instruction
stringclasses
1 value
input
stringlengths
8
1.84k
output
stringlengths
401
2.11k
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, I had a bad stomach infection with gas, bloating and pain after eating. There were some intermittent loose and semi formed stools. Took home remedies and 3 tabs of Dependal. Gave it a days break and took Norflox TZ. Got much better after 6tabs in 3days. Should I continue for 5 days of 10 tabs?
HiT hank you for asking ChatDoctorI have gone through your query. Depends and Norfolk TZ are antibiotics which can cause serious side effects like clostridium difficile colitis when used not judiciously. So avoid it without written doctors advise. As you taken three days further continuation won't be needed. Take probiotics. You can take yogurt, kefir or bifidobacterium preparations for this. Taking banana is also good. Applying warm water bags on abdomen is helpful also. In case of diarrhea take fluids and electrolytes like ORS or tender coconut water etc. If it continues to do a stool routine examination and consult your doctor. Hope this may help you. Let me know if anything is not clear. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
i got my semens anaylysis test report.... Total sperms count 53million 1% sperms actively motile 2%sperms sluggish motile 97%sperms non motile 20%sperms are abnormal RBCS....nill WBCs....15-20/HPF Epithellal.....nill 1 want to know how to active dead sperms and how much time it ll take....i totally vegeterian....never take any type of drugs......
Hello, Welcome to Chat Doctor, I am Chat Doctor, Firstly, Sperm count is within normal limit (normal is > 20 millions /ml as per WHO 1999). Motility is very much low (normal is > 50% as per WHO1999). Pus cells are very much increased. It indicates an ongoing lower urinary tract infection. For having back the normal condition, you have to take antibiotics. Consult with an infertility specialist/ general physician for prescribing ciprofloxacin group of Chat Doctor. After completing the course of antibiotic you have to repeat the test again. Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
I am 30 years old from sri lanka/weight is 65kg, Height 5ft. I am suffering pregnancy problem from 5 years. I had polycystic ovary and did R Oophorectomy /remove right side ovary . I tries 4 times IUI .but not positive. this time my dr says u have to do a HSG he decided to do that 14 day from my periods. I want to Know is that correct thing? and he said after this treatment u can get natural pregnancy is that true?
Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: No doctor is wrong. HSG is a test to see tubal patency only. Just having tubes open does not mean you will get pregnant. Your right ovary should not have been removed. Who ever did it was a great mistake. They reduced your pregnancy chances by half. Please see an IVF specialist in Sri Lanka. Stop going to this doctor you have mentioned. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi.Age-20 yrs.height-166cms..weight-58kgs.Problem-Asymtomatic kidney stones in both kidneys since 2 years.I have no pain and no symtoms.Some doctors say it is a parenchymal calcification or some deposition in my nephron area.Both the stones are of 4 mm and are in midpole.They say it cant be operated by lithotripsy .I am totally confused .Please help me out.
HelloYour findings suggests small doubtful calculus in mid-pole of both kidneys. As there is diagnostic dilemma, I suggest for non contrast CT scan of PUB region. CT scan can assess exact position of calculus. If it is diagnosed as parenchymal calcification then you may not need further treatment. If it is found in collecting system then you may need treatment. It may be in the form of conservative treatment. You may also need routine hologram, random blood sugar, urine RE/ME. As size of doubtful calculus is small in your case, it may be flushed out with HY Chat Doctor. Get well soon. Take Care
If you are a doctor, please answer the medical questions based on the patient's description.
Hi there Doc...I wonder if you can please assist me... I started getting ill last week first it looked like a cold or something in my eye then I started getting ear ace and now sitting with tonsillitis and I have been getting red dots on my legs and feet... can measles start on you legs and feet? I have spots all over my legs and feet very itchy or can it just be a rash?
Hello dear. Thank you for using Chat Doctor. I read your query and understand your concern. I look you are suffering from a viral infection, Hand-foot-and-mouth disease a mild, contagious viral infection common in young child Chat Doctor. Hand-foot-and-mouth disease is most commonly caused by a coxsackievirus.There's no specific treatment for hand-foot-and-mouth disease. Frequent hand-washing and avoiding close contact with people who are infected with hand-foot-and-mouth disease may help reduce your risk of infection. Measles rusChatDoctores from head to feet and goes away from feet to head. So is not it. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
had gallbladder removed 7 weeks ago. am fine for several days and then I will bend or twist a certain way and my right upper incisions (lapro) will hurt so badly and then i will be sore for days again..... just wondering if normal...will be call my doc in morning
Thank you for posting query. Presentation of post cholecystectomy pain.differential: surgical incision pain, fat intolerance or stone remnants in common bile duct. Ultrasound abdomen maybe done to rule out stones in common bile duct and to see the tissue underlying incision.advice:- take pantoprazole 40 mg once daily before breakfast (for the rest of your life)- also get a complete blood cell count(CBC) test-avoid OILY food and FAT diet altogether-avoid eating stomach full and mouth full-avoid spicy food wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi was diagnosed with epididymitis a good while ago. Had antibiotics which cleared infection. Was sent for an ultrasound later as left testicle shrank to 1/4 of its size. Was told no cancer there but testicle would unlikely recover. Any ideas why it shrunk so much and why it will not recover to its original size? Many thanks
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You must be having a severe epididymis infection. Severe infection can cause irreversible damage to the epididymis. As happened in your case. Usually once damaged this epididymis never recur. So in my advice you should leave the hope of recovery. But you can become father if your second testicle is working and non damaged. So in my advice you should not worry about damage to epididymis of one side and use the second epididymis for your work. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi .i have been trying to concieve for the last 6yrs wit no success. Finally last yr i decided to see a gyno n i was diagnosed with pcod. He put me on hyponid n m2tone for 3mnths den on metformin n m2tone bt i jst used for one months coz it gave me terrible side effects. He has now put me on ovacare 2*2 for 3mthns wich IV started today. Tho my pz r not regular. Wat r my chances? Will i concieve soon? Thnx
Hello dear, Thanks for the query. Lifestyle modifications is the best treatment for PCs, hence if you are obese, It's very important to lose weight. Metformin is used for treatment of INSULIN RESISTANCE. In PCs there is usually ovulatory cycles, if you lose your weight ovulation will occur. Hope I answered your question, Kindly reply me if you have any further queries or any comments. I will be very happy to help you. Sincerely, Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I recently found out that the cause of my chronic back pain is herniated disc in my t10-11. Today I have been in a lot of pain but then for the first time I have numbness in my left arm down to my pinkie and ring finger and numbness down my lower left leg and little toe. Then I just started feeling light headed and my teeth/gums feel numb?
Dear patient Your thoracic disc prolapse may lead to back pain and numbness in left side of lower limb and toe. But tingling and numbness in upper limb cannot be explained by disc prolapse in thoracic spine level. Are you having tingling and numbness in left side of body okay or its affecting all four limbs? If latter is the situation vitamin B12 deficiency may be responsible for your symptoms. This needs to be ruled out. I would advise testing for blood levels of vitamin B12 from reputed laboratory nearby you. Meanwhile, start tab regain plus vitamin B12 at bedtime for pain relief. You need to consult expert spine surgeon with report. All the best.
If you are a doctor, please answer the medical questions based on the patient's description.
I am a 41 year old female with RA. I have been taking Methatrexate for several years now (8). It has destroyed my teeth. Right now I am experiencing terrible pain on the right lower side of my head, behind my ear. Could my teeth be causing this? I can feel the pressure start building up and release in my head. Blood pressure ran a pretty consistent 136/80 last night when the headaches started. Thanks for your help.S Musick
Hello, Your symptoms could be related to an infected tooth and the spread of an abscess. Check for an broken tooth, bubbles along the gum and sensitivity to pressure and hot temperatures. A dentist can take an X-ray to evaluate tooth roots and confirm a diagnosis. Take some anti-inflammatory medication such as Tylenol or Advil. You may need a prescription antibiotic if an abscess is present. You may grind your teeth and cause similar symptoms. A night guard purchased over the counter may help you determine if this is a factor. I recommend a dental exam and fabrication of a professionally made, custom fit night guard if needed. Thank you for your inquiry.
If you are a doctor, please answer the medical questions based on the patient's description.
Every spring, I get a rash on the backs of my knees which is hot, bumpy, its red and very itchy. There is no over the counter medicine that has ever helped me, so for years, I just suffer through the 2-3 months that I have it. Sometimes the area gets dry. I have been having this happen since I was 6 years old, and I am 34 now. If I was never able to count on anything else, I can always expect this rash to come back like the terminator.
Hi Dear, Understanding your concern. As per your query you have symptoms of rash on knees which seems to be due to allergic reaction/contact dermatitis as you get these symptoms on exposure to allergen. Need not worry. I would suggest you to keep this area clean and Chat Doctor. You should avoid touching or pricking rashes. You should consult dermatologist for proper examination and go for blood test, allergic patch test and start treatment accordingly. Doctor may prescribe immunosuppressants, along with benzoyl peroxide ointment. Hope your concern has been resolved. Best Wishes,
If you are a doctor, please answer the medical questions based on the patient's description.
I have upper abdomen pain and through the sternum. I cannot lie on my left side, but I can lie some what comfortably on my right. It is hard to breath sitting up right and if I raise my breasts I can breath a little easier but it hurts to do even that. The pain in the abdomen is bilateral. I did do some heavy pulling and lifting this weekend. I also have a temp of 100 degrees Fahrenheit.
Hi! Good afternoon. I am Chat Doctor answering your query. Even thought it could be a muscular strain due to lifting of heavy weight, I would advise you to go to a general surgeon and get your self examined and investigated to rule out any other intro peritoneal pathology, which is not treated soon might cause you mucChatDoctorplication. Till then, you could go for an anti-inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi i have had an eye infection affecting both eyes for 9 months now. It started like conjuctivitis both eyes wer red sore and crusty especially when i wake up in the morning. i saw my gp who prescribed chloramphenicol. this did not help so she said it was like an allergic reation and gave me antihistamines and sodium chromaligiate. she also did swabs whicChatDoctore back clear. however i am still suffering the same symptoms any ideas on what i can do now?
