Datasets:

GGYIMAH1031

/

ChatDoctor-50k-qa

like 1

i am 29,female frm bangalore.I am suffering from PCOS since frm past 7-8 years...initially the problem was not severe.But as time went on i realised too much of hair growth on face especially on chin n cheek area.i underwent laser treatments,consulted gynaecs,homeopathy and ayurvedic medicines were also tried out but of no use.i put on weight,periods became irregular and now from 2 months no menstruation cycles.as i am married we r trying seriously for a baby but dnt know how safe is to try now when my testosterone levels are too high(101.66ng/dl).as per my 1st blood report testosterone level was bit high than normal range but the recent one was out of range(101.66ng/dl).i have tried many ways n consulted doctors to get rid of this problem but failed always.Wen i saw your profile on internet a spark of hope is seen so cudnt wait for long and i decided to mail u with my problem..the common symptoms wat i hav are...coarse hair growth on face almost all area,missed periods,nausea,fatigue,weight gain,no enthusiasm,tiredness etc

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I think you should take some medicines for your PRO problem. Take metformin, inositol and folic acid. Discuss with your doctor regarding this. You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. For now, as you have not got periods for 2 months, do a urine pregnancy test and if negative, take progesterone for inducing periods. If you are ovulating on medicines, then you can try like that for 3 to 6 months. If not, you may need laparoscopic ovarian Chat Doctor. It will reduce most of your problems. Hope I have answered your question. Regards

Hello Sir,I am Indrajeet from India - Age 37 years. Since last 4-5 years I have developed severe allergy to dust and cold. It aggravates during winters, coupled with the high pollution levels we have here in India. Earlier, I also used to develop a nose abscess for which I had to consume antibiotics (Augmentin / Levoflox etc.). While regular cleaning of the nostrils with warm water (1-2 times a day) has kept me off this abscess problem for over a year now, I still suffer badly from this throat infection problem. I got rid of my tonsils just last year. My throat goes completely dry (I believe there is lack of sufficient saliva generation) at nights (in sleep) and I have a terrible time swallowing for first 1-2 hours of the mornings, once I gett up. To reduce the tingling feeling due to allergy (dust) I consume Zyrtec and Decdan SOS and it does relieve me of the sensitivity and itching. However, my throat continues to pose problems every single morning. In worst times, the ENT has also put me on Zithrox to get rid of my throat infection. However, this is just a temporary solution. Just to mention, along with the tonsillectomy I simultaneously (same time) underwent a septoplasty procedure, last year.Hope to find a permanent solution to this problem (repeated throat dryness/ infection + sensitivity of the nose).Thanking youRegards,Indrajeet

If you are a doctor, please answer the medical questions based on the patient's description.

Hello dear, The symptoms as mentioned in your post can be attributed to Tracheobronchial allergy. Management consists of:1. Warm saline water gargle & steam inhalation.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies.3. Antihistamines can also be used to provide symptomatic relief.4. A course of antibiotic depending on culture & sensitivity reports.5. Protect yourself from exposure to cold, dust or other allergens.6. Maintain adequate HY Chat Doctor. If symptoms still persist, kindly consult a Pulmonologist for further evaluation & management. Investigations like complete blood count, X-ray of chest & Pulmonary function test will be helpful. Take care.

I have had a severe sinus infection for a week now... I am completely unable to breathe out my nose, and my tonsils are so big that even breathing out my mouth is hard. I have been to a doctor and he has prescribed medicine that I have been taking, but its doing nothing to help my throat. I have red and white lumps on my tonsils, and even swallowing water beings me to tears, its so painful. My doctor seemed to think the meds would help my throat too, but every day I continue to get worse. I am in so much pain, and even pain meds like Ibuprofen or Acetaminophen arent helping anymore. Is this common with a sinus infection, or is it something else?

If you are a doctor, please answer the medical questions based on the patient's description.

Thanks for consulting me at Chat Doctor. I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical practice guidelines. It is not only Sinus infection. You also have severe Tonsils infection and this is not a case to be dealt on such conservative therapy. Mostly there is need of a surgery. Maybe you have nasal Polyp or have a deviated nasal septum and that needs a surgical correction. Medicines don't work in these cases. And for tonsils, we have to see if this is manageable through medicines or surgery is inevitable. Please go to an Otorhinolaryngologist for proper evaluation and treatment, and he will go for complete evaluation and will treat according to the lab results. Hope I answered all of your questions. Please click on I Find This Answer Helpful and don't forget to add your precious positive feedback to help me able to assist you better in future too. For any disease you have, a timely follow-up regarding treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow-up to see how you're doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead. Regards! Chat Doctor.

My child is 3.5 yrs old and i have been using inhalers levolin and buetcorde for her from past 7 to 8 mths. On and off she gets chest congestion.Doctors advise me to continue using these inhalers for her. i have been using without break for more than 2 mths now. i feel worried as she should not get dependent on these inhalers. pls advise.......she is a weak child tooo.....and doesnt eat much

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Ne eta. I understand your concerns about asthma medications becoming addictive. Here are few facts about asthma that might help you. What is asthma? Asthma is a disease of airways resulting from constriction of airways leading to wheezing, coughing and breathing difficulty. Like diabetes, hypertension it is a long term disease. There is always an ongoing inflammation of airways resulting in on and off worsening of asthma attacks. Why do we need long term medications? Two types of medications are available. Reliever medications like leveling which cures an attack, preventer medications like Decor(steroids) which prevent future episodes from occurring. We take medications for diabetes, hypertension for a long period but never complaint about taking them. Since asthma is also a long term disease, preventer medications has to be taken for a long time. But good news for you is a good percentage of child Chat Doctor. I feel worried that my child may get dependent to inhalers ? This misconception creeps in everyone's minds when they think of inhalers. For becoming addicts, medicines should reach brain. They should give a pleasurable feeling resulting in craving to have more and more. But such phenomenon doesn't happen with asthma medications. They reach only lungs, act on airways, reduce inflammation and never reach anywhere else. That is why inhaler medicines don't cause side effects like tremors, palpitation as oral medications do. Inhaler medications are perfectly safe and don't cause addiction. Hope your child outgrows asthma. Till then take preventer medications. Keep in touch with your doctor. They will increase or decrease medication dosages based on your children response. Hence regular follow up is needed. Regarding your child not gaining weight, I need your children weight and what all she takes for whole day. Have a good day.

Gd afternoon Doc..am sanjukta.. my neice is one moth old and c was detected with brain infection , meninjities through LP and now she is under treatment .. she is getting intravenous medicine since 17th aug2012, with who we can consult for further better treatment?

If you are a doctor, please answer the medical questions based on the patient's description.

I understand your concern, There are several pathogens (types of germs) that can cause bacterial meningitis. Some leading causes of bacterial meningitis are Hemophilia influenza (most often caused by type b, His), Streptococcus pneumonia, group B Streptococcus, Listeria monocytogenes, and Nasser meningitis. Infants are at higher risk for bacterial meningitis than people in other age groups. However, people of any age are at risk. Which pathogens more commonly affect which age groups can be made out by an experienced doctor. If meningitis is suspected, samples of blood or cerebrospinal fluid (near the spinal cord) are collected and sent to the laboratory for testing. It is important to know the specific cause of meningitis because that helps doctors understand how to treat the disease, and possibly how bad it will get. In the case of bacterial meningitis, antibiotics can help prevent severe illness and reduce the spread of infection from person to person (depending on which bacteria are causing the infection). If bacteria are present, they can often be grown (cultured). Growing the bacteria in the laboratory is important for confirming the presence of bacteria, identifying the specific type of bacteria that is causing the infection, and deciding which antibiotic will work best. Other tests can sometimes find and identify the bacteria if the cultures do not. Bacterial meningitis can be treated effectively with antibiotics. It is important that treatment be started as soon as possible. Appropriate antibiotic treatment of the most common types of bacterial meningitis should reduce the risk of dying from meningitis to below 15%, although the risk remains higher among young infants and the elderly. As your child is under treatment, your doctor would have done all these tests and antibiotics are being given. To give any further opinion, the reports have to be seen. You can discuss all details with your doctor and if any special treatment is needed he should tell you. Take care regards

Good Evening,I recently gave birth to my beautiful baby girl Autumn, just two weeks ago. However, I am suffering from severe lumbar back pain, to the right of my spine. This pain becomes apparent only whilst walking and sometimes can be felt very slightly on jolting, or moving too quickly whilst sat or laying.It is very diificult to allocate the whereabouts of this pain via examination of the area, yet is only roughly detected whilst Im moving (if this makes any sense?). With that in mind, it has me concluding this ailment as a trapped nerve, possible herniated disc or an impingement of my sciatic nerve(s).I had a very gruelling two day labour, due to my baby opting for a occiput posterior position, so most of my contractions were spread across my back. However, it wasnt until I was administered with an epidural that the pain began- this was the only feeling I had bellow waist level.....and it was very painful. It continues two weeks after and consequently I have not been able to endure my walks out as a family, of which I have look forward to so much, its simply way too painful! Id be most interested to hear your thoughts on this,Kindest Regards,Lindsay-Marie

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Thanks for your query. Your might developed sciatica following pregnancy. There are many causes of sciatica and treatment depends upon the cause. The most common cause of sciatica following pregnancy is intervertebral disc herniation (prolapse) which may be mild to severe. MRI is needed to establish the cause of sciatica, so that appropriate treatment can be prescribed. Sciatica do respond well to bed rest and analgesics (painkiller) and is right mode of treatment. The definitive treatment depends upon the cause of sciatica. I would suggest you to consult an orthopedic surgeon who may order MRI to determine cause of sciatica (level and degree in case of disc herniation) and may suggest other mode of treatment. After initial few days of bed rest, you need physiotherapy (exercises). I do hope that you have found something helpful, and I will be glad to answer any further query. Take care

Hi, may I answer your health queries right now ? Please type your query here...Hello. My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days. This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue. Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer. He is on a number of medications now and is taking Lisinipril and cumodin and other meds. His cumodin level was high this week. He walked to the store the other day and had to ask for a ride back as he wasnt feeling well. The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50. She said that he should get checked out again soon as something does not appear right with his meds. Any advice you might be able to give would be appreciated. My father is 79 years old. Thank you. Melinda

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor. Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased. Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. Hope I have answered your query. Let me know if I can assist you further.

I fell on going up stone steps and landed on my right knee. It bruised it pretty badly and then as the bruising went away I noticed a knot or bump on my knee. It is painful if I press on it, otherwise it is just uncomfortable when I walk. What could this lump be? I fell about 2 1/2 weeks ago.

If you are a doctor, please answer the medical questions based on the patient's description.

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. Cause of the health problems you queried-There are many causes of the lumps on your right knee after the recent fall. To rule out other causes, I would advise you to consult ER surgeon, who would examine it and treat it accordingly. Still with my expertise and experience, I would suggest you to rule out following causes with your ER OrthoSurgeon. Cause in your case-As the lump is of 2 1/2 weeks duration after review of your query data, it seems to be due to either of the following reasons--Post-traumatic Hematoma with traumatic swelling-which is in process of recovery and may take another 2-3 weeks.-If it doesn't settle after 4-6 weeks, Pre-Patellar Bursitis(Housemaids Knee)-post-traumatic needs to be ruled out. Both above possibilities needs to be ruled as only discomfort is felt by you while walking. In the absence of more information, I would advise Second opinion in your case, who would examine it and investigate it to treat it as per the cause of the lump. So I would advise you to consult ER OrthoSurgeon, who would rule out other causes of such a lump and would help you out with the fist hand information. Do take his Second Opinion, on the above suggestion, as he would advise you with fist hand clinical information. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at Chat Doctor. Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to Chat Doctor. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Consultant. M.S. Genl-CVTS

I dont even know how to start, first things first i am a 21 year old female an im now terrified to go to the toilet because when i go it feels like my is been ripped to shreds when i do it bleeds and its so painful. the second thing is since my pregnancy with my daughter who is now 1 occurred my relationship with my partner is sinking because i always think he is against me i think he is cheating on me all the time i cause arguments with him for no reason i hate him touching me and i hate sex before my pregnancy i used to be happy now i feel down and stressed out i feel like someone has got there hands on both sides of my head and squeezing as hard as they can i dont know how to deal with it anymore i lye awake at night feeling guilty for different members of my family for no reason i keep myself up with thoughts i dont even know my concentration has like a 2 second spam i feel like everyone is against me an i just dont know why sometimes when me and my partner have arguments i lock myself in the bathroom because i imagine him coming at me with a knife even though i know he couldnt harm me i just scared of everything dogs the dark (i always think there is someone watching me) been in a car with my partner its ruining my life i dont know what to do anymore i wont go to a doctor because i think they will judge me i feel so sorry for my daughter in all this because im just to tired to do anything an its just not fair on her. I just need help but i dont know where to start i cant go to the doctor because he would think im attention seeking.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Your symptoms are bordering onto psychosis. Auspiciousness, difficulty in believing, fearfulness without appropriate reasons. Such symptoms have very good response with Aquitaine or olanzapine (2.5-5 mg initially) and later can be increased when there is some response. You will feel a lot better in few days after starting meds. Please donor worry, you can see a psychiatrist and start the Chat Doctor. Even other doctors won't feel that you are attention seeking because those patients are quite different. You can tell the symptoms so clearly that it is very helpful in diagnosing correctly. With

I have had heartburn since 2011 it is not heartburn because it burns every single day of the week even.when I don t eat anything I can.just walk or bend over and get bad burning in my chest plus the chest pain and it apears that underbmy left arm pit is a burninh and it feels as if blood.vessels are swollen to.touch I can feel.them moving when I put my hand there and.rub it up and down also when I touch it my chest starts to hurt very badly I have been.sweating none.stop all day and feel very hot when I have the air on and tired.. I have no clue what this could be

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Thank you for asking on Chat Doctor. I read your query and understand your concern. Now, the description of the heartburn you provided, is with the highest probability from the stomach, as the origin. This symptom is called paresis, and is produced when the highly acid content of the stomach is returned to esophagus or, sometimes, throat and mouth. This can happen from various reasons, mostly from a disbalance between acid-producing and acid-inhibiting factors in the stomach and from the lower esophageal sphincter insufficiency. Without digging further more into theoretical details, I would suggest you to refrain from certain food and beverages that favor acid production and/or inhibit acid-inhibiting factors and/or lower the pressure of the lower esophageal sphincter:- alcohol and tobacco-chocolate- tea, coffee (Anthony derivatives)- spicy and grilled food, and pickles would also recommend you to start a course with a proton pump inhibitor (PPI): omeprazole 20 mg x 2 tb/d for the first two weeks, then 20 mg x 1 tb/d for four other weeks, and accompanied by risperidone x 3 tb/d. Also, you should not lie down, but sit up or stand, for at least 90 minutes after you have had your last meal. If the symptom persists after all these measures are undertaken, I would recommend an upper gastrointestinal (GI) endoscopy, for further investigation. I hope I was helpful with my answer. Best regards.

hi,iam have undergone laproscopic surgery for endomentriosis & ovarian cyst last jan.Took lupride injection as per doctors advice which stopped periods for 4 months.I having periods normally but irregular- one month 32 day and the other 28...simultaneosly.I got my periods 17 days before this month.Having pain in lower abdomin.incresed weight by 5 kgs,blotting stomach,back pain & exterme hungry are symtoms i have.we r planning for children.Can I be pregnant?

If you are a doctor, please answer the medical questions based on the patient's description.

Several side effects of pride injection is constipation, back pain, vaginal discharge, and due to constipation bloating of stomach is also possible. But this all can be controlled now since you are not on same medication. This control can be done by improving your lifestyle and doing certain changes like having healthy balance diet, maintaining timing for break fast, lunch and dinner. Keeping break fast good lunch average and dinner minimum that too at or before 8:00pm, also avoid spicy food. Have fruits regularly. Keep tea and coffee minimum, keep fiber diet more in your meal. Do regular exercise like walking or jogging or cycling at least 25-30 minutes per day. Next your question is how to treat back pain: I suggest if your pain is only at back and not radiating to your legs as well there are no signs like numbness in leg and tingling sensation. Then it must be related to your spinal muscle weakness. And you need to take physiotherapy treatment after proper evaluation. As well follow spinal exercises regularly to improve strength and stamina of spinal muscles. You can also use hot or cold pack frequently at home to have some more pain relief. Also check your vitamins d and calcium level in body if it is low take a supplement for the same. Next question was on pregnancy: yes you can get pregnant if there is no further gone issues. But during the pregnancy you will put up on weight and so that you may have more back pain. So discuss with your physio and do regular spinal exercises as well take advice on posture priorly only. Another thing to answer your headline question:Increase back pain, bloating of stomach is possible during pregnancy. I am sure this must be helpful to you. Take care

hi, i have been loosing protien in my urine since 2 years (known ) ++ levels to ++++ levels back to ++ and now ++++ levels . also in my latest report creatinine is at 1.09 (gradually increased from 0.9-1.09 over a period of 2 years , i have high blood pressure and am taking telma 20 mg 2wice a day . also i used to take olmesartan med and seleoken xl 25-(seleoken used to give me a very bad feeling in my heart) i dont have lupus or ra, i am just 25 i need to know what may be the factor casuing my high blood pressure , in my recent report for the first time i have seen calcium oxalate crystals , but i need to know what are the possible causes of high blood pressure and the kidney failure which is taking place and what can i do to stop it , like a permanant cure without medicines , is renal denervation an option which i should consider,

If you are a doctor, please answer the medical questions based on the patient's description.

Hi young man/ lady. Thanks for asking the question. As a young person with hypertension, you must be investigated for secondary causes of hypertension thoroughly. I hope your doctor(s) are doing it/ done it. You seem to have a lot of protein leaks which needs to be quantified by a 24 hour urine collection. Most common secondary cause of high blood pressure is due to kidney issues and I suspect you will need a kidney biopsy unless it has been already done. You donor have kidney failure yet since creatinine is still 1.09 (?mg/DL), so please donor panic. I am glad that you are rightly concerned about your health. The oxalate crystals are probably nothing to worry about, and renal enervation is reserved for people with resistant essential hypertension (i.e. all secondary causes ruled out and BP not controlled on at least 3 antihypertensives). Although you have not given me much information of the tests carried out till date, I suspect you have not been investigated completely. You can get back to me with the results of all tests done till date either here or on my website (docrambhat.com) and I will be able to advice you further. Best wishes. RB

Having pain in my lower abdomen , and lower back mostly right side. i suspect kidney stones but is there any relation to kidney stones due to my lower abdomen pain ? the first sonogram of my abdomen came out fine and the sonogram of my kidneys came out with somthing, im now going up for a ct scan . are there any further tests i may take to help me find answers, results, or causes of my pain ? please get back to me thank you.

If you are a doctor, please answer the medical questions based on the patient's description.

Your symptoms may be related to gastrointestinal, urologic or musculoskeletal etiologies. The simplest approach would be systematically eliminated items one by one. If you had an ultrasound and are going to get a CAT Scan, GI and GU symptoms should be fairly easy to exclude for the most part (barring some limitations if the study is not done with contrast). An urinalysis would be the quickest and simplest way to see if there are any urologic issues. If you have blood in your urine then the focus of evaluation would be urologic. A completely normal urinalysis, although reassuring would not entirely exclude urologic issues. As far as kidney stones, unless a large stone with shadowing is noted, an ultrasound is not the best test. A CT will delineate stones. The presence of stones by CT do not mean your pain is caused by. In general a stone that is in the "heart" of the kidney i.e. not within the pelvis, ureter or "passing" would be unlikely to cause you pain. If the stone is in any of the locations noted previously, then yes it could be the cause of your pain. Because you mention lower abdominal pain, other items to consider would be diverticular disease, appendix and visceral organ related issues. Once you have a CT done and an urinalysis, you should be able to exclude or diagnose most common causes of your presenting symptoms. If these are negative, then I would proceed with musculoskeletal pain work up. Please note that the "classic" presentation of kidney stone pain (renal colic) would be back/flank pain that radiates to the groin or lower abdominal qua Chat Doctor.

