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sir , after some day I go villore for the disease then the doctor said that this is my problem ( Cervical myeloradiculopathy multi cervical disc disease compressive at c4-5 and c5-6 ENMG showed at the features of deinnervation in the c6 7 root is innervated) sir i want to know what m i do any specialist for that because the previous doctor go in london plzzzz say for ur doctor or any others plz help me ... due to that i m not able to do any work my leg and hand not work properly plz help ..yours raj singh
Hi. You need to take see a neurosurgeon for this problem. You may need to be on cervical collar and few medications for reducing the compression resulting swelling. In few cases surgery may be needed. You can take a second opinion from a neurosurgeon through the option of specialist opinion available in this website, if you are interested. The link would be http://www.ChatDoctor .com/specialists/Neurologist/ Chat Doctor.
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Hi, my names Will, im 14 years old and ive found a white sort of spot attached to my scrotum, this morning it was rubbing and began to bleed to i put a small plaster on to stop the discomfort. I havent a clue what it is and havent taken the plaster off since. What is it?
Hello, Force spots happen when sebaceous glands, which moisturize your skin and are usually covered by your outer layer of skin, become enlarged and appear as tiny white spots. These spots are harmless. They can appear almost anywhere on your body, including your scrotum and penis. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care
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I have numbness on the inside of my mouth. My cheeks and lips. Feels like when the dentist gives you a novicane shot and your lips and cheeks are the last to go back to normal. Or i just got braces taken off of teeth and lips and cheeks are still sore. Every thing tastes dry, even water. I have had these symptoms for almost three weeks now.
Hi. Thanks for the query. In case if there is severe bone loss that is leading to loosening of teeth then unfortunately the teeth has to be extracted as without appropriate bone support the teeth cannot be saved. Secondly if there is very less bone left due to resorption then yes, the implant cannot be done as it also needs sound bone to get integrated. But in such cases first bone grafting is done so that there is appropriate bone formation and bone thickness and height is available for placement of the implants. So my suggestion to you is to please send me your latest full mouth x-ray [Panoramic x-ray] and a scan of your prescription paper so that I can have detailed information and advise you how to proceed.Also, you should get treated by an Planetologist only. Hope this helps. Regards.
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i have been told 20 years ago i had caperal tunnel in my right wrist, now years later it is in my knuckles my hand kills me. what can i do to get the pain to go away.it was a work injury and i was back to using the keyboard all the time my email is YYYY@YYYY
Hello, What it appears to me is this is Repetitive Stress Injury. Carpal tunnel syn Chat Doctor. You should even focus on some strengthening exercises of the extensor group of muscles of the Forearm and hand along with the stretching of the flexor group of muscles to release the pressure. Over a period of time in RSI, the muscle adapts the action and gets locked leading to symptoms like pain, numbness and tingling. Performing regular exercise can help avoid the symptoms of getting words. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In
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I had total knee replacement on Jan.23,2013 my doctor could not tell me why I was still in pain all the time and could been my knee so went 2 other doctor. I am going to have a knee revision on June 4,2014. I was told that the knee is the wrong size it is to big!!Does this happen alot in knee replacements?
Hello, Welcome at Chat Doctor. I have read your query. I feel sorry that you are going to have too early revision surgery, most probably you may already have revision surgery. During the knee replacement surgery a surgeon have to take care of soft tissue balancing around knee, appropriate size of implant, appropriate cuts at femur & tibia bone & a proper post-operative rehabilitation. All things if taken care appropriately will lead to a good outcome. Complications are part of surgery and sometime even does happen even after taking complete care. Such early revision is not too common but vary between 2-4% per year of total knee replacements. In reference to your surgery you should also read following article. This will help you to have a basic knowledge of muscles around knee & how to build them after complete recovery.http://quarieps.blogspot.in/Please do them under supervision. With best wishes.
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My hubby is recovered from phychological problem ( Depression ). Regular medicins are going on. Currently his Dr. is out of town & he is suddenly facing some problem. Since 2 days he complaining that in the night he is getting/ hearing some kind of noise(water noise, feels like some one singing). His current medicins are 1. Divelpro - 1 tab in the night 2. Trizyne - S - 1 tab in the night 3. In case if he has any sudden problem 1/4 tab. of Revitriol (0.5 mg) Wanted to know he can take the Revitrol tab 1/4 for a week (till his Dr. comes back) When ever he takes this tablet he feels good.
Hi Shaka, Welcome to Chat Doctor, and thanks for your question... Hearing non-existent noises / voices (in medical terms known as hallucinations) is indicative of psychosis, which is a particular type of psychiatric disorder. The current combination of medication which he is taking, already has an anti-psychotic medication i.e. Tribune S (Trifluoperazine). In addition, he is also on a mood-stabilizing medication i.e. Divalproex. Though you have mentioned the diagnosis as depression, he is not on any anti-depressant medication currently. But remember, the word depression can often be used in a non-specific manner by many people, and I'm guessing that he may actually be suffering from a psychotic disorder.PIVOTAL (I presume, not Reversal) is a sedative medication and is used for sleep disturbances and sometimes, to calm down the patient. My opinion is that if he is having psychotic symptoms, it is advisable to treat that specifically (probably by increasing the anti-psychotic medication), rather than merely keep giving him a sedative. Of course, this has to be done only on consultation with a psychiatrist. I would suggest that if you are able to contact him over phone or see his colleague for a quick review, that would be a better idea. All the best.-
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Hi I am a 23 year old female in good health. Lately everytime I drink alcohol I wake up the next day with pain on the right side of my abdonomen. It feels like it almost can be a menstrual cramp but its not. Its a heavy feeling and sharp feeling as well. It also feels sore. I checked my liver already with a blood test last year and I was fine. What can it be??
Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. Pain in the upper right abdomen suggests stomach irritation or peptic ulcer. It is clear for you that you are getting pain after taking alcohol, So either you stop taking alcohol, or change the brand. I advise you to consult a surgeon for diagnosis and treatment, You may need to have gastrostomy, besides other routine tests for confirmation. Sometimes ulcer may be irritated by the alcohol and cause pain. I advise you to avoid spices, junk foods, and oily foods, besides alcohol. Take more of water and fluids. Wishing for a quick and complete recovery. Best regards.
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I got the birth control rod Nexplanon inserted in my arm on the 15th of May 2013. Later on that day, i had sexual intercourse with no condom but we used the pullout method. I was supposed to start my period on the 20th of May 2013. I still have not started my period. I have gotten period like cramps during the time of when i was supposed to be on my period. Can the Nexplanon stop periods that early or am i pregnant?
Hi. Thanks for asking in Chat Doctor. You have had intercourse, five days before the expected date of period that falls during the safe period, so the chances of pregnancy is less. Explain should be implanted during the first 5 days of period to be on the safer side, as it will exert protection without a need for additional contraceptive method if implanted during this time. If taken even 3 days before the expected date of periods, progesterone can stop periods. Explain releases progesterone slowly and this may be the reason for the delay or absence of your periods. Although the risk of pregnancy is minimal for you, please rule out pregnancy through blood test. Home pregnancy kits detect Chat Doctor level in urine which may not be positive so early. But blood tests will give you accurate information about your status. I hope this is useful to you.
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Hi I have a piece of tissue it looks to be the exact same color as the flesh on my cheek but it is hanging almost as if it is a growth it is not painful, I just happen to run my tounge across it what is this commonly known as or should I be concerned?
Hi, dairy have gone through your question. I can understand your concern. You may have benign tumor like hematoma or some benign cyst like condition most likely. But still you should go for biopsy of that lump. Confirm the diagnosis and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health
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Could it be possible I ve had a hernia since birth 40 years ago ? I was premature and was told my stomach muscles never developed properly. I have pain when I press my lower right side near my belly button . My skin then becomes red and itchy of sorts
Hernia usually presents with pain and a bulge in the abdominal wall on straining, sometimes the hernia is too small to create a bulge and in such cases we do not advice any treatment. Putting finger on the location on abdomen and coughing can help you feel and localize a hernia if one is present. You will feel a slight push against your finger. As for your itch it could be due to a number of reasons, it could be allergic response to the fabric your wearing or anything else that your skin might have come in contact with. Take a simple antihistamine and if the rash resolves, you'll be fine, but if it persists or worsens then you could consult your physician or dermatologist.
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I have a happy life. In fact Im happier now with my life then I have ever been. Im engaged now. Im in college and loving it. However I have a problem. I have been havng thoughts that are negative. I worry all the time. Its stuff that shouldnt even cross my mind. Like when my fiance leaves for work I think oh my gosh what if he has a wreck. Or the other day I was on my way to class and I started thinking what if someone came into the college with a gun how would I protect myself. I do not understand why I all of a sudden started worrying constantly. Its getting worse too. I do it all the time now. I use to never have these thoughts. Whats wrong with me.
Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
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i have just got over flu like symtoms and this morning i had a relly tickley cough,i was coughing quite alot then when i ha stopedi laid down and got bad pin in my left hand side ov my chest wich gets worse when i breath deep and it still there 5 hours later,is there any advice plz?
Brief:allergic flu+infection. Detailed:Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. Seems like you have got allergy plus infection I guess you must be having history of allergy before as well...for this we will suggest you to avoid the things which cause allergy like pollen, dust cold(1)Tab augmenting 625Β mg twice daily for 5 days(2) Spy HY
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I am 72 yr old female in great health. I just felt a small lump in the left side of my ovary. It doesn t hurt and can only be felt if I stand up. I also wear a pissary for a drop bladder. Two weeks ago I picked up my niece who is 34 pounds and felt it the next day.
Hi, dairy have gone through your question. You have abdominal lump. It can be some soft tissue mass or lump from internal organ like ovary or other. You should go for clinical examination & ultrasound abdomen to search exact size, site and origin of lump. Then you should take treatment according to diagnosis. Consult your doctor and discuss with him. Hope I have answered your question. If you have doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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I have had Bell s palsy twice now and I am only twenty years old. .. shoulld i be concerned. her doctor mention something about shingles but she has never had a rash or anything that i looked up even look like the shingles never mind this is not free
Hi! How are you? Bells palsy (facial weakness) is caused by a number of conditions. Most of the time the underlying cause is not known. For the recurrent attack it is due to the viral infection-shingles (herpes simplex) affecting the nerves supplying the facial muscles. The virus resides in the nerves quietly, whenever there is compromised immunity or change of weather, stress it causes the nerve damage resulting in facial weakness.
