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ηζθΏ°εηι«εΈει‘γ | I want to share with you about the problem of my sister. She is 30, Neuro Patent. couple of years, she had a minor worm in her mind. take regulary Valprin Chromo 500 mg two times, Phenobarbitone 90 mg at night. She is almost ok. but the problem is she dont listen of family members. awake the whole night, sleeps at day 8 - 4 pm. Negative things about some family members, always keeps doubts, etc. Watch TV alot. Behaves Lazy. Where should i take consultation by Psychologist or Psychiatrist. Kindly reply,Aditya BhargavaMb. 0000 | Hi, From the information you have provided, your sister was found to have a parasitic infection in her brain for which she was put on sodium valproate 1gm and phenobarbital 90Β mg. She maintained well till recently, and there has been a change in her behavior and her sleep pattern apart from having doubts regarding her family. Any sudden change in behavior, sleep pattern, symptoms of auspiciousness or changes in personal care etc. may be signs of a mental illness, and she may need medications for the current symptoms and hence it would be good to take her to a psychiatrist for an evaluation and treatment. Hope this helps, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have had a hard lump about the size of an olive around my collar bone i went to the GP when I first noticed it he said he couldnt feel anything and I am a working mum thats why Im tired all the time. The lump is still there it is not visible you have to feel it under the skin. It is definatley more apparent. I now have been suffering with terrible back ache and more recently chest aching pains. I am very tired and my neck area often aches although the lump itself is not painful. | HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns about the hard collarbone lump. Treatment for Cause about the hard collarbone lumps-The facts of your query indicates that you had a which your GP could not locate, but lately causing tiredness with terrible backache and chest aching pains and with neck ache. All these symptoms indicate that you might be a case of chronic infection-such as TB Lymphadenitis / Lymphadenitis (NHL or HL)with rising systemic complaints of aches and pains of body parts lately .and with progressive growing up of its systemic toxic / rheumatic effects, I would suggest consulting PCP or ER Physician to do ESR and Complete Blood Tests. And to rule out other causes of systemic complaints with the hidden subcutaneous collar bone lump. Primary Treatment-Hot fomentation/ Infra red lam radiation of the collar bone, With Anti-inflammatory for few days. If no relief add Antibiotics, under cover of your family/treating doctor ONLY. As many other causes need to be ruled out by Second opinion from ER Surgeon /Physician or family doctor and hence I would suggest your doctors Second Opinion, If need be your doctor would plan for you permanent cure option by--Surgical Excision with HPR Biopsy of the lump(to rule out NHL or HL -start of Hodgkin Lymphoma-which is the least possibility unless proved by HPR)would confirm the cause of it and your doctor would plan its treatment according to its cause if need be. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist |
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ηζθΏ°εηι«εΈει‘γ | I how many irritated abscess in my left underarm. I noticed a large knot a couple of weeks ago then it seemed to have an irritated spot that has gradually gotten larger it appeared to pump the other day and the knot has decreased in size and there is are yellow oozing Pus. the last couple of days it has been extremely painful | Hellos you know, your self that there is an abscess in the arm pit (under arm) , yellow pus is also oozing. Such type of abscess in the armpit may be due to these reasons, these include:1 Staphylococcus infection, as this is the most common cause of abscess formation in the arm pit. 2 Tubercular lymphadenitis is the another reason of such abscess .3 Due to secondary infection, as some times primary infection is on elsewhere. You didn't mention, which type of treatment you are taking. When such abscess occurs I prescribe broad spectrum antibiotics and anti-inflammatory Chat Doctor. 2nd option is consulted a surgeon, and he will deal. Because sometimes such large abscess require surgery, culture of pus and |
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ηζθΏ°εηι«εΈει‘γ | My mother, 86, has had a pacemaker and atrial abulation and is currently being treated for multiple myelom to which her blood work is showing great results! Her problem is that she has had fluid build up in her left lung which was drained 3 months ago, last week and the left lung has refilled again. Doctor says heart problem would cause fluid build up in both lungs, not one. Fluid tested negative for infection, myeloma cells, etc. CAT scan shows no mass in left lung. So, doctor is baffled. Any idea what can cause fluid build up repeatedly in one lung only? | Thanks for your question on Chat Doctor. There are many causes for pleural effusion in your mother. Like1. Infection like TB2. Congestive heart failure.3. Hypoproteinemia4. Pleural spread of myeloma. Etc. And cardiac effusion can occur on one side. So it OS not rule of thumb that cardiac effusion is dilator only. In rare cases isolated cardiac effusion can be seen. Infection like TB appears more. Low protein level can also be the cause. So get done protein level. |
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ηζθΏ°εηι«εΈει‘γ | I have a very painful abcess or canker sore on the inner side of my upper gum. Its been swollen and bloody for days. The bone underneath protrudes there due to having removable braces during my youth which rubbed the gum so the bone protrudes. Because of this the sore is extra painful and uncomfortable. What should I do? | Hi. Thanks for the query. A painful swollen and bloody abscess seems to be most probably due to either deep Infection in gum or it can be due to tooth decay if at all you have a decayed tooth in that area. The protruding bone seems to be due to bony torus formation that is an overgrowth of the jaw bone. If you have the abscess/ulcer over the mucosa that is present over the bony overgrowth then it can be probably a certain caused due to continuous trauma to the mucosa. So my suggestion is to get examined by a Dentist. If needed x-rays will be taken for finding out the exact cause for the abscess as well as bony overgrowth. Treatment will be dependent on the final diagnosis. For now Gargle with antiseptic mouthwash and also do warm saline gargles. If it is painful then applying Lidocaine gel can help. Hope your query is resolved. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi , im a 15 year old guy from Ireland who s currently doing his junior cert . For the past two years i never studied because i would end up masterbating and i wouldn t stop . I cant get myself to study because my self control is terrible. Im very smart but need to catch up . How can i prevent this and get on with my studies ? | Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation is not sin. It is very normal and natural. Every young boy of your age masturbate and studies are more or less not affected. Why only for you? I see that, it is not masturbation, which is affecting your studies. Possibly it is due to your non-interest-in-studies attitude. So many boys tell me they have improved concentration level in studies immediately after masturbation. Studies also say that, expectation about masturbation after studies also provides good concentration. So negative is your thinking. Gather your mind. Masturbation cannot make you devoid of concentration. Post a direct question to me in this website. Include as many details as possible. I shall prescribe some psychotherapy techniques to improve your concentration and for effective studies. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Dear doctor,I am 28 yeras old,trying to conceive for past two months,analysed follicular study.On 13thday right ovary 14.8mm,Left ovary 11mm,ET thickness 8.5mmand on n 14th day right ovary 16mm,left ovary 12mm,ET 8.3mm.please suggest when would i have relations so as it ruptures and i be able to conceive | Hi, I think in 2 to 3 days, your follicles will grow to a size more than 17 to 18 mm. After that only, follicles will rupture. You can also take one injection for rupturing the follicles to be sure that they rupture. You can be in contact with your husband every alternate day from now onwards till the rupture OS confirmed on ultrasound or if you take the injection, you can be in contact for 2 to 3 days starting from day of injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hello my name is sue,i have a lump in the joint of my arm it has been there for over 20 years, have been to a dr an said that i must of twisted it some time. the lump hasnt moved but lately my joint is starting to get pain.resently went to the dr about it she said shes not going to play with it its a chumor, sorry spelt wrong | Hello, Causes of a painful lump at the arm joint-A twist twenty years back mostly lead to a tumor in the arm joint. Now the doctor does not want to play with that tumor. Mostly this lump seems to be ganglion in the arm joint and would need endoscopic-laser ablation treatment under digital MRI. Pain at the site would be due to recent growth causing tensile pain in the ganglion of the arm joint. So you should not worry much. So keep cool and consult your emergency room ortho-surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor, I am 28 years old female.I have been suffering from some kind of stomach problems since 3 years.At first I thought it was stomach infection but it has been reccurring every few months.Symptoms include blackish stool with mucus and chewing gum like texture..sometimes accompanied with blood..stomach pain especially after passing stool,burping sound in stomach and lot of weakness...Reports of stool test,colonoscopy and ct scan of abdomen were normal.I have taken many medicines like rifagut 400, providac,gutrex-d,colirid,lesuride, colaspa,secnil forte,pantocid d,glevo 500 etc during this period..after 10-15 days it becomes ok but reoccurs every few months...what should I do? | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. I would suggest you to get the following:1. Stool Examination2. IGA Anti TTG Antibody to rule out celiac disease. Also avoid outside food and water. If you don't get fine and investigations come out to be normal, write to us again. We would keep Irritable Bowel Syn Chat Doctor. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy |
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ηζθΏ°εηι«εΈει‘γ | HiMy mother age 51 is suffering from heavy breathlessness, cough and fewer, we have consulted GP, after taking medicine, she doesnot have fewer but breathlessness is there, once she stops taking medicine againg she get fewer, GP has also recommended DOXYCYCLINE AND LACTIC ACIDE BACILLIUS CAPSULES, DOSY-1 LDR FORTE. above are symptoms, please advise what she is suffering from | Thanks for your question on Chat Doctor. I can understand your concern. Breathlessness in patient aged 51 years can be due to heart (heart failure) and lung (bronchitis or pneumonia) related diseases. So better to consult internal medicine doctor and get done ECG, 2d echo, stress test, chest x-ray and PFT (Pulmonary Function Test). ECG, 2d echo and stress test are needed for heart diseases. Chest x-ray and PFT are needed for lung diseases. Treatment is different and depends on cause. So first diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi my daughter has kidney failure due to Good Pasture disease. Today they gave her Epogen. I am assuming because her red blood was lowe. She said the lady in dialysis said it was medium epogen. can you explain this to me, and the risk. Thanks Monell Loe | Hi! Welcome to Chat Doctor! Epogen is used in the patient with chronic kidney failure. Erythropoietin is a hormone produced by the kidney and this hormone is essential for the formation of red blood cells in bone marrow. Since patients with chronic kidney disease can not produce enough erythropoietin, so it has to be injected in the form of Spoken. Epogen increases hemoglobin (He) levels and decreases the need for blood transfusions. The common side effects of spoken include headache, body ache, & irritation at the site of injection. In some patients it may increase the blood pressure usually within the first 3 months of starting treatment therefore blood pressure should be checked frequently. I hope I have explained the query asked. Regards! |
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ηζθΏ°εηι«εΈει‘γ | Dear Drs, My son is 2 years and 11 months old now. His weight is 16 Kg. He was recently diagnosed to be epileptic. Starting from Yesterday he s had high fever that fluctuates between 38 and 40 dc. He repeatedly lost his normal state of mind and says somethings as if he saw a dream. He has bloody watery stool. I took his stool to the laboratory and diagnosed amoeba cyst and nothing else. My question is that can amoeba alone cause fever in children? Or is there any complication other than amoebasis? | Hi.....amoeba cyst will not cause fever. Only amoeba trophozoites needs to be treated. I feel your kid is having a bacillary dysentery. It requires antibiotics and I would suggest Definite. This is a prescription Chat Doctor. Losing normal state of mind during high fever could be due to these possibilities - 1. Febrile delirium.2. Febrile encephalopathy3. Meningitis. I suggest you take him to the nearest emergency room immediately. Regards - |
