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The baby is one month old. She is loosing her hair just above the fore head and skin in that area is also getting dried one. We are applying Almond oil to her body n hair. We dont understand whats the problem of her skin getting dried and hair loss? | Hello. Thanks for writing to us at Chat Doctor. I would keep a possibility of infantile seborrhea dermatitis, which can present as greasy adherent scales, erythema on the scalp and is usually associated with hair loss. This condition is quite common in infants. If I was the treating doctor I would have asked you to use a 5 % certified based shampoo, daily or on alternate days. Cetrimide is antiseborrheic and antiseptic. In my patients, I usually also ask to use a moderately potent topical steroid e.g. fluticasone propionate 0.05%, twice daily, for faster resolution of the dermatitis. This is a prescription product and I would suggest that you seek an appointment with a dermatologist before trying it. Regarding the hair loss, it is completely reversible, and you need not worry about that. Regards |
Hi, I have been suffering from tightening pain just below my right breast for almost 2 years now. For a while there the pain just seemed to disappear, but as of late ; the sharp, stabbing to constant pain comes around more frequently. I do suffer from allergy induced asthma, but have never been in this much pain and discomfort.... Cancer does run in my family....... Is it time to be more serious about this and finally bite the bullet and go see a doctor? | Hi, dear I have gone through your question. I can understand your concern. You have stabbing pain in your breast. It can be muscular pain, some chest pain or pain due to your breast pathology. If I am your treating doctor then I will prescribe you analgesic and muscle relaxant Chat Doctor. If pain remains persistent then I will ask for further investigation like chest X-ray and demography. Then I treat according to diagnosis. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi Im a 39 y/o female & I noticed during my last pedicure a small black dot under neath my middle toe nail...I m very freightened because I work at a nursing facility & I know a black dot ( necrosis)usually deals with diabetes/ poor circulation.. There s no pain/ swelling to the are & it has not grown in size... | Hi there thank you for using ChatDoctorThe black dot on toenail is not a definitive sign for diabetes, so u should not be scared of it. It can appear due to multiple causes like sometimes because of trauma, sometimes it occurs due to bacterial or fungal infection, or in a very small percentage it can be a reason for skin cancer. But since for the is time u have noticed, if it has not changed its size or color or there are no visible changes on your toenail you do not need to be worried as it seems to be harmless. If u think it to b a complication of diabetes and feel anxious, the best advice I can give you is to get a test of your blood sugar fasting. If result is normal, stay relaxed and enjoy your life. Hope this answer is helpful. Kind regards |
Hi. I am a woman with 29 years Hi. I am a woman with 29 years old and 60 kg and 160 height. I have a very intense hair loss,about 200 in a day. in 2010 in the same time my hair loss begins and I used rigendiet tablets and vitality shampoo and tablet.after stopping to use these tablets (because they made me fat) my hair loss... | Hello, Thanks for the query. You need nutritional supplements and essential proteins for good hair. Biotin causes hair growth. It is one of the component of hair building unit. It also promotes utilization of proteins by hair. Use minoxidil along with biotin.It's a good treatment. Apart from this you can also use tab an Chat Doctor. Regarding food, you can take any diet rich in protein.Also, you can wash hair daily. Washing won't cause hair fall. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http |
Hello Doctor, My father is having Blood Clotting in his brain. For the past few years he is taking treatment from one of the doctor in XXXXX. He suffers frequent attacks in which he gets unconscious for some time with problem in speech and heavy sweating. He had paralysis attack 15 years back . I would like to consult you for his case as now the attacks are very frequent. He is also having high B.P. and Diabetes .Please guide. | Hi, Thank you for posting your query. The most likely cause of fainting episodes in your father could be post-stroke epilepsy. In this condition, the epilepsy starts because of scar formation in the brain (due to the blood clot). It is well treatable with medications such as levetiracetam. At the same time, medicines to prevent further brain strokes such as aspirin should be continued. Best wishes, Chat Doctor. |
I am having throbbing pain on the side of my big toe. Yesterday it only hurt very slightly when the area was touched. A tiny part of it was green, so I soaked it in Epsom salt and sprayed it with hydrogen peroxide twice. This drained the pus out but it still remained a little red and swollen. After I soaked it I forgot it even hurt. Until it was touched then there was very slight pain, but it would go away instantly. Everything went fine the rest of the day, but I woke up tonight with throbbing pain. The pain won t stop. It constantly hurts without being touched, and the redness and swelling is worse than it was yesterday. I am currently soaking it in Epsom salt. It is taking the edge off the pain. The swelling and redness have gone down a little, but it is not giving full relief. The swollen area hurts constantly, and the toenail hurts only when touched. I pulled aside the skin and didn t see a hangnail, and it seems like it is too far down the side to be an ingrown toenail. | Hello, Your toe & the surrounding area is swollen, red with pus & it hurts; you have infection due to either injury or ingrown toenail. You are suggested to get it physically examined. Neglect will result in abscess formation. You need a tetra injection & antibiotics (ampilox-500). Your treating doctor will get the wound cleaned & Chat Doctor. Sometimes a minor surgery is needed to help you get relief from the discomfort. Hope I have answered your query. Let me know if I can assist you further. |
My daughter is 9 months old, about a day ago a bunch of red dots started to cover her body, like hives , she doesn t have a fever and they don t seem to bother her she hasn t scratched at them at all. Its on her arms, legs, face and around her private area kind of. Is there anything I can give her to make them go away? | Hi... Thank you for consulting in Chat Doctor. By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
