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Ocassionally after a long walk or high stress i will get visual disturbences and a disimbodied expericence which leads to panic which causes this felling to become stronger, it is almost as if i am passing out but for very breifly and once i sit down or take ideporofen it eventually goes away. I first had this feeling when i started smoking majauna but i have stopped ever since | Hai Mayberry, with your information, it appears you had bad trip with marijuana once. Also u started experiencing anxious spells suggestive of panic attack at stressful situations. You may be having adjustment disorder/panic disorder. Are u using any other substance like alcohol... don't worry it is a quite treatable condition. Kindly meet your nearest psychiatrist. Also practice relaxation techniques, time management, learn & acquire problem-solving skills. I wish u better physical mental health |
I have frenular brave, A very tight skin is attached with the tip of the penis. I had never been in sexual activity but I am worried now. I asked on doctor he is not a Urologist, when I shown him, he suggested to go for circumcision. please suggest what should I do. is there is difference between going for circumcision and frenualplasty that I read about on this portal. awaiting responce | Hi, dairy have gone through your question. I can understand your concern. There is slight difference between circumcision and frenuloplasty. In circumcision the foreskin is removed. Frenuloplasty is somewhat plastic surgery. You should go for examination to know which is best for you. Then you should plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hello, my daughter is 2yrs. She weighs 9.5kg. For the past 1month she is suffering from cold n cough. Later she was fine for 2weeks n again the same is repeating n the doctor prescribed for montair LCD kid. I also have a doubt that for what she might be allergic to. I bit worried abt her. | Most of the cough in child Chat Doctor. It generally has an allergic component. It is not that she is allergic to certain things and hence montage LC (montelukast + levocetirizine) is being given. Furthermore, it is simply to reduce the allergic reaction of cough. Your doctor has done the right thing. Also give the child steam inhalation. The water in form of vapor will reach deep into the lungs and help in diluting the cough and give your child relief. |
Hello My mother had cancer in her jaw after that she had radiation she finished her treatments last year in November however she still is losing weight she has had a check up and she is in remission but I don t know why she is still losing weight she does not have her taste buds back yet Can you give me any free advice which way should I go with this she has a sore throat also and sometimes she chokes I am worried about her please help | Thanks for your question on Chat Doctor. Oral cancer patients are more prone to weight loss as their oral intake is very low due to oral surgery, radiation etc. Another reason is chemotherapy and radiotherapy. Both decrease appetite and so oral intake is less. Tumor cells produce chemokines, which also reduces hunger. So oral cancer patients have more weight loss. Better to start nutritional supplements like multivitamin, antioxidants, proteins and calorie rich food. You can also try TPN (Total parenteral nutrition). |
I have a 17 year old daughter who has had fatigue, muscle pain and cold symptoms for 3 months. She also has symptoms of IBS. I had blood work done and she has a low AST and low Alkaline phosphatase. She seems to \"catch\" every little cold that goes around. The fatigue has worsened to the point that she misses school (she love school). In the past 2 years she has gone from a star althelete to barly able to drag herself to school. Any ideas? Also she test positive for past EBV she had mono 7 years ago. | Hi, dairy have gone through your question. I can understand your concern. Her alkaline phosphatase and AST levels are low. Low level does not indicate any significant pathology. No need to worry about low level. She should take treatment of her IBS. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi , I was wondering am I most likely okay if I had sex with a condom, it slipped off but my partner didnt ejaculate in me. I also took the morning after pill the next morning. Also can the pill make you late, because i am a week late and am a very paranoid person and Im freaking out although my friends say I shouldnt be ! | Hi dear without ejaculation inside there are no chances of getting pregnant also you have taken I pill so no need to worry.if you missed your periods by 2 weeks then do the urinary pregnancy test, blood Chat Doctor levels and USG for final confirmation.that's my advice as more anxious you be it will late the periods.anxiety is one of the cause of delayed periods.stay strong and be relaxed.regards Chat Doctor. |
I have several gallstones in my gallbladder with sizes ranging from 5mm the smallest and 13mm the biggest. My question is, can a 13mm gallstone can pass a common bile duct of 3.4mm? I dont know if the epsom salt will help relaxed the bile duct and become flexible to let pass the 13mm galstone | Hi, How are you? Thanks for writing in to Chat Doctor. My name is Chat Doctor. I am a Liver and pancreas surgeon and I hope to answer your question today. I am sorry to hear that you are suffering from gallstones and since you have not mentioned any symptoms, I take it that you have none. Gall stones can and sometimes do pass from the gall bladder (GB) into the bile duct and then into the intestine and are then passed out naturally. But this happens when the stone is very small and does not get stuck anywhere during its passage. During its journey from the gallbladder to the outside, the stone, depending on its size, can get stuck in multiple places and can cause serious, sometimes life-threatening complications. The first site it can get lodged is the cystic duct (tube |
I appreciate any and all help. My daughter was born in June and all was well. She was a few weeks early and we had a few complications. Fast forward to one month and we noticed her doing a few things that we don t remember my other two girls doing. We recorded it and wrote it down. Fast forward to Thanksgiving. My daughter was almost 5 months and the whole family came down with the flu . She had a 104 fever which lasted two days and was very lethargic. During this time, I thought she had a seizure as I was holding her. The next week I took her to the dr and they said she had bronchiolitis . I was told if she developed a fever to bring her back. A week later she did and we landed right back in the dr office. Once again, we were sent home. I gave her breathing treatments and this time her fever remained 104 for 3 days. On day 3 I took her to the emergency room and we were dxed with double ear infections and given 10 days amoxicillin . On day 11 I once again returned to pediatrician and was told daughter had one ear infection remaining and was still suffering from bronchiolitis. To continue treating at home. We pursued the possibility of seizures and went to a neurologist . They wanted a full work up. So we scheduled MRI and bloodwork. At this point we had been on 15 days of antibiotic. We went for MRI and the MRI was refused due to a low pulse ox when sleeping. My daughter was running 89-92 and sent home. The MRI dr came in and listened to her, he said it sounded like she had bronchiolitis and if not better in a few days to return to the children s hospital. he also mentioned something about a heart condition that can cause fluid in the lungs. We went home and waited. Then the beginning lab results came in from her bloodwork. her WBC was 25.8 RBC 4.23 Hemoglobin 10.8 Hematocrit 32.5 MCV 77 MCH 25.5 MCHC 33.2 RDW 13.9 Platelets 467 Neutrophils 40 Lymphs 50 (atypical lymphocytes) Monocytes 10 EOS 0 Basos 0 Neutrophils (Absolute) 10.4 Lymps (absolute) 12.5 Monocytes (absolute) 2.6 EOS (absolute) 0.1 Baso (absolute) 0.1 Immature granulocytes 0 Immature grans (ABS) 0 Let me add we have seen her turning blue around her mouth as well as her extremities going blue/purple. She cannot eat a whole bottle without falling asleep and eating takes her a couple of hours. We returned to the children s hospital a few days later as she was not better and her WBC was still 24. We were dxed wtih bronchiolitis and leukocytosis and told to retest her blood in a few days. Any advice or suggestions would be greatly appreciated. My daughter ahs been sick for over 6 weeks. Is there anything concerning in these numbers our pediatrician does not seem to concerned. I was also informed her carbon dioxide level was 19%. What does this mean? | Hi, Thank you for posting your query. You have provided an excellent and detailed description of your daughters' illness. Based on the information, she is suffering from a respiratory infection, most likely a bronchiolitis, causing fever, breathing difficulty and feeding problems. She would need to continue the course of antibiotics for full recovery. Low oxygen saturation and feeding problems can be explained by this illness. Blue extremities (peripheral cyanosis) could occur if she has breathing problems and can not inhale or exhale properly. In addition, we need to exclude a cardiac problem, such as right to left shunts, as they could cause cyanosis and make a child prone to get infections. An echocardiography would help. Seizures can occur with high fever (febrile seizures) and if her MRI and EEG are normal, no anti-epileptic Chat Doctor. Best wishes, |
i feel unstability on my head and body during walking and sometimes during sitting on chair and working on laptop and sometimes during movement of head is xet cr 12.5 is ok for me i feel jerk in ,my body while sleeping | Hello! Welcome on Chat Doctor! I carefully read your question and would like to explain that your symptoms could be related to an inner ear disorder. Get CR 12.5 can be helpful in such cases. But, if you do not feel relieved after a month on this medication, I would recommend consulting with an ENT specialist for a physical exam and labyrinthine tests, to exclude an inner ear disorder. Dimethyl Chat Doctor. Hope to have been helpful! Wishing all the best, |
Hi, my 7 month old is really chesty, has a runny nose constantly, a bad cough and has a slight temperature. I took him to the dotors and they just said to sit him in the bathroom with me when i have the shower on and the steam will clear his chest but that doesnt seem to be working and he is very unsettled. He is usually non stop but as soon as he gets excited his chest gets worse. what can i do? | Hi Dear, welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of cough and chest congestion which is due to upper respiratory tract infection due to poor immunity of body. Need not worry. I would suggest you to avoid spicy, hot and sharp food substances. You should avoid cold carbonated beverages. Apply mist humidifiers in room. Chew a vitamin C pellet daily. Do warm saline gargles. Gargle with an antimicrobial mouthwash. You should take antibiotics like Augmenting or Azithromycin for 5 days. You should take anti-inflammatory painkiller Ibuprofen for relief from pain and inflammation. Furthermore, you should avoid taking outside food. Avoid cold carbonated beverages. Visit ENT specialist once and get throat culture and sputum test done to find out exact cause and start treatment accordingly. Hope your concern has been resolved. Get Well Soon. Best wishes, |
my friend has undescended testis on one side.he underwent surgery but it was a failure.He is 19years now.can u suggest the possible treatment to prevent the risk of infertility or testicular cancer in later life? Is he completely sterile? please give possible treatments please | HiT hanks for your query. There are two parts to your query.1. To prevent testicular cancer, we can try to get the affected testis out of the body by surgery (NOT fixing it, which failed earlier).2. Whether he is sterile now, that can be determined by semen analysis. If he has normal sperm counts then nothing needs to be done. But sometimes in these situations, even with one normal testis, sperm counts are low. Then you should consult infertility expert. Hope this helps. Regards |