Hi, I m 41, have no health problems, and eat reasonably healthily. I weight 57kg and 1.57cm tall, have never been overweight, can eat what I want. A month ago I started getting what feels like indigestion, my chest kind of feels heavy and a pain in my upper back with it sometimes, I can wake up in the night with it sometimes, or have it when I wake in the morning, I normally eat dinner around 6pm at night, so am not eating late before I go to bed. I also have a tightening in the upper left arm sometimes as well. I haven t had a medical check in a while, so will get one soon. I ve never had high blood pressure before and never any problems. The heartburn type feeling has only started in the last month or so, but I have had the tightening feeling in upper left arm off and on for a few years. My father had a quadruple by pass after a heart attack when he was in his 60 s. Several years before he had his heart attack he had had lots of symptoms, but no high blood pressure, high cholesterol etc, he had lots of tests, dye test etc and was told everything was clear, and his heart was very healthy and he would never have heart problems, several years later the same heart surgeon is operating on him. Quiet worrying that you can have lots of symptoms and not be diagnosed until you actually have a heart attack. Do you think my symptoms sound concerning? I probably wouldn t have been worried just having the indigestion, but the pressure in the left arm has sometimes worried me. Thanks.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Thereafter going through your medical details provided by you, I want to tell you that YES your symptoms are alarming and look like a typical ANGINA equivalents. Also, you have a family history of coronary artery disease, so it makes you more vulnerable to have one. So my advice to you is that consult a cardiologist in person as soon as possible, and you need to get an ANGIOGRAPHY done to see the coronary status. Till that time I would like to suggest avoiding serious physical activities, and keep a tablet of sublingual ARBITRATE in your pocket in case of any severe chest discomfort. Good Luck

I got my period on the first day of my honeymoon 7/22. It was normal for the first five days, but I had it for an extra five days. I already got my period again on 8/13, but it was not due for at least another week. I had no pms symptoms this time, like sore breasts. I don t usually have cramps , but today I had pain in my left stomach a few times. I do not have a tampon stuck in me. More back ground on me: I went to an orthopedic two months ago for a reocurring pain in my hip. 6/28 they found out I have follicles on my left ovary and a cyst 4.8x2.6x3.5 cm between my uterus and ovary on my right side. After my vaginal ultrasound the gyne said I was probably ovulating during the test and we ll just watch the cyst in case it grows. A year ago I found out I have a large benign lump in my breast which I will be getting removed. The day my honeymoon began, my eyesight worsened so I had to start wearing my glasses all the time. I m 35, had lasik in 2001, and was diagnosed with cataracts at 21. Four year ago, I had to start wearing glasses to drive at night. Two years ago, I needed them to drive all the time. I ve always been very active and have a healthy diet. I used to smoke but switched to Snus two years ago because now I don t smell. I m on antidepressants, but started weaning myself off them 7/22 with guidance from my doctor. My goal is to try getting pregnant in a year. Is there something wrong with me?

If you are a doctor, please answer the medical questions based on the patient's description.

Ovarian cyst / follicles etc. can be symptoms of polycystic ovarian disease, where inability to conceive can be a problem. But, there is effective hormonal treatment available for such conditions Depression, too, sometimes cause delay in conception again causing some hormonal imbalance The cause of cataract at 21 yrs of age need to be evaluated, if any systemic cause, they need to be treated I think treating the three conditions should be possible easily and getting pregnant should not be a major issue

hellow,im from Maldives, my father inlaw, is suffering from pancreatic cancer, we tried to remove his tumer four month back from one of the indian special hospital, but unfortunately, as his 71 years old, and his health conditions were not well, they were unable to remove it, so, they put a plastic temporary stent to, to reduce his jaundice level, which is better now and did a bypass surgery, some where near, to pass food, incase of spreading the cancer, after that we came back to our country, and for almost 3 months he was fine, other than stomach pain, and less eating, but it has been now more than a month which he is in a pretty serious condition, he has back pain, stomach pain, cannot sleep well, cannot eat, fever, hickups,stomach pain, and for most urin problems, which he cannot pass his urin well and now a urine bag has been connected, we removed it twice, but both the time also he was unable to pass. so1- what do you think his stage is.?2-what are the symtoms of the final stage?3-what do you think we should do? 4-how much time would he servive for.thankswaiting for a sooon reply

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Thanks for writing in to us.1. It is clear from your description that during the first attempt the tumor was inoperable due to his general condition. In 3 months time, it is believed that the cancer has spread to nearby organs and therefore there might be stage 4 cancer.2. Jaundice is the first symptom noticed in most patients of cancer pancreas. He had the symptom for longer than 3 months. The later symptoms include severe pain in abdomen, indigestion and severe jaundice due to obstruction to biliary flow.3. Right now you should consult the oncologist and pain relief doctor and provide solutions to reduce his pain and discomfort. Nutrition should also be given, and he should get adequate amount of fluids to avoid deny Chat Doctor. 4. Though advanced cancer has a survival up to 2 years, in case of cancer pancreas survival is difficult for more than 6 months. Please do not worry.

Hi, I m a 25 year old female, I get sudden, severe pain in the lower part of my legs (below the knees, goes down till the ankle/toe). It occurs just any time and I feel like pressing it continuously. Mostly, it s in one leg at a time and if not pressed properly, it continues till night/next day morning or even longer. The female who massages my legs (at times of pain) says, she can feel hard muscles at the time of the start of the massage, but, she works on it, so that it softens. Please suggest what should I do?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Thank you for providing the brief history of you. As per my understanding what I feel is you need to do two things - one is to check the straight leg raise, if in performing this movement you get pain then you need to check the MRI of the lumbar spine. Also, in either case taking an MRI of lumbar spine will help insight to the internal structures of the spine and understand if any impingement is present. Spinal nerves have two functions - motor and sensory, and any impingement in the nerve will disturb the sensory or motor system. Next it is advised to undergo the Doppler of the lower limbs to rule out any varicose veins issue. Once ruled out, a physical therapist will help you with Therapeutic ultrasound therapy and TENS therapy for pain management. Based on the pain levels, the exercises will be performed. Also, to understand that the spinal nerve pathology is sometimes misdiagnosed and later on it comes back with higher degree of pain, where the recovery takes longer time. So as said, prevention is better than cure. Act now so the worry for future stays down. As, you are undergoing massage therapy, the massage will help to improve the blood supply and provide the soothing effect, if any varicose vein issue is there, in that case massage is contra-indicated as it may worsen the situation. I have seen many patients in my daily practice and most complains are similar, but the diagnosis comes at the early stage by looking at the MRI. And most of my patients are 100% benefited at the early stage of diagnosis and physical therapy. RegardsJay In Chat Doctor.

Hello, Earlier in the week (wed) my grandson started breaking out with little bumps on his face. That same day his daycare provider started placing sunblock on all the kids. The day before that (tue) he came home with a high temperature, which we thought was from being over heated while playing outside (the temperature outside was 90 degrees and he was running around on the playground when I picked him up. I treated him by removing his tshirt and giving him plenty of cool water. After 15 minutes of him saying he still didn t feel well I took his temperature which read 101.3. I followed up with a cold towel and removed his socks. the temperature dropped and he was back to a normal 5 year old boy running and jumping around. Days later he still has the pumps and the daycare provider informed me that several of the kids have the bumps and we assumed it was the large cheap bottle of sunscreen. Today (saturday) he woke up with a little stuffy nose but still acted fine and played in his baseball game and play date with neighbor just fine. Now about an hour and half ago the fever returned with running nose and he no longer wants to play with his cousin that came over. He is pretty lethargic and only wanting to lay down and sleep. This is VERY much out of his go go go character. I gave him V-C and Hyland s complete cold N flu for kids formula . It has never caused him to be drowsy before. There are no white bumps in his mouth NOR are the small bumps on his face red. what else can I look up to what this might be? The bumps came days before the symptoms.

If you are a doctor, please answer the medical questions based on the patient's description.

HiT hanks for posting your query on ChatDoctorI have read and understood your concern. Your description of symptoms and the fact that several kids have same bumps point to measles. I wish to find out if his measles' immunization is up-to-date as unvaccinated young child Chat Doctor. However, I will advise you see the Pediatrician for examination. In the meantime, I will advise you try the following:-Give the an antipyretic like acetaminophen for fever-Plenty of fluid Hope this will help. You may write back if more concerns. Best regards

Fsh 8.78 mlu/ml Lh 38.89 mlu/ml s.Estradiol 32.78 pg/ml T4 6.88 ng/dl TSH 2.78 Mlu/ml S.Prolactin 28.99ng/ml this is my hormone report on second day of cycle i am trying to conceive since 15 months can u please explain if there is some problem or what should i do my gynecologist didnt explained whats the problem please help can i conceive naturally my husbands sperm count says normozospermia

If you are a doctor, please answer the medical questions based on the patient's description.

Hello...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.with your hormonal reports whether u can get pregnant.right. I have gone through your hormonal reports as u send me. Ur FSH, LH,ESTRADIOL are within normal range. But your prolactin is slightly high. This high prolactin effects the menses, n menses are usually irregular. Once menses are irregular, there are chances of getting pregnancy is decreases. But u didn't give info about your menses. So it is difficult for me to comment on this. Second thing.u told me that your husband having normospermia, that's a good thing. If you are having regular menses with your husband having normospermia.chances will be DOUBLE.with the above discussion u can try out my suggestions-1. If u have regular menses with this high prolactin level, then nothing to worry. If having irregular menses then visit to nearby endocrinologist. He/she can help u.2. If u had gone through all the investigations related to getting pregnancy n all r normal, then u have The HIGHEST CHANCES OF GETTING PREGNANCY.if not the feel free to ask your treating doctor for doing all investigations.2. If u r in hurry then visit nearby infertility specialist.he/she can help u. I hope the above information is useful, informative and helpful for u.regards- Chat Doctor. . U HAVE CHANCES OF GETTING PREGNANT. I pray the God that u will be blessed with a cute n healthy baby...hopefully TWINS)

How serious is a grade 1 subclinical varicoele? I m 35 years old, and I was just diagnosed with a grade 1 varicocele . Can a grade 1 varicocele affect fertility? My wife and I are trying to conceive. - my sperm count is 10 mil, but my motility and everything else are fine. Is my varicocele and low sperm count related? Why or why not? - about 5 years ago I experienced a dull ache in my testicles . It either eventually went away, or I just got used to it. After researching online (big mistake I know), I read that swollen varicoceles can cause this. Can a grade 1 varicocele cause this? I only ask because the ache only returned after I got the news. Is it all in my head? - can varicoceles get worse? over time, can it go from a grade 1 to a grade 3? Can grade 1 develop to the worm stage? - if the ache does not go away, should I consider surgery? Would that help my fertility chances as well?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Welcome to Chat Doctor It is true to say that varicocele, as it increases the local temperature of testes, may affect sperm production and surgery of varicocele is very commonly offered in subfertility. But in your case, it is better to rule out any other cause of infertility in yours pose and yourself as a 10 million count of sperm with a normal motile is OK for a fertility and many times even after surgery if fertility is not ensured, it may require IVF. Also, a subclinical varicocele or a grade 1 varicocele is more like to be just incidentally related to low sperms rather than having a cause and effect relationship. The only other indication of surgery is a pain due to which you are mentally and physically suffering in your daily routine and which is not subsiding with scrotal support and occasional analgesics. The recurrence rate after surgery is pretty high as there are so many veins to recur. In short surgery is not for a case like you. Also, even if there may be risk of increase in size of varicocele with time, surgery now or later is exactly the same. Relax, take care

my father is 57yrs old he got heart attack in year 2009 .after angiography doctor suggested angioplasty but after angiograpy he got creatnine level high(4.8) and vomating contiously ,then doctor suggested to take drug and wait for creatnine level come down. now he has consulted to dr agrawall(moolchand hospital delhi) who preffers allopathy and ayurveda both.during the period of one week my father blood sugar level is under good control and he feels better now.his medication is taking place through pranayams,exercise and few drugs. i want to ask that weather i am going to right way or not.may my father get rid of his artrey blockage through thisn medication and diet controll.

If you are a doctor, please answer the medical questions based on the patient's description.

HelloThanks for posting at Chat Doctor. Your father has been diagnosed with blocks in the heart arteries and has been advice an angioplasty which means the block severity is greater than 70%. These blocks in the heart are cholesterol deposits which grow over time. Diet and yoga can only decrease the progression if these blocks. Blockages in the heart arteries over 70% severity cannot be treated by medications, diet or lifestyle changes. It requires an angioplasty or if many arteries are involved, a bypass surgery. Also, he needs to be on lifetime medications like blood thinners, cholesterol lowering medications and other beneficial Chat Doctor. Please don't underestimate this, as the blocks will grow with time, and it may lead to frequent troublesome symptoms which will affect the quality of life. I understand that his great shot up to 4 during the Anglo, so you must be afraid that it may shoot up again. Please visit a nephrologist (kidney specialist) to evaluate the cause of the high creatinine. It can be caused by the dye used for Anglo also. In that case preventive measures can be taken and angioplasty can still be done after taking required measures as advice by a nephrologist. Wishing him good healthRegards

Hi I have had stomach pains for over 5 years, im 15 at the moment and we discovered what it it was, it was food related we thought! but we have changed my diet and after a year or 2 it came back and now it wont stop (potatoe, tomatoe, spices, garlic and onion are the foods I found I cant have) and recently it has got alot worse after my mum died, last month but they just wont go away. it is a pain hard to describe but it is so bad sometimes I can hardly move only once a month or so I get this types but usually it is ok. I always have a stomach ache every second of every day not always as bad as I have described but I am now thinking it may be abit more serious than I realised. there is no pattern to them its just at different each day. The pain is like someone has hit me in the stomach quiete hard usually at the pit of my stomach. I threw up at school after I had a bad stomach ache in the morning I went light headed and almost fainted but felt better than normal after I did threw up. Also have found that I am hungry all the time and need the toilet alot more ( only adding this in because I really want to know what is wrong with me) othere details about me if they help is im male and I really dont know if this may help but yea I have hit pubity. Any insight would be useful and please tell me all the posibilitys. Thanks Andy

If you are a doctor, please answer the medical questions based on the patient's description.

Hi welcome to Chat Doctor forum. Thanks for calling to Chat Doctor. Forum. You are 15, and getting pain abdomen, since 5 years, it is not constant. sometimes food related, You had severe pain one month back after your mothers' death. You are better after vomiting. You are always hungry and always feel like going to toilet. It appears that you have got worms in the intestine. It may be lactose intolerance, or gluten containing foods. There is also a possibility of urinary tract infection, or stones in the urinary tract, or tuberculosis of the iliocaecal junction. The present pain have exaggerated by your mothers demise. I advise you to consult a surgeon for diagnosis and treatment. Best regards.

Age 44 height 172 cms weight 67kgs. 3-4 days ago had slight pain in the back of right leg from top to bottom like something is stretched mild that i continued to work and drive my car only notiing it when i sit down and rest - i am a computer professional with most of the time in front of a computer - a desk job. Two nights ago when i bent down to picj up a piece of paper in felt as slight pain in the lower back thought it would ease of by morning and went to sleep. Next morning the pain was so bad i could nit stand there was to much pressure on the back it seems very tight had to lie down straught for the pain to ease - took some bruefen to eaqse pain and showed it to my family physician who asked for a CT scan of the lumbo-sacral spine. - The results are as follows:l1-2,l2-3,l3-4 &l5-s1 are normal in outline. Thecal sac and nerve root canals are well preserved. The l4-5 shows a mild diffuse annular bulge indenting upon the thecal sac witChatDoctorpression of the exiting nueral foramina on both sides , more so on the left side.please guide on the problem. Is is serious ?Thanks.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I have studied your case. Your CT says L 4 -5 discs bulge foraminal stenosis which leads to compression of exiting nerve root which later on supply right lower limb [leg]. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. If your MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care

Hello,I ve Had Chronic Lower Back Pain Due To RupturedL5/S1 In Oct,2000,Found Central Canal Stenosis Oct,2006.For About The Past 4-5Years I ve Been Having Weird Pain;Pinching&Zapping-Almost Like Sciatic Nerve Pain.But It Would Be Gone,As Quickly As It Came On,Didn t Happen That Often,More So In Winter.The Past Several Months It s Been Comming Back&It Don t Leave As Quick,It ll Come3-4Days In A Row&In Durrations Of Kinda Like Labor Pain-SharpStabbing,Dull Pressure&Full On 9Scale Pressure.The Only Way To Relieve Is Laying Down.I mm Dieting&Went From 175-155 The Past 4months;Portion Control,Less Carbs@Dinner&Cut Down On Chocolate 1-2 Times A Week.I ve Always Been Very Busty,I m A 36DD,I Wear A Propper Fitting Bra,Cysts In 2R Breast 1L Breast,My Doctor Has Said I ll Have To Deal W/It Naturally,It s Common.I Had A Total Hysterectomy In2003,Benign Fibrosis They d Feed&Grow@Menstration .I Hope That Can t Spread To My Breasts Or My Body-I It Possible?

If you are a doctor, please answer the medical questions based on the patient's description.

Welcome to Chat Doctor. 1. The possibilities of your back pain radiating is due to the spinal canal stenosis and nerve rood compression.2. In this case you need to have a balanced diet with exercises - especially back exercises that will help to get relief from the nerve compressions.3. Increasing in winters is due to the inflammatory cause due reduced immunity.4. Breast cysts / lumps need to get a regular followup of the growth a transformation in to the complex features and its extensions.5. No there is no direct link with fibrosis and the breast lesions. If any possibilities are there please get an MRI lumbar spine to see the present status. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor.

Hello, last summer I developed a few symptoms together. My upper lip swelled in the front(no sore, just swelling and irritation), my throat is very red, bumpy and irritated, and three canker sores on the inside of my mouth. After a week or so the canker sores healed and went away. My throat was irritated and continued to look bumpy and red for a couple months. Then winter came. My lip has remained swollen for about 8 months now and with the season turning and warmer weather coming around my throat is irritated again. This all developed after I kissed someone however after visiting a std clinic, an urgant care providor, and my primary physician I was reassured by all three that it is not an std. I was told by one that it was a viral infection and would clear up in a week or two and my primary physician told me it was allergies. Any Ideas?

