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I was diagnosed 2 months ago with large l5s1 herniation with severe nerve root compression and significant DDD at that disc. Treated for 2 wks with acupuncture but a twist renewed the agony. Symptons were poor ankle reflexes unable to toe rise and painful sciatica .. Surgery was arranged for 4 days later however the feeling started to return and could do tow rise on morn of surgery so surgeon postponed ... This was 5 wks ago. I still have skin numbness at back of leg and last two toes and am very limited in what I can do. I take 100 mg anti inflamm a day stopped other meds 3 days ago. Can a large herniation heal by itself. I am usually a fit healthy perso. (yoga 2 a week cardio and weights 3 timesaver week) there has been improvements in mobility etc. anyway 36 female 126 lb 53 .. I should add that I didnt get the MRI for 2 wks and only had acupuncture and paracetamol for pain relief during that time the onslaught of sciatica was horrendous and fast but improved !!

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1. L5,S1 herniation is either due to Trauma or bad posture (postural dysfunction), please specify yours?2. Because DDD (degenerative disc disease) is there, probably weak inter-vertebral disc due to poor posture can be the cause (only proved otherwise), and L5,S1 is the commonest site for herniation.3. Compression of sciatic nerve has lead to Sciatica, L5 nerve impingement has lead to numbness and causes weakness in extending the big toe (foot Chat Doctor. 4. Any bladder/bowel dysfunction?5. Have you consulted for Osteopathic/chiropractic manipulation?6. Symptomatic disc herniation rarely heal on their own, but before opting for surgery, please consult a physiotherapist (PT)for the same, but before that make sure you get an MRI done of the spine to rule out any STENOSIS, which could result in edema and MASSAGE given by PT will further aggravate the symptoms.7. If you are insured, check with the Insurance company about the same.8. If pain and symptoms continue, consider microdiscectomy or lumbar herniated disc surgery.

Hi my son 5 years old he is very allergy with food and dust .also he has skin allergy. He always have running nose and headache . Since the past two weeks he been having fever and cough . The doctor prescribe solupred 20 and vifex syrup . It been two month since he had taken solupred 20 can he take it again? And very often his nose bleed

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Hello. Thank you for asking at Chat Doctor. I went through your sons history and would like to make following suggestions to him:1. Avoidance of the substances he is allergic to is the best strategy for managing allergies. If he has been tested for allergies, I would suggest him to avoid the foods he is allergic to. (provided that allergy testing is reliable)For dust allergy, specific allergen immunotherapy can be advised by an Allergist-Immunologist after thorough allergy evaluation.2. I would agree with his treatment suggested by his doctor. However, were I treating him, I would add montelukast and levocetirizine to above treatment. 3. Soured 20 is corticosteroid. In severe asthma symptoms, it may be necessary to give oral corticosteroids. A short course of 3-5 days of corticosteroids does not cause significant long term side effects. So as his doctor thinks Soured 20 is necessary for him at present, I would agree with him. Treating doctor is the best judge of the children condition.4. If he needs repeated asthma symptoms or repeated corticosteroid courses, I would suggest him regular medications like montelukast or inhaled corticosteroids. (Inhaled corticosteroids are much safer than oral corticosteroids, but are less useful in acute symptoms)So I would suggest you to review his symptoms with his doctor to discuss the need of regular medications.5. I would suggest him to avoid the exposure to dusts, smokes & air pollution as much as possible.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help him in a longer run by improving his immunity. Hope above suggestions will be helpful to him. Should you have any further query, please feel free to ask at Chat Doctor. Wish your son the best of the health. Thank you & Regards.

i am suffering from wheezing problem for last one month. I have consulted the Dr. He prescribed deriphilin , cetrizene and asthalin inhaler. Also he told to continue the medicines for 3 years. Then willl automatically decrease. Is he correct? or not?Answer please!

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Hello. Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like - What is your age? Since when you have had asthma? What is the frequency of symptoms? Do you have any associated nose problems - nose allergies, sinusitis, etc.? Do you smoke or are you exposed to dusts or air pollution? Does anyone from your family have asthma or allergies? Etc... From your history, I would like to make following suggestions to you:1. I would agree with your treatment at present.2. Were I treating you, I would add montelukast in your treatment as it helps both nose and asthma symptoms.3. If you need to use Stalin inhaler more than twice a week, I would suggest you to use daily inhaled corticosteroids. Asthalin inhaler is to be used on as-and-when-needed basis. I don't recommend it to be used regularly.4. Once your asthma is under good control, I would first start reducing deriphyllin, as it has many side effects compared to other Chat Doctor. 5. I would also suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.6. Regular breathing exercise and a balanced diet (adequate green leafy vegetables, fruits, sprouts, etc.) will help you in a long run.7. I would suggest you allergy testing which will help you to identify the substances you may be allergic to.8. Were I treating you, I would not suggest you to use all the medicines for 3 years. I usually call my patients every 2-3 months and then decrease/change medicines as per their symptoms. Asthma is a dynamic disease which worsens and improves with time, season and other factors. So it is difficult to predict duration of treatment. Hope above suggestions and information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.

Hi, may I ansI was in a car accident on Friday 4-9-10. I accelerated from a complete stop and when I accelerated, a bug flew into my window and I turned my head and ended up slamming into the truck in front of me at a very close range. The seat belt slammed into my collarbone where it meets the shoulder. I am in a lot of pain. I am able to move my arm, rotate, lift it above shoulder, basically I have total motion. I do notice though that when i extend my air fully up, hand in the air, there is some popping. It hurts some when I am moving it. I do not see brusing, cuts, or swelling, but it hurts like crazy. I am ok if I don t use it, luckily it is my left shoulder, but after working as a receptionist and doing everyday things, it throbs. Unfortunately, I have to use my arm! If i keep my arm in a position like it would be in a sling, or i support it with my right arm, it doesn t hurt so much. I don t want anyone to touch it. When i was helping my son who is 5 get dressed, he put pressure on my shoulder to keep his balance and that hurt a lot! It gets very warm, not to the touch, I just feel a lot of heat radiating from it. The pain spreads through my shoulder and sometimes reaches my elbow. I have not put ice on it, but i have used the heating pad which helps a little bit. I am not expecting a severe injury because it doesn t look injured, but it really really hurts! What should i do? My neck is not sore at all, so i don t think i have whiplash.

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Cellophane You for contacting Chat Doctor. There could be hair line fracture or sprain. I would recommend you to visit hospital for X-ray to rule out any such cause. In the meanwhile I would suggest you following things:> Take naproxen twice a day for 5 days> Apply ibuprofen cream over the shoulder and massage.> Take boiling water in a rubber bottle and put over your shoulder. It will give soothing effect. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.

My wife was suffering from Miliary TB from october 2011 . she was in the medication from OCTOBER 2011 TO january 2013 but suddenly in june 2013 she has TB in Brain. she had seziures twice . now she is into medication.what should we do ???? is it fully cureable ???/if yes how we should cope with it ??

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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 queryMiliary TB is a form of tuberculosis that involves the entire body. All the systems of the body are affected in this condition. The lungs, heart, stomach and intestines, and even the bones can get involved in this condition. There is a possibility that the TB bacteria survived in her brain. The TB bacteria can form small focus of infection in the brain called tuberculous. Or they can cause a generalized infection called TB meningitis. The most common manifestation of the meningitis is seizures and altered sensorial. The TB meningitis, may be treatable if the patient is not immunocompromised or if the other systems hold out. Besides the bacteria should be susceptible to the antibiotics given. Yes, in a world full of antibiotic resistant bacteria, even TB bacteria are getting resistant to antibiotics and these are harder to kill. A suitable culture sensitivity may help diagnose the type of bacteria. If she gets effects of the medicine and starts getting better, chances are she will heal completely. Monitor her liver function tests 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 there, 4 months ago I broke my jaw in 4 places, 3 break being on the left hand side and one on the left which is where the joint snapped and ended up through my earl canal. My surgeon and his team are a matter of their own. Terra ky confusing, contradict what they say continuously and over all have been not that great. I ve asked for a second opinion and to be referred somewhere. The reason I m worried is I am sure my lower jaw has been set too far back. I have a huge overbite which I didn t have previously, my jaw cannot move side to side all that much and I m completely unable to chew with my mouth shut. This bothers me a great deal as I can t eat comfortably nor with any manners! It can only be compared to way a dog chews. I ve had two operations already and fear I ll have to have another ken to help these problems. My ROM is also only just reaching 2 thirds after nearly 5 months. I ve been offered no physio. My surgeon originally told me I d need more operations shown the line but when I went to see him again he said he no longer thought this was necessary. He hadn t even discussed this with me beforehand. Do the problems I have sound like they re due to the jaw being set in the wrong place or is this all part of the healing process? My lips are also difficult to out together.

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Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that along with breakage of the jaw there has also been jaw joint dislocation, and you are right as it seems that while replacing the lower jaw t has been placed too far back and not articulating properly at the lower part of the skull. There can also be forward[anterior] displacement of articular disc that is a soft cushion present between the two bony ends of the joint. You need to get treated and although many a times' surgery is not needed. You should consult a trained oral surgeon and get evaluated, and he can advise you oral splints, corrective orthodontic appliances [functional jaw orthodontic splints] and physiotherapy to improve the condition. In case if all This does not work then surgical correction can be done. Hope this information helps. Thanks and regards. Chat Doctor.

Distended gallbladder. Wall appears to show some areas of increased echogenicity which could represent cholesterol deposits. Calcification is not excluded although there does not appear to be shadowing. Polyps are felt to be less likely. The largest of these measures up to 10mm. Common bile duct diameter is very distended at 9.7mm. No intrahepatic biliary ductal dialation demonstrated. These are notes from my recent abdominal ultrasound...Thoughts please.

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Hello there ! Studied your report of GB scan. Your CBD is distended for sure. The maximum limit is 6 to 7 mm. these areas of increased echogenicity can not be associated with anything unless correlated with your thorough history and physical exam. Cause it changes with age and anything starting from obesity to fatty liver to Lipoproteins or liver metabolism or some obstruction in common bile duct. Usually the duct gets distended from obstruction the two main reasons for which are Alcohol and Stones. So I suspect it because of alcohol cause alcohol gets metabolized to fats and cholesterol and as your scan also narrated the correlation, but I am afraid that little of history is all I can get to or speculate. But your CBD is for sure dilated. Now If there are pains and associations like nausea vomiting fever etc., i would arise to further investigated the ct scan abdomen and pelvis, Pancreatic profile assessment to rule out pancreatitis or malignancy that is Serum amylase, urinary amylase, amylase to lipase ratio, CA 19-9, I would also advise THC(trans hepatic cholangiographic) Or MRCP(magnetic resonance cholangiopancreatography) or ERCP(Endoscopic retrograde cholangiopancreatography) and some Magazine DiAtrazoate or barium Meals X-rays. But as I said clinical correlation is the main platform to proceed not just one U/S scan report. You should have stated Your little history and things could have been more in your favor. Anyhow I have managed to help you out the best I could. If you need me don't forget that I am here for you. You can contact me any time any way you want. I have my email and cell number on my profile. Regards Chat Doctor.

Hi Doc, I am having this problem of shortness of breath for last 3 years now. The problem is usually elevated when whether is more humid and its raining. I have been smoking for 8 years until last 5 months. I drink 2-3 times socially in a week as well. I consulted a specialist last year, and was told it is an allergy and would be trated over the period of time. For the last few days, the shortness of breath is severe and can not sleep also because of this. I am also having pain in right lower chest when deep breathing. I stay in a very humid place in the world (singapore) and one thing i have noticed that on a very humid day, this problem turns back with nausea as well. I consulted a doc few days back (General Physician) and he gave me some tablets (allergy and to clear the air ways). It worked for 2 days. The problem turned back again after a day. (Its raining again !!) what are the possible causes of this problem? Is there anything to be worried.what tests do you suggest me? Appreciate your help ! Thanks Doc, JayD

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Hello Mr Jay. Thank you for asking at Chat Doctor. I guess you have quit smoking for last 5 months, and if I am correct, congratulations on that. It is a very important step for your respiratory complaints. From your history, I would conclude that you are having recurrent breathlessness, worsening on humid days. You may be having allergy to house dust mite or molds, which increase in concentration during humid days or pollen which are released during rainy season. I would suggest you to consult an Allergist-Immunologist who will take your detailed history and suggest allergy testing. He may suggest you allergen immunotherapy after allergy testing. If you have frequent shortness of breath, you may need daily controller medications (inhaled corticosteroids, montelukast, etc.)I would also suggest spirometry with reversibility testing. This test is helpful to differentiate between asthma and COPD (chronic obstructive pulmonary disease). Apart from these, ensuring proper sunlight & ventilation in your rooms, avoidance of smoke-dust-air pollutants and regular breathing exercises will help you on a long run. Hope this will be helpful to you. Wish you the best of the health. Regards.

hi doctor good morning. I was bitten by well-vaccinated dog yesterday morning.I was wearing jeans at that time.The bite left the area swollen and sore and left a tooth mark (a break in the skin but no bleeding) This morning there is a bruise in a ring shape around the tooth mark. Should I be worried. Do i need to have any vaccination

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Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read your question completely, I understand your concern and will try to help you in the best way possible. The post Exposure Prophylaxis of rabies depend upon the degree of exposure, and the prophylactic measures may vary from simple antirabies vaccines to the use of passive immunity, in the form of anti-rabies serum or immunoglobulins, but since rabies is a potentially fatal disease and its post exposure vaccination have shown to be having almost 99.9% efficacy, so normally doctors don't recommend taking chances, so even for trivial scratches the vaccinations are suggested quite often. But in your case, since dog is well vaccinated, and since you know the vaccination status of the dog, then it must be, a pet dog likely. So it would be still encouraging if you reconfirm the exact booster dosages and whether the vaccines schedule was followed, as per protocol. If dog is available, it can be examined by a vet to reconfirm whether it has any signs and symptoms of rabies? Also, the history that, whether it was a provoked bite or spontaneously unprovoked incidence is very important, in case of stray dogs mostly. The kind of wound you inflicted is a category 2 wound, which needs rabies vaccination normally, without any need of antirabies serum. But since dog is well vaccinated as you have described’t hen need of vaccination declines. I would still suggest you, that even if there is a little of ambiguity, regarding the dogs' status, you can start anti rabies vaccination according to regular schedule of day 0,3,7 and 21. And meanwhile god can be kept under monitoring. If the dog doesn't show any kind of symptoms in 10 days, then the vaccination can be stopped. I hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegrads.

Hey. I have had abdominal pains for over 2 years. Usually always locallized to a specific area and wierdly in 3 places. 1) just under my peft side rib cage. 2)under my right side rib cage. 3)in my lower left quadrant. Of recent ive encountered new symptoms. A jelly like feeling just behind my tongue. chest pains at onset moments. I cannot eat fried foods without feeling ill immediately after. More frequant bowel movements for 48 hours every time. Was given mebeverine 135mg for ibs but they did not work at all. was given lanzoprazole 30mg and after 13 months they finally stopped being helpful like they was. my gp asked me to do a colonoscopy but I refused because of how dreadful my abdominal pains can be and tje thought of a colonoscopy while awake to me, is extremely invasive. please help? My nights are restless from the pain that develops and worsens each day until I wake up the next morning. Then it repeats itself. I have lost an otherwise usually perfect sleeping pattern because of this. I need advise. I need a private doctor in the UK as the NHS service is terrible. is there any chance I could be leaded the right way, please?

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HI. Undergone through your history and is quite interesting and typical brain-teaser. The spots/ area are fixed you say. It is wonderful that the Mebeverine did not help you nor Lansoprazole. See- if a particular medicine has not helped you for a clinical picture, we have to think in a different direction. What worried me is : see you have been suffering for such a long and yet not ready for Colonoscopy. This is a very simple procedure and if done by an expert - causes no pain at all. Another option is Virtual colonoscopy (done by a CT scan and no need to put any instrument in the colon other than air). You can opt for this. You have to have this as there may be strictures or some pathology that is causing pointed pain (fixed area)There can be a treatable cause which will be missed if you do not undergo further tests. A contrasts enhanced CT scan also can give some ideas. There has to be a cause that has to be found out so that further treatment can be guided to the cure.

I have suffered back pain for the past 10 years, I had surgery, but made no difference, I have had root blocks, epidurals and facet injection. I now have severe back pain with tingling and spiky feeling from my sole of my foot to my knee, with back leg pain as well.

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Hellowelcome to ChatDoctorthe pain in your back is due to DISC PROLAPSE although you haunt mentioned your MRI REPORTS and the pain which is going lower down in your leg is due to a condition called as SCIATICA...sciatic is a nerve which supplies lower limb and its compression or stretching is what that causes pain in the back side of thigh n in legs....I would like to warn you that TAKING TOO MUCH AND FREQUENT EPIDURAL INJECTIONS/ROOT BLOCKS CAN DETERIORATE YOUR CONDITION AND WILL CAUSE MORE HARM Than BENEFIT....injections and blocks are for temporary relief only and should be taken occasionally in situations of acute emergency like when you are scheduled for some unavoidable business trip or family function etc....the best way to go in your case will be to STRENGTHEN YOUR BACK MUSCLES BECAUSE It's THE CONSTANT MUSCLE SPASM WHICH IS THE MAIN CULPRIT FOR CAUSING CONTINUOUS SEVERE PAIN...STRENGTHENING THE BACK MUSCLES WILL PREVENT MUSCLE SPASMS AND IT WILL AUTOMATICALLY IN TURN KEEP U FREE FROM FREQUENT PAIN... For the strengthening of your lower back muscles you need to visit a PHYSIOTHERAPIST who will guide you and teach you which specific spinal exercises you should do, and then you include those exercise in your daily routine to have LONG TERM BENEFITS...off course having epidural injections is an EASY TO GET AND INSTANT SOLUTION FOR RELIEF FROM PAIN BUT ONLY FOR A SHORT TIME and DOING EXERCISES DAILY IS A SLOW AND TEDIOUS PROCESS BUT THE BENEFITS WILL BE FOR LOOKING TERM, i hope you got my point...remember that story we use to read in our primary school ?? " SLOW AND STEADY WINS THE RACE" !!!!regardsChatDoctor

My 2 yr. old has had a fever since Sat. night. She then came with 2 huge spots on her tongue and some on her gums and and inner lip. I thought it was Hand Foot and Mouth but I have a 4 yr.old who got sick yesterday with fever and threw up twice. He has a fever today but his stomach is fine still not eating. Now the 9 mos old has what seeems to be a cold in his left eye. Just red not like pink eye. Her eyes looked like this on Mon. and Tues but are not like that anymore. Do you think this is HFMD or something more serious and the boys have something different than my daughter...the 2 year old?

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Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns... As per your complaint it seems that your son is suffering from viral infection that can be due to herpes virus causing herpetic gingivostomatitis and can lead to fever, swollen gums and in a day or two there can be outbreaks of blisters in and around the mouth known as cold sores. In case if there are erupting blisters in other parts of mouth too then it can be due to Hand foot and mouth disease that is again a viral infection caused by RETROVIRUS. Consult a Pediatrician and get him evaluated, and he can do a clinical evaluation and blood tests to confirm the diagnosis. As of now you should feed your son with a soft, cold and bland diet, a low spice vegetable soup, flavored gelatin, bread socked in milk etc. can be given. Avoid citrus juices like orange juice and can give him fresh apple juice. For fever, you can give him Tylenol or Acetaminophen . Application of a numbing gel like Lidocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly. Sucking ice pops or a frozen apple juice Popsicle can help in reducing inflammation and discomfort... Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums. Hope this information helps. Thanks and regards. Chat Doctor. .

HI. I am a 25 year old male living in Africa, having a history of acidity. Recently i was given steroids medication to help my asthma however it cause my body to gain weight and have blood in my stool, i have stopped all medications except use my rota-inhaler (budocote and Asthalin) for my asthma and the doctor prescribed Esomeprazole 2 times a day for my acidity for 2 month. i have noticed if i have herbal ginger tea or any herbal medication that causes blood in my stool and pain on my lower back. Could you help me determine what may the cause be and what test do i require to do inorder to find and treat the problem.

