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hi doctor,i am 21 years old,11 months back i had sexual contact with a stranger(protection was taken ) and wondered of many problems.6 months after i was tested for all types of std tests(consulted doctor,he recommended these tests) like hiv,syphillis,hep b,herpes,but all results are negative,he concluded that i am free from stds .I asked the doctor whether i needed to be tested again after 3 months and he replied it is not necessary to test again because all these tests including hiv surely will show positive results after 3 months from iitial contact and thus he concluded i am free from all stds.but yesterday i got tested with hepatitis A,B,C and my hepatitisA result was positive and remaining botChatDoctore negative.Now what i wonder is do we get false-positive(hepA) result if we have any of the stds(including hiv).So i really want an answer regarding this issue.I know that there is no cure for HepA,but any possible to protect it.reasons why i want to test for all types of hepatitis:1)frequent head aches(during nights)2)i like to smoke,but some times my body dosent accept me to smoke(i sometimes feel nausea while smoking)3)all this 9 months of period i got diahrrea 5-8 times(loose motions).4)i observed some rashes on legs,scalp,even on genitals.Looking for a positive and geniune reply.thankyou. | If you are a doctor, please answer the medical questions based on the patient's description. | Hepatitis A is not a sexually transmitted infection. It is more because of consuming contaminated food or water. You can get a false positive result in case of other infections even the non-std kind. I am concerned that you are in a state of worry and that makes you attribute everything to hepatitis or STDs. That is not the case. Diarrhea, headaches, rashes happen to normal people too. Just don't get so stressed. That itself will cause diarrhea and headaches. If you want to prevent it, both Hepatitis A and Hepatitis B have vaccinations available. Thanking you for your query. |
Hi ... My mom has been diagnosed with high cretinine levels. Since last 3 months she is on medicines. She has no problem in passing urine and feels hungry too but even with medicines the creatinine level is shooting up. She started with 4.5 level and now it is around 7. The doc says with med it increases but should come down then. In between it came down too a couple of times. But since last 2-3 days it has shoopted up to 6-7 levels. Earlier it was between 5 and 5.5 10 days back. Now doc has suggested renolog med for 3 weeks and see if it comes down else suggested dialysis . Please help as if the med is ok or not. Before renolog he even gave Cudo Forte for 10 days which helped in geeting the levels down from 5.8 to 5.1 | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Saurabh, greetings from Chat Doctor.come am Chat Doctor. Your mother has been diagnosed with high creatinine levels recently less than a year, you have not mentioned her blood urea and uric acid levels which is very important in your mothers case. Also, I would like to inquire about her co morbid conditions like diabetes, because we have to rule out any medicinal cause of increase in creatinine. You have not mentioned the age of your mother but if she is less than 50 years then please get ultrasonography of whole abdomen with renal Doppler study, which will rule out any structural abnormality. We have to be sure it is primarily a kidney disease and not secondary to other cause, as if your other have kidney disease then she has to lead very disciplined life also need a lot of support from family members. If she is an established case of chronic kidney disease I ask you to restrict protein in her as it may lead to increase in creatinine. The medicines you mentioned are new supportive medicine which is used to renal health. Although no substantial trials have been publishes, small trials with some patients have revealed it to be beneficial in preserving kidney function and prevent further damage. There is lot to discuss kidney disease and I have tried to give some idea relevant to your mom. For more information discuss with her doctor. Hope Io have been lucid in her approach. Take care |
Hi!Yes - if you could answer this question. My name is Fran and I walk often. Last April I was taking a walk on a dirt path in Yarmouth, MA. I tripped on a tree root and took a hard fall. I put my arms out to break the fall. I thought I had broken both upper arms it hurt so bad. I could move my arms and saw no sign of fracture. The pain eased up but continued to hurt for about a month. My left arm is fine but my right arm continues to hurt at night. Its an aching throbbing feeling. I end up taking some Ibuprofen or Aleve. I tend to sleep on my right side so I think it may be the weight of my body. I, also, sometimes get a little tingling in my right hand. I still work out 3 times a week and lift 10 lb. weight and do pushups. My arm doesnt bother me during the day - just at night. Do you think this is muscle, tendon, or nerve pain and do you think it will eventually go away?. Should I stop working out with my arms for a while and, if so, how long? Thank you for your help. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Background1. History of Fall Complaints1. Arm Pain2. Continuous Pain - aching throbbing feeling - Right Arm 3. Tingling Impressions is suggestive of Cervical Radiculopathy How to Proceed Needs Clinical Examination and Nerve Conduction Studies, X-ray Neck and Other Radiological Evaluation What to do Please consult a neurosurgeon in your place Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask |
Hi there, i am worried about my 8yr old daughter, i think she may be depressed.. she does not really talk about her feelings because she is scared to she says.. she used to be a very happy little girl but this year she just doesn t seem herself.. She is very quiet now, doesn t like going outside to play and is always tired. She has had a best friend since she was little she seems very dependant on her they have been in the same class for 3yrs now and now her best friend is starting to make other friends and mikayla is feeling a little left out.. I tell her it s ok to have other friends and that she needs to find other friends as well but she says her best friend gets upset with her when she plays with other people, but then her best friend doesn t play with her sometimes and she s left alone. I have organised play dates with other girls but it still doesn t seem to lift her out of where she is.. She tells me she can t make new friends.. i am very worried this is affecting her. Depression runs in the family so i can see some of the signs and i really don t know how to help her. | If you are a doctor, please answer the medical questions based on the patient's description. | DearWelcome to ChatDoctorWe understand your concerns went through your details. Child Chat Doctor. When there is motivation, they learn faster. You are doing well. You are counseling her and motivating her about childhood and friendships. Motivate her with stories of such friendship and fairy tales. She will understand. Secondly, please do not label it as depression. This is disappointment. Disappointment also manifests symptoms as in the case of depression. But these symptoms are short-lived. Your child is just 10. She is growing, developing and learning. Every child come across such disappointment and lives little hassles. They have the capacity to overcome such problems. Parents and caregivers are to be available for guidance, motivation and care. You may consult a child psychologist for counseling if need be. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. |
Please help me i dont have a credit card... knew this would happen I will never find whats wrong with me.... pleaase find it in your heart to answer this for me without having to be paid.. Please help i have had this problem for awhile but doctors have not giving me a explanation...Any time I try to have a bm. or Climax I get a horrible painful cramping tensing feeling in my head and i cant see when it does it... when it first begins it feels like a balloon, well this morning i was going to the bathroom and wasn t pushing hard.. my head did the cramping and tensing up well i blacked out and ended up on the floor. and when i checked the toilet there was blood again... when this happens I have to hold my head and apply pressure for it to ease up.. it also makes my nose bleed and side of my face num.... most time when this happens while im having a bm i will think i went and look and its nothing but blood and I was still leaking I went to the doctor for that and still no explanation.. everytime i have a bm its horrible pains i breakout in sweats I shake i go num, and throw up from the pain... I am begging you to please help me find whats wrong with me, i know my body and somethings wrong,, I have 3 great children i wanna be with them for a long time i know people say theres a age when things start falling a part, but please help me.... | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection. You should avoid intercourse for till symptoms persist and Chat Doctor. If symptoms persist it would be good to do a prostate ultrasound and check your PSA levels to rule out a prostate tumor or hypertrophy and further treatment depends on these findings. In most cases, it can be controlled with medications but sometimes, in case of a tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hello Sir, I have Gallbladder stone around 1cm since more than 5 years. There are no change in the size of the stone or no new stones formed. Im feeling bloating always specially after fatty and spicy food. Some time I get pain in lower right ribs. My questions for you sir, 1. Since my Gallbladder dont have any issues, I dont want to get rid of it. Is there anyway to grind the stone and get out of Gallbladder for once. 2. Doctor said since stone is around 1 cm, it wont get stuck is duct. But still why I am feeling bloating and pain in the stomach. Thanks for your suggestions. | If you are a doctor, please answer the medical questions based on the patient's description. | Brief Endoscopic retrograde cholangiopancreatography (ERCP)Detailed Answer:Hello Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way....... You have discussed multiple things here and raised multiple questions here so I will touch all those things one by one.(1) Is there any non-surgical way to remove Bladder stone : Yes there are many ways but in daily practice we use I- Therapeutic ERCP 2- Therapeutic MRCP These two techniques both diagnose and treat gall stones even if they are obstructing the ducts... But again these techniques have limitations depending upon other diseases patients have, type and size of stone, expertise of attending doctor, age and sex of patient and prior surgeries, infection and damage.(2)1 cm stone won't struck in duct: In my opinion Gall stone are always time bombs and most surgeons hurry to remove them before they get struck and cause complications like jaundice, peritonitis and Pancreatitis and liver damage.(3)Bloating and stomach issues: This issue may or may not be related to your Gall stone problem, there are millions of patients who have this issue without any other issues with their gall bladder. Fatty and spicy food causes discomfort in 70% of population even if they don't have gall bladder issues ... THINGS TO DO: (1) Discuss with your doctor about options of ERCP, MRCP... (2) Reduce Smoking, Fat content, Spice and fuzzy |
Sharp stabbing pain in left side of chest, originally believed to be muscle or lung related. But suffered from severe gastritis this year and in the last week (same time as sharp pain) has re-occured (burning sensation, horrible taste in back of throat, churning stomach). Dark stools. Ive been to the doctor and she prodded my belly and side and used the stethoscope to check my breathing and said everything was fine but did not think to mention the gastritis. is it possible that the pain in my side is due to the ulcer? It is not constant, it occurs all of a sudden, lasts anything between 5-15 seconds but has become more frequent over the last week and today has been accompanied by pain in the left side of back in same area. What should I do? Ive been very ill the last year with suspected UTI symptoms but tests concluded it wasnt UTI, gastritis, chicken pox, missed periods etc and am unsure what to do. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* This is most probably in relation with underlying bleeding gastric or duodenal ulcer.* Needs confirmation with upper GI endoscopy for precise management.* General guidelines for better outcome Prefer soft, light, bland, vegan diet till possible. Consume more of whole grains, cereals, pulses, legumes, organic fresh fruits. Avoid all oily, spicy, non veg, hot beverages, junk foods, hot beverages Avoid over eating, prolong fasting. Avoid resting up to 2 hours after meals. Fix your timing of breakfast, lunch, dinner till possible. Avoid late night parties, dinners. Keep the head end of the bed elevated for 30 degrees when resting. Have regular walking in fresh air, exercises, YOGA. Avoid smoking, alcohol if consuming. Avoid stress, anxiety. Maintain to have regular sound sleep of 8 hours. Intake of Proton pump inhibitors as omeprazole or pantoprazole on empty stomach 1 hour prior to lunch ; antacid syrups as Atlanta or others according to the advice of your doctor helps. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards dear take care. |
Hi, I am 24 male with 173 cm height and 71 kg weight. I work as a software engineer which involves lot of sitting job. Also from past 2 month i have started going to gym. From past 3-4days i am feeling strain in my back,its like it is very stiff. Whenever i Sit down or bend i feel a kind of strain in my back ,however it is not pain, is this strain or stiffness only called as a back pain or is it different from back pain? And what can be the reason for it as i am just 24 and i am physically active as i am going for aerobics for last 7 months. One more thing just to inform,i have lost 16 kg in last 7 months with aerobics,can that lead to this strain? I have heard that if once this back pain comes it is lifelong. Is it true or can it be recovered fully? and what precaution should i take.? Thanks for your answer in advance. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, As most desk jobs lead to RSI (repetitive stress injury) and due to which back pains are common. As you have done aerobics in the past this has helped improve the cardio respiratory functions and some lower limb muscle Strengthening. As you went to the gym this may have aggravated the back pain with some abnormal unguided and unplanned movement. I will advise to do core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb strengthening exercises. Use the mat exercises and Pilates rather any equipment. Post which you can start weight lifting and other activities at the gym. Usually, most gym injuries are ignored and not a proper principle of practice is implemented by the gym centers or the instructors. It's better to undergo the core stability and other exercises under a guided physiotherapist, so the spine is stable and strong by which injuries are avoided. Also, before performing any gym activities, it's better to do warm-up and stretching exercises, so you can avoid injuries. Back pains are common but they aren't permanent. They recover if a guided exercise program is designed based on the individual. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
Hi my name is Jessica Potvin and i have family members in my family whom are bipolar and i am experiencing alot of problems within the last year that i would like to ask. First off i am 25 years old and i have 3 little boys. I am constantly fighting with my Husband over stupid things. I tend to cry alot when he says something to me that is not even mean. I also tend to tnrow things when i get angry and just hollar for no reason at all. My moods change frequently and i dont know why. One minute i will be watching tv very happy and the next i feel very irritable and crabby and that i have to do something. I feel sad most of the time and i do not sleep very good at night. just having my hair touch my face wrong sets me off. I would like to be able to discuss issues with my husband but every time we try it seems that i become very angry and start hollering and crying and thinking that i am the worst person in the world. I love my boys very much and i get very angry at them to the point where i feel annoyed and want to scream. I have really bad hot flashes, feel very lazy most of the time with spurts of uncontrollable energy. I see a doctor on the 14th but i just want an opinion of what to expect. I never give myself credit for anything and i constantly feel like whatever i am doing is wrong. I am just tired of my spurts affecting me being happy and letting my family be happy also. please let me know what you think. thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Hi dear, thank you for your query.First as your family member is suffering from bipolar illness, so there may be chance of bipolar disorder in you than other. But for proper diagnosis detail and mental status examination is necessary. What ever you described about you is suggestive of you have depression and due to that you sometimes feel annoyed. Also we need to assess your Pretoria personality for better diagnosis. There are many treatment ways and depends on severity of symptoms and mental status examination. As you are having family history than there is chance that the treatment by which your family member improved same treatment also helps you. Mood stabilizer medication and electroconvulsive therapy you. Thank you |
I was first diagnosed with borderline ectasia of the ascending aorta at 3.6 cm back in 2010 via CT scan. In 2011 it grew to 3.8 cm via CT Scan. In 2012 it grew to 4.0 cm on CT and it was reported as 3.8 cm with echocardiogram done by cardio surgeon. It was determined that with me having so many CT scans for other medical conditions that they observe the ascending aorta via echocardiogram because of concern of developing radiation from recurrent CT scan. In 2013 the ascending aorta was at 4.0 according to echocardiogram done by cardio surgeon. Just recently as three weeks ago my primary sent me over to a cardiologist as opposed to the cardio surgeon on March of 2014 (this month). Cardiologist did echo and said it was 3.8 cm and that it was barely dialated and that even if there was concern that consideration for surgery could be done only at 5.0 cm or larger. He did say, however, that he d like to see me in 6 months for follow up. This is concerning to me as there is conflicting info from this recent echo from the cardiologist (claiming it was 3.8 cm) and the echo that was done by the cardio surgeon back in august of 2013 which was reported at 4.0. What should I do? Should I request a copy of the report done in 2013 done by the cardio surgeon and give it to the cardiologist I m seeing now? I know the number is not so serious for surgery yet, but I d be more comfortable having the correct number in the monitoring process. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Actually, there can be some capabilities between echocardiograms, there can be interoperator and intraoperative variability. And small differences are acceptable. According to your results, there is difference of 2 mm, it is ok. The important thing is the aorta didn't dilated since the last exam.Also, you should consider that your aorta is not dilated as much to undergo an operation. 40 mm is not that dangerous and there is a need only for follow up. Hope I could help nourishing you good health In case of further questions don't hesitate to ask |
hi, I had kidney stone problem which was removed through medicines previously. i had my sonugraphy done in dec 2016 which clearly states normal reports excepts crystal of calcium oxalate & past history of uti.. on march 3 again i suffered from burning sensation in urine, n chills in urine for which i had blood test done n urinalysis. blood test include rbc n creatinine whicChatDoctore as normal. in my urine bacteria & pus cells were present. its almost a month, m much better but chills or little pain in urine is very little there. chills specially. pls help | If you are a doctor, please answer the medical questions based on the patient's description. | I am really sorry to hear this about your health status. But I'm here to help you out. Don't worry, it's a treatable disease. Hi and welcome to Chat Doctor. I thank you for posting your query here. I read your question completely and have understood it well. Furthermore, I being a surgeon, we encounter so many such cases day in and day out. Well, kidney stone disease is the most common urological disease. But, luckily It's very well treated and cured. Please note the following few facts, I will analyze all your concerns. 1. You had kidney stones and were treated with medicines. Yes. Small calculus which can be passed out in urine. Say, 5 to 6 mm are best treated conservatively. 2. Sonography or USG Normal.That's good, your follow-up scan was normal. But sometimes what happens is, USG won't pick up all the stones. CT scan has to be done. 3. You had UTI episode again. And your major problem is chills and fever on and off. Well, this is the most common presentation again. Please do these following things. A. Get a urine culture, routine during the episode of fever without any delay. This is very important. B. Frequent UTI with history of stone disease points towards residual or new stones. Suggest, you to get a CT scan of PUB. Urinary system. This will help you find out the cause and treat accordingly. Hope this helps you, in case you need further assistance, please let me know. Take care and God bless you. |
On Dec. 18th (on a Thursday) I had 2 teeth capped (front bottom teeth). The following day my bottom lip was so swollen it looked as though I had a dip of tobacco. I called my dentist on Mon. to say something was very wrong. My mouth now looked as though I had a stroke. My dentist put me on penicillin & said it appeared to be an ulcer that may have become infected. There is a deep hole at the lower base of my gum line. My chin is sore all the way to the bottom. The lesion does not appear to be as angry looking however my lip is still distorted & the pain is almost unbearable at times especially after I have tried to eat. My dentist has done some research but he is still puzzled at what happened. My fear is that my lip is never going to look normal again. My family members notice the change. Can you give me any insight?? Thanking you in advance. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, There can be trauma to surrounding tissue that will just need time to heal. Follow instructions provided by your dentist. You indicate improvement. As long as this continues, do not worry. Gentle care and cleansing with warm salt water should be helpful. Anti-inflammatory medication such as Tylenol or Advil may assist healing by reducing your symptoms. Your dentist can prescribe a rinse known as magic mouth which may help reduce your symptoms if you need additional immediate relief with a combination of analgesic and anti-inflammatory medications. Consult with an oral surgeon for a second opinion if you continue to have concerns. Monitor with follow-up visits with your dentist. Look for changes that include swelling, redness and heat that would indicate an increasing infection. There are changes that can occur such as an infection or tooth abscess, periodontal conditions or allergic reactions. Please do not panic with only two days gone by. Expect two weeks for a large ulcerated area to heal. Avoid irritants. This can be a sensitive area for injections in the mouth. Perhaps you had local anesthetic here that can contribute to some post visit discomfort as well. Thank you for your inquiry. I hope you continue to feel better and that my suggestions offer more relief. |
