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### Human: I had a cholesterol test done and the results are concerning. Ttl cholesterol was 229, triglycerides 224, hdl 48, LDL 132. The dr wants to put me on meeds before talking diet and I did not fast before the test which seemed odd. Concerned? Should I opt for meeds first?### Assistant: Hi, dairy have gone through your question. I can understand your concern. You have high triglycerides and LDL cholesterol. It is independent risk factor for coronary heart disease. You should take low fat diet with high amount of polyunsaturated fatty acids and high fiber diet. Then repeat your cholesterol levels after 1 month. Then if needed you can take Chat Doctor. But it is prescription based medicine so 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 using Chat Doctor. Wish you a very good health.

### Human: I have some red spots on my chest area that have appeared about a few weeks ago. I was not sure what they were but they are dry and not itchy at all. However there is only one larger one and then a few smaller ones that are on my chest area. I have tried to clean it with neutrogenas acne face wash soap bar but that didnt work. Was just wondering what is this?### Assistant: HiT hank you for asking Chat Doctor. I have gone through your query. Possibilities for your condition are allergic rash to something you exposed or hair bed infection. If allergic rash then it goes and come. In that case taking anti histamines like cetirizine (Zyrtec) and applying HY Chat Doctor. But if it is on hair bed, or it appeared after shaving hair then it can be most likely hair bed infection. In that case washing with warm water and applying provide iodine or brilliant green will be helpful. Hope this may help you. Let me know if anything is not clear. Thanks.

### Human: Hi m 24 yr old girl, Height is 5.5 and weight is 50 kg. m suffering from hair fall.. after using chemical to rebond my hairs in september 2011 . earlier i have no problem of hair fall, roots get week now but regrowth of hairs is normal. This time m using figaro olive oil.. suggest me to do something..### Assistant: Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them

### Human: how do i know if i should test for leukemia? my grandpa might have it and i was curious as to what the symptons were. so far i have all of the symptomsl; anemia, bone and joint pain, abdominal distress, swollen lymph nodes, and difficulty breathing.### Assistant: Thanks for your question on Chat Doctor. I can understand your concern. Leukemia can be hereditary. And you're all symptoms like anemia, joint pain, bone pain, swollen lymph node, breathing difficulty, abdominal pain etc. are seen in leukemia. You are also having positive family history for leukemia. So better to consult oncologist and get done lymph node biopsy and bone marrow biopsy for the diagnosis of leukemia. Hope I have solved your query. Wish you good health. Thanks.

### Human: Hi , I am Prasanna GSEvery day when i comb my hair , I get atleast 9 to 12 Hairs Fall down .My Age : 24 , IT Proffesional - Software Enggineer .But i sleep Late Night ( morning 4 AM - 6 ) and i ll sleep till 12:30 PM ....I cant help it , its my job profile is like this .... Can you please suggest Some recommendation and way to lead a healthy routine ? Please### Assistant: Hello Rosanna, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, Chat Doctor. From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them

### Human: Im 40 year old male about 175 pounds and I dont have diabetes or any other health problem that Im aware of.Ive had toenail fungus on right toe for about two years now. About two months ago, I started soaking it bleach/water for about 30 min a day. The appearance has changed dramatically. Now the skin around the nail is red and scabby and about two days ago I can see a clear liquid coming from where the nail and the skin meet. I also have a slight fever. I dont have any money to see a doctor, is there something I can do without seeking medical help, to see if it will go away on its own.### Assistant: Hello, Welcome to Chat Doctor, Seems to be a case of fungal infection worsened by secondary bacterial infection leading on to pain and swelling. I would advise to maintain strict control of blood sugar which is the most likely cause for recurrent fungal infection I was your treating doctor I would have asked you to take an oral antibiotic for a week to resolve the secondary bacterial infection followed by application of a topical antifungal cream either terminate or clotrimazole twice daily for a month. An oral antifungal is often required in case of recurrent fungal infections. My choice of Chat Doctor. An antifungal dusting powder also helps to prevent recurrences once the infection is cured. An oral antihistamine once daily would help you deal with the itching associated with fungal infection. Thank you.

### Human: Dear Dr. Jain,I suffered an ectopic in 2006 and subsequently underwent and right salpingectomy. I recently got married and I went to see a gynaecologist as I was beginning to experience excruciating pain during my menstrual period. He therefore did a biopsy which was fine and suggested I get pregnant in the near future. My gynaecologist put me on Primolut. A day after I started spotting. I went back to him and he has now prescribed Primolut N. I am not sure why I am spotting...and he has not explained that. What are these drugs for? He seems to be treating me but i am not sure what for and how it works. Can you help?ThanksTamara### Assistant: Hi there,Pain during menstrual period could be due to a condition called endometriosis. It can't be diagnosed with a biopsy, you may require a laparoscopy to know exactly what is the cause of this pain, especially if it persists. The primal is a progesterone hormone tablet and may help with spotting, but again you need to know the cause of spotting. As long as you are taking the primal you will not get pregnant. Its best that you get evaluated thoroughly with a laparoscopy and hysteroscopy which will give a cause for the spotting and pain that you have. Hope this helps. Regards.