my son is 29yo.several wks ago ,for about 4-5 days,he had tingling of arms and legs. At the exact same time,he had whooshing in head that was worse when he moved his head and neck. He has hx of sinus surgery 5 yrs ago. Hx of brain tumor ,7 yrs ago. follow up MRI every 6 mos to. . 1 yr. NEVER changed . Primary doc did all blds, vit B,lyme, and a brain MRI ALL were Neg. Neuro or ENT?Sounds Like ????? | Hello! Welcome on Chat Doctor ! I read carefully your question and understand your concern. You should know that his complaints could be related to a cervical spine lesion or a bulging disc in this region. Considering his past medical history for brain tumor (which may sometimes lead to medullary seeding), I would recommend performing a cervical spine MRI study. You should discuss with his doctor on these issues. Hope you will find this answer helpful! Wishing all the best, |
My 1 year old has been having 6 to 8 bowel movements a day for almost 2 weeks and has horrible diaper rash. She was treated successfully for thrush a few months ago, but I don t see any obvious white spots in her mouth. Plus, I don t recall her having frequent BMs the last time. | Hello, Your baby having loose stools for 14 days along with diaper rashes is suggestive of lactose intolerance. It is seen in babies that have some infection in their gut due to difficulty in digesting lactose and sugar in milk; this makes them pass stool with acidic pH which leads to diaper rashes. Apply Silver Mini cream or any zinc oxide cream on the affected area after cleaning the area, each time after passing stool. Get a stool examination for pH levels done; reduce and change milk to a low lactose formula. Hope I have answered your query. Let me know if I can assist you further. |
Respected Doctor, I want to share one of my case to you. Actually my mother expired in August 2009. My wife is a BAMS doctor.My father is a retired person from government service. I am the only son. Soon after my mother s expire i started Alcoholic consumption. I got edicted to it. Then my family took me to a Psychiatrist . They put me tablet like Libruim, Nexito, Dizone( Disulfiram ). The prescribed tablet i am taking from 2 years. Past from 2 years i have no alcoholic consumption at all. But to be frank i chew tobacco. Now thing is when i started taking the prescribed tablets, i was working in Priya cement. I was feeling good in work and confident. In Priya cement i worked for 1 and half years. I am MBA finance. When i was in Priya cement i got a offer from Onida company for the post of Accounts officer. There when i joined i was ok for ten days, and then they didn t give me any training. I was over pressurized. Than my hands started shaking, my head was totaly struck. I was mentally upset. Whenever i used to see office documents and cash, i used to get nervous. Lots of negetive things started in my mind (Like attemting suicide )lack of interest in my life. I donot know when i was in Priya cement , i was confident and interest and soon i joined onida company, this case happened like this. So soon i resigned from Onida company. Right from past 1 year iam not in a job.When i resigned from Onida company for month i was uncomfortable( like attemting suicide, hands where shaking, lots of interest in life). Now iam getting state government appointment. I want to ask whether again the same thing will happen which happened in onida company? Now at present iam ok. Now my hands are shaking where iam getting a state government offer. Also every seconds my mind will be fluctating and fructrasting regarding my interest in life. So please tell me what are the causes for my case. Please note iam in tobacco habit. Sometimes i get confidence, sometimes i don t. So look into my case and awaiting for your valuable solution. Regards, Abhishek | HI, Welcome to Chat Doctor. I have gone through your query. I am really glad to know that you have stopped taking alcohol. Congratulations on getting a government job Coming to your problem, based on the symptoms you have mentioned it could be due to Panic or anxiety disorder. It is just the environment and the work pressure at the place where you worked before(Oneida company) that made you feel insecure. This insecurity leads to anxiety and panic attacks where you feel very nervous about even small things thinking too much about the consequences. You absolutely normal. You need not worry about the same being repeated at State government job. Furthermore, you can happily take up the offer. Furthermore, you don't even need medication. Just forget about your life at Oneida company. If you don't leave that, that keeps bugging your mind. Be confident and just say to yourself that everything is going to be OK. As you have mentioned that your wife is a doctor, just share all your problems with her. Try to meditate. Just because you were over pressurized in the previous job, it doesn't mean that you face the same kind of challenge everywhere you work. One more thing I would like to advice you are regarding tobacco chewing. Please stop chewing tobacco as I would take a toll on your health. Try Nicoletta chewing gums. Chew a gum whenever you feel like chewing tobacco. As you have stopped alcohol I think i won't be difficult to get rid of this addiction as well. You don't need any medicines at this stage. What is your need is a bit of counselling and a quality time with your family(they will always stand by you at all times). Stay positive and your life will definitely be beautiful. Wish you a healthy life. Take care |
My husband had a lap/choley over a week ago. He hasnt had a normal bowel movement since. What he is experiencing is very soft mushy small stools that wont come out of his rectum by themselves. When he wipes there appears to be tiny black and white seed like particles in the stool. Please help. | Hi. It is best if you consult with a gastroenterologist or do a follow-up consult with your surgeon for clinical evaluation of your husbands concern. An unremarkable laparoscopic cholecystectomy usually doesn't have that effect. It may also be just secondary to illus, or temporary motility of his bowels as he is still in the recovery period. Also, how was his food intake after the surgery? Anxiety is also another thing to consider, when he is doing his bowel movement. Clinical consult is best. Diagnostics and management will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
hi im marivic 22 years old and i just want to consult about my attitude, i dont know if this is a disorder or what?.. i notice this moody personality when i step on college, specially now that i am working and at the same time studying. they say im always moody, sometimes im good,shy, silent but once that i get mad because of something happened i keep on talking that i think i am very perfect and i want them to follow what i want to do,, i stock on my mind those persons who hurt me or make fun about me.. i really hate them that it comes to a point that i want to curse them. they also said that may body and mind was fully negative.. | Hi Marvin. Let me ask you one thing first...are you fully aware that you are behaving differently at times? If you are then I see you have already crossed half the bridge. It appears to me that your studying as well as working is taking toll on you. So first begin with taking things one at a time. Prioritize your things. Make a checklist and work accordingly. Begin your day with some form of meditation so that you can have a relaxed and active day. Include exercise and healthy diet in your routine. Start seeing objectively why you feel angry at people or the situation. Try to see the positive side and try to find solutions rather than holding grudges. If you still feel your behavior is out of your control you may need to see a psychiatrist or a counselor. Take care. |
I fell about 3-4 yrs ago and hurt my left ankle realy badly. Now in the last few weeks I ve had a bad burning pain under the ankle itself and it hurts to walk for any great time. Plus that same foot feels like I m walking on a marble in the ball of my foot. What is the reason for the burning pain? | Hello, With the burning sensation, the first thing to look for is uric acid levels which you should get it tested. If uric acid levels are high we need to treat accordingly. Next, about the fall, there will be microtrauma to the fibers of the ligaments of the ankle so need to stabilize it with an ankle brace. For swelling icing, if you aren't diabetic or else hot water fomentation and elevation of the leg. If any kind of numbers of tingling then has to check for the lumbar spine nerve root entrapment. Keeping into consideration all this and with the differential diagnosis we can conclude the provisional diagnosis with the help of clinical symptoms and correlating with a diagnostic test. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
3 days ago, my blood pressure was 93 74. it may have been for few days because i have been feeling very dizzy for the past few days but checked 3 days ago. i am 38 years old 5ft 6\" weight 165 lbs, very healthy otherwise. it happened to me first time. i have increased salt intake since then and it was 117 83 5 minutes ago, i am breething harder than normal.what should i do? | Definitely go see your doctor. The dizziness sounds like it correlates with having a blood pressure of 93/74, which is lower than the average blood pressure. There are some people who normally walk around with that blood pressure, and they are fine. It depends on what your typical, usual blood pressure is when you feel healthy. Dizziness and low blood pressure is usually treated by increasing the salt and fluid intake. However, if this improved your blood pressure and dizziness but caused you breathing discomfort, that is not normal, and could represent a problem. Your doctor needs to listen to your lungs, and evaluate whether there is a heart or lung abnormality that caused a little extra salt to cause fluid to build up in your lungs. Please get that checked out, and let us know what happens. |
hi, we (me and my wife) are undergoing IUI treatment. Today semen analysis told us 55% abnormal sperms and 10-12 pus cells. Doctoe advised Doxy tablet. Is it right tablet. Also, I am taking evion which is e vitamin tablet to increase mobility of sperms from 10 days. But there is no difference in sperm abnormility %. Please advise. | Hello Thanks for writing to your semen analysis report suggests infection. Medicines should be prescribed after culture and sensitivity reportInfection is indicated by the presence of plenty pus cells in semen. Normally there shouldn't be any pus cells in semen. Infection may be due to prostatitis, UTI. You need antibiotics for infection. You need few more investigations like routine hologram, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed depending upon sensitivity report. Fertility will definitely improve with control of infection. You should do exercise and take nutritious food. You should avoid tight underpants. Avoid cigarettes and alcohol if you take these things.Don't worry about 55% abnormal sperms. Only 16 % sperms with normal morphology can lead to natural pregnancy. Get well soon. Take Care Chat Doctor. |
My 2 yr son is having fever since 5 days. Dr said its a throat infection. Started with clamp kid forte suspension. Also given Tylenol or Advil in between. It s been 4 days since the medication. His fever isn t coming down. Can the antibiotic itself cause fever.? Fever ranges from 38.5-39.6 | Hello, Antibiotic itself doesn't give fever, so I don't think antibiotic is the reason. Infection sometimes continues giving temp, although you have begun you antibiotic. I will suggest to wait for 2-3 other days and then to see your doctor. In case the temperature lasts more than 6-7 days when we are using antibiotic-therapy then we may have an antibiotic resistance and need to change treatment. During that time use plenty of water, healthy diet, fruits, vitamins to help him get better. Hope I have answered your query. Let me know if I can assist you further. |