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ηζθΏ°εηι«εΈει‘γ | Hi.. I feel as if I am floating. I have polycystic kidney syndrome and I am 30 years old. I checked my BP 2 weeks back and was told that I need to take some BP medicine. Even after taking that, this has not reduced. Please help me understand what exactly I am going through? | Hello and welcome to Chat Doctor. As a Urologist, let me help relieve your anxiety. Polycystic kidneys are a hereditary condition of the kidneys, where the kidneys are enlarged, with multiple fluid filled swellings called cysts. The cysts are all of different sizes and easily diagnosed on an ultrasound or CT scan of abdomen. This is commonly associated with high B.P. In that case, you need to test for blood routine, urea,creatinine, sugar,and electrolytes. An ECG and chest X-ray is needed, to see the physician or cardiologist. B.P. medication will be gradually increased, till under control. If the kidneys are quite enlarged, it may give a floating feeling. If you've any other doubt, you may send it as a direct question to me. Chat Doctor. Manga. |
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ηζθΏ°εηι«εΈει‘γ | Hi! My 15 month old son has had two lose stools today with what looks like sesame seeds in them. He has a little diaper rash as well. He is otherwise perfectly happy. He does seem to be sensitive to dairy, but I ve never noticed these seeds before. | Hi...these are not seeds, and it is how a watery diarrhea looks like when admixed during purging. If he is sensitive to dairy, please avoid even biscuits and commercial foods which have cows milk in them. Coming to management - 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. I suggest you use zinc supplements (Z&D Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | pl tell me Dr has suggested me UDIBON TABLET FOR FATTY LIVER GRADE 1 AFTER ULTRA SOUND TEST REPORT 2 TABS IN A DAY , IS IT OK OR JUST I CAN TAKE LIV-52/LIV-52DS FOR THE RECOVERY,I AM HAVING COLOSTROL 250,TrIGLISARIDE 248,AND ALSO I AM TAKING TABLET FOR THYROMED 50 MCG.PLEASE SUGGEST | Hello & Welcome to Chat Doctor, I had gone through the case and found that all liver medicine you have mentioned are same in action. Anyone you can take. For deranged lipid profile you must care for dietary intake with atorvastatin 40Β mg /OD. Diet includes-Almonds or walnut in breakfast. Avoid Refined flour, bear food items, sugar and rice. Take flex seed or fish oil for omega 3 fatty acid. Avoid oily food for better of liver. Take fruits and vegetable, raw garlic, white portion of egg and fish. Avoid Red meat. Follow this, definitely your problem will cure in 1 month. Hope it will be effective for you. Thanks, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have a pain on my lower right stomach, always this happend. but today I have experience this after exercise (walking), I have been check-up through kaiser permanente just a week ago for colon test. they didnt find anything except something very mild on my colon testine. I have glad bladder remove couple month ago, but still until now still experience abdominal pain ?... | Hello, Thanks for using Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Such pains are quite common after abdominal surgeries. It could be due to adhesions or excess bowel activity. The other reason you should be careful about is the inferior wall angina of heart which presents with such abdominal pain. May be use should get a USG abdomen done along with stress test on ECG. Hope I am able to help you, If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi i have small pink bumps on my stomach, chest, back, and legs. They do not itch, and are slightly raised. They average about the size of the end of an eraser on a pencil. They are pretty scattered on my body, but they seem to be spaces out, there s about 20 on my stomach and chest. What are they? How so I treat them? | Hi, dairy have gone through your question. I can understand your concern. You may have some pustules or other skin lesions. You should go for biopsy and histopathological examination of one lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | I am 35, 200 lb s, female with a bone spur in my neck and a bulging disk. One week ago I received steroid injections in my neck. That very night I felt a hot stabbing and shooting pain in my neck. It also went down the left side of my back, through my left shoulder and up into my head and behind my left eye causing me a migraine . I was up all night in severe pain, pain level same as labor. Now for a week I have been sick. Nausea, pain, migraines, cold and hot flashes, sweating, pain behind my left eye and dizziness. I am afraid that the doctor hit my spinal cord and is making me sick. What do you think? | Hello, Thanks for the query You may be having independent cervical spondylosis and migraine. You will benefit with medications like topiramate (this will help you lose weight also), amitriptyline along with regular exercise and diet and lifestyle changes. You may consult a local neurologist for the help who will guide you through examination and investigations. Hope this clarifies Best wishes Chat Doctor. Chat Doctor .com/doctors/ |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor.I just received my blood test and i have a sgpt level of 63.This is the first time i get a high level. I am currently on depakine, crestor and magnesium daily. My valporic acid levels are also low despite a 1g a day dosage. My tsh level is low as well. My cholesterol, despite the medication is also 203 and have an elevated ldl level.Any thoughts? | Hi thanks for using Chat Doctor. Low TSH suggests you are hypothyroid patient. Put the value of TSH for further discussion on it. Elevated cholesterol and LDL may come to normal gradually if you take treatment regularly and daily 30 min exercises. Valproic level low may be due to increased metabolism as there is liver enzyme abnormality. I advise you to get evaluated by your board certified doctor once for your management. Hope this helps you. Regards |
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ηζθΏ°εηι«εΈει‘γ | Is there a connection between hemachromatosis and itching. I have had this severe itching problem for about 20 years...from upper arms down to hands on the topside. I was diagnosed with hemachromatosis about 10 years ago. The itching has moved up my arms as the years go by and is almost unbearable at times. At times, the only relief is cold/ice packs. I have been to dermatolotists and have had ointments/creams prescribed that help very very little. The only suspected diagnosis I have been given is an allergic reaction to the sun. My arms stay red almost all the time in the area of itching even when it isnt itching. Tho...I can feel a stinging sensation almost all the time. The itching is not a normal itching...it is more a horrible stinging/itching sensation that can sometimes leave bumps and sores. I am desperate for relief!!!! | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Hemochromatosis affecting the liver can cause itching.2. Liver biopsy or biochemical investigation of bilirubin levels can be helpful.3. For itching antihistamines can be taken. Avoid scratching, as it will start a cycle releasing chemicals at site of scratching and further increase itching.4. Sun exposure is also known to increase itching secondary to deny Chat Doctor. Apply good amount of moisturizers. Get the tests done for further evaluation. Hope it helps. Any further queries, happy to help again. |
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ηζθΏ°εηι«εΈει‘γ | My mother has a history of mental illness and we suspect she is showing more and more signs of dementia.Is there a test her doctor can implement and if not, where do we go to get some form of diagnosis? She is failing to be ale to hold a logical discussion of any kind, displays catastrophic reactions to day to day comments and is repeating herself more and more.Daily tasks are becoming more obviously challenging like knowing which key opens the door of her unit. | HiT hank you for using HM. I understand your concern. Dear only confirmatory way to diagnose dementia is clinical evaluation.More detail we have to do MUSE means mini mental status examination. You can download it from net. Brain imaging can only give supportive idea to diagnose. But final decision and treatment depend upon clinical presentations. Proper and systemic clinical evaluation by psychiatrist or Neurologist can give better conclusion. If still you have a query then feel free to ask. Happy to help you. Do not forget to say than if you are helped. |
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ηζθΏ°εηι«εΈει‘γ | I have acute acidity problem for last two three years, previously I also suffering from acidity but not so acute. I have also suffering from insomonia but not regularly, some type of fluid is comming out from anus for last two years. Somewhat it has been control by the Homeopathy treatment.Kindly advise me what should I do? I have to take antacid tablet off and on to reduce the burning sensation in the chest.Regards,Debasis SarkarBurdwanWest bengalIndia | **1. Since type of fluid is not mentioned [mucous/purulent/watery/fatty] thus it is recommended to go for an expert opinion with a General Surgeon to rule out any Rectal Pathology [irrespective of cause and outcome]2. Reduce anxiety, eliminate sugar from diet, no caffeine, plenty [2 liters or more] water per day, fiber rich diet, Increased fiber rich diet, probiotics [medicine and yogurt].3. Regarding your Acidity problem:i. Avoid food which take more time to digest or irritate stomach mucosa like: cabbage/ sprouts, onions, asparagus, pears, apples, peaches, chewing gum, milk products, fruit juice, vinegar,alcohol, caffeine, greasy-spicy-refined foods, Avoid oily food, aerated Chat Doctor. Avoid swallowing of air i.e. sipping tea, chewing gum, aerated |
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ηζθΏ°εηι«εΈει‘γ | my brother has suffered from psychological vomiting due to which he has lost 20 kg weight we have already done the various tests such as ecdoscopy, city scan, gasteric report , brain scan all reports are normal but he is continously vomiting witjout any illness kindly giv us advise for proper treatment | Degree understand your concerns went through your details. I suggest you not to worry much. Sometimes the cause of nausea and vomiting is psychological. This doesn't mean the symptoms aren't real. A qualified clinical psychologist or psychiatrist can help. People who often make themselves vomit may have an eating disorder. This can be a life-threatening condition. If your brother eat a lot and then make himself vomit, he needs professional help. Other possibility is obsessive behavior. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | My 5 week old baby has a staph infection in eye and was prescribed vigamox on Mon. She has had 5 total drops..... 1 Mon. night, 2 yesterday and 2 today. Her eye looks red and swollen and is still infected. Are the drops not working? When should it start to clear up? | HI, thanks for using Chat Doctor It may take a while for an improvement to be seen, but normally changes should be visible by day 3 to 4. If she still has the same amount of discharge and swelling then she may need to be reassessed. It is possible that she may not be responding to those particular Chat Doctor. Her doctor may want to consider taking a swab of the discharge. This can be sent to the lab for them to determine which medication would work best. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | I have been having a tightness in my chest and a feeling of heaviness for about 2 hours now. It also feels a little tight in my throat and I feel as though I cannot get as much air in my lunges as usual. This has happened to me before and last time was a few weeks ago when I was on holiday... could this be something to do with the heat? Just before the feeling came on I was eating chocolates - I m wonder if this has affected my sugar levels or blood pressure perhaps. I am trying not to panic as I am wondering is this a panic attack without me realising its one?? Thank you for reading, hope you can help . Sara | Hello, After going through your medical query I understand your concern and would like to tell that your symptoms are predominantly Cardiac which requires urgent medical attention to avoid any unpleasant episode. It's recommended for you to consult a Cardiologist and get basic Cardiac evaluation done which includes ECG and Echocardiography. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | my mom is 79, approx. 5 9 , approx. 200 labs. she has tried thru her GP all known remedies for pain, as well as acupuncture and herbal remedies. now is on her final available option, medical marijuana. GP and my brother, also a GP don t have guidelines re dosage or how often to up the dose, so it s all very hit or miss and she feels discouraged and in the dark. we have a very good medical marijuana pharmacy here, and she has all forms, ie cookies, rub, ointment, lotion, oil. any assistance with dosage or timelines would be so helpful!! she just needs more guidance. very intelligent and no mental problems, age-related or otherwise. she will try anything for her neuropathic pain except smoking marijuana. thank you. | Ok, there are several standard medicines for neuropathic pain. Nerve pills such as amitriptyline, lyrics, gabapentin and dilation. There are nerve dampers such as lidocaine. There are nerve dampers that are physical such as tens units and neuroablation, Botox is also being tried http://www.medscape.com/viewarticle/860783and there are operative removal of the nerve or neural internal tens units. This would be most of them. |
