9 days now .First 3 days it was high in the range of 102 to 104 . Later its has been in the range of 98.4 to 102 but 2 time it has touched 104 in last 6 days . He has cold hands and feet generally and gets just before the fever starts to come down he the palms and feet get warmer .He has felt cold and a little chills 4-5 times in 8 days . Yesterday a Homeopath gave us RHUS TOX 1m and Lycooodium 1m globules .He asked us to mis 2 globules in 30ml of water and give alternatively every 2 hrs and 3 doses of each in a day. Thankfully the fever has come down. But he has started getting redish rashes all over the body with some itching from yesterday (even bofore we started giving him the doeses ). Before we started on Homeo , we have been giving him Crocin every 4 hrs and Ibugesic everytime it went above 102 F. We stopped Ibugesic yesterday suspecting this rashes to be more due to ibugesic . Today the rashes have been acute and are reappearing even if i am using calamine. Is he on right medication ? Kindly help. | Hello, Fever of a 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 a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. |
Hi ! I have a vein on my penis which starts from the shaft from right and goes across from the middle to the left side of my penis.Before i didnt had this vein it is very prominent during erection.Is there anyway to get rid of this vein ,its very much bothering me.What could be the cause of appearance of this vein ?? | Degree understand your concerns went through your details. Some men have small veins related to the skin and some have large ones. Their prominence varies from individual to individual and will change with an erection. Your description sounds to be that of a normal penis. On a normal penis veins as you describe during erection are normal. Please don't worry and don't be anxious. If you require more of my help in this aspect, please use this URL. http |
Hi Dr, Im having problem in my marriage life because of my hot tempered hubby..he dont appreciates me for whatever i do,im trying more than my level best to become a good wife and most of the time i just kept quiet when he shouts at me..day by day it causes more depression to me and i feel like want to find another companion to ease my pain...plz advice me....thank you | Hello, Thanks for using health acre magic for posting your query. Keeping quite is not a right solution. Any problem can be solved only by having a proper talk. You can stay silent when he is very angry but one's things settle down, you should discuss what actually went wrong. If you feel that your marriage is so troubled then in that case you should talk to him and convince him to seek a marriage counselor or marital therapist. That would help you both. Other than this you should take care of your health. Get evaluated for depression and if there is any seek treatment for the same. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than happy to help you. |
Dear Madam, I am having asthma for the last 25 years. Also I am married. I don t have any children. I feel guilty that I should tell my wife about asthma during the time of marriage. It has affected our marriage. What is your suggestion regarding this | Hello, As asthma is a chronic inflammatory disease of airway with recurring symptoms, reversible airflow obstruction and bronchospasm. Main solution for asthma is prevention from those conditions which aggravate the symptoms like dust, fumes, chemical, cold etc. You should go for some tests like lung function test, skin test, chest x-ray PA view. Consult a physician for proper management. Do not feel guilt as asthma may also be aggravated by emotional stress. Try to be happy, do regular yoga, Panama and meditation practices. Do not work/ exercise excessively. Use Beta 2 agonist like albuterol and corticosteroid inhaler, antihistamines t/t tab. Levocetrizine and leukotriene antagonist and/ mast cell stabilizer. Do no smoke and avoid aspirin intake. You can also try some type of alternative spiritual healing method like Reiki and prank healing which in some cases give promising result. Take care, bye. |
I have been having heart palpitations for about six weeks. It started only when I layed down but now it happens more often. I do not smoke drink or even drink caffeine. It agrivates my gerd. I am 41 weigh 169 and am 6 1. My biological died of cardiopathy in his early 40 s. Most of what I read says not to worry but should I? | Hello, Herd is a common problem and It's rarely also related to heart disease. Most of the time, there is no need to worry. However, since you have a history of heart diseases, it's better to get ECG done and stress test like treadmill test which will rule out your concern. For Herd, you should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Elevate head end of the bed or use pillows during sleep or rest. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts. |
i have palpatations mainley assocciated with my sleep. I have been going to a cardioligist for years, and have had many tests done to no avail. I have worn a 24 Hr halter 2 times with no results I had a spontanious lung collapse 15 years ago followed by a thoracotomy at the time to repair the damage When i am awoken by these palpitations and feel my heartbeat it is normal or perhaps slightly elevated and completley out of rythm with the palpatations . MY cardioligist has been trying for some time to figure these palpatations out Does anybody have any feeling about this Thankyou | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to a sleep disorder or sleep apnea. I recommend performing a polysomnography. It can register the brain and heart electrical activity coupled with your lung oxygenation. If sleep apnea is detected, it should be treated properly. Another possibility to take into consideration is gastroesophageal reflux. I recommend taking some antacids before sleep. If your situation is improved by an antacid or PPI (omeprazole, lansoprazole), it would be indicative of gastroesophageal reflux, which could trigger this symptomatology. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, |
I am having chest congestion and coughing with thin white sticky mucus. I consulted 7 days ago and had paracetamol[combination] and cough syrup. While 3 day medication I got slight relief. But now Its getting worse. mucus is coming when I dry cough and spit. I am 37 yr old, diabetic and with very early CKD. What to do? | Thanks for your question on Chat Doctor. In my opinion you should rule out chest infection and cardiac cause for your chest congestion and coughing. You are known case of Diabetes and early CKD (chronic kidney disease), both of these can cause low immunity and lung infection. So get done chest x-ray to rule out this. DM and CKD also cause cardiac disease. So get done ECG and 2d echo to rule out cardiac cause. If all above-mentioned investigations are normal than you are mostly having upper respiratory tract infection (URI). So do warm water gargles, Chat Doctor. You will be alright. |
Hello, what is the normal level of peptide hormones one should have? My husband was a a diabetic for 30 years until recently when he underwent a pancreas and kidney double transplant. I worry about whether my son who is 24 will get diabetes. thank you | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, there is chance of son having diabetes of father. But it is always not necessary that son always have diabetes. If your child adopts good lifestyle habit he will never get diabetes. Healthy lifestyle means doing regularly exercise, eating healthy food, low in fat and high in protein diet. This will maintain optimum glycemic control and you never gotta have diabetes. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Please hit thank you for me if you are helped. Thank you, ChatDoctorInfectious diseases specialist. |
Dear Dr. Krueger,We have just found out that my son-in-laws 21 year old brother has aplastic anemia. I have been reading a lot on this disease and it is very rare. The entire family is in India and they are a very humble family and do not have the means to pay the $20,000 plus dollars that the hospital is telling him that he will need to undergo the bone marrow transplant. I have been trying to find places where I could try to get some funding to help them out. Do you know of any good funding sources that I could try? Thank you, respectfully, Maria | Hello and welcome to Chat Doctor, The treatment for plastic anemia is bone marrow transplant. For the bone marrow transplant, matched donor is required. Once a matched bone marrow is received, bone marrow transplantation can be done. The cost involved in bone marrow transplantation is quite high. You can get financial help from charitable hospitals and NGOs. You will have to find out the centers which provide financial help for expensive procedures. Thanks and take care Chat Doctor. |
The area between my legs and my testicles is sweaty all the time, especially when I wake up in the morning. Its really bugging me because it just occurs whether Im hot or cold and I dont know what to do. Ive tried shaving down there but that hasnt made a difference, apart from irritation. | Hi, Causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Most excess sweating is due to excess sweat glands or their hyper-stimulation. Here are some tips to stop this sweating or its odors.1) If you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) Always take balanced diet and Chat Doctor. 3) Avoid tight-fitting clothes rather wear loose clothes.4) Wear cotton material clothes and avoid synthetic silk.5) Bath with antibacterial soap like detail,savlon6) Always clean groins, twice or thrice with brush during bathing.7) Use antiperspirants and deodorants together like aluminum chloral |
I have a bad smell coming from my nostrils it the smell you get usually when your sick and you have a congested nose or something, but I have the smell all the time and wont go away no matter what the doctors at my clinic tell me to do. My nose gets really stuffy at night only in one side. But I also have bad breath I can brush my teeth and an hour later it wont smell fresh anymore. And sometimes I have postnatal drip. | Hello and welcome. Please let me know when did you last visit your ENT specialist?There could be a sinus infection. Why do not you meet ENT specialist and get an x-ray done for sinus. Once you get the reports, start with decongestants. It does not appear to be dental infection as per the history posted here.Meanwhile, you can do warm saline rinses and do steam inhalation for immediate relief. Hope it helps. Thanks. Take care. |
Off- late I am observing that a purpura was developing just above heart region and traveling upto my left shoulder after a brisk exercise. The purpura faded after an hour.I am not known to have hypertension, and cardiac problems. It was reappeared next day when I finished my exercise. I am 57 years old and a known type Ii diabetic patient. For a long time approximately for the last twenty years my platelet count varies between 120000 to 150000. It went never above that. I am wondering whether is it an indication of any serious heart problems which have not been detected by my cardiologist. Thanks a lot for an answe. Regards, GSM | Hi I did review your conditioner the problem you have described, the lesion you have over your chest does not seem to be a purpura as they do not fade away in an hour since they are made of extravasated blood. Your platelet counts are also low normal which generally few people normally have and do not cause abnormal bleeding. What it can be though is that the purpura like lesions that develop with exercise and that You should get it evaluated from a Dermatologist. I hope this yellowish you a very healthy and a happy life. |