My GFR was as low as 50 and should never be below 60. With symptoms such as kidney flushing 24/7 and peeing 45 times a day and falling asleep my Doctor was not concerned but he upped my thyroid meds to much and told me my body would adjust in 6-8 weeks. I asked for my blood work the last two years and found I had moderate to chronic kidney disease.I do not no the cause have seen a specialist a couple of times. He let me know we have a kidney dialysis in our hospital.And there is medication I can take. Is there no other recourse? I drank chinese herbs for 1 1/2 years it just stablized it and stopped the symptoms and did not fall asleep. I have since found something I can take daily all natural and never felt better.Do not know how long it will last. But for now it is great. Thankyou just want to know the cause. | Hi. According to the information that you provided, you are correct in mentioning that you have moderate chronic kidney disease i.e, CKD 3 (GFR= 30-89). Well at this level of GFR dialysis is not initiated, but preparation like AV fistula formation can be considered if the rate of fall of GFR is very steep. There are many causes of chronic kidney disease as I will mention, but Herb Nephropathy seems likely in your case, according to the history you provided. Among the notable causes are Diabetes, Hypertension, Chronic Glomerulonephritis, Obstruction of the bladder or urethra or both of the ureters, Autosomal dominant Polycystic Kidney Disease, Chronic Pyelonephritis due to reflux nephropathy, Interstitial nephritis (One of the cause is Balkan or herb nephropathy)and some other rare inherited diseases. Regads |
Hi my partner who is male has noticed a lump behind his nipple which is hard and very painful. He went to the doctors today who just gave him paracetamol and said its normal it can often happen. No further tests or anything being carried out. How can they rule out cancer without further tests. | Welcome to Chat Doctor. 1. The lump in the breast in a reproductive age group can be fat globules / tissues. 2. If the doctor has palpated / felt the lump and given you paracetamol - then possible that it's not a suspicious. 3. If it was not examined, and you are sure with it then go for a second opinion. 4. As you asked - how to rule out the cancer / malignancy. Initially a USG - ultrasound examination.5. Ultrasound will give exactly what nature of the lump is it and its source and extensions. FNAC - fine needle aspiration cytology will give definitive diagnosis of the lump. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http |
hi,i my sgpt is in range of 60 to 80 from last 1 yr. even i am taking very strict diet according to the doctor but it is fluctuating all the time when i checked it montly.even according to doctor prescription when i take URSODIL SR tab regularly for a month then sgpt reduces to normal level but after 30-40 days it again increase to previous level.So plz suggest me what exactly i do fr maintaing my sgpt level without any help of medicine?? | High thanks for asking question... Do you have fatty liver?? Or hepatitis ?? Or Bag carrier??? In all above 3 condition enzyme level increasing. For their diagnosis USG examination and serum liver enzyme study done. Viral markers also done for diagnosis of hepatitis or carrier stage. Sometimes non-alcoholic fatty liver disease like by obesity can elevate liver enzymes. Here are few suggestions for maintaining liver health.-Avoid refined sugar-Avoid transfat like cheese, meat, burger, chips, meat etc.-Omega-3 fatty acid oil used in diet like olive oil, sunflower oil etc.-Fruits taken more-Green leafy vegetables useful-Limit alcohol-Avoid smoking-Do regular 30 minute exercise.- Chat Doctor. -Papaya with lemon juice taken daily is good herbal remedying above measures your enzymes will mostly remain within normal range. Follow up done with 3 months. If still enzymes high then chronic hepatitis like condition has to be ruled out by liver biopsy. I hope my suggestion will be helpful to you.regards |
I have a rash on my chest, lower back, and inner thighs. Im alsio breast feeding. I thought it might be a heat rash or from the laundry soap we use. But Im tge only one who has the rash. It looks like little bug bites. But like I said, no one else in the family has it. | Hello, Thank you for posting on Chat Doctor. I can understand your concern regarding the skin lesions but It's difficult to point specific diagnosis in absence of clinical examination. From the description of your condition I would like to put provisional diagnosis of Tina corporal, a fungal infection but It's prudent to diagnose it for sure before starting any treatment. Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way. You can reach me directly through the below-mentioned link.https |
the platlets of patient are 19000 and blood pressure decreases as he goes to the toilet as well he was suffering from high fever since saturday but now it is gone he is not even taking fluids constantly he is provided with fluids through drip and we are providing him with more of platelets what else should we do for his betterment? | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. In my opinion your friend is having dengue. Dengue causes platelet destruction along with hemorrhagic potential. As the platelet gone down and the blood pressure is also decreased it is suggestive that the dengue is in the advance stage. Dengue does not have the exact treatment as such. It requires plenty of fluids to get it corrected. Your friend is not taking the fluids orally which is very bad things suggest he/she must take as many fluids as possible. It will dilute the blood virus a d mitigates its effect. Please make constant check on the blood platelet count. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist. |
a while ago my doctor said i had psorasis after looking at my skin because i repeatedly was getting sick and needing antibiotics because of the virus. shortly after i went to a dermatologist to talk about my skin and flakes in my eyebrows and hair. mentioned what my doctors said about psoraisis. she said no just dandruff. a little insight would be nice as to why now a year later my scalp is always itchy and completely covered in dandruff or flakes or whatever it is. im of black, i wash my hair every week. i grease it . i scratch the dandruff off. idk whats going on. | Hi. Thanks for posting your concern at ChatDoctorSeborrhoeic dermatitis OR Dan Chat Doctor. Clinically it presents as itchy, ill-defined erythematous lesions with adherent greasy and yellowish scaling which when scrapped or picked with nails oozes sticky liquid. Keeping the scalp clean with either daily OR alternate day shampooing and avoidance of greasy products on scalp helps in resolving the condition. I advise my patients of seborrhea dermatitis to use an antifungal shampoo twice OR thrice weekly(can also be used once OR even twice daily depending upon the requirement). If shampoo is not enough I ask my patient to use a topical steroid lotion twice daily for 2-4 weeks. Once the scaling and erythema subsides it is important to stop the steroid lotion but continue with an antifungal shampoo for maintaining the improvement. Take care regards |
My cowrkers son is 14. in the past 3 months he has lost 4 pant sizes. he has no appetite . He was bleeding rectally. She took him to the doctors at Texas Children s Hospital. 2/12 they had him in hosptial and stopped bleeding with steroids. Released him with methotrexate He was released 2/12. He hasnt had rectal bleeding or any other visible bleeding since 2/12.They ran tests yesterday and the only thing that has come back positive is that he has a low blood count and told her he is still losing blood. They put him on prednisone and methotrexate and folic acid . The doctors have not been able to tell her what is causing the bleeding, where the blood is going or what is going on. Where else can she get help? | Hithanks for your query can feel your concerns the first thing to establish is cause of rectal bleed and to find out whether it is a local bleed or some bleeding disorder rectal bleed can due to lower as well as upper gastrointestinal bleeder local examination for any fissure or fistula should be done by surgeon.moreover photocopy, sigmoidoscopy or colonoscopy to establish cause of bleed should be carried out rectal bleed with weight loss and appetite loss is usually associated with carcinoma of gastrointestinal tract advise you to give her hematurias after consulting your doctor wishing her a speedy recovery regards Chat Doctor. |
In Ultrasound we got no foetus movement , Missed obortion done 12.12.2010 . After that Torch Test done where we get Rubella IgG is 235.00 iu/ml which is 40 times higher than normal ie. 4.99.Please let the latest advanced treatment against higher Rubella IgG. | Hi, Thanks for posting in Chat Doctor. I understand your concern. Rubella (German measles) is a contagious viral infection. It is a significant health risk for pregnant women. If a pregnant woman is infected with rubella, especially in the first trimester, it may lead to miscarriage or the fetus may suffer severe birth defects. Once a person is infected with rubella, a person would have lifelong immunity. You can infect others from 10 days before the rash appears until about 2 weeks after it disappears. Like most other viral infections, there is no cure for rubella. It is a self limiting disease, and you need to wait for the period to go away. No treatment will shorten the course of rubella infection. Symptoms are so mild that treatment is usually not necessary. You need to take supportive treatment like analgesics such as paracetamol and ibuprofen for fever and headache. If you contact rubella infection while you're pregnant, you need to discuss the risks to your baby with your doctor. Hope the information provided would be helpful. All the best. |
About 6 months ago I began having issues with my semen. It started with me finding red blood spots mixed in. After a couple of weeks started to look brownish or rust-like. A month or so later, you could find yellow-ish chunks in it. As gross as that sounds. I went to see my urologist. He looked at me crazy, and sent me home with antibiotics. I finished the prescription and it seemed to go away. About 2 weeks ago, it started again. Now reddish semen, and seems to be more than normal. I am 31 with 3 healthy kids, and have had no other health conditions. I have had a vasectomy about a year and half ago. Please help. Starting to worry about this. | Hello, This is probably blood in the semen. In most cases, there is no serious issue. However, we need to make sure there is no injury, infection or tumor. We will advise some tests to find out the cause. Although there are a number of tests, we go in stepwise manner. Firstly do semen test for culture and urethral swab to look for infection. Next do USG scrotum and THUS (Transreactal ultrasound) to look for your balls and the prostate gland. If still problem persists you may need other blood tests like AFP, Chat Doctor and even sometimes MRI scan. But most cases subside spontaneously without any concern. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi, well I live in California and during the summer my legs and Thighs get really red and Blotchy. it s not itchy at all. and I m not fair skinned. but only my legs get red and blotchy. And I have no clue what it is! I hate it so much, because I can t wear shorts. It s just to embarrassing. and also I don t know if this will help but I m a high school student. Please help! | HelloThanks for the query HelloWelcome! I would be pleased to answer your question. Your history and clinical picture are suggestive of Recurrent Folliculitis associated with secondary eczema. 1. Mupirocin ointment twice a day for 5-7 days whenever the bumps come. If there is no improvement within 3 days of this then you will require an addition of steroid cream along with that. 2. Dial Antibacterial liquid soap for bathing. Continue this even when asymptomatic. 3. Mupirocin cream twice a day in the inside skin of the nose for 14 days. This may seem strange since you have no symptoms there, but this is the commonest site of carriage of the bacteria that causes this condition (staph). Infection keeps recurring from here through carriage by the fingers to other parts of the body. NOTE |
Hello, I have a hard small pea sized lump inside my upper lip on the left side. It grew in one day. No chance of biting that area or any other injury. It started to feel as if something had bitten my lip while sleeping at night but by the end of the day it grew into the lump. I would like to seek your opinion as to what could be the cause and what I should do? | Hello and welcome to Chat Doctor, A small pea sized lump on the lip can be due to bite that you are suspecting or muscle. In case there is history of insect bite, the swelling will relieve after taking antihistamines preparation. In case it does not relieve after antihistamines treatment, clinical examination is required to rule out other lesion like muscle. Mucocele is caused by rupture of mucus glands. Treatment of muscle is by surgical excision. Thanks and take care Chat Doctor. |