My son aged 12 years is suffering from Asthama he is taking startline puff as and when required in addition Montair 5 mg has been advised.For the last two years we are doing this .He is getting relief by medication but should he take continous medication or as and when needed.Alternate therapy like Homeopathy has claimed for complete cure of asthama with in 8 to 10 months What is the advise for us | 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 sons history and would like to know details about his symptoms' life nose symptoms, sinus symptoms, skin symptoms, eye symptoms and asthma symptoms, aggravating factors, seasonal factors, etc. At present, from your given history, I would like to make suggestions for him as follows:1. Apart from medications that you are using, I would suggest him allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing him allergies as well as the measures to avoid them.2. Based on allergy testing report, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which works in immune system to gradually improve his allergy symptoms and would reduce requirements of other medications.3. Regular breathing exercises and healthy diet rich in vitamins & minerals will improve his lung capacity and immunity gradually over a long run.4. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.5. Alternative medicines like Ayurveda, Homeopathy, Herbal medicines, etc. may be beneficial and may reduce medicine requirements gradually. I usually suggest my patients to consult an experienced alternative medicine practitioner for alternative treatment. However, please do not discontinue Montage and inhalers without consulting your allopathic doctor as sudden discontinuation can lead to worsening of symptoms. In nutshell, instead of self-treatment, please consult allopathic doctor for inhalers and medicines, and you can simultaneously also consult an alternative practitioner for alternative treatment. 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. |
hello sir my problem is there is a whole in my right side teeth,bcoz of that i cant eat with my right side teeths.. &that whole is becoming very large..im worried about my teths,,please sir advice me how can i get back my beautiful teeths... before there was a decay in my right side teeth &when i went to doctor they advice me to take out that teeth (2teeths)i said yes ,,after take outing that i got side effect of my right side eye became slow ..i got spects so im afraid that if i took out my teeth then might be problem of right eye .....so plzzzz doctor hlp mee ,,,im ur patient i cant hide my pain with u& my lord thanks plzz answer ...........samreen romana....***** | 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 and can understand your concern... As per your complaint as you have a hole in your tooth and there is severe pain along with it that means the decay has involved the nerves and irritation of nerves is causing pain. You should consult a Dentist and get an X-ray done and in case if tooth in a condition that it can be saved Root canal treatment can be done followed by antibiotics and painkillers. In case if it cannot be saved due to extensive decay it has to be extracted. The other thing that I would like to make clear is that extraction does not cause any problem in the eyes, and it is a simple myth, so better don't thing of all this negatives and go ahead for treatment. As of now for pain relief you can take TRAMADOL 50 mg thrice a day but not more than 5 days. Hope this information helps. Thanks and regards. Chat Doctor. |
My name is AbbyGail I am 19yrs old and yesterday morning I was stung in the neck by some sort of bug I m not sure exactly what it was but it stung for a good 5 hours or so. Since then I have been itching more and more often! I used hydrocortisone butyrate lotion 0.1% on my palms and bottoms of my feet at 1:34pm today and I started feeling sick around 10am yesterday morning, a couple of hours after the sting. I still feel bad I have fibromyalgia and lately I ve been taking Gabapentin (Neurontin) 600mg twice a day for the pain and it just isn t working today and I can barely move and I have no appetite, which hasn t happened in many years since my heart failure at 14! I m a little concerned about my health because I thought I was doing better but now I m getting worse. I also take other medications such as, 2mg Prazosin once before bed, 150mg Sertraline (Zoloft) in the morning when I wake up, 50mg Vistaril 3 times a day morning noon and before bed, and 600mg in the morning and 900mg before bed of Trileptal. I m allergic to Celexa, Relenza, latex, Phenergan, oranges. I also was born with a low immune deficiency and Asthma! I have no insurance nor job(do to the fact that I get sick a lot and am an unreliable worker) Please Help me as much as you possibly can thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for consulting in Healthcare. You have hypersensitivity to bugs bite, because you have allergy from childhood. It seems as allergic reaction from the bite of insect, that's why I prescribe you antiallergic medicine-allegra, its modern and good helper in your situation. Don't apply cortisone ointment, because you don't have effect. Chat Doctor. Eat hypoallergenic food-potato, cauliflower, cucumber, Dali, panir,don't eat chocolate, honey,tomato soup and tomato subdue, nuts,sushi, strawberries, flavor food, juice from market, chips |
Hello, I have had these tattoos done on both my arms 6 weeks ago. I have been thinking about doing them for 3 years. It is a lock of little 2cm birds on each arm ( about 30 birds) flying around from wrist till top of the arm on both arms. I love wildlife and work for wildlife so this is the reason i decided to do this. 6weeks later most people loves or likes my tattoos except me ! I don t understand. I hate them, can t look at them on my wrist or makes me feel sick, feel embarrassed, ashamed, disgusted, can t concentrate, can t eat much and can t work much either as I am self employed it is very difficult. I am mad at myself to have done that and as a top performer in my organisation for the past 3 years, my figures are plummeting down and my confidence has been shattered. I am in a bad place . I have an appointment with a laser removal clinic on Friday but I am scared at the orices they will give me, the time it will take to sort it out ... I have got to leave in shame now with long sleeve shirts as I cannot wear sort sleeve shirts ... Thank you for your feedback, Regards, | 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. I can conclude from your description that from the beginning itself you disliked tattoos. You had these tattoos without your own 100% consent. That is past. Now you should learn to like it. Easy. We like so many things in our day-to-day life, which are not at all likeable. Simply because there is no other alternative. That is called learning. Learn because there is no other alternative. At least pretend there is no alternative. Let the tattoo be there, never ponder about removing them, pledge that you are going to have it throughout your life, what ever may happen. Your obsession dies down slowly. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
Over the course of 2 weeks I have noticed that the foreskin around my penis was feeling a bit itchy. In the progression of the last 2 weeks I have noticed that there is a band like ring around the foreskin of my penis that is dry and feels kind of scaly. When I bath the itching sensation will go away for a while, but will usually begin again by the next day. As to also mention I always keep the area clean and taken care of. The soap I use is hypo allergenic as I do have allergies and monitor them. I currently have no way of going to a doctor to see if it is serious, but I have not had any sexual intercourse in the last 2 months and the last time I did I used proper protection. I am 28 years old, male of course. I have had no change in diet, or medication use. I am prescribed Lorcet pain killers for a ruptured disk and nerve damage from a work related accident over the past 5 years I have been on this. Other than an itching sensation it is causing me no other problems, other than being annoying. I am not sure if its a yeast infection or the dry skin disorder I believe its called cyroicisis, please excuse the spelling error. I know my father does have this condition on his arms and feet. But any feedback would be welcomed. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor. I can certainly understand your concern. I have worked through your query in detail. As per your symptoms, the possibility of fungal infection of penis is Va high. Fungal infection is known to cause frequent itching and red blotches that can be quite resistant to treatment. This could be unrelated to sexual activity sometimes and can develop in singular status. Sometimes inadequate hygiene of the undergarments may lead to retention if moisture, that can lead to itching. The painkillers related to nerve and disc pain have no association with this pain. A short course of oral and topical antibiotics (antifungal) will help to improve your symptoms and reduce the itching. Please check with your physician if he shares my view and if you can prescribe these medications to you. A 2-week course is extremely effective to prevent your symptoms. Post your further queries if any. Thank you |
i am suffering from psoriasis since 10 years.now it become very dangerous. it cover almost all part in my body. i take 15 mg MTX in every week.I also took PUVA.but nothing can control my psoriasis.I am 25 years old and iam married woman. my mother in law, my husband always torture me mentally. i have no child. my husband now wants a baby. i am an electrical engineer from KUET. but i cant join any job for my illness.so i am financially in secure. i am very helpless. what can i do? | 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 feel very sorry for all that you have been going through for no fault of yours. I must assure you that there are a host of treatment options that effectively clear psoriasis and most people with psoriasis are able to lead a normal life and can extend there families just like others. Though Methotrexate is a well known and tried and tested treatment option for generalized disease, lack of responsiveness to Methotrexate may be due to reduced oral bio-availability/decreased Oral absorption. An alternative is to switch to injectable Methotrexate i.e. either I'm Or I/V. Cyclosporin is another option that may be tried in your case; it is an immunosuppressive and usually brings about remarkable improvement even in the most widespread skin involvement with psoriasisOral retinoids are also effective options for generalized plaques psoriasis and can be either used alone or combined with other systemic treatment options like Phototherapy. A word of caution for retinoids is that they can cause fetal defects in pregnant ladies. The recommendation is that females treated with Retinoids should not become pregnant for at least 2 years after completing treatment. Topical treatment is an adjuvant to oral treatment and comprises topical emollients, steroids and vitamin D analogues.Finally, Biologics are the newest category of Chat Doctor. The negative aspect of biologics is that they are expensive. I would suggest that you seek another appointment with a dermatologist in your region for assessment of the severity of your psoriasis and most appropriate treatment for you. Regards |
I have a weird symptom. When i am always around people or talking to someone i tend to stress a lot, my nose close up so i start breathing from my mouth, my left side of my liver area hurt, my mouth dries out and my tongue turns white from dryness, sweaty hands and feet, pain on my left side of my chest and the worst, i emit moist like smell that offend everyone around me. I have been going through this cycle for the last 4 years, specifically when i go on public, I experience these symptoms. Usually when i am in home I never experience these symptoms.Any thoughts of what i am suffering from? | If you are a doctor, please answer the medical questions based on the patient's description. | Degree understand your concerns went through your details. From the given symptoms it is almost evident that you are suffering from social anxiety disorder or social phobia. Social anxiety disorder, also called social phobia, is an anxiety disorder in which a person has an excessive and unreasonable fear of social situations. Anxiety (intense nervousness) and self-consciousness arise from a fear of being closely watched, judged, and criticized by others. A person with social anxiety disorder is afraid that he or she will make mistakes, look bad, and be embarrassed or humiliated in front of others. The fear may be made worse by a lack of social skills or experience in social situations. The anxiety can build into a panic attack. As a result of the fear, the person endures certain social situations in extreme distress or may avoid them altogether. In addition, people with social anxiety disorder often suffer "anticipatory" anxiety -- the fear of a situation before it even happens -- for days or weeks before the event. In many cases, the person is aware that the fear is unreasonable, yet is unable to overcome it. For social anxiety disorder, the most effective treatment currently available is cognitive behavioral therapy (CBT). Medication may also be used to help ease the symptoms of social anxiety disorder so that CBT is more effective. Please consult a psychiatrist / psychologist. 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. |
I have been suffering from fever(between 98.9 and 100f) for the last 15 days. My blood report says the lepto Sperosis weakly positive and sgot is 136u/l and shot is 181u/l and alk. phosphate is 374iu/l and in the ultrasound Scaning it found that miles hepatomegaly .it found in the seventh Day of fever.then my doctor admitted me and penicillin injuction And doxycycline tablet given. 3rd after the admission another blood report had Taken, the report says sgot is 54u/l and sgpt is 130u/l and alk.phosphate is 211u/l But my temparature was 1p00.4f in the evening. So I discharged from that hospital And went to a famous hospital and told the history and admitted there. They were took my blood report again and in it sgpt is 69u/l.it is the 14 th day of my fever. They were also found no malaria and filaria.my wBC is 7900 cells/cumm, platelet count 2.9 lakhs Esr 06mm/hr,creatinine is 0.8mg/dl.. they were only given doxycycline and lactic acid bacillus capsule.and A Mubarak tablet. But my temparature is between 98.8 and 99.8.they were told me there is no fever and Discharged me yesterday and advised to continue the capsule and tablet. But my temparature is not touch In the normal stage.please help me. Taken, the report says shot is 54u/l and sgpt | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Harinarayanan, That was a detailed description of your symptoms. Thank you. Firstly, please relax. I see that you have received the right treatment from the day 1 of your fever. Be glad about it. The test values vary from different laboratories. Please continue your current medications and complete them. You will be fine soon. It would take some time for the reports to come back to normal. Repeat the tests after 2 months and recheck the results. As of now, nothing extra needs to be done. Get well soon. |
Im 9 Weeks pregnant and last 2 days my sickness was severe throwing up and yesterday I got sharp(pinching) pain in right abdomen whicChatDoctores and go every now and then but not constant. So we went to GP where she diagnosed tender in right abdomen and referred to A&E. we rushed to A&E where they took Ultra Scan and confirmed baby is fine in uterus and they are getting heart beat but they said there is tender in right abdomen and referred to surgeon assuming appendicitis. When Surgeon did the diagnosis where I didnt get any pain during that time, even he asked me to cough, bend my legs still didnt get pain so he asked us to go home saying that it is not clinically appendicitis. But if you see the symptoms for appendicitis I have vomiting, tiredness, gastric problem, right abdomen pain comes and go and finally it subsidized now. So now Im confused as I dont want to get unnoticed on any infection really worried whether is it normal during pregnancy or shall i need to have second opinion on this. On the blood test everything is normal abd teh surgeon told me white cells are little more than normal but he didnt worry about that, what he says his he didnt see any pain when he press the right abdomen so he asked us to come back in case if pain continues. Tell me what I should do now. Thanks for your time. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi! Your concern about the pain is justified. The symptoms what you have mentioned can be due to many conditions, common ones being a urinary tract infection, a small calculus in the ureter on the right side, a pelvic infection, simple colitis, and of course an attack of appendicitis. Your ultrasound has excluded an ectopic pregnancy. You should go for a urine test for infection. Ultrasound sometimes can not detect a small calculus. You have to get yourself examined by your gynecologist for excluding pelvic infection. However, if you do not have any pain now, the possible mild attack of appendicitis might have subsided of its own, or it might not have been clear due to the position of appendix which may vary during pregnancy. I would suggest you to see your surgeon again immediately if the pain returns. Good luck. |
i was cleaning the bath tub the other day and i stood up and my lower back on the bottom right started to hurt. that was almost a week ago. today ive had cramps in my lower stomach that kind of hurt. it feels like i have to poop a lot but when i go to the toilet its very little. i take sleeping pills a lot because i have a hard time sleeping. i am over weight also. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Welcome to ChatDoctorI have gone through your query regarding your concern over your back pain and cramp in stomach and sleep disorder and your obesity and ..... Dear your all of these sufferings are not sudden or god gifted ! To be frank, they are earned by you through your lavish life styleFaulty irregular intake of food, lack of sound sleep, mention, lack of regular exercise, are the factors leading unhealthy situations, Proper nutrition is an integral part of a healthy immune system if we take simple, fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges, fruit antioxidants as garlic, ginger onion -whole grain almonds, walnut AMLA, coconut water all help strengthening our immune system .and pave way for our disease free, healthy life. Avoid fried, fast foods, tea, coffee alcohol meats colas, sodas as it can cause accumulation of toxins in the body and can enhance further growth of any disease & hamper the process of healing., Mental worry and anxiety should be avoided at any cost as it slows down the healing process. Take good night relaxed sleep & Meditation, helps further. Exercise, Walk, Yoga /Panama Deep Breathing give new life to our blood circulation and detoxify for system. Avoid constipation as you know it is cause of all ills. Take Fenugreek / Bishops seed with water for stomach pains and all types of pain. Coconut water being, low in calories, naturally fat- and cholesterol free, more potassium than 4 bananas Turmeric powder a spoon with a cup of hot milk at bedtime. Lemon Juice before meal s twice a day. All above being Great antioxidants give resistance to body against diseases to a Chat Doctor. Hope it helps you to solve your query Take Care All the best Don't hesitate to get back if you have further queried. |
i think i have anxiety if i dont what do i have?in yr 6 i was walking home from school, we left at 3:35 I was about halfway there to my house it was 4pm and there is a path which leads the shops and the shops lead to my house but in the middle of the path were 2 teens the teens were smoking and i was scared theyd kidnap me so what I did was I sat on my bag for an hour until they had gone but i think they left before cus my mum came and the boys werent there and i didnt have my phonenext day, there was the same path, and there was a man walking his dog and i thought he wuld grab me so i did like that fast walknext one: 2 teens behind me, I ran cus i thought they would run and kidnapp me!!I have sucidial thoughts, self harmed before with my teeth (bit myself)I had a rough past, given alchohol by my dad when i was 3, dad used to abuse my bro, bro was involved in a gang and they would use to throw rocks at our windows, Once i was in my room and a person threw a rock in the window and i was young maybe 5,6,7 or 8 and it nearly hit me luckily it didnt.What do I have ? anxiety,worry anything else? could my past could of caused this?I sometimes hesititate to ask a question, it might be because im shy but i have noticed my confidence has defintaly boosted.I sometimes speak my mind depends on who im with.Im always thinking in bed and since im thinking so much its harder to go to sleepThanks. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, well, from the complaints you have presented here, it is suggestive that you are having an underlying sense of insecurity. There are various things that need to be considered here, such as level of functional impairment, associated symptoms, age, social environment and detailed past history. These complaints are more suggestive of neurotic conditions. My advice to you would be to consult a local psychiatrist, as a detailed clinical work up would be required to establish a diagnosis, and attention to your suicidal thoughts warrants a psychiatric help. Welcome for further suggestions. Chat Doctor. |
I BELEIVE I HAVE AN INTESTINAL WORM INFESTATION MY SYMPTONS ARE AS FOLLOWS,I HAVE HAD THESE SYMPTONS ON AND OFF FOR AROUND 10 YEARS 1.OFTEN CONSTANT VERY BAD SMELLING GAS 2.DAILY BOUTS OF DIAHORHEA 3 SEVRE WEIGHT LOSS PARTICULARILLY N THE PAST 6 MONTHS 4.PAINFULL,SOMETIMES SHARP ABDOMEN PAINS 5.5SEVRE LETHARGY AND TIREDNESS (IM 34) 6.A LARGE SWELLING ON MY ANAL ENTRANCE 7.DEPRESSION,NO MOTIVATION 8.YELLOWING EYE-WHITES 9.COPPER SMELL TO MY BLOOD 9.BURNING PAIN WHEN PASSING EXCREMENT 10.PAINFULLY THIN,AND GETTING THINER 11.HORRENDOUS BREATH 12.UNABLE TO MAINTAIN AN ERECTION FOR LONG 13.AUDIBLE MOVEMENTS IN MY STOMACH AREA OFTEN 14.ITCHY RASHES ON MY ARMS/legs AND BUTTOCKS I WOULD GREATLY APPRECIATE YOUR OPINION ON THIS MATTER,I LIVE IN A VERY POOR AREA IN LONDON AND THE LOCAL DOCTORS ARE NOT WELL TRAINED AND WILL NOT TAKE MY CONDITION SERIOUSLY . I AM 6FT 3INCHES AND WEIGH 10 STONE,IM 34. DAMION MCLEAN | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor. I have read your all the symptoms form 1 to 14 and here i my suggestions to you. All these symptoms should be further evaluated by complete clinical examination and various tests. If you want to rule out any intestinal worm infestations then you will need to undergo routine blood works, ESR,blood electrolytes, urinalysis and stool examination for routine microscopy, ova and cyst. For which you can go to some nearby pathology laboratory or visit physician who may order all this tests. |