Hi Doctor, i have a 2 years old daughter. For the past 3 days, she wokes at 4 or 5 am due to pain in her stomach. She tries to pass motion but cant and starts crying. So that time i give her colicaid drops (1 ml) and after 15 min i give her a glass of milk. Then after an hour she sleeps. In the day time, she passes motion but not freely but dont cries. Please tell me what to do. | If she is chronically constipated, she may be having anal fissures causing pain while passing stool, with holding, resulting in further hardening of stool and a viscous cycle of pain and constipation. She will require a rectal suppository or an enema followed by daily laxative, a lot of fluid orally along with diet rich in fiber. Anal fissures if any may be treated with local application of an anesthetic and an antibiotic cr\u00e8me in the anal canal. |
Why do I need to arrange for periodic blood tests during prolonged therapy of Piriton? Why do I need to arrange for periodic blood tests during prolonged therapy of Piriton? | HI Thanks for the question. Portion contains chlorophrniramine, an antihistamines, h1 antagonist, which itself directly donor have any side effects on blood counts. But, your doctor might have suggested this for the reason that if you are suffering from any allergic conditions where blood counts are abnormal (e.g. high eosinophil count in allergy where portion is prescribed). In such cases you may need to do periodic blood tests to assess the improvement of the disease process. Hope I could answer your question. Wish you a speedy recovery. |
My 62 year old mother had a heart attack requiring by-pass surgery and valve replacement. She was in good physical shape except for r. arthritis and hypothyroidism for which she was on meds for. She did not make it out of surgery. Any reasons her arthritis/hypothyroidism had anything to do with it? | Howell come to ChatDoctorThank for choosing to ChatDoctorI had gone through the history given here, if both the condition are well under controlled then she can be taken for surgery, but the latest test and the physical examination would give the final result whether the patient is physically fit or not, else it is nothing to worry if she is having thyroid dysfunction and arthritis, hope this information helps. |
I have lost 2 brothers to suicide in the last six years this has destroyed my family my mother has had 2 strokes and is now paralized on one side and my dad is almost insane because of it . I lost my business because of the grief. I cant function in the real world anymore I just want to crawl in a hole hide and never come out. Is there any way I can ever be normal again. Please give me some advise please help me . I am having thoughts about suicide myself just to end the pain That I keep to myself/ | Hi dear, due to such psychological stress you might have depression likely so first consult psychiatrist for detail history .you need medication and psychotherapy both. Medication to come out from situation in which you are right now and psychotherapy for facing the reality of life. Not to worry much. All will be good. If suicidal ideas comes in mind frequently consult urgently and admit in psychiatric nursing home. Thank you |
I get a sudden pain in my liver (i think) perhaps every day for the last 6 months, only for a few seconds each day. I had a blood test and came back negative for hepatitis. It doesnt hurt to touch and I notice I get it straight after eating or drinking. what could this be? | Hello Your problem may be due to many reasons like acidity. However, other causes like liver problems etc. should be excluded. You need proper evaluation and further investigations. I suggest my patients to take combination tablet of proton pump inhibitors like tablet omeprazole and risperidone half hour before food in the morning. Ultrasound of abdomen and upper GI endoscopy can be done after clinical evaluation. Treatment depend upon clinical findings and investigation reports. Take Care Chat Doctor. |
I have had an ongoing issue with my blood iron levels for about a year now. Despite taking iron supplements as directed by my hematologist, my iron level is 25 - half of the normal according to my doctor. I take Prilosec daily for heartburn (again, as directed by my doctor), as well as an iron supplement and folic acid supplement. I have a small hiatal hernia which my doctor suspects may be responsible for a slow bleed. I had a colonoscopy and endoscopy within the past three years, both of which reflected no problems. I experience bloating and diarrhea on a frequent basis. Any advice for me? | Hi, thank you for posting. I think that hiatal hernia is complicated with anemia because of ulcer bleeding, burn feeling in chest that make you think that you suffer from heart and I think reflux caused pneumonitis. To verify all blood parameters you need a -Complete Blood Test(CBC)-Pulmonary X-ray.-Repeat gastroesophageal Fiber Endoscopy. This test shows us detailed information about hiatal hernia.-Esophageal mucus Biopsy. You should contact a pulmonologist and gastrohepatologist. Best Wishes. |
am 34yrs old and I had a large lipoma removed from my right shoulder through liposuction 2 months ago. The swelling has decreased and I have been left with 3 pea size lumps and in the middle and attached to these is a large nodule. I could feel the nodule before I had the liposuction but not the moveable peas. Perhaps there was too much swelling from the lipoma originally and that is why I maybe feeling them more so now. I have a skin rash caused by food allergies currently caused by egg (I ate by accident egg noodles) but I also have sensitivity to dairy and a few other things and I have cut these out of my diet. I am a little over weight and genuinely feel almost helpless in loosing the extra pounds as dieting doesnt work. I am often tired, need 9-10 hours sleep ideally and suffer from mind fog and lack energy. I am trying to work out if all of these are related? Perhaps a liver problem or Dercum disease? I am massaging the bumps with Castor Oil for the last week and they only hurt when I massage hard and for too long. Also I have poor circulation and get cold hands and feet and I am usually slighly colder than most but I never thought this too be a too bigger deal. Can you help to see if there is a link between all these symptoms? Diagnosis? What to eat and natural remedies? Many thanks, | Hi, let me tell you first that lipoma is basically a hereditary problem, and if it is not cancerous than you should not worry about them, there is no cure for lipoma in allopatry, but you can prevent further growths of lipoma in your body by taking homeopatChatDoctoredicines, and also as you have other symptoms too, as in homeopathy we treat the patient as a whole, so all you symptoms will be covered in the same treatment, and you will feel much better than ever before. For more info u can mail us at info Chat Doctor. Com or visit u at WWW. |
Hi my husband has had this big hard lump on his inner thigh. He says he s had it for years and it didn t cause him any pain. One day out of curiosity I pressed on it and this really foul smelling brownish pus came out. It frightened him and he never let me completely clean it out nor has he consulted a physician. What could this lump be and can ir effect his health if left untreated? | Hi, Dear,Thanks for the query to My Chat Doctor Clinic. I studied your query in details and understood your health concerns.-Treatment Advise and Cause of your lump in the inner thigh-a-In -my opinion-it is Chronic furucullitis-which is recurring. The pus that came after pressing suggests that abscess was present inside without much of the pain and soreness to him.b-Treatment I advise-is as follows-i-AS its long-standing lump -? Chronic fur uncle with abscess I would advise -FBS and PPS to rule out the diabetes in him-as a cause of it.ii-The Chronic inadequately Chat Doctor. |
in 2006 i had 5 stents inplanted. i am 79 yo. i have been taking plavix all this time. i am also taking lipitor and high blood pressure medication with very good results. being checked every 6 months.Never had a heart attack. what is my long term prognosis ? | Hello Welcome to Chat Doctor. The long term prognosis of angioplasty with 5 stents with preserved heart pumping function is good. But as you mentioned you must be checked up regularly every 6 months. The more the number of stents the higher is the risk of restenosis (stent narrowing). However, since your body has adapted these stents for this long, I suppose the chances of restenosis are less. A stent usually remains patent for 10-15 years. I suppose you are undergoing a treadmill test or stress test every year which is very essential. Also, since you have completed more than 10 years with these stents, I recommend you go for a check angiography to see whether the stents are patent. Treadmill tests have a sensitivity of 67%, so some amount of heart blockages can get misdiagnosed. That is the reason I am asking for an invasive test. It is recommended for patients with more than 10 years with stents irrespective negative treadmill tests. Overall, the prognosis is good. Wishing you good healthRegards |
I Have numbing in my finger tips after getting trigger point injections to help with nerve pain n pain in neck, arm n hands, in the morning usually... Now I have constant numbing n tingling in my fingertips.I m supposed to go for an epidural in 2 weeks. ....But can not deal with this, what could this because of and what can I do to help it in the meantime. ? | Hello dear, Your narration seems to be related to cervical spondylosis with radiculopathy. Treatment depends upon the extent of involvement. Physiotherapy, neck collar may help in many patients. Medical treatment with pregabalin, gabapentin or amitriptyline reduces perception of pain and methylcobalamin may be useful for nerve nutrition. Anesthetic agent in subdural space improve pain complains. At last surgery is required. You need to consult a neurologist or neurosurgeon for proper examination and evaluation. Hope you found the answer helpful. Wishing you good health Chat Doctor. |
hi doc,i dont know what i m suffering from but whenever i think of sexual desires i literally ejaculate . i m 23 keep ejaculating during sleep as well and after discharge feeling very weak and sick .I dont know which medicine which exercise plz suggest . Very low for doing sex with anyone. | Hello share your concernLooking at your history you should immediately consult your doctor for a battery of tests like hemoglobin CBC liver function test or thyroid test and a hormonal assessment it could be related to low hormone level or anxiety and stressful life this can be corrected you need not to worry avoid alcohol and smoking have multivitamin supplements go for exercise daily remain cheerful and stress free thanks for your query please feel free to write back to us for more information best wishes |
Hi Dr. Samuel,I just got back from vacation a few weeks ago in Haiti. (had a wonderful time by the way) but now my skin is peeling like crazy. It started on my legs now my arms are peeling also. I don t have any blisters or itch, just dry flaky skin. Could this be a form of sunburnThank you | Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of post-inflammatory defamation; most likely it is happening because you might have got a mild sunburn during your recent vacation, which is now resolving, and the dead skin is now peeling off. I would suggest you to use a moisturizing cream twice daily for a few days. That should take care of the flaking/chaffing. Since prolonged sun exposure, specially during a beach holiday, can cause the skin to burn and subsequently de-squamate, therefore, it is always better to use a broad spectrum sunscreen, throughout the day and reapply every 2-3 hours, specially on a beach vacation. Regards |