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usually my periods delays for 15 to 20 days. i got married 1.5 years before and dont have any child yet. before marriage when i consult a doc in Pakistan she advised me few tests and ultrasound as well. when reports came she informed me that my right ovary is 1.5 cm enlarge. she gave me dine1 for three months and primolut n also for 3 months. after that my reports were okay. now again after 3 years i m fACING the same problem. van u suggest me anything or what is the next step? plzzzzzzzzzzzzz inform me as soon as possible.
Hello. Thanks for writing to us. It seems that you are having a hormonal imbalance or polycystic ovaries. You need to get yourself properly investigated by your gynecologist including some blood tests and ultrasound scan so that specific treatment can be started. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
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Hello, I had a baby 3 months ago and had a copper IUD put in a month ago. About 2 - 3 weeks ago I started getting aches in my lower back, spotting and increased discharge, and when I felt for the strings last Saturday, I realised I could not feel them. I went to King Georges A & E in Ilford, was examined and they confirmed they could not see it, and sent me to Queens hospital. There strangely enough I was examined and they found it, and took it out as I asked. Well I thought that by having it removed it would be the end of my symptoms, but I still have lower back pain although it is more at the base of my spine, and a few twinges around my pelvic area. I had a urine test at the hospital which was clear, and she also took a swab when she removed the coil. I have also suffered painful legs since my pregnancy but they now seem worse? I am not sure if this is linked. Please help it would be much appreciated. Angeline
Welcome to Chat Doctor .1. Yes the Copper T may cause the similar symptoms like back pain.2. But in your case, it has been removed some time ago, still pain persist.3. I would start with a basic exercise and lying on the flat surface should relive general back pain. If not then.4. I would ask for an Ultrasound abdomen to rule out intro abdominal causes which cause back pain.5. If you could not find anything then an MRI spine will be the last option. Anything to ask ? Do not hesitate. Thank you.
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Hi im sam, currently 16 years old i ve been masturbating since I was 12 or 14 and I ve noticed whenever I sit too long and stand up i lose my vision and everything turns into black for 3 sec then i also notice I lost my concentration at school and memory loss a lot i recently had a lower back pain but now its cured can you tell me what to do ? like what to eat or do I will highly appreciate your anwser
HelloThanks for query. You had been indulged in masturbation since 4 years and now facing problems related to general health.First there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your general health .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. .
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My son has Isthmic Spondylolisthesis. He also suffers from vertigo and dizzy spells. Hes had a lot ot testing to ensure there isnt any underlying condition causing the vertigo/dizziness. Weve never put it together until recently...when I read that spondylol can cause vertigo. Is this true?
Hi, thank you for posting. I have gone through your query and I understand your concerns. It is true that Islamic Spondylolisthesis can cause dizziness. This condition causes neck muscular spasm. In patients with Islamic Spondylolisthesis blood flow to the brain base is low due to muscular spasm, and this is the reason why patients have dizziness. The treatment of this condition contains painkillers and muscle relaxant medications. A neck X-ray, a complete blood count and a urine test are necessary in order to check the condition of the patient. If the condition is aggravated non-steroidal anti-inflammatory medications are necessary. Chiropractic procedures can also help. You should contact a neurologist to discuss the treatment. All the best.
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I have numbness on left side of head and sharp pain on right side after surgery for sever cervical stenosis of the spine. The surgery was 4 October 2013. When turning neck to the right or to the left, I can t see either of my shoulders. I also get a cramp in my neck when turning my head to the right. When I lower my head forward it feels as if I am pulling or stretching. Is this something I will have to live with, is this normal?
Hi, Welcome to Chat Doctor forum. As you had surgery on the cervical spine, there will be some contractures and hence the pain. You may need to have physiotherapy, for relief of the pain by relaxation of the muscles. I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically and muscle relaxant anti inflammatory Chat Doctor. Wishing for a quick and complete recovery. Thank you.
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Im a 25yr old female. My build is very slim and I seem to be underweight at the moment. Ive recently been to see my doctor on several occassions witChatDoctorplaints of swollen neck glands, weight loss and sweats. I was sent for a blood test whicChatDoctore back with nothing and then recently sent for an emergency x-ray since my doctor thinks I may be suffering from TB or possibly lymphoma. i have been on antibiotics to see if the swelling with go down but nothing seems to be happening. For the past couple of days Ive had difficulty breathing and it feels like theres something in my throat...so I check and i seem to have two very large lumps on my tongue. can you help?
Hi, Dear I went through your query.1-By the facts placed by your query, I feel that these 2 lumps on the tongue could be due the MALT lymphoma-a NHL condition. And needs FNAC/ biopsy of the tongue lumps and of the neck glands. -It could be due to even TB, but needs FNAC biopsy to give any reasoning opinion on it.3-Plz check your your once- doctor for second opinion .4-Its alarming condition, and you need to act fast and take care with your once doctor. 4-Hope this would solve your query,5-Thanks for your query to the Chat Doctor. 6-You are welcome for any further treatments if required.7-I would love to help you out of Your tongue and neck-lumps. . Thnks. Wellcome.
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have a 1 1/2 incChatDoctorplete, under the skin, hard lump near the anus on my left side. It was larger a few days ago and is about half the original size now. No pain at all and normal bowel movements. Have had hemorrhoids all of my life. Had complete physical 2 months ago and perfect health including blood tests.
Hi, dairy have gone through your question. I can understand your concern. You may have some hemorrhoid (piles). You should go for per rectal examination to confirm that. Two type of treatment is available. One is conservative. You should take plenty of water and high fiber diet. Avoid constipation. Avoid spicy and oily food. Take laxative if needed. This will help you to relieve symptoms. Permanent treatment of choice is surgery. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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My father is 83 and has had previous large b cell lymphoma that he recovered from. the other day during a scan by his heart m.d. a large mass showed up on his liver. he has had nausea and vomiting the last several weeks. he was told he has lymphoma again and a biopsy of his liver is to be done next week. What is the possible prognosis and survival rate. Thanks so much!!!
Thanks for your question on Chat Doctor. Lymphomas have two phases in all patients. 1. Remission2. Crisis. Your father is having crisis phase right now. Appearance of new lesion in liver indicates worsening of disease. And biopsy is must. Usual five year survival with B cell lymphoma is 60%. And life expectancy is at least 4-5 years with regular chemotherapy sessions. So start chemotherapy again and continue with maintenance therapy for better life expectancy.
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Hello doctor,I am five days delayed now and feel light to moderate cramping for almost one week and sometimes nausea. I took the pregnancy test, the cheapest one and the result is weird because instead of a pink or red line, it shows a white line. And also I have a UTI. Is it possible that I am pregnant? And pregnancy test kit could not detect it?
Hi, Welcome to Chat Doctor forum. You are right. Urine pregnancy test and transvaginal scan are unable to detect very early pregnancy. So, for that, we can use a blood pregnancy test (serum beta hCG). It is clearly detecting pregnancy status. For urine infection, you can have a urinalysis and urine culture, lots of water and cranberry juice. If infection positive then discuss here or with a local Gynecologist. In case of bleeding with abdominal pain and positive pregnancy test, you need to report to tertiary care hospital\s emergency. So do not delay. Do serum beta hCG (blood pregnancy test) now as urgent and then discuss it with your presenting symptoms.
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I have a rash that comes and goes on my neck and hair line sometimes my face it gets dry and flakey burns and itches. but is worse before and at the beginning of my menstrual cycle. also I am 39 but for 4 years and worse in the last six months I wake up drenched in sweat premenstrual and feel hot most of the time. but it is worse in the early morning
HiT hanks for your queryAccording to your history, looks like you have seborrhea eczema. Ie Dan Chat Doctor. Seborrhea dermatitis (also known as "seborrhea eczema")is an inflammatory skin disorder affecting the scalp, face, and torso. Typically, seborrhea dermatitis presents with scaly, flaky, itchy, and red skin. It particularly affects the sebaceous-gland-rich areas of skin. In adolescents and adults, seborrhea dermatitis usually presents as scalp scaling similar to Dan
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hello! I just started getting a runny nose and watery eyes but that it! I am on aderall so i was wondering if there was anything that could help it? i have no headaches or any other pain just an annoying runny nose and very watery eyes, i cant stop sneezing and having to blow my nose! Im 20 years old, women, about 130 pounds, about 5,5 ft and my runny nose only started about 3 hours ago. I am prescribed with adderall (usually take 20 to 30 mg a day) and have regular pink eyes (got 5 pink eyes since beginning of october) and im on the birth control pill...and i smoke (between 5 cigs to a pack a day) is there any danger of me mixing anything up with any of those products?
Thanks for posting your query to Chat Doctor .runny nose and red eyes are mainly allergic in nature may be due environmental allergen or viral in origin .in both the condition treatment remain same that is symptomatic relief and avoid enc of allergen. The medication you're taking will be not much effective. I advise to take :1. Loratadine 10Β mg with Montelukast 5Β mg one time in a day to neutralize effect of allergen .2. Multivitamine to improve your immunity 3. Paracetamol 750Β mg two times a day to receive inflammation.thanks.
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hi my self sandhya from past 15 year i am sufering from allergy only on my fingers i have consulted most of the docters some of them are saying eczema and some are saying phsoriasisbut i am not geting why they are coming only on my hands small blisters will appear and after two days it will flare and my skin become dry i am not atall geting what is the problem i am thinking it is related to food but which food iteams are affecting me i dnt know i am not able to identify plzzzzzzzzzzzzz doctor helpme out of this big problem
Ho, and thanks for the query, With the clinical syn Chat Doctor. However, more information is required to make a diagnosis. Any family history of these symptoms, history of allergies, any joint pains or generalized feeling of malaise. A clinical evaluation and laboratory tests could make the difference. Measuring IGE levels in blood if raised could be indicative of the allergic component. Specific hematologic tests could indicate psoriasis. You need to book an appointment with your dermatologist first. Thanks and best regards, Luchuo, MD.
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I have developed recently (a few months back) pulsus bigeminus. No cardiac failure, no clinical signs of heart disease, only long lasting hypertension. Present treatment consists of Micardis 40 mg bd, Adalat Oros 20 mg bd, Tenormin 20 mg mane, Lipitor 40 mg PM. ECG shows no significant changes. Should I worry?
Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that first it is important to differentiate pulses bituminous form pulses alternate by cardiac auscultation, as there is a lot of confusion between them. It may be a sign of hypertrophic obstructive cardiomyopathy, or other disorders, like possible effect of beta-blocker use, dyslexia, hypothyroidism, disorders of the cardiac conductance system, etc. I recommend you to don't panic! As long as you are free of any disturbing symptomatology, and do not exert clinical signs and symptoms of heart failure, you don't have to worry too much! Probably we have to do only with some extrasystoles without any clinical significance. Nevertheless, I recommend you to consult your cardiologist for a careful physical examination (including cardiac auscultation), and a comprehensive review of your cardiac condition, to rule out any possible underlying factors. Hope to have been helpful to you! Greetings!
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My Grandfather has been diagnosed with liver cancer, he currently lives in macedonia and they dont have adequate medical care opportunities. He has fluid build up in his stomach are there any drugs that can be given to help reduce fluid build up and any drugs that help him go to the bathroom
Thanks for your question on Chat Doctor. I can understand your concern. Fluid build up in the abdomen is known as ascites. And in liver cancer patient ascites is common. We need to first find out the cause for ascites and then start appropriate treatment. Following are the possible causes for ascites in liver cancer patient. 1. Malignant ascites which need chemotherapy. 2. Hypoproteinemia which needs high protein diet and albumin injection. 3. Anemia which needs blood transfusion. Diuretics (Chat Doctor. But better to first diagnose the cause for ascites and then start appropriate treatment. Hope I have solved your query. Wishing good health to your grandfather. Thanks.
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Hi, My cousin has low IQ rate(between 60 to 65). He is very slow in his basic improvements like stand, walk and talk. He is not able to identify the colors and also unable lock his shirt button himself. Please note that, he is at the age of 10. We had lot of treatments but no improvements in his activity. As Doctors suggested, he is going to the school where low children are getting trained. Our objective is to make him to live normal (in personal and social behavior) in this world. Please advice.
Dear, Welcome to ChatDoctorWe understand your concerns went through your details. Once the children IQ score falls down below 70, it is intellectual disability. Early identification of child Chat Doctor. The mainstay of treatment of MR/ID (mentally retarded / Intellectually retarded) is developing a comprehensive management plan for the condition. The complex rehabilitation plan for the individual requires input from care providers from multiple disciplines, including special educators, language therapists, behavioral therapists, occupational therapists, and community services that provide social support and respite care for families affected by MR/ID. The procedure is tiresome and the best place you can do it is in the special school your child already in. Written, verbal and pectoral forms of communication as well as gestures and demonstrations are helpful. Annual counseling and referral on these issues to community agencies and programs is recommended. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
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Why would an oncologist order chemo for a 78 year old female with cancer in the liver, lung, kidney adrenal gland ,pancreas ,breastbone and hip? Not sure which organ cancer originated, first tests show large mass in kidney, biopsy of liver showed cancer in pancreas.
Hi, Thanks for writing in. Cancer is a challenging diagnosis and treatment is difficult in advanced stages. Since the cancer has involved more than one organ like liver, lung, kidney, a Chat Doctor. In this case it is not important to find out exactly where the cancer originated but treatment with objective of extending survival is the point to be considered. In the above case the survival of the patient with recommended treatment and supportive care might extend to 2 years. If chemotherapy is not given then even six months survival is difficult. Therefore, the doctor has recommended chemotherapy to stabilize the disease and control spread of cancer and make the patient survive longer. Please do not worry.
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My bottom tooth has been hurting for the last couple of days. There is some skin in between my tooth that looks like a bumb. I believe my gums are swollen. My ear , neck, jaw, and shoulder all experience pain along with my toothache. My body temperature is 95.7 F
Hi. Thanks for the query. If you have a toothache and the tooth is decayed then the pain is due to nerve exposure causing nerve irritation and pain. The skin like bump between the tooth if it is extending from the gum then it can be a gingival polyp or a gum polyp. But in case if it is appearing to be coming out from the inside of tooth then it can be a pulp polyp. A clinical examination has to be done to rule out what exactly it is. In case if tooth is decayed then first an x-ray has to be done. If tooth is in a condition to be saved then root canal treatment will be done after removing the polyp. It will be followed by antibiotics and painkillers. For now, you can take painkillers to reduce pain. Hope this helps. Regards.
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HI, this is Dhananjay. M 41 n half year old & hight 5.6 ft. Recently I had gone for medical test for immigration result. All the tests reports were normal except SGOT and SGPT. As per the report the normal range for SGOT was given 10 to 40 and mine is 54 and SGPT normal range was given 0 to 45 and mine is 102. I had gone to my family DR. who has given me 20 days medicinal course and assured me that I will be fine after this course. Firstly what is SGOT and SGPT? What are the causes of elevated level of these two? What could be the symptoms or illness caused by it? and how to cure it? what and what not should be eaten?If you could answer it then it will be great. Thanks. YYYY@YYYY
Thank you for posting your query. Lab results reveal hepatitis.GOT (AST) and SGPT (ALT) are liver enzymes located inside the liver cell. These enzymes play an important role in the metabolic processes. An increase in the level of these enzymes reflect an INJURY to the Liver. Medically, the condition is known as Hepatitis. Hepatitis maybe caused by- Virus (A, B, C, D, E) is one of the most common causes - Chat Doctor. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards,
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im 28 years not overweight i was suffering from chest pain and i consulted the doctor told me that its acid reflux but now im suffering from shortness of breath and sweating at night wiyh numbness in my left arm at night sometimes i have chest pains but not severe not everytime
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out cardiac cause for symptoms. Left sided chest pain, left arm numbness, sweating, breathing difficulty etc. are commonly seen with heart diseases like coronary artery disease (CAD) and heart failure. So better to consult doctor and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). You may need cardiac supportive Chat Doctor. If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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today while walking to my car I rolled my foot/ankle outward, I was wearing Dansko shoes which have about a 2 inch heel, immediatly my foot hurt not my ankle but my foot, lateral side about half way down the foot. It is still painful even when not walking on it.
Thank you for posting your query on Chat Doctor, your pain is due to ligamenta sprain from slip of foot. Sometime mild inflammation may occur, but don't worry. You can take simple analgesic like ibuprofen or if pain is severe take like combination of diclofenac+paracetamol+serratiopeptidase. It will relieve your pain and other symptoms. If symptoms appears more severe once got examined by your family doctor. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon
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Hi doctor,Sometimes when I concentrate in a silent room, I can hear a low sound from my ears. I went for a checkup, and there was nothing wrong in my ear. The doctor told me that the sound occurred because of hair cells and said to me that it is normal. What is hair cells? Is it normal to notice it? Could it be a sound of normal blood flow near the ears?
Hi, Welcome to Chat Doctor forum. Hair cells are hearing cells inside the inner ears provided with cilia, and when vibrated, it stimulates auditory impulses. Yes, these cells have a unique sound, and it will not be audible to us. It needs a high technology device to pick it. Tinnitus has a lot of causes. First, you need to perform tympanometry and pure tone audiometry. Show me the results, and then we can diagnose the cause.
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In my recent blood test, SPGT is reported to be 110, all other tests like lipid profile and Urine tests are clear, I am also having occasional pain in the abdominal area.My height is 5.7" and weight is 78 KG, what could be reason is it due to hepatitis B or C.
Hi thanks for contacting Chat Doctor. Here first you have to do your USG abdomen that will suggest whether fatty liver, gall stone or hepatomegaly present... If hepatomegaly there with generalized body ache or omitting then viral hepatitis can be suspected with estimation bilirubin and viral marker study ... If you have Diarrhea with foul smell stool sometime celiac disease might be there that can elevate liver enzymes. Anti endomysial antibody estimation can be done...... Hope your concern solved... Take care... Chat Doctor.
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Hi doctor,My son is 1.2 years old. We have recently moved to a new city, and ever since, he is not comfortable passing stool. His stools are hard and cause him pain. Apart from climate change, the water here is very hard. He takes baby food and homemade food, which we also consume. His height, weight, and head circumference are normal.
Hi. It is one of the common complaints we encounter from the parents. There is nothing to worry. Thank you, have a nice day. For more information consult a paediatrician online Take care.
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I am 27 years old, 162 cm, 53kgs. My boyfriend was diagnosed with hepa b last july 2010. Im worried that I also have so I got tested. These were the results: HBsAg w/ titer (ECLIA) o.365 c.o.v. 1.000 non-reactive, Anti HBs(ECLIA) >1000 IU/L c.o.v. 10.000 reactive. My GP said that I dont have the virus and I am immuned to future infections. Its been one year and four months since I got tested, and we do have intercourse(unprotected) once in a while. Now, Im thinking of getting the same tests coz I wanna know if the results are still the same. Do i need to do that?
Hi thanks for asking question. You have negative Bag means you have no infection. You have positive anti HBS that is protective antibody against antigen. This antibody prevent protection for very long duration. Mostly you might have taken full doses of vaccine. If taken then no need of worry. Still you can estimate your antics title by ELISA for further confirmation of immunity against HBS AG... Wish you good health... Rake care. Chat Doctor.
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I pulled something in my lower back on the left side (lifting and turning at the same time) I started feeling better three days later, but I woke up a few days ago and it came back with, it seems to hurt mostly in the prone position, so sleeping has been very difficult. In fact it gets so bad ,I wake from a sound sleep. I have been taking motrin, which has helped, and rubbing arnica oil. There is a little swelling in the area. What is most disturbing is I work in a warehouse type of job, and that is when I feel the most relief, lifting and walking (just not going up and down a ladder). What is going on and what would you suggest (especially for sleeping).
Your detailed history and examination will suggest if it is myofascial pain, isogenic pain or photogenic pain. On the bases of history some investigations like CT or MRI will be required. You may be offered some interventional treatments like ozone discourses, TF ESI for early and complete relief. For detailed visit a pain physician or neurologist. For symptomatic relief take analgesic like diclofenac and muscle relaxant like pry till you meet your specialist
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i have a large lump on the joint of collerbone and breastbone on the left side a noticed it a few months back when i got pains in my shoulder. the lump hasnt changed in size but can be quite painful the pain comes and goes but the lump stays the same. i went to the doctor few months ago he sent me for chest xray but didnt find anything. at night if i sleep on my stomach and put my arm up and stay like that for to long i cant move the pain is aggonising it also hurts when i try to turn over the pain spreads across my shoulder some times in my arm and back to it always seems worse at night but once rested is better by morning it gets worse through the day especially when i lift something heavy like my children do you think it could be something serious.