Hi, I have been having early pregnancy signs and thought for sure I was pregnant after the smell of McDonalds and other kinds of foods made me nauseous. My breasts have been sore and tingly for about 7 weeks and my left breast is visibly larger. I am constantly tired especially mid-day and have been having hot flashes. I have also had dizzy spells a couple of time after standing for a while. I also have been bloated for about 6 weeks and while having intercourse it feels like my husband has either grown overnight or like I am tighter. He also notices a difference. My sex drive has also decreased. I have three children already and most of this happened with all of my other pregnancies. My periods are always on time and always last 4 days with a 26 day cycle since I was 14, I m 24 now. My last period was a day late and only lasted 3 days. This month my period was also a day late and I am on day 2 of my period and It is really light, only filling up less than half a regular flow tampon in 4 hours. usually I change tampons every 3 hours and they are completely full. I have taken a total of 4 pregnancy tests between last month and this month and they have both been negative. I am trying to conceive and last month I just dismissed the results but this month I cant shake the feeling that I am pregnant. I have herd of a term called cryptic pregnancy and was wondering if this could be a possibility for me and what do I need to do to find out if I am and how long do I have to wait with continued symptoms before I make an appointment with my OBGYN? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I would be happy to help you with your question. I have never heard of the term "cryptic pregnancy". Either you are pregnant or you are not. If you truly feel pregnant and do not trust the urine tests, then a blood test will put this question to rest. If the blood test is negative, then the unusual symptoms and abnormal periods are most likely related to the hormonal imbalances that come from not ovulating regularly. In answer to your question, yes you should schedule a visit with your OB/GUN. I hope that this helps and good luck! |
I am a 65 yo female living in Jacksonville, NC, USA. I had a grandmother on my mothers side, and an uncle on my fathers side, die from pancreatic cancer.I have high enzyme readings of amalyse (wrong spelling) for many years and at other times it is in the normal range. I have gone to a endocrinologist who did a mri about 5 years ago on my pancreausand they said it was normal and couldnt find any thing wrong. The Dr. said that I could be just one of those people who have this unknown etiology and dont know what causes it. Diabetes is very prevalent on my mothers side her mother as well as her sister and brother died from it, altho my mother who is 87 and my father did not have it nor do any of my sisters or brothers as of yet have it., My question is: what can cause such high enzyme readings, sometimes in the upper 300 scale and can it contribute to pancreatic cancer? and what are the later symptoms of pancreatic cancer and the pain associated with it. Is the pain located in the upper abdomen or lower abdomen with this type of cancer.is it a constant pain or only when you eat or after eating?i know it is a difficult cancer to detect and would getting mri or cat scans so many years be able to detect this cancer early if it is present? can this type of cancer be detected early and treated? Being that i have such a family history i am concerned. Thank you for your time, Nadine Connolly | If you are a doctor, please answer the medical questions based on the patient's description. | Greetings. First you should not be worried due to an isolated high amylase level. There can be several causes of raised serum amylase like gall stone disease salivary gland duct stones intestinal infections, inflammations diabetes(uncontrolled)small cystic lesions of pancreatic biliary region benign conditions. However, high amylase level are not associated with pancreatic cancer. You may have little higher chance of developing pancreatic cancer as you have positive family history for that. Symptoms of pancreatic cancer are pain in abdomen, or development of jaundice. These may or may not indicate pancreatic cancer and should not cause undue worry. You should be in regular surveillance with your doctor. Regards |
Hi Dr, I have a query on dealing with public speaking or performance anxiety... My major fear is about my hands shaking, when ever I m nervous my hands shivers which in turn makes my fear too recursive and stop me from performing or completely I ll get in flight mode. There is only 10 percent chance I can get back to perform at the spot. I started to feel this trauma from the day I started to give a speech at my job some 3 years back. However I was pretty much improving till that time. My confident has gone down only when it comes to public speaking but my will to overcome it is always strong in mind. I took proponal after a dr advise some 2 yr back, that really helped my nervousness and allowed me to talk clear. However this drug took me in to serious side effect , mild pinching chest pain and depression moods(mood change last for 2 days but pain got permanent). I m still experiencing pain but hardly I ll use this drug only on high need. So far I had taken 9 times in 2 yrs and I knew the consequence of it and try making my self prepared to overcome the pain by exercising. I have tested my chest pain( Cardiogram, TMT, chest CT, x ray, ECG) all shows good with out any trouble on my vital chest parts. Can you please help me in this situation, what should I do as this pain is just staying in my body for 8 hours a day continuously. Thanks for any advise | 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. I see you have two problems. One about the public performance and the second about the chest pain. As the investigations of the chest came negative, then you have nothing to worry (already you are aware). Still you feel the pain. That is anxiety and thought process. The pain false (imagined by you). This happens due to psychosomatic illness like Hyperion Chat Doctor. Psychotherapy should help you overcome. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. Relaxation and meditation plays an important role in controlling Hyperion |
Several months ago I would get a pain in my right leg and maybe a day after brusies would show up, this went on for about 3 months. The leg pain stopped for maybe a month and now my right are was paining me and I have 2 litte red bruises. What could be wrong? | If you are a doctor, please answer the medical questions based on the patient's description. | Dear patient thank you for your question. Here are a few causes of spontaneous bruising and some tips to help you figure out what you might have1) Blood disorder:a. On Willy Brandt disease/ Hemophilia: A blood disorder due to lack of coagulation factors. It results in spontaneous bruising and is easy to rule by a simple blood test called COAGULATION PROFILE.b. Thrombocytopenia: Low platelet count can result in such symptoms. A coagulation profile will help to diagnose this condition as well. Leukemia: My intention is not to scare u but practically speaking it is a possibility especially if u feel fatigued and have bone pain or headaches. Please get a complete blood profile done2) Liver disorders of your coagulation factors come from your Liver hence a Liver disorder mostly cirrhosis can result in such symptoms. Get an LFT done. Yellowing of your eyes/jaundice may hint at a Liver disease however it is not a rule3) Vitamin deficiency: Vitamin C and b12 deficiency can result in bruising as well. The test is time-consuming and expensive so just take a multivitamin tablet every day and see how u feel after 2 weeks4)Graces disease: This is a thyroid disorder and may be accompanied by excessive sweating feeling hot increase appetite yet wt loss. A thyroid profile is warranted. More common in females5) Excessive medication/ Injury: If you are taking any medication please read the label to see if hematoma or bruising is a mentioned side effect.Also, if you go to the gym or run a lot this can happen strongly urge you to discuss this with your go and reach a diagnosis. In the meantime for your pain here is what you can do1) Ibuprofen 800 mg twice a day2) Cold compression over the bruising3) Elevation of the leg while sitting down Hope this helped. |
DearDr. Krueger, On Oct 31st, my husband found a lump under his left armpit about the size of half of a tennis ball. Our primary then referred us to a general surgeon who removed the lump on 11/8. The surgeon moved up his post-op visit because he felt that based on what he saw that he would be referring us to an oncologist. However, the pathology came back benign. The pathology reoprt did mention granulomas so we were referred to an infectious disease specialist who has run numerous tests all of which have been unremarkable except the c-reactive which was a little high. I believe it was 9. They did notice some nodules on his lungs for which we were referred to a pulmonary specialist who assured us that they were normal. However, he did suggest that my husband obtain a ct of the abdomen and pelvis as the did notice some enlargement of the spleen. About a week ago my husbands left elbow became swollen similar to the look of the axillary. Although he has no history of more than a cold in his 44 years, his father had non-hodgkins and his mother had a brain tumor. They had about a 5 acre farm in which pesticides were used and I feel concerned that this could be related. At the present time he has little or no complaints. He awoke last night with what seemed like night sweats as he had to change his clothes. Finally my question to you. Could the pathology have been wrong and should we seek a consult with an oncologist? Thank you for your time. Terri | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, dairy have gone through your question. I can understand your concern. His lump can be due to tuberculosis, other granulators disease like acidosis or some lymphoma. You should go for second opinion of that histopathological examination. Review of histopathological slide gives you exact idea. If still there are any doubts in diagnosis then IOC marker study will help you. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
CAN Topamax ever lower your potassium level to approximatly 2.3??; LAST WEAK I HAD ACUTE KIDNEY FAILURE from getting very sick. The main DR blamed all my symptoms on Topamax. In hosp for week - I went because i couldnt keep any food down + kept drinking drunk tons of water. Finally got Potass.. up to 3.1 --- Main diagnosis acute kidney failue due unspecified ALL THEY GET KEPT SAYING WAS TOPOMAX WAS THE BLAME!! i ve CANBEEN ON t for many years -- MIGRAINES for over 30 years {On T for aprox 15 years -but not entire time} Is low P a side effect that I never read about? MY CONCERN THESES HEADACHES. i M ALREADY GETTING ONE A DAY. PLEASE TELL ME IF/IF NOT I CAN T EVER TAKE t AGAIN. THANK YOU - I REALLY NEED AN ANSWER----IN PAIN / CAN t sleep THANK YOU FOR AT LEAST LISTENING ; karen | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Ive never read anywhere about acute renal failure caused by tokamak! It can cause Liguria sometimes which means a lower urine volume, which under certain circumstances may aggravate renal function and lead to acute renal failure (for example: in deny Chat Doctor. Tokamak increased the rate of renal stone formation, which may lead to obstruction of the urinary tract and cause renal failure. Obstruction causes severe pain, so you should know it if something like that happened in your case. Topamax may - rarely - cause hypokalemia. Hypokalemia can also be caused by poly uric renal failure. Renal failure may present with either Liguria (less urine) or polyuria (excessive urine) and sometimes Liguria is followed by polyuria. When too much water is excreted, potassium is lost as well. So if you're passing liters of urine every day then a low potassium level can be attributed to polyuria. So in conclusion, I don't believe Tokamak caused renal failure to you because there are not any reports that I know about such a side effect of this |
I am 26 years old. I had a semen analysis done. The report says,Volume : 3.0 mlColor : Gery WhiteAppearance : CloudyViscosity : NormalReaction : pH-8.0Liquefaction Time : 40 MinsFructose : PresentSperm count : 80 mill/cummActively Motile : 35%Sluggishly Motile : 25%NON Motile / Dead : 40%Abnormal Forms : 10%Pus cells : 5-6/ hpfEpithelial cells : 2-3/ hpfWe are trying for a baby for the last 5 months and have had no success. Am I infertile? Please advise. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Thanks for writing to ChatDoctorYour semen analysis report suggests infection. You are not infertile. Fertility will definitely improve with control of infection. Infection is indicated by the presence of pus cells in semen. Normally there shouldn't be any pus cells in semen. Infection may be due to prostatitis, UTI etc. You need antibiotics for infection. You need few more investigations like routine hologram, Semen culture and sensitivity, RBS,Ultrasound of pelvis should be done. Trans rectal sonography of prostate can be done if needed. Proper antibiotics should be prescribed after culture and sensitivity report. Other factors like sperm count, motility and morphology are within normal limit. Get well soon. Hope I have answered your question. Take Care Chat Doctor. |
hi my name is phil i am 41 and for past 6 years i have had severe spasms every night in sleep in lower bowel and testicles with urgency for loo to urinate 4 times a night always in pain spasm lower back tubes in teicles swell like varacosele when i eat or drink certain food groups my tesicles are hard like rocks all night throughout sleep..bloated stomack very large as tight as a drum hard to breath have an erection all night..bitter taste in mouth like bleach ear wax taste,oral thrush thrush down below sometimes intolerant to wheat soya and milk..soon as i have these stomach goes massive within 5 mins get a rash up stomach stomach stays this way for weeks sometimes,gassy and itchy and blurred eyes plud loss of memory and coordination sometimes ,dizzy depressed and anxcious have had an endiscopy however had elimenated wheat from my diet prior to this so unfortunately the result came back negative for celeac desease,spams are agony everything i eat now have problem digesting pain under ribs the spasms are unbearable whe i sleep every day now for six years and i am exausted and frustrated because doctors have not found the problem i am wondering if i have candida,thought i was celeac,i just dont know my stomach swells so large and tight it is as if you stuck a pin in it it would pop..my testicles go like rock hard during sleep which is virtually non existent everynight..i sleep for i hour or two then up in pain to toilet and so it repeats itself throughout ht night my dreams always mirror and incorporate the pain i am suffering pain down my legs and lbacksise,can you please help kind regards phil.. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, This seems like you are having trouble with your stomach. However, I need to ask some other things as well regarding your disease. I suggest you visit your doctor to have some other tests for Inflammatory bowel disease and H. Pylori related infections as well. I need to see your endoscopy report as well to interpret and correlate with your history. Hope I have answered your query. Let me know if I can assist you further. Take care |
I had an accident in the gym lifting up weight, in october 2010 and I broke the mussles of both my legs from my knee to my encle of both feed and some blood vessels and my feed were swollon and full of blood. My right leg was the worst. I could not walk on doctors order and was moving around after a month in a wheelchair. I am 39 years old. After a lot of treatment medicines and therapy I could start walking again at the end of yanuari 2011. But I still have some pain and little swelling from time to time on my right leg. Since march 2011 I started noticing that every month I get some big red-blue bruises on my right thigh. I lately noticed that the come these last months 1 week prior to me getting my period and remain for 2 weeks at least. Why do I get these bruises? I had a scan of my bloodvessels at the hospital twice, I did a echoduppler, I went to a skin doctor, I did 5 test at the lab and no doctor can figure out what is the cause. They now start asking me if someone has beat me. Unbelievable. Can you help me please with some suggiostions or solution? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Based on your description of your complaints, you seem to be having venous insufficiency of your lower limbs. This commonly in layman term is called as venous insufficiency of lower limbs. That is the veins of lower limbs usually pump the blood from lower limb to heart, after injury to lower limbs or due to any other because they become weak or loos there ability to pump blood back to heart completely. This results in them becoming thick or engorged and sometimes these small veins look bluish and enlarged. These changes are usually seen when you do a color venous Doppler and arterial Doppler of lower limb. Sometimes these discolored veins also are seen after taking some medications. In most cases, the treatment will be exercises and compression stocking application of lower limb. I would request you to consult your doctor again and ask him to clear your doubts. Wish you a speedy recovery. Hope I have answered your query. Let me know if I can assist you further. |
Hi doctors My name is Shoaib and I am 25 years old and the problem is that every morning when I wake up I feel tremendous pain in my lower back I guess it may happen I sleep upside down. Now to avoid this I generally bent down and touch my feet while standing and I do it 3 4 times although the pain does not go away but it does reduced to a certain limit please help and let me know what do I need to do to counter this Also recently since past 7 8 months maybe around now I feel a lot of weakness in my body and I get tired by doing any activity within a minute Please please please please please help thanks in advance Regards, Shoaib | If you are a doctor, please answer the medical questions based on the patient's description. | I have gone through your query. Dear severe lower back pain is a common feature experienced by large number of people. Apparently it can be caused by factors such as injury, back strain, arthritis, abuse of the back muscles, such as from poor posture, a sagging mattress, or ill-fitting shoes, or any of a number of other disorders. Factors such as stress, over strain while on work, depression, fear and deep emotions can also play a crucial role. This usually comes due to over straining of back muscles. For such condition in my patients I would suggest doing stretching exercises which involve back bending, Panama - deep breathing. Some Yogic postures like Set band, Arkansan Bhujjangasan are some of the few postures also help to strengthen muscle & alley pain. Applying muscle relaxants like Relay for local application. You can also give hot fomentation on back. Rest is also advised for 3 days. Antioxidants and vitamin C, D in natural form, Sunlight, banana, lemon juice , Turmeric powder a level spoon with hot milk twice a day for a week is helpful in alleviating pain and inflammation . Avoid fried, fast food, tea, coffee, alcohol, sleeplessness, dehydration, worry, constipation.paper rest, over use of limbs without a proper rest can lead to wearing out fast If problem persists, it is advisable to consult an or tho expert Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query |
hello these are my biochemistry analysis results:iron.........78.9micg/dlglucose......90mg/dlBUN.U........9mg/dlcreatinine serum.......0.72mg/dlmagnesium.......2.2mg/dlSGOT..........45 IU/L*..........(NORMAL 10-42)SGPT........... 83 IU/DL*....(NORMAL 10-33)25-OH-VITAMIN..........26.7NMOL/L*.....NORMAL(47.7-144)CALCIUM SERUM.......9.4MG/DLGAMMA GT.......77U/L*,,,,,,,(NORMAL 7-30)i just want to know if there is a serious problem in liverknowing that i use RANITIDINE as a stomach medecine and progesterone for period regulation.......thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for posting your query at Chat Doctor. Hepatitis presentation. what's your height?weight?are you obese?further evaluation advised if not done yet. Have you been vaccinated for Herb?increase in the level of liver enzymes(AST, ALT, get) reflect an INJURY to the Liver. Medically, the condition is known as "Hepatitis". It maybe caused by:1. Virus (A, B, C, D, E) 2. Alcohol 3. " Chat Doctor. Gall bladder or common bile duct pathology 5." Fat excess" further evaluation needed1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomen advice:-abstinence from "Alcohol" - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports). Rest MORE.- use lemon juice (lemonade) once in a day-"recheck liver enzymes after 6 to 8 weeks".if viral causes and lipid profile are normal and your non-alcoholic, then progesterone or sanitizing maybe causing liver injury. Visit treating physician and discuss for change in |
I have a large what I think is a sebaceous cyst in the middle of my back. I ve had it for a few months. The past month it has gotten bigger (ping pong ball size) and it is sore. Today I rubbed it and some clear and then slightly bloody liquid came out. What should I do to treat it? Thank you | 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 lump in the middle of your back-like Sebaceous Cyst(with a central puncture or pit)/chronic Boil with subacute/asymptomatic lump/Epidermis Cyst/Fibrous/Lipoma etc. As the clear fluid came out of it with bloody liquid coming out later on, it is to be worried and needs to be ruled out for the tumor possibility and Hence I would advise you to consult ER Surgeon.-Cause of such a lump which got sore after rubbing, seems to be Sebaceous Cyst, which got clear fluid from the rubbing trauma with blood in it, which caused clear fluid with blood in it. But it is necessary to rule out other causes of such back lump.Also, I don't have any first-hand information or a photograph of the part. So I suggest you to consult ER Surgeon, who would rule out other causes and would treat it according to the cause of this sore lump in the middle of the back. Remedy-So till the time you consult ER Or tho Surgeon and get his definitive opinion after above investigations, DONT WORRY AT ALL but you need to be worried as it would complicate into some infection and other problem associated with it.In the meanwhile, Cold Compresses to reduce any swelling rise. Take Anti-inflammatory Chat Doctor. 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. |
Ive been having heart palpitations for a few years now. They seem to come in streaks. But last night while lifting weights, my heart was jumping from about 150 bpm to about 280 bpm for 15-30 seconds and then immediately dropping back down. It felt like a lot of blood was being pulled from my face and head. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you some advises. As you describe my opinion is that we are dealing with a rhythm issue. Someone might feel heart palpitations for different reasons. It may be a simple sinus tachycardia that means that the heart is beating regularly over 100 beats for minute. Its normal resting rate is between 60-100 beat for minute. You may experience palpitations because of extra-sistolyc beats. These is electrical impulses generating from parts of the heart different from normal sinus rhythm. This gives the sensation of an escaped, skipping beat. But there are all sow different rhythm problems like atrial fibrillation ore supra ventricular tachycardia where the heart doesn't beat normal, it suddenly beats fast or in a chaotic way with very high frequencies and this might be what we call atrial fibrillation. My opinion is that lifting weight is not the reason of your palpitations. It's quite known in cardiology that during physical exertion the heart rate raises. Its maximal frequency should go 220 minus your age, and it should slowly go down. But you describe a long history of palpitations and a sudden heart jumping just for some seconds, immediately Chat Doctor. So, I think that we should see what are these rhythm fluctuations. Does this happen even in a resting situation or only when you exercise? If I was your treating doctor I will recommend a blood analyze, your thyroid hormones, an electrocardiography, echocardiogram and of course a holder monitoring to see your rhythm tendency. Ones we have all these we can say what are these palpitations and how to treat them.These is all for a simple check-up to reduce these episodes in the future. Whish I was helpful. Take good care. Best regards |