what to do when a patient report is like this----- - MULTIPLE ROUNDED VARIABLY SIZED TYPICAL TARGET LESIONS,SHOWING CENTRAL NECROSIS AND PERIPHERAL RING ENHANCEMENT ARE SEEN SCATTERED IN THE LIVER. - A CLUSTER OF NECROTIC LYMPH NODES IS SEEN IN THE PORTA HEPATIS AND THE PRE -CAVAL SPACE,COMPRESSING AND DISPLACING THE MAIN PORTAL VEIN. - IMPRE SSION-IN THE K/C/O CA GB,THERE ARE MULTIPLE HEPATIC METASTASIS AND NECROTIC METASTATIC APENOPATHY. | Hi, Thanks for writing in. The features detailed above indicate gall bladder cancer which is infiltrating in to the right lobe of liver. In this situation, the cancer cells have destroyed the gall bladder and have spread in to the liver parenchymal. There are also a cluster of lymph nodes in the port hepatic, the region where the gall bladder is attached to the bile duct. The cancer is in stage 4 and is showing features of advanced disease. Surgery is not possible in this situation. The available treatment for this patient is chemotherapy to reduce the progression of disease and pain relief to give comfort. Please keep the patient on healthy diet and adequate water and fluids to avoid deny Chat Doctor. The survival of such patients is about 6 months to 2 years with good treatment and care. Please do not worry. |
Ive had my Mirena for 4 months now. I bled heavily for a month after insertion but havent had a period since. My partner avoided ejaculating inside of me during sex until a few weeks ago. He has done this twice in the past 2 weeks, and each time, a few days later I have light spotting/bloody discharge. WHAT IS GOING ON?? Should I get the Mirena removed?? Also, my strings move A LOT. Not so much that they come out, but enough that I have to reposition them at least a few times a week so we can have sex comfortably. | Hi, Thanks for the query. Intrauterine contraceptive device can present side effects like irregular menstrual cycles, pain abdomen etc. Sometimes these problems may settle down after few months. Sometimes these may prolong. For more details |
I am constantly talking to my identical twin sister and she responds to me even though she isn t really here- we haven t had contact since we were kids. I am very sensitive to everyone and everything around me. Fear of being touched in any way. Only sleep about 2-3 hours a night, and have very little energy. I have constant headaches and eye pain. Majorly fear leaving my apartment for any reason. Can you help me with any of this? | Degree understand your concerns went through your details. I suggest you not to worry much. From the description you are providing, you might be having some schizophrenic disorder for which you need proper diagnosis and treatment from a psychiatrist. Please consult a psychiatrist immediately. 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. |
my son (2 months old) have heart murmur as follows mild AR,mild LVE(gud bv function) and mild TR (rusp24+rap) Aortic auns 8.5 mm DOB | Hello There After going through your medical query I understand your concern and I would like to tell you that some murmurs in child are Normal and gets fine on its own, but you need to follow up with pediatric cardiologist from time to time evaluation. If he is facing any discomfort like breathing difficulties then consult a pediatric cardiologist immediately. Hopefully this information will guide you properly. Kind Regards Chat Doctor. |
hello sir my husband 32yrs has low sperm count..married since 2yrs i m 30yrs..my all reports are normal..4months back the report was.5ml greyish white,abnormal viscocity,ph..7.9,,counts 5millions...5%activly motile,95%abnormal...then i started with ayurvedic medicines,,he has no addictn or any illness ... .this month report of semen analysis--,3ml,normal viscoty,fructose-ps,,alkaline,,per ml spermatozo-9.5,,perm ejaculte-28.5mill,non progresve-30%,spermiogram-35%normal,,agglutinatn-traced.pc,rbc,epi cells-occasn,pecusors-2-4hpf. | HelloThanks for query. Based on the successive reports of semen analysis of your husband I would state that he has Oligoasthanospermia meaning there by that his sperm count is and percentage of active motile sperms is less than accepted values of WHO standards to effect fertilization of a female egg. Truly speaking there are no medicines that can increase the sperm count or motility of sperms.However, following general measures do help to increase these parameters to some extent .1) Practice moderate exercises for 45 minutes followed by meditation for 1/2 hour .2) Take high protein diet rich in vegetables and fruits 3) Take 5-6 almonds every day 4) Avoid alcohol and smoking. It takes long time say 6-8 months to see the results. Have patience. Chat Doctor. |
I am having heavy hairfall which is not stopping at all. I am diagnosed with Hypothyroidism. And I am on medication (Thyronorm 125 mcg). Apart from that I am taking Finasteride 100mg (Finpecia) and Minoxidil topical solution. Still hairfall is there. | Hello, Welcome to Chat Doctor. You have not mentioned your age/ sex and duration of treatment. Hypothyrosism itself can cause hair fall. If you have been diagnosed recently, it will take some months for the hair fall to come back to normal. Minoxidil and finasteride take 2-3 months to start acting and to show results. Do continue the medications. Other options to consider are microneedling/ monotherapy, low level laser light therapy and peptides. Hope this helps you. Take care. |
I was stung by a bark scorpion 7 days ago. Not a big deal. Just very painful and felt like broken glass would come in my arm in waves. The place of injection is still numb, and today it is looking very swollen. I didn t notice much swelling before today. It also itches slightly. Is this normal? And is there any reason for concern? | Hi. Thanks for the query. It looks like the stinger is still embedded under the skin, and it is causing a continuous source of the allergic reaction. Due to this there is swelling and pain. There can also be infection at the sting site. So it is advisable to consult an Emergency room and get a clinical examination done. If the stinger is embedded under the skin then first it should be removed and the area should be cleaned with antiseptic solution. A course of antibiotics, anti-inflammatory painkillers like Advil and anti allergic like Levocetrizine can also be advised. Do cool compresses over the swelling. Do not scratch the sting site of there is itching to avoid spread of infection. Hope this helps. Regards. |
HI,theres a lump on my right calf! I just came back from football but im not sure how it got there! its very painful when i put pressure on my leg and stretch the muscle. I tried massaging it but its too painful and tender. Im not sure if its swelling, a bruise or something else.ThanksAmmar | Hi, dear. I have gone through your question. I can understand your concern. You may have some sports injuries like muscle strain or hematoma or bruise. You should take anti-inflammatory and analgesic Chat Doctor. If it doesn't respond to treatment then go for x-ray or the imaging techniques. 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. |
Usg report says my both kidneys are normal in all respect but have prominent extra renal pelvis. Doctor advised to report after two or three weeks with another usg for further review,treatment.. Kindly advice .some I have back ache. Urine flow is normal .I am taking allusion 10mg, one tablet daily for enlarged prostate treatment. | Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. Prominent extra renal pelvis, means the Chat Doctor. Normally, located completed inside kidneys.There's nothing to worry about it, as this is seen as a normal variant. It doesn't affect the kidneys in any way. The USG scan must be repeated in about 3 months time. If you've any doubts, you can send it as a direct question, to me. |
My husband choked on a piece of candy. It lodged for a second but when he took a drink it went down. Now he says it feels like it s lodged in his chest area and hurts when he takes a drink. He is breathing and speaking fine. Should we go to the emergency room or is it normal for it to be sore? | Thanks for your question on Chat Doctor. I can understand your husbands situation and problem. Mild degree of soreness and chest pain is common after choking spell. So at present, no need to worry much and hence no need to visit emergency room. But if he develops worsening of chest pain, coughing, breathlessness etc. than immediately consult emergency room and get done broncos copy to rule out aspiration into the lungs. So watch for these alarming symptoms. At present no need to worry. Hope I have solved your query. Wishing good health to your husband. Thanks. |
from one week i have suffaring from some kinds of rash in my legs its like some redish and pain around it I have taken wyeth (medicine) as droctor prescribed but its not clear and wghenever i used cold water for bath in morning this symtomps come back..(as my assumption) could you please help me! | Hello, Thank you for posting on Chat Doctor. The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you |
Hi, I am planning to get pregnant. Its exactly 12th day of my cycle ( 28-29 days cycle).However I am suffering from pinworms which i noticed from last 3-4 days. Is it safe to take anto worms tablet and continue with having intercourse? If not pls let me know for how long I have to wait after taking these tablets. Please guide me. | Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1. First do not panic. 2. Usual deforming agents done have any adverse effects on the baby. You can very well continue with the treatment. It will not affect your pregnancy in any way. Using deforming agent sin pregnancy is almost safe. 3. As such, it is advisable to take Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. Please observe good hygiene. Use of Lactic acid vaginal wash daily during bath time will be of help. I hope this answer helps you. Thanks. |
Hi, i went to the doctor last week with an enlarged lymph node in my neck. I had a cbc and the results came back with a low wbc. Im really worried that its leukemia and thinking back have had similar symptoms, e.g-random bruises, fatigue. Is a wbc of 3.1 likely to be leukemia? also, do symptoms come and go? and if it was leukemia would it show as high or low white blood cells? please help! | Welcome to Chat Doctor. I am Chat Doctor. Dear friend, no need to worry because question asked by you is very common question. Only low blood count or only high blood count do not make a diagnosis of leukemia. For making diagnosing a leukemia, a peripheral blood film is very first requirement. Swelling of lymph node can be due to other multiple causes. In peripheral blood film we can see any immature or abnormal cell. I advise you to repeat your CBC with peripheral blood film.Than for query. |
My son had an asthma attack a couple of days ago. They picked his finger three times before they could get a blood sample. He has clubbing on his fingers and his doctor checks his chest regular. The ambulance people told me to get him tested for reins coz they couldn t get blood and coz of his fingers. When he puts his thumbs together there is no diamond. How do I go to my doctors and ask them to test and should I ask. He s 13 | Thank you for asking on Chat Doctor. Veins of many child Chat Doctor. Clubbing can sometimes be a normal finding though it is also seen in patients with respiratory diseases like asthma. The manifestation of clubbing is that there is no diamond. No test is usually required for the clubbing though tests might be done for the underlying cause. Since he already has a diagnosis, I would insist you not to get worried. Hope that helps. Feel free to revert in case of further queries if any. |
