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I am currently just over 22 weeks pregnant and my breasts have grown over 12 cup sizes already. I used to be a 32d and am now well over a 32k. I have been seen by the breast specialists at the hospital who have told me that my breast are very engorged, with blocked ducts and valves as well as inflammation of the breast tissue however there solution is that I just get on with it. I am absolutely beside myself, I can t sleep the pain is unbearable and the radiologist thinks I have a rare condition caused by pregnancy (which he couldn t give me a name for) and that I should just learn to love my breasts. He also said they probably wouldn t ever return to their original size. I have looked on the net and have now convinced myself I have gigantomastia which is distressing me greatly as some of the pictures on the net are horrendous. I have gained a stone in weight and yet my bump at the moment is only small. I am having trouble functioning and am desperate for help. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, and I hope I can help you today. I am sorry that your breasts have developed such a painful condition. You are correct that you may have breast hypertrophy, which is abnormal growth of the breasts, due to the hormones of pregnancy. Gigantomastia describes breasts that increase in size by 2.5 kg or greater. Unfortunately, there are no effective treatments for breast hypertrophy, especially during pregnancy. Hormonal medications really do not work, and elective surgery is not recommended until at least a year after the baby is born, as sometimes the size of the breast does go down on its own. In the meantime, ice packs and supportive, stretch bras, even when you sleep, can help with the discomfort. Limiting your overall weight gain will also help slow down breast growth, as a significant portion of breast tissue is fat. Applying lots of lotion and emollients to the skin will help reduce stretch marks. I am sorry that there is no immediate treatment for your condition, but your breasts may slow in growth as the pregnancy progresses. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy, |
Hi My daughter is 17 years old, is in Tanzania doing voluntary in a hospital and she text me yesterday to say she felt a bit unwell, lightheaded, feeling sick and aching and today she text to say she has malaria and a UTI, she had a blood test at a private clinic and has been given tablets. She was taking generic malerone tablets, she said she missed 1 tablet in the 11 days she has been away. How worried should I be, I text tonight and she has gone into the hospital to do an evening shift, so she must be feeling ok to do that, she did say if she was at home she wouldn t have gone to the doctor feeling as she did. I m worried in case it gets worse as I ve been googling! | If you are a doctor, please answer the medical questions based on the patient's description. | Cellophane You for contacting Chat Doctor. Welcome to Chat Doctor. My name is Chat Doctor. I have gone through your query and would try to help you in the best possible way. MAKE SURE ONE THING: I am not sure what Malone is given 1 tablet a day for 11 days this is prophylactic dose which you are talking about but if she does have malaria she should be given a dose like this 1 g/400 mg (4 tablets) through mouth daily for 3 day sand Malone has nothing to do with UTI so kindly ask her to tell you the truth how is she feeling and if she is alright then it's ok probably it wasn't malaria. Suggestions: If I were her doctor and I confirmed malaria and UTI I would give her (1) Malayan 1g/400 mg (4 tablets) PO daily for 3 days (2)Ciprofloxacin 250 mg twice a day for 5 day sand then would have run her re tests after 15 days... Things just don't fit according to my opinion. And symptoms of malaria is very high fever with shivering, may be sore throat and night sweats, then this fever is alternating for example a high fever in night 1 then high fever during night 4 then night 7 that how it goes....MOREOVER: unwell, lightheaded, feeling sick and aching are usually signs of viral illness which usually go away by themselves ask her to |
Sir,Im suffering from psoriases since last eight months.Is this disease in curable? What mega 3 of Dr.reddey effects to cure psoriases and as well as aquasol A Capsules, besides allegra teb? Kindly advice me in this regards. With thanks. D.K.Jain | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for your question!! Psoriasis is a chronic inflammatory skin disease, which remits spontaneously in 1/3 of patients, but the course is not predictable. It can be controlled rather than cured, and you can keep it in control but with a careful avoidance of trigger factors that can exacerbate it, also with the continuous use of medications. Allegra tab is fexofenadine an antihistamine to suppress pruritic. Mega 3 are omega 3 oral supplements which showed some degree of improvement in psoriasis lesions. Aqua sol A capsules are vitamin A supplements which also help with psoriasis. How long are you on these medications? Have you noticed improvement? Are your lesions localized or generalized? Anyway I would like to give you some recommendations and general principles how to control the disease. I am not aiming to get rid of the psoriasis, but to make the condition tolerable. Try to avoid the factors that exacerbate psoriasis such as: Infections (tonsillitis, pharyngitis), trauma to the skin, stress or emotional upset, some Chat Doctor. You can use the medicines you are taking, except Allegra tab unless you have pruritic. If a patient the same with your situation would meet my clinic, I would suggest moving to some topical preparations such as Vitamin D3 analogues (calcitriol) applied 2 times daily for 3 months, also a topical corticosteroid cream applied twice a day also for 2-3 weeks. You can also mix these two together and apply them. You should talk to your doctor about prescribed medications. It is crucial that you use moisturizers 3 times daily, and if the situation is not under control your physician can advise you about systemic treatment. Be careful to do the screening before starting a systemic treatment. I hope this helps. Feel free to ask again if anything is unclear. Wish you good health! |
Hi so I have a couple things to ask..Im normally regular with my period and with my period im left in pain and bed ridden the pains that bad one time i ended up at the hospital and they thought it was my appendix but I didnt end up getting it last month was due for it on the 22nd but it didnt come.. except on the 24th I had a day of bleeding which was a lil darker then normal. Now today which is two weeks from that date iv got pink discharge.. No cramping.. Which is unusual with all my other periods I always end with cramping thats so painful its unbearable.. Iv dun two pregnancy tests between the 24th and the 2nd even doing a blood test all negative. I have a feeling that somethings not normal. Iv never been pregnant before, iv noticed my energy levels have increased and I get incredibly tired in the afternoon.. On the odd occasion i have been that tired iv fallen asleep and not really realising until i wake up with more energy.. iv also had a few headaches I dont have headaches normally. I have been trying to get pregnant and so every day of April, twice a day me and my partner were trying to conceive. Around my ovulation we stepped it up a little. Iv noticed that the past few weeks iv ate so much food and foods i wouldnt normally eat, iv had to urinate quite a lot and friday just passed i was cramping but no period the cramping was mild. Is there a chance I could be pregnant if so with two? If so when do i test? ..or is there something else going on? Appreciate the help. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi ! From your history, it is possible that you had a chance conception with a miscarriage which is partial. That is why there was dark bleeding followed by a pink discharge. Urine and blood pregnancy tests might not have become positive by this time. The only way to know is to go and consult a gynecologist who may also go for a pelvic ultrasound of yours for a diagnosis. The headaches and frequent urination might be due a co-existing Urinary Tract and pelvic Infection following the miscarriage. I suggest you not to delay visiting your gynecologist. Wishing you an early recovery. |
Hi, my mom is pregnant and it seems like she is on her period. What is going on!?! I don t think that it is a miscarriage, because her tummy is getting bigger and bigger every day. The blood coming out of her genital seems to be dark red/black, and round. Answer ASAP, I m very worried. We can t afford to go to a doctor because of the economy, and we don t have Medicare. | If you are a doctor, please answer the medical questions based on the patient's description. | Hallow Dear, Though you have not mentioned the period of gestation of your mother, from your description of the size of her abdomen, I believe she is more than 5 months or so. Please correct me if I am wrong. Any vaginal bleeding at any stage of pregnancy is a warning sign of some risk to the pregnancy. Since you have not mentioned anything about pain in her abdomen, I presume she is not having any pain in abdomen. Painless, causeless recurrent vaginal bleeding during this stage of pregnancy is a classic feature of placenta being situated in the lower part of the uterus near cervix. This is known as placenta Pravda. This is very serious condition and needs hospitalization of the pregnant woman. In this condition, any time alarming bleeding may start which requires emergency surgical intervention. However, this bleeding is usually fresh bright red bleeding. Dark bleeding is blood about to clot. It becomes brownish when it is stale blood. Both these are suggesting risk to babies life. Is her baby moving? I would advise you to get her ultrasonography done to find out:1. Where from this bleeding is coming.2. Where is the placenta situated.3. Whether the baby is viable or not. Dear Madam, bleeding during the pregnancy cannot and should not be managed at home lest the risk to the life of mother and/or baby. Please take her to the emergency room and get her admitted in the hospital. Obstetrician will decide about the further line of treatment after:1. Considering her general condition2. Considering the reports of ultrasonography3. Any other relevant factor hope this conveys you clear instructions, and you act accordingly. For any more clarification or specific advice, you may ask me Direct question with some more information I have asked for. |
Nature of Spaecimen:Liver (Needle) biopsySection Show a short core of liver parenchyma with overall preserved architecture containing 6 portal tracts . three of them are expanded due to fibrosis with periportal extension. patchy mild lymphmononuclear infiltrates and ductular reaction are seen. Lobules show scattered canalicular chholestatic with foramtion of cholestatic rosettes.Sinusoidal kupffer cells are hyperplastic and present in clusters with foamy cytoplasm and centrally placed small nuuclei.Foci of extramedullary erythorposiesis are seen.Special strains do not show any globules of alpha-1 antitrypsin, inscrease in stainable iron copper or copper binding protein.Prominent pericellular fibrosis with formation of micronodules are seen.There is no frank cirrhosis. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, How are you? Thanks for the very detailed histo-path report of the needle biopsy. But unfortunately it is very difficult to interpret the biopsy report without a clinical context. Please do let me know the clinical condition of the patient, esp his / her age and any symptoms, if any, they might be suffering from. What was the indication for the biopsy? Just by looking at the biopsy report, I would guess it's from a child (due to the extramedullary erythropoietin). There appears to be changes due to bile duct blockage (homeostasis and pustular reaction) which seems to have been going on for a while (due to portal tract expansion and initiation of fibrosis). Although cirrhotic changes are not yet seen, I would say, whatever the condition of the patient now, he is on his way there. The three most common conditions causing cirrhosis in a child have been ruled out (hemochromatosis - increased iron, Wilson's - Increased copper and Alpha 1 anti-trypsin deficiency)Please do let me know some clinical details regarding the patient so that I can advise you better. Please do not hesitate to contact me for any further details required - [email protected] |
my doctor thinks my pain is caused by stress,,,I have seen my therapist and pyschiatrist...and they don[t believe this to be true,,however the insistant pain, itch,burn,sensitiviity of skin in my mostly my right arm... that plus numbness and and tingling in my right hand.....the pain I experience is from my neck,back, shoulder...and chest pain under by breast(which I have had on and off for several years..which was said at be a digestive problem and have been taken Prilosec from the time that was diagnosed...it did help and I no longer have heartburn...but the chest pain remains and with the arrival of these other symtoms it seems worse. I have been seeilng my primary doctor for over a month for tryilng to find out if I can get some relief...and now have problem sleeping unless I take Vjicodin...which I do not want to ....due to its addictive nature. jOh, I have taken 3 advil at a timle and it only give partial relief but for a short time...I am turning 75 this month....I had my yearly check up in July...and all my test were filne...and I have been feeling fine...I care for toddlers 5 days a week for 4 hours each...and have had no problem carilng for them...until last week and athe pain got so bad I couldnt take it and care for the children as I know I shoul and CAN. If you can shed any light on my dilemna. You can get to feelingpretty desperate. Jane Mulvaney | If you are a doctor, please answer the medical questions based on the patient's description. | Hi from your detail description of the problem, I know you are having a very painful days and nights. I strongly believe that you have cervical spondylosis which is an age related problem due to bones getting thin and pressing on the nerve roots hence causing all types of pain. Along with painkillers (only when pain is severe) you also require physiotherapist and orthopedic opinion. They may take x-rays and MRI Scans to confirm it. Hope this guides you real ted to your problem and wish you all the best |
Submit answer to YYYY@YYYY No diagnosis yet. Age 54, weight 168, and medical history: 2001 lumbar and cervical degenerative discs with bulging and compromising cord with related issues; ? 2000 migraines; hysterectomy 2007; currently diagnosed with poor liver function, diabetes 2 (blood result= 95 fasting, considered boarerline.), and high cholesterol. (Dieting resulted in ten pound loss, hoping to control solely with diet as meds negatively affect the liver). ; septoplasty 12/1998, Twelve years post septoplasty, have suffered with scabbing on septum, given topical ointments to no avail; thick white excessive mucous; and cough. Scabbing feels as if it is spreading further back, could possibly be in sinus and throat; C.T. shows particles in sinus cavity and throat feels dry and raw (adequate fluids consumed).Phlegm thickness felt in sinus cavity with postnatal drip, heaviness in chest and chronic cough. Heart problems ruled out; pulmonary treatment, no avail; gastrologist ruled out stomach with endoscopy.Currently, on no medication, taking fish oil and milk thistle for one month, for diagnosis of poor liver function. Feeling very ill, no doctor takes this seriously. I feel my condition began with the scabbing after septoplasty and sores remain. I heard open sores in the nose can cause bacteria in the blood, could this have caused all my problems? If not, What could be the problem? | If you are a doctor, please answer the medical questions based on the patient's description. | Dear friend, The simple answer is yes. Bacteria can migrate from infected open sore to the blood stream, a condition called Bacteremia. However, bacteremia will lead to SIRS (systemic inflammatory respond syn Chat Doctor. These will lead to fever/chill and the patient will be very ill. This condition are often very rapidly developing and associate with high mortality. Giving your current symptoms, it is unlikely that bacteremia can explain your symptoms. There are many cause for your symptoms and a comprehensive work up is needed. |
i am 24 yrs old and work in the hospitality industry. i have suffered an injury at work through manual handling and i am currently going through workers compensation. this has been ongoing for 5 months. i dont really understand the results of my mri and what they mean for my recovery and treatment. there is a transitional vertebra at the lumbosacral junction which is designated at L5. As such, the level of disk desiccation at at L5/L5 At L4/L5, there is a mild broad based disk proturusionwith prosterior annular tear. there is a mild facet joint arthrosis. there is a mild indentation to the thecal sac. there is a mild left subarticular zone narrowing with close apposition of the left descending L5 nerve root. there is minimal foraminal narrowing.elsewhere there is a trivial prosterior convexity of the discs in the lumbar spine. no significant neural impingement.the concus ends at approximately T12/L1, and appears normal. Nerve roots of the cauda equina lie dependantly. no paravertebral soft tissue mass. diffuse loss of T1 shortening is noted in the bones which could be due to prominent red marrow. IMPRESSION: Transitional vertebra is designated at L5. As such there is a disc desiccattion at L4/5 with a mild broad based disk protrusion and prosterior annual tear. there is a mild left subarticular zone narrowing at L4/5 can you please break this down for me and explain it and what treatment usually follows and the length of similar injury recovery? thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Sorry to hear about your suffering. As you have not narrated your symptom explaining your present condition based on MRI report. In my opinion you have disc prolapse at L4-5 level leading to mild foraminal narrowing. Your back pain or radiculopathy in lower limb may be attributed to the above MRI features. As far as treatment is concerned you require good physiotherapy and back strengthening exercises. Medications are usually not required but calcium, vitamin B12 and pregabalin may be given. Hope you recover early. |
I am married for 4 years. We are planning for a kid from last two years but failed . I have pcos and I am hypertensive too but all other levels like sugar blood thyroid are all normal.early in starting doctor gave me siphene ( 1 year back) for ovulation , which resulted positivelyl.i got an egg of 18.3 mm on 12th day, then she gave me ChatDoctor inj. On 13th day and told us to have contact. BT the result was negative. We tried the same three to four months but the result was negative. Then we had a break due to some problems but had a treatment for pcos in which I had taken herface tablets for three cycles. From Last year s end we again started the treatment when I was diagnosed having chocolate cyst in my left ovary.for this we had laproscopy done in march and had the three doses of leuprodex after it. My tubes are patent. Last month doc gave me fineova on third day of my cycle along with xfert and persinal hp 75 I.u. On 7th & 9th day.bt ovum size didn t increased. It became static on 9mm. So doc told us to try next month. This month she gave me ubiphene 50mg & sitrodyn hp 75 iu from 3rd day of my cycle but ovum size didn t increased from 6 mm. Then she gave me persinal hp 150 I.u. On 7th day I.e. On 22/8/14 but still it is same. I want to know what is going wrong. Ovulation is not happening. It s getting depressing for me. Kindly suggest what to do. | If you are a doctor, please answer the medical questions based on the patient's description. | It happens some lifetime that ovary does not respond. Seeing your history in my opinion you should go for IVF, and you should try soon as endometriosis tends to recur and alter ovulation.IVF is a costly affair and while arranging that you can simply try with sphere 200 from d2-6 along with FSH/BMG stimulation from d7 onwards. One more thing I want to tell you after hug injection try to love for 2- 3 days with your husband.thank you |
I have a siix year old girl.am trying to get preg for 4years but did not work.i visit a doc this month and he gav letrozole 5mg and ovidac after. But am pcos .am 90kg.will it be risky for me? And coz ovidac wil it harm th baby with defects?? Is it risky to concive with pcos ??i dont hav diabtic,colestorol,pressure...nothing but fat.pls advice in detaill thanx | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, and I hope I can help you today. Letrozole is a strong fertility medication that can produce ovulation in women who normally do not ovulate, such as women with PCs. The Ovid ac injection just induces you to ovulate at the correct time in your cycle to correspond usually with a timed insemination, either by intercourse, or by GUI. The fertility medication itself does not cause any risk to the baby if you do conceive, because the medications only affect your ovulation and ability to conceive. However, fertility medications such as Metronome can produce high order multiple gestation (triplets and above) in women with PCs because PCs is a disease where women have many immature eggs waiting to be released. If you successfully conceive only one baby, your pregnancy is no more a risk than any other obese woman. You will have a higher risk of diabetes and high blood pressure during your pregnancy, and they should be tested for and monitored carefully, but with proper prenatal care women with PCs and obesity can have successful pregnancies. So in summary, the fertility medications that you have been treated with really only increase the risk of conceiving multiple babies at the same time. The medications do not cause birth defects and are out of your system by the time you actually get pregnant. However, unless you have already tried milder ovulation induction medications (not injections) that failed in the past, I caution against the use of Metronome as women with PCs frequently conceive multiple eggs at the same time and twins or even higher order multiple pregnancies are possible. I hope I was able to adequately answer your question today, and I wish you the best in conceiving a healthy pregnancy. Best wishes, |
Hello, I have been having a weird flutter (about every 30-45 minutes and only last for 2-3 seconds) in my chest for about 10 days and its mainly in the center, and my right-side. I did see my family doctor and he did run an EKG, and a did a full check-up. Everything was normal, besides my blood pressure was high 150/90 (but I was very nervous & worried). I do track my blood pressure on an app and it has been averaging 118/78 the past nine months (resting heart-rate 58-62), and my cholesterol is between 180-230 (pending if I actually fast properly). My doctor told me to keep to my normal activity and if it persists after a few weeks, he will schedule an appointment with a cardiologist for further testing. It does not hurt, interfere with my breathing, or slow-down my workouts (cross-fit/P90X type of routines). I do remember over a week ago, I had something lodge in my lower throat (very deep) and was hard to breath for about 15 minutes, and it finally passed (not sure what I was eating). Do you think this is a correlation? One note, my mom said she had the same type of flutter a few years ago (in her 60 s and I am 42) and her doctor said it was not an issue. It passed after a few months and with no-recurrence. I don t really want to run around doing expensive tests if its really nothing. Just looking for some opinions? Thanks, Mark | If you are a doctor, please answer the medical questions based on the patient's description. | Hey Mark, the cardiac possibility it a some ectopic beats or a short run of arrhythmia. However, as it not causing any significant dizziness or other issues it's mostly benign in nature. A 24 hour holder would be the best test to see what the reason is as you have described that its transient and lasting for some second and so ECG would be unable to record. However, as I said it's not to worry about. Important to note here is that if you under any kind of stress, one may subjectively perceive normal heart beats. So relaxation would help, Regards Chat Doctor. |