my son 26 yrs old just got out of rehab 3 days ago. he is on fluoxitine hcl 20 mg. He was diagnosed with bipolar disorder a few months ago. today he had a wicked panic attack. crying, hating his life, hitting his head. it lasted half of the day. he also says that he doesn t like the medicine makes him feel. should he stop taking this medicine?iz | Hello! Welcome on Chat Doctor ! Regarding your concern, you should know that fluoxetine does not seem to be very effective in controlling his symptoms. For this reason, I would recommend discussing with his psychiatrist on the possibility of making some changes to his actual therapy. In this regard, increasing fluoxetine dose may be necessary, coupled with further add on therapy like valproate or clonazepam, in order to manage his anxiety. Lithium therapy may be needed. You should discuss with his doctor on the above treatment options. Hope you will find this answer helpful! Best wishes, |
Dear Sir,My Sperm count is 30%Total Motility is 50%Sperm Motility is Like - Grade I - 30%Grade II - 30%Grade III - 20%Grade IV - 20%Sperm Morphology is - Normal % Abnormal 10% and Dead 60%Pus Cells - 8-10so can you please tell me about my report is it normal or not if no so can u suggest me Which treatment can i do? | Hi, I think your sperm motility is on lower side. Get a semen culture and sensitivity test done to see if there is any infection. Take some antioxidants and vitamin supplements for 3 months. You can repeat a semen analysis after one month with 3 to 5 days of abstinence. You can try naturally for a pregnancy if your wife has no fertility issues. Be in contact with your wife every 2 to 3 days after her periods stop. If it doesn't work, you can go for GUI. Talk to your doctor regarding this. Hope it helps. |
why asthma is a untreatable disease?i am 24 years old,married women,suffering from chronic asthma from last 5 years when i was studying in B.Sc.2nd year in Microbiology honors.my problem is that my asthma never be controlled by using any measure.i am using Esiflo inhaler 250.improper digestion or acidity and some hypersensitivity like skin rashes, redness,and also heavy pain in muscles,abdomen and weakness.now what to do to fit myself?i could not go for M.Sc. program.i fail to do heavy work as shorten breath with trouble,pain in chest,neck etc.please help me. | Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows |
my 14 months old daughter is having motionsfrom morning (5 times). Last week che has beentreated for virul gastroentitis .Medicies for this were syreup Zaprax-100,entrogermina. All these medicines were given tilllast friday and again it started from today | Welcome to the ChatDoctorI completely understand your concerns but don't worry. Diarrhea in this age is most likely due to a self limiting viral gastroenteritis episode or toddlers diarrhea due to excess intake of refined sugars. There is no need for antibiotics in these illnesses. I would recommend you to take the following measures to help him |
Hi. doctor , I have a stone in my kidney about 12 mm size and i showed to one urologist he said he will check through laser and destroy it. I AM afraid i told him to give medications instead of surgery . He gave me medicines like MagAsorb(2 tablets twice daily) with No-URIC(1 tablets 2 times daily). My advice is that do it really help with this medications. I have heard of systone(himalaya) do this will help easily with enough water to pass by. Pleasem, advice.... THANKYOU very Much | Hi, many thanks for the query! In our body, each kidney is connected to urinary bladder BYA separate narrow tube called \"ureter\". A stone in kidney has to pass through this narrow ureter to reach bladder & from there through another narrow tube called \"urethra\", it comes out. Your stone size is 12 mm, but diameter of ureter is smaller enough not to allow this stone pass out. So, some day it will be stuck in the ureter, this will block the urine outflow & urine will start accumulating in ureter just behind the stone (obstruction) & further will accumulate in kidney causing back pressure changes in the form of HY Chat Doctor. |
I m 53 and I ve quit smoking for 9 months. On and off I m experiencing chest tightness, short of breath and discomfort at my left chest. ECG normal, ECHO test normal, STRESS test tve but my heart scan shows that I m free of any blocks. I ve recently did my blood and urine test which shows normal result. Whats my problem ? | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. You are also having history of smoking. And smokers are known to develop bronchitis. So we should first rule out bronchitis in your case. Consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
Dear Sir, This is Sammy & I have gone through Semen Analysis & the below is report for your refernce Colour- Creamy Volume- 3 ml Viscosity - Normal Viscous Reaction- Alkaline Liquefaction-Liquefied upon received minutes Sperm Count- 11 million/ml Abnormal Forms- 30 % Microscopy Pus Cells 3-8/H.P.F Red Cells 2-4 /H.P.F Spermatogenic cells 3-6 /H.P.F M. After Liquifaction | Hai, as your report shows abnormality in total count and active motile sperm count.it should be total count -20 million/ml and active motile sperm should be 50 %.as you got primary infertility. Kindly consult an infertility specialist to fix the problem to get proper treatment. Medication like protein supplements, multi vitamins and ANTIOXIDANTS will help in increasing the sperm count. .thank you hope I answered your query |
my heart has been been pounding with varying intensity and frequency for several weeks. there is a cough that refuses to go after medication. what could be wrong? my initial ecg was ok and thyroid function test is normal. im not a bp patient nor anemic. thanks | Hello, The possibility of cardiac arrhythmia can't be ruled out, like PSVT or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab Collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you Get back if you have any doubts. Regards |
hello sir i need some help i m a patient of paraplegia means i m sufferd from SPINAL CORD INJURY and after 1 and half year i have a lots of improvement i can feel my urination process easily and i can move my upper leg muscles easily is there any hope to walk again | Hi, You seem to have made significant strides and should be encouraged to continue working hard with your rehabilitation doctor and/or physical therapists. Damage to the spinal cord is a very slow and difficult problem to fully resolve but in the proper circumstances and with good aggressive guidance and encouragement results as you're obtaining make me believe that I believe there is hope that you shall walk again. Certainly, there are devices available now that were not around 5-10 years ago that can assist with walking and so even if not under your entire power I'll not be surprised at all to see that you, in fact, will be able to walk one day. Hope I have answered your query. Let me know if I can assist you further. |
Hi sir, i am 56 year old and heart patient, 3 months before i got operaton. now in my blood report i got this result | Hello, Are you diabetic, hypertensive. If it is elevated for time then it means that your kidney is damaged permanently and creatinine will not come down. Your creatinine is not much elevated, and it will not create any problems if it doesn't elevate further. Now you should take precautions that it will not rise. For that your blood pressure and sugars should be under control strictly. You should not consume the Chat Doctor. So don't worry at this stage and take appropriate precautions. Hope I have answered your query. Let me know if I can assist you further. |
I have numbness in my forehead down to my nose... Has been there for 4 days. Can this be related to a lot of wine drinking throughout the holidays and what steps should I take now? I am a healthy 43y/o female outside of high blood pressure treated with lisinopril | Hello! Welcome on Chat Doctor ! Your symptoms could be related to a pinched nerve in this region, probably related to a trauma. Alcohol intake may cause an increased vulnerability of the nerves. Coming to this point, I would just recommend taking complex vitamin B supplements. If the problem persists, I recommend consulting with your doctor for a careful physical exam and some tests |
I am taking Channel blockers and ARB s- Im 65 yrs old and my resting heart rate is 55. Im running 3 miles in 35 min plus 30 min elliptical as a workout every other dat. My heart rate during my 3 mile run is 159 to 162. Am I pushing it too hard. I feel good during run but tired for a bit later. I ve run all my life and am used to pushing it. Now recovering from torn meniscus. | Hello thank you for trusting ChatDoctorDear resting heart rate may be low in adults who are physically active(athletes).but doesn't cause any problem to them. Elderly people more prone for slow heart rate faces problems. Causes are sinus bradycardia, nodal blocks, conduction blocks, metabolic problems (hypothyroidism).if your feeling tired, weak and dizziness you may need to consult your doctor. If your severe symptomatic avoid beta blockers, check for electrolytes, check for hypothyroidism. Patient severe bradycardia may need peacemaker implant. I think I answered to your question if you have more questions feel free to ask. Take care |
Hi, may I answer your health queries right now ? Please type your query here...i have a girl baby .she is one and half year old she doesnt eat properly ..and frm 6 days she is not taking solid food .she is only on milk .plz advice me what should i do | Hi, At her age interest in play increases and interest in food decreases. This is quite natural. If she is active and playing around you need not worry. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding a good amount of ghee to it. Hope I have answered your query. Let me know if I can assist you further. |
The pain is what i can only compare it with is giving birth but at least in labour you get a break every 5 minutes lol, went for ultrasound and she said i had three pea sized and bigger gall stones, my question is will i have to have gallbladder removed or is it quite normal to just leave them i had pain with them for over 4 years on and off thanks for your help. Michelle xxx | Hi and welcome to Chat Doctor. Gall bladder stones for most people it will be asymptomatic and if symptoms are their like pain abdomen and vomiting, then surgery is the best option. This is your doctor will decide whether you are fit for surgery or not. The surgery is called cholecystectomy, this can be performed microscopically also in which you will be having minimal scars and will be discharged form hospital in a day or two. All the Beauregard Chat Doctor. |
Yes. My GI doctor is worried about my fatty liver, which I ve had for years (40). I am also anemic and have had gold-colored stool for years. They have found cysts in my liver, so far. I am a 67 year old female. Does it sound to you like I may have cancer? They also found 6 polyps in my stomach and colon, recently. | Thanks for your question on Chat Doctor. In my opinion you should first get done stool microscopic examination to rule out occult blood. Since you are anemic I think you have chronic slow blood loss in stool. And if occult blood in stool is present than possibility of cancer is high. You may need CT ABDOMEN and colonoscopies biopsy of the polyps to rule out malignancy. So consult your gastroenterologist and discuss all these. |
Good Morning, On January 1st i fell down a flight of stairs and was told i was unconscious for about 7 minutes. I was rushed to the Er. Cat Scan revealed a nondisplaced fracture through the pars interarticularis on the left at c7 and nondisplaced fracture involving the inferior tip of the inferior articulating facet of c6. I have left side pain down my neck upper back and arm. 4 of my fingers present numbness and tingling. I am now in a collar. What is the expected healing process and is surgery still an option? | Dear patient you're Lucy enough as u he got displaced fracture of two cervical spine vertebrae. Displaced fracture normally heals within 6 to 8 weeks duration if protected with hard cervical collar. Reason for pain is due to your spine fracture and tingling and numbness on left side of upper limb is mostly due to nerve compression as a result of hematoma that occurs around fracture. So take proper rest and maintain neck in collar for 6 weeks, and you will be all right. All the best.u do not require any type of surgery. |