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I can understand your concern. Your symptoms do not suggest that you have any STD, thus you can stay relaxed about it. Your symptoms suggest more towards a viral infection, but as your doctor suggested, if it is a viral infection, it should resolve on its own in about a week and only supportive therapy related to symptoms might be needed. The persistent swelling for about 8 months seems to be an allergic reaction to a substance that you use routinely. However, in your case, it might be an allergic reaction along with the viral infection. I would recommend you to go for a blood test for allergy. It will suggest what substance you are allergic to so that you can avoid its exposure. After giving the blood for testing, you should start taking antihistamine such as Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for about 10 days. If it will be an allergic reaction, the swelling should start to reduce or disappear. If that does not happen, then you should visit a dentist or oral and maxillofacial surgeon for examination of the lip and further investigations directed directly towards the lip swelling. Based on the results, diagnosis can be made and treatment can be advised. I hope this information helps. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,

I am 62 yrs young, 5ft 4 inches tall & weigh approx. 240 I have very painful Bursitis in my hip. What causes bursitis? It feels like where the hip bone meets the leg bone down deep inside there is a sharp constant pain. I cannot sit on anything hard, I usually sit on a pillow, it hurst when I walk & go up stairs. The pain goes half way down the back of my leg to my knee. In August it will be 2 years. I have been to therapy and had & had something called needeling, & laser therapy, It helped the very 1st time but noit after that. I have had massage therapy & that made it hurt worse. I have seen a rhuemotologist & she said I do not have RA. I went to the chiropractor and he is the one who told me it was bursitis. Then I went to the Dr. & had it xrayed, he said he did not see anything on the xrays. It was so bad I could barely walk. The Dr. gave me a cortisone shot and I was already on anti-inflamatories. The shots only last about 3 to 4 months and I have had 2 of them and now it is hurting pretty bad so it is time for another shot. The shots do not make the pain go completely away but at least it is bareable. This just came on al of a sudden. I did not injure my hip. The cortisone shot is a steroid so that causes weight gain, sleeplessness and messess with my blood sugars although I am not diabetic that I know of. I hope you can help me.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Wear and tear on the area causes irritation. Mostly, the lining wears out and there is bone rubbing on bone in the hip joint. If the lining is gone we don't have a good fix for it yet. We likely will in a few years. And the injection of lubricant (SLAVIC) anti-inflammatories, building up the surroundings and learning to ease off on pressure on the area (physical therapy) are the usual treatments. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

hi Doc, i am a 33 years old female and a blood group o positive. been trying for a baby with my husband since november 2012 and still not yet pregnant. my husband is blood group b positive and he is 31 year old. what can we do to get pregnant. i have been on contraceptives. please help.

If you are a doctor, please answer the medical questions based on the patient's description.

Hallow Dear, If you have failed to conceive after such a long period of fair trail, you need to undergo complete work up. Usually, after discontinuing contraceptives, the fertility returns soon. Your blood groups are not responsible for your infertility. Please undergo following investigations:1. Evidence for egg release (ovulation): There are many tools available for this. Home ovulation detection kit can also inform you whether you ovulate or not; however, at least once, ultrasonographic evidence of ovulation is desirable. It will also inform the size of follicles before ovulation. Follicles of the size between 18 mm and 21 mm release healthy eggs having more possibility of successful pregnancy. Also, endometrial thickness can be assessed by ultrasonography. Endometrium of thickness between 9 mm and 14 mm are most conducive for successful implantation of the fertilized egg. Microscopic study of the endometrium before the menstruation can inform you whether you are ovulating or not. Hormonal profile is also very useful in assessing the reproduction function, particularly ovulation. An ovulation can be tackled by induction of ovulation by Camphene citrate or HMG/Chat Doctor combination as per the indication. 2. Laparoscopy and/or Hysterosalpingography will inform about the patency of the reproduction tract. Former one can inform about the anatomical condition of the reproduction organs. Hysteroscopy can find out any intrauterine abnormality if present. 3. Husbands semen examination after four days abstinence for the sperm quantity and quality. If any pathology is found, it needs attention. However, if there is no abnormality, plan your intercourse on and around the day of ovulation. Still if there is no result, it becomes a case of unexplained infertility which can be managed by Artificial Reproduction Technique. Please report to your Gynecologist and/or Infertility Specialist. I hope this provides you required guidance.

hi sir....i have had severe "point" pain in my left sacral region progressively gradually increasing over the period of 2yrs...started after in had chickengunya infection....did an mri, was diagnosed to have erosions hypodense in my left sacroiliac joint and was spreading towards the right. the pain starts wen i lie down supine...we i try to turn to laterals,,,almost terribly painful...cant turn at all....now it has has increased ...wen i lift weight..and wen i walk fast the pin point pain starts...my doctor told me to check my vitamin d levels..it was deficient...hence started on pain killers n calcium n vit d supplements...but the pain is not alleviating at all...plzz help doc.. jenny d

If you are a doctor, please answer the medical questions based on the patient's description.

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. The changes you have mentioned in the X-ray, are irreversible changes. So, main agenda of your treatment is the prevention of further damage to the joint and its progression to the right side. The treatment prescribed to you by doctor is perfect you should continue with it. You should avoid lifting heavy weight. Maintain the good posture even if you sit in the chair. Best ergonomics of the body posture prevent your joint erosion and can help you to prevent further pain to you. You should visit the physiotherapist, they give you heat therapy and electron therapy. They are much help full for pain management in recent times. They also taught you exercise which will be much beneficial to you for pain management. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.

I recently had pain in my right side and nausa so went to doctor which sent me to hospital for supected apendix, but found a cyst on my ovary , they said the pain would subside, and it did for a week, but not the nausa though thats everyday!! Then woke up with same pain again one morning a week later, it wore off by the evening, but that night very late at night I got horny and next day extermely horny, and it hasnt gone away, now its a week later and I have sex 3 times a day, but half an hr later I want it again so I masterbate and I cant stop, my arm hurts before I quit. I just masterbated now and had 3 orgasmis now my left and right ovary is painful. I am a 32yr old woman whos had 3 kids and never ever been this way before. Its affecting my life, Im studing but cant keep my mind on track, I feel like picking up random guys just to please myself, even though I love my partner!!! Whats going on!! Some medical history.... Have endomeritist, a goiter , had a prolaps disc in neck 2yrs ago, I also get a fair number of abnormal smears which have been treated for a number of times over the last 5years, none for the past year tho. Anyway Plz help!!!! What is wrong with me?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. As you have described You had pain and nausea on right side and diagnosed as ovarian cyst, and treated. You had temporary relief But there is relapse of pain and nausea. You had endometriosis, goiter, cervical disc prolapse, and abnormal smears. A week latter you had an uncontrolled urge for sex. It appears to be secondary to the hormones treatment, or increase in endogenous estrogen harmony due to some pathology in the ovaries. Goiter if hyperactive can have the same symptoms. I advise you to consult a gynecologist for diagnosis and treatment. You need to have an M.R.I. scaling besides other routine tests for confirmation. Wishing for a quick recovery. Best regards.

Hello...2 years ago I had an accident...supraspinatus tendon-full thickness tear (4x8mm) and I did waht I know as massage, resting natural way to heal myself,homeopathic,ect. I am in very good health condition was fitness instructor, massage,nutrition...since many mts have have no more pain and can fully rotate my shoulder I even start working so I wonder if I still need the surgery or it is just gone stay as it is with is good Thank you Manon...

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Welcome to Chat Doctor I have gone through your query regarding treat supraspinatus tendon after accident? Many people have weak shoulder muscles, making them susceptible to rotator cuff injury. Shoulder exercise is both preventive measure and a natural cure for a minor or moderate rotator cuff injury. Of the four muscles that comprise the rotator cuff, the supraspinatus is the one most likely to sustain a tear. Often, rotator cuff injury can be treated without surgery. If the pain is not too severe, you should treat the pain with, heat and rest. Natural and herbal treatments for shoulder and rotator pain includes white willow, gelatin, ginger, wild yam, Shilajeet Turmeric powder in a cup of hot milk. Homeopathy can help in future also you feel pain and uneasiness. In general, a 30c potency is a good choice for most exercise-related complaints. If you continue to have problems after following these directions, consult your homeopath and/or physician. Dissolve one pellet in 4 ounces of water, and use this throughout the day; take one teaspoon every 15 to 30 minutes, decreasing the frequency as you start feeling better. Stop when you feel completely well. You can get from Homeopathic remedies Of the four muscles that comprise the rotator cuff, the supraspinatus is the one most likely to sustain a tear. Often, rotator cuff injury can be treated WITHOUT surgery. Above all I congratulate you for your recovery from rotator cuff injury, successfully through massage, resting, Homeopathy - natural way to heal. Hope this helps you solve your query. Take care, All the best Don't hesitate to get back if you have any further query.

hi & regards,my liver is mildly enlargewith generalised fatty changes,vertical span of rt.lobe is 15.07cm(normal 14cm) gall bladder ,hepatic and portal veins,cbd, pancreas , spleen ,kidneys, urinary bladder ,prostate all are normal in ultrasound.the impression is mild hepatomegaly with fatty changes,associated git problem. in lft test serum bilirubin 0.8(normal 0.2-1.20) direct bilrubin 0.5(0.00-0.40) indirect bilrubin 0.3(0.10-1.20) sgot 50(10-40) sgpt 88(10-40) alkaline phosphtase 126 (34-94) protien7.4(6.0-8.0)serum albumine 4.0(3.7-5.3) serum globuline 3.4(2.3-3.6) blood uria 56 (10-50) serum creatinine 1.8(0.6-1.2) serum uric acid 8.0(3.4-7.0) calcium 9.6 (8.4-10.2) sodium 141.7 (135-155) potassium 3.98 (3.5-5.1) one year ago i suffred from this desies at that time my doctor gave me ursocol 300, antoxid,ec350 but now the doctor has been shifted to another place now a new doctor gave me viboliv 500 and febuget 40 for uric acid .i an alcoholic with intake once a week one peg and non vegitarian ,i dont smoke. i shall be highly oblised if u help me. thanks

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Welcome to Chat Doctor ! The cause of fatty liver in your case is alcohol intake. The liver enzymes are only mildly raised. Abstinence from alcohol will reverse the condition. If you are obese, weight reduction is necessary. If you are a diabetic or if you have high cholesterol, those issues should be treated as they can also contribute to the development of fatty liver. Continue taking protocol and violin.

IM only 18 IM still in school and i work full time but when at school people always cover there nose and leave the room when i enter. People in the classroom next door even smell the poo smell coming from my nose when i breath threw my mouth its not so bad. People sit all the way on the other side if the classroom and start sniffing and stuff making sour faces saying something smells like poop. Slot of my friends are starting to fade away. I work full time and i have got a stomach virus or some kinda bug but i was throwing up and had diarrhea for 5 days ever since then my breath smells like poop. And i poop less often maybe 2-3 times a week it is either thin or watery and it hurts to fart. Often when i eat my stomach just starts growling real loud and i feel bloated. I work at a restaurant and when i go into the lobby all the customers start coughing and I ve had some pull they re shirt over there nose. I don t know what s wrong with my body but it hasn t been like this. IM really embarrassed to go out in public my girlfriend even has noticed it she doesn t kiss me like she use to and she always covers her nose when i talk. I think i have a digestive problem my poop is usually green, thin like a pencil or watery and sometimes i notice mucus in my poop i rarely poop 2-3 a week

If you are a doctor, please answer the medical questions based on the patient's description.

Hi. This is a serious social problem. Both the problems may be or may not be associated. The Smell from mouth and / nose is called a foe tor: the probable cause is sinusitis. Get a consultation of an ENT Surgeon, have clinical and radiological check up done like CT scan. A correct diagnosis will help correct your problem. As far - for your pooh problem. Green stools are indicative of an infection. The pencil like or watery stool and pain at it indicate you have a problem at the outlet like a stricture or so. You need to get opinion of a Castro Surgeon and follow his advice. Fortunately many medicines at on both the problems simultaneously. Go ahead fast-get a diagnosis and proper treatment you to have a great social life too. Keep us posted about the progress, reports, diagnosis and so on.

Hi. I have a friend who went on a 4 day party trip to vegas that included, aderol, pot, cocaine, mushrooms, alcohol, and liquid extasy. He did all of them over the course of the 4 days, with little to no sleep over the entire period, ending on the last day with a mixture of cocaine, alcohol and liquid E. He came home last sunday the 10th. It is now the 16th, and he is suffering from insomnia, disturbing thoughts and dreams, panic attacks, and general fear that he has lost total grip on being connected to himself. He can t close his eyes because the beat of the music and the lights from the clubs play continuously in his head. He keeps posting the songs on facebook, but also wants it to stop at the the same time. (At the same time, he also says it was the absolute best time of his life. And he doesn t want to be back here in reality. But at the same time he s totally suffering and seems to have lost himself completely. I can attest that he is not the same person at all as when he left. It is as if he s gone and consumed by thoughts and insomnia). Can you please tell me if it s possible to go through side affect withdrawals like this after a 4-day bender? He is not a drug user at all...This was an isolated incident. Your help would be GREATLY appreciated!

If you are a doctor, please answer the medical questions based on the patient's description.

Degree understand your concerns went through your details. I suggest you not to worry much. You should not take self medicines for any health problems. Consult a psychiatrist for diagnosis and treatment. In your friends case, such a lavishly organized party with all those substances and chances of substance abuse can highly alter a persons intellectual ability and that person can act as if he is totally out of the world. This effect should wane off within some days or so. Let him take proper rest. Sometimes intravenous treatment may be required to neutralize the substances. Please consult a psychologist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck.

Hi, i am 27 years old and i have been experiencing lower right abdominal pain for about half a year. The pain is constant and it becomes worse after i have any form of bowel movement or bending movements. I did an ultrasound scan and nothing wrong was found with my reproductive organs. Subsequently, i saw a colorectal specialist who initially thought that my constipation problem is causing the pain. However, after being on mild laxatives for 3 weeks, the pain did not improve of go away. The doctor says he is unsure of what is wrong with me. I have also sought help alternatively from Traditional Chinese Medicine who has diagnosed me with Chronic Appendicitis . Basically, he identified this condition by first pressing on the lower right quadrant of my abdomen (where the pain is). After which, he lifted up my right leg and pressed on the same spot again and that set me off into a yelping pain in which i literally jumped up a little from the bed. Hence, i will like to seek other opinions as to what can be causing this constant lower right abdominal pain. Is it indeed a condition of chronic appendicitis? This is bearing in mind that the pain intensifies after bowel movements or during any bending motions. Thank you very much for your kind help and time.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. There is such a thing as chronic appendicitis. This usually occurs when xenoliths (small rock-hard pieces of stool) get inside the appendix stump and cause inflammation. The pain you described with right leg flexion is characteristic of a "sons sign" which helps support this diagnosis. In "chronic" appendicitis, the momentum (a curtain of fat overlying the gut) will usually start sticking to the inflamed portion of gut, causing more discomfort that can be constant. Alternative diagnosis would include diverticular disease, irritable bowel syn Chat Doctor. The most useful test in this case would be a Cat-Scan of the abdomen and pelvis with PO/Rectal and maybe IV contrast. If normal, I would then order a colonoscopy. If it is chronic appendicitis, this could be potentially dangerous. It usually responds to a long course of antibiotics, which can also be considered empirically if you don't have access to testing.

MY 77 YEAR OLD BOYFRIEND HAS DEMENTIA WHICH I BELIEVE IS NOT AGE-RELATED BUT RATHER DUE TO SOMETHING EITHER LIMITING BLOOD FLOW TO BRAIN, A VITAMIN DEFICIENCY, OR SOME OTHER CONDITION THAT CAN BE CORRECTED. WHAT TEST(S) WOULD DETERMINE WHAT IS CAUSING HIS PROBLEM? IT STARTED WHEN HE HIT HIS HEAD WHEN HE FELL DUE TO LOW ELECTROLYTES, HE WAS INA-FIB WHEN THE MEDICS ARRIVED. THE HOSPITAL SAID HE DID NOT HAVE A STROKE, BUT I WITNESSED A SLIGHT SEIZURE. EVER SINCE HE HAS DEMENTIA. I DONT WANT TO IGNORE DOING SOMETHING THAT MIGHT RESTORE HIS COGNITION AND MEMORY. PERHAPS BLOCKED CAROTID ARTERIES. WHERE SHOULD I GO AND WHAT SHOULD I DO? HE WAS ALSO EXAMINED BY A HEART SPECIALIST AND EVERYTHING SEEMED FINE. I GIVE HIM COCONUT OIL AND ASTAXANTHIN, VIT. B 12 AND D 3 PLUS OMEGA 3 FISH OIL. PLEASE HELP ME. I AM DESPERATE.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello thanks for asking from Chat Doctor for your health related queries can understand your concern. He has developed dementia. There are a lot of causes for dementia at this age. They are Age related dementia, Alzheimer's disease, Deficiency of Vitamin B12, Niacin deficiency, Vascular dementia or Multi-infarct dementia, Dementia due to some infections etc. In my opinion if you don't think he has age related dementia he should be investigated accordingly to the causes I have mentioned. His brain scan would rule out any evidence of vascular damage to brain and vascular dementia can be ruled out. He should undergo MUSE test (Mini Mental Status Examination) to find out extent of dementia. This would help to judge improvement also. You are already giving him supplements. He should get proper benefit with Chat Doctor. These

My granddaughter who is 9 (Type 1 Diabetic) was recently admitted/discharged diagnosed with a kidney infection. While ruling out appendicitius, they found evidence of an old legion (maybe from an enjury ? ) on her liver. Her liver emzymes were abnormal. Yesterday me SIL went to the hospital and got results from a ultrasound. They found that her spleen was enlarged, she has gallstones, some mention of sphreositosis (SP?) and her uterus is small. Diagnosis consistent with sicle cell anemia. We do not know if her doctor is even aware of these reports yet.Could you please explain the meaning of the report?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi there, Im sorry your granddaughter is having some health issues. Let me explain each item in the report with the information you've provided me. Phagocytosis are abnormal types of blood cells that are round instead of the usual disc shape. This can be quite common in patients with sickle cell anemia, as the body pushes out immature red blood cells due to the shortage of normal functioning blood cells. The spleen digests red blood cells that are normal, and in cases of sickle cell or other hematologic disease, can become enlarged due to the fact that it is working harder. If your granddaughter is very anemic or having low platelets, sometimes a splenectomy (removal of the spleen is warranted). If she's not having any difficulty with anemia or bleeding, then leaving the spleen in is an option. When red blood cells get broken down at an increased rate, this can cause gallstones to form in the gallbladder, which can also cause liver enzymes to be elevated. I don't believe that her kidney infection or type 1 diabetes are related to her sickle cell anemia, but if she's having recurrent abdominal pain (sickle cell crisis) and gallstones, it may not be a bad idea to consider having her gallbladder and spleen removed at the same time. Finally, a small uterus is nothing to be concerned about in a 9-year-old. This sounds like an incidental finding. I hope I have answered your questions. Please feel free to contact me should you have any further questions.

hi I am 38 years old women i have a left led pain and same side thigh and butt,lower back also i went to so many doctors they gave me oxycontin 10mg for pain 4 to 5 mri done also but nothin now my skin have sometime so itchy and make rash after etch pls help me what to do

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Sorry to hear that our team in the medical was not able to help you out. It would have been perfect if you had mentioned the details of the MRI reports as we could have understood something from it. If you have any issue with the intervertebral disc and nerve entrapment. Now since you are mentioning pain in the hip, thigh, leg and back, I would like to know if the pain symptom is radiating in nature? Also, how is the back pain? Is the nature of the pain sharp shooting or dull aching. If dull aching then it will be related to muscle but if sharpshooting than it will be for nerve. Now coming to an analysis of you, you mentioned your age is 38, so we can look for some Degenerative changes in the lumbar spine. Due to which there might be changes of back pain and nerve getting trapped. For this I will recommend you to try out the exercise for the core, back and lower limbs on both sides. It is mandatory to do exercise in any back pains or radiating pains as due to pain there is a muscle weakness which gets build up over a period of time and once the muscles are weak there is instability of the spinal column. I wish you check for your blood glucose levels along with uric acid too, so we can have a differential diagnosis made to rule out the possibility because. If you can still mention in detail about the MRI it will be really kind of you. In my clinical practice of over 12 years, many back cases associated with leg pain are doing well with conservative management. Like - exercise, physical therapy and yoga. Outcome score is almost as desired to be. Please start the exercise, and you will get a difference in the overall physical well-being. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.