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Hello. Thank you for asking at Chat Doctor. I went through your history and I would like to give my opinion as follows:1. Oral steroid medications can cause weight gain as well as can cause gastritis (can aggravate acidity). So it's good that you have stopped your medications and started Omeprazole for 2 months.2. Again, it's good that you are controlling your asthma with rota-inhaler - Decor and Stalin. Inhaled medications, if used appropriately, only rarely cause systemic side effects.3. A severe gastritis/peptic ulcer can cause bleeding in stomach/upper part of small intestine. So if your stool contains black blood, it means blood is coming from stomach/small intestine. Taking antacids such as Omeprazole for at least 8 weeks will help in such case. However, if it does not improve, I would suggest you Upper GIs copy (endoscopy of stomach and 1st part of small intestine).4. If your stool contains fresh/red blood or blood Chat Doctor. In that case, oral steroids are not usually the cause. In that case, you will need a Gastroenterologist consultation to identify the case and proper treatment.5. Ginger, in excess amount, can also cause gastritis. So personally I would suggest you to avoid it for at least 2-4 weeks after your blood in stool is clear.6. I would also suggest you to avoid hot & spicy food. Please avoid alcohol, smoking and caffeinated beverages if you are taking. Hope above points will help you. Wish you the bast of the health. Regards.

Hi this is my second pregnancy, I feel like I am showing already but I am only 5 weeks along on paper. My last period was Jan 16th and was incredibly light. I have pretty normal pregnancy symptoms but I have noticed in addition that my stomach feels full and tight and I am very gassy. I have had constipation and some very light occasional cramps. Every now and then I will get a more noticable pain that is short lived in my lower abdomen. Passing gas and changing positions usually helps. My question is should I be concerned about the cramping or is it just gas. Also, is it safe to have intercourse at this time. My first OBGYN appointment is not until a month away. I am 5 2 and 33 as of right now (BD in a month). My first pregnancy was normal aside from a cesarean section.

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Hello there, thanks for writing in. 1. Feeling gassy with tight abdomen and constipation are quite common in pregnancy and can be attributed to loads of progesterone being produced in your body. It is not a concern as long as you can relate your cramps to bloated abdomen and if you feel relieved with passing gas. Do consume a lot of fiber and fruits to help you feel better. Warm water helps in intestinal movements and helps constipation. I recommend you to pay close attention if its cramps or if it feels like twisting menstrual like pain in the lower abdomen. If its menstrual like and if you see any spotting or bleeding, then you need to see your doctor early, which I don't think is a likely scenario.2. As your pain cant be reasoned out yet, I suggest you to refrain from intercourse till you see your doctor. There is no harm in indulging in intercourse after first trimester unless It's nor vigorous. Few physicians recommend abstaining in the last few weeks of pregnancy out of sheer caution that it may lead to preterm delivery as semen is known to contain prostaglandins which can set off labor.3. As you had very light bleeding (can happen when pregnant) and you are already showing, there is a slight possibility that your pregnancy may be a bit advanced which you will be able to know for sure by early trimester dating scan. It will be useful if you can reschedule your appointment a bit earlier. Hope this was helpful to you. Take care.

I was just looking for my physician s card to call him because I am so miserable. When I found it I saw that I had written down my symptoms on the back of the card for my appt which was 2-18-10! So I know this has been going on well over a year. Every day, at approx Noon & 6:00pm I am racked with horrible chills - like ice water running thru my veins. It doesn t sound like a big deal I guess but it still catches me by surprise & it s always the same time when I look at the clock. I m thinking that it might give a clue as to what is wrong with me but nobody seems to know what that is. I have 1 other symptom that does not go away. I am 60 yr old woman & I hoped as I got older that the problem of night sweats would decrease....they started around 12 years ago & to be honest they have gotten progressively worse. My Dr does not think it is related to menapause for this reason. Every single night it s the same thing...I wake every 2-3 hrs completely soaked. Bed is wet, pillow is wet, I feel miserable. I am on thyroid medicine as I had 1 lobe removed 9 years ago. The dosage was high but has been dropped over the years. Now I take 100mcg along with cytomel. Just 3 years ago I was taking 175mcg with cytomel. Anyway, all the blood work shows my thyroid levels are fine. I just can t understand how I could feel so terrible & have such perfect bloodwork. Finally, to make my life totally miserable I have gained around 15 lbs in the last 3 months. Up till that time my weight was always fairly consistent. Any suggestions you might have would be greatly appreciated. Isn t it possible that although my levels appear to be in the normal range that it might not be normal for me? Help!

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HelloWelcome to Chat Doctor. Chills, weight gain, night sweats are all symptoms related to hypothyroidism/menopause. Dose of cytosol can be changed according to your clinical symptoms even though your blood work up comes to be normal. You need to talk with your endocrinologist in that regard. Also get your fasting blood glucose done. Are you on any other medications that may affect metabolism of thyroid Chat Doctor?

I am allergic to dust and cold.Anytime I get contact to dust my nose start to flow and I start to snooze.After a days or two snoozing stops but I used to get dry cough and and some asthma like condition do occurs.At this time Im using Seroflo Rotacaps Inhaler.Please suggest some better cure to remove cough and avoid this allergy.Thanks

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

Hello. Thank you for asking at Chat Doctor. I went through your history and I think you are having both allergic rhinitis and asthma. I would like to make following suggestions for you:1. To reduce episodes of wheezing/asthma symptoms, it is important to control allergic rhinitis (nasal symptoms) as well. Control of nasal symptoms will improve control of asthma. So I would suggest taking daily montelukast and levocetirizine for at least 6-8 weeks. This will help both nasal symptoms and asthma symptoms.2. Aeroflot is a controller medication for asthma. Please make sure that you are using it regularly on daily basis. Also, please make sure your technique of using rota haler is absolutely perfect. If the technique is not proper, the Chat Doctor. 3. Please use reliever rota cap inhalers like albuterol or levosalbutamol if you are having wheezing in spite of this. If you need to use them for more than twice a week, I would suggest you to upgrade dose of controller medications after consulting your doctor.4. I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you are smoking.5. I would also suggest you regular breathing exercises and a nutritive diet rich in vitamins & minerals and anti-oxidants which will help you in a long run.6. Personally I would suggest you to consult an Allergist-Immunologist who will advise you allergy testing. This will help you to identify the substances causing trouble to you as well as ways to avoid them. Also, the Allergist may suggest you allergen immunotherapy which may work on your immune system to improve allergy symptoms. Hope this will be helpful to you. Wish you the best of the health. Should you have any query, please feel free to ask at Chat Doctor. Regards.

Hello doctor, My kid is 2 years 8 months old he is getting cold often and getting tears in eyes it means just he lies in bed with fan his eyes starts to tear ...as I know his eyes tears in night time when he is suffering from cold when he starts sleep no issues...I went to pediatrician..and ask him to prescribe for immunity as he always getting cold ad tearing eyes. He prescribed me asthalin and corex for cold augmentin ,imubless, zincovit and himalaya septilin I gave asthalin and cortex for 1 week cold controlled for that 1 week and he got cold after 2 days when asthalin and cortex stopped....so I started to give ambrolite-s and sinarest for last two days but when medicine stops he caught up again with cold and tearing this is happening since 4 months...sometimes he says eye is itching along with tearing....2 months before I consulted general doctor and she prescribed me some eye drops and relent and cetrizine that made him ok for that time only....again he caught up with cold

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 kids history and would like to make suggestions for him as follows:1. As he is getting recurring cold, I would suggest you to rule out allergies first. I would suggest him investigations like serum total IGE and specific allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, pet dander (if you have pet), etc. This will help you identify the substances causing allergies to him as well as to know the measures to avoid them.2. If he is routinely exposed to passive smoking, dusts, air pollution, etc., please avoid exposure to such things as much as possible. They can cause recurring cold and coughs even without causing allergies.3. Usually I suggest such patients regular montelukast + levocetirizine for 2-3 months.4. I also suggest such patients' vitamin D, vitamin C, probiotics, zinc and a good multivitamin-multivitamin for 2-3 months to improve immunity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your kid the best of the health ahead. Thank you & Regards.

I fell off a wall onto my bottom/penis today from a height and it hurt very much. and ambulance came but they didnt feel the need to take me to hospital. Ive just got in from the day. and my pubic are above the penis hurts when i tense and i tried to get an errection earlier and i had an incredibly painful gooch/prostate

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

Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted. I understood your health concerns and feel Concerned about them. You seem to have-Contused Pubis with Perineal Contusion with Bulgar Urethra and Prostatic Contusion with post-traumatic prostatic and Bulgar edema. Possibility of pubic symphysis distraction / or fracture pubis needs to be ruled out by CT pubis and pelvis study. Contrast CT with bladder and Bulgar urethra could be needed. Cause of public pain while tense and during erection is from sensitized and bruised prostate and Bulgar urethra from Perineal Contusion from perineal trauma you had after the fall from height. Remedy-Consult Surgeon / Urologist and assess the damage with above angles. Plenty bloodshot fomentation/ or Infra-red light locally to perineal area x1 weekday Comibflam-1 x 2 times a day x 10 daysTab-Chymoral forte 1 x 2-3 time / day x 10 days Cipro Oz- 1 x 2 time / day x 10 days CT for Blood Clot assessment in perineal area. Aspiration of Perineal hematoma-if needed. Other causes of painful erection post-perineal injury needs to be ruled out. For this to verify Second opinion from Urologist/ Surgeon - would be needed. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS

I am asthma patient.I got it from my father.Usually it is too mild but from two days I am feeling very uncomfortable.I visited to the doctor he prescribed me duolin inhaler.After two days I have severe headache ,little bit body temperature.And asthma is also not coming under control.I dont understand what to eat.. I am feeling very weak.

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

Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. As your asthma is not well controlled at present, I would suggest you albuterol inhaler for asthma symptoms/wheezing/breathing difficulty at present for 5-7 days depending upon response.2. If you have associated nose symptoms - nose congestion, sneezing, nasal discharge, etc., I would also add montelukast + levocetirizine in your treatment.3. If there is no improvement despite using albuterol inhaler, your doctor may prescribe you a short course of corticosteroids.4. Regarding improving your asthma, I would need more details about your health like - your age, weight, frequency of asthma symptoms, any nose symptoms, any digestive symptoms, any allergies, any skin allergies, medications used previously, etc. Such details would help me to know more about you and therefore to make more specific suggestions.5. For patients with frequent asthma attacks, I usually prescribe regular medications and inhalers like montelukast, inhaled corticosteroids, etc.6. I would also suggest you spirometry which measures your lung capacity as well as allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. which will help you to know the substances you may be allergic to.7. In addition, regular physical exercises including breathing exercises and a nutritive diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity and immunity respectively. Please have adequate amount of fluids to maintain HY Chat Doctor. 8. Please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.

Hi, I was detected with carcinoma of the left breast and have since then undergone surgery and completed three rounds of chemo. Have been advised 8 rounds of chemo. After the second chemo, i experienced hardening of the stools and after a day or two, had severe pain in the anal region. Was diagnosed as fistula. Am told that surgery is the only option ! however, due to chemo, cannot have the surgery done now. Is there any other oral treatment for the same ? Please advise. Raji

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

Hi AJI ! Good morning. I am Chat Doctor, a general surgeon answering your query. Possibly during and after the chemotherapy you couldn't resume to your normal diet and liquids. Due to this you might have developed constipation and while passing hard stool might have developed a fissure in ANO which could be diagnosed only by physical examination of the perianal region. The doctor/surgeon examining you can say with certainty whether it is a fissure or fistula. However, if I were your doctor, after clinically examining you would have advised site baths(sitting in a tub of warm water) three times a day, an anti-inflammatory, and an antibiotic which covers specially gram negative and anaerobic organisms. I will also add a probiotic and a stool softener to ease you of your pain, and to avoid further trauma to the anal mucosa. This being done, I would also advise you on your diet towards more of roughage and enough liquids to avoid constipation. Most of the acute fissure in ANO of recent history usually heal by themselves with this type of conservative management and dietary regulations. However, if the pain increases without much relief, and the fissure is recurring after being cured, then a lateral sphinterotomy surgery with gentle anal dilatation may give you a permanent cure, but you have to continue to keep a watch on your diet. By any chance, if it is a fistula as told by your doctor, the only treatment available is a surgery. This can be decided by the doctor who has examined you, and it is not possible to diagnose it over the net due to obvious reasons. I hope this information helps you in discussion with your doctor for further management. Thanks for choosing Chat Doctor for your health query. Wishing you an early recovery. Chat Doctor.

i am prasad from hyderabad, andhra pradesh. my profession is educational consultant. no tension at all. i dont have children. no financial problems. miam 50 yrs now. 90 kgs little obese. mild diabetic from 4 years. no family history of cardiac problem. i got heavy palpitation 12 yrs back after using psuedoephidrine tablet. i got missed beats too. i worried and went to hospital. ecg there are no missewd beats. doctor suggested me to take restyl tablet. after that i used to get frequent missed beats i went to cardilogist and doctor suggested me to take propronolol 40 mg .... i have taken for 5 yrs and shifted to metoprolol 25 and then 50 now daily once. iam doing my job and tours regularly. recently 3 yrs back glycomet gp 1, ecosprin av 75mg added for safe. still some times iam getting missed beats. sometimes iam panic and a mlot of worry. my bp is always normal. i went to many cardiologists. every year tredmill 2 d echo. every three monts lipid profile .

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

Hi, Missed heartbeats, or commonly known as palpitations, are caused by a lot of factors. There are those that come from the intrinsic disease of the heart, like valvular heart disease and cardiac arrhythmias, as well as thyroid disease; and those that are from extrinsic causes like medications, alcohol, and caffeine intake. Palpitations should be worked out to determine the primary cause. If extrinsic causes are eliminated, with the palpitations still persistent. It is important to check for the thyroid function to note for hyper and hypothyroidism which themselves cause palpitations. Palpitations with the normal treadmill stress test and ECG may also warrant the use of Holder monitors, event recorders, and even implantable loop recorders to note for intermittent arrhythmias causing the palpitations. And with this, it is important to stop taking medications, alcohol, and caffeine to rule out palpitations caused by modifiable factors. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Dion, General & Family Physician

Hello, I m 23 years of age...me and my husband is trying to get pregnant so bad. I last time I started my period was August 18th, 2012 lasted for five days. Since then I still haven t had my period...It s now Nov 21, 2012. I ve spotted brownish discharge that appeared once which I thought I was expecting my period, this happened Oct 15th, 2012. I ve had all the symptoms of pregnancy which really I ain t sure anymore if I m pregnant or not...I did took a home pregnancy test Oct 30th, 2012 it came out positive, went to the health clinic there s came out Negative...They told me I had high blood pressure and am over weight....I am 5 7 weigh 241, I lost 10 pounds. This week my breast felt sore plus my nipples...yesterday I had cramps like I m expecting my period...But nothing...today I pee and when I wipe, I noticed a little pink spot on it and my panty had a white milky discharge...I am so confused, as much I am hoping to get pregnant, I ain t sure if I am or not because I get positive and negative test results....What does all this mean to you? Please help.

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

Hello, I appreciate your query. Based on your history, it appears that you have not had your period for the past three months, apart from the slight discharge once. Did you have regular monthly menstrual cycles earlier ? If that is so, then pregnancy is a very likely possibility. You have had equivocal Urine Pregnancy Tests so far, hence please do not perform anymore. You should visit a gynecologist at the earliest, for an examination and an ultrasound, which will confirm your pregnancy. It is possible that it is early pregnancy, or an ectopic pregnancy (pregnancy outside the uterus). However nothing short of an ultrasound will tell you for sure. Also, you are definitely overweight, which also might be interfering with your menstrual patterns, in case you are not pregnant, you should definitely try to exercise, eat healthily and lose more weight. If pregnancy is not possible, please rule out other conditions like POD (polycystic ovarian disease), hypothyroidism etc., which cause such abnormalities of periods. Everything should be taken care of once you visit a gynecologist for further treatment. Hope this helped you.

Hi, Im a 45 year old female. I had a partial hysterectomy 12 years ago. In the last year I have had bad lower back aches and cramps. In the last 3 months the cramps and backache has gotten so bad for about 5-8 days a month that I cannot function. I throw up from the pain. Im also very moody and withdrawn on these days. My boyfriend is ready to leave me. My children think Im crazy and to be honest with you.... Im afraid of the 24-25 of the month. last week I cried and slept for 4 days and even thought horrible thoughts about myself. My mind gets foggy. I dont eat. Im so upset about everything and nothing. My back will hurt so, so bad that It makes me sick. my head will hurt also and not just a head ache... a BAD headache. I dont know what is wrong... When my back hurts, my feet will freeze. I cannot get them warm. Tylenol and Advil do not even begin to touch it. It just seems like that time of the month is starting to change me... LITERALLYI just had my annual exam about 6 months ago and everything was fine. But I changed jobs in the summer and was very stressed. about 3 months ago I went to the Dr. for these crying spells that were out of control. ( Looking back I realized it was the same week of the month). Something horrible is going on in my body. It is going to cause me to loose everything, including my new job if I dont figure it out. Can you help me?

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

Hi, From the symptoms you are telling, problem is in your lower vertebra(Lower Back). These symptoms usually arise from disc prolapse or compression and usually occur in old age. For the pain you have to take Pregabalin and It B12 injections you should start sleeping on hard surface. But if you have come to me, I should have advised you to go for MRI Lumber spine. Because it will show level of nerve compression if any. Once there is compression of nerve to level 1 and 2,you have to start physiotherapy along with symptomatic treatment and if its level 3 then treatment of choice will be surgery. Do consider positive feedback as a credit to my work Let me know if you have any further questions.

heyI have a question, Im 19 years old. From 10 years old I have a problem with my bladder. I had serious urinary tract infection and I was treated in hospital, this was about six years ago. I moved to another country, and stopped taking the pills on my bladder. Form 2 years now Ive noticed that I have pain in lower back, but the pain manifests itself only at night as I have full bladder, when I go to bathroom the pain passes. Now the pain is stronger and stays for the whole day. I also have pain in the left side, it can be strong kind of pain but not always. Also, my stomach hurts, and Im tired all the time. Since 3 weeks, my Sunday looks like this I go to sleep on Saturday at 10 pm and gets up on Sunday at 6 pm. I have no appetite. The most upset me that my period was late 2 weeks, and I am the person that has quite a strong and long term, and never late, and now I had only one day and was not visible, it was like some pink water flew. I was at idoctor this week but she dosent know what is going on wit me I told her about the pain in my back and it seems to me due to the bladder, but she did t my bladder test and my urine was clean. Does anyone have any ideas why I feel like this? I dont have energy, nd y I have these pains? And I did a pregnancy test and came out negative.I forgot to say that whatever I eat, I have diarrhea after that. Especially in the morning. I forgot to say my doctor weight me and i lost the weight, but i explaind her that Im not trying to lose any weight. My weight before was 48kg, nd now is down to 42kg I lost this weight in one year.

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

I just want to know whether you have any difficulty in passing urine. It seems you have bladder outflow obstruction. When bladder is full, patient may feel back pain which is relieved by passing urine. Just get a voiding histogram and ultrasound abdomen done which will rule out any bladder pathology. As far as your bowel problem is concerned, just get a colonoscopy done. Persistent diarrhea in a young patient points towards irritable bowel syn Chat Doctor. Just consult a gastroenterologist for that.

My wife is 59 years old and will be 60 years old in March of this year.She us about 5 2 in height and weighs 70 kilograms (154 pounds)She was previously diagnosed as having a fatty liver.She was prescribed Zocor (simvastatin and/or silymarin) which she takes every other day.Recently, her blood test shows the fact:1) ALT/ GPT Blood - 62 with the range being IU/L 33 2) AST/GOT Blood - 41 with the range being IU/L 32 Query: Should we be concerned that there may be something wrong aside from a fatty liver? Would you recommend more tests I.e. Abdominal ultrasound? Sample of her liver tissue to be taken for biopsy? EtcThank you very much!John

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

Hello! I have been through your question. Related your concern I think that you should know that the elevated levels of ALT/AST is moderate, and usually fatty liver is the most common cause of unexplained persistent elevation of liver enzyme levels after hepatitis and other chronic liver diseases have been excluded. The good news is that fatty liver is a reversible condition that can be resolved with changed behaviors and often has no symptoms and typically does not cause permanent damage. But when fatty liver is caused by an underlying condition, it can become harmful to the liver if the cause is not recognized and treated. The most common cause of fatty liver is alcoholism and other common causes obesity, hyperlipidemia, diabetes some medications. You should know that potential causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, stenosis, and cirrhosis. So what I suggest for your wife in this situation is doing a physical examination by a hepatologist, exclude viral hepatitis (lab test Bag and anti HCV), abdominal ultrasound to see the local situation of your fatty liver and to exclude cirrhosis and lipidograme. Furthermore, a liver biopsy definitively allows excluding alternate causes of elevated liver enzymes, and it is the only method to distinguish (in certainty) non-alcoholic fatty liver from non-alcoholic steatohepatitis, and it provides information on the stage of the disease. But it belongs the hepatologist, based on your data to decide to do or not a liver biopsy because as all invasive procedures exist some risks. I hope my answer help you.