Hi I had sex on May 3. We used a condom and I am on birth control but I don t always take it the same time everyday. I got my period on May 24. Well my period this month was light but I still was able to use a tampon. It was mostly brown with some red mixed in. It was heavy enough that I would need a tampon sometimes but other times there was nothing at all. I took a test before I got my period and it was neg. I took another one today on May 29 and it was neg. I am feeling dizzy today and nauseous with fatigue. Could I be pregnant ? Is this implantation bleeding? | Hallow Dear, I gather from your history that you have sex about 21 days before the menses. It is very unlikely that sex on this day would lead to pregnancy. Moreover, you are on regular birth control pills though the timing everyday may be variable. However, the bleeding during the so-called period was brownish and scanty. So the possibility of pregnancy has to be assessed. Seven days after (?) missed period, pregnancy test gives reliable result. Though the first test you performed was too early to be reliable, the second test was after five days. It is also negative. So the chances of pregnancy are practically nil. Still I would request you to perform pregnancy test on overnight sample of first morning urine sample afterv4 days again. If this is also negative, you are not pregnant. You may go for ultrasonography to rule out blighted ovum in aborting process. Mostly this appears to be less bleeding due to hormonal imbalance. If you are taking progesterone dominant pills, they can cause such a low bleeding. If you do not get regular bleeding after one week, please report to the Gynecologist. |
Is there any specific day of ovulation due to Fertyl-super intake Is there any specific day of ovulation due to Fertyl-super intake prescribed as I was diagnosed as PCOD and did not get pregnant for couple of months when tried. I have taken this tablet from day 3 to day 7 and I am now on day 8. Should I use OPK, if yes then from when and if I get +ve then when would be the best time for intercourse. | Hello, The ovulation induced by ferry occurs about 5 to 7 days after the course of tablets is completed .you are now on 8th day. So you can now use OPK. If you do not test every day from before you expect to be most fertile, you may miss the LH surge. Testing daily once you have started to test is the best strategy since your first positive OPK result probably means that you are about to ovulate and your last positive OPK, if you get more than one, may mean that you just ovulated. First morning urine is usually not the best for Oaks. Late morning or early afternoon is usually best ONCE YOU KNOW THE OVULATION, maintain sexual relationship during the period at least for 2 to 3 days, which will increase chance of pregnancy. Thanks for query. Take care |
HiI am suffering some left upper chest discomfortableThe problem is more serious after 3 or 4 hours from taking foodSo some thing that always try to come in up in left chest in form of sounding\"burbur\"so pls suggest some thingThe problem is about 2 and 1/2 yearsand still it is very much problematicI have shown one cardiologist.He suggested me to go to an gasteroentrologist.I have also shown him.But nothing got.I have done \"Endoscopy and colonoscopy\"nothing foundThen upper ultrasonography.Get some relief after taking food.That is Ihave been doing last years.I think below the left chest some vacuum place always form.And from there one form gas try to come upper through the left side of the chest.please suggest something. | Hello, Most probably a Gastroesophageal reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? 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. Avoid smoking and alcohol if any. Elevate head end of the bed or use pillows during sleep or rest. You should 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. |
duaghter is 2 and a half, and completely potty trained, but the last 2 days shes been having accidents, and her pee smells foul, she says shes feels fine, but i know something isnt right, cause she always makes it to the potty, what could this be?? | Hello deceit can possibly be a urinary tract infection as you said her pee smells foul. As per your symptoms, she doesn't have any complaints like dysuria or increased frequency of micturition. I would like you to get her a urine routine examination done. Give her plenty of fluids and especially cranberry juice. Avoid constipation by giving her a fiber diet and plenty of fluids. Increase her water intake. If the urine turns out positive for infection, start spy. Cefixime 200 mg/5ml at a dose of 10\u00a0mg/kg once daily for 7 days. If she has worms in potty and she has tummy ache on and off with perianal itching, give her spy. Mebendazole 100 mg twice daily for 3 days. Hope it will help. Wishing your child good health |
I am 31 and my husband is 35 and we are currently planning on doing IVF for our first baby. I am closely monitoring my diet and wanted to know if i can continue to drink coffee and tea everyday ? 1 cup of coffee in the morning and 1 -2 cups of tea in the evening. Also my husband might be leaving back to US and I wanted to know if freezing sperms is as good as a fresh sample ? | Hi, Thanks for writing to Chat Doctor. You can take one cup of tea or coffee daily. That won't cause any problem for your fertility treatment. Don't Chat Doctor. That means mixing more coffee powder in half glass milk. Excess caffeine in coffee is harmful and know to cause infertility. That is 9 to 10 cups of coffee daily and concentrated one. Yes frozen sperms are as good as fresh sperms. Nowadays, every IVF centers froze ovum and sperms to avoid multiple removal. It is safe. Don't worry. Be stress-free. Hope I have been helpful. Regards |
I am prone to having UTIs and this is something that occurs often especially after intercourse, its been about a week and my urine is very cloudy with a weird smell and along with it some brown discharge that is mucus like. I have no pain and have already been on antibiotics and nothing is clearing this up..I have been hospitalized 3 times in the past 2 months because they have turned into kidney infections and have become very ill.. | You don't state your gender, but I am presuming female and my answer relates to women. You might have a vaginal infection. That could cause a discharge with a funny smell, which would cause the urine to become cloudy. If the routine antibiotics used for previous Otis haven't worked, then I would start thinking it was related to the genital tract. Bacterial vaginosis is a common vaginal infection that can cause a painless vaginal discharge. To be sure, you would need a vaginal exam with microscopic analysis of the discharge. You might also consider a clean catch urine for culture and sensitivity. If you have developed a resistant urinary tract bug, the antibiotics you've used in the past may not be helpful, and this test can diagnose the bacteria and what they're sensitive to for antibiotics. Hope this answers your question. |
I have readings of SGOT 71.07 and SGPT 90.47. I have diabetes 2 and am hypothyroid, both thyroid glands having been operated on as I was hyerthyroid before. I do not drink alcohol at all. What do I do? My meds are GalvusMet, Actosmet, Euthyrox, rosuvastatin (bedtime),solosamet and fenofibrate. | Hello! Thanks for putting your query in Chat Doctor. Increase in GOT and SGPT has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, etc. apart from alcohol intake. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, I hope I have answered your query and this will help you. Wish you a good health |
I have reoccurant yeast infections and In the past reocurring BV .. I use the peroxide and water mix and that has been controlling the BV .. But the yeast infections come all the time ... Is there something else it could be ? More than just a yeast infection ? Should i get checked for anything else ? | Hello, Welcome to Chat Doctor, The fungus are the normal comedians of the female genitals. This fungus is kept under control by the helpful bacteria, whenever there is an imbalance in the genital environment it will lead to multiplication of the fungus and produces the symptoms. Many conditions which alters the genital environment will lead to frequent fungal infection. Recurrent yeast infection is common with inadequate doses. If any one of the partner has any predisposing factor for fungal infection like diabetes mellitus, prolonged antibiotic therapy, Metronidazole, steroids, some other immunosuppressive Chat Doctor. |
74 year old man has open heart quad bypass on december 23. TWO WEEKS LATER DOCTORS DISCOVER STAGE iv LUNG CANCER THAT HAS moved to the bones. Recovery from surgery seems to be progressing but he is suffering from fatigue, no appetitie, drastic weight loss and pain. He has had no cancer treatments yet, they are waiting for him to get stronger. That does not seem likely. Any comments? Please | Hi, Thanks for writing in. Survival for stage 4 cancer is usually 2 years with good supportive care and chemotherapy. Since it is stage 4 cancer therefore treatment is chemotherapy or radiation therapy. The fatigue and loss of appetite is because of the combined effects of bypass surgery and cancer. Pain is one of the important points to take care. If the cancer has spread to bones then there will be pain which requires pain relief. This has to be discussed in detail with the palliative medicine specialist and dose adjustment has to be made. Please include a diet containing 2200 kcal daily and this should include proteins. Please do not worry. |
Hai..sir..i am 27 years old male.i m effected by gall stone of 11 mmx8 mm.15 days back i am effected by continuos abdominal pain.Now after doing updomen scan ,it is caculous cholecystitis..gall stone is currently in the neck of gall bladder.gall bladder is pericholecystic odemna.I dont want to go for any surgery, i need to dissolve my stones.please help me with your suggestions Sajith | Hello Gall bladder calculus is causing cholecystitis. Definitive treatment of gall bladder calculus is surgical removal of gall bladder. Operation is commonly done microscopically. Recovery is fast by this method. Gall bladder calculus is prone to get obstruction and infection. So, you should plan for definitive treatment. At present, you may need conservative treatment in the form of antibiotics and analgesics. Operation can be done after control of acute infection. Take Care Chat Doctor. |
I dont know what to do have hit a brick wall with my doctor..for over 6 months I have noticed a dramatic loss of hair. I have been to doctors twice to be told it first was a sinus infection so he prescribed antibiotics and a nasal spray months later went to see hoim again with problem this time he said was due to a fungal infection once agin precribed antibiotics and fungal creamsand ketaconozole shampoo.he said if that doesnt work I have to pay out to see a dematologist..i cant afford to do that and have lost all self confidence with my appearence. | Thank you for your question!First I would say that loosing up to 100 hair a day is normal, which in your case may be more. I would ask how much hair are you loosing and whether your parents had a hair loss, is your scalp irritated? Have you experienced a severe trauma or emotional stress? If the situation is not clear I will ask you have a blood test done and thyroid hormones to figure out what is the cause. When a patient similar to your conditions comes to my clinic, after suggesting the examinations I mentioned you above, I would strongly recommend he/she starts washing the hair 2 times a week with PHYTOCYIANE shampoo, PHYSICIAN file 1 ampule 3 times a week for a month, then maintenance 1 ampule per week for two months, PHYTOPHANERE capsules, one capsule a day. After this a patient can also have PRP injections or monotherapy with biotin injections which can be done by a specialist. Hope this helps! Please feel free to ask me again. |
hii need to know causes of small ischemic focus in right pons and left basal gangliaMy grand pas thyroid is also high tsh 6.83due to this small hypodense area that is seen in CT sacn of brain....how intense it is for brain functioning and health.His age is 72 years | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Please share the Scan Images and all Reports for us to help you further Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http |