I just did my blood test. I fasted well over 15 hours before the test was done. My only comsumption was distilled drinking water. My SGOT is 116 (0-40) and SGPT is 62 (0-53). They are both over especially my SGOT. The thing is, I was a liver doner 2 years ago to a Hep C patient. The operation was successful and my liver was all good and fully grown within 3 months (after several ultra-sound checks). I don t drink alcohol or smoke. I ate a lot at 1 point and gain some weight. 1 month ago, my BMI is 28.4. After following a fast five diet for a month, my BMI is now 25.9. I lost 8kgs in 1 month by just eating 1 meal, some fruits and snacks within a same 5 hours period each day. The rest of 19 hours just distilled water. So my blood test was done few days ago. Did my liver operation caused the high levels for SGOT or was it my recent diet plan or was it the food that I was eating the passed few months? | Hello, evidence, I want to congratulate you for donating your liver to save ahead patient. I am sure your liver has regenerated fully BYOW. I am also very pleased to see that you are staying away from anything that could cause damage to your liver. It appears that your weight loss was fairly recent with a what appears to be a strict diet. It is possible that you lacked good amounts of protein in your diet. Extended periods of fasting can cause your liver enzymes to go up. Some enzyme elevation could have been present before your weight loss and now the levels very mildly elevated, especially SGPT. Of the two, SGPT or ALT is more important and slower to come down. I would like you to start taking Vitae 800 i.u. daily along withVit-C 1000\u00a0mg. A day. Increase your proteins and limit the fat. Moderate amount of starches are O.K. It is possible that you were exercising as well that could add to GOT elevation. I don't think that you have to worry about your liver function tests getting worse. I wish you well. |
Hi, I slipped on the stairs Sunday morning and fell on my back pretty hard. It hurt in my abdomen at impact and a minute later felt fine. Went to work yesterday a little sore. I just woke up with sharp pains in my abdomen, and am not sure if i should get checked out or not. | Hi! Good afternoon. I am Chat Doctor answering your query. Pain abdomen following trauma needs to get investigated and watched carefully. If I were your doctor, I would advise you for an ultrasound of abdomen to know the exact affairs in your abdomen. Also, you need to be examined physically to rule out associated intra-abdominal visceral injury, and so you should fix an appointment with a general surgeon of your area and report to him at your earliest. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
I have had hard time staying focused on anything.my attention span is very short. I start several projects but get bored and move on to the next one. I can t even watch a movie. I get up and down and piddle with other things.i don t concentrate like I should at work and find myself sleepy all the time. My children take aderall so I tried one. They commented to me that I seem calm and not bouncing all over the place. Can u help? | Hello welcome to Chat Doctor According to the symptoms given by you, you could be having some sort of anxiety disorder or even depressive episode as these symptoms (difficulty concentrating/attention) are common in these conditions. There is also a possibility of Adult ADHD, but that diagnosis rests on detailed evaluation by a psychiatrist. I advise you to stop taking Adderall on your own as it is associated with significant side effects. Consult a psychiatrist for proper diagnosis and management. Hope it helpsThanks |
Is it normal to get k pneumoniae after a lavh with ooporectomy? Urine culture came back and all it said was k pneumoniae. Bacterium not working, now my lower back hurts, frequent urination, and if I try to hold it, I have severe pelvic pains until I release itis it going to go away and how do they know if that is drug resist it or not | Thanks for your query on Chat Doctor. It is not quite common to have urine infection with pneumonia. But you're all symptoms are suggestive of Urinary Tract Infection (UTI). This can happen after surgery. Can be due to poor hygiene or pre-existing infection. So better to get done culture and sensitivity and start antibiotics accordingly. By doing culture and sensitivity, we can get information about Chat Doctor. So start antibiotics according to sensitivity, |
I have low back pain, (34yr old), male, for the past 4 years I have had severe gas at times very smelly, and tail bone pain almost daily so I sit all crazy (I m sure not helping), I believe I have hemroids, and after every boul movement for the past at least 2.5-3 years it feels as if I have small fishers around my rectum that burn for a day or two then subside and no longer hurt until the next boil Mvt. | HiT hank you for asking ChatDoctorI have gone through your query. It is possible to get lower back pain associated with hemorrhoids or anal fissures. Associated infection can increase the pain also. In case of infection proper antibiotic therapy and probiotics should be taken. I usually advise antibiotics like norfloxacin and ornidazole, and probiotics like saccharomyces bollards for such cases. Sits bath will be helpful in relieving pain also. Hope this may help you. Let me know if anything is not clear. Thanks. |
i am a 19 yrs female.....my problem is dat i m having pigmention on my back body.... waist ,butt and inner thighs.......and my underarms are dark too.......i have dark finger joints and some pigmentation around my around.....can i get rid off this by some treatments or creams.....its really frustrating...............plzzzzzzz help............. | Hi, In your case one can think either of Addison pigmentation or acanthuses Nigerians. The first one is associated with blood pressure changes, variable heart rate, weight loss nausea vomiting and skin pigmentation. The diagnosis can be made with serum cortisol, serum sodium and serum potassium levels. Acanthuses can either be solitary occurrence or might be associated with Pod where in excessive hair growth and irregular periods are associated, and it can be ruled out with pelvic ultrasound and hormonal tests. As you haven't mentioned any other complaints, I presume you are having acanthuses. It can be treated to some extent with creams containing tretinoinor glycolic acid or HY Chat Doctor. Glycolic acid, TCA peels can be used at some areas. A good emollient is also required to keep the skin supple. Lasers and microdermabrasion can also be tried. However, as the disease seems to be extensive, kindly consult your dermatologist to decide upon the treatment. |
I am a 28 year old female and have developed what me and my husband assumed were chigger bites a week ago. I have never had chigger bites and the itching was and still is constant and driving me insane. I ve tried benadryl and calamine and hydrocortisone and triamcanilone (sp? .5% ointment. Nothing is making them better I ve actually developed a few more spots. I tried Epsom salt baths and oatmeal baths with no relief and the bites especially the ones on back of my thigh close to butt has spread into a red scaly rash that itches worse than before. I have no idea what this is! I can send pictures if needed. They are on my thigh and legs and ankles and a few o my arms. | Hi, Perhaps you have popular urticaria. It is a hypersensitivity reaction to insect bites and usually happens on exposed sites like legs and arms. It is extremely itched. Another possibility is that it could be purity simplex which is mostly idiopathic, but a few patients may have purity secondary to underlying atop. I suggest you to apply a topical steroid and antibiotic combination ointment e.g. Fluticasone Propionate 0.05% and Mupirocin 2% ointment, for a few days. In addition, I suggest you to take an oral antihistamine e.g. Tab Cetirizine for symptomatic relief from itching. Hope I have answered your query. Let me know if I can assist you further. |