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ηζθΏ°εηι«εΈει‘γ | i am having medication for depression for 18 years,i am having clonazepam and amitriptylene,recently my doctor wanted to change my medication but it didn t suit me...now i am not able to adjust in my old dose.i feel rapid palpitations and cold body,feet,i had done ECG ,Echo and TMT 2 yrs. back all were normal,only i could not walk for long in TMT,i had fatigue..pls suggest if my heart is ok | It seems that your cardiac parameters were normal 2 yrs back. You need to go for preliminary cardiac evaluation again. If they are normal then your doctor can think of venlafaxine or desvanlafaxine starting from low dose along with low dose of clonazepam during daytime & higher dose at nighttime. These molecule better control navigability component. Gradually omit daytime & later nighttime clonazepam. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am 33 and since having my baby a year ago I am suffering from joint pain, especially in my wrists and fingers. I have pins and needles sensation at times and writing is becoming difficult. I just got my reports and have elevated CRP and low folate. Any idea what could be wrong? | Hello, Welcome to Chat Doctor forum. I went through your post. You have pain in the small joints of your body with an elevated CRP (C-reactive protein) level. Regards. For more information consult an internal medicine physician online |
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ηζθΏ°εηι«εΈει‘γ | Hi! My boyfriend started feeling really bad last night. He is 21 years old. We live in Charlotte, NC. And he is experiencing fatigue, fever, abdominal pain (more on left), and frequent and painful bowel movements. Yesterday we went hiking and swimming at Stone Mtn, NC. When we got home at 11:00 pm he began complaining about his joints hurting. He said it felt like his elbows and knees were burning and that his back was sun burnt. Well, he was not sun burnt and he shouldnt have been weak from the hike because we barely did 3 miles and we usually do 10 or more and he is very athletic and fit. He also was having very frequent and painful bowel movements but not really diarrhea. He was also having lower abdominal cramps more on the left side than the right. He started having chills with a low grade fever which just got worse through the night. This morning he said his whole body ached and his fever is now 101. His head is also hurting. He went to get something to drink from our kitchen downstairs and I found him laying on the steps because he got tired on the way there. This is very unusual for him, we have been dating for 5 years and he has only been sick once. Thank you for your help. P.S. I thought he may have gotten a tick on him from the hike, but there was no tick on him this morning. | The symptoms and the description are typical of Tick fever. The symptoms also hint about an infective cause. However, unless there is a sign of tick bite with a rash, the doctor won't be able to confirm it. He has to conduct the necessary tests to confirm this. We also think your boyfriend had physical exhaustion due to intense physical activity along with fever and deny Chat Doctor. We suggest taking him immediately to a Family Physician or a hospital nearby and get the appropriate care. |
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ηζθΏ°εηι«εΈει‘γ | I have been having a pulling like sharp pain on my left shoulder blade and bottom left neck area...I am fairly confident it is muscle or nerve related. When I inhale deeply I feel a sharp (burning) pain in that area as well. I am on BP medicine and my pressure has been normal; however, the past few days it has been high. My doc gave me a coritzone/lidocain shot in the area but the pain is still there (a week now). My bp is a bit high again and I was told the raise in bp is because of the pain. Are there any other tests I should have. About a month ago I had a physical; blood, ekg, etc...and all is well. I am 38 | Hello, It may be due to muscle sprain. Still for further assessment you may require electrocardiogram, 2 D echo, chest x-ray after cardiologist consultation. Further treatment mainly depends upon the underlying condition. For pain, you can take tablet acetaminophen. Do regular physical therapy. Avoid strenuous activity and heavy weight lifting. Hope I have answered your query... Let me know if I can assist you further. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I removed teeth (left side 2nd teeth) 14 years ago still pain is existing. Doctors telling it is neurological pain. Then i consulted neurologist .The did MRI & blink reflex test .It is in Apollo Kolkata.Digonisis found there is facial paulcy. Begning I was eating Prothiaden-25mg Then -50 & then 75mg. It is hell .Fullday have to sleep. Can you tell me remedy. | Thanks for your query, I have gone through your query. The pain in the extracted site could be because of any infection in the neighboring tooth or any left out root pieces. The other possible cause of the pain could be trigeminal neuralgia. Consult an oral physician and get yourself examined to rule out the above-mentioned conditions. The Chat Doctor. It will not work for long. You might have to take carbamazepine and nerve regenerating |
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ηζθΏ°εηι«εΈει‘γ | hi,i hv an endometriotic cyst of 3.8cm on my left ovary and last yr my right ovary was removed b/c of laprotomy i want to conceive my left fallopian tube is blocked and right is opened i already have a son 8 yrs old my age is 28 yrs and its been 9 yrs of my marriage i m taking duphaston theses days from 16th day of my cycle till 10 days plz advice me i dont want to take danazol it effects my liver. | Hello, thanks for the query. I learn from your concern that you had a laparotomy for endometriosis and left ovary removal. Please note the following1. For conception your egg when released has to be picked up by the same side tube which needs to be open and functional. As you have your only right ovary left and left tube functional (opposite sides) it's not possible for the egg to be picked up by other side tube. It's difficult to expect pregnancy to happen naturally.2. As the remaining ovary also contains a cyst of almost 4 cm, it's wise to get it removed if you plan to conceive with techniques other than natural method.3. Taking phaeton doesn't help in conception, but it only supports pregnancy if it happens.4. The best option which can help you conceive now is IVF (in vitro fertilization).5. Canal is not used commonly to treat endometriosis for its unwanted side effects. Hope I've ad Chat Doctor. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have had painful headaches lately and I think it s caused from my ears always feels like its full of liquid in there I have allergies so I take the nasal spray for that and I m waiting to go see the ear n throat specialist but that s takin a while how can I keep clear from gettin the headaches | Hello, Welcome to Chat Doctor, The allergic manifestations can result in wide range of symptoms from generalized hives to Anastasia. You have to confirm first that whether you are having allergic reaction by testing for absolute eosinophil count (AEC) and then you need to identify the allergen causing these symptoms. The allergen should be identified by skin prick test. After identifying the allergen then we can decide the further mode of treatment. Immunotherapy can be considered is there is a known allergen. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do? | Hello, welcome to Chat Doctor. Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life. Wish you all the best. Chat Doctor. 99doctor.com |
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ηζθΏ°εηι«εΈει‘γ | DearDoctor, sir i am facing impotency that i feel for last 6 or 7 yrs im of age 27 yrs height 169cm i had done masturbation before that in my childhood i have loose penis less erection all time only sometime i feel erection when i watch some movies or pics if i see then only after that i found my loose penis again i think blood circulation is not proper functioning my cheeks looks deep buried also and under eyes also i look old person i feel so sad always feel weaknes in my limbs thin also. I feel eye heatness .depresion all time.i hesitate in mariage to do.pls sugest me something @mail YYYY@YYYY | Dear user, Thanks for writing to Chat Doctor. I have gone through your question and understand your concerns. Masturbation in private or with a partner is a normal and healthy part of sexual enjoyment. Masturbation is similar to sexual intercourse. What penis does in partners vagina during sexual intercourse, same it does during masturbation in your folded palm. Sexual intercourse does not cause weakness or any harm, so how masturbation can do! It does not cause impotency or aging (looking old), or fatigue. Semen is similar to other body liquids like saliva, blood and tears. It is produced continuously by sex organs. It is not LIMITED amount in our body. The amount expelled in masturbation or during sexual intercourse will soon restore by your sex organs. The symptoms like fatigue and weakness are due to anxiety of semen loss (Psychological). There are effective medication and counseling for same. Kindly see a psychiatrist in your area. Wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I had unprotected sex two days ago, and there are three clustered red areas on the bottom of my shaft. They only slightly itchy, and the skin there is dried. I have heavily researched herpes, and I do not think this is it. Anything else it could be? | Hello, Welcome to Chat Doctor forum. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, My name is Santos, and I was diagnosed with cirrhosis in the mild to moderate stage witChatDoctorplications of esophageal varices without bleeding status chronic, mild. I also have Barretts esophagus with status chronic, mild. My meds. are Propranolol 10mg., Nexium 40 mg., and Lactulose. I am eating well healthy and taking meds. like I should, and would like to know what my prognosis is can I live for a good while or am I close to death. I also forgot to mention that I had endoscopy with banding as a precaution. This was done in Oct. 7, 2011. | Hello Mr Santos, I am so sorry to hear about your diagnosis. By your description, I understand you have developed "Portal Hypertension" which is a complication of cirrhosis of the liver. This manifests as either esophageal varices which can bleed or as ascites (fluid build up in the belly). Liver cirrhosis also prevents some chemicals in the body from being purified and this can enter the brain leading to sleepiness and confusion (Encephalopathy). Propranolol helps in decreasing the portal hypertension and prevents the varices from bleeding. Lactulose prevents the chemicals from being absorbed from the intestine and so will prevent the confusion (encephalopathy). The prognosis of your cirrhosis will depend on the cause of cirrhosis. Unfortunately irreversible liver damage has already occurred to your liver and now the aim will be to prevent further deterioration and prevent complications. If the cirrhosis was due to alcohol, complete abstinence will delay the progression of cirrhosis. If it is due to some form of hepatitis, unfortunately there is not a lot of left to do since anti-hepatitis treatment cannot be given in cirrhosis. The best treatment for cirrhosis, especially for someone in your stage is liver transplant. It will not only get rid of the cirrhotic liver, but also treat the portal hypertension completely. I would advise you to actively seek a Liver transplant center and get evaluated for candidacy for a transplant. Hope this helped and I hope you feel better. Please do not hesitate to contact me personally for any further details - [email protected] |