### Human: hi. im having a shortness of breath on & off its tolerable but bothersome. & maybe 4 years ago diagnosed w/ astma & went away. could be astma again? I cant make an appointment to see the dr not till tues morning. can i wait that long? nothing to worry?### Assistant: Hi, thanks for using Chat Doctor If the shortness of breath is severe or there are associated symptoms such as chest pain, palpitations, then you should consider seeing your doctor as soon as possible. In the absence of the above then you may consider waiting till your appointment. It is possible that it is related to your history of asthma, but the doctor may want to rule out other causes as well e.g. heart related problems hope this helps

### Human: Doctor, I am having difficulty in swallowing, my neck is swelling, and I am experiencing hot flashes. I also have a neck mass, and my bones are painful, what could be wrong with me?### Assistant: Based on your symptoms, it seems that you may be suffering from Goiter.

### Human: Hello I am pregnant for about 5 weeks and 2 days. Since I found out about this, I started taking one-a-day prenatal vitamins. These tablets have 4000IU of Vitamin A, 50% in the form of Beta Carotene. My question has to do with my vitamin A intake. I eat a lot of vegetables, lots of leafy greens and spinach, and fruits, mostly grapes and apples. These are also rich in Vitamin A, in Beta Carotene form. Does this constitute a potential threat to the health of the developing embryo? I am not taking any other preformed Vitamin A other than these tablets-- except for the little amount in the fortified milk, perhaps. Could you please guide me about the limits of Vitamin A intake in the form of Beta Carotene? Should I cut back on spinach and other fruits and veggies? Thank you!### Assistant: Hi,vitamin A is a type of vitamin which gets stored in liver over time and person taking lots of vegetables and fruits are not deficient of it. In pregnancy excess vitamin A, more than 10,000 IU per day can cause defects in the baby and liver toxicity in the mother. Since you are having adequate intake of in your diet, I would advise you to change your prenatal vitamin to one which does not have vitamin A. Regarding beta-carotene 12 micro grams of beta-carotene makes approx. 3 IU of vitamin A. Just take folic acid 400 micrograms till 12 weeks. Hope this helps. Regards.

### Human: EVERYONE I KNOW THINK I M NUTS. I THINK I HAVE SOME SORT OF INFESTATION THAT IS EVERYWHERE. WHEN I SAY EVERYWHERE, I MEAN EYES, NOSE, MOUTH, EARS,SCALP, GUMS, AROUND AND UNDER MY FINGERNAILS AND TOENAILS, GENITALS, AND EVERYWHERE ELSE YOU AND I CAN THINK OF. WHAT COULD THIS BE?### Assistant: Hi, Welcome to Chat Doctor! Are you having any symptoms? If you have symptoms like fever, weakness, body aches etc., that may suggest of some generalized infection. However, in absence of any symptoms and if you just feel that you are infested, you might be needing a psychiatric opinion. There is nothing wrong in it as you might be suffering from some phobia, and it can be got rid of with the help of Psychotherapy and medications. Hope this information helps. Feel free to ask if you have any doubt. Wishing you a speedy recovery and good health. With warm regards,

### Human: My husband is 52. He has had diabetes since the age of 12. In April, 2010 he had a stroke leaving him with right side paraparesis. He started dialysis in May, 2010. He has a lot of pain in his lower back and woke up last night with chest hurting and the night before with stomach and lower back hurting. What do we need to look for?### Assistant: Welcome to Chat Doctor .1. There are few reasons for back pain in this case, due to the underlying paraphrases if the patient is less mobile.2. Underling Diabetes - If it is uncontrolled.3. Age related degenerative changes do may cause the back pain.4. I would recommend an MRI spine to find out the status of the disc and cord involvement, at the same time a plain radiogram (X-ray) spine for bony changes. Hope it helps you. Anything to ask ? Do not hesitate. Thank you.

### Human: Since Monday I notice pain near my rectum today after investigating further I found that I have a large, hard, lump mass underneath the skin on my left butt cheek, no it the rectum/anus itself but more so underneath the skin of the lower left butt cheek. My Dr. does not have any appointments open till the 20th. Should I go to the ER. Is it cancer?### Assistant: Welcome to Chat Doctor. 1.No, the history you have given does not suggest any cancer, it only suggests a superficial/ subcutaneous lump with pain.2. That could be hair follicle infection, lipomas, or superficial abscess.3. Would recommend you to see the doctor / GP, he will examine the case and do needful investigations done.4. If there is any pus discharge / collection noted - a course of antibiotic would help.5. If in case its bigger a small incision and Chat Doctor. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you.