Hello, My almost-6 yr old (aprox 45 lbs) daughter is experiencing fecal incontinence. She has a constant oozing stool in her underpants along with dry flaky bits of stool. she eats a diet high in fiber, low in refined sugar/cabs, low in dairy (only yogurt a couple times/week), etc. we assume the sneaky poo is due to constipation. it is getting worse and she hasn t had a BM in 5 days! (at least not a successful one. She has tried many times with limited output ) she is drinking a minimum of 6 (8oz) servings of fluid per day with at least 4 of the 6 being pure water and the rest being diluted juice (and she s had 16 oz of diluted gatorade in the past 24 hrs). she hasn t ever taken laxatives until two days ago. i gave her one chewable pedialax (magnesium sulfate, i think) before bed and one in the morning with no result. then i gave her three tablets last night before bed with no result. I gave her 4 tabs almost 5 hours ago along with 16 oz of water on an empty stomach. since then she s only had one egg white, a large bowl of watermelon, a glass of diluted apple juice, and a cup of warm peppermint tea with honey. She does not seem ill other than slight lethargy. though she hasn t had a BM in 5 days, before that she had three pretty typical ones in a period of 36 hrs. she does have a history of digestive difficulty and fecal withholding but never until now has she experienced this soiling. it is dry and fluid at the same time and is occurring constantly. | If you are a doctor, please answer the medical questions based on the patient's description. | Soiling is one of the symptoms of constipation. Hard pellets stools in spite of all the dietary modifications suggest that she is either in the initial stage of treatment. She will need regular distraction with oral Chat Doctor. Initially she might need daily laxatives twice or thrice a day for a maximum of 4 to 6 weeks. Dietary modifications though definite and first line will take long time to regularize her bowel habits. Make sure she has/had no spinal abnormalities or her bowel habits during her newborn period was uneventful. |
Dr, im a 33 year old male and ive been having pain in my left side lower back, left side of neck and i feel this nerve in my left leg kind of pulsating. I had a lifting injury at work few years back but i kind off ignored it. Ive had it checked and got lumbar and cervical xrays done. The lumbar report says there is anterolisthesis of l5 over s1 vertebrae with spondylolysis see at the level of l5-s1. It further says IV disc space l4-l5 and l5-s1 is decreased in height. The rest of the visualised invertebral discs are normal in height. Bilateral sacroileac joints are normal.The cervical report says mild retolisthesis of c5 over c6 vetebra seen. Visualised vertebrae are normal in shape, size and outline and invertebral discs are normal in height.Could i get your opinion on this please? Do i have a herniated or prolapsed disc and would it require surgery? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Thanks for your query. After going through your query I came to know that you are suffering from anterolisthesis L5 on S1 according to your x-ray report. It means L5 vertebra is shifted forward along with whole spine when compare with S1 making spine unstable and painful. It is not a herniated or prolapsed disc. Herniated or prolapsed disc are not visible in x-ray. They are seen on MRI. There are two treatment options. First option is to use of lumbosacral support to decrease movements, neurotropics such as methocobalmines and analgesics for pain relief (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. Second option is go for surgical operation(reduction and fusion). You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. |
on 18th april11 the volume of pleural effusion was 192ml after drained volume 550ml.then after i am on akt4/ 3tab empty stomach/day.approx.3months have passed .last ultra sound on 10th june reported 110ml. still balance .what step to take further,as every day after taking medicine accute pain is still continuing in the whole body. | 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. IN the given situation, You seem to suffer from-TB Lungs with Pleurisy with Pleural effusion. The pleuritic pains are very agonizing pains, as with each inspiration and expiration-the inflamed plural covering of lungs, rub with costal plural coverings. Pain Management of Pleuritic Pains with Pleural Effussions-Inj/Tabs-NSAIDs, Intercostal Neural blocks with Anesthetic -Xylocaine 2%and steroid addition in pleural cavities are the ways out to control these pains. Continued AKT till Pleural inflammation comes under full control is to be aimed in your case. This would take at least 3 more months, when your case needs to be reassessed. Continued Check -X-rays / ESR / weight gain checks/ high protein-high carbon/high fat diet, along with Multicity, It D3,B12 and folic acid would go a long way to come out of this pain soon. 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=70229Dear, 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. S. Genl-CVTS |
I am a 57 year old female who had a total proctocolectomy done Aug 30/11. I also am a liver transplant recipient (Sept 2005). I had Crohn s Disease for 12 years or so. The pathology report after my procotocolectomy showed signs of cancer in the part of the bowel that they removed. The doctors recommended I have chemotherapy (12 treatments) which I just finished in mid-June this year. I have been having problems lately with bleeding around the stoma which can be quite excessive (can fill up my ostomy bag quickly)., The blood is very red & I noticed tonight that there are blood clots in my bag. I emptied it a couple of times & the clots were in the bag both times within a one hour time frame. I managed to retrieve one of the clots from the bowl to have a good look at it & it looks like a red gel mould approximately 2 to 3 inches long & 2 inches wide! I am freaking out trying to figure out where it s coming from. I don t believe it s coming from the stoma itself. I think the bleeding is from around the stoma but can t figure out how the blood clots can come from outside the stoma! Help - I m totally freaking out! | If you are a doctor, please answer the medical questions based on the patient's description. | It is not of much concern presently whether the bleeding is from within or around the stoma. What should concern us more is the cause of the bleeding. There could be a number of reasons, like late onset liver failure after transplant (leading to bleeding abnormality), chemotherapy induced bone marrow suppression (which decreases the number of platelets in the blood causing bleeding), recurrence of cancer in the remaining bowel, recurrence of Crohn's disease in the remaining bowel. Ruling them out one by one, I suggest you get a liver function test and complete blood count done. If these are normal, then you should undergo a contrast enhance computerized tomography (CT Scan) of the abdomen followed by an endoscopy from the stoma. These tests should clinch the diagnosis and the treatment accordingly can be instituted. Meanwhile, it is not a bad idea to show yourself to a surgeon just to rule out a local cause for the bleeding like skin infection/excoriation, etc. |
Hi- Iam 77 yrs old and pretty healthy- bad knees abt it but have been very nervous the last few weeks due to a family problem- today I experenced a numbness and tingling in my lips and left hand and foot- it gets worse and then better but still there after 7hrs- can you tell me what this might be? thanks! | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Quertle symptoms are very much suggestive of a stroke. The stroke comes on suddenly with symptoms that are one-sided- like in your case. Usually people expect to have loss of power. But there are variants of stroke where there are only sensory symptoms-like in you. Alternatively, these may just be the initial symptoms. I would suggest getting an MRI or CT scan done as soon as possible. If it's an ischemic stroke, you will need antiplatelet and statins like esprit and atorvastatin and rosuvastatin. Eventually physiotherapy may be needed also. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor .com with Sub: ATTN Your Name. Once we receive the photos or diagnostic reports, my team will send reports / pictures to me. Please do understand that some details could be extracted from a detailed history and examination. Please click on Thanks/Helpful if found useful. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this by clicking on HELPFUL)Best of luck. Chat Doctor. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) |
I have a rare, listed on N.O.R.D, called Stickler Syndrome ,named after Gunar B.Stickler. It is a connective tissue disease causing Blindness , deafness , and severe, end -stage DDD, and DJD along with possicle Mitral Valve Prolapse/ I am dependent on pain meds, benzodiazpines, muclse relaxants, choral hydrate. I have been to the Northwestern Clinic/ Hospital since age 2 y.o.s. Frankly, I m tired of being a human tutorial. My problem now is that I can t find a doctor who has even heard of Sticklers, therefore they choose to start all over again with medical treatment. Not one doctor has contacted my two latest geneticist or opthamologist, all of thise doctors could easily explain Stickler Sydrome and the treatments that work. The doctors in question whom a I ve seen have been Medical Director of NIH, Harvard, Duke and other such institutions. I don t share with doctors anymore because I was accused of being s doctor name dropper. I could drop a few names but no offenxe doctors are not on the list of those I would name drop. MY problem, I need to be put on the meds that took over ten years to work with the least side effects, so much so, that I was able to fininish my Mastar s Degree. I almost felt like a normal person , The thing I need nost is a doctor who understands any severe painfrul connective tissue disease but Stickler s Syndrome in particular. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi there ~ I understand that you have a rare syn Chat Doctor. I can see that you feel like you have been feeling the way you have due to having gone through a lot your whole life. You seem to ask for help with medications I am assuming, due to there being no clarity in your questioning. I appreciate that you have done your master’s degree. However, you also need to give me more information on what help you need in regard to medications, so that I may be of some medical use to you. Hope this helps. Take care and until next time have a good time ! |
I ve been on microgynon 30 for over a year, around beginning of december 2010, never had any problems with it, was able to take pills back to back wouldn t have any issues what so ever. Since december 2011, i began to get all depressive , started worrying about everything, like worrying my boyfriend didn t love me, my friends didn t really like me, and also started convincing myself i was pregnant , even though i had all my periods on time, and they were normal (partly thing this was because some girl at college got pregnant for using no protection, auntie was pregnant, it was just always mentioned) so i got it in my head that i could be and got myself all worked up. I even managed to get things like sore breasts, pains in my stomach , tiredness, everything, but only when i think about it, anything i get wrong with me i am convinced is a symptom of pregnancy because i sat there looking up symptoms and scared myself big time. I ve always been quite an emotional person but i feel since december i have become worse and all i can think of is my pill. I take it at 7am everyday unless the odd day my alarm doesn t go off and i ll take it 8:30am latest, never miss any, i m VERY conscious about it, i ll always think i ve forgotten to take it when i haven t and panic. I m 17, nearly 18 and just want to be able to sort out this issue as it s genuinely effecting my life now, We don t always use condoms as in the leaflet it says you don t have to as long as you take the pills correctly and I am fully aware you aren t protected against sti s but me and my long term boyfriend are each clean. | 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. You need professional help to deal with your depressive symptoms and the false belief that you could be pregnant (which could be anxiety-related or sometimes, indicative of a delusion). I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - |
Hi doctor, Im prince, 23 years old, non alcoholic, not taking medicines/maintaining meds. I am really concerned with my labortory results GGT: 955, FBS: 83.5, UREA:28, CREA: 0.71, Uric Acid: 7.86, CHol: 255, TRIG: 159, Total Prot: 7.88, Albumin: 4.80, SGPT: 135.7, SGOT: 86.7, ALP: 131 obviously, my liver enzymes are so high and dont feel anything as of the moment. I am a laboratory technologist and tried to seek explanations about this but non of those fits my case. Hope you could enlighten me with regrds to this. I took an ultrasound 11 months and everything was normal | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for posting your query at Chat Doctor. Hepatitis presentation. what's your height?weight?are you obese?further evaluation advised if not done yet. Have you been vaccinated for Herb?increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as "Hepatitis". Your non-alcoholic and not on medications, so it maybe caused by:1. Virus (A, B, C, D, E)2. Gall bladder or common bile duct pathology 3." Fat excess" 4. Other causes further evaluation needed1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomen advice:-abstinence from "Alcohol" - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports). Rest MORE.- use lemon juice (lemonade) once in a day-"recheck liver enzymes after 6 to 8 weeks".further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. |
I am a distance runner. Last week after a run I woke in the middle of night with sharp pains in the side of my thigh. Not what I would consider an injury that has slowed me down much but it burns at times really bad. I am thinking strain. How long should I rest my leg? If I continue to run will an injury like this heal but much slower? Or will it get worse without rest? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi and welcome to Chat Doctor. I understand how it can be very challenging to pursue running with so much pain. The pain you have is due to a condition called, Iliotibial Band Syn Chat Doctor. It occurs when the iliotibial band, the ligament that runs down the outside of the thigh from the hip to the shin, is tight or inflamed. The IT band attaches to the knee and helps stabilize and move the joint. When the IT band isn't working properly, movement of the knee (and, therefore, running) becomes painful. IT band pain can be severe enough to completely sideline a runner for weeks, or even longer. Here is a list of Dos and Don'ts that will surely help you! Dos:1. The best way to get rid of it for good is to rest immediately. That means fewer miles, or no running at all. In the majority of runners, resting immediately will prevent pain from returning. If you don't give yourself a break from running, ITS can become chronic.2. While you're backing off on your mileage, you can cross-train. Swimming, pool running, cycling, and rowing are all fine. Stair-climbing is not, because it is too much like running3. When running on a track, change directions repeatedly and always do icing for minimum of 10 min to help reduce inflammation. 4. Make sure your shoes aren't worn along the outside of the sole. If they are, replace them.5. Walk a quarter- to half-mile before you start your runs. 6. See a Physical therapist near you and get a few sessions of Ultrasonic therapy. Dots :1. Don't run on concrete surfaces. I hope this information is helpful to you. Take care and have a nice day :) |
I had sex 2 times the same night, we always use a condom and withdrawal, also the first time i used spermicide, but not the second time (about 2hours later). The thing is the condom broke just before he came and get out, and the tip of the condom was inside me (i was able to get it out). Im wondering about pregnancy chances, ive just finished my period 1 day earlier and it started 1 week ago, my month is about 26-28 days. My dr is away, but she told me to stay away from the morning after pill because i took it like 4 months ago and im waiting my body to stabilize so i can get implanon without affecting my body.Thank you so much, im very worry because i dont wanna mess with my body an my dr is not around. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi and welcome to Chat Doctor. I thank you for posting your query here and I'm definitely going to help you out. I am really sorry for your state but here I'm to tell confidently that you will not be pregnant, do not worry. Furthermore, I being a surgeon, we encounter so many such cases day in and day out. Furthermore, I read your question completely and have understood it well enough. Furthermore, I will analyze all your points below. 1. You had unprotected sex 2 times and you used spermicides too. Well, that itself tells you. There's no chance of pregnancy with the use of spermicidal agents. And even though you didn't use for 2nd time, it's effective. 2. Condom breakage is the most common problem encountered. But reading, your menstrual cycles I can say with certainty that you are safe.! 3. One day earlier completing periods again is the most important history. Generally, ovulation occurs 14 days after completion of periods. Especially in your 26 to 28 day cycle. So 100% there's no chance of ovulation and hence pregnancy even if he had ejaculated completely into your vagina! 4. No need for any kind of pill. Just chill and be happy. 5. And convey my regards to your doctor too. Hope this helps, in case you need any further assistance, please let me know... Take care and be happy. God bless you. |
back in november I had come down with flu like symptoms, diahrreah, nausea, vomiting and fatigue! Ihad been working and relapsed in december! I went to see my doctor and he had put me on 10 500mg pills of levaquin and nexium and 2 weeks of rest! he had drawn more blood and my wbc was at 15.4 and my vitain d levels down to 16! he sent me to a hematologist and the hematologist said it was propably a viral infection and he couldn,t do anything and it would propably take me another month to recover and my wbc should be back down to normal! He drew 2 vials of blood! A week later I had to see my doctor again and my wbc count was still at 14.3 nd my nuerophils were at 12.8! My doctor drew a vial of blood and my wbc was at 13,000, i asked after a month and a half of resting why it had taken so long to drop and he said the cells were reacting to something! 2 small nodules were found in my right lung, one 5mm and one 2.5 mm! I saw 2 respiratory specialists and they said they were to small to cause an illness and were to small to do anything with! My mother had one 5mm nodule in her lung and some years later it turned malignant! I still get fatigued and at times feel like I am coming down with a cold! What could I have caught and could more have been done? | If you are a doctor, please answer the medical questions based on the patient's description. | HiT hanks posting on ChatDoctorViral infections may give you the symptoms you describe. However, viral infections may not have any particular treatment and symptomatic treatment/rest and healthy diet will do. The small nodules may pose no problem yet but should not however be neglected. It could just be reaction lymph nodes if mediastinal. A past history of lung cancer in your mother predisposes you to developing it but It's still too early to conclude as other arguments will be needed to diagnose. A CT scan or MRI may help. I will suggest you get closer to your lung specialist for regular follow-up. Hope my answer will help you Best regards |
Hi Dr,My question is the following... I ve had a chronic cough and suffer from an almost constant runny nose, and sometimes feeling that my nose is clogged. Last year the cough symptoms started to worsen and they were daily, often several times a day. The doctor put me on Seretide (salmeterol) for a couple of months this year and the cough absolutely disappeared. Since the first dosis and throughout the months that I took it, I didn t have a single cough attack. My question is: a cough that reacts to asthma meds, is necessarily asthma?? or can a sinus cough or GERD cough react to asthma meds??Thanks a lot! | 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. I would like to answer your queries as follows:1. Sinusitis, HERD and asthma are all internally linked. Both sinusitis and HERD can aggravate asthma symptoms. If one can control sinusitis and HERD, ones asthma control very much improved.2. So if you have sinus, and your cough has responded to Sere tide (Albuterol), I would suggest you to treat sinusitis well. Were I treating you, I would prescribe you montelukast and levocetirizine/cetirizine for at least 4 weeks. I would also suggest you daily steam inhalation and nasal irrigation with nasal saline spray.3. HERD cough may not improve with Sere tide (Albuterol) type of asthma medications alone. But if you have HERD, 6-8 weeks of antacids will treat HERD as well as HERD related asthma symptoms.4. In addition, I would suggest you avoidance of exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke. 5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will help you additionally. Hope above suggestions will be helpful to you and solves your queries. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards. |
my grandmother has been admitted into a hospital for cellulitis and doctor found out she has a enlarged heart, however she already has highblood pressure also is diabetic which she dose take Meds for she s had a couple of heart attacks in the past about 2 decades ago pluse I believe 1stroke, after all she has been through she is very alert, she walk, bathes her self, and still shows to be very strong, she s is early 80 s of age, I know she s still alive and shows to be well with it be cause her faith in God through our Lord and Savior Jesus Christ, however I just wanted to get some info of the enlarged heart with skipping heart beats situation.. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Welcome to Chat Doctor. I understand your concern. First, I would like to recommend some tests for this diagnosis. It would be reasonable to do an echocardiogram, to assess the movement of heart muscle, to confirm or exclude a recent or remote heart attack as the main cause for this heart enlargement, as well as to assess the functionality of the heart valves. Furthermore, I would recommend a series of blood tests, such as cholesterol, triglycerides, renal function tests, liver function tests and electrolytes. From the symptoms and fitness you describe, she is probably in heart failure, class II of the NYH (New York Heart Association) classification system. Since the damage to the heart is now factual, I would recommend starting her on treatment with furosemide (Las ix) 40 mg x 1 tb/d and April 2.5 mg x 2 tb/d. If April is counterindicated, then she can start on losartan 25 mg x 2 tb/d. This is added therapy, while I assume she is on proper medications for established diagnoses. Also, I would recommend that she should a diet free of salt. About the skipped heartbeats, she should be put on a 24-hour Holder rhythm monitor, to establish if these events are dangerous and how often they happen during a day. Then, you can consult her cardiologist whether to start also on amiodarone 200 mg x 1 tb/d, or not. I hope I was helpful with my answer. Take care. |