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ηζθΏ°εηι«εΈει‘γ | i have a history of kidney stones and latelty over the last 3 days or so i have become very sleepy nauseated and its hard to pee. i have had pain in both sides of my back near the kidneys mostly on my right side wraooing to the front a mild fever ...is this a kidney stone? | HI THANKS FOR POSTING YOUR QUERY.HAVING GONE THROUGH YOUR CONCERN, I WOULD LIKE TO TELL YOU THAT THESE SYMPTOMS OF YOURS ARE HIGHLY SUGGESTIVE OF RENAL CALCULI/KIDNEY STONES.YOUR PAST HISTORY IS SIGNIFICANT FOR KIDNEY STONES WHICH GIVES THE STRAIGHTFORWARD CLUE TO YOUR CURRENT ISSUE.KIDNEY STONES CAN GENERALLY ARISE AT DIFFERENT LEVELS -KIDNEY, URETER,BLADDER, BASED ON WHICH SYMPTOMS PRESENT.BACK PAIN RADIATING FROM BACK TO FRONT OF ABDOMEN IS QUITE SIGNIFICANT FOR STONE HIGH UP IN THE RENAL OUTLET OR PELVIS KNOWN AS "staghorn calculus" AS MOST LIKELY IN YOUR CASE.THIS KIND OF STONE CAN PRESENT WITH BACKACHE, WITH LOIN TO GROIN RADIATION, DIFFICULTY IN PASSING URINE, PAIN WHILE URINATING, COMPLETE CESSATION OF URINE FLOW, OCCASIONALLY NAUSEA AND VOMITING. I WOULD LIKE TO ALERT NOW AS YOUR STONE DISORDER CAN BE PREDISPOSED TO A SPECIFIC URINARY TRACT INFECTION-CALLED "ACUTE PYELONEPHRITIS".THIS CONDITION IS QUITE TOXIC TO PATIENT PRESENTING WITH CHILLS AND RIGORS.IT NEEDS INTENSIVE MANAGEMENT IN AN INTENSIVE CARPETING WITH PARENTERAL HIGH DOSE ANTIBIOTICS.ALL YOU NEED TO CURRENTLY DO IS TO GET A PLAIN CT(COMPACT TOMOGRAPHY) SCAN OF YOUR ABDOMEN TO CORRECTLY IDENTIFY THE STONE MORPHOLOGY AND ITS LOCATION WHICH CAN GUIDE THE TREATMENT PROTOCOL.STONE BREAKING MEASURES INCLUDE ESWL-EXTRACORPOREAL SHOCK WAVE LITHOGRAPHY OR SURGERY- PCNL-PERCUTANEOUS NEPHROLITHOTOMY.PAIN KILLERS LIKE TRAMADOL CAN BE HELPFUL IN YOUR CASE.CONSULT AN EXPERT NEUROSURGEON TO DEAL WITH YOUR ISSUE.THANK YOU.TAKE CARE. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor i am taking krimston 35 since 1 month as contraceptive pill mean while i missed to take 2 pills in correct time but i have taken immedetely as i remembered, now my doubt is iam having sex with my husband wht is the chance of getting pregnancy i want to continue tablets for another 3months is it ok r not, | Hello misunderstand your concerned there may be chance of pregnancy as you missed two tablets of crimson 35. After missing two tablets you have to used barrier contraception to prevent the pregnancy, but you did not use any other contraception so chance of pregnancy. You should go for pregnancy confirmation by UPT and or blood Chat Doctor if period will delay by the 10-12 days from the normal expected period date. Krimson 35 is not strong contraception. You can also use newer contraception like felon and microphone instead of crimson 35 to prevent the pregnancy after getting advice of gynecologist. Crimson generally used to regularize the period in PCs. Contraceptive pill should be taken regularly to prevent complication so make habit to take regularly by putting reminder in the mobile. Hope this may help you Best regards |
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ηζθΏ°εηι«εΈει‘γ | Still in hospital 4 days after laproscopic gall bladder removal. 1st 2 days bloated and severe pain until given 2 shots of neostigmine. now have dark urine, small amounts of blood in urine, pain in upper abdomen, no jaundice, still have iv in, have had no food or water yet. am out of bed and walking 400 feet at a time multiple times a day. 78yo. male, excellent health, ride a bike 15 miles a day, still working a fairly physical job and flying my airplane on a regular basis. Should recovery take this long. shouldnt I be getting water by mouth by now? | Hi.noted history of gallbladder surgery through laparoscopic cholecystectomy. Recovery of patient from any surgery or procedure is relative or case to case basis. If you have other co-morbidities or diseases, the higher the risk of complications. Also, depending on the severity of your case, your surgeon might want to observe you longer than expected, hence, the longer hospital stay. A laparoscopic cholecystectomy may be an ambulatory procedure in some institutions. On average, hospital stay is usually 2-3days. But as I've mentioned earlier, recovery of a patient is multifactorial as well. You could ask/discuss with your surgeon re your current status/plan of management. Am sure, he or she is willing to answer any of your questions related to the operation performed. Early ambulation and deep breathing exercises are highly encouraged. Low fat diet post-surgery will be advised accordingly. Hope this helps. Good day!!~ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I want to take an emergeny contraceptive pill to take after unprotected sex, and was prescribed a months worth of gynera combined contraceptive pills. I understand that the morning after pill usually comes in the form of 2 pills only, not a normal combined contraceptive. If I take a months worth of Gynera ethinylestradiol/gestodene, will this work as EMERGENCY contraception? | Hi there ~I understand your concern. I also hope that you are not concerned about the type of contraceptive method that you are using since you have already taken an emergency contraceptive method. To allay your anxiety regarding a pregnancy, I recommend that you take the urine pregnancy test if you feel anxiety about potential pregnancy as soon as you find out you missed your next menstrual period. I hope this helps. Take care and have a lovely day! |
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ηζθΏ°εηι«εΈει‘γ | hi there, i have an insect bite to the back of my upper thigh. i got it last friday and it is still very itchy/sore and has risen considerably and spread to around the size of a big orange in circumference. what should i do about it? i have been using anthisan cream so far. | HI, thanks for using Chat Doctor The fact that it is still itchy would imply that you are still having an allergic response. You may need to consider the use of a mild steroid cream to help reduce the inflammation. This can be used for a few days, if the rash is only allergic, this would help. In some cases, an infection can occur as a result of the introduction of bacteria due to the scratching. If this happens, the use of a topical antibiotic would also be needed. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | on 31 OCt my child faced a dog. He is 5 years old. He is not sure whether there is scratch or bite but some blood flew from there on the face. The witness people told me that the mouth of dog did not reach to the face of my child from where blood flew. I was not sure and immediately contact to physicial He advised me to take vaccine. I agree but the injection was injected in gluteal region. Is there any chance of rabies. as I read that gluteal region should be avoided . Another thing is dog was seen on 9 th day. It means the dog was not died upto 9th day. After that I could not see it as was away from my town. Is there any reason to worry? | Hi...coming to your queries directly - 1. The animal being alive even on 9th day is good, and it shows that it is not rabid.2. Vaccination should be started, and your doctor was right.3. Anti rabies vaccine should not be given in the gluteal region and in fact not vaccine should be given there as is a pad of fat there. It should be given into the muscle. No reason to worry. But hereafter give the vaccines in the lateral part of the thigh. Regards - |
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ηζθΏ°εηι«εΈει‘γ | HelloMy age is 29 Im trying to conceive but my periods r irregular I have pcos history but now it is OK my USG ,hsg test r OK follicular monitoring done for two cycle in first cycle 18 day ovulation without medicine. In next cycly 14 day ovulation with medicine.I am suffering for mild side back pain over a month and feeling muscele stretch kindly suggest me for the next so that I got positive result | Hi, Thanks for the query. As you are ovulating regularly and as all tests are normal, once check for semen analysis of your husband to rule out the male factor. Sometimes ovulation induction can lead to hyper-stimulation. You have to rule out that and pelvic inflammatory disease as possible causes for your pain. If all are normal, you plan unprotected intercourse around the time of ovulation. This time possibly you will get positive result. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor..I am having back pain probably in my sacrum or coccyx region of spinal chord. Day before yesterday morning when i woke up i had this pain. At that time it was not too much just a hinge but now it has increased. Its not a sudden pain it keeps on painin without any sudden rise. Im working out in GYM for more than 2 months and i havent gone for a long tour too. Please suggest me some medication. | Hi, You have got back pain probably in coccyx, or scrotum, gradually increasing. It appears that the pain may be due to stone in the ureter nearer to the bladder, hence referring to the scrotum, it may also be the infection in the lower part of the ureter. I advise you to consult a urologist for diagnosis and treatment. You may need to have U.S.scanning besides other routine tests for confirmation. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | hi, i am suffering from an inflamation of the knees and to help me overcome the pain I am taking ibuprofen. lately I am also experiencing a sharp pain on the back upper part of my left buttock. For your information I suffered from a slip disc oo the L1, 2, & 3 & S1. could you please suggest a prescription for me. the pain sometimes can be very excruciating. Thank you | Hi, thank you for providing the brief history of you. As you have Slip disc issue, the pain in the back and left hip will be high dude to pinch of the nerve. Also, as you know you have this issue, I will recommend you to undergo physical therapy. As per the evidence of physical therapy and Slip disc the effect of physical therapy on slip disc is positive, so I will recommend the same. Also, you need to strengthen your core and hip muscles as well along with knee. One the trunk and lower limb becomes stronger, you pain and aches should reduce with better stability of the spine.in my clinical practice we recommend such cases for physical therapy, and they respond well. RegardsJay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I have lots of anxiety issues. I have taken Deanxit in the past. Then I stopped it for a year. I started taking it back again six months ago. I have a long flight to take soon. I have a fear of flying. Can I take one pill of Valium 5 mg while taking the Deanxit? So, that I can sleep on the plane. I am taking Femostan Conti, Concor 2.5 for heart palpitations. | Hi, Welcome to Chat Doctor forum. According to your history, it seems that you are having generalized anxiety. Yes, you can take Valium (Diazepam) for symptomatic relief. It will help you to get proper sleep in long duration. Deanxit (Melitracen with Flupenthixol) is a good tablet to deal with anxiety symptoms. I would also advise you take a few psychotherapy sessions later to deal with your problem without medications. For more information consult a psychiatrist online |
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ηζθΏ°εηι«εΈει‘γ | hi doctor, I had an Ectopic pregnancy which resulted in my right tube removal. I am trying to conceive agian but my right ovary follicle was dominant last month and this month right side follicle was 12.5 and left side it was 10.0 on day 9th, since my interest is in increase of size of left side , is this possible .Moreover i was given siphene 100mg too | Hello. Thanks for writing to us. The medicine that has been prescribed to your helps in the formation of follicles causing an ovulation. There is no way by which you can selectively increase the size of a follicle in the single ovary. It is hormone mediated. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My last period was 3rd of may, though my period was irregular before then, but my Dr. was tracking my ovulation as I was desiring to concieve, eventually i missed my period in June, i went for both urine and blood test and they came out positive, I have no symptoms of pregnancy yet except for sore breast whicChatDoctores and goes and diahorea, i went for utrasound last week and my Dr. said that the gestation sac wasnt well defined, that i should come back this week, i am a liitle bit worrid cause i dont understand what he really meant | Hallow Dear, When pregnancy test is positive but still the ultrasonography report comes as Gestational sac not well-defined, there is a possibility of absent embryo in the sac. This is called as Blighted ovum. You may repeat the scan again after about a week or so. If empty gestational sac is seen, the diagnosis is confirmed. In Blighted ovum, the pregnancies do not continue and grow. If it does not get aborted spontaneously, you may have to get it terminated by medicines. Your Obstetrician will take the decision after repeat scan. I hope this helps you. |
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ηζθΏ°εηι«εΈει‘γ | I am wondering if there are any techniques to increasing or prolonging the effects of adderall. I am currently prescribed 20mg XR, once a day. I have been taking the drug for ADD a little over 6 months now and have noticed my ability to stay focused has greatly decreased. | Adderall is known to cause dependence and tolerance. Here are some tips that will help:A. Take Adderall only as prescribed and not for recreational purposes. B. Discuss with your doctor whether 1. You may increase the dose, since you now need a higher dose. However, remember that tolerance will develop to higher dose as well. 2. you can consider a Chat Doctor. You then restart it later on. However, in the period that you are not taking Adderall, your ADD symptoms will return. C. You may discuss with your doctor switching to another medicine such as Atomoxetine which rarely causes dependence and tolerance. D. You may also see if there are any other medications you are taking that interact with Adderall. E. Don't ignore behavioral management for your ADD. I hope this answer is helpful. |