### Human: I am a relatively healthy, but obese (230lbs) 61 year old with a long standing history of sinusitis. I just began the NutriSystems diet plan and am eating and drinking more dairy than I have since I was a kid. My sinusitis has become almost unbearable and my ENT says I do not have a sinus infection. I am suspecting a dairy intolerance or allergy. Could this be?### Assistant: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, it can be dairy food allergy. Some people can't tolerate the dairy food, they are allergic to the dairy food. I advise not to take the dairy food, as it can cause further allergy. You can take the cetirizine and prednisolone tablet for allergy under your doctors' guidance. Please maintain good hygiene in oral cavity and nasal cavity it will prevent the future secondary infection superimposed to the allergy. The treatment of the allergy is to avoid the allergen, so if you avoid allergen you are away from the allergy. There is no better treatment than it. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.

### Human: I am 59 years old.My weight is 78 kgs and height is 1.81 meters.There is asthma in my family history.Of late I am facing symptoms of breathlessness only when i have some exertion like little brisk walking,while taking bath etc.If i take an anhaler(orange tip),i am comfortable for about 2 days but subsequently same symptoms crops-in again.Do I have to take inhaler on regular basis.I am not on any other medication.I am more on naturopathy treatment eating right type of fruits and vegtables.I regularly do breathing exercises in the morning,i am off the dairy products,sweets,fried stuff etc,i go for a walk every day for about 30-40 minutes.Recently when I had been to Australia for 2 months period,i never had to face such problem.I am more keen to have some natural remedy(not allopathic) to take care of my present symtoms R R Chari,Vadodara,india### Assistant: Hi, Hi,It can be due to upper respiratory tract infection like pharyngitis or laryngitis or may be acute bronchitis, pleurisy you can go for routine blood and X-ray chest with sputum examination, it will be helpful to make clear diagnosis. You should take antibiotics (quinolones or accolades group) with analgesics and anti-inflammatory, antihistamines. You might require inhalation steroids, beta agonists, anticholinergics as MDI or rota haler as a regular treatment. To decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. You need to see pulmonologist for further advise.

### Human: hello sir i am a 25 year old fellow. i am facing hair loss since last 4 years it happend all of a sudden i never had any such problems before i am not able to make out how can i prevet this and the main parts of my hair loss started from neckside hairs and the front part of my head is continuously getting shed..please suggest somethings ...i heve taken treatment in homeopathy ayurveda but allopathic treatment was a little better..i continuously shaved my hairs for long durations but hair fall still doesnt seem to stop. i had good dense hair hairs so still have a normal look to my hairs but side fronts are almost gone please help me### Assistant: Hello dear, Causes of hair loss/thinning of hair are: 1. Environmental factors 2. Stress 3. Deficiency of certain minerals, vitamins & amino acids in diet. e.g. Iron, zinc, It B complex, lysine. 4. Hormonal factors. e.g. Thyroxine 5. Any incidence of surgery, shock, etc. Management includes: 1. Treating the underlying cause 2. Avoidance of stress 3. Dietary modifications 4. Minoxidil solution to be applied locally to stimulate the hair follicles 5. Multivitamin & multi mineral supplementation these medications have to be used regularly under the guidance of a Dermatologist, as hair loss tends to return on stoppage of these medications. There is no need to worry. Your hairs will grow back again. Wishing you a Good Health. Take care.

### Human: Dr am lisa my sister have kidney problem. now she admited in hospital.one kidney size is 5cm * 1.6cm another one size is 12cm * 1.9cm.she have stome in left kidney.Dr said right kidny size is very small. We try to remove the stone from left kidney. Today them remove the fluid.We had a fair kindly advice### Assistant: Hi Lisa....small size kidney on one side can be present since birth due to poor development of kidney while in the womb. That is totally harmless. This is most likely in your sisters case. Or it can be due to damage to one kidney by repeated infections, or poor blood supply due to narrowed blood vessel supplying that kidney etc. Because she has only one good kidney she has to protect it. So a stone in left good kidney has to be removed before it can cause any damage to it. Having one kidney is harmless...voluntary kidney donors are living normally....she needs to take care not to become overweight....avoid very high protein intake...check BP regularly.