Ever since I was a child I have had tics, and they have become worse the older I have gotten (I am now 33). I have been to a doctor one time for Obsessive-Compulsive Disorder, and was prescribed an SSRI that lessened the compulsions and tics, but caused me to have anxiety attacks . I stopped the medication and never went back. The problem now is that along with the tics and the Obsessive- Compulsive behavior , suddenly my head has occasionally been involuntarily jerking to the right so hard that it causes severe nerve pain in the left side of my neck that goes away after a few minutes. The pain is so intense at first that it causes me to cry out. The other tics are nearly constant, and occur more frequently with any kind of stress . They are rhythmic drawing of the letter x on each of my fingers with my thumbnail, flexing of the muscles in the back of my thighs in a specific order, and blinking. Those I can live with, but the sudden, violent head-jerking is causing me some concern (not to mention it is VERY painful). Could all these tics be associated with OCD or is there a possibility that they are caused by some other condition? Thank you so much for your help. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello amweeks1202Welcome to Chat Doctor The tics like sudden blinking of eyes, flexing the muscles of thigh, Chat Doctor. Are associated with OCD. In most of the cases of tic disorder symptoms of OCD are found. The sudden jerking of head to a particular side is also a part of OCD and tic disorder. SSRI medicines like fluoxetine, paroxetine, fluoxetine etc. are very good medicines for OCD as well as tics. OCD is a disorder of anxiety disorder spectrum. Any SSRI medicine when taken, during initial phase of therapy causes rebound increase in anxiety and this is the only reason you stopped to take medicines. The anxiety usually last for few days only. Over all the SSRI are very good medicine and are effective in OCD as well as Tic Disorder. So don't afraid of anxiety, visit your psychiatrist again and start medicines again for proper relief. Thankstake care |
sir,i am a paralisis patient from last 7 year of left side 100% and i am now 90% right and i take regurly medicine since last 7years my medicie name is colipab a 150mg ,tozar50mg, reciper d ,reciper 40mg,velprol cr 300mg,pregabid 75,warf 2mg, rosuvas 5mg, and bicosul z . plzz tell me medicine is right or not and also tell me the future for this. shyamlalgarg | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query think your medications are normal for any patient of stroke. By the medications, you must have had an embolic stroke of left MCA territory (probably) associated with atrial fibrillation. The only medication I think your neurologist may reconsider is Velcro Cr. But since I don't know the exact diagnosis (the above is just an estimate), I think he will be the right person to decide on that. As for the future prognosis, it seems you have already improved quite a bit- 90% in the right limb (that I am assuming was the affected limb). You need to continue the physiotherapy exercise that you may have been told about. They will help you improve. For a more complete advise, I will need to have a look at the MRI film of the episode. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. Chat Doctor. Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida |
My son has been a chronic asthmatic for 17 years, since age 1 and has allergies as well. He has always managed with daily dosages of his inhaler and is now on Advair. However, the past few times that he has been checked the doctor said that he has no asthma symptoms; at the time the doctor checked him he was not feeling asthmatic. After questionning him about his stress levels, the doc insists that its not asthma and diagnosed him with anxiety and gave him sleeping pills and some other anxiety drugs. Yes, my son has stress. He is the valedictorian of his class and is entering college next fall as a freshman pre-med. But, he always seems to handle his stress well in my opinion. He is sometimes agitated, but arent all teens? Hes a great kid, and works hard and takes time off for tennis and fun. Now, my question is this: He continues to have asthmatic symptoms; sometimes with wheezing and sometimes there is no wheezing but shortness of breath. He almost passed out during a tennis match today. and this evening he said that his chest feels tight and he has shortness of breath ...now should I take him to a specialist or a psychiatrist ? The doc said that I would be wasting my time going to a specialist. | If you are a doctor, please answer the medical questions based on the patient's description. | Hie, i am a patient of same thing,I have been a patient OGF seasonal bronchitis since the time I was 5 years of age,now I am 21.however since last 1.5 years,I have developed signs of permanent asthma, i should rather consider it as peculiar asthma, i am normal most of the time by taking a tablet of MONTE LC(MONTELUKAST, LEAVOCITRIZINE)daily, however in the absence of my taking the tablet, i fall short of breathing badly,even doctors sometimes fail to find asthmatic symptoms in me most of the times,though when i DNT eat the tablet I feel terribly under respiratory stress and within an hour of taking the tablet, i get perfectly fine, please contact me at [email protected] to further discuss your son's problem as I find it somewhat related to mine. |
im 22yrs old 3 yrs back i was advised by a doctor to take orofer xt over dose (ferrous abscorbate) since i was anemic it was wen i was 18 or 19 and i took it for 1 year or so at that time i felt fresh, healthy and refreshed everyday by taking it even though i dont take much healthy food and there wer drastic change in my complexion also from wheatish to fairer skin , clear and glowing skin.after some days i found dat its not necessary to continue any more and stoped it. and there was a reverse swing in my life and worsened my situation dat i have turned fully dark after a couple of month of discontinuation. and also with gradual develpoment of marks, scars, dark spots and allergies. i m suffering from more than 2 yrs. i consulted few doctors who adviced me to take certain tablets like zifi 200mg and many more with made no help but just worsening it more and more but then i just got rid off itching. later my cousins advice me to get a try through herbal remedies like taking aloe vera juice and amla juice which are also free from side effects . i took it for a 3 months or so its been just ok and helped in little reduction. but then stil i suffer from dark complextion, marks ,scars etc stil i didnt get my normal skin colour as earlier. im depressed and losing confidence in myself because i still suffer from those problems please advice | If you are a doctor, please answer the medical questions based on the patient's description. | Dear Nisha, Can understand THS unusual problem, you can continue having Aloe Vera & AMLA juice as they health foods. But can not affect your condition. You can start some classical Ayurveda medicine. Gandhi Malayan 2 tabletSarivadyasava 10 ml with 40 ml water Manjishthadi 10 ml with 40 ml water all above-mentioned after lunch & dinner apart from it Tab Toxins 1 tab twice a day (product of Sami labs) Ayurvedic or herbal facepack Red Sandal of Kudos farmhouse Sun scream 30 SPF + Can safely go Himalaya/VLCC production not feasible to take above-mentioned medicine, safely take Debut blood purifier easily |
Hi,I have a small bartholin cyst that appears to be inflamed and a little swollen. It doesnt hurt and I have no fever and no other symptoms. I have been treating it with warm compresses and Polysporin twice a day, but it still looks the same. My Drs appt is only 10 days from now and I am a little concerned about waiting so long. Is there anything else over the counter that I can use to treat it while I wait for my appt.?Thanks in advance for your help.Dina | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Dina, Thank you for posting your query through Chat Doctor. I am a Homeopath and my answer may appear strange for you. Is it the first instance you are getting it, or you had several episodes of Bartholdi cysts in the past ? If you had them earlier, I hope they got resolved by themselves. In that case why don't you wait for the cyst to get resolved by itself? If they got resolved by themselves, it means, your body is healthy enough and knows how to resolve it even at this instance. If this is the first instance you got one and no past history, then also it is now in a compromised state. Because there is no much hurting and no fever at all. But if it is because of the Polypoid, then it is a suppression of the natural inflammatory process and that may be why it does not hurt. In that case, there is more chance of recurrences in the future. Body needs a constitutional support to improve the immunity and control the inflammation. This constitutional support is best done by Homeopathic treatment. But if you are taking HomoeopatChatDoctorethod, you should stop applying Polypoid externally. Then by the right constitutional method of Homeopathic treatment, not only the present cyst will be cured with disappearance of the swelling, but also you will develop immunity so that no occurrences of Bartholdi cysts will take place in the future. Therefore, you are advised to approach an expert Homeopath or to get back to me with your details through the premium follow-up question facility of Chat Doctor. With Best Wishes, Chat Doctor. J. VargheseHomoeopath |
I am suffering from Acute hepatitis B with symptoms shown in Dec 2009. My Bilirubin went as high as 14 and SGPT went as high as 1385. Now in the month of Feb 2010 all has become normal. My bilirubin as on March 2010 was 0.9. But HbsAg is weakly reactive (2.34) & it has not got eliminated. When can it be eliminated or Is there any chance of converting this Acute HVB to Chronic HVB. My age is 32 years | If you are a doctor, please answer the medical questions based on the patient's description. | Hi I read your question thoroughly. HBV infection has many outcomes: In the majority of patients(approximately 80 to 90 %) human immunity will eradicate the infection. In which case serology tests will only show Anti-bug and Anti Head(Egg). Normal it takes 5 to 6 months for the immunity of human body to eradicate Bag from the blood. So in your case you still need to wait 2 to 3 months to see if your infection gets completely eradicated or not. So, regular follow up with serology tests for Bag and Anti-bug is strongly advised. In a minority of patients(approximately 5 to 10 %) it may get converted into chronic infection. In which case there are two possibilities: 1) The infection might develop into a chronic carrier transmissible disease(Anti HbeAg-IgM and Bag +ve in blood) in which case there is high replication of virus, and it causes damage to the liver, therefore, it has to be considered for further evaluation that is repeating the tests such as Alt(SGPT) levels and a PCR for HBV DNA and a liver biopsy(in selective cases). Depending on the outcomes of the mentioned tests, treatment can be considered for a duration of 1-year.2) The infection might develop into a chronic carrier non-transmissible disease(Anti Beagling and Bag +ve in blood) in which case there is low replication of virus, and it causes minimal or no damage to the liver, however, it should also be followed with regular tests such as ALT(SGPT) levels and viral load(PCR) for HBV DNA. Mostly in this scenario treatment is not often required. I hope you find this helpful. Regards |
I am a 31 year old female, I have had sinusses for the past few years and normally they get so bad that I have to take grandpa to correct the pain. I have been on antibiotics before although it keeps coming back. I am currently really worried about it because I cough up alot of phlem. It always feel asif I have to clean my throat. I also had a lump on my inner thigh For wich I got antibiotics as well as medication to thin my blood. Since the antibiotics the lump has gone down. The swelling is down and the redness is gone. It doesnt hurt as much and the pain is going away. A couple of months ago I started having severe pain in my upper right back shoulder. Went to the GP quit a couple of times although they felt that there was nothing wrong with me. Did only regular check ups and blood tests. Since then I went to a Phisiotherapist and that really helped alot. The pain in my back is much better. I sometimes feel as if i am paranoid and stressed out about everything. I constantly worry about my health. I drink garlic everynight and cinnamon every morning. If i feel a tingle in my body I stress about it. I dont know if some of my conditions and symptoms are commonly just because i think about it all day. For example, i know i have bad sinusses and a constant drip but when I cough up phlem it feels like I start to think that maybe I have lung cancer. This is not normal and I dont know how to react. i just wanna know everything is fine. Ive got my own bussiness. Two little ones and my husband works in Tanzania, so I am alone most of the time. Can all of this contribute to my feelings. Is there anything that you feel is to worry about. | If you are a doctor, please answer the medical questions based on the patient's description. | Welcome to Chat Doctor Some of your physical problems are genuine. However, Sinus pain, Shoulder pain and lump, all are treatable. I think Chronic/ongoing symptoms might be causing some stress leading for anxiety and paranoid symptoms. You better consult GP frequently and get assurance. That will boost up your confidence. If that does not work, you need to consult Physiologist and get cognitive behavioral therapy. |
hi i recently had to have a echo done on my heart because it was enlarged should i be worried? i stay tired all of the time also but they put me on vitiam d to take because it was low. also suppose to be getting a surgery done soon for a colonocoptcy and the part where they go down your throat also in same day is that a bad procedure and are you out im kinsda scared | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! Thank you for contacting on Chat Doctor! Regarding your concern, I would explain that an enlarged heart (ventricle(s)); that is a dilated cardiomyopathy, may be a final natural conclusion of several pathological processes involving the heart (valvular, ischemic, myocardial, infectious, etc. disorders). When dealing with the evaluation of a dilated cardiomyopathy, the two main issues to consider are: (1) severity of cardiac function impairment in terms of abnormal LV ejection fraction lowering, and adverse ventricular myocardial remodeling, and (2) persistence of etiological factor and its triggered pathological processes. The main goal to achieve in a dilated cardiomyopathy are:(a) To completely relieve (if possible) the etiological triggering factor, (b) Impede as much as possible pathological myocardial remodeling, thus stopping further dilation, (c) Preventing potential cardiac and systemic complications derived by dilated cardiomyopathy (clinical signs and symptoms of heart failure, like congestion, excess fatigue, several arrhythmias, etc.). Facing your actual condition, you need to discuss with your cardiologist about possible triggering factors of actual cardiomyopathy (in order to avoid them)., and to implement an ongoing therapy as you demonstrate heart failure symptomatology (fatigue, etc.). Regarding the interventional digestive procedure, I would explain that though you have a dilated cardiomyopathy, there are no contraindications for colonoscopy, as far as you have implemented an appropriate management strategy for heart failure. These diagnostic procedures AR performed through a light sedation, which is not harmful for the heart. So I recommend discussing with your cardiologist about the above-mentioned issues. Hope to have been helpful! Greetings! |
last night my daughter mention there is some marks behind my knee then i saw in mirror it was dark purple veins behind knee,i want to ask what is the reason of purple veins and is it dangerous.my age is 36,I had preclamsia in first pregnancy other two are normal in third pregnancy Ihad heart pulptation ,heart rate was quit high it was 260 hospital had given me treatment in emergency,i was get pregnant in january of this year ,but i had terminate this pregnancy in fouth week after seven week of termination I got period then i started to eat contraception pill levlen ed ihave finished ful one and second one more then half then i wasn,t feeling good then i stopped it during this pill i was feeling high pulptation again.after stopping pill i got period after two days after that now i saw purple veins behind knee of left leg is dark and right leg is little bit light.I saw my GP for heart rate but he had recommend to see cadialogist,iam worried about all this situation,could you help me | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Veins are normally purple and are visible normally in some individuals due to being superficial. So doesn't look like a matter of worry. For your high heart rate, we need to find out the cause because it can be simple anxiety and can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. |
My son, who is 33 years old, has been suffering from intermittent epileptic seizures (TONIC) with certain psychotic problems like low self-confidence, poor concentration and dis-interest in work , non-socialization, rare but sudden bursts of anger etc. From September, 1998 to July, 2011, he had in all 43 irregular seizures. He has been on different medicines for cure since 1998 itself as per different neurologists advice in the order given- DILANTIN-100+100mg/day ( 1 seizure in 1 year intake during 1998-99); TEGRETOL-100+100mg / d ( 2 in 4 months - 1999); ZEPTOL- 200+200 mg / d (30 in 2 yrs -1999-2001); EPILAX CHRONO 700+700 mg / d ( 3 in 4 yrs- 2002-2006); DEPAKOTE -500+500mg / d (NIL in 8 months-2007); TORVATE -500+500 mg/d +T.EPTOIN-100mg/d (7 in 4 yrs-2008-11). 20% of the seizures were due to non-intake of medicine for a day or two and rest may be due to non-suitability or inadequate dosage of medicines taken. presently he is on EPILAX CHRONO -500+500 mg / d +RISDONE-1 mg/d+NEXITO-5 mg/d from July, 2011. Today, ie on 16-4-2012 he is on severe tonic seizure twice at 1.30 AM and 5.30AM. Advice sought to do what immediately. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Thanks for using Chat Doctor .com From the details provided it looks to me like he is suffering from pseudo-medically refractory epilepsy along with psychosis and depression. I call it pseudo because of the inadequate dose and poor compliance with the medications. Other causes for recurrent seizures are sleep deprivation and wrong selection of medications for the type of epilepsy. I recommend you to see an Epidemiologist for classification of epilepsy and then to choose right medicine for the type of epilepsy. Inspire of this he remains refractory with good Chat Doctor. Sincerely, |
i had 3 sfa m/c/s investigations test for fertility 1st result was ph 8.0 morphology normal 50% abnormal 50% motility active 40%, sluggish 30% dead 30% progression- active 40% dead 60% count = less than 1 x 1000000 moderate growth of streptococcus sensitivty- ciprofloxacin, rocephin,zinaccef, levofloxacin , gentamycin etc after treatment with ciprotab and multivitamins 2 months later the test result was ph 8.0 morphology normal 45% abnormal 55% motility active 30%, sluggish 15% dead 55% progression- active 30% dead 70% count = 10.4 x 1000000 no bacteria growth. then i was taking a lot of cac1000 daily to boost sperm count including daily cold water baths, good nutrition , less stress work etc, then took another test 1month later expecting a higher sperm count. the result was morphology normal 55% abnormal 45% motility active 35%, sluggish 40% dead 25% progression- active 35% dead 65% count = 3.4million moderate growth of staphylococcus auerus sensitivty- gentamycin ciprofloxacin, perfloxacin etc after treatment with ciprotab and multivitamins what can i do to increase sperm count, what is the cause of the growth of bacteria in sperm, what are the chances of fertility and the best options in view of the test results. thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello;welcome to Chat Doctor You have got quite a big amount of dead sperms in your semen and the reason can be pollution;smoking;alcohol;tobacco or any other habit;very hot working conditions so see if you are having any of these issues and try to stop smoking or any other bad habit. As for the bacteria growth it is infection and the sensitivity means that the indicated antibiotic is better suited to treat the infection you have. So get treated and after the infection is treated the doctor may give you anti oxidant medicines like lycopene;co enzyme Q10 ;carnitine etc. to improve the sperm condition. Please follow the doctors' advice. Thanks |
Hi, may I answer your health queries right now ? Please type your query here. .. my friend has diffuclty in breathing in past he had asma now thats getting better but still has difficult breathing doctors said has enlargment of nasal cartilages and gave him cortisone injection once every 3 months i want to know wether this treatment is right and whats the side effects of cortisone? | 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 friends history and would like to know more about him like - what is his age? Since what age did he have asthma? What is the frequency of his asthma symptoms? What are his nose symptoms - nasal congestion, running nose, sneezing, etc.? Does he have headaches or facial pains? Does he have recurrent throat problems? Does he have any other medical condition? Does he smoke or is he exposed to air pollution/dusts/smoke? From your given history, I would like to make following suggestions for him:1. Were I treating him, I would suggest him regular montelukast. In addition to that, inhalers and nasal sprays can be decided after knowing his symptoms in detail.2. I would suggest him allergy testing which will help him to know the substances causing troubles to him and also to know how to avoid them. Based on the report, an Allergist-Immunologist may prescribe him allergen specific immunotherapy which may work on his immune system to gradually improve allergy symptoms.3. I would also suggest him regular breathing exercises and avoidance of smokes/dusts/air pollution as much as possible.4. A healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help him in a long run.5. Regarding side effects of cortisone, it is a corticosteroid. So prolonged, repeated use can cause many side effects like gastritis, hypertension, diabetes, weight gain, cataract, glaucoma, etc. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish your friend the best of the health. Thank you & Regards. |
hi.....I stayed with my friend last night for black friday. Ever since he awoke from his thanksgiving nap he has not been himself. He has become angry, irrational, forgot things he just did (i.e) he just bought a $400 tv and cant remember buying it. I took him to lunch earlier, and his eyes were wandering around, and he was dozing. I got him a coke STAT because since he hadnt eaten in so long I thought his bs might be really low. He is only 32...and he is on HBP meds, even though he is not overweight.....no other medical conditions to speak of. He hooked up my new computer, and doesnt remember anything about it. His mom just called me frantically because he threw her out of his room. is swearing, and completely dilerious to almost everything. He did pop in and out of it a few times today......I told his mom he needs to go to the ER NOW since this has obviously progressed. She said no, because he doesnt have insurance. But I KNOW this is not his normal self. I did take his BP and it was fine. No other sx.....except just looking kind of blank and confused. What are the possibilities.....he obviously needs bloodwork and a CT or MRI. NOT GOOD!!!!! Any suggestions as to a possible problem? | If you are a doctor, please answer the medical questions based on the patient's description. | Degree understand your concerns went through your description. From the given symptoms, I can clearly see low self-confidence and low self-esteem. You should know the reason. Are you expecting more? Are you expecting more than what is your worth? If you are average and expecting to score 90%, may disappoint you. Trying to do a job which you do not like at all can also disappoint you. These disappointments together irritate you and you automatically become short-tempered. Please understand you and your abilities. Act accordingly. Do not underestimate you. Do not try to see problems within you. Disappointment in life do create these symptoms and these are momentary. You should be able to overcome these within a month. If you want more of my services, please post a direct query to me in this website. Hope this answers your query. Available for further clarifications. Good luck. |