Hello,I have a problem of inflammation and in naso pharynx and previosly I have had two operations of nasal polyps, some times my breath stars to smell foul. I do nasal rinsing twice daily no indication of fever though.I donot know what I have , I went to the ENT he says its fine...my nose gets blocked and I also develop a asthmatic flare especially when its cold. | Hello. Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like - What is your age? Since when you are having complaints? Do you have only nasal obstruction or other allergy symptoms like sneezing, running nose, itching in nose, etc.? Do you have any regurgitation of foods, especially after a heavy/spicy meal or heart burn? How frequent you have asthma complaints? Do you take any other medications frequently? Do you have any other medical conditions? What are your investigations? Etc. Above details would help me to guide you better. However, from your current history, I would like to make you follow suggestions |
My sister-in-law has been diagnosed with Ovarian Papillary adenocarcinoma (March 11, 2011) She has only been able to tolerate 2 treatments (1 at full strength of chemo of 2 different drugs and 1 at half and 2 where she took one drug one time then the other drug at another time. In July her CA-125 was at 21. In August the CA-125 was at 24. She lived in Missouri. Her family lived in Alabama and she was moved to Alabama 2 weeks ago. She has met with an Oncologist in Alabama and was going to start chemo again this Thursday (the new doctor was taking a different approach); however she says she has not made up her mind that she will not take any more chemo. What are her survival chances; how long, etc. | Hello dear, thanks for your question on Chat Doctor. Papillary adenocarcinoma of ovary is having good prognosis. And it responds to chemotherapy well. So better to start chemotherapy as soon as possible for better outcome. Also get done PET scan to know the distal organ spread. If distal organs are not involved then chemotherapy will definitely Increase life expectancy. Usually life expectancy is less than five years. But without chemotherapy, it will be less than 2 years. So better to start chemotherapy as soon as possible in her case. |
For the last two days my upper gums have be hard and swollen. My cheeks also feel swollen. A few days before my gums swelled, I noticed a hard lump on the roof of my mouth, I also had a cold, nunny nose, and sinus pressure. Is this something that will pass, or should I b concerned? All this is starting to cause me some anxiety | Hello.pt-The first step in treating gingivitis is to have the teeth spotless by a dentist. The tartar that led to the condition cannot be removed at home, so a cleaning is necessary. This cleaning will probably be a bit uncomfortable, especially if the gums are already irritated. Using an antiseptic mouthwash will also be part of the treatment following the cleaning. This mouthwash will be effective in clearing out any remaining bacteria. Gums will usually heal in a short time, assuming you practice good oral hygiene by brushing thoroughly and flossing each day. |
I am 43 yrs old lady & mother of 2 children. I have severe Back pain. In April, 2012, I have done MRI and reports says - Posterior and bilateral posterolateral disc at L3-L4 and L4-L5 levels along with ligamentum flavum thickening and facet joint hypertrophy narrowing spinal canal and completely obliterating the neural foraminae - Posterior and bilateral posterolateral disc prolapse at L5-S1 level along with facet joint hypertrophy is narrowing bilateral foraminae Taking medicine 1. Macelvit 500mg 2. Fludac 10 3, Mecanerve 4.Gabantin 100 for six months and got relief for some days and after that whenever get symptoms I use to take tab Gabantin. Now from last few days again the pain becomes severe. Is it necessary to go for surgery? Pls Give advice how to get relieve from it? | Hi, Thanks for using ChatDoctorIn my opinion you should not play with your health like this. Looking at the history all I can say is that you need a surgery and kindly do not delay it as the more you delay the difficult it will be to heal after surgery. With this medication you can treat the symptoms, but the problem will be there. I'll give a small example. Consider a rubber pipe with a brick place on it. The water will run through it but will very less pressure. We will not get the full pressure till we remove the brick. Similar is with our nerves. So please do not delay and get the surgery done. |
Ive been drink heavily every weeked for the last couple of months. Not to puking point but I still black out on some nights. However this last three day weekend of partying has got me concerned. I havent drank anything in 48 hours other then water and green tea and yet I still have a massive pain in the left side of my chest and Ive having a hard time taking in deep breathes. Could you help me with this? | Thanks for your question on Chat Doctor. I can understand your concern. Left sided chest pain and breathing difficulty in alcoholic patients should always be evaluated for heart diseases. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Acute gastritis due to alcohol can also cause similar symptoms. So take pantoprazole tablet on empty stomach twice daily. Avoid alcohol in the future. Avoid hot and spicy food. Avoid junk food.Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Yes... I had a liver enzyme test on June 14th which indicated | Hi, Thank you for contacting Chat Doctor. You have elevated liver enzymes, which has been confirmed on two occasions, but as per your description, they have been high for over a year. As you corrected suspected, Copaxone (Latimer acetate) used for treating multiple sclerosis (MS), does not lead to elevated liver enzymes. MS per se is a disease of central nervous system (affecting brain, spinal cord and optic nerves); liver is not affected in MS. In view of a positive family history of liver cancer, you possibly should further pursue the abnormality in liver function tests. However, based on Ultrasound exam, your liver is absolutely normal, and it is a great relief. Best wishes, Chat Doctor. |
I noticed yesterday that the back of my babys tongue has a black patch on it and am just wondering what it could be. We have already made an appointment with our pediatrician for tomorrow, but we want to make sure we shouldnt be taking her to emerg tonight. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint black discoloration or patch on tongue can be due to a condition known as Black Hairy tongue and can be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc. I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids. It can take a few days to resolve and in case if it does not resolve consult a Periodontist and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. |
I got my second ear lobe piercings done about 4 months ago. Its been taking a while for them to heal. Today I was changing and my ear got caught on my clothing and I pulled pretty hard. Now, its pussing clear liquid and is kind of throbbing and feels swollen and hot. Is it infected? I try to clean them regularly. | Hello, Infection of the ear-piercing can be due to wearing ear rings made of metals that are not inert in nature. Such metals decompose when exposed to air, water and can release decomposition products that can cause allergic reaction and infection. Some individuals with sensitive skin tend to get the reaction faster and can cause irritation, pain and fussing. So, first she should not wear earrings till the infection gets healed. Clean the ear-piercing site with Betadine solution and apply antiseptic ointment over it. Do cool compresses. Once it heals, she should wear earrings made of inert material like gold or plastic. Hope I have answered your query. Let me know if I can assist you further. |
Hi. I hope someone can tell me Im paranoid. Heres the facts- 1) I weight train and based on studies...this has been proven to increase both AST and ALT. Both of these markers always at the high end and sometimes double. As we know, high liver enzyme activity isnt the only markers we should look at to conclude REAL LIVER DAMAGE...caused by chemicals. You gotta consider BILIRUBIN n GGT. These two are always normal. I am 40 years old. 2) I take nimetazepam and a joint every night.3) Since all the other markers are normal. Only AST n ALT are high...but these readings are high likely due to -Weight-training causes ALT n AST to increase but taking into account BILIRUBIN n GGT which are true markers of PATHOLOGICAL DAMAGE. Mine are good.Marijuana may stimulate enzyme activity,Benzodiazepines will increase them ALT N AST. Everything else is good. Should i be worried? PLEASE HELP. IM PARANOID. | Hi, I had gone through your question and understand your concerns.AST and ALT are sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common cause is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. For a start, Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on Chat Doctor. |
I had a staph infection 6 months ago on my thigh. It scarred. Tonight the scar feels warm swollen and is tender. I can t tell if its red due to a tattooin the same location. The tattoo is 7 years old and not a factor in either case just mention it because it makes it hard to see color changes. Is that normal? When should I start to be concerned? | HI, thanks for using Chat Doctor Since the tattoo is 7 years old it is unlikely to be contributing to your current symptoms. Infections can present with increased warmth, redness, tenderness, swelling and discharge. Warmth, redness, tenderness and swelling can also occur if an area is inflamed even if no infection is present. You can consider using an anti-inflammatory Chat Doctor. Monitor the area for 24 to 36 hours (unless notice a discharge or symptoms worsen prior to this), if no improvement occurs with medication, then you should visit your doctor for assessment. I hope this helps |
I am a 51 year old active female. Before June 2014 I enjoyed running, skiing, biking, and all sorts of physical activity. It helped keep my weight down as well as blood pressure. I experienced knee pain and swelling beginning June 2014. In August I was diagnosed with Femur Patella syndrome on my right knee from an x-ray. He also mentioned I have a high kneecap which may have aided in this. After two months of following all advice from the sports Orthopedic doctor and not seeing any diminish of pain or swelling I visited another doctor. This doctor ordered an MRI and discovered I also had a slightly torn meniscus on the inside of the same knee. He drained my knee (a lot) and I began 6 weeks of Physical Therapy. I saw immediate improvement. The pain had went away almost 95% by the timed I completed PT. In addition to the recommended physical therapy I do at home, I continue my gym routines with some modification now. I no longer run (hardest part), no more lunges or squats. I also modify my weights (lighter) and range of motion for things like leg presses and leg extensions. I ice my knee after any leg workout. So here is my problem...my knee still swells and still gets sore often. I am having such a difficult time figuring out what I can and can not do. I know some adjustments were necessary but it seems I can t do anything physical without this occurring. I have always been active and just want to remain so without hurting my knee anymore. The cardio I can do now is upright biking or swimming. Walking even seems to bother it. Is this just a slow healing thing or is this what I can expect for now on? Please give me any additional advice. I am willing to try anything that will naturally help in the healing process. Thank you | Welcome to Chat Doctor I have gone through your query and understand your concern. You are naturally healing. So this is only possible when there is only very minor tear. Qua Chat Doctor. Glucosamine is helpful. You can take analgesic such as ibuprofen for pain relief. Probably this will help you much. Otherwise, best is to arthroscopic meniscectomy. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