Hi doctor iam male 38 yrs age, i got married 7 months back from that time we are planning preganency.but not successful so i want for semen analysis and surprisingly i found the result as azoospermia with all other semen parameters normal.three days later i have given on more sample in apollo hospitals even it said the same.so i almost confirmed it as azoospermia.doctor had given me all the hormonal tests which are normal (TSH,LH,FSH AND MANY MORE).color dopler scrotum and testis, it had given impression as left grade 2 vericocele, left spermatocele in epididymal head.just with one day gap i have given one more sample for analysis,culture and sensitivity in the same hospital(apollo).this time the sample was only .5ml and suprisingly the result was .1 millions/ml,rapid progressive motility 0%,slow progressive motility 60%, non progressive motility,0%,non motile sperms 40.Sperm viability: live sperms 65%,dead sperms 35%, WBC .2.so now what treatment should i take?what should i do now.shell go for vericocele correction? which method will be good?.can this count be incresed to normal by any treatment? please advice me.Thank you.

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

Hello In your case the situation is very delicate because you are not a case of AZZOSPERMIA rather I will call as a case of oligospermia. I will try to explain few facts about sperm production and infertility (in male) . Subfertility is seen with sperms count Now, how sperms produces and where? Sperms production happens in the Sector cells of the seminiferous tubules of the TESTIS & EPIDIDYMIS. In your case varicocele present and this is one of the most common cause of INFERTILITY in male Operation (surgery) for varicocele is indicated in patient who have .1 SPAIN & 2 SERIOUS DEPRESSION OF SPERMATOGENESIS (OLIGOSPERMIA) as in your case. I recommend you consult a surgeon and get surgery and thereafter think about fertility. Hope this information will be helpful for you.

Res. sir my sister 25 year old and suffering from lower back pain. dr. suggest us operation or 6 months bed rest. i want to know that any other treatment available in this deses otger than operation? Plz help me and give me guidence. MRI report as below. MRI SCAN OF LUMBAR SPINE test report date: 22 nov. 2012 technique : High resolution T1 and T2 weighted serial selection in sagittal plane. Gradient echo axial plane through lumbar region. Finding : * Normal lumbar curvature. * posterior disc bulging at L4-L5 & L5-S1 levels; causing indentation on the anterior aspect of the thecal sac and mild narrowing of the both lateral recesses; resultant indenting the both exiting nerve roots * Remaining lumbar intervertebral discs appear normal in signal intensity, contour and height. * Visualized vertebral bodies shows sappear normal in signal intensity and height. * no e/o spondylolysis/listhesisi noted. * Bony spinal canal appear normal in diameter. * The lower end of spinal cord and conus medullaris are normal. * Rest of the intervertebral foramina do not reveal any abnormality. * No intraspinal mass or pre/paravertebral collection is seen conclusion : posterior disc bulging at L4-L5 & L-5-S1 levels; causing indentation on the anterior aspect of the thecal sac and both exiting nerve roots (LT RT) thanks sir. Deepti thakkar Nakhatrana Dist: Kutch State: Gujarat India

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

Thanks for the query. I think you don't need any surgery. MRI said mild narrowing of the lateral recess which may cause leg pain however it usually gets better with medicine and physiotherapy. Low back pain is generating from the bad disc. It usually gets better over a period such as few weeks (4-6 weeks). You are not a candidate for discectomy surgery. If she does not get better in next few months (unlikely) then we may have to consider doing total discectomy followed by spinal fusion or disc replacement. At present I would suggest trying medicine such as anti-inflammatory and muscle relaxants with fusion modalities like IT which will definitely improve her pain.

I have a red itchy rash all over my body. the day it started I took a bath with purfumed salts and milk. do you think it would be the combination of the two to cause the rash or that I m allergic to these specific bath salts. I recently used bath salts that would seem harsher on the skin with no problem. I know the bath salts I used with milk are supposedly just sea salts and fragrance and paraben free.

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

HelloWelcome! I would be pleased to answer your question. From the description of the lesions they seem to be either an Allergic contact dermatitis. Which has become chronic at the moment. The Allergy can be due to external allergic agent. The response to the agent results in an itch scratch cycle. As in the more one scratches the more the area itches and so on. The first step in treatment is to break this cycle by giving relief from itching and instructing the patient to avoid scratching as much as possible. It can occur localized as in your case. Here is what will help: 1. Clobetasol propionate cream + Mupirocin cream: Mix and apply over the affected area twice a day for 14 days then switch to Fluticasone propionate cream once at night for 2-4 weeks. The specialist to see will be a dermatologist and he or she can prescribe these for you. Nothing over the counter will help much, the only product with some benefit is 1% Cortisone cream. 2. Tab Clarity 10 mg twice a day for 14 days, then once a day for 6-8 weeks. Initially the dose can be increased to 2 tablets taken twice a day if there is insufficient relief in itching. 3. Sara sensitive lotion can be used 2-3 times a day to give further relief from itching. This can be continued even when the above creams have been stopped. 4. Avoid scratching the affected areas as much as possible. This is most important. Whenever it is not bearable soak a towel in ice-cold water and keep it on the affected areas or apply the Sara sensitive lotion. Lastly keep the affected areas as well moisturized as possible with a moisturizer of your choice. NOTE: 1% Cortisone cream, Clarity and Sara lotion can be bought without a prescription. Please feel free to ask if you have any queries.

I have numbenes or tingling in my left hand. I notice4d it when i awoke at 7:45 a.m. this morning Saturday. I went to the bathroom about 6:15 a.m. and took meloxicam 7.5mg tablet that I was taking since March 15 one tablet in the morning. I had a mammogram on both breasts Thursday afternoon. Friday I did a core conditioning class and played pickleball. I also did a yoga move called the plow? I am 71 and weigh about 165 pounds and take vitamins only except for the meloxicam. I had an injection by right knee on April 9. I never experienced this before. Alsoon Tuesday I had a full body massage but a licensed massues. My Name is Joy Kirchens Thank you

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

The tingling numbness in hand is co-incidental & has nothing to do with mammography. It could be because of cervical spondylosis at your age. This treatment is being suggested on bases of the information provided. I would like to examine & investigate you in detail. Rule out Diabetes. Any way it may be tried,--. Looking Plus (Mankind) [Diclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5days.--. Calcified plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. --. Do mild exercises for neck & shoulders. --.(Take help of a physiotherapist or visit WWW. Chat Doctor. Com). --. Use no pillow under the head. Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed). For emergency treatment visit the nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the question.-Wish you good Health.

i HAVE HAD A RISE IN MY SGOT 77.0 & SGPT 83.0. VA SAID THE CATSCAN SHOWED THE BEGINNING OF FATTY LIVER.I was taking Lipitor 40mg which they said to discontinue. Follow low fat /cholesterol diet.My count has been up to when I started taking Lipitor. . Was taking Simvastatin 80 mg for years with good results & average SGOT/SGPT readings. Cholesterol reading is 130 & Triglycerides read 54 BILIBRUBIN IS A LITTLE HIGH WITH AN AVERAGE OF 1.7 .Should I see hepatologist? What should I do to get it down & is there a cure? my age is 80 in good shape.

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

Hello, Thank you for your question and welcome to Chat Doctor. I read carefully your query and I understand your concerns. Increment of liver enzymes is a known side effect of the usage of statins, which are medications used for lowering blood cholesterol. Two liver enzymes in particular (SGPT or ALT, and GOT or AST) may be mildly elevated, but in my opinion it is safe to continue treatment unless they rise by three times the upper limit of normal and in that case the statin should be stopped. The damage is not permanent and when statins are stopped the liver tests return to normal. Normal values of SGPT are considered 5 -50 U/L and for GOT- 7-40 U/L. Bilirubin level is also slightly high, but i wouldn't consider it problematic. For the moment, your blood lipid fractions are in their normal range. Since your treating doctor has considered reasonable stopping your medication, I would suggest you to monitor your cholesterol level, and if it starts to increase despite your diet, I would recommend you to start rosuvastatin, which is considered the Chat Doctor. In addition to low fat diet that you are following, I would also recommend to your physical exercise, like 30 minutes walking a day, avoiding meet, dairy,, deep-fried foods, and egg yolks and try to eat green or dark green leafy vegetables and fruit, and try healthy alternatives of cooking, such as baking, broiling and roasting. Hope I helped with my answer. For further concerns, please feel free to ask again. Take Care,

I am 49 yrs old passing menopause stage.My periods stopped 6 yrs before. Last year i had mensus lasting for 3-4 days somehere in august ,sept and october. I had my rouine check in tata hospital for breast and pap . Endometrium shown 9 mm thickness and went for D & C , My bioposy report reveals cystic grandular hyperplasis of endormetrim. Pl tell me what is this and what is the chance or cancer

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

Hi, Let try to explain what "CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM" is and will probably will satisfactory remove the anxiety/nervousness. CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM = Fluid filled glands with little thickened inner skin/layer of uterus. Now as far as the clinical research is concerned there are data supporting that its" NOT A CANCER" but classified as "PRE-CANCEROUS" Now pre cancerous means it not A CANCER per se but may convert to cancer in the future, provided the same stress full condition (for e.g. - smoking shows some pre cancerous changes but, after detection the pre cancerous stage, person still keeps on smoking then definitely he will have cancer in future and here the smoking is considered as STRESS FACTOR for the mouth cells) So in our case the ESTROGEN is the stress for causing CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM which is a "PRE-CANCEROUS ", Now as you are already about the be a menopause / stop your period cycle, is good news as far as this hyperplasia is concerned, so due to menopause the circulating estrogen in the blood decreases as well as new production of estrogen (which is stress/cause) will decrease Chat Doctor. ADVICE: Hence, PLEASE FEEL SAFE that you WILL NOT have a CANCER, BUT It's important to keep an eye on the lesion, so biopsy will be needed every year for first 2 years and then can be switched to once ever 3 to 4 year. Depending upon the doctors' opinion. Hope it cleared much of anxiety and helped to get through this difficult time!

As I have gotten older I have noticed people treating me like I am slow.I admit I have trouble understanding things and am clumbsy.I have suddenly realized this while at the dentist office the other day and the dentist asked me if I make big decisions by myself or is someone helps me.Things have been getting harder to do and I feel different or perhaps I have always been this way and never thought about it.Mabey because I am an adult and 38 years old now but it feels as if my brain has not grown with my body.I still have interests that a kid would have such as playing with toys and playing games and adult type activities do no interest me.I sometimes forget peoples names and what day or date it is.I have not had any head injuries..Some people have asked me if I had aspergers and I had to look up the word online.The description describes me a lot.In school I was labled as developmentally delayed.My IQ when tested in jr high was 141 yet I can t understand some simple things.My mobility is getting worse and it s harder to get around.More then one person has asked me about my tremors.These tremors cause me to spill whatever I am drinking in my hand or cause jerky sudden movements.I do not how to go about this.Should I go see my primary care doctor about this or see a psychiatrist about this?

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

Hi and thank you so much for this query. I am so sorry to hear about these troubling symptoms and difficulties that you have described. I will suggest that you see your primary doctor for a more detailed interrogation, review of medical records and a complete physical exam. Depending son findings, he may want to do some more test that would offer more information. With is supplemental information, he would be able to tell whether you need specialist attention if beyond his scope or not. If you do, he would coordinate you care and referral as you may often need more than one specialist to get your condition well evaluated and managed. For sure, you would most likely need to get consulted by a neurologist and a psychiatrist to help map out what is the problem. I hope you find this helpful and it ad Chat Doctor. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. I wish you the best of health.

My Name is Sharon Maracle and I have C. M. T. I will try to spell it. Charcot Merie Tooth Dease. I have a lot of Pain in my Feet and they burn Like they are on fire and my instep has fallen right down on my left foot. I can hardly walk and my left foot it feels like I am walking on the inside of my foot.I get a lot of shooting pains though my toes so bad it has made me cry. When I walk or even siting my toes feel like they are turning under my feet and that pains to but they are not going under my feet.My Dr. has me on 10 Gabapentin 400 mg. and 6 Oxycocet 5/325 and 1 Cymbalta 30 mg. a day.The Cymbalta makes me sweet. Cant go any where. I am shut in apt. all the time cause I where the lightest night gowns I have. I don t want any one seeing me like this. My Dr. wants me to go as high as 90 mg. I cant do it. With the pain and now this sweeting it just isn t a life for any one.Is there any other pill that would help me. Like Lyrica or some thing.and I am trying to help my husband he has Dementia and takes Seizures. Please help me if you can. Oh I am 69 years old. Thanks Sharon.

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

Respected Sharon, hi sorry to hear about your issue. Many necrologies are notorious as you must be knowing by this time handling CMT and husband's dementia with seizures. Yes Gabapentin has definite good results along with that you can*Do ice application 3-4 times a day for cooling sensation.*Perform light foot exercises at home with gentle care.*Keep you BP, Blood Sugar level under control.*Avoid stress, have adequate sleep of 8 hours.*Can take additional analgesics like Ibuprofen / Diclofenac after meals 2 times a day but as these are prescribed medicines you have to get prescription from the family physician.*Certain multivitamins and multimineral show benefits at long term periods. Hope this rectifies your query. Thanks for using Chat Doctor and reviewing my answer. Regards Wishing you fast and speedy recovery from the same. Bye Take care Dear.

Hi, I want to enquire a small doubt with you, I am married since 3 years ago (2006), but no child till date... We went for a check up and my wife has got a follicular study done and the doctor says it is normal and has no problem with her, and the doctor suggested me to take a semen test in november and found the result as only occasional sperms were found.. so they have asked me to take clome tablet 100mg each day for 3 months and take a semen test at the end of the 3rd month,but i have only continued that tablet only one month and not continued till date, so can i go for a semen test now?What are the ways that my wife can get conceived in this method?The gynaecologist says that we can do IUI method of treatment and that too only if my semen test says if its 40 to 60 millions.....One note to say is that i am working in night shift for the past 5 years and my wife was working in day shift, we thought that this may be the problem and so i asked my wife to resign the job, so now she has also resigned the job...Sir can you please give me your contact address so that i can meet you personally for further advice and consultation so that i can have a child very soon. Please suggest me what can i do....? Expecting a favourable reply from you....

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

Hi I understand your concern. From your history it appears that your problem is mainly decrease sperm count, but you did not mention what is the exact number. For treatment part clone tablet has to be taken for 3 months for better results ....you can add on tab Oligocene once a day for your treatment. If you want to go for sperm count analysis after one month also you can go for it, but better results can be visualized after 3 months. As per other methods are concerned you can go for GUI with donor sperms, but that is usually advices in cases of absent sperm or zero sperm count. Your case is not so. I think you have to be patient and give time to both of you ...this treatment will certainly help. As per the direct contact is concerned you can always ask for phone or direct consultation through website where you have posted the query .they can always redirect to me. I hope I have solved your query.

Following 5 years of hip pain and 3 exploratory/cleaning operations I finally had hip resurfacing 2 years ago. All was well and I was pain free until I had knee realignment surgery. After the surgery I had a bad fall landing from the height of a chair directly onto the resurfaced hip. Since then I have had pain which is slowly getting worse. The hospital have x-rayed the joint and done an ultrasound and there is no fracture, no metal in the blood tests, no sign of inflammation / bursitis, no infection. I have had 6 months of strong painkillers and anti-inflammatory medication, 6 weeks of ultrasound therapy and physio and still it gets worse. I have pain when I try to lift my leg and if I lie flat in bed I have intense pain from the front of the hip radiating into the thigh. If I bend down and stand up there is a sensation of grinding which is very unpleasant and after walking a short distance I start to limp heavily and almost have to drag my leg. The pins placed in my knee are slightly visible and I have no sensation in the side of my lower leg, I asked if this could be the problem but have been told it s not an issue but I am hoping to get them removed soon just in case. The hip doctors seem to think it is just muscle ache from the realignment surgery and that it will just go so I feel that they are not taking my pain seriously, their only suggestion at the moment is taking stronger and stronger pain medications.

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

HelloI have studied your case in detail. The X-rays and tests are negative for fracture and no metal problem, means the pain may be muscular as your surgeon says. The operation may have been proper size of both femur head and socket implants since for 2 years you didn't get pain, there is no loosening or autolysis as not visible in x-ray. If you still have doubts, which is not wrong to have because of pain and restriction of movement which was not before, you may seek opinion at some other orthopedic center or surgeon. If something is wrong with alignment in knee implants, it is possible to have altered mechanics to account for discrepancy in was but pain doesn't explain-so presuming it to be muscular, take medicines as advised and visit for review to a new clinic of knee and hip surgeons best wishes

Hi. I have been sick the last two weeks (going on three). It started rather suddenly. I went to the emergency room two times and the second time, blood work, urine sample, and an xray of my upper abdomen was done. The doctor said all tests were perfect and it was probably my gastritis acting up again. I m worried it may be colon cancer . I m a 28 year old female with no family history of the disease. I did have a colonoscopy and an endoscopy about 5 years ago. Am I just being paranoid? I m currently on sucralfate(for my stomach/ulcer, I just started this yesterday.) and fluoxetine (for my depression , began taking two weeks ago). My symptoms are constipation , although I did have diarrhea the other day; bloody mucus in stool; abdominal pain; rumbling noises like gas in my lower abdomen; and I ve lost weight (about 5lbs) because I haven t ate much lately. I m only starting to get my appetite back (thanks to the stomach meds). Before I got sick, I did have somewhat of a mental breakdown (why I m taking anti-depressants now). Are my symptoms related to my stress? Or should I be worried? Bowel problems run in the family, but not colon cancer. My mom has IBS. What are my chances it s colon cancer? Should I schedule another colonoscopy?

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HELLO DO NOT HAVE ANY CANCER. Throw AWAY THE DOUBT AND START LIVING HAPPILY. SINCE YOUR MOTHER HAVE IBS, YOU SHOULD TAKE CARE OF YOUR EATING HABITS. U MAY HAVE A SIMPLE DYSENTERY AND NOTHING ELSE. BLOODY STOOL IS THE SYMPTOM OF DYSENTERY, PILES, FISSURES, CHRONIC ULCER, IBS....AND MANY MORE. THIS IS ONE OF THE MOST COMMON PROBLEM A DOCTOR RECEIVES SO PLS LEAVE THE TREATMENT ON YOUR DOCTOR. REPEATED COLONOSCOPY CAN CAUSE HARM. SO BE STRESS FREE. U HAVE IMPROVEMENT IN UR APPETITE THAT'S ALSO A GOOD SIGN. thank YOU.