Hi! Good evening. I am Chat Doctor answering your query. If I were your doctor, this being a few months duration and causing discomfort to you, after a detailed clinical examination, I would advise you for some routine blood tests like CBC, ESR, and blood sugar, followed by a FNAC (Fine needle aspiration cytology) to have a cytological diagnosis. Further management would depend on the report of FNAC. Till then, you could go for an anti-inflammatory along with a proton pump inhibitor for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
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In May of this year I fell and fractured my pelvis. I spent 4 days in hospital and a month in rehab. My fracture is probably pretty well healed, but now have terrible pain in buttocks and down legs. I also have scoliosis which has caused me pain for the past 12 years, but this is the first time I ve had this kind of pain. I do stretching exercises every morning, but don t know if I m doing the right ones for this condition. I m 88 years old, active, and until this happened I alternated riding my bike (outside) 5 miles a day, and walking 1 1/2 - 2 miles a day. Thanks for you help.
This is tricky without actually being there. Sciatica is classically in buttocks and down legs... the distribution of the sciatic nerve. Can also be just sore muscles from being immobilized such a while. Cannot say in your particular case, but there are a few general principles: don't overdo it--stop when there is pain. Building up supporting muscle structures protects joints and bones and disk stone takes 2 weeks of exercise at every other day to improve and rebuilding muscle mass takes months. I have shower bars, so I can very safely do stretches under the shower. This is good, but it is also very dangerous for falls unless the shower is specially built or if one is doing stretches in the shower in a shower seat (sitting down). Otherwise, stretching is quite tricky without direct advise from a professional physical therapist. Stretching tends to trigger muscle aches and tears.
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am lady of 21 years old i am married i have been trying to fall pregnant bt it doesnt happen i had miscarriege before so i was told to take folic acid pills and get neoubion injection in order for me to fall pregnant yes i did that but still im not pregnant but i have running tummy ,my body is itching , and i feel like vomiting in the morning bt if i check im not pregnant can you tell me what is the cause of that. Reply Forward
Hallow Dear, Missing a period is the first cardinal symptom of early pregnancy. When you have not missed your period, nausea in the morning may de due to increased acidity or stress of not becoming pregnant. Some antacid will give you relief. The very fact that you had a miscarriage once means that you were pregnant. Thus, you have proved your capacity to be pregnant once. Hence, your eggs must be forming regularly, and your husband should be having good quality semen. The only question is whether you contacted any minor infection during the miscarriage which had resulted in tubal blockage. Please get hysterosalpingography done to find the evidence of tubal patency. If the tubes are blocked, you may require surgical intervention for reopening the tubes. If the tubes are patent, please monitor egg release (ovulation) by ultrasonography from day 9 of the cycle. On and around the day of ovulation, try to have sexual relations maximum times. You can give such fair trial for at least three months. If still it fails to make you pregnant, please report to Infertility specialist for further investigations and treatment. I hope this helps you.
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My husband has a lump on the exterior of his anus. Thought that it may be a hemmoroid, but it is hard and very painful. He has used hemmoroid cream but it has not helped at all. No itching or bleeding is associated, but it is very painful, like a sharp pain. He can still use the bathroom, but it hurts to wipe. Any idea what this might be.
HIT hank for asking to ChatDoctorI can understand your worry, if I would be your husbands doctor then I would treat him with the following medicine,1) Tab Ibuprofen 400 mg three times in day2) Tab Acetaminophen three times in day3) Tab Omeprazole 40 mg with Domeperidone once in day this fails to give response then the condition need to be examined clinically, hope this regime may give relief to your husband, have good luck.
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I was just diagnosed with Medullary Sponge Kidney. I have a kidney stones that s 10mm (penny size) my kidney is also very enlarged and infected. The stone is near the top of my kidney. Well I had surgery yesterday to have a stent placed..but the stone is still in tact. The urologist did not try to crush the stone or get rid of it yet. I am not too sure what happned next when I go back to see him next week. What will they do from here ?? Also I m in a lot of pain from this stent. Contrast cramping and burning and discomfort. Not just when I use the bathroom. It s very consistent. Also my urine is dark red blood with some clots. I am worried since I have MSK. and the stone is still in place. My doctor is hard to reach so please give me some answers!!
Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. In MSK, stones and urinary infection(UTI), are very common. A stent is placed prior to crushing the stone with lithography. The stent can cause irritation and pain, as well as bleeding, which then turns the urine to a darker color, and with clots. If you can send the scan, urine and blood reports to me, as a direct question, I can advise expert management for the same. Chat Doctor. Manga.
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my 4 months old dougher who I am nurssing had her 2nd set of vaccination last on Sunday she started snizzing and on monday she had very light cough and very light runny nose mainly after she sneesed we took her to her doctor and she said very ligh cold or flu noting to worry about, she has no fever and eats normal with normal poops she is feeling better today but has some cough left, however today in two of her diappor one with lots of poop had very small amount of red blood pease and the other had very small poop almost none but had a spote of red blood as well, what would this be casured by and what should we do. as for the cold and the flu she did not have contact with other kids or anyone with cold we keep her worm did not leave the house so why would she come down with cold or flu is it possible that it is an aleargy ever the fact that 4 months is to young. thank you
Hi, I have gone through your query and understand your concern. First be sure that blood in stools has nothing to do with vaccination or flu. Yes it's always an alarming sign though. The foremost possibility in a well doing infant like yours is ingestion of blood from cracks around nursing mothers nipple or bleed from infants nasopharyngeal tract. Kindly examine your nipples for any fissures, cracks etc. For conformation stool can be sent for Apt test. Anal fissures, fistula or Milk protein allergy are rare possibilities with this case scenario. May your child be blessed with health. Regards
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I accidentally kicked my toe on some furniture about a month ago. It bruised really bad, and a lump/knot appeared where I kicked it (in front of my toe nail). The bruising has gone away but the knot is still there. Is that normal or should I have it check out?
Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-POst-traumatic Scleroses / fibrosis Hematoma, which is causing the knot/lump in front of your toenail. X-ray-Toe would fix the cause of the fibrosis hematoma in front of the toenail. Remedy - would be -Hot fomentation Coquitlam 1 two times a data Chymotrypsin 1 three times a with Point Tomophobe point. Locally Needle Aspiration if -its liquid trouble some by its size, Surgical Evacuation and primary suturing would help Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS
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I had the symptoms of an TIA 2weeks ago. The doctor is still doing tests because I dont have the profile at all. 105 pounds, 52, non smoker, doing sports, etc. My cholesterol is on the high side, but the triglycerids are quite low. The doctor prescribed 325mg aspirin, but since I reaaly dont fit the profile, there is scepticism. But I am very worried.
Since you already had a Tia, you need to be on med. I guess ct or MRI brain, echocardiography, ECG, carotid artery Doppler, blood sugar must have been done. You need to aspirin, lower dose than 325, atorvastatin as well for cholesterol and stroke prevention. Blood pressure should be frequently checked. Tia is frequently associated with heart problems also so should be vigilant about chest pain and should be evaluated if having. So any of the above test are not done then get it done.Also, healthy lifestyle and regular exercises, low fat, oily diet will help.
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Hi I take microgynon combined conctraceptive pill but yesterday i had unprotected sex and then this morning i realised i hadnt taken yesterdays pill. I took yesterdays and todays this morning. Am I protected for last night and do I need to take any further precautions.
Hi, Since you have missed only one pill and as you have made it up, you are sufficiently protected. You do not need any additional precautions usually. Please wait for your next period and go for help if you miss it, which should not happen in ordinary circumstances. If in case, you are anxious, you may take the emergency pill as an additional precaution; but, please remember, it distorts the hormonal balance and leads to breakthrough bleeds and irregular cycles. Hope you find this information useful. Take care.
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i have always suffered with dry sockets, i am 65yrs old and have to have a wisdom tooth out due to a supposed gum infection can, i get this done in hospital as i am terrified and suffer from high blood pressure, what can prevent this from happening again
Helloi don't understand what do you mean from hospital. If there is proper sterilization, expert care (an oral surgeon) and emergency services are available in the hospital then surely you can go with it. As far as Chat Doctor. ~do not smoke for at least a week, if you have the habit.~use antiseptic mouthwash to rinse ~do not use very hard brush in the area~avoid strenuous work for 3-4 days. Hope this answer helps. Regards
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I think I have ADHD I am eleven, but my parents won t listen because I have high grades. Everyone thinks I have it. My dad has it and he almost got 100% on his state tests when he was a kid, so what does that have to do with anything? I guess I have just used what I know because I get numbers. I fidget almost all the time to help me focus, I am SUPER disorganized, I forget things constantly, and my grades are slipping. Believe me, there is much more. I also have synesthesia and most websites say that increases the chance of ADHD. I just moved, so I don t have a doctor to ask and I REALLY want to get into the Gifted and Talented program in my school. WHAT DO I DO?!?!?!?!?!
Thanks for the query dear. His level of awareness at your age is really commendable. As per your description it seems you have almost decided that you are suffering from ADHD. You have not mentioned what your doctors said regarding your condition, that is before you shifted to a new place. You may be quite simply a disorganized adolescent so to speak, then you will need support of a psychologist. But again it is best to find a good doctor in your new place, take your parents in confidence and take help from the doctor. He shall be able to guide you or prescribe medication if needed, in better way.Don't suffer unnecessarily by obsessing over something that has not been diagnosed as yet (you have not mentioned that it's a confirmed diagnosis). Take professional help, and you shall be better and improve on your grades.
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Hi, I have acne like boils on my face. When it comes in contact with sweat and water it looks white. What could it be?