hi doctor,i just wanted to ask something about semen consistency, because my fiance is having clear and liquid semen after ejaculation for how many months already, thou were not sexualy active,, but he admits that almost evry day he is masturbating, does it affect its consistency. because im worried maybe he has infertility problem. | helloThanks for query. Your fianc\u00e9 is indulged in frequent masturbation almost every day, and you have noticed hi semen to be watery in consistency. Normally it takes 2 days for seminal vesicle.prostate and testicle to produce semen of normal consistency and volume hence it is natural to have semen to be watery in a person who ejaculates frequently over a short period of time. You can ask him to get his semen analysis done after observing abstinence for 3 days (No ejaculation for 3 days either by sexual intercourse or masturbation) to be rest assured about his fertility. Chat Doctor. |
i am 24 years old and i have been wetting the bed since feb 20th and i want it to stop how can i make it stop | Hi well come to Chat Doctor. Since it is newer development it could be due to some new element which is giving you this problem. And it started suddenly so most likely to be infection which can give rise to urgency of micturition which may be creating this problem. Get done your urine report to see for pus cells. At present, you can take practical precautions like Chat Doctor. Keeping alarm every 2hrs and getting up and passing urine what ever amount is collected. Keeping alarm every 2hrs will also make you alert in between if you are remaining in deep sleep. Thanks |
Hi. I woke up last week and the outside skin between my right thumb and forefinger had become slightly numb. I noticed also that the upper part of my right arm also had a similar sensation. However I often wake up with pins and needles in my hand / arms as if I have pinched a blood vessel or vein in my sleep. The numbness is slowly diminishing after a week. Is this something I should take seriously? I am 53 years old and otherwise healthy. My BMI is below average, by blood pressure is 130 / 80, my heart rate is ~80 / minute and my blood sugar is 4 on a scale of 2 ~ 6. I also walk 1 to 2 hours a day, 7 days a week and generally feel fine. I don t think I have any high risk factors but I wonder about other potential degenerative diseases such as Alzheimers as I find that my short term memory sometimes turns off lately. Again, any suggestions are welcome. | Namaste Welcome to Chat Doctor Greetings of the day There seems nothing wrong with you. Pins and needles is due to nerve compression, also Vitamin deficiency especially B12 will aggravate the symptoms. Start taking Multi vitamin supplements which will definitely help you. As You have a good lifestyle like walking for 1 - 2\u00a0hours which is perfect indeed. Try meditation and yoga which will help your memory. If problem persists get a routine assessment done from your physician. Take care Regards |
Hey i have been experiencing numbness and pains in my head for a few weeks now and twitching in my lips and stiffness in my jaw and stabbing pains on the my right side of my chest for the last few days and have been having memory problems aswell i am 18 Thank You | Hello! Welcome on Chat Doctor ! Your symptoms seem to be related to anxiety and tension type headache. It seems to be related to psychological stress. Nothing serious seems to be going on! Coming to this point, I would recommend consulting with a psychiatrist of psychotherapist in order to help manage anxiety. Physical activity (Yoga, aerobics, sports, etc.) can help in this regard. I would also recommend checking thyroid hormone levels to exclude thyroid dysfunction. Hope you will find this answer helpful! Best wishes, |
hi! Im 33 years old, and i am having a difficulty to become pregnant. we tried for more than 1 year but no good yet.I have worried also because inoticed sometimes i have the spotting or sometimes i bleed after our intercourse.i underwent pelvic ultrasound ( transvaginal ) and it found that i have a bilateral polycystic ovaries. Do i still have the chance to conceive? -please help me | Hello.thanks for the query. PCs produces symptoms in approximately 5% to 10% of women of reproductive age. It is thought to be one of the leading causes of female subfertility and the most frequent endocrine problem in women of reproductive age. Chances of conception with camphene is as high as 18-20%. Intermenstrual bleeding is due to hormonal imbalance in your body. I recommend you to get following tests to rule out pathology. Basal USG., thyroid function test, ovarian reserve volume tests, HSG, Your husband semen analysis. If everything is fine, your chances of conception is high even with PCs. GOOD LUCKREGARDS, Chat Doctor. |
Hi I am diagonised as having GERD Grade1 and Hiatus Hernia Present. I have been asked to take Levogastrol tablet. Inspite of taking it I am getting severe chest pain and some times the gas instead of coming out is getting struck in the chest. Can you please advice. | Hi welcome to Chat Doctor... You have acid reflux because of hiatus hernia..... This can lead chest discomfort...... Follow below advise.....-head elevation while sleeping by putting two pillows under head-avoid precipitating posture like bending, stopping forward etc...-avoid heavy fatty meal -no food or Chat Doctor. .-fruits more -avoid coffee, pastries etc. that can relax Loathe levosulpride you are using can be taken in acid reflux... But if acidity more take omeprazole like capsule which is strong antacid.... Avoid stress and gas forming foods like onion, cabbage, cauliflower, turnip etc.as you have gas problem also. More water..... If still life compromised more from hiatus hernia surgical repair can be done ... Take care |
I am taking methotrexate for an eye auto immune disease. This morning i noticed that my armpit was sore and i think there is a lump there. ( its very deep, maybe I am mistaking it for a muscle or tendon??). Is this something that is related to methotrexate and do i need to be concerned? | Hello! Thank you for the query. Methotexate can make immune system less active. This makes you more prone for some infection. Painful lump under the armpit can be caused by abscess formation due to hair follicle inflammation. It is more possible if you have been shaving this area recently. I suggest you to consult a surgeon with this issue. In case of doubts, ultrasound should be done and abscess incised. Hope this will help. Regards. |
hello doctor i am breastfeeding mother i am suffering from piles,doctor give me medicine for 2 months course ,i started the medicine only one dose but my baby became in fever then i have stop my medicine, now after 1 week my baby also infected what should i do when she pass her stools with blood green color stools ,should i have to feed her or not? | I am glad that you have put up your query at Chat Doctor. Piles or hemorrhoids is a condition wherein the veins in the rectum get engorged due to a backflow of blood from the liver which is responsible for processing and detoxifying the food that we eat and digest. It can also be caused due to constipation which causes abrasions in the rectum causing it to bleed. The piles get relief on using stool softness like Isabel husk or lactulose syrup. Relief is also obtained by Site bath wherein you have to sit with the anal opening dipped in water so warm that the skin can take. Unless there are issues with improper hygiene causing microbes to be passed on to the baby, there is no direct relation of piles with the baby breastfeeding. You can continue breastfeeding the baby and need not be concerned. |
Can pancreatic cancer occur in a 17yr old/female? My daughter has had all the symptoms except jaundice, discolored stools and extreme weight loss. she has lost several pounds in the last months due to decreased appetite, nausea and abd pain. Last night afterpmoandger dinner she was is more pain than I have seen her in, stating it was also in her back. I have stage 4 breast cancer, no other cancers in our family | Hi, dear she may have some liver disease or gall stone or something else. Chances of pancreatic cancer is very low. She should go for ultrasound abdomen or ct scan abdomen. It will give you exact diagnosis whether the has pancreatic cancer pr other pathology. Then she should take treatment accordingly. In early stage treatment is surgery. In later stage chemotherapy like gemcitabin should be given. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
my 4 year old has flesh colored bumps completely covering both of his legs. i took him to our family physician and he said not to treat them and that they would eventually go away on their own. well, its been a year now and they are still there and they still look the same. my son does not complain of them itching or being painful in any way. is there something else i should be doing to assist with his healing? | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. Regards - |
I have been diagnosed with balantis, am using daktacort cream for it but it is still there, I m on my 8th day. Also my foreskin is very tight so iv been putting it on the tip of my head and over the foreskin. Should I carry on using this cream or contact my doctor for something else? Thanks | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Balanitits has wide etiology which includes bacterial, fungal, parasitic and others. So you may be having any one of the above condition. The cream you are applying daktacort is steroid and antifungal Chat Doctor. So it will only affect if the infection is caused by fungus. I suspect your infection has different etiology, so you are not getting cured by the cream. I advise you should visit nearby doctors to diagnose and treated accordingly. Please maintain good hygiene locally by frequent cleaning at local site. Avoid sexual intercourse until you are all cured. Or you can use condom to prevent cross infection. Use only cotton undergarments, it will help in infection condition. I will be happy to answer your further concern on bit.ly/ |
An 8 year old boy from my church was taken to the hospital today with chest pains. They found that he has a mass putting pressure on his heart and are transporting him, via helicoptor, to a childrens hospital. I had asked his mother last week about his face looking a bit swollen. Do you have any idea what the mass might be? | Hi, Yes, it's possible if mass is causing compression over and surrounding blood vessels it may lead swelling of face. Mass can have the number of causes. Common cause is lymphoma is a type of blood cancer. However, we cannot say the unless we do biopsy of the mass. So It's unwise to discuss regarding diagnosis until CT scan and biopsy is done. Hope I have answered your query. Let me know if I can assist you further. |
My cricoid cartilage seems to have changed in shape a little on the left side. When I swallow when my chin is in the down forward and down left positions it is though there is a lump in my throat which is not apparent when I swallow when looking ahead or to the right. | Hi, dear. I have gone through your question. I can understand your concern. You may have some granular pharyngitis. It gives sensation of lump in throat. Just take a course of antibiotics and take saline gargle. If it is not healed then consul tent specialists and ho for examination. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Blood tests indicate my red & white blood cells are in normal range. I have hemochrometois, when they try to give me a philobotmy my blood is so thick they can t get it out. What is causing this since my red blood cell count shows normal. thank you | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Thick blood could be due high Red blood cell count or low plasma volume2. As the RBC count is within normal range, possible deny Chat Doctor. 3. Get a hematocrit done to check the level of plasma volume. If low, will need correction.4. Other than that, larger vein should be sought for phlebotomy and with appropriate anticoagulation, apheresis would be a better choice now. Hope it helps. Any further queries, happy to help again. |
I have an indention on my lower back on the left side that has been there for a year. No one seems to know what it is. I woke up this morning and now have an indention on the right side. they are very painful and change color. They are about the size of the palm of my hand and the area around the indentions are inflammed and are burning from the inside. Does any one have any ideas as to what this is? | Hello, I have studied your case, Canal stenosis leads to burning sensation and pain in your back and leg. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Epidural steroid shot can help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
