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52 year old white female with pain below the right rib cage noted especially when coughing, tender to touch. Noted also when reaching up with right arm. Woke with low back pain about a week ago with this pain also first noted. Back okay now, did choke on a drink which caused extreme coughing about this time also. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I have studied your case. Due to compression of this nerve root there is pain in your filthier is another possibility of Costco Chat Doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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 |
hi.. 35 yrs male. I got my semen analysis report today it says sperm count 64.34 million/ml, motile 90%, ph 8.0, color opalescent whitish, abnormal spermatozoa 05%, pus cells 4-6 /hpf, RBC s detected. please explain what does red blood cell detected means? Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | HelloEverything in your semen analysis is normal. While presence of 2-3 RBC's in the semen is normal. When due to stimulation semen sometimes ejaculated in urethra, this produces mild injury, that's why semen contains RBC's and this is normal. If red blood cells are in large number then this is the cause of concern. Pus cells are normal. Normal fertility is associated with sperm counts >48 million/mL with motility>63 % and >13 % normal morphology (as all parameters are normal in your case). Good luck. |
Dear Doctor. Im boy 18 years old.I would like to ask that one day I masturbation 4 or 5 times. Is it ok with my health or any problem ? when I did it finish during 1 day my face has a lot of ance... What happen and Is it any problem if I lost a lot of sperm per day ? | If you are a doctor, please answer the medical questions based on the patient's description. | HelloThanks for your query, based on the facts that you have posted it appears that you have been indulged in masturbation frequently and now facing problems problem of getting acne over face.First there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. To masturbate at the age of adolescence is common, however it should not become a habit and one should not get addicted to it. What ever sperm one ejaculates are reproduced by testicles within 24 hours. Chat Doctor. |
HI there I need an implant for a molar and still have the root ...the tooth broke off at the gum line ..so is it possible to have an implant in this root or would it be needed to pull it out and implant in the jaw ??its the 2 nd molar fr back upper left side.Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your query, I have gone through your query. The broken tooth or root should be removed prior to the placement of the implant. The implant cannot be placed in the root itself. The root piece has to be removed, then the implant has to be placed. If required bone graft has to be placed and the socket should be left for minimum of 6 months for the new bone to form. Or else, immediately soon after removing the root we can place the implant, but the success rate with immediate loading implant is less compare to waiting for 6 months and getting it done. I hope my answer will help you, take care. |
My 4 year old just came home from the hospital with pneumonia 2 days ago and now I have a horrible cough. My little one says I sound like a sick duck. When I cough my chest gets tight, I can barely get a breath in, and I feel like I m going to pass out from being dizzy afterwards. I do have asthma and was in the hospital with my daughter the whole time. Could I have caught what my little one has? | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, possibility of spread of infection is high in your case. Asthma patients have higher chance of lung Infection. Since you are asthmatic and your symptoms like cough, breathlessness etc. favors possibility of lung Infection more. Your child recently had pneumonia, and you are taking care of him. Lung infection spreads through Chat Doctor. So you might be infected through your children pneumonia. So better to consult doctor and get done clinical examination of respiratory system and chest x-ray to rule out pneumonia. You may need antibiotics, bucolic and expectorant |
Hi. My sister has pancreatic cancer and has been diagnosed with low haemoglobin and is having a blood transfusion . I understand how serious this is, but was wondering what to expect now. She has been very light headed and very fatigued. She has just had two treatments of chemotherapy, after having treatment for the last four months on a weekly basis, and will now miss her treatment tomorrow. She has a stent in her duodenum and bile duct and she has a temperature. | If you are a doctor, please answer the medical questions based on the patient's description. | Delivery sorry to learn about your sisters' problem, but the fact is that nothing beyond chemotherapy can be done. This treatment is palliative and not curative. Till she is alive, she has to be managed conservatively only as nothing aggressive can be done. Take care of her nutrition, manage her hemoglobin levels and give full psychological support. Look for any sign of infection as she is having fever. Infection has to be treated with antibiotics only. Thanks |
Hi doctor,I have recently contracted genital herpes. I am having an outbreak, which scared me. I have blisters (vesicles) on the penis. I had a blood test done last week and this confirmed it. Please help me. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. I have thoroughly reviewed your health query and can well establish the sensitivity of issues you have. Thanks for uploading the labs here for reference (attachment removed to protect patient identity). |
I am 67 years old female. My lipid profile shows a total cholesterol level of 282, HDL - 74, VLDL-20, TG-101 mg/dl, Cholesterol/HDL ratio-3.81, LDL/HDL ratio-2.22. My B.P was 140/78 and Im non-diabetic. Kindly analyse my lipid profile and let me know about my risk of being susceptible to heart disease. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Your findings suggests raised cholesterol level. Other findings like HDL, VLDL and triglyceride level is within normal limit. You may need few more investigations like routine hologram, random blood sugar, liver function test, renal function test, ultrasound of abdomen, urine RE/ME. I suggest tablet atorvastatin 10 mg single dose at night. It will control cholesterol level in blood. You should increase your physical activity in the form of exercise and brisk walk. You should avoid fried and saturated fat. Take a lot of fruits and vegetables in your diet. Persistently increased cholesterol may cause heart disease. Take Care Chat Doctor. |
Hi, I had a wisdom tooth extracted 8 days ago (upper right). Although most of the bruising & swelling of my palate has gone down, there is still a hard, painful lump on the site of extraction which does not seem to be reducing. Getting occasional ear pain & right side of jaw stiff/painful now. Took 5 days of antibiotics initially as prescribed (also take imuran 75mg for SLE). Thank You. | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your query, I have gone through your query. The painful lump on the palate could be secondary to the bone cutting done during tooth removal, or it can be a secondary infection leading osteomyelitis. Complete the course of antibiotics that will take care of the infection and reduce the swelling. If the lump does not reduce in 7-10 days then consult an oral physician and get a radiograph done to rule out any infection. Do saline gargling. I hope my answer will help you, take care. |
Hi,I have been off work for 6 weeks due to anaemia. This is causing me dizzy spells and as a sales rep that spends a lot of time on the road, I felt unable to work after a dizzy spell whilst driving on the motorway shocked me into visiting my doctor and being signed off work.The cause of the anaemia is not yet known and is being investigated.However I am due to return next week as my company will no longer provide sick pay. I am still getting the dizzy spells and m quite concerned that they are still occurring despite taking ferrous sulphate. Please can you advise? | If you are a doctor, please answer the medical questions based on the patient's description. | HiT hanks for query. 1. Most common cause of anemia is nutritional deficiency of iron, vitamin B12 and/ or folic acid. Dizziness is one of the commonest symptoms of anemia.2. When you are diagnosed with anemia, it becomes important to know the type of anemia as well. Get complete hologram done along with peripheral blood smear examination to know the type of anemia and take treatment accordingly.3. It takes at least two weeks for the symptoms to improve with oral therapy. If it's been more than two weeks get a reticulocyte count done to check for response, meanwhile discuss with your consultant the use of injectable forms of iron therapy as iron absorption might be hindered by worms sometimes. 4. Also get a deforming done for hookworm.5. Improve on your nutrition by having more cereals, citrus fruits, red meat(rich in iron and other micro nutrients). 6. Be regular on your medicines, take lots of fluids and avoid tea as tannins inhibit iron absorption. Hope this helps. Regards |
My husband and I are looking to start a family within the year. We have some concerns and questions. I have been on the pill for almost 10 years. How long until my body is back to normal? How long after quitting the pill should I wait to start trying? I have depression and I am on anti-depressants. Are there anti-depressents for pregnant women that won t hurt the baby? My mother developed thyroid disease after she had me The kind that keeps you from losing weight. I have been checked andI don t have it now. Is it possible that it will develope after children? I exercise a lot. I was diagnosed with eating disorders but I have a better control over it now. How much exercise is ok when you are pregnant? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, welcome to Chat Doctor. Use or stoppage of psychotropic medicines in pregnancy is a complex decision. Usually medicines are not preferred during pregnancy, specially in first trimester. But psychiatric illness like depression are chronic illnesses and may recur after stoppage of medicines, which can more harmful for baby in severe cases. In the final decision risk benefit analysis need to be done. Following parameters are taken into account while taking final decision: current medicines, duration of illness, stressors in life, duration of remission, severity of past episodes, history of relapse after Chat Doctor. You can discuss these all issues with your psychiatrist while taking final decision. Wish you all the best. |
Hi there, I had an xray done. I did adv the pwhen he ask if I was pregnant. That I did just had a urine test done at the walk in clinic the day prior and it was a negative though I dont know. It turned out that the blood test and urine and all came back negative tho I found out on July 3 that I was pregnant. The xray was done June 21. Because my stool was so back up they needed to check to make sure what was going on. Just on Monday I find out by and ultrasound that I am 8 weeks and the babys heart was perfect. I am just now worried and thoughts are going through my head if only I knew I would had that xray. Do you think the baby is Okay???? I just want to be reassure. Thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi there, Do not worry at all, if at 8 weeks the baby is fine and fetal heart is ok it means that the baby is fine. At this early if any harm had to be caused it would have resulted in abortion, but since your fetus has a good heart rate you need not worry. Anxiety about the x-ray can lead to a lot of stress, and will affect you adversely. Since the ultrasound is normal you can be rest assured that every thing is ok. Continue taking Folic acid and get anomaly scan at 20 weeks. Hope this helps. Regards. |
Hi I have had UTI upper and lower tract infection about 6 months ago which needed to be treated with 2 courses of antibiotics. Symptoms did mostly get better but every now and again ive felt a similar niggle in my right kidney area. Its not uncomfortable like when i first was diagnosed with uti, but I am weary about it. I went to my doctor today to do a urine sample and check up and my sample is at the lab now... but I am very worried; although my urine was a normal yellow, 1 piece of clear tissue with a slight pink section near the centre of the tissue was in my urine. What could it be or what questions do I need to ask my doctor so she can focus in the right area. I am obese and losing weight gradually. 9 kilos over 3 months to date. Im not doing anything too strenuous. Im pacing myself in this healthy lifestyle journey. I do also have PCOS and pre-diabetic. Can you please help :( | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. It would be good to know your age and what medication you're taking. Anyway, ensure you have urine culture, HbA1C, creatinine, and ultrasound abdomen done. Chat Doctor. Exercise regularly and watch your diet, to prevent progress to diabetes. You may send the reports to me here, for an expert opinion. Wish you well. |