I am a 26 year old male from India. I was badly scratched by a stray kitten several times on both my lower arms during the last four months that I kept it as a pet. My skin broke and blood used to come out. I even got bites but the cats teeth never really penetrated through skin. The time between getting scratched and cleaning was always ten to fifteen minutes which I did with soap and water. On the first day when the stray was found it was taken for sterilization. But I did not ask what medicines were given to it. Is there a chance of me getting any rabies infection? Last week I got a swelled left eye soon after which even my right eye started swelling. I even got a mild swelling on my tongue. I took tetanus injection and showed my eyes to eye doctor who gave me Ketorolac Tromethamine + Ofloxacin Ophthalmic solution eye drops and eye ointment called Moxicip. Now my eyes are getting better and swelling in tongue is gone. I took a rabies vaccine called VAXIRAB amount-338.00 which also included INJ.GIVING CHARGE amount-5.00.The doctor has told me to take three more doses of this vaccine on 11, 14 and 21 of May. There is even a fifth dose which is not menshined in my prescription. Please help me. I would like to know if these vaccines are sufficient and safe to save my life. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and thanks for sharing your concern with us. In high risk situations rabies immunoglobulins with rabies vaccination should be provided. Rabies vaccine is given in 5 doses at 0, 3,7,14,30 day. If you have any doubt then ask your healthcare providers without any hesitation. One should keep an eye (observation)on the animal which has bitten the person for 10 days, if the animal is well after 10 days of incident then there is no risk. If the animal is suspected to be rabid (becomes ill) in observation period of 10 days after biting then immediate immunoglobulin and vaccination should be done. I wish you good health. Best Regards, Chat Doctor. OMAR |
Hi, Im 36 with a 20yr history of smoking, and diabetes type 2 and moderately overweight. I was going up and down the stairs and got some mild chest discomfort. It went away, and have not experienced it again. I went to a scheduled routine appointment with my PCP who did an ekg and found some nonspecific changes and sent me to the hospital. The ekgs were negative and they ruled me out for an MI, then went to a cardiologist and told me eventhough the ekg is neg. he think im having unstable angina and said i need an emergent cath based on my risk factors and one episode of chest discomfort a week prior, he said he does not trust a stress test as it can kill me with unstable angina. I have not experience the pain ever since, and im afraid he may be jumping the gun with a cath....I am concerned that he also a stent happy type of guy. I tried to find possible alternatives such as 64 CTA, but he says I may die if I wait and have to have the angiogram. I know cath is the gold standard, but cta has a comparable negative predictive value. Other studies such as a conventional pulmonary angiogram is the gold standard to rule out pulmonary embolism, but nowadays a pulmonary angiogram is almost never ordered to exclude a pulmonary emboli. Am I being unreasonable to consider alternatives or is a cath is absolutely needed STAT? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Brief Answer: Considering the risk factors and clinical condition, you may have ischemic heart disease. Explanation: My opinion is that you have a complaint which is chest pain with effort. With other risk factors such as diabetes and hypertension. A long history of smoking is a major risk. I suggest my patients the following EKG, routine laboratories such as Complete blood count, lipid profile and located hemoglobin to check for blood sugar control. Then other investigations as echocardiogram and stress tests may be needed accordingly. Conclusion: I suggest you start on anti-ischemic then CT coronary angiogram is not a bad choice at all if that comforts you. Hope I have answered your query. Let me know if I can assist you further. |
Hello. Im prone to canker sores, however Ive been having multiple cankers since early June and they coming and reappearing in new spots inside my mouth. I thought this could be stomitis. However on Friday, August 3rd, one canker sore close to my upper lip was causing me so much pain. The next day I noticed that my upper right lip was swollen. The canker sore appeared to either have spread to my outer lip. Or perhaps it joined with a canker sore. Around the canker sore looks like a chemical burn to the mouth (not sure how else to explain it). The following day, i receive a canker sore/burn on my lower lip, just underneath the current one. Maybe it infected it? My lips also get chapped too. OralGel temporarily works..for about 15 minutes.Yesterday, August 8, pus would lift from the sore. And my bottom sore even bleed profusely before I used a cotton ball and peroxide to stop it. Im not sure what is going on, but its causing me pain and discomfort (and damage to my self esteem!). Please advise. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, From your explanation, you are suffering from recurrent authors ulcers. It can be caused due to a number of reasons like: -stress-nutritional deficiency [Iron, Vitamin B12 and Folic acid]-hormonal changes-acid reflux-tongue trauma due to some sharp teeth or tongue biting habit-excessive intake of sour and citrus foods-uncontrolled diabetes-other immunocompromised conditions etc. You need to consult an oral physician or a general dentist in this regard to get evaluated and treated. For authors ulcer, you can do warm saline gargles with 1:1 solution of Ben Chat Doctor. Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods. If in case the condition still does not subside, the physician can prescribe you to take a steroid course as it the ultimate treatment in case if nothing else works. Hope I have answered your query. Let me know if I can assist you further. Take care |
I can t remember a lot. My short and long term memory seem to be hosed. I can meet someone and have a converation with them, then two months later I see them and introduce myself tothem as if I have never met them. I can t recall very many things from my childhood. The events that I can remember I can count on 1 hand. I have problems remembering my children when they were small, events that I should remember because they had an impact on me. My family and friends tell me about things that happened in the past, but I have no recollection of the events at all. When I think I remember something, I question whether it is a memory or am I reecalling a story my family has told me. I take a lot of photos, but when I look at them months later I don t remember most of them and who some of the people in the photos are - even though I dined with them and had conversations with them. It s like looking at someone else s photos. I go to the movies and several months later ask mu husband to take me to see that movie. When he tells me that we saw it last month at the movie theatre, I have to have him describe parts of the movie before I can remember seeing it. And even then I don t remember all of the movie, only parts of it.. It s not like I am forgetting where I put my keys or park my car. It s more about my memories beyond 24 hours. They just seem to leave me quickly. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for posting your query. I have noted your symptoms and agree that you need detailed evaluation.First, a neuropsychological testing would help us confirm the amount of memory impairment. Especially, whether it is short-term or long term or both. Also, they would test visual and verbal memory. Then, you would need to see a neurologist and undergo tests such as brain scan, vitamin B12 level and thyroid profile, to determine the cause of memory loss. I am sure you would get better with proper treatment. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
Dear Doctor... Thank you for extending help to patients online.. My Medical history started a year back..I started a gym and i used to run on tread mill for 10-15 mins daily...wd one hour workout...Also used to play cricket once a week. ..that is it.. After couple of months...My legs started paning terribly...I took it light but it gradually started troubling me criticly PArticularly during Nights...I left gym..thought it might be due to plan shoes which i used in gym or weight or sumthng... Whenevr i used to play cricket...tht night I couldnt sleep.. Worst thing happened...Little numbness and in morning I still can t stand on my heels for atleast 5 mins...I approached Doctor ..He simply gave antiinflamatory...anti panic medicine...Apart from that i tried Hot water/Cold water shower on legs ..I tried with ICE as well..All didnt work permantly.. Now one friendly Doc asked me to do some tests like X-Ray of spine.. Now report says ..Straightening of Lumbar Spine is Seen.. Can you please help me if this can be the cause and how to get rid of it... Thanks... | If you are a doctor, please answer the medical questions based on the patient's description. | Hi there. Thanks for your question at Chat Doctor. Straightening of lumbar spine(as seen in your x-ray) indicates spasm of the muscles around your spine. The muscles of our back go into spasm after any painful stimulus(the stimulus can be sprained muscle or a pinched nerve or slip disc). This spasm of the muscle around the spine is responsible for straightening of spine. So it is the effect of the pain and not the cause of pain.X-ray is an investigation for the bony structure of your spine. It does not give a y information about a pinched nerve or a slip disc. MRI will give a better idea about the source of your pain. If you have numbness in your legs, and you have completed 6 weeks of treatment with medicines and physiotherapy, it would be prudent to rule out the cause of pain by getting an MRI of your lumbar(lower) spine. Hope this helps. All the best. Chat Doctor. |
The past week i ve been dealing with a hard lump underneath the skin located in my lower back. It s embarrassing to say, but it s actually located about an inch down inside of my butt-crack, almost but not quite, in the center of the crack.It s about the size of my thumbnail and it hurts when I sit down or lay on my back. I had my mother look at it so see if it was a pimple or a boil, and she said she couldn t see anything that looked wrong. She couldn t even visually notice a bump of any sort. However, when I rub my finger down on the area I can feel the bump and know there s something there that isn t suppose to be. It isn t squishy and feels hard-like. It isn t noticeable from the top of the skin like I mentioned. it was really painful to sit on nd move about a week ago nd died down but then started up again! Some days is sorer than others if hit it wrong way, however it isn t unbearable pain so I don t think it s a cyst like other messages I have read! | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Dear,Welcome with your query to Chat Doctor. Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Boil in the butt crack, which recovered on its own, being in the initial stage of the Abscess in the boil. Friction in the area caused recurrence. Being in the pressure area -is causing a lot of pain when you seat on it. If recurs repeatedly-X-ray fixed any other cause like? Colonial cyst with abscess /? Teratoid Desmond cyst with necrotic tissue-which is common in this area. Other causes of such a complaint needs to be ruled out and treated if present accordingly from Second opinion from Surgeon and Ortho-Surgeon if needed. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! Chat Doctor. N. Senior Surgical Specialist |
Hi, I am a 64 yo woman with a history of gastroparesis, GERD, and degenerative L4-L5 disc with back pain and bilateral weakness in thighs and tingling and numbness in feet. Also have sleep apnea. A fantastic GI Doc put me on Celexa at a very low dose - 15-20 mg/d - to increase GI motility for the gastroparesis, and it has worked like a charm. An Ortho Doc put me on Tramadol at a very low dose - 50 mg/d - for the back pain (also getting steroid injections for the back pain). I ve only needed 25 mg of the Tramadol to help with the pain, and it has helped me sleep and even helps with GERD pain. Have been on both for about two months with no problem. I needed my Celexa refilled, and the nurse practitioner has refused on the basis of the interaction between the two drugs and concerns of seizures. I have no history of sz disorder, and the Ortho Doc has no problem with the combo. Do you feel this combination at these doses is of concern; and, if not, how can I work around the script problem. The nurse practiioner has in the past been a fantastic assist with the GI practice, but I feel in this instance that she is being a bit over zealous. This combo is the only thing that has made me feel like myself in a long time. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for posting your query. Though I agree with the concern that a person who takes tramadol either alone or in combination with Elena, has a higher chance of getting seizures. However, the risk is higher in a person with history of seizures, or with injections of tramadol, or with higher doses of tramadol (typically more than 100 mg dose). So, in your case, I feel you have a very low risk of getting seizures, if at all, and I would have no problem in prescribing you the combo, especially as, these two Chat Doctor. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, |
I just recently had a TB skin test. I ve had the TB vaccine since I was born in a foreign country, and that information wasn t passed on to the nurse that gave me the test; due to this the test came up positive, and my skin has reacted. I was curious as to how I should take care of the affected area to decrease my discomfort and if it will scar at all. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi sir/madam, Thanks for your question on Chat Doctor. Simple home remedies for allergy which you can do yourself at home itself:-1. Warm water gargling with salt helps to treat it.2. For inflamed eyes, use the mixture of lime+ mallow + chamomile tea.3. Quince + Honey + Lemon show a good impact on the throat.4. Eye irritation may be reduced washing it through cold water.5. Keep yourself away from allergens.6. Hot shower is effective to ward off allergen and may be used as skin.7. Use sunglasses to protect your eyes from pollen, mites, dust etc.8. Dust mites favor humid place that may spur the condition.9. Hay, straw and grass burning may make allergic patient vulnerable to the disease.10. For congested and inflammatory nose, use peppermint tea.11. Paste of sandalwood + lime juice, the best bet for the affected area. Diet advice:- 1. Eat at least 2 hours before going to bed.2. Chat Doctor. 3. Heavy foods including dairy products, fried foods, cold foods, rice, beans and legumes should be avoided.4. The use of spices, pickles and chilies in cooking should also be minimized Honey, nuts and seeds can be taken in moderate amount.5. Avoid excessive or physically demanding exercise.6. Bitter substance should be taken regularly. Ayurvedic medicines are having best results in allergic reactions take any of this will give good results:-1. Mahasudarshan Than Vat :- 1-0-1 AFTER FOOD.2. Panchnimba Churn:- 1 - 2 teaspoons with water twice a day.3. Raktashodhak Syrup:- 2 Spoon daily before bed.4. Hard |
hi i am suffering from jaundice from a month now . it started with mild fever following by vomiting .the way i was diagnosed was blood test and a physical test .my BILIRUBIN LEVELS and ALT levels were 5.3 and 2900 respectively i was prescribed urso 250 mg and a vitamin supplement for 20 days and advised complete rest with a rich carbohydrate diet.those weeks the stool became normal coloured and yellow urine also dissappeares but itching was there few nights. after 20 days when the results came my BILLIRUBIN was 9.9 and ALT/SGPT 384 SAP 264 AND HBS ag NON REACTIVE.my eyes are still yellow but rest are normal like urine and stool and very less itching .no pain in abdomen or fatigue or nausea or appetite problems happenned from start . but there is mild craving for tobbacco but i avoided it will it effect my jaundice?.i followed each and every step recommended by doctor, family and friends yet the condition worsened now the doctor changed urso 250 to 300 mg 2 times a day again for 20 days.he didn t tell me the cause of jaundice but it is not pbc he told me. i don t know what to do now should i consult other one? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Based on your symptoms and initial laboratory report it seems you were suffering from viral hepatitis (probably hepatitis a or e). Your last report shows significant decrease in ALT but rise in bilirubin. This can happen in viral hepatitis. Bilirubin initially increases, and it decreases after the ALT levels have decreased. In your case the symptoms have also improved. I would advise you to have your serum bilirubin and ALT rechecked after a week of the last test. If bilirubin is not showing a decreasing trend then you should consult a gastroenterologist for detailed evaluation. If there is significant decrease in bilirubin you need not worry, but just to be sure repeat the test weekly till the values are normal. Though tobacco will not have effect on your current illness, it is best you give it up altogether. Hope that helps. Wishing you good luck. Chat Doctor. |
I was born in a remote village with bilateral UN-descended testicles. Due to lack of awareness, my parents did not know the seriousness of the problem and also the local doctor in the small town did not advise them to get my testis descended through surgery well in time. On occasions while I was playing or running during my childhood and adolescence , I used to have swelling and pain on the sides of the root of penis where the testicles were probably stuck. The local doctor advised to rub Iodine ointment and relax. Ultimately I used to get relieved. Anyway, both the testicles were descended one by one through surgeries when I was 28. I got married at the age of 29 and was not aware of my problem as I did not face any erection problems and used to have night falls occasionally. After one and half year of our marriage without pregnancy, we approached our family GP to discuss the issue. I was asked to go through a semen analysis and it was revealed that I have zero sperm count. Following the physical examination of my testis, I was explained by the doctors that the size of the testis is small and that biopsy might not be very helpful. Their conclusion based on their experience was that the azoospermia may be irreversible. As I was following up developments in male infertility on some of the related websites and forums on the Internet, I was very happy when come to kmow from your website that there have been some successes in similar cases l. recently have semen s analysis but no sperms were observed.please let me know what tests report i should send u | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I understand your problem. Following is my reply : 1) Unfortunately. Your descended testis may not give any sperms even if you do biopsy as they are small size. 2) even if you are not satisfied and want to get tested, toucan get tested by doing biopsy. 3) if any sperms are found during the biopsy or FNAC, you can undergo IVF / CSI treatment. 4) If you still have descended testis, i advice you to get your testis removed because there are chances of descended testis undergoing cancer in the future.regard, Chat Doctor. IVF specialist |
hi, my name is naveed, age 30 married for 2 years and no child . i want to have some suggestions on my semen reportabsistance 5 days, quantity: 3 ml, reaction: alkaline, consistancy:liquid, liquification time: 20 min, total sperm count:30 millon, active:20%, dead:60%, pus cells: 20-25/HPF. i have an antibiotic treatment for pus cells for a month before this test and was also advised treibulus terristis (frectill-s) for a month . before this test total sperm count was 35 million, active sperm in my report was 25%, dead were 45%. please adivse me what should i do . my wife is diganosed with polycystic overives. she has iregular periods and during this 2 years time period many a times she has vignal infection for which she was advised a medicine which help her for limited time. doc can we have babies plz adivse us that can antibiotic decrease my pus cells . my wife took homeopathy treatment for 8 months which improved her periods problem but now when she has left the medicine her periods are irregular again | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible.we your report indicate that you have a bit of infection and that is wits basically causing poor semen quality and sperm count, so you are taking treatment and hopefully this win resolve and get better but trust me SM times its all in the hands of god because ppl can get pregnant with even little percentage of alive sperms but in your case even if you have full alive and a very good sperm count nothing can happen unless your wife is fully treated, and she is having polycystic ovaries which is a treatable condition and people conceive after treatment take your wife to gynecologist she will prescribe treatment and your wife will be alright and meanwhile you take your treatment too and soon you will have babies.... I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards. |
Hi can u pls tell me 12 year old high wbc Wbc 15.9 Neut 11.4 Mono 2.1 Looking at these results would u think bad infection or glandular fever or something more like cancer. He is being sent for more tests to check for glandular fever but he was born with immune problem and had a BMT for 11 years ago. Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Hi welcome to ChatDoctorI have gone through regarding high WBC count in blood in a child. I can understand your concern. Dear, your doctor is right to send your son for more tests to check for glandular fever , as he already has history of immune problem & had BMT. It is a usual thing to be done to just repeat the blood work in a few weeks to make sure that the count is under control. For your info, There are a few different causes of an elevated white blood cell count. Since the white blood cell are involved in fighting off infections in the body. Doctor orders routine checkup blood work that comes back with a high white blood cell count, this typically just means that your son has just gotten over some viral infection (like a common cold) In rare cases, a high white blood cell count can be a sign of a serious problem, most typically a blood cancer like a leukemia or a lymphoma. Even though this is not at all common, this is the reason that your pediatrician is being cautious and checking additional blood work. It will be important to followup closely with them to make sure that everything turns out normal and, if not, the right treatment can be given at right time. So you need not worry, cooperate with your doctor. And If you feel any doubt instantly consult another doctor for second opinion. A balanced diet containing essential nutrients - fiber, vitamins, minerals, antioxidants as, curd , Omega-3, flax seed, oranges, coconut water, Aloe era juice +AMLA juice and regular physical activity and Deep Breathing-Inhale- Hold -Exhale - Hold 10 -20 times, all help to strengthen immune system and assure healthy life. Hope this helps solve your query. Take care, All the best.Don't hesitate to get back if you have any further query |