is an enterococcus faecalis count of 10,000 in the urine with a normal dipstick and trace leukocytes urinalysis and normal otherwise urine counts mean a UTI. can a husband with phimosis transmit infection to wife and can swimming in a lake give you this. | Hi, I have gone through your query and I can understand your concerns. Enterococcus is a bacteria present in the digestive tract. The most common cause of transmission is poor hygiene. Unhealthy sexual practice can cause infection. So I suggest you to correct fibrosis. Swimming in a lake generally do not cause infection. Enterococcus infection may become severe because of its resistance to usual antibiotics. You have to consult a physician as soon as possible, early treatment have better outcome. Hope this helps. Regards. Chat Doctor. |
hi..i hope you are always happy but i am not now .my love(my girl friend) has a Stomach Cancer . she is not good at all .she had surgery before and removing part of her stomach but she did not well. she has vomiting with blood most of time and her cancer spread in her body..she has Chemo therapy every 3 weeks but her body become weak and dont respond to Chemo therapy until now.she become Unconscious for 2 or 3 days when she become sad for every things. please help me .. i always cry for her when i am alone but give her a hope always. and a final question . is a Raw Vegetarian good to improve her health or can the Raw Vegetarian treat her cancer because i saw this in all web page. thank you | Hi ! Good morning. I am Chat Doctor answering your query. I am sorry to learn about your girlfriend. Well. There are many aspects of life which are beyond the control of human being, and doctors are also human beings. I am sure your doctors must have given their best in removing as much cancer in her stomach as possible by surgery, and chemotherapy, but always it is not possible, and there are chances that it might have already spread by the time of diagnosis and surgery. The surgery might have been a palliative one only. There are many claims for treating the cancer by many other sciences, but there is no evidence to substantiate their claim. So is the case with the Raw Vegetarian. In her present state, you have to be strong enough to counsel her and give her all the love and affection with the care which she deserves. Girls are very sensitive, and they can easily judge your mental status. So you should be careful not to get your anxiety exposed in front of her. Anyway, you are mature enough to know these, and I pray God to give both you and your girlfriend enough strength to face the situation boldly. Thanks for choosing Chat Doctor for your query on health of your girlfriend. Wishing you good luck. Chat Doctor. |
Hi My father is suffering from parkinsonism at early stage & I have concern hospital he has recommended Syndopa Plus with sequentially dose upgrade, but from when father start taking doses he is now having more difficulty in movement can t able to balance his body load with this also he is getting problem with speaking. Looking forward to your guidance and suggestions. | SYN DOPA PLUS cause orthostatic hypotension and dizziness in some person. This is dose related side effect. sometimes it disappears after some time. If he has more problem than reduced dose of syn dopa plus. After consulting your doctor you can add amantadine or entacapone to syn dopa. My advice I'd take syn dopa plus smaller dose more frequently means if to are using one tab syn dopa three times than now use half tablet in lime water six times. This regimen will resolve your problem |
Hi, I was diagnosed with Graves disease 5 years ago. When I started taking carbimazole to treat it, I experienced tiredness and sore muscles/joints. The specialist said these were normal side-effects, but after stopping the treatment after 1.5 years, these symptoms did not go away. And I developed numbness and tingling in my left foot, which gradually spread up my left leg, and down my left arm, into my left hand. I ve seen various specialists, including a neurologist to rule out MS, and had 2 MRI scans over the past 4 years, and had a lumbar puncture done approx 3 years ago. All tests came back negative. I ve now been discharged from all specialists, and since my carbimazole treatment, I ve been in remission for Graves . The neurologist did say that it s possible (though unlikely) that I might develop MS at some stage, and to go back if my symptoms develop. I ve since been diagnosed with fibromyalgia, chronic fatigue syndrome, and have tried all treatments but to no avail. I m currently medication-free. The last few weeks, I ve been much more sensitive to sound, light and smell. Please advise. Thanks. | Hello! Thank you for asking on Chat Doctor! I carefully read your question and would explain that your symptoms don't seem to be related to MS. Your repeated MRI can confirm this. But, Graves is an autoimmune disease, and it is commonly associated to some autoimmune neurological disorders like MS or Myasthenia graves. Neuropathy from thyroid dysfunction can not be excluded either. So, I would recommend performing some other tests |
My soon to be 6-year-old son fell and hit his forehead on the bleachers about 2 hours ago. He has a HUGE goose egg now. I asked him to spell his name, recall dates and he is able to. His speech is not slurred and his vision is not blurred. He isnt complaining of a headache. Due to the size of this goose egg, I am so concerned as to whether I should get him checked out. It is about 7pm right now and I dont know whether I should spend hours at the ER or am I just being too overly cautious. My husband said to just monitor him and I dont know if I need to do more.Please help. Thank you kindly!! | Hi. Thanks for your query. Noted the history and understood your concerns. Your son is just 6 years old hence it will be difficult to monitor in spite of the good history of no headache or any other signs of head injury. The bid goose egg is due to a hematoma for sure and there are two things that can be done. Consult a Surgeon at the ER so that your son gets a clinical examination by an Expert to see for any sign of internal injury and also get a chance to get an MRI or CT scan of the brain if there is an indication to get a confirmed diagnosis. This will also allow for the aspiration of the hematoma and compression bandage so that hematoma does not recur and a healing occurs. |
i am 33 years old male and have gone through stenting 9 years ago due to blockage in the artery; it was detected during the regular check up that my blood pressure was very high. I am fine after the surgery just wanted to know if i can start working out in the gym as this was a passion for me before i get the surgery done.thanks | Hello, After stenting and opening the coronary artery, without having a history of prior myocardial infarction a person is in a very good condition, and he can work like any other healthy person. Since has gone nine years from stenting, I would suggest you do a stress test and to see how is your working ability. Based on that the cardiologist can say if you can work out in the gym. Hope I have answered your query. Let me know if I can assist you further. Regard, |
hi doctor, 1 week after my menstruation i had unprotected sex and my sister recommended althea pills for me.. after 10hrs, i take the 1st pill.. and take another 2pills after 12 hrs from the 1st take and took another 2pills at the same time from the 1st take..and now it s my 4th day taking the pills on the same time upon last take of the 2pills but now just once a day..i m really afraid of getting pregnant..my question is, is it still possible that i may get pregnant from that intercourse?will the pill still gonna be effective as contraceptive? will i be able to have sex with my boyfriend again while taking pills?and what s the best way not to have baby(contraceptive)..thank you so much.. | Hi, Althea which contains cyproterone acetate and ethanol estradiol does not work as emergency contraception. Hormonal contraceptive pills which contain, levonorgestrel alone or in combination with ethanol estradiol can be used as emergency contraception. So there is a possibility that you may get pregnant from that intercourse. Since you started contraceptive pills in the second week of the cycle, they become effective as contraception after 7 days. You can have sex with your boyfriend while taking pills, after seven days of using pills. But I advise you to defer it until next period. It is important to clarify regarding the possibility of pregnancy as you have not used emergency contraception. Once you get your period I advise you to discuss with your doctor and start using regular effective contraception like hormonal contraception or get an intrauterine devise fitted. I also advise you to use barrier method of contraception like condom in addition, to protect yourself from STDs. I hope I have answered to your satisfaction. If you have any further queries do write to Chat Doctor. I will be happy to answer |
Hi, My ESR level is 95. I have done montos test it came positive. My Dr is saying 99% adults report come positive. but my esr it is not coming down so could be TB. As there are no symptoms I dont want to start TB treatment. Can you please let me know how could I decrease my esr level? & what could be the reason for increase in my esr level? Pls advice | Fellow are you? Thanks for contacting Chat Doctor .ESR IA a one type of test result. It is not a disease result or final diagnosis of a particular disease. Your doctor has advised you properly about months test. False positive results are more due to various reasons. Same elevated ESR is also anon specific result. It may be raised in many simple infections and other conditions. You have no any sign and symptoms suggesting of TB so ignore the raised result of ESR.ESR helps and support in diagnosing several disease conditions along with clinical signs. So don't afraid of the ESR test result and take care. |
i ve broken out in itchy bumpy red spots all over my arms legs and back, it has been since thursday. I was initially told it was chicken pox and given calamine lotion. This did not help. I was in hospital on Saturday, told it was an allergic skin reaction and given chlorphenamine and told if that did not work to take the cetirizine they gave me. it is not helping and i now have more spots on my hands and feet. I do not know what to do. I have no known allergies and I feel extremely depressed by this condition. Please help. | Hi, Your rash could be due to a condition called popular urticaria. Chicken pox is usually associated with fever and lasts for few weeks, and it is self limiting. The rash could also be due to excessive heat (Militia). So, you need proper clinical examination for arriving at a final diagnosis. For that, I request you to visit your nearby Dermatologist. Hope I have answered your query. Let me know if I can assist you further. |
About 3 weeks. Ago my throat was inflamed now I have server back pain,joints aching, heavy sweating,and fever for 24hrs...Nothing seems to help I went to the hospital they said it was acid reflux due to chest pain but the zantac didnt do any justice..Please help me | Hithroat inflammation can be due to acid laryngitis. Please start on proton pump inhibitors like pantoprazole or omeprazole, added with antacid syrups like genus or sucrafil.in combination these two reduce the acidity, as well as the symptoms of reflux disorders. Rest with left lateral head end elevated position, to prevent the reflux. Avoid stress, oily, heavy foods. If not reduced please consult the gastroenterologist to find the exact cause. All the best take care |
what shape should a spleen be in an abdominal ultrasound (today)? Hello Dr.Mintz, The 3 pains during the ultrasound were | Hi.to answer your question, spleen is spherical, somewhat round, situated on the left upper qua Chat Doctor. The pain you are experiencing may or may not be related to your spleen. It could be pulmonary/pleuritic in origin. It is best if you consult with a doctor for physical examination and clinical evaluation. Diagnostics (such as ct-scan, chest X-ray, etc.) and management will be directed accordingly. Hope this helps. Good day!!~ |