My lower back hurts through out the whole day which I think it s making it hard to breathe. I get a stuffy nose feeling too, though I don t have a cold nor am I sick, plus my left shoulder feels heavy and clicks whenever I rotate it. Is there any way possible that any of these problems are causing me to have trouble getting a full breath? | Thanks for your question on Chat Doctor. I don't think your lower back pain and shoulder clicks have anything to do with breathlessness. As both these conditions favor bone related disease, mostly osteoarthritis or osteoporosis. So better to consult orthopedic surgeon and get done x-rays of left shoulder joint and lumber spine to rule out orthopedic problems. For breathlessness, consult pulmonologist and get done1. Chest x ray2. ECG3. PUT (pulmonary function test). You may have both the problems simultaneously, lung related and bone related. So consult doctor and discuss all these. |
in nov my cxr showed marked diffuse interstitial lung dz, in dec i had a chest ct scan that showed severe scarring tgo my upper lobes and lower lobes,lesion to rul. i have on and sob with cough and wheezing, emphysema to lower lobes and mild pul congestion in march this year. s/s cont at this time cxr shows opacities to both lobes and nodular densities th both sides. my dr says its pneumonia. i need another view. 2 yrs ago i had endometrial squamous cell cancer with tahbso done and no further sign of cancer. should i concern myself whether this could be cancer? | Thanks for your question on Chat Doctor. I can understand your situation and problems. In my opinion you should consult pulmonologist and get done bronchoscopy and BAD (Bronchi Alveolar Lavage) analysis with biopsy from the involved area. As possibility of malignant spread (lymphatic) is high. And this can also give same CT picture. This can also be seen in pneumonia. BAL and biopsy will diagnose both. So better to consult pulmonologist and discuss all these. |
hi I ave had chest pain on and off for the last 6mths, i am female 40yrs, smoker, crohns disease.Last mont stared to get worse with stress, the pain goes up to my shoulder through my back and down my left arm.Last week doctor done ecg and it said possible right atrial hypertrophy with poor R progression in right precordial leads with normal synus rythmn. At present i am experiencin bad chest pain after hot bath causing me to slouch over.What should i do? | Hi, Most probably your pain is caused by spine problems, if you have pain at the moment, take Ibuprofen 400 mg. About atrial hypertrophy; ECG is not sensitive for detecting atrial hypertrophy, it means that in majority of cases there is no atrial hypertrophy when on ECG we suspect it. To detect atrial hypertrophy one should undergo echocardiography. To rule out cardiac origin of your pain you should undergo stress test. Take fearsome back if you have any further questions |
Dear Dr., I am a male in gender and 64years of age and a neuro patient during one year,now I can`t move my left leg and can`t sign with right hand . I visited Dr.Trishit Roy( Neurologist at kolkata)privately and continue his prescribed medicine Tab.-TRIBANTIN-300 and under test- MRI but reports are normal and I am under physiotherapist daily also but no improve any.May you suggest something for improvement? thank you, BIMAL PODDAR | Hi Bilal. Thanks for your query and using Chat Doctor Based on your symptoms, it's clear that you cannot move you left leg and cannot use your right hand. The left and right side of the body is controlled by different areas in the brain. The normal MRI which you are mentioning is likely of the Brain. You will need further evaluation to find UT the root cause of your problem. This will include, 1. MRI of whole spine, 2. Nerve Conduction studies of both upper and lower limbs and 3. Electromyography With this, we can 100 % pinpoint to the cause of our problem. Only then a definitive treatment can be advised. Do consult your neurologist for these tests. Thanks |
hi i am a 2years old girl having a discharge problem since the age of 9 since then certain sexual excitement feelings or talking causing discharge and start side abdominal pain please,suggest me the remedy .i look forward to hear some valuable suggestion from your side .Thankyouwith regardsAsma | Hi Asia ! Good morning. I am Chat Doctor answering your query.First I would like to point out a mistake in your typing of your age. It is normal in the young age group to have some kind of discharge due to sexual excitement as narrated by you. However, having recurrent abdominal pain has to be investigated. You have also not mentioned your marital status/any involvement in active sexual activity. Without all the detail information, I am afraid it might not be possible to give a certain opinion on this. Therefore, I would advise you to consult a gynecologist for a detailed examination and related investigation for appropriate treatment if need be. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
wife just fell backwards and hit her head and back on the asphalt road what initial concerns are there? concussion? she was dizzy getting up but walked into the house with assistance. back? hurts, doubts anything broke but it hurts, sitting in recliner very still hate to go to a hospital and sit in an impossible position for an hour waiting for help - or call an ambulance | With this much of information we can't judged accurately the extent of injury. This will depend on height of fall, rapidity and hardness of surface and age, sex and any underlying medical conditions. But roughly this can be said that if she has no persistent dizziness, sleepiness, nausea, vomiting, blurring of vision , headache then its only superficial injury. That will gradually improve with rest and if required painkillers. But you have to take care of these symptoms if any of these develops then this will be an emergency and imaging studies of brain that is MRI or CT scan is required to rule out any intracranial injury. Hope this will help. |
we have done iui last month, it failed, I want to know what should be the time gap after collecting the sperm and the iui treatment, does the external atmosphere effect the quality of the sperm | Hi, thanks for query. Timining of collection sperm is not important. Even cases when husband is not available on particular days frozen sperm can also be used. The sample should process in same premises only if possible. After collection of semen the sperm septation normally takes around 1-2 hours, after the GUI can be done. The husband should observe at least 3 days of abstinence before giving sample for good results. Wishing you good health. |