Hi I went to A & E at 3am this morning with what started as itchy hands and feet, then body & face went bright red , then I started swelling up, I had all these symptoms a couple of months ago but thought it was something Id eaten, however this time my tongue, mouth & lips also swelled , the common factor in both cases was omeprazole which my Partner has prescribed and which I took on both occasions. Why did I react to this when I have never had any previous allergies. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint the symptoms of itchy hands and feet along with redness or flushing of face and swelling or hives along with allergic angioedema seems to be due to Allergic reaction as such symptoms are the most common presentation of allergic reaction or anaphylaxis. In case if on both occasions when the symptoms appeared you have taken Omeprazole the symptoms seems to be due to allergic reaction to Omeprazole that is a Proton Pump Inhibitor. I would suggest you to consult an Allergist and get evaluated, and he can do a thorough clinical evaluation and also advise allergic tests like LAST test, Patch test, food challenge test to rule out the exact cause of the problem and treat you accordingly. As of now you can take anti allergic like Allegra or Ben Chat Doctor. . The best way to prevent an allergic attack is to avoid exposure to allergen and in case if it is something that you come in contact with frequently you can be advised Immunotherapy to reduce the severity of allergy symptoms. Hope this information helps. Thanks and regards. |
Hi I am suffering from numbness and Plns &needles in both feet and sometimes in my hand, making writing or holding things difficult , I have had a MRI which no to stroke ,MS and brain Tumour, so what is wrong I ve 6 week for next appontment can you help | If you are a doctor, please answer the medical questions based on the patient's description. | Pins and needles pain in both hands and feet can be featured of peripheral neuropathy. Also, few patients with cervical myelopathy can have similar symptoms. I advise you to get NCV all four limbs done 1st. If its show evidence of neuropathy, then need workup regarding cause of neuropathy if NCV turns out to be normal-get an MRI cervical spine. For symptomatic relief you can try Tab Gabapentin 300 mg BD |
My simple cough/cold has now gotten worse. My chest and throat no longer hurt after 4 days, but I am now constantly sneezing am no long blowing clear. Blowing is now very lengthy, thick yellow, and hurts my sinuses while blowing. Am I contagious? Thanks. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am sorry for the situation you are in. Having cold and cough is suggestive for upper respiratory tract infection especially due to virus. One person is contagious 2-3 days after contracting the disease until the first week of developing the symptoms. Taking this into account, I need to know when you noticed the symptoms of cold/cough? So, I can determine whether you are still contagious or not. Wish fast recovery! |
Hello doctor,My lower right side impacted wisdom tooth has been extracted a week back. Till now my half tongue and jawline of the right side are numb or I am not feeling hot or cold at that side. I am so much worried. Is that normal or is it a concern of worrying? I am panicking for getting sense in my tongue back. Please advice. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. If the tongue feels numb even after a day, then you may have a condition called paresthesia. It occurs when the injection injures the nerves. and such numbness can remain for a week or two, sometimes even for a month. But it will go away as the nerves heal slowly. Take capsule Becosules (Vitamin B1 and B2) once daily for 15 days. But it is better if you go back to your dentist to show him first. |
I have a cyst on the back of my right testicle, which i have had for 10 years , ive managed the pain, but for the past month the pain has come back, i workout every day and lift heavy weights for the past 2 years, could this be the cause or can i just keep lifting? 34yo 180cm 87kg | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to ChatDoctorI understand your concern. Cyst in the testicle may be due to varicocele, HY Chat Doctor. As you are telling that you have swelling from 10 years, it is most probably benign swelling. As you are getting pain in the swelling, better to get it removed by means of surgery. Until then better to avoid lifting heavyweights. It can aggravate pain. Hope you are happy with the answer. Thank you |
what can be done to help stop facial seizures when in vegetative state My friend has been in a vegetative state for 11 weeks and there are big yellow bumps on her tongue, mouth stays open with continous twitching of the face which they said is being caused by facial seizures and also bed sores on her foot. She is 45 years old, weighs about 200 lbs, she is hypertensive complained of a headache went to hospital slipped into a coma and had to undergo brain surgery because brain started to swell. She is now only being feed through tubes ensure i think, has trach in throat , out of intensive care and sometimes she seems responsive if I talk to her she opens eyes and moves mouth as if talking. Please help me to understand what is going on and what can been done to help her now in terms of care. | If you are a doctor, please answer the medical questions based on the patient's description. | Based on the description, your friend seems to be suffering from brain damage resulting into unconscious state. The exact state of brain dysfunction can be assessed by clinical examination by a neurologist, electroencephalography (EEG), evoked potential studies and positron emission tomography (PET) studies. These tests can be ordered and interpreted by a neurologist. Regarding treatment, it is mainly supportive with good feeding, oxygenation, maintaining BP, prevention and treatment of bed sores, deep vein thrombosis prevention, physiotherapy. Antiepileptic Chat Doctor. |
HI. I have had heart by pass surgery and I take lasix medication. Recently I rode 1000 mile round trip in week and today, my left foot only, has swelled from the ankle down. I usually don t have any problems along this line. I have elevated my foot and tried ice pack and the swelling goes away. I can t sit all day with my foot propped up with ice. Any advice will be appreciated. | If you are a doctor, please answer the medical questions based on the patient's description. | Welcome to Chat Doctor I have gone through your query and understand your concern. As you have got swelling of only one foot. This can be due to local cause. You are advised to keep it elevated and exercise actively by active toe movement of toes. As you are already having cardiac disease, so it will be better to see cardiologist for it. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
My boyfriend just finished radiation for tonsil cancer and he has excess phylem. Every time he eats a little something he can t stop spitting/coughing up phylem. He has been having chicken brith with noodles & scrambled eggs. Tried protein shakes because he lost 20 pounds but those gave him even more phylem. Can you suggest anything? | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. In my opinion you should first consult pulmonologist and get done chest x-ray and CT THORAX (if needed) to rule out lung infection and radiation pneumonitis. Radiotherapy makes person immunosuppressive, so chances of lung infection (pneumonia) are very high. So chest x-ray is needed. Another possibility for your cough is radiation pneumonitis. It is not infection, but inflammation produced in lung parenchymal by radiation. So tissue edema develops and this causes coughing. CT THORAX is needed for diagnosis. And steroids are the only treatment for this. So better to consult pulmonologist and discuss all these. |
My baby is nearly 8 weeks old but almost since birth he has been breathing rapidly. Usually during the evening but occassionally in the morning too he will begin by panting incredibly rapidly, this gets faster and faster and he gets more and more worked up and is extremely difficult to calm down. Can someone tell me if this is dangerous or normal? And offer advise on how to calm him down or stop him doing this please? Thank you | If you are a doctor, please answer the medical questions based on the patient's description. | Hi! Thank you for choosing Chat Doctor ! Congratulations on your new baby! For 2-month-old babies, the normal respiratory rate can be as high as 50 breaths per minute. But other than how fast it is, you must also check if the breathing seems labored and deep. Do you see this while he is calm and asleep or only when he is irritable? When they are crying and fuzzy, breathing can be faster. I would advise that you consult your doctor. It would be best for him to be examined thoroughly so as not to miss any serious causes of the fast breathing. Also, try to feed the baby upright with his head a little elevated to prevent aspirating the milk to his lungs. Hope this helped you. Sincerely, Handle Dulay-See, M.D. Pediatrician |
Hello doctor,I and my friend involved in physical intimacy a few days back and there was no ejeculation and penetration was only for 2 minutes. After that considering precum she took Unwanted 72 within 3 hours. She had bleeding after six days. She has regular cycle of 28 to 30 days and her last period was 30 days back. She did not have period till now.We performed urine pregnancy test at home. All are negative. Is it confirmed that she is not pregnant? If yes, how long ideally she should wait for period after bleeding? Is there any medicine required? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor forum. As she had a with ChatDoctor. However, the conclusive test for ruling out pregnancy remains serum beta hCG test which is a blood test. if hCG levels are less than 5 mlU, then she is surely not pregnant. Also, now she should be expecting her menses only after 10 more days as she had her bleed marking the start of her fresh cycle. Just get the serum beta hCG test done to get conclusive results. She can wait for her menses. |
my mom suffers from angina, had emergency dialysis because potassium level read 8.1, kidneys failing, then pace maker put in. Now she is having breathing problems at nights. Is the pace maker too much for her heart and did she suffer from permanent kidneys damaged. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your anxiety, for your mother. The dialysis was done as high levels of potassium(>7), are abnormal.It's safest to bring it down to normal levels, by doing a hemodialysis. High potassium levels causes problems on heart function, detected on an echo scan and ECG. A pacemaker is needed, if there's a block in rhythm. The pacemaker helps in maintaining heart rhythm. The kidney function is checked with blood urea, creatinine and electrolytes level, which indicates, if dialysis is needed. Dialysis helps in kidney function. If you've any other doubts, send it as a direct question to me. Chat Doctor. Manga. |
i have tow kids, boy and a girl and even me my sulf we have coughing habit or almost every now and then, esp. at night. it seems like somthing from the upper track not our lungs. we have chronoic allergey how can i stopp this and esp. not to give then anitboitic (i hate it when the doctor prescribed it even without fever. how can things at home help home | If you are a doctor, please answer the medical questions based on the patient's description. | Cellophane You for contacting Chat Doctor. There is no need to give antibiotic unless there are signs of infection. I would suggest you following things:> Take Defense Chat Doctor. > Take hot water in a cup, add 1 tablespoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> |
Hello doctor,I have a question about syphilis.I am 29 years old, female. I am not sexually active but I got engaged recently and my fianc\xc3\xa9 had previous relationships. He only kisses me sometimes which I am worried that by kissing some disease might be transferred to me from him. I got skin rash on my palms and feet 5 days ago. And when I was searching I came across syphilis. Can syphilis be transmitted through a kiss? I went to a doctor and he told me it is a skin virus HFMV and gave me antibiotic cream. I did not mention the kissing part to him. But he took blood test, crp was normal, also blood count test was normal. I did not mention this to my partner yet. I am really worried that it could be some other disease. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor forum. Syphilis cannot be transmitted through kissing. It is only transmitted through oral, anal and genital sex. However, syphilis can cause oral ulcers. If you kissed someone with an active oral ulcer, then the risk of getting syphilis through kissing may occur. Is there anything else I can help you with? Or anything that is not clear to you? I would gladly clarify them. |
My daughter started birth control pills about 3 months ago and she & I have noticed a change of behavior. Always upset and everything bother and makes her cry. She said yesterday she s cried more in the last two months than in her whole life. Can birth control pills cause such a change in behavior? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello have gone through your query and understood your concerns. People using birth control pills will definitely have mood fluctuations which she is having right now. Nothing to worry much about this as if these mood fluctuations are very high then you need to stop them and take care of your child very much to avoid depression disorder. If you think the problem is very much then you can consult your doctor so that they may add some antidepressants for her. Thank you. |