3 Months before I was affected by jaundice. (Total bilirubin:2.3mg/dL direct 1.2mg/dL). As per a doctors advice, i am taking only Oil-less,Salt-less,mostly fat-less foods. I took only 7 days rest as i want to step into my first job(at starting state of jaundice). After that no bed rest, nearly 8hours/day i was sitting in-front of systems. Bilirubin level is going up and down for last 1 month. Now Bilirubin level is about 1.4mg/dL-Total(0.6mg/dL-Direct). In my testing report, it was mentioned that 1.1mg/dL -Total and 0.5mg/dL-Direct as normal. Is it true that it will take about 4.1/2 months to come to normal?. As medicine I am taking only LIV52 syrup only. How long it will take for bilirubin to come to normal? Now there is no disturbance in my body. I want to know whether i am in normal recovery or any problem with my bilirubin levels. My last 3 reports:Total(mg/dL) Direct(mg/dL) 15-Oct 1.4 0.6 25-Sept 1.7 0.6 11-sept 1.9 0.5 24-Aug 2.0 0.7 As per Lab: <1.1mg/dL<0.5mg/dL as Normal Suggest some foods that i can take without any problem. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You are having jaundice, and you are on recovery phase. Your bilirubin only slight high. The cause for that should be ruled out by viral marker study, USG abdomen and peripheral smear examination. You have to take less fatty food for another one month. Sugar cane juice and apple juice can be taken more. Refined foods, junk foods should be avoided for one month. Hope I have solved your query. Let me know if I can assist you further. |
Dec 2011 fell during a structure fire in woods. suffered traumatic injury to left inner and top thigh from landing on chimney and concrete. Assumed I broke my nose bc that s the pain i felt at the time. I suffered a concussion as well. within a couple of hrs my L leg started to hurt. went to plug phone in back at the FD and experience severe sharp pain. checked L leg which presented with two large bruises. within two hr.s I was unable to walk on leg & had sever pain! All Xrays were neg at Urgent care. was sent to Hip Dr. then back Dr. As time went by noticed left big toe had some numbness. I was sent for a Spinal Epidural Injection. I was not comfortable with this but told it would rule out leg ligament injury VS back. 1st shot did nothing, Shortly after the second shot my life change for the worse! Rather sudden low sacroiliac pain from hip to hip. Neurological leg pain now runs from Lt Sciatic to back and side of leg. the worst pain runs from lateral side of leg between the lower thigh to back of calf! have also lost more sensation to big toe. I believe the injection caused damage unrelated to the injury from the fall. The leg is getting worse as time goes by. I have fallen several times do to standing up with the left leg 1st. i was subsequently suffered a very bad fall and head injury do to the weakness. Any idea what could be wrong? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have studied your case. I will advise MRI spine to see for any nerve compression leading to hip and thigh pain. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. As MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. |
A couple of months ago I began feeling localized pain in seemingly random spots on my body. The first time the pain was in my upper left chest. Another time it was in the right side of my back. At other times it s been in my left arm or hand. Another time in my upper right leg near my groin. For some reason all the pains went away for several weeks, but about two weeks ago I began feeling them again. If I didn t know better I d say something is crawling around inside of me. What is going on with me? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi I can understand concern for your pain at random spots on your body. Dear, It is more of a result of faulty lifestyle and wrong die choices. Finding the causes of your problem and removing it will be the right step to take for healthy tomorrow. The human body, according to Ayurveda - the science of life IIS composed of three FM fundamental elements - Dos has, Days and Males -and these 3 elements are known to ban dynamic equilibrium with each other for the maintenance of health Any imbalance of their relative preponderance in the body results in disease and decay. When The three Dos has - vat-vayu , pitta-bile and Kafka -phlegm are not in normal state, It is more of a result of faulty lifestyle and wrong diet choices, causing you several health problems, weakening of muscles and nerves. Modifying your lifestyle, and your posture, your diet by including all essential nutrients - fiber, , vitamins , minerals , antioxidants , ginger garlic nuts. You should do Yoga, Panama - papal bhaji, deep breathing, exercise from time to time to alleviate this problem and keep it healthy. Yoga, Stretching exercises that strengthen muscles in the shoulders, back and the stomach. Massage with warm til oil off and on while at bedtime and a cup of hot milk with a level spoon of turmeric powder and a spoon of almond oil at bedtime, helps alley pain and inflammation, if any. Avoiding overexertion, worry mention, fried, fast foods, tea, coffee, .alcohol will save from father complications Hope this helps solve your query. Take care all the best. Chat Doctor. |
Case history:-72 years old patienta sizable intra-abdominal mass occupying the right hypochodrium. Ultrasonography and Ct scans gave the impression that the mass may be extrapancreatic or related to the uncinate process. The mass was also indenting the IVC but was not infiltrating it. He had no jaundice and was of reasonable body status. Guided FNAC was done and suggested undifferentiated adenocarcinoma as the pathology. Bearing in mind that there was a solitary liver lesion at segment VI, Limited exploration was performed with the hope that this lesion me be GIST tumour and the possibility of having the primary resected may help the patient. Unfortunately the tumour was found to be purely pancreatic invoving part of the head and encroaching on duodenal lumen and inseparable from IVC. In view of the previous findings only anterior gastrojujenostomy was performed to the patient to avoid future duodenal obstruction. His recovery was smooth apart from attacks of bilious vomiting probably related to the gastrojujenostomy. He has severe anorexia probaly related to his malignancy. He is now suffering from severe anorexia + cachixia+Regular vomiting (Fluid therapy is applied regularly)The surgeon is advising to perform another surgery to make a tube outside the body to give him food through it. kINDLY GIVE THE ADVICE REGARDING THIS OPERATIONNB.Doctores did not decide to give him any kind of chemotherapy | If you are a doctor, please answer the medical questions based on the patient's description. | Hello dear. I have gone through the details. Si it seems an unresectable pancreatic cancer with a suspicious liver lesion. Approach would be to do an FNAC of the liver lesion if it is metastasis then do palliative therapy. If no then do initial chemo or radio chemo to shrink the tumor and make it respectable. Since pancreatic tumors cause severe cathexis and loss of appetite and also patient is vomiting, it is a good approach to do a feeding gastrostomy or jejunostomy to provide adequate nutrition. You can go for this operation. Rest of the approach I have mentioned. Hope it is clear. Thanks |
Hello doctor. Am from Mauritius and am a female of 22 years old. I have OCD and Agoraphobia . I am scared to get on buses and flights since I get panic attacks. But this week I have to take a flight for Mumbai and it`s a 6hr flight. Please can u suggest any medecine that I can take so that I don`t experince those attacks on the flights? I am not following any treatment because my parents do not agree that I suffer from a problem. They say it`s all in my mind . But am really nervous to get on this flight. Please help me. On doctor said to use clonazepam 0.5mg thrice daily and propranolol twice daily. Will this be fine? Can i get these medecines in the pharmacy without the doctor`s prescription? And will it have any side effects? Please help me. I am really worried to get on this flight. Thanks a lot. | If you are a doctor, please answer the medical questions based on the patient's description. | 1. Clonazepam and propranolol will be helpful. You may experience Chat Doctor. If you are asthmatic, don't take propranolol. But otherwise, these are safe medicines. However, usually these medicines are not available without prescription. Ask your family doctor for a prescription. Another medicine that will give quick relief is Alprazolam (Restyle, Xanax, Alpha) 0.5 mg just before the flight. Be careful. Do not take Alprazolam for longer period without doctors guidance. It is very habit-forming. You will probably need a prescription for it.2. You should explain to your parents that your have a medical condition. It is not all just in mind. It will help a lot if you request your doctor to talk to them.3. If you take proper treatment for OCD and Agoraphobia, you will be able to live a productive and happier life. Therefore, you should see a psychiatrist. He/she will evaluate you, counsel you about your condition (also counsel your parents) and initiate proper treatment regime. Usually a combination of medicines and psychotherapy such as Cognitive Behavioral Therapy gives best long term results. I hope this answers your question. |
I have one small painless red bump in my pubic area several inches above the penis. it does not itch burn or have puss or blister or anything close to that...and it seems as if it would be very difficult to pop... i just trimmed the area with some clippers a day or two before. the weird thing is that i had folliculitis about 4/12 months ago in the same region but it looked differently than this bump and there were several of them that time...this time there is only one... i was prescribed some benzoyl peroxide and clindamyacin phospate...which worked and ridded the folliculitis in about 4-5 days..i have plenty of it leftover and used it on this bump but it has done nothing... also it should be noted that i havent engaged in sexual intercourse or contact in about 4 months...also i was tested for herpes 4 1/2 months ago and came back negative another very weird thing is the day before it turned into this bump i woke up and there was a black speck where the bump is now. it clearly wasnt a scab as i was able to flick it off easily without having to pick at it or anything like that and after i flicked it off there was no blood or anything and it was gone...it appeared to be a dark piece of dirt or something like that..very odd..but the next day it turned into this small painless itchless red bump...ive had this for about a week or son..can anyone help? | If you are a doctor, please answer the medical questions based on the patient's description. | HelloThanks for query. Painless bump on the pubic area is most likely to be Sebaceous Cyst.However, final diagnosis can be confirmed only on clinical examination by a qualified General Surgeon. The skin in pubic area and genitals is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed is it big may need to get excised in Toto (Completely along with the sac). Chat Doctor. |
Hi Doc I am having sleeplessness from about an year now . Diagnosis was a form of depression and anxiety attack . Honestly, I DO NOT have any reason for any sort of anxiety . Whatever from last fortnight i was taking tab Minnite 15 mg, Qutan 25 mg and Lonazep 0.25 all once . The sleeping did not improve and now from last 5 days , Doc added tab Paxidep CR 25 mg and increased Qutan to 200 mg .From the same night , I am having severe hot blast in my entire body - heat eminating from inside the body and ear . The sleep disturbance has NOT shown in improvement . It takes long time to fall asleep and sometimes, even with Ambien , I keep wide awake throughout the night . And it drains out my energy and health .ADVICE PLEASE Rita Bose | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Rita, thanks for your query; there are many reasons for lack of non-fulfilling sleep quality (insomnia) including anxiety, depression, poor lifestyle, poor sleeping patterns etc. Considering you are on multiple medications at present including T. Minute (mirtazapine), T. Paid (paroxetine), T. Que tan (Quetiapine) & T. LOCATED (Clonazepam); I would like to know your exact set of symptoms & sequence of addition of these medications. For your ongoing sleep problems, lets start from basic measures; 1. Try to sleep & get up at fixed times 2. If you don't feel sleepy within 20 minutes of going to bed, get out of bed & pace around, read a book, soothing music till you feel sleepy again & then go back to bed 3. Use bed only for sleeping & sleeping only!! 4. Avoid tea/coffee after 6pm 5. Avoid daytime naps 6. Do 30 minutes daily physical exercise including cardio, resistance training, yoga & Panama. If problem is only sleep; consult your Psychiatrist about medications like Agomelatine (adopted), Hamilton (Ramstein), Trazodone (Brazil) or optimizing T. Mirtazapine (Minute) alone & tapering off all other medications. You can get back to me for any further assistance. Good Luck |
Hi. I am a 40 year old female diagnosed with Idiopathic Pulmonary Hypertension a year ago, and recently diagnosed with Giant Cell Hepatitis through a liver biopsy. All autoimmune factors tested negative, negative Hepatitis Virus results, negative HIV. What should I expect as far as treatment and prognosis, and what questions should I ask my Dr.? Thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! First and foremost I would like to tell you what pulmonary hypertension(PH) means. It is the raise in blood pressure of the vessels within your lungs. There are various causes for PH - mainly heart diseases, chronic lung diseases, chronic pulmonary embolism, connective tissue diseases, interstitial lung diseases like acidosis. Only if no such cause for Pulmonary hypertension is found then it is termed as Idiopathic Pulmonary hypertension. The most crucial thing is to ensure all tests are done to rule out these known causes of PH before stamping as Idiopathic co the treatment is entirely different. So pls do discuss with your physician regarding your diagnosis. Presuming you have been diagnosed right, treatment of IPA (Idiopathic Pulmonary Arterial Hypertension) requires significant patient education regarding the available therapies and their potential complications. Management is best to be undertaken at centers with expertise in treating this rare disease. The Chat Doctor. These dilate the Pulmonary vessel and reduce the pressure. As supportive measures anticoagulants, digoxin, diuretics, supplemental oxygen are prescribed in necessary cases. A low sodium low fluid diet is recommended in patients with volume overload. Single or double lung transplant is an option for patients who fail to respond to medical therapy. As far as the prognosis is concerned, although IPA His a generally progressive and fatal disease, its prognosis is highly variable. Many patients characteristics correlate with prognosis including functional class, rapidity of onset and exercise capacity. Also, there are various parameters of hemodynamic status of the patient and cardiac status that can predict the prognosis. There are occasional case reports which report patients to have survived for even 20 years with proper treatment. So kindly consult a qualified expert physician and get the right treatment. |
Good Evening Doctors! . Mild multilevel cerivcal discogenic/degerative changes, superimposed on congenital cervical spinal canal narrowing. 2. At C3-4 there is a 1mm central disk protrusion, with mild central canal stenosis. Mild facet arthropathy is present. 3. At C6-7 there is a broad disk/osteophyte with mild to moderate central canal stenosis. 4. Mild bilateral foraminal narrowing at C7-T1.Relative straightening of cervical lordosis. What does all this mean please? And would surgery be an option? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for writing in.1. Mild multilevel cervical isogenic/decorative changes, superimposed on congenital cervical spinal canal narrowing.There are degenerative changes in the discs between bones of the neck spine. This is probably due to age related changes. There is also a narrow spinal canal in you since birth and the degenerative changes makes it more narrow.2. At C3-4 there is a 1 mm central disk protrusion, with mild central canal stenosis. Mild facet arthropathy is present. There is backwards displacement of disc at level C 3 - C 4 and this is causing a slight pressure effect on the spinal canal. This leads to pressure on the covering of spinal cord and pain symptoms. The joint between bones is also showing degenerative changes.3. At C6-7 there is a broad disk/osteophyte with mild to moderate central canal stenosis. There is also a broad disc displacement at C 6 - C 7 level and extra bone formation. The spinal canal is narrowed at this level.4. Mild bilateral foraminal narrowing at C7-T1. There is pressure on the nerve roots at level C 7 - T 1 and this can cause pain.5. Relative straightening of cervical lordosis. This shows that there is muscle spasm of the neck. In conclusion, medications and physiotherapy should be given for 6 to 12 months. There are new medicines which reduce nerve related pain. Also avoid making sudden neck movements. Surgery is indicated if the symptoms persist and worsen even after months of treatment with medications and physiotherapy. Please do not worry. |
Good afternoon. I am a female who will be 31 in July, I am not on any medication at. I weigh approx 13st 11 and try to exercise for 2-3hours weekly (running, badminton & tennis). For about 6months I have experienced missed heart beats with a sudden strong heart beat, which makes me breathe in deeper and feel a little light headed at times. I can feel this in my chest. I have a pulse of 71 - 80 BPM with a missed heart beat about 4-6 times per minute at rest and a pulse of 146-152 BPM with a missed heart beat of 8-14 times after an hour of tennis. I only have coffee in a morning (1 - 2 cups), I eat regular fruit and vegetables, I take vitamin suppliments and have take aways probably once a month. I dont like salt so try not to eat processed foods and never add salt to my food/cooking. Most of the foods we eat consist of pasta, bread & rice (all carbs!!) but include fish, veg, red meat & white meat There is no apparent reason for the missed beats, they are all the time, in bed, watching tv, at work, in the bath, driving, walking, excercising etc. It is frustrating and a little worrying to say the least Is this normal or should I see my GP? thank youNicola Lee | If you are a doctor, please answer the medical questions based on the patient's description. | Dear Nicola Lee, From your description it seems you have extrasystolies, it is a specific type of arrhythmia, when heart contracts prematurely from time to time. It can observe in young people without any pathology. If the amount of extrasystolies us less than 1000 a day, then nothing to worry. If it is more than 8000 a day, there is a need for treatment. Between 1000-8000 is a gray zone, and if there is a need for treatment, decided individually. I would advise you to see your doctor to perform a holder monitoring, which is a test, when you wear a small device, which registers 24 hour ECG, so the amount of extrasystolies will be known for a day. Take fearsome back if you have any further questions |
Dear dr last week i ask about my ankle health status.dr ketan answer me, 64,year old man,his tumor diagnosed as klatiskin tumor after. few days we did sonography for him, nearly all the organwas ok but .there was foci of free fluid,3*3 in RIF, 1*5 behind the bladder, 1*2 in LlF today all of them became larger 3.6*7 cm, 7.5*6,cm and 2.5*4 cmMy question is what is these foci? Is it tumor spread during operation, what is the treatment and prognosis.Laborotary finding todayBilirubin 11.9. Before operation was 19Direct S.B 6.8 mg/dlIndirect S.B 5.1SGOT ,AST. 9u/mlSGPT, AIT. 6S ALP 13 it was high before operationother thing before about one month before we discover the tumor his blood suger was elevated and he took tablet for tratment, now his blood suger became low some time reach 40. Is there any relation between hypoglycemia and his tumor?Generally his health improve but psychologically be is bad because one doctor told him your cancer is metastasize so he alway cry,we did nt told him that he has cancer. Please tell the truth about his status and how to deal with himThank you again | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for writing in. There are channels in liver through which bile passes Goatskin tumor or Hilary cholangiocarcinoma is a cancer at the point where the biliary channels from right and left lobe of liver meet. This is a difficult condition and staging is required to discuss the treatment options and curability. Free fluid is the fluid that is collected due to many causes like inflammation and cancer. The fluid collection amount can vary but usually collection of fluid in a cancer patient means that the disease is progressing. The prognosis of goatskin tumor is good in early stage but when detected at later stages chemotherapy is best to extend survival. He should be under complete treatment at a cancer center for chemotherapy as required and given medicine to reduce pain. Please do not worry. |
Last Friday, after eating some cookie dough with a lot of butter and ginger, I began having trapped air and pain in my right shoulder blade. I was burping a lot. It got progressively worse to the point of being unbearable. I would writhe in pain on the floor if I had to get up and walk, since being upright would cause it to worsen greatly. My right upper arm began to ache,and it feels dull and heavy down to the fingers. The pain in the shoulder blade is sharp, stabbing , burning and is in the right scapula and middle of back,more to the right though. I did a olive oil and lemon juice gall bladder cleanse last night, after discontinuing all solid foods, just drinking fresh juices. I passed a handful of gallstones today at 12:30, the largest being the size of a quarter, all others small. The pain has lessoned and I am able to sit and type and bear it, but it is still great. I have NO pain in my front upper abdomen quad. just right area between neck and shoulder, scapula, back, and right arm. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, thegeeksmom, I am really puzzled by your description of passing gallstones. This is not true gallstones showing up in the stool. Some sort of chemical reaction between olive oil and lemon juice, forms oily balls colored green by bile and comes out in the stool and floats. Real gallstones sink in the water. This liver cleansing and gallbladder cleansing is a quackery. What you probably had been an acute dilatation of the stomach due to excess gas from the butter and cookie dough. Ginger facilitates some digestive process and hence the beeps. When the stomach is quite distended, that causes pressure on the nerve endings and that is the reason for shoulder pain (Pressure on the diaphragm) and the back pain. I am sure, when once the stomach empties, and you expel all the gas, you should feel better. I suggest that you get an upper GI x-rays and also a sonogram of the gallbladder to see if you have real gallstones. Try to stay away from fatty and greasy foods. I wish you well. |
hi I am Jhansi I have asthma and sinusitis problem from the age of 11 now my age is 29 in doctors prescription I am using montek lc ,rotacaps seroflo 100 daily I have to use this tablets if I am not using this tablets I am getting breathing and sinusitis problem in food also I am getting by gee ,lemon ,curd ,all fruits ,cool drinks I am married 1 year has been finished because of asthma and sinusitis problem any affect of this pregencey not getting please tell | If you are a doctor, please answer the medical questions based on the patient's description. | Dear Concerned., Thanks for writing to us. Have you planned to conceive now? As you are asking whether any of the above medications have teratogenesis/producing abnormality in an unborn baby in the womb itself. The following will give a clear picture to you. Monteleukast is a selective leukotriene receptor antagonist(SLR). Keeping 1-3 percent as the baseline for major malformations in an unexposed population to Montelukast, the medicine doe snot increase the baseline rate of major malformations. In a prospective, multigenic, comparative study around the world it is the severity of Asthma/breathing difficulty that produced a major birth weight difference of 304 GMS. It was concluded that Montelukast was not, but the maternal severity condition was responsible.(ref;2009 European Journal of Clinical Pharmacology)Carlo contains albuterol and fluticazone and the clinical data regarding the safety in pregnancy is not yet available. Administration of Chat Doctor. In addition to your regular consultations with your GAEC during pregnancy, pls have a follow-up with Pulmonologist so that your severity of reversible obstructive airways' disease(ROAD) is kept under control. As Taking Chest X-rays are definitely harmful during pregnancy, pls complete all routine blood/urine tests/allergy tests/lung function tests/ENT Consultation et al. and titrate your medicines dosage well before pregnancy so that the duration of pregnancy will be uneventful. Taking long walks and vitamin C daily 500 to 1000 mg have been shown to be beneficial. Wishing you a speedy recovery., Best regards., |