Hello, I am 29/f and I have major pain in the lower side of my gut. it came on rather suddenly last night and I thought it may have been constipation as I hadnt had a bm all day and usually I have runny stools at least 2 times a day. Last night I took stool softeners and this morning I took stool softeners too. I was still unable to go, so I took an enema and had some success but not much. This afternoon I took a laxative because I was still in a lot of pain. I was finally able to go, and it was runny just like it always is (sorry for the details). I am still having severe pains in the lower left part of my abdomen or gut area. I havent had any recent surgery, I havent changed my diet or done anything strenuous. If I dont move the pain is just kind of throbbing or a kind of bloated cramping feeling kind of like menstrual cramps only more targeted to my left side. When I move however it is a sharp almost tearing feeling on the left side. When I cough, or blow my nose it has a sharp sudden pain too, though when I sneeze it isnt as painful as the cough. I hope this is enough details for you. I am thinking I will have to go to the clinic tomorrow when it opens. I just dont want to go and have them say that I just really need to poo. Thank you for your help

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

Hello dear, The causes of constipation can be:1. Any pathology/ sub acute obstruction in the Gastrointestinal tract2. Irritable bowel syn Chat Doctor. 3. Functional cause-due to decreased gastric motility4. Inadequate intake of fluids and fiber rich diet.5. Hormonal & Metabolic causes, etc. Though symptomatic relief can be obtained by intake of Laxatives, their regular use is not advised. And as long as the underlying cause is not treated, symptoms will keep recurring. So, kindly consult a Gastroenterologist & get a proper physical examination done. Investigations like complete blood count, Ultrasound scan of abdomen, Colonoscopy & contrast studies will be helpful to rule out any pathological cause for your symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY

Hello Doc,I have been having intermittent throbbing in my lower right abdomen from March of this year until the present. I have had a barium swallow, ct scan, upper GI ultrasound, and colonoscopy completed, all of which had unremarkable results minus a small benign polyp and a stone in my kidney which the doctor is not worried about.Im concerned with this dull throbbing pain as I have been diagnosed with IBS, which I told my GP I am uncomfortable with that diagnosis. I was put on Dicyclomine by the Gastroenterologist.I have had ARD since 2003 and was on ranitidine for years, had a scope done in 2007 which verified in which the doctor put me on omeprazole (and Ive been on that for years). Im 27, 215lbs, 510. I have also had carpul navicular surgery on my wrist where bone was grafted from my right hip (also has a burning sensation associated with the throbbing in the right hip.) I have a varicocele removed from my left testicle in 2008. I think thats all.

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

HI. Thanks for your query and an elucidated history. Since all the tests are normal you are a patient of IBS for sure. The proper treatment is as follows: Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is Chat Doctor. Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage A and It D in therapeutic doses, Multiviatamins, probiotics, anxiolytic help a lot. Pain in the hip is due to the surgery and will get OK with time and medicines

Hi. my mom, aged 52, with high BP: 150/90, even after regular intake of pills, had a hemorrhage in the eye some 10-12 days back. Her sugar level which was quite high some 4 months back has dropped to normal now. She also has Gall bladder stone and apendicitis, plus liver cyst, which was diagnosed almost 2 and a half years back, though she hasnt undergone any surgery as yet.To add to her ailments, she keeps on suffering from joint pains and nerve pulls from time to time. kindly suggest.

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

Hi.thank you for posting query at Chat Doctor.I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards Chat Doctor.

I am transplant kidney recipient and am immunosuppressed . I had a pneumonia shot 2years ago which attacked my 3rd valve in my heart and started to reject my kidney ,and I am still a working on a long recovery. Main problem now is bp medication I have tried all 4 categories of meds and had no luck with any lots of side effects . I have been on bisoprolol hydraralazine minoxidil since jan Now extreme short of breath fatigue all of the symptoms. No good Also prior to the shot I was on novasc for 11years and had some swelling in the legs I tried Novasc again after the heart failure but the symptoms were even worse with swelling up to the Thighs. Diuretics did not work well as I was up a3-4 times-a night and not urinating properly during the day. I I have been on azathioprmine,methaldopa, norvasc in the past 2years and nothing has been tolerated properly. From jan of last year to nov I had severe bladder infection and had to be on antibiotics for bladder infection. Maybe that is a reason why The meds did not work. I do not know. Today the specialist tells me there is no other blood pressure pills In the 4 categories as I have tried them all and have had too many side effects or it did not lower my BP. I have to find one to live with, either with side effects such as major headaches brain fog, severe edema, tingling shakes etc. ahhhhhh I have lived without my own kidneys for 40 years now been on dialysis and have had 2 transplants. Now I need to find a bp pill and live with the side effect but I do not know which med to take, I am on cyclosporine,I urbane, prednisone Any suggestions would be greatly appreciated. Thank you.

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

Hello, though want you ask deserves a vast discussion with detailed history, examination and all your latest reports. As you have been to so many specialists, and you talk of all the 4 classes of Chat Doctor. I would suggest new newer alternative. Only is clonidine. A calcium channel blocker like amlodipine with additional effect of decreasing proteinuria and has less pedal edema. My experience with the

Hi: I had a lumbar puncture with flouroscopy Friday afternoon. Now, two days later, I have excruciating pain all over my body, especially my legs. There is also pain in right flank at diaphragm, and hurts when I breath. Upon puncturing the lumbar area, I experienced an electric strong pain in my right sciatic nerve that shot down radiating to my right foot causing my leg to kick once uncontrollably. I said oh I think you hit my sciatic nerve! When the Dr pulled back on the needle, the pain stopped, but the leg felt numb. The pain was not this bad yesterday, but now even with my very potent meds for chronic back pain, the pain is very bad. I am stuck in bed and starting to get head and neck pain too. I have some arachnoiditis in the lumbar area from four spinal surgeries at L5 - S1. The radiology Dr said my cord area is very narrow as it was very difficult to obtain CSF. The puncture was done prone for the xray and then I had to roll onto left side for collection of CSF. It was barely dripping out. It took about 30 min. to get 6 cc. Is this pain normal?? I see many people on the site talking about the needle hitting the sciatic nerve, and the xray tech said it happened a lot at the facility I went to....Is it common that the sciatic nerve is hit upon needle entry? I would appreciate any advise as it is Sunday..... everything closed but ER.

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

Hi, Your symptoms suggest that you have experienced two side effects of the lumbar puncture. Firstly, you have experienced some nerve irritation or damage during the procedure. This is likely to recover but may take a few days to show an improvement. It is a recognized occurrence during a lumbar puncture. Secondly, the head, neck and body pain that has started is also due to the puncture but is not nerve damage. It is due to leakage of CSF through the hole made by the needle and, again, is a recognized problem with a lumbar puncture. My suggestion is that you continue to take your pain meds. Lie down and rest as this may relieve the head and neck ache to some degree. Keep well HY Chat Doctor.

good day sir/maam i just had my urinalysis,blood chem and hematology test but my doctor is im worrying bout my condition heres my test result. Urinalysis: MACROSCOPIC: MICROSCOPIC: color: dark yellow WBC:2-4/hpf transparency: slightly turbid RBC:2-3/hpf reaction:: 5.0 Epithelial Cells: rare specific: gravity: 1.030 amorphous materials: rare albumin:Trace Mucus Threads:many Clinal Chemistry: conventional units S.I units examination result reference values result reference values creatinine: 0.87 0.4-1.4 mg/dl 76.91 35.4-124 mmol/L Sodium(Na+) . 131.4 135-155 mmol/ l Potassium(K+) . 3.36 3.4-5.3 mmol/ l HEMATOLOGY: Hemaglobin: 156 hematocrit: 47 WBC: 5.1 (Differential Count) Segmenters: 46 (normal values 55-65%) Lymphocyte: 37 (normal values 25-35%) Eosinophil: 04 (normal values 2-4%) Monocyte: 13 (normal values 2-6%) Other exam.: Clotting time: NV:2-5 min Bleeding time: NV: 1-4 min hope u can help me...i got a PKD(Polycystic Kidney Disease) but last 2 yrs i never go to doctor then i went today because i felt something weird in my lower back...and my doctor is away after i got my result...

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

Hello and welcome to Chat Doctor. As a Urologist, i can understand your anxiety. Your problem of APD(adult polycystic kidney disease), is probably the cause of your back pain. It's also causing microscopic hematuria or blood in urine. The kidney function is normal.(creatinine). You need to get a ACTIVE (contrast CT) scan done, to evaluate, the extent of kidney cysts, in both kidneys. Pain can be relieved with a mild analgesic, like Paracetamol tablet. If you've any doubts, send it as a direct question to me. Chat Doctor. Manga.

Hello doctor. I am a girl of 23 years old and live in Mauritius. I have been suffering from OCD since 2-3 years and am not following any treatment. I came to know about my problem through this website itself but i can`t follow any treatment since my parents are not supportive. They know that am doing all those rituals like washing hands etc and taking long hours of bath because i feel that am dirty.They know the reason why i behave like this but they do not accept that am suffering from a problem. They scream everytime and say that one day i`ll definitely kill them with the way i behave. Am really fed up and i feel my life has become like hell. My parents always scold at me and they say all this is in my mind and i must know how to fight with it. I wanted to consult a psychologist without letting my parents know about it but since am not working i depend upon them and i was waiting for the day when i get a job to start a treatment. I always cry when they scream at me and now they have started to keep a watch on me when i have a bath etc but i feel more stressed with their attitude. Yesterday my mum was so angry with me that finally she contacted a psychologist.She did this only to make me fear but actually am happy that finally i`ll be able to go and consult a psychologist. But what is making me worried is whether the psychologist will understand my problem?Will my parents understand me after that and try to atleast support me?

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

Hello and welcome to Chat Doctor. Thanks for your query. I understand that you must be going through a difficult time trying to deal with your obsessive-compilsive symptoms. I'm sorry to hear that your parents are not being understanding and supportive to you regarding this. Unfortunately, many people have a poor understanding of psychiatric disorders and some even have a negative attitude towards them. Anyway, it's good that you have got an appointment with a psychologist. Don't worry, psychologists are well-trained professionals who will be able to explore and ascertain your psychological problem. They will also be supportive to you and advise you and your parents on further management of your problems. Once your parents are able to understand the nature of your problem and that it requires professional help, I'm sure they will be more understanding and supportive. Wish you all the best.

I am a highschool distance runner and have allergy induced asthma. My symptoms have been almost entirely gone for three years, so about a year ago I went off my Flovent. Since then I have had no symptoms except for minor breathing issues during really humid hot races. In track I perform really well. 4:33 mile. But in cross country my times dont match up with my track times. I just ran a 5k and am in better shape than last track season but my time didnt match the expectations at all. I ran a 17:01 when I should have been well below 16:20. Is my asthma secretly still holding me back with every breath but I just dont notice it because the symptoms are miniscule?

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

Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Asthma is a dynamic disease, which tends to go under remission and may become symptomatic again in unpredictable way. The main cause of this unpredictability is because it is multifactorial, varies with environment, immunity, diet factors, stress levels, etc.2. If you think you are experiencing breathing problem while running, I would suggest you spirometry with post-exercise testing. This tests measures changes in lung capacity with exercise, especially running. If it is not available/possible, you can perform peak flowery before and after running, which will measure changes in peak flow rate after running.3. Also, known as exercise induced bronchospasm can be due to "mild" asthma, often unnoticed, so above spirometry will also help to identify the status of your asthma and your baseline lung capacity.4. If above testing does not suggest exercise induced bronchospasm, other possible causes of breathing problem during running can be anemia (low hemoglobin levels), other micronutrient deficiencies, nose obstruction, etc.5. In general, I would suggest you to maintain your HY Chat Doctor. 6. I would also suggest you to keep your inhaler handy while performing running/exercise, so you can take it for wheezing or shortness of breath due to asthma. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.

My name is ahmed and i am male of 25 years old boy.My weight is 44kg.I have been suffering from problem when heart rate goes fast after taking food. My heart starts pounding and i feel restless after taking food in morning and after lunch within 1 hour my heart starts to pound and palpitation becomes hard and felt in head hands and chest between 3 to 5pm. then it gets automatically ok. i am a lean and weak boy.and cannot lay onto bed in afternoon.Also palpitation is felt whenever i eat excess food or spicy food. When i wake up in morning perspiration starts to come on my palms but this happens more in summer season During day time my pulse remains fast and as day passes it becomes normal. I start to feel my heart beatafter eating lunch and breakfast. Also perspiration comes on my hand and i also have anxiety problem. kindly suggest a remedy for my problem.My condition also gets worse after taking tea or warm milk or after eating lots of food or heavy food.when i lay on bed for sleep or when i travel after that my heart pounds and my pulse goes fast and i start to feel palpitation and can hear palpitation as well. i alwaysfeel physically restless with palpitation.Palpitation also comes to me with anxiety as well.In normal situation also when i go to bed i feel palpitation but after eating food it becomes pounding and hard palpitation. heart also pounds when i go upstairs or do a little exhursion. also after eating heavy food my heart starts to pound and palpitate.heart beat becomes irregular after taking food and at times i feel pain in chest as well.My problem gets worse in warm weather. I have under gone t3 t4 and tsh test and report is normal.All of this problem is for 8 years now. I shall be thankful to you if you could guide me.

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

There are a few possibilities as to what can be causing the symptoms you describe. I'll delve into a few possibilities. Keep in mind however, stress and inherent cardiac conditions can in and of themselves be the root cause for these symptoms, though there are also a slew of outside factors (i.e. food insensitivity and reactions) which can cause this as well. Spicy food, as well as salty food have the potential of deny Chat Doctor. Low potassium, and or deny

I ve been having insomnia and consequest migraine headaches for the past 8 years. The very first neurologist i met had prescribed me an MRI which concluded that everything was normal. For the past 8 years i ve been on and off neuromedicines, without any permanent relief. i ve been visiting another neurologist for the past 2 years who had prescribed me almost all kinds of Benzodiazepine family medicines over different periods of time. he had to keep rotating the meds due to me developing immunity from the particular BZD medicine. a week ago he asked me to undergo MRI scan once more, which concluded that i have MESIAL TEMPORAL SCLEROSIS on both sides (R L). thus my doctor asked me to spend 3 days at the hospital during which he had given me intra-venous medicines. 4 days ago, he asked me to stop all anti-depressants (BZD) and has prescribed me Rovastat TG (Rosuvastatin and Fenofibrate), Citistar (Citicoline 500mg) to be taken 3 times a day, as well as Dayo OD (Divalproex 250mg) taken once every night. Since i am offthe anti-depressants, i have been feeling extremely depressed for the past 3 days. I would like to know if the line of treatment is correct, and what are my medical scopes in future that i should be aware of?

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

Hello, Usually, patients with medial temporal sclerosis usually have seizures as their main symptom. As advised by your doctor it's better to stop BZD its role in depression in very minimal or none. The next thing is Divalproex can helpful for your migraine headache, and also it has mood-stabilizing property, its another effect is it can cause sleepiness, and it has anti-seizure activity also. Some migraine prophylactic Chat Doctor. It's better to wait for two to three weeks for your new medication to act if depression is more bothering you newer antidepressant medication is available which a psychiatrist will prescribe. If you have abnormal lipids rosuvastatin and fenofibrate are useful or else it can be stopped. The rest can be continued. Hope I have answered your query. Let me know if I can assist you further. Take care

my son had cystic fibrosis, he had meconium ileus at birth and had complications post surgery with blockages and spent 2 months in nicu. He passed away july 3 2014, he just turned 2 years old may 30th 2014 , he had developed a routine blockage (happened about 5 times since leaving nicu) and everytime we would bring him directly to ER they would ask us only to bring him if he shows signs of dehydration, fever, or any signs of abnormality with his usual self, or if symptoms do not get better after 48 hours (throwing up, no stools, etc.) now on july 2nd he started his throwing up so we knew he had gotten a blockage, we followed orders and started miralax treatment right away, throughtout night he continued throwing up (same as other times, and usually passes big stool on 2nd day and is back to normal) we dont know what happened on july 3rd but at around 12pm he started to act funny and talk funny, as if he wasnt getting enough oxygen to his brain, his pupils got a little big, abdomen seemed a bit larger then it was few minutes before, and within a minute or so, he just stopped......... ambulance came and said he was already passed etc etc. they wrote on his death certificate intestinal blockage, cystic fibrosis and aspiration, am i right to believe that what happened to him mustve been septic shock? there was no autopsy performed, but i think maybe his intestine ruptured throughtout the night? thank you for any answers, it was literally 24 hours of a blockage.

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

Hi, welcome to Chat Doctor. Sorry to hear the demise of your child. Meconium illus and cystic fibrosis may present in spectrum as they can be severe in some cases and in some cases usually not very severe. But, complications may be many. Cystic fibrosis can lead to formation of viscid mucus plugs which can lead to blockage of the airway leading to hypoxia and death. Usually, blockage of intestine resulting in rupture of intestine or intestinal perforation is not very common in infants. The intestinal obstruction will present as abdominal distension and vomiting commonly. But, in child Chat Doctor. This is usually the most common cause of deaths in child

I m a 28 yo male. Quit smoking about a year and a half. I was out working on 8/12/14 late (was on vacation the prior week at a beach) and noticed my left leg going slightly numb. Woke up and still that way next day. It moved to my left leg. I started getting pins and needles all over my body. Yesterday and today my legs and arms are heavy and my legs feel as if I ve worked out but I haven t. I m getting muscle spasms/ twitching in my legs, no appetite and when I do force myself to eat it feels as if I m going to have diarrhea. Went to my sons football game today and was getting pretty nervous as I was getting tingling in my fingers, went to stand up and felt real weak as if I was going to pass out so panick came in and I made a dash to my car. I went to the ER ekg was fine and what blood work they did was fine. I know they can t do everything at a ER but what they do do was fine ad far as results were. I would like too know what could be going on as I don t know how I m supposed to function like this. (Also I laid down to take a nap earlier and my skin felt very hot but no fever, I did sweat a little while sleeping, stomach was also feeling very strange and uncomfortable). Any ideas? Thanks

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Hi, Thanks for your query. The abnormal sensations that you have such as pin and needles sensation, burning, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care

Ive had the coil fitted for just over 4 and a half years now and I have had problems with it from the day it was fitted for the first year I bled heavily and had extreme abdominal pain. I suffer from other medical problems such as POCS, severe constipation and Irritable Bowel Syndrome. Within the second year I stopped using the laxatives I was being prescribed as I was going to the toilet every day without them something that I was unable to do since I was 15. started having huge bloating but would go away after a few days went to see my GP regarding this and speak to her about being able to feel the threads whilst having intercourse wit my partner and she cut them for me. the 3rd year of having the coil in caused more problems I hadnt bled for about a year and then all of a sudden I was bleeding for 2 weeks at a time went to see my GP again regarding this and they sent me to see the nurse to check the threads under an examination the nurse could not locate the threads but I had a scan 2 months or so prior to this regarding POCS and when the GP looked at the scan they determined that the coil was visible but advised me that it was fine. I have been in and out of my doctors for the following past 2 years with constant problems with bloating and I was given advice as to stick with it that these where only minor side effects. My stomach has been bloated for the best part of 3 weeks now and I am going for an ultrasound this month but I was only told on the 24th of this month that the coil has been ineffective and hadnt protected me against pregnancy. I am extremely depressed about the way I look and cannot cope with the pain anymore can you give me any advice. thanks

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

Hi, You got coil since 4.5 years, Had many problems, threads were cut, not felt, but coil is inside and infected. Feeling bloated. First thing one should change the coil every 3 years. Stings were cut, and it will be difficult to remove the coil. I advise you to consult a gynecologist for removal of the coil, immediately. I to my patients with such symptoms prescribe fluconazole, a combination of ofloxacin and ornidazole, and omeprazole and risperidone. Thank you.

Age - 23Height - 57Weight - 70 kgI have have on and off PVCs and other symptoms for the past few months. The doctors say it is stress/anxiety related.I dont really have stress or anxiety anymore. I feel better now except for one symptom.Occasionally when I am walking, I get the elevator feeling. As if the ground comes up or Im pushed down.The worst part is, whenever I rhythmically shake any part of my body; my hands or especially legs, the elevator feeling starts. I instantly feel as if Im moving up and down, my heart rate instantaneously goes up when I get the pushed down feeling, and I also feel anxious. I dont have high BP or any structural abnormality in my heart. I had my ear checked, no inner ear infections or inflammation. I had an MRI and it turned out to be clear.I do have tinnitus in my left ear. Id be very grateful if someone could tell me whats going on and what I could do next.

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

Hello, You mentioned vpc, this can very well cause your all symptoms. Usually cause for this anxiety, stress, Chat Doctor. I guess you undergone echo and its normal. Along, with VPC you can have other arrhythmias like PSV or atrial fibrillation, in which heart rate suddenly goes up and then Normalizes. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope and other symptoms. So we need to evaluate for the cause. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality, so you will need 24 hour holder monitoring if symptoms are occurring in daily basis. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day which will take care of your symptoms. If none of the above is successful then last option and you'll not probably need it, is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. So get back if you have any further doubts.