Hi thanks for asking question in Chat Doctor. Here swab comes negative so might be viral conjunctivitis or allergic. Here is some suggestion for you. Use lubricant eye Chat Doctor. Whenever you have sticky discharge, don't remove directly with hand. This sticky discharge removed with cotton well soaked in water. Remove it gently. Do frequent handwashing. Sometime conjunctivitis may be because of rubbing eye with hand or allergy to contact sense. In such case antihistamines is to be used, like cetirizine. Take enough rest. I hope my suggestion will help you.
If you are a doctor, please answer the medical questions based on the patient's description.
Im 40 yrs old, 5 11,210 lbs and no serious medical history. About a month ago i was dragging myself off the bed when i put all my weight down and injured my right testicle,it was swollen and quite painful for a week or so but the swelling went down and the pain has gone,but still after about a month i am left with a hard ish lump which feels like its on the side of my testicle.... Is this just fluid or hard blood left behing from the swelling or something i should really get checked by my doctor?
Hi and welcome to Chat Doctor. Thank you for your query. It sounds like varicose vein or epidermal cyst and usually isn't anything serious. Especially considering that it last for 3 years. If I am right then treatment isn't needed. Just watch for any new signs such as pain, swellings or urinating difficulties. It can also be inguinal hernia if this is prominent when you cough or do exercise. You can do ultrasounds to verify the exact diagnosis but I don't think you should worry. Wish you good health. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
i ve got the birth control rod in been 14 months and 2 months ago i went to have it removed all in i ve had 3 failed attempts the last one sed she couldnt see it but i can feel about 2mm of something under my skin im now getting referred to glasgow for a scan does this mean i ll need surgery or another attempt? im very worried and getting pain down around my elbow .. please can u help? thanks, Mandy
If you've had three unsuccessful attempts, I agree that a scan is necessary to digits out exactly where it is. On e they can see it on the scan, a surgical attempt to remove it should be pretty easy. I understand that you are worried, but it shouldn't be much more than a small incision and lots of local anesthesia to make sure you don't feel anything. I wouldn't try another attempt in the which sounds like it will just cause you more aggravation. So sorry that you have to go through all of this, but it sounds like it will be resolved soon. Please let me know of you have any more questions, and good luck!
If you are a doctor, please answer the medical questions based on the patient's description.
hello i am 25 years old i have PCOD from 2years have i am over weight day by day i am gaining weight. i am having daily twice glycomet sr 500mg tablets. i also have irregular periods i have also taking meprate tablets. kindly suggest me. we are also planning to conceive.
Hello dairy understand your concerned is complex disease and treatment response is variable. I would suggest taking proper treatment under advise of gynecologist with regular follow up and monitoring by USG scan, ovarian follicle study. Your period is irregular and you are overweight. So main aim of treatment is regularized period and decrease weight. Once your period will become regular, chance of pregnancy will be high. You can take crimson 35 for 2-4 months to regularize period. Continue to use glycometMeprate can be used in second half to regularize period can ask for following medicine to become pregnant:Clonidine citrate, Chat Doctor injection and FSH injectionAvoid stress, take healthy diet, Chat Doctor. Avoid excessive sweet, oily/fatty food Hope this may help noncontact further if follow up needed Best regards
If you are a doctor, please answer the medical questions based on the patient's description.
I was diagnosed with spasms in my face been going on for about a 1 1/2 yrs. About 3months ago had botox injections to correct it. A month ago started getting really severe headaches lasting all day everyday. Had xrays and 2 seperate MRIs 1 on head ( all good) 2 on spine (told spinal stenosis today) now I have to see a Neuro Surgeon. I have been experiencing legs and arms as well as head falling asleep. Is there a connection with the blethraspasms in the face with the other ? Also I still have some twitching in the eye and face.
Hi, Thank you for posting your query. Blepharospasm or Botox injections have no connection to your current symptoms of headache and numbness of arms and legs. Since you have some twitches still, next time, a higher dose of Botox may be required. If spinal canal stenosis is causing your symptoms (which is likely), then, the neurosurgeon may advise you for a surgery. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
If you are a doctor, please answer the medical questions based on the patient's description.
HI doctor Iam 27 year old i had chronic testiculer pain (right side) whicChatDoctore time to time my testiculer ultasound and doppler report was normal I did semenal fluid analysis it was normal apart from it contian few RBC and ++ pus ((best regard)) my email adress( YYYY@YYYY ))
HelloThanks for query. You have repeated episodes of pain in Rt testicle and your semen analysis has revealed presence of pus cells and RBC in semen. In view of chronic pain and seem analysis findings the pain could be due to Chronic infection of testes (Orchids). Get semen culture does to trace out the organisms causing this infection and antibiotics to which they are sensitive to so that you can take appropriate antibiotic as per culture report to eradicate infection. Start taking combination of Trimethoprim and Sulphamethaxozole along with anti-inflammatory medicine like Diclofenac twice daily. Later on switch on to appropriate antibiotic as per culture report. It should get cured within a month. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
hello doctor,iam 29 and im 52.iam taking thyroxine since i have gone through thyrioditis and planning to become pregant.my menses periods were regular(28 days) b4 i took thyroxine.now my ovulation and menses are irregular..can i stop this medicine until i get pregnant or should i need to continue..?
Hi, I think you should continue taking thyroxine. First get a thyroid profile done. Also, as your periods are irregular, do a prolactin level and an ultrasound for your uterus and ovaries. You may need some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I have had intestinal problems (diarrhea and soft stools) for over 3 months. I was tested for c-diff and parasites. Came back negative. Now (past month) I am getting numbness and burning skin starting in my big toe and now spreading to my legs, arms, hands, and now face. I think they are related Do you know what could cause that?
HI, thanks for using Chat Doctor Numbness, burning are usually related to abnormal function of the nerves. This is called neuropathy, and it can be temporary or permanent. There are different possible causes. Some of the most common causes are--(1)diabetes(2)kidney or liver disease(3)side effect of medication(4)low levels of vitamin b12 or folate(5)abnormal levels of vitamin b6(6)thyroid disease(7)infection such as shingles(8)trauma to the nerves in the await would be best to be seen to be assessed for neuropathy and possible causes. This would involve physical examination and blood mesosphere are medications that can help hope this helps
If you are a doctor, please answer the medical questions based on the patient's description.
I have had pain in my left armpit since December. I went to the doctor in December and they said it was a really bad sinus infection. I took the antibiotic and it helped but did not go fully away. Now it has moved to my left side and I feel like I have a infection there. What do you think it could be?
Hello, Welcome to Chat Doctor, The pain in the armpit is may be due to infected lymph node, infected sweat gland, blockage of the duct, superficial injury to the skin and trauma to the structures in the armpit. As you have taken antibiotics for the previous infection and it as subsided for few days, and it has come back. You should test your blood sugar level, complete blood picture and blood culture. These report help us find out the exact cause for the symptoms, and then we can decide further mode of treatment. If there is resistance to particular type of antibiotics we need to change them. For the present condition you to follow1. Hot fermentation2. Oral NSAIDs. After the lab report you need to think further course of action. Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
Please type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you Hello.. I have a question I was diagnosed with low grade hpv about a month ago and I wanted to know what are my chances of it going away and how long does it take...Im 29 years of age...I also have about 7 to 8 lymph nodes around my neck for more than a year.. What are the chances of me having cancer?are facing.
Hi, dairy have gone through your question. I can understand your concern. You have multiple enlarged lymph node. It can be due to some reactive hyperplasia, tuberculosis or lymphoma. You should go for fine needle aspiration cytology or biopsy of that lymph node. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
If you are a doctor, please answer the medical questions based on the patient's description.
My last periods was on June 22nd and on july 26th i confirmed my pregnancy .On scanning July 30th the Doctor said there is no evidence of pregnancy and suggested to follow up after 15 days. The IInd scanning showed the presence of pregnancy but no heart beat. After 15 days pain in lower abdomen and bleeding started and i lost my pregnancy. There is a fibroid in my uterus. Shall i be able to pregnant after 3 months.I am 33 years old
Hi, It is unfortunate that you lost the pregnancy. I empathize with you. You did not mention the size of the fibroid and where it is located. Majority of women with fibroid conceive and give birth to healthy babies. So do not worry. You need not wait for three months after abortion to try for pregnancy. You can try for pregnancy in a months time. The fibroid needs to be removed if only it is large and encroaching into the uterine cavity. Take one tablet of folic acid daily. I hope I have answered your concerns. If you have any further queries, do write to me through Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello! Dr. I am forty two years old male with diabetes diagnosed last three years.I am on the drug Glimestar 2 and Alsertaian AM ( for Blood Pressure ). I wanted to know the side effects of these drugs in the long run. Mail Id: YYYY@YYYY (Please answer on my mail id.) THANKS
Hi, Glimestar-2 (glimepiride) is a sulfonylurea commonly prescribed to control blood sugar levels in people with type 2 diabetes. Its important side effects on long run include fall in blood sugar (which can be prevented by its dose adjustment), an allergic reaction and weight gain. Olsertain-AM is a combination of angiotensin receptor blocker (losartan) and a calcium channel blocker (amlodipine) commonly prescribed to control high blood pressure and to prevent its complications. Its common side effects on long run include low blood pressure (which can be prevented by dose adjustment), increased blood potassium, Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
hi, i am 31 years and have been trying for baby for 6mtnhs. my dr. has sugested IUI thi month.my AMH leveles are low at 1.14. she has given me 5 tab of siphene 100mg and HUMOG 75 -4 injections already. One more on D10 (sat).Total 5. she could already see 2 follicles on day 8. Need a 2nd opinion from you regarding the procedure. Does low AMH levels mean infertility? does that mean i cannot conceive naturally?does low AMH means i do not ovulate every month?