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ηζθΏ°εηι«εΈει‘γ | Hi. Earlier I rolled my ankle inward and heard a loud crack sound along with severe pain. It is swollen and sore to the touch and during movement. I fractured this same ankle 2 years ago the same way and have had many ankle injuries due to a deformity when born. Should I worry much or just keep weight off it? | Hi, Swollen ankles and swollen feet are common and usually not cause for concern, particularly if you have been standing or walking a lot. But feet and ankles that stay swollen or are accompanied by other symptoms could signal a serious health problem. An injury to the foot or ankle can lead to swelling. The most common is a sprained ankle, which occurs when an injury or misstep causes the ligaments that hold the ankle in place to be stretched beyond their normal range. To reduce the swelling from a foot or ankle injury, rest to avoid walking on the injured ankle or foot, use ice packs, wrap the foot or ankle with a compression bandage, and elevate the foot on a stool or pillow. If swelling and pain is severe or doesn't improve with home treatment, see your doctor. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have bad arthritis all over but the place that gives me so much pain is my lumbar area I have been told I have stenosis of the spine there at 4/5 vertebrae. I have tried various pain relief tablets and at present taking tapentadol and gabapentin . Is there anything better I can take or non drugs to relieve my pain? Brenda | Hello Brenda! Welcome on Chat Doctor ! I understand your concern and would like to know the dose of Gabapentin that you are actually taking. I would not recommend taking for a long time Aventador as it may lead to addiction and also tolerance, leading to lower effects after a prolonged intake. Coming to this point, I would recommend increasing the dose of Gabapentin or adding an antidepressant like amitriptyline to your actual therapy. Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | ive been through a lot of tests for my son who is 11yrs old. he had symptoms of muscle and joint pains, fatigue,recurrent infections, he easily catches flu virus and is always sick. had some blood tests done and had results as indicated high lymphocytes and low neutrophils.. what does this mean? | Hi, high lymphocytes and low neutrophil count seen in many conditions. Msot common is viral infection, many other infections like malaria also have high lymphocytes count. So you need to go for detail blood analysis to know the exact cause. Most probably it's due to viral infection. Moreover your symptoms are also related to some viral infection. Consult physician and take treatment accordingly. Thanks for using Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my son is 16 and was diagnosed by his pediatrician on Monday with enterovirus. a week ago he started with stomach discomfort. The fever started Sunday afternoon and spiked to 104 by nighttime. today is Wednesday and with Motrin and Tylenol the fever has only gone down to 100. He has muscle pains all over the body including his neck most recently. Today he has a slight cough and says its a little hard to breathe thru his mouth? I am a pharmacist and should know better not to read every detail on line, but when I read meningitis, encephalitis or pericarditis I am very concerned that maybe I should take him to the hospital? Is it normal for the high fever to last for so many days? Help :( concerned mom. THANK YOU | Hi, It seems from the history that your child has not gone through some important investigations E.g.. C.B.C, stool test to confirm it was retrovirus infection. As for now your child has got cough and difficulty in breathing with spike of fever. If I had wanted to evaluate the cause of these symptoms, I would suggest chest X-ray and sputum test first to rule out any bacterial or viral chest infection. As any infection can cause body ache, or muscle pain. Meningitis or encephalitis are inflammation in brain membranes and brain i self respectively, you should think about it when your child gets seizure, neck stiffness, confusion , paralysis or any other sign which is related to brain infection. So be relaxed, and you discuss further with your doctor after above-mentioned investigations. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My brother is 67 and is a sever diabetic. He has been trouble breathing lately. He finally went to the doctor yesterday and they did blood work, said they would get back to them. They suspected it was either a blood clot in his lungs or heart problems. They called back this morning and said it is not a blood clot. They called him in a prescription for Nitro Glycerin and told him to take an asperin, and they would get back to them with an appointment with a cardiologist. They finally calle back and said they could not get him in until the 23rd. To me, this is rediculous, to give someone Nitro because they are having heart problems and expect them to wait for a week to get them to a specialist. I am thinking congestive heart failure, guessing, but our mother had it and her father had it. Does that run in the family and am I over reacting? | Hi thanks for contacting Chat Doctor ... Noted you have Dyspnea ... Let me know you about his smoking history ??? Hypertension ?? Any previous cardiac history....?????Anyhow, just now it might be heart failure case that can lead dyspnea.... To rule out cardiac cause simply ECG or echocardiography done... You can consult physician for proper work up.... In heart failure there is also can be presence of edema feet ... If smoking history present then respiratory cause ruled out by pulmonary function test and chest x-ray... Esp...chronic emphysema and bronchitis has to be ruled out.... Hope your concern solved.... Take care.... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi my sister has lung problems, they treat her for Asthma and COPD. They give her steroids and she gets better for about three weeks then it starts up again. She has real sticky hairy substance coming from her lungs. It is so sticky she can hardly spit it up. They ex-ray her lungs and say their clear even their so full she cant breath. They have been treating her for the same thing for seven years, and she is still real sick. When this is happening, there are some days I m not sure she is going to live. She gets so weak, she cant hardly walk from one room to the next without sitting down. What should they be treating her for? | Hello dear, thanks for your question on Chat Doctor. I can understand your sisters situation and problem. By your description and her symptoms, in my opinion she is having very severe COPD (chronic obstructive pulmonary disease). The best treatment of COPD is inhaled bronchodilators. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. PUT (pulmonary function test). PFT is must for this. PFT will also tell you about severity of the disease. And treatment is based on severity only. Chest physiotherapy and deep breathing exercise are beneficial for her to relieve thick expectorant. Bucolic and expectorant are also helpful in this. So better to consult pulmonologist and discuss all these. |
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ηζθΏ°εηι«εΈει‘γ | I have been diagnosed as having a center disc herniation. I have an appt. with a neurosurgeon in two weeks. I ve have numbness in my hip, left leg and foot. Well today my left calf and foot are cold. I have a heating pad on it and it s still cold. Is this a symptom of a center herniated disc? | Hello, Sorry to hear about the disc injury you are having. Coming to the disc injury, any disc injury is not Mandatory that it will lead to the motor, sensory, motor sensory both or no symptoms. The symptoms are totally individual based. In your case, the nerve is getting pinched by the disc prolapse which will be a small fragment troubling the nerve on its nerve root where it is coming out of the spinal cord. Nerve has got two major functions - one is motor and other is sensory. The motor includes movement and sensory included the pain, temperature, numbness, tingling etc. In your case it is sensory and by this, the motor functions are reduced. As you have tried to put hot water bag over the calf which was cold, I would recommend trying keeping it over the lower back, as that is where the nerve root is. Once the nerve root gets the warmth the nerve supplying the muscles will get warm sensation back. Also, with this, the pain will come down. Now coming to the therapy part, if you have unbearable pain then medication might be looked for. But most cases are ceased from medication after 7 days. I will recommend you to first try out the McKenzie maneuver of lying on the stomach and making an extension of the spine with the help of the upper limb. You can check this out online. As this maneuver is kind of at its best to centralize the pain only in the back region. Once you get the pain centralized in the lower back you can use hot water bag over it to provide the soothing effect. Once there is centralization and soothing of pain you can start slowly the core stability exercise and also the lower limb strengthening while lying on the mat. In my clinical practice of 12 years, a maximum number of cases have responded well with the McKenzie maneuver and exercises. You can take the help of a physical therapist if you wish to. You should do well in 3-4 weeks if time. Post which you can continue exercises like 3-5 days a week. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor i have one question my uncle was suffering from Heart Attack last weak when we reported to hospital the doctor said one Rtree is fully blocked and two others are paritally they operated stanting in fully blocked tree and advice for two others some medicines are continue so please suggest what we are doing | Hello sir, and thanks for posting your query here. It seems your uncle underwent angiography where he was found to have blockage in one artery and the other two arteries were normal. The blocked artery was opened with angioplasty with a stent. Now he is on medicines as per your information. This is the best approach to treat a patient with heart attack. But one thing that your uncle has to understand that he needs to take his medicines very religiously particularly blood thinners. This is because of the risk of stent reblockage. I hope this information would help you. Thanks and all the best. |
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ηζθΏ°εηι«εΈει‘γ | I am a 19 year old female and i have been experiencing sharp shooting pains in my neck and head for a couple months now. I have been to a neurologist offering me no answers. I have had a CT scan and x rays, as well as a spinal tap. For the past couple days my shoulder and left arm have been having shooting pains that radiates into a dull, heavy, painful feeling. My chest feels extremely tight as well. Is this realted? Should i go to the ER again? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, all these symptoms are related. In teenagers, undiagnosed stress and anxiety are very common. And these can cause multiple pains at head, neck, shoulder along with chest tightness. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will also need anxiolytic Chat Doctor. Calcium and vitamin D 3 supplements are also beneficial for multiple pains. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I have been treated for a sinus infection as of Friday with antibiotics. Now I also am coughing a lot! The cough starts with tickle/irritation in throat from drainage, then spirals into bad cough, it hurts and I am gasping for air. What can I do to help this and breathe ok? | Hi, If I were your treating Doctor for this case of upper respiratory tract infection, I would just tell that it is not only sinuses it has involved your upper food canal, larynx/air way, tonsils and regional lymph nodes also! The symptoms are related to post nasal Chat Doctor. I would suggest some home remedies and medicines also!1. Hot saline gargle as much possible2. Massage hot mustard oil in your soles of feet3. Antiallergics like loratadine/cetirizine4. Antibiotics like azithromycin 5. Good nutrition / vitamins and warmth6. Do not blow nose just squeeze it when necessary! 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 read online that h pylori is transmitted through direct contact with saliva, vomit or fecal matter. Yet nobody states whether or not it is transmitted through direct contact with urine or blood. I know its dna is in urine and blood, but am unable to determine if it is infectious through those routes? | HI, thanks for using Chat Doctor The transmission of any infectious agents is also influenced by their survival in a particular medium. This means if the bacteria, e.g. H pylori, cannot survive in urine or blood then it cannot be transmitted in this way. The survival in the medium and in that aspect of the body is also important e.g. the urinary tract. H pylori is not normally transmitted via the urine or blood. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | my sugar level fbs 180 and ppbs 380.then doctor prescribed glycoment gp 1 fort every day one cap for 15 days.again i checked sugar.sugar level fbs 170 and ppbs 360.then i meet other doctor.doctor prescribed ozomet g2 every day one cap two times.after 10 days i check my sugar again.now sugar leem fbs is 130 ppbs 240.why like this.both medicines contains metformin.kindly give reply | Hello, Thanks for the query. You are right, both medicines contain Metformin as one of the ingredient, but Glycogen GP1 has 1 mg of Glimiperide and the other (Comet G2) has 2 mg of glimileride. The reduction in blood glucose level noticed is due to the higher dose of Glimiperide. This Chat Doctor. Higher dose means there a greater stimulation. Still the blood glucose levels (Fasting 130 mg & PP 240 mg) are much higher than ideal levels in case of good control like Fasting closer to 100Β mg, PP 150 to 160 mg and HbA1c% Therefore, it is necessary to improve the current treatment so that desired blood glucose levels are achieved consistently. I am sure you are aware it is essential to achieve a very strict blood glucose control in order to postpone or prevent long term complications of diabetes affecting various vital organ in the body. In addition to specific |