In patients with brain injury, is there a higher risk for subsequent brain injuries, even if the cause of the subsequent injury is not apparent? In a long-term care facility for rehabilitation, we see patients plateau and remain stable for several years only to suddenly seem to lose memory function. | 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 see, I have observed something very similar in my practice. I have some data on the same. Furthermore, I have not been able to find a very suitable reason for these observations. The possibilities that suit one subset of patients fails the second subset absolutelyHowever I feel, and many colleagues agree that the possibility is that people who develop fall, especially the elderly have a component of dementia left behind. Now when there is a level of dementia left back, the person always has more falls. Besides, many of these patients are old and have issues with other aspects of health too like bone health, joint health. These secondary health issues may also make them unstable on their feet and lead to them loosing their balance. And of course, elderly when they fall, often develop fractures and the bed rest that they are prescribed only further adds to the dementia and taxes their cognitive functions. A study of functional MRI may probably help us in getting to a hypothesis, but the costs are an issue 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. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida |
Hi: I was diagnosed with bursitis in my right hip 5 years ago. Since then, my thighs on both sides have deteriorated visibly and I am having trouble walking. I had a minor heart attack a few months ago and my walking situation is even worse. I have a good doctor but he doesn t seem to understand my walking situation. I have had hip xrays and all is well. I am in constant pain. Thank you, Anne | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thank you for your query. I can understand your concerns. It seems that you are suffering from chronic non-infectious hip bursitis. Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed. Treatment includes rest, ice application, and NSAID (/Non-steroidal-anti-inflammatory- Chat Doctor. g. proximal 20 mg once daily orally along with sanitizing 150 daily orally for acute exacerbation of pain. You can undergo MRI hips to assess the extent of inflammation.Additionally, you may undertake the followings:-Activity modification-Avoid the activities that worsen symptoms. Assistive devices-Use of a walking cane or crutches for a week or more when needed. Physical therapy-exercises to increase hip strength and flexibility. You may do these exercises on your own, or a physio-therapist may teach you how to stretch your hip muscles and use other treatments such as rolling therapy (massage), ice, heat, or ultrasound. Steroid injection-Injection of a corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededGenerally, no surgical intervention is required for cases of trochanteric /hip bursitis, because most patients respond well to nonsurgical treatment. Only rarely does a patient with trochanteric bursitis need a bursectomy and partial resection of the greater trochanteric process. Regards |
I had an angioplasty on December 13, 2014. I was told I have Broken Heart Syndrome. Two days after the angioplasty( they put a plug that was suppose to melt in about two weeks ) I came home from the hospital. That night I got a severe cramp in my right thigh, last about 4 minutes. My entire right thigh turned black from brusing. Ever since I have severe pain in my right groin area, severe pain in my right hip that goes down my right leg to my knee then goes down the side of my right leg into my ankle and foot. It is severe, sometimes I can t even walk. I told my doctor; his response was I m a heart doctor, only deal with the heart and seek help with another doctor. I have, but no answers. My brother and sister both have had this procedure but they needed stints however they never experienced my type of pain ever. They are fine. They both had the plug in their leg but never had any pain as I do. I have gone to 4 other doctors only to suggest I take tramadol for pain. In other other words they have no answers. Can you advise me as to what I can do. This has become a very disabling pain on a daily basis. | If you are a doctor, please answer the medical questions based on the patient's description. | The keg artery is used to assess the heart artery to do angiography and angioplasty. Post procedure the sheath is removed and either a plug to seal of the artery or the manual pressure is used to close to would. Many a time there might be small leak if the plug doesn't stay properly or manual pressure was not adequate. In a rare patient this may lead to a small blood clot or pseudo aneurysm of that artery, which may give rise to symptoms you described. Its it's not increasing in size, its managed conservatively with as you say tramadol, and I will add local tomophobe ointment plus plain ice. For the pain. However, a local femoral artery Doppler to rule out any injury is advised. Your cardiology would surely know about this as it's a very common complications of angioplasty. Regards Chat Doctor. |
Hi I am 31 weeks pregnant with my second baby. The last few days I have noticed an increase in fetal movements lasting sometimes 45- 60 mins and only short resting times inbetween. The movements are very strong and sometimes hurt. I am under consultant care due to problems with my last pregnancy, placental abruption (minor), increased liquor volume, breech and post partum heamorrhage due to atonic uterus following c-section. So far this pregnancy has been uneventful and the baby is growing normally. Thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hallow Dear, You are 31 weeks pregnant. At this stage of pregnancy, the fetus does move freely in the uterus. When you feel it is moving rather too much, I would advise you to count the fetal movements. Count the number of times fetus moves in continuous 12 hours. A healthy fetus moves about 10 times during 12 hours period; or you can say on an average it moves once every hour. Of course, the fetus also has its own body clock. It does sleep at its own time, which may not be congruent with mothers sleep. Therefore, I advise having a foetal movement count for 12 hours. Please make note of each movement on a paper to avoid mistakes in the count. If the count is less than 10 in 12 hours, you have to report to your Obstetrician. I do empathize your concern due to previous placental abruption. However, placental abruption is a sudden event, though the cause may be over a period. So the fetus stops moving when placenta is separated. Increased fetal movements may not be indicating placental abruption. Still for your mental peace, better get ultrasonography done to ascertain the health and growth of the fetus and also integrity and maturity of placenta. If baby and placenta are healthy and normal, you need not worry about the fetal movements if they are within normal limits. Another investigation you may undergo is electronic fetal monitoring which not only will count the fetal movements but will assess the fetal cardiac activity during movements and during Braxton Hicks uterine contractions. If there is any impending risk, it will be reflected in the fetal heart tracings. I hope this guidance is useful to you. |
Hi Good Afternoon! I had a severe back pain which i could not able to bend myself. I took pain killers and also rantac tablet to get away from acidity.Now i have back pain as well i have gastric problem. I took mucaine gel now after my food. Can you guide me what can i do right now | 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 back stress, Dear, there are many factors causing this trouble as your age, lifestyle, food habits, exertion at work place or home, faulty posture, lack of exercise, mensuration or menopause in case of women. Adopt right posture of sitting, standing and bending to avoid stress in back. If you eat a well-balanced but simple, easily digestible diet with plenty of fibers, fish, fruits and vegetables, vitamins, minerals. You should get enough of the nutrients you need every day, but if you're not getting enough of nutritious diet, a lot of health problems hover on you, as a lifesaver, besides taking antioxidants, lemon juice with water & pinch of salt and pepper, Aloe vera juice 25 ml +AMLA juice 2 spoons, papaya, coconut water, ginger, garlic fenugreek powder 1 spoon with water, turmeric powder a level spoon with cup of hot milk at bedtime, Avoid fried, fast foods' tea, coffee, alcohol, smoking, mental stress, worry anxiety and most important is to clear you bowls. As constipation is mother of all ills. Last but not the least for proper blood circulation, regular walk, front bending exercise, yoga, pranayam-deep breathing proper rest & sound sleep, helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy, happy, disease free life. Adopt right posture of sitting, standing and bending Do back bending exercises. Never ever do front being it worsens the situation. Bhujangasan, Khanpur San, Sheratan are best for relieving back pain. Sleep on hard bed Hope this helps solve your query. Take care All the best Mail at Chat Doctor. Com if any doubt.Don't hesitate to come back for any further query |
Hi doctor im very much depressed due to my husbands behavior.i had 3 years of happy married life but suddenly everything got changed.thing is last week i checked my husbands mail i got to know that a girl mailed him mentioning that "got ur chocolates....thankyou".she has also sent her photos.seems some funtion must have taken place.her family members were also incuded in the photos.actually he used to tell me everything about his friends including girlfriends but he has not mentioned bout this girl anytime earlier.my husband is staying abroad.he used to cal me daily.but the day he received that girls mail he did not cal me.when asked about y he did not cal me he said he was busy with his work.then he asked me to apply for the government job abroad(the place where he is staying)and asked me to check the website.being consious that i may check his mail he deleted that particular mail.i doubt whether he is having an affair.i love him very much.i dont want to miss him.please tell me how should i react to this.he vil be coming to india by october.what should i do | 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 understand your feelings and frustration. But can you call it depression? Actually this is just a sort of disappointment. Disappointment makes us feel unhappy, think and act weird, sometimes cry etc. That is it. Take it in that sense. Your husband should know about your current feelings. You are the better person to tell him about this. Ask him out. Go for dinner and open your mind in front of him. Please do not argue. Let him present his version. Later you think over his version again and again. Not to find loopholes but to believe it yourself. You might meet a family counselor later. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
Hi I believe I may have HAE. I am male 48 years old living in Spain. At the age of 14 (first attack) I was taken to hospital for severe abdominal pain. I have returned with the same symptoms over 10 times and never found a cause. I was told it may be a grumbling appendix. Apart from that I have a rash on my buttocks, have constant urinary tract infections and constantly urinate with a very week flow and quite often have top concentrate to urinate. I also have constant nasal drip thick mucus at the back of my throat every morning that causes me to vomit when trying to brush my teeth. I have mentioned all this to my doctor and have been to hospital and asked for the blood test but so far have been refused. I am being treated separately for all the symptoms. I am told allergies cause the mucus problems even though antihistamines nasal spray and such like do help a little it never eradicates it. urinary problems I am told is psychosomatic and pains in stomach are due to grumbling appendix. Rash is also allergy. Apart from that I had tonsillitis for 6 months and weeping blisters on my face as one of separate attacks. I have just discovered that HAE exists and it seems very strange that I have all the symptoms. Life is good but it would be much better without the problems in the morning with mucus and the urination problems. Would appreciate any advise or help. I have no idea why my Dr will not do the test for C1 and C4 inhibitors. Do you think it could be something else? | If you are a doctor, please answer the medical questions based on the patient's description. | Many thanks. You have 2 problems.1.prostates and urinary tract infection.2.?bronchitis which is re tension of secretion in the air ways and lungs. Are you smoking or Did you ever been smoke cigarettes? For prostate, you need the follow test.1.blood PSA.2.eGFR3.urine culture and sensitivity and then start antibiotics after the results of it.4.ultrasound of bladder, prostate,liver, kidneys.5. Refer to urologist if anything positive. For bronchiectasis ? Cartagener syn Chat Doctor. Refer to pulmonologist for further assessment. |
My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side of the back of his head) altogether. Hi, my boyfriend has a heart condition. He was born premature. He experienced frequent chest pains before during his high school days and then it went away for a year or so. Now, it s back. He experiences these chest pains about 3 times a week. Sometimes, the attacks come in 2 consecutive days or more. I also have a concern about him having nosebleeds every now and then for no reason at all. Recently he s experiencing headaches at the lower left side of the back of his head. He has lost his appetite and lost some weight. My major concern is that earlier, he experienced nose bleeding, chest pains and headache (lower left side) altogether. Kindly help me me please. I m really worried about him. -Joy | 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. You friend seems to suffer from -?CHD with Hypertension? Coarctation of Aorta. Other regular causes of Hypertension needs to be ruled out and treated if any. Nasal bleeding with chest pains and headache are due to Hypertension. With history of heart condition and premature birth with history of chest pains during school days, Coarctation of Aorta needs to be ruled out, with expert opinion from Cardiac Surgeon. Second opinion with CHD expert-Cardiac Surgeon is advisable in your case who would investigate properly and would plan further treatment for you. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
My FBS (Glucose, Serum) is 124; Glucose Post-Prandial Plasma is 192; and HbA1c (H.P.L.C technology) is 6.8%. Am I diabetic ? Should I take medication or can it be controlled by diet/lifestyle changes ? Thank you for your kind attention - A. Sen Gupta, Bangalore, India. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sir, Thank you for your query. I understand your concerns. Based on the reports, you do have diabetes. For good glucose control your HBA1C should be less than 6.5%, your fasting blood glucose should be less than 110 mg/do and your 2 post meal glucose should be less than 160-170 mg /DL (provided you are fit and fine and do not have any other debilitating illnesses). I am not sure of your age. As your sugar levels are borderline you could try 3 month trial of diet and exercise alone to control your glucose levels. After 3 months measure the blood tests again. If they have reduced then you can continue the same healthy lifestyle changes and keep checking your blood glucose levels every 3 months. If your blood glucose levels have not changed or have worsened after the 3-month trial of diet and exercise then you need to start medication along with your lifestyle changes. Healthy lifestyle tips:1) Exercise-moderate exercise like brisk walking, cycling, swimming etc. - for at least 45-60 min every day or at least 5 out of 7 days in a week.2) Diet: Avoid sugary food items and sweets, cookies, chocolates etc. take plenty of vegetables (restrict potatoes). Take whole grains products like wheat bread, oats, millets, brown rice etc. Avoid refined /plain flour items. You can take 2-3 servings of fruit(avoid mango, jack fruit, custard apple, chick). Take adequate protein (eggs, pulses, non veg- but restrict mutton). Can take 5-7 nuts like almonds, cashew nuts etc. Restrict saturated fats like butter, cheese, paneer etc. 3) Reduce weight if you are overweight. I wish you well. I hope this answer has been helpful to you. Regards Chat Doctor. |
Hello,Im having an allergy to the moisturizer I apply to my skin legs and arms. It starting to irratate and its itchy, red and bumpy. What is the cure for this allergy? And the home remedies to lessen the itch on my legs and arms.Thanks,Jhoanna | If you are a doctor, please answer the medical questions based on the patient's description. | **Even when starting with home remedies, make sure to get opinion of Dermatologist regarding the same.1. a. Boil about 25 grams of Kabul and mango barks each in one liter of water. Allow a fomentation of these vapors directly onto the affected part of the skin. When the fomentation is done, dab the region with ghee. The itchiness will slowly disappear.b. Mix linseed oil in equal parts of lemon juice. Apply this on the region where itching is severe. This remedy works for treating almost all types of itching.c. Mix the juice of a fresh coconut and a tomato. Massage this on the itchy region. The itchiness will fade away.d. If the itchiness is spreading all over the body, then you may try out the following recipe. Mix some ground red gram (area I deal) in curds. Apply this on the skin for three to four days. The itching will stop spreading and will slowly disappear within a few days.e. Grind sandalwood and black pepper to a fine paste. Mix them in ghee. Apply them with a rough cloth onto the itchy skin. Then expose the skin to sunlight. This is a quick method for reducing the itching sensation, but it may be a temporary relief.f. Simply applying the juices of the root of bitter gourd (Karla) on the skin also relieves itching to a great extent.g. You may ask for prescription medicine like: tablet reptilian, aroma varying vat, sutshekhar RAS, kamduddha RAS, hari Chat Doctor. PS. True allergy to moisturizers and emollients is rare. Suspected contact allergy can be investigated by patch testing. But even if a patients allergens are identified, their presence in commercial preparations can be difficult to ascertain, and it often comes back to trial and error. |
Hi Doctor, I have done my semen analysis report, the report is as follows kindly advice me if it is normal i have any problem Macroscopic Examination Volume: 1.5ml viscocity normal, colour grey, PH 7.6, liqufaction time: 30min, microscopic examination:Total Count: 100m/ml Motility: RLP: 60% SLP: 20% Non-Progressive: 25% Immotile: 40% Morphology: Normal: 60% Abnormal: 40% Head Defects: 17% Mid Piece Defects: 13% Tail Defects: nil Pin Head: Nil Round Head: 10% Impression: Mohmozoospermia * i am not able to understand what this mean to Contamination WBC 15-16LPF Epithelial Cells: 10-12 LPF Pus Cells: 7-8LPF Agglutination NIL Kindly advice wheather i am normal Awaiting for ur valued reply Velankannan | If you are a doctor, please answer the medical questions based on the patient's description. | Her Velankannan, Thank you for asking your query on Heath Care Magic platform. I have gone through your report. Your semen quantity is rather low. Though count per ml looks normal, due to low amount, the total sperm count is also low; moreover the abnormal morphology count is considerably high. Presence of ABCs - white blood cells, pus cells and epithelial cells in the semen suggest presence of some infection. However, many times, immature sperms are misread as pus cells in the semen. This infection could be the cause of seminal low quality and quantity. You may have to take antibiotics for this infection. If you are having the following type of your lifestyle, you may have to change as any of them affect the quality of semen:1. Working in very hot atmosphere like near a furnace or so2. Prolong standing3. Any exposure to chemicals that may affect your sperm productions there any injury to your testicles? Please get checked from the urologist whether you have varicose veins in the scrotum (varicocele). If so, it needs prompt treatment. Any way, this report does demand a urologists/male infertilitologists advice. |
I am a late-teenage girl who has been diagnosed with anxiety , depression , agoraphobia , panic disorder and SUSPECTED, (but not diagnosed) personality disorder and body dismorphia. recently i have become so obsessed with my weight, (i am overweight , let me add) that it is now all i can think about. i have limited myself to 800 calories a day and do sit ups each day too. after finding out a friend is on 500 i now feel 800 is way too much and want to try and get down to 500 too. i weigh myself 2 or 3 times a day and i get so angry and disappointed if i have put on weight or not lost any. i have recently lost 10lb in 10 days. i think about making myself sick all the time but have a real phobia of being sick that i dont. i am constantly searching the internet for diet tips, taking diet pills and finding out what foods i can eat with little-no calories. does this sound like an eating disorder? or the beginings of an eating disorder? with being so overweight before i never ever looked into eating disorders so i dont know whether i do or don t. i am obviously not expecting a diagnosis from anybody, but just anyone who may be able to suggest whether it sounds like something that they recognise as an issue... i feel like it has taken over my life and it is all that s on my mind these days, but similarly the power i get from being in control of what i eat is amazing. | If you are a doctor, please answer the medical questions based on the patient's description. | This sounds like it could be brewing into an eating disorder for you for sure. Diet and weight loss are important when one is overweight, but one has to be careful not to go overboard when it comes to caloric restriction. Consulting a good dietician/nutritionist would be a very valuable exercise in your case, because this clinician can help you develop an excellent diet and exercise regimen that will help you achieve your goals safely and expeditiously. Doing it your way may get quicker results, but it may also take a negative toll on your body for obvious reasons. Best of luck with your situation. Feel better! I hope this information helped guide you to some information and help you may not have had previously. |