Hellowelcome to Chat Doctor A low AMH - suggest that there are fewer follicles in the ovary. The consultant has given you medication to stimulate this follicle which will help you form follicle that might contain the egg. The chance to get pregnant with low AMH is lower than a person with a normal value doing an GUI - it can be made sure that around your ovulation the sperm has been available for you to get pregnant It improves your chance to fall pregnant hope to have answered your query Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
My 8 month old has had little white strings in his poopy diapers lately. Could these be pinworms? I ve never seen this in his diapers before. He s also had projectile vomit a few times which is unlike him. He does happen to be teething. Is this coincidental?
Dear Parent, Many thanks for your question on Chat Doctor .com. Your description does indeed sound like Pin worms. These little worms can often be seen on the surface of the stool. To be more sure, you may see other symptoms of pin worms. They often cause the anus to be sore and itchy, so you may find that your son seems uncomfortable and has some redness around his anus. If you check at night, you may even see some pin worms around his back passage. Pin worms are treated with a single dose of an antiparasitic medication. You should be able to get this from your family doctor. Pinworms do not usually cause child Chat Doctor. He could have a co-incidental virus, or it could be related to his teething. Ensure he is well HY
If you are a doctor, please answer the medical questions based on the patient's description.
My aunt had her big toe amputated in October due to an abscess from diabetes. She had an infection once already. Last week when she went to foot Dr, another infection set in. The culture came back positive for E-Coli. How could she have gotten that in her foot?
Hello, Thank you for your query. I understand your concerns. Your query is understandable. E cold is normally present in the gut and does not cause any harm. But some strains of E Cold can cause intestinal and urinary tract infection. Uncommonly E. coli can cause skin infections especially in diabetic patients. They can cause cellulitis and foot ulcers. When patient has diabetes and if it is not properly controlled, their immune system becomes weakened. These people are more susceptible for uncommon infections and also the infections take a long time to settle down. E. coli could have colonized the foot ulcer from the own gut, from person to person contact (hand to mouth contact), from contact with animals etc. Hopefully her infection will subside as her doctors have found the causative organism. I wish her a speedy recovery. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
My wife had pregnant for last 2 months, and she is patient of thyroid and have a regular dosege of 100 mg of eltroxin, but due to some mistake she has taken 50 mg instead of 100 mg. I have consult the doctor now her FT3 is 2.25, Ft4 is 0.8 and TSH is 51.775, Is it safe to carry forward this pregnancy?
Hello, I have gone through the query and understood your concern. The need for supplementation of thyroxine increases during pregnancy sequentially and the idea is to maintain an thyroid state. This is needed to prevent the risk of abortion, preterm delivery and low birth weight, which are a consequence of uncorrected hypothyroidism in pregnancy. Since the TSH levels are high, the dosage of medication needs to be raised to lower the TSH levels. The pregnancy can be continued after a sonogram of the pelvis, preferably in the trans-vaginal route to check the status. A single fault in the dosage intake is harmless, and it can be corrected by taking another dose. Hope your query has been answered. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello I Am A Concerned Mother, I Am Currently 33 Weeks Pregnant & I Have Been Using Marijuana Up Until A Few Days Ago To Help With My Anxiety And Lack Of Eating Also To Ease Up My Morning Sickness ..... I Am Extremely Worried That CPS Will Take My Daughter Away From Having Marijuana In My Sysytem When I Go To Deliver Her .... I Am Trying To Find The Best Most Safest & Effective Way To Rid My Body Of These Toxins As Fast And As Accurately As I Can Considering I Delivered My 1st Child At 37weeks ...So I m Worried I Won t Have Enough Time To Clean Out My System !! I Would Love To Hear Some Advice & Recommendations On What I Should Do
Hello, Thank you for trusting ChatDoctorThe only thing that can you now is to avoid further use of Marijuana. But that does not guarantee that marijuana will be eliminated from your system completely by the time for delivery as Marijuana can stay in your system for several weeks in chronic users. Hope this answers your questionPlease let me know if you need further clarificationsRegards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello sir. I met an accident 14 days back. Except minor injuries, I got to know that my tail bone got fractured post consulting doctor & X-ray. Presently using ring pillow for sitting, spine position while sleeping & taking prescribed medicines from last 10 days. Also doing home remedies like having milk with turmeric powder & applying mixture of turmeric & ghee on the affected area, But still having terrible pain. Please advice any other treatment/suggestions so that I can recover soon.
Hello, I have studied your case. Wait for few months for relief. For resistant coccydynia sacral local block injection may be helpful. Phototherapy [local injection] may also work for sacral pain. Consult your doctor for injection. Physiotherapy like ultrasound and inferential therapy will give relief. I will advise checking your it B12 and it D3 level. Continue site bath and use of ring cushion. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
Ive had what looks like a rash on the back of one hand for over 3 months. It is not itchy or painful but hasnt gone away. It may be spreading just a little bit... It looks like the skin is a little raised and reddish but no blisters or anything significant.
Hello, You have a history of chronic rash which does not itch. Such rashes commonly are due to side effects/ reaction to medicines you are taking. You have not mentioned what medicines you are taking. It can be due to allergy, an infection like ringworm or due to too much exposure to the sun. Vitamin B6 deficiency also causes such rashes. Do not keep skin Chat Doctor. Take care of your hygiene, avoid exposure to the sun. Take vitamin B6 & folic acid supplements. If sexually active, visit a dermatologist. Get physically examined, get STD tests done to rule out contact dermatitis, psoriasis, etc. If test reports are positive you may need antivirals & antibiotics. Hope I have answered your query. Let me know if I can assist you further. Take care
If you are a doctor, please answer the medical questions based on the patient's description.
Hello. I have had a cold allergie for the past week. Stuffyness, low fevers, yellow nose drainage, etc. But last night i felt my shoulders sore as I bathed. Then I felt a lump. I checked it again, now under the light and it was hard and red, and painful. Ive had this all day today. The lump seems less hard, but the pain is worst. It feels like it has spread to my right chest and the right side of my back close to the shoulder blade. What can this be? I know a doctors visit will clear any doubts, but what are the statistics? I am a 35 year old female
You are suffering from some sort of viral infection and allergy nothing else as your narrative suggests. For this you have to take tab definite 200 mg or tab CEA Chat Doctor. For allergy and common cold you have to take tab Montreal or tab Allegra once daily at night for at-least 10 days. As viral infection will take at-least 5-7 days to recover you will have to wait for that much of time than you will be fine.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi I m wondering me and my partner have bin together for a year now and I recently tested positive for chlamidia. We had a baby in may and I was tested through out my pregnancy and was negative. I am now pregnant again and I was wondering if doing anal can cause chlamidia because he claims he did not cheat.
Hello dear, thank you for using Chat Doctor. I read your query and understand your concern. Arly-stage Chlamydia trachomas infections often cause few or no signs and symptoms. When signs or symptoms occur, they usually start one to two weeks after exposure to chlamydia. Chlamydia trachomas is caused by Chlamydia trachomas bacterium and is most commonly spread through vaginal, oral and anal sex. It's also possible for a mother to spread chlamydia to her child during delivery, causing pneumonia or a serious eye infection in her newborn. Factors that increase your risk of chlamydia trachomas include:Being sexually active before age 25Multiple sex partners within the past parent using a condom consistentlyHistory of prior sexually transmitted infection Hope it was helpful. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi! I had a cold sore blisters about a month ago on my chin and now it left me with a wound, it s also look like a cut it s not healing till now and black mark around the wound.I was using zovirax with panderm ointment and it didn t healed my wound completely..I am currently using bactroban cream..please help me !I don t know what to do anymore.
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have discoloration after healing of cold sore. Well the probable reason for discoloration is post inflammatory hyperpigmentation. I would suggest you to stop using all the creams you are using at present. Wash your face with mild soap and cold water twice daily, apply comic acid containing cream (Bolivia) , exfoliate your skin twice a week and apply vitamin E oil at night for proper healing of skin. If condition doesn't get improve then consult dermatologist for proper examination. Doctor may recommend chemical peeling or dermabrasion. Get Well Soon. Best Wishes,
If you are a doctor, please answer the medical questions based on the patient's description.
Ermmm, im 20 years of age and im not so much terrified of the dark, but whats in it,, i dont really know how to explain but a couple of days ago i was alone at my flat, as usual i was very afraid, i locked myself in the bathroom to take a shower, once id finished i was too afraid unlock the door and go out, i was scared something or someone might be there, i stayed in the bathroom for about an hour and a half before my boyfriend got back and found me crying, i get scared of being alone, scared of the dark, scared of someone/ something all the time ... When i say someone something, i mean so many things from my imagination i suppose ,please reply, thankyou
thanks for using Chat Doctor first there is nothing to worry about it. Sometimes it happens. For single episode of fear of dark there is nothing to do anything. If u have continued fear of dark since then, and it is causing socio-occupational dysfunction in that case u need psychological intervention. U can do some relaxation exercise own your own, or you can consult a psychologist for further help. Thanks
If you are a doctor, please answer the medical questions based on the patient's description.
I thought that i was getting a sty in my left eye, however now it is just a great deal of pressure in the corner. I also have a slight ear ache in my left ear and a stabbing pain in the back of my head but on the left side also? Do i have a sinus infection? The stabbing pain is becoming annoying.
Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you have the following Complaints1. Stabbing pain in head2. Slight ear ache in my left ear3. Stabbing pain in the back of my head but on the left side also4. Stabbing pain is becoming annoying. I would like to first Rule out Left Trigeminal Neuralgia. I would suggest that you consult a Neurosurgeon for this Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
I had the mirena coil fitted 2 weeks ago now! never had children, only 21, by the way. After 7 days of having it in, I ve had thick brown, redish discharge. In pain, in abdominal area, like a really bad aching pain. Its been going in for a week now this, and I have no sex life with my boyfriend, I have put weight on as im eating more as I have craving, weird as I have never had them before. But the pain and constant discharge/bleeding is causing me discomfort! Im wanting to know if this is normal? but im getting fed up.
Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)
If you are a doctor, please answer the medical questions based on the patient's description.
Four weeks ago I recieved a cortizone injection for what was diagnosed as bursitis in my right hip. I had relief for about a week. I now am having constant pain in same hip and groin that radiates to the knee and down to the ankle. It is disrupting my sleep and limits mobility.