On June 11th I was getting in my bfs truck and standing on the running board and he accelerated then slammed on the brakes a few times until I fell off onto the ground. I obviously hit my head because I had a fist size lump on it,,,I dont remember the fall but some friends saw it so I dont really know if I lost consiousness, Today is the first day that the muscles in the front/side of my neck dont kill me but my head is still very tender and there is still a lump although not big. I have a constant headache that is actually worse looking at this screen. Do I need to see a doctor or continue babying it at home? | If you are a doctor, please answer the medical questions based on the patient's description. | HI THANKS FOR POSTING YOUR HEALTH QUERY.GOING BY YOUR CLINICAL HISTORY, I WOULD LIKE TO TELL YOU THAT YOUR SYMPTOMS NEED FURTHER CAREFUL ASSESSMENT.HEAD INJURIES IN NO CASE HAVE TO BE NEGLECTED OR MISSED.THE WORRYING SYMPTOM IN YOUR CASE IS "CONSTANT HEADACHE".FEW HEADACHES ARISE DUE TO BLEED WITHIN THE BRAIN PARTICULARLY "EXTRAMURAL HEMATOMAS" ARE KNOWN FOR THEIR NOTORIOUS Behavior OF LATE PRESENTATION.SUCH UNATTENDED INTERNAL BLEEDS CAN BE CAUSING SERIOUS OUTCOMES OF RAISED INTRACRANIAL PRESSURE LEADING TO INTERNAL HY Chat Doctor. ALL YOU CURRENTLY NEED IS A PLAIN /NON CONTRAST CT(COMPACT TOMOGRAPHY) SCAN OF YOUR HEAD WITH BONY WINDOWS. THIS CAN QUITE ACCURATELY DETECT BLEEDS AND CAN QUANTIFY THEM AS WELL.CLOTTED BLOOD IS REMOVED THROUGH "SURGICAL BURR HOLE"IN SKULL.MEANWHILE PAINKILLERS -ANALGESICS.CAN BE OF HELP.CONSULT AN EXPERT NEUROLOGIST FOR FURTHER HELP AT THE EARLIEST.THANK YOU.TAKE CARE. |
Hi Good Evening I have speech problem while speaking in group. When i am speaking the same word alone i can speak clearly, but when i speak using same words in a group i can not speak, no matter how much i try. Also i feel very tense at that time. The particular words like agglomerates, employer, employee, h1b, extenisvely etc. Kindly help how to improve on these because this matter affect a lot to my professional carrieer | If you are a doctor, please answer the medical questions based on the patient's description. | Hi welcome to ChatDoctorI have gone through your query regarding your concern about speech problem. It is not a big problem. Speech disorders occur when an individual has difficulty communicating through speech. Patients may have difficulty pronouncing sounds, talking in a fluent rhythm, or have abnormalities in the pitch, quality, or volume of speech. Speech disorders may be serious, minor, temporary, or permanent. It is a psychological problem and if try sincerely you can overcome this. Due to some reason or the other you have lost confidence. You introspect your self and find the cause and try to remove that cause. You should not care what people think about you. Furthermore, you just move on to excel forward. Try on to improve. One day you will win, there is no doubt about As you must be aware, body and mind depend on each other. Our mental health depends on health of our body. If our body is healthy only then our brain can work well, we can think properly. Our speech is also part of our mind. & Take care of your physical health, regular exercise yoga , Panama and rest. It will enhance grace to your personality. Intake of Proper balanced diet - fiber, fruit, green leafy veges ginger, garlic, in raw form, Diet with essential nutrients - may include vitamins, minerals, herbs, amino acids &.antioxidants which is taken regularly, tend to increase resistance to body from diseases giving strength to immune system will lead to healthy successful life ahead . Avoid fried fast foods, tea coffee alcohol, mental worry anger and constipation Last but not the least, I suggest you to consult a speech therapist, He may be helpful in your problem. Hope this helps in your query. Take care All the Westmont hesitate for further query. |
I have been smoking weed fairly regularly over the past year and have also recently been diagnosed with ADD and currently take 36mg Concerta XL (methylphenidate hydrochloride) daily. I ve been told that smoking while on concerta can be very bad for me. As far as my research has taken me, many people say that from experience the two do not interact in any significant way, and as far as I know I can say the same. However, the doctor that prescribed the medicine said that the combination can make me depressed and demotivated, and give me more intense mood swings. Also, apparently concerta increases your heart rate, which I haven t really noticed until recently where I ve taken a break from smoking weed (only a week and a half so far). I skateboard every day and I ve always had an issue with sweating a lot very easily to the point where I ll look like I just came out the shower after 20 minutes of solid skating, but now my heart rate shoots up massively as well, which didn t seem to happen when I was smoking and taking the medication (even though I usually skate sober). So I m wondering if there s any information I m missing out on or if continuing to smoke weed while on concerta will be very detrimental to my health... I m aware this is a long question but I d very much like to know as much as I can because I enjoy weed immensely, but I also think the concerta benefits me a lot in many ways. Thanks for your time, a comprehensive answer would be hugely appreciated. :) | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I suggest you avoid smoking weed while on Concert. Continue to take the medications given by your treating doctor strictly according to the prescription. Forcibly smoking weed will cause interactions with Concert causing ill effects to show later in life. Profuse sweating and heart rate shooting up (palpitations) are indications that you have coronary artery disease developing. Get done lipid profile and ECG, echocardiography and stress test if needed along with MRI and CT to rule out coronary artery disease. In the meantime take boiled homemade food, stay away from stress, tension, anxiety and take adequate sleep. Hope I have answered your query. Let me know if I can assist you further. |
Hi, My name is Elliott, I am a 25 yearold man about 5 10 165-70lbs I have a slightly over active thyroid that caused my heart beat (or so I ve been told) beat extra fast, along with other issues but that is irrelevant. There was a time when it was beating at around 167bpm at rest. So the my primary doc gave me Metropolol Er Succ at 25 mg daily, and recommended me to a endocrinologist to treat my thyroid. I took a pill I believe it was called Tapazol (pardon me, I dont have the script on me at the moment) and eventually my thyroid levels went down to normal so he automatically told me to stop taking the beta blocker. I did but I still experience rapid beats periodically and slight chest pains sometimes, although not that often. And I also read that you should be weened off gently from beta blockers for health reasons depending on the specific situation, which I still consider mine to be unknown. So I took it upon myself to go back on the bblockers that I had left over because there is obviously another underlying issue. Don t get me wrong I totally respect your profession and am not trying to play doctor, but I felt they should have followed up with a cardiologist before making such a rash decision. Basically what my question is, is this gonna be detrimental to my heart, and if not how long will it take to take effect? Also, my current heart beat is about 120 bpm at rest going off me just holding my hand on my heart with a stopwatch, Is that normal? I know that alot of stuff but you can even answer one of my questions I would greatly appreciate it, Thank you so much | If you are a doctor, please answer the medical questions based on the patient's description. | Is it still irregular. If pulse rate is 120 at rest then its little higher, and you can continue metoprolol, there is no harm and keep monitoring your pulse rate at rest of at least 10 min. It should normalize after your thyroid is under control. Also test your hemoglobin I'd thyroid has normalizes. If heart rate is above 100 at rest you can continue with metoprolol and gradually taper to 12.5 mg and then stop. If you have further queries you can post. Thanks |
hi im 24 yrs old... suffering from chest and back pain in addition to this im suffering from cough, breathing problem, nose blocking, frequent cold.... doctor insisted me to take clariwin-250 for 1 week....it worked me a lot and i relief from all the above problems... but aftr stopping again started..den carried out PFT,,, den insisted me to take odimont-lc, forminide-100, neksium-40mg.... is im sffrng from asthama....if it is true..... is dis one is permanent....... | 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. Odimont-LC and Formonide-100 are used for treatment of asthma. From your complaints of nose blocking and frequent cold, I think you are also having allergic rhinitis. Asthma is a chronic disease but with proper understanding of asthma and use of asthma medications, it usually does not hamper normal activities of patients including sports and exercise. So most important thing for you is to take all the medications regularly. Asthma has so many types. Hence, I would suggest you to consult an Allergist-Immunologist who will advise you allergy testing. This will help you to know what to avoid preventing asthma symptoms. Also, he may advise you allergen immunotherapy which may modify your immune system to reduce allergy symptoms. I would also suggest you to perform regular breathing exercises & avoid dusts-smoke-air pollution as much as possible. If you have symptoms of HERD (gastroesophageal reflux disease) like regurgitation of food after heavy/spicy meal, burning in chest, nausea, vomiting, etc. I would suggest you to continue a Chat Doctor. Also, please avoid heavy spicy meals, especially at evening, and try to have a relaxing brief walk after evening meals. This will help. Asthma is a dynamic disease which tends to improve and worsen over years, this depends upon type of asthma and patients lifestyle. But with proper care, I'm sure you will be able to live a normal life like most other normal persons. Hope this will be helpful to you. Wish you best of the health. Regards. |
I had a hemi-knee replacement in Feb, 2014, a lateral Vangard. i was doing well, regained my strength & RoM.I began experiencing pain below the patella when I initially would load my weight approx. 3 wks ago which has progressively increased. i had a MRI which indicated politeus tendon strain. Symptoms increased & I had a CT a few days ago which indicated a tibial plateau fx. & unstable knee component. Since my Dr. initially missed the dx, I have lost confidence in his treatment. We are limited with providers since we have Cigna & are required to utilize HCA hospitals in OKC (OUMC or OUMC of Edmond) only. I would welcome any comments & feel i must make a decision very soon re: sx. Thank you. | 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 you already had a partial knee replacement and later stages you have popliteal tendon Sprain. Also, the tibial plateau is fracture and the unstable compartment I will advise you to have another cross consultation with other or tho as this looks a more of the failure of the first partial knee replacement. Also, if you had full ROM and good mobility knee joint, certain issues shouldn't occur. But if you have applied an abnormal weight or have injured your knee then the plateau fracture can occur. Also, pre partial knee replacement and post operation how is your bone strength. Are there any changes in the DEXA scan report? This report makes a lot of sense to understand whether the partial or full knee replacement has to be taken into consideration. As the tibial plateau fracture needs an understanding and based on it the next surgical or conservative treatment plan can be decided. In a grade 1/2 degree of fracture it might not be advised to undergo any surgery but if the fracture is massive then a surgery might be needed. Also getting a full knee ROM post TKR is not the only thing in the rehabilitation process, even the muscle imbalance needs a correction to avoid stress and strain injuries to the bone. In my clinical practice such cases like yours are very uncommon and treatment will be totally symptomatic post all the parameters taken into consideration. RegardsJay In Chat Doctor. |
Hi I am 23 5 ft 7 and around 9 stone I have been suffering from stomach problems for around 6 months, in those 6 months my stomache has been in a lot of discomfort, I have been havin at least 4 bowel movements a day which i didnt have before the onset of stomach discomfort. my bowel movements are ever so slightly yellow in colour and feel kind of sticky. I also get a burning sensation throughout my whole digestive system.my stomache is always bloated. In the 6 months I have had this I have had 3 bad outbursts where I was paralysed by the pain and my stomach swelled to the point where i looked at least 6 months pregnant. I am to and from the doctors and given a different diagnosis each time-gall stones, stomache flu, IBS ect. None of which I am satisfied are the answer and im constantly dreading the next outburst. I dont have a history of any kind of stomache problems. Help! | If you are a doctor, please answer the medical questions based on the patient's description. | Hi ! Good evening. I am Chat Doctor answering your query. The first advice from me to you is to stop eating from outside completely if you do specially the fried, oily and fast food. This might be causing recurrent intestinal infection because of poor cooking hygiene. Apart from the hygiene, some food components specially in the fast food from outside may induce sensitivity to the intestinal mucosa, leading to all your symptoms which you just described. This sensitivity could be due to anything like a lactose sensitivity, and gluten sensitivity, the incidence of these disorders being underestimated in most of the places. Once intestinal infection is excluded, sensitivity to a particular component of the food can be diagnosed by gradual exclusion of that particular component from your diet. This can be well controlled by a qualified dietician and the moment that particular component is excluded, the person start feeling far better.Thus, the treatment varies from one to the other. There has to be a high index of suspicion of these not very uncommon pathology. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
Hello Docs,I am living with Sideroblastic anemia (RARS per FAB) for the past 10 years. My hemoglobin went down from a steady 6.0 to 4.0 and that was due to Revlimid. Azacytidine temporarily boosted my Hg to 11.5 in 2004, but after that, it too failed. My first doc put me on Thyroid tablets (100mcg/day) to improve my hypothyroidism. As a result of RARS, I developed secondary hemachromatosis. Mainstream medicine gave up on me.But I did NOT! I have been keeping myself updated with research on this condition and a few weeks ago stumbled upon the Fungii aspect of cancers and how Iodine is efficient in killing all pathogens including Bacteria, Virus and Fungus. I delved further into that angle and started supplementing myself with Kelp tablets, providing my body 1mg to 1.5mg of Iodine. In that past 2-3 weeks, my energy levels have improved considerably and I feel energetic throughout the day. My feet skin which was very dark now has become at least 50% lighter and I feel very lively. Interestingly, I did not have even a quarter of this energy while on Thyroid tablets all these years. I am now able to run up and down the stairs and lift heavy items like suitcases and grocery over longer distances without exhaustion.I strongly feel that this has got to do with increased Iodine intake because I am seeing this radical improvement only within the past 10-15 days. Id like to know your expert thoughts the role of Iodine in curing RARS. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi! RA-RS is an acquired or congenital disorder in the stem cell level and is a dysplasia or pre-neoplastic condition; here there is disturbance in the iron metabolism in the level of kitchen Chat Doctor. . Your treatment was going on the right way; but treating this condition would just be a chance factor or the mechanism is unknown; it could have some enhancing effect on thyroid and thereby hematopoiesis; not more than that; please see your hemato-oncologist for an open discussion ...regards! |
Dear Sir/Madame My mother was diagnosed with breast cancer end of February 2011. On september 2010 had a mammogram and an ultra sound, but didnt show anything. She is 43 years old. Her tumor had 8.5x8 cm size. She is ER-, PR-, Her2+3, grade 2. Lymps were clean on MRI, but doctor said he is touching something by hands. Her body was clean from mets, but they found a suspicious spot on her back bone, which no doctor coul be sure of what it is. They say probably it is cancer, maybe it is not, it was very small (notice that my mother had always pain on that spot, many years now). She gave the results to many doctors for diagnosis, only her oncologist believes that this spot is for sure a metastasis, but he is calling it micrometastasis. All the rest doctors said that her illness will be determined at/or after 2 years, except her oncologist who saddenly few days ago announced to us that my mother has only 2 years of life. She never had a biopsy on her bone. I m wondering how much true this can be. Can he determine by so absolut way the progression of her health? My mother has only 2 years for living? if not, whats the susrvival rate for the first 2 and 5 years? I forgot to say that my mother just finished her chemo , 4 FEK and 4 DOC plus herceptin. Her tumor cannot be found at all, zero, clinically dissapeared. She will have surgery in few weeks Thank you in advance | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, dairy have gone through your question. I can understand your concern. Your mother has breast cancer. She complete chemotherapy and now going for surgery. In general prognosis is very good. 5 year survival rate is high. But it all depends on whether she has metastatic lesion or not. If she has metastasis in bone then 5 year survival rate is very low. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health to answer. Thanks for using Chat Doctor. |
Hi My 10.5 months baby boy was suferring from cold and chest congestion and while coughing he was started vomiting. We took him to pediatrician on 9th Sep morning and doctor gave him following medicine: Augmemtin Syrup 3ML - Thrice a day Syrup Azee 100 5ML - Once a day Syrup Prospan 5ML - Trice a day From 10th Sep afternoon, he started loose motions (around 10-12) and had fever (100 F). On 11th Sep morning we again went to doctor for Loose motions and doctor changed the medicine to : Ciprolar 2ML - twice a day Septran - 4ML - Twice a day Nutrolin B - 2ML - thrice a day Prospan - Cough Crocin Drops - SOS We continued this but problem of loose motion and vomiting increased on 11th Sep afternoon, his fever rose to 103F. Seeing this doctor went for intravenous shots for antibiotics. Doctor gave antibiotics shots on 11th Sep night, 12th Sep morning and 12th Sep Night. During this period, she stopped Seprtan and Ciplorar but continued Nutrolin B and Crocin drops. She also told that from tommorow onwards (13th Sep) , we have to start regular antibiotibcs (as mentioned above) Today i.e 13th Sep morning, My son had 10 loose motions till 11:00 AM and had mild fever in the morning (100F). Medicines that i gave him since morning are: Septran, Ciplorar and Crocin drops (as he was having fever) | If you are a doctor, please answer the medical questions based on the patient's description. | Hi read your question You’re baby had loss emotion It may sometimes last for week or more U have to be patience. For losses tool u continued Antibiotic and Start syrup zinc (zirconia) 5 ml for 14 days and also continued neutron B Also start ORS power or ready made ORS If stool are loose then do stool report and consult your pediatrician asap If following is present then u have to worry about that and admit your baby1.baby is not playing and sleeping all the day 2.not passing urine for 8 to 10 hours 3. Fever of s continued for three times a day |
Sir I hv dust and smoke alerge form 7 yr but its nt asthma iam using tis medicine from 2 yr wen I feel hard to breath ill take it but oly in winters ill get tis problem in summer so..... plz giv some suggestions iam suffering much from tis but wen I take tis ill bcm free | 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 more about you like - a. what is your age? b. how frequent are your symptoms? c. What are your nose symptoms, what are your throat symptoms and what are your chest symptoms (breathing difficulty etc.) d. What are the medications you use? e. Do you have any other medical conditions? f. Do you take any other medicines frequently? Above details are necessary to help you better. However, at present, I would like to make suggestions for you from your given information as follows:1. I usually prescribe my such patients regular montelukast and levocetirizine. I also prescribe them albuterol inhaler to be used on as-and-when-needed basis.2. Furthermore, I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, insect proteins, pollen and pet dander (if you have pet). It will help you identify the substances causing allergies to you as well as to know the measures to avoid them.3. Based on allergy testing report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually works on immune system to improve allergy symptoms over a long period.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.5. Regular breathing exercise and a healthy diet rich in vitamins & minerals also would help you to improve your lung capacity and immunity respectively over a long duration. 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. |
When my daughter dances she has weakness in her legs when she is done dancing (tap) hard. She has exercise induced asthma and has braething problems as well. She uses an inhaler before she starts. What coul be the cause of this? It is very scary when it happens.She is 17 years old and weights about 140 lbs, | 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 daughters' history. I would like to know a few more details like -Does she have nose symptoms (nasal congestion, sneezing, etc.) ? Does she have breathing problems without exercise? Does she have nighttime cough? Does she have any other physical problems? However, from your given history, I would like to reply your queries as follows:1. If she has breathing problems apart from exercise, I would suggest her taking montelukast alone for at least 2-3 months.2. If she has frequent nose symptoms also, I would suggest adding regular cetirizine or levocetirizine for at least 2-3 months.3. I would personally suggest her to get allergy testing done. This will help her know what she is allergic to and how to avoid it.4. It is perfect that she is using inhaler before she starts. However, if this is not enough, I would make two suggestions: a. To take a montelukast an hour before dancing. b. To perform a brief exercise (like running) for 5-10 minutes, approximately 45-60 minutes before her dancing time. This may help her to perform dancing session more smoothly.5. For leg weakness, I would suggest you to check her hemoglobin levels, if low, they should be corrected with oral iron, folic acid and vitamin B12. 6. Were I treating her, I would also prescribe her vitamin and mineral supplements including vitamin D and calcium in form of multivitamins for 3 months.7. Personally I would also suggest her regular stretching and relaxing exercises, especially involving lower limbs. Hope above suggestions will be helpful to her. Wish her the best of the health. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards. |