I have a problem with my jaw I ve never had before. When I open it as far as I need, say, to put a fork in my mouth to eat, it clicks, just between the edge of my mouth and ear . It sounds a bit like an elastic band breaking. It only started today about halfway done my lunch. When I went to Guidance (I was at school), the lady I talked to said I should tell my mom to get it checked. What exactly is it? I am only 14 years old, turned so on January the 2nd. I have only had cavities once. I got 8 at the same time, but they were all baby teeth and I ve lost them by now. I ve never done anything to my jaw that I know of directly. My last visit to the dentist was in March(this month). I got my teeth cleaned and checked, as well as a flouride treatment. I also am known to grind my teeth at night, and used to have headgear. My orthodontist decided my condition was not too bad so I didn t get braces. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and thank you for your question. In your head you have a groove in the skull and a rounded joint on the jaw, between these two bones that make of the temporal mandibular joint is a cartilage disc. This disk is attached by muscles and elastic ligaments. When you open your jaw it rotates then slides down and forward, when this happens the disc slides back. When you close it goes back forward. Sometimes these ligaments become loose and there is a lag in the sliding of the disc. A closing click arises during closing of the jaw and is caused by the condole (the rounded part of your jaw joint) rapidly repositioning posteriorly (towards the back), displacing the disc anteriorly (towards the front) or medially (towards the side). An opening click arises in the opposite of what was just said. If you get a line of 100 people 40-60 of these people will have clicking, cracking or popping in their jaws without any issues. Hope this helps give you comfort. Best wishes and good health |
Hi, I am 30yrs old and throughout my life i have been lonely. I have no siblings and the only child of parents. I recently got married ( 6 months ago ). Yes i was Love marriage and affair went 3 years before getting married. I was so excited to have someone that would belong to me, loved me only and would give me attention love affection ... But this never happened. My wife ( 23yrs) came from a big family ( having 6 siblings ) and throughout this time she has been missing them, preferring them and giving them more time than to me. I am so broken to feel this reality that she does not love me the way she did before. She wlays tries to make her way to her home ( 4km from my house ). And she does not even feel like missing me .. whereas i do miss her alot when she leaves me for 1-2 days. I am so much emotionally attached to her that i always want here to be in front of my eyes. But at her part she does not bother alot. I feel that why am i so much emotionally attach to her, and even if i try to dis-associate from her like avoiding her or talking less. I cant do that. But for her its a piece of cake. She stills look cheerful with her friends and siblings but never have shown true cheerness for me .... Please help me, i discussed her with all this but she said that i am being to clingy and over sensitive. Why cant she understand that i need time, good quality time with her so that i call fill up my past years gap of loneliness ... It seems i will never me able to fill up my inner space and will crave for it till death.... | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Thanks for writing to us. I can understand your feelings. After marriage your wife is not giving the much wanted attention. She is more attached to her family. The only way out of this is to go for a vacation for some days when both of you are together for some days and can understand each other better. A mutual friend of yours can enlighten your wife regarding this. Taking the help of psychotherapist will be a good idea. I hope this information has been both informative and helpful for you. |
Hello, A few weeks ago I noticed a bloating feeling in my Oblique/Pelvic area (where a muscular V would be) on my left side. A few weeks later I noticed swelling and something protruding out of that same area. Alarmed, I went for a colonoscopy and endoscopy... Nothing out of the ordinary there except a few ulcers (I m only 19 but I m waiting on the test results). Now, Ive noticed that there s mild pain (3 or 4 out of a 10) and all of a sudden my Ribs on that same side are now also sticking out more! If I suck in all the air and stick my chest out it is very noticeable and on the bottom where the Ribcage ends, that same left side is extended down lower (feels like an extra few ribs or something of that nature) now I m just trying to figure out where to go from here. Again I m only 19 (Male), I DID break my ribs in football about 2 years ago so I m not sure if that s how it heals or whatever that process might be, but I m sure I would have noticed before now. I do drink socially, never smoked or did drugs and I ve always been an athlete, but since around June I just feel like the wheels are falling off on the inside of me. If ANYBODY can give me some insight it would be greatly appreciated, Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Thanks for writing to us, I have studied your case with diligence. As per your history there is possibility of rib contusion or Costco Chat Doctor. Rib contusion is visible on X-ray/ CT scan. I will advise consulting to orthopedic surgeon. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take care. |
I am a 24 year old MSc passed out from Panjab univ. with quite good marks and currently I am preparing for UGC NET. Within this 1 year my life has witnessed ups and downs, well more of the downs then ups. My parents and elder siblings have started putting up restrictions on me which they never did earlier, I am putting away from my home from past 6 yrs (though my siblings live in d same city i live). In this one year gap i got few job offers but my family dint allow me to join since they were contractual, They want me to clear UGc n then get married. whensoever I try to convince them my point of view for my life, we end up in heated arguments and by end itz me who is made guilty , proved wrong, n blamed unnecessarily even for the acts which I have never committed. Now my siblings are nomore talking to me. All what is happening in my life is making me feel insane. I feel too low n at times i get suicidal thoughts.I feel all alone surrounded by so many people but there is nobody i can seek support from. I find myself too meek to tackle the situation. I was never like this ever before. My head keeps on aching all the time n I am not able to concentrate on my studies too.. i tried meditation too but i failed. whensoever I try ti meditate my life z graph starts revolving around me and i feel like crying. Things get worst in d evenings. Earlier I thought it would get better with time but itz not going so. Cn I gt some solution to overcome this mental state of mine.. please medicate me before I end up my lifePS- i cant think and see anything positive in my life . so please dont ask me to help by myself. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for using Chat Doctor forum. I have gone through your available history. You are having severe depression with suicidal ideas. You should immediately consult psychiatrist for detailed evaluation and treatment. Furthermore, you may get benefit from anti-depressant Chat Doctor. In severe cases, Doctor may consider for electroconvulsive therapy or deep brain stimulation. I hope you will be fine soon. Thanks |
sir, my baby aged about 15 ye 5 m 21 days was chronic cough with sputum and blood. She was admitted in the hospital and at the first instance, the test for cystic fibrosis, deta 508 and sweet chloride was conducted whicChatDoctore in nagative and normal 32. Latter on her echo of heart was taken and dignosed as pulmonary hypertension as such, she was admitted in cardio hospital, where cultural test was conducted and cholestic sulphate injunction was given and after 6 hours she passed away. NOw my son sindh yar aged about 10 years having morning cough with small sputum , sneezing,irritation, poor health, i do not want to loose him. please tell me what kind of test should be taken so that the disease can be dignosed | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Thank you for asking at Chat Doctor. Morning cough with small sputum, sneezing, nasal itching and irritation, etc. are common signs of allergic respiratory disease. It can be an allergic rhinitis, sinusitis or sometimes childhood asthma. I understand your concern about pulmonary hypertension as his sister had it. But it is not a very common disease in child Chat Doctor. So first I would suggest you to consult an Allergist who will examine your son in detail and suggest you tests like CBC, AEC, total IGE and allergy testing. If he has more of morning symptoms, personally I would like to test him for allergy to house dust mite, indoor molds, cockroach allergens and pet dander allergens (if you have a pet). If these tests suggest allergic disease, I would suggest him to take regular montelukast and an antihistamine like levocetirizine. Also, the allergist will also suggest him some allergen control measures depending on allergy testing result, and if possible, allergen immunotherapy. If he has other long term health issues (as you have mentioned "poor health"), I would suggest you to consult a pediatrician first who can examine him in detail and suggest investigations to come to a diagnosis. Hope this will be helpful to you. Wish your son the best of health. Regards. |
Ive noticed minor hallucinations in a waking, sober state, usually they seem stronger if I focus on them and/or there is music (or a rhythmic predictable sound) present. While they are not at a point that they interfere with my life or have caused me any difficulty in disregarding. These hallucinations are nearly always visual in nature and very rarely auditory, usually manifesting as slow wave like movement seen in blank, plain or highly textured surfaces, such as a mono-colored wall, desk or patch of grass. On rare occasions I hear what sounds like someone speaking a word or 2 in another room, or sometimes brief unintelligible conversation or sounds of movement (like distant walking). This is fairly rare. less than a single occurrence per week and almost always happens when I ma alone in a comfortable location, such as my home. The visual hallucination however are always present though as stated, easily ignored and nearly unnoticeable unless focused on.Its worth noting that I have used various psychedelic substances in my past and have also noticed (in the past) a temporary (roughly 1 to 2 day) reduction of symptoms after a singular use of dimethyltryptamine.What kind of doctor should I consult about these issues? Could this be a symptom of a more serious issue? | 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. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and waited. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
Hi. I have aching legs and stiffness which has been going on for some time. I had this before I had a accident and fractured my femur at the neck in 4 places. However even though I have physio and rehab 5 days a week this aching legs inhibits my rehab. The ach is like the leg muscle is so tight it cannot stretch any further without splitting apart. I have had xrays, I am active and always have been. To the extent I have a travel business and take client trekking to Everest. I am 61 year old women years and weigh 60kg. I would appreciate your help. Regards Ann | 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 clinical musculoskeletal assessment is advised. As you have fractured the neck of the femur at multiple places what was the mode of treatment applied has to be understood? Have you undergone any surgery for the same or not? As fracture at the neck of femur is a very intense place and needs a proper rehabilitation plan. Physical therapy needs to be very different as you are a trekking person and needs to understand your musculoskeletal requirements. Also, what was the mechanism of fracture? Was it a fall or a direct injury needs a thorough understanding. If it is a direct impact then the muscles must have impacted very badly and also if it was a fall then understanding the lumbosacral region is required. As stiffness occurs due to the nerve pathology and needs a thorough assessment. In my clinical practice, dealing with sports injuries and others, with thorough understanding of the mechanism of injury and also the musculoskeletal requirements the therapy is induced and things works fine most of the time. In your case the rehabilitation process is little longer as it needs a proper stabilization of the hip joint since you are a trekking individual. Also, the gluteus and the internal & external rotators should be strong enough to hold the joint in space. Undergoing a balance board training helps to regain the joint proprioceptive mechanism and gives good nobility with stability. In case you need further description, you can contact me and I will be happy to see you again trekking in the future. RegardsJay In Chat Doctor. |
Mucinac has been prescribed three times daily for a female patient of age 74 after a diagnosis of idiopathic pulmonary fibrosis; contraindications for the drug indicate in very rare cases fatal cardiac arrest; so would like to understand if it is safe to continue with the prescription | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, As the patient is diagnosed with idiopathic pulmonary fibrosis please continue the medication provided by the physician or pulmonologist. Also, have a small digital pulse oximeter at home to keep checking the oxygen saturation levels. Usually it's between 94-99% which is claimed to be good. Anything below 85 might be asking for the oxygen supply. Also in history, the missing part was the lobes arrested in the fibrosis of the lung. So which side it is and which lobe it is to understand much better. To provide advice for it, I will say sleeping on the side of the lung which is not fibrosis. Also, having an oxygen saturation supply machine at home will be good for the patient is there is no sleep apnea. If there is sleep apnea than a BiPAP machine will be advised for having good respiration. Having a good pulmonary rehabilitation team working behind the patients' recovery plan will be helpful for avoiding fatigue and aches and pains. Since respiratory system consumes maximum amount of human body energy a good oxygen supply will be of help. Also, fibrosis is an irreversible process. The more the supply of oxygen therapy along with pulmonary physiotherapy will be helpful for patient. Checking of oxygen saturation, pulse and blood pressure is of utmost importance in patients with fibrosis of lungs. Hope you take the wise decision for the patient. In my clinical practice of 12 years, seen cases with pulmonary fibrosis and the use of oxygen saturation machine with physical therapy or BiPAP with physical therapy have been helpful to avoid fatigue to set in. Medications do play a role if any cold or cough symptoms are blocking the air passage. A complete pulmonary rehabilitation approach is found effective in patients. Research has shown the changes happening with pulmonary rehabilitation for patients with fibrosis of lungs. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
Hi, I am 34 yrs old and trying to conceive for 3 yrs now but with no luck. I have undergone all tests before proceeding to IUI treatment and all seems fine with me and hubby. I have regular periods and both tubes are open. I have done IUI 3 times but not successful. The doctor told me to undergo laparoscopic operation this time to investigate further but I am so scared to undergo this laparoscopy operation. Doctor here also said that after laparoscopy operation and everything is fine, i must go back to IUI again but with FSH drugs for 3 cycle and if its not going to work, will proceed to IVF . What s wrong with me? and I don t understand why to go for laparoscopy or back to IUI when it already didn t work for 3 times. and why not directly go to IVF procedure? Is laparoscopy operation really necessary? I am very afraid to take the risks of this kind of operation | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Welcome to Chat Doctor As per your history you are suffering from unexplained infertility. As you are already 34 yrs (with increasing age and time to conception fertility further reduces) and have been trying for 3 yrs, you need to be thoroughly evaluated by doing a laparoscopy+ hysteroscopy. Why Laparoscopy?? Sometimes few patients may have minimal endometriosis or mild adhesions which may affect the function of tubes and leads to infertility. By doing laparoscopy adverse factors if any can be ruled out or treated. Also tubes can be evaluated under direct vision Hysteroscopy is the procedure where inside uterine cavity is viewed using a camera and if any pathology found can be treated at the same time. Laparoscopy is a day care procedure where you can go same day or next day morning. Don't get scared. As your doctor already said you can try GUI after laparoscopy because immediately after surgery there is good chance of conception. If 3 Luis fail after laparoscopy you can go ahead with IVF. IVF can be done directly, but you need to undergo hysteroscopy before IVF for the reasons explained above. Trust your doctor. All the best |
Hello,I am a 29 year old female diagnosed with Transverse Myelitis in 11/12. I am waiting to get a biopsy done to confirm Neurosarcoidosis. I am going currently going to Johns Hopkins. My doctors are very busy and dont have much time for me. When I got the information about Neurosarcoidosis, I had lots of questions, but was too upset to ask them. So, here goes...Is there any other drug to treat this besides Prednisone? I am currently taking 60mg a day(I did some research and came up with Imuran) Your thoughts???Is this something that could be passed to my child?If there are crystals on my spinal cord, can they be surgically removed?Where on earth did this come from? The only issues I have had recently was a viral infection in 8/12. | If you are a doctor, please answer the medical questions based on the patient's description. | HIT hank for choosing Chat Doctor, I think the final diagnosis is yet to be confirmed, and you might have given a steroid on basis of clinical history alone, after final diagnosis with help of MRI, spinal tapping, it is extremely necessary to differentiate the diagnosis, careful evaluation needed of full central nervous system, with routine investigation, to rule out the under laying possibility of infection either viral or bacterial, chances of finding of the etiologic causes is uncertain sometime, time is very much crucial in this regard, in time and early diagnosis, increases the chances of rapid recovery. Here is answer of your queries====1> yes there is another treatment available beside the steroid, "Plasma exchange" can be tried along with steroid or followed by steroid it depends upon the exact pathological changes, and over all experience of physician. 2> No it is not contagious disease it won't pass to your child, 3> the chances of formation of crystal, you are thinking is rare and even if it is there it won't causes any clinical symptoms, because the area is already under attack and clinically manifested. 4> Many of Pathophysiological script comes with human being and becomes the cause of illness, and death, at any time during the course of life. Do not worry you will come out of this very soon, Have good life. |
Hello, I am a 32 yr old female, married for 6 years. I am trying to conceive. I have always had the problem of irregular periods, sometimes it gets delayed by over 2 months. I am also suffering from abnormal hair growth near the chin , upperlip etc which is hard and also around the nipples. When i consulted a gynaec she prescribed meprate-10 mg ( 2 tab/day for 5 day ) to have periods. After i had my periods few tests like USG pelvis and blood tests were done. It was found that i am suffering from Polycystic Ovary Syndrome . I was put on Glycomet 500 mg, Novelon and Folvite for 3-4 months. i again visited the doc after 6 months but as i my period was over when i cud visit her so she prescribed Nacifil / Ovonac plus beacuse Glucomet caused acidty and vomiting tendency in me, Fertomoid 50 and Folvite and asked me to visit her again on the 2-3 day of my periods whenver i visit her. I hv been taking the medicines but as due to some problem i cud not take the medicines nor vist her for the last 2 months. I hope to visit her soon. But problem is that i hadv my last period on 30 August and its 2 months that i am not having it. I am not pregnant yet ......I wish to visit her next month...So to have the cycle again should i have meprate-10 mg inorder to induce the periods. then i wish to continue with the Nacifil, fertomoid and folvite........ Pls advise | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, You are suffering from PCs, as you have rightly mentioned. Well, yes you can take me prate to induce cycles. After that please do a HSG to see whether your tubes are patent. If they are patent you can take Fatimid and do a follicular study in 10th day of cycles to see whether your follicles are really growing or not. If they are not growing you can add gonadotrophin. But please try to reduce weight which is the key management in PCs. GOOD LUCK |
Hi Doctor, Me and my husband have been trying to conceive since last 6 months. Last month we saw an Infertility Specialist for this. We got all our tests done and everything seems fine. My menstrual cycle is also regular and follows a 29 day cycle. Last month I got my period on the 7 September. We saw a doctor then, got our tests, also got Folicular monitoring and regular sonography/ultrasound done. The doctor told me I was ovulating fine. After the ovulation period, the doctor prescribed Duphaston to me (once a day for 13 days). The treatment got over on the 9th October. Today is October 12 and am 5 days late on my period. I did a urine pregnancy test today and it came back negative. My questions are: 1. Is it too early to take the urine test at home? 2. Does Duphaston generally delay the period? 3. Will going to see a doctor help? Will she be able to tell me if I have conceived or not today? I plan to see my doctor today. Is it worth it? Please help. Am desperate to be a mom! | If you are a doctor, please answer the medical questions based on the patient's description. | Hallow Dear, Let me answer your queries one by one.1. Yes, you have done the pregnancy test on urine too early. Usually these tests are reliable 8-10 days after missed period; earlier the chances of false negative results are more. You have got another option to go for Beta Chat Doctor test which is very specific and sensitive and gives reliable results even few days before the missed period. Else you may wait for one more week and perform urine pregnancy test on overnight first morning urine sample. 2. Duphastrone is a progesterone preparation which can delay the periods. I prefer to give progesterone preparations after missing a period; after ovulation, I prefer Chat Doctor injections to support the pregnancy. 3. You may see your Gynecologist after confirming the status of your pregnancy by one of the tests mentioned above. If the tests reveal that you are not pregnant, please discontinue Duphastrone and you will get menses within 4-7 days. I am sure this is useful to you, and you will vote to this answer as "Helpful". |
Looking for a Infection Disease Specialist in Durham region, ON. Thanks.I am a senior citizen, among other issues, I am suffering from recurring Cellulitis since early 2013. My GP (in Ajax, ON) referred me to AJX Hosp Emmergency, leading to a specialist in Infection Diseases. First, I started with IV for first two wks (can t tolerate because of simultaneously on both arms, started getting swollen arms). Orally, I have been using Novo-Lexin, 500mg, 4xTabs a day, each batch 7 days x 2wks. The problem will disappear, and after a short time recur.During the last visit to the Hosp/Doc, he mentioned that he has done all he could and that I should continue the treatment through my GP.I understand that if this matter is left untreated, the spreading bacterial infection may turn into a life-threatening condition...because Cellulitis may affect tissues underlying skin and spread to lymph nodes and bloodstream. I believe my situation could be MRSA carried by Bed-Bugs .I wonder if there is an ongoing research to look into the MRSA matters. If not for me, I would like to see other can benefit in this case? Many thanks, and God bless. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You should first investigate your staphylococcus aureus by culture and sensitivity. This will diagnose sensitivity pattern of the organisms. In case of MRSA it will be resistant to the routinely prescribe d Chat Doctor. In such case treatment according to sensitivity pattern can cure you. Please remember that incomplete treatment can create in necessary resistant in the bacteria making the treatment more difficult. Once your cellulitis us stopped you should swab your nasal septum, groin, umbilicus for MRSA screening. If the MRSA is still detectable than you should treat it with mupirocin complete treatment with mupirocin ointment can clear MRSA from your system. Please adopt good handwashing practice. It plays half role in your treatment. I will be happy to answer your further concern on bit.ly/ |