None of the possibilities is easily fixed. The simplest is a plain pull of a tendon or muscle without any serious injury. Still, groin pulls cannot be put in a sling, cannot be fully rested and therefore take weeks or a few months to get significantly better. Then, worse, arthritis of the hip (found with X-rays while standing on one foot) would be from the cartilage lining being permanently GONE and fixable really only by joint replacement. Your ballet days are over! And, one of the more likely is a problem in the lower back that is hitting the sciatic nerve that runs from the back out through the buttocks, around the hip, down the back of the knee to the foot. Any pressure on the nerve by a disk or arthritis in the back etc. will cause the entire nerve to hurt. Sorry
If you are a doctor, please answer the medical questions based on the patient's description.
Respected Sir I am Manoranjan Mishra taking Udiliv 300 after test of my leaver & where the report status of leaver is like this -GGT-50.3 , SGOT-34.2 and SGPT -46.7 .Other are under normal condition. I am pure vegetarian and avoid to alcohol 100%. But Due to GGT I am taking Udiliv 300 . My height is 5.10 and weight is 89 kg.Sir is there any problem I will take this ?. If not then up to how many days I have to take? Is there any side effectPlease guide me
Hithank you for the querysirconsidering above parameters of your liver function tests and being non-alcoholic there isn't any problem taking Adílio ...you may need to take it for another one month if you are taking it from one month .there ain't any side effects as such sir...GGT elevation are due to homeostasis conditions and to your height your weight is optimum.don't need to panic sir thank you hope I have answered your query regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello,I m 23year I got married 3 years ,my period irregular and doctor prescribed siphene50mg tablet for 5th day period I take this tablet and I get pregnant and 7 week miscarriage and again take this tablet and my last period 16.05.2017 and this Month period no came and I will urine test test at home in 19.06.2017the result is positive.doctor prescribed progesterone soft gelatin nutrogest 200mg once a day at night.she did not done any test even to confirm pregncy?and why take this tablet ?benefit and side effects?can you please suggest above prescribed medicine should be taken?
Hi.cap micronized progesterone 200 mg helps in supporting the pregnancy as you had a miscarriage previously. Avoid weight carrying and contact with the husband for 3 months real fol to be taken for the growth and multiplication of cells ultrasound to see location of pregnancy, evidence of Gestational sac and fetal heart sounds to be done now also B sugar levels 2hrs after 75g glucose.TSH levels to be done along with CBC, Bag, sV Chat Doctor. HIV to be done
If you are a doctor, please answer the medical questions based on the patient's description.
My parents are both ill my father was diagnosed with tb meningitis and my mothers cancer came back after beng in remission for 4 years...She has non hodgkins lymphoma. Is there any way where they can so I would take care of them and get paid at the same time?
Hi, Thanks for writing in. Sorry to hear about your parents. TB meningitis is the infection of Tb causing organisms in the covering of the brain. Treatment includes a course of anti TB medicine for months with Chat Doctor. Most people make complete recovery with treatment and good patient care. He should be given good nutrition and supportive care for early rehabilitation. Non Hodgkin lymphoma is a malignancy of the lymph nodes. Since it is a recurrence, it requires being aggressively treated with chemotherapy and radiation therapy as recommended by her doctors. You might talk to the health service providers and your present employers for jobs which can be done from home and at flexible timings. Since you have not given details, it is difficult to tell which way you can take up a paid job and care for your parents. Please do not worry.
If you are a doctor, please answer the medical questions based on the patient's description.
I am taking Zetia 10mg and Pravistatin 80mg every day. I have had a kidney transplant and I need to protect my new kidney. Zetia does not seem to bother me but Pravistatin makes me hurt all over and I am scared of such a high dose of statin. I know Zetia has statin also. I want to stop these drugs and start taking CholesLo because it is a natural alternative. Thank you for listening, Donna Kelly YYYY@YYYY
Hi, Donna, you are a patient of kidney transplant, and you know the importance of medicines in protecting the kidney. It is utmost important to protect the vessels of the kidney, that will be done by the statins, and you also might be having more of cholesterol. Natural substitutes like Holes may not have such a high dose of the statin. The problem with the pravastatin might be due to its gastric irritation, so I advise you to use some anti ulcer ants like omeprazole with your doctors advise. With this you will be comfortable. Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
I can feel a small bump under my navel. It does not hurt all the times but when it does, the discomfort extend to my lower back and legs. This discomfort is more like period cramps. i feel the urge to use the lavatory as well. I have a history of menstrual problems and amoeba. Could the lump be gyno related or could it be hernia?
Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma or dermatofibroma. Or it can be umbilical or para umbilical hernia. You should go for examination and ultrasound study. It will give you exact diagnosis. If it is hernia then hernia repair surgery is needed. If it is soft tissue tumor then biopsy should be done. It has no relation with menstrual abnormality or amoeba. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
If you are a doctor, please answer the medical questions based on the patient's description.
I am AAAAAAA AAAAAAA from Murree.i have medical problem after wedding.as show i am fit and i have no any illenss.but after marrege wife pregancey [roblem doctor say that i have done test semen analysis test .but i have not understande .plz tell me about this dieses
Hello Puree. I think the doc has asked you for a semen analysis because your wife is not able to conceive. Well, you may not be having a disease. The semen is your body secretion from your male reproductive organs which you ejaculate at the time of intercourse or during masturbation, A semen analysis will tell you about the nature of your semen, and the contents within it, most importantly spermatozoa. Spermatozoa are your male gametes which are required for reproduction. Their count, motility, morphology etc. are important parameters to determine a future pregnancy. Apart from that, the analysis will give other info about your semen also. Its is a basic test done in couples who are keen to conceive. So don't worry and go ahead. All the best
If you are a doctor, please answer the medical questions based on the patient's description.
Dear doctorMy period date was on last month sixth..after that I tried to get concieved..but got stuffy nose and small fever and had one calpol one day,and one dolo 650 for two days..fever occurred during ovulation time but we intercoursed..will this affect the embryo if am concieved..next sixth is my period date..
Hi there, I will suggest you the best possible treatment options.First do not panic. As such there is no gross adverse effect of fever on the conception. Secondly, tablets that you have taken contain plain Paracetamol, which is proved safe Chat Doctor. As you are about to get your next menses, I will suggest you to wait for the same. If you happen to cross your dates, please get urine pregnancy test done on mornings first sample of urine. In case of any doubt, blood beta Chat Doctor test and USG will be of help. Please start on Folic acid and vitamin B 12 supplements as you are planning to conceive. This helps prevent various complications during pregnancy and delivery and fetal anomalies. I hope this answer helps you. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, I am a 21 year old male and I recently started to experience chest pain in my the middle of my chest when I really start pushing myself really hard. I am in good shape and exercise regularly and could push myself very hard before with no problems. Any ideas to why this is?
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more due to work out and exercise. But better to get done ECG and 2d echo to rule out heart diseases. If both are normal then no need to worry heart diseases. Musculoskeletal pain is more likely in your case. So follow these steps for better symptomatic relief. 1. Avoid movements causing pain. 2. Avoid bad postures in sleep. 3. Avoid heavyweight lifting and strenuous exercise. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi! I missed a pill on my regular oral contraception. I am on the first week of my tablet cycle. I shorten the free tablet petiod to 6 days. Drink it on saturday, had sex unprotected sex on sunday. Then on thursday again, i had unprotected sex. Fell asleep, forgot to take my pill and remember it on friday night (more than 24 hrs) Will i get pregnant? I
Thanks for query. Yes there is every chance of getting conceived if you miss a pill. This is what guideline says IF YOU MISS MORE THAN ONE PILL IN THE FIRST SEVEN DAYS OF A NEW PACK OF PILLS, OR START A NEW PACK MORE THAN 24 HOURS LATE and you have had sex in the hormone pill break, or have sex in the seven days after the pills are missed, you should consider using the Emergency Contraceptive Pill (ECP). The ECP is available from pharmacies without a prescription. You will need to use other contraception such as condoms for the next seven days, as well as continuing with the Pill. So check with urine pregnancy test and confirm. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
In 2011 I experienced the rupturing of a blood vessel in my upper GI tract, I had a sudden loss of 2 to 3 pints of blood orally and anally in a matter of minutes. I was rushed to the hospital where I received emergency surgery (endoscopy). Since then I have and still experience periodic bleeding of varying degrees. Respectfully, but honestly I am wondering is this the result of a less than perfect procedure or something that is a common ocurence and also I am looking for ideas about how to deal with this very alarming problem. Thank you. David (49 year old male)
Hi, dairy have gone through your question. I can understand your concern. You have hematemesis. It is mostly due to portal hypertension and esophageal varices. You should go for endoscopy again. If large amount of blood loss occur then you may need urgent blood transfusion. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for the cause of the day. Wish you a very good health.
If you are a doctor, please answer the medical questions based on the patient's description.
i experienced following problems in past few months in various occassions- weakness after moderate walking/running, sweating back side of head, swelling left feet and recently 2 days back a stiff neck/neck pain - high intensity- which resulted faiting 2 times and gradually reduced after 1 day thru massage and heat application. yesterday met doctor,... bp 140/90.....ecg---lvh ...suggested x-ray. ecg & echo....earlier history of fatty lever-1 of not treated
Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)Do an MRI to ruled out spinal pathology like disk herniation 2)Check your Hemoglobin level, if low correct it 3)Do chest X-ray, ECG & ECHO to ruled out heart and lungs4)Check your TSH level as I told hope you will find your disease. I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,
If you are a doctor, please answer the medical questions based on the patient's description.
hi my brother was just diagnosed with pancreatic cancer and he has had 3 radio and yesterday he could not breath because his hemoglobin is very low and now his in the hospital and they notice that his bleeding internally and his tumor is the same size 4 cm and he can not be operated on because the pancreas in attched to his aorta
Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes, a malignancy where in the tumor is attached to aorta is not an easy procedure and has high chance of mortality. This is the reason it is not being operated. If your doctor feels that there is no chance of survival as such, then as a palliative procedure he can be operated with very high risk consent. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or wish to know further about this problem, you can use the below-mentioned link:bit.ly/ Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
HiMy mom age is 51.Her ECG results came, which was given as QRS(T) CONTOUR ABNORMALITY;CONSIDER ANTEROLATERAL MYOCARDIAL DAMAGE.Her readings where,Intervals:RR 559 msP 92 msPr 144 msQRS 76 msQT 350 msQTC 473 msAxisP 35 degQRS -29 degT 4 deg.In the report its given as unconfirmed report. Please could anyone tell me what it is given?? Is my mom good?Please help me out.
