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ηζθΏ°εηι«εΈει‘γ | My mother is 76 she has had a triple by pass 10 years ago - she constantly tells you the same story over and over again - she lives alone and i can t decide if this is loaneyness and just feels the need to talk or if she has a dymatia problem - can you advise how to proceed with her . She is very private - and not an easy person to engage with - always has been - i was going to speak to her doctor - but fear if she found out i ant behind her back what would happen - she would not be adverse to not speaking to you for a year if she thought you we disloyal - Thank you for your advice . | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your mother has dementia. Well there can be many reasons for symptoms you mention in query like Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia, nutritional deficiencies or vitamins B-6 and B-12 in your diet. I would suggest you to consult neurologist for proper examination. Doctor may order cognitive and euro, psychological tests, neurological evaluation, CT or MRI, blood tests to confirm the diagnosis. Doctor may prescribe donepezil, meantime or recommend occupational therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | i develop a lump on right side of my neck directly under my ears is the side of a grape...2 days ago it happend over night and at firs was very tender now it dosin t hurt.....but i also seen to be findind some tender spots in my right side of the head. i have been in a lot stress in the past 2 weeks | Hello and welcome to Chat Doctor, Multiple swelling on side of neck could be due to lymph node enlargement; swelling of salivary gland; soft tissue swelling like muscle swelling, fibrous tissue swelling, etc. A tender swelling is probably due to lymph node enlargement. An infectious focus can lead to painful lymphadenitis. However, an ultrasound of neck along with aspiration cytology is required. In aspiration cytology, cells are aspirated from the swelling using a thin needle. The cells are spread on slide, stained with appropriate stains. These cells are examined microscopically and origin and nature of lesion is assessed. Treatment can be instituted after results of investigations is received. Reactive lymph node enlargement does not require any treatment. Control of infectious focus in head and neck will treat the reactive enlargement. Thanks and take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi My name is Nikole and I am 20 years old. I am having serve lower adominal pain. My Last Period was on Spet.21st.2011 and I am ovulating according to the Ovulation Calculator: Based on your answers, youre likely to be most fertile from Sunday, October 2, 2011 to Friday, October 7, 2011. If you were to get pregnant during that time, your due date would be Wednesday, June 27, 2012. So with that all said, Do you think I should go to the doctors to check my self out? I am in so much pain I think its a UTI but I dont know. Please Reply to me. | HIT hanks for posting your query to Chat Doctor. It is always better to get checked by doctor if problems are severe. Yes the possibility of UTI is high, but other causes like infection of intestine, Appendicitis, Kidney stones have to be ruled out. For that you need to get Ultrasound Abdomen pelvis and a urine routine test done. Get these test done and revert to me with reports. Hope this information was useful to you. Any clarifications feel free to ask. |
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ηζθΏ°εηι«εΈει‘γ | Hi Dr. Praveen Thank you for the generous offer to follow through with my right shoulder problem. It was 30.6.2014. It has not changed and there still is a raised, bony feeling bump on the end of my right shoulder top. Very pronounced. I feels as if it definitely does not belong. The pain is subliminal and only when I have not used the shoulder for some time. It feels bony, hard and full. I do not know whether I should wait a little longer for an improvement or seek specialist attention. I have full movement without hindrance, BUT there is that bony, hard protrusion above the shoulder. I have not dared to use full strength on that shoulder and dare not use my bicycle on hills. I feel that there is not full strength but I have not tested it. Thank you for your help and generous attention. Affectionately Peter Kurz | Here it can be related with frozen shoulder or shoulder joint soft tissue damage, as well you also have mention protrusion over the shoulder joint. I want to know this protrusion is recently started or it's there from birth as well is it present even when your hand is down resting and there is no movement in shoulder joint. Or it comes only while moving your hand up with shoulder movement. If it is there from birth and even at resting position then its normal but if it comes only while moving hand up along with shoulder then its biomechanics of joint which is affected and so that you are feeling it as shoulder protrusion. Here one more symptoms you have given is bone tightness at shoulder. It can be due to less movement also. So the surrounding soft tissues have become tight. I suggest visiting or tho or physio doctor get it examine properly if needed they may ask for MRI scan. And based on diagnosis if there is mild to moderate issue that will get over with physio treatment and exercises suggestion. If there is major damage to soft tissue or joint capsule then you may need surgical correction and then again physiotherapy treatment for further healing and rehabilitation. You can also use hot and cold pack over your shoulder painful area for further pain relief. I am sure you will recover soon if you follow all above given steps. Take care. |
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ηζθΏ°εηι«εΈει‘γ | i have abdominal pain on my right side under my ribs and it keeps me up hours at a time. i dont get it all the time. only after i have had fried or fatty foods. from the little research i have done, i think it is my gallbladder . what can i do to stop/prevent this pain from happening again? i have slight relief after a bowel movement and when i scrunch up a certain way, but my relief is always short lived. the pain sometimes lasts 3-6 hours. one night it lasted from 10pm to 6am. | Hi, thanks for your inquiry. It could be a possibility in this case. Gall bladder disease is usually seen in patients who are fat, over forty years of age and after eating fatty foods. Other symptoms could present similarly. A chest X-ray, and abdominal ultrasound and serum bilirubin levels, and gamma amino but uric acid could be help. I suggest you meet your internist for a proper medical evaluation. Thanks and best regards, Luchuo, MD. |
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ηζθΏ°εηι«εΈει‘γ | I was diagnosed with an upper respiratory infection on Thursday, Sept. 11. I ve taken Zithromax daily, received a Decadron shot at doctor s office, and take prescribed cough meds at night. My cough is not as productive as it was earlier in the week, AND my temperature has started to spike in the evenings. Should I return to my physician? | Hello, Welcome to Chat Doctor, As you describe, it seems like you are suffering from an upper respiratory tract infection. Little laziness is common with any infection in our body. It can be well treated with antibiotics and antihistamines for a few days. For my patients with similar symptoms, I usually give antibiotics like amoxicillin+clavulonate(if not allergic to), along with paracetamol and antihistamines like levocetirezine for 5-7 days. Also avoid dusty/cold atmosphere. Avoid cold Chat Doctor. Do warm saline gargles 3-4 times a day. Giving adequate rest to body and having a healthy diet with fruits and veges will speed up recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am a 49 year old healthy female. For the past 10 days my chest has felt very tight and somewhat difficult to catch my breath. I thought it could be bronchitis, since I have chronic bronchitis and seasonal allergies which when acting up will manifest in my chest. I saw my physician who put me on an antibiotic . After 7 days I still had bad chest pains and no productive cough. I called him and he ordered a chest X-ray . The X-ray came back clear so he ruled out pneumonia . The chest pains worsened so much that it felt like an elephant was sitting on my chest and I became very hot and sweaty, difficult to breathe etc... I am a single mom so I was trying not to scare my 9 year old daughter. My brother and mother came over and while my mom watched my daughter my brother took me to the ER. My EKG came back abnormal, low frequency and early pulmonary disease. I was a smoker back in high school, college and my 20 s. They have recommended I see are cardiologist which I am on October 10th. However since my episode which was this past Wednesday pm, I am experiencing terrible pain in my pectorals, shoulders, neck and upper back area. The pain has not subsided and I can barely even change my clothes. To add to this, I am experiencing chest pains again today with severe tightening feeling like the elephant is back sitting on my chest. Im light headed, and having periods of feeling hot. Is this something I should go back to the ER for or am I just overreacting and should wait for my appointment with the cardiologist? | Hi, Welcome to Chat Doctor. After going through your history, I must say you have given clear picture of your problem. You are having Chronic bronchitis along with allergic seasonal acute exacerbation, but are you taking inhalers or medicines for breathing problems?. As chest pain was severe and EKG was done which may be low voltage and clockwise rotation, with right axis deviation, which may be Cor pulmonale that is effect of lung disease on heart. If pain is severe a repeat visit to ER with repeat EKG is warranted as heart problem can not be ruled out, so kindly get a EKG, if nothing significant is found then you may be wise to take any safe analgesic. Then you can wait for cardiac evaluation. Feeling of hot flashes could be due to age ? Perimenopausal hormone changes. Take Disregards |
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ηζθΏ°εηι«εΈει‘γ | I am having upper right abdominal pain. I have nausea with it. I thought it was a gastro bug but everything I have one at home has not worked. It seems to get much worse at night and the pain radiates to my shoulder and back. I am trying to find out if I need to go to my PCP, or if this is an ER visit. | Hi ! Good afternoon. I am Chat Doctor answering your query. From your history, it goes more in favor of an attack of cholecystitis (infection of the gall bladder|), the pain being referred to the shoulder region. I would rather advise you to report to the ER of a hospital nearby, so that along with a general physical examination, related investigations like an ultrasound could also be done at the same instant for confirming or excluding this diagnosis. Till then, I would advise you to go for an anti-emetic, a proton pump inhibitor, and an anti-spasmodic Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi i have this really bad pain in my lower left side of my back ive had it for a month now when i get out of bed it hurts and when i bend over to pick up anything and geting up from a couch im only 27 years old and i did have kidney problems 6years ago and spent three days in the hospital are my kidneys shutting down please help | Dear patient There are two possibilities 1. Disc prolapse at lumbar spine 2. Renal stone. Since you have previous kidney problems possibility of renal stone is likely but according to your symptoms' disc prolapse is more likely. I would advise radiograph of lumbosacral spine anteroposterior and lateral views and MRI of lumbosacral spine. Both would help in confirming and excluding diagnosis and treatment can be planned accordingly. Meanwhile, start tab diclofenac plus thiocolchicoside combination twice a day and tab vitamin B12 plus pregabalin 75Β mg at bedtime for pain relief. |
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ηζθΏ°εηι«εΈει‘γ | I noticed it last night. When I went to sit down or I put pressure on my abdomen it really hurt. And tonight, my stomach hurts whenever I stand up like whatever is inside is being stretched out. My past medical.... My pancreas was inflamed. (Actually it could have been my appendix) Im not sure. But I cant suck my belly in, it hurts too much. Am I dying lol? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). It may be acid peptic disease or recurrence of pancreatitis. So I will advise you to visit a Gastroenterologist who will evaluate you and treat accordingly. Meanwhile, for pain you may take a proton pump inhibitor and an analgesic containing tramadol and acetaminophen. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. |
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ηζθΏ°εηι«εΈει‘γ | Hi. I have had recurring staph infections on my face that I ve been treated for over the past few months. Yesterday I saw the Dr for what I thought were canker sores in my mouth, that developed into bigger ulcers under my tongue. I was given 3 shots, plus I m on acyclovir. He wants me to stop the use of biological for treatment of my RA. My question is, today I have the chills like crazy. I checked my temp and it is 96.6. Should I be alarmed? | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that you should start mupirocin ointment for local face lesion of Staphylococcus aureus. For chancre, you should start with Doxycycline treatment under your doctors' guidance. Rest of the treatment are good enough for your treatment. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor, i m kishor from mumbai,age 30,height 5.6",weight 73kgs. i m suffering hair loss from past 5years...i went to Dr.Batra for treatment and was using the medication for 10months but there was no result. My friend suggested me to go to dermatologist for the same and so i visited Dr.Deepa Kanchankoti, she suggested me Minoxidil10% to apply on scalp and tablets Xtraglo,Finasteride,Autrin(capsule of ferrous fumarate with Vitamin B12& folic acid). i want to know whether this tablets have any side effects and is it going to help to regrow my hair. If "yes" to my regrowth, then by how much percentage,whether it will be thick or moderate. My second question is will i have to use these medicine throughtout my life, if "yes" to this one also then wont it effect the system of my body. Thank you. | Hello. Thanks for writing to us at Chat Doctor You seem to have an Chat Doctor. Minoxidil and Finasteride have approval for use in this type of hair loss in males. Xtraglo contains Biotin as the main active ingredient. Biotin has an added advantage in hair loss treatment. It promotes utilization of protein in hair and thus plays a role of an adjunctive treatment, though it is not a specific treatment modality for an |