My question has to do with having dull, achy pain in my chest for the last 2 1/2 years, but has gotten slowly worse over that time. It started very mild and is now everyday, constant, with a little coughing here and there and it also feels like a mild chest cold sometimes. I started coughing up blood 3 months ago. I had a broncoscopy done and all that was found was a mild staph infection in my lungs. I took antibiotics and the coughing up blood is much more mild, every 3 to 5 days but very little blood is in my mucus. My chest still feels the same. it never feels good and my voice gets hoarse every day, which used to only happen 2 or 3 days a week. I had a chest ct scan, nothing was found except a very small 3mm nodule on my left lung, which means nothing I guess. They did find that my spleen has multiple leisons, one is big but I m not sure the size. They have looked at that 4 times and aren t sure about it so I am going to a G.I. specialist. I m guessing that it has nothing to do with my chest but I thought I would throw it in there. I am female, 40, 5 5 , 120 lbs. I have never smoked but grew up with smokers in the home. Diabetes is in my family. I ve always had good health but that last 2 1/2 years have been weird. I have also had a lot of problems with my bladder for the same amount of time but with no bladder infection. It is doing better but still there. I had shingles about a 1 1/2 years ago and a bad hive break out 9 months ago. Thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Cellophane you for asking in ChatDoctorYou explain that for lung problems you have done the lung Ct and the bronchoscopy which were negative for lung disease. This is good news for you. There are others causative agents extra pulmonary that can cause sputum with blood. Some of them might be hematologic pathologies. So the G. I specialist combine with the hematologist maybe, will discuss together for further examination. Thank you Chat Doctor. |
Hi I am 35-years-old, we already have a 4 year old son. I have had several problems after his delivery like polyp inside the uterus which I had to get surgically removed. My periods are very irregular - between 18-22 days cycle.its also sometimes been as bad as not having it for three months at a stretch. Before our son it used to be around a 25 days cycle. We had sex on Oct 5th night. For the last three days I have had the feeling that my periods were to start but I only spotted lightly nothing like normal. I had a little spotting this morning but now nothing. I have been feeling quite bloated also but not like a normal MEN cycle -its more bloated in the mornings and better in the evening. I have taken a pregnancy test this morning but it came negative. Fatigue is really bad now and I am feeling very lethargic. But none of the other normal pregnancy symptoms like tender breasts etc. However I am also having backpains and my belly button is very sensitive on the inside and there is a constant tugging feeling. It can also be described as a tingling feeling and light pricking sensation from the inside. My mind is now constantly there. The feeling is constantly distracting me. I Forgot to mention that I do also experience a milder version of the same feeling at times during ovulation. My worry is that it might be a tubal pregnancy. Please advice I am getting quite worried | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, and I hope I can help you today. Pregnancy symptoms widely between women, and it is true that symptoms of ectopic pregnancy can include spotting and pain on one side. However, the key point is that these symptoms of ectopic pregnancy are only relevant along with a positive pregnancy test. If your pregnancy test is negative, then you do not have an ectopic pregnancy. You had mentioned that your cycles are normally very irregular, so it is certainly not unusual to have irregular hormonal symptoms as well when your period is late. The stress of worrying about pregnancy can even delay your cycle further, so I hope that you find this information to be reassuring. I hope I was able to answer your question today and that my advice was helpful. Best wishes, |
Yes. My 2 year old son has never been a good eater from ime we started baby food until now it has been an ongg daily struggle to get nutrition in him. He has always been in a low percentile for his weight and had monthly weight checks with his pediatrician, who seems to be unable to help us figure out why our son will not eat. He refuses to eat for hours on end has no interest in food at all never acts the least bit hungry as if he has no appetite. We have tried every trick in the book. We have asked for and received no help from his pediatrician and he sees a occupational therapist weekly who too has tried every trick in the book to try and get him to eat. We are completely at a loss of what to do and thought at this point we would see what a gastro dr may have to say. So what do you think may be going on and do you have any ideas of what we can do to help increase appetite? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I completely understand your concern. But I would like to first reassure you that it's a very common problem in Pediatrics and very rarely do we find a physiological or anatomical cause for poor appetite or weight gain. Though I don't know your sons present weight I would like to give you certain clues to judge if his lack of weight gain is worrisome or not. 1. Any issues during your pregnancy or delivery? 2.was was his birth weight and how was his initial one month of life?3. Did you breastfeed him, and how long you did exclusive breastfeeding? 4. Wat diet do you give him usually? 5. Does his weight fall between 10 and 12 kg at present? Or Has his birth weight increased by approximately 3 times plus a kilo for now? 6. WATS the usual weight and height stature of you and your spouse? 7. Does his height approximately falls between 75 and 90 cm?8. Are all the milestones in him age appropriate? 9. Has he been hospitalized ever for any major issues? Just check out the above and get back to us. You will get a rough picture of your sons' health status. I would be pleased to clarify any further doubts. Chat Doctor. S. Sri Vichy Chennai |
I had intense tib-fib joint pain and went to ortho. MRI showed mild tib fib degenerative change and soft tissue swelling. Pain went away after numbing shot at ortho. Yesterday, two months later...hard lump about 1/2 inch side to side appeared above tib-fib. Tender, but not intense pain. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, As you had the pain in the past taking to tibiofibular joint and took a steroid shot to reduce pain, with the medicine shot only the pain has subsided, but the degeneration is still present. Every painkillers shot given it is advised to do some proper exercise for strengthening the muscle groups so that the degenerated joint do not take more stress and strain, so the inflammation can be avoided as well. To make it simple that this lump is a kind of protective mechanism of the body to let you know that the joint is still in degenerative state and not healed. So kindly go slow. I will advise you to get an x-ray or MRI whatever is possible to see if you have at least not allowed the joint to damage. Once done, use crêpe bandage or knee brace for now. This will help stabilize the joint. Post this does not water fermentation so that the muscles of the below knee get relaxed, and any spasm there will come down by loosening the muscle fibers with a hot fermentation. Once done wait for 2 weeks to start the exercise. In the meantime don't allow more weight-bearing. Once 2 weeks are over start simple static Qua Chat Doctor. Along with this do ankle toe movements. Continue the above exercise for at least 2-3 weeks for both the legs and wait for the strength to come. Once you find the strength is sufficient to take to next level of exercise I will say go with the balance board training. This will help to improve the imbalance correction in the muscles of the leg and less pressure will be applied to the tibiofibular joint. Continue this and follow this every alternate days even after the pain subsides. This will allow your degeneration to not proceed more. Hope I have answered your query. Let me know if I can assist you further. Jay In |
I am looking for an allergy specialist in bangalore My son is 8.5 yrs old about 25 kilos since moving to Bangalore about a year ago having frequent wheezing attacks. Family has history of allergic rhinitis and allergic asthma. for my son wheezing is only since last one year after moving to bangalore | 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 children history. For exact treatment, I would like to ask you a few more questions like - Does he have any other allergies (allergic rhinitis/atomic dermatitis)? How many times has he had wheezing in last one year? Does he have cough apart from wheezing? Is he able to be involved in sports and exercise like activities without any complaints? From your given history, I would suggest you as follows:1. Were I treating him, I would suggest him to use albuterol or levosalbutamol inhaler via metered dose inhaler with spacer device whenever he has wheezing.2. If he has to use above inhaler frequently (more than twice a week), I would suggest him taking regular montelukast for at least 3 months.3. If he has allergic rhinitis (nasal discharge, sneezing, nasal congestion, etc.), I would suggest treating with montelukast and levocetirizine.4. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. I would also suggest him a nutritive diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.).5. Personally I would suggest you allergy testing which will identify the substances causing him allergies and also how to avoid them.6. As you have asked about allergy specialist in Bangalore, I would like to inform you that there are many experienced allergists-immunologists in Bangalore. It is always desirable to find an allergist who is nearby to your residence and who is readily approachable. Hope above suggestions will be helpful to you. Wish your son the best of the health. Should you have any further query, please fell free to ask at Chat Doctor. Thank you & Regards. |
I am 21 years old. I started masturbating when I was 14 years old. from my childhood I have a little bit of stammering. But, after I started masturbating , stammering got increased . Upto 18 years I used to do masturbating once in two weeks. For past three years I am doing 2 to 5 times a week. I am having more stammering now , even sometimes I cant talk with my parents and friends properly.I observed that after masturbating I am having more stress on nerves and also more stammering, if I dont do for a week or two I am feeling better. I am not able to avoid doing masturbating. Tell me if there is any solution other than stopping masturbating or should I change my food habits for stammering? I have read the article by "Dr. Sayeed Ahmad D. I. Hom. (London)" on "masturbation" , it states some adverse effects after masturbating like dizziness,loss of memory,black rim round the eyes,tongue begins to stammer etc., I am having the problems exactly as he stated in his article, mainly during the past three years. I would be happy if you suggest me a right solution to my problem. | If you are a doctor, please answer the medical questions based on the patient's description. | HelloThanks for query. Based on the facts that you have posted you seem to have been indulged in masturbation since many years and now facing problems related to general health like stammering, loss of concentration etc. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection in future and leads to sexual problems like delayed ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. Chat Doctor. |
Hello, I have an upper back issue near the rohmboid and scapula (right side). When it flares up I darn near have to take the afternoon off of activities with my kids. I m a single dad so I pretty much refuse to do that. I trudge through my day at work, my right hand goes numb. It is beyond frustrating, I first felt it roughly 1 1/2 years ago, while working extending with the arm repetitive motion doing janitorial.It has progressed worse and worse. I work fast repetitive motion all day long. I recently had an MRI of upper extremity focus on rohmboid right shoulder I got the Mri and supposedly it came back normal. They can feel inflamation, that s why 1 doctor wrote an mri for likely tear . Now the mri says normal my PA says I m fine. ? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, If you are performing repetitive activities with your arm/shoulder, and you feel the pain or sensation of discomfort/swelling in the mid to upper back region where the scapula and rhomboid muscle are located then, you could have a nerve entrapment syn Chat Doctor. I recommend seeing a neurologist and describing your symptoms. This should prompt an examination of the back and the affected area to see if you have anything that we refer to as myofascial pain. In your area of complaints, swelling, WINGING SCAPULA, or any other physical evidence of trauma or positional entrapment of even blood vessels in the area that can occur from sitting too long in one position, sleeping on the affected side without moving enough, etc. An EMG/NCV study could demonstrate abnormalities of nerves and muscles in this region as well. Also, I would recommend either a CT or PLAIN X-RAYS of the thoracic spine and right shoulder girdle in both flexion and extension positions (something not able to be done on an MR scanner) which can demonstrate other causes of this sort of pain such as arthritic degeneration, scoliosis, other skeletal abnormalities irritating structures in that region. Hope I have answered your query. Let me know if I can assist you further. Take care |
My daughter is having some problem. She takes lotof time in doin any piece of work let it be taking bath or making notes. Even ifthe small ting hapens aains her expectatios she gets upset. She has a phobia of type of ting for exta neateness. She ha a feelin ery were thereis dirt and if she douts there is sotng dirtt is there she takes a slot of time claeaing the same or does not ouch the ting. She does not care tocarry out te dal work een in time. Keepsthng as they are. She finds falut with others for not doing the work but she herself dos not do the work she says things are notperfect and se does ot want to do anytthing. The cothies getts iles without washing. If she does any wasing she may take hours for the same. She will wahsher hands for long time time counting the number of times that she wshes. Just because her daugtr got dwon rom the bedand wlked bre foot on the ground and got up to the bed she got upset tht the entire bed has become dirty and unclean and she could not use the bed. shemade herdaughtralsostand on the floor. She throws every thing on te grond in one of the room and does not get that room cleaned. what cold be done for this behaviour. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello After reading your history I come to conclusion that most likely she is suffering from OCD or obsessive compulsive disorder. She is probably having Obsessions of cleanliness and Compulsive handwashing. This is a type of anxiety disorder and is the reason for her abnormal behaviors like handwashing, taking time to bathe, obsessive cleanliness etc. Even patients remain aware of their abnormal Behavior still that can't control the thoughts. I would advise you to take her to a psychiatrist for opinion. Psychological treatment like exposure and response prevention, systematic desensitization are main treatments that have proved effects. They have good efficacy equivalent to Chat Doctor. Medicines especially Fluoxetine, Paroxetine, Clomipramine are very useful. The |
Patient details: Name: Shivlal Chakradhari Address: Durg , Chhattisgarh. A diabetic , hypertensive patient since last 10 year. A CABG operated heart patient from ?Usha Mullapudi Cardiac Hospital Hyderabad in Aug 2007(almost 3 year past ) Later on PTCA stenting (angioplasty)in Aug 2008. Patient problem: An unknown continuous pain near operated chest and suture area of chest bone since after operation. Patient has conveyed the problem to the cardiologists/cardio surgeons but they say that for few persons after operation it takes longer time to calm down the pain, and suggest to take pain killer if pain continues. Patient has been checked up by various tests depicted below for any heart problem regularly after heart operation. Doctors say it?s not heart pain but may be a muscular pain or stitch pain. Medical checkup: Patient has been checked up by: 1.Angiography 2.ECG (electro cardio graph) 3. TMT(tread Mill test) 4.Radiology 5.X-ray 6.Stress eco test. And the results/reports are all positive/ok But still a ? for pain reason. He has shown to many 1.Cardiologist MDDM 2.Orthologist 3.Neurologist/neuro surgeons But no one is able to pick up his problem. The patient walks freely. Looks after his Buisness,visits the sites but carries a unknown pain with him where ever he visits. Request: Sir can you please suggest the pain reason. And give your valuable opinion for the cause of pain to patient. My email : YYYY@YYYY | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Such type of pain which you are telling is generally a neurological pain & is called a post-sternotomy pain syn Chat Doctor. During the opening of the chest for CABG, some nerves get cut which causes such type of sharp shooting pain. The treatment is basically painkillers, anti-inflammatory agents and vitamin B12. Heat fomentation has also been found to be of some help. Hope I have answered your query. Let me know if I can assist you further. Take care |
My 8 year old son has always passed bowel motions regularly, mostly having 2x/day. We went on holidays last week and he had some different foods, including more dairy, which he has previously had an intolerance to (cows milk protein intolerance). He has not passed a bowel motion now in 5.5 days and is feeling nauseous, lethargic and doesn t want to sit up. He has not eaten any dinner the last 2 nights. He is drinking lots of water and still eating some fruit. His diet is usually varied and good for his age.I have used a stool softener for 2 days and on the advice of a pharmacist, given 2 doses of Actilax, a laxative. This has produced nothing, although he has twice had a small amount of leakage on his underpants.Any advice on what to do next? I do not want to give him any more laxatives as I have read this is not good practice.Thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
Hi doctor, iam 32 yrs old. Iam having left pelvic as well back pain,only left lower side ( both). Pain Is not stable...it s very mild, stays for a sec and the goes...but I feel even during movements in left side...have this problem for past 6 months...iam very much worried. FYI I had my second delivery inJan 2015 (VBAC) | 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 and can understand your concern. Pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the uterus, ovaries, fallopian tubes, cervix or vagina. It could also be a symptom of infection, or a problem with the urinary tract, lower intestines, rectum, muscle or bone. So there can be many causes concerned with your problem. You might have to undergo a lot of medical tests to find the cause of the pain. The treatment will depend on the cause, how bad the pain is and how often it occurs. Another prominent cause of your pain also can be imbalance of (Vāyu ATV gas, in your body, which is responsible your pains and inflammation. Proper regular physical activity, walk , meditation, grandam - deep breathing, Yoga - back bending exercises to relieve your back pain, to boost your blood circulation and detox your system under guidance of trained guide and balanced diet, including, all essential nutrients as fiber, vitamins, minrals and antioxidants Ginger, Garlic, AMLA, Aloe vera, nuts, Turmeric powder a spoon in a cup of hot milk at bedtime, Coconut water , all in natural form help, eradicate Vāyu ATV (gas) alley pains and inflammation and give resistance from diseases. Avoid food that is high in saturated or trans-fats like fried, fast foods, refined sugars and fine floor products, tea, coffee, alcohol, sleeplessness, dehydration, constipation.worry, stress all induce toxins in your body and cause you sufferings. It is advisable to consult your doctor before following any regime Hope this helps solves your query. Take care, All the best.Don't hesitate to get back if you have any further query |
Possible Hypertension. Weight 80KG, Height 172CM, and I m 22. I ve been OD ing for past 3 days. There was an incident on sunday morning, I ve taken all kinds of meds. Yesterday i took 13 pills of Piriton at once which I think is 4mg, 2 hours later I took 15. So in 24 hours it s 116Mg. Today I did the same and took 15 at once. | If you are a doctor, please answer the medical questions based on the patient's description. | According to your age you are adult to choose everything related to your mind body and soul but I feel this very important to discuss with you the harmful effects of your overdosing of medicines. Basically every medicine we use daily is a concentrate of special chemical substances which are required in our body in only small portions and if we use them excessively then we suffer from adverse effects. I would like to know some question in more detail so that I can help you in managing your issues. Mostly when I encounter the patient like you, I offer them a separate session with me where I can discuss with them in detail regarding following issues:1. Why are you overdosing?2. When you first started this in your lifetime?3. How do you feel when you have overdosed yourself?4. What symptoms are you having at present?5. Are you mentally disturbed or it's just a habit that you overdose?6. Will having a psychological support will benefit you in managing your possibility of next attempt of overdosing? I personally think that you are aware of this fact that the overdosing is harmful for you but still you are doing it is because you are unable to sort out anything which you want to be sorted out and this is a positive aspect that you discussed this issue here because you want to feel relieved. If you could share with me the details of everything behind your this action of overdosing then we can discuss and come to a conclusion which can be beneficial for you. The most important thing is that you should consult a doctor urgently so that the medicine can be flushed out of your system so that your liver, kidneys or brain are not damaged. Please get your treatment done, and then we can discuss the management with you. I hope you will understand and see the doctor soon. Get well soon :-) |
Hello Dr Batra: I am mother of one year and half old baby boy....he has developed eczema since the time, he was four months old...but it was never bad ever...as his paediatric prescribed a combination of zole and eumosome cream then, and it got over....but it kept coming up again and again in a difference of 15 to 20 days. when my son turned up over a year....very recently, for a past one month....his eczema is taking a bigger shape....very small red patches and blisters on his scrotum, skin surface of bumps, arm folds, face, tummy especially around naval and little on lower back....i am only using aloevera juice from brimune company...and oatmeal bath...reading out from internet....my question is that i have found about food allergy that aggravates eczema....i have stopped his dairy, wheat products, citrus fruits....but if i stop everything which is necessary, how will he grow....would you recommend an index of food fruits and vegetables which are eczema friendly....cuz i am actually looking for that....i am also very confused what should i stop or add on my babys diet....i cant see him like this...should i stop breast feeding also....please help me.... | 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. I see similar cases amongst child Chat Doctor. I advise my patients to go- hypoallergenic diet-avoid chocolate, nuts, strawberry, market juice, citrus,fish, tomato soup, sudji. You can give -cucumber -banana -green apple -cookies -curd -potato -cauliflower -yogurt-Enzyme syrup during meal for 1 month-Probiotics-Vizylac 1 capsule daily for 1 month-Stool culture for flora and sensitivity to antibiotics-Antihistamine-Cetirizine for 10-14 days-Allergotests Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby good health. |