Hi, the ECG you Msgr is machine report ed so many a time it's incorrect, however considering her age and what you tell me I would suggest her to get a 2d echo, if that normal go ahead with stress test. It's because the ECG you send had prolonged pr, not of much significance and anterolateral changes which means these regions of heart may have decreased blood supply. Do mail your ECG on Priyankmody86@gmail.com for more clarification. Regards Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I am 49 years old. I have been getting pains shooting in different areas of my body (arms, legs, back) for year 1/2. all blood work fine, rhematologist checked for Rhematoid Artritus and Lupus was negative. a few months ago, i started getting pains in my shoulder blades and rib cage under the breast area, especially on the right. Had ultrasound of abdomen done and no gallstones, everything looked fine. could this be from my hormones and or pms? Pains in shoulders get worse when ovulating...pain all over body becomes less while ovulating!
Hello, I have studied your case. I will advise you to do PET SCAN so that activity and reaction around bone can be identified. PET scan will differentiate between simple or with metastatic lesion if any. Many of my patients of get improvement in morbidity by yoga Panama so you can also do that. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
i have had several nose bleeds this week. I am a 35 year old female, who has never has them before. Since then I have developed a sinus infection that is now in lungs. I constantly have blood in the back of my throat- post nasal drip. I have been taking advil cold and sinus and guaifenesin for the past two days- not making a difference. Is it best to make an appointment with my dr. Would this have any ties to loestrin fe- this is my first month on it.
Hello, Welcome to Chat Doctor, As your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Take saline steam inhalation2. Spy Pricier A, three times a day.3. Oral Tab Autoclave, 625 mg, two times a day.4. Tab Least, once in a night for at least 7 days. These measures will help to reduce the symptoms and improve the condition. Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
My 4 year old son now 15 yrs had febrile seizzures around 1 and a half years back( 2 episodes after a gap of 4 months). From then we are giving frissium ( half tablet) along with crocin whenever he has even 99 fever. Till when should we give frissium and will it affect his health in future?
Hi, Thank you for posting your query.First, I would like to clarify that febrile seizures do not occur at the age of 15. By definition, febrile seizures occur only from the ages of six months to six years. Any seizure occurring in a child above 6, associated with fever, is classified as epileptic seizure, and needs to be treated with anti-epileptic medications. Your child also needs detailed evaluation with MRI brain epilepsy protocol and EEG. Frisian is safe for him, but half tablet may not be able to prevent the next seizure from occurring. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
If you are a doctor, please answer the medical questions based on the patient's description.
My husband is a binge drinker, and now addicted to cocaine. He has high blood pressure and is taking propranolol. He has been in 3 detox centers in the last 6 months. I know mixing these together are harmful but how harmful? I am just waiting for him to get to his low so he will accept treatment.
Thanks for your question on Chat Doctor. I can understand your concern. Propranolol is beta blocker. It will cause reduction in blood pressure and heart rate. Alcohol and cocaine, both are CNS depressants (they suppress brain and its functions). So alcohol and cocaine will also cause hypotension and low pulse rate. So if patient is on propranolol and alcohol and cocaine, chances of hypotension, bradycardia (low pulse rate) and cardiac arrest is more. So better not to take alcohol or cocaine if you are taking propranolol. So counsel your husband to quit alcohol and cocaine because he is taking propranolol. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
I am at very depressed at this moment. My son, our only child, is not perfoming academically, which is causing a lot of tension in our family. We are all in counseling, separately and together. My husband is disabled due to his physical and mental illness, which included a prolonged period of substance abuse. I am 61, in a moderately paying job, low for my profession, and we are totally stressed all the time about money issues. Tomorrow we need to be in a family meeting regarding wheter or not to keep my husbands brother on life support....help....my husbands family is totally dysfunctional...everyone either having dealt with a drug issue or still us using. A cauldron of anger and blame. Help.
Hi, From history it seems that you are having depression due to all circumstances you are facing. Remove anxious state and be positive to solve the problems regarding your family and your child. Consult psychiatrist and psychologist for your child. Few counseling will give positive effect on your child. Develop strong self-confidence and be positive in life to solve the difficult problems of life. Ok and take care.
If you are a doctor, please answer the medical questions based on the patient's description.
hi, my tricep is paining while lifting my left arm sideways. but while stretching straight no pain. also when i fold my arms and touching shoulder left position is not coming properly and paining. this pain i am experiencing for past 1.5 yrs. in gym i am not able to do the shoulder workout and experiencing heavy painwhile pulling the bar down and touching shoulder. how to get rid of this pain.
Hello, This is due to the wrong exercise and also a weakness of the shoulder girdle muscles. Need shoulder stabilization first and then other exercises for the upper limbs as a whole. In case the pain is radiating in nature then it could be neuropathic and using Cervical collar and MRI should be performed for the neck to find possible causes. Take an MRI if the pain is radiating in nature. Like sharpshooting or numbing or tingling etc. If not the above one then performing shoulder stabilization exercise before doing any other upper limb exercises should be good to get results. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Doc, My son aged 10 years has been told by the orthodontist that he has lesser space in the jaw than required leading to uneven teeth line. The dentist has advised that there is a requirement to remove four Permanent Teeth to make space for waiting teeth. Is it a correct line of treatment. Thanks (SK Didwania)
Thanks for your query, I have gone through your query. The removal of the permanent first premolar is commonly done during orthodontic treatment to accommodate space and pull back the maligned teeth. Nothing to worry, if the proclaimed teeth has to be pulled back, if there is no space in the jaw, then the premolars has to be extracted. It is a correct line of treatment. But I would like to suggest consulting a good orthodontist and take an opinion, since your sons age is 10 years, all the permanent teeth might not have erupted particularly canines and premolars. Get a radiograph like OPG and Lateral rephotograph done and assess the status of teeth and bone, later start the treatment. I hope my answer will help you, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
I have these very itchy small lumps on my testicles but when I don t itch them I can barely see them but when I do they get very inflamed and red. A couple weeks ago I got treated for scabies and it went away but the lumps on my testicles have not went away at all. I have had them for a few months now. What can i do to get rid of them?
HelloThanks for query. Multiple small lumps on scrotal sac are mostly small sebaceous Cysts. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Maintaining a proper personal hygiene by cleaning and washing genitals twice daily will help to prevent the recurrence of getting these cysts. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Am 26 yrs old..name Aswathy.for the last 3 yrs meand my husband trying for pregnancy.i haz pcod problem..had done overiandrilling..after that sergey me taken the tremens like gmh 150 injuction fertigyn 5000 iu after that iui taken.The next month i get pregnant..butunfortunately that pregnancy aborted by no feetal growth and heart beet.after 3 months of abortion treetment started. Taken three rounds of iui.but not yet pregnent.So am very sad want to pregnant what will we do..Give me a right solution.Please.
HI, thanks for using Chat Doctor It can be very difficult when experiencing problems trying to conceive. You seem to be seeing a fertility specialist who would have suggested the hormonal injections and the GUI. It would be best to try again, using the hormones suggested by your fertility doctor. If you are not comfortable with him or her then you can consider another center in your area. Even though the first pregnancy was associated witChatDoctorplications, the second one may be successful. Wish you the best of luck
If you are a doctor, please answer the medical questions based on the patient's description.
My mom is 80. diagnosed with copd. quit smoking 10+ years ago. on oxygen as needed. wakes up at 3 to 5 am to let CAT out then can t go back to sleep because she can t breath. No cough, congestion. lacking umph and energy more and more. just complains can t fill lungs when awakened, loss of energy to do usual activities plus walks. Should she see heart doctor or regular doctor?
Hello! You should know that chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs and the symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. Other signs and symptoms of COPD may include shortness of breath, especially during physical activities and lack of energy as your mother has. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions. So, what I suggest for your mother is to meet first a pulmonologist and heart doctor to exclude above-mentioned diseases. I hope my answer help you. I wish your mother a good health.
If you are a doctor, please answer the medical questions based on the patient's description.
Is their an option to have a cage put into or around c2-c6, to restore strength and endurance. I am 44, horse accident caused fusion and now Spondylosis and Cevicalgia withpoor discs as well. I m going ok on a pacing of daily activities and medicine. Healing may be better if it s possible, while younger. ? I m going to talk to my Dr sometime soon. Others that have broken back, do cages. So ? Thank you for any ideas.
Hi, I have gone through your medical history carefully and am sorry for the accident and post-consequences you got. The very first thing in such cases is to evaluate current damages in the vertebral spine and chest cage and how do they impact the spinal cord and other vital organs nearby. Depending on the findings, it will be decided the best treatment option. It is true that the younger the patient is, the greater the chances to recovery and come back to normal activities. However, the type of damage also matters. Please do follow with orthopedist and neurologist for further evaluations. All the best! Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi. me and my gf had unprotected sex on 26th sep midnight I.e 27th early morning. Though i didnt ejaculated inside. Bt to be sure my gf took ipill in 26 or 27 hours approx. Now she expects her periods on 1st or 2nd of every month. She suffered from lower abdominal pain, cramps for first 3 days days after taking ipill. Then the pain was gone on 4th day. Now 5th day she is feeling same pain and cramps and vomiting. Is this normal? any chances of pregnancy? pls help.