I had a sand size small mobile stone in ballgladder...plz sugest precautions | Hello. Welcome to Chat Doctor, Small mobile stones in the gall bladder will probably not cause discomfort or pain, but requires removal of gall bladder. It is not urgent... you can get it removed according to your convenience of time and money. But unattended gall stones may complicate over the years to become symptomatic and then have other super added problems. In the meantime, make sure to avoid all kinds of fatty and spicy foods. Take care. |
What could be the cause of shallow chest pains? I have pains on my left side seemingly in the surface chest muscle. It has been going on off & on & recently has been getting worse. Any ideas?Height | Although not the only cause of chest pain, these heart problems are common causes |
Are there any foods that calm heart palpitations. I have infected tooth and today got heart palpitations. I ve had them on and off for a few years I am wondering if my halfway done root canal is culprit. But also found out I had anemia and low pott. At one point too so not sure. But now my gum above this tooth is swollen up and I had heart issues first time in a few months. | Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. Heart palpitations have to do with electrical issues in the heart. There are some electrical impulses that generate in a part of the heart different from normal sinus rhythm that cause a premature heart contraction. During this, you might experience a palpitation, e skipped beat, an anxiety sensation. This electrical issues might happen because of different reasons like stress, coffee or alcohol consummation or pathologies like anemia, hyperthyroidism, active infections or congenital heart diseases. As you explain, you once had anemia, and we don't know if you still have, You have a swollen gum, this MCAS an infection of your gin give, an active infection. These are some factors that might cause heart palpitations. So, the first thing is to m\u00e9nage your tooth infection, your anemia if it is any. I will also recommend a cardiac echo and a blood analyze. There are no specific foods to calm heart palpitations. There are some thinks that you should avoid like caffeine products, energy Chat Doctor. Sometimes regular physical activity improves heart frequencies and these palpitations. So, I will recommend you to resolve your tooth infection, follow these instructions and thinks might improve. Hope I was helpful. Best regards. |
went to the dentist and had a silver tooth filling replaced by white went back 3 times and still didnt have the tooth right finally got it to where i can bite down but now noticing a month later I have a huge hard knot on the side of my gum doesnt really hurt but its there and then did a cold test on my teeth on gums both sides could not feel it but could feel the cold test on front teeth. | Hi. Thanks for the query. The lump can be due to causes like a Periapical cyst. It represents as a painless lump on the gum. If it is bony hard it can be a bony torus. So my suggestion is to consult an Oral Physician and get evaluated. An x-ray can be done for confirmation. If it is a cyst then it has to be removed bye nucleation procedure. If it is a bony torus then surgical removal can be done. Hope this helps. Regards. |
Dear doctor, My sone is 2years 9 months now. Now a days he is showing discomfort while passing urine. We did a Urine test,culture but results showed normal. Consulted a doctor and he gave antibitoics for 5 days. After few days, again he is now showing the same problem.We consulted a urologist and he suggested to have Circumcision.He said full anaesthesia will be needed since it will difficlult to control kids at this age. We are confused, whether we should make circumcision done at this age. Whether it is fine to wait until he reaches atleast 5 years.Anaesthesia can be done at this early stage? Please advice. (He had Urine infection at age of 5 months. And we did MCU ,Scan etc but it showed normal.) | Hi, From history it seems that he might be having pinpoint foreskin opening causing discomfort while urination. This might lead to some infection on glans due to not cleaning properly. In such case circumcision operation is a must. But as age is the problem, so initially one can do some widening of fore skin opening with forceps by which he will get temporary relief. Afterwards you can go for circumcision operation. Consult urologist and discuss this. Ok and take care. |
Since Sunday I have had coughing, fever, exhaustion (slept from 1pm Sun. to 5 | Hello. Your symptoms certainly do suggest an infection probably of the lungs i.e. pneumonia. It does not seem to be pertussis to me. All your symptoms point toward the same. I would suggest you take a couple of days off for your own rest and also so that you are not contagious to the child Chat Doctor. I would advise a visit to your physician, certain blood tests like complete blood count, and a chest X-ray for now. These tests will determine the severity of your pneumonia and whether you need hospitalization or can be managed on an out patient basis. Wishing you a speedy recovery. |
hi, my husband had a molar tooth extraction and the scab is now hanging, and is causing him to feel faint and VERY uncomfortable. We tried pulling and cutting gently but i am afraid that we may damage or cause dry socket. we dont have insurance or extra money so an extra office visit isnt an option. what can we do to help this scab come off or should it even be falling off? PLEASE HELP | Hello, Thank you for consulting with Chat Doctor. Actually after the extractions of tooth cotton is placed on the area for at least an hour and the socket is compressed, and if the area is large even sutures are placed to close the socket. On the second day after extraction patient is called for the follow-up to see whether every thing is fine or not and there is no extra charge for this procedure. Better if you have something like this hanging you should visit your dentist again and get it checked as nothing will be charged for this. Please do not go for any procedure on your own as it will cause any further problems. Hope it will help you. |
Sir I was 14 I start mastrubation on daily basis now I am 26 sometimes I feel pain burning inside my penis sometimes forcelly I mastrubate and everytime and want be alone in my room I have high blood pressure my weight is 67 now my penis is soft and after every 6 or 7 days my semen (sperm) comes out in my urine this time I feel very bad burning if regularly I mastrubate then it not not comes in my urine but I am worried about my future cause I am single | Thanks for query on Chat Doctor. You are doing excessive masturbation. It usually happens during this age due to hormonal development. You will feel generalized weakness and easy fatigue due to excessive masturbation because it requires extra energy. Try to avoid excessive masturbation. Concentrate your mind in other activity like music, study,sports activity. Make you busy with friends and family. Start B12,folic acid, calcium,minerals and other supplements. You will feel good after taking supplements and there will be no problem in future life.Otherwise, go for CBC, urine,USG abdomen and start treatment under guidance of your family physician. |
28 year old female. chest pain left side front now last night it was a sharp pain when I took a deep breath in my back on the right side upper back. Occasionally I have episodes where my heart will flutter and beat fast then feel like it suddenly stops for a second and it makes me cough to catch my breath. I have never had this checked out but was told this weekend I could have a form of heart disease...is this true? | Hi thanks for contacting Chat Doctor.... Noted your symptoms suggesting toward some form of cardiac cause.... As you complaining flutter like sensation, so first arrhythmias has to be ruled out.... Second it could be ectopic or premature beats like problem.... So consult doctor without delay for auscultation of heart sound and check murmur .... Measure your blood pressure...ECG and echo useful for correct diagnosis. Causative treatment done... Take care. Chat Doctor. |
my son (age 31)was recently diagnosed with lymphoma..drs have used these words treatable, agressive , they found the cancer from a biopsy of ulcers when they put a light down the stomach, he has a partially blocked bile duct going to the pancreas...no cancer on any organs --I cannot connect the dots--is all this related? | Hello and welcome to Chat Doctor, Lymphoma of the stomach is most commonly caused by bacteria- Helicobacter pylori. Treatment of the bacteria clears away the lymphoma also. Thus, the lymphoma is treatable. Blockage of the bile duct can be due to many reasons. Most common cause of this blockage are stones in the common bile duct. The blockage is unlikely to be due to lymphoma of the stomach. To know the exact cause of the blockage, you need to consult a gastroenterologist. Endoscopic retrograde cholangiopancreatography may be required to look for the cause of this blockage and its management. Thanks and take care Chat Doctor. |
My son aged 18+ has been taking Paxidep CR25 for two years for anxiety, depression and OCD. After one year he stopped the medicine, the problems relapse. Dr. advised him to continue the medicine. He has also taken counseling for one year but to no avail. Now, he has concentration problems, not performing well even after hardworking, getting annoyed on small things, feeling headache, nausea, dry mouth, loss of appetite etc. Kindly guide me on my following queries | His understand your concern. OCD is very difficult to treat, and its prognosis is varied from subject to subject.30% of the cases will improve with medicine and do not require taking it further. Around 50 to 60% cases has many recurrences and have to take treatment for longer period of times.10 to 15% cases require lifetime medications. With that much of dose he usually does not have any side effect, if any then it is temporary. OCD is curable in certain extent but not always. It is different in every subject. But regular treatment and good compliance will increase the rate of recovery. Thank you. |
I have been having ankle issues for a few years on and off. Last month a new podiatrist i saw asked for MRI and the report showed Tenosynovitis of the preoneus brevis and longus tendons with peroneal brevis tendinitis without tear , no other issues anywhere in the multiplanar multisequence imaging. He recommended an ankle brace for 6 weeks, 2 weeks into using it, the pain is more persistent than before and also the degree of pain much higher. Next options according to him are ankle arthocoscopy with synorectomy. Physical therapy can be tried but he doesn t think it will help much. He is not for using steroid injections as that will mask the pain and not treat it. I am looking for options | Dear patient You have got Perseus longs and breves tendon synovitis and that is not benefited by ankle brace. Next line of management is local depose Chat Doctor. It not only relieves pain but also relieves inflammation and reduces synovitis. In some cases it provides permanent relief and its safe procedure without side effects and is old procedure. So It's worthwhile to take a chance and up to three injections can be given. If steroid injection is not helping you can go for surgery afterwards also. So I would recommend local steroid injection under ultrasound guidance. If not relieved go for synovectomy either open or arthroscopic. All the best. |