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ηζθΏ°εηι«εΈει‘γ | hello sir, one of my relative is affected from tifoid for the last 3 days. treatment is goin on but cant stop the vomiting. eat someting or taking a glass of water also resulting in vomiting. would u pls suggest some diet.also they r givin saline or glucose water continuously...is it fine? | HI, thanks for using Chat Doctor The use of the saline and other IV fluids is fine to help give back any fluids that are being lost with vomiting. Your relative should hold off any solid food till there is a 4-hour time period with no vomiting or diarrhea. If she/he uses food before this time, vomiting will occur because the body is not ready for it. When Chat Doctor. If a whole glass, is used vomiting with occur. For an hour, she/he should use 1 tsp to 1 tbs every 5 minutes, if this is tolerated, then this can be increased. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | I am Evan from Bangladesh.i want to know about meladerm cream.how does it work? Is it good for skin? if this product good for skin i will purchase this. i am searching this product all over Bangladesh.but cant find this. please help me to provide this answer where can i found and how much ? | Hello, I can understand for using the mesoderm cream for your skin. This cream basically contains comic acid and vitamin C as its main ingredient which are though quite safe but should always be used under dermatological supervision. There are various type of skin textures, and accordingly we have to decide the product according to the sin type and skin pigmentation. So I always suggest my patients to use any of the cream under the supervision of a dermatologist only. I suggest you to use sunscreen in day time according to your skin type and plenty of fruits and good nourishing diet to make your skin glowing. So I suggest you to meet a dermatologist and get proper treatment for your exact concern for the skin. My all best wishes for your healthy and glowing skin. |
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ηζθΏ°εηι«εΈει‘γ | My 61/2 yr old son has mild pain and since morning, he vomited also 3 times initially sticky saliva then bright yellow color fluid mixed with little saliva then food consumed last night, some food came out in form of formed tube shape, after that he felt good but mild pain abdomen and nausea still there, pl advise. Regards | Hi. Thanks for your query. Hi since the child is just six and half year old, it is difficult to get a proper history. The pain, vomiting and the contents are suggestive for some obstruction in the intestinal tract or a form of a gastroenteritis. Keep a watch, if the problem is getting solved on its own, nothing to worry as this can be an abdominal flu or so. Consult a pediatric Surgeon preferably. You can give him oral water and other fluids if tolerating. If the vomiting continues or has any other associated symptoms, he may need to be admitted for a day or 2. |
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ηζθΏ°εηι«εΈει‘γ | Im working for Govt of India, been maried for 4 years. Now my wife is 39yrs and I 40 yrs. No conception even with iui. All tests are showing normal. Now I want to know whether there is infertility treatment like tube surgery and ivf under central government health scheme? | Howell come to ChatDoctorI really appreciate your concern. Discussion:- I would like to say you that pregnancy is more or less is natural phenomenon than the physiological one and some time it may not need any treatment, with obvious abnormality conception being noted and with everything are normal conception is not happening. Medication:- No specific medicine needed. Advise:- keep trying for conception on natural way. Comments:- Age would be great matter of concern and with the age chances of conception reduces. Hope this information helps, take care and have a nice day. |
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ηζθΏ°εηι«εΈει‘γ | Hi, iam 39 years old female. Few months back i had permanent filling in molar tooth ...cavity was slightly deep. Now often i get pain. Same doctor adviced me to provide a medicine in my tooth and have permanent filling and if it doesnot work she suggested me RCT. My question is if the cavity was already deep why didnt she suggest me RCT or medicine that time itself? Ad now i have a doubt whether to go for medicine or straight away for RCT? | Hi, Thanks for asking TH query, Pain can be because the cavity is too deep and the filled material comes in contact with the pulp , or the infection had already spread to the pupal tissue. Visit to the dentist get checkup done . Take an x-ray. Take full course of antibiotics and analgesics. The treatment will be RCT. Unless the tooth is devitalized, disinfected and sealed to the apex you may experience pain . Use 0.2% of chlorhexidine mouthwash solution gargles thrice daily. Hope this helps out . Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi ... My mom has been diagnosed with high cretinine levels. Since last 3 months she is on medicines. She has no problem in passing urine and feels hungry too but even with medicines the creatinine level is shooting up. She started with 4.5 level and now it is around 7. The doc says with med it increases but should come down then. In between it came down too a couple of times. But since last 2-3 days it has shoopted up to 6-7 levels. Earlier it was between 5 and 5.5 10 days back. Now doc has suggested renolog med for 3 weeks and see if it comes down else suggested dialysis . Please help as if the med is ok or not. Before renolog he even gave Cudo Forte for 10 days which helped in geeting the levels down from 5.8 to 5.1 | Hello Saurabh, greetings from Chat Doctor.come am Chat Doctor. Your mother has been diagnosed with high creatinine levels recently less than a year, you have not mentioned her blood urea and uric acid levels which is very important in your mothers case. Also, I would like to inquire about her co morbid conditions like diabetes, because we have to rule out any medicinal cause of increase in creatinine. You have not mentioned the age of your mother but if she is less than 50 years then please get ultrasonography of whole abdomen with renal Doppler study, which will rule out any structural abnormality. We have to be sure it is primarily a kidney disease and not secondary to other cause, as if your other have kidney disease then she has to lead very disciplined life also need a lot of support from family members. If she is an established case of chronic kidney disease I ask you to restrict protein in her as it may lead to increase in creatinine. The medicines you mentioned are new supportive medicine which is used to renal health. Although no substantial trials have been publishes, small trials with some patients have revealed it to be beneficial in preserving kidney function and prevent further damage. There is lot to discuss kidney disease and I have tried to give some idea relevant to your mom. For more information discuss with her doctor. Hope Io have been lucid in her approach. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi,My daughter is 30 Months old and every day evening time we have to give her one res pule of Asthaline through nebulizer for cough. Every evening / night time she is having the cough problem and as soon as she take the asthaline , it will be OK for her for 16-24 Hrs.Kindly suggest us your view . Could we add some other medicine / syrup.Regards,Amit Srivastava | Hello dear, welcome to Chat Doctor forum. Probably child us suffering from asthma. We should have a detailed assessment if not already done. If it is able to control with nebulizer, it is fine as it avoids side effects of oral medications. If this causes repeated attacks, we may need to add steroids or oral medications. Your pediatrician will guide you.Meanwhile, keep the room dust free. Avoid cold climate. Avoid direct blow from ac or fan. Take care. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have been having a lot of abdominal pain. I do have endometriosis, cysts on ovaries, and had half of my right ovary removed and part of my right tube but this pain seems to be more related to my bladder. I had a UA done and it was normal all except my specific gravity was low and the culture only showed insignificant growth. Also I guess I should mention that I also am B12 def and high folate (not sure if this plays anything into this). I do void quite often and there is a lot of pain that is relieved by voiding. It is not all the time but can last for a week to a few weeks and then I feel better until it happens all over again. My Drs dont seem to think anything of it. They just say everything is normal | Hi. Thanks for your query. After reading your history carefully about pain in abdomen and frequency of urination I would suggest you the following. Endometriosis need an active treatment with the help of medicines. The recrudesce can be the reason for the recurrent pains. IF possible it is better to get another diagnostic laparoscopy to see if further surgery can help you. Another issue of frequency of micturition but negative urine tests can be due to stress and anxiety. Urological evaluation including urethrocystoscopy and flowery during the attack can help a diagnosis and an anxiolytic may be tried. Culture of the urine for anaerobic bacteria and tuberculosis can give a hint. |
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ηζθΏ°εηι«εΈει‘γ | Lately When I lay down, or even after I lay down I have been having the sensation of blood rushing to my head. I ve been having right side head ache pain, and discovered a soft spot behind my ear that made my head pulsate when I happened upon it. Advice? I do appreciate your time and thanks in advance for any help in this matter. Today I had a horrible headache that radiated behind my eyes and right temple. I have a history of aneurysm in my family. Mildly concerned. 27, female. | Hi, I had gone through your question and understand your concerns. Fisrt of all, I would exclude any of your headache history being related to any aneurysm. It is true that people who have family history for brain aneurysm are at greater risk for harboring an aneurysm, but this does not make an indication for radiologic screening. Considering your headache being on the right side, I would recommend the family GP to take a history on a possible migraine type of headache. The sensation of blood rushing is nothing serious nor your spot which may be a simple inflammation. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | i have had psoriasis for 30 years.. i am large breasted and have worn underwire bras for 30 years.. i have had a red rash and cuts, slice like cuts under my breasts, when i lived near the ocean i could control the rash, but i have lived away from the ocean for 6 years and the rash is worse and just seems to be getting larger, it is bright red, i have been told my doctors it is fungus, it is nickel allergy from the underwire, i have been given lotions and creams, nothing works, the rash is on the under side of my breast, in the crease of my breast and on my trunk, any ideas, is it nickel, or steel in the underwire, or fungus, im looking desperately for a company that makes strong support bras without wires. | Hello. Thank you for writing to USI suggest a likely possibility of fungal infection/ intertwine Or it could also be intertriginous psoriasis considering that you have a history of psoriasis. Body folds like sub-mammary area, groin etc. trap moisture and warmth and therefore provide an Ideal environment for the fungus to grow. Psoriasis too can affect body folds and presents as bright red patches with a lot of itching and burning sensation. If I was the treating doctor I would have started you empirically on a topical antifungal+steroid combination cream e.g. clotrimazole 1%+beclomethasone propionate 0.025% cream, twice daily. The steroid part would take care of the inflammation i.e. itching and redness whereas the fungal part would help control the fungus.Moreover, intertriginous psoriasis is a steroid responsive condition and topical steroids are Chat Doctor. Since the affected area is quite large therefore I would also suggest an oral antifungal e.g. fluconazole. An OTC oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching. Topical and oral antifungals need to be continued for 4-6 weeks. Regards |