Hello there. I am a 56 year old woman and in good health. About 2 weeks ago I was diagnosed with a kidney infection but, the doctor was unsure. So they gave me antibiotics and the pain in my back moved lower on both sides. Now I have mild crampy pain on both lower back sides and front. sort of like period cramps but, I went through menopause 8 years ago. This morning i had quite a bit of blood in the toilet when I went poop this morning. 2 other times in my life i had a slight tear that caused a little blood on the toilet paper. This was different. There was a lot of red blood. I could not tell if it was in my stool or on my stool. I have had no blood when I have urinated throughout the day today. However the cramping is persisting. Any suggestions?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi sir/madam, Thanks for your question on Chat Doctor. Common Causes of Lower Left Back Pain:-1. Bulging or herniated discs.2. Muscle spasms.3. Pulled back muscle.4. Muscle imbalances.5. Muscle strain, injury or trauma to the back muscles, ligaments or joints.6. Trigger points.7. Stress / Negative emotions. If lower left back pain is particularly severe, it may be an indication of a herniated or ruptured disc, or sciatica. Recommended Treatments for Lower Left Side Back Pain:-1. Muscle Balance Therapy.2. Massage Therapy.3. Trigger Point Therapy.4. Inversion / Decompression Therapy.5. Acupuncture / Acupressure.6. Use a Back Support or Cushion.7Relaxation, Meditation.8. Dietary improvements (i.e. reducing foods that cause inflammation like dairy, wheat / gluten, sugar, nightshades).9. Chat Doctor. Left Side Back Pain Prevention:-1. While walking and sitting, keep a relatively upright posture2. When lifting objects (heavy or light), always lift with the legs-never bend from the waist3. Exercise; focus on working out the muscles in the core (abdomen and back)4. Daily Stretching. Hope I was helpful. Have a healthy day.

my wife 30 yr old having Gall stones measuring 6-8 mm. But she never having any kind of pain so far. Please advise me weather my wife should go for operation or wait for some time, as I came to know that some stones are sleeping stones in Gall, They never create problems.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, How are you? Stones in the gall bladder are a fairly common finding during ultrasound of the abdomen. You do not need any additional tests to confirm the presence of gall stones. But not all gall stones need treatment. In most cases, the stones do not cause any symptoms to the patient. It is especially true if there is a single stone. In some cases, when there is a small stone, it can spontaneously get expelled from the gall bladder. It is usually accompanied by pain and occasionally jaundice. The main danger of gall stones is when the stone blocks any of the ducts (tubes) Chat Doctor. The stone can get stuck at the opening of the gall bladder (cystic duct) or in the main bile duct (especially at the lower end where it is joined by the pancreatic duct, and together they open into the intestine). It causes bile to back up and will cause pain in the abdomen and vomiting, fever and jaundice. This scenario is more common when the stone is small enough to pass through the gall bladder opening, but for some reason gets stuck in the bile duct. It will need an ERCP to extract the stone. It is much more common when the gall bladder has multiple small stones. In 99% of the cases, the treatment is accomplished by laparoscopic cholecystectomy (removal of gall bladder by making three small cuts on the abdomen, guiding the surgery through a small camera inserted). It is a fairly routine surgery and could be done at most hospitals safely. Unfortunately, there are no medical therapies available once the stones have already formed. In your wives case, there are multiple small stones. Since you are apprehensive about surgery, I could suggest a wait and watch policy with a very low threshold for operation, meaning I would get the gall bladder removed at the earliest and the mildest of symptoms. Hope I have answered your query. Let me know if I can assist you further.

hello well i am having allergic bronchitis and asthma. Doctor has prescribed to take Simply One 400 ( Rotacap) from Cipla once every 24 hrs. Now this medicine is not available in market. Is there any substitute or should i change the doctor because as per doctor this is the most advanced molecule available for asthma at my stage.Is there any permanaent cure for asthma with some natural therapy?Mr AMr A

If you are a doctor, please answer the medical questions based on the patient's description.

Hello Mr A, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Simply One is Ciclesonide (inhaled corticosteroid) + Formoterol. As it is not available, ciclesonide can be replaced with other inhaled corticosteroid like budesonide. Combinations of budesonide + formoterol are available in market. So kindly consult your physician to prescribe the alternative inhaler.2. I would like to mention here that inhaled corticosteroids are preventer type of inhalers which reduce frequency of attacks. So you need to take them regularly.3. As an Allergist, I would suggest you allergy testing for common air-borne allergens such as pollen, house dust mites, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergist to you and also to know the measures to avoid them.4. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long period.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.6. Regular breathing exercises including Yoga & Panama and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively.7. Regarding other natural treatments, I would suggest you to consult a qualified Ayurveda or Naturopathy doctor who might help better. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.

Hi,Am girl.25 years old.three months before I ve resigned my job.bcoz of some issue.tat is, on my working place my manager asking me about relationship until my marriage.he is married man and have a kid, two years we know both.he always used to flirts me stares me all time.i too impressed his actions.then I said ok for everything..then he said ,he liked me only for sex nothing else.i said ok for that too.then he told me, I don t like u..let s stop this, u r not attractive so on.but he liked my kiss very much.I asked reason for rejecting me.he said. U have boyfrd its my pblm.i can t stop this by one time.like so on...after time he used to tell..u r not looking good.I really get confused.why he s behaving like psycho.am depressed.pls help me to come out from this..i really don t want him.but my mind always thinking about why he rejected me.Pls advice me..

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Being a Girl, I can understand the situation. But I would like to say that, it's good that he stopped everything from his side. You will also agree that such relationships never lasts long neither based on trust. Depend on lust only. Such persons should not be trusted or should not be expected to behave properly. He might have got some others pray.It's sincere advice that never indulge in such type of relationships. Now concentrating on rejection part- It seems that he had not rejected you because you are not attractive but either he was such a person that he needs different girls to satisfy his sexual desire, so he got fade up with you, or he might have got some other new girl. So, the question is why to worry about breaking up with a temporary relationship. I accept it hurts . But be calm n cool and let it go. If needed specialist psychiatrist help can be taken. Its advisable that please go n see the specialist. Needed antidepressant medicines for few months. Rest up to you. Please don't repeat the past. Try to engage yourself in mature and secure relationships. Gives good meaning ti life. All the best.

My husband had prostate surgery 3 1/2 weeks ago. He is a very healthy man of 79 yrs of age. It started out not being able to urinate. Had to have a catheter put in, and then sent to an urologist. Off and on had to have a cath. put in. H e was very distraught! Finally had to have the prostate reamed out. The urologist said he had a very lg. prostate. After surgery , he kept a cath. in for a week then it was taken out. He was ordered catheters so that if he couldn t urinate, he could cath. himself so that his bladder could get used to opening and closing. He had to cath. himself a few times and he was absolutely devastated. then he started urinating on his own. Did find for 2 1/2 weeks, then began to pass lg. clots. Hurried back to the urologist and he said he forgot to tell us that was normal that his prostate was letting loose some clots. And true it did stop and he can urinate on his own but often and he worries about it constantly. Now he is loosing his appetite and is belching constantly. Big belches even when he doesn t eat. Also at night, Do you think he has anxiety. He does have excessive thinking about his problem. I am an R,N. and I don t think it s a heart problem as he is seen by a cardiologist regularly just because his fmly. dr. orders it ....I don t think it is his colon because he was perfectly healthy before his prostate problems started. He has had a biopsy on his prostate about 3 yrs. before this and it was fine!

If you are a doctor, please answer the medical questions based on the patient's description.

HelloThanks for query. Your husband has undergone surgery of endoscopic resection of prostate(TURN) for enlarged prostate and has belching and loss of appetite.TURN is a major surgery at the age of 79 years and takes long time for complete recovery. All the problem that he has faced post surgery are known complications of TURN. Do not worry all his rest of the problems will get resolved over a period of time. What he needs is assurance to built up his confidence, Chat Doctor.

My 15 year old daughter was just diagnosed with a nodule on her lung. She also has a lump on her neck above her collar bone. Doctor says it is a lymph node and the one on the other side is also enlarged but not to the degree that we can tell like her left one. She is tired and lacks energy, has a cough and the real reason we went to the doctor was because her back was sore. She plays LOTS of hockey at a very high level and we thought perhaps she just strained her back and that was why we went. They have put her on Clarithoromycin and we are to go back in 2 weeks for another xray. What is this?

If you are a doctor, please answer the medical questions based on the patient's description.

HI, Welcome to Chat Doctor with your query. By the facts of your query, In my opinion, you seem to have a very perplexing issue. All started with sore back with cough/tiredness/and debility, with your doctor detecting a nodule on her lung, which could be lymph node. If azithromycin doesn't help her, possibility of Pulmonary TB needs to be ruled out from other causes of such lung conditions with nodule on the lung, and for which I would suggest you to consult a Thoracic Surgeon and Chest Specialist/Pulmonologist. Second opinions from above specialists would rule out other possibilities such as -Lymphoma/ and or/Acidosis with Lung nodule. Investigations suggested-CT Chest after RECHECK Chest X-ray after Azithromycin /Completer Blood Tests, EST,IRA blood test(interferon Gamma-Realease Assay blood test to confirm old TB infection in the body) are few important for your information. I would not burden and confuse this reply with many other technical details of such a case investigation, which your doctors would take care off. But don't worry and never lose your hope till all the angles for its treatment are worked out, as suggested above. Hope this would help you to plan treatment with your doctor. Will appreciate hitting thanks and writing review comments to benefit needy patient visitors at Chat Doctor like you. Good day. Chat Doctor. N. Senior Surgical Specialist. M.S. Genl-CVTS.

I was recently diagnosed with gall stones. I was told they most come out. I am very healthy. I do not eat a lot of fatty foods. I only have an occassional flair up. I would rather find an alternative as I have been reading that gall stones can be desolved. Even though I have been diagnosed with gall stones. My doctor already has run a ultrasound, I have been scheduled for a endoscopy and now I was called that doctors wants to do another procedure I think it is a ERCP. This is similar to the other test I am scheduled for. I am not rich either.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, How are you? My name is Chat Doctor. I am a surgical gastroenterologist and I will attempt to answer your question. Cholelithiasis or gall bladder stones is a very common finding in scans of the abdomen. 10% to 20% of population will develop stones at some time in their lifetime. Up to 80% of these patients will never experience biliary pain or complications such as acute cholecystitis, cholangitis, or pancreatitis. Hence, most gallstones are clinically "silent," and is an incidental finding often uncovered during abdominal ultrasound being performed for another reason. People with such asymptomatic cholelithiasis, however, eventually may develop symptoms (biliary pain) that require treatment, but this risk is quite low. An even lower proportion (1-2%) may develop major gallstone complications. Therefore, expectant management is an appropriate choice for silent gallstones in the general population. The exception is patients at high risk for experiencing biliary complications - Large gallstones (>3 cm) or gallbladders crammed with stones that carry a higher risk of developing gallbladder cancer. In your case because of the pain, I would get operated on. Laparoscopic cholecystectomy is a fairly simple, safe and routine surgery done in most surgical centers. Unfortunately once the stones have been formed, there are no medications which will help in treating them and there is no treatment to dissolve them. Hope this helps and hope you start to feel better soon. Please do not hesitate to contact me for any further clarifications. Have a great day

Hello, My daughter is 5 yrs old yesterday morning around 5 am she woke me up saying her stomach was hurting my youngest daughter 2 yrs old was sick had some kinda stomach virus that included vomiting, fever, no appetites a cold the usual stuff it comes with so I assumed my 5 yr old got it as well she s having the same symptoms she keeps complaining about her stomach hurting bad, her arms hurting, itchy throat so I think she s meaning sore throat, she has a cough too the stomach pains come & go she ll be fine for awhile then all the sudden she s crying hurting again my youngest daughter wasn t completely feeling the way she does I ve been doing research to see what I could be I ve seen it could be a stomafluch flu the doctor office is closed today I know they say it has to play itself out I just wanna help her could you give me any advice of what it possibly could be & what I could do to help if I can.?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi... This looks like viral induced vomiting and diarrhea and pharyngitis. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.

I have been dealing with depression and nervous stomach anxiety for some time now. It started when My Dad died a year ago. Was just beginning to feel better and my beloved Golden Retriever died 3 weeks ago, now I am worse than ever. I take 5 mg of valium in the morning and I was on 20 mg of citalopram but My doc raised it to 30 mg almost 2 weeks ago. My nervous stomach seems to be just as bad or worse. I cannot get out of bed in the morning and function. I take the citalopram in the morning when I take the valium. Any input would be appreciated. Should I take the citalopram in the morning or before I go to bed?

If you are a doctor, please answer the medical questions based on the patient's description.

! I have read the query and can see that you have been through a lot in your life recently. You have been on citalopram no 30 mg with Valium, but it is not helping. When I have such patient, where there is a lot of ongoing stress and severe symptoms, I have seen excellent results with-sertraline or Venlafaxine. The dosage I started low and then increased after monitoring the response over a period of 2-3 weeks. Your doctor will know about it.# citalopram can be taken any time day or night, if it is not helping in morning, it is highly unlikely that just changing time will make effect. Changing the Chat Doctor. Along with the medicine, once there is some initial improvement- I think it will be helpful that you enter into a supportive psychotherapy sessions.these two will make you come back to life soon. Please take care of your diet and water intake, good nutritious diet is equally important...donor punish your self for what has happened, you never wanted any of this...if possible include all this in your daily diet-1. Three - four servings of salad, what ever you like2. Walnut 1-2 daily, may be almonds also3. Sprout4. Donot skip meals5. Please donor stay alone, this never helps6. Take a walk outdoors I can understand it is very difficult phase of your life, but please remember even this will pass.have courage. Hope the reply helps you wish you good health!

I have eight years of education and owned a small business, I married a very wealthy man and was living a very rich life and walked out after one year. He was controlling and manipulative and narcissistic, I was probably codependent and needy a term his counselor came up with. I needed some stability and trust. He was 15 years older and I waited a long time to get married and do not have children. I was at fault as I had old fashioned and immature ideals of married life. I can t seem to get up and get going anymore. I am tired and depressed and life doesn t appeal to me anymore. I know that I have enough to survive on but I am so ambivalent about my future and ever being with anyone again. I have no friends or family to speak of. just an aging mother who needs my help all of the time. I know that I worked so hard my whole life, I am 56 and now I have nothing but material posessions which I don t even enjoy anymore. I have been to counseling for one year and he says I was emotionally immature and that I need to find something that I can become interested in once again. This man just kept going back and forth and lying to his ex-wife and then me his new wife and I just felt like my head was spinning around. I am so analytical and so capable of compromise but the truth and the needs never came out. I am also very angry as he moved on and found an older woman immediately and had her move in the home we bought together within three months. I just feel so hurt and betrayed and waited for him for six years and it was awful. What do I do to get my exhurberance back?

If you are a doctor, please answer the medical questions based on the patient's description.

Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your problems. From the description of your symptoms, it appears that you are going through a depressive episode. As this seems to be affecting you quite a lot, I would suggest that you seek professional help to deal with this. Help is available in the form of anti-depressant medication or psychological therapies like CBT. So, I would advise you to see a psychiatrist in your place for a detailed evaluation and further management. Wish you all the best.

diabetic woman with tuberculosis in the past 21 years ago treated,continues tuberculine skin test have positive, she has BUN 27 and creatinin 1324 ,WBC 12000 NA 136,she started with confusion why and computed tomography of the brain is normal in basal cisterns and ventricules

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-Diabetic Nephropathy with mild CKD(Chronic kidney Disease). Confusion lately observed is due to uncontrolled diabetes, as the brain CT is normal. Dos Suggested-You need to concentrate on correction of diet / exercises/ and low protein, low salt diet with medicines under care of Planetologist and Nephrologist, who would treat it according to the investigation and clinical assessment. Old TB revival need to be observed being diabetic. TB revival could be ruled out in view of confusion before planning any further care in your case.IRA blood test-for ruling out-active TB infection needs to be repeated to rule out activated TB lung infection. Other causes need to be ruled out after proper check up physically and after investigation from Physician/ Planetologist and Nephrologist- if need be. Rule out other causes, before concluding treatment on above lines. This briefing reply is on facts submitted, which need to be verified from your attending doctors, with whom you can check before starting further changes in the treatment of your dad. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS

I have been having shoulder, neck, and upper back pain that has gradually worsened for about 3 months. I m a nursing assistant, so I do some pretty heavy lifting. I m a 23 year old female. I went in to the clinic at the begining of this month and was diagnosed with tendonitis in my shoulder and a muscle strain. I was prescribed Naproxen, a muscle relaxant, and physical therapy. I went to physical therapy and everything seemed to go okay. I mean, it didn t hurt any more than when I wasn t there. About 4 hours afterwards though, I had worse pain than when I first was seen. I was then seen the next day and the physician ordered an MRI of my cervical spine in search of a herniated disc pinching a nerve. From the first time I was seen until now, my pain has increased, but also I have had numbness, weakness, and pins and needles or tingly feeling in my arm and hand. The MRI came back negative for a herniated disc, so I was told I could return to work with a lifting restriction of 10 lbs and also no pulling, pushing, or reaching my arm above my head. Today was my first day back to work and I was placed in a part of the hospital making phone calls all day to accommodate my lifting restriction. The terrible pain is back in my neck shoulder and arm and has been getting worse for the past few hours. Lidocaine patches helped my pain for a while, but I am wondering about a diagnosis. What s wrong with me? I did some research and possibly think Facet Joint Syndrome could be causing my problems, but I am not sure. I m so frustrated! Please help! Thank you for your time.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to a pinched nerve in the shoulder. I suggest to use anti-inflammatory medications such as Acetaminophen to relieve the symptoms. If this does not help in relieving the pain, I suggest using prescription painkillers such as Gabapentin. I also recommend maintaining the shoulder area immobilized. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor.

Hi im jean from phils. I want yo work abroad in hongkong as dh. Ive gone for medical exams but sadly i wad unfit to work due to my chest x-ray that there are hazy infiltrates seen in left upper lung .. I had a ptb before last nov. 1999. Ive done my treatment for 6 months.im taking 6 diff. Kinds of anti-tb meds.. After i got my xray result ive done also my 3 sputum test..and the result was negative.. I just want to ask if theres a herbal medicines or any medicines that can cure the hazy infiltrates or should i say ptb scars seen in my left upper lung? Or maybe a film coated tablet so that next time ill get medical exams it would be clear?? i just want to thank you in advance.. Hoping you can help me.. The agency manager told me that the hongkong employers are strict.. They do not accept pulmonary certification even if it scars..

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, In active Pulmonary TB, infiltrates or consolidations and cavities are often seen in the upper lungs with or without mediastinal or Hilary lymphadenopathy. However, lesions may appear anywhere in the lungs. In HIV and other immunosuppressed persons, any abnormality may indicate TB or the chest x-ray may even appear entirely normal. Old healed tuberculosis usually presents as pulmonary nodules in the Hilary area or upper lobes, with or without fibrotic scars and value loss Bronchiectasis and pleural scaling may be present. Herbal Remedies. 1, GARLIC may boost the immune system and also has antibacterial properties. 2. Milk is the rich source of calcium and is much needed to cure TB fast. 3. Vitamin D to the successful prevention and treatment of TB. Take a high quality COD LIVER OIL capsules. 4. Take THALEESHADI CHURN with OSHAWA KATHAK SINGER added with honey, twice daily. 5. Take CARAVAN IRISH AMELIA two times daily with milk. 6. Take VASARISHTAM 30 ml twice daily.