Hi. I m just very concerned about my 29 year-old daughter who recently had vertigo so badly that she couldn t walk for 9 days. She was unable to lift her head without vomiting and had a loss of peripheral vision. She went to urgent care, and they did blood work that came back normal with the exception of high glucose, low protein and zinc. I have MS and am concerned she may too. She also has a 1/2 brother with a brain tumor. Should I insist she at least get an MRI of the brain? | Hi, I think she should definitely proceed for an MRI of the brain. Short of that, I think a neurologist should definitely take a look at her. The sudden onset of vertigo and visual loss could be any brain lesion including an MS as well as tumor or stroke. In the meantime, she should surely take medicines for high sugars. Since I do not have the exact values I will not be able to make an appropriate comment. I have made it as simple as possible. Do let us know the reports and I will try to help you further from there. Hope I have answered your query. Let me know if I can assist you further. ChatDoctor, Planetologist |
i have done xrey report came there is minimal enlargement of cardiac shadow due to left ventricle with increased in cardio thoracic ratio noted. there is unfloding of aorta noted. lungs filds show bilateral halar and basal bronchial congectionit is treateable or not... | Hello, The unfolding of aorta is a normal phenomenon with increasing age. However, other finding like cardiac enlargement and evidence of pulmonary venous congestion warranty further investigation. You need to get a 2D echocardiography, and based on the result further treatment plan to be decided. Yes it's a treatable, however we need to find the cause and treat it effectively for maximum benefit. Regards Chat Doctor. |
my problem is that occasionally my sgpt level increases and i developmild stomach pain,indigestion,loss of appetite,and weakness. it has happened 2-3 times in past 3 years. after treatment all other symptoms disapear but mild pain in upper right side of abdomen persists.i want to know your comments | Hi! Good evening. I am Chat Doctor answering your query. Recurrent elevations of SGPT with pain abdomen calls for a detailed investigation of your liver along with a detailed general examination to exclude any source of an infective focus. If I were your doctor, I would go for all the hepatitis marker tests for Hep A, B, and C along with an ultrasound of the abdomen and a CT scan if need be. Further management would depend on the result of general examination and all the investigations. On the diet front, you should avoid eating from outside, especially the fried and oily fast food and go for bland diet containing more of carboy Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
when is it safe to get pregnant again after ectopic pregnancy, which resulted in removal of fallopian tube. My doctor told 4 weeks, my first ovulation after the surgery will be around that time. Are there any risks with getting pregnant so soon after ectopic? | Hi, thanks for the query. I understand your query. Ideally you should wait for few months for healing of tissue after tube removal... better to take oral contraceptives to confirm contraception for 3 months & with Chat Doctor. You can try with your ovulation schedule after that. Conception rate is 45% in after ectopic tubal resection. Please be careful to exclude ectopic pregnancy as the pregnancy is diagnosed (weak +ve pregnancy test./ normal +ve pregnancy test) Repeat ectopic possibility is about 15 %. To avoid it... IVF is advisable. Thanks |
Hi, may I answer your health queries right now ? Please type your query here... I have been on treatment for a staph infection for over a month and over the last couple of days I have become nauseous, haave vomiting and dizziness....could this mean the infection is in my bloodstream? | Hello, Thank you for the question and welcome to Chat Doctor ! Inorder to help you I will need some more information about your health like which medicines are you on? If female are your periods regular or have you missed a period? Nausea, vomiting and dizziness are very general symptoms which can occur in number of conditions. Fever is the symptom which will reflect you have infection in your blood stream. Get a complete blood count test done to check for high WBC or low Hemoglobin as cause. If female get a pregnancy test done if missed period. Take antacids. This will help. Hope this helped with your query. Follow back for any future questions. Take care! |
Hello Dri, I am having terrible & constant chills all over my body and down my feet. My right leg is often numb and experience severe pain. I find it difficult to walk & stand for short/long periods i.e 10 minutes. I have to bend over a shopping cart to assist me while trying to do shopping. I have gone to several Dr. for this problem for about 1 year. Lots of medication but no ease to my pain. I am 66 years old and retired as a nutritionist. I am engaged in Seminars and work shops presentations. I find it quite difficult to carry out any assignments, even house chures. I go to the Gym, Swimming and I weigh 145LBS. I was just diagnosed with Type 2 diabetes. I do have stenosis of the Spine. I follow a balanced diet as mutch as I can.Please help me find a reason for my constant chills. Thank you kindly | Hi, Based on your history you are suffering from type 2 diabetes, spinal canal stenosis and constant chills all over body which has to be evaluated. You need to consult family physician/Neurologist for same. History has to be elaborated, whether chills are associated with fever, any associated urinary symptoms or you meant to stay terrible neuralgic pain all over body and feeling of chilly sensation(that can be part of spinal canal stenosis or autonomic neuropathy). You need blood sugar test and control of sugar, urine microscopy and culture to rule out infection, thyroid profile to rule out hypothyroidism and nerve conduction study to rule out neuropathy. If everything under normal limits then hypothalami structural lesion to be ruled out. Hope this will help you. Regards Chat Doctor. |
Hi, I slipped on my kitchen floor and smashed into my dishwasher door that was open so hard it knocked the plates out!The shin bone took the full impact!and the pain was unbearable!It swelled up And turned grey blue very quickly! I put ice on it and raised my leg above my heart for a few hours!ive been to ANE and saw a nurse who said to take painkillers and it will hurt for sometime!No X-ray was done?!?And two days later I m still in pain! | Hi, Pain and swelling is common finding after such a severe blow causing traumatic injury to the soft tissues causing soft tissue tears, bruising and inflammation causing pain. In case if you are able to walk and put your body weight over the leg while walking then chances of any bony fractures are less. But in case if the pain is debilitating, and you cannot put weight then immediately get an X-ray done. If there is no fracture then do cool compresses, take anti-inflammatory painkillers like Ibuprofen and along with it elevating the leg and avoiding too much exertion should be done. Hope I have answered your query. Let me know if I can assist you further. |
i got a small wound on my leg.. same size as a grain of a rice... but around the wound.. it is swelling.. i dont remember when did my dogs scratch me... 3 of dem are immunize already.. but the other one isnt... is swelling around the wound a sign of rabies?... i had tetanus toxoid before.. but i did not took anti rabies vacine.. do i have to take a shot of anti rabies too? | HIT hanks for posting your query to Chat Doctor . I presume the other dog which is not immunized is your pet dog and not a stray dog. If it's your pet dog and you can observe the dog for 10 days and within this 10 days nothing abnormal (including death of dog) happens then there is no need of Rabies Vaccine. But if the dog starts behaving abnormally, or it dies then you need to get vaccine. But if you can't watch the dog or its stray dog then better you get the rabies vaccine. Any clarifications or Queries feel free to ask. Happy to help you. Regards. |
Hi, I have a 1 year old baby. She keeps eating pretty well and suddenly she refuses to eat for 2-3 days. Few days later she continues to eat as usual. I am suspecting that there might be issues with her digestion. Can you suggest what might be her issue? | Hello dear!It's normal for the child to have tamper tantrums at this age. I would advise you to not panic and reduce the amount of milk. I would you to please don't give her bottle-feed. Give her by cup and spoon as they take a lot of milk through bottle and that fills up the tummy, leaving no place for food. There can be other causes like a sore throat,toothache or tummy ache, but they all have clear signs of them. In their absence you can safely say it's because of the usual behavior of the child of this age. I would recommend a healthy balanced diet preferably of what your child prefers like rice, wheat,vegetables of your babies choice, his/her choice of meat and fruits and also dairy products like cheese etc. Hope it will help. Wishing your child good health |
Since the 5th grade school has been very difficult for me and I dont think I can graduate high school or be accepted into college. My school tells me its my dyslexia but I think its something more. My school doesnt help me with it besides small group testing and offering some to read questions for me. I cant focus my grade are awful and I it just leads me to think Im an idiot. I should drop out and work in a fast food restaurant. Im stressed, I feel at times suicidal. Please help | Hello, Its true and you are aware of that you are suffering from Dyslexia.... but at the same time you are also suffering from secondary depression. The rest of the symptoms you have mentioned like sadness, decreased energy, not able to concentrate in studies. Thoughts of suicide. Are all because of depression. Remember one thing. Depression is not difficult to treat. BT living with it without treatment is very difficult task. For dyslexia, you need more efforts to adjust with surroundings with less acceptance from others .this might Precipitate the depressive episode. Please consult Psychiatrist. Start with treatment. You will definitely feel better. OK. |
Hi, I am currently 35 weeks pregnant with my second child. My daughter was a completely different pregnancy right from the start to this one. I live nearly and hour and a half away from the hospital so am a little nervous. I have been having a clear jelly like discharge for the last few weeks and have being needing to urinate nearly every 30 minutes during the day and today passed 5 stools when I have been having difficulty with regular stools through out this pregnancy. For the last 3 - 4 days I have also been experiencing medium - strong cramping irregularly in my lower back and lower abdominal area. I have also been having pain in my pelvic region when I go to stand from a sitting or laying down position and sometimes even walking. He feels extremely low and has become a little more active also for the last few days. I feel a little silly asking because I feel I should already know but are these signs of pre-labour and should I be contacting my midwife? | Hello dear, I understand your concern. In my opinion the frequency of urination might suggest urinary tract infection(UTI). And UTI along with pain abdomen might need to rule out the preterm pains. So you might need consultation with doctor to rule out the cervical changes and preterm pains.Also, vaginal infection should be ruled out as there is vaginal discharge.Also, the complete urine examination helps in ruling out UTI. Take adequate fluids up to 3 liters to prevent.UTI are routinely seen in pregnancy. So the pain abdomen might be due to UTI or preterm pains or any stomach infection. Take electrolyte powder and Lactobacillus tablets for loose motions. Nothing to worry as all the above said causes are treatable once they are diagnosed. So relax and avoid stress. Consult your doctor. Hope this helps. Best regards... |