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ηζθΏ°εηι«εΈει‘γ | I am 34years. I had my period 24th march through 27th march. By 29th of march I had sex with my husband.by 31st - 2nd April I had brown bleeding that was slightly heavy.then I started having sore breast and nausea. I had a blood PT on the 10th of April that showed a low ChatDoctor. Because we are not ready for another baby I used cytotec on the 12th of April. And I bled for that day and spot the nex t day. My problem now is I still have sore breast. I even feel its getting fuller. Sometimes I feel dizzy with slight pains on my pelvis. I have repeated the PT but all negative. I have done scan but nothing. Could it be an ectopic? | Hi, In the current scenario, I would ask you to see a gynecologist immediately as you had self-medicated yourself. It is essential to confirm the presence of an intrauterine pregnancy and also the age of gestation before having any type of abortion and this should be done under the surveillance of an expert. Also, day 1-day 11 and day 18- day 30 are considered safe in a 28-30 day cycle. Hope your query is answered. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I have a persistant cough for the past 3-4 months. I was tested and cleared of having whooping cough. I had other health problems in the past 6 months including a white tail spider bite, and a lump removed from my foot. My doctor said to come back if the cough did not clear but I am sick of taking antibiotics. What can be the cause of my cough. It keeps me awake at night.Regards Marie | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. You are having chronic cough, which is not responding to the antibiotics. So we need to rule out following possibilities.1. Chronic infection like tuberculosis2. Bronchitis. So better to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chest x-ray is needed to rule out infections like tuberculosis.PFT is needed to rule out bronchitis. So I advise you to first diagnose yourself and then start appropriate treatment. Haphazard use of antibiotics should be avoided as it can delay the recovery and increases Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am 15 years old and female. Last night I woke up with extreme stomach pain but eventually went back to sleep. This morning though I woke up with it again onoy worse. I went to my bathroom and was in there for about 45 minutes. Along with that my stomach was gurgling, I had dirreha, felt nauseous, and had belching. If thrres anything I could do please tell me. | Hi and welcome to Chat Doctor. Thank you for your quarry. It sounds like stomach issue. All this is caused by high acid secretion which is found in gastritis, HERD or hiatus hernia. These disorders can cause such difficulties, and you should do gastrostomy to evaluate this. Symptoms that are experienced in such conditions are pain and tightness in upper stomach, bloating, breathing difficulties, heartburn, feeling of lump and sore in throat, gurgling sound in throat, fatigue and loss of appetite. Symptoms are aggravated after meal, long sitting, leaning forward, stress and anxiety. In the beginning this is treated by changing dietary habits. You should avoid alcohol, coffee,smoking, fats and fast food, carbonated Chat Doctor. 1 hour after meal you should not sit or lay. Also lay with elevated upper body. If you are overweight you should do often exercise a dlose weight. Second option is gallbladder stones, and you should do ultrasounds to rule this out. Wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | What is that stinging feeling in my head? It goes away for a while and comes back. I can feel it on my head or brain like an electric burning sensation. Just like when you drop a toaster in water and the electricity goes out of control. Thats what it feels like. It feels hot too. | Hello dear friend, You did not mention that for how long you are having this complaint. It is a non-specific type of complaint as far as clinics are concerned and does not point out towards any definite etiology. At this point of time, i suggest that you try to relax out by doing some mental relaxation exercises, yoga,meditation and likewise. It may help as it may be a manifestation of anxiety. Keep observing, if it still persists, please consult with your physician so that he may take a detailed history to find out something relevant, if at all, it lies in. I hope it helps. |
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ηζθΏ°εηι«εΈει‘γ | my younger baby is one and half old. she have cold running nose twice in a month but there is no solution for that please prescribe some medicines. currently given medicines are levolin, relent. if the cold is severe we have to nebulize 2times per day does nebulization is good for my baby. | Hi... Thank you for consulting in Chat Doctor. Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Or you can get back to me with answers to above questions. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | 29 yr old male / non-smoker / very light drinker Have had a kind of bubble thing at the back of tongue, going on for almost 4 years. It is highly movable, flexible . . . like a small balloon. It protrudes when I stick my tongue out as far as I can . . . it s located right where that flap of skin meets the tongue. It is squishy and pink . . . it doesn t hurt to the touch either. There isn t pain and I can t really tell it s there . . . hasn t gotten any larger either. I first noticed it after getting a chili pepper flake stuck in that part of my mouth . . . it s been there ever since. I think it s a swollen tastebud or something but sometimes I m a hypochondriac. I cannot afford to see anyone right now and I m just looking for whatever reassurance someone can provide. The surrounding tastebuds are slightly swollen on that side too. I have a slight crossbite with my molars, as the result of two missing incisors on my top bite. Additionally, one back molar feels a little jagged . . . maybe that s it? | As per the description given by you the location, duration and appearance of the lesion-bubble like, no pain on touching shows very less possibility of infection as it is chronic and do not accompanied by the pain. It can be the lesion caused by the spillage of the Murine from minor salivary glands located at the floor of the mouth. If it is not making you any trouble let it be there until you visit a dentist or a physician. But you should definitely concern to the doctor to evaluate it by examine and if it is a lesion what I said, it should be excised. There is nothing to worry much as you get time and fill comfortable visit your doctor. Hope you are satisfied by explanation. Regards. |
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ηζθΏ°εηι«εΈει‘γ | How do I know if I have social anxiety for sure? I am 16 years old and I am scared to go anywhere in public!I always start sweating when I am anxious and panicking And if I am in a busy shop I just walk out and leave. I avoid social situations such as family meet ups and at school, I feel embarrassed to talk in front of anyone as I fear I will make a fool of myself. I haven t got many friends but that s because I find it hard talking to people and giving them eye contact. I haven t told anyone that I think I have it and I am really scared of how to tell them | Degree understand your concerns went through your details. I suggest you not to worry much. From the description, I can conclude that you have social anxiety, of course. But how much deep-seated it is, need to be found out. For that you may have to meet a clinical psychologist who will administer a psychometric assessment. Then we have Cognitive Behavioral Therapy exclusively charted for social anxiety, which can be administered on you. The CBT is very effective for social anxiety and the success rate is almost 95%. You can post a direct question in this portal with all your details, then I shall prescribe some CBT methods and exercises, which I am sure that you will be cured. Practicing CBT methods are also easy. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I have Lump on the left side of the groin. It was small for a while and soddenly it start grow. I noticed that spot in August last year. I have been on the business trip. It was bleed once with very bright blood. After a few days my lump shrinked. Now it much bigger and I feel pain (nor the sharp one) if pressure it. I did not do any physical lifting recently. | Hi. Thanks for your query. You are giving a history of bleeding once. Noe the lump is growing fast. It is possibly a hematoma or some tumor which is vascular. So this can not be taken lightly. You have to get investigated first before any decision is taken. I would suggest:::Routine blood and urine tests. Ultrasonography with color Doppler mode to know what this lump is and to know the blood supply. IF necessary a contrast enhanced CT can be done if this is thought to be vascular. Surgery is needed and will solely depend upon the final diagnosis. |
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ηζθΏ°εηι«εΈει‘γ | My mom was bending the freezer this afternoon, when she experienced a loud snap in her lower back. Now she has a localized pain in the middle and lower portion of her back. She is very sensitive to pain, therefore it is a little hard for me to gage how server it is . Can you advise as to what are the possible causes. | Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Can you advise as to what are the possible causes. Your Answer: The probable causes can be a slipped disc, slipped facet, (rare) Muscle Sprain, Strain (common)The Treatment should be bed rest for 48 hours. If the pain does not improve, consult a Neurosurgeon In Most Cases, the pain will settle by 48 hours Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have a pain(every so often) that goes from my belly button down to my clitorus. Usually it happens when I stand up but it feels like something is pulling to the point where its about to tear and it makes me drop to my knees. Is it something serious? Ive had three kids and get my periods regually, but I have been getting this pain ever since Ive had my first child who is now 6. Whats wrong with me? | Hi, Thanks for writing to Chat Doctor. The pain could be due to post-operative adhesions if you have had your child by C-section. To confirm that you need to undergo diagnostic laparoscopy & subsequent release of adhesions if present. Other possibility is of ureteric stone. As they may also present with similar symptoms. For confirmation, you need to undergo ultrasound scan of your abdomen. Hope I have been helpfulRegards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Good afternoon Dr. Four days ago I was diagnosed with kidney stones have been getting a lot of pain in my lower back ,on the scale of 1 to 9. I feel I been having this condition for at least a year it has grown much worse. My doctor put me on antibiotics three weeks ago for a week not much success. He just put me on antibiotics the middle of last week for a month . The medicine that I m taking is sulfamethoxazole/trimethoprim 800/160 tabs?I m leaving this week to go on Christmas vacation for three weeks should I do that or not.? The CAT scan and said that my kidney stones were fairly large. What else can I do? Thank you and have a Merry Christmas | HelloThanks for your query, based on the facts that you have posted it appears that you have large sized stones in your kidney (You have not mentioned size of the stones your query and location of stone). The pain that you have are due to obstructive myopathy due to stones and needs to be treated by endoscopic procedure either by Per Cutaneous Lithography if stones are located in renal pelvis or calyxes of kidney. Or by Ureteroscopy if stones are in the ureter. It is advisable to get treatment done before you go for vacation. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my blood pressure is 150/105 i workout between 4 to 6 days a week for 30 to 90 min wieght train with dumbbells 3 to 5 time a week different body parts eat smaller portions and 5 times a day small meals, i am 5 0 and 181lbs 42 yrs old female. what can i do to lower my blood pressure? | Hello, Are you under any medications? Are you a diabetic patient? For how long your blood pressure is quite high? Are there any other symptoms other than high blood pressure? I suggest you take a tablet Telmisartan once daily for three days. If your blood pressure is still high, I suggest you take an ECG and consult a physician. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | possibly, im suffering with extreme panic disorder which is causing me to vomit 1 - up to 8 times a day. I cannot deal with it, stinks I have NO INSURANCE here in the U.S. I went to see my Dr. today and they were going to prescribe me Xanax 2mg bars, up to 3 a day, and then they asked for a pee sample.... another $500 out of pocket I didnt have. Im lost, hopeless. wanna go to the ER and get help but not much cash.. :( de | Degree understand your concerns went through your details. I suggest you not to worry much. Anxiety is a disorder and not a disease. You must understand that disease needs medicinal intervention and disorders not. Panic disorder always follows anxiety. Extreme panic disorder might also cause vomiting. Anxiety is subjective. Anxiety is apprehension about a future event which we apprehend as embarrassing or fearful and fear the incident today itself, whereas there is no surety that such thing may happen in the future. We all know that it is foolishness (don't misunderstand me). You are doing that foolishness again and again. Please understand. Becoming aware of the foolishness is the first step of cure. Relaxation is the key. Now you need to do as per the advice of the physician who is treating you. If you do not have insurance, you should find other means. Sitting and lamenting about your fate shall become more dangerous than the panic attack. Please understand. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you in short term. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am 19 years old, seemingly healthy with a history of anxiety. I recently had CBC, thyroid, kidney, cholesterol, and glucose test and all came back normal so I am not anemic or hyperthyroid. For several years, when I go from sitting to standing my heart rate increases to about 110 and I get dizzy initially but I feel back to normal after about 30 seconds. My other symptom is when exercising my heart rate increases very fast very quickly. It often gets to 170. I feel fine when it does, and it comes down when I rest, but why does it get so high during exercise? If I had SVT or AFIB, would the heart rate not stay above 100 even when I quit exercising? What does it sound like I have? Does this sound SVT or POTS? Currently, I am taking Luvox 200 mg. | Hi, Welcome to Chat Doctor forum. As you are concerned about this HR (heart rate) being atrial fibrillation or atrial flutter or SVT (supraventricular tachycardia), first, HR is usually more than 130 to 140 in these conditions, especially in SVT. Secondly, these disorders do not have any specific relationship with exercise or rest, meaning this does not start with exercising. It can kick in while resting all off sudden and can convert back any time. Your pattern is more consistent with sinus tachycardia. You may need a tilt test for diagnosis. Talk to your doctor. In addition, I would recommend you remain well hy ChatDoctor. This will help you with symptoms. For more information consult an internal medicine physician online |