hi doctor,i m 26 yrs old and i got married. i m trying for a baby so me and my husband consult wit a gynaec,dr ask me to tk stimufol for the 1st 6 days of my cycle then she gave me the injection ovitrop.she did follicular study n told us tat 3 egg are in good cond.then she use ChatDoctor inj aft repturing of the egg.we had the sex as per dr advise and from day 16 she ask me to use susten 300 thr vagina till in m using it thr vagina. nw i m in day 32(24-2-14).how s the possibility for pregenancy.i ve reduced my wgt from 85kg to 65 kg and hgt is 155cm.plz help me for my quest-anitha | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Anita, Thanks for writing to Chat Doctor. The chances of pregnancy in your case is good I.e. 80 to 90%. Austen which you are using helps in maintaining early pregnancy and prevent abortion. I hope you have got your husband semen analysis before starting your treatment. I wish you conceive this cycle. But if by any chance you don't conceive I suggest you to get your tubal patency done. If it is normal plan for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. Avoiding sperm motility disorder. It is 15 min procedure. This will increase chances of pregnancy. Hope I have been helpful. Regards Chat Doctor. |
i am 49 yrs old, last month i had undergone TMT test. The report was positive. Six moth before also TMT done the it was nagetive. My question is that in a period of six month TMT became positve from nagative. now is it the starting of some cronary heart dease and what can revert back TMT to nagative by diet control. My height is 163 cm, weight 65kg. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, welcome to Chat Doctor, TMT or stress test is an indicator of ischemia or blood deficiency in the heart. There are many factors that can change a negative test to positive in 6 months. Sometimes there is a slow cholesterol build up in the heart arteries that would have reached critical point only now. Or it could be stress. Or Blood pressure out of control. Or becoming sedentary when previously active. Rule out these possibilities, become active, avoid refined carbs, saturated fats, red meat. Eat plenty of vegetables and fruits. Regards |
I was on microgynon for many years and then after my last period finished last Friday I started taking cerazette on Saturday (the day I would have started my microgynon again). Two problems, I had sex with my boyfriend Saturday night and the condom split so I had to take the morning after pill on Sunday as I know you arent protected for the first 7 days of taking this pill so already my body feels a bit mucked up.However, I really want to go back onto microgynon (having only been taking cerazette for 4 days) as Ive heard so many bad stories about bleeding for long periods of time and Ive got the opportunity to go to Dubai for a week at the end of April and now Im worried that cerazette will muck up my cycle and I could be bleeding when I go away. Can you please advise what it is the best thing to do? Im 40 years old. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, As you had intercourse soon after your period, you were still in the safe period and there is no cause to worry; moreover, you have no risk at all as you took the emergency pill. Please remember that the emergency pill contains excess hormone and could cause some amount of breakthrough bleeding, and it is likely to disturb your next cycle. In the current situation, it would be advisable not to switch the birth control pill you have already started taking as changing the pill in the middle of a cycle is not going to give you any protection for that cycle and is likely to cause menstrual disturbances. You may take the advice of your consultant for further assistance. Hope this helps. Take care. |
Hello doctor,I have a sinus problem and very frequently, I have sneezing and coughing problem with phlegm. Recently, I suffered from a cold and since then I am getting a blood stain in the morning while sneezing and while clearing the throat in the morning. One month back, I got a chest X-ray and it was perfectly normal. Can you please specify what should I do? What could be the problem? Should I go for throat and nose endoscopy as the doctor suggested? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Was the blood while coughing bright red or altered maroon color? If it was bright red, then it could be from upper respiratory tract only. It can be due to just trauma. So, do not worry about it at all if it repeats also. Suppose you are getting maroon-colored blood then you should be cautious. Get endoscopy done that time. For more information consult a family physician online Take care. |
I have been suffering from back pain and severe pain on the left leg for 3 months.Tried Consulting various doctors and medication,but none worked.For Past 15 Days ,the pain has been worse.Yesterday i took a mri scan of Spine.The Report Says "l4 -5 and l5-s1 asymmetrical disc bulge causing anterior thecal sac indentation and left neural foramen narrowing,abutting the left exiting l4 and l5 nerve root"Please help me with the problem and what doe the report say? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, thank you for your question. Actually the report means that you have 2 bulging discs (disc prolapse) in your spine which are pressing on 2 nerves. The report is in support of your clinical symptoms of the pain in left leg. There are many treatment options for your condition such as nerve root injections or surgery on your spine. If you like my answer please leave 5 stars for me. Hope you get better soon |
my girl child is 10 months old, weighing 10.15kg..is it normal..she takes breastmilk and nan milk 210 ml twice daily and cerelac and apple, pear and banana purree but she does not like to take rice with carrots or beans...can u suggest a meal plan for her, thanku | If you are a doctor, please answer the medical questions based on the patient's description. | If your child is weighing 2.5 to 3 times her birth weight, it's absolutely normal. Whatever she is taking now seems fine. Try to introduce one new feed per week. For e.g. apple this week, potato next etc. the more the flavors she is getting used to less choosy she'll be with her food in later life. If she doesn't like rice, try adding ghee/ sugar or different flavors with some food items she is already used to. Feeding on demand is ideal, if not every 3 to 4 hrs 200ml / as she requires will suffice |
I m having lower right back pain, I m on my period, ever since I started my period and inserted a tampon and took it out cuz it hurt and put another one in I ve been having what feels like a cramp but its been going on for three hours now. I m wondering if I should be concerned and go get checked out? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, In my opinion I don't think you have to worry. It is common with pregnancy. I suggest some hot fomentation and topical gels and muscle relaxants will be helpful for now if not you may ask your gynecologist about it. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. |
age:25, height:4.11, i have pcos problem and irregular periods 5 months. now i am taking medicine diane 35, gluconorm sr, and cabgolin .25. and from last two months my periods are regular. i want to become pregnant. is that possible. pls tell me and guide me | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns today. You have irregular periods because ovulation is not occurring. It is possible to get pregnant with PRO. You are still very young. Don't worry. Diane acts like contraceptive pill. So if you wish to conceive, first discontinue Diane. At first your husband and you need to consult infertility specialist. You need to do some hormone test, fallopian tube patency test and semen analysis for your husband to find out if there is any other problem. If ovulation is the only problem, there are medicines to induce ovulation. Your doctor will guide you regarding this. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. I hope this is helpful. If you have further concerns, do write to me. I will be happy to answer. |
hello, I have severe back pain, which has caused me to stop working after 13 years. I have been diagnosed with a condition that is private and now it has caused me foot, shoulder and hand pain on a constant and daily basis. What do you suggests I take or do. Thank you and hope to here from you soon. | If you are a doctor, please answer the medical questions based on the patient's description. | Thank you for your question. According to your symptoms, pain in several joints may be due to autoimmune disorders. There are many causes which cause joint pains. Complete blood reports, X-rays and physical examination are required to know the exact cause of your symptoms. So, please meet your physician to discuss your problem. For symptomatic relief you can try ibuprofen tablets twice daily and pantoprazole twice daily. Avoid these tablets if you have renal failure or gastric bleeding. |
Doctor, This is an extremely important question. I have been masturbating by taking a soft blanket, lying on my stomach, and humping it. I have been doing this since i was 12 and i am 16 now. I recently read that this is harmful and gives you a much larger chance to develop stuff like erectile disfunction and the inability to reach orgasm during sex or having a late orgasm. I NEED a definite, right answer on this please. Is it harmful to masturbate prone? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Despite the myths, there are actually no physically harmful side effects of masturbation. However, excessive masturbation can harm your relationships and everyday life. Other than that, masturbation is a fun, normal, and healthy act. Some people may feel guilty about masturbating because of cultural, spiritual, or religious beliefs. Masturbation is neither wrong nor immoral, but you may still hear messages that self-pleasure is dirty and shameful. If you feel guilty over masturbating, speak with someone you trust about why you feel this way and how you can move past that guilt. Therapists that specialize in sexual health may be a good resource. Hope I have answered your query. Let me know if I can assist you further. |
Hello doctor,I have been on a contraceptive pill called Yasmin since the last two months. In the last pack, I missed the pill twice, but each time, I took two pills the next day. I take the pills roughly around the same time, approximately around one to two hours each day. I am currently on my 7-day break (today is the fifth day of break). If I plan to get sexually active on Thursday (the day I am due to start my third pack), would I need to take any additional precaution? Can I be intimate even if it is the first day of my third pack? Also, can I start my third pack a day in advance, that is, on Wednesday, as I am still on my period, so it will stop the period? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I read your query and understand your concerns. I hope this helps you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a sexologist online Take care. |
Hello doctor,I had an exposure with an HIV positive lady before four months and since then to a week back, all my fourth generation tests came negative as well as my VDRL was negative and also negative for HBsAg and hepatitis C. But I also did my RNA PCR test which came below detection range. The range was 20 to 100000 copies per ml but mine is below detection limit. Please guide me. I am freaking out right now. Is it possible to get negative after 75 days by fourth generation antigen-antibody test and have a below detection limit? I also took PEP after eight days of exposure but due to its side effect, I stopped it after 20 days. I tested 11 times in 75 days and all the test came negative except PCR test which came below the detection limit? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor forum. I went through your post. If a fourth generation test comes negative after three weeks of exposure, then the possibility of having an infection is less than 1 %. So I can assure you that you are HIV negative. You can repeat another test preferably CMIA (chemiluminescent immunoassay) HIV after three weeks again. So that we exclude HIV 100 %. So, relax and do not panic. You are HIV negative. For more information consult an internal medicine physician online |
beginning of this year, I had motions for about 15 - 20 times due to which I had to admit in the hospital for 3 days. Later, I started getting itches and resulted in rashes on my body. I visited the doctor and she said sometimes due to some toxins still left in the body this kind of rashes will occur. She gave Levorid tablet. We continued this for 3 - 4 weeks (approx) and then, stopped and I did not get rashes after that. Recently again this issue cropped up. I visited the doctor and again she gave me Levorid. After using it may be 2 or 3 weeks, I see whenever I use the levorid tab itching is under control. I changed the doctor and he gave me Lerafil. After using 2 weeks, again I see the same issue. Whenever I am using it itching is under control. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, rashes will be controlled with the medication given to you. But exact cause of the rashes should be known to treat it completely. I suggest you to take the opinion of the dermatologist which can help you to diagnose and so can treat you. It is not observed that toxins due to diarrhea remains in the body and can cause you rash again and again. I suggest you to apply calamine lotion over the rash area. It helps in itching. Maintain the optimum HY Chat Doctor. Maintain the cleanliness as it is equally important in maintaining infection and so rash. Wearing a cotton garment seems to be help full in some people. I will be happy to answer your further concern on bit.ly/ |