My 8 year old son has been complaining off and on for a week of tummy aches. We didn t think much of since he is lactose intolerate and assumed he ate something he souldnt have. This morning his tummy was aching again and he ran a temp. of 104. The lowest we have been able to get it down today has been 102; alternating motrin and tylenol . He doesnt usually deal with being sick very well but doesnt seem to be too uncomforable by the tummy ache. Should we wait to see how he does tonight and take him to ped. tomorrow? | Hi ! Abdominal pain in case of child Chat Doctor. Does your son have a sore throat/ other respiratory tract infection. In such cases, both fever and abdominal pain are likely to occur specially in pediatric patients. When was he deformed last ? Sometimes worms do persist in the abdomen even though the stool test may be normal. So consider deforming him on consultation with your pediatrician. High fever could be due to any kind of infection. I have already mentioned RTI. Other infections could be a gastrointestinal infection due to eating something outside which was not hygienic, and also could be a urinary tract infection which can give rise both to a high fever and abdominal pain. So one should also go for a urine test both routine/microscopic and a culture/sensitivity. Seeing the duration of the fever and tummy aches, one more infection one has to exclude is the enteric fever for which blood tests has to be done on advice of your doctor and accordingly the management also changes. Over and above, you have to take special care on his diet specially with a history of lactose intolerance. In my opinion, you should soon see your pediatrician specially because of the high fever he is having. Hope this helps you. I wish your son an early recovery. |
Im 29, have recently (in the past year) lost 4 stone in weight and have been exercising regularly. Last week i contracted a stomach bug which has all but gone, but during this time (last Friday) i went to the Doctors and they sent me for a blood test , today i was told my CRP was at a very high level and my FBC was abnormal. I have no idea what this means and was told to go for another blood test. Essentially, can a stomach bug affect these results or not? | Welcome to Chat Doctor, it is quite a normal phenomenon after some viral or bacterial gastroenteritis .ESR NAD CRP may be high with low WBC count due to bodies inherent immune mechanism.it usually get back normal after a few weeks. Review your FBC later. If these abnormalities persists, malabsorption syn Chat Doctor. And several special antibodies, called antitissue transglutaminase antibodies (toga) or anti-endomysium antibodies (EMA) may help this diagnosis. |
I have been feeling ill for the past 6 months. Shortness of Breath, coughing, laryngitis, extreme fatigue and nothing has helped. Ive been on 4 different antibiotics, allergy and asthma medications all with no relief. the only thing that helped at all was the prednisone and all that did was lessen the cough and give me my voice back (which was greatly appreciated)! | Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* There is definite lower respiratory tract infection with systemic manifestations.* Need basic work up with lab tests, indirect laryngoscopy and x-ray chest for further management guidelines. Hope this will help to clear your doubt . Wishing you fine recovery. Always welcome for any further assistance anytime. Regards . |
I am a 52 year old female. I just found a walnut size lump on my upper inner thigh. There is nothing on the surface, it seems to be pretty deep. I am shocked because It either appeared suddenly, or so gradually that I didnt notice it. You cant see it when I am standing, but if I sit cross legged it appears, I would say its closer to my back side, but on the inner thigh as high as you could go without being on my butt. It doesnt hurt, and is fairly firm. I have an appointment with my doctor, but couldnt get in until next tuesday. Any ideas? I am going crazy!Thank you, C | Welcome to Chat Doctor. 1. The history of symptoms and localization suggest the possible cause could be lymph nodal enlargement. Other causes could be venous pathology, lipomas.2. Lymph nodal enlargement is due to presence of any infection / inflammation, it can be localized or systemic and presence of any malignancy, lymph nodal pathology itself also can cause the condition.3. In this case I would ask for an x-ray chest and ultrasound abdomen pelvis - for an overview - if any possible causes for the inguinal lumps / nodes. 4. Then inguinal ultrasound scan will assess the nature of the lumps and its source and extensions - if required an FNAC - fine needle aspiration cytology will be helpful.5. So recommend you to treat any possible abnormality you are aware of and then when your turn comes get the general checkup for further evaluation. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http |
I have OSMF for last few years and I could not open my mouth properly (25mm) and last year I have given 5 nos. of oral vitamin injection. I dot have any problem in eating but I am suffering for dental problem. Ple suggest what are the other alternative treatment. | Thanks for your query, I have gone through your query. The dental problems are due to the limited mouth opening which make the maintained of the oral hygiene difficult. You have to get your oral cavity checked every 3-6months once, get the teeth cleaned every 6-8months. If any decayed teeth are there, then get it filled when they are in the initial stage prophylactically. Get the wisdom teeth removed prophylactically. For improving mouth opening, take intraluminal steroid like dexamethasone and hyaluronate bi-weekly for 6-8weeks which improves the mouth opening and makes you to maintain the oral hygiene. I hope my answer will help you, take care. |
Liver Profile Test | Hi, Thanks for posting your query. As you have minor thalassemia, your blood report also in favor of hemolytic anemia. In hemolytic anemia, serum bilirubin is generally below 5 mg with mildly raise (In thalassemia, patient has low MCV with low MCH due to persistent hemolysis. You should consult with internal medicine specialist/ hematologist and should take proper treatment. Antioxidants may help by inhibiting hemolysis. Hope that helps. Take care, |
My left eyelid is droopy and my left cheek is very puffy. I have degenerating disc in my neck and when in pain it gives me a headache and sometime radiates down my hip or leg. Could this cause the eyelid and cheek problem or do i have a bad sinus infection. i was just told by a co-worker that my lip droops a little on my left side. my cheek is not painful nor numb. what could it be? | Hello! Welcome on Chat Doctor ! Your symptoms could be related to a sinus infection or a cranial nerve damage. In my opinion, this clinical situation is not related to your cervical spine problems. For this reason, I recommend consulting with your GP for a physical exam and a sinus X-ray study, coupled with a complete blood count for sinus infection. If these tests result normal, I would advise consulting with a neurologist for a physical exam. A brain MRI may be needed. Hope you will find this answer helpful! Kind regards, |
I am having black spots after pimples on my face , how to remove the spots? please suggest remedy. Laser treatment help up to what extant? | Hello BIOS, Welcome to Chat Doctor ! Acne scars/ post acne pigmentations respond to a number of treatment methods like peelings, microdermabrasion, dermaroller, radiofrequency, & Lasers. Topical creams are also useful alone or in combination with these treatments. Lasers are of different types. All these methods are operator-dependant & with a good doctor any of these methods will give you about, say, 50-60% improvement. Cost varies from methods to methods & also between different centers. I hope this clarifies your query. |
68 year old female fell and took all in pact on left side of chest... Had pain when breathing and when not breathing... Felt very tired and slept that night and most of t he next day.. The next day no pain...went about doing things ...the next day had pain and after putting up Christmas tree my left upper chest hurt. | Hi thanks for asking question. Mostly by fall she had bruise or muscle tear that can lead to chest pain. Rest is done. Analgesic taken for pain like ibuprofen. Hot compress can be useful. If ribs are tender to touch then x-ray done for rule out rib fracture. Mostly you will recover in few days. If still problem not clear then blunt trauma induced hemothorax has to be ruled out.X-ray will useful for it. Take care... Chat Doctor. |
I was hit several times on the right side of my head. I went to the dr and had x rays done and they said closed head injury. I ve been hit in the head before but never had crackling/popping in my ear. The ear doing this is on the same side as where I was hit. I told the doctor but she didn t say what is causing it | Hello! Thank you for asking on Chat Doctor! It is common to have noise in the ears after a head concussion. But sometimes this noise, especially when mimics the heart rhythm (pulsatile tinnitus) can be caused by an intracranial arteriovenous communication also called rural fistula. I would recommend performing a brain MRI to exclude this possibility. If the brain MRI results normal, there is nothing to worry about. Hope to have been helpful! Best wishes, |
I have been taking topiramate for a while now and they switch who makes it on me. I used to take the brand name. I used to always have my blood checked at least every 3 months. This last time my WBC was low is that normal?Sorry I am 41 and I weigh 117 and have seizures and migraines. I have not had a seizure in almost 8 years. | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Topiramate is known to occasionally cause decreased white cell count.2. At present, it does not appear to because as he is on same medication for 8 years. You can discuss your doctor regarding reduction of dose.3. Improved nutrition is necessary. It B12 specifically will be helpful. If it still reduces, bone marrow biopsy is necessary to evaluate for other causes. Hope it helps. Any further queries, happy to help again |
22, Male, 6 0 , 210 lbs. Hello. Tonight, about 2 hours after eating tortilla chips and hot salsa (which I eat on a fairly regular basis) I suddenly broke out in a hot rash that gradually spread over most of my upper body and head. it almost felt like a sun burn . I ve never had an allergic reaction before in my entire life. I eat spicy foods all of the time and also have no known food allergies (Have always been able to eat peanut, gluten , wheat, and soy products.) Any idea what this could have been? Thank you. | Hello and welcome to Chat Doctor. Thank you for your query. If there was such a sudden outbreak, this could most probably be a hypersensitivity reaction requiring the administration of anti-histamine medication. Depending on your situation we can administer either an injection or give you a tablet for the same. Please visit the ER at the earliest for treatment. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. |