I am 27 yrs of age and started masterbating when i was 14......and since than i have been masterbating almost regularly at least once a day....and many times twice or even more....i remember sometimes i used to masterbate even 4 or 5 times in 24 hours....!!!! i was unaware if it could cause any problem or side effect?? but on more than one occasion i heard or read from some expert doctor or sexologist who were saying that masterbation isnt anywrong. all were confirming USE IT OR LOOSE IT rule.... i tried to stop masterbating , but that became possible for maximum of 2 weeks...and then i was back masterbating even more....!!! but since last 1 year i m feeling that my desire for sex has lessened .....and so does the size of my penis... still i cant stop masterbating...because it has become a very bad habit....i cant even sleep if i dont do it. but i notice that i m not enjoyin it as much as i used to do it....and even my penis has become small....and its not getting as hard as it used to be. is there any solution for it plz me really worried

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HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged I masturbating since last 13 years and have some doubts regarding size of penis has reduced due to masturbation.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and to reduce the frequency of masturbation 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking.5) Get yourself engaged in some activities like reading, sports.listening to music so that you will not get free time to masturbate. Chat Doctor.

I am a 29 year old, diagnosed with PCOS, and have irregular menses.Been trying to conceive and carried out an IUI procedure recently after a basl temperature drop- sign of Ovulation.Usually when i take Primolut,it induces bleeding.But my Doc prescribed it for Day 16-25 of period.Is it safe even after IUI procedure @ day 14?

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

Hallow Dear, If you are a case of PCs, you should not go for GUI empirically. Just do not go by temperature changes in the Basal Body Temperature Chart; some other relevant information is important and required before attempting any Artificial Reproduction Technique like GUI. In patients with regular menstrual cycle, day of ovulation is 14 days before the expected menstrual cycle. However, since you are a PCs case, your menses must be irregular. Hence, better not rely on day 14 of the cycle. I would advise you to go for ultrasonography ovulation monitoring. It will help following way: 1. It will precisely detect the day of ovulation when you can go for Intrauterine Insemination (GUI). 2. Furthermore, it will inform us about the size of the follicle when it ruptured to release the egg. Follicles of size between 18 mm to 21 mm release the healthiest eggs having good chances of successful pregnancy. 3. If the eggs are not getting released naturally (which is characteristic of PCs), your Gynecologist can plan induction of ovulation by some medicines like Camphene citrate or HMG/Chat Doctor combination and then plan GUI accordingly. Maybe you might require Metformin or MYO Inositol as an adjuvant therapy. 4. Ultrasonography will inform us about the development of the uterine cavity lining (endometrium). Endometrium of thickness between 9 mm to 14 mm is most conducive for implantation of fertilized egg. If the endometrium is thin, your GUI may go waste. Hence, please submit yourself for ovulation monitoring from by Ultrasonography day 9 of the cycle and then plan for GUI. Please do not take Primal pills for regularizing the menses; they may interfere with the egg release. Ovulation induction medicines will regularize your menses along with the induction of ovulation. Please report to some Infertility Consultant. I hope you got the message.

I attended a maxillofacial consultation requested by my dentist . I attended and following examining my mouth I was told I have unusual pigmentation in my gums and the inside of my cheeks. The doc took blood tests and explained I would have a biopsy completed too to rule anything nasty out. However, he said the presentation was quite unusual and explained I have what appears as large freckles (one has a white centre and is surrounded in a deep purple blueish colour the other just bluish purple). Each area is the size of a fifty pence peace on each cheek and at least a 2mm line across the top gum of my top 4 teeth . I have not noticed any unusual pain, but occasionally my cheeks are sore as if I have accidently bit down on them when I am sleeping. I take pain medication as I have M.E. and Fibromyalgia and I also use a sleep ap machine at night. Sometimes my gums flare up which cause a deep gnawing discomfort which is eases with my existing pain relief for other symptoms of the ME and Fibro. I am just needing to know what the worse scenario is and if I have anything to worry about. The doctor did say it is nothing to worry about just very unusual but I felt he was going home to read up on it further. He took blood tests and said he will book a biopsy to be done. I am a smoker and drink a lot of strong coffee. Those are my two bad habits and I have not drank alcohol for a number of years given my medical problems it does not agree with me. I am concerned about mouth cancer given how quickly this has presented since my last dental check around 6 months ago. My dentist has changed but this was never mentioned prior to attending my new dentist.

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

Hias per the information provided by you and the history of Fibromyalgia the sore mouth is the symptom of this only. Fibromyalgia patients usually feel these symptoms as heightened pain in response to tactile pressure, tingling of the skin and unusual pigmentation patterns on skin and mucus membranes. You need not worry about the mouth cancer, as per the appearance of the oral pigmentation doesn't suggest oral cancer in your case, but you must stop smoking as this will predispose you to oral cancer for sure.quitting smoking will also help to return your normal sleeping pattern. Take care

sir My father admit in hospital and he is seffring from dialiysis. He has done 2 time dialiysis. But creatinine level till now 6.5 and BU 72 sir i like to inform you that my father admit in hospital last sunday for only vometting and loss motion and treatment start but after 2 days not make urine. Doctor says some sweling in kidney we have done ultrasound and find both kidney isnormal in size with increased enchogenicity. No calculus or back pressur changes seen.C-M differentiation is present. And prostrate is enlarged weight 25 gms. Doctor suggest us to should be some more dialysis done. No any mediacals history of my father.Sir kindly guide us for this and do the better option in thia case. Sandeep pandey 0000

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

Hi Mr. Sandeep Panda, After going through your fathers' case there is Acute Renal Failure (ARF)/ Acute Kidney Injury (AKA) (Decreased OR absent urine production and normal size kidneys with increase echogenicity are indicator of AKA). For AKA to develop there is underlying cause in most of the cases like1) Severe deny Chat Doctor. (May because in your father) 2) Infection.3) Persistent low BP which decreases blood supply to kidney. In your fathers' case I want to know-1) Number of episodes of loose nations and vomiting at the time of presentation.2) Any recent use of painkiller medicines or other nephrotoxic medicines.3) Habits like smoking and alcohol. Need for Hemodialysis depends on on-1) Amount of Urine production daily.2) Serum electrolyte mainly Potassium.3) Serum Creatinine level.4) Arterial Blood Gas (ABG) analysis which denote degree of acid accumulation in blood.5) Signs of water retention like breathing difficulty, swelling over body, puffiness of face. Anuria (no urine production) requires Hemodialysis as in your fathers case. So try to relief on four doctor. In most of the cases of AKA kidney function returns to normal over time till that time there may need for hemodialysis depending upon above-mentioned facts. Rarely AKA may progress to CKD (Chronic Kidney Disease)

Hello I am currently having a lot of lower n mid back pain n some abdominal cramping it started yesterday went away now its back it feels like alot of pressure wen I go to the bathroom #2 i feelba lil relieve of pressure it feels almost like cramps but a lil worst what could this be? I am feelin a lil nausea as well. And my thighs n legs are hurting.

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Here you have mention two issues that is back pained with thigh pain as well abdominal pain with cramping feeling in abdomen also associated with nausea. Usually this both will not be associated to each other. You can do treatment first which ever is disturbing you more. Check either the back pain started first or abdominal pain started first. If you used to have regular back pain problem then it will be related to either back muscle weakness or it can be related to spinal level issues like loss off curve, lumbar spondylitis, lumbar disc issues etc.However conformation can be done by specialist like orthopedic and physiotherapist with physical examination, and they may ask you to go for MRI of lumbosacral spine. And then based on report doctor will guide you treatment. If there is major problem at spinal level then it will be surgical correction and if there is mild to moderate issue it will be treated with physiotherapy exercises and treatment along with some medication as per your body need like calcium, vitamin D, muscle relaxants etc. You can also use hot pack for some more relief in pain. For your abdominal pain I suggest if it is first time it may be gastritis also so change your food habits. Do not take oily and spicy food. Maintain food timing. Keep water intake of 3-4 liter per day. And do walking regularly in night before you go to sleep. Have one anti acid pill daily morning with empty stomach for 15 days and see how you feel. If it goes in 2 to 3 days well and good or else you need to visit a physician and may need to do ultrasound abdomen to rule out other possibility. Later can plan treatment as per the ultrasound report. Possibility is many with abdominal pain like gastritis, gastric ulcer, kidney stone since it is also associated with back pain, gallbladder stone, liver issues etc. However the conformation can be done only with ultrasound and proper physical examination only. Take care

i am suffering from gastritis from the last 23 years i am now 42 yrs old my wt is only 48kgs whenever i take some spicy food my stomach burns, i cudnt take tea, oily food, red meat etc. whenever i took food i feel toilets... i always keep biscuits in my pockets, i visited 40-50 doctors of gastro entrologist/General physician but it didnt work properly i took homeopathy & Ayurvedic/Unani also but for the time being it is ok after that the problem again the same. i think am suffering from ulcer but sorry to say doctors never take seriosly i have done Endosecopy, Ultrasonography & Barium Meal xray 20 years back it shows Erosion in Lower Esophegus in Barium Meal Xray, but Doctor says nothing serious happen. 15 years back blood clots(Malina) came from my stool. i have done Endosecopy again in july 2011..Result shows.STOMACH : There are mild patchy hyperemia, edema & few small erosions in the proximal antrum and pyloric region. No gastric, polyp, ulcer, angiodysplasia or Dieulafoy,s lesion is seen. IMPRESSION ; MILD EROSIVE ANTRAL GASTRITIS ... rest is normal...Now from 1 week, i am having Sucral suspension & Rabonic Plus now i am feeling very comfort i think this is very very suitable medicine for me i m having less spicy food, tea and a little bit butter n milk.. there is no such problem increase... Sir i just wanted to ask whether this medicine is good for me or not. please let me know ? i would be very grateful to u, Sir...

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1. possible gastritis with HERD?2. Any intake of painkillers, alcohol,3. Rule out H. Pylori infection with your physician.4. Have your serum gastrin level / hemoglobin checked.5. The suspension which you are taking is Antacid with Anesthetic property: and because you are taking along with the Chat Doctor. 6. eat slowly, chew properly and avoid over eating7. Avoid foods which are rich in fats and oils.8. Do not consume sour foods because of the acidic contents.

Hi I m a moderately active 19 year old male. I ve had asthma since I was born but it has really never affected me significantly. After having my first panic attack after smoking too much marijuana about 2 months ago, I ve noticed more and more with my breathing and heart and highly doubt I m suddenly a hypochondriac. I ve stopped all stimulants other than my ADHD medicine concerta. Stopped smoking weed, cigarettes, drinking alcohol heavily, and stopped drinking coffee.I went to the doctor to get an EKG done and get my heart and lungs checked out. They said I was A-ok and I was just stressed and anxious. I ve been trying to ignore my breathing but it just proves difficult and my steroid inhaler nor my albuterol inhaler have helped relieve my discomfort. However this past week at the local fair I decided to get on a ride that spins the riders so quickly gravity is the only thing holding you in place while also tipping back and forth vertically. During this 2 minute ride, I experienced sharp pain in my left lung everytime I was at the lowest/highest height on the ride. My left lung felt so tight every rotation I was very scared. I ignored it after the ride ended because the pain stopped once I was off the ride and continued to ride other thrill rides with no pain in my lung although I still had minor discomfort I m my left lung (but I have for 2 months) and still have minor pain in my left lung as I type this. Please help. I m so fee up with all this discomfort just to breathe in. I try to distract myself, and that seems to help but I can t help but think about it several times throughout the day. I would greatly appreciate the help!!

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

Thanks for asking your query can completely understand your problem first of all you have done a very good thing by quitting cigarette and marijuana. If that chest pain occurred just one time at the time of taking ride, that is possibly due to panic or overstatement during that ride, so no need to worry and as u said your ECG and lung functions were within normal limits, this means u have no problems with your heart and lungs .if you are still thinking too much u can just get a chest X-ray done and that will rule out all other possibilities.thanks if still unsatisfied ask more I'll explain it to you

hi, I have been having problems with physcians in my area. I have chronic pain, I have nerve damage in my r ight leg. and starting to have pain in my left leg, I have difficulty walking and I trip and stumble a lot. the pain is horrible. my entire leg hurts. problem since Obama care insurance came out and all the other problems the medication ive been on for yrs that helps me functions has been taken away from me, I have had to go from urgent care to urgent care to get anything for pain, I have taken Norco 10 mg for about 8yrs. it helps me walk without stumbleing it helps me sleep at night. I have no one that will see me due to my chronic condition and meds. so I have been suffering going thru withdrawal until I can get someone to order for one month so I can try again to find a doctor, what can I do , do u know who to refer m e to in the quad cities dubuge, Clinton, davenport ia. etc. im about 3 hurs from Chicago. I need help my depression is out control, I can t sleep and there has been a halt in prescribing in our area and I cant afford to move. what can I do. if I buy them online, I don t know what I will be getting. frustrated and tired, and I wont live in pain, its inhumane. I ve done everything doctors wanted me to do and I need to restablish and due to the neuropathy and pain and numbness no one will see me, preexisting condtions. I cant get past he front desk they refuse to accept me for that reason.

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. Other analgesic that may be beneficial includeBuprenorphine. Buprenorphine is available as a sublingual or transdermal patch. Another analgesic Oxygen (oxycodone + ultra-low-dose naltrexone) is a new opioid Chat Doctor. You need to consult your doctor before starting it. You can take epidural steroid shots to reduce pain. 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. Wishing you good health. Take care

hello! this is sharmin. ive been suffering from severe hair loss since the last 2 years... and i am a patient of hypothyroidism. i am extremely tensed about my hair loss... its getting thinner day by day... what can i do to regrow hair? and to stop hair fall? and what vitamins do i need to take to regrow hair?

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Hello and welcome to Chat Doctor, You seem to be suffering from excessive hair fall commonly seen with hypothyroidism. Though your levels maybe normal, the overall hair growth and rate of growth may be affected more in your case, even on treatment. I hope your thyroid levels are in check. In your case, the hair fall, maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, hormonal changes etc. Dan Chat Doctor. For your hair to grow well, it needs sufficient nutrition. Fever, typhoid, recent illness, water change, work stress, pollution etc. is a factor. Low hemoglobin/iron levels need to be checked as well. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. They may advise hemoglobin, iron, hormone levels if needed. For now, you may start a Recite solution or Tress go serum to scalp at night, along with hair supplements daily like Seraglio or Bootee capsule. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner like Anaphase or Renoir for hair growth start with the treatment as advised and see a doctor. And remember to check your thyroid levels regularly as advised and follow treatment. Due to the thyroid condition, hair growth will be a little slower than normal. If your hair is very thin and scanty on the scalp, and medical methods do not work well for you, after a few months of observation, certain new surgical procedures can be considered such as PRP, as will be advised by your consulting doctor after observation, if they feel that it will be a good option for you. This is a later option. Also get a good nutritious diet, avoid stress, pollution, get good rest. Hope this guides you.

I have had pain in lower back since January. I asked for xray, showed swelling so DR. prescribed prednisone for 10 days. Swelling went down but pain, burning and annoying is constant. Went to chiropractor and had 5 sessions. Still hurts no relief. My husband found a lump, close to spine and Chiro also felt it said possible lymphoma. Had ultrasound that shows no solid mass or fluid. Dr. knows it is constant pain for me and now said lets do MRI. Any idea if a lump can cause this much pain across lower back?

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Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment for the painful lump on the lower back-In my opinion your-pain in lower back-was fixed by your doctor as Swelling? Which is mostly due to the prolapsed inter-vertebral disc. And not due to any obvious swelling as thought by your husband or by your chiropractor.Don't waste time on wrong treatments.MRI-now done would resolve the issue.Hence, you should investigate it with your ER Ortho-Surgeon, who would treat it according to its cause. From your facts of the query-In my opinion-your constant pain is due to the improper treatment of the ?-Spinal Canal Stenosis, which you seem to suffer from. This could be confirmed by MRI and would also remove any doubts of lump in the lower-back you and your doctor has. This stenosis if present could be decompressed by endoscopic laminectomy or mastectomy instead of the open laminectomies and could be done with almost no post-surgical instability and morbidity post-decompressions. So take treatment from your ER Ortho-Surgeon, who would treat it after due investigations and treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Or tho- Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.

I have a possible sarcoma that was diagnosed as a lipoma in 2008. I was told because I do not have insurance that they would rather watch the lipoma and see if it grows to determine sarcoma. For 1 year i couldnt tell if the tumor was growing. It is going on 2 years and a lump that was 5mm in size is palpable from a standing, sitting and especially laying position. I was laying on my right side and felt the lower left abdominal mass sticking out. It is about 2" deep spaning around 3" across I cannot differentiate all areas of the mass. Over all I believe it is about the size of a raquet ball deep and 2 raquetballs side by side. I am afraid. I dont want to be turned away due to lack of insurance. I am a 36 year old female with 3 children. I have had 3 previous c-sections with no complications other than adhesions. I have had 2 adhesion removal surgeries from my c-section scar. This mass is from the level of the scar to about 2.5" above the scar and about 4" across. I have called my doctor but I do nt trust his team anymore. The last time I saw his recomended general surgeon she had not looked at my ct scan and told me this was really a CYA appointment. After I inquired what CYA meant she told me cover your ass. So my doctor could cover his ass in diagnosing lipoma. This surgeon did call after she reviewed my ct scan and told me this was just c-section scar tissue. I also have autoimmune chronic pancreatitis with a recent bout of diverticulitis, fibromyalgia and degenerative joint disease. Please point me in the right direction to go

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

First, you need to rule out a hernia since the swelling is in the region of the incision. A hernia is just a defect in the abdominal wall with resulting protrusion of the contents within. This can be ascertained based on an abdominal ultrasound. So, get that done first. If it is not a hernia but a soft tissue lesion, then get an FNAC (needle test) done from the lump. This will ascertain whether it is indeed a lipoma or something more serious. A lipoma can be ignored unless it is causing pain or other symptoms.

I woke up this morning filling good about 2 hours into the day i was cleaning house when all of a sudden I got real dizzy light headed an then the hole room started spenning I went an layed down but it continued for about 2 hours finally started letting up i still get light headed when i stand up for a little bit now my kneck up to the bottom of my head acks and I have bad head acks

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

Hi, I am Chat Doctor. I have read your message. I think I can help you. A per the query, you have reported a sudden onset of vertigo that was started when you were cleaning the house that reduced but persisted when you lie down and gets more as soon as you get up. Now, sudden onset of any neurological symptom suggests a possible stroke. And therefore I suggest that you go to an Emergency room as soon as possible and request an MRI of the brain to make sure that there is no stroke. If there is a stroke, you will need to be initiated for the appropriate medications depending on the type of stroke and also the duration after which you manage to reach the hospital. However, you have not reported any other feature like weakness or imbalance. So there is a possibility that instead of having a central cause of vertigo like stroke, you may actually have a peripheral vertigo like benign positional paroxysmal vertigo. There are simple medicine like betahistine that will need to be initiated. There will also be exercises like Brandt Zaroff exercises that the doctors/neurologist will need to teach you. However, since stroke is a more serious condition, and a condition in whose management time is a very crucial factor, I think you should get to an emergency service in a hospital that boasts of a neurologist as soon as possible. Once the stroke is ruled out, then the peripheral causes can be considered and treated. I have tried to make it as simple as possible. I hope that you benefit from the suggestion. Please get to an emergency as soon as possible. In the meantime, try to remain still and in bed so that the episodes of vertigo do not worsen. Avoid sudden jerky head movements. Please note, I have assumed that you have no cardiac issues, no diabetes, no hypertension or any other significant past history, as this has not been mentioned in the query. Best of luck,

Hi ... my name is Kristen Ruth, I had an MRI and am awaiting an appointment with my Doctor, who is out of town, but in the meantime I obtained my MRI report and the impression says there is a lesion in the deep left parietal white matter which shows a minimal amount of enhancement. This pattern is atypical. This could represent a small actively demyelinating plaque from demyelinating disease. A late subacute or early chronic lacunar infarcts may also have this appearance. This could also represent very early mild ischemic white matter disease. Regardless, followup as indicated. Recommended six-month MRI with gadolinium. I am curious as to your impression of the MRI and what this could mean? I have had severe vertigo off & on for about 17 years which usually happens about twice a year for at least a month at a time & is very debilitating. I have seen numerous ENTs & have had EPLY maneuvers & medications which dont help at all. I have severe neurological migraines & vision disturbances as well as a history of petite mal seizures as a child & some grand mal seizures as an adult. Could you shine any light on these results? I have been kind of nervous & would like to know what these findings could mean? Thank you so much... in advance!!! Oh by the way, I am 40 years old and have suffered from 5 different auto-immune diseases. I was just barely diagnosed with scleroderma & have have been diagnosed also with Edometreosis, Lichen Sclerosis, Sjogrens disease, Interstitial Cystitis.