Dr. Sir, i am from hyderabad as i am married person. it is 8 years already over for my marriage. as i dont have children right now their is weakness in motility is 05 -10% where we have to with minimum 50% in my semens could u plz suggest me a good medican as well as what are the diet should i take to improve my semens motility. and my semsns count are 40 - 50% | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Sakha, Well , you don't have a child means you and your wife needs to be investigated. You have low sperm motility. I would first like to know whether you have any habits of smoking or alcohol, then please quit as these are proven to decrease sperm motility. Secondly if you have got any varicocele as evident by swollen cord like structures in your scrotum please consult a doctor. As regards to diet please take healthy diet with fruits -these contain antioxidants. Prepartions containing COQ, astaxanthin and antioxidants available in the market can help. Please avoid exposure to hot environment continuously. Good luck |
hi i dont know if you can help. i am pregnant and my last period was end of november witch would put me at around 6 weeks i went for a scan on 14th jan and they could only see the pregnancy sack and yoke but not the baby the lady said im probably 4 to 5 weeks should i be worried | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I understand your concern. Absence of fetal pole at 6 week gestation of pregnancy indicates it's a chemical pregnancy/ blighted ovum. Where fetus is not formed, but only hormonal response like pregnancy occurs. This eventually is terminated automatically or by evacuation surgery. But before going to a conclusion, it's better to cross-check by a follow-up scan after a week at another USG center. Thanks. |
Hi. I had four wisdom teeth removed six days ago. Today I have not taken any pain meds( Tylenol with codeine) but I still feel pain around the entire left side of my face and lower right jaw. I figure the pain should he expected as there is still visible bruising. However I am concerned because todayvi have started to get waves of dizziness that come out of no where, I simply start to get clammy and feel like I am going to faint. Should I be concerned? FYI I am taking penicillin but have no history of allergy to it. | If you are a doctor, please answer the medical questions based on the patient's description. | According to your description your pain looks more like that of a TMJ rather than the tooth retraction. This may result after extraction as patient tend to limit the mouth opening and chewing after the extraction. This results into spasm of the muscles in and around the TMJ as they have discontinued their function. Warm water with salt gargles and heat packs from outside 4 times a day will help you to relieve the spasm. Moreover, you can ask for doctor to prescribe you skeletal muscle relaxants. With all this treatment you can now Starr chewing the food n let the joint muscles regain their function. |
Hello, I am 31 years old. I have four teeth extractions 8 days ago ... not molars just ones required for braces/crowding. It appears to have healed nicely and I took antibiotics. However I have been left with one of the worse headaches that I have ever experienced. The pain meds barely numb it. I have also taken alieve with no improvement. The headache is non stop and I have not been able to identify any triggers that make it worse or better. What is happening? How can I improve it? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe headache after tooth extraction, which is mainly because traumatic injury in extraction, which sometimes cause slight nerve injury or headache due to stressful condition. I would suggest you not to panic about anything it is very normal as extraction is a surgical procedure, 24-48 hrs such symptoms are normal. If headache persist after 7 days of extraction is the major cause for concern. Then you should visit your dentist immediately. Take ibuprofen 600 mg or Tylenol for pain removal. Your symptoms will resolve. Do warm saline gargles. Take cold water, ice creams for immediate relief. Eat very soft food. Maintain socket site clean by antimicrobial mouthwash. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
Hi, My brother goes angioplasty at the age of 33 years at May-2010. Now he is feeling pain now after 5 month. He consult with doctor, he is saying nothing to worry. Please advice how we can know how much he has block edge know...pls suggest, this is urgent. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that considering his past medical history, it is important to investigate for possible coronary artery disease. For this reason, I recommend consulting with his cardiologist and performing some tests: - a cardiac stress echo-cardiac enzymes- a resting You should discuss with your doctor on the above issues. Kind regards, |
My wife keep tell me Im egoist but Im not I do love her and my to children but some time look like a lost the plot, get angry but not aggressive im an Italian temperament some time I speack loudly look like I schoy but is not and from there the things go worst | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are having some problems due to your temperament and this seems to be causing some relationship difficulties as well. Now, such temperamental problems and anger outbursts can be due to a variety of causes like personality issues, relationship discord, etc. With the limited information that you have provided, it is difficult to arrive at a definite diagnosis. A detailed history and a psychological assessment is necessary. So, I would suggest that you consult a psychiatrist for a detailed evaluation and further treatment. Treatment options are available in the form of medication and psychological therapy to help you overcome these problems. So, please don't hesitate to seek professional help. Wish you all the best. |
I woke up with my right big toe very itchy and when I went to look at it it had a big hardened area at the tip extending to the side of my toe. I squeezed my toe and that area remained white and hard when the pinched area turned red. Its a burning itching sensation. | If you are a doctor, please answer the medical questions based on the patient's description. | HI, thanks for using Chat Doctor It is possible that you were bitten at some point while you were sleeping. This would cause the localized irritation to your toe and would be associated with itching and abnormal sensations such as burning. You should consider the use of an oral anti histamine and also an anti-inflammatory painkiller. Examples of anti histamines are Ben Chat Doctor. I hope this helps |
About 7 wks ago, I was bending over picking pine cones and gum balls up off the ground. Since then I have had some pain in my right back leg, but now what is bothering me most is the numbness and tingling in that r. leg. I think i have a pinched nerve in my right side below the waist. My Dr. here has did a regular xray that showed a narrowing on the right side of my back. He thinks I need a cortisone shot. I have been taking predisone, but i THINK i HAVE A PINCHED IN THAT BACK SIDE | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, As mentioned by you, I can understand that there is possibility of Lumbar spine disc degenerative disease. Also, undergoing an MRI is the recommendation to understand the level of compression, and then you can be helped by a physical therapist. Using the Therapeutic Ultrasound therapy and TENS therapy will help reduce inflammation and pain. Also, post that strengthening the muscles of the spine, core, pelvic floor and lower limbs will help for controlling the symptoms and recovery also. Cortisone and prednisone are the secondary lines of action. For any pinched nerve there is the safest way to practice1. Assess the patient and make provisional diagnosis2. Confirm the diagnosis using the radiology - like MRI scan3. Rest - sleeping on a hard surface and avoid bending4. Physical therapy - Electrotherapy & Exercises5. Cortisone6. Surgery. Now, taking cortisone will help reduce your pain, but the actual pain will be present, since cortisone will only block the sensory pathway to the brain and possibility of pain to come back are there after cortisone. Also, cortisone is a steroid, so steroid has its own side effects with are unknown, and I will personally do not advise undergoing cortisone. I will advise to undergo physical therapy, though it will be a slow process, but there are no side effects. If physical therapy fails in 12 weeks then the cortisone is advised, Also, in my daily practice I have seen patient with lumbar spine disc degenerative disease, and all have been helped with the following protocol1. Rest2. Physical therapy wish you a good healthy futureRegardsJay In Chat Doctor. |
i have got stretch marks in purple red color since about 5 months....and it is very scratching.........doctor says its not a fungus.......and he prescribe me propygenta nf cream........its not about the stretch mark but i want to know why it has got infection only on my stretch mark and not anywhere else in my body | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I understand your query. - Stretch marks appear due to overstretching of skin due to pregnancy, overweight. - The infection in stretch marks seems to be due to- - excessive scratching, the source of infection being from under nails. - try not to scratch, keep the nails clean & properly cut. - Chat Doctor. I would suggest application of Newsprint H (with moisturizer) it will cover most of the organisms for infection. - Avoid excessive sweating, you can use Newsprint H dusting power in case its sweating a lot. -If this does not help, culture of the exudate/ swab & sensitivity would help in selection of specific |
On my brothers DRE a hard nodule was felt. His PSA was 3.1 which was up from his previous reading of 2.8. The urologist thought it might be a calcium encapsulated but after the biopsy he said it wasnt. He said it had a 50 - 50 chance of not being cancer. If it is not cancer what could it be.? My brother is 58 yrs old. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, dairy have gone through your question. I can understand your concern. His PSA level is slightly high. PSA more than 4 gives chances of prostate cancer. There are other causes also. Benign prostatic hyperplasia and chronic prostatitis can also give increased PSA. Moreover, Hard nodule can be due to cancer, or it can be calcification in BPH. In BPH corpora amylase also turn in to calcification, so it may not be cancer. He should monitor his PSA level and if needed go for repeat biopsy. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
Iam a male.While Iam in 12 years old from being Iam doing masterbution.Now I want to get for marrige.but having fear.during 40 seconds sex out.How can I control my wife.pls give me suggestion.whats the way I can removed my bad habit & increase the duration.where is my query answer.pls reply to me? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, You can practice more yoga and meditation for your excess masturbation problem. I suggest you watch less porn videos if applicable for you. The premature ejaculation problem is commonly due to performance anxiety for the initial few sexual acts. If after few sexual intercourses it persists then you can apply topical Lidocaine jelly over penis after erection to delay ejaculation. If you have excess anxiety history than fluoxetine can be prescribed for you. You need to learn when to slow down sexual stimulus during sex. You can take help of psychiatrist or sexologist if needed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
please describe the seman analysis,quantity=4ml;colour=opaque gray;liquifaction time=45minutes;viscocity=normal;spermcount=66million/ml;active motility=40%,slugghish=30%,non-motile=30%;morphology-normal=60%,ab-normal=40%;leucocytes=10-12/hpf;erythocytes=1-2;please tell me result of the test and guide me if have problem to resolve it. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Your report may suggest semen infection. Infection is indicated by presence of excessive pus cells and few RBC in semen. You need proper clinical examination and further investigations. Besides clinical examination you may need routine hologram, RBS,culture and sensitivity of semen and ultrasound of scrotum. Proper antibiotics depend upon culture and sensitivity report. Motility should be at least 55 %. You have normal motility. Sperm count is also normal. It should be at least 20 millions/ml. Sperm morphology is also normal. Rest of the findings like semen volume, liquefaction time etc. are normal. Get well soon. Take Care Chat Doctor. |