For multiple calcified granulomas in the lung, is it most likely to be old TB or would you consider other differential diagnosis?I am in my thirties and have had a recurrent productive cough since October 2010 and so had a CXR 2 weeks ago showing multiple calcified granulomas. | Thanks for your question on Chat Doctor. I can understand your concern. Calcification in lungs is suggestive of old, healed scarred lesions. You must be having tuberculosis in the past. And after treatment, it must be healed. Now healing in the lungs take place by either fibrosis or calcification or complete resolution (rarely). So calcification in current chest x-ray is suggestive of healed lesion from previous tb infection. No need to worry about recurrence of tb and hence no anti TB treatment is required presently. In my opinion, you should get done PFT (pulmonary function test) to rule out bronchitis as a cause for your coughing because bronchitis is very common after lung infection like tuberculosis. So consult pulmonologist and get done PFT. Don't worry, you are not having active tb at present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I live in NZ. Is the iron count/recommended levels different for different countries? I had an iron count of 5 in February. Underwent an iron infusion. I didn t feel too bad at the time and not that much noticeable after infusion. Feel a bit tired again. Had iron level tested last week. 17. I am also waiting for thyroid result. My hair has been falling out consistently and now noticeably thinner. What is an acceptable level? Thank you. | Hi, Welcome to Chat Doctor, The expected range of iron can differ slightly in different countries due to their traditional food habits. Reference range of serum Iron in female is 7-30umol/L(SI units) or 40-170 UG/DL(traditional units). As soon as you receive your thyroid reports, consult your physician with reports. Thanks for trusting Chat Doctor and posting your query. Hope you found my response to your query informative and helpful. If you have further concerns in this regard, you can submit those with Chat Doctor as well. With good wishes, |
i have Persistent Sexual Arousal Syndrome. i stopped taking my anti depressants about 4 wks ago and 5 or so days later, i experienced exactly those symptoms. i just refilled my script, how soon will this go away if I start my antidepressants again? | Hi, thank you for using Chat Doctor. I can understand your concern. Antidepressants work in and around 15 to 20 days, but reports are there for some relief of symptoms in first week also. Antidepressants should be used accordance with the advice of psychiatrist and should not be stopped abruptly without doctors advise. Use of antidepressants should be reviewed after 3 to 6 months post recovery, and further decision about to continue Chat Doctor. Hope this will help you. Regards. |
Theres this pain in my chest which was there last night then it eventually went away; Today it is back; When I bend down or do anything which puts pressure on my head it gets a quick pressure headache which goes away; Like when you sit up to fast; I also have a sore back which worsens when I stand up or sit up; I am achey and cold; Even though I slept enough I am still tired; Any ideas on what this could be ? | Thanks for your question on Chat Doctor. I can understand your concern. Since your pain is associated with movements, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief.1. Avoid movements causing pain. Avoid sudden jerky movements of chest. 2. Apply warm water pad on affected areas of chest and head.3. Take painkiller and muscle relaxant Chat Doctor. 4. Avoid heavyweight lifting and strenuous exercise.Don't worry, you will be alright with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
i am severely itchy on my legs, arms, back, and stomach. I get a rash from itching so bad and the sores tend to bleed sometimes. I have tried zyrtec, and benadryl, i have been treated for scabies twice and after each treatment i have gotten worse. I have been to 2 doctors and neither one know what is wrong. | HiT hank you for asking ChatDoctorFor itching you can apply soothing lotions like calamine lotion. If it is allergic rash antihistamines like cetirizine (Zyrtec) or Ben Chat Doctor. Some cases corticosteroids will be necessary. First your condition should be diagnosed. Approach a dermatologist for that. If not scabies it can be psoriasis, or fungal urticaria etc. All have to be ruled out. Let me know if you have any further query. |
I am suffering from Grade II fatty infiltration with a focal well defined geographic area in the left lobe of liverin segment III - area of focal flat sparing in the liver & with deranged LFT(SGOT-74 & SGPT-124). What will be the coarse of my trestment? | Hi thanks for contacting Chat Doctor. Noted you have grade 2 fatty infiltration. Here you have to first take lifestyle modifications...... Take low fat diet... Avoid trans fat containing diet like cheese, butter, pizza, non veg etc... Avoid alcohol. Take more fruits like papaya, apple, grapes etc... Green leafy salad included in lunch. Use very less oil in cooking. Use only sunflower like good oil.... Take Ad\u00edlio 150 mg tablet daily... Regular exercise done.... Hope your concern solved... Take care. Chat Doctor. |
all of a sudden I started getting pain in my feet few days back. I had no injury or accident which causes these pain. the pain stays for a couple of days in the knee then it moves to some other location in the feet or arm. Recently there is a straight red patch in my leg which causes pain upon touch | Hello, As the pain is moving in nature and off late it has led to a red patch, which is painful I think a blood test is advised to rule out any infection causing this symptom. Due to infection there will he change in the blood test which may lead us to help with the medication. Also, consuming hot water, modification of the diet and simple general exercises should be also helpful to reduce the infection and avoid pains. Get a blood sample test done. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
i have abcess on the gum,,2 nights ago the pain was unbearable,, last two days subsided a little but now come back just as bad,, i had a broken tooth several days ago,, taking 12 tablets a day to keep up with pain,, horrible taste in mouth,now neck glands are swollen too and cannot open mouth properly,, sadly not registered with a dentist and unemployed at momet,, suppose this year cant get any worse/////// | Hello and welcome to Chat Doctor forum, i would be glad to answer your query,first, according to the history presented by you, it is quite clear that the broken tooth has developed infection. Severe pain, swelling, fever, swollen lymph nodes are commonly presented symptoms.I would like you to know that in order to treat infection you will have to see a dentist, as he/she will prescribe antibiotics in order to resolve all the associated symptoms.Painkillers alone will not help, Once the infection subsides, the broken tooth might need an extraction also. Therefore kindly see a dentist soon, any delay can spread the infection further. I advise you to perform warm saline rinses(3-4 times/day), Use an antibacterial mouth wash(twice/day), avoid overdosing yourself with painkillers, avoid hot food and Chat Doctor. I hope this answer was useful.I wish you good health. |
hi i am kazim from pakistan and i would like to ask u some personal question plz tell me about pragnancy .my wife has benn pragnant before four months and she ask me me whats happen after that i fell pain in my back bone and where urine is coming also fell pain please tell me what is this | Hello dear, I understand your concern. In my opinion the back pain along with pain during urination needs urine examination to rule out urinary infection. Urinary infections are routinely seen in pregnancy especially between 4-7 months. Adequate fluids up to 3 liters per day prevent urinary tract infections. Consider doing a urine examination to rule out urinary infection. Nothing to worry. It will subside with apt treatment. Avoid physical strain and take rest. Take paradox for pain. Do hot fomentation. Usually if it is muscular pain then it will subside with rest, panadol and hot fomentation. But urinary infection should be ruled out. Best regards... |
My sister got her tongue pierced and its been over 3 weeks i has mine done and it healed within 2 and i only had a white ring around it in the healing process she has a lump on the underneath of the piercing and her tongue is very white she isn t the type to like the doctors shell i make her go is this something that needs to be seen ? | Hi. Can understand your concern. As per your complaint a lump at the site of tongue piercing can be due to inflammation which is caused due to trauma to the soft tissues of the tip of the tongue leading fibrous overgrowth as well as there can be injury to small blood vessels forming hematoma and at times the hematoma gets localized and encapsulated leading to formation of a lump. You need not worry as it will heal gradually and just take care to prevent from it getting infected. Do alternate hot and cold compresses over the lump for faster healing. Do not remove the stud worn over the tongue to prevent further injury. The white color of tongue can be due to poor hygiene or fungal infection and should be taken care of to prevent spread of disease. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. |
Son 6 says he had a bad taste in his mouth that that went to his head became a headache, then he became nauseated, and vomited several times. The headache went away he slept for several hours an seems to be normal now... no fever. Wondering what happened... migraine? | Hi, yes, the episode could be an attack of migraine. Migraine is associated with unilateral pain(hemicrania), nausea and vomiting, photophobia and photophobia and can be relieved with sleep. But to diagnose it as Migraine, there should be at least 5 such episodes in a month each lasting for at least 1 hour. So such an episode can be due to stress related, lack of sleep, or poor due sight or raised intracranial tension. As of now, get a vision testing for your child if the episode bothers him again and get a BP check. Consult a pediatrician as it could require neurological examination and neck examination to rule out intracranial tension. Thanks and regards. |
I have mild diffuse disc bulge @ L1-L2, moderate disc space narrowing @ L3-L4, broad based central & biforaminal disc protrusion @ L2-L3, broad based disc bulge into the foramina @ L3-L4, extensive broad based disc bulge with hypertrophic face arthropathy & ligamentum buckling @ L4-L5, and moderate facet arthropathy @ L5-S1. Could this cause cramping of the tibialis anterior? Thank you very much. | Hello, The tibialis anterior is supplied by the perineal nerve arising from L4 and L5 levels. The report states that there are multilevel degenerative changes in your lumbosacral spine with subsequent nerves involvement, so, pinched nerve may cause cramps. Other possible causes should be considered also and these include blood circulation problems, deny Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
I just got my braces off today and I am very happy with my smile | Hi, Thanks for posting your query. Good to know that you have got a great new smile |
Hi I have taken 2 tylex 3hours ago so have to wait another 3hours for next dose and my tooth ache is killing me again I have to hand ponstan 500mg can I take some now? I also got diclac 75mg that ive been prescribed a while ago for same reason.Thanks | Hello, Combinig these medications may risk your chance of increased side effects. Both prescribedvmedications have pain reducing abilities. Constant 500\u00a0mg does list dental pain as a possible indication for use. It is not wise to use medication that had been prescribed for other conditions and stored for a long period of time. Realize that your toothache needs diagnosis and treatment. Most likely you will require an antibiotic to help control your pain and offer relief. Infections, left untreated, can become severe enough to require a trip to the emergency room. Do not delay and seek an emergency visit with your dentist. Thank you for your inquiry. |
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