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ηζθΏ°εηι«εΈει‘γ | Hi, does a VRE and MRSA carrier can live in a 6 bed board and care facility. Would the state licensing allows it? If they can what are the things to consider in taking care of people with these conditions so they wont be able to contaminate other people? Is isolation required even if they are not currently infected? | ARE stands for Vancomycin resistant E.cold and MRSA stands for Methicillin resistant Staphylococcus aureus. Both of Staphylococcus aureus and E.cold are normal inhabitants of our body and ALL of us are always carrying these bacteria. If tested in persons who do not have the disease, many of us will test positive for such bacteria. But still there is not much to worry about. In specific situations, when these enter our blood stream, they become pathological. There are all sorts of antibiotic sensitivity and resistance traits in a bacteriological pool. Out of that, on occasion, one strain gets identified. Once treated properly, the person would be cured of the infection and there is no need to think that he is a carrier. If a person has already been treated for the infection, there should be no issues with living in a multi bedded bearing facility and I do not think that the state licensing board will have any issues with the same. The simple precaution to maintain is proper health and hygiene issues that you have to maintain anyway. Not using anyone's usable would be recommended. Nothing more specific. I do not think that isolation is required if the infection has already been treated. |
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ηζθΏ°εηι«εΈει‘γ | Hello, My name is XXXX. I am having some problems with my health and no doctor can seem to figure it out. Back in November of 2015, I started awaking to a yellowish fluid in my bra. After about a week, I discovered that the fluid was coming from my right breast. I felt around my breast and discovered a small lump. I went to the doctor who, because of my age of 28, wrote it off as a fibroadenoma. I left it alone. I left the country for a few months, and in South Africa the leakage came back worse than before, so I went back again to the doctor. She had a ultrasound done and revealed that I not only had a Fribroadenoma, but also a Intraductal Papilloma, which would explain my leakage. That was back in March of this year. Over the months the lumps have gotten bigger, they hurt constantly, at least twice a day, and i feel three prominent new lumps that have developed beneath my right breast. I have not had a new ultrasound or mammogram done due to lack of funds. I have had blood work done within the last week and they all reveal nothing to be wrong. Not only am I in pain from my breasts, yes the left one hurts as well just no lumps found yet although a tiny one is popping up in the middle of my chest bone. I am also having serious body aches. Like, my muscles hurt like no other as if I have done an immense amount of days labor, sore, right down to the bones. My upper and lower back are in more pain than I can ever remember them ever being in before. My glands swell randomly, behind my jaw area, and my arm pits area. They don t stay swollen, they just swell as if I m sick but after about four to five hours the pain associated goes away, leaving me simply feeling EXTREMELY exhausted!!!! I can t stay awake to save my life. I don t know whats wrong with me! My head has been hurting, at least one headache a day, and I have the worst dizzy spells, EVERYTIME I stand up.....someone help me out here! I cant handle being cast aside as if I m just some crazy, hypochondriac 28 year old. I know I m not crazy, I know what I m going through is not normal! Whats causing these lumps to starting popping up in my breasts, why are they growing, and why am I feeling as though I have a forever flu??? | Hi, As per my surgical experience, the issue with both sides breast swelling with supportive symptoms indicate possible hormone disturbances induced fibroadenomas of the breast. An ultrasound of both breasts with hormone levels evaluation is best recommended at this point. Till that time, analgesic with anti-inflammatory action as ibuprofen with paracetamol serves best to relieve the pain and agony. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hey, my name is chemi, i broke or fractured my left baby toe over 2 months ago. i was hiking with sandals, my left foot slipped and dropped about 30cm,twisted outwards and hit a rock. i had really bad bruising , iced it, buddy taped it, walked with sandals, the works. i have it x-rayed, they said there was no breakage anywhere. i went to an orthopedist a few weeks later and he said there might be a fracture or ligament tear, and continue the treatment ive been doing. its been 2 months since the incident, and for the past 1.5 weeks the pain has severely incresed. i hit it around the head of the 5th metatarsal (right under the pinkie toe), and the pain generates from there. its a dull aching pain on the outer middle part of my left foot and it extends to my outer ankle and lower shin area. It wont go away and ive been doing nothing for the past 4 days because of it. i barely walk on my foot but the pain hasnt decreased AT ALL! im at a loss what to do, i really dont know what more i can do and why it hurts so bad. its been 2 months already and its just getting worse. i included an x ray from a few days after the incident, i hope you can see it. your input would be much appreciated!! thanks chemi WWW.WWWW.WW | Hi, As per your history there might be delayed union or nonunion at fracture site in 5th toe which is the reason of pain. Other reason is neuralgia pain. I need to see fresh X-ray of foot anteroposterior and oblique views. Please also share your old X-rays for comparison. I will guide you for proper treatment based on X-ray diagnosis. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Im Gina a mother of a six yo boy...having a vitiligo...he has been advised by a doctor to used psoralen for a year now... but pacthes has been appearing everywhere in his face....I nid to know if there is much better treatment than psoralen?Pls reply me at... YYYY@YYYY | Hi thanks for contacting Chat Doctor... Do you have tried topical steroid ???? Usually topical steroid application done for 1.5 to 2 months. If no response then other modality tried.... How many searing you have taken of morale? With oral morale it might take 12 to 15 seating for initial response ... One another modality is min skin grafting spot technique. In which skin from healthy area grafted in resistant male. According to few studies yes if resistant males then oral Morales plus UVA irritation is another treatment modality.... Use sunscreen lotion with SPF more than 30... It will prevent further tanning. Take care..... |
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ηζθΏ°εηι«εΈει‘γ | I have a small flap like those discussed below, but unlike these, this one is above the gumline and near my canine. It is also not small (like one I have on the opposite side of my mouth in the same spot). One is about 1/4 of an inch long but the larger one is about 1/2 inch long and 1/4 inch across. The larger one is sore, but I dont see how this could be from a bite. I do use an electric toothbrush and it is also possible that I cut it on a food item at some point, since trauma seems to be the cause according to other posts. It doesnt really both me other than it is sore, so Im wondering if it will just go away to some degree or if I really need to get it removed. Because it is above the gumline, it isnt really in a place that would be bitten. Is there any danger to just leaving them? | Hi. Thanks for the query. Well, you should see a specialist to ad Chat Doctor. While it very well could be a normal finding, it is difficult to say anything without more information, and especially an examination and possible biopsy. I would like to know if you use or abuse any substances such as alcohol or tobacco, have been exposed to human papillomavirus, the medical history of your family, and whether there is a family history of rare disorders or head and neck cancer). Also, it is important to know that the mucosal tags are painful, growing, bleeding, changing color. If the answer are not then nothing to worry about it. Whaetever your answers to those questions are, you should be seen by a physician who can look at and feel the lesion to see if there is anything more ominous present. Some cancers will begin with small skin growths similar to what you are describing. It is also common to have small papillomas or other benign swellings of the oral mucosa. The best way to know for sure and to avoid something serious is to see a physician soon. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi,my 3 1/2 yr old daughter have upset stomach from 4 days,the first day she woke up with stomach pain & passed normal stool then again a lil motion and once more late at evening but it wasnt lose motion.the 2nd day she passed a normal stole jst once,though i took her to da doctor,the doc.said its a mild infection & didnt prescribe an antibiotic just a Scopinal syrup and calpol...as my daughter was havin mild fever for the previous 2 days,so i gave scopinal & calpol for 1 day but her condition havnt seemed to better as she passed stool 5 times the next day with lil stomach pain &stool was soft wasnt loose but 2 stools were a bit whitish and she even had 100.4 fever by the evening,so am a bit worried that Scopinal syrup isnt working and what should i do?? | Hi... It seems your kid is having viral diarrhea. PLEASE STOP SPINAL. Once diarrhea it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Your pediatrician had been right in not prescribing antibiotics. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have found a small hard pee size lump next to my shin bone that slightly moves. is it something I should get looked at or worry about? Im 31 year old female, my height is 5ft 3in, weight is 8.5 stone. i have a clear medical history. i am not on any medication and have no allegies | Hi, dairy have gone through your question. I can understand your concern. You may have some skin adnexal tumor or soft tissue tumor like neurofibroma or dermatofibroma. You should go for excision biopsy and histopathological examination. Then you should take further treatment accordingly. 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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ηζθΏ°εηι«εΈει‘γ | My father has undergone CABG last year. Presently he is useing these medicines. Ceruvin A,Homochek Cap,Stanlip 145 MG,Stovas 80,Supradyn. These he is taking from last 1 year. Recently other doc. suggested to take only two medicines. i.e Ecosprin gold 10 and Homochek. Please advice me on this. | Yes your doctor is justified in giving only two medication as 1 year has already passed from CABG and if his heart function is normal and lipid profile is well under control. Even in Esprit gold and hooch, hooch is like a vitamin. So effectively he has to take only 1 medicine for his heart. However, I request you to keep a check on lipid profile every 3 months and evaluation of the heart with 2 d echocardiography and Treadmill stress test if available every 1 year Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | tooth sensitivity for the last seven days. toothache in the morning. visited dentist last Tuesday. she said I had simply brushed so hard that her three fillings have given way causing this sensitivity. She asked me to continue with the the Colgate sensitive Pro toothpaste with an ultra soft toothbrush and go around the teelth gently. She showed me the demo on her laptop. How to brush the teeth ! Ok. Plus she also prescribed Thermokind mouthwash twice daily - after breakfast and at bedtime. This treatment is now on its 6th day and it seems to have made some difference; however, this morning it was aching so badly. When I had visited her on Tuesday she had fired some sprays with her gun at 6/7 places near the affected teeth, asking every time: does it pain ? Each time there was no pain, and hence she surmised that it is due to the sensitivity only and not a case of internal decay or something that would require digging into and doing something like route canal. My anxiety is to get over with the sensitivity. My chemist friend asked me to patiently wait for a fortnight ! | Hi, According to your clinical symptoms I suppose that you have developed sensitivity due to recession this can be due to vigorous tooth brushing. I would suggest you to use toothpaste like thermostat RA, use a soft bristle toothbrush and brush twice daily in small circular motions. Cervical abrasions can be filled with tooth colored restorative materials. I would suggest you to visit to a Dentist and get an x-ray done. Go for complete mouth scaling and polishing. Hope this helps out, Regards... |
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ηζθΏ°εηι«εΈει‘γ | hi,dont even know if it is a problem.i just cant get over being sad.i get these bouts of crying and dont know what to do??i have ateenage daughter n a 8 yr old son.i have been having regular disagreements with my husband.he seems to think i dont care about him at all.and to think i didnt make my career and have been looking fter them for 15 years....!!!! | Hi, I can understand what you must be going through. Having trouble in relationship with the person you care about a lot really makes us feel bad. Your symptoms of being sad and having crying episodes suggest that you are developing depression as a result of your marital conflicts. I would suggest that you consult a psychiatrist. Ant-depressants will help in overcoming your sadness and other symptoms. In addition, you and your husband must consider marital counseling as an option. It will help out ease the tension between you two and help you both feel better. I do hope that I was able to answer your query. Best wishes. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I recently had a kidney stone and I just received the results from my blood/stone analyses. My parathyroid levels are normal, and all of my nutrients are in a normal range. I got to the stone analysis section, and it says that the stone is made of something called mucin. Can someone explain what this is, and how I can prevent future stones? Thanks. | Hello and welcome to Chat Doctor. Around 80 percent stones are made up of calcium, 20 percent of uric acid and there are mixed type of stones, consisting of a mixture of these two and some other forms. Much is not something you need to worry about. A metabolic stone testing consists of calcium, phosphorus, uric acid, oxalate,and a 24 hours urine calcium, phosphorus, uric acid. According to the reports, specific preventive advice is given. In general, take 12-15 glasses of liquids daily, which the best way to prevent stone recurrence. |