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Hi, Thank you for posting your query.First, I would like to reassure you that your MRI brain findings do not represent any serious disease. They are not connected to your vertigo of 17 years. They could be because of a desalinating illness (another autoimmune disease), where the myelin (nerve covering) gets affected due to inflammation. Other cause could be lack of blood flow to brain (ischemia). The exact diagnosis would be confirmed once your neurologist has seen you and the MRI. Both conditions are treatable with medications. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/

hi Sir,, i am 28 yrs old,having bronchial asthma. i am on inhaled corticosteroids( foracort 400 rotacap twice daily for about last 8 yrs,,) i notice increase in abdominal fat & probably some gynaecomastia. is it because of these steroids? i gargle everytime i use them. is it safe to continue till long? i heard steroids decrese libido on longterm use. are all these side effects possible to develop for me?

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Hello, Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions for you as follows:1. Side effects of corticosteroids are numerous - obesity, hypertension, diabetes, cataract, glaucoma, reduced immunity, gastritis, reduced libido, osteoporosis, personality changes, etc. etc. However, such side effects are more commonly seen with oral steroids. They are seen only with long term use of high dose inhaled corticosteroids. Gargling after each use also reduces absorption of steroids into body as you have been already doing.2. Common side effects of inhaled corticosteroids are oral thrush, change in voice, local irritation, etc. 3. However, it is always preferable to try to reduce dose of inhaled corticosteroids as much as possible. Were I treating you, I would add montelukast in your regular treatment, which may reduce your inhaled corticosteroid requirements.4. I would also suggest you allergy testing, which will help you identify the substances causing symptoms to you as well as to know the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms.6. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help you in a long run by improving your lung capacity and immunity respectively and thereby reducing inhaled corticosteroid requirements on a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.

Hi, I have been living with a major anxiety for some time now. I recently developed an irrational fear of anaphylaxis. Everything started when I bought a new hair conditioner and decided to try it, some tingling started I panicked and started to think that I may develop a severe allergic reaction (I heard of Hair dye allergies before). However, nothing happened, the tingling sensations stopped long before I washed it of. Sadly, these thoughts havent left my head... So, I decided to search for information on the subject, when, why it happens, who tend to suffer from it... As they say we fear of the unknown... It didnt help me at all, it worsened my fears because I learnt that it can happen to anyone, anytime and anything can cause it... Im afraid to eat everything and even more afraid to take Xanax to relief the symptoms. What should I do before meeting with a therapist? How can I help myself? Maybe there are some facts that could help me to understand it and stop the panic? By the way, I have never expierenced a severe allergic reaction, never had allergies but I tend to get hives if I scratch my skin.

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Hello, The hives you get when you scratch your skin is called demographic, and is a common condition. Having demographic does NOT mean you will develop anaphylaxis if you get an allergic reaction to (say) a coloring agent; or you are at high risk of anaphylaxis. There are few options available to you:1. See an Allergist for a Patch Test against the Standard Battery or Cosmetics. This involves a small amount of chemical being attached to the skin (usually at the back) for 48 hours, and see if you have any delayed hypersensitivities. This should lessen your fears, and you will know if you are already sensitized to common chemicals.2. If you have had anaphylaxis in the past, you can get a blood test called mast cell treatise (MCT) levels. If the levels are high, you are (theoretically) at high chance of developing severe allergic reactions to (say) insect stings etc. That you have never developed a severe allergic reaction, the MCT levels will likely be normal (baseline values). I hope that was useful. Best Wishes.

Hi I ve recently had a few problems my legs swelled from shin to ankle for two weeks mostly pooling around ankle. I was taking hydrochlorothiazide 25 mg Tab in the morning to help reduce swelling it helped but took a long time. I m also on high blood pressure medication and at the end of the second week my BP dropped drastically stopped water pill and cut down on my BP meds for a few days till it was back to normal. had an appointment with my GP and she did several test. CORTISOL, SERUM these are the last three years of the results 5.8 L, 3.9 L, 1.4 L. I also had ACTH test these are also the last three yrs 23, 21, 6 the last number in both are currant, I then had the CORTISOL STIMULATION test done Cortisol-Baseline 5, Cortisol-30min 18,Cortisol-60min 19, this is the most recent Cortisol-Baseline 1 Cortisol-30min 9 Cortisol-60min 12. I ve been exhausted for months no sex drive at all sometimes feel like in in a fog, and my Irritability is really irritating . Going to see an Endocrinologist but would like to have a clue as to what to expect.

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Hi, thank-you for providing the brief history of you. A thorough clinical assessment is advised. As you have swelling of the lower limb for which medicine was taken and also now meeting up and endocrinologist, I feel you have a weak metabolism which is leading to the factors. As when one gets swelling along with Hypertension, the first assessment goes towards the cardiac pathology, as weakness of the cardiac muscles will lead to reduces venous pulling and the swelling is the case. Also, in my clinical practice when patient comes with swelling, as they are geriatrics I prefer to recommend physical therapy. As a proper assessment is performed and later, the exercises are directed. Most Patients recover with the swelling as the overall body conditioning exercises are performed. Also, improving the metabolism and cardiac endurance are the key role in health. Many people when diagnosed with Hypertension do not perform exercises as it requires patience. My clinical practice helps me understand that exercises along with medication has proven to give better outcome scores. RegardsJay In Chat Doctor.

My mom is 85 and declining rapidly with no short term memory. I am her live-in, full time caregiver, bt in the last month she has become obsessive, (lost her sunglasses a month ago and I discuss it 15 hours a day with her). She gets agitated easily and angry with me, she knows Im doing everything to help her but think the restaurant she was at a month ago has them. Ive driven her there three times, shes sure that they call her every night and wants me to pick them up. Shes driving these poor people nuts. I go through it about firty times a day, she wakes me at midnight, I hide in the am until Im ready to start another day in paradise. Its the rapid increase in the dementia that is my concern. Had her at a neurologist last week twice, she doesnt want to see any more drs. She had od on Aricept in March(?) after 5 days on it, was hospitalized four day later because I had been counting them, much to her dismay, lost all her electrolytes and was very sick. They put her on a low dose Exelon patch which I used for two months but she just kept getting worse. Theneurologit put her on Namenda last week an will treat her for Parkinsons after she is established on the Namenda. Id prefer giving her Atavan or something to calm her down. The depression is a new symptom and she hates living this way. She wants to maintain control over herself and I understand, I help if she asks while I sit there quietly. Im living in hell with her and her body is much stronger than mine. I smashed my patella 8 mos ago and never healed properly because Ive always take care of everything here Do you think there is any med out there to help relieve her obsessiveness and extreme anxiety and unhappiness without kowing her specifics?.

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Hi, Thanks for using Chat Doctor. I have gone through your available history. It seems that your mom has behavioral disturbances secondary to dementia. She may get benefit by cognitive enhancers like donepezil, galantamine or citicholine. Along with cognitive enhancers, she may require Chat Doctor. You may get prescription from your doctor for the same. Doctor may rule out physical causes including vitamin B12 deficiency and may prescribe the

This is to inform you that My father is 75yrs.old & now he is suffering on kidney disease last three months,Now he is feeling weakness with bromiting.Here Ultrasnonography,urin & blood report are given belowULTRA SNONOGRAPHY REPORT1. Chronic Kidney disease2. MILD ASCITES .3. ENLARGE PROSTATE 24 GM/approx.URINE REPORT. Albumin +++ Pus cell 4-7/hpf RB C 2-3/hpf Epithelial cells + BLOOD REPORT. Potassium 4.83mmol/L Sodium 134.9mmol/L Blood Uria 104mg serum-creatinine 8.0mg. WBC 9300cu-mm.Pl. give the suggestion about my fathers treatment,where the treatment are possible.Pl. give the details address with contract no for about the treatment.We are in bankura, west Bengal.Pl. give the feedback by mail.Pl.give thewhich date doctor to be available for treatment.

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Hithanks for posting in ChatDoctorI have understood your concern present diagnosis of your father is1. Acute on chronic kidney disease2.??urinary tract infection -needs confirmation his serum creatinine and blood urea are high and the symptoms of vomiting and weaknesses are uremic symptoms.at his age he may not be a candidate for renal transplant can suggest you 1.urine routine and culture2.baseline ECG and ECHO3.arterial blood gases he needs renal replacement therapy as1.hemodialysis or2.peritoneal dialysis-can be done at home initially till symptoms and labs come down, he needs dialysis regularly and later weekly twice or thrice.you'll get the facility of the above tests and dialysis in any nearby super specialty hospital. Hope this helps you any further questions please let me know thanks

DEAR DOCTOR...IM A 30 YEAR OLD MALE...SOMETIMES I SUFFER FROM SEVERE SHIVERING IN THE MIDDLE OF NIGHT SLEEP FOR NO APPARENT REASON...NO FEVER, NOT FEELING COLD, ITS UNCONTROLLABLE AND LASTS FOR A FEW MINUTES...THE FIRST TIME IT HAPPENED WAS ABOUT 2 YEARS AGO AFTER I CAME BACK FROM MY DENTIST FOR A REMOVAL OF A TOOTH ROUTE WHICH HAD CAUSED ME UNBEARABLE PAIN, SO HE GAVE ME 2 SHOTS OF ANESTHESIA TO STOP THE PAIN IMMEDIATELY...MY MOUTH STAYED NUMBED FOR ALMOST 5 HOURS!! THEN I SHIVERED SEVERELY IN THE MIDDLE OF MY SLEEP....3 MONTHS AGO IT HAPPENED AGAIN, THE WEATHER WAS REAL COLD BUT I DIDNT SUFFER OF ANY DISORDERS EXCEPT FOR SOME "COME AND GO" PAIN IN MY CHEST...YESTERDAY I SHIVERED AGAIN IN THE SAME WAY.. I DO HAVE A COLD BUT IT WASNT RELATED TO FEVER....THANKS IN ADVANCE FOR HELPING!!..

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Hello, In the first case after removal of the tooth root, it was obviously related to pain. In next instances, it's related to your internal disturbances not external environment at all. There is imbalance going between your soul, subconscious mind and physical body, which is very difficult to understand and many don't agree with this also, but it's true. Follow certain steps regularly at home for some period, you will be absolutely fine without any medications, I am confident for it.-Avoid stress or anger in any minor or major issues.- Have regular sound sleep of eight hours by default.-Avoid to watch horror movies or thrilling news before sleeping or avoid texting or checking emails at least one to two hours before sleep, which is of vital concern in today's digital era.-Avoid smoking or alcohol or Chat Doctor. -Do regular deep breathing and concentration exercises with YOGA for thirty minutes daily which has a tremendous impact on your case particularly.-In occasional cases of a post-traumatic syn

Three years ago I was diagnosed with a very small carcinoid tumor which was found accidentally near the end of my small intestine duriing a colonoscopy. Sugery was reccommended, but I passed. About three weeks ago I had a very bad cold, and a little sinus infection. After the cold got better I noticed a dull aching pain on my right side under my ribcage. I had a ct scan a couple of days ago and the radiologist said they saw some spots on my liver. I am a 60 year old black female. I have no carcinoid syndrome symptons, in general good health, and feels good most of the time. I am on a very low dose of Lotrel for high blood pressure, and 50,000 mg of Vitamine D. I supplement with garlic with parsley seed oil gel caps for my hot flashes (menopause). Over the last couple of years I started to develope small bumps (boils) around my genitile area that would develop one after the other and get really sore and then errupt and heal. I seem to have solved that problem with daily doses of 1000 mg of vitamine C and alcohol rubs. Could all of these issues be related? Right now I am mostly concerned with the spots on my liver. I am due to see an oncologist later this month. Any idea as to what I can expect?

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Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. In most cases these spots are benign growths such as cysts or hematomas. Hematoma is very small and this can't cause such symptoms unless larger than 10 cm. You should do MRI scan or liver biopsy to find what type of lesion it is. Less common this may be malignant issues such as hepatocellular carcinoma. This abdominal pain may not be related to liver spots at all. It may always be sign of some other issues such as IBD or gastritis. If these are just simple liver cysts then I don't think this is causing any symptoms. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.

My name is John, I m 53yo, & been suffering very badly with chronic groin pain due to shame to admit over-masturbation. This started to seriously affect me in 2004, before getting extremely bad in 2005 with pain occurring after urination as well as ejaculation. I had tests done for prostate & saw urologists etc, but verdict only seemed to be it s only muscles/nerves so take pain killers etc & eventually may go away. But NO! absolutely NOTHING I tried,seriously, no drugs/natural products/abstinence etc has helped to rid this terrible condition. I attempted multiple suicides(obviously failed) in 2006, & since just tolerated this hellish scourge that s destroyed me physically/emotionally. Right now I m desperately distressed,HELP!!! Have I reached the point of never getting back to a pain-free life? I hate simply existing like this :-(

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 don't understand, why you try suicide for this problem? What is so serious about this problem? You just have pain in your groin area where there were no medical reasons were spotted except muscular stress. Please understand, blaming masturbation is not correct. Masturbation is a natural process and cannot harm your health. You said you masturbated in excess. What is in excess? Teenage people masturbate once or twice a day. After twenty, masturbation comes down to thrice of twice a week because they have so many other things to take care of like education, health, career etc. In your case, what is the number? You should also understand, your doctors did all those tests and said there is nothing wrong. YOU MUST BELIEVE THEM. If you don't believe them and go with normal lifestyle, you will obsess with the same area of pain again and again, and naturally the will feel and wriggle with pain, even though, actually the pain does not exist. That is called, in psychiatry, Psycho-somatic disorder. I suggest you to consult a psychiatrist for further treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.

I accidentally threw something in an empty garbage can, and then I tried to retireve it by bending into the garbage can; at first attempt the item escaped my grip. then a second attempt was made stretching more than I should have and since then my abdomen - right under my right rib cage has been in acute pain; I cant sneeze and I cant breathe deeply or have normal bowel movements as I cannot push and put pressure on my abdominal area; I had Cat-san done and ultrasound taken, and they dismissed it as an inflammation of the inner stomach lining and put me on Amoxicillin for 10 days; but the pain is still there; today is day number 5

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

. I read your question carefully, and I understand your concern. From the information you gave, the first thing I suspect is muscle strain. The suspicion for this condition is even higher after you have done examination, even a CT scan. Regarding the Amoxicillin therapy, it is an antibiotic and I can't find a reason for taking that, but for sure the doctor that prescribed it had a reason for that. I do have some questions though. Is the pain localized in you abdomen or between the lower ribs in your right side. The pain is steady, or it begins or worsens with movement? Do you have any swelling or bruising? Is it tender when you touch it? If it is more localized between your ribs, it gets worse with movements or sneezing or deep breathing, it might be tender when you touch it than probably it is just muscle strain (as I said you excluded major conditions with examination. Besides this, the condition how it started (stretching too much to get something) and an acute onset, all lead to muscle strain. In general, muscle sprain can be treated with RICE therapy - rest, Ice application, Compress and Exercise. To alleviate the pain you could take pain medication like ibuprofen or naproxen. It is necessary to limit the movement of the torso (rest, but just the firs days). Gentle stretching exercises can help strengthen the muscles. Pain can be alleviated applying an ice pack for 15-20 minutes 2-3 times a day (ice should not be in direct contact with the skin). For a full recovery it can take 4-6 weeks. Feel free for additional questions. I hope the answer helped you. Best regards

hI sir, I have psoriasis for the past 10 years on my left ankle.whenever i apply propygenta nf cream on top of it,it ll get subsided.but now i m able to visualize the symptoms(itching,scaly occurrence) around elbows,knees and itching around my private area n anus.pls help to sort out this problem as it s frustrating me a lot n makes me afraid of going out.

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Hello. Thanks for writing to psoriasis is a chronic immune mediated disease characterized by scaly plaques on various body sites, characteristically extensors like scalp, elbows, knee, ankles etc. There is a variant of psoriasis which can affect the flexes like groins and perineal area, called as Sebopsoriasis. However, it can be easily confused with a fungal infection, which is fairly common in these areas (body folds). Therefore, I would suggest that you seek an appointment with a dermatologist, to establish as to what is the exact nature of the involvement in body folds, whether psoriasis or fungal infection? As far as the topical cream that you have been using, it contains a potent topical steroid (clobetasol propionate). It is effective in psoriasis because psoriasis is a steroid responsive dermatitis, but psoriasis can relapse again after seemingly complete cure. Topical steroids have a downside to them. They cannot be used over a long term because they can induce skin atrophy. Therefore, it is always advisable to use topical steroids under the supervision of a dermatologist. A dermatologist would be able to look for any early signs of atrophy and therefore can substitute or change the medicine. Apart from topical steroids various treatment option available for psoriasis are: topical coal tar and alicyclic acid, topical vitamin D analogues, topical Morales. Systemic treatment options are: oral Morales and UV A therapy (PVA), NB- UVB phototherapy. Oral Methotrexate, oral cyclosporin etc. Choice of treatment depends on the severity, extent of involvement and the feasibility of treatment options. This can only be discussed in person with a dermatologistTherefore I would reiterate that any treatment, whether topical or oral, should always be taken under the careful supervision of a dermatologist. Regards

hi sir, every morning when i wake up and when i open the window, i started sneezing ,itching of nose and started running nose and nose blockage... sometimes whole days i have these things coming...with this i have oncertain itching and pain at ear, and also itching at lower and corner eyes...wat treatment should i take for this....

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Hello. Thank you for asking at Chat Doctor. I went through your history. I would first think of allergic rhinitis from your history. I would like to make following suggestions to you:1. Were I treating you, I would prescribe you montelukast and an anti-histamine like levocetirizine/cetirizine/fexofenadine for at least 2-4 weeks (depending upon response).2. If your symptoms are very severe, or they do not improve with above treatment, I would suggest you intranasal corticosteroid spray for at least 7-14 days (depending upon response).3. Along with these medications, I would suggest you nasal irrigation with nasal saline Chat Doctor. This will help to reduce your medication requirement.4. Please try to avoid exposure to dusts, smokes, cold air currents and air pollution as much as possible. You can cover your nostrils with cloth/handkerchief/mask in case of possible exposure to these irritants.5. From the pattern of your symptoms (more in morning, upon opening of windows) I would first think of allergy to house dust mite or pollen. To confirm the diagnosis, I would suggest you allergy skin/serum testing which will help you to identify the substances you are allergic to and also to know measures to avoid them.6. I would also suggest you to consult an Allergist-Immunologist who can advise you specific allergen immunotherapy based on results of your allergy testing, which will work on your immune system to improve your allergy symptoms gradually.7. A healthy diet rich in vitamins, minerals and anti-oxidants (e.g., green leafy vegetables, fruits, sprouts, etc.) will help you in a longer run. Hope above measures will be helpful to you. Wish you the best of the health. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards.

good day dr, today im in day day 8 of 3days embryo transfer. 11 days po. i got a positive pregnancy test , my beta is 21. i start having very light brown discharge with tiny black piece of blood. since an hour im feeling a very sharp pain in the uterus which is on and off but its still there. is that pain normal during early pregnancy or something to warry about.