my 80 yr. old father fell yesterday while in the hospital, CT showed everything was fine and he was discharged. Today he started the day off coherent but clumsy. Within a couple of hours he was mumbling, unable to answer questions, bp starting dropping, heart rate increased and sleeping a lot. We were already connected to a branch of hospice due to his C.O.P.D. and when the R.N. came by to chk. on him we were told that these were all signs of a slow bleed and we had two options. 1-take him back to hospital where there wasn t anything they would be able to do because of final stages copd. 2-keep him home and cherish what time we had left. We choose to keep him home. my question | Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. By your history and description, possibility of type 2 (hypercarbia) respiratory failure is more in his case. It is common in COPD patients, due to expiratory flow limitations. So carbon dioxide remains in the body, and it is known as hypercarbia. Excess carbon dioxide suppress central nervous system (CNS - brain). So patient feels Chat Doctor. It is reversible condition with ventilatory support. So in my opinion, you should take him to the hospital and start ventilatory support to clear hypercarbia. Once hypercarbia is clear, he will be alright. So consult pulmonologist and discuss all these. Hope I have solved your query. Wishing good health to your father. Thanks. |
hello, for about 1 week now ive been having sharp pain in my lower back but on the sides, feel a little bloated but crampy as well. 2 weeks ago i had unprotected sex but the next morning i took the morning after pill, shortly after that is when the pain started. what might be the cause? | Dear lady, whatever you have told as a case history I have gathered that a following taking contraceptive pill you are having lower abdominal pain, bloated feeling and cramps. And yes it can happen as a result of oral pill. In my daily practice I come across some people who complain of such generalized illness. This is due to presence of hormonal elements in those pills. These hormones through their metabolism causes muscle cramps, water retention and local area irritation. So next time when you have to pop a pill, please be cautious about the side effects it causes. Thanks for your patience hearing. |
I have a swelling on one side of my neck gland when I eat a meal. Hopefully, I am having a CAT scan tomorrow but I would like some peace of mind for the next 24 hours. With this problem, does it always lead to an operation? I am going overseas in two weeks time for a five week period. I am 63 year old woman with up till now perfect health. I take no medication. | Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the swelling on one side of neck gland-thyroid, especially when you eat, is due to -Sialeadenitis with Sialolithiasis with stone in duct obstructing the submandibular gland, .2-This may need urgent surgery -as it increases with eating a meal, indicating that the swelling is due to the stone obstructing salivary duct of the submandibular gland.3-If you are going out-station-better have an -on-travel -health insurance to cover any emergency -which may need Urgent Surgery if need be.4-Hope this would solve your query.5-Wellcome for any more questions on new or this subject also... Have A Good Day.!! |
hi good afternoon... Iam suffering from stomach pain end of the right side ..my blood test is showing everything is normal..as per the consultant opinion it is starting stage of Hiranya ..he advice some tablets now ..but still pain is their .it around 20 days now ...wht i want to do further please advice | Hi. If you are told about Hernia, get ultrasonography and go for a second opinion of another General Surgeon to confirm the findings. Stop doing all such activities which increase your intra-abdominal pressure like heavy lifting, sex, etc. Take a laxative to have smooth motions, Get treated for cough if you have. If Hernia is confirmed, you may go for surgery only if it is perceptible. This can be a strain of the abdominal muscles too. |
I m trying to be pregnant since last 3 months. Today is my 14th day of menstual cycle which is of exact 28 days. i m having intercourse since past 2 nights. What are the measures i take to be pregnant immediately? It aches me everytime i have intercourse.Is my hymen broken or not? | HI, I understand your concern. Ovulation is fourteen days prier to expected day of menses.... 2 days prier to ovulation, on the day of ovulation 2 days after ovulation are the most fertile days of cycle. That means you had, so you had sex exactly 2 days prier to ovulation. Now you can have it in remaining fertile days. To have maximum chances of conception. - The pain during sex indicates tightness of vagina (anatomical/ voluntary - out of anxiety or fear. You should keep your body & mind relaxed. Try to co-operate & enjoy the deep penetration & deposition of ejaculate at mouth of cervix. If it still pains, Use of lignin gel along with lubricant can be tried. Local examination by a gynecologist is needful. - Try to lie down with a pillow under your buttocks . To retain to ejaculate in & facilitate sperm entry in uterus. This should suffice provided your cycle & ovulation is regular/ husbands semen is normal & other factors are favorable. - Testing by UPT after 8 days delay in periods would confirm pregnancy. Thanks. |
My son is 4 years old having couf & cold for last three days,for fever given crocin syrup,a couple of hours before his fever shoot to 103,given maftal p which supressed the fever,if same condition occurs can v give maftal p again?.is it safe to give? | Hello. Thanks for asking Chat Doctor. It seems your son is suffering from an upper respiratory tract infection. Metal P is usually given for abdominal pain. I would suggest to start with an antibiotic like amoxicillin 200\u00a0mg/5ml, Give 5ml three times a day. You can give Cronin syrup 5ml 4-5 times a day depending upon fever. You can give tepid sponging as well to reduce the fever. Keep him HY Chat Doctor. Hope this helps. If you have any other queries/question please feel free to ask. Wish your son a speedy recovery. Thanks and Regards. |
Hi, had upper tooth out today due to abscess but when i got home i was very unwell, sick, hot, sweaty, swelling to face and neck and very painful headache, earache and neckache....was worse than giving birth! Why was this...still not feeling to great. | Thanks for your query, I have gone through your query. The sweating, swelling in face and headaches after a tooth extraction is the radiating pain because of the inflammatory response to infection in the tooth. Nothing to worry, Take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. |
Hello, I ve had my period on the 1st of July so relying on my calculations my ovulation occurred between the 12th and the 16th. My following question is can my partner ejaculate without using any safety, inside of me?in this phase until my next period is scheduled? | Welcome to Chat Doctor You have not mentioned the usual length and regularity of your cycles. If it is a regular cycle of 28-30 days you can have unprotected sex from 22nd to end of month and during menses period as well without fear of pregnancy. Best is to use condom because calculation of safe period especially in those with irregular cycles may result in frequent failures in contraception, and it also prevents STDs. |
my nephew is 30 years old, he has swollen feet, hands and face and is vomiting blood. he is also experiencing chest pains so bad that he falls to the ground. he has gained about 20 lbs from the swelling and refuses to see a doctor. can you tell me what may be causing this? | Hi, dairy have gone through your question. I can understand your concern. He may have some liver disease or cardiovascular disease or renal problem. He needs examination and investigations. Furthermore, he should consult a doctor and go for investigation. Take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
hi my child is crying about her stomach hurting. she was constipated yesterday and she had a bowel moment today and it was sort of hard. she has not eaten today and yet she said her tummy was hurting. she had a fever of 100.1. she had small bumps on her tummy it looks almost like a heat rash. | Hi, Thanks and welcome to Chat Doctor. Constipation needs treatment. For immediate relief glycerine enema or suppository may be tried. Give high calorie and fiber containing foods to ease constipation. You may try Lactulose to maintain bowel movement. Cyclopam may be given for tummy ache. Fever may be coincidence, treated with paracetamol 15 mg/kg/dose. Hope this reply is OK for you. Please feel free to ask further queries if any. Chat Doctor. v. Subrahmanyam. |
My 14 month old and she has a lump on the top of her inner buttock that is not very visible but hard to the touch and has a small head on it. Not accompanied with any other symptoms and the bump doesn t seem bothersome even at diaper change, what is the cause....I m very concerned! | Hi, From history it seems that she might be having diaper rashes giving this bump. Due to diaper remained for long time unchanged and remained wet might have caused this. Changing the brand of diaper might give allergy and might have caused it. Clean the part with plane water and apply calamine lotion or some moisturizing lotion. Keep local part clean, Chat Doctor. Change the diaper frequently. Ok and take care. |
Hi. I hav pregnancy of 2 months. I used pregnot kit. On sunday i took one tablet but bleeding not started after 48 hours i took 2 tablets that means on tuesday afternoon. After taking 2 tablets bleeding started and also stomach,back pain started. But in morning bleeding stopped. I can t understand what is happening. Is pregnancy aborted or not. Plz help me out. | Hello dairy understand your concernPregnot kit should be used under the supervision of the gynecologist after confirming the intrauterine pregnancy by the USG scan. Normally bleeding will start 30-45 minutes after using bisoprolol and last for 4-5 days. Stopped bleeding could be due to incomplete abortion, inadequate dose. I would suggest consulting the gynecologist and undergo vaginal examination, USG scan. If no more bleeding than remaining produce should be aborted by extra dose of bisoprolol or by D & C. For back pain take tablet metal partake proper rest, maintain proper pelvic hygiene, eat healthy diet with iron supplements Hope this may help noncontact Chat Doctor for further help query Best regards |
My Mother is suffering for Liver Cirrhosis. I would like to provide her Traditional Chinese medicine along with Western treatment.I would like to know will it be helpful to control the inflammation and boost her immune system with TCM ?Also where TCM available in Tamil Nadu ? | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. I t depends on the cause of cirrhosis. In general cirrhosis cant be cured, only its progression can be slowed down, and I suggest trying with conventional medicine first since everything else would be experimentation. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. |
Res. sir my sister 25 year old and suffering from lower back pain. dr. suggest us operation or 6 months bed rest. i want to know that any other treatment available in this deses otger than operation? Plz help me and give me guidence. MRI report as below. MRI SCAN OF LUMBAR SPINE test report date | Thanks for the query. I think you don't need any surgery. MRI said mild narrowing of the lateral recess which may cause leg pain however it usually gets better with medicine and physiotherapy. Low back pain is generating from the bad disc. It usually gets better over a period such as few weeks (4-6 weeks). You are not a candidate for discectomy surgery. If she does not get better in next few months (unlikely) then we may have to consider doing total discectomy followed by spinal fusion or disc replacement. At present I would suggest trying medicine such as anti-inflammatory and muscle relaxants with fusion modalities like IT which will definitely improve her pain. |
Hi I have been having anxiety this whole night, but just an hour ago, I started getting pressure in my throat. I ignored it, but it has gotten much worse. It feels like sharp pain, as well as pressure in my throat and upper chest. Almost like trapped gas? I am not sure if I need to go to the ER or not | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are mostly having stress and anxiety induced HERD (gastroesophageal reflux disease). It is because of laxity of gastroesophageal sphincter. Due to this, the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest tightness, central chest pain and gaseous feeling. So avoid stress and tension. Start proton pump inhibitors and prokinetic Chat Doctor. Consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. You may need anxiolytic |
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