Hi my 16 YO daughter just had a adenoidectomy done yesterday, this morning she yelled for me she could not walk her legs were pain she said severe pain, we rushed to the ER they are treating her for dehydration at this very moment, next they say it will be a spinal tap, I am going crazy worrying if my child will be ok what is going on ? what can this be? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, the problem of your dafter might be an infection coming after her adenoidectomy. The fact that she can not walk and that she has pain indicates that the problem can be related with muscles, articulations or innervation. The most common is arthritis in my opinion that is an inflammation of the articulation that is very frequent in persons having infections in adenoid gland. Bacteria that are commonly found to cause septic arthritis are: Staphylococcus aureus - the most common cause in adults Streptococci - the second most common causeMicro-organisms must reach the synovial membrane of a joint. This can happen in any of the following ways: dissemination of pathogens via the blood, from abscesses or wound infections, or from an unknown focus dissemination from an acute osteomyelitis focus, dissemination from adjacent soft tissue infection, entry via penetrating trauma entry via iatrogenic means. A number of factors should increase one's suspicion of the presence of an infection. In child Chat Doctor. 5 C, non-weight-bearing, serum ABCs > 12 x 10^9, ESR > 40 mm/hr, CRP > 20 mg/DL, a previous visit for the sameDiagnosis is by aspiration (giving a turbid, non-viscous fluid), Gram stain and culture of fluid from the joint, as well as tell-tale signs in laboratory testing (such as a highly elevated neutrophils (approx. 90%), In the joint aspirate, the typical white blood cell count in septic arthritis is over 50,000-100,000 cells per 10-6/l (50,000-100,000 cell/mm3Therapy is usually with intravenous antibiotics, analgesia and washout/aspiration of the joint to |
I have Trigeminal Neuralgia . I have had three surgeries...two included the insertion of a lumbar drain for 5 days...to seal a CSF leak from the dura of my brain. I had MVD surgery in December of 2010 and was left with the CSF leak A bulge formed in the back of my head near my neck . The first surgeon kept saying that it would heal on its own and the lump would go away by being reabsorbed into my body. After it just got larger and larger I consulted another NS and he said it would not heal on its own and he has performed 3 surgeries (2 of those also included him removing fat from my abdomen to help with the patch) and the last surgery was on Oct. 10, 2012. Well it s still leaking and the lump is back. It went down after the lumbar drain was in. Came home and it was pretty flat. Then it got large and I freaked. Then it went down again and now it s back again and pretty large. What should be my next step as I do not want to keep having unsuccessful surgeries. 4 brain surgeries in less than 24 months is enough. | If you are a doctor, please answer the medical questions based on the patient's description. | Hai I can understand your agony having undergone so many procedures. But the two doctors are right in their own view as both the options have been described in neurosurgery standard text books. U had a CSF leak after microvascular decompression which is a known complication of that surgery due to that u had swelling over the neck over posterior aspect.(pseudomeningocele).for this initially it subsides with simple crêpe bandage to head n asking the[patient to lie down in prone position. If it doesn't subside try to remove CSF by keeping lumbar Chat Doctor. IF IT STILL DOESN'T SUBSIDE THEN EXPLORATION OF OPERATED SITE N CHECK FOR ANY LEAK REPAIR BY PLACING A FAT GRAFT OR FASCIA LATE GRAFT.kindly AGAIN CONSULT THE DOCTOR N IF DELAYED N Is CSF GETS INFECTED U WILL FACE SERIOUS PROBLEMS LIKE MENINGITIS. |
My husband was on hemodialysis for about a year. Last December we began with peritoneal dialysis at home and have been doing this for almost a year. He had his catheter moved last June as it was much too low. Since then he has been retaining fluid in his abdomen. He recently had a CAT scan and a ecocardiogram which showed a heart problem which his doctor said could be controlled with medication. While in the hospital, his blood pressure dropped so low he was given a bag of saline solution which raised it but he was taken off this medication for his heart. Now he is at home and has a physical therapist come to our home twice a week and he is doing light exercises but his biggest problem, which has been with him for about three months, is shortness of breath. It is from all of the fluid in his abdomen pressing on his diaphram, etc. He has increased his trouser size by two inches. I called this to the attention of his nephrologist as his stomach is like a big bowl of jelly. Nothing is being done to take care of this fluid except the doctor has put him back on hemodialysis with no reduction of fluid. Is there a possibility that there is a leak inside from his catheter or could it be a buildup of fluids from the peritoneal dialysis which I understand does not always completely flush all the fluids out of his body? Sorry about this being such a long messge but we are at a wits end as to finding out what is causing this problem. Could you possibly help us by offering your guideance about the fluid. Thank you in advance. | If you are a doctor, please answer the medical questions based on the patient's description. | HIT hanks for your query. If there is no active peritoneal dialysis going on, then the abdominal fluid collection is unlikely to be related to the Peritoneal dialysis catheter. Ascites or fluid in the peritoneal cavity can be due to a weak heart or liver problems. I would recommend a 2D Echocardiogram, Ultrasound of the abdomen and a diagnostic ascetic fluid tap. Based on the results we could make further recommendations. Hope this helps Good luck. |
I had a kidney infection in September last year and it went away after taking the 14 days worth of antibiotics. It came back after a few days then. I went back to the doctor in October to find I had another UTI (again with a high fever of 102 or 103 and burning when urinating). After that round of antibiotics it didn t fully go away. I still had a slight burning when urinating and after the urine and culture tests, I no longer had a UTI. I then had few STD tests done and were all negative. Now in January I still have painful urination and just started to get painful bumps around my vagina and clitorus. I have been with the same man (husband) for 10 years and have had 2 children (August of 2010 and June of 2012). I recently got my period he first time in Decemner after having my second child and noticed it now hurts to use a tampon . Please help me. I don t know what else to do. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi young lady, welcome to Chat Doctor. You seem to be getting recurrent urinary infection after your second pregnancy. There could be a few reasons for this. You will need to consult your GP/ Family physician and get a few tests arranged first - Urine routine and culture (mid-stream urine please) and Ultrasound of Kidneys and bladder (pre- and post-emptying the bladder) at the very least. Some people tend to develop bladder diverticula or tend to retain some urine in bladder even after they think they have emptied it. Any stagnant urine is a good culture medium for bugs! I am not sure what these lumps you mention are - best to check out with a gynecologist. I don't want to just make some assumptions without examining someone and cause you to worry. It could be infection, warts, or something called endometriosis, or something else. Only after examination (and tests like a smear or biopsy) can we identify the problem. You have been with only one partner for past 10 years, but you are never sure of the other person are you! I am not suggesting anything, but want you to get examined by an appropriate specialist asap and not neglect this. |
While operating my crane at work I was rear ended by another piece of equipment. I was at a complete stop and bending down to the left over my armrest to pick up my hard hat when I was struck. I was very stiff but not too bad. This was on a Friday but by Monday I was in so much pain it hurt to take deep breaths. My neck and middle of my back were killing me. Plus I had a big lump in the middle of my back that lasted for a couple of months before going away. Since then I ve had my hips pelvis and knees start to hurt. I can t get up off of floor easily, can t sleep, can t bend over too much or sit for long periods of time. Plus a couple if times my shoulder blades felt like they were on fire and that pain traveled down my arms to my hands and caused shooting pain in both of my thumbs and pointer fingers. My accident was in November and I m not only still in pain but its worse. I ve tried physical therapy but its not helped. Other than that they have me on a muscle relaxant which makes me sick and they won t give me any kind of scans. I just want to know if this is serious. Please if you can give me a little insight. Thank you for your time. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am Chat Doctor. . In my opinion your past accident may have caused a perineal cyst which is commonly asymptomatic unless increases in size and thus the cyst or the lump itself wouldn't cause so much pain but the compression done by its mass on your spinal nerves is the main reason for your symptoms. For my patients I may suggest X-ray and MRI to exclude cervical disc compression. For now I recommend you avoid heavy lifting, bad sleeping postures, and vigorous movements. You may use painkillers like Advil 400 mg twice daily, hot massages with topical gels, muscle relaxants and spinal straightening exercises will be fine. Otherwise visit your neurologist for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. |
hi.i am jknkjn mkl,33 years old.i have a son who is 7 years old.after him i didnt conceive.last year in june i had a surgery to remove endometriosis.after which i was given 3 zoladex injections.i am using prolifen for the last 4 months but still the same.n my periods are as painful as they were before my surgery.plus it makes me despondent too as my son often demands siblings. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I guess your concern about for painful menses plus conceiving for the next baby. Treatment information given by you seems correct. Endometriosis is a health problem in which pt will have painful menses and difficultly in conceiving. The surgery and medicines (Rolodex, Prolific as told by you) is usually given for endometriosis treatment. But, when the surgery was done and when the medicines were started, this information is not shared by you. The dosing of medicines is also not told by u.so I can't comment on the medicines. Don't worry, once the problem of endometriosis is solved you can conceive for next baby. My suggestions:1. Usually it takes some time for the medicines to have their effect. Sometimes the medicines start working early, and sometimes it takes little extra time. 2. So have patience. Wait for few more days. If still there is no improvement in painful menses, revisiting your treating doctor. Your other concern is to conceive for next baby. Endometriosis is one of the cause of infertility (infertility in medical term means unable to conceive). So a patient on treatment for endometriosis is usually having difficulty in conceiving till successful treatment of the problem. My advice:1. Revisit your treating doctor, to discuss conceiving for the next baby and presence of painful menses inspire of taking medicines.2. You may also consult a nearby infertility specialist. I hope the information is useful, informative and helpful. I wish and pray almighty that your son will be getting a cute sibling as soon as possible. Hope I have answered your query. Let me know if I can assist you further. |
Hello, Well my mom is having chest pains when she breathes deeply in and out and she has sharp pains when she is moving in lower back area she already went to the hospital and they said they do not know so is there anything she could have. She had x-ray done, sonogram, and mri. WHy is she still having these pains while taking zofran 4mg, Zantac, and vicodin? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query reply is-Your Mother could be suffering from Hepatitis. As your doctors could not come to diagnosis after-USG/X-ray / MRI and gave some medicines, suggesting Acidity with inspiratory pain-thinking it to be Gastritis. I would suggest LFT tests and USG of the Liver and Kidney, to rule out -Hepatitis / Cholecystitis. Other causes like Pleurisy / Acute Colitis / Acute Gastritis/duodenitis need to be ruled out.EGD(esophagi- gastro-duodenoscopy) could be needed to confirm the cause of the chest pain while breathing. Treatment-Suggested-This would depend on the cause found. This could be done if Physician is consulted on this matter. Just don't worry till you verify with your attending doctors. Need to Check with Physician /Surgeon doctor if things don't recover.-Other causes need to be verified with your family GP doctor, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Physician / Surgeon specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS |
my boobs have gradually been getting bigger, i was at one point extremely nauseous,dizzy when i stand up & my period has been abnormal for the past 2 months my period has only lasted for a day & my periods are always on time and always last for 3-4 days.(my family is known to have their periods during their early pregnancy) me and my boyfriend are sexually active so pregnancy is always a possibility. I am on birth control & have been for 3 years now. but i often forget to take it. I ve missed 3 days in a row before. well i was in Ohio and since me and my bf wouldn t be together for a few days and i was getting close to the inactive pills i went off of them to see if i would start early or at least spot. when i miss 2 days of my BC i either spot lightly or start my period. well i went off my BC on Wednesday of last week. so i haven t had a pill in a week & still no period. i tested last month & the test came up negative. so am i pregnant &/or should i be worried?? | If you are a doctor, please answer the medical questions based on the patient's description. | Hallow Dear, You indeed have a peculiar familiar history of having bleeding at the time of expected menses even during pregnancy. Such bleeding in good old days was labelled as Placental sign. Very few women get such blood. Since, you are experiencing only one day bleeding at the expected time of menses, your breasts have been engorged, and you are experiencing nausea, the possibility of pregnancy cannot be ignored. Moreover, you have missed your birth control pills for 3+ days. The chances of pregnancy are very high. You should get the pregnancy confirmed. Please get your urine tested for pregnancy. Also, you may get ultrasonography done which will give a direct visual evidence of pregnancy. After 8 weeks, the clinical examination also gives reliable evidence of pregnancy. If you do not want to continue with this pregnancy (if it is present) you may opt for Termination of pregnancy by medicines which is quite safe and successful up to 9 weeks of pregnancy. After tests for diagnosing the pregnancy, you may contact me by Direct question for further guidance if needed. All the best, Chat Doctor. |
Hi, may I answer your heI am a girl and Im 17. My father, aunt, and uncle all had Diabetes. I do not know what type my aunt and uncle had but I know my father had type two. My uncle died from his diabetes, my aunt died of heart failure due to her weight if I remember correctly and my father died recently this past year but my family and I are not sure what from-the funeral home wouldnt tell us anything past natural causes but we believe he had another stroke. My father was 51, and my aunt and uncle were in their 40s. I have never had to wear glasses before this year. I have been diagnosed with astigmatism but I dont know what caused it. I have been getting sick more easily this year. Just these past few weeks I have been sick with so much stuff I cant even remember. Last week I threw up for a few days from what seemed like food poisoning and I was nauseous for the rest of the weekend and this past week I have been having random bouts of subtle abdominal pain. This summer I had a random bout of excrutiating abdominal pain. I dont know why. I did not have to use the bathroom, I had not eaten anything, I was not on my period, and I had not been in a fight or anything yet I could not even move without crying out in pain. I would just be lying still and it would feel as if someone was slowly twisting a dozen knives in my gut. After about 2-3 days it went away and has not happened again. Could any of this put me at risk for having diabetes at all?alth queries right now ? Please type your query here... | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for the question. To remove doubts and also for family history of diabetes, get blood sugar tested. It is unlikely that abdominal pain has anything to do with diabetes. It could have been just spastic bowels due to food irritant (most Likely), however keep a watch, if it recurs show to a doctor. This certainly is not going to put you to any risk of diabetes.be relaxed and and do not overanalyze or link to family history, often things do not pass on to child Chat Doctor. |
I have chronic pain from MS. My doctor prescribed Cymbalta, but after reading the long list of side effects I really dont want to take it. Im supposed to meet with him this week. Is there an alternative medicine you can think of for me to ask for? Right now, Im just taking ibuprofen which does very little. I just want something to cut the pain enough for me to sleep. Im searching for a new neurologist. This one is not very good. | If you are a doctor, please answer the medical questions based on the patient's description. | Pain from MS can be very difficult to treat and for the patient to deal with. I like to try and control the pain with a multi-modal approach, that way you attain the most benefit. For starters, I think you should definitely start taking some neuropathic, or nerve pain controlling, medications. A good start would be with gabapentin. Typically, you will start at 300 mg daily and slowly increase overtime to a dose which helps you and avoids side effects. Another excellent option is a tricyclic antidepressant, called Pamela. Pamela is very old, cheap, and highly efficacious. Typically, I start at 25 mg nightly. This will not only help with pain, but will help you to sleep better as well. Now other than pharmaceuticals solutions, another great option is nutraceutical (vitamins and supplements). I would recommend a vitamin regimen that includes vitamin D3 (cholecalciferol) 1000 units twice a day to help with pain, inflammation. Also start taking a vitamin B complex (containing B3, B6, B12) as this helps with nerve related pain and helps decrease further nervous system damage. Lastly I would start taking magnesium citrate 500 mg nightly, to aid in better sleep and help with pain (magnesium citrate is absorbed the best by your body, so be sure it is this formulation). If the pain persists, and you begin having more tingling/unpleasant sensations, another option would be alpha biopic acid 600 mg twice daily. These suggestions are all proven to be effective in the medical literature and I use them on a daily basis for my MS patients. I hope that this helps and I hope you feel better soon! Good luck! |
my brother is in icu and has had serveral constant sezuries for about 24 hours before it was checked. he is heavely seditated. dr say mucles are working in the brain had many different answer no one can give an answer wheither he is brain dead or not | 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 concept of brain death needs some very specific features. The problem with brain death is that almost every feature that is supposed to be in favor of brain death can also be caused by another cause. So no one single sign can be confirmatory of brain death. Besides, seizures also happen due to more than one cause. There may be a structural brain lesion, there may be a severe infection (sepsis), there may be serve metabolic derangement (again of many types). And once a seizure happens, the patient may become unresponsive for a long period of time, say even up to 72 hours. The physical signs can in fact mimic brain damage. I will always suggest at least an EEG if I was to declare a patient as possibly having brain death, I will suggest the same to you. Besides with heavy sedation, it is difficult to say whether there is brain death, or is it a part of the injections. 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. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida |
my 73 year old partner has chronic pain from an (operable, with a year wait list) back condition that affects his shoulder and legs. he has been reduced to being barely able to walk. he has tried hydro morph, fentanyl, and a host of other pain killers and none have had any effect on even reducing the level of his pain. in the past and for various conditions he has shown himself resistant to medications. an acupuncture treatment has been the only effective treatment so far but we live 1500 miles (southeast Yukon) from an acupuncturist. in Kelowna last year he was given an epidural and even that did not ease his pain. what other, if any, alternatives are there? we are getting desperate. | If you are a doctor, please answer the medical questions based on the patient's description. | There are quite a long list of other therapies for the pain. The operation issue intrigues me because the shoulder and the back are not connected. And the shoulder if it is the part down below the neck is inside the chest and doesn't get much wear and tear. If it is at the neck, then neck disk disease is very, very common and almost always shows up on regular x-rays. BUT. Has nothing to do with back and legs in the vast majority. Back to pain management: There are multiple levels. Obviously the first level is what is broken and fixing it with the surgery. The second level is the pain produced from the problem. Nerve pills sometimes work. Muscle relaxants sometimes work. Amitriptyline is both a nerve pill (like lidocaine) and a blocker of pain signals at the spine. The third level is the context in which the pain is held. While lately everyone is talking about mindfulness and yoga, frankly you might as well try a fidget spinner. I am highly dubious about all of them. BUT, having the pain be directed by oneself and having it decrease is known to be among the MOST effective modulators of pain. So, if you can do exercise or physical therapy in the context of MAKING IT PAINFUL, then the pain experience is less after creating the pain and with repeating it the pain goes down (except during the physical therapy where it goes up for the first 2 months then stabilizes but is still painful). |