Hello, Welcome to Chat Doctor forum. This could be an entity called milia. Milia are small white bumps that appear superficially on the skin. There are several treatments for the same. Do not try to squeeze the lesions. It will lead to pigmentation. To confirm if the lesion is milia, attach pictures of the same and consult a dermatologist online
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Hello Doctors, As I a child I had the bad habit of stool withholding( once for entire month) , now I am an adult and my body below average BMI and I have too much cramps and was diagnosed with partial villous atrophy and my doctor insist It s celiac disease while I think it s IBS, now linking my current tests with my children history , do you think it s Celiac or IBS
Hi! Good evening. I am Chat Doctor answering your query. One could label it as IBS only after excluding other organic causes for your other symptoms like low weight and many cramps along with a partial villus atrophy, which could occur in celiac disease. You might have to undergo some biochemical investigations, some endoscopic biopsy of the intestinal mucosa, and a hit and trial way of excluding all food items containing gluten as their constituents with the consultation of a gastroenterologist and a dietician in your area. Till then, I would advise you to go for a high roughage diet, and enough liquids, with avoidance of food from outside specially the fast food, and complete NO to consumption of alcohol if you do. I would also advise you for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
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My mums sister (my maternal aunt/maasi) has a blocked food pipe and hasnt had anythin from the last 1 & a half month except for a few glucose injects and tries to have lil water, coconut water, a lil juice may be; majorly somethin liquid but that too takes a lot of effort and pain to go by.... She was already underweight even b4 the cancerous stage was diagnosed... She has further lost almost 12 odd kgs weight and the bones are visible primarily... we had gone for minor sessions of cemeo and radio tharapy but they aint seem to be helping coz she being underweight !! I seriously want to save her... but since she is not able to even eat anything of drink even; what can be done.... I belong to chandigarh & the treatment is being done at PGI over here.... I really look forward to hearing something which could help !!! Her height is 52, age-46, present weight around 35-40kgThanks......... regards; BHANU
Hi, Thanks for writing in. Cancer of the esophagus is a condition that causes obstruction to food passage. In your aunty there is probably a malignant mass in the esophageal wall that is causing limitation to the swallowing of solid food. In this condition there are few ways by which she can be helped. After evaluating the malignant stricture, a metallic stent can be put in the esophagus. This works in many people but the risk of subsequent block persists. This will again cause a block to food. The other option is inserting nasogastric tune and this is something they must have done. The food is made in to viscous consistency and then given using a syringe. The third way is operating and introducing a feeding gastrostomy. In this method the food goes directly in to the stomach and there is no requirement to feed by mouth. She can continue taking sips of water. These methods are put in to practice after evaluating patient needs and different cancer treatment institutes follow their own methods to support patient nutrition in cancer of esophagus. Please do not worry.
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I have been told I should take Xolair, but I have many concerns, My last IEG was 1400, I have chronic sinus affections, have been put on prednisone many times and have had years of antibiotics.... taken singular, various, puffers and so on... Is there anything nature to take, with out all the side affects, leading to other problems... ready to crawl into a hole.... :( R
HI, I understand your concern. I would suggest-1) Get your allergy testing done. Avoid allergens & get a desensitization treatment. 2)Adopt a healthy lifestyle.containing-moderate exercise in form of walking, yoga exercises, respiratory exercises. - Diet with high proteins, vitamins, minerals carboy Chat Doctor. - hobby work -apart from your duty hours, keeping you in positive (put half face mask to avoid fumes of vehicles/road dust. - A sound sleep for 8 hours with help of Logan
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i am suffering from intermittent but severe dizziness after receiving a cervical spine steroid injection over a month ago. It scaring me with all the trouble with the lab that sent out the tainted steroids. My doctor claims that she did not use that lot , but I am suspect - what should I do?
Hello, The blood vessels that supply the inner ears and the parts of the brain that are connected with the balance of the body pass through the cervical vertebrae. Cervical spondylosis which is the usual cause of the pain in that region for which you received the steroid injection also affects these blood vessels and causes alteration in the blood flow which results in dizziness. Physiotherapy along with the use of certain medicines will reduce this dizziness. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I have had to go to the emergency room 3 times in the last month. The problem starts out the night before where I sweeting badly by the next morning my mouth becomes numb and my tongue I have a sinus headache I have a problem breathing I become really weak and lose my ability to stand. The next thing I know I having convulsion. My feet and my anal area start having a burning pain and my hands feel as though their turning numb. After awhile at the hospital everything starts to return to some what normal. All the tests they do at that time come back normal. What do you think is happening to me?
Howell come to ChatDoctorI really appreciate your concern, the only matter of concern is convulsion if this is the convulsion then better to get done the CT of brain and EEG just to rule out the late onset of epileptic seizure if it is not detected anything in tests then it can be hysteria, it could be due to general weakness, but it does not seem to be anything serious, in differential diagnosis, anxiety and depression is likely, you have not given any basic information like age and gender else something better could have been thought hope this information helps.
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My 2 year old daughter got sick all of a sudden last Tuesday (December 13th) evening and threw up. She went to the sitter Wednesday but she threw up again that morning. She was a running a low grade fever off and on until Sunday (December 18th) so we were giving her ibuprophen. Then Sunday night I noticed her gums were swollen and red and then they started bleeding. I rinsed her mouth with warm salt water. They are really sensative to where she can only eat soft food. I have been putting baby oral gel on them also. What do you think this can be? Im taking her to her dentist today.
Thanks for your query, I have gone through your query. The bleeding gums could be because of the gum infection. Or it can be because of tooth infection like pulp polyp. It can be because of herpetic gingivostomatitis which is associated with fever and gum infection. Consult an oral physician and get it examined and take topical anesthetic and analgesics. Continue saline gargling. Get your children teeth cleaned once. I hope my answer will help you. Take care.
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Hello doctor,I am 59 years old. I was diagnosed with hepatitis C alcoholic cirrhosis, acute pancreatitis and that was almost two years. I am currently taking Levothyroxine 50 mg once daily, Labetalol Hydrochloride 100 mg once daily, Lisinopril 20 mg once daily. I was in the hospital at first to stabilize my condition. My hepatitis C cleared but still of course I cannot change the damage to my liver.I was told I would only be given five to ten years if I would quit drinking. I kind of fell off the wagon about six months ago, about three liters a day. I weigh about 120 kg. I went to my family physician, he ordered a liver profile and complete blood work. I am going to get it done tomorrow, but the only concern I have is this day I have been having not much but had some black stools. Does this mean that my liver is failing? I tried calling my specialist but they had already left their office. Should I go to the ER or just wait till I call my specialists? I quit drinking about a week ago. Can you help me with some advice?
Hello, Welcome to Chat Doctor forum. Black stools are indicative of acute gastrointestinal hemorrhage. Melena or black stools can also turn into a medical emergency if a lot of blood is lost and hence my sincere advice to you would be to go see a doctor as soon as possible. This does not signify liver failure. However, with a history of ChatDoctor. But melena does not mean that your liver is failing. I will advise you on the following until you get to the doctor. Take Omeprazole 20 mg one tablet immediately, followed by one tablet every morning in the empty stomach. Sucralfate syrup two teaspoons immediately, followed by two teaspoons after every meal. This will help in coating the ulcer lining and help in healing. I hope this helps.
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hello my question is regarding consistent cramping on my left foot feels similar to a hamstring pull I have to stand and put pressure on my foot with a specific stance until this pain goes away, the pain causes my middle toe to gravitate with force towards the outside(towards pinky)
Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. Due to virus of knee or inward turning of leg there can be pressure on lateral aspect of foot. Continue medication prescribed to you. You can start cartilage protecting medication like Chen Chat Doctor. Physiotherapy like ultrasound and tens will help, along with knee exercises. Leg Muscle cramps are very common. Take plenty of water, fluid intake will dilute toxins. Physiotherapy with ultrasound and Tens will help you, Yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. Take potassium rich diet. Hot and cold fomentation to leg. You need to continue you medication for a couple of month to see effects. Add tab methylcobal 1500 once day. 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. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care.
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Good Day! I have a 5 year old nephew. Since he was 2 years old, he used to throw things that he handles everytime he is mad and everytime we don t follow whatever he wants. And when he does, we beat his hands. But still, he keeps on doing so. I even used a hot spoon once and tap it on his hands just to let him feel the pain but it didn t even work! And now, he even gets worst. If you scold him he will just cry and respond I don t love you anymore and sometimes he ll shout You are ugly! while throwing things! And when we tell them to stop doing something, he ll just stop for a while and do it again! I am thinking if he lacks attention because most of the time, his mother which is my siste, is not taking care of him and is not putting attention to him. By the way, his parents are already separated. I just need your help so badly. Please advise on how can we discipline this kind of kid and what should we do in order for him to change that kind of attention. Because his attitude is too much! What I am trying to say is that, we don t know already how to handle his attitude, even his nanny is giving up! Thank you so much and PLEASE help us!
DearWelcome to ChatDoctorWe understand your concerns went through your details. From the given information it seems that the child is suffering from Attention Deficit Hyperactivity Disorder spectrum disorder and related aggressive hyperactive behavior. I strongly suggest the child to be examined and assessed by a psychiatrist for further treatment and advises. Please consult a psychiatrist ASAP. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care.
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I had a stent removed this morning. I was placed to do kidney stone causing swelling and abrasions. I was fine then several hours later started have a achy body all over, then started to get fever within 30 mins went from 99.9 temperature to 101.5... it has stayed around 101.5 but I also started to get chills and feel cold thats very unusal for me to get cold. And now have pain in my right kidney back area where pain was originally. Whats going on. I have had a stent 2 times before and never felt this way after removing it.
Hi, Thanks for writing in. Pain after stent removal can be due to recurrence of stones, stricture in the ureter or inflammation. As you have fever and pain, it might be due to mild infection. I would suggest that you get an ultrasound done to check the possibilities. In case of stricture immediate action needs to be taken to prevent scarring. I would suggest that you visit your urologist and discuss the above-mentioned possibilities for further advise. A urine culture and course of antibiotics might be necessary. Hope this helps
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I have been having pain in my lower back with some pain radiating to my front right. It has gotten worse over the past 2 months. It hurts when touched. I also have not been urinating as much as I think I should compared to my intake. When I do there is a very strong odor. I also have been noticing stains in my new underwear that I question may be dark blood. I am concerned about my kidneys. What would you suggest I do?
Hello, I have studied your case. As per your history and symptoms pain can be from spine. I will advise you clinical examination and required investigation. Another possibility of your back pain can be due to muscle strain or renal calculi. You may need X-ray and Ultrasonography. You may need to do MRI spine to see for nerve compression For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help can focus on spine extension exercises. 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.
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We cant seem to get my 3 year old Grand Daughter to eat much and she was sick a week ago but now all she seems to have is some diearah and a swollen stomach and all she will eat is yogurt and a some Gatorade and milk. she is still very active should we take her off the milk for a few days.