hi my symptoms started two days ago i was very tired then had a runny nose, now its on my chest and when i cough mucus comes up also my voice start going last night and its still like it today, i dont know if its the flu or cold or should i see about it thks | If you are a doctor, please answer the medical questions based on the patient's description. | Hi thanks for contacting Chat Doctor. Noted you have cough, runny nose with voice also affected. So here you could have viral flu or viral infection of respiratory tract... There are also chance of viral laryngitis as voice affected... So you can consult ENT surgeon for laryngoscope examination... Here symptomatic management done with decongestant use... Steam inhalation also useful. Humidifier can be used. If no improvement then short term steroid can be used.... Azelestine nasal spray also useful.... Chat Doctor. . Fruit juices taken more.... Avoid excess spicy food.... If no improvement and condition worsening then chest x-ray done for further work up. Hope your concern solved. Take care. |
I have been on birth control for nine years now and last month I was on antibiotic. I was suppose to start my cycle Tuesday instead Thursday through Saturday I had a brownish-red dishcharge. This has never happened to me and I have never missed my cycle except for nine years ago with my first child. I have taken a pregnancy test and it was negative, but I have been dizzy at times and feeling like my sugar drops everday. I have also been waking up to use the bathroom and I usually dont do that. I had to take something to have a bowel movement because it had been almost three weeks. Should start a new birth control pack tomorrow or wait? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for the query through Chat Doctor virtual clinic. I understand your concern. The illness & the antibiotics you had taken cause weakness. Dizziness, weakness. Constipation is other post illness symptoms, which can cause delayed periods.& abnormal menstrual pattern. Home pregnancy test of urine is best done after 8 days delay in periods. If you have done it earlier, please repeat it. -ve pregnancy test at proper time rules out pregnancy. - If you are using oral contraceptive at a stretch for 9 years, you can take a gap for a couple of months & use alternative method of contraception in the break. - In case you had a break within 3 years, you can start with new pack of contraceptives on scheduled time... You have to test for pregnancy in case next period is also problematic.& check for pregnancy & go for MTP (as oral pills are notorious for causing fetal malformations). Thanks. |
Hi doctor,Five days back, my son put a plastic stick into his ears and the membrane got damaged and blood came out. We went to the doctor immediately. He gave us Azithromycin to give the child and told us to keep his ear safe from air, water and, all other materials. He also told us to watch out for fever. But after five days, a pulp is seen in the ear. Will it affect his hearing capacity? What should I do next? Please give me an answer immediately. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. Since there was damage to the membrane you need to be careful. It can cause a decrease in the hearing if the damage does not heal properly or get infected. If pus is coming from the ear, kindly consult a nearby ENT doctor and take treatment for the infection. It can take a bit long for the membrane to get healed properly. Until then, you need to be careful and make sure water does not go inside the ear at all. For more information consult an ENT otolaryngologist online |
Hello I m having severe pain in the upper part & left side of my abdomen it also feels raw in the upper part I m having a lot of diaherra too... I ve been to the ER 3 times this week for this but no answers the dr prescribed me something call dilaudid for pain & methocarbanol please help I m in a lot pain & feeling hopeless to getting the help I need with something that hurts me so bad... I NEED SOME HELP ASAP | If you are a doctor, please answer the medical questions based on the patient's description. | Acute pancreatitis is an inflammation of your pancreas due in large part to an over-excessive consumption of alcohol. Using certain medication excessively or even traumatic injuries can be the culprits for acute pancreatitis as well. Symptoms include abdominal pain, first and foremost, as well as vomiting, diarrhea, fever and nausea, so please tell me any history of alcohol consumption. Any investigation done any imaging done |
I have a pain on/in my left heal. It started when I had a long hard day on my feet. Since then it comes and goes. Usually when I stand first thing in the morning it is a sharp pain that after some hours on my feet it dulls somewhat. I initially thought I brused my heal, but it gets no better and thankfully it isn t getting worse. | If you are a doctor, please answer the medical questions based on the patient's description. | In all probability you are having plantar fasciitis of the left foot. That is the reason of your these symptoms. One important treatment is the use of very soft insoles, pressure distributing insole footwear. An example is the sports shoes like Nike, Adidas, and the like. You can get such insole inserts of EVA, Plasticate, Silicon, Boron from special footwear institutes, and please wear these when you are on your feet. Never use hard insole footwear or walk bare foot. The other aspect is to gradually stretch the plantar fascia, which is in a contracted state to is normal length in about 4 weeks, when pain will disappear. There usually three plantar fasciae stretching exercises which can be got from the internet, or a Podiatric surgeon can tell you, should be regularly done morning and evening for 6 to 8 weeks at least. |
I have been having pain in my buttocks and thigh and down into the calf. It is mostly on the left side. I do have a rod in my left thigh from a femur fracture that occurred over 40 years. The pain does ease somewhat whe I walk.Most prominent after sitting or lying down | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I am sorry about the pain. It appears from your description that you may have "sciatica"- pain caused by pressure on the sciatic nerve that travels along the buttock region down the back of your legs. It is usually caused by arthritis of the lower spine or of the hip joint. If I was seeing you in clinic, I would recommend getting a X-ray of the spine. For treatment of pain, I would, you could try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. You can also try Ibuprofen (400-800 mg three times a day with food)- it has an anti-inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux. Physical therapy is another treatment I would recommend. If pain is still not controlled, then options would be stronger pain medicines that are used to treat nerve pain (gabapentin, pregabalin, duloxetine), MRI of the spine to determine in more detail the cause of the nerve pain and referral to a neurosurgeon. While Acetaminophen (Tylenol/Paracetamol) and Ibuprofen are available over the counter, other medications and imaging studies need a doctor to prescribe and interpret. So, I recommend you see your primary care doctor/general practitioner to get treatment started. Please let me know if that was helpful. If it was, please take a moment to provide a rating. Thanks! |
Sir, What is the correct treatment for osteoporotic compression fracture of the spine (D12 thoracic vertebra) which takes place due to minor trauma like fall. Patient is aged 59 and is female. Should one go for surgery like balloon kyphoplasy or any other procedure or one should go for non-operative treatment like conservative care? Please suggest | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, thanks for providing a brief history of the patient. As to see here the D12 vertebrae compression fracture surgery is totally depending upon the symptoms. If the patient has loss of mobility of the lower limbs and have bladder uncontrolled then one should undergo for spinal decompression surgery.in case is the patient do not have any symptoms like pain, numbness, tingling sensation etc. patient may not need a surgery. Usually the vertebrae heals on its own. Since the patient is a female she may have low calcium levels and vitamin D levels. For which she can undergo a supplement for the same. If the patient has pain and aches for which one can discuss with their spine surgeon for undergoing physical therapist. As physical therapy is a non-invasive and patient involved therapy. Pain can be reduced by use of therapeutic ultrasound and TENS therapy. Later on the exercises may be recommended by the physical therapist. As to what he feels beneficial for the patient. I hope I have answered your both query. Please take a wise decision. With the grace of God I wish you a speedy recovery |
i was at a party last night had some alcoholic beverages after i had two slices of pizza .this morning the burnint sensation in my chest coming up to my throat woke me my chest burnt so much even my heart started fluctuate i drank some milk n it calm down throughout the day now im getting the burning feeling after eating brown stew fish what do you think is my problem doc please help me thank you much | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms like burning epigastric, central chest pain. So try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid large meals, instead take frequent small meals.3. Avoid stress and anxiety.4. Start proton pump inhibitor.5. Go for walk after meals.6. Keep 2-3 pillows under head in bed to prevent acid reflux.7. Avoid alcohol and smoking if you have these habits. |
I used to drink a lot of coca cola for many many years (I stopped now for 1 month so far) my tooth messed up because of it now i have teeth missing on the side of my mouth because of the fizzy drinks and some is broken. But my question is i have a pulse in my cheek what is that? How can i fix it? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi I am assuming after a long experience with soda Chat Doctor. I appreciate your concern and motivation for stopping the malhabbit as well. Now .the pulse (I am assuming two meanings here) 1)if your talking about a pulse shaped sweeping on your cheek the weakened tooth has a tendency to get fractured as well as get lodged in a pit/space/vestibule of your mouth pretty inconspicuously. Many a time it gets unnoticed and tissue growth over it leads to pulse in that particular area. Suggest you to visit an oral surgeon and get rid of the pulse because if it is no more a part of your tooth, it doesn't have to be a part of your mouth either .2)if you mean a pulsation(like heartbeat) in the corner of your mouth near the jawline, it is absolutely normal as it is just the pulsation of your facial artery passing through the same region probably with your blood pressure a bit on the higher side for you. Keep your b.p in check though .hope this was of some help take care. |
i m married since one and a half years, i just wanna ask what is tablet fertyl 50 mg, my doctor recommended to start from 5th day of my period i had take 10 tablets and after the second period an start form the 5th day i also took 10 tablets . , i already completed the fertyl tablets course . everyday at morning i took bigmet 500 mg and eveyday at night i also took bigmet and one day by one day i took bromotine in the morning, will i become pregnant? thank you. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Fertyl 50 tablets contains camphene citrate, which is used to induce ovulation in case of Poly cystic ovary syn Chat Doctor. Bigmet is metformin, which is an insulin sensitizer used to treat insulin resistance in PCs. Bromotine is Bromocriptin which is ergot derivative, it is dopamine agonist used as an adjuvant therapy in PCs. With this treatment most of the symptoms of PCs get cured and there is more chance to get pregnancy. If medical therapy fails surgical options are also available. Take care. |
hello.. my dad has chest pain at times and this has become commom especially during the winters. he has got his tmt done and it has come out to be mild..please advice how serious is the situation and what precautions he should be following.Please help. | If you are a doctor, please answer the medical questions based on the patient's description. | HI, Dear, Thanks for the query from you for your dad.1-Though you didn't update the age of your dad and didn't update how many winters he is being having these chest pains-1-a-From the facts told by You, and In my opinion -your father , who is having frequent chest pains during winters specially, is really serious case of chest pain and was lucky to enjoy the bygone winters by the grace of GOD,1-b-Though your TMT came out to be mild, you should take it seriously, as the test give just a guideline of the internal changes, but the duration for which your father had chest paint, indicate that his heart has a seriously compromised blood supply.2-So my caution and advise to you is that you should take your fathers' chest seriously, and go to ER physician or cardio-specialist and get his -Angiography- done to judge the severity and extent of the compromised heart blood supply, 2-a-and if the ER cardio-advise sandy corrective stent and angioplasty, please get it done ASAP, to add more healthy life and to add active yrs to his old-age life. -3-And as it is hearing him in every winter, you should take my CAUTIOUS-ADVISE very seriously-to save his life URGENTLY, though his TMT report is mild.3-Still in the meanwhile-get some anti-anginal Chat Doctor. 4-So- I would advise you to URGENTLY check up with the local ER Cardio- doctor and to get it treated ASAP-urgtly.4-Hope this would solve your query.5-Wellcome to Chat Doctor for any more query. |