Hello Dr.,My 29 year old nephew has severe psoriasis, 80 % of body.He has tried many treatments, but has been reluctant in trying light therapy.What is effectiveness of light therapy, as single or combined treatment. He is now on enbrel.Another treatment is horse milk, does it work, effectiveness.He is at his most despearate stage and is thouroughly depressed, his parents have greave concerns for his mental well being due to his suffering from psoriasis.Thank you, Katarina | Hello. Thank you for writing to us. Light therapy (commonly NB-UV B phototherapy) is one of the systemic treatment options for widespread plaque psoriasis. Phototherapy may be used either alone Or more commonly it is combined with other oral/ systemic treatment options like biologics, methotrexate and oral retinoids e.g. accretion. Phototherapy sessions are usually administered thrice weekly and may take from 20-25 sessions to produce noticeable improvement. Phototherapy is safe and is not associated with side effects like immunosuppression or increased risk of infection in contrast to other systemic treatment options like biologics, methotrexate etc.Moreover, since psoriasis can recur therefore it is always better to have a treatment modality which is not only effective but is also going to be safe over the long run. I suggest you to discuss more about phototherapy with his treating dermatologist. Besides topical treatment with emollients, topical steroids and topical vitamin D analogues like calcitriol/ calcitriol etc. are a useful adjunct to systemic treatment for psoriasis. Horse milk is not an approved treatment for psoriasis, and therefore I am not in favor of it. Regards |
Hi i have taken flurbiprofen...its not helping as yet...I have a severe pain in my molar tooth and it goes away temporarily with cold water and then comes back up again. I have taken augmentin too along with flurbiprofen..Please advise what to do as pain wont go away.Thanks | Hello and welcome. Please note tooth pain cannot be controlled by medication like painkillers and antibiotics alone. It requires clinical examination too. If the decay has reached the soft tissue called pulp then the concerned tooth is treated by root canal treatment. Therefore, for now apply clove oil at the site of pain immediately and also take Coquitlam tablets. This will help. Simultaneously see your dentist as soon as possible for pain management. Hope it helps. Thanks. Take care. |
Hi,I have a small bartholin cyst that appears to be inflamed and a little swollen. It doesnt hurt and I have no fever and no other symptoms. I have been treating it with warm compresses and Polysporin twice a day, but it still looks the same. My Drs appt is only 10 days from now and I am a little concerned about waiting so long. Is there anything else over the counter that I can use to treat it while I wait for my appt.?Thanks in advance for your help.Dina | Hello Dina, Thank you for posting your query through Chat Doctor. I am a Homeopath and my answer may appear strange for you. Is it the first instance you are getting it, or you had several episodes of Bartholdi cysts in the past ? If you had them earlier, I hope they got resolved by themselves. In that case why don't you wait for the cyst to get resolved by itself? If they got resolved by themselves, it means, your body is healthy enough and knows how to resolve it even at this instance. If this is the first instance you got one and no past history, then also it is now in a compromised state. Because there is no much hurting and no fever at all. But if it is because of the Polypoid, then it is a suppression of the natural inflammatory process and that may be why it does not hurt. In that case, there is more chance of recurrences in the future. Body needs a constitutional support to improve the immunity and control the inflammation. This constitutional support is best done by Homeopathic treatment. But if you are taking HomoeopatChatDoctorethod, you should stop applying Polypoid externally. Then by the right constitutional method of Homeopathic treatment, not only the present cyst will be cured with disappearance of the swelling, but also you will develop immunity so that no occurrences of Bartholdi cysts will take place in the future. Therefore, you are advised to approach an expert Homeopath or to get back to me with your details through the premium follow-up question facility of Chat Doctor. With Best Wishes, Chat Doctor. J. VargheseHomoeopath |
I had an ACL Reconstruction to my left knee last summer and recentley tore another ligament in my leg but havent started recievening treatment yet and I am supposed to go to lourdes with my school at the end of the month ... my knee is pretty swollen and there is fluid in it what should i do ?? | Hello, First, if you feel you have damaged the ligament how did you diagnose it? Any physician mentioned or any MRI taken. If neither of it then MRI is suggested. We need to check the grade of injury first. If its fully torn then stabilization of the knee in cr\u00eape bandage or knee brace is advised. Icing to reduce the swelling is advised too. Since it's a total torn, so we need to ask you to not put any weight on the injured limb. In case its partially torn then need to check out the grade 1/2 of injury. The procedure is same as above. Only in this, you can do simple knee range of motion exercises, static Qua Chat Doctor. Since you must be aware of the post ACL reconstruction rehabilitation program which you can follow. Please note, if fully torn then no weight application. If only partial torn then the weight-bearing should go from 25-100% over a period of 4 weeks. Hope I have answered your query. Let me know if I can assist you further. Jay In |
I am 25 years old and married for 2 year. we are try for baby and its cld not happen cause my follicle egg comes out late and rapturing on 21 st after my period. my doc suggest a treatment to bring the follicle egg earlier and rupture on time. so she gave me 1 inject of foligraft and me egg ruptured on 12th day.then she suggest me to take susten 200 pills for 10 day. and then she ask me to do pregnancy test.. can i get conceive ? | Hallow Dear, Delayed ovulation should not cause issue in conception. Please submit yourself for ovulation monitoring. If your follicle is releasing the egg between the size 18 mm and 21 mm, it is healthy egg. Also observe the thickness of the uterine lining (endometrium) at the time of ovulation. Endometrial thickness between 9 mm and 14 mm is highly conducive for implantation of fertilized egg. If the egg is not getting released at this size of the follicle, in. Chat Doctor will help do that. Austen is a progestational preparation and will help to stabilize the pregnancy immediately after conception. In. Calligraphy contains Urofollitropin. FSH binds to the follicle stimulating hormone receptor which is a G-coupled transmembrane receptor. Binding of the FSH to its receptor seems to induce phosphorylation and activation of the PI3K (Phosphatidylinositol-3-kinase) and AKT signaling pathway, which is known to regulate many other metabolic and related survival/maturation functions in cells. Thus, it helps in health conception. I hope this helps you plan your sexual relations around the day of ovulation for better results. |
my aunty aged 46yrs. Her problem is she is having jaundice and doctors are saying the reason for this is her stone deposition in gall bladder. Her SGPT value is 2863U/L, SGOT value is 1952U/L, bilirubin value is 5.4 mg/dl . She is having hepatitis E . Can you please tell me the possible treatment for this disease. Is hepatitis E curable? | Vaccines against HEV are in development [95-99]. Two large placebo-controlled trials found that vaccination was more than 96 percent effective in preventing infection in high-risk settings Little information exists regarding the efficacy of pre- or post-exposure immune globulin (IG) prophylaxis for the prevention of HEV. There is at present no proof that immune globulin, including lots produced in countries where HEV is endemic, confers protection against hepatitis Travelers to endemic areas should engage in practices that may prevent infection, such as avoiding Chat Doctor. Treatment of infection remains supportive. Case reports have suggested a benefit from Riboviria, suggesting it might be an option for chronic HEV infection, but more data are needed |