Hi... I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. 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 good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause Chat Doctor. Regards -
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sir/mam i am 23 year old male...unmarried i use to do 2 time masterbate in a day (if free) think 8-10 time in a week. and i having doubt...i cant sty long time it will out within 2mins. if any problem after marriage? i can give satisfaction to my wife?
Degree understand your concerns went through your details. Masturbation has no direct side effects. Masturbation is healthy, natural and is a normal adult procedure. Almost everyone across the globe masturbate and get sexual pleasure. But in your case, at your age, masturbation twice a day is not advisable. You can do it thrice a week safely. Otherwise, your wrong knowledge about the negatives of masturbation can make you anxious and health obsessive. May be because of this health anxiety, you are experiencing the premature ejaculation. Don't worry. You will be able to do well sexually after marriage. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
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i have been suffering from lower back pain for 3weeks now. the doctors have first thought it was kidney stones as there was blood in my urine but the scans didn t show anything. they then diagnosed me with a muscle spasm but the pain doesn t seem to be decreasing.
Hello, I have studied your case. I will advise you to do MRI spindle to compression of this nerve root there can be back pain associated with it. 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. Core stabilizing spine exercises will help. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
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My 9 year old daughter has had diarrhea off and on for the past 4 days. Thursday evening she was vomiting too but hasn t thrown up since and has otherwise been eating and drinking normally. She does complain of intermittent pain in her lower abdomen and gas. No one else in the household is ill.
It could be due to some infection from food eaten at school or outside the household which others did not consume. You have not mentioned whether these symptoms were accompanied by fever and other systemic symptoms. Also, important is the color and consistency of the vomit and stool. Please keep her well HY Chat Doctor. Following this a medication may be prescribed which could be an anti-diarrheal, anti-helminthic, etc. based on the diagnosis.
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am I have about a year of tight in the chest with a little nausea and Altgera worked all the necessary tests of the ray and ECG and blood tests all good Doctor. Note to pain from the left side of the chest on the breast. Note that I am a man Loney lost some of the my abilities in sex
Hello dear, welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with psychosomatic manifestation of underlying stress and anxiety disorder.* Guidelines for better recovery- Chat Doctor. - Prefer soft, light diet.- Avoid oily, spicy, non veg stuffs.- Balanced nutritious diet.- Avoid smoking, alcohol if using.- Regular walking in fresh air, exercises, YOGA, deep breathing, meditations are your main line of treatment for perfect outcome.- Proton pump inhibitors as omeprazole to be taken on empty stomach. Hope this will help you. Regards.
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I am undergoing treatment for infertility. I have PCOS problem since 2008 & i was on Krimson 35 for 2 years (1year before & after marriage..got married in Nov 2011). We are trying to conceive from the last 1 year , my husband has aligospermia & hence doctor has advised for IUI. In the beginning of cycle I was given Clomid 50mg from 2nd day of period to 7th day but i could not conceive.Hence we are trying for IUI this month & doctor has given Sitrodin D 75 mg?What are the chances of conceiveiing
Hi and thank you so much for this query. I am so sorry to hear about this difficulty conceiving. The chances are obviously better than without GUI. No one can tell for sure whether you would get pregnant or not. It is for sure a game of chance and couples without any difficulties are not guaranteed a pregnancy each time they attempt to. My advice would be to exercise patience and optimism hoping that something nice happens sooner than later. Only when you would be pregnant that we can confidently say so and not otherwise. I hope this ad Chat Doctor. Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it.
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I am recovering from a respiritory infection and am currently taking Zestim. Yesterday I began experiencing a fluttering of my heart. The intensity seems to vary. Could this be related to testosterone supplemental therapy? I did not experience this before the bug had started.
Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Testosterone induced ? Atrial fibrillation. With high levels the Chat Doctor. Try to avoid excessive indulgence in tobacco, alcohol,tea, coffee. Second opinion from Physician and EKG, would resolve this issue. This plan would reduce your dilemma with testosterone. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!
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hello i have a pink knott on the inside of my butt cheeks leading down to my anus it pains,bleeds bright red blood and passes a mucus fluid which causes irritation that is painful. it hurts when i sit on hard chairs and when i walk alot soory for the harsh describition but its the best i can give any advice because at the moment i cant afford to go to the doctor i have had it for about 3 months it discharges and stops hurting then inflames back up.
Hi, Dear,Thanks for the query to Chat Doctor. I studied your query with all the details you updated. By the facts given from you, you seem to have colonial sinus, with mucoid discharge with Chronic abscess and ruptures over 3 months time. Other possibilities are also there for which I would advise you to consult ER Surgeon. Hope this would resolve your query. Welcome for any further query in this regard. Write good review and hit thanks, if this reply helps you. Have a good day. Chat Doctor. N.
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Back in 1972, after having pneumonia for about a month, I came down with Guillian Barre Syndrome. I am really blessed though. I m now able to walk, talk, and even live on my own. I ve had alot of mental and physical prob- lems over the years, but I guess that s expected. I m just curious if any findings have been found over the years of what exactly causes it, and if doctors are any closer to curing it yet.
Guillain Barre Syn Chat Doctor. The immune system identifies the protein of these bacteria as foreign and correctly targets it for destruction. However, it just so happens that the protein contained in the coverings of nerves (myelin) which control skeletal muscles is very similar to this foreign protein of the bacteria. The immune system then, MISTAKENLY begins attacking the myelin sheaths because of this error in recognizing the body as itself vs. a foreign invader. That is how GBS is initiated. There have been other advances in treatment since 1972, most notably the introduction and use of something known as IVG. This makes treatment much easier compared to plasmapheresis which is what you may have gotten in 1972, although it is not known to be a significantly BETTER treatment. Nor is it cheaper. If anything it is probably more expensive. Glad you're better and recovered. Just avoid that C.jejune critter if you can! All the best!
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Hello doctor,For the past three weeks, I have been feeling a strange sensation which seems to be a form of vertigo. When walking, it feels as if the ground is bouncing or rocking (as if on a boat). I seem to not have this sensation right away after waking. However, after an hour or so, it comes back. I have also experienced what may be migraine aura symptoms (seeing black spots occasionally) which is sometimes also accompanied by a headache or head pressure or fullness. This bouncing or rocking sensation is really starting to worry me. I am not sure if it is due to an inner ear issue or neurological. I have started taking Meclizine and Ibuprofen which do not seem to help entirely. If possible, please advise on some potential causes, I would greatly appreciate it.
Hello. I have gone carefully through your question and would explain that your symptoms could be related to an inner ear disorder. Anyway as your symptoms are not improved by Meclizine, I would recommend consulting with a neurologist and performing a brain MRI study. It is also important checking thyroid hormone levels for thyroid dysfunction.
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left kidney have stone of 12 mm size found in ultrascan. Sir, please help me i have a stone of 12 mm since 1 month, in Left kidney which found after Ultrascan. My question can you please let me know the medicines on how to remove it easily with drinking enough water. I have pain only once or twice in month. Please needed help. Thanks for your help. Rahman
Hello, welcome to Chat Doctor. Your renal stones of size 12 mm are large enough making them unable to pass through ureters in urine. You should consult a surgeon for proper treatment for stone removal. For kidney stones that do not pass on their own, a procedure called lithography is often used. In this procedure, shock waves are used to break up a large stone into smaller pieces that can then pass through the urinary system. Surgical techniques can also be used for stone removal. Wish you good health.
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I was just diagnosed with B12 anemia. level 146. I also have been battling with folliculitis for 1and 1/2 years with over 21 MRSA infections in these wounds. does anemia have anything to do with this and what can I do to get rid of this folliculitis? I have been on ABT therapy for 1 1/2 yrs also.
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, there is nothing to be related with anemia. But prevalence of infection is more in anemic person than usual ones. I advise you to start treatment with the vancomycin. It is the Chat Doctor. You also have to take care for the anemia. Anemia in you is of vitamin B12 origin. So you need to take both vitamin B12, folic acid and iron. Please take the tablet of the above medicine under your doctors' guidance. Please maintain good lifestyle habit. This can be achieved by good hygiene and exercise. This minimum effort will keep you away from the infections. I will be happy to answer your further concern on bit.ly/
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hello, can i ask a question about my testicule...when i was 13 years old my left testicul went up and i could not move it down to my testicul bag...after 11 years this testicul that went up swollen and got really big and extremely painful...after some weeks it shrank and became too small that i could not feel it my abdomen as before and became rock hard... plz help
Hello, It may be due to several causes. For further assessment you may require complete hologram, ultrasound scrotum after urologist consultation. Further treatment mainly depends upon the underlying condition. You may require detailed evaluation to rule out any other possibilities for HY Chat Doctor. For pain, you can take tablet acetaminophen. Use scrotal support. Hope I have answered your query... Let me know if I can assist you further.
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Ok I went to cardiologist did an echo and told me I had a small leaky valve. Nothing to worry about come back in one year. This was in June today I called cause been having shortness in breath with work I talk to nurse and said in my file it said I had mild pulmonary hypertension. Now I m scared cuz I m 34 and never said anything about this wouldn t he have put me on meds
Hi, Pulmonary hypertension is increased BP in pulmonary blood vessels. It is generally associated with underlying lung disorder like Asthma, COPD, Interstitial Lung Disease & others. It can also be because of some cardiac abnormalities. Mild pulmonary hypertension generally does not require treatment & can be controlled by treating the primary cause. It can also be present in obese individuals where controlling of obesity is the primary treatment. Specific treatment for Pulmonary Hypertension is required in severe form or moderate symptomatic form. So follow the advice of your physician & you will be fine. Mild leaky valve will not cause many symptoms & can be normally present in some individuals. ThanksTake care
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I need a psyciatrist to talk to i have been diagnosed with bipolar manic depresion disorder and I hear violent voices my medication does help but I cant get to a dr in the clinic i live to far away no one to tke me any more and I am affraid that i will have another break down and end up back in the mental hospital again..can u help me? i dont have any credit cards though???
Hi there ~I understand your concerns and hearing voices in your head is a sign of psychosis which is common in bipolar mania. I also think that you are having frequent switches from mania to depression and vice versa. Exercising, yoga and Panama along with Dayana may help. I also think that keeping a journal and writing your thought when you feel like it will also help. If you do not have access to a clinic calling the number 1-800-273-TALK might be useful. However, make sure you call and make and appointment with your doctor. I hope this helps. Take care and have a lovely day!