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Hallow Dear, At 8+ weeks of pregnancy, light brown discharge with pain in uterus is not a good sign. Brown discharge at any stage of pregnancy indicates the risk to the life of baby - most of the time non-viable baby. Moreover, pain in uterus is due to the efforts of the uterus to expel such non-viable baby out of the uterus. Hence, such in condition with pain in uterus, it is almost not possible to save such pregnancy. To confirm the status of baby, the best option is to undergo ultrasonography. It will reveal following important information:1. Whether heart activity of the baby is visualized; i.e. whether the baby is viable2. Where from the bleeding is coming - from the chorionic tissue attachment site or elsewhere. Pregnancy test of urine may not be conclusive since it requires about a week or more for the pregnancy test to become negative after the baby has become non-viable. If bleeding is from the base of the chorionic tissue, it indicates impending danger to the baby. If baby heart activity is seen with chorionic bleeding, then you will have to take strict bed rest. Injection Chat Doctor or Progesterone preparations with Folic acid may be prescribed to you. Progesterone or Chat Doctor help stabilizing the pregnancy while Folic acid will help the regeneration of the damaged tissue. However, if the babies heart activity is not visualized, it means the baby is non-viable. This is known as missed abortion. Brown bleeding is always stale old bleeding. Hence, the chances of missed abortion seem to be very high. If it is missed abortion, and you do not abort naturally, you will have to undergo termination of pregnancy without delay lest the risk of alarming bleeding due to clotting disorders (DIC), infection, kidney failure, etc. So please report to your Gynecologist ASAP for further action. I hope this gives you required message.

hi!doc my son 4years old is having problem of constipation and passing dry small pallets from infancy, now he is school going and i ensure that he clear his bowel every morning but he when passes a little he refuses to continue , now from last i thjink 2weeks he is complaining of pain in rt flanf but no tenderness, yesterday in morning he just passes 2 small sized pallets with great difficult, and complaing of pain, when he came from school he tried to clear for about 5/6 times but failed , with exausted and drained, when he was asleep i inserted a spository and after 1/2 an hour he passed dried and hard stool mildly lubricated with glycerine,now in morning i was expecting everything wiil be fine but he passed dry hard stool with appearance that covered with dried powder , i want to add that yesterday i gave him 2tbspoon of duphalac 9stool softne r) but why it had no effects on morning stool is that impected or for why ?plz help me, thanx

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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, my name is Irene and i am 23 years old. 5 years ago i had a car accident and had fractures in hips and sacrum , stayed in hospital for 1 1/2 month lying down. didn t need surgery. everything after that was fine i used excercise alot and never feel pain in my lower back until a year and half ago. Since then i ve been having constant pain. never gone away for a second. i ve been to so many doctors.. chiropractors, orthopedics , physicians for physiotherapy, anti inflammotary medicine. no results! i ve gone through everything.. last mri showed i have Bulging disc with annular tear at the L5/S1 level without evidence of nerve roots compression. mild multilevel bulging discs from L1/2 to L4/5 without evidence of nerve roots compression. Also there is a small subcortical bone marrow edema in the iliac bone at the level of the proximal aspect of the sacroiliac joint on both sides, corresponding to mild bilateral sacroileitis. Now the only thing they suggest is cortizone medication. the first year i was much worse now it just seems the pain will not fade away. PLEASE HELP.

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

Hi, It seems that you are suffering from multiple level lumbosacral disc prolapse mild type without root compression. You also have sacroiliacs bilateral. Sacroiliacs causes pain in your lower back and buttocks as it connects to lower spine and pelvis. It gets aggravated on prolonged standing and climbing. Treatment depends on signs and symptoms you are having and also to evaluate for spondyloarthropathies like ankyloses spondylitis. Treatment includes pain relievers, muscle relaxants, corticisteroids, rest physical therapy, lumbosacral corset. Corticosteroids like dexamethasone or triamcinolone can be injected into joint that reduce inflammation and pain. But you can receive few joint injections a year because it weakens your joint. Other options are DM ARDS, TNF inhibitors if associated with ankyloses spondylopathies. If medical treatment fails, radiofrequency enervation, electrical stimulants or joint fusion tried. Don't worry, consult rheumatologist and neurologist for helping you

Last month I had a very sore throat and I couldn t walk sit up on my own or eat. It started off with sneezing (I have no allergies)then it went to a sore throat always being tired,high fever,having no energy,and not being able to eat. When I went to the doctor they wanted to take blood work I never had a problem with it before but for some reason I passed out my blood pressure was low and I had a very high fever so they assumed I had pneumonia.I was given medication for this. A few days later I couldn t talk,walk sit stand or do anything without help. I had pain in my back and ribs and couldn t stand up straight. Finally I did many tests the day I went back to the doctor my temperature and blood pressure were almost normal they gave me medication for a kidney infection. Because of the medication I was on for pneumonia the doctor assumed it messed with the results as it all came back fine but my blood test came back positive for mono ( the kissing disease ) as of yesterday I started losing my voice again and getting sharp pains under my ribs and I just feel very dizzy. And once I finished the medication for the kidney infection I was back to my independent self.. and I felt amazing up until yesterday night

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

Hi, as by reading your history, I am unable to understand that without confirming with an x-ray or MRI or CT scan how the medication was started for pneumonia and later for kidney infection. Well that's the past story, Since now you should focus on how to control the infection with pain and aches. Perform regular breathing exercises, oxygen is the major source of human body, human body can stay without water for 1 hour or more but without oxygen every second is important. Because one cannot live without oxygen. Also, breathing exercises have been divided into -1. Deep breathing2. Diaphragmatic breathing3. Pursed lip breathing4. Costal Breathing5. Abdominal breathing. Performing this exercises regular can help you further to maintain the metabolism and also the lung capacities, Also , you need to perform the core stability exercises and pelvic floor strengthening exercises to avoid any kidney issues in the future. Most patients with such symptoms I recommend the exercise along with medication, and they bounce back faster. I wish you a Good health. RegardsJay In Chat Doctor.

Hi: I m a 53 year old female. Last Sunday I had a frightening pain that was between my shoulder blades that lasted approximately 5 minutes. I went to Urgent Care where they did an ECG which they said was slightly abnormal. They transported me to ER where another ECG was done that was slightly abnormal. Cardiac Enzyme testing came back negative and then 4 hours later they did another one which was negative. They referred me to a cardiologist who I saw the next day. They scheduled me for a nuclear stress test and an echocardiogram. I went back for results and I only saw teh Physicians Assistant. She told me the ECG on the stress portion showed a mild old septal wall MI in my past ?? The echocardiogram said I had mild left ventricular hypertrophy with GRADE 1 (relaxation abnormality) diastolic dysfunction. I had some trace tricuspid and mitral regurgitation. I decided to get a second opinion because they wanted to do another test. The new cardiologist stated that he did not think I had a heart attack and only wanted to put me on a Beta Blocker. I m not sure who to believe. Also, I was uncertain as to another thing, on the Nuclear Stress Test it said I had an effusion fraction of 92% and on the echocardiogram it said it had visually a EF of 65%, which one of these is correct. If it is 92% it should be concerning, right? I do not know if I should go to another cardiologist and see what they think or which one to trust.

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

hellhole MI may have been missed as often silent heart attacks are there, your current doctor rightly tells you that at present there is no new heart attack only left ventricular enlargement which may be due to high BP. Diastolic dysfunction is not that risky as a systolic dysfunction and surely your cardiologist know well, Your EF is normal at 65% means ventricular contraction power is good, so nothing to worry. Nuclear test showing effusion fraction 92% may not be worrying your doctor as may well be within normal confines. Trust the senior cardiologist who has seen you and follow his advice for treatment. Normal cardiac enzymes also rule out new heart attack. Don't worry. Consult the cardiologist you last met thanks

Hi I had gums getting red and inflamed in one area for a few years. Its going to be a year since I got a root canal in my front tooth. It was the worst experience ever.. I Have sensitive gums and that drill killed me.. I couldnt eat anything for 7 months bc of the pain than I started snapping my teeth which I couldnt help. I started to feel better started to eat solid foods and I was dying For potato chip.. Wrong move.. I must have nerve damage bc I still have pain and inflamation. My gums get super red and painful at night. I am going to see a specialist tomm.. For the gums! Bc I cant live like this anymore... The root canal I got done made it worse. I was think maybe I need to remove my tonsils?? Would that help. I feel like my teeth are in stress every time eat. I floss every morning and brush with regular tooth brush soft and use a electric tooth brush and tooth pick and after a meal. I feel like every time I eat something its a issue and ordeal. I make sure no food on my teeth. I am not a smoker or drinker & I have these oral issues! I just want to eat a meal with no pain & live my life with no pain in my mouth. This is extremely stressful. I dont use mouth wash bc of the mint flavor.i am allergic to mint, peppermint.. I tried salt water but I dont like the feeling it gives me on my teeth. Plus I only eat one meal a day not to both my gums... But it helps a little bit.. I am really young so dont understand why these issues! Help me out!

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

Hi, Thanks for posting the query, Red and inflamed gums shows signs of infection when you go to the specialist tomorrow get an x-ray done of the involved tooth, also could be possibility of presence of high points in the filled tooth, if so it could be trimmed to normal, take tab almost c TDS and tab diclofenac P TDS for 3-5 days, at home take lukewarm saline NAD antiseptic mouthwash rinses, go for complete mouth scaling and polishing, avoid eating from the involved site, maintain a good oral hygiene.... Hope you find this as helpful, Take care!

I am interested in Thistle Milk for diabetes. My question is how do I take it...pill, liquid...how much of either. I had a heart attack a little over 7 yrs ago and also found out I had diabetes...I currently take 1,000 mg of Metformin HCL twice a day. My son took thistle milk for his diabetes and he no longer has it. He was just told he was doing well...as long as he didn t over do it. He was drinking a 6pack of coca cola a day.....Anyway...just interested if this would help me.

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Welcome to Chat Doctor! Milk Thistle is known to be possibly effective for lowering blood sugar at dosage ranges of 200 mg three times daily for 4 months. I do want to caution you that we do not have a "cure" for diabetes and by using this treatment you may not be helping yourself at all in answer to your question. I can offer a possible explanation, however, as to why your son may have "improved." One, he could have had a viral infection that temporarily affected his pancreas and thus his blood sugar. When the infection cleared, so did his blood sugar. Or, as you say, he still has it, but his blood sugar is much lower because he quit Chat Doctor. I could possibly provide you more effective additions to your Metformin treatment if I knew more about your condition. Personally, if you were my patient, and you were looking for a herbal treatment I would use Barbering at 500 mg two times per day. Studies have shown it to be as effective as Metformin in lowering blood sugars. A side effect of Barbering might be weight loss. And, I would also recommend a healthy diet and exercise program to accompany the treatment. However, you are already on Metformin with heart problems with both conditions being interrelated. Interfering with your current medical treatment by adding a herb that works similarly as your medication may negatively affect your health profile as a whole. I do advise, however, that if you have been on Metformin for 3 years or more to have your B12 level checked since deficiency of this nutrient becomes more common the longer this medication is used. Always talk to your doctor before self-treating. My sincerest regards, Kathy J. Shatter, MS, RUN

I am having left back pain and it travels around to my abdomen for about 4days. It feels really warm most times my abdomen. The pain also shoots down my legs or up to my neck. Then my head starts shaking involuntarily. I am so confused as what to do. Please help

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Hi welcome to ChatDoctorI have gone through your query regarding shooting pain from back to abdomen and to legs and can understand your concern. Dear, feeling of pains anywhere in the body is very common, and every one experiences pain at one time or the other due to some reason. Sudden onset of back to abdomen or to leg pain is commonly associated with your digestion system, the gastrointestinal tract from a gastric or duodenal ulcer, or a foreign body or chronic inflammatory processes, and large bowel obstruction. Gas formation is the prominent symptom bothering anywhere from head to toe. Often, musical back pain is due to either deconditioning (lack of strength) or overuse injuries. Muscle strains, sports injuries, auto accidents, or other injuries can all result in pain from muscular irritation. Low immunity due to lack of activity, lack of essential nutrients & hydration and faulty lifestyle are some basic causes for your sufferings. A correct diagnosis of back pain and stomach requires diagnostic tests (such as an MRI scan) and correlation with physical symptoms are required to determine the extent of the problem and develop a treatment plan. Getting Inclusion of balanced diet with essential nutrients and antioxidants in natural form, plenty of fiber, raw ginger, garlic, calcium and vitamin C, D, a spoon of Turmeric powder and 35 ml of Aloe Vera help boost your immune system which may help prevent some health problem which can lead to compression fractures and back pain. Regular walk, stretching exercise-from head to toe when you are not in pain, yoga, Panama, deep breathing, meditation. All help alley pains and give resistance to body from diseases and gradually help alley pains, will gain health. Avoidance of fried, fast foods, tea coffee, alcohol, smoking over exertion, sleeplessness dehydration, all further help cure. Take 2-4 doses of Homeopathic ColcChatDoctor 30 / half-hourly to alley pains Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query.

Hi Doctor, Im being treated for Veridians Streptococcus. Have been for over a month now. At first I was given 5 days of Amikacin in injection form 1gr/per day. I had no signs of improvement and was then prescribed Cefalotin for 5 days, injectable 1gr per day. I completed three days of this and went back to the doctor because this also had no beneficial effects whatsoever and I was prescribed 10 days of 750mg tabs of levofloxacin. Im five days into treatment and yet again no signs at all of improvement. I went to another doctor today to get a second opinion and he told me to discontinue use of levofloxacin and start with a 5 day treatment of ceftriaxone injections at 1gr (which I havent done yet) At this point Idont know what to do or who to believe.... My symptoms are not severe or very discomforting in terms of pain, difficulty swallowing etc.... In fact if I hadnt looked in my throat about a month ago and seen the white lump on the side of my throat I would of never suspected I had Strep, as it only tingles a bit here and there. During this time it has niether spread, or become bigger/smaller. The only new symptom recently is a sporadic wheezing cough. I would l really appreciate any input that could lead to finally getting rid of this.

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Thanks for posting your query to ChatDoctor.no need to be worried I can understand your concern and guide you about treatment as I understand it is an upper respiratory tract infection (URI).white lump is not always a Streptococcal infection it could be due to some other infection or may be tonsillitis.first you need to do :Culture and sensitivity examination of your throat swab to microbiology lab . It will guide you about exact cause for your URI.presently you should satrt1. Gurgling with Provide iodine gurgle 3 times per day .2. Take vitamin C 500 mg daily.3. Multivitamin and zinc tablet.presently stop taking antibiotic. Along with this can consult to ENT surgeon for examination undergo examination .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask.

my name is joey. in 2006 i lost my leg after a injury,it had got a staff infection. i have had to go in the hospital several times since my amputation. i just got out of the hospital 2 days ago because the infection returned and had made a couple of soars on my stump. im now out of the hospital and i think the infection is gone but not really sure. my leg looks better but is still very painfull. what do you recomend as far as what i can put on my leg to make it feel better? also i have been told that once you have ever had a staff infection it never completely leaves a persons body is this true? my age is 49 i am 6 feet tall, i weigh 262 i have high cholestrol,diabetic,heart rate problem,blood pressure problem,bad nerves,i take effexior 150xr,and a couple other nerve medications,copd,and i still smoke. do you recomend some type of ointment to put on my leg to help the healing process?

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Greetings, Welcome to Chat Doctor. Staphylococcal infection is the most common infection related to skin, and it also usually infect wounds after surgeries. The first medication which is given in staph infection is combination of amoxicillin + clavulanic acid. This medication covers the infection very well. But many times this infection becomes resistance to this antibiotic. In that case there are other medications. But a pus sample is tested in order to know which antibiotic is effective in such cases. That way we can give the exact effective Chat Doctor. As far as you wound is concerned, it is important to know if you wound seems to be infected on inspection. Or do you have fever. If so then you need treatment and wound care would also be needed. IF you don't have these problems then there is nothing to worry about. As long as your blood sugars are continuously well controlled your infection will be also well controlled. Smoking in addition to diabetes rings alarm bells , So I recommend strongly to quit smoking now before It's too late. Ointment can be given like poly fax ointment, But has limited role if infection is widespread. I hope the answer was helpful. In case you need any further assistance feel free to contact in writing. Regards

Hi, My age is 41 and my height is 6.2 just 3 day back, I was detected for Jaundice . During USG abdomen study, the reports said that I am having a hepatomegaly with diffuse fatty changes Liver. and Right lobe span 16.5 cm .at that time, my weight was 84 kgs. I dont have smoking but sam tine drinking habit. and my job in construction company many time food diet out side of home . My questions : 1) Does Fatty Liver is a serious issue? 2) What are the Steps that I need to follow to bring back my liver to normal? 3) What kind of a Food diet that I need to follow? 4) I need to be take any medications? Please advise. I am very much worried about the Fatty Liver. Thank

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Hi, Welcome to the forum. It is nice to know you are interested in getting well. Yes, fatty liver is a serious disease when left neglected, it may lead to jaundice, hepatitis, cirrhosis, liver failure/ liver cancer and finally death. If a person is aware, the situation can be made better. To bring back the liver to normal should be your goal. Liver is the largest and the most important organ of the body. You should get immunized with hepatitis A, B and C. This is a precautionary measure that can be taken to help the liver get better. You should consult your treating doctor about which vaccination will be the best for you. Furthermore, you should lose your weight, exercise regularly, take plenty of water (pure and hygienic). Furthermore, you should quit smoking, alcohol or any other addiction. Cut on your carboy Chat Doctor. Take more fruits, juice and veggies. Prefer boiled and blanched food over spicy food. Eat papayas, take sugarcane juice (these are good for the liver). You can take white meat (limited). Eat whole wheat grain products, eat low fat milk products. Yes, you should keep in touch with your treating doctor and take medicines as prescribed. Some appetizers, antacids and liver tonic will be very helpful for you. Strictly follow the doses prescribed by the doctor. Adequate rest and good sleep are essential for a healthy liver. Have a good day. Take care.

MRI findings explained......I m unsure of the diagnosis....I have a Doctor appt to follow up. (Orthopedist surgeon who performed the surgery). I ve had non-stop pain in my shoulder, upper arm, elbow, wrist and now hand, following a rotator cuff repair just over a year ago. It s been dismissed as arthritis in my neck (internist said it s very mild arthritis) and hand. I m not ready to live the rest of my life with this pain which increases when I m at rest, mostly at bedtime. The pain robs me of sleep.....And I do not baby the affected area during the day. I figure movement is probably best as long as I don t overdo it. MRI Findings:Postoperative changes are present with anchoring screw within the greater tuberosity from previous rotator cuff repair. There is moderate partial thickness recurrent undersurface tear noted without definite retraction or full-thickness tear. There is some free fluid in the subacromial bursa and if nonretracted full thickness tear is suspected, MRI arthrogram is recommended. The infraspinatus, biceps, subscapularis, and teres minor are intact.No evidence to suggest labral tear.No evidence of fracture or marrow edema.Mild glenohumeral arthrosis noted with joint effusion. Acromium is type ll with moderate acromioclavicular hypertrophic changes creating moderate impingement in the neutral position. Impression:1. Previous rotator cuff repair with recurrent moderate partial thickness understructure tear. There is free fluid in the subacromial bursa if nonretracted full tear is suspected., MRI arthrogram is recommended.

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

Hello, Welcome to the magical world of health care, I went through your query, and let me explain what is going on, despite surgery your acromion is probably hurting your cuff and that has now again torn but to a lesser extent, this has caused irritation of the adjoining structures and thus fluid is present. My advice would be to stop all exercises, take anti-inflammatory medication for 3 weeks and let it heal. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks.

Swollen stomach,conspitpation,pass no gas,pain in upper right abdominal area under ribs,pain in middle of upper abdominal area going into back,walking makes my stomach swell more than it already is. I had gallbladder removed,complete hysterectomy,had appendix removed. Been like this for 2 years.Had all the test that can be done and still no answer to my problem, can you help me?

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Hi! From your history of repeated surgeries you underwent, there are a few possibilities which should be looked into. Without having the details of the investigations you have undergone till now, following is suggested:1) With the surgeries you have undergone, immediate clinical diagnosis whicChatDoctores into mind is multiple post-operative adhesions of the intestines to the previous scars, due to which the intestines are not able to move smoothly and propel both liquids and solids resulting in sub acute to acute intestinal obstruction. In this case the person gets recurrent pain abdomen with inability to pass stool or flatus. Since you have got the problem since last 2 years, it seems more like a sub acute one than acute. For this you have to consult a general surgeon, who will examine you clinically preferably during an attack, and may advise you for a few investigations, like TLC, DLC, HBO, X-ray abdomen with diaphragm in upright position, and an ultrasound. 2) Next, with history of cholecystectomy, one has to consider stones in the CBD, and any pathological process n the pancreas. This will also need some special investigations like ultrasound abdomen, or may be a CT scan of the abdomen if advised by the doctor. Along with this, serum amylase, lipase, and an LFT might also help.3) Sometimes irregular dietary habits may also be the culprit. Try to take fat free meals at regular intervals, with more of roughage, and liquids and a regular exercise program depending on your age and body weight.4) Fall these investigations are already done, and nothing could be detected till now, then you may have to consult a laparoscopic gusto entomological surgeon, who may consider doing an endoscopic examination of your intestinal tract and also a diagnostic laparoscopy of the abdomen if thought appropriate in your case. Wishing you an early recovery.