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ηζθΏ°εηι«εΈει‘γ | hi! i got a a small lump on my wrist where my pulse is, same line with my vain i noticed this right after my iv test for ct scan. until now my veins in my left arm where my lump is, is still seems angry compare to my veins on my right hand. is this related to to the iv given to me for my ct scan? | Hi, Based on the facts of your query, you seem to have contrast induced thrombophlebitis with clot lumps of the vein used for Contrast CT study. There is no ambiguity about this cause. Would suggest you to treat it with your PCP guidance, and would resolve in 8-15 days time after proper treatment. Hope this reply would help you to plan treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS |
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ηζθΏ°εηι«εΈει‘γ | im 34 years old with a hx of chronic bronchitis. I take alburterol occasional but for the past 4 mos have been coughing uncontrollably even during the hour of sleep (coughing has always been my only symptom.) Now more pronounced and I often drop my sats into the high 80s%. I now take singular prilosec and guiafenissen with codiene. Help...Its ruining my life could I now have cough variant asthma? If so what next? | Thanks for your question on Chat Doctor. I can understand your concern. I don't think you are having cough variant asthma. Your chronic coughing is mostly due to poor treatment of chronic bronchitis. You are not taking appropriate treatment for bronchitis. In my opinion, you should first consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with long acting inhaled bronchodilator and inhaled corticosteroids. Oral anti oxidants, Multics, expectorants are also useful in your case. So no need to worry about asthma or other lung diseases. Consult pulmonologist and discuss all these. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | My 8 year old son in law got hit right between the eyes ( he collided with our 70 lb dogs head). He now has a swollen area there, a little bigger than a quarter,with a red bruise in the middle of the swollen area. Instead of the area getting hard it is squishy like there is water under the bruise. He doesn t have a headache or feel nausiated. He can walk and read fine and respondes to questions well. Bridge of his nose hurts and swollen area very tender. Does this sound like something I should be worried about. He is visiting from out of country and I don t know what to do? Thank you for you time. Vivie | Hi...by what you quote I feel that your kid might be having a hematoma formation and this what is making the area the color it and also the consistency and the tenderness. UNLESS THERE IS HIGH GRADE FEVER WHICH IS SUGGESTIVE OF CELLULITIS OR SKIN AND SOFT TISSUE INFECTION YOU NEED NOT WORRY. For pain - Paracetamol can be given in the dose of 15Β mg/kg/dose (maximum ceiling dose of 500Β mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards - |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am 18 years old and I have a question. Can masturbation lead to pregnancy? I am worried about a situation like when I masturbate in my pants and if my partner touches my pant with her hands and then she goes to the washroom to do female masturbation which means that now she has my semen on her hands and that semen might enter her vagina and make her pregnant? I am not sure if sperm will survive or die and it is really a matter of concern to me. My mind is full of what if it happens. Please share your knowledge and also if there is a chance of spreading STD/STI /HIV/AIDS in this situation. | Hi. Outside of the body, sperm may die quickly when they are exposed to the air. The length of time they stay alive has a lot to do with environmental factors and how fast they ChatDoctor. So it is very unlikely for her to get pregnant if she touches your pants and do masturbation. Infections are usually transmitted because of direct skin to skin contact or else with unprotected sexual intercourse unless the partner had any particular sexually transmitted infection. For more information consult a sexologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I get white spots on my teeth periodically in cold weather climates. I am getting married in this climate and I do not want spots on my teeth on my wedding day. What should I do? | Hello, Welcome to Chat Doctor forum. Congratulations on your wedding. Good to hear. Sounds like a fluorosis. It happens due to fluoride deposit on tooth. And it do not appear periodic. It will be there all your life time. Need a picture of your tooth for better diagnosis. If it is cosmetic issue you can consult a cosmetologist for bleaching of your tooth. Visit your dentist for better results. |
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ηζθΏ°εηι«εΈει‘γ | My daughter is 3 years old, weighs 24 pounds and is about 36 in. tall. She had a high fever between 103 and 104 for over 5 days. She was cultured for strep and it came back positive but her Dr. was concerned about very elevated ESR and CRP levels. Could those be elevated from the strep? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, streptococcus infection can cause high level of ESR and CRP.CRP or C reactive protein is the inflammatory marker which is rise in case of inflammation. ESR or erythrocytes sedimentation rate increased level of rate is seen in the inflammatory condition. As streptococcus caused an inflammation the value of both of this parameter has increased. You can take the treatment for the streptococcus. Once the infection is cured both of this value can be brought down. Giving good protein rich diet can be helpful. Maintain good hygiene as this can also be help full in treating infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | hi...! i m a boy 19 years old my height is 5.4 inches and weight is 44.5 kg and i am doing hand practice and penis is not in perfect shape and urethra is also thick please tell me what can i do to stop this bad habit and some medicine to which i am ganing weight and my height is also increase can i do a sex with a girl b/c my urethra is thick.? | Degree understand your concerns went through your details. Please donor worry unnecessarily. Masturbation is not a bad habit and is not unhealthy. Moderate masturbation is in fact healthy. In my opinion slightly bend penis provides more pleasure while sexual intercourse rather than straight penis. Thick urethra is also normal. You are just 19. Please exercise, eat good nutritious food and concentrate on your education. Unnecessary worries may provide you with anxiety disorder. 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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ηζθΏ°εηι«εΈει‘γ | Hello my name is theresa I I was in the hospital lastweek they thought i had gallbladder problems such as vomiting ,diarehha, severe pain in my right upper quadrant and everytime i eat it hurts worse and everytime i take a deep breath it rally hurts. they did a hida scan that was normal my ultrasound said my bile ducket was very inlarged. so they did a endoscopy with a few biopsys they found that i have a ulcer and gastritis and also duodenitis . long story short. how long with duodenitis will it take before the pain stops? its very draining on me its like a knife under my right rib cage thank you for your help theresa | Hello Tammy, Thanks for posting, Per your description of the location of your pain (below the right upper qua Chat Doctor. Since from the scan you apparently do not have gallstones meaning that the origin of your cholecystitis is probably not due to gallstones, your treatment will be purely non-surgical with antibiotics (for infection), low-fat diet (when food tolerated) and pain medications (avoid NSAID) such as paracetamol or better still stronger tramadol or opiate derivatives such as Conan, and it may be associated to antispasmodic medication such as myosin butyl. Also required will be antiulcer medication to treat both the ulcer and the duodenitis such as proton pump inhibitors such as omeprazole and/or antacids. It will be worthwhile to discuss treatment options with your doctor after he is settled with the exact cause of your pain. Hope this helps and wish you the best |
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ηζθΏ°εηι«εΈει‘γ | i am feeling pain in back side,also swelled in my right leg i am not thinking what i have to do since long | Hi, thanks for query. This is too little information to give your proper answer. In any case when ever there is backache along with pain in one the limb, one should think of some nerve compression in the spinal cord. When ever due to any reason the nerves gets compressed they lead to pain in the area that they supply. The best option is to go an orthopedic surgeon and evaluation done for the cause.bye. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am 31 years old and got married three years ago. This is my second pregnancy and I am currently 12 weeks pregnant. I had terminated my first pregnancy due to my bad health condition. I am a practicing architect and a teacher. My work schedule is about 9 to 10 working hours a day with a sedentary pattern.My first sonography was taken during my fourth week of pregnancy which showed that I have a septate uterus. During my eighth week, there was some bleeding observed in my vagina. On my gynecologist suggestion, I had another sonography which showed that everything was normal. Post that my doctor put me on bedrest for four weeks. I also had NT scan and dual marker blood test during my 12th week whose reports were normal. The doctor has recommended me to have a uterus stitched at 14 to 16 weeks.Please guide me as to what precautions should I take with respect to food and lifestyle? Since I have a successful architectural practice, I am under stress to complete the work on the given deadline. There has been a month backlog in work which may cause me severe financial issues. Is it advisable to return back to work with all the above complications? If yes, what precautions can I take? | Hello. With working job and pregnancy, it is a difficult task. First being pregnant you need to relax. Do not stress out. Stress even mental stress has ill effects on pregnancy. Also, your weight is on the higher side. As you crossed 12 weeks, do a minimal routine physical activity. In diet, eat more vegetable and fruits with ChatDoctor. Avoid junk, processed, fried food. Also, stitch, you can put for the betterment of pregnancy. As far as now, your pregnancy is more important than anything else. |
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ηζθΏ°εηι«εΈει‘γ | Hi. Im.a 25 year old female. Had last cycle on july 25. Negative preg test. I have a copper iud in place for almost 3 years. Normal blood work when looking for thyroid problems. But low white blood count. Extream fatigue, and dizzy spells. Whats wrong with me. | Hello, The description you have provided is incomplete in some respects like how much low white blood count you have? What are the differentials? If I am your treating doctor I advised you to check for your blood pressure, Thyroid function tests. Additionally, I also advised you to do regular yoga and exercises in the early morning. This will keep you active for whole of the remaining time. THX to contact us. |
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ηζθΏ°εηι«εΈει‘γ | 6 year old with a cough for a month now, the cough gets worse in cold weather. Has been on antibiotics prescribed by pediatrician even though her chest xray is clear and the Dr. does not hear any out of the ordinary sounds when listening to child breath (Dr considering walking pneumonia ). Child had pneumonia about 3 months ago. TB test negative. Now has stomach pains and vomiting for a week (may not be related). No fever. No other symptoms mostly the cough that will not go away. Family members have had the cough and it has gone away in about 2 weeks time. Any ideas?Wanted to add that I believe Dr. Baraha was right on in his response. Our pediatrician came to the same conclusion last week and prescribed sentinel for our daughter for asthma/ possible allergies and she has been cough free for days now. Thank you! | Hello, welcome to Chat Doctor thanks for the query it may be asthma .any one of your family has asthma or any allergic disorder like rhinitis, eczema?other causes may be GE reflux, sinusitis.Caroline antibiotics may be helpful in this condition.it's not possible to give a probable diagnosis without examination.I have mentioned the probable cause of it from your history or any aspiration hope this answer will be helpful to you take care |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I was accidentally hit in the face by a teammate in volleyball. It was not that bad, and no immediate bruising but the left side of my face felt mildly swollen. The next day as I kept touching it, it flared up and broke out in a rash on the whole left side of my face. Is it possible that it was a reaction to the hit? Anti-histamines do not seem to be working. What can I use? Is Cortisone safe on my face for this type of rash? | Hi, Welcome to Chat Doctor forum. I have gone through your case. In my opinion, you should not take it lightly. Either see the doctor in person or send a picture as the face is very sensitive part of the body and you may need a course of oral antibiotic. And in this case, antihistamine has no role. There might be a collection of blood or it colud be just soft tissue trauma. I am prescribing you medicine also but follow my above advice too: For more information consult a dermatologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi, Recently when i take showers that are lukewarm n only for 15 mins, my heart started to palpitate so fast and my hands starts trembling. I had to get out of the bathroom and struggling to check my blood pressure which has risen to 200. Couldnt read fully as my hand was shaking. I had catapres to lower my bp and it did. The next day i took a shower again but this time not as warm as yesterday but this time it happened quicker than expected. I wasnt able to finish my shower. Was in the bathroom for only few mins. Heart started to palpitate again n hands trembling. Again i took catapres. Im 44 yrs old n had been taking amlodipine for my hypertension for a long time now. Everything s normal. But this time im worried that something s really wrong. Please help. Thanks kyona | Hi Welcome to Chat Doctor. I understand your query and concern. Palpitations in your case can be a definite feature of heart rhythm disturbances. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few Chat Doctor. I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate. |