My mother aged 59 was diagnosed with Sarcoidosis at GB Pant hospital. The reports showed: -Honey combing of lungs was seen in Xray. -Elevated ACE levels: 67.70 U/L. -Liver Biopsy: Sections show cores of liver tissue with maintained lobular architecture. Many well defined epithelioid cell granulomas are seen in the parenchyma and Portal tracts. Many langhan s and foreign body giant cells are also seen. No caseous necrosis is present. Focal macrovesicular steatosis is seen. After she developed regular coughing she was advised to receive treatment for Latent Tuberculosis. She started DOTS from 21st December 2010. Her coughing was relieved after 2 months of treatment. But Liver Function Test showed: -S.Bilirubin(Total): 8.47 mg/dL -S.G.O.T.(A.S.T): 1,048.70 U/L -S.G.P.T.(A.L.T.): 797.10 U/L -S.Alkaline Phosphatase: 273.01 U/L She was diagnosed with Jaundice and DOTS was stopped. The doctor changed the medicines to ETHAMBUTOL, URSODIOL, OFLOXACIN, STREPTOMYCIN and PANTOSEC. She has been taking the above mentioned medicines for 7 days. Since then she has been suffering from extreme gastric complications, yellow eyes, swollen stomach, loss of appetite and insomnia. She has a history of Gastric problems, Urinary Tract Infection, and she also has an artificial pacemaker installed.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi.as your concern your mother has ACIDOSIS. DOTS treatment had produced side effect on LIVER FUNCTION. Your doctor had changed the therapy regime to avoid toxicity of DOTS regime. Its only 7 days so better to have LIVER FUNCTION TEST after 10 -15 day.to see if present side effect is of changed regime or earlier one. Keep repeated LIVER FUNCTION TEST every 15 -20 days to see proper function of liver. And for gastric problems take medicine with milk or food.

Hi! I have been experiencing progressive numbness of both of my feet, beginning with the right foot, over approximately 5 year period and now it seemes to have progressed to my right hand. I have also been experiencing vertigo, imbalance, and memory loss. About 3 months ago I had severe pain from my right hand, up my right arm and then over the shoulder and down to the end of the scapula area. An MRI of the cervical area showed herniations of the cervical discs and a rupture at c6-7. A recent Mri of the brain, for diagnosis for the above symptoms of vertigo, imbalance, memory loss, some ataxia, changing vision condition, showed an increased T2 and FLAIR signal present in the supratentorial white matter that likely represents mild chronic microvascular ischemia. I also have several symptoms that correlate with autoimmune diseases such as lupus, sclerderma, MS, and multiple connective disease. I have raynauds syndrome, and a history of thyrotoxocosis. Im having a really difficult time trying to find doctors that want to help me because of the multiple areas of my medical problems. The neurologist that ordered the MRI of my brain wont even call me back. Can someone please help me?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Thanks for writing in. Your neck, shoulder and arm problems are due to the cervical nerve roots being pinched at multiple levels as seen on cervical spine disc herniation. The C 6 - C 7 disc rupture is significant and might cause limitation of neck movements. The MRI brain shows areas of T 2 hyperintensity in the supratentorial white matter. Since you have not mentioned your age and the images are not attached, it is a bit difficult to confirm if the findings can be acceptable at your age. Microvascular ischemia is a term for loss of blood flow through the small blood vessels in brain leading to decreased oxygenation and tissue damage, these changes can also occur in people with diabetes and hypertension. Autoimmune conditions can also show certain features, but your MRI does not fit in to a single category. MS will show a definite pattern on MRI and I think your doctor has ruled out this condition by clinical features and MRI scan findings.

My daughter is twenty six now and since she was seventeen she had complained about tightening in her chest. It has gotten worst now and she experience it more often. Today she went to emergency room and told docs exactly what i advised her and how her fathers family have had major heart problems. They looked all over that and prescribed her cetirizine and she has never had any allergy problems. I am so upset cause what do tightening of the chest has to do with allergies. then i just finished reading actual people comments about this drug and the horrible side effects all of them experienced. then to top it off i see that three of those side effects is tightening of the chest, fast or irregular heartbeak and muscle weakness. The same thing she went in for. I am no nurse but I have worked in the medical field and seen alot and heard alot. Where are the true docs that really care and dont throw anykind of meds around like candy. especially if it don t fit the diagnosis. Just tired of worry about some docs telling the truth and worried about my daughter and her precious children health. Wish I could of gotten a free caring answer but once again its proven that nothing in life is free! Sorry but cant sorry to waste your time and mine! In the future do something free for those in need it would greatly be appreciated by those in need and by GOD. God Bless!

If you are a doctor, please answer the medical questions based on the patient's description.

Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of asthma is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of asthma is based on severity only. She may need inhaled bronchodilators and inhaled corticosteroid (ICS). Your concerns and opinion about medical fraternity are very strong, nothing can be told about it. But be patient and be kind of possible.Don't worry, She will be alright. Hope I have solved your query. Thanks

Hi,Im a 45 old male, quite healthy and athletic, playing competitive tennis three times a week and running, doing sit-ups and push-ups almost every night for 30 times each, non-smoking.About 7 month ago, I felt sudden stabbing pain in my left chest area, followed by a feeling of warmness rediating and releasing from where the stabbing pain originates, followed by nausea and fatigue. This happened three times in a period of 40 minutes. I had ECG and Holter monitor on the next day and everything came back fine. Since then, there has no more stabbing pain, but it develops into a pattern of sudden onset of severe chest, back and sholder pain with slight nausea, very deep and dull, worse off when I stretch or tilt back or trun my head left. Had my blood test, stress test, ECGs a few month ago and Dr dont think I have heart problem. One thing I want to mention is that I did have tremendous pressure in life and some anxiety issues when this first happened, could this pressure and anxiety cause my problem?I have been trying meditation, relaxing techniques since and i do think I am really relaxed now, sleep well and enjoy life more. But this sudden onset of deep chest and back pain (at the bottom of my left shoulder) happens almost once a day, lasting about 30 minutes each time with slight nuasea.I now know this deep chest pain will not kill me but still get worried and annoyed when it comes on.Can you please advise as to what it is and how I can get rid of this completely.Thanks heaps,Dave

If you are a doctor, please answer the medical questions based on the patient's description.

Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about heart diseases for your symptoms. Since you are having stress and anxiety, your chest pain is mostly due to these only. Counselling done by psychotherapist is best to treat stress and anxiety. So consult good psychotherapist. Try to identify stressor in your life and start working on its solution. Anxiolytic Chat Doctor. Don't worry, you will be alright. 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.

I got a call this afternoon that my blood panel has revealed elevated liver enzymes . I was seen because the PAC s I have had all my life have changed recently, giving me more shortness of breath and what feels like a punch in the chest once every few weeks for a few seconds. My EKG was perfect and my BP is normal: 100/70. Cholesterol was good and thyroid was also good. They want to do an ultrasound on my liver and do more blood work to test for hepatitis . I am wondering what could be causing this and what the treatment is. I do not drink, ever, never have. I am 38 and healthy, overweight by about 10 pounds but certainly not obese. I occasionally take Advil for headaches, and recently I was on an anti-inflammatory for 2 days for an injured nerve and antibiotics for a sinus infection . I also have had issues with my stomach, never diagnosed but what looked to me like some kind of irritation in my intestines, like IBS or something like that. It has not been an issue lately though, and my diet has returned to normal. I don t know if the liver levels relate to my heart or not. I was not able to talk to a doctor and I suspect I may not be able to for a week or so, and I would like answers a bit quicker. Any thoughts are helpful.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, black, The important part of your history is the recent use of antibiotic sand anti-inflammatory Chat Doctor. NSAIDs such as Ibuprofen, Naproxen, can cause temporary elevation of enzymes and rarely severe liver damage if taken in excess. Same thing is true for Tylenol (Acetaminophen)taken in overdose can injure the liver. Antibiotics belonging to the Tetracycline family can also affect the liver. Your lid level being normal is good and probably rules out fatty liver. It is possible to have a very mild fatty liver even when you are ten pounds overweight, in your case unlikely. It is possible to have asymptomatic chronic hepatitis B or C from a prior infection. If you had a blood transfusion years ago when good screening tests was not available, people received contaminated blood. Needle prick, multiple sexual partners,

Hey, I just need help and advice on an obsession of the way I look. Im 19 Years old, unemployed and Iv had a baby last January, after having my baby I got postnatal depression so I had anti-depressants and im still on them now, I don t think its the postnatal depression any more. Its how I look what s depressing me, I hate my teeth... Desperately would like to have braces or veneers. Its getting to me that much im very underweight, I wont go to family gatherings, Wont go out in public places, If I do see people I know and they make me smile, I will hide my teeth with my hand. I just cant cope.. I wont even go to the doctors because I know they will just turn me away. All I want is my top teeth straightened. I had braces when I was 17 and then I had the invisible brace but I got pregnant and at 25 weeks I lost my baby so I wasn t thinking of putting my invisible brace in so that s why my teeth have kind of moved back. Im so self conscious of the way I look. Even my dad is trying to get me to the doctors because he thinks I have a problem. Iv even thought of getting a loan out to pay for them but I don t think they will let me as I don t work. Is there anyway you could help me please.

If you are a doctor, please answer the medical questions based on the patient's description.

Degree understand your concerns went through your details. I suggest you not to worry much. The best way to overcome the cosmetic obsession is to be aware about yourself. You are no more than a mere human being. As you know, your body cannot be attractive all the time. When you age, your body shrinks, and you lose your current looks. You are what you are. Every person has his own cosmetic problem. But just 5% worries and of those 5%, 99% understands the facts and ignores. You also should learn to ignore. Just ignore it. If you require more of my help in this aspect, Please post a direct question to me in thisXXXXXXXX. 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.

Hi Can you please read below and let me know what you think. Thanks! These herbs are well none burdock root, cinnamon, dandelion, tumeric, oregano, black cohosh etc.......... All i am asking is if i show you the ingredients list for each formula i have all i need you to tell is if these herbs ARE SAFE TO BEEN TAKEN TOGETHER. Thats all its my fault for saying testing, i meant to say if i provide the ingredients of each formula to you than all i need you to tell me is whether or not it is safe for the herbs listed in formula for them to be taken.For example, this is just an example: Just say i have: EchinaceaBurdock RootDandelionRed Clover for one of my fomulas since you are qualified all i need you to tell me is whether or not these herbs can be taken together without causing harm to ones health. I know all about herbs as i study them everyday and i mean everyday but i am very cautious and would just like to know if certain herbs can be mixed with others and not cause any side effects and since you are qualified this is why i am asking. I am starting a herbal business and these herbal formulas as only going to be sold as HERBAL TEA PACKETS. I am NOT selling ointments, creams, tinctures, syrups or extracts. Just selling the dried herbs in a TEA FORM BASE meaning the DRIED herbal formula in a tea bag. ThanksRegardsDamian

If you are a doctor, please answer the medical questions based on the patient's description.

Dear DamianYour question is more business oriented and less on medical front. On medical front formulating a Chat Doctor. The main consideration is whether herbs having light or heavy effect are being mixed or mixing of one that increases pit with one that increases oaf will negate the net medical outcome. So mixing of herbs per choice is not recommended but mixing herbs based on ethics is highly recommended. As far consideration is for refreshing tea it depends on flavor and taste. There are companies pumping pit pacifying tea, oaf pacifying tea or vast pacifying tea. Herbal tea and basal tea are also in routine use. Here you can develop formula based on your expertise. Wish you all the best.

Hi, My husband had an acute non haemorrhagic infarct in the posterior limb of the right internal capsule(as per MRI report). The Doppler s effect for carotid arteries, and MRA reports are normal. The Echo-cardio gram reports are also normal. Please suggest what care should be taken in this regard. If he leads a healthy lifestyle which includes restictions in diet and exercise, will everything return to normalcy.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello ! Its pleasure to answer your query. As per the MRI report, he has an acute stroke episode. There are many risk factors for stroke including hypertension, atherosclerosis,vasculitic disorders, central nervous system infections, embolic phenomenon and many more. As ECHO Cardiogram is normal for your patient hence it seems to be acute thrombotic episode involving right middle cerebral artery. For treatment, he needs urgent admission in specialized hospital or stroke unit. Along with nursing care, physiotherapy he needs oral antiplatelet Chat Doctor. If he could have presented within 3 hrs from symptom onset there could have been an option of thrombosis depending upon size of infarct, age of patient, blood pressure at the time of presentation and other major medical illness or past history of major surgery. This decision of thrombosis is physician dependent as there is a major risk of bleeding during thrombosis. As carotids are normal on MRA and Carotid Doppler is normal there is no need of any interventions for this. Adequate control of blood pressure, blood sugar, lipids could help to prevent further episodes of stroke. Improvement in this episode depends upon the level of consciousness of your patient, degree of weakness in limbs and size of the infarct on MRI. NHS scale can help in assessment of prognosis and management of your patient. You can take help of treating physician regarding this. Healthy lifestyle, exercise,diet monitoring of blood pressure and sugar, physiotherapy long term antiplatelet agents and statins can definitely help in improvement. It may take one to two months for maximum improvement. Hope you have satisfied with the answer. If you need any further information I am always happy to help. Thank you and wish you a better health.

Hi , I am 38 years mail and I am having mustache hair loss on the left side. I had consulted to a skin doctor. He advised me two medicines. - morr Soln.and an Ointment. I used for around 45 days but no improvemnt reflected . The hair loss continued. Please advice in this respect. Regards.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Thanks for writing to us at Chat Doctor I will keep a possibility of Alopecia Area ta (AA). Alopecia Area ta (AA) is an autoimmune condition. It usually presents as patches of hair loss, most commonly over the scalp but the patches can also present on the beard, mustache or eyebrows or eyelashes. The patches of Alopecia Area ta are smooth, and usually there is no evidence of inflammation like scaling or erythema or itching. People often seek treatment because the bald patches are unsightly and are easily noticeable to others. Various treatment options in alopecia errata in order of the choice of treatment are:-Intra-lesional Triamcinolone acetone: This is first line treatment in adults followed by other modalities like:-Topical Potent steroids (Mometasone Furnace, Clobetasol propionate)-Topical Minoxidil solution-Topical Anthranalin-Topical PVA(Morales +UVA therapy). You are using minoxidil and probably a topical steroid for the patch. The response is usually slow, and it is important to give a fair trial of the topical treatment before switching on to another mode of treatment. I would suggest that you seek another appointment with a dermatologist in your region for the needful, if this treatment doesn't produce any visible signs of improvement for another 2-3 weeks. Although all the therapies that I have mentioned are effective but intra-lesional steroids is the most accepted and most effective line of treatment and is a reproducible effective therapy for focal type of alopecia errata. It can be repeated after 3 -4 weeks and usually hair regrow after 2 injections, given 3 weeks apart. A dermatologist would usually administer this treatment in his office. The injection has to be placed into the patch of hair loss. Regards

My husband drinks coffee most every morning on his way to work using a coffee travel mug with a button release lit. The problem is, I was looking at it this morning and rinsing it, noticed bit of black in mouth piece. This led me to opening the circular release seal and inside it I found slimy black gunk that appeared to be slimy mold. I am very concerned; he has been using this travel mug for some time, months. I have always rinsed and wiped it down believing I was doing the right thing. Read about it online (reviews) and others posted have found the same issue with horrible black slime coming out when they tore off the bottom. I am not concerned about the silly mug, we trashed it. I am concerned however about how this may affect his health. What can this possibly cause? I am hoping that the most it could cause would be some stomach and digestive problems, but I am concerned about the fungus or bacteria it has introduced into his system. Is there anything we can do at home? He is someone that feels he should tough it out and avoids going to a doctor unless he has to even though he has great health insurance. I would be most grateful if you could ease my mind, I am concerned. Thank you.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is likely that this slimy black thing can be fungal or bacterial colony which is posing problem. But it can cause health hazard in the immunocompromised patient. Your husband seems to be a healthy person, so it will not pose any problem to it. But if you are much concern you can wait for the week. If within a week you find something problematic than you can take the treatment accordingly. For the future purpose please do good through cleaning from the mug and avoid the formation of such a problem. Please advice your husband regular exercise early in the morning it will boost up his immunity. So that you will not have to worry about him much. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.

Hi - I have high MVC and MCH by 1 point above normal. I do not drink alcohol and have a healthy diet, take vitamin supplements. I am a 50 year old woman. My doctor is not concerned. Should I get my thyroid checked. I have had thyroid supplement before - Nature Thyroid given? Thanks

If you are a doctor, please answer the medical questions based on the patient's description.

First MCV is a way to measure the average size or volume of the individual blood cells in femtoliters, which normally has to be in the range between eighty and one Hun Chat Doctor. MCH is the way to measure the amount of hemoglobin in the average red blood cell, which should be twenty-seven to thirty-one picograms per cell. If the MCV is not within the normal range, this means that the red blood cells are either larger or smaller than they normally should be. With a high MVC, this means that a person may be suffering from pernicious or hemolytic anemia. Some causes of a high MCV can include alcohol abuse, nutritional deficiencies, or a deficiency in folic acid or vitamin B12. If the MCV is low a person could have thalassemia, gastrointestinal blood loss, or iron deficiency anemia. Most of the time, an abnormal MCV just means that you have some form of anemia. When they consider the MCH in the complete blood count test, it is a measurement of what the approximate amount of oxygen-carrying hemoglobin is in the red blood cell. It is the red blood cells are large they are referred to as microcytic and will usually have a higher MCH. If the red blood cells are smaller they are referred to as microcytic and has a lower MCH, If the complete blood count test comes back showing that you have high MCH this can indicate that you have microcytic anemia. This type of anemia is caused by not having enough vitamin B12 or folic acid. How to treat an MCH that is high depends on the cause of it being this way. Treatment also depends on any other medication they may be taking or medical conditions the patient might have. If microcytic anemia is the cause, adding vitamin B12 and folic acid supplements will help. Regards

no appendix ( it is removed 1994) no right kidney ( it is removed 1999) . left kidney is working well. and all other organs working well. all cbp, urine, ct scan, ultra scan are normal. after removing kidney i am suffering with heavy pain at the place of appendix and it is form to right kidney side after some time its locate left kidney side and left front side. mainly it starts and locate near appendix place. i am suffering this pain since 2006. urologist (who kidney removed) no problem. he suggest me go to gastroenterology doctor. i went there. they also tested me. no problems. in 2008 they gave normoxin tablet for 2 months. after taking that some relief for few months. the pain starting suddenly and heavily. taking pain killers (tablets are injections like overan) pain relieves but gas trouble . doctor changed injection Tramadol . i have no gas trouble and relieve from pain. it is only 5 or 6 months. now tramadol also not working. no pain relief. in hyderabad institute of asian gastro entrology , they gave ketorol injection . pain relieved but upto 48 hours full gastric problem. after that they gave ib set tablet for one month. thanking you sir. No abnormal bowel movements. sir i have only pain what i wrote. after taking the tablet no daily motion and irregular once in three days. before taking tablet i didnt have no motion problem. no digestive trouble. all my recent reports uploaded. after motion trouble i went to the doctor. he gave one medicine Cremadiet. i am taking that daily. but the motion trouble continued.what can i do ?without abnormal bowel movements along with abdominal pain why the doctor prescribe that tablet (ib set)?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi and thanks for the query, The clinical scenario you describe warrants exclusion of a tumor. The association of a pain at the level of the appendix and the kidney could indirectly suggest a tumor from one area that had to spread to the other. It would be interesting to know if a histological evaluation of the tissue that was removed / appendix was done. An abdominal ultrasound could be most useful in checking for any masses that could be in the abdominal region and deciding an appropriate treatment option. Kind regards

I have been tested for HSV 1 and 2. I am married and have a partner. I told my partner about it as soon as my husband told me. He got tested and told me he didnt have it but he was exposed to it. Is there such a thing as being exposed to it. I thought either you have it or you dont. Now hes telling me he just wants to be friends and not be together anymore. I feel so ashamed and rejected. I cry about this every day because before he was ok with it and we were careful and then all of a sudden he just wants to be friends. Do he have it or not?

If you are a doctor, please answer the medical questions based on the patient's description.