Since I was young like k-grade, it hurts my TEETH to touch certain things, usually only if my hands are wet or sweaty.Heres a list of things that hurt my teeth to touch with my hands (these things never even touched my teeth and it hurt them) ::::Paper TowelsToilet PaperWoodPencilsChalkDirtWallsCrayonsWashing Dishes bothers me too.Paper/Book PagesI can touch magazines, but not book paper/pages, I dont understand it.When I eat hot/cold or sour/sweet things, I breath in cold air, my teeth feel like Im chewing on a aluminum wrapper.When I was in band my teeth felt like they were burning in acid when my teeth touched the clarinet reed.... same for me recorder instrument. The same things happen if a straw from a drink touches my teeth.For a while when i put lotion on it helped kind of numb that feeling.... touching things still bothered me but it felt more irritating then acid for my teeth, like the lotion brought on a layer, like gloves.Also hearing certain things hurts my teeth to, especially grating sounds like someone scratching or writing on a chalk board, I cant stand it. It feels like my teeth are going to pop out of my mouth.And lately in the last two weeks lotion isnt helping me anymore. same lotion, same brand, it worked last month.... but its not helping anymore, in fact it makes my hands feel sticky which hurt my teeth more.Can someone please help me figure this out?

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Hello, Thanks for posting your query. The sweaty hands are usually associated with people suffering from hyperthyroidism. Regarding your dental health is concerned, the sensitivity of teeth may be due to-Dental caries, gingival recession, regressive changes like abrasion, erosion, I would suggest you to get a direct clinical examination by a dentist to rule out the cause of this. Get your teeth cleaned. Decayed teeth have to be restored. Exposed dentin or root portions of teeth has to be restored using tooth-coloured filling materials. Use desensitizing toothpaste and soft-bristled toothbrush to clean your teeth. Brush your teeth in back-forth and up-down motion. Avoid vigorous brushing methods. Take care.

Hello, I have a discomfort, it is on the left of my breast bone, going under my breast, around my side, and will also be directly through to my back from the point of left of my breast bone. I have been having this since April 9th. I wnet to my local Urgent Care facility, and the chest X-ray, and EKG came back fine, but I still have the paiins. I am a woman, almost 44 years old. I do not want to go to the local emergency room and waste their time. In the range of 1 being low pain to 10 being severe pain, it ranges from 3 to 5. Sometimes the pain next to my breast bone is sharp, but mainly it is a constant discomfort. Medical history is a small hole in my aeortia, not large enough to preform surgery, I was toldit was a heart murmur, but the Urgent care physician said she did not hear the murmur. Parents only have high blood pressure, NOT me. Paternal grandmother has angina attacks, I do not know how often, I do not think it is very often my parents wouldhave told me. Other than that there is no othre family history of heart issues. With this information coud you give me your best answer? Thank yu very muchPatricia

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Hello, I need to know more about the symptoms, like precipitating factors, factors that increase pain etc. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Secondly does this pain increase on applying pressure over the area, if yes it could be Costco Chat Doctor. Does this pain increase on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs NSAIDs treatment and evaluation. Reply if you have any doubts.

Hello my name s Tony I have the question hope you can help February 19th 2016 walking inside my local Walmart store I stripped a brace kit for call Paula after doing that I ve had problems with my back my left leg swells up from the knee down to the foot from the knee up to the groin it gets numb sometimes warm I have been to a orthopedic surgeons couple of them have had several MRIS the orthopedic surgeon does not know what my problem is cuz my spine is perfect she referred me to their neurology department the one doctor ordered a test when I took the test the technician seeing what was going on got ahold of the doctor they both looked at the numbers he ordered her to continue on in my groin area in my right arm EMP test it was check my nerves he came back in and who repeated the whole cast he said he s seen what was going on he decent numbers and send it to the first thing first neurology I seen who ordered the test I seen him Friday and he said everything came back normal but the doctor done the test said he seen the problem the doctor why do I have severe back pain why do I live and why does my left leg swell my family doctor has put me on some medication that help ease the pain but it doesn t I don t know what to do

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Cellophane you for trusting ChatDoctorDear nothing to worry How old are you?? Have you suffering from diabetes or long-standing pain in lower limb? Dear your symptoms mostly my point of view suggestive of venous reflux. Hot and burning leg skin is often caused when leg veins do not properly circulate blood back towards the heart. Sometimes, leg veins fail and the blood that does not properly circulate to the heart often pools and remains in the leg. The excess blood in the failed veins then makes the veins swell, and the swollen veins can leak blood and fluid into the surrounding tissue of the leg. But you're also complaining of back pain possibly it may be due to back muscle spasm or lumbar spondylosis. Take physiotherapy and exercise may useful. Simple painkillers may also useful. You just examined joints of your leg and nerves conduction. What about the venous system or arterial system?? Please get examined color Doppler of lower limb and consult your general surgeon/vascular surgeon they will examine and treat you accordingly. Take care

ANXIETY OR SOMETHING MORE?Ok for as long as i remember ive had problems with things being close to my eyes and glares. Even my eye doctor visits are torture. Here over the last couple years and more recently Ive been having episodes while im driving. Im fine if my windshield is clean but the moment i get a speck of mud,bug or even rain within my field of view i start having issues with keeping focused and if i have the wipers going holy crap its really hard to concentrate. Night driving has been getting a little harder because of this and the headlights of oncoming traffic make it almost impossible.Eventually i work my way thru it but it seems to be getting worse. What should I do? I cant find anything online that resembles my issues. Is it just anxiety? What makes things worse is im considering Lasik which i think is mentally driving me crazy.Physically i want/need it done but mentally just thinking of a person that close to my eyes makes me sick. personally I think im screwed. I dont know what to do and i dont want to look like a psycho to my Lasik doctor who i meet in a week for the first time. HELP!

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Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your problem. In my opinion this is not anxiety. In psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. 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. Though the basic problem is obsession, you are anxious about your obsession. In that case, you need counseling and if need be psychotherapy. Consult a psychologist. 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.im a female.age 26.since last two nights,after having dinner, after about 10-15minutes, my heart beat increases and i feel like my heart is under some pressure and some one is squeezing it very hardly, due to which i have to breath hardly. but when i sit and lie down,it goes away in 5-7minutes.. im married and trying to conceive,so i am having Pregnacare(multi Vitamins) past 2months. just informing you on the medication.im really worried.please guide me.

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Hello and thank you for using Chat Doctor. I carefully read you question, and I understand your concern. I will try to explain you something. There are different reasons that might cause increased heart beats. Simple physical or emotional stress, caffeine products might cause increased heart frequency so It's mandatory to avoid them. After eating, our metabolism increases, so it might be normal to have slight high frequencies for a while. Or it may be another problem. When you eat, the abdominal distention rises up the diaphragm and in a secondary way might trigger the heart for higher frequencies. A simple gastro-ezofageal reflux or the food that comes back from stomach to esophagus all saw might be the cause. There are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. When you experience a high frequency, it might be normal to experience palpitation, chest discomfort, pressure and breathing difficulties. So, if I was your treating doctor, as you allays connect these symptoms with eating I will recommend a gastroenterologist consult, a fibrous-gastroscopi maybe to exclude any problem like re-flux, diaphragmatic hernia etc. After this I will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. This is necessary to have a full view of your mean frequencies during day and night. After these, a full blood check up to exclude anemia or thyroid problems as you want to have a baby soon. Doing these examinations helps us understand if it is necessary to treat this high frequencies or not. You should not be worried, because this is nothing serious. Hope I was helpful. Wish you good health. Best regards.

My father was detected for cancer of colon in March 2010. Surgery was carried out and biopsy revealed stage III (T3 N2 Mx). CT Scan and Lung X Ray stated that cancer had not spread to the Liver, pancreas, spleen, lungs.Pre - Surgery CEA level was 20. Post operative Chemotherapy was carried out detailed as under:Oxaliplatin 85 mg/square metre in 250 ml of 5% Dextrose IVI over 2 hours on day 1. Folinic acid 350 mg IVI in 5% Dextrose over 2 hours on day 1 5FU 400 mg/sq metre IV bolus on day 1 5FU 1200 mg/sq metre IVI in normal saline over 23 hours on day 1. 5FU 1200 mg/sq metre IVI in normal saline over 23 hours on day 2. 12 cycles at 2 weekly intervalsThe CEA levels were checked half way through the Chemotherapy and was 3.8. However now one month post completion of Chemotherapy, the CEA levels have shot up to 78. The CT scan however shows no abnormality. While the doctor has reccomended PET, i am confused as to why the CEA levels would have shot up and if there is any cause to worry and panic? Could this be indicative of cancer being in blood or any other organ?

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

HiT hanks for askingBased on your query my opinion is1. Casino embryonic antigen/ CEA is a protein which is normally detected in fetal gut tissue.2. Its levels decrease and very low levels are detected after birth.3. CEA levels can be elevated in both benign and malignant diseases, so it is not used for screening of colorectal cancer. 4. Its use is limited to determining the prognosis and monitoring the response of tumor to therapy.5. In your fathers' case the levels started to fall during treatment which is a good sign suggesting of response to therapy.6. However, rising levels following treatment is quite alarming, indicates recurrence or possibility of metastasis which needs to be further investigated.7. If recurrence or metastasis is not found then other benign causes like cirrhosis/ peptic ulcer/ hepatitis/ colitis needs to be looked for Hope this helpsRegards

Hi, my name is Jennifer, I am 37 yrs old and my mother has MS. I have been experiencing some symptoms related to this disease. I was just looking up some early warning signs and there were quite a few on there that I definitely do have. Now whether it s MS or not I can t of course make that diagnosis on myself. There are 21 of them however that I do have. The ones that are more noticeable than others are the tingling in the toes, feet and fingers, urinary incontinence , frequency in urination , urination urgency, short term memory loss and unsteady gait/loss of balance are just a few of them. I am of course going to see my physician over this, but I was wanting to get an opinion from someone on what they think all this could be meaning. Also, I don t have regular insurance, I am on a medicaid card so I don t know how serious my physician will take me about all this. I know I m not imagining these symptoms is the thing. It s been going on for quite some time now. I had a regular Dr but he moved out of town so I am in the process of finding a new one....which I will very soon. Thank you for your time and I will wait patiently for an answer.

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

Hi Jennifer, thanks for the query. As you might have already searched & know; multiple sclerosis (MS) has plethora of signs & symptoms. But it can present in various ways including tingling numbness, urinary incontinence or even frank Psychiatric problems like depressive symptoms, manic states etc. Usually the common ones like tingling numbness, gait imbalance, urinary incontinence are screened for by doctors. But you DO need to know that MS is NOT strictly a hereditary disease. Hence, you are at a slightly higher risk, but it does send mean you are having MS for sure based on having some symptoms like tingling numbness, incontinence (you mentioned). Hence, try to relax first. Then visit your Neurologist who with help of your history, clinical examination & MRI Brain (if needed) will diagnose or RULE OUT MS! Lastly, MS is no longer a disease with grave prognosis as it used to be once upon a time & with advent of new Chat Doctor. Hope this helps.good luck

hello, doctor iam facing a sever back pain in the mid of my spinal bone for several days and i cunsulted a doctor and took my x-ray and MRI scan in which it shows some L1, L2, D11,D12, and D10 had some prob which is causing a back pain and says it could be an Spine TB so just advice me where to get the good treatment in hyderabad, India.

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 queryIdeally, I would have liked to see the film of the MRI. Your report tells me the level of the problem. However, it does not tell me the extent of the problem. For that I need to see the film of the MRI or the x-ray directly. You could have uploaded the image. Your report says that the radiologist suggests that the problem may be due to tuberculosis. Now for TB, we have quite an effective treatment that you can have to cure yourself. The Tb is a bone TB, so the treatment will have to be taken for longer time than usual. As for a good hospital, you could always go to Apollo in Hyderabad. Meet any physician there, and you can be initiated on treatment. Of course make sure you are comfortable getting there. You may have to go there periodically for monitoring and update and modification of treatment. Do an LFT prior to starting medicines. 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 sister-in-law made a suicide attempt a year before ,as she was illtreated by her husband and her relatives.now she got recovered and both of them joined together six month back and leading Somewhat happy life with their girl child at age 10.her husband works far way from the hometown And comes home 3 or 4 times a month and gives her a call daily. The real problem is she is depression ,Always being frightened about genes ,thinking like gens are exploiting her and her kid to prostitution.But Nothing like that happened.she is not also coming for a phychiatric treatment ,believing that ,that theyWill bring out some truths in her life.Can you please tell me how to act in this situation to recover her from this fear.

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

Your question is somewhat difficult to understand, but I am answering in my way. So your sister-in-law had made a suicide attempt last year and reason behind this was wrong behavior of her husband. So she may have depression but u can not name any psychiatric disorder, without knowing the symptomatology. Now, she is living with her husband but most of the time she has fear of any male person who will exploit her [sexually] and take her baby girl to sex trafficking. According to you this is present without any truth behind this. So this must be delusional fear, part of psychotic illness. It is not depression. She is denying to consult a psychiatrist with a fear of possible exploitation from him also. This can be a long-standing schizophrenia, I can not stamp her as a person with schizophrenia but at least she has psychotic illness and has no insight. So psychiatrist consultation is must. You can give her medications like antipsychotics, but proper interview is must. Meds u can give her are:tablet. TOPAZ MD [10 MG], half in the morning and one at night after dinner if she denies for any meds, u can give these tablets in water, juice or in food, because this is a mouth dissolving preparation of olanzapine. If she will take it regularly her symptoms will decrease in severity and then u can take her to a psychiatrist.do not give medications blindly for long duration without consulting expert.

Hi. I had a housemate who had this grotty blistery thing all over his feet, which I seem to have caught. I had hoped that when he moved out it would have cleared up, which is not the case. Between the toes, and on the side of my foot Ive had several outbreaks, and when the blisters burst it seems to spread. The blisters and sites in general are very itchy. In the last week I had a large one of these blisters develop on the bottom of my foot, and when it burst it has become quite painful and red and seems to be infected. The skin around this area is also very itchy and is painful to walk on. In the last two weeks I have been working in a very dirty workshop, which would include exposure to dust, dirt and chemicals, and since my work boots are old and full of holes it is more than possible that some of this stuff has gotten into my shoes and to the infected site.Now, Im planning on going to the free university doctor on Monday, because as a student I cant afford to go to one of the emergency weekend docs, so I would like to know if there is anything I can do to reduce swelling or fight infection in the meantime.Thanks muchly :)

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

Hi there, As you have rightly concluded, we need to deal with the wound infection first, and deal with the blisters later when your university doctor can have a look at it. What I would recommend right now is some anti-inflammatory tablets like diclofenac or even ibuprofen to help deal with the swelling and pain on walking. For the infection itself, if you could get your hands on some antibiotic cream like mupirocin or acidic acid it would be useful to apply it twice a day to help control the infection. If you are not able to get the antibiotic cream, find yourself some antiseptic cream with chlorhexidine or iodine to just help kill off whatever surface bacteria is there. Try to clean the wound twice a day with some antiseptic solution to just get rid of any discharge and bacteria that is collecting on the surface. Keep it as Chat Doctor. Your university doctor would reassess it on Monday and be able to prescribe you oral antibiotics if needed, and further treatment for the blisters itself. Hope this helps.

Dear Sir,we are trying from last 2 years , we went through all tests for pregnancy. came to know through HSG one tube was blocked and other is working fine. Dr. suggested for Hysterolaparoscopy and its cost around 30k in noida.Can anyone help me with my queries..1. Has anyone done this and got pregnant later?2. If my block is removed in laparoscopy (Hopefully i can get pregnant naturally) 3.what are the precaution we have to take?4. is one tube is not sufficient for get natural pregnant?5.what about the success rate of this surgery and side effects?Please help me... Im in a lot of confusion. Should I go for this???

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

Hi, I guess your concern is about getting pregnant with one fallopian tube or if not then what its treatment. Let us discuss your queries on by one:1. Has anyone done this and got pregnant later-YES. It is effect.2. If your block is removed in laparoscopy, you can get pregnant naturally. No doubt in this. You can go through it without confusion in your mind.3. What are the precaution we have to take-try to do coitus in the fertile period (it starts from 10th to 16th day of menses) during which ovulation occurs, sperm fertilizes the ovum and women becomes pregnant. Chances of women getting pregnant is high during this period. So try to do more episodes of coitus during this period coitus.4. Is one tube is not sufficient for get natural pregnancy - YES, ITS SUFFICIENT for get natural pregnancy, but chances is may not be as equivalent if both tubes are patent. But chances are enough to get pregnancy naturally.5. What about the success rate of this surgery and side effects-success rate is quite good. But it depends on surgeon experience and infrastructure where the doctor is working. After blockage removal, try to do coitus in the fertile period as explained above. Try to discuss freely n openly with your treating doctor without any hesitation. They have done specialization in infertility for the purpose of the people who have this kind of problem, they would be happy to solve your doubts. I hope this is informative enough, useful and helpful for all your queries. Let me know if I can assist you further.

My platelet count is 80,000 and has decreased from 160,000 in the past year. Hemotologist just wants to monitor every two months. I had a bone barrow test one year ago. No findings although he said he did not get a good sample. Did not want to repeat. Should I be concerned and seek a second opinion? Recently have had more difficulty with small cuts bleeding more than usual. Thank you.

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

Hi, This condition of decreased platelets is called thrombocytopenia in medical terms. Decreased platelet count may have several causes such as Chat Doctor. From the description that you have given your condition appears to be adult ITP (IMMUNE THROMBOCYTOPENIA). It occurs due to molecules called autoantibodies on the platelets surface which destroys the platelets. Autoantibodies in simple terms is like an army that attacks the people of its own country. I would suggest that you get a peripheral smear evaluated along with your complete blood count by a hematopathologist. You may also get a Combs test done to find out if there are other immunological problems that are getting your platelet count down. I presume that your initial work up would have also included HIV testing as HIV can also cause low platelet count. However, in your case this does not appear to be the cause. The most important advice I would give is to monitor your platelet count regularly. Repeating the bone marrow test is not necessary for ITP as the problem is not in the marrow. If the platelet count falls below 50, 000/ cu. Mm then your doctor should be notified. Platelet counts below 20,000 have a risk for causing bleeding within the brain. Adults with platelet counts >50,000/mm3 do not require treatment. Treatment is indicated for adults with counts < 50,000/mm3 with significant mucous membrane bleeding. Treatment also is indicated for those adults with risk factors for bleeding (e.g., hypertension, peptic ulcer disease, vigorous lifestyle) and in patients with a platelet count < 20,000-30,000/mm3. If your platelet count falls to a very critical range your hematologist may treat you with medication such as glucocorticoids, IVG immunoglobulin or newer

I have a 23 yr old son who is 6ft.6in tall and weights 275. He played college football for 5 years and just recently graduated. Last year during late summer, he was having difficulty breathing and started with terrible night sweats where he would totally saturate the bed and it was very foul smelling. The Football team doctor ordered a chest X.ray and other tests and then referred him to a Pulmonologist. He was then diagnosed with Cocidiodomycosis following a lung biopsy. He was treated with medication for approx. 4 months and a follow up CT Scan and he was feeling better so the doctor didn t feel he needed the medication any more. The night sweats started back again a few months ago and he went back to see the Pulmonologist, but he was told it was not related to his previous fungal lung infection because more tests came back normal. However, the Pulmonologist did make a notation that he recommended he see an Endochronologist which I was not aware of the notation until just recently. My son is still having night sweats about 2-3/wk and he also has spells of vomiting a couple times a week. Last night he woke up from a deep sleep and said he couldn t breath and then had projectile vomiting for what seemed about 10 minutes. He feels back to his normal self when he is done vomiting. He didn t know what had just happened and didn t remember voimiting all over the bed until he actually saw it. We are so puzzled by all of this. He just moved to Nashville and we are looking at getting him into a physician there to do a thorough work up. My son was also diagnosed with several allergies and acid reflux about 6 years ago. His symptoms were mild and controlled with medication, all of which he quit taking after about a year because he felt better.

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

Respected user, thanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems in relation with underlying lung infection , ulcer problem and anxiety induced exacerbation of agony symptoms.* Treatment is multi modality approach - Control of lung condition by expert pulmonologist - Care of acid reflux component with dietary management, lifestyle changes, medications for the same - Management of stress, anxiety levels - Avoidance of smoking or alcohol if doing . Hope this clears your query. Welcome for further assistance. Regards.