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ηζθΏ°εηι«εΈει‘γ | Hi .i have been trying to concieve for the last 6yrs wit no success. Finally last yr i decided to see a gyno n i was diagnosed with pcod. He put me on hyponid n m2tone for 3mnths den on metformin n m2tone bt i jst used for one months coz it gave me terrible side effects. He has now put me on ovacare 2*2 for 3mthns wich IV started today. Tho my pz r not regular. Wat r my chances? Will i concieve soon? Thnx | Hello dear, Thanks for the query. Lifestyle modifications is the best treatment for PCs, hence if you are obese, It's very important to lose weight. Metformin is used for treatment of INSULIN RESISTANCE. In PCs there is usually ovulatory cycles, if you lose your weight ovulation will occur. Hope I answered your question, Kindly reply me if you have any further queries or any comments. I will be very happy to help you. Sincerely, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have a rash on my foot which I was first told by my doctor was eczema but I showed it to my phamacist who said it is athletes foot. I have had this for 8 months now and I have tried various over the counter creams but nothing seems to work. What can I do? | Hello, Thank you for posting on Chat Doctor.It's very difficult to place specific diagnosis without actual examination and both eczema and Tina FEDIS (Athletes foot) closely mimic each other. But the treatment is totally different It's prudent to diagnose exactly. Therefore, I insist you to post good clinical pictures with detailed history directly to me via the following link:https://urldefense.com/v3/__http://doctor. ChatDoctor .com/doctors/ Chat Doctor. Once__;!! Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hU |
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ηζθΏ°εηι«εΈει‘γ | Grandpa had cancer then stroke feeds through tube now has a bad cold what can help | Hi Food particles or saliva is aspirated into the lungs while tube feeding. This will be unnoticed but can cause serious pneumonia. Your Grandpa who is coughing now May have aspiration pneumonia. Get a Chest Day and rule out pneumonia. You can prevent aspiration pneumonia. Make him sit upright during feeding and for 1 hour after feeding is stopped. If it is difficult to sit, keep the head of the bed elevated at least 30 degrees. |
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ηζθΏ°εηι«εΈει‘γ | hi.I have been having sex with my girlfriend every night and ive noticed around the top of the shaft and just before the headof my penis cracking and really dry and aroud that area has become bruised.Its a bit embaressing, is there anything i can do to prevent this? | Hello, Do not feel embarrassed as it can happen in many men. It's probably because of some injury. Keep the area clean. Maintain hygiene. Do penile bath (dipping penis in lukewarm water containing BETADINE lotion and magnesium sulfate powder for 5 minutes) and then apply antibiotic ointment. Use condom or abstain from sex until they are healed. Hope I have answered your query. Let me know if I can assist you further. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,My wife has PCOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue. | Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. |
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ηζθΏ°εηι«εΈει‘γ | Hi - I have a constant pain (started 21 hours ago) in the upper right quadrant of belly area. Pain radiates to my back. It is worst lying down (and worst again while lying on my belly to the right of my body) and becomes very sharpe while breathing in. ?? | HI. Thanks for your query an elucidate history. The probable causes of continuous pain in the upper abdomen with reference t the back can be :Pancreatitis, Gall bladder stones and infection;I would advise you the following:Rush to ER / Nearby hospital, Urgent investigations:Blood-CBC, sugar, amylase and lipase ; liver function tests, Ultrasonography and preferably a CT scan / MRCP to get an appropriate diagnosis and to plan a treatment. Till then be nil orally. |
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ηζθΏ°εηι«εΈει‘γ | Hi I am 32 years married. I am having polycystic ovaries my periods is irregular doctor advised me to take ovasafe tablet Evatone glyconet aloes compound my last LMP was 11 Feb doctor advised me to take follicular study and mybfollicule ruptured after putting gonadotrophiin injectionwen can I do the pregnancy test plz advice will pregnancy test be positive | Hi there,You should check for pregnancy 2 weeks after the Chat Doctor injection taken for follicular rupture. With ovulation induction with clomiphenne there is 15% chance per cycle of conception. It is good that you have undergone follicular monitoring, and you should take tablet phaeton for endometrial support till you do the pregnancy test. Also continue folic acid, glycogen till then. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I am a 36 year old male went to a ent and had cat scans done rt maxillary sinus was almost swollen shut. He told me to go see a dentist that it was a tooth. I saw 2 dentist and an oral surgeon the y all focused in on a tooth i had a root canal on . The oral surgeon recomended pulling it . the tooth never bothered me I asked if it could be my wisdom tooth since i still have them he said no. so i let him pull it. after that i still had the same symptoms pressure on th rt side of my face, headaches, funny feeling on the right side of my upper throat above my toungue. ent did more cat scans found object turned out to be piece of dental tool in me . ent did a procedure and said he removed it i did not see the piece . I stopped going to them both for lack of trust. they both told me this will go away . now i have i think swollen lymphnodes on my rt side around my jaw they dont hurt but are swollen and the pressure and headaches are still there but now the funny feeling is further up and down my throat on my rt side . dont have much money and am starting to get very nervous about this never felt this wierd felling in throat before | Hello, Thanks for posting your query. The pain and throat infection may be associated with impacted wisdom tooth which is erupting. An OPG will help to rule out the cause of pain. Chance of sinusitis has to be ruled out. If impacted wisdom tooth is present, it has to be extracted or flap overlying tooth has to be removed. Avoid anxiety and stressful conditions. Also visit a physician and get a thorough check-up. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a 31-year-old female. My right eye is red and very sensitive to light. It is painful while I move the eyeballs. Center of the eye is paining with irritation. | Hello, Welcome to Chat Doctor forum. A couple of things come to mind when an eye presents like you described red, painful, photophobic. The first one is an eye inflammation, officially called an anterior uveitis. This is usually an isolated incident. It is considered idiopathic, which is just a fancy way of saying we do not know what causes it. If there is a history of this happening before sometimes lab work is ordered to rule out various diseases. Those might include things like Crohn\s disease or Sarcoidosis or Spondyloarthritis. For an anterior uveitis there is nothing over the counter (OTC) to treat it. A visit to an eye doctor to confirm this tentative diagnosis is in order. If you are a contact lens wearer this could be a corneal ulcer, those present the same way as an anterior uveitis. Anterior uveitis. Again, there is nothing over the counter for this. If you indeed have an anterior uveitis it would need to be treated with prescription steroid ChatDoctor. And we need to be careful with steroid |
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ηζθΏ°εηι«εΈει‘γ | My 58 year old husband has had cancer and has be in treatment and surgeries since 2010. He recently had scan and goes for results tomorrow. he has a temperature of 92.7 and his body feels extremely warm. He had a bad day yesterday and is going to the doctor tomorrow at Roswell in Buffalo. I am concerned about his low body temp but he feels VERY warm to the touch. The only medications he is currently on are Hydrocodone for pain and Gabapentin Should I be concerned as I am? | Hi, Thanks for writing in. Please re confirm the body temperature again. If the body feels warm and the reading is low then there is a possibility of instrument malfunction. It will help to calibrate the thermometer and then check the temperature again. Usually people taking treatment for cancer will have a normal body temperature. You, too, confirm this after touching him. Please do not be concerned, and you can wait until he goes for his follow-up tomorrow. It is possible that he might be having a flu if there are symptoms like weakness and pains since yesterday. Please do not worry. |
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ηζθΏ°εηι«εΈει‘γ | HI,my name is mandeep singh.i am 23 years.i visit too many doctors and hakims for my problem bt i dnt find any one give me right advice.Everyone jst waant to sell their sex products,,,they dont care aboy someone health...i have few questions about my sex problem,will u plz help me out i know fr u its very hard to answer each mail ...u got hundreds mail may b in a day bt if u plz help me out i really thankful to.nobody show mw right path everyone has differnt suggestioins.I AM TOO DEPRESSED.1.I start masturbation in age of 17.i maustrbate once in week and i leave that habbit between 4 5 mnths nw again i maatubrate once or sometimes twuce in day. IS MAUSTRBATION HARMFULL????BCOZ HERE IS ONE DOCTOR IN MY CITY AURVEDIC DOCTOR he told me when u maustrbate with ur hand u hold ur penis very tightly thatswhy ur nervers r goin to be damaged bcoz......................I HAVE ERECTION PROBLEM my penis nt erected during sex.one doctor even suggest me to put enjection in ur penis i am too mch scared 2.one thing i noticed in my self when i talk with my girlfrnd on phone about sex my penis is fully erected but when actually i met with her for sex my penis is like 30 to 40% erected i feel very guilty myself and soooo muvh shame please please please please please help me out otherwise i dnt find the right thing that what can i doo to solve my problem.i write u this email with too many hopee plse its request plz reply me i am really thanfull to u | Hi Man deep, Do not worry. It will all be ok. I would advise you to decrease masturbation to once or twice a week at max. Also, the problem of not achieving full erection is due to performance anxiety. You are thinking too much and putting lot of pressure on yourself for the same. Try and relax as there is nothing wrong with you. Let me know if any further advice is needed we are there to help you through this. Take care. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My wife having age of 35 years, Since last 20 days, she is suffering from high blood pressure 160 /100 and gastric trouble. I don t understand what is the connection between BP and gastric. Earlier BP was never reported. Daily morning and night-before bed she feels blood pressure. Kindly suggest me the technical reason and how we can come out of it. | Dear Sir, Any condition which can cause pain and/or intoxication can contribute to rise in blood pressure. I would advise your wife to take blood pressure medication for some time until gastric problems are solved. Meanwhile, I would advise her to restrict salt, try to lose weight if she is overweight. If her blood pressure remains high after her gastric problems are over, it will mean she has arterial hypertension, she should visit her doctor for regular examinations, and she will need a permanent treatment of arterial hypertension. Hope I could help nourishing a good health to your wife In case of further questions don't hesitate to ask |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor, my son(he is a preemie) is 5 months old and weighs 5.9kgs.I missed first shot of HiB vaccine i.e at 6th week. I opted for combination vaccines(DTP+HiB+HBV) at 10th and 14th week. Is it fine if I skip his 3rd shot of HiB or is it mandatory to go for it, lest the effect of two HiB shots get nullified. | Hi, Welcome to Chat Doctor. It's better to give doses of his as it will affect the tier level of vaccine in baby. If liters are low, then child is more prone to infection. Hib's vaccine doesn't have 100 percent efficacy so it's better to give all 3 doses of vaccine. If you don't give 3rd dose then the effect of earlier two doses is lower. I suggest you to give 3rd dose of vaccine. I hope this will help you. Take care. |
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ηζθΏ°εηι«εΈει‘γ | pankaj singh, i am 22 years old.actually i got lumps in my both the breasts when i was 14 years old..their size were small at that time.i did not take any notice these many years.but now i hear about male breast cancer in news.,so i thought to take advice from you.nw the size of breasts have increased.they dont pain until pressed.now what to do? Is it breast cancer? | Hi Pankaj thanks for your question Male breast cancer is a well known entity. Relax. Breast cancer involves one breast .and is usually painless unless it is in advanced stage.swelling which you had at the age of 14 was mastitis (inflammation of breast) which usually occur in male at the time of puberty due to various hormonal changes and remain persistent for some years. What you are having this time is continuation of same process. So most probably you're having mastitis. Which is remain untreated will get settled of its own. Get yourself examined by a doctor to differentiate between mastitis and breast cancer. Hope I answered your question. |