Ive been forgetting random things all the time recently. Im on lexapro, klonapin, vyvanse, and ambien as needed. The only pills I take daily are vyvanse and lexapro. The klonapin is only to help control my tourettes outburts. I have been taking all medicines for roughly 6 months. Kpins are dosed at three .5 tablets twice a day as needed to help control my outburts and stop the im gonna freak out feeling. Lexapro is 40 mg a day split into two 20 mg pills I take in morning. The Ambien is as needed for restless thoughts. The vyvanse is one 60 mg tab every morning but I dont take them everymorning because I feel that its not necessary to take it when your just sitting at home for a weekend and not doing work. Ive also been getting tremors in my hands lately that are bugging me. Im 20 and diagnosed with adhd, ocd, major depressive disorder, and tourettes which is the worst due to my outburts of loudness that make people look at me like im a jerk or like im causing problems. Im also seeing a psychiatrist who prescribes the meds, a psychologist to help me give behavioral techniques to learn to try and control my tics and now im seeing a psychologist that specializes in meditation and indian medicines and heling through body mind and spirit. Any suggestions or help would be greatly aprreciated. My life feels horrible to live it like this. Helo greatly appreciated. Im 20 years old and this isnt how I wanna live my life. | If you are a doctor, please answer the medical questions based on the patient's description. | HIT hanks for using Chat Doctor I think, in medication, you can try fluoxetine and haloperidol. That would help to control depression, OCD, Tourette disorder as well as ADHD. The medications, which you have been taking now, would not help you much. Vyvanse could help in controlling ADHD, but would not control tics. Haloperidol help to control both. Expo is effective in depression, but not in OCD. Fluoxetine would cover both. Rest you can consult your psychiatrist. Regards |
after I eat anything meals snacks I get a pain or discomfort in my stomach area and then it sometimes go thru my back and it backs up under my breast thru my back - it occurs everytime I eat and does not go away until I go to bed. It can cause disconfort all day. I also have bowl trouble just had a colonoscopy check up and I have diverticulosis - could this be gall badder attacks - should I go to my regular doctor or back to my colon doctor? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Thanks for your query. Read your history and understood your problem. Your history is classical. The pain starts on eating, goes through back and then under the breasts. Occurs every time you take food. This indicated it is related to either esophagus, stomach or duodenum. You are already diagnosed as a case of diverticulitis on colonoscopy. The possible reasons can be :Diverticulitis as a reflex of an inflammatory process to the food in to the stomach. Esophagitis, gastritis, stomach ulcers or cancers. Pancreatitis as the pain is referred to the back. Gall bladder infection or stones do not cause pain referred to the back. You should go back to the Gastroenterologist:Get upper GI endoscopy CT scan of the abdomen and if required MRCP.Blood-CBC, liver and kidney functions. / Urine and stool testsSerum lipase and amylase for pancreatitis. The exact diagnosis will give the guideline for further investigations and treatment. Till then get started on :Santa 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Risperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ Chat Doctor. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positional around after dinner. Think of the factors which increased the present problem, HERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. I hope this helps you to get a relaxation and time to get investigated well. |
BP of 151/101 with upper left abdominal pain . 47yo male 220lbs 5 8 . Abdominal CT from 1 year ago is clear of any issues with Kidneys, Galbladder and Pacreus. GI doc says he has no idea. Ordered a EGD for 1 month out with follow up in 3 months. Pain in daily starting Dull/achy to sharp and stabbing especially after meals. Should I take him to the ER? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and welcome. Thanks for your query. The one symptom of pain after meals, is most commonly associated with peptic ulcer disease (PUD). Which is an ulcer found either in the duodenum (which is the first part of the intestine, that is connected to the stomach) or the stomach itself. The main differential factor is the duration or initiation of pain after a meal. In the presence of an ulcer in the stomach the pain usually starts 15-20 minutes after a meal, which is how much time the food takes to reach the stomach and irritate the ulcer. In the case of a duodenal ulcer, the pain starts around 2 hours after a meal, which is how much time the food takes to reach the duodenum after consumption. Other findings of a gastric ulcer are: -Vomiting helps in reducing the symptoms-Appetite is usually normal-Patient usually experiences loss of weight-In a complicated or bleeding stomach ulcer, we find traces of blood in the vomits, and rarely black or dark brownish colored stools -More common in patients belonging to lower socio-economic status (lower middle class most common) Other findings of a duodenal ulcer are:- Higher socio-economic status patients-Normal or increased appetite-Normal or increased weight-Darkish brown stool is more common than bloody vomits I hope these details at least help you in ruling out an ulcer. An endoscopy would also help in visualizing the ulcer, size and location, and can also take a biopsy (tissue sample) at the same time. Please discuss the details with your doctor. For any further clarifications, you can always write back to us. Wishing you good health. |
Hi, I am 30 years old male, Bangladeshi, suffering from left shoulder pain, breathing problem and a hot feeling. I have recently gained around 15 pounds in the last three months. I am overall 180lbs now. what can be the cause for the breathing problem? | If you are a doctor, please answer the medical questions based on the patient's description. | Detailed Answer:Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-In the given situation-You seems to suffer from-? Hypertensive Cardiac failure-LVH(left ventricular hypertrophy). Hot feeling and left shoulder pain is mostly from undetected high blood pressure which needs to be treated, as it is causing accompanied Lung edema -causing breathlessness. Shoulder pain seems to be from accompanied angina from ?CAD(Coronary Artery disease)Obesity with high lipids needs to be ruled out. Weight reduction with regular walking exercises with diet control with high fiber, low fat, non-spicy diet is suggested to fix these health problems. Consults with Cardiologist and nutritionist, would be needed to treat these health issues. Other causes need to be ruled out by physical / and lab check-ups from Specialist Cardiologist. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS |
I am female, i consulted a female doctor for getting pregnant. I am having smooth sex with my husband. Doctor advised my husband to do semen test. The report was normal (i.e. total count is 72, molality in first hour is 75%, in second hour is 70%, in third hour is 65% and morphology is 80%). Doctor advised me to do hematology test (includes Neutrophilis 69%, Lymphocytes 29%, Monocytes 1%, Eosinophils 1% and Basophils 00%), ESR (is 30 mm/Hr), LH & FSH (is Average), Prolactin (is Average), Thyroid (T3 is 120.7, T4 is 7.4 and TSH is 5.5), Tubercular Serology (is 0.52), Mantoux Test ( Erythema is 4 mm & Induration is 2 mm with result as negative), Abdominal Ultrasonography (Result as no diagnostic Abnormality Detected), HSG (Result as no diagnostic Abnormality Detected & multiple antral folicles is seen). Here i want to ask that why i am not getting pregnant, since from last 10 months i am using Medicines prescribed by my doctor. Also please advice name of medicines to take. waiting for reply. thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Hello thank you for your query. Firstly, you have been trying for only 10 months to conceive, so I wonder why you are getting so anxious. Please relax, because stress is the major reason for not conceiving as I see in your case. Moreover, what medications have you already taken. At present, I would advise you to take regular folic acid supplements and naturally try for a couple of months more. You should be aware of the fertile days (around ovulation) during which intercourse should be essential. Maintain a healthy BMI and a positive outlook. An HSG cannot comment on multiple follicles, so something is wrong with the reports you have typed, some error in typing probably. If you fail to conceive within three months more, consult a proper Infertility specialist. Get your laparoscopy done to assess tubal function and have a follicular study to detect ovulation. Take care. |
Ive had low back pain for quite sometime now, I do hard manual labor so im guessing maybe it came from lifting something heavy, so I just shook it off. As time progressed i started developing a weakness in my lower left leg, and it feels like a (tingly) feeling in it, like its falling asleep. It comes in goes, sometimes for like 5 minutes, sometimes 20m and I feel pain under my left buttock, knee, all the way down to my foot, my thigh feels like its on fire sometimes. I went to get it looked at and my doctor told me it could be stress, but I dont think thats it, and that it could be sciatica, and now I have a small lump in my inner thigh (groin) feels hard, about as big as an olive, my doctor prescribed me with Naproxen and cyclobenzaprine I feel a little relief but it hasnt gone away, what could this be? | 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 you should have an MRI of the back as soon as possible. There may be a severe disc displacement in your case that may be causing the pain and the nerve symptoms like the tingling and the numbness that you are developing. If it is too severe, surgery may be recommended, and if it is less severe, a physiotherapy with mild muscle relaxants and milder painkillers may help you. As for the small lump, I would suggest an ultrasound of the area to know more 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. |
I am 37 years old female. Since 3 months, I am facing lower back pain, from right side head to right hand. Especially right elbow pain, feeling some lump little above the neck on right side, if I press there, it is paining till right hand. Recently started paining from right side buttok (sometime pelvic) to leg. Sometime severe, sometime mild. Fatigue, giddiness also there. I am suffering with migraine and hypothyroidism since years. Pl. suggest!! | If you are a doctor, please answer the medical questions based on the patient's description. | Here you have asked treatment for back pain but in your explanation you have given symptom of neck pain radiating to arm and hand, back pain, as well Migraine and headache along with painful lump on your neck. As per the symptoms there could be multiple possibilities or problems with you. Neck pain radiating to arm and hand could be related to cervical spine issue along with lump at cervical spine. Pain in back to buttock could be related to lumbar level spinal issue along with sciatic nerve disturbance. Headache and Migraine could be related to deficiency of minerals vitamins and protein in body or too much of physical or mental stress.However to conform the diagnosis you have to visit an or tho and euro doctor and here they will check with physical tests as well may ask for MRI scan of spine and brain if needed. Now here or tho will guide yo for treatment based on severity of problem. If there is mild to moderate spinal problem then it can be treated with few medications along with physiotherapy treatment. If there is anything major then or tho may ask for surgical correction. For lump over your neck also if it is painful and increasing in size then need to go for surgical excision along with biopsy. I also suggest taking a postural correction advice as well spinal exercise advise from physio to follow it regularly in future for prevention of further issues. For Migraine and headache treatment will be guided by your euro physician based on physical examination and MRI report. It may be medical or surgical which ever is needed. I suggest you can also use hot and cold pack frequently to have some more relief in soft tissue. I am sure this will help you if you follow step by step. Take care. |
Hi, so a month ago now I was in a wake boarding accident and I went face first into the water at a high speed. I was diagnosed with concussion, I had a very painful headache predominantly located on my front left side of my head as well as dizziness, nausea, fatigue and sensitivity to noise and light. For the first two weeks I couldn t bare to be out of a dark room especially without a bucket as I could literally feel the vomit in my throat rising up, although I never did vomit. I ve had plenty of doctor trips to my GP who doesn t seem completely sure what s going on, and since then I ve been told to get out of the dark room and sit up right instead of laying down which I have been doing. Nothing has seemed to be getting much better, so the last time I went to see the doctor he sent me up to the hospital for an emergency CT which never went ahead because the doctor at the hospital said a CT could be harmful to my lady parts and could increase my risk of a brain tumour. So I was sent home with pain killers and nausea tablets which do nothing at all. I m slightly concerned about my head and if there is any damage. Am I right to be concerned or am I worrying for nothing? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, You are exhibiting signs of what is referred to as postconcussive headaches within a larger framework possibly of a postconcussive syn Chat Doctor. The activity you were performing that resulted in your falling face first in the water at high speed initiated the sequence of events which now is being experienced by a migraine-like headache. I would seek out a TBI specialist or headache specialist (neurologist) to start tracking and properly treating these headaches which typically subside in 3 weeks-3 months. A thorough neurological examination would be useful in order to assess the absolute necessity for a CT of the head which could be justifiable in your case without fear of cancer in the head or overly irradiating your "lady parts" but I would clearly get a neurological examination first because it is possible that a CT would be superfluous at this point. Hope I have answered your query. Let me know if I can assist you further. |
Hello my name is davone i am 22 years old and I really need help , I now this is going to sound strange but I m just so confused about it , its about my dreams ,I constantly dream every night and I mean every night rapidly but not just any dream in the dream I am fully aware and able to control the dream fully i feel everything i am fully aware of everything but the most scariest part is when I m about to wake when I want to awake from my dream at free will I then enter into a weird state where I m back in my bed but can t move and the room is dark please please please help me .. !!! Then when I am awake my mind works a fast pace when I watch TV it s like my brain is aanother person I will immediately mesure everything in the movie as the person height and weight which of their hands are dominate its as if number make up everything if there is any one out there with these conditions please help me | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Danone, welcome to Chat Doctor, I can certainly understand your extreme suffering regarding your unpleasant experience during sleep. I can explain to you that these nightmares are mainly due to imbalance between REM (Rapid Eye Movement) and REM (Non-Rapid Eye movement) stages of sleep. In general, these two stages maintain sleep balance for its homeostasis, in your case i.e. in nightmares, the REM activity will be too more than normal, thus the balance is lost. As this is the phase in which the brain is very active, your heart rate will be more, because of all these you are experiencing that kind of restlessness. You can get rid of this problem by following strict sleep hygiene i.e. keeping a regular wake-sleep schedule is very important, which will help to prevent the sleep deprivation that can bring on nightmares, engaging in regular exercise, which will help alleviate your nightmare if they are due to anxiety and stress, You may find yoga and meditation are also helpful. Be cautious about use of alcohol, caffeine, and nicotine, which can remain in your system for more than 12 hours and often disrupt sleep patterns. Make your be Chat Doctor. I would like to know are you taking any medications? As certain |
I had sinus surgery 9 months ago (turbinates, septum , etc). Everything went ok. Still had an issue breathing out of my left nostril but that s because my nasal value was so narrow to begin with, my surgeon did not want to be too aggressive. A few weeks ago I thought I was getting a sinus infection or maybe the flu (everyone I know has been sick). The flu-ish symptoms passed but my left sinus seemed to open up. I can now breathe more out of my left nostril. The issue I m having is my gum behind my left front tooth is numb to the touch. Not the tooth, but the gum. If I rub my tongue on the area of my gum behind my left front tooth or if food hits it when I m chewing, the gum feels sensitive/numb. This has been going on for a month, it hasn t gotten worse but it hasn t improved. great. I can chew on the tooth with no issues. The ENT who did the surgery said my sinuses look great and said if my gum bothers me to have my dentist check it out. My dentist took a look and X-rays, he says things look great. Any ideas to what is going on? Should I seek further opinions? If yes, what type of doctor? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and welcome, After reading to your query I can suspect you to have acute sinusitis. It is inflammation of the tissue lining your sinuses it may have bacterial or viral origin. It does show symptoms of runny and stuffy nose, cold and flue, nasal bock, facial pain and swelling. Furthermore, it does give pain and pressure like feeling in the gums of your upper teeth. It normally lasts for 10 to 14 days. If there is infection in the upper gums, deep cleaning of gums and root planing along with a course of antibiotic will relieve the symptoms. If your x-ray is normal after surgery I suggest you to consult a physician and get it confirmed. An OPG radiograph will show the complete view of both the maxillary sinuses. Nasal floor and the teeth involved, so you can get it done. I hope this helps you. Take care |
About 48 hours ago I did some very heavy, nearly impossible lifting, and I felt pain immediately in my knees. Now my right knee is swollen and bruises are popping out all around it. I am resting today with my leg elevated, ice on my knee, and I ve taken some ibuprofen. I ve rubbed ICY HOT on my knee and later some arnica. Am I doing enough or is this more serious than I realize? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, As per the question you asked, I would say it is right thing to do which you are doing. Icing and keeping the leg elevated over a pillow. What is missed out is stabilizing the joint, so use crêpe bandage for stabilizing the knee joint initially now itself. Coming to what would have caused this. I feel by the history that you lifted a heavy weight and this must have given excessive pressure to the ligaments of the knee joint. For now we have to see if bending and straightening the knee is painful or any ligament laxity leading to later rotation of the knee joint. If so then we may need an MRI to see if any soft tissue damage has occurred. On the therapy front. Since you are doing icing, elevation please add on crêpe bandage so stabilizing of the joint allows no more trauma to soft tissues. After a week or so, I would advise to follow the set of exercise.1. Ankle toe movements2. Static hamstring3. Static Qua Chat Doctor. Straight leg raise5. Internal and external rotation of hip while straight leg is raised6. Lying on stomach - lifting the leg backwards without bending knee7. Lying on stomach and speaking the leg out with 2 ft distance in between them and flexing the knee. Once you get good in this exercise take it to the next level by indulging into weight-bearing exercise. Here weight-bearing exercise is about your own body weight with not adding any additional ones. In my clinical practice of 12 years most of the gym injuries have visited me with knee complains. Having a thorough assessment and examination had helped me to help them with expected outcome score. Hope I have answered your query. Let me know if I can assist you further. Jay In |
FINDINGS OF MY LEFT LEG MRI REPORT ARE; EVIDENCE OF STIR HYPERSENSITIVITY SEEN INVOLVING THE POSTERIOR HORN OF MEDIAL MENISCUS. MODERATE JOINT EFFUSION IS SEEN WITH EXTENTION ITO SUPRA -PETELLAR RECESS,PARA-CODYLAR,INTERCODYLAR REGIONS AND TIBIO-FEMORAL JOINT SPACE. THERE IS EVIDENCE OF MILD PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE LATERAL FEMORAL CONDYLE -LIKELY MILD MARROW EDEMA/CONTUSION. THERE IS EVEDINCE OF MILD FLUID SEEN INNSUPERFICIAL TO THE MEDIAL COLLATERAL LIAMENT-LIKELY GRADE 1 SPRAIN. SUBTLE PATCHY STIR HYPERSENSITIVITY SEEN INVOLVING THE SUBARTICULAR ASPECT PATELLA-LIKELY GRADE 1 CHONDROMALACIC CHANGES. IMPRESSION 1.GRADE 2 HORIZONTAL TEAR POSTERIOR HORN OF MEDIAL MENISCSU. 2.MODERATE JOINT EFFUSION. GRADE1 CHONDROMALACIC CHANGES INVOLVING PATELLA. | If you are a doctor, please answer the medical questions based on the patient's description. | careful history of onset and reason has to be evaluated, whether any trauma or sudden jerk during movement occurred or is there no history of preceding trauma. Is effusion gradual ad swelling increasing? All this to differentiate tear of posterior horn or synovitis due to insidious onset of arthritis aaaaaaaaa/rheumatoid?you must meet an orthopedic doctor to evaluate these points co-relating history, clinical findings and MRI. Additional information about collateral ligament if trauma occurred and to rule out bursitis in and around knee. Treatment is usually knee support in brace, rest,aspiration cytology and therapeutic Chat Doctor. Pain medicines, anti-inflammatory meds and local infiltration with steroid, if necessary, after complete evaluation. Thanks |
report is: Normal CT attenuation characteristics of the gray and white matter of both cerebral hemispheres. No focal or enhancing lesions are detected Normal dimensions and configurations of the supra and infra tentorial ventricular system Neither intra nor extra axial collections. No brain edema. No mid line shift. Normal appearance of posterior fossa structures. Normal CT features and appearance of the bony cranial vault Opinion: Negative CT study of the brain and posterior fossa structures.. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Your CT scan first is entirely normal. To break it down line by line: Normal CT attenuation characteristics of the gray and white matter of both cerebral hemispheres.- This states that the difference in density between the gray matter (the nerve cells) and white matter (the cables of the nerve cells) looks as it is supposed to. No focal or enhancing lesions are detected-This says that there are no tumors, infection or inflammation. Normal dimensions and configurations of the supra and infra senatorial ventricular system-this discussed the normal fluid filled spaces that are found in the brain. It states that the fluid filled spaces in the top and bottom part of the brain are normal. Neither intro nor extra axial collections.- This states that there are no abnormal collections of fluid within or outside the brain. No brain edema.- No swelling of the brain No mid-line shift.- A midline shift occurs when swelling or a tumor pushes part of the brain to the opposite side, that is a part of the brain that is for example that a part of the brain that should be on the left side of the brain would be pushed to the right side, passed the center point of the skull. Normal appearance of posterior fossa structures.- This is simply referring to a part of the brain that lies in the back of the head which includes the brain stem and cerebellum. These look normal on the scan. Normal CT features and appearance of the bony cranial vault-the skull and the space in which the brain is contained looks normal Opinion: Negative CT study of the brain and posterior fossa structures - A "negative" study is simply one which did not find anything abnormal. Hope I have answered your query. Let me know if I can assist you further. |