My OCD and Panic-anxiety attacs have returned, I stop taking my medications over 3 years ago when I was pregnant, at the time I was taking Prozac 40mg twice a day(I had been on that for a few years for my Obsessive Compulsive Disorder-OCD) and Alprazolam .5mg 4 times a day as needed. My problem is that since my simptoms returned I cant live my home, Im unable to get out of my home because I start panicking and I dont know what to do. I know I need to get back on my medicines and here is my question.. Is there am type of on-line Doctor consultation that is able to call a prescription for either of the two medicines I mention above so I can have someone pick them up? ...I know I need help, I do not know what else to do and is becoming harder to deal with this issues I have since I also have a small child at home that needs of my care and attention, I have no other family in this country other than my husband whom must work every day. We do have insurance but I also wonder if I should just buy the Prozac on-line even though is more expensive than if it the prescription was done by a legitimate Doctor and call to a local pharmacy, this, no to mention what type of medicines those places are selling or if they are what they say they are (hence, my hesitation)Please help, any advice will be greatly appreciated.Kind regards,J | If you are a doctor, please answer the medical questions based on the patient's description. | Degree understand your concerns went through your details. I suggest you not to worry much. I understand your difficulties. Furthermore, I can understand your social anxiety and your request for online prescription and getting someone to buy the medicine. But for how many days you are going to do these. Even if you start taking these medicines, you will be hard-pressed to take a venture outside the house, because underlying problem, social anxiety is still there. Treat yourself with your own might. Don't escape from the reality. Face the reality and fight it out. That is the only way out of it. Make fighting a habit and habit etches new brain patterns. Go out, let anything may happen, GO OUT. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. |
I would like to know if these medications that were given to me... for my horrible cough causes more cough... last night I didn t even sleep! Which one with the best for the cough? Azithromycin 250 mg dose pack, Benzonatate 100mg, MethyIPREDNISolone 4mg Proair HFA | If you are a doctor, please answer the medical questions based on the patient's description. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Azithromycin is antibiotic and not cough suppressant. Benzonatate Is cough suppressant. But nowadays more effective and less sedative cough suppressant s are available in the market. Newer antihistamines are Very good cough suppressant. Methyl prednisolone is oral steroid and should not be given regularly unless strongly indicated. So better to consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis. And also discuss newer cough suppressant. Since these are prescribed Chat Doctor. |
I have a bump on my areola and when I squeezed it it bled and pussed out a little. I am pregnant but have been pregnant before so I know what lactating looks like. It is big, but not overly. It is sore now that I popped it, but not overly. Any ideas? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! Thank you for the query. Such bump in the aureole area is most likely a sign of inflammation. Pregnancy and breastfeeding increases the risk of breast inflammation. In some cases what looks like a breast inflammation, can be an inflammatory breast cancer. That is why you should not ignore it. Please consult a gynecologist. Ultrasound should be done and in case of any doubts, biopsy. Hope this will help. Regards. |
Hi, I was suffering from Obsessive Compulsive Disorder (OCD) since 2006 and I was under medication for 3 years (anti depressent and sleeping dosage). During this period, I have gained weight from 50 Kgs to 75 Kgs. Currently I am 70 Kg. Over the past 2 years, I got severe knee pain as well as in the heel (both legs) Also, I am getting tired sooner and pain persist in my hands as well. Doctor advised me to take RA test and it was well within the limits. I have tried different medication but no use so far. Recently my doctor advised me to take Vitamin D and Vitamin B12 test and the results as below: Vitamin B12 - 246 pg/ml 25-OH Vitamin D - 21.49 ng/ml Doctor advised me to take DV 60 K (one dose per week for 8 weeks) and Renerve plus (1 tablet per day for 8 weeks). I am 33 and pure vegetarian. I got mild psoriasis in my legs and fingers.. (not even visible for others) OCD since I was 7 but got diagonised only when I was 25. No physical activity (walking, cycling) in the past few years especially after taking the medication for OCD. | If you are a doctor, please answer the medical questions based on the patient's description. | HiT hank you for asking Chat Doctor. I have gone through your query. For OCD, you should get a proper counselling by psychologist. Medications are added if counselling alone not helping. A proper follow up should be taken also. Low vitamin D can give skin problems like psoriasis. Get sunlight exposure when intensity of sunlight is low, like in the evening time. You can also take D3 supplements with the advice of your doctor. Decreasing of physical activity is not a good thing. It can decrease your strength. Have a regular exercise. Jogging or brisk walking is good. Absence of physical activity can also weaken and cause qua Chat Doctor. Qua |
hi, my left bottom wisdom tooth is causing me a lot of trouble, the gum is half covering it and is not pussing and bleeding, i am in a lot of discomfort and i am now unable to go to work because of this, i need treatment asap, my local hospital has a minors unit, would you reccomend i visit there | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, thank you for consulting with Chat Doctor. The type of condition you are mentioning, it looks that you are having peritonitis, in this when there is not much space is present in the mouth, the wisdom tooth cause pain and swelling while erupting. You should visit a good dentist as he will start with antibiotics and painkillers, and if needed surgical exposure of the tooth. Hope it will help you. |
My puppy has taken injection of rabies and he bit my son does any need to take him injection | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor, Similar to humans the puppy should also give vaccines to protect themselves against the Chat Doctor. If the puppy was given the injection, it suggests that your puppy is protected against the disease. As your son was bitten by the puppy, it is better to give three doses of anti rabies vaccine on days 0,3 and 7, because rabies is 100% fatal don't take risk of waiting for 10 days. You have to observe the puppy for 10 days, if it develops any symptoms of rabies in addition to the vaccine you have to give rabies immunoglobulins (Rigs). Thank you. |
Hi last week i got diagnosed of of having an STI, the nurse then given me doxytet pills to drink them twice a day for 7 day. A day before yesterday i finished the pills but the symptoms still persist... Please advice me if i need not worry myself the infection will go or must i go to the clinic again? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor, Doxytet contains the active ingredient Doxycycline, which is a Tetracycline class of antibiotic, this is an antibiotic that's used to treat bacterial infections. There are many sexually transmitted diseases can be caused byChlymadiaTrichomonasHerpes genitalisGonorrhoeaHuman papilloma Virus Doxygen is used to treat bacterial infections, but other STIs require specific treatment, to know which is the STI you are having, you require physical examination and lab investigations to identify the causative agent, and then we can decide which medication is required to treat the condition. So I suggest you to consult your doctor at the earliest. Thank you. |
I have sharp needle pains right below rib cage. Also get sharp sudden pains on both right side and left . More on the right side. Have not been able to eat like normal . Getting nausea and feel like i am full after just a couple of bites of food . What could it be | If you are a doctor, please answer the medical questions based on the patient's description. | Hi thanks for asking question. Here are few possibility.1. First if cough and fever present respiratory cause has to be ruled out like bronchitis or pneumonitis by chest x-ray. Antibiotic might be needed.2. Second it could be as part of viral respiratory infection like rhinitis or sore throat. Symptomatic management done with more water and fruits.3. Third your pain could be referred pain by acid reflux or ulcer like stomach condition. Take omeprazole for few days for treating it.4. Fourth it could be muscular strain related pain. Analgesic is helpful. If still cause not clear pulmonary function test or bronchoscopy may be needed. I hope my suggestion will helpful to you |
Ive given my son his first 5ml dose of Zithromax for an ear infection before bed. His ear has been sore & Ive been regularly giving him some calpol too (well within recommended dosage). Now Im reading the small print & noticing I should have consulted the doctor if my child is taking or has taken any other medication recently along with the Zithromax. Im just checking that the calpol & Zithromax combination are ok? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello! I have been through your question. Related your concern you shouldn't worry because that it is known that azithromycin and paracetamol don't exist any data to have interaction between them. So, what I suggest is only to give your child Cal pol not less than 4-6 hour between, if need it and continue to give the dose of Zithromax based on your son weight. I hope my answer help you. I wish your son a quick recovery. |
Hi doctor,Is it a must to remove wisdom tooth? I have attached an image of my tooth. Kindly advise if it is possible not to remove it. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Abnormal position of wisdom tooth. IOPA (intraoral periapical radiograph) x-ray with respect to wisdom tooth or an OPG x-ray (orthopantomogram). Can lead to pericoronitis. Depends on x-ray findings. Do warm saline rinses and keep that area clean with floss recommended. Revert with x-ray to a dentist online.- |
Hi. my name is brenda brady aged 25 an i have been living with some condition my whole life its affecting my mental life at the minute. its start of from when i was a very young i could see a big massive ball witched moved very slow towards me at that time my mum thought i had a high temp but it wasnt i was fine some times now to this day i can feel it coming on an then it just stops. there is more. When i went to school i found it diffcult to learn or read a question if there was a small noise in a distence that no other would hear. I also feel pain if someone was to rub my arm but or anywere even tho they didnt do it hard i remember when i was a kid my mum put this cream on me an my sisters as we all had i rash i was the only one who found it very painfull an sobbed my heart out. iam sencetive to bright lights an some loud noises some times weird noises make my chest tighting an freak me out if i put a wash on a 40oc an upwards that to would make my chest tight. I find it hard to express my feelings its all up in my head but cant put it into words my doctors dont give me the time of day to look into to wat i have to tell them as i have other problems that needed to be sorted first as i have to kids an started school i have an underactive thrioed so i was tired alot and coudnt do much. when iam walking or going to shop i find it diffecult to start a conversation with a person who i see from time to time its awkward some times its even hard to say hello. also on that walk if i see some one my head would turn away an nat realise who they are then 2 seconds later my brain would tell me that was such an such its imbarressing cus these pepole think iam being rude. i also have a bad memory if i go up stairs to look for somthing my head would be blank or if you were talking to me an wanting me to replay i would have forgat wat they z my short term memory loss is very bad most my friend and family have noticed i also forget how to spell things an then ages later it just pops back into my head again that happens alot with most of me memorising things and convercetition there probley is more wrong with me but i cant think of any more at the minute. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. As you yourself have rightly pointed out, you need to consult a doctor who can listen to you for all that you have to say. You have small problems in many spheres of life which need to be tackled one by one under supervision of a psychologist. For some problems few tests may have to be done like for example thyroid function testing. You probably need to look life in a whole new perspective and differently. Do consult a psychologist. Good luck. |