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ηζθΏ°εηι«εΈει‘γ | after i ejaculate it feels like theres semen still in the vas deferens i still ejaculate and thats normal but it seems like some semen stays in the vas deferens it feels like small lumps but if i ejaculate again the lumps are gone could some semen not be ejaculated | Degree understand your concerns went through your details. I suggest you not to worry much. I suggest that it is just a feeling. don't mind that. Semen is a body fluid and is a waste product for body. Body need to expel it, and it will do so whatever may happen. Therefore, don't worry about that and let the body do its job. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I have had the paragard since 2009. Lately, I have been getting where I bleed everyday. I first noticed it last month. This month I had my period the week before last, 7 days as normal. Then a little bit of spotting all last week. Today my period started again. Is this something I should be concerned with? I do not understand why I keep having spotting and periods. Thank you for your time. Cheryl Bowley | Heavy or frequent bleeding can be a side effect of the para guard, though most women don't have the problem. You have several options, and you will really need to speak with doctor about your options. First, you will need to make sure there is no other problem causing the bleeding, such as a fibroid, a polyp, or an infection. If it is determined by your doctor that the para guard is the likely culprit, you can choose to remove it and try another form of birth control, such as pills or even the IRENA IUD (which usually controls the bleeding much better), or you can choose to try some pills with the para guard in place just to control the bleeding for a few months, and then stop and see if the bleeding returns. You should discuss all of this with your doctor and decide what is right for you. I hope this answers your question. Please let me know if you have any more questions. |
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ηζθΏ°εηι«εΈει‘γ | My daughter tripped over a step and fell on her stomach with a whisk in her hand. She has a small bruise in the shape of a hollow circle.The middle of the bruise is flesh colored and feels like a lump. It s is soft and squishy. What could the lump be? It s right under her ribs. | Dear user, A soft lump, after an injury with skin bruise on it is most likely a small collection of blood under the skin, Hematoma, unless there was already a Lipoma (a lumpy collection of fat under the skin) there, which became more obvious after the trauma which is less likely (given the fact that you didn't mention its presence before)If it is not increasing in size or the skin is not damaged, you could give her some anti-inflammatory (neuron) and cold packs, and it should settle down in few days, as blood absorbs. In case the lump persists even after the discoloration is settled, you can get it checked for the presence of skin cyst or lipoma. It is always advisable to take her to doctor regardless of the lump, to get her ribs examined, esp if she is in loads of pain. Hope it answered your query, do write back if anything else. Good luck |
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ηζθΏ°εηι«εΈει‘γ | Every fall I start caughing,with phlem and in the evening I wheeze sometime, and the coughing last, sometime for a couple of months, my stomach, lungs, and isophagus are ok, they all have been checked,and it s not asthma, I think it s bronchitis, what do you think? | Thanks for your question on Chat Doctor. I want to ask you few question.1. Are you smoker?2. Do you have exposure to smoke or chemical at work place? So In my opinion you should consult pulmonologist and rule out bronchitis. As smokers and workplace exposure can cause bronchitis. You need chest x-ray and PFT (Pulmonary Function Test) to diagnose bronchitis. PFT will also give you idea about severity of the disease. And depends on this treatment is directed. So get done chest x-ray and PFT. |
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ηζθΏ°εηι«εΈει‘γ | Hello, It started a few days ago, I noticed tip of tongue sore,almost like a canker sore, by next day swallowing was semi painful. Day three portions of tongue feel like there on fire,and its feels like im swallowing lumps . I am currently working as a nurse in long term care. I do not wish to pass this on of its strep . I don t have a fever , very uncomfortable,and taste buds are shot. It feels good if I drink ice water, or something scratchy going down my throat . I have a slight pink tongue. Thank.you so much for your time. | Hello and welcome, this can be an ulcerous condition called authors ulcer.it can be treated with tab.flanzen-10Β mg;3 times daily for 3 days and tab.wysalone-5Β mg-3 times daily for 3 days. Please discontinue any oral habits like tobacco or pan chewing if you have any;as it can lead to burning mouth and limited mouth opening called oral submucous fibrosis-osmf. Please add vitamin-b containing food to your diet. Hope you get well soon. Always clean your mouth after every food intake. Use soft-bristled tooth brush and tongue cleaner to clean your teeth. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor. I am on IUI and I am on the 6th day. It s my first. However something worries me. I have this sensitive feeling on my right side of my lower abdomen . Sometimes its very.sensitive till i have to walk super extra slow. It comes and goes. I wouldn t say pain but it s more of discomfort. And yesterday when i had sex with my husband, during me on top of him, i can feel a little bit of pain and discomfort on the same spot. Is there something i should worry about doctor? | Hi, Thanks for the query. It is normal to have some discomfort during intrauterine insemination. But to be sure of the situation, a proper physical evaluation would be required. If the pain and discomfort persist, you may have to undergo an ultrasonography of the abdomen to rule out any other abnormalities. So it is better to be examined by your doctor if the problem persists. Hope I have been of some help to you. If any further queries, please feel free to ask. Thank you. Regards |
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ηζθΏ°εηι«εΈει‘γ | Hi i was having a bath i retract ma foreskin and then i realise my penis began to bleed when i try to was away the blood it hurts, it bleed for about half an hour, then the bleedin kinda subcided.when i got to my room and put ma clothes on everthing was ok.then i went back to check if it had stop but then i realised that there was blood on ma shorts.But after this it stop completely. But from then whenever am having a shower i have to take ma little time to retract the foreskin because it hurts. please help me i need ur help. | Hi, You can have fibrosis in which there is difficulty in retracting the foreskin over glans. The inflammation of the glans penis called Atlantis is the cause of it. You can apply a topical steroid cream to help in fibrosis. If no improvement than daycare surgery that is circumcision should be planned. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello sir I am Raju Thota from Hyderabad India My mom got fits last year same time n we consulting the neuro physician but still she is suffering from that. would u pls suggest some precautions to be taken by the fits patient and how to get cured from that | Hi, Thank you for posting your query. I have noted your mothers symptoms. What is the reason of fits in your mother? BRAIN scan can help us answer this question. Appropriate medications can help us control or prevent the fits. The underlying cause of fits should be treated to achieve good seizure control. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | Hello Samuel, I pray you can help me. I went to the ER @ hospital. They did a catscan and my colon is all enflamed on the outside edge (a long strip of colon) And gallbladder is damaged from car accident in 1996 , pushed up higher than should be. DR in ER said it is a ticking time bomb, and is crunchy and crystalized. I had a colonoscopy a week ago. A polyp was removed, and biopsies were done. Still waiting for appt. for gallbladder, but for over a wekk my bowel movement is mostly just like slime, mucus, and a tiny bit of blood each time. And about 1/4 cup of just slime, some pinkish color, some looks like skin color. My Dad has colon cancer and stomach cancer right now & on chemo. I am afraid, because I have so much pain in colon and stomach, especially after I eat anything. Why do I have so much mucus & slimy stuff ? It actually looks like the inside lining of my colon, that shouldnt be coming out in such great quantities. Please ease my mind, before my appt. w/ the surgeon on Tues. she wants to talk about the biopsies with me. Thank you so much for your help, Martha Thomas, YYYY@YYYY | Hi, You have mentioned that you have a colonoscopy a week ago. Then what was the exact fining of colonoscopy? Polyp may be found but the important information to have is the number of polyp. Colon cancer can run in family. Proper colon cancer screening protocol is there and that should be offered to the individual having history of colon cancer in family. You should wait for the biopsy report. Nothing to worry right now. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I recently tried doing something very stupid on a set of stairs, I went through the bars and hit my back on the lip and my back popped. the middle of my back where I came down on hurts something fierce, ive been having cramps as well in my abdomen region along with the ach in my back... can you explain what I might have done to my back ? | Dear patient you may be having blunt trauma to your back with muscle spasm. I would like to advise X-ray of the dorsolumbar spine anteroposterior and lateral views to rule out bony abnormalities. Please get it done from radiology center nearby you. Meanwhile, start tab moral 4 mg twice a day with tab attract twice a day for pain relief. Ice fomentation locally helps in reducing inflammation. If not relieved in 5 days please consult orthopedic surgeon nearby your area with report. |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...Hi, My husband yawns excessively; he is often very tired. He also has problems with body temperature regulation- gets cold easily, sweats a lot. Even during the coldest night he will fall asleep with just one blanket but then wakes up feeling cold and needs more bedding. If he falls asleep with too much bedding, he wakes up overheated very soon.He also suffers from high blood pressure despite being very slim, eating healthily, not smoking or drinking. Can all of these be linked? | Hi! I can understand your concern for your husband. If a patient arrives in my clinic, I would advise and suggest:1. Yawning is many times a sign of low blood sugar. As you say, he feels tired, which indicates low sugar levels available to the brain .2. He has frequent body temperature changes. Normally, the body temperature varies with day and night, but the changes you mention are more than normal3. As you rightly said, slim stature, temperature changes, high blood pressure can be directly or indirectly linked.4. Slim, non-smokers can also have High blood pressure.5. Please get him examined for his blood pressure control. It should remain within normal limits. If needed, his medicines can be changed.6. Please check his blood sugar levels. The tiredness may be related to insulin insensitivity, i.e. Diabetes. Though he is slim, there are lean Diabetics also.7. Please check his thyroid levels. Thyroid problems can also have tiredness, fatigue, temperature changes. 8. Please consult your local physician with the reports. If there are any other health issues, they also need to be corrected with blood pressure. With the control of these factors, his complaints will definitely reduce. Please feel free to consult. Wish him a speedy recovery. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am 18, and I had unprotected sex a few times last month using the pull-out method. I thought that I could not get pregnant with that method. I am stressed that I could be pregnant because I had some bleeding a week before my period. The bleeding was less than usual, but I still needed pads for two days. The bleeding was the color of my normal period, but it lasted for only three days and my period usually lasts four days. It happened eight days before my period. But, before the bleeding, I used Vitamin C 6000 mg a day for three days to induce my period. Could it have been implantation bleeding or vitamin C induced period? My period should be due tomorrow, and I am stressed that it will not come. Please help. | Hi, Welcome to Chat Doctor forum. Rightly said, with ChatDoctor. As the precum or pre-seminal fluid (the clear fluid that comes out before the semen) is rich in active with healthy sperms, it can be enough for you to get pregnant. I cannot tell you conclusively if that was an implantation bleeding as it is variable in different people. In some, it may just a few |