Dear patient, I totally understand your frustration and how this is affecting your personal life. Regarding HSV 1 and/or 2 infection the following points should be taken into consideration in order to understand the situation better.1- In case someone got infected by HSV 1 and or 2 then the virus will be always present in the body but wouldn't cause a recurrence unless there are certain circumstances like stress, sun exposure, other infection, immunosuppression ... So if your partner has been exposed to the virus meaning he has the virus, but the virus is not replicating (sleeping mode).2- Recurrence means that the virus that was sleeping is now replicating and this will cause symptoms (vesicular lesions with an erythematous base : blisters with redness of the skin) and pain. Any patient who has been previously exposed to the virus can have a recurrence.3- The way to know if someone has been exposed to the virus is by doing Egg and IGM against HSV 1 and 2. If they are positive it means that this person has the virus. However, to detect if certain genital or oral lesions are due to HSV (meaning recurrence) then a testing of the blisters (tank smear and culture) or a PCR from a swab from these blisters can give you the answer.4- there is no cure for HSV, however in case of recurrence the treatment will be acyclovir 400 mg three times daily for 10 days. I recommend that both of you to do the labs mentioned above and hence know your status before taking rapid decisions. Best regards

hello sir i am a medical student going to complete my internship in another 1 month,,,, my mother is having bronchial asthma from an early age.. she uses seroflo inhaler for long action and levolin for immediate relief... for intermittent exacerbations i give her nebulisation..... she still has wheezing while wallkn and while climbing stairs ,,, kindly suggest your opinion

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Thank you for asking at Chat Doctor. I went through your mothers history and would like to make suggestions for her as follows:1. Were I treating her, I would prescribe her regular montelukast in addition to Aeroflot inhaler. It will help her exercise-induced symptoms as well as improve control of asthma.2. I would also make sure that her technique of using inhaler. This is the most important aspect as if it is not proper, adequate amounts of Chat Doctor. 3. If she also has allergic rhinitis (nose symptoms), sinusitis or gastroesophageal reflux disease (heart burn, regurgitation especially after hot/spicy foods), I would also treat them simultaneously as each of them can aggravate asthma.4. If she needs to use leveling or nebulization more than twice a week, it means her asthma is not properly controlled and in that case I would increase her controller medications.5. Personally I would suggest her allergy testing which will help her to identify the substances causing allergies and also to know the measures to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe her allergen specific immunotherapy which works on her immune system to reduce allergy symptoms gradually.6. Regular breathing exercises (including Yoga & Panama) and a healthy diet rich in vitamins, minerals & antioxidants (i.e., adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also improve her lung capacity and immunity respectively and will help her in a long run.7. In general, I would suggest her to avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will helpful to her. Should you have any further query, please feel free to ask at Chat Doctor. Wish your mother the best of the health. Thank you & Regards.

HEY DOC, WELL I HAVE PAIN JUST ABOVE MY RIGHT GRION... i DONT THINK ITS IN THE LOWER ABDOMEN...BUT I DONT THINK ITS MY GROIN AS I CAN STRETCH IT QUITE WELL... THE PAIN COMES AND GOES AND ONLY HAD IT FOR LIKE 2/3 DAYS NOW.. NO SIGNS FOR A HERNIA BUMP...???? IDEAS???? OR GO TO DOC S???

If you are a doctor, please answer the medical questions based on the patient's description.

Hi there Thanks for your question at Chat Doctor Groin pain is most commonly associated with strain of the muscles, ligaments, or tendons present in that area. This is more likely if the onset of your pain is associated with any injury which happened while playing, or after you slipped or twisted. Such pain would usually respond over 2 to 3 days to rest, painkiller medicines and ice applicationAnother common cause of groin pain is an inguinal hernia. An inguinal hernia occurs when internal tissues push through a weak spot in the groin muscles. This can create a bulging lump in your groin area and cause pain. Kidney stones (small, hard mineral deposits in the kidneys and bladder) or bone fractures can cause groin pain as well. On the other hand if you have been having pain for more than week, and it has not responded to the above measures then other cause of one-sided groin pain have to be considered. These include urinary tract infection, any inflammation in ovaries (in females) and testes (in males), intestinal inflammation, hip joint related pain etc. Groin pain due to pinched nerve in the spine is relatively uncommon and is usually associated with involvement at higher spinal levels mainly L2/3/4 levels. An L4/5 and L5/S1 problem is less likely to be associated with groin pain. At present there is not enough evidence to say that your L5/S1 disc is the reason for you groin pain. I would suggest you to see an orthopedic surgeon, so that any lesion around the hip area can be ruled out and once that is done other less common cause can be ruled out in a step wise manner based on your response. Hope this helps the Beauregard Chat Doctor.

I have been on Metropolol for 4 weeks, prescribed for palpitations (400 in 24 hrs. per monitor) 50 mg. Also I have white coat syndrome, sometimes pressure rises, been under a great deal of stress, mostly apprehension re: heart tests, etc. Cardiologist says metropolol is good for bp also. I have a monitor, pressure is lower at home, only rises when I maybe active 150/62, pulse in the 70 s and has been as low as 112/60. Still I take readings to the Dr. to let him see that it really is when I am under stress. 50mg made me tired ( Cardio said it would be sluggish), I do feel calmer, had to do 25 twice a day. Still I can fall asleep sitting watching TV and that is not me. I think I could try 25 per day, that is how I started out, but my pressure in theDr. office was 162/63 so he changed it to 50. Now I notice my pressure is higher anywhere from 112 to 175 with the bottom # in the 70 s and my pulse in the 60 s. My Dr. didn t mention the fact that it was compared to at home readings, also because I am calmer in office reading was only 136/62 He thought all the numbers were good, but yet they were higher than before when I took them at home. I don t get it, I thought BP meds reduced your pressure.

If you are a doctor, please answer the medical questions based on the patient's description.

With respect to palpitation, that is the sensation not the extra beats. The extra beats may not be harmful or even require treatment. If you have found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. Finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel but knowing that it's not dangerous is often treatment enough. The best way to interpret your blood pressure is to take only recording done on schedule. Single measures should not prompt concern, particularly no those done under stress. Record your blood pressure on a schedule every day. It should be taken seated after a 10-15 min period of relaxation. A two-week average is what you use to make decisions about the need to take a medicine and its effect.

Hi. I am a 38 year old male who enjoys sports. I do a lot of weight training and I rum 3 km 3 times a week. For the last two years i have been having intermittent back pain in the lumbar region which usually settles with a few days of rest. Over the last 1 month however, the back pain seems to becoming more intense and longer lasting. 2 weeks ago after a 3 hour drive i gradually developed severe Left sided back pain radiating to the posterior part of the left thigh. An MRI taken the next day showed prolapsed disc involving L4-L5 and L5-S1. 2 days after that, i started having pins and needles over the posterior part of my left thigh and lateral part of left foot and weakness of my left calf . I was started on celebrex 400mg od and baclofen 1 tablet bd. Since then the pain has greatly subside. I would say 80% of the pain has dissappeared. The pins and needles and my calf weakness however has not improved. I can extend my foot but am completely unablen to tip toe . Can anyone suggest if surgery is indicated or can it still be treated conservatively? Do calf weakness return back to normal either with or without surgery? How long would it take to recover?

If you are a doctor, please answer the medical questions based on the patient's description.

Dear Patient, Diagnosis: PIED L4-5 & L5-S1 With LEFT L4 &L5 RADICALIZES & LEFT L4 & L5 RADICULOPATHY For your case, at the time of presentation, you could have been treated conservatively for 3 weeks with bed rest & symptomatic medications & no traction at all. Considering progressive neurodeficit viz. foot & toe affection & calf, you are a candidate for POSTERIOR DECOMPRESSION OF LEFT L4 & LEFT L5 NERVE ROOT & DISCECTOMY AT L4-L5 & L5-S1 LEVEL. With surgery, you can appreciate reversal of weakness & recovery sooner from first 24hrs of surgery up to 3 months similar to absolute conservative treatment algorithm of mine. I wish you all the best. Chat Doctor. S. Orthopedics & FELLOW IN SPINE SURGERY

i have anxiety and depression . I been seeing a doctor every three months for years. About six months ago he put me on prozac 20G didnt seem to help so he increased it to 40G a day. Unfornately I notice the past month or so I have been getting more depressed. I get up in the morning do my chores and then back into the bedroom to watch tv until its time to sleep. I feel like a walking robot - same thing day in and day out. I have been through alot the past couple of years; and I dont know if my current situation is making things worse.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi and welcome to Chat Doctor. Thanks for your question... Though many people respond well to anti-depressant medication, there will be a proportion of people who will respond only partially or will have a poor response to the initial treatment. Prozac (Fluoxetine) is an anti-depressant, which belongs to a class called SSRIs and SSRIs are in fact, the first-line medication recommended for depression. You also seem to have been on a good dose for an adequate duration of time. If you feel that your depression has not improved at all, then, you should discuss this with your psychiatrist to plan the next course of action. Usually, the next step in management would be to switch to a different class of antidepressants or take a combined approach of medication with psychotherapy. Personally, I feel that the second option would be more appropriate in your case, as you mention that you have been going through a stressful situation recently. Ongoing stress can definitely be a perpetuating factor for depression and make things worse. Hence, ad Chat Doctor. Sometimes, there can be certain medical causes, like thyroid problems, etc. which can also perpetuate your depression and cause treatment resistance. Do check with your doctor if you need any further investigations regarding this. Activity scheduling i.e. planning and carrying out regular and timed activities and assignments may be a useful technique to tackle your motivation and lack of initiative. Cognitive-behavioural therapy (CBT) is an excellent form of psychotherapy, which can help you overcome your relativistic views and enhance your motivation. Please discuss these options with your psychiatrist. All the best. -

Doctor, I am 63 years old and a male someone overweight at 5-7-1/2 and just less the 250lb. I don t have a regular doctor and haven t seen one in quite awhile because I usually feel good. The only doctor I see is my dentist twice a year to be honest with you. Anyway just yesterday I was in my home office and felt something weird going on in my left hand that I could not control before you know it my hand was bent over and it was taking over my arm and pushing towards me finally talking over my body that I could not talk and I believe I passed out. Here I am thinking I might of had a seizure of some sort. This was maybe 11am in the morning being I am retired and was at home. I took a Aspirin just in case after that as I was ok then which seemed like maybe 15 minutes later. I am not sure. Same thing happened when I was out in my barn later yesterday afternoon but I sat back in a chair and was fine like possibly 15 minutes later. During these 2 attacks which I never had before I barely could talk and was having a hard time breathing during it. Since late yesterday afternoon I haven t had any problems and have been taking 1 Aspirin maybe every 4-5 hours. I feel fine today as I do any other day. My wife when she got home from work wanted to take me to emergency but I didn t feel the need to go. Spent a lot of time laying on the couch today resting as not wanting to push anything and I feel find as of this letter. Do you have any idea of what may of gone wrong?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : Do you have any idea of what may have gone wrong? Answer : Both the episodes you resemble fits. Hence, I request you to kindly consult a Neurosurgeon / Neurologist at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.

I had my jaw bone sawed for access to my squamous cell tumor mass at base of tongue, to remove the tumor , 2 lymph nodes removed & half of my tongue (which is now sewn to gum line so that I cannot swallow b/c tongue cannot reach roof of my mouth. I had cysplatin chemo with radiation at same time before the surgery. My carotid artery vein was dangerously exposed & would not heal over. (I was strapped down while in medically induced coma so that I could not rip out trach or cause damage to carotid artery that u could see. Why they didn t do skin graft then , I don t know. But I keep having shooting pain up into the back of skull , literally in my skull like I been zapped like electrical shock. Could cysplatin have caused this nerve shooting pain? I also have TMJ & cannot open mouth but 1/2 way. Very difficult for all my anesthesiologist for the next 4 surgeries. Couldn t get things down my throat because anatomy compromised after 1st surgery . Awful time trying to do a 3rd feeding tube . I do not dare to have general anesthesia to skin graft now b/c every anesth had problems of me choking to death on the table. What can I do fir this shooting pain w/o surgery? I am on fentanyl 75mcg & 3 30mg morph a day & antidepressant & Xanax. What will stop this shooting nerve pain ?

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, I can understand your concern and feel sorry for the agony you have been through. Cancer of tongue is treated with surgeries first and removal of part of tongue always brings complications in eating and talking etc. compromising the quality of life. The shooting pain you are experiencing on the back of the skull is due to the surgical procedure that may have cut the nerves invaded by cancer. Due to damage to the nerves, experiencing these shooting pain episodes is usual. You are taking opioid analgesic Morphine which should control the pain episodes. However, if that is not helping you, you should see a neurologist for invasive treatments regarding the nerve pain that will not require general anesthesia. I hope this answer helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best,

I have extream pain under my ribs , when I stand up there a large bulge that comes out from under my rib cage ,looks like a water melon , its hard and hot to touch. feeling it the doctors all say what the hell is this ? you can go under it above the belly button from side to side , doctors say it is been built in side of me . if I bend over the pain feels like I am being cut open or falling on knifes I cant breath go in such pain I black out . also there a strange pattern of one and half long and eight of inch wide space in a pattern up every two inches apart all around the rib cage from the back by my spine all around the ribs and stops under the breast bone . it hurts and feel hot cant take a deep breath it makes the pain worse feels like hot burning and goes in to spasm bigger the my hand cant caught my breath ,people told me my lips turn blue my face turns white then I black out. what makes the pain worse if I try to walk down hill or up hill like over a drive way , walling flat on a side walk is less pain . cat scans and ex ,rays show nothing , but yet this huge hard hot ball sticks out from under my ribs cant take a deep breath cause more pain cant touch it cause me to throw up ,cant wear a bra cause me to throw up , cant touch my hand to rest on my stomach cause me to throw up cant lay down cause me to throw up please help me this been over three years now ! plus the G I test shows my stomach is shaped like figure eight and almost three inches no bigger then a tooth pick cant eat solids makes me throw up ! cant been over or burp or yawn with throwing up ! what am I dealing with ? ?

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Most probably it is due to inflammatory conditions like Costco Chat Doctor. Severe acid peptic disease is another possibility. As of now you can use analgesics / anti-inflammatory combination like diclofenac / seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your query. Let me know if I can assist you further.

i have a very low heart rate of 44 to 42 bpm.for last six months i am being treated for iron deficiency anemia . i have been working out regularly for last 3 years for 1 hour daily morn n eve, aerobics and step aerobics.off late when my heart rate drops below 45 i have sudden fatigue ,body seema tired whole day head remains heavy.

If you are a doctor, please answer the medical questions based on the patient's description.

DEAR KIRSTEN, HI I AM Chat Doctor. . I WOULD LIKE TO HELP YOU. CONSIDERING THAT YOU HAVE BEEN EXERCISING REGULARLY SINCE 3 YEARS IT IS QUITE NORMAL TO HAVE SUCH A LOW HEART RATE.THE HEART MUSCLES IN SPORTSMEN BECOME SO EFFICIENT THAT IT CAN PUMP ENOUGH BLOOD IN FEWER STROKES HENCE THE BRADYCARDIA(HEART RATE LESS THAN 60). THE MOST PROBABLE CAUSE OF YOUR TIREDNESS, FATIGUE AND HEAVY HEADDRESS WOULD BE ANEMIA.SIX MONTHS PERIOD IS GENERALLY SUFFICIENT FOR CORRECTION OF ANEMIA IF YOU WERE COMPLIANT. YOU CAN CONFIRM THE REASON FOR YOUR ANEMIA STILL PERSISTING BY GETTING A PERIPHERAL BLOOD SMEAR FOR TYPE OF ANEMIA AND ALSO GET AN ANEMIA PROFILE DONE(IF NOT DONE ALREADY).YOU MAY BE REQUIRING A FOLIC ACID OR VITAMIN B12 SUPPLEMENTATION AS WELKIN ANEMIA BLOOD IS NOT CAPABLE OF CARRYING ENOUGH OXYGEN TO BRAIN AND OTHER PART OF BODY AND THAT MAY BE THE REASON FOR YOUR EASY NAVIGABILITY AND TIREDNESS. SO YOU WILL BE BACK IN GOOD SHAPE WHEN YOU GET RID OF YOUR ANEMIA.PLEASE MAKE SURE YOU UNDERSTAND WHY YOU BECAME ANEMIC IN THE FIRST PLACE SO THAT IT DOESN'T HAPPEN AGAIN.SO KEEP EXERCISING AND EATING WELL.....BYE

About 2 1/2 months ago I went to a strip club and got a lap dance from a dancer. During the dance she put her lips to my crotch. I had on jeans and was fully clothed during the dance. I can t be sure if my penis came out of my underwear but had jeans on and zipped the whole time. She blew into my jeans and I could feel her breath on my penis. Her lips or mouth did not make skin contact with my penis or testicles. I did not touch her genitals or my mouth or penis at the club. I could have touched my face when I got home but can t remember. About two and a half weeks ago I got a fever and sore throat and about a day after that my hands and soules of my feet broke out in painful sores which some of which blistered. I am still in the process of the blisters going away. They don t hurt but I can still see where they were. I am worried this is a rash from syphillis. I don t remember seeing a chancre but can t be sure. What are the risks that I contracted an std from this woman I am scared to death about it. Is it possible to get syphillis even if you are clothed like if her saliva soaked through the cloth? I can t be sure if I precummed but I know I didn t cum in my underwear. I also am pretty sure the outside of my jeans were not significantly wet.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, As per your clinical history is concerned, please follow like this:1) Do a clinical examination by your treating Doctor [Dermatologist] and to confirm do [CBC with differential].2) Discuss with your Doctor Prescription medication [Acyclovir tablet and cream] and paracetamol for fever. Do follow lifestyle modifications like this:1) Try to avoid skin-to-skin contact with others while blisters are present.2) Try to avoid sharing items like Utensils, towels, lip balm and other items.3) Keep your hands clean.4) When you have a blister.5) Wash your hands carefully before touching yourself and other people. Hope I have answered your query. Let me know if I can assist you further.

Hi doctors can i have our reply and and advice about using the injections .My Uncle(Mr.Khaled ) is 40years old and his wife(Mrs.Mariam) is 32years old and they are from YEMEN .I am his Nephew and working in a company in capital city and I want to help my uncle .My uncle is suffering from the low and weak flow of sperms .So he sell many of his properties of farms and So the encryption doctor prescribed him injections for one year(one injection once per week(Choriomon 5000 U.V) and another three injections(MERIONAL 75 I.V) per week ).My uncle do about that two months only and could not continue the injections to many reason of being living in village and he tired of injections . So is there any alternative for these injections as as tablets or capsules .The prescribed injections are (CHORIOMON 5000 IU )&(MERIONAL 75 IV) These injections are for IBSA switzerland company . So please can you advice us if there is alternative for injections as tablets and capsules have the same medication purpose and result . I am his I would be very much thankful for your kind help and advice .I hope your cooperation and early reply ,Best regards ,Mr. Abdulmalek Alaklan (Nephew for the patient Mr.Khaled)mobile :+0000 email: YYYY@YYYY YYYY@YYYY

If you are a doctor, please answer the medical questions based on the patient's description.