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Hello, I had a hysterectomy several years ago and was taking Cenestin .62mg TEVO the manufacturer has stopped making this product. I am a vegetarian and will not take any hormones that are made with animal by products which most of them are. . Are you aware of another hormone similar to Cenestin that I could take? Thank you!
**1. Since you are taking genetic [slow release estrogen/plant derived] for several years, thus allergic issues are well tolerated [if any was there]2. Make sure to have regular check up/appointment wit your Gynecologist, since prolonged use of estrogen can result in unexplained vaginal bleeding, breast/ovarian cancer, blood clots, stroke,heart disease, high blood pressure, diabetes, abnormal lipid profile.3. Julia is a synthetic conjugated estrogen produced from plant material, you can ask for it.
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hi, so i recently had 3 wisdom teeth removed. Its been 5 days now but i still have this lump around my jaw area which is very painful, also around my ear with is worse and every time i swallow those two areas i just mentioned are excruciatingly painful. i also have a clear mucus build up in my mouth every second and needing to constantly spit all the time. I can t eat, sleep or think properly because its so sore. what should i do?
Hello rearward welcome to Chat Doctor.come have evaluated your query in details .* This is in relation with reactionary salivary gland enlargement .* Guidelines for better recovery-Continue antibiotics, anti-inflammatory agents as per the advice of the doctor.- Gargles with salted lukewarm water added peppermint oil 3 times a day.- Chat Doctor. - Keep proper care of the oral hygiene. Hope this will help you for sure. Wishing you fine recovery. Feel free to ask any further doubts. Regards .
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Hi Doctor, i am 22 weeks pregnant (DADC twin pregnancy). Latest scan reports reveal IUFD of one twin. As per Doctor this demised fetus will automatically shrink in the womb and there shouldnt be any danger to other twin or myself. My doctor has prescribed Gestone 200mg and Asprin 75mg (to thin the blood). I want to have expert opinion on this.
History for fetal demise. Your is amniotic and chorionic twin pregnancy. Nothing to worry as there is no sharing as in monoamniotic twins where one fetal death is most commonly associated with disseminated intravascular coagulation and thus fetal death.in amniotic chorionic twinning the dead fetus gets resorted or shrink in size called fetus papyraceous.don't worry.nothing will happen to other fetus or to you. More even your Chat Doctor. Thank you With best regardsVasundhara
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I m experiencing weakness in my non-dominant left hand, making it difficult to do simple things like fasten my bra. I m having trouble playing the piano (controlling my little finger in particular. I recenly had some numbness in my right pinky but it is much better.
Welcome to Chat Doctor I have gone through your query and understand your concern. You are having neuropathy both hands. It may be due to compression of your nerves in cervical spine region due to compression of nerve roots. You have not mentioned your age to judge the cause of disease. You may need your MRI of cervical spine to see compression. Other causes of neuropathy such as thyroid disease and diabetes should be ruled out by proper investigation. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
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hi, doctor how are you? i need your help. I am 24 years. Sex: male. my problem is that when i am 21 years old i addicted with masturbation. I do this bad work 4-5 times per week. But I am trying hard to control it but unsuccessful every time. So doctor as a child of your please please give me a better solution to control it because I want to be a perfect boy. Save me this type of bad work. I never watch bad film it is true.
Hi. . I understand your worry. First and very important thing to know is that masturbation is normal and healthy way for people to explore their own bodies and to find out what feels good, where and how they like to be touched and how to have an orgasm. Even though it is normal, some people feel ashamed or embarrassed about masturbation. This is partly because it has been wrongly labelled as deviant, harmful or sinful over the years, and many of these out-dated myths still exist. The frequency of masturbation varies in different individuals, for some people it may happen 2-3 times a day and for some 4-5 times a week. I will tell u some simple methods to come out of this habit. Remove anything that tempts your urge to masturbate like access to pornograpChatDoctoraterial. Avoid being lonely and keep your self busy in some useful activities like sports, swimming, going out with friends etc. Find a new hobby, or cultivate a skill. Learning something that takes a while to master can refocus your brain on the delayed gratification of achieving goals instead of the instant gratification of masturbation. Even after doing all these things if u can't come out of habit, and it is bothering u, it is better to consult a doctor. All the best. Regards
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I am a 40yr female. I have had sharp pains to my left side at the bottom of my ribs for some months now. There seems to be no trigger, this happens at all different times and during different activities, often when I m not even moving. I feel truly exhausted but often can t sleep. I never feel refreshed. I also keep getting a sharp pain at the top of my head on the right. I haven t been to docs as don t want to waste time when I don t have anything specific it s all a bit general. Any advise/idea?
Hello thank you for writing us here. Your complaint suggest of chronic Costco Chat Doctor. A minor infection could be the reason caused by virus/ bacteria. I would suggest you to go for an ultrasound of your abdomen to know the cause and the treatment of your condition. Without investigations nothing could be done. You can still take paracetamol tablets to get relief from pain. I highly suggest you to see a doctor and get the treatment after proper investigations. Best regards,
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Hi I have been diagnosed with peripheral pparasthesia in both my feet. My Dr cannot find a reason for this as there are apparently lots of causes...mainly diabetes...but I m not diabetic. What is the best p medication for this problem....I m on Cymbalta for depression/anxiety but am reading this is also a helpful for paraesthesia. I was on Lyrica (for a different problem) but h this did not help my feet either.....What would you suggest and have you ever heard of a natural cream called Emuaid that is purported to cure paraesthesia symptoms...Thanks Janet
Parasthesias CAN BE DUE TO SEVERAL CAUSES OTHER THAN DIABETES-PERIPHERAL NEUROPATHY DUE TO THIAMINE DEFICIENCY, VITAMIN B12 AND FOLATE DEFICIENCY, CALCIUM DEFICIENCY, HYPOTHYROIDISM, AND SO ON. SOMETIMES IT CAN EVEN BE DUE TO CONNECTIVE TISSUE DISORDERS LIKE SHE, PSS.KINDLY GET CV(NERVE CONDUCTION VELOCITY) STUDIES DONE TO PINPOINT THE DIAGNOSIS. GET A COMPLETE BLOOD COUNT(CBC) DONE ALONG WITH PERIPHERAL BLOOD SMEAR. ALSO, T3, T4, TSH WILL BE WORTHWHILE. IF CV IS WITHIN NORMAL AND THE OTHER TESTS DO NOT SHOW ANY ABNORMALITY, WE CAN LOOK FOR PSYCHOGENIC CAUSES LIKE UNDERLYING DEPRESSION OR STRESS. U MAY EVEN BE HAVING SOMATOFORM DISORDER IN WHICH UNEXPLAINED PHYSICAL SYMPTOMS OCCUR WITHOUT ANY UNDERLYING ORGANIC BASIS/ CAUSE. IN THAT CASE U CAN TRY TAB AMITRIPTYLINE 10 MG SLOWLY INC TO 25 MG AT NIGHT. Chat Doctor.
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my mom recently underwent an angioplasty and she is diabetic. the doctor has prescribed the following medicines amifru, tazloc 40, lanoxin,ecosprin 325,clopilet 75 prolomet xl 25,aztor 40, mixtard with 14 units in the mornin n 8 units in the evening and full 365 wgich is a multi vitamin.... the problem is she also has dry cough due to increase in levels of water in her body, n shes not able to sleep properly in the night, are there any better ways of water retention in the body?
Thanks for your question on Chat Doctor. I can understand your concern. Yes, increased body water can cause Chat Doctor. Actually increased body water causes Pulmonary edema (fluid in the lungs). Pulmonary edema is common in heart failure. Since your mother had angioplasty, diabetes, possibility of heart failure is more. So better to get done 2d echo to rule out heart failure. Best treatment of heart failure is restriction of oral fluids (less than 1 liter) and diuretic
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Hello Sir,My sun is of 4 year age, and his WIDAL test report is like :TO is + up to 1/40TH is + up to 1/80AH is + up to 1/20BH is + up to 1/20what is the meaning of this report is he in typhoid or not . please tell me sir as soon as possible thank you. my email id is YYYY@YYYY
Hello, Welcome to Chat Doctor, Widal test is a serological test used in diagnosis of typhoid fever, but it is not a confirmatory test. The typhoid fever should be confirmed by blood investigations and blood culture. As you have tested your sons blood for the tidal test the values of S Ty phi O antigen and S Ty phi H antigen are in normal limits along with the titles of S Paratyphoid. The report suggest that the titles are in normal limits, but it should confirm only by the blood culture. As per the reports he is not having typhoid fever. Thank you.
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hiAt very random points I get a very sharp pain in the back of my head behind my left ear. This just started a couple months ago. It doesnt happen very often but when it does happen its in the same exact spot every time, and doesnt last long at all, but is very sharp. like its there and then it gone. I havent had any head trauma recently so i was wondering what it could be.
Hello, You may have a stress reaction with your jaw such as clenching your teeth. This pressure can cause a radiating pain. Damage to teeth, muscles and TMJ (temporomandibular joint) can occur. The condition is known as bruise. There can be many reasons for bruise like stress, misalignment of teeth or problem in TMJ itself. The pain related to TMJ radiate to the entire face and even to head and behind ear. A night or causal guard can help reduce grinding habits. Consider scheduling a visit with your dentist for evaluation. A thorough dental exam with X-rays is recommended. Doctor may also do physical examination by checking movement of TMJ and may also order CT scan of TMJ. Doctor may prescribe muscle relaxant. For now take ibuprofen for pain. Hope your concern has been resolved. Get Well Soon.
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Hi, Im Sean Marsh and I have been exorcising constantly since the beginning of this month and have started getting these short delays in my heart with a sudden thud. Is there any cure for this problem? I hear that it is caused from stress. I went for a seven mile walk the other day and it started happening.