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ηζθΏ°εηι«εΈει‘γ | Whenever I cough or bend over there s an excruciating pain in my head, always the exact same spot. Several years ago I had a scan after hearing all music off-key. A small pool of blood was found but the doctor felt my body would absorb it and treatment wasn t needed. The pain I m experiencing is in that exact same spot. No answers after an MRI, just had another today but this time with and without contrast. I fear again no one will find anything out of the ordinary. Can you suggest possibilities my neurologist can rule out? | Hello ! Thank you for your question on Chat Doctor! Regarding your concern I would like to exclude primary stabbing headache, and an occipital neuralgia. I would like to know the location of the pain. If it is in the back of your head it may be occipital neuralgia. As you mention brain MRI is normal. So the main causes of secondary headaches have been excluded. The diagnosis of primary headache is clinical, and no other tests are needed to find out the type of headache. In both the headache types that I have mentioned above, treatment with Indomethacine twice daily is very helpful. If no results I would recommend Tokamak or Amitriptyline. Hope to have been helpful! Greetings! |
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ηζθΏ°εηι«εΈει‘γ | I found a lump in my groin area that hurts when rubbed by myn panties. Seems to have lost some fluid and gotten smaller, but still cinvcerned. Have doctor appt. 9/12/17. Could it be a cyst or large pimple?nkeeping doctor appt. , couldnt get earlier one. | Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This seems more of sebaceous cyst, boil or other lesion needs clinical evaluation or at least a photo pic for better judgement to guide precisely.* Current recommendations - Keep the part clean with antiseptic liquids, Chat Doctor. - Apply dusting powder clotrimazole (1 %) 3 times a day.- Analgesic as and when required. Hope this will help you for sure. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I have heart palpitations, i have numbness on my face and neck portion, i get dizzy on several occassions. Per my stress test, i do not have a heart problem, my ECG and cbc results show no problem. WHAT COULD BE MY AILMENT? We do not have cancer, diabetic or allergey history in the family | Hello Thanks for posting at Chat Doctor. Palpitations and dizziness can be caused by many disturbed in the body functions. As you say the heart has been excluded as a cause. And also since the CBC is normal, anemia can also be excluded. I recommend you to check your thyroid function tests. Thyroid abnormalities can cause symptoms like palpitations and occasional light headdress which you may term as dizziness. Also, please check your it D and it B 12 levels which also can cause dizziness, fatigue. An X-ray of cervical spine is suggested. In cervical spondylosis, the nerve is entrapped between the vertebrae, which again can cause dizziness, Numbness in face and neck. Please do the above and revert. Wishing you good healthRegards |
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ηζθΏ°εηι«εΈει‘γ | I have been having issues with my right lung filling up with fluid 3 weeks ago I had 2liters removed and it is half full again the Dr is sending men to heart Dr could it be chef with just one lung filling up I am only 44 but I also ha vaginal cancer too | Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done CT THORAX and repeat pleural fluid aspiration and its examination. Since you had vaginal cancer in the past, there is high possibility of malignant spread in pleura. And recurrent pleural effusion even after tapping is the feature of malignant effusion. So we need to rule out malignancy first. So get done CT THORAX. As this will give you better idea of pleural spread. Get done pleural fluid cytology to rule out malignancy. |
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ηζθΏ°εηι«εΈει‘γ | i was eagerly waiting for my periods coz av been using the depo injection for birth control ,,,i used it last on dec,,and my periods showed up yesterday,,but only yesterday,,and it was more of some black clots....and just lasted a day....im wondering wetha dat means im pregnant,,or do i have a bigger problem,,or is it normal? | Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. No normally women don't pass blots clots in their periods, it is caused by a number of problems such as fibroid, ectopic pregnancy, endometriosis etc. Each condition is different and has a different treatment, but the first that needs to be done is to confirm the diagnosis, for that you need to have an ultrasound done. From there we can start narrowing down the suspects until we have the diagnosis. So make an appointment and see an obs and gone doctor as soon as possible. I hope this answered your question. |
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ηζθΏ°εηι«εΈει‘γ | Dear doctors, I had cut the side(where two fingers lay on each other) of my fingers while trying to split burgers. I cut was too deep and I could see the bones and tiny strings in my finger. Initially it didn t bleed much, then I felt dizzy I couldn t see well, inside my mouth went numb and cold and i felt so weak ( I wasn t panicking by any mean). Then I went to emergency, after waiting for two hours while bleeding so heavily the doctor decided that my finger doesn t need stitching. Without even cleaning my wound and only with simple bandage dressing they asked me to go home and take care of it. Now In the morning I feel severe pain not in the wound but in the bone of my ring finger. I feel very weak and cold, something like fever coupled with dizziness and lack of appetite. Would it be possible to advise me on this matter or if you think I need to see another doctor based on the mentioned symptoms. Many thanks | Hi Hope this message finds you in good health. I have gone through your complaints and understand your concern. U seem to have injured your soft tissues as well as bones that might be going into infection. Ideally u should get a X-ray done and should get the wound stitched. Consult a good surgeon immediately. Nothing to worry about. I hope your question has been answered. If you have any follow-up queries, feel free to consult me anytime. Thanks, Take care, God bless. |
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ηζθΏ°εηι«εΈει‘γ | Hello,My dad has been getting high fevers every night for almost two weeks now but he is fine during the day. He is on insulin and high blood pressure meds that he is always on time with. He also has no appetite and headaches. What do you think this could be? | Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! Your fever has been persisting beyond 2 weeks. I suggest evening rise mostly is due to tuberculosis. Get investigated for hologram, ESR, Chest X-ray and sputum culture. Rule it out first to thing other differential diagnosis. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. Take care! |
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ηζθΏ°εηι«εΈει‘γ | hi im ramya.. i used to get white rashes on face few yrs bach, its a kind of fungi infection i guess so i used betnovate gm after consulting doctor for more than 4yrs... few days back another doctor said to stop using it cause of the side effects like allergy and burns on my face and i used a cream called momate... even tat gave the same side effect... because of this my face is becoming too dry and buring... now how can this be cured... pls give me a solution... | Hello. Thanks for writing to us at Chat Doctor These two products are essentially the same, both of them contain topical potent steroids. Potent steroids such as present in these creams should not be used on face. Some of the side effects that you are already experiencing are associated with long term use of potent topical steroids and include Chat Doctor. Your skin would take some time to get back to normal (maybe 2-3 months). It would be |
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ηζθΏ°εηι«εΈει‘γ | Hi, I have had irregular heavy periods since they started when I was 14, I am now 30, I had been on the pill for 12 years and they became regular, very light and lasted 5 days, I stopped the pill in an attempt to get pregnant in 2008, they returned irregular and heavy after nothing at all for 9 months, I then finally became pregnant and had my son in dec 2011 via c section, pretty straightforward other than my pelvis was too small for him to be delivered naturally so he needed a little help :) since his birth my periods were regular but extremely heavy for 5 months and then became irregular once again but my question is this ... I have a lot of pain in my right side around that time of the month before and after my periods which resembles a stabbing pain , it is so painful I have ended up in a and e and had my appendix removed 6 wks ago as they thought this was the cause but I came on a week before the pain and I have just finished a period and now the pain has returned again :( they did query fluid on the ovary before removing my appendix which was apparently inflammed, I m confused and fed up , please can you help? | Hi welcome to Chat Doctor forum. Thanks for calling Chat Doctor. Forum. You had irregular periods since monarchy, at 14 to 30 now. Used pills and you are alright. When you stopped pills again they are irregular and heavy, recently had a child. Now as the pain returned the doctors thought it may be appendix and operated for it. Again there is pain after period. Operated doctors said that there is fluid over the ovary, and it is inflamed. In the Beginning irregular periods may be due to anemia, latter after delivery it may be due to infection, so accompanied by pain. anyhow you got operated for appendicitis, the doctors would have removed the ovary of right side when they have a doubt. As the pains have returned you can try medical treatment in guidance of a gynecologist for ovarian problem, and anemia. Wishing for a quick and complete recovery. Best regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi, am 38yrs old. I have not conceived at all. Am married for 12 years now. I have underwent all the treatments for conceiving. But failed. Recently I was diagnosed with torch. Now I have completed the treatment for torch for 3 months. I want to know when I can get conceive after this treatment? | Hi there,TORCH is an investigation to check if you have certain infections, but these are not related to fertility. The only reason TORCH can be of concern is if a person gets TORCH during pregnancy, the baby may be affected. You need to be evaluated for fertility. This includes tests of ultrasound pelvis to see the womb and ovaries. The HSG (dye test) to see if the fallopian tubes are ok or not. Your partners' semen analysis also needs to be done. Have you already done theses? And has any cause for infertility recognized? TORCH is certainly not a cause. Take folic acid while you are trying to conceive and depending on the above tests further treatment can be advised. Visit a good gynecologist with above results. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | hello my spermogram test result is :liquefaction time:30min, volume: 4ml PH:8count:112 million spz/ml morphology: 75% normalactivity: 40 % activity. 10% sluggish , 50 % non motileafter 3 hrs.: 30% active , 10 % sluggish, 60 % non motileWBC: 2-4 /HPF | Hello Your semen analysis findings may indicate semen infection with low sperm motility. Infection is indicated by presence of few WBC in semen. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. Sperm count is normal. It should be at least 20 millions/ml. Your findings suggest 112 millions/ml, so it is normal. Motility should be at least 55 %. Your findings suggest over all 50% motility, so it is low. Sperm morphology, volume,pH etc. are normal. Fertility is expected to increase with control of infection. If findings persists then you may need additional fertilization techniques. Get well soon. Take Care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my husband is 28 years old, 5 10, 190lbs. Went to emergency room with chest pain and numbness in his left arm. Blood work indicated Troponin I levels at panic level and he was admitted. The ekg was normal, echo cardiogram was normal, heart CT was normal. They released him from the hospital and said the blood work must be wrong. I assume all five blood tests were wrong (unbelievable). His blood pressure has been high for over one year (minimum level of 130/80 pulse 80) and typically rises at night when at rest. His vision has deteriorated to the point that he cannot wear contacts and according to the eye doctor, is at risk of losing his sight. In addition, his triglycerides are 507 mg/dL. We eat a heart healthy diet - no red meat, no fried foods, limit sugar and salt. His kidney function is fine and he is not diabetic. He has experienced EXTREME stress at work recently which I believe contributed to the chest pain; however, if it is not his heart or kidneys, what else can cause the elevated troponin I ?? | Hi Thereafter going through the details provided by you, I understand your concern for your husbands' health. The scenario of having a positive TOP I along with the symptoms like chest pain and left arm numbness clearly points towards the clinical diagnosis of a heart attack especially when the patient also have increased TRIGLYCERIDE levels. But then a normal EKG, ECHO, and a CT is quite unusual, making the TOP I report questionable. Keeping all the conditions in mind I would like to suggest going for a CONVENTIONAL CORONARY ANGIOGRAPHY for your husband to be 100% sure that he does not have any amount of blockage in the heart vessels. Rest continues healthy lifestyle habits. I wish him good health |
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