Hi greetings. I understand your situation and helplessness. I think your uncle is having hypogonadotrophic hypogonadism and his testis may not be producing sperm because proper hormones are not secreted by his pituitary gland in the brain. That is why he is given that hormones of pituitary gland. It has to be taken some time for more than 2 years to see the response.AM SORRY TO SAY THAT THESE HORMONES ARE AVAILABLE AS INJECTION ONLY.no tablets will help him. If he cannot take injections then he will not produce sperm. Then only option is donor semen GUI or IVF.hope you are convinced. Regards

Hi doctor, This is vaidyanathan from chrompet. I am writing here for my mother. she is suffereing from Asthma for the last one year getting treatment but from the very beginning cough does not stops for her. Sheis not able to sleep at night due to heavy cough. she is using the inhaler for the past one week only. We have consulted several doctors all are giving tablets but no response. Pls give a suggestion to cure her cough.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello Vaidyanathan, Thank you for asking at Chat Doctor. I would like to know more about your mother like - What is her age? Does she need to take any other medications regularly/frequently? Does she have any other medical conditions? Does she have any other allergies/nose symptoms/skin symptoms, etc.? Which inhalers and Chat Doctor. There are two types of inhalers - "reliever" types to be used on as-and-when-needed basis for asthma symptoms and "preventer" types - to be used on daily basis irrespective of symptoms.2. Were I treating her, I would suggest her to use both types of inhalers appropriately. I usually prescribe my patients' albuterol/levosalbutamol inhalers as "relievers" and budesonide-formoterol inhalers as "preventers".3. I would also suggest her spirometry with post-bronchodilator reversibility as well as allergy testing. Spirometry will exactly diagnose the kind of respiratory problem she has and also will measure her lung capacity. Allergy testing will help her to know whether she is allergic to particular substances. In such case, avoidance of the substances she is allergic to is the best strategy.3. In general, please avoid exposure to dusts, smokes, fumes and air pollution to her.4. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help her to improve her lung capacity and immunity respectively. Hope above suggestions will be helpful to her. Should you have any other concern, please feel free to ask at Chat Doctor. Wish your mother the best of the health. Thank you & Regards.

Hi, I have a rash on my groin area in the cracks of my legs it looks somewhat like jock itch but it doesnt have red bumps. It has made my skin dark dark brown when I on the other hand am pasty white...when i first got the rash the edge of it was distictive in a way the rash itself was brown and the edge was very very dry white flakes now after months and months of trying every cream it is still not leaving me. Now the rash is all dry but still brown underneath. It has gotten so bad that i have literally itched my skin down to nothing. I went to the dermatologist and he decided to look at the rash ontop of my rash (a yeast rash that wasnt bothering me at all and has also healed) I have no idea what to do but i cannot keep itching like this. even as i type this i feel the itch crawling back.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello and welcome to Chat Doctor Fungal infection of the groin/jock itch develops due to conducive environment provided by the body folds. Sweating, humidity, obesity are factors that encourage fungal growth. Regarding pigmentation in the groins, it is most likely post-inflammatory hyperpigmentation secondary to recurrent fungal infections which you experienced in the past. Pigmentation would lighten by itself gradually if the fungal infections are not allowed to recur. Since fungal infections can recur again due to favorable condition for fungal growth, therefore you need to use an antifungal dusting powder in the folds regularly which will not only keep the area Chat Doctor. -I would normally advise my patients an oral antifungal (fluconazole 150 mg once every week for 6 weeks).-I also advice in my patients, a topical steroid+antifungal combination cream (clotrimazole+Beclomethasone) twice daily for 4-6 weeks.-An OTC antihistamine like cetirizine once daily in the evening will help you with the itch part-Once my patients are cured(usually 4-6 weeks) I ask them to use an antifungal dusting powder (clotrimazole dusting powder) in the folds, to prevent recurrence. Regards

Hi, my daughter is 14yrs old she has focal dermal hypoplasia. We moved to lakeland fl 5yrs ago since we have been here ive tried so many dermatologist and dentist to help treat her. They tell me there is nothing that they can do for her and send us home. The dentist is telling me she needs braces that I cannot understand because I think her teeth would just break off since there so fragile. Before moving here we lived in chicago where we saw amazing drs. She is having a hard time dealing with this at her age. Pls help

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, This is being a genetic disorder offers an explanation of why she may have certain dental conditions. This makes treatment more difficult and involved. If she has missing teeth, extra teeth, undersized teeth, delayed eruption, an overbite or under bite, these conditions are best treated by an orthodontist. A child has the advantage of the jaw growing and offers the opportunity to guide jaw growth as well as tooth position. As an adult, surgery would have to be considered to realign the jaw if severe overbite or under bite is present. Definitely consider an orthodontic evaluation. Multiple opinions are recommended for involved treatment. Consider visiting a dental school where many specialists and resources are available. Considering this to be a rare genetic condition, you may have a difficult time finding doctors with previous exposure to this disorder. Poor enamel formation, defects and notching may require restorative treatment prior to orthodontics. Bonding or crowns may need to be placed. If teeth are too weak or not suitable for movement, then consideration for other options such as implants, bridges or dentures need to be considered. Sometimes a temporary stage of tooth replacement is necessary. The assistance of other specialist such as an oral surgeon and periodontist most likely should be considered. Often multiple specialist work together. Your general dentist coordinates and communicates between all specialist. Shape of her palate, quality and quantity of her gums and any growths such as papillomas may affect treatment considerations. You will have a greater challenge, but with coordinated car ether will be options to improve your daughters smile. Thank you for your inquiry. Please consider providing additional details and I will be glad to offer suggestions.

My 19 yr old granddaughter, weight 109, innocent heart murmur since birth , had 1st SVT attack 4 wks ago AT WORK as a CNA in local hospital. This past Fri., she had 2nd attack, again AT WORK. Is returning to cardio this Wed. for results of all tests, incl. echocardiagram. Just began work at this hosp, 11 days BEFORE her SVT attack. Now, ins. say it is/was pre-existing condition and her work ins. won t cover for 18 months. On top of work she had lost, being off 3 days, after 1st attack and 5 days after 2nd, she is now in SEVERE financial distress and her nerves are causing problems. Bites nails, can t sleep, can t eat. Ablation was suggested BUT BUT she has NO insurance. Savings gone. Doesn t even have $$$ to pay the cardio with whom she has appt day after tomorrow. I would give her anything I have, if needed, I would donate a kidney (and, I know she doesn t need a kidney - that is merely example of what I would do for her. I am retired, on SSA. DO NOT HAVE MONEY...She is falling apart in front of my eyes. What do we do? Her dad has been on SSA for 9 years; 2 bypasses, 12 yrs apart, that is why my granddaughter had a THOROUGH cardiac eval shortly after birth (11.07.1991)

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, This is Chat Doctor. I fully understand your concerns about the illness of your granddaughter & the financial issues you are facing. First I would like to tell you that if she is having recurrent attacks of SVT than this murmur will not be innocent & may be associated with underlying heart problem. You need to do at least an echo to rule out serious problems. If they are not there than it is fine. Second, for recurrent Sets we generally recommend for ablation, but there are many patients who are financially not so sound to undergo that & in them, we prescribe medicine which they have to take life long. We prescribe Tab Diem SR 90 mg starting from once daily dose & than increasing it gradually if required. Hope it was helpful. Thanks

Hello sir, i am 26 years old (M). On my blood check up Total WBC comes 8300/cmm , Polymorphs comes 61 & Lymphocytes 32, Eosinophiles 06, Monocytes 01, Hb 12.9, ESR 16 mm 1st hr. I m having a cough problem also a lot of it comes when i cough. I have a breathing problem when the climate changes. My chest pains every time i cough? Do i have asthma? please advice me as i have to know about this today only.

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Thank you for asking at Chat Doctor. I went through your history & investigations and would like to make suggestions to you as follows:1. Cough/breathing problem with weather change usually indicates allergic cause.2. I would like to know more details about you like - do you have nose symptoms like running nose, nasal congestion, sneezing? Do you ever had wheezing? What is the frequency of your episodes? Are you able to carry out your routine activities?3. In reply to your query - "Do I have asthma?" - I would like to say that you can possibly have asthma. I would suggest you spirometry with post-bronchodilator reversibility test to confirm the diagnosis of your respiratory disease.4. Were I treating you, I would suggest you to take montelukast regularly as well as albuterol/levosalbutamol inhaler on as-when-needed-basis for when you experience breathing difficulty.5. I would suggest you allergy testing which will help you identify the substances you may be allergic to. It will also help you to know how to avoid the substances' exposure.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts) will help you in longer run by improving lung capacity and immunity respectively. Hope above measures will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.

I have been having a problem with abdominal distention (looking like I am pregnant) for about 5 months now off and on. I have been swelled since Aug 8th this time. 6 years ago I had surgery for the same type of issue where they said my intestines were too long and they adhered part of it to my side instead of removing any. I went to a gastroenterologist a couple of months ago and he was concerned that I had fluid in my abdomen - then he noticed spider angioma on my chest so right away he thought liver. I had all kinds of bloodwork done for the liver and an ultrasound and all of that came back normal. When I went back to him, i was not swelled and that was great. When i swelled again, i called and he brushed me off saying it was constipation. I have never been an every day person. Every 3 days is my normal. i really dont feel that is the problem. He went from concerned to patronizing. I really dont hurt (except in my upper abdomen - right under the middle of my breasts). Im just very uncomfortable. I feel like going to an emergency room in a great hospital and just saying ok here i am... please find out what is wrong with me.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi. Thanks for your query. Bloating or distension with going for a poop once in 3 days can indicate a problem with the large intestine causing the distension without much pain, nausea or vomiting. I would suggest you the following:First, preparation of the large bowel first with enema and then with peg lac, you have to undergo the Colonoscopy. This will help to see the entire colon, take a biopsy from the suspected area to determine the cause. This can be in the form of a cancer or a hypoperistaltic segment with distension and so on. Secondly to go for contrast enhanced CT scan of the abdomen to see if there are signs of obstruction, mass and so on. The Enterocolitis done by an expert Radiologist can help to know the intestines in detail. Second-look Laparoscopy too can help a lot to have proper diagnosis and gives a plan for further management.

Severe spinal stenosis pain - now using 100 mg of Fentanyl patch every 72 hours as well as having epidural treatment from anasthesiologist every 3 months for last few years and tramadol up to four times daily. Recently have noticed a pea sized lump in my armpit, a very, itchy skin rash on my legs and arms, which is difficult to keep from scratching under control, continuing difficulty with constipation for which I am using double dosage skin softeners and severe night sweats which make my nightie, sheets and pillows completely soaked. I have also been diagnosed with sleep apnea, using a CPAP nightly, atrial fibrillation and heart arrythmia and a racing heartbeat for which i take blood thinners and appropriate medications prescribed by a heart specialist. I also see a rheumatologist every few months who has diagnosed me with connective tissue disease, fibromyalgia, rheumatic and osteoarthritis for which I take prednisone, methotrexate and tramadeol. I have begun the severe night sweats, the lump in my armpit and the very itchy skin rash quite recently and have not yet informed my doctors as I have not seen them since their development. could you please advise me. Thank you, Marilyn Bouthot, Langley, B.C., Canada .

If you are a doctor, please answer the medical questions based on the patient's description.

HI, Thanks for the query to Chat Doctor. I went through your story and really astounding health conditions you are going through. I pray fast recovery to normal health. Treatment for severe night sweats and lump in armpit and rash allover arms and legs-In my opinion, its boil in the armpit, which needs to be treated with antibiotics, as you have anti-inflammatory for your fibromyalgia. I would add antihistamines with consultation from ER doctor. Skin rash on arms and legs is due to Militia, due to stool and sweats wetting your bed, leading to secondary infective skin rash. Hope this would help you to plan treatment with ER doctor. Welcome for any further query to Chat Doctor. Hit thanks and write good review if this reply helps your health concerns, for the benefit of new and old patients at my virtual clinic at Chat Doctor. Good Day. Chat Doctor. N.

I have a pea sized hard lump in the palm of my left hand. Its mildly painful. Blue sometimes a creamy colour. Seems to be alive!. I am left handed. It is in the lower third of my palm about 2 onches above ny wrist and appears to be on or under a main vein. 4 to 5 months old. Not going to go away on it s own.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment / Cause for the lumps on the palm-In my opinion your description needs more clarification-as to -whether the lump is on the back side of the hand or the front side of your hand? This is because your lump is under the main vein/ and the veins are on the back of the hand and not on the front or the palm of the hand. In my opinion-your lump is -Ganglion of the left hand -a working hand.-Consult ER-Surgeon.-Take Anti-inflammatory tabs / hot fomentation / and rest to the part for 3 was at least, which would relieve you. Besides this being a continuous disease-I would advise ER-Ortho-Surgeon follow-up and treatment. If no relief-Endoscopic Laser Ablation of the Wrist Ganglion-may be needed. And hence needs ER Ortho-Surgeon check up and needful treatment. If not treated it could increase your leg pains and bruise constantly. So do check it up from ER Or tho- Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor. And Hence for further treatment I would advise you to Consult ER Ortho-Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.

Dear Doctor, Last few weeks i recognised some problem in my breathing. Most of the times i do mouth breething. I have dust allergy and I am taking some ayiurvedic medicines for this. After recognising this problem I am not able to sleep in the night due to fear. Morning time not much problems. Currently I am taking few anti allergic tablets and nose drops based on the prescriptions by an ENT specialist. Request your help

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know about you like what kind of breathing difficulty, whether wheezing, how frequent symptoms are, your age, any other medical conditions, any other medications, etc. etc. This will help me to know more about your health and therefore to make more specific suggestions for you. At present, from your provided history, I would like to make suggestions for you as follows:1. I usually prescribe my such patients regular montelukast + levocetirizine for 2-4 weeks depending upon response.2. Regular nasal saline washes and steam inhalation also help.3. For breathing difficulty/wheezing, I usually prescribe albuterol inhaler to be taken on as-and-when-needed basis.4. For diagnosis of allergy, I would suggest you skin prick testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.5. Based on allergy testing results, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms for a long time period.6. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular physical exercise including breathing exercises and nutritive diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.

i am having extreme shortness of breath and my rescue inhalers aren t working and are out now. i v been having problems with my asthma for a couple of weeks now and have taken 3 prednazone (if that s spelled right) and an allegra d but i just can t catch my breath.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -steroid resistant asthma.don't try prednisone blindly without doctors check and script, as this would complicate your asthma. I would suggest you -Take plenty of fluids and HY Chat Doctor. Tab Singulair-Monteluecast- 10 mg x 2-3 times a paycheck out sputum for other causes like TB infection.Hence, Other causes-as cited above-need to be ruled out, by verification with Physician. Dos-Consult with Physician who would investigate history and physically examine to fix the cause of testicular itchiness. Get X-ray Chest / and Sputum AFB /bacteria. Start Antibiotics with plenty of fluids / adequate diet and Supplementary vitamins. Add It D / Calcium with It B12 to recoup with chronic cough. If need be You may need hospitalization, for this check with Physician. This would resolve the complaints of yours. Constant follow-up with local family or specialist Chest Physician for long term would give you long remissions of such pains in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!!

Hi dr samuel, firstly thankyou for your time, iam a male my name is ben 42 years of age 6 months ,ago i caught pneumonia, which in short gave me gave me heart arrythmia, take anitbiotics, i.v. which fixed the pneaumonia , but then had cardioversion , heart back into normal rythym now, never had high blood pressure , but doctor put me on beta blocker and bisosprol and coversyl, iam experiencing side effects from , the tablets anxiety , impotence, and just not feeling myself, iam wondering why i need them if my heart is in normal rythm and dont have blood pressure , he said just as a preventive , to keep your heart healthy, so it never happens again , i was very active and it has just slowed me right down , lost alot of drive and enthusiasam , is there any natural alternatives , should i seek a 2nd oppinion , he said we dont have any journals or references we can look up to c how people go off them , so just keep taking them ,

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Arrhythmia especially Atrial Fibrillation (irregular heartbeat) is pretty common, especially during Pneumonia. The episode is generally paroxysmal i.e. it occurs during that time only and mostly doesn't recur back. If it is treated at that time we generally do not give any medication but if there are certain risk factors like dilated heart chamber (Left Atrium) or heart dysfunction we continue it for prophylaxis. You can stop the medication if you don't have risk factors or the arrhythmia has never recurred again. If it has, and you are feeling side effects of beta-blockers than for such patients we can start on another type of anti-arrhythmic called calcium channel blockers (Tab Diltiazem). For BP, you have to check your BP daily and if it is normal on medication than you definitely need them if the BP is lower than 110/70 you can try tapering the dose to half tablet and gradually stop it. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.

I have no real medical issues and occasional acne but nothing that required medical care . I had a few small hard white spots on my chin, nose and crease of nose... They did not pop easily so I am assuming it was not a typical whitehead. I had tried same spots last month but didn t work. So after the skin completely healed I could still see the spots. I figured maybe now they were ready to pop. Which i tried... I heard you could use Liquid Bandage for zits. I did put liquid bandage on all the areas I had messed with. Ended up with what reminds me of a blister but it was more like my skin just swelled and puffed up with water ( not a bubble of liquid). It also ended up with yellowish green pus under the layer of liquid bandaid and as soon as it split the stuff oozed out. So what in the heck is going on? I thought the liquid bandage would be good because it is antiseptic too! Ended up with spots bigger and puffy/ oozing liquid. Now I am trying to dry them out..but I also don t want it so dry..my skin is drying into dark scabs. I do try neosporin too but it makes the spots greasy and doesnt really help anything and makes the dry spots sort of puff back up with fluid! Once the top layer of skin dries and starts flaking at corners I peel skin so new skin is Pink underneath. Then it is much much easier to cover with make-up. I have now made this mistake twice... a month ago pms time and once again this month...Yes I need to have my hands tied I DO NOT want to make this mistake again. I am trying anything and everything to make this heal quicker.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I do not understand why with very important part of the body like face people play game by doing self-medication and doing experiment without knowing consequences ! Initially you might have sought advice from dermatologist. Your face may be disfigured by making experiment.Anyhow now infection is there so go for antibiotic course and application of triple action cream. Clean with plain water and smooth towel. If there is no improvement consult dermatologist and seek his advice. Ok and bye.

Hello, I am a 29 year old white male. I recently noticed a lump in my leg that seems to only appear when I put pressure on my leg. It feels soft and I can push in on it. But when I m sitting or not standing on it you can t really see it. It only seems to bulge out when I am standing or applying pressure to my foot. It almost looks like part of my vein bulging out, but it really does appear to be a bump bulging out. I couldn t figure it out, but I also noticed one in my opposite leg, that one is much smaller but does the same thing. My question is could this be cancer? Everyone I ask seems to think I m just being paranoid and that it s probably something from me running. I m not sure though because I never noticed this before and it is really worrying me. I have no insurance and I don t have a job right now as I am in college. What should I do?