Good evening, I am the parent of a 14 year old girl. She started experiencing upper abdominal pain on March 28th. She complained with the pain constantly and them would be worse after eating. We have had upper GI, stomach empting scan, ultrasound, and xrays, all with no signs of something abnormal. She has been on prescription Prilosec and Erthymocin for the 2 months with no relief. If she does not take the erthymocin at least 30 minutes before she eats, the pain is worse. Her GI has pretty much given up and says there is nothing medically wrong with her and they want to explore anxiety. But I know as a parent that, that is not he problem. Can you please let me know what your thoughts are? Thanks | If you are a doctor, please answer the medical questions based on the patient's description. | HIT hank for asking to Chat Doctor I really appreciate your concern for your daughter and from the history given here I would like to say that if nothing turned positive in investigation then antibiotic should be discontinued, otherwise the condition would be more difficult, assure the kid that she is has got nothing in her abdomen, if still the symptoms persist then consult the psychiatrist, have a nice day. |
I have been suffering from a bit of lower back pain for the last 7-8 months. I had visited a bone specialist 7 months back. He gave me some medicine and asked me to do 3 yoga-asanas. I had relief but it has never been zero pain. some pain exists. What shall I do to reduce the pain to zero. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Thank you for contact us, As you described it might because of more Chat Doctor. But Nowadays it's mostly the common problems in humans. Mainly its due to inactivity of muscles it. Today every one having totally sitting life as no work at all that could be count as a body exercise due to that problem occurs. For lower back Pain you should follow instructions described below -Best medicine for Lower back pain is Rest. Resting for some days will heal the muscles which could be damage because of jerk. Muscles need some time to heal so give them time for the same. Another way is to take message with hot or cold water, Some people take cold water and some takes hot for massage. If pain is because of any accident or something big issue than you have to concern good doctor for the same. Other exercise should be done as doctors suggest after checking you physically. Hope it will work for your back pain. Good luck, Take care. Thanks & regards, |
Sir, i am 35 year old, arround 12 years back i was treated my mitral stenisis by balloon valvotomy, after that I was taking lanoxin and diuretic tablet and pencilline enj. Last year my echo show that now mitral valve is thick and fibrosed valve leaflet and I have moderate mitral stensis 1.58 cm2 with calcified tip. Along with this Aortic calve is also trileaflet, thickend and fbrosed with (moderate leakage) having Lt, Atrium dimension 35 mm and LA-Aorta (1.6).Left atrium dilated and left artrial overloaded. wall motion is normal and ejection fraction is 60 percent,.Sir here one doctor say that i have moderate heart failure and i need both valve replacement in near future, another says I can wait for few years.Now a days I am feeling palpitaion daily.I am taking 25 mg metopropal, dytor plus 10. how much time I can wait for valve replacement? both valve can be replaced at once?wtah would be the cost?and wahts is the expexted life expectancy after valve replacement? thanks | If you are a doctor, please answer the medical questions based on the patient's description. | Hello Thanks for posting here. I have gone through your description. Your mitral valve area of 1.5 8cm2 is classified as moderate. Patients with Moderate MS with symptoms should undergo a valve replacement. Your symptoms are only palpitations. You must get an EKG done to see whether you have irregular heart beats called atrial fibrillation which is common in mitral stenosis. Treatment for atrial fibrillation can be given if required. Aortic valve also has moderate leakage so surgery not advice at this point. Your LA size and aorta size are normal so again no indication for surgery. I suggest you be on lanolin, diuretic tablets and other medications at present. Yearly 2d echo must be done to see the valve stenosis and to evaluate ejection fraction. You MAY require surgery at some point of time. But heart surgery is to be done only when it's the right time and not as a preventive thing. Yes both the valves can be changed during the same surgery. I do not know about the cost of two valve replacement abroad, in INDIA it is about 3-5 lack depends on where you are doing it. The life expectancy after a successful valve replacement is more than 20 years, but it has to be done at the hands of a good surgeon, so please don't compromise on the cost. REGARDS |
Hi, Doctor. My daughter is 6 years old. Today, I found her vulva is not symmetrical. Theres a big bump in the left of the out lips. My saughter told me that its not hurt. Iam a little worried about her. Is it possible for her to get a vulva cancer? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment-Your daughter has big lump on the out lips of vagina, which is mostly a benign tumor unless HPR is done and CAT scan is done. By no means it is vulval cancer. So you should not worry and get the tests and checks from ER Gone doctor. Consult your ER Gone Surgeon. Surely this is not normal, and you urgently need to consult ER Gone Surgeon who would take corrective steps to relieve your lower belly severe pain. Hope this would resolve your issues. Act fast. I would advise you to consult ER Gone Surgeon. So keep cool and Consult your ER Gone Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N. |
I found a marble size lump on my Brest cant fet a diagnostic mammogram for two weeks and then I went to the plastic surgeon , who put in my implants, I told him I had a full physical and a mamofram was the only thing I had not had. I just turned 65 and my Md had told me that I could go two to having A Mammogram ever years. So I had it schedule in two weeks. My plastic surgeon said to get the mammogram and come back to him in six weeks that he thought it might go away as I had re want to wait that long ! I want to know something asap, the lump is not tender but I dont want to wait that long I am scared, please advise | If you are a doctor, please answer the medical questions based on the patient's description. | Respected user, hi I evaluated your query thoroughly.* Lump in breast at 65 may be benign or malignant.* Clinical diagnosis has many criteria to be considered other than marble size as - consistency, texture, movements of the lump - changes involving overlying skin - nipple areola changes if any - swelling / nodes in areola - history part of weight loss / anorexia / excess fatigue or else * Kindly consult with all these details as early as possible so that I can guide you in a more precise way.* One thing is for sure that it is not related to implant at all. Hope this clears your doubt. Welcome for any further assistance. Thanks for using Chat Doctor .com & giving me an opportunity to assistWishing you fine health ahead. Regards dear take care. |
Hi, my name is Luke and I have a question regarding my girlfriend. She s a 21 year old. Over the past year, her hands have started to become numb. And more-so recently, they have become more numb than usual . Well, over the past couple of days, the left side of her neck and face have also started to become numb as well. She went into school today (she s an 8th grade math teacher) and an associate said she looks awful and her temples are green because the veins in her temples are sticking out. any idea what it could be? She had surgery in both of her shoulders in high school due to torn rotators cuffs and had screws put in. I don t know if this will have anything to do with it, I was thinking it may have something to do with the circulation in her hands until the recent neck problems arisen. She s been to a neurosurgern and they couldn t find anything wrong. They re thinking it has to do with MS, but the MRI s couldn t really say what it was. Any ideas? | If you are a doctor, please answer the medical questions based on the patient's description. | HiT hank you for your question. Numbness of the hands and recent engorgement of the neck and face and numbness may be indicative of something compressive around thoracic outlet. This is the area where the nerves to arms are coming out. Blood from neck and face Chat Doctor. I would advise seeing a vascular surgeon to rule this out. CT scan of the chest may be helpful if compression is suspected. Wish you the best. |
is mazetol and tegretol same for a boy of 11yrs and taking medicine for 8 yrs.earlier it was 200 mg twice daily and now tegretol 200mg morning and 300 mg in the evening.He is anemic now and affecting his studies.Whom should we show and what should we do?Please help. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Due to his growth, the dosage is increased in evening. However, both are same Chat Doctor. 2. Anemia is important and needs to be treated. Meet a pediatrician and get a complete hologram done to identify morphological type of anemia and treatment can be started based on it. Specific tests may be necessary, if reticulocyte count does not increase after 15 days of treatment.3. Diet can also be improved with eggs, fish, green leafy vegetables, red meat etc. It will help in improving anemia. Hope it helps. Any further queries, happy to help again. |
My 9 year old son has had almost constant ear pain for 10 months. Originally he was treated with multiple rounds of antibiotics for an inner ear infection by our pediatrician. The antibiotics are believed to have caused an outer ear infection which took 4 months to treat by our pediatric ENT. The ears are now healthy (per exam and CT scan). The ENT suggested that this pain might be migraine related, though my child does not have headaches. Pain is relieved by heat and motrin. However daily motrin use is not encouraged. Could these be Otic migraines? | If you are a doctor, please answer the medical questions based on the patient's description. | Howell come to ChatDoctorMigraine is out question here, if there is no any ear infection, wax inside the ear, no foreign body in ear then the pain could be non-specific and functional one, and this is just nothing to worry, if you are asking child for pain in positive way then obviously you would get the positive reply too, try not to ask this instead if he complaints for this then try to assure him that this would be okay soon, placebo treatment can be tried, hope this information helps, have a nice day. |
My sister age 33, has suddenly noticed a honeycomb or spiderweb looking rash on her right thigh, also her left leg is slightly swollen mostly in the calf to ankle area. No swelling in the leg with the rash. The rash is not raised like hives, does not itch or burn. No pain other than periodic muscle cramp in left leg. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor. From your description, the rash may be a pattern called as lived reticular. It is a pattern which could be associated with autoimmune disorders and antiphospholipid syn Chat Doctor. This could also explain the painless swelling of the other leg. She requires a detailed evaluation for the same. However, a honeycomb rash on the thigh can also occur in a condition called erythema an Inge. This occurs after keeping a hot surface in contact with the skin for a long time (laptop, hot water bag, etc.). But this is not associated with limb swelling. Hope this helps you. Take care. |
Hello doctor,My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor forum. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris ChatDoctor. Zincovit |
My glucose blood sugar level was 120, and my Iron level reads 194. I had a blood work up because i am tired all the time, no matter how many hours of sleep i get, and also for the past 6-9 months i have and continue to lose a large amount of hair. I initially thought this was because i lost 70 pounds in the past year, but it wont stop falling out. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi, I understand your concern. The total iron level normal range is 60 - 170; yours is a bit higher than normal range (194). Further tests are recommended to determine why your iron levels are higher than the normal range:- iron supplements- it. B12 deficiencies (it. B12 and folic acid levels to check)- complete blood count-peripheral smear-total iron binding capacity In this way we can determine why you are tired all the time and why you are losing a large amount of hair. Hematologist to consult further. Hope this helps. |
I still have tb symptoms including abdominal pain,I still have tb symptoms including abdominal pain, palpable solid painful lymph nodes, fever, fatigue, weight loss after 8 months treatment for mesenteric lymph node tuberculosis. Ive taken 3HREZ/5HR. What should I do now? Please advise. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Thanks for your query and specific information and understanding cause of failed treatment can be either of the following:-The ATT is ineffective, so may need a second line of ATT (anti tuberculosis treatment) with of lox and other medicines under the guidance of the Specialist.-Needs exploration, removal of the lymph nodes and subject to histopathology as there is possibility of another diagnosis like Lymphoma.-Supportive treatment of proteins and iron, -Get all relevant blood tests particularly the Liver function tests. |