Hello, Unprotected sex with pulled out method just few days prior to period date is very much safe. Additionally, she took I-pill within 26-27 hrs which gives more than 85% protection. Here, chance of pregnancy is extremely rare. Above clinical features are mostly due to side effects of I-pill or Premenstrual symptoms. However, period may be delayed for 1-2 weeks due to hormonal imbalance and stress. She has to wait for period.In the meantime, she would take balanced diet, Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
My baby is 3 month old. She cannot sleep at night.she feels sleepy, so when she is on our lap she is sleeping ,,but when we are trying to put her down in bed , she wakes up.,please let me know the solution of this. We have also checked whether her nose are blocked or not . But she is not having blocked nose.
DearWelcome to ChatDoctorWe understand your concerns went through your details. 3 year child only understands security and care. She clings to anything that provides security and care. Naturally, she is clinging to you. Let her do it. While putting her down, you also lie down with her. Nursing habit also can be imparted while laying down. Such a change of habit, will change her way of looking at security and care. These are related to training. You need to use alternate techniques of training. 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.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, I am 38 year male suffering from cold from last 3 days. Doctor has prescribed me Allegra 180 and Azee 500 for 3 days. Lately, a very severe pain has started in my right chest and seems to aggravate the moment i breathe or cough. Will the prescribed medicine help in this or do I need to see the doctor again?
Thanks for posting you query to Chat Doctor.Allegra is an antiallergic medicine and AEE is an antibiotic, so both medicine do not use full in chest pain .you need to find out the cause of such sever pain as it could be muscular pain or may be due some cardiac disease.cardiac pain are usually associates with sweating and breathlessness constant pain may aggravate on movement, so if you are having such symptom need to immediately consult to medicine physician .but if it is muscular pain it will receive by taking some NSAIDs with muscle relaxant. I suggest you to contact to your local physician he will do local examination and treat you accordingly. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I m very terrified. I just noticed a very dark purple almost black lump in the back of my mouth about half an inch or so after my moler. Causes no pain unless messed with. WHAT IS IT?! Is it deadly?! Can I cure it at home?! Please say yes! WHY IS IT THERE PLEASE HELP!!!
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint a dark purple lump next to molar tooth can be due to a dilated vein also known as Varicose vein or a Varix. The lump might be due to formation of a small blood clot that got lodged in that area forming a Thrombus. It is not AA serious condition and will not cause any serious problem. It can gradually reduce in size on its own. If it is not ruled out as the cause other causes can be like mucous cyst or Muscle, Hematoma or a Hematoma. Confirmation can be done by getting a clinical evaluation done by an Oral Physician or an Oral Surgeon. Hope this information helps. Thanks and regards. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I am a female of 49 years. Suddenly my front portion of throat have swollen with a lump (approx 15cm radius) and on one side of the neck. Doctor advised me certain blood and other tests to test forThyroid diseases. But reports came normal. This symtom has developed for the last three days. What could be the disease? I am on medicine for Arthritis for 10 years and have no major problems. Please help.
Hi! Good morning. I am Chat Doctor answering your query. Even though your thyroid blood reports are within normal limits, still the swelling could be related to thyroid apart from other swellings of the neck. However, it might not be possible to diagnose the lump without a clinical examination, and a confirmatory test like an FNAC/core biopsy along with an ultrasound of the lump. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I have heaviness on the left front side of my head. I get continuous infection on ear nose and mouth(inside cheek getting thickened).This is there for the last 5 years . I tried allopathic ,Ayurveda and homeopathy. The first two are giving relief but not getting a cure. your advice please,
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have constant infection in ear, nose and mouth . Mouth infection can occur due to condition like canker sore. Canker sore is mucosal reaction to various things like hot and spicy food, acidic food, seafood, dental appliances and nuts. There can be other reasons also like deficiency of vitamin B12, folic acid and some underlying disease like crowns. Sometimes infection can spread from ear to upper respiratory track and vice versa and spread to oral cavity also or post nasal Chat Doctor. I would suggest you to :-- Find out what exactly causes these ulcer like food allergens.- Maintain proper oral hygiene and do mouthwash rinses (Listerine) twice a day.- Rinse your mouth with HY
If you are a doctor, please answer the medical questions based on the patient's description.
my mother had cerebral at last thursday 11/09/2014, her right side left, high bloode sugar detect 180 fasting & 300 pp tested. running medicine are decdan injection, amlokind 10 for pressure, vogomate v .3 for sugar , now last two days we noticed that she had bedsore back position what can we do?
Hi, Thanks for writing in. Bedsores are the first sign of infection in a person who is immobile. Please inform her doctors and make arrangement for her to sleep on water bed to avoid more bed sores from happening. Since she is diabetic, there is possibility of the bedsore developing an aggressive infection. First medications are to be applied in the region of bedsore. A nursing attendant must be put in charge of turning her posture regularly and keeping the surface between the skin and bed Chat Doctor. This will prevent sweat from accumulating and preventing new sore formation. Attempts are also to be made to lower her blood glucose. Diabetes causes infections to spread quickly to other areas and this must be prevented. Please check the bedsore wound every 6 hours and change surgical
If you are a doctor, please answer the medical questions based on the patient's description.
I had sepsis in October 2013. I now have bruising on the soft pallet and petechiae on gums and tongue. Still havent been feeling great, losing weight, chills, fatigue and upset stomachs daily. Should I be worried? Should I see my doctor? They said it would take time to feel better. Finished Ive antibiotic beginning of Dec.
Hi, I understand your concern. Sepsis & also the antibiotics taken to control it disturb the normal intestinal flora which keeps our gastrointestinal tract healthy. To manage, -Keep oral cavity clean by warm water gargles. - Use a mild paste with finger/slim soft brush. -apply boroglycerine to affected area. -Take warm/cold milk, non-irritant/bland food, grated juices, salads - B complex (specifically folic acid)& vitamin C supplements are essential. - Take Lactobacillus preparation before food. - Avoid constipation. Exclude amoebas. * To consult doctor for assessment of health & prescription of medicines n proper combination. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
My grandsone was dionosed with cancer when he was 16, he went to Johnson city childrens hospital..we need his records so he can be checked again he will be 21 in May,,,no one seems to know where they are, He also went to Pittsburg, Pa childrens hospital...How can I get his records so he can see if he is still in remission?
Dear bumblebee, You can see your primary physician who referred you to Johnson Hospital. If you don't find the record with him, you could give the tentative date of your visit to Johnson hospital Medical records section who could find your grandsons record. If this does not help you the health authority who maintain the National cancer register, visit them and telling them the tentative date of of completion of your grandsons' treatment they might be able to give you the records. As regards whether your grandson is in remission you can visit your primary physician and apprise him the history of your grandson, he will perform necessary investigations on your grandson and let you know his present status. Hope the steps advised might help you in achieving your mission. Truly,
If you are a doctor, please answer the medical questions based on the patient's description.
Hi. i have been suffering from recurring stomach pains and bloating. Doctor attributed cause to acidity. Doctor prescribed omeprazole and ganaton which provided relief. He advised to follow the same medication if it recurs. Its been months since i last felt pain and now theyre back. The problem is i lost the prescription and forgot the dosage.Would you advise taking the same medicines? What is the proper dosage? He gave 20 mg omeprazole and 50mg ganaton.
Hello, thanks for the query to Chat Doctor. Forum. Since earlier you were the patient of hyper acidity and gastritis. You cured by using antacid treatment. Now symptoms reappear. What is the cause of reappearance? If due to fried food or like that other things which you had taken, previously when these symptoms appeared (first time). If causes are same than nothing to worry. If due to without any cause than it is a matter of concern. If without any cause than get in gastrostomy for any ulcer in stomach or duodenum. Blend diet is best for you. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
the liver is mildly echogenic with no hepatic mases are identified the right kidney measures 11.9 x 5.9 x 5.9 the left measures 11.7 x5.3 x5.8 cm there is no hydronephrosis 6 mm possible nonobstructiing stone identified in the left mid kidney what does this mean
Hello USG findings indicate fatty changes in liver. Hepatomegaly may be due to deposition of fat in the liver cells. Increased echo texture suggests fatty liver. Most commonly it is due to obesity and sedentary life. It is also related to alcohol intake etc. I suggest investigations like routine hologram, Random blood sugar(RBS), Liver function test(LFT), Lipid profile, Renal function test(RFT) to my patients. Fatty liver is a reversible condition, and it can be reversed by diet and lifestyle changes. You may need some medicines after full investigations. Your findings also suggests 6 mm calculus in mid-pole of left kidney. Since it is non obstructing, you may only need to follow up. You should Chat Doctor. Take Care
If you are a doctor, please answer the medical questions based on the patient's description.
Today while working, I had what felt like an electrical shock in my head, followed by an extreme wave of dizziness. I suffer from low blood sugar, migraines, and anxiety attacks, but this was the first time I have felt that. Please, any ideas or advice?
Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. You have the following Complaints1. While working, felt like an electrical shock in head,2. Extreme wave of dizzinessThis is possible if there is a compression or occlusion to your vertebral arteries in neck I would suggest you to kindly consult a Neurosurgeon who will examine you and order relevant investigations Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
I have been having pain on the right side of my stomach every time I push to, well poop. Then at random moments I get a sharp pain in my abdomen area on the left and middle. They past year I had an ovarian cyst but I had a ultrasound in october and they said that I had a very small cyst, but it would just go away. Could it possible that the cyst is growing?
Hi welcome to Chat Doctor forum. You had pain in the stomach on right side when you go for stools. You also have pain on left and middle of stomach. Previous year in October you had ovarian cyst, doctors said that it is small, and it will go away. It is pieing when you go to stools, so more possibilities are there for intestinal infection, I advise you to consult a physician for diagnosis and treatment, with this treatment, if you get complete relief, it is well and good otherwise you have to get tested for urinary tract infection, or enlarged ovarian cyst. Wishing for a complete relief, and thanks for calling Chat Doctor. F. Best regards.
If you are a doctor, please answer the medical questions based on the patient's description.
hello doctor, since 6 yrs i am taking different types of medicines for pcod,now i have been prescribed for rejumet as i am now overweight even i am trying to get conceive for the past 4yrs but i am failure.is there any way to overcome with all this problem?