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You should go to your doctor as You mostly seem to suffer from-Varicose Vein Lump in both the legs. This lump is not due to Cancer Lump. So Don't be obsessive and Paranoid about these leg lump being -Cancerous Lumps. What You should do? Get Second Opinion from your Surgeon / or Family Doctor. If need be get the Doppler Study of the leg veins-which would fix DVT or no DVT with Short / or Long or Both System Varicose Veins in your case. Get the Veno-Stocks to get the non-surgical care of these Varicose lumps. Avoid long-standing jobs or work. Rest /Elevation with calf exercises to tone up the Venus systems. Decompressing the Chronic Exertional Stress Syn Chat Doctor. This reply would reduce your scare hope so. This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!!

i am a 30yr old female with bilatteral menieres disease, my dr has me taking effxor xr 250mg every morning, and i started taking my ADD/ADHD meds recently too, we started off putting me on ritalin 20mg in the morning and 20mg @ noon, it wasnt helping so my dr switched me to adderall xr 30mg, and the 2nd day i took the adderall, i got hit with a severe vertigo attack and my tinnitius got very loud, then i started having them on a daily basis, so she reduced the mg to 20mg of the extended release adderall, and the vertigo got better, but then i was still having the attacks every other day, so then she switched me back to the ritalin 20mg, morning & noon, and 10mg @ 4pm...still having the sudden vertigo attacks...i have 3 small children and cannot function with these vertigo attacks happening. frustrated, with not knowing exactly what is causing this...is it just my menieres acting up?..or is it the effxor? could it be the effxor & ritalin interacting? could the adderall xr 20mg, been too high of a dose? could the adderall & effxor been interacting? please help me, i have been researching and have found nothing to give me any answers. my dr is doing some research today too, and we will be meeting later this afternoon. are there any other add/adhd meds that wont have this interaction if it is an interaction? PLEASE HELP!!thank you!kellie

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Betahistine is a good medicine for vertigo. There are other options as well, but your may try with betahistine. Hope I am able to answer your concerns. 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.

bWell, the first time i was trying to run and do exercise movements and all of a sudden...i heard a noise in my right knee area. It hurt a lot and was shooting down my leg and on my side of my top right foot which still hurts a lot. I had gone to the doctor...she sent me for xrays....and about 6 weeks later did an mri. They said nothing except they found a fracture on the knee and did nothing more about it. About a year later...i fell...landed on my knee...it was a different kind of pain....kinda made me sick feeling...couldnt feel anything and for a second or two, i felt like i couldnt move it. Doctor took xrays...she said nothing but a lot of mass. A week later, i fell again and in the same knee. This time doctor thought i was faking it and did nothing...no meds, brace...nothing. A few days later i couldnt stand the pain anymore, so i went into the ER. She took an xray...same old fracture showed up, she put on a brace and is having me take ibprophen and using an icepack and have it higher then my heart. When they put on the brace...it pushed my knee cap back into place. Very painful...will this go away?? What is the problem?? Cartlidge?, tendenitious??, bursitus?? Its numb under my knee cap along with a bump and a bump on each side of the knee. Help me doc...what do you think???

If you are a doctor, please answer the medical questions based on the patient's description.

Hello, Thank you for your question. From the information that you give I think that you are developing what we call post-traumatic arthritis. You say that in X-ray and MRI it was a fracture on the knee that may have been tibial Plato or femoral condole or knee cap. The fracture is healed but since it was an intra-articular (inside the joint) fracture, it heals with some step off and may cause later arthritis. Of course, I would like to see the images of the MRI to confirm this diagnosis. If this is the case I would recommend-Loose weight-Physical therapy, range of motion, qua Chat Doctor.

Hi, we have a daughter who is 15 years old (16 this year) with a mild autism. She has actually lost a lot of her autistic traits over the years with vitamin therapy and diet (GF & dairy free). But, she has mild-moderate learning problems, difficulty focussing on reading etc and wondered if there is any prescription with not too many side effects that we can give her? She also has mild pyroluria ( we give her B6, actually multi B and zinc etc, with other vitamins to correct this) but it is a disorder (?) that becomes worse when her hormones become more problematic when she is pre-menstral and during her period and her repetition, perseveration, lack of focus (on anything) is really difficult for her, but especially for us who have to deal with her. The odd thing is that when she is out or when other people are around, she is perfectly behaved and the tension that is building up in her (at these menstral time) comes out in an excessive stream of the same, same, same conversation which tends to drive everyone mad around her. I realise she is also a teenager and lots of this is normal, but the perseveration is very difficult with it (we have 2 other grown up kids, no problems etc) Would love some advice. cheers, Suzie

If you are a doctor, please answer the medical questions based on the patient's description.

OK, lets start with Autism : the inability to focus during study is a major problem in teenagers with mild-moderate autism, some of these difficulties are manageable with the use of some psychostimulants with a lot of effort in study during the time of action of the Chat Doctor. The starting dose is 20 mg and can be increased weakly by 10 mg to achieve its full potential, max dose is 60 .the second question is related to polyuria, which is must be investigated, although in people who take multivitamins It's common to have some polyurethane the investigations I suggest are : urine specific gravity, urine spot for sodium and creatinine, urine osmolality, serum sodium and osmolality. Fasting blood sugar .you should always look for psychogenic polydipsia which is consuming huge amount of water that results in polyuria, it's common in child

Hello, I have been suffering from a toothache for about 3-4 days, but it has become increasing worse. Pain spreading from the top left quadrant into the ear, and down to the lower jaw, also covering the lower quadrant. This evening I feel pain around and just above the eye. There is also an odd pain and pressure at the base of my nostril, with some numbness in the cheek. Ive been treating with 800mg prescription Motrin, but the length of relief is closing significantly, from 6 hours down to only slightly dulling the absolute extreme pain!!! I have begun a warm water rinse earlier this evening, but the pain is so bad that if there is actual relief it cant be measured. I am in between dentists so Im in a bind...

If you are a doctor, please answer the medical questions based on the patient's description.

Hello dear,First don't worry and be relaxed. I Have gone through your query thoroughly. I will provide you with my best possible advice. As your symptoms suggest and on the basis of your description, you may have a carious tooth(agitated) in upper left qua Chat Doctor. Pain as you have described is a radiating type of pain. And numbness may be due to inflammation and infection. Simply taking painkillers like MOTRIN will not solve the actual problem. If someone with same symptoms arrives in my clinic I must ask few questions-Do pain increases on biting or chewing?- Is there any specific time (day or night) when he experiences more pain? You have to undergo the complete treatment(procedure and medication) most probably "Root Canal Treatment" of the offending tooth to recover completely. If I were the treating dentist, on the basis of your given information I would advise these-Get an X-ray done of the offending and nearby teeth.-Try not to sleep from left side for few days.- Do not chew from left side for few days.-Do not give any type of pressure with hands or with anything else.- F0r better pain relief take tablet of tramadol-50 mg diclofenac-75 mg combination (marketed as duration by Abbott Healthcare) if not allergic to it twice daily for 3 to 5 days. And do visit the dentist for further treatment. Thank You and Take Disregards

Hi Sir I am on thyroxine 125. 6 months back I had missing heart beats for which I am taking Nodon 2.5. I went for basic metabolic profile and all values except related to Liver are normal. I have elevated bilrubin, SGPT , SGOT and GGT with following values: BILIRUBIN -DIRECT PHOTOMETRY 0.38 mg/dl BILIRUBIN - TOTAL PHOTOMETRY 2.1 mg/dl BILIRUBIN (INDIRECT) CALCULATED 1.72 mg/dl ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 75.5 U/l ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 171.7 U/l ALKALINE PHOSPHATASE PHOTOMETRY 81.2 U/l GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 81.4 U/l PROTEIN - TOTAL PHOTOMETRY 6.77 gm/dl ALBUMIN - SERUM PHOTOMETRY 4.42 gm/dl SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.88 Ratio My doc has told me nothing to worry and suggested me Udiliv 300 for 1.5 months. Also I don t have any jaundice symptom. Can you please suggest me is this correct diagnosis? Thanks Gagan YYYY@YYYY +91-0000 Or shall I go for furthe

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Welcome to ChatDoctorYou are suffering from hypothyroidism, along with ? High BP and irregular heart beat, your Liver functions are mildly deranged and it is possible to have fatty liver changes if you are overweight or taking alcohol, if no alcohol NASH you can get an Ultrasonography to know the state of liver. Take care of diet do not consume alcohol as GGT is also little raised. Udiliv will help to heal liver and reduce fatty changes. Reduce weight if Obese is not then also take up walking 3 to 4 km /daytime care of health Good luck to you Please keep informed about progress.

Hi, I am curious on whether weathering not I have paranoia or something more serious, so Im going to explain to you what I have been going through for the past year. I am constantly thinking someone is watching me. I have trouble getting out of my shower because I believe that people can float out of their bodies and watch me. Also when I sit on the bus I am always having to change what Im thinking about because I believe people can read my mind. And most times when Im alone I will act as if a real life person is there with me, I talk to them and interact, I cant see them by I imagine they are there. I always think that if I do something embarrassing people will find out. And I always think people are looking at me judging me. I cant go into stores with my mom often because Im scared people will judge me. Even when Im in the car I cant help but think people are trying to take me. Its affecting me because now all I wear is big bulky sweat shirts and baggy shorts because I think Im fat and not attractive. I even had a hard time giving you my email because I think this is something fake or that it will hook up with my Facebook and every one will see the question I asked. Sorry it was so long.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, Feeling all the time that someone is watching you, or feeling that people are following you or that they can read your mind are all features of a referential thinking process. They are seen in psychotic illnesses, but given the insight you have in your problem, I do not think you have one. So if it's not psychosis, then what it is? It can be seen in social phobias, but as you have mentioned in the last few lines about feeling fat and not attractive, is this what is actually bothering you? It is common amongst adolescents and young adults to find such disturbances of body image, and they do cause a lot of trouble to the sufferer. Please visit a psychiatrist and discuss the matter with him/her in detail. There are ways to tackle such dysfunctional mental schema like cognitive behavior therapy, in which the professional works towards re-framing the thought process for good. Please do not hesitate in seeking help. Hope this helps Chat Doctor.

2yr son had severe cough. Doctor gave 3 days(day and evening) nebulizer. Then suggested Levolin syrup for 5 days, 2.5 ml, 3 times daily. Cough didn t stop. On the 9th day my son had high fever 103 F and running nose and cough. Took to another doctor...Advised cold water sponging to reduce temperature. Gave 5 days medicine. Syrups: augumentin, levolin, alerid, broncorex, parecetomol. Day 1: temperature shown 102 in morning and reduced to 98 in noon, evening again 102. Gave each time tap water sponging to reduce temp and all the syrup. No improvement.Day 2: same temp. Gave sponging and syrup s. Running nose stopped. Urine was in coffee brown color.Day 3: temp reduced to 101. Gave sponging and syrups. Urine in yellow.Day 4: temp reduced to 99. Maintained same throughout the day. But running nose started again and severe cough. Vomiting in the noon. Urine normal. He is continuously coughing while sleeping. Please advise.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent cough despite taking medication which is due to severe upper respiratory tract infection. It seems due to poor immunity of body you are highly susceptible and prone to infections. The infection is probably a strep throat. Need not worry. I would suggest you to start with course of antibiotics and anti-inflammatory Chat Doctor. . For now do warm saline rinses, take rest. Avoid taking cold beverages. You should take mast cell stabilizers to prevent from infection. I would suggest you to consult ENT specialist without any delay. Doctor may order blood test, throat swab test or virus culture test. You should get an x-ray of the chest. Doctor may prescribe antibiotics amoxicillin at least for 10 days along with bucolic agents. Go for complete blood count and platelet count to rule out any hidden systemic pathology. You should avoid hot, sharp and spicy foods. . Hope your concern has been resolved. Get Well Soon. Best Wishes,

Hi there, I was circumcised at birth and have a scar. The scar is not abnormal, just a brown ring with it being darker on the bottom half then top. It has a slight v shape on the dorsal side and tends to slope to one side. The scar it self, on the dorsal side (where both outer and inner foreskin meet) has vertical stretch marks (even when erect) also is dryer on the top half at times. I was wondering firstly, why i have stretch marks and also why the scar isnt symmetrical and slopes to one side? (Was circumcised by plastibell) and my main question is whether there is any ointment (bio oil, scar fade, etc), if used properly for a few months to years that will even out the coloration between the two sides of the scar, the stretch marks on the dorsal side, the dehydration on the top half and also the scar itself and its symmetry and alignment. (Basically if I can make the scar fade). For the record I am very confident in my phallus and have no problems with it, I would just like to make it more visually appealing (than it already is, haha). Don t need anyone telling me it s fine to have a scar, be proud, it s normal, blah blah blah. Thank you very much for your answer in advance! :)

If you are a doctor, please answer the medical questions based on the patient's description.

Degree understand your concerns went through your details. I am really overwhelmed that you are asking a question to doctors and also say that you do not want us to tell it is normal. If it is really normal, what do well tell you? Should we tell it is abnormal? Please try to understand. If you are in doubt you can check other penises which were circumcised during childhood. Scar depends on many aspects like skin type, elasticity of the skin, tone, melanin content etc. A scar is a scar unless it becomes hard. You may consult a doctor in person to get your doubt cleared. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.

Hi, I have bumps on my scalp that itch a lot. These bumps come and go. Sometimes they are there for 2-3 days and sometimes they diasppear in few hours. But they cause discomfirt and severe hair loss. Initially they started as harmless small bumps and over few years they have taken this form. Doctors gave me shampoos and local applications - which did not help even a little. I have used oils like ashtabringhandri tailam etc. The itching reduces when my hair is wet or oiled for sometime, but comes back again within few hours. I have stopped using shampoos with chemicals and hair colour sometimes for a month or so, but still the bumps keep coming. Some shampoos have an aggavating effect, (Shampoos like Johnson Babies, Head and Shoulder etc produce more bumps and itching) some have no effect (shampoos like dove - results in neither increase nor decrease of bumps). I am 47 year old, female, not diabetic, over weight, on a break from work and hence not stressed (Currently). I have no other problem except severe itching, bumps and accompanying hair loss. the bumps are mostly on the back of my head and sometimes on the crown. My hair falls off like as it it is too weak to stick on to my scalp. It falls in long strands, many many at a time thruout the day but my pillow does not have any hair fall sign when I get up... I feel I need to take some medicines internallysince this is an infection....

If you are a doctor, please answer the medical questions based on the patient's description.

Hello. Thank you for writing to USI have gone through your query and I have noted your concern. Perhaps you have an oily scalp and the bumps are nothing but Scalp acne. I suggest you to take an oral tetracycline e.g. either Doxycycline or Lymecycline for a few weeks (4-6 weeks). It is a prescription medication. In addition, you may use either a ketoconazole based shampoo or a Coal tar with salicylic acid based shampoo, every alternate days. Lather it well on to your wet scalp and allow it to act for 7-10 minutes before rinsing it off. Regards

hi, My name is laurie, im 56 healthy x-forces, given body quite a hard time over the years. so close to emmigrating to New Zealand, past both medicals, company and immigration stipulated doctor. my medical has been pulled by an assessor wanting more information of 3 old injurys but mainly a further liver blood test. My own GP and the immigration doctor are both astounded as they have both passed and signed off my levels. My GP has tested my liver in 08 and 09 and although raised, he is happy. The immigration lab test showed aspartate transferase at 43 and alanine tranferase at 65 also gamma gt was 71. I am a drinker, drinking every night, about 50-60 units a week, especially this past 12 months due to job and life stresses. My question, I have stopped drinking imidiently and will not touch alcohol untill this is resolved, i do have that disiplin. i have to have blood tests again. how can i improve my chances of dropping the high figures in the next 7-10 days? i do have up to 3 weeks, but that is too close to call in keeping the job available as if i fail, i have to have a report from a specialist by the 31st of jan. thanks very much laurie

If you are a doctor, please answer the medical questions based on the patient's description.

Hi.thanks for posting query at ChatDoctorUsually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty liver disease.advice:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor.

My husband has been having high blood pressure issues in the last few months. He has been seeing an internal medicine doctor for this, but we are not sure about him. My husband has had an EKG which was normal, a stress test that was borderline (showed some changes, but recovered quickly per his doctor), and lab work. He is taking Hyzaar/HCT, Cardizem, Baby ASA, and Amlodipine. Most recent BP was 156/90. He recently had blood work (last week) and his cholesterol was 300, his Triglycerides 1500. The doctor said he does not need meds for these levels. Here are my biggest concerns: My husband is becoming increasingly fatigued. He feels as though he cannot breath when laying down and sleeps sitting upright. He loses his breath easily and cannot do simple tasks such as climb the stairs without taking a break most days. We have gone to his doctor three times to express our concerns, however the only thing he has done is a chest xray. The doc told me it was normal, but upon reviewing is medical records, it actually showed Mild perihilar/bibasilar subsegmental atelectasis and parenchymal scarring change with associated volume loss. I looked online and it defined this as small areas of the lung collapsing. Should I be concerned and finding a different doctor? My husbands symptoms are not improving, just slowly getting worse. His doctor said it is only related to the high BP and will get better when they can get that regulated.

If you are a doctor, please answer the medical questions based on the patient's description.

Thanks for your question on Chat Doctor. I can understand your situation and problem. Following are the possibilities for your husbands CT thorax abnormalities.1. Chronic congestion due to high blood pressure and cardiac diseases.2. Lung infection3. Pulmonary fibrosis. So better to consult pulmonologist and get done1. Clinical examination of respiratory system.2. PUT (pulmonary function test)3. Recent 2d echo4. Bronchoscopy as and when required. If chronic congestion is the cause then he may need more diuretics to remove congestion from the lung. Antibiotics are needed for lung infection. So better to first diagnose him and then start appropriate treatment.

i have been diagnosed with herniated disc s, sciatica and have had mri s done for my back problems, and have been given shot s in the past for the pain, but it keeps coming back. i ve suffered with this for years. now i also have extreme pain in both my shoulders and i m unable to raise my one arm up, and if i move wrong, both the shoulders suffer with pain. i have gotten shots in my shoulders for the pain too, but it keeps coming back, and at this point the pain in my shoulders, and my hip, are getting worse! i am seeing an orthopedic doctor next week, but i am also considering consulting a neuro surgeon. the doctors seem to not know what to do for me, short of having surgery on my spine. can you help me out as to what you feel is going on with my body? i m 71 years old.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, thank you for providing the brief description of your history. As by looking to your case. I will recommend undergoing physical therapy like - Therapeutic ultrasound therapy and TENS therapy. This will help to reduce the pain. Also, you will be put into the exercises for the lumbar spine and cervical spine. The overall body conditioning will also be performed. Based on the improvements you will be assessed and moved further for the exercises which will be focus on strengthening. As to understand here is - your age is 71 and the aging process is on. So there will be a wear and tear of the tissues. Also, by taking medication or the cortisone the symptomatic relief will be good but also, post the symptomatic relief you need to undergo physical therapy. In my personal practice of dealing with geriatrics we induce protocol only taking to rest, medication and physical therapy. We found a 99% success rate. Also, to confirm the extent of the soft tissue Injury which is compressing the nerve roots, an MRI can be performed which will help further the physician for the medical prescription. Your indulgence in the exercises will be of importance as the muscles at this age needs strength for the propulsion of the body. With physical therapy the patients which I see are benefitted. And I expect same from you. RegardsJay In Chat Doctor.

I have bipolar disorder and am having a bipolar manic episode. I haven t slept since night before last. What really scares me is the thought of early dementia. I am not normally a severely forgetful person, but the events of the past couple of days has me concerned. Maybe if I tell you the events of the past couple of days, you might be able to give me some kind of direction. One of the things happening a lot is that I will be in a conversation with someone and I stop mid sentence, and ask the person I m talking with what I said. More often than not over these days, I can t even remember the last word I actually said. Even so, I couldn t remember what I was going to say, much less what I already said. I m constantly misplacing things because I don t remember where I last had whatever I was missing. I turned 59 last March and I thing what really worries is that my mental health is on the rocks. I also live with PTSD, and generalized anxiety, and have been hearing voices, yeah you heard right, since the age of 10. Any suggestions that will help be less anxious would be greatly appreciated. I don t want to convince myself that I m a candidate for dementia. I m not someone who when they read about certain, believe it s what s definitely happening to me.

If you are a doctor, please answer the medical questions based on the patient's description.

Hi, I don't think there is any clear indication of dementia by your account. Cognitive performance may be affected by other issues than dementia. Anxiety and depression are two sucChatDoctormon causes which create the false impression of memory impairment but in truth, it is because they affect concentration, not because there is true memory impairment. One other factor apart from anxiety might be the medication, as it may affect cognitive functions, so it might contribute as well. Therefore, dementia wouldn't be the first diagnosis coming to mind. You may have some neuropsychological tests (sort of questionnaires administered by doctors or psychologists) to test for dementia to make sure, but in the meantime, I see no reason for panic. As for sleeplessness, it is one of the most common manifestations of a manic episode, it is very common. Hope I have answered your query. Let me know if I can assist you further.