I am 34, 125 pounds. I have had pain in the right lower side of my abdomine on and off since september of last year. Sometimes it hurts several times a day and other days not at all. For awhile I thought it might have gone away, but came back always in the same spot. I went in 3 times to doctor, had a ultrasound back in october, and also had a ct scan, but all i was told was that they came back normal, with no answers from doctors or follow ups, so i quit going into the doctor for many months hoping that it will go away, but it hasnt. Do you have any idea of what this could be, it drives me crazy and scares me as it hasnt went away. What is the next route I should take if those scans came up normal. There has to be something not right, I dont know how bad it is, but it is not right. What should I do, and what things could cause this? Can a person pay for a mri on thier own? | HI. As the ultrasonography and CT scan are normal, this means the diseases which can be picked by these investigations are not present. They are not full-proof investigations. After reading your history, I would suggest you to go for Diagnostic Laparoscopy and get the procedure done. Most probably it is appendicitis in a form that is not detected by CT or ultrasonography. MRI is not useful in abdomen. |
this is pria i am facing problem from last one month .Never Ever felt this kind of problem before. Initially sexual thoughts started to come in my mind that i m doing with that person and all. Old memories came in my mind. all bad things come in mind. Story started to make automatically in mind when ever i see anything. If old memories ,person come in mind so sexual thoughts or linking of that person with other person come in mind . Only bad things come in thoughts i unable to understand what is going on with me. I took medicine of acne for harmone balance i feel these kind of things after that please help | Hi there ~ It depends on the kind of acne medication you are taking. Some emotional dysregulation may occur with certain kinds of acne medication. However, you would have to give more information regarding how the problems started and what kind of acne medication you are on. I would give this deeper thought once you pass on more information. However, you need to see a doctor to find the right solution for having these kinds of feeling after taking acne medication. Hope this helped, take care. |
I banged my elbow at work it swelled up and was really swishy after a week I went to a and e and they told me just to rest it! A day later it was more painful more red and bigger so I went back they gave me antibiotics, 500mg of fulxicilian 4 times a day. I ve finished my corse. My elbow is no smaller and now it s gone hard and is stil red and my skin is peeling off around it! Although the pain is hardly their apart from every now and then, do I go back to a and e or my doctor? | Welcome to Chat Doctor I have gone through your query and understand your concern. It was probably injury followed by infection which was controlled by antibiotics. Now pain is very less, now it needs mobilization exercises to reduce swelling and gain movement. You can visit your doctor preferably Orthopedic. 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. |
Hi,i had a small operation on my back of neck as some pus get accumulated there i.e small rassoli was there.But after getting it operated too i still feel pain sumtimes.I visited the same doctor who done my operation and some others one also but they told that it is due to muscles fatigue after seeing MRI of my neck.But the problem still persists.plz guide me | Hello, Sorry about your health condition. Will you post MRI report if possible? If it is a cervical spondylosis with disc degeneration may need treatment. I don't know what surgery you have undergone. Use tablet diclofenac and chlorzoxazone for five days. If no improvement, please consult neurosurgeon, he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. |
I have the stomach flu . First day , diaheria almost to the point of dehydration . I couldn t even keep water down .low grade fever. Severe headache , stomach pain and going on the 4 th day in bed. Getting better but virtigo continues. How long does the vertigo , headache and weakness last and what do you recommend to take? Also it s been a month of blowing my nose and blood filled tissues Thank you, Rhonda | Hello, Thanks for your query on Chat Doctor\"As\"per your clinical history is concerned please follow like this -1)Do a clinical exam by your Doctor and to confirm do CBC with differential.2)Discuss with your Doctor about injectable iron and vitamin B12 per week. Do follow lifestyle modifications like this -1)Take Iron-rich foods which include meats, beans, lentils, iron-fortified cereals, dark green leafy vegetables, and Chat Doctor. 2)Take folic acid, which can be found in citrus fruits and juices, bananas, dark green leafy vegetables, legumes, and fortified breads, cereals and pasta.3)Take Vitamin B-12 which is found naturally in meat and dairy products. 4)Take foods containing vitamin C such as citrus fruits, melons and berries that help increase iron absorption. Hope that helps |
Hi. I m 16 year old had had been experiencing pain in my upper abdomen and center at back portion, there is pain in my left arm from 3-4 days and have been suffering from common cold from last night sometimes i experience shortness in breath... I wish to know that my pain in back and upper abdomen and sometimes in chest is somehow heart related or not...?Waiting for reply... | Hello ! Even if you are too young to have any heart problem per se, it is always better to get it excluded by getting consultation done with a cardiologist. Once it is excluded, you may be having allergic bronchitis along with co-existent common cold due to which you are feeling shortness in your breath. Pain in back and upper abdomen could be due to hyper acidity or co-existent gall stone, or pancreatitis. Consult your physician if not relieved, |
hello im a dental lab technician 3 weeks ago i cut myself witha duplicate of a denture, it is a copy of acrylic of the one the patient actually wears and it is made of an impression of the original denture, i trully fear getting any blood borne disease!!! im so anxious havent been sleeping, my muscles hurt, i feel nauseous, and my appetite has lowered.. i do suffer from hypocondria... risk? | Hello, Proper disinfecting techniques should be used by the laboratory and the dental office before sending you dental lab cases. It is unlikely that a patient blood-borne disease has been transmitted to you. Some contamination may have entered your bloodstream from being cut from your tools or laboratory materials. You may have an infected cut due to poor healing. How deep was your cut? Did you clean out the cut sufficiently? Take some anti-inflammatory medication such as Tylenol or Motrin in. Check for signs of inflammation around the cut such as swelling, redness, or any type of Chat Doctor. Use some antibacterial medication and keep the area clean. See your physician if you continue to experience symptoms. You may need a prescription antibiotic. You can have simple blood tests performed to put your mind at ease. Thank you for your inquiry. I understand your concern because you do not know how the materials were handled prior to arriving at your lab or the history of the patient. You can always call the dental office to explain your concern and ask for some information on the particular patient. I hope you will start to feel better soon. |