hello doc I am worried becoz I felt a hard thing on my areola a pea size, I notice this for about a week now. a bit sore when touch. Do I have to remove it? I am 44 from the philippines. My doctor gave me antibiotic and anti inflammatory upon my request, bec. I dont want to remove it rightaway. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Good Morning-from INDIA. I am Chat Doctor. N.here to take of your health query from Chat Doctor virtual Clinic. Thanks for your Health-query to Chat Doctor Clinic.-I studied your query in-depth and I understood your concerns.-My opinion-this requires clinical exam as there are many reasons. But from the facts of your query-it appears to be infected Montgomerries glands of the nipple areola. Other possibilities could be-?galactose?fibrotic adenoid?perirectal adenoid -benign or malignant?-I would advise you as you don't want to remove it immediately- as follows-a-If after the antibiotics the pain/soreness goes and lump vanishes or becomes supple, then it would go of its own in 1-2 was time-as the infection of the Montgomery glands of areola subsides by that time.-b-If hardness of lump-does not reduce-You consult a Surgeon-c-who would do-CBC and would review treatment by -EXCISION BIOPSY-which would take care of the cause of it and would remove the lump itself. Advise-So if surgeon feels -Surgery may be needed. But as told above it could be treated patiently -with-a-Tb NSAIDsb-Antibiotics for infection control.c-Tb Serropeptidase-if harness takes time to recover -this may be tried for 5 days timed-If still it remains-this may need surgical excision ONLY-if it TROUBLES YOU.-e-If it does not, then you still could avoid Surgery and keep watch on it with advise from Surgeon.-Hope this would help you recover fast out of the Lump anxiety. Wellcome to Chat Doctor again for better Health and Living. |
i have astma hole my life.i am 27 years old. i did spiromery today..fvc 110%, fev1 85%, tif 67%, mef25 34 %..i was prescribed symbicort inhaler 160 mcg , 2 times a day..can u tell me is my condition to be worried and how is this inhaler going to help me? i use ventolin everyday, few times a day.. | 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 make suggestions for you as follows:1. As you need to take Ventolin (a rescue type of inhaler) almost every day, it suggests that your asthma is not well controlled. So I would agree with your doctor who prescribed you Symbicort inhaler, which is a "preventer" type of inhaler.2. Please make sure that your technique of using inhaler is perfect to ensure adequate deposition of Chat Doctor. 3. As you have asthma since young age, it is a bit worrisome, but not too much, especially your spirometry report is not that bad. Wish cautious measures, life-style changes and patience and careful use of medications, you will be able to live comfortably, in my opinion.4. As an Allergist-Immunologist, I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, pet dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.5. Based on allergy testing, an Allergist-immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms gradually.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 and antioxidants will also help you to improve your lung capacity and immunity respectively in a longer run. 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 a 32 year old married mum of 3 children,and constantly unwell,i have ibs and they say m/s but not 100% about it as i have so many different symptoms.i have had numerous mri,which show scaring on my brain and spine,lumbar puntchers which are always abnormal with to many white blood cells ,nerve tests which show my left side of my body is less sensitive to pain,i suffer from pins and needles in feet,legs,arms and hands,also pain in these aswell,pain in my face that comes and goes,constant urine infections,headaches,numbness in legs,blurred vision on and off in my right eye along with pain,memorey loss,confusion,dizzyness,lack of balance always walking into things,red blotchy palms of hands,upset one minute the angry the next,missplacing things,leaving things,panic alll the time and so much more i have seen lots of people but i just get given different medication,which lead to to lock myself away in my bedroom from jan 2010 to july2010,and its started agian but worse i have thought about ending it and know how i would do it,just sick of been ill please can you help | If you are a doctor, please answer the medical questions based on the patient's description. | Hi! I am sorry to know that you are going through these! Considering the various symptoms and the workup you have already done, it would be difficult for me to comment and advise much on the issue. It may also be a good idea to consider seeing a psychiatrist to get some help with the mood issues that apparently you have been encountering due to other health problems. Obviously, consulting regularly with the internal medicine specialist along with a neurologist may be a good idea. It is also important to see what symptoms are prevalent presently and which of those you mentioned are presently bothering you. The various symptoms at different timeline would mean different things. However, taking good diet, regular exercise, stress management, taking medications as advised (if any) and seeing the doctor as asked for follow up would help a lot in managing the issues. Please feel free to write further if you would like to specify the issues further. Take care! Wish you good health! |
Hi Doctor I was having pain in upper right abdomen since 4 days. I went for ultra sound and below is the report: Liver is enlarged in size (16.94cm). Outline is normal. There is a diffuse increase in echotexture suggestive of fatty change, grade 1. No focal lesion is seen. Portal vein and hepatic vein are normal. Intrahepatic biliary radicals are not dilated. GB is distended with anechoic lumen. Wall thickness is normal. CBD caliber is normal. Pancreas is normal in size, outline and echotexture. Spleen is normal in size (11.15cm), outline and echotexture. No focal lession is seen. Both kidneys are normal in size (Rt 10.97cm & Lt. 10.99cm), outline & echotexture. Cortico-medullary diffrentiation is maintained. No pelvicalyceal dilatation/calculus seen. No retroperitoneal lymphadenopathy / free fluid is seen. Please correlate clinically. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Mr. Nikhil, I have gone through your ultrasound report. You have mentioned that you are having right upper abdomen pain since 4 days and ultrasound showing enlarged liver with grade 1 fatty changes. Well, the liver has a capsule over it. So when the liver enlarges (hepatomegaly) the capsule stretches and this causes pain in the right upper abdomen region. Fatty changes in the liver is seen in many patients like alcoholics and also obese patients. Grade 1 fatty changes is not a big issue. You have not mentioned any other symptoms you might be having and your personal habits like alcohol intake. If you are having fever, jaundice and right upper abdomen pain, you might be having hepatitis. For that you need to get your liver function tests (LFT). Usually in such cases LFT may show elevated levels of SGPT and GOT. If your fatty changes are due to alcohol intake, then you need to give up that habit and eventually the fatty changes will revert to normal. My advice is to consult a physician immediately and get a Liver function test done. Further management depends on your LFT report. |
i am suffering from plaque psoriasis from 15 years.i am using folitrax from 3 yrs.till now i have used 640 mg of folitrax.how much folitrax to be taken in our lifespan.my age 25.weight 64kg.in between i have used acetrin 50mg for 2 months.till now it is not cured.is there any other treament.biologics are cost effective.wat z the diet to be followed.i am a veg purely.recently my total cholestrol level z low92mg/dl.HDL z 28mg/dl.LDL Z 40mg/dl | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Thank you for writing to us at Chat Doctor Psoriasis is a chronic skin condition. The patches in psoriasis are red, scaly and distributed at various body sites, predominantly extensor skin surfaces like elbows, knee and scalp. The disease has a remitting and relapsing course i.e. it may re-occur after a seemingly complete cure. Methotrexate is very effective in treating psoriasis patches. Though it is a common Chat Doctor. A liver biopsy is recommended after reaching a total cumulative dose of 1.5 grams of methotrexate, to look for any early/developing fibrotic changes in Liver. In an effort to reduce the total cumulative dose, Methotrexate can be either combined with other treatment modalities like Phototherapy, Accretion, topical modalities Or it can be alternated with other Immunosuppressive like Cyclosporin. Since you have been taking Methotrexate for 3 years now, amounting to a total cumulative dose of 640 mg, therefore, my approach in you would be to use Methotrexate judiciously i.e. either alternated with other Immunosuppressive like Cyclosporin Or combined with Phototherapy and topical treatment modalities. Biologics are newer entrants in the treatment of psoriasis. They specifically target the immune mechanisms involved in the pathogenesis of psoriasis. They are expensive but also produce long-lasting remissions. I suggest you to discuss these points in more details with your treating dermatologist. Regards |
Hello! I am a 50 year old woman with mild high blood pressure which is controlled with medication. I have recently had a MRI with and without contrast of my brain. This was ordered because I have been experiencing burning nerve pain on face, on arms, hands, legs and feet for five months (after a bout of shingles). I am currently taking 100 mg. of gabapentin twice a day for the nerve pain. This does not completely control it, but I do not like the side effects so I am trying not to increase the dosage. A previous MRI without contrast (for numbness and tingling in face two years ago) showed some possible white matter lesions in right frontal lobe. At the time, I was told that I was experiencing "silent migraines"...no pain, just numbness and tingling. This most recent MRI showed "slight progression minimal periventricular and moderate deep white matter disease since last MRI. This is nonspecific and consistent with demyelinating process, vasculitis, or chronic small vessel ischemic change." It also stated that "two new adjacent white matter lesions at the right frontal lobe centrum semiovale measuring appr. 1mm. The remainder of the white matter lesions appear relatively stable on the right. There are two new foci of T2 prolongation at the posterior aspect of the left frontal lobe deep white matter at the junction of the centrum semiovale and corona radiate also measuring on the order of 1 to 2mm."Should I be worried? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for posting your query. The MRI brain findings are non-specific and minor, and there is no need to worry about them. As your doctor suggested, they are most likely related to migraine, and the other diagnostic possibilities such as vasculitis and declination are unlikely in your case. The pain and burning are not related to MRI findings. Gabapentin dose can be gradually increased based on the relief from burning and possible side effects. If you are unable to tolerate gabapentin, then, other options include pregabalin and carbamazepine. Best wishes, Chat Doctor. |
Hi i am 22 female here, my elderly grandmother has had her third and most severe stoke and has been unconscious since. For about a week now she has been unconscious, she seems to have some psychical movement and mutters some words but the doctors and nurses say it is not a good sign that she has still not woken up. They say eventually she may starve and weaken because she is only supplied food through the liquid food attached to her and it is unhealthy to stay bed ridden for too long. Can somebody please give me a better idea on what may be wrong and how exactly a stroke works and what are the chances of her waking up considering she has some psychical movement and at times opens her eyes and just stares into the distance. Is it possible for the brain to reconstruct its self somehow? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi!! . Strokes are of 2 types - Ischemic stroke where there is obstruction to the blood flow secondary to either narrowing of blood vessels or dislodged clot obstructing the blood follow. The other form of stroke is bleeding. Symptoms of stroke depends on the area and extent of brain affected by stroke... In this sense, stroke causing unconsciousness indicates a larger/important area of the brain has been affected. Though stroke affected brain doesn't recover, clinical symptoms will improve gradually. On the contrary, other areas of the brain can also get affected due to edema and pressure effects or fresh stroke development. This can lead to worsening of the condition. Such events are common during the initial few days following a stroke. They are not so common after a week. Apart from the risks of other areas of brain getting affected, an unconscious/bedridden individuals have a higher risk of developing bed sores and infections which add to the morbidity. The progress of the illness is monitored closely through a set of parameters - Glass glow coma scale, heart rate, blood pressure and respiratory activity... The extent of recovery depends on the right choice of treatment and later the physiotherapy. Its isn't an easy task to predict the chances of recovery from this far. The doctors treating her too may face the same difficulty predicting the chances of recovery. A positive approach, right treatment and active physiotherapy are the factors enhancing recovery. My prayers and wishes to your grandmother... Regards |
I am 47 years old and having chemo for breast cancer. I have had 2 of four sessions. I seem to have the worst tast in my mouth all the time. Even after I brush and rinse, as soon as my mouth starts to salivate it gets gross. Everything I eat or drink tasts gross. Is there good home remodies out there? I did try the salt and baking powder. That did not seem to help much. According to my doctor we got all the cancer, we caught it early and the chemo is to try not to get it back. My cancer was hormone receptive so they have taken me off my hormone pills I have been on for the last 6 years. So now I not only have a gross tast in my mouth I am hot and sweaty all the time. | If you are a doctor, please answer the medical questions based on the patient's description. | Greetings madam. Its unfortunate that you are being suffering from Breast cancer and on Chemotherapy. Nobody can prevent it until & otherwise detected by regular screening at Hospital / Breast Examination(either Self at home/ healthcare professional at hospital). So Don't worry & create yourself unwanted disturbance to your mind. Just Relax & divert your activity apart from thinking about that as treatment process is going on & it takes care of the condition. Then now coming to your problem, all chemotherapy have those side effects & It's difficult to avoid that. I would like you to follow certain instruction as home remedial measure which are as follows: For increase sweat:→ Have only Cold showers while bath and avoid to the maximum a hot shower.→ Maintain your personal hygiene & use proper soaps.→ Excess Sweat are due to hormonal fluctuations of medication & to avoid that Chat Doctor. , minimum 8 glasses/ day preferably boiled water. For Bad taste in mouth:→ Eat things like Salads, boiled vegetable curry, fruits, Soups or what ever nutritious food you like more, which provide you energy for combating your problem & never starve to make condition worse.→ To avoid bad breath, i advice you to use mouthwash (containing provide iodine) 3 times/day. If that taste of mouthwash is not ok for your try out Mouthwash containing Chlorhexidine. → Take other medication as prescribed by your doctor. Hope I tried my best & helped you. |
Sir, I am Debasis from Jammu. Me and one of my friend are taking care of some street dogs in our colony. Two months back three puppies died suddenly within two days, probably because of dummy rabies. We were feeding them and taking care of them at that time. Though they had not bitten us ever, for the precautionary measure, we took 3 shots of anti-rabbies vaccine (Rabipur) at that time in May, 2017. Now in july, another 3 puppies came and one of which bitten by an unknown dog and is now suffering with symptoms of rabies. We had also vaccinated that puppy 3 doses before two weeks. But unfortunately, the symptoms of rabies appeared again in that puppy. Yesterday, we also injected that puppy the fourth dose (14th day). But she was suffering badly with symptoms of rabies and was crying since last 2 days. Today, we gave her an injection for mercy killing and disposed out that puppy by packing it in bio-hazard safety poly bag. Sir, my question is: Though me and my friend were taking care of that puppy, should we take the antirabbies vaccine again? None of the dogs have bitten us and we are already vaccinated (3 shots of Rabipur) two months back. We were in confusion that if that puppy s saliva would have come in contact with any of our body parts, are we at risk? Both of us don t have any remarkable wounds in our body and we usually clean our hands with dettol/savlon each time we handle them. Kindly guide me. Thanking you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi I do care for your concern. 1) mere handling of dogs, does not spread rabies. 2) dog handlers are advised to have pre exposure prophylaxis(vaccine) which you have taken. 3) since you are sure that there are no licks and no abrasion in skin, there is no need to take additional dosage of vaccine. 4) regarding pre exposure prophylaxis It's advisable to take booster dose after three to five years. Hence in your case additional dosage may not be needed. Hope I have answered your doubt. If you have more feel free to ask. Thank you. |
My Father had the whipple surgery done last July for Pancreatic Cancer.Upon completion of the surgery the Dr. said it had gone to 2 of his lymph nodes which were removed as well during the surgery. He qualified to be in a Pancreatic Cancer research study.In arm 1 he received 5 months of chemo. (3 weeks on once a week then 1 week off ) He successfully completed arm 1 and then was randomized again after his labs and ct scan came back good and was placed in arm 3 of the study which consisted of 1 more month of chemo.He completed his last cycle at the end of February. He went back for a cat scan and his blood work at the end of April. The results of the ct scan where good-no signs of the tumor returning. However the Dr. was extremely alarmed by his ca19-9; labs. The number was 352. I myself just kinda went numb at the time as did my Dad. I just couldnt think. Now that i have had a chance to try to take all of this in, i realize more than likely it has returned. Dads Dr. has been straight forward from the beginning. He didnt mince words. and said the cancer would return, it was just a matter of when. My question is could there still be an option of Radiation Therapy since my Dad was not selected for that treatment in the research study? His only complaint now is how tired he is, and unfortunately that is how all this started. I take my Dad back to the Dr. on June 4th.Please help guide me in the questions i should ask no matter how hard they may be. I need to understand as much as I can to help my Dad understand. (he is 83 years old) Your response is appreciated.Sincerely,Laura Mitchell | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, The treatment of pancreatic cancer is evolving day by day. For this reason your father is treated in a clinical trial setting. Adjuvant treatment of pancreatic cancer is chemotherapy and radiotherapy. But chemotherapy alone can also be given by different schedule. That depends on the study protocol. At present no scope of radiation therapy that may be considered if loco regional recurrence. Do not worry follow your doctors advise. |
i have had late diagnosed asthma 30 yrs old - recently i have been having very bad allergic reactions - couching consistaly , runny nose , producing sticky clear sputum . raised eosinophils 2.5 x 10*9L going on for a year. 3 years ago i had polyps removed from my nose, had very bad sinusitis and produced green nasal discharge. I use flixonase. i have been treated for a fungal lung infection twice. symptoms re-occur after about 10 days when treatment complete.i am constantly wheezing, unable to walk up one flight of stairs 14 steps without having to rest and use ventolin inhaler. My peak flow has always been good - swam competitavly until 20yrs and15 and 800 meter runner, was 500ml now 300 and one episode where 150. o2 stauration 95% sometime slightly lower. have recently needed to use inhalers x 4 times 2 puffs ventolin and symbacort. i am worrried that somthing else may be wrong. My sputum was mucopurulent when tested.thankyou for any insight i will be seing my dr in 2 weeks y | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Thank you for writing to us at Chat Doctor. The based eosinophil count, constant rhinitis (runny nose), mucopurulent discharge does suggest an allergic rhinosinusitis. A fungal rhinosinusitis needs to be excluded. I am certain you had allergy testing of some sort, either specific IGE blood test or skin prick tests. If you have not had any allergy testing, it is important that the triggers are identified so avoidance, optimal medical treatment and or immunotherapy will help control the allergy. It is also important that immune deficiency (antibody deficiency) is excluded with serum immunoglobulins, functional antibody levels. A sweat test may be indicated depending on chest findings (i.e., if there is lung scarring or bronchiectasis) then yes, the test is indicated. Your asthma needs to be optimally treated witChatDoctorbination inhalers. Please consult the online Asthma Control test (ACT) to see your current status. Best Wishes. |
Hi....I have a big question we had intercourse she is not on any birth control.i just want to know what is the chances of her getting pregnant ?we were both standing up and i never came it only lasted for like 3 minutes because we were afraid of being caught please help..... | If you are a doctor, please answer the medical questions based on the patient's description. | Hello sir...thanks for trusting the Chat Doctor doctors for your health related queries. I guess your concern is about.chances of getting pregnant after unprotected sex.right.my answer is- YES, there are chances of getting pregnant after unprotected sex, if you are not taking any precautions like-1. Condom2. I-pill within 72 hours of unprotected sex.3. Male partner ejaculating outside the vagina.4. If unprotected sex Will happens in the safe period(which is first from 1st to 9th day of cycle).u haven't taken all these precautions which described above. So in your case there is CHANCE OF GETTING PREGNANT. DON'T WORRY.RELAX.every problem has a solution...with the above small discussion u can try out my suggestions-1.from the time u have done unprotected sex,calculate it, if still 72 hours has not been completed u can go for I pill...2.do urinary pregnancy test, tis test kit is easily available in medical store at affordable prices, buy it, ask your girl to do it herself,,, if it is negative then nothing to worry...this is only temporary relief,,,2. If its positive, then rush to nearby gynecologist. He/she can help u.3.if negative also still I insist on visiting a nearby gynecologist for further help.4.ask your girl when she is getting her menses.in next month if she gets her menses on expected date or 3-4days after expected date then she is not pregnant,,,I hope this info was informative enough, useful n helpful for your query.regards: Chat Doctor. .(first of all this unprotected sex keeps bugging in mind among couples...besides this u haven't taken any precautions,,,that has doubled your tension,,,I can understand your psychology....but don't take tension...every guy goes through this stage.) |