### Human: i had unprotected sex last nite with my gf,i gave her unwanted 72 within an hour of post sex,but again today morning i had sex with her and now also m not sure, will that pill which i gave her last nite will work or i need to give her another pill..?? her period date is round about 12-14 of the month,i had sex sex on 1.6.14. Please help me..### Assistant: Hello dairy understand your concernUnwanted 72 pills protect only against the one unprotected sexual intercourse. Unwanted 72 pill does not protect you against the second intercourse. I would suggest taking another unwanted 72 as early as possible with in 24 hours after sex to prevent the pregnancy. It causes side effects like with Chat Doctor. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact Chat Doctor for further health query Best regards

### Human: My 7 month old son has an odor coming from his nose. hes had a cold for awhile now and has been checked out by his pediatrician. recently taken antibiotic for conjunctivitis. I just noticed the smell in the last couple of days. what could be causing this?### Assistant: Hi...if the kid is active and not sick with fever or breathlessness you need not worry about this bad smell. This could just be a purulent secretion of a healing viral cough and cold. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal

### Human: sir, my wife has been laying up in bed for 1 year caused by ill effect of wound secreting putrefied fluid after she got stiched at the time of sezure. The place of stiching at abdomen is affected with reapeted and chronic hole with white fluid surrounding after a long course of painfull swell area at times. Now the place around stiching finds no such problem except one wound created by hole secreting fluid very little. Whats ur opinion about her cure for ever completely.### Assistant: Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is the postoperative wound infection. It is type of chronic infection. In such a case Grams staining, culture and sensitivity should be done. And treatment should be taken as per the report received. Please take the full course of antibiotic treatment as incomplete treatment can cause repeated infection. Please take Chat Doctor. Good hygiene is the key for early cure of infection. You should maintain good cleaning and

### Human: Doctor, I'm experiencing cramps and spasms, along with a headache, fever, redness in my ear, and a cough. What could be wrong?### Assistant: It sounds like you may be suffering from hyperhidrosis, a condition that causes excessive sweating beyond what is necessary to regulate body temperature. However, your symptoms are not typical of hyperhidrosis, and I would like to do some further examination to make sure we have a proper diagnosis.

### Human: Yes, I had an orgasm at 1130pm last night and a few hours later woke up to severe pain in my testicles with the pain radiating outward to lower abdomen and the area between my scrotum and anus. It was so painful I broke out into a cold sweat and almost threw up. It would last 5-10 minutes and then go away, then return 10-15 minutes later. I went thru 3-4 cycles of this. It felt like it began in left testicle and then moved to the right testicle. It felt like something was squeezing my testicles and the pain radiated outward. I relate it to a pain from a kidney stone. What could this be?? I have soreness now today. thanks!### Assistant: Thanks for query. The severe pain in Testicles with chills and vomiting strongly suggests infection of Testicle or Epididymis and needs to be confirmed. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of Scrotum.3) Color Doppler study of scrotum. In the mean wile start taking broad spectrum antibiotic like Čeferin along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to

### Human: My girlfriend was recently diagnosed with PID and treated with doxycycline and metronidazole for two weeks. I was given a week long course of 200 mg/day of doxycycline. We were both tested for HIV, syphillis, gonnorea, chlamydia but all tests came back negative. We have not have sex for two weeks while the drugs were taking effect. I m now finding that when I masturbate, the head of my penis has red with small red bumps and my foreskin becomes red and itchy. I m also getting a clear discharge when erect. Please help!### Assistant: HiT hank you for asking Chat Doctor. I have gone through your query. Your problem can be most likely due to yeast infection. This can be a side effect of antibiotic therapy. Antifungal ointments like fluconazole for local application will be helpful for this. It is available as over the counter in brands like captain. Avoid washing the area with soaps or irritants. You can use warm water or saline for this. Hope this may help you. Let me know if anything is not clear. Thanks.

### Human: I think i have a infected tooth it just started to chip away little by little but now i can start to taste puss in my mouth. I want to do a coconut oil pull to see if that remedy works. How dangerous s it to be tasting this puss and possibly swallowing it at times ? and what can i do to prevent it and will the oil pull work?### Assistant: Hi. Welcome to Chat Doctor . As per your complaint it seems that infection has reached below the root tips of the infected tooth leading to Dental Abscess formation. Swallowing excess of pus can at times cause infection in stomach as well as throat. Oil pull can cause temporary relief but for permanent resolution consult an Oral Physician and get evaluated and an x-ray has to be done. In case if tooth can be saved then Root Canal treatment of tooth followed by antibiotics and painkillers can help. In case of gross decay extraction can be advised. Hope this helps. Regards.

### Human: my son is 9mths old and he is teething, and has been for months. but today he did hit his head, normal baby falls, he was trying to stand up, hrs later while eating his left side had invlountary spasms, but he hasnt done it in a few hrs, should i be worried### Assistant: Hi, A toddler at nine months generally has a few falls as he supports himself to stand with support and gradually start to stand without support. A fall and hit to the head generally should not cause many problems. But if the child has loss of consciousness seizures it needs to be investigated for any brain damage by doing a few tests like ct scan head. Hope I have answered your query. Let me know if I can assist you further.