Hello, I am 22 years old MALE currently taking Doryx 150 mg/ day(doxycline) for acne. This past week the skin on my penis has become very dry and flaky. Im starting to get nervous about this because its not going away even after Ive used lotion repeatedly. I have not been sexually active in 4 months. I also have not masturbated in weeks. What could this be? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello and thanks for your question.It's my first priority to help you. Well when you take an antibiotic - you could be inducing a yeast infection - so ask your doctor for a prescription to Rifleman - and take pill per week while on antibiotics. In the meantime you can apply OTC 1% HY Chat Doctor. Also clean the area with DIAL soap. Wear loose fitted cotton clothes. Start probiotics. Hope this helps. |
I just got my wisdom teeth (all four) removed on Tuesday. Swelling was minimal until Sunday when it was the absolute worst. Now its Tuesday and theres still some pain, swelling and theres a hard bump on my jaw on the side that hurts and is still swollen. | If you are a doctor, please answer the medical questions based on the patient's description. | Hi. Welcome to Chat Doctor. As per your complaint pain and swelling can last for about a week and at times even more after wisdom tooth extraction, and it is not abnormal if it continues to go down gradually. But in case if the swelling and pain is exaggerating then you need to get evaluated for infection in the extraction socket or Chat Doctor. . The hard lump that is present is due to Hematoma formation that occurs due to rupture of blood vessels during extraction and leads to formation of a harmless tumor of blood due to accumulation of blood into the soft tissues. You should do alternate warm and cool compresses over the hard lump, and it will help in regression. Do warm saline gargles. Avoid hard foods. Hope this helps. Regards. |
Hi, i just need abit of reasurance, ive had a flu virus the past 3 weeks which turned into a sinus infection, then i went abroad for a week and it was very hot!. Now im bk home ive been back to the doctors as im coughing alot and constantly wanna clear my throat and chest, but nuthings shifting.... The nurse said i have ( post nasel drip ) , ive never had this before, ive been having a beconase spray and doing the bowl of steam but its not easing up, my mouth, throat and nose now feels bone dry, im still coughing, my chest is tight.... Why isnt it clearing it?!... Thanks :) | If you are a doctor, please answer the medical questions based on the patient's description. | HI, thanks for using Chat Doctor Post nasal Chat Doctor. The became is one of the appropriate treatments for this. You may want to add an anti histamine to this. They are usually available over the counter. Bronchitis may also be contributing to your coughing. It would cause chest tightness and coughing. You may temporarily need a bronchodilator (medication to open the airways such as Ventolin) and a bucolic (medication to help break up the mucus, so it can be easily expelled). I hope this helps |
Have been taking Nexium ( esomeprasole) 40mgs once daily for four years along with 10mgs domperidone for my transit issues! Following endoscopy it transpired I was suffering from poor transit and carrying the H Pylori bacteria I was treated for this four years ago. Three weeks ago I started having indigestion issues and one wk ago stopped taking my Nexium! I now feel very sickly and nauseus with no energy feeling extrely lethargic ! I have been on no other meds. | If you are a doctor, please answer the medical questions based on the patient's description. | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. H.pylori requires treatment with a particular regime. If you have taken that, even then it can reoccur. You can take Medium and Domeperidone for indigestion. Take soft bland diet. This is my best opinion for you based on available details. If you have any further query please. Stay Healthy. ChatDoctor, MD |
i have pain in back near to spinal card ,i check to doctor he told me that u have sand in kidney seen in ultasound and urine test result RBC 03-04 and pus cells 10-12.and i have vomiting .i used medicine ciprofloxacin 500mg twice a day.i used 5 day but i have same pain and pain is deadly.i drink to much water and using wash roam for urine every 5min.for pain i used voren tablits.please give me advice what i do. | If you are a doctor, please answer the medical questions based on the patient's description. | HelloThanks for query. Severe plan in back with frequent urination and vomiting with positive findings of stones in kidney and pus cells in urinalysis strongly suggests kidney stones with secondary UTI. You need to get hospitalized for a couple of days and take following treatment .1) Intravenous Fluids .2) I. V antibiotics 3) Pain management if required .4) Assessment of kidney function by blood test for renal functionFurther treatment as regards any endoscopic intervention for treating stones will depend upon the size of the stones and degree of back pressure changes in kidneys reported in ultrasound Scanning report. Chat Doctor. . |
Hi doctor,I am 27 years old. I went through three IUIs, but all of them failed. All my hormonal test such as FSH, LH, TSH, and sugar are normal. Even the ultrasound is normal. My AMH is 1.14. Six months back, during my follicle study, I used to have five to six follicles SGFS on day-2. But, from the last two cycles, I have two to three follicles on each side. The doctor has suggested IVF. Is my AMH level too low? Will IVF benefit me? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello. I have seen your reports (attachment removed to protect patient identity). For more information consult an obstetrician and gynaecologist online Take care. |
Hello....my right side of my mouth is killing me.....it seems my gums r swollen and starting to cover a jagged tooth......also I think my top right corner teeth r stabbing my.gums cause there swollen...theres no way Im getting to a doctor today...plz....Wat can I do to stop this pain | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Has it been a long time since you have had a dental exam and cleaning? You may have an infection, bit your cheek or something caught under your gum. You can rinse with warm salt water, but schedule a dental visit. There may be more problems than just inflamed gums. The teeth stabbing your gums may be a wisdom tooth erupting. If you do not have enough room for the tooth to erupt, an extraction should be considered. A cleaning can reduce inflammation of the gums and is clearly recommended. Your statement of a jagged tooth makes me concerned that a tooth is broken and needs evaluation by a dentist. Over the counter pain and anti-inflammatory medication should offer some relief until you schedule your dental exam. |
I am taking montair lc one tab , livolin 2 puff twice, combihale ff 250 2 puff twice daily from last one year. After diagnosis of asthma. Is it safe to take that much medicine so long. Is there any alternative. What are the side effects of these medicine. Feel very tired all the time. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor, Is is not safe to take this medicine for long time. In case of emergency use it is ok otherwise not. This medicine have many side effects after consuming for long time. Homeopathy has a sure solution for asthma. You can be free from this medication too without any side effect. Homeopathic treatment is based on total understanding of patient on physical and mental level. And that's why detail history of patient is needed for proper homeopathic treatment. Your problem can be cured permanently with homeopathy. So consult to good classical homeopath nearby you or contact us. Have a better health. |
My son now 4 years he was preterm kid weighing 1 kg now he is only10 kg since last one and half year he is sufferi.g with barking coughdr told asthma b coz ige test is v high gs got 1000while normal is upto60 another dr told he has allergy bronchitis b coz he alwayd sneezes then gets cold and cpugh right now bufecoft and asrhlin inhalersand levocetrizine plzxx help will this b life long prob or is ther any cure | If you are a doctor, please answer the medical questions based on the patient's description. | Hi YOUR KID BASED ON YOUR REPORTS AND SYMPTOMS HAD A STRONG ALLERGIC TENDENCY RESULTING IN PERENNIAL COUGH. As being preterm also is a risk factor. Please continue the medication advised to relieve the symptoms. Avoid and prevent the exposure of allergens to decrease the episodes. Usually, as he grows up, this problem will decrease, but time being been patient and can try swimming for him. Hope I answered your query and ready to help you further |
My 7 year old son was complaining about a sore throat. After inspecting with a flashlight, I noticed a quarter-sized area of really small pin-prick-size red (not raised) dots (think very light hicky) on the roof of his mouth towards the throat. After confirming with him that it is not his throat that is sore and that the discomfort is actually originating from the roof of his mouth, I am baffled as to what this might be. He has no fever, is not complaining of any other symptoms and is in otherwise excellent health. Any idea as to what this might be? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi.... By what you quote I feel that it could be ulcers over the soft palate and if it is, so I am very sure that it could be a viral illness called - DERANGING. It is a self limiting viral illness and except for symptomatic treatment you need not use anything else. If there is pain or fever - Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F or sever pain. I suggest not using combination medicines for fever, especially with Paracetamol. For oral ulcers - Byte gel for local application over the ulcers. Regards - |
MY NAME IS XXXX AGE 53 MALE I AM STAYING IN I AM SUFFERING FROM BELLS PALSY AND ITS AFFECTED ON MY SPEACH I CAN NOT SPEAK CLEARLY EVEN IF I TALK ON MOBILE IT WILL DIFFICULT TO UNDERSTAND ALSO I AM ON DIABETES TREATMENT CAN STEM TREATMENT AVAILABLE IN THIS PROBLEMS AND IS IT EFFECTIVE? AND WHAT ARE CHARGES FOR THIS TREATMENT PLEASE ADVICE | If you are a doctor, please answer the medical questions based on the patient's description. | Hi thanks for queryBells palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or 7th cranial nerve. Damage to this nerve causes weakness or paralysis of these musclesBells palsy is thought to be due to swelling (inflammation) of this nerve in the area where it travels through the bones of the skull. No treatment is needed. Corticosteroids may reduce swelling around the facial nerve . Symptoms often begin to improve right away. However, it may take weeks or even months for the muscles to get stronger, and this may be frustrating. If you did not lose all of your nerve function and symptoms began to improve within 3 weeks, you're more likely to regain all or most of the strength in your facial muscles. Response to stem cell therapy are unclear |
Hi Dr, My 8 year old son has been having stuffy nose for the last couple of weeks. Every day morning he gets up with breathing issue and after sometime he starts sneezing . He atleast sneezes 8 - 10 times within 10 - 15 mins. Not sure if he is allergic to something. Could you tell what s causing it and what s the easy remedy? | If you are a doctor, please answer the medical questions based on the patient's description. | Hi and thanks for the query, Its important It's important to know whether the child has presented with such symptoms before or not, any family history allergies or asthma. What you describe is compatible with allergic rhinitis or asthma. A chest X-ray might be required. Clinical evaluation to exclude any other conditions like nasal polyps through a careful clinical evaluation is important. Measuring blood eosinophil levels if raised shall be indicative of an allergic component. Immunoglobulin E levels f raised are almost diagnostic of allergic rhinitis or an allergic state. My suggestion is you book an appointment with an ENT specialist for a proper planning and evaluation. Thanks and best regards, Luchuo, MD. |
Hi.I had a spech dog.he was suffering form pulmonary desease from last one month.10 days back he bite my mom.His vaccination is due on next april.I vaccinate him regular besis.last friday he died.has my mom suppose to take anti rabbies injection or not?please help me out. | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, Welcome to Chat Doctor, Dog is a known reservoir of rabies virus, and it has got potential to transmit rabies which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As the dog has died after some time after biting your mother, according to WHO categorization this is categorized into Cat III, Has dog has died I don't want to take any risk and would suggest you to follow these measures1. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.2. Passive immunization with anti rabies serum around the wound.3. Oral antibiotics like Tab Augmenting, 625 mg, twice daily for five days. The aforementioned measures should be followed to prevent rabies. Thank you. |
I have a symptom of two ulcerated lesion in Lt ignition region. I am facing this problem last 3 months & i should not over come with this problem till date. Our physician prescribe some medicine to me, but the problem still at that area... What should i do, please help.????? | If you are a doctor, please answer the medical questions based on the patient's description. | Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you. It is look like sexually transmitted infection. I suggest you to do Grams staining from the lesion to check which organisms have caused this ulcer. Thereafter you can take treatment according to which bacteria have caused you the infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor. |