I have been diagnosed with a right-side L4/L5 herniated disc. I ve had a sharp and persistent pain for about four months; a sharp pain which shoots down my leg and causes a numbing effect (in the leg/foot) due to sciatica. Bending backwards far enough also causes pain in my right lumbar area. Once I m fatigued, it becomes extremely difficult to walk and stand up straight. I ve noticed that my body tries to compensate my body-weight by shifting to the left (away from the right side) making me look crooked. I can t sit comfortably or for a prolonged period of time. The pain is most severe in the mornings upon awakening; my back becomes stiff and and the pain in my right lumbar is usually what wakes me up. I ve been treated with two epidural cortisone injections on the site of the problem (about a month apart) to no avail of alleviating the pain (the pain is still as persistent as before). I ve been exercising my core on a routine basis, have done stretching exercises and have gotten therapy. I ve been researching spinal decompression through a decompression machine and wanted to know if it s implementation on the site of the injury can potentially be beneficial in my case. I do not want to get surgery in that area due to the potential of further complications. I used to live a very active lifestyle and I am an avid weightlifting and this injury has really put all of that to a screeching halt and the pain is unbearable at times. | 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. A thorough neuromuscular assessment is advised. As you have herniated disc and nothing worked till date. I will advise to undergo proper physical therapy. As by the use of proper therapy you can get help. Using the therapeutic ultrasound therapy and TENS therapy will help reduce the pain. McKenzie's exercises are more successful as per research to centralize the pain. Post which the TENS therapy works better. Once the pain is centralized and reduced the further course of action is advised. Usually, in my clinical practice my patients recover in 3 weeks of time if the proper therapy is applied. RegardsJay In Chat Doctor. |
I am 21 years old. I have recently been put on a nebulizer 3 times a day and a rescue inhaler and also a steroid inhaler. My throat is feeling very tight and Im a getting very light headed. The dr said I have uncontroled cronic asthma like 3 months ago. I have gotten so bad sometimes that I have actually passed out. I am not feeling good at all right now and my husband is at work. 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 make suggestions for you as follows:1. If you are not feeling well at present, I would suggest you to use nebulizer and inhaler as instructed by your doctor. For example, rescue inhalers (those to be taken at time of emergency like levoalbutamol or albuterol etc.). If rescue inhalers/nebulizers do not improve your symptoms, I would suggest you to contact your doctor and get examined by him/her.2. As you have chronic uncontrolled asthma, regular use of steroid inhalers is very important for you. Please do not discontinue/decrease the dose without instructions by your doctor.3. I usually prescribe my such patients' montelukast in addition to inhalers.4. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms and hence gradually reduce medicine requirements.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 nutrition rich in minerals & vitamins 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. |
Please help me to get my 6yr old to stay asleep at night. It is my fault because i had him sleeping in my bed with me from birth til he was 5 because i was single and his dad had been physically abusive. But since he was 5 i have been trying to get him to sleep in his own bed and to stay asleep but have alot of trouble keeping him asleep he wakes like 5 to 6 times a night until i allowed him to have a tv in his room. HUGE mistake of mine now he still comes and wakes me up plus when i take him back to his bed he sneaks the tv on and watches movies all night and difts in and out of sleep. I spoke to my Doctor about this and he suggested i give him a antihistamine medicine as a sedation method but this still does not work to keep him alseep and once he gets to school he struggles to concentrate and becomes very drowsy and sluggish. Please help me i feel really guilty because if i sleep with him he does not wake up at all but he needs to sleep on his own because he is a big boy now and i have a 6 month old baby now and i am getting no sleep between both of them | If you are a doctor, please answer the medical questions based on the patient's description. | DearWelcome to ChatDoctorWe understand your concerns went through your details. I think you exhausted all the options available in the books, and you learned from your experiences. I suggest you to talk to your parents or elders. They should have some expert solutions. You need to be somewhat rude to the child. You do not like it, I know. But to gain some benefit, you need to do that. Remove the TV from his room. Use the reward and punishment method. Reward him with some silly items which he likes (*not chocolates, costly items etc.) when he sleeps to a given target time. Use mild passive punishment techniques when he misbehaves and fails to keep promises. Should take time. Do not get frustrated. You will succeed. 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. |
I was told to Talk to an acupuncturist about this if you are interested in using piercing as a treatment. I have suffered from migraines all my life and recently heard and have heard of several people that swear by bridge piercings as a form of migraine treatment. I understand why this would be so, But i was wondering what the major cons would be in doing this. Has anyone else heared of this? Has it helped you? | If you are a doctor, please answer the medical questions based on the patient's description. | **1. Before opting for alternate system of medicine, make sure to consult a Neurologist, since headache may sometimes be a warning sign of a more serious medical condition, and if the neurological examination comes normal your head pain can be seen by an acupuncturist for preventive treatment.PS. Acupuncture helps alleviate symptoms associated with migraines and may have lasting effects, according to a new study published in the Canadian Medical Association Journal, also British researchers found that acupuncture improves the quality of life for people with chronic headaches at a small additional cost. 2. regarding cons and helping a sufferer: In any type of treatment, there is the expectation of result and will vary by the individual, and also check in advance whether your Insurance company will reimburse the expenditure or not.PS. Acupuncture is safe and often effective and should be considered as part of a multidisciplinary approach for chronic pain.3. Apart from prophylactic aspect of acupuncture one must follow preventive measures like:. Avoid factors which precipitate the attacks. e.g. sleeping late, tension, starvation, chocolates, cheese, alcohol, Chat Doctor. . During acute attack: lie down in a dark and quiet room and give ice bag over the head. Ayurveda medicines for Migraine i.e. "ARDHAVBHEDAK" contains plasma and Ra's [mercury] but in purified form, so contact with your local/ experienced Ayurveda Doctor regarding their dosage since adverse affect can be given to the herbs concerned. Prescription medicines which are usually practiced is/are: that vast chintamani RAS, thalami villas RAS, god anti plasma, dashmoolarisht, shading tail, cephagraine tablets/ |
I AM MATHEW,40 YEAR OLD, I AM DIABATIC .AM TAKING GLUCOFAGE 500 IN MORNING & NIGHT.BEFORE I WAS TAKING DIAMICRON ON MORNING BUT I WAS GETTING HUNGREY BY 11AM SO I STOPED THAT MEDICINE MY SELF BUT YESTERDAY & TODAY I TOOK DIAMICRON BECAUSE SUGUR WAS HIGH.MY HTS IS 185 CMS AND WEIGHT IS 97.5 KG. TO DAY MY SUGER LEVEL WAS 182 MORNING BEFORE FOOD.I AM LOSSING MUSSILS ON THE HAND BUT NOT LOSSING THE WEGHT. AND EVERY BODY IS ASKING WHY YOU LOST WEIGHT.I AME AFFRIED WHY I AM LOSSING MY MUSSILS. SO NOW A DAYS I AM HAVING TOO MUCH FOOD BUT NOT INCREESIG THE MUSSILS. I HAD SEX WITH TWO LADIES 8- 10 YEARS BEFORE. SO I AM AFRIED BECAUSE OF SOME DESISE I AM LOOSING MUSSILS. MY FAMILY IS HERE WITH ME AND 3 YEAR BEFORE MY WIFE WAS HAVING MEDICAL TEST AND SHE WAS NOT HAVING HIV. I AM TOO MUCH AFRIED. CAN YOU GIVE ME AN ANSER | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you user for your query on Chat Doctor.basically metformin (gluconate) 1000 mg, causes reduction in muscle mass to some extent. Your BMI is 28.35, which means that you are overweight. Avoid taking bulk diets in a single meal.Instead, you can take small and frequent diet (low carboy Chat Doctor. Design your meals in such a way that your meal should contain half of green leafy vegetables, curd or any milk products, but it should be prepared from skimmed milk, nuts, either take par billed rice or multigrain chapatis. Well so far as your HIV status is concerned, kindly get your status checked too. And yes do not skip your micron. Also mention the dosage of micron. Maybe you have to work up on your dosage too. |
I have small 1mm max skin coloured bumps on my fingers, sometimes in clusters not often near the nail. I mention this because my fear is that this could be herpes whitlow and I bite my nails often and the skin around them as a compulsion to reduce stress for my OCD . The bumps do not pop easily and when they do the skin sort of deflates and goes red. The liquid is clear like water. When popped they disappear after a couple of days and stop irritating within a few mins. I never thought you could get herpes on the hand or I would have fought harder not to bite my hands! I do not care about my health but rather the effect I could have on my wife or more specifically and children we decide to have as I know herpes in any form can kill babies! And that you can pass the virus on even when not having an outbreak! Not so bad if it s oral or genital but you use hands for everything! Can I hold hands? Again, engage in foreplay? Hold children? Suck food off my fingers? This is crazy? Why didn t I know about this and why is herpes called an STD when you can get it on your hand from a coldsore and give it to yourself through masterbation! I m really stressed and upset. I am also due to start training to be a mental health nurse soon. If i have herpes whitlow can I still be a nurse? Or will I infect others? This is crazy I can t belive you can get something this contagious on your hands! | 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. There are two major varieties of herpes - genital and non-genital, and both are contagious. It is possible to get herpes in the hands (herpetic whit low). However, it is also possible that the lesions in your hands around the nail could be from the recurrent irritation caused due to excessive biting of your nails and the surrounding areas. Since, these you seem to be extremely worried whether these lesions could be due to herpes, I would suggest that the best way forward would be to get yourself tested for the same. So, please consult a dermatologist for a proper physical examination and further investigations. Wish you all the best. |
Dear Doctor, I have a 3 week old son -born pre-term by 4 weeks ( expected 29th Feb, born on 27th Jan). His birth weight was 2.85kg which went down to 2.4kg by 7th day. He developed hyperbilirubinemia on the 3rd day and required 48 hours of phototherapy ( TC bilirubin was 15.4 on 3rd day and came down to 12.8 on 4th day evening) and then we came home. However he turned yellow again on 8th day and bilirubin count went up to 19.4, So our peadiatrician asked us to admit him for additional phototherapy session . At the end of 2nd day of therapy, TC bilirubin came down to 9.8 and we can back home again (on 10th day).Since then:- He is feeding well and passing urne 6/8 times a day and passing yellow stools on alternate days- He has gained some weight and now weighs about 2.9 Kgs- His palm and soles are pinkish, but face, white of the eye and gums still have some yellow tinge Questions: Is this a cause of concern? Do we need to repeat the bilirubin test? Is his weight gain fair enough? Any other suggestions? Thanks for you advice | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I had gone through your question and understand your concerns. Hyperbilirubinemia is a very mucChatDoctormon in all the child Chat Doctor. It is due to prematurity of the liver. It is even common in baby with regular dates born. Check for RH INCOMPATIBILITY and AGO INCOMPATIBILITY. The pattern of onset, day, severity, blood bilirubin levels are important. Your baby is absolutely fine. There is no need to get tense. If you have any symptoms like vomiting, dark colored urine and stools, abdominal bloating, then you should consult physician. Continue exposing the baby natural sun daily in the ear;y mornings. Repeat the test after 1 month(if recommended). About weight growth it is absolutely fine. Initially in the first week there will be fluid deny |
Ive had achiness, fever and headaches with occasional sweats and chills (Flu Like-but tested negative). My husband also had the achiness/fever for two days where mine lasted about 5 days whil on motrin with fevers off and on up to 102. Blood work was drawn and my white count and platelets were very low and I was noted to have elevated liver enzymes. I had been alternating between 800mg Motrin and Acetaminophen as well as cold meds. I was seen again for lab redraw and most of my blood was ok except liver enzymes, white count and platelets;they had improved but not by much. I was sent to the hospital where they drew more blood, cultures and now have scheduled me with a hematologist at the end of the week. Can all of this be caused by having a virus and can this improve as I get better(as I feel good today after getting Rocephin shots and oral antibiotics). How long does it take for the blood to regroup after an illness? I am very worried. Diagnosis now is pancytopenia, increased liver enzymes, acute febrile illness. I have also been on the ChatDoctor diet since July, so I have cut out most sugars and pastas and use Stevia in my drinks. I am 5-6 and weigh 155 lbs.(I was 191 but have cut my diet and been walking 2 miles/twice weekly) since July. Docs office said this could all be viral......Does this mean this is all due to me being ill and will get better-I am on the antibiotics&motrin and not fever today....THANK YOU | If you are a doctor, please answer the medical questions based on the patient's description. | Hi thanks for asking question. Noted you have fever with muscular and bony pain. So history mostly suggestive viral infection ...... Symptomatic management done.... But liver enzymes also elevated. So early hepatitis has to be ruled out by complete LFT profile and viral marker study. Rest your liver meanwhile by taking low fat diet... In infection bone marrow can temporarily suppress to lead pancytopenia... By detail history suspicion for SHE, score syn Chat Doctor. If cough present with weight loss rule out tuberculosis by sputum study.... |
Hi, I am having numbness on left part of my body. Ten years back during my graduation, I was getting left eye pain, when I had to sit for 2 to 3 hours in front of the system, but my right eye was normal. This was the first symptom I had. Later five years back when I was working for a financial service company, I was getting left ear pain as I had to do lot of Phone calls over the mobile. Apart from this I am having allergies for dust & smoke, which is causing cold, cough & headache. During this time my left nostril will be close most of the time & head ache in the left side. Last two years I am working in Office job, where I have lot of work pressure, to over come this I was doing static cycling. This cycling caused pain in my left side of trunk. I felt that it is due to some other reason & continued cycling for 3 more months, but gradually pain increased. So I stopped cycling, but later I realized that apart from the pain, there is numbness in my left palm, toe, thigh, including testicles. Now it is common if do some physical exercise/ Yoga/ walk. Along with this, I had some financial as well as financial problems. These increase my stress along with work stress. Now this problem of numbness has got associated with stress & giving the same as that of Physical exercises. I once visited NIMHANS for this problem, they suggested with some medicines, but no result. I am suffering severely from this problem almost from 1 year 3 months. Kindly suggest a solution. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi.you have numbness of body left side, and you say u, always have problem on the left side (left eye pain, left ear pain). Actually the innervation of eye, ear, face are because of cranial nerves which is controlled by the same side of brain, but the same side body is controlled by opposite side of brain. So you please understand both cannot occur. A rare possibility is thalami syn Chat Doctor. SIMIANS is quest a good center, and you can take up MRI brain and get a neurologist opinion. As a general measure take up yoga and attend counselling to relieve the tension |
I ate some mushrooms and it seems to have caused an allergic reaction, breathing difficulty, wheezing, swollen face, hands and lips, loss of feeling in upper lip, itching of body. I am feeling better after taking an allergy tablet, drinking water and throwing up. My hands are still swollen and hurt my face isn t normal yet. I have a 7 year old, she doesn t eat mushrooms but I didn t want to take the chance of driving o the er. Question-what should I do? | 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 make suggestions for you as follows:1. From your symptoms, respiratory symptoms, urticaria and swellings (angioedema), I would first think of anaphylaxis reaction to mushrooms. So I would suggest you to consult an Allergist-Immunologist who will ask your symptoms in very much detail, including what, apart from mushrooms, did you consume before development of symptoms, each and everything. After detailed history taking, an Allergist-Immunologist may prescribe you allergy testing. These are important steps to confirm cause of anaphylaxis.2. Anaphylaxis, in simple language, is a serious allergic reaction. Unfortunately not too many tests are available to confirm its diagnosis. So it is best diagnosed by detailed history and supportive investigations.3. If you are allergic to mushrooms, the best option in my opinion is avoidance of mushrooms in the future.4. As you have still swollen hands, I would suggest you an antihistamine like chlorpheniramine for 3-5 days. Please note that it may cause sedation.5. Such food allergies are usually not hereditary. So I would not suggest to worry from your daughters side if she has not had any reactions to mushrooms.6. For you also, please avoid mushrooms till you visit an Allergist-Immunologist and diagnosis of allergy/anaphylaxis is confirmed/ruled out. Further, plan will depend upon your diagnosis. 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 HAVE A 3 YO BOY THAT LIVES WITH CONSTANT 103-105 FEVERS. VERY RARELY DOES THS HAPPEN DURING THE DAY, HOWEVER EVERYNIGHT ALMOST, AT LEAST TWICE A WEEK, I WILL WAKE UP NEXT TO HIM BECAUSE HIS BODY IS SO HOT, IT BURNS ME. HE HAS BEEN TO DOCTOR AFTER DOCTOR AND SPECIALIST AFTER SPECIALIST..........WE HONESTLY DO NOT KNOW WHAT ELSE TO DO???? MY CHILD EATS TYLENOL AND IBPROUFREN LIKE CANDY. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I just read your query.* See in babies constant fever may have many reasons. You did not mention here that have you ever performed any blood investigation and urine examination. *Because urinary tract infection is one of the most common causes in babies behind fever.* In blood examination you can ask your doctor about Total leukocyte count(if it is raised it will indicate about infection in body), CRP(it will also indicate acute infection), tidal test(for typhoid). If you already performed all tests and all are within normal limit.*Then I would advise you to go for an ayurvedic medicine named Gilroy (diaspora Cordelia), you can take fresh Gilroy if it is available nearby you and make juice of its stem and give 5ml of its juice twice a day with water to your baby. If your baby does not find its taste good then you can add sugar or honey in it. If fresh Gilroy is not available then take Chat Doctor. Add some Gilroy in one glass of water and half water remains, then you can give it to your baby in two parts. Gilroy is very helpful in curing fever.* Whenever fever is there, do sponge with fresh water. Ice water sometimes cause shivering in baby, so do whole body sponging with fresh water for 5 to 10 minutes as it will also help in lowering fever *Give him fresh fruits and vegetables, juice, soups, liquid and semi-solid diet as in fever all these things are easy to digest.* I hope you are satisfied with my answer and find it helpful. Thank you. |
my English is not very good i wonder if you will understand me, but i will try my best. i always have pain in my upper abdomen every time i eat fatty food or drink beverages, and the food that i ate will not digest. ive gone to endoscopy and the result was i have hernia. the doctor gave me Omeprazole 20mlg. but still the pain is still there. i also had an ultra sound and the result was i have a fatty liver. i am 52 years old asian woman with 175 pounds, 53 in height. thank you... | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, How are you? Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Regarding your hernia, I presume it is hiatal hernia (as it was diagnosed during endoscopy). This usually does not need any treatment other than over the counter ant-acids (omeprazole, pantoprazole etc.), but if you are having a lot of heart burn or reflux, then a simple surgery (fundoplication) will be curative. Hope this helped, and please do not hesitate to contact me for further details - [email protected] |
hello i am a sixteen year old girl and i have multiple problems i want to ask about. the first is this problem i have, mainly when i am alone but sometimes when i am bored, i uncontrolably create scenerios and imaginary friends who i talk to and discuss issues with it is very complex and these scenerios tend to be things like pretending to be another person and living life as though i were them. they are also influenced by things that occur in my life in reality, like if i were to see a film i may pretend to be one of the characters, or i may pretend to be a celebrity. i am conscious that i am doing it but i can t seem to stop myself and i recognise that substituting reality for my fantasy is abnormal and needs to change. the second issue is that think i may have some anxiety problems because when i am alone, although they are decreasing in frequency, i have minor panic attacks which last about 5 minutes but i have 2 or 3 within the space of a hour. these tend to consist of shaking, feelings of nausea and dizzyness again i am unsure why i do this as i know there is nothing to worry about but they still occur. please could you tell me what these problems are likely to be and how to go about rectifying them. thank you, anonymous | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, thanks for the query. Your problem is quite interesting & let me know if I am getting it correctly, You are into habit of fantasy thinking & many times you do get so engrossed into your fantasies that you start sharing your problems, your thoughts with this fantasy. You are aware of these fantasy images all the time. So, my question is are you lonely, do you have friends to whom you can easily turn, share things, confide problems? So long as you are not distressed by these fantasy images it's not a problem. You should consult a Psychologist, or your school teacher, your parent or any senior figure whom you can trust about these problems. I am sure your half the distress will melt away as soon as you shall open up & start discussing these problems. Lastly you can try practicing yoga & Panama to get rid of your panic attacks. Do get back to me for further help. Good luck |