Hello! Thank you for asking on Chat Doctor! I read carefully your question and understand your concern. It is normal to have some ectopic beats and tachycardia during physical activity and anxiety. But a cardiac arrhythmia can not be ruled out, based only on your symptomatology. I recommend consulting with the GP for a physical examination, a resting ECG and some tests like: a routine blood test, thyroid hormone levels, kidney and liver function tests, blood sugar and blood electrolytes, to exclude other causes of cardiac arrhythmia. An ambulatory 24-hour ECG monitoring may be necessary to exclude possible cardiac arrhythmia. Hope to have been of help! Best wishes,
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Hello sir my age is 20years.My prolactin is very high its 197.56.I want to ask what could be the reason for this increase in prolactin.Is it due to rabee d ? I was taking this medicine for 2years but now i have discontinued it on the advice of my doctor.i have also taken medicine for depression few months back.Has it increased due to these medicines or there could be any other reason?I read that it also increases due to tumour.
Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : What causes increase in prolactin level? Is it due to ranee d ? Answer : Yes. Ranee D can increase Prolactin level. It is one of the well documented actions of ProlactinHope 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. Let me know if I can assist you further. Take care.
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The other day I landed on my feet and twisted my knee (I m a cheerleader) and it s felt stepperated and just wrong ever sense, I tumbled on it again tonight and when I got home I stepped on that leg and felt a snaping feeling in my knee and it made like a popping noise, iv never had a single body part swell before and it s got slight bruising oh and the pain radiates down my shin and back of my leg to my ankle
Hi, Thank you for providing the brief history of you. As the pain is radiating in nature, a thorough neuromuscular assessment is advised. This kind of pain occurs due to pinch of the nerve root in the lumbar spine and radiates down the leg depending upon the dermatome and motor regions. Also, with simple physical therapy, you should get maximum benefits. As per the research, majority of cases recover with physical therapy and have a better functional ability. RegardsJay In Chat Doctor.
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MRI BRAINMRI of the brain was performed using T1 & T2 weighted sequences in multiple planes.There is no signal abnormality detected in the cerebral parenchyma.The brainstem and cerebellum are normal.The ventricles, cisterns and sulci are normal.Intracranial vessels display expected flow void.Both the 7th-8th nerve complexes appear normal. No abnormal thickening or mass lesion is seenalong their course on this unenhanced scan. The visualised vestibulo-cochlear apparatus appearnormal.Polyp / retention cyst is seen in the left maxillary antrum.
Hi, Your MRI reveal retention cyst in left maxillary sinus. Retention cysts of the maxillary sinus are an incidental finding on radiographs. These cysts usually appear as rounded, dome-shaped, soft tissue masses, most often on the floor of the maxillary sinus. Most retention cysts of the maxillary sinus spontaneously regressed or showed no significant change in size over the long term. , in the absence of associated complications, "wait and see" may be the appropriate management strategy for these retention cysts.
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hi Ive been having a pulse in my stomach for about 2 weeks doesnt really hurt just bugs me I dont really notice it during the day except when I sit and lay I am 18 I have stress and anxiety I am 5ft 5in male I weighed 125 a couple of months ago and stopped working out due to a concussion and gained about 20 pounds recently
Hello and welcome to Chat Doctor. Thanks for your query. Your symptoms could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Regular physical exercise, diet control and adopting a healthy lifestyle are also essential in your situation. Wish you all the best.
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Hi, Im a 39 yo women from Malaysia. My height is 169cm & weigh 78kgs. Recently I was diagnose with low HB count at only 5.5. I was told to undergo blood transfusion immediately. After given 3pints of blood, basically Im ok now with lesser heart palpitation. What shall I do to maintain the HB besides taking iron tablets as prescribed by the doctor. Second question is, Im also planning to get a 2nd baby and recently my gynae prescribed me some fertility pills. How will the blood transfusion affect the baby if Im conceive within these period, which may be like in 1-2weeks time.
Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. Taking iron tablet is the heart of all anemia treatment. You can eat high iron diet, like wheat, days, etc. Regular exercise in early morning also helps to improve the hemoglobin. You should not plan for second baby until you get your hemoglobin level near normal. Blood transfusion adds more of antibodies in your system. Antibody increases chance of Rho antigen incompatibility. Glad to answer your further concern contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor
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my tmt stress shows:-graded exercise summary:-Bruce Total excercise time 10.19Max HR: 191 bpm109% od mZ PEWSIXRWS 175 BPMMAS bp: 200/120 maximum workload: 12.2 metsReason for TerminationComments: good effort tolerancenormal HR/Hypertesnsive bp responseno angina arrythimia dysponeasingnificant st-t changes noted during the peak exerciseover the baseline ecg persisting lead3 in the early recoverystress test is border line positive for inducible ischemia.
Hi, Your TMT test showed that most probably you have narrower or blocked heart vessels. Sometimes we can have false positive results among hypertensive patients, which means, that we can notice changes indicating heart vessel problems during the exercise test, when there is no disease, actually. So in such cases like yours we go for further tests to be sure if there is a heart vessel disease. Take fearsome back if you have any further questions
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um well i have a lump under both my nipples and if i apply pressure it hurts or if i hit something but im not to worryed about it and my mom knows and i asked my big bro if this happened to him and he said yes so i just wont to ask is it fine also my family has no history of any cancers or diseases nor breast cancer
Hi, dairy have gone through your question. I can understand your concern. Your age and sex is very important in this case. Please tell me your age and sex. If you are male then it can be due to gynecomastia. If you are female then some other cause like fibroadenoma or fibrotic disease may be there. So please give me information so that I can help you further. Thanks for using Chat Doctor. Wish you a very good health.
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i have been taking 325 mg asprin since i turned 40. i am now 68 is there any risks as i take it to keep my blood on the thin side and for good general health. no doctor has ever said to stop taking it. now i read all these research reports about kidney damage is that a lot of hype.
Welcome to Chat Doctor...you are taking 350 mg aspirin ...but for what condition your doctor prescribed you this .as aspirin is a very good prophylaxis for irregular heart beat ...cardiac disease as CAD or cerebrovascular condition as TIA or PAST stroke . As these are standard cases where aspirin bis prescribed ...you may take baby aspirin of aspirin 100 or 150 mg per day .but the research papers say one thing but hide second .so better consult a doctor ...now if you have above-mentioned conditions you have to take aspirin may be 100 to 150 mg .
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Hi doctor, I am a women of 56 yrs, I am allergic to cold, dust, smell etc.and for last several years I get cold and after I wash my hair I get cold at head and get pain in upper back and head gets heavy and also feel little breathing trouble. I take Montek-LC tablets, is it good for me
Hello, Welcome to Chat Doctor, As you are having symptoms of allergy for last several years which is making you uncomfortable because of the allergy. I would suggest you to test for absolute eosinophil count (AEC) in blood to confirm the presence of allergic reaction. Then you have to test for the most prevalent allergens like food, dust,pollen and mite, which helps to know the allergen which is causing all these symptoms. You can take Tab Monte LC, which is an excellent Chat Doctor. After identifying the allergen causing these symptoms you can take immunotherapy, either subcutaneous immunotherapy (SUIT) or sublingual immunotherapy (SLIT). This will help to control the symptoms of the allergy. Thank you.
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I went to the dr and then emergency tuesday, I thought i was having a heart attack, They did an ekg and said that i wasent. Why do I have shortness of breath and it feels like my heart or surrounding area, is in a charlie horse feeling??like a bad muscle cramp?
Thanks for your question on Chat Doctor. I can understand your concern. First, no need to worry about heart diseases because your EKG was normal. Sometimes stress and anxiety can also cause similar kind of symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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After I masturbate for a long time and ejaculate, I get an intense cramp on the right side in my abdomen. The cramp is about 3 inches below my belly button and 4 inches to my right. The cramp goes away in about a minute. It feels just like a leg cramp, but it is in my groin. It is on about the same level as the top of my hip. It feels like it is just a couple of inches below the skin, not very deep down. This happens about once a week. I masturbate at least twice a day. I am a male, 60 years old, have diabetes and high blood pressure.
Degree understand your concerns went through your details. Please understand you are already 60. I sincerely suggest you to reduce your masturbation frequency from twice daily to twice-weekly. Though masturbation do not have any negative health effect, it does consume a lot of energy. At your age your body may not be able to manage such loss of energy which is resulting into muscular cramps. Please do consult your physician for second opinion. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.
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patient is suffering from angiodysplesia(obscure G.I.bleeding) for 8yrs. she has low haemoglobin level at around 7.5-8%. has to be transfused blood every 4-5 mths. she has been diagnosed with ischemic heart...chest pain, breathlessness in performing daily chores and especially climbing bed. pls advice
Thank you and pleased to answer you. The term intestinal angiodysplasia has been defined as a superficial acquired single or multiple acquired vascular lesion developed in the mucosa and / or submucosal of the gut wall without being associated with a cutaneous or visceral animators lesion. The etiology and pathophysiological mechanisms leading to the formation of angiodysplasia are not yet fully understood. A hypothesis developed by Bola is the appearance with age of a chronic partial obstruction of the submucosal veins in connection with an increase in contractions of the muscular layer of the colon wall. Investigations leading to the diagnosis of angiodysplasias are closely related to the clinical presentation and severity of digestive bleeding. The development of endoscopy techniques and the quality of video endoscopes used, particularly in terms of image resolution, make endoscopy the first pathway for the diagnosis of angiodysplasias. Treatment is indicated when there is external bleeding or when the bleeding is occult, after eliminating any other cause of bleeding. Asymptomatic I mean non-haemorrhagic, angiodysplasias of incidental discovery should not be treated. The principle of argon plasma coagulation treatment is based on the simultaneous release of an electric current and a gas, argon, which in its ionized form will destroy, in a targeted way and without contact (3 to 5 mm Of distance), the superficial mucosa (0.5 to 3 mm deep), destruction done with an electric arc. It is the reference technique for the destruction of angiodysplasias, whatever the location. Electrocoagulation treatment, or coagulation of angiodysplasias with hot forceps, was performed in the 1980s but is no longer recommended because of the high risk of perforation. The patient also has anemia following recurrent bleeding, and therefore what explains the symptoms. However, treatment is not only based on transfusions, but also on argon plasma coagulation to stop hemorrhage. A recent retrospective study showed a significant reduction in transfusion requirements in all patients treated with argon plasma coagulation. However, hemorrhagic recurrence occurred in 42% of patients after an average follow-up of 4.5 years. In this patient, the anti-aggregation treatment for ischemic heart disease should not be interrupted because of the risk of harming her life expectancy. The heart procedure indications which formally require further anticoagulant treatment may lead discussions with the patient, the surgeon and the cardiologist about the indication of a segmental intestinal surgery. May this information help you Best wishes