Hi, PCOD is very complex disease and sometime difficult to manage. Treatment response is variable. Treatment should be taken under experienced gynecologist after USG scan, ovarian follicle study and reproductive hormone analysis. If your period will not regular then Chat Doctor. One your period will become regular then you use following treatment to attain pregnancy: - Continue Resumed: It will induce ovulation, and reduce insulin resistance. - Camphene citrate: increase maturation of ovarian follicle and ovulation. If ovarian follicle will not rupture under ovarian follicle study then Chat Doctor injection can be use along with Camphene for 4-6 cycle. - Progesterone pill: in luteal phase to support implantation and pregnancy. Tablet Ova care also increase chance of pregnancy. If medicine will not respond then go for ovarian
If you are a doctor, please answer the medical questions based on the patient's description.
I work out on a daily basis but yesterday i was during sit-ups on my exercise ball. As soon as i went to lift up there was this stabbing pain in my chest. I can also feel it in my back adjacent to where the chest pain is. It hurts when i am trying to turn my neck as well.
Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Your pain is mostly due to muscular spasm due to intense exercise. It is aggravated by movements and change of posture. So all these favor musculoskeletal pain more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
helo, sir/madam im29 years old having thyriod problems from last 8monthy thyroid is 5.07 and have polycystic ovary i am trying to get pregnant doctor give me medicine(thyronorm 25mcg) for my thyroid and ovary problem and for regular periods.....first thyroid report was 5.07, second report was 4.07, 3rd was2.74 and last was 1.10. its decreasing.but having some weight problem.im feeling helpless to loss weight,i want to get prego what should i do.my diet is normal i dont take butter, ghee, sweets.can i take oberids for weight loss? thank you
Helloiam sorry for the delay in you getting conceived for you hypothyroid status TSH is in the normal range, so hypothyroidism will not be a problem for you to get conceived.ptosis one of the difficult situation-firstly you have to lose weight appropriately next you menstruation has to be normalized(if not so)maybe finally you need ovulation induction for further clarification kindly reply thanks Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
I had three wisdom teeth extracted alittle over a week ago. And it hurts to open my mouth and on my lower left side of my mouth i have stabbing aching pain in my jaw that goes up into my ear and also is causing me to have tension in my neck. Pain meds are not helping they just make me sleepy but the pain stays. I went back to the dentist to have them look at it and they took an xray of my lower left side where they extracted the tooth and they said that it doesn t look like i have a infection or dry socket. So what could be causing such horrible pain in my jaw?
Hello, It is normal to experience severe pain even after a couple of days of surgery. Sometimes, one has to take off a bit of bone during extraction of the tooth because the tooth can be impacted and deep-seated within the jaw. In these cases, there can be severe pain especially with chewing. Go on taking the analgesics on a regular basis, the pain would take some time in coming down in intensity. If there is no other problem like infection then there is no need for worry.
If you are a doctor, please answer the medical questions based on the patient's description.
I got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. Im scared I accidentally ripped my gum upwards. Theres no significant pain but a little red around the right socket. Also, ive been really nauseous and theres a tingling in my throat that has been present for the last 4 days. Should I be worried?
Hi, Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check-up. Hope this helps. Regards
If you are a doctor, please answer the medical questions based on the patient's description.
My Girlfriend is Pregnant, and we went to planned parent to get the confermation, she said we were about 5 weeks, then last night she was not feeling well so I took her to the ER and her BETA level was 36 and they wanted to re-check her so we decided tonight to go and it went up to 64.11 They said she was only a few days pregnant? How is this possiable
Hallow Dear, You can locate the duration of pregnancy by following ways:1. The egg release takes place 14 days before the next menses. It can roughly tell you the probable date of fertilization.2. Usually the period of pregnancy is counted from the first day of last menstrual period.3. Ultrasonography and Chat Doctor levels tell you the gestational period from the day of conception. Hence, there is a difference of about 2 weeks in the clinical gestational period and gestational period estimation by these investigations. When you are informed 5 weeks pregnancy, it refers to 5 weeks from last menstrual period; which actually is about 3 weeks from day of conception. This should clarify your dilemma.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello doctor,i had my periods on 8th of Feb, bleeding continued till 17th Feb, i had unprotected sex on 17th but my husband dint discharge in me..he ejaculated out, but not sure ..he thinks that the discharge touched my outer vaginal lips. i washed myself after that then again had sex. v continued to have sex even i was bleeding on 18th and 19th also ,but he dint discharge in me..he always discharged outside. is it possible for me to get pregnant.age 22,
Hello dear, I understand your concern. In my opinion there might be rarely any chance for pregnancy. Because the semen was not ejaculated inside the vagina. And moreover you have washed your genitals after intercourse. So there might not be any remnants of semen and Just touching of very little amount of semen will not be able to cause pregnancy. A minimum of 2 ml of semen might be necessary to cause pregnancy. Though the intercourse was done on successive days none of the times' semen was ejaculated inside. So relax. Nothing to worry. There is no chance of pregnancy. Hope this helps. Best regards...
If you are a doctor, please answer the medical questions based on the patient's description.
good evening, i have been experiencing quite cramp like pain at the very top of my stomach no real about an inch down from in between my breast bone, it causes shortness of breath. It has been over a week now. I have taken gaviscon but impact. Any thoughts
Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to different causes: - gastritis or an ulcer- pancreatitis- indigestion- musculoskeletal pain or inflammation. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible underlying causes: - a resting ECG- a chest X-ray study- an abdominal ultrasound-some blood lab tests (complete blood count, PCR, ESR, kidney and liver function tests, amylase and lipase levels, fasting glucose). If Davison help improve your situation and all the above tests result normal, I would recommend performing a fibrogastroscopy to investigate for gastritis or ulcer. Hope to have been helpful! Best wishes,
If you are a doctor, please answer the medical questions based on the patient's description.
In early December I had blood work done for exhaustion. It showed that in slightly anemic and vitamin d low. Gfr 55. I found out 12 yrs ago that I have only one kidney during an ultrasound for pancreatitis . I am 59 yr old female weight 122, 5 6 . Bp about 108/68 most of the time. I am scheduled to see a nephrologist in late may should I be on any kind of diet restrictions?i have never smoked but I drink one light beer a day
Hello, Thanks for posting your query. As you are having only one kidney, so your renal system is compromised. GFR is much reduced, and vitamin D deficiency and anemia are also related to kidney. You should watch their protein consumption to avoid taxing the kidneys as they heal. A low-cholesterol and low-saturated-fat diet is good. High-potassium foods such as bananas, kiwis, avocados, prunes and prune juice, tomato juice and sauce, nuts, Chat Doctor. Vitamin D and Calcium supplements would be helpful. Hope it helps. Take Care!
If you are a doctor, please answer the medical questions based on the patient's description.
My brother has als..His first symptoms was tripping n then not too long after that, his tongue started shrinking..You really can t understand him now..It s so sad.. Right now he s close to the end.., not eating n drinking n things are stating to shut down.None of our family has ever had anything like that..My question is what in the world causes it? He used to be a painter..
I am really sorry about your brothers' disease. As a neurologist I know it is one of the most awful diseases to have in our specialty and frustrating for us clinicians as up to now there hasn't been much we can do about it. It is hard to answer to your question as well because the cause is not well known. Several genetic mutations have been identified in familial cases, but the exact manner these mutations lead to disease is not always clear and different mutations appear to have different related mechanisms. Other factors such as toxic or infectious ones have been implicated, but as I said much remains unknown about the genesis of the disease. I hope you and your family will find the necessary strength in these difficult days.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi,I am having a problem from the past few days, that when I burshing my teeth in the morning and then gargling a small amount of blood comes out. But it shows only in the morning.I usually smokes a 3-4 cigrattes day. Please help me out to confirm which medical test I used to go for. Any precautions I have to follow.Thanks
Hello, Read your query, as you have blood after brushing and gargling at morning don't worry this is bleeding from gums is seen in patients with deposition of food debris and calculus at sublingual areas of gums, leads to condition gingivitis and periodontitis inflammation of gingival and periodontal fibers, as you have smoking habit also this also causes gingival fibers and periodontal fibers inflamed. For this you should consult dentist and go for oral examination and Scaling and root planning, in meantime you should do warm saline gargle two - three times a day, Do chlorhexidine mouthwash, maintain proper oral hygiene by Brushing twice daily. Hope this will help you.
If you are a doctor, please answer the medical questions based on the patient's description.
My daughter (5yrs old) was prescribed Azythromycin (300mg / 100mg per 5ml) last week Friday and we were instructed to start it on Saturday if her fever continued. We started on Saturday with a 1 1/2 tsp dose with continued 3/4 tsp doses. We are now on day three of taking the medication with no relief in her fever. I have been treating with OTC Children s Advil for the fever. I am wondering how long it should take for the fever to disappear? She was tested for the flu and this was negative. Are we dealing with a virus and I just have to let it run its course?
Hi.regarding your query, of fever still persists after documentation of the temperature for three days it is better to do a blood total count just to make sure it is a viral infection or bacterial. If associated with any other symptoms like cough, sore throat, vomiting, abdominal pain, symptomatic treatment would be apt with an antipyretic like paracetamol that should have been taken along with the antibiotic plus an antacid. Do not worry. :) hope this helps
If you are a doctor, please answer the medical questions based on the patient's description.
Hello Sir, My wife is suffering from Bone Tb for 2 months,just above her left brest. 3 days ago she has tested positive for pregnancy. Now, we are in dilemma that should we continue with prenancy or should we abort it. she is on heavy medicines like injections daily and about 9-10 medicines daily. Do u suggest that MTP or continuation of Pregnancy?
Hello, I have gone through your query and understood the concern. The medications like rifampicin, isoniazid, ethambutol and pyrazinamide have not been shown to be associated with any fetal congenital malformations when used during pregnancy and hence are considered safe. Streptomycin should not be used. Vaccination should not be given. Hepatic function should be carefully monitored, and nutritional supplements amply prescribed to avoid peripheral neuritis. In this scenario, please discuss with your consultant as to the safety of continuing with the pregnancy as the treatment of the disease is also essential and if she needs teratogenic medication, she cannot continue with the pregnancy. Hope your query has been clarified. Take care.