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ηζθΏ°εηι«εΈει‘γ | I am a teenager and lately I have been experiencing pains in the center of my chest. At first it was discomforting and shortened my breath a little but the last time it increased and made my chest very tight and made me unable to hardly breathe. I laid down and the pain settled although I was unable to get up because the pain was so bad. Lately I have taken up some exercising. Could that have a reason to why this is happening? | Thanks for your question on Chat Doctor. In my opinion it is musculoskeletal pain only. As it was aggravated by exercise. But as a rule in chest pain, we have to rule out cardiac causes first. So better to get done ECG for cardiac causes. If it is normal than it is mostly musculoskeletal pain. So try to avoid strenuous exercise, avoid heavy weight lifting and take good muscle relaxant and painkillers. Stress and anxiety can also cause these symptoms. So better to avoid stress and anxiety and keep calm and be relaxed. |
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ηζθΏ°εηι«εΈει‘γ | Hi I m 26yr old having irregular periods since last 4yrs I m married since last 8yrs and have a 7yrs old boy but badly want to conceive again and want my cycles to b normal cos my periods dont come for months and I have to take duphaston and all my test results come back normal I do not have pcos or thyroids don t know what s wrong?? Pls help and advise Thanks a lot Xy | Hiplz rule out tuberculosis also. Get a SG done to see if tubes are functioning properly because many a times secondary infertility can be associated with this. Another possible cause of irregular periods -- being overweight, or underweight, can cause a disruption in your menstrual cycles. Both being overweight, and underweight, can also cause an ovulation. Extreme exercise and extreme dieting are more potential causes of irregular cycles. In this case, losing weight may be enough to regulate your cycles again, increasing the chances of getting pregnant naturally. If extreme dieting is the problem, changing your diet to a more balanced plan, and even gaining some weight if you're underweight, can help regulate your cycles. Bbyeee |
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ηζθΏ°εηι«εΈει‘γ | Does neoprene rubber in a waist trimmer belt cause cancer? I have read that neoprene found in the rubber of the waistbelt has been found to cause cancer in California. I am a healthy adult female trying to use this belt to trim my waist line. Thank you | Hi Terry, Welcome to Chat Doctor forum. I believe you must have seen this message on the belt. WARNING! This product contains a chemical known to the State of California to cause birth defects or other reproductive harm. So, yes it does pose a health risk. If you are planning to use this belt to reduce/trim your waist line. My opinion is that it will not do the job. Because you must understand that there no such thing as spot fat reduction methods. Unless and until you specially cut the fat out of those areas which is done by liposuction only. Even liposuction is not a permanent. Fat will get deposited again those areas at the shortest possible time. You must understand that fat is distributed all throughout the body. In order to reduce the fat at the waist line you have to reduce your total body fat, which can be done only through strict diet and exercise regimen. If you still insist on trying to reduce your waist line with waist trimmer belt, I suggest you buy a waist trimmer belt which is made of different material. Hope I have answered your questions. |
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ηζθΏ°εηι«εΈει‘γ | I was given Cipro for a UTI and after 2 days starting having bad stomach pains and gas. Stopped taking it but still have some pain on my left side. Also, still have some urinary tract symptoms and read that Cipro can cause the same symptoms as a UTI. | Hello. Thank you for the query. Your symptoms are caused by antibiotic intake due to intestinal bacteria eradication. These bacteria normal cover intestines are extremely important for proper intestines function. Lac of this bacteria can result with abdominal pain. You may also have stomach irritation by antibiotic. I suggest you to start probiotic intake. If it won't help in few days, please consult your doctor. Hope this will help. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I went to see the doctor for strep throat.I am taking penicillin. My left tonsil is swollen but recently Ive been having toothaches where my wisdom teeth are (which are also on the left) my cheek is a bit swollen and the gums near my wisdom teeth are also. I scheduled a check up for my teeth. Should I stop taking the antibiotics? I have for days left of taking it. | Thanks for your query, I have gone through your query. The pain and swelling could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, I would suggest you to take metronidazole 400Β mg TID for 5 days (if you are not allergic) along with penicillin. Do saline gargling. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, This is Christina from Gariahat is facing tummy problem after preganancy. There are few exercises that i know which has to be done after prenency but i m unable to do so because it wasn t a normal delivery but through scissor. I still have pain in my stitches although my kid is about 15 months and my tummy is growing bigger and bigger day by day as a result my husband finds no more attraction in me. Pls give me the best solution in order to become fit, active and back to my curvy shape by ur reply. Thank you very much...... Christina M. | Hi, Thanks for posting your query. Are you getting bowel movements daily? Abdominal bloating, distension and still persisting pain at operative site should be taken seriously. With the available described symptoms, there could be possibility of intestinal adhesions at operative site. You should consult with your treating doctor/ general surgeon and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, renal function test, blood sugar both fasting and postprandial, thyroid profile, and serum electrolytes. Furthermore, you should take small quantity frequent soft meals. Avoid oily spicy and heavy meals. You should take prokinetics along with proton pump inhibitors. If needed, then you should also go for diagnostic laparoscopy. Take care, |
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ηζθΏ°εηι«εΈει‘γ | I have a purple soft lump on my panty line. At first I thought it was a boil. But it does not hurt at all. It s just soft, and the top skin is clear and you can see it s purple and black inside. It does not have a head, and can not be popped. I ve googled everywhere and can t find anything. I don t care for doctors and don t want to go in unless I need to worry. I have been applying a heated rag for a week with no difference. Can you help? | Hi, If I were your treating Doctor for this case of a skin path, I would come up with only one and one possibility that is a chronic ischemic change / fibrosis o pressure changes to your skin! Nothing to worry about this and try not to get infected there! I suggest you to go to some dermatologist for some topical medicines and change/choice of better materials for undergarments and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | i recently had stage 2 kidney cancer. Surgery was performed on december and removed part of my left kidney. i recently had my ct scan and several small nodules were found on my right upper lung. one measured 0.3x0.2. should i be concerned due to my history of malignancy? | Thanks for asking your query completely understand you problem the answer is yes definitely the nodules present in the lung can be secondaries from the primary cancer, or they can be a separate disease, for confirming the diagnosis certain investigations like biopsy, bronchoscopy should be done. You can consult a pulmonologist.thanks/regards feel free to ask more questions may god bless you with good health |
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ηζθΏ°εηι«εΈει‘γ | hi, i m suffering from a combination of atopic dermatitis , psorisis and allergy from last 5-6 yrs..it started after the birth of my first child..my skin becomes itchy, dry and red on my face and neck..my eyes becomes puffy..i ve taken medicines, anti allergic injection also..i;ve even tried treating it by homeopathy ..initially the results r seen but again it comes back to normal..if i take 5mg. betnesol, just for 3-4 days..my skin becomes clear and normal..but i am scared as i dont want to be depended on steroid ..please help me as its been from quite a long time. | Hi! As you have mentioned your complaints are basically hypersensitive and autoimmune by nature. this kind of problems are caused by altered sensitivity and susceptibility to the environment (may in external or internal). Being a homeopath what I can say is that homeopathy is most probably more suitable to treat such condition as it treats the person, and not the disease. As you have taken Homeopathy in past there may be 2 things, 1) As psoriasis is being known for its recurrence, it may have come back but this time in less intensity and in less area of your body. 2) your homeopath needs to rework on your case, make fresh case taking and see how things unfold. I don't think other modes can give you lasting results. Regards and take care, |
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ηζθΏ°εηι«εΈει‘γ | sir,i am 23 years old.i use mesterbation by hand from 8 years,per week.my penis size is 5 inch.it will continue also now.pl sir tell me,have i face any sectual problem for this?i don t fell any wrong even now.i don t do any sex with girl.so i don t know ,am i do sex in long time.and i want to long time sex.have i any problem for this?and what i can do if any problem? and if there is no problem then what can i do to increase my sex time?pl sir advice me..please ..and i have no cradit card sir...please kindly inform me please as a human | HelloThanks for query. You had been indulged in masturbation since many years and now worried about problems related to sexual activities.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual 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 getting good erection. And delay ejaculation.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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ηζθΏ°εηι«εΈει‘γ | My son seemingly has a bit of a cold and often this leads to bronchitis but he complained of his heart hurting? Any ideas if this just could be aches from cold or something else. There has been upper resp. infection spreading like wildfire in our area could this be it? He is 8 and usually better at explaining pain. | Respiratory tract infections are often associated with chest pain (which is not necessarily due to heart cause). The lungs have an outer covering called pleura that separates it from the chest wall. As the lung expands and contracts during respiration, the layer of pleura that covers the lung (mobile) rubs against the outer layer of pleura adherent to the chest wall (fixed). In case of a respiratory tract infection, the pleura may get inflamed (a condition called pleurisy) and the friction between the two layers of pleura may give rise to the chest pain that the child mentions. I do not think that it is the heart hurting. |
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ηζθΏ°εηι«εΈει‘γ | Hello, I am wondering about a recent diagnosis of an angiokeratoma of the right foot third digit. I understand these are typically benign; however, my concern is that it has become painful. My toe often has a purplish hue and recently has developed a lump on top of the toe. | Thank you for using Chat Doctor. I can understand your concern. But there is nothing that you need to worry about it. Angiokeratoma is a benign condition wherein there is increased capillaries (which brings about the purplish/bluish hue on the skin)and thickening of the skin. It has to be excised for complete relief, or it may also harbor infections. So do consult your local surgeon regarding the excision. Hope this helped you. Have a happy health! |
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ηζθΏ°εηι«εΈει‘γ | hi, my husbands age is 35, he recently got his complealt medical and found that his SGPT is 70, he used to smoke till year back and has never taken alcohal or any such drug so what cud be the reasons and precautions for that?Once almost 6-7 years back he faced a liver problem but that was Slow liver functioning due to tension. | Hi welcome to the Chat Doctor Temporary viral infection like infectious mononucleosis, cytomegalovirus like infection can lead raised Sept. Secondly HBV carrier state or fatty liver like condition also leads elevated Sept Work up done as follows... -USG abdomen -HBV detection by serum Elisa testing -HAD and HEV detection by ELISA if needed -ESR Report here should be repeated after week because here enzymes not elevated more than two folds If fatty liver is the cause than fruits eaten more and fatty foods restricted and regular exercise done Hope your concern solved Take care Consult physician for examination |