Hi I went to the Gyno a few weeks ago and found out I had blood In my urine but I didnt see it. Wet to urologist and got tested and I still didnt see it. I had a sonogram for my kidneys and it came back normal and I scheduled for a cystoscopy but now Im seeing blood when I wipe and very little Im thd toilet what could it be | Hi, Twice in your urine test, blood was found while you did not actually notice. The sonography of your kidneys are normal as well. Blood in urine is not a good sign. When it occurs occasionally, it is still fine. But not on a recurrent basis. I would like to suggest you to wait for another week and repeat your urine test for blood. You may go ahead with the cystoscopy. No harm in it. I am sorry; I do not know your age to comment on your symptoms further. Wish you good health. |
Hi, my girlfriend accidentally hit her head against a handle of the top compartment of the fridge as she rose up. Now she is experiencing throbbing pain at the top of her head that is quite unbearable. Is it a concussion or an internal swelling? And what can be done to rectify the problem? | His am Chat Doctor. It is very unlikely that there is a very severe injury. So do relax. However, headache after the head injury should not be left untreated. Ideally, I would suggest testing a CT of the Brain, to make sure there is no internal bleeding. You may find that there is a swelling on the local site on the head where there has been the injury. This may also be a cause for the pain. I would suggest a painkiller like ibuprofen while you test the CT scan of the head. Do let us know the reports. Best of luck, |
I dont have count im siemen is it possible to mak the count | Hi, vaibhav thanks for query. You mean to say that you have low sperm count and want to increase.First it is important to more details about your semen report than only proper guidance can be given. In general, try to take more of fruits, salads in your diet. Avoid smoking and alcohol. Stress is important reason for low count. Do not wear tight clothes. Please take help of a urologist for looking for the cause.bye. |
Hello, I am in the middle of a serious anxiety/panic attack as I just became aware that I may have a tetanus infection. I am a senior at Clemson University and to be honest the apartment where I resided in the past four months was extremely unsanitary. One toilet was clogged for nearly two months which I now know could have bred bacterial spores that cause tetanus infections. I cut myself shaving around 1 1/2 months ago. I was out of razors and used a razor that had been sitting in the bathroom with the clogged up toilet I mentioned above. I did clean the razor with rubbing alcohol before use however I had an open wound on my face for a while.. About a week. For about a month now I have been feeling extremely irritable, experiencing lockjaw symptoms, been short of breath, had fevers on and off, heart palpitations, and I have noticed that when I smile my face contorts into what one would call a sardonic smile. Am I going to die? Please let me know your opinion | Hello, Welcome to Chat Doctor, I have gone through your query and understand your concern. Tetanus is a bacterial disease by clostridium retain. There is no cure for tetanus, but it can be prevented by adequate vaccination. Usual symptoms are all due to painful contraction of muscles as it affects our nervous system. Spasms and stiffness in your jaw muscles, stiffness of your neck muscles, difficulty swallowing, stiffness of your abdominal muscles, painful body spasms lasting for several minutes, typically frittered by minor occurrences, such as a Chat Doctor. If you are not get immunized for tetanus, you should start tetanus toxic vaccination now itself. First 2 doses at 4 weeks apart. Third dose after 6 months. After that your immunity may stand up to 10 years. Thank you. |
Hi, my name is Angela. I have an issue with my heart fluttering a lot lately. I also have shortness of breath when it flutters. I am overweight so I know that may play a part. I am also diabetic but I am not able to afford doctors or medication at this present time. If there is a natural remedy for this, please alert me. Thank you. | The fluttering that you are mentioning could be a phenomenon called paroxysmal supraventricular tachycardia (PSVT) which is undoubtedly bothering but does not need to be treated. But it could be other things like arrhythmia, palpitation or general increased heart rate which could also be caused due to anemia. Your diabetes is also a factor to keep in mind. Rather than jumping to conclusions, you should visit a doctor and get yourself checked thoroughly. I would not suggest any home remedies as the cause of your problem needs to be diagnosed first in order to rule out something more serious. Some simple medicines like beta-blockers would probably be able to solve your problem. |
Im having a DaVinci partial left nephrectomy (with option to convert to open nephrectomy if required) for a kidney lesion to be immediately followed by open total abdominal hysterectomy and bilateral salpingo oophorectomy. I thought it would be best to have both procedures at the same time, but now wondering if that was the right choice as it will be a huge surgery. They have blocked out several hours OR time for both procedures. Ive had general anesthesia several times in the past for knee surgeries, and never had problems upon awakening, but have never been under for more than a few hours. Im very concerned about being sick when I wake up after being under for anesthesia for an extended period of time as I cannot imagine vomiting with a large vertical incision from the hysterectomy, and whatever incisions I will have from the nephrectomy. I wont be talking to an anesthesiologist until the morning of the surgeries. Any words of wisdom? | Hello! Thank you for the query. You should not worry so much. Removing both organs at one time is a very good idea. There will only one incision (in the middle of your abdomen). Nowadays, after a surgery patients usually do not feel any pain as we have great medicines. So you will be under anesthesiologist care and every pain will be eased with medicines. And so is with nausea. So do not worry. Both procedures are quite easy to perform. Just need to take a little more time than a single one. Hope this will help. Regards. |
Hi. 2 days ago my tongue began itching near the tip and to the right. After I checked in the mirror i realized I had a little bump. so fought I might have bitten my tongue. today however I was able to go to pharmacy and get some mouth wash. I brushed then rinsed with the mouth-wash. and my tongue started to bleed. i=I hand;t noticed how white my tongue was and after the rinse some of the whiteness went away but like i said it was bleeding, not excessively but enough to raise my concern. what could this be? | Hello thanks for consulting at Chat Doctor.it could be due to biting on the tongue,bleeding might have resulted, if not it might be posted to the mouth wash usage, may be resulting in chemical burn, either ways please stop the mouth rinse, gargle with salt saline and check with your oral medicine r oral surgeon at the earliest, since any blood loss is quite alarming ,so don't neglect ,hope it helps,TC |