If you are a doctor, please answer the medical questions based on the patient's description.
Wondering what is causing my lung pain. Background: Worsens both with activity/movement, and whilst lying down. Sitting still provides relief. Seems related to my menstrual cycle - over past year it is worst either during, or just before, menstruation. I ve been checked for heart issues - tests came up clear. Also had CT for chest to check for clots, came up clear. I have existing conditions: recurring stage 4 endometriosis in bowel and reproductive organs, PCOS and ongoing joint pain.
Thanks for your question on Chat Doctor. In my opinion you are having anxiety related chest symptoms mostly. Since your all cardiac and pulmonary tests are normal, no need to worry about major organic disease. It is anxiety mostly. You are also having endometriosis and PCs (poly cystic ovarian disease). Both these diseases are associated with stress and anxiety. So I advise you to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life. And work out solution for the same. You may require anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm.
If you are a doctor, please answer the medical questions based on the patient's description.
Im 23 my back started to hurt almoat 3 weeks ago after a day I went to gym that night. It probably is my wrong form in the gym that makes me hurt my back but. Now every time I walk I can feel the pain in my lower back and in my thighs and even while sleeping. I can feel the pin more on the right side of my back but every time I walk the pain is on the left side of the thighs. Panadol and Nurofen isnt helping. Please help
HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be due to intervertebral disc injury from heavy weight lifting or muscle strain. A physical examination with an orthopedic following by an X-ray and MRI if needed can rule out this. For such condition I advise NSAIDs like diclofenac, muscle relaxants like thiocolchicoside and neurotrophic Chat Doctor. Short period of rest from hard physical exertion also will be needed. Hope this may help you. Let me know if you have any further queries. Thanks.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi , My Name is Zahid Khan age 30. I have been married this March and My wife became pregnant but lost her baby within a month.She is Living in Patna and I am right now in Bangalore. Her Doctor Suggest her that her miscarriage can be occured due to many problem so suggest me to get a check up .Please Suggest me What to do .from few month i am feeling pain some time in my lower Abdomen and Headroseal.
Hello, Your wife is having history of abortion. So you need to rule out cause for that like diabetes, Hormonal imbalance, chromosomal problem, lupus, thyroid issue, Torch infection etc. I suggest you investigate her with random blood sugar estimation, serum TSH estimation, karyotyping, Hormonal estimations etc. for primary work up. Along with that USG scan and pelvic examination also need to be done. For your abdominal pain you can take fiber supplement and antibiotic course. If no improvement than USG abdomen scan or colonoscopy might be planned. Hope I have answered your question. Let me know if I can assist you further.
If you are a doctor, please answer the medical questions based on the patient's description.
I have been having pains in the left side of my chest inside the breast area at times it s a sharp and then it becomes dull ache. I now drank some water and there was a shootingsharp pain that caused me to shout what is this and how should I treat it. I took some acetomonopen about 15 min ago I am exhausted.
Thanks for your question on Chat Doctor. I can understand your situation and problem. As a rule, any left sided chest pain should first be ruled out for cardiac cause. So get done ECG first to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac problems. Sometimes pleurisy (inflammation of pleura) can also cause sharp shooting pain. So get done chest x-ray to rule out possible causes of pleurisy (pneumonia, pleural effusion etc.). If chest x-ray is also normal than no need to worry much, you are having hyperacidity and acute gastritis mostly. So avoid hot and spicy food. Take proton pump inhibitor. Don't take painkillers as it will worsen gastritis.
If you are a doctor, please answer the medical questions based on the patient's description.
hello docgood day i just want to ask if where i can consult the doctor related about my pregnancy we have a problem with my husband 3 years allready we been together until now we dont have a baby.,, i dot know if i have a problems or my husband what is the best way to know that if we have a problem or not?... best regards Mrs.Catherine Pajado
Hi and thanks for the query, The first thing to do is actually making a proper diagnosis of infertility. You have to be living with your husband for at least one year, having unprotected sex at least thrice to week. It's important. The cause of infertility could be from the female, male or at times unexplained. The first consultation usually should be with you and your husband for an initial battery of tests to be done. These usually range from screening of sexually transmitted infections, hormonal abnormalities, malformations, programs a d temperature monitoring in the female to ascertain effectiveness of ovulation. I strongly suggest you and your husband consult an infertility specialist/experienced gynecologist. Thanks and hope this helps, Bain LE, MD.
If you are a doctor, please answer the medical questions based on the patient's description.
I was just in my car and all of a sudden my left arm down to my left fingers went numb. This lasted about 3 minutes. I took 2 anacins by chewing them and now there is no more numbness. I went to albertsons and took my blood pressure and it was 150/95. Normally its about 120/85. Im 53 yrs old caucasin male. should i go to the er.
Hi, thank you for Quarry. As you mentioned you have no medical history oh high blood pressure and feel numbness in the arm. Sudden onset any limb weakness and numbness along with slurring of speech and neurological signs are any focal deficit is the signs of stroke. If such patient came to me after proper history and clinical examination I suggest CT head to rule out any hemorrhage or blockage, ECG,lifestyle modification like exercise, reduce fat, sugar,salt and processed food. Regular BP monitoring to confirm HTN. So it's better to consult physician for proper work up to rule out any underlying disease. Hope the answer will help you. Wish you a good health.
If you are a doctor, please answer the medical questions based on the patient's description.
hi , i am vivek i had been suffering from jundice now my bilurbin is 8.0 and conj. bilurbin is 0.5 mg/dl ,my esr level has increased 103 before 2 months it was 0.8.biochemical report alk.phosphates 211 and normal value is 36 to 141sgpt 72 and normal value is 5 to 40sgot 59 and normal value is 5 to 40what is means in increase of ESR
Hi.noted history of elevated bilirubin and ESR level. It is possible that you have an underlying pathology somewhere in your hepaticopancreaticobiliary tree area. It may be an infection or an obstruction which lead to elevation of your bilirubin and ESR. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, etc.) and management (medical and/or surgical if indications are found will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor.
If you are a doctor, please answer the medical questions based on the patient's description.
hello sir,this ram... actually i am suffering with nose problem since 15 days onwards by the cause of one day i used bud to remove dust. then after i am suffering with some problem in nose but actually i am using neospirin-h drop which is prescibed by one of the doctor... so let me inform some good hospitals for ent those are proving low cost service or free service....Thanks & Regardsram
Hello Ram, Thank you for asking at Chat Doctor. I went through your query and would like to make suggestions as follows:1. Were I treating you, I would suggest you regular montelukast and levocetirizine for at least 1 month.2. I would also suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you best of the health. Thank you & Regards.
If you are a doctor, please answer the medical questions based on the patient's description.
I Have Nash found out in 2005 when my mother died of Nash. For the first time my liver enzymes was high they where 44 which is not very high bur it kind of worried me. What does this mean? What can I do to keep this from going up any more? I am overweight I am a type 2 diabete I have back and leg problems. Regardless of me being overweight I try to excise a little I cant do much walking I my back want let me, and I watch what I eat and keep my blood sugar in tack.
Hi and thanks for the query, The lifestyle changes and habits are perfect, and I encourage you to keep up with them. Your blood glucose control is a priority to avoid all chronic complications of diabetes. Regular exercise is of immense importance both psychologically and to your physical self. Well control body weight, good diet and proper glucose control with constant surveillance of the NASH management directives of your doctor are greatly sufficient. You really need not worry as of now, be close to your treating physician and do not hesitate signaling anything abnormal you notice. Kind regards. Bain LE, MD.
If you are a doctor, please answer the medical questions based on the patient's description.
I have enlarged papillae and the front 1/3 of my tongue and it burns as does the roof of my mouth with everything I eat and drink. This is ongoing for over a month, my local dentist has had me rinsing with Nystatin Oral Suspension for 2 weeks and it hasnt changed anything on my tongue, but my gums are better (ish). Waiting another week and then perhaps a biopsy. I am also now on a Vit B-Complex once a day. Suggestions please!
Thanks for your query, I have gone through your query. The burning sensation over the tongue could be because of the candida infection over the tongue or papilla infection. On constant contact of the infected tongue with the palate can cause lesion over the palate called kissing lesions. This lesion can produce burning sensation. Complete the course of antifungal agents and maintain oral hygiene by proper tongue cleaning or brushing. You can continue the vitamin supplements. If the lesion doesn't heal then get a biopsy done to rule out any other pathology. I hope my answer will help you, take care.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi! I just got a blood test back and it says (again) that I have hypochromia, but that my iron levels are relatively high (135). I dont understand how this can be, since what my doctor told me that the hypochromia was caused by low iron levels. Any ideas?
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Yes, hypothermia is caused by low iron levels. 2. The hypothermia at present could be due to early iron deficiency. Also, it can be seen in chronic diseases or thalassemia.3. Need to know whether it is microcytic hypodermic or normocytic hypodermic. Also, hemoglobin levels, red cell distribution width and reticulocyte count necessary.4. If reticulocycte count is high, thalassemia requires evaluation. If it is low, and after 15 days of iron therapy, if it improves to 3-4%, it is iron deficiency and correction is necessary. Hope it helps. Any further queries, happy to help again
If you are a doctor, please answer the medical questions based on the patient's description.
My.appendix was removed 20 years ago and now Ive been having a slight pain and burning sensation in that area I ate sunflower seeds and it made it worse and also when I drink beer it hurts also ive had ultrasounds and they found nothing but its getting worse
Hello and welcome to Chat Doctor. The human appendix is a vestigial organ that it is just an evolutionary remnant in the human body and so when inflamed and removed the body does not suffer from any repercussions generally. Twenty years is a long time and had you had any post-operative complications you would have felt them within 24 hours of the surgery. Since the ultrasound is inconclusive it is best for you to get an abdominal CT scan done to rule out any other organic change. If it is not associated with any other change in the stool you need not worry. The red flag signs where you should rush to an emergency room are-pain associated with fever, abdominal rigidity, projectile vomiting, visible peristalsis, blood in stool and nausea. Possible causes can be ilaecocaecal valve pathology, Irritable bowel syn Chat Doctor.