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ηζθΏ°εηι«εΈει‘γ | my disabled son has been taking antibiotics for urinary infection and has developed yeast infection in his mouth. We have been treating this with an oral mouth wash prescribed by his doctor, but we are not sure he is better. He does not want to eat. What can we do to help? | Hello, Welcome to Chat Doctor, As he is having fungal infection of the oral cavity following oral antibiotic, definitely it has a very wired feeling. As your son is having fungal infection of the oral cavity, it is leading to symptoms like inability to eat and Chat Doctor. I would suggest him1. Maintain good oral hygiene2. Gargling with chlorhexdine mouth gargle.3. Topical antifungal cream.4. Antifungal |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am a 41 year-old female with right parietal cavernoma. I have been slightly symptomatic (headaches, blurred speech, vision issues at times). Recently I developed pain on the left side of my neck, as well as pain on the left side of my head. I have been experiencing blurred vision more than usual. Is this yet another symptom of cavernoma? | Hello ! I understand your concern. In my opinion these troubles are not related to a recurrent cavernous. The neck pain may be caused by a disc bulge or just cervical spondyloarthrosis. This causes pain in the neck, irradiating the head, caused by muscle contractions. The blurring vision, is an important sign, but it may also be caused by a cervical disc problem, especially when associated with dizziness or vertigo. Have you had these problems lately ? I would recommend you to go to the doctor and have a physical examination and a cervical column x-ray. If the headache and blurring visions get worse, a head MRI may be needed to exclude brain lesions. Hope to have been helpful! Thank you for using Chat Doctor! Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi All, My Father is suffering from Lung Cancer Stage IV - Non small cell due to which the cancer cells are spread over the lungs to other parts of the body. Due to this, my Father is suffering from severe pain in body parts, weekness and start loosing weight. Please suggest us how to cure it? | Hello! I've read your concerns and feel sorry for your father. Lung Cancers commonly spreads to the bones -- which might be the cause of pain of your father. Stage IV lung cancers are treated by chemotherapy, to slow down and control the spread. Other symptoms such as pain will be relieved by analgesics. Weight loss and weakness is part and parcel of symptoms of cancer, your oncologist can give your prescription for dietary supplements. |
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ηζθΏ°εηι«εΈει‘γ | hello.. Im wondering if there is a difference between a torn disk, herniated disc, bulging disc. are they different or basically mean the same thing.. ? a mri has shown 2 tears with mild bulging in my l5 s1 disc and herniation in l4 l5? what should I expect from this? I have already had surgery on l5 s1 in 2009. just wondering if I will need another surgery for this? | Hi the various conditions you have described as torn disk, herniated disc, bulging disc. Are stages of the same processes. First annular ligament is torn and a part of disc bulges out, then it goes beyond the boundary of disc into neural space(herniation). Only these conditions don't determine whether you need to be operated or treated conservatively. Majority of disc diseases do not need operation. I suggest you take painkillers, muscle relaxants and physiotherapy, and if there is no relief then go for orthopedic consultation. |
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ηζθΏ°εηι«εΈει‘γ | Last night my left thumb began to twitch -I assumed it wasnothing to worry about but wondered if it was linked to arthritic shoulder caused by fracture after bicycle accident 4 years ago.My shoulder is painful at present. However I am now worrying about serious neurological disorders mentioned online. Thatll teach me.How long should I leave it before I get it checked out?I am just (a young, fit and active) 60 years of age. | Hello! Welcome on Chat Doctor ! Your symptoms could be related to a nerve damage or a pinched nerve in this arm or shoulder level, probably related to the trauma. An electrolyte imbalance can also mimic this situation. For this reason, I would recommend consulting with a neurologist and performing a nerve conduction study. Some blood lab tests (complete blood count, blood electrolytes, uric acid levels, thyroid hormone levels) are also needed to exclude other possible metabolic causes. Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I have severe dandruff, mild itching and hair fall. I consulted two doctors. First one said that it may by scalp psoriasis and the other told that it looks like some fungal infection. I am using Salisia KT shampoo. I do not have scales on any other parts of my body. I am worried by thinking it may be scalp psoriasis. I can easily remove the scales present on the hairline. Please suggest. Thank you in advance | Hello, Welcome to Chat Doctor forum. Yes, the symptoms can be of both seborrheic dermatitis and scalp psoriasis. Please follow up with the photos as it will help me to arrive a final diagnosis. Revert back with the answers to the above questions to a dermatologist online |
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ηζθΏ°εηι«εΈει‘γ | For the past month or so i ve been experiencing slightly burning urination. It s not every time but it s noticeable when it does occur (nothing intollerable though). I also have experienced a small red ring around the very tip of my penis. It might be scabbing but its too small to recognize. It s deffinentely red though. I am curcumsized and have been sexually active in the past six months | Dear, We understand your concerns went through your details. Burning sensation during urination and red rash on your penis explains the inflammation of your urethra. The reason could be some agitation sexual practices or allergic reaction. You should consult a urologist or physician for treatment. 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. Happy New Year. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...My husband had a stent put in on July 9th 2010, 2 weeks to the day later, he started having ulcers in his mouth, I mean serious ulcers, at one point he could not even swallow his own syliva. He has been in the hospital twice with this, they have tested him for about everything. Every time he get s off steroids, these sores come back, he s lost about 42 lbs. Could he be allergic to the stent??? All the doctors tell me it has nothing to do with the stent??? Something has to be causing it. | Thanks for your query, I have gone through your query. The severe ulcerations over the mucosal surfaces of the mouth can be a recurrent authors dermatitis. Usually it occurs following, stress, trauma or surgery. The other cause can be an allergic origin resulting in allergic dermatitis or licensed reaction. Based on your description of the lesion, it is difficult to come to a clear diagnosis. So consult an oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take topical anesthetic and analgesic like 2% lidocaine, apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. Do saline gargling. If the lesion does not heal in 5-7 days then consult an oral physician and get it examined. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | Have constant headaches that changes deferent part o the head , thought I had a sinus infection , is affecting my eyes & ears , have been to see a doctor . Ears & sinus seems clear. Scalp is tender to the touch. Getting pimples un the scalp and itching , it feels like allergy also have memory lost and numbness on the face area cheek , yaw and areas of the eyes , what do u think? | Hi I do care for your concern. Your history suggest more of sinus infection. Regarding sinus infection Consult your physician get examination done, investigations such as X-ray will definitely help to know nature and spread of infection in para nasal sinuses. Getting a full course of antibiotics such as augmenting will help. Have warm water for Chat Doctor. Headache eye and ear problems will definitely get better after treatment. Regarding bumps on scalp It might be normal bacterial infection, having the scalp rinsed with antibacterial shampoo on the alternate days will do good. Hope I have answered your question, if you have more feel free to ask. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hello. Was just wondering. Been suffering from tooth probloms for awhile its been awhile since Ive been to a dentist and i dont have inserence. My bottom teeth need work and so do top. Like just fell and busted my face and broke a front tooth really really bad. And I cant get in untill two weeks. Im loseing it Im scared and nervous my anxoity is horrible I dont know were they will start or how crazy expensive it will be. Just stressed and scared. Idk what to do:zakk | Hi. Thanks for the query. If you have got the tooth fractured due to accident caused due to fall then it can be an emergency condition due to severe pain. Get an x-ray of your fractured tooth done to check for nerve exposure and fracture in tooth. I would suggest you to consult an Emergency room as they also have Dentist who can treat your severely painful tooth. You can be advised a course of antibiotics and painkillers also. For now, you can take painkillers like Ibuprofen for moderate pain but of pain is severe you can take Motorola or Tramadol. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | i wonder if you can advise? i have a long history of back problems. i have been a midwife for 10 yrs and recently changed working areas after being placed in an area with reduced clinical input due to my back. in april i was told i had to return to the ward area and by may i was again experiencing severe back pain, leg pain and what i can best describe as sharp toothache continually. i have not slept in months and the medication doesnt work if i done have enough and when i take it i am in the equivalent of la la land and cannot function. i had an mri last week and will find out what the results mean in 2/52. the report says as follows, what would this mean? i am struglling on the ward area and in antenatal clinic with partially clerical duties i have coped well with no problems in 3 yrs. the report saysClinical history:Previous discectomy in 1997. Recurrence of severe low back pain in May 2010 with right lower leg symptomsand suspicion of altered bladder function.Sequences:Sagittal T1 and T2 weighted images of the lumbar spine have been acquired with axial T1 and T2 weightedimages. Post gadolinium sagittal and axial images have also been acquired. For the purposes of this report theL5/S1 disc is assumed to be at image 701-03.Findings:The L1/L2, L2/L3, L3/L4 and L4/L5 discs are within normal limits. Mild facet joint hypertrophy is seen at L4/L5but there is no evidence of significant canal or neural compromise at this level.At L5/S1 the disc is degenerate with significant loss of height. There is a small annular disc bulge and there isminor narrowing of the lateral recesses but no evidence of significant root compression. No significant canalnarrowing is seen.The visualised spinal cord returns a normal signal and the conus terminates at L1.Conclusion:Degenerate disc at L5/S1 but no evidence of significant neural compromise.please would you be able to explain and even advise what a reasonable plan of care, treatment and options i may consider.many thanksdenise | HiT hank you for asking ChatDoctorI have gone through your query. Your MRI gives impression of intervertebral disc herniation without neural compression. For such problem in patients I treat with NSAIDs like diclofenac and muscle relaxants like cyclobenzaprine and neurotrophic Chat Doctor. I also send them for regular physiotherapy and muscle strengthening exercise along with this. Wearing lumbar supporting belts also will be helpful. Hope this may help you. Let me know if you have any further query. |
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ηζθΏ°εηι«εΈει‘γ | I am 62, 6 2 and healthy. 2 nights ago, I tripped ovr my dog while in the bathroom and fell hitting my lower to side back on the toilet. I get pains in my lower right back like a spasm after I cough, bend over from the waist, or contract that side of my back, or move in bed (I am most comfortable sleeping on my back). | Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to the fall and injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the 5. I also suggest using cold compresses for local application. If the symptoms continue, I suggest doing a X-ray to exclude a fracture. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Doctor i have done my 3rd IUI on friday i.e.1st June............my family doctor has given me cifran 500 for 5 days,progestrone 300 for 10 days,progynova for 10 days & cabgolin 0.5 once in a week.....................dr please suggest me what precaution should i tk...........................and what things should i avoid eating | Hi, Thanks for writing to Chat Doctor. Continue the treatment you are taking. Don't take stress about the result. It will come positive soon. You should be happy with positive attitude. Precautions are - -you should avoid contact with your husband.-don't lift heavy weights and do vigorous housework or fast climbing staircase.-don't do vigorous exercise like running and skipping and all. Walking is better and daily up to 45Β mins you can do. There are no specific food to avoid or eat. You can eat what all you like to eat. Avoid papaya fruit which is supposed to induce abortion in early period. Hope I have been helpful. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My boyfriend has severe pain in the abdominal area. His heart has been ruled out but he can raise up and in the stomach area is an section that looks like a big growth..his dr told him it was a muscle nothing to worry about. His manhood is certainly affected as well. The pain gets so bad that he is up during the night. Something is seriously wrong inside. Please help us to go in the right directions. | Hi. Thanks for your query and an elucidated history. Your boyfriend has severe pain in the abdomen making him up all the night. Heart has been ruled out, but there is a growth in abdominal area and his Doctor feels this to be a muscular problem, and his manhood has been affected. The best way is to get a clinical evaluation and physical examination done by a General Surgeon. CT scan of the area to get a proper diagnosis and plan for a treatment. |