HI. I am currently on Geodon for Major Depressive Disorder, Bipolar 1. I see my Psych in the am but am just trying to do a little research beforehand. Can I switch to Nardil without the normal 2 week washout. I have checked each and every one of my other drugs in the drug-drug interactions, and they are all safe. Just curious before going into the meeting tomorrow. -Theresa | Degree understand your concerns went through your details. Please understand psychiatric medicines are prescribed according to the condition of the patient. Depressive disorder and bipolar disorders are having far fetching consequences and therefore psychiatrist usually take many things into considerations. They also employ differential diagnosis to confirm the diagnosis. Therefore, discussing the medicines and its effects on a patient may not be possible here. Generally, Geodon (ziprasidone) is an antipsychotic medication. It works by changing the effects of chemicals in the brain. Geodon is used to treat schizophrenia and the manic symptoms of bipolar disorder. Talk to your psychiatrist in detail about the research you conducted. Let him take decisions, and please work with him for a perfect cure. If you require more of my help in this aspect, please use this URL. http |
Sir what does it means Straightening of curvature of cervical spine is seen Multiple cervical vertebral bodies show presence of anterior and posterior marginal osteophytes. However, cervical vertebrae are nonnal in intensity pattern. Cervical intervertebral discs show normal signal intensity with maintained disc height. However, disc osteophytes complexes at C5-C6 and C6-C7 level are causing mild indentation on thecal sac with partial effacement of anterior epidural space. The underlying cervical cord is normal in morphology and signal intensity. | Hi, normal cervical spine has lordosis curve. When you lose the normal neck curve, the weight of the head is no longer balanced by the opposing curve (kyphosis) in the upper back. This causes muscle power to be needed to keep the head upright. Mostly straightening of cervical spine is due to muscle spasm or cervical spondylosis. Other features are part of cervical spondylosis. In treatment for this is to avoid using pillows and neck exercises. Thanks |
My 3 years old has had a cold for 3 weeks now .. Went to the Dr twice already and they keep telling me she is fine. She had fever last week for 3 days .. went away and now again she had fever for 3 days (ranging from 100-103. She eats well and can be very active at times. Why is she getting those fever spikes? Her cold is not getting eny better either even after 3 weeks, | Hi.I've gone through your query. I can understand your anxiety. As fever is not settling even after 3\u00a0days of medication, It may be due to bacterial or viral cause. So, investigations to be done to find out the cause. I advise you to give, - spy. Fanatic acid twice daily (if temperature above 102 or 103)- once it Chat Doctor. Parapet 4 times a day - topical sponging with warm water - start antibiotics like spy. Amoxiclav for 5\u00a0days - if fever persists more than 5\u00a0days check for IGM Dengue, tidal test & complete blood count Hope I have answered your query. Let me know if I can assist you further. Take care. |
Sir i am 37years old man & doctors confirmed that i have itp.But no treatment given to me as my platelet count is more than 50000.But still i have light bleeding problem in my gums & sometimes in nose.I would like to prefer Ayrvedic treatment for this please let me know can it be avilable? | Hello and welcome to Chat Doctor, ITP is a disease of platelets for which the underlying cause is not known. Viral infection is the most probable cause of ITP. Treatment of ITP consists of steroids, however, most of the infectious episodes are self limiting and are cured once viral infection clears. Thus, you should follow your doctors advise and there is no need for any other kind of treatment. Thanks and take care Chat Doctor. |
Hi. My 4 year old daughter had a rised temperature rapid breaking and was very tired she woke a couple of times and one time she woke she had two or three sudden jerky movements involuntary. It looked very much like the moment we all have when you just dose off and suddenly wake up as if you were made to jump. We had a very busy weekend with a couple of late nights. She had capol this.morning and now seems fine. And no sign of fever or temperature. | HI...as you classically describe the movements as - very much like the moment we all have when you just dose off and suddenly wake up as if you were made to jump - I feel this is benign sleep myoclonus, and it is common for some kids while going to sleep and while coming out of sleep. If she has not lost her conscious and there are no signs of limb weakness, you need not worry. But if this becomes repetitive, then I suggest you consult your pediatrician. Regards - |
hi, I have a 22 month old weighs approx 13 kilos and about 88 cm tall, and has been getting excessive saliva the past few days. The saliva will run out of her mouth down her cheek...She does not feel uncomfortable or whingy about the excess saliva.could this be a stage of growth or just a process? | Hello, I can understand your concern. As your daughter is 22 months old, she might be teething right now. When new teeth erupt in the oral cavity, tongue repeatedly touches the newly erupted tooth and that causes production of excess saliva. This is just a temporary phase. As all the teeth will erupt into the oral cavity, and she will get used to teeth in mouth, the excess salivation and Chat Doctor. It does not require any treatment. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best, |
Sir my son went for medical checkup for a job, all tests were ok but doctor said the chest x ray shows a thin lining in lungs which may be because of some bacterial infection and asked to take cifran 500 mg tab two times for 5 days and again come for x ray...will the next x ray be ok i am worried..pls advise.. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion it can be due to infection. And the treatment, he is taking contains antibiotic. So get done repeat chest x-ray after completion of antibiotics. If chest x-ray is normal then no need to worry much and no need for further treatment. But if chest x-ray is same or worsening than consult pulmonologist and get done 1. CT thorax2. Sputum culture and sensitivity.3. If sputum is not available than get done bronchoscopy and BAD (Bronchoalveolar lavage) analysis. In pneumonia, treatment should be guided on organism. So consult pulmonologist and discuss all these. If he is improving than no need to worry. |