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ηζθΏ°εηι«εΈει‘γ | hi sir im recently my health is not well due to seizures in 2010 im out of control and unconscious for 1 day and using eption tablet 100mg morning and night and again 1 april 2013 again met with same seizure epilepsy and upto half day im in unconscious admitted in hospital from that day im supposed to take eption 250mg 1 night and other night 300mg could plz suggest me what is the final treatment report are positive emr reports and others can I eat non veg | Hello, Thanks for the query understand your concernPlease note that there are many types of epilepsy and the treatment depends upon the exact classification of epilepsy. This can be done by long term EEG and brain scan like MRI scan. If you have any of these tests, please let me know, and I will be able to guide you better. If you do not have these tests, please get it done as we will be able to guide you better. Best wishes |
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ηζθΏ°εηι«εΈει‘γ | I, m concerned about shingles . my friend Jim has suffered for a year or so with a severe Shingles outbreak. He s been prescribed a cream called clobetasol propionate ointment and the shingles just keep coming back. What s the deal. Does this go on forever? He need a Doctor who specializes in this terrible disease. He lives in Gaylord, M. | Hi, thanks for sharing your friends' health concerns with Chat Doctor! Well usually I administer oral acyclovir medicines for 5 to 7 days or in very severe cases intravenous acyclovir to treat shingles; of course I need to maintain nutrition and HY Chat Doctor. . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your friend good health. |
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ηζθΏ°εηι«εΈει‘γ | Hello namaste I am 28 now. Our married life completed 6yrs now. After my marriage of 4 months I got conceived once. It s completed 50 days only then immediately started bleeding. And I had been to doctor they scanned and told me that there is a blood around baby and baby not growing properly. After 4 days of observation they cleaned instrumently because baby not growing. After that only all the problems get started. After this I am getting pain below stomach oftenly. After all these things 2yrs also I didn t conceived. Again I consult a doctor they told me that the tube got blocked. So I undergo for laproscopy. They cleared the blocked tubes. After laproscopy also I didn t get conceived. After 1 year again I got treated for hystroscopy. But now also I didn t conceived. Still I am under treatment. But pain still is there near below stomach. IUI also tried once. Please can you give any solution for this problem. Ubiphene Ovaflo Co edhera plus Ovifert These are the tablets they gave me now Please any solution is there for my problem | If you your menses running normal your ovum are healthy you are not suffering to endometriosis. Your tubules are already unblocked. Then nothing should be problem to conceive baby. If you not get result in allopatry you can try Ayurveda medicine. There are many of medicine which help to conceive. And make your genitals more health. I have canned successfully be treated to my some Pt. Consult to any Ayurveda doctor near your place |
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ηζθΏ°εηι«εΈει‘γ | Ihad my gallbladder removed due a gallstone and elevated bilirubin levels in blood . After the surgery with one week bilirubin levels are still high , and my doctor doesnt know why .he also noticed from the surgery that my liver was blue in color ( pale navy blue ) and he doesnt no why too. Im a 20 year old male bilirubin level before surgery :total 3.23 direct 1.7 indirect 1.53Bilirubin level after surgery : total 3.81 direct 1.69 indirect 2.12All liver enzymes tests were normal before and after surgeryTested negative for hep A , B , C | Thank you for posting query. Post cholecystectomy pain maybe due to stones in common bile duct OR increased fat intake OR functional pain. Need further evaluation.advice:- get an ultrasound (abdomen) to rule out any stone remnants in common bile duct-also get a complete blood cell count(CBC) test-avoid OILY food altogether-for few weeks, you may need to take medium/antacid 40Β mg once daily before breakfast-avoid eating stomach full and mouth full-avoid spicy food wish you good health. Further queries are welcomed. Wish you good health. Regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I just got my wisdom teeth pulled out 9 days ago today and yesterday I smoked hookah and had a slight discomfort in the left area. I dont think I dislodged the blood clot but I was just making sure so is the pain immediate if you dislodge it and get dry socket or does it take time to develop? | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone wisdom tooth removal only 9 days ago now you smoked yes, it will have very bad effect on your socket healing, and I will advise you to quit this habit and visit Dentist for Local examination of socket Do warm saline gargle two - three times a day Hope it will help you. Wishing you good healthRegards |
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ηζθΏ°εηι«εΈει‘γ | my father aged 69 years and 6 months underwent lapcholecystectomy, cbd exploration and stent is placed in may 2009. he was reluctant and delayed ERCP. ten days ago he had vomitings and elevated bilirubin levels and he is admitted in the hosp. ERCP is done, a new plastic cbd stent is placed, two stones of 0.5mm came out during procedure on 08-02-2011 and advised balloon spinchterotomy afler 5 weeks. please explain possible outcome of balloon sphinterotomy and details of hospitals at tirupati in india | Hi, I had gone through your question and understand your concerns. It is obvious that your father had multiple stones in common bile duct which caused complicated clinical scenario and after these procedures there is always a possibility that there is retained stone or again or that stenosis of bile duct occur. This is why balloon sphinterotomy should be done to dilate bile duct. This is much less risky procedure compared to ERCP and surgery, so you should not be worried about complications. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi: I m a 53 year old female. Last Sunday I had a frightening pain that was between my shoulder blades that lasted approximately 5 minutes. I went to Urgent Care where they did an ECG which they said was slightly abnormal. They transported me to ER where another ECG was done that was slightly abnormal. Cardiac Enzyme testing came back negative and then 4 hours later they did another one which was negative. They referred me to a cardiologist who I saw the next day. They scheduled me for a nuclear stress test and an echocardiogram. I went back for results and I only saw teh Physicians Assistant. She told me the ECG on the stress portion showed a mild old septal wall MI in my past ?? The echocardiogram said I had mild left ventricular hypertrophy with GRADE 1 (relaxation abnormality) diastolic dysfunction. I had some trace tricuspid and mitral regurgitation. I decided to get a second opinion because they wanted to do another test. The new cardiologist stated that he did not think I had a heart attack and only wanted to put me on a Beta Blocker. I m not sure who to believe. Also, I was uncertain as to another thing, on the Nuclear Stress Test it said I had an effusion fraction of 92% and on the echocardiogram it said it had visually a EF of 65%, which one of these is correct. If it is 92% it should be concerning, right? I do not know if I should go to another cardiologist and see what they think or which one to trust. | hellhole MI may have been missed as often silent heart attacks are there, your current doctor rightly tells you that at present there is no new heart attack only left ventricular enlargement which may be due to high BP. Diastolic dysfunction is not that risky as a systolic dysfunction and surely your cardiologist know well, Your EF is normal at 65% means ventricular contraction power is good, so nothing to worry. Nuclear test showing effusion fraction 92% may not be worrying your doctor as may well be within normal confines. Trust the senior cardiologist who has seen you and follow his advice for treatment. Normal cardiac enzymes also rule out new heart attack. Don't worry. Consult the cardiologist you last met thanks |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,If the biopsy report of the cheek (buccal mucosa, left) showed chronically inflamed stratified squamous epithelium and underlying fibrous connective tissue which contains a number of irregularly shaped vascular spaces approximately the size of normal capillaries that contain numerous erythrocytes; what would be the differential diagnosis? | Hello, Welcome to Chat Doctor forum. The current biopsy results are indicative of a lichenoid type of lesion in the buccal mucosa. This type of picture can be seen due to a variety of causes ranging from allergens to systemic ChatDoctor. Though the presence of rash, uveitis and recurrent mouth ulcers would be suspicious of Behcet\s disease, the biopsy results are not what would be typically seen in Behcet\s disease. I would advise you to consult a dermatologist for diagnosis and treatment. Thank you. For more information consult a pathologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...my-8-year-old-son-has-a lump in his lymph node, in his armpit. His doctor saw him today and said it was in an odd place and could find no reason for it. He is going to childrens hospital on Tuesday, 5 days from now. I am sick about it and can barely function, what could it be? It is the size of about a quarter. | Hi.it is best if you consult with a doctor, preferably a general or a pediatric surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur. Medical (proper antibiotic regimen) and surgical (excision or incision and |
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ηζθΏ°εηι«εΈει‘γ | HI DR M FROM INDIA BANGLORE MY SKIN COLOUR IN BROWN NOT EVN SO DARK BUT MYREST OF BODY IS FAIR IAM 23 YRS I HAVE BEEN TRIED MELAGLOW , KOJIC ,BUT I DIDNT FIND ANY DIFFRENCE IN MY SKIN COLOR I DONT HAVE ANY ACNE PROBLEM R ANY DARK SPOTS OR ANY SUCH PROBLEMS CAN U GUIDE ME THE RITE CREAM SO DAT IT CAN GVE ME FLAWLESS FAIR SKIN | Hello, Welcome to Chat Doctor. Your skin tone is determined at the time of your birth itself, and it is decided by the concentration of melanocytes and circulation. Therefore, any treatment or procedures can never make you fairer than what you were at the time of birth. But most of the people will acquire more pigmentation as age increases, we call it facultative pigmentation. Lot of factors determine it, most important being sunlight, others include dust, pollution, smoking, less HY Chat Doctor. Treatments should be to bring your pigmented skin back to your normal skin tone and make the skin tone even all over the face. I would recommend you to use a face wash twice a day ideally a one containing glycolic acid as it helps in exfoliation and to even out the skin tone. The most important product will be a sunscreen. Half an hour before going out apply a sunscreen and reapply it every three to four hours. At night, you may apply a lightening cream containing comic acid over the face before going to sleep. You may consult a dermatologist practicing cosmetology for few sittings of chemical peels for faster improvement. Hope this helps. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I had started masturbation at the age of 20 and now i am 24..i used to masturbate daily..i have been facing problems of soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning. I have stopped masturbTing from 10 to 15 days but with no improvements..I am very worried and dont know what to do Please help | Degree understand your concerns went through your details. The problems you are mentioning here like soft penis, premature ejaculation, soft erection, reduced interest in sex also no erection in the morning etc. are due to psychological problems rather than physiological problems. You should consult a psychologist or sexologist for counseling. 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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ηζθΏ°εηι«εΈει‘γ | Dear Sir,I am 33 years old of weight 79 kg and height 1.74 m. I have been following my doctors prescription of taking 1 no of Udliv 600 mg each before lunch and dinner , 1no of Atocor 10 mg after dinner and 1 no of Rablet 20 mg before breakfast since last 4 months. Before 4 months my SGPT was 107 and SGOT was 67. Recently I have found my SGPT and SGOT to be 62.2 and 54.4 . However, my triglyceride level is 204.2 mg/dl. Is my treatment going in proper direction? Moreover, I have been using Neurological medicine Desval-ER-500 since last 5 years due to epileptic disease. Does this medicine has any adverse effect in lever function? Please help....regards,AAAA | Hi, Welcome to Chat Doctor. Most anti-epileptic medications including Deal (Valerie acid) affect liver function, however, based on the information you have given your liver function is certainly improving (decrease in SGPT and GOT) indicating that your treatment is going in the right direction. However, your triglyceride level is still high. I recommend increasing the dose of Amoco and repeating your lipid profile after a couple of months. In this regard I will advise you to consult your primary physician and monitor your lipid profile as well as liver function. Hope this helps. |
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