I was laying in bed and my heart whent from normal to Extremely fast like i was about to have a heart attack and then it stopped for almost a full minute and then started normally again what happened my friends told me it could be a heart murmer but it really scared me could you tell me what happened? | Hi, What you have experienced are palpitations, and palpitations are caused by a lot of factors which may include intrinsic heart problems like arrhythmias and valve problems, thyroid disease, as well as external factors like intake of caffeine-containing beverages, alcoholic beverages, and even anxiety. Some palpitations are just benign, but some may be associated with fatal arrhythmias especially that you felt like you are about to have a heart attack. With these possible causes, I would greatly recommend a check-up with a doctor for appropriate examination to check for the rhythm of your heartbeat, as well as for work-up to rule out any other causes of your palpitations. From this, they would be able to determine the appropriate management strategy. Hope I have answered your query. Let me know if I can assist you further. |
I was on clindamycin for 10 days approximately a month ago. For the past 5 days I have had diarrhea and stomach cramps. My stool is now greenish with mucus. Should I start taking a probiotic? I think the antibiotic destroyed all of my bacteria. What do you think? | Hi, Yes, during the course of treatment clindamycin can cause diarrhea apparently due to destruction of normal good bacteria and overgrowth of bad or harmful bacteria such as clostridium difficile. However, this antibiotic induced diarrhea usually subsides over few days after stopping the medicine. Based on the history you seem to have infective gastroenteritis for which I advise you to consult your doctor for proper evaluation and treatment which may involve antibiotics in addition to probiotics and correction of deny Chat Doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. |
Hi Dr Koregol, I hope you are having a pleasant day.I am having numbness in my left pointer finger and some of my wrist, it has been going on for about 2 to 3 days. its coupled with some sharp, i wouldnt really say pains but feelings in my heart. Is this a course for concern?Thanks for your advice! | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you.it is indeed a cause for concern. Your condition requires clinical examination, examination of power, reflexes, sensations and nerve conduction studies please consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http |
hi, I am a cancer survivor(colon...early stage 3). I have been cancer free for 7.5 yrs now, but I have been having a constant but not severe pain in my lower right back just above my waist. I was wondering if it could be related to a kidney problem. I have no other visible symtoms. | Hellos per your description of the clinical symptoms it seems that you may have the following probabilities |
i have a pains in my gut and lower back but the main pain is in my testicals i am only 16 and the pain just appeared today. it hurts to move them or even to touch them i find the pain gets worse when i walk to is this just a part of puberty or is there something wrong ? | HelloThanks for query. Pain in lower back and testicle is mostly due to infection of Epididymis (Epididymitis) or Testicle (Orchids). You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of Scrotum.In the meanwhile start taking antibiotics like Augmenting along with anti-inflammatory Chat Doctor. Further treatment will depend upon result of these tests and final diagnosis. Please note your symptoms are not related to puberty. |
I have had an ache in my neck on the right side near the base of my skull and the ache goes up into my head for several months. My family doctor doesn t think anything is wrong but I worry about a tumor. It hasn t gotten any worse but doesn t get any better either. I don t have any other symptoms, no dizziness, no balance problems, no vision problems, no extreme headaches. What kind of doctor should I go to next? | Hello, I have studied your case. You can consult orthopedic doctorate to compression of nerve root there can be pain in your neck I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. 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 |
My lungs hurt, but not all the time it comes and goes. It started 3 weeks ago after my son had viral pneumonia. When my lungs begin to hurt I also get a bad headache that Tylenol wont take away. Chest X rays are clear as well as sinus x rays. What could be going on? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is more likely. Bronchitis (inflammation of airways) is common after viral pneumonia. And it can also cause headache. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of painkiller and anti-inflammatory Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi doctor.. I am 43 years old and my problem is loosing errection during intercourse. I do sex almost daily during my leave period , which is for 2 months after 4 months of duty. Is it symptom of ED? Can you suggest any medicine for strong errection? I take metolar 50 and telsite AM tablets for controlling my blood pressure, which is presently 120/80. I reduced my weight over past 8 months by 10 kg by doing exercise twice daily, Which I beleave had increased my intetcourse duration to approximately 20 to 30 min. My present weight is 88 kg. Please advise.. Regards, Xxxxx. | Hi, Thanks for posting in Chat Doctor. I understand your concern. What problems you are facing related to getting weak erections appears mainly psychological and mental stress with unnecessary assumptions and expectations. You can overcome it by regaining confidence from doing the following. 1. Practice behavioral therapy in the form of pause and squeeze technique to achieve and sustain erection. 2. Do meditation regularly to keep your mind calm and healthy. 3. Include in your diet foods like milk, almonds, dates, figs, honey and papaya, which would help to improve blood supply to penis. 4. Eat healthy diet and improve the quantity of fluid intake. 5. Take medications only when necessary to achieve good erection like Tablet. Tadalafil. Keep your confidence levels high and maintain good health. Gradually, you will overcome the problem. Hope the information provided would be helpful. All the best. |
followed with 102 degree temperature.we went to hospital and he prescribed be antibiotic for 3 days.After that also the body temperature showd between 100 and 101.The did alla the checkups and all are negative.They already started for pantiac 40 mg and formic 1.5 injections for 2 days.after that i was discharged and changed the antibiotic to ciplox 500 mg for 5 days.I never knew that a dental abcess without any pain may cause fever.But yesterday when i wnt through tha net,i found that it is followed by fever.I m very much feared to go to a dentist ..Please help me sir. | Hi and welcome, Bacterial decay or carious process to the tooth leads to infection and formation of abscess. Tooth abscess can be a periapical abscess or lateral periodontal abscess that Chat Doctor. Periodontal abscess leads to severe pain in the jaws which often radiate to the adjacent structures like ear, head and neck. It shows symptoms of fever, nausea and vomiting due to the bacterial infection. I would suggest you to visit a dentist and get the clinical examination and X RAYS done accordingly the abscess is |
Hello Doctor ,my uncle is suffering from bone cancer & his major bones are invoved , his left femour also shows some neoplastic lesion, now he is completed 1st cycle of chemotherapy & radiotheray , can i know the possibility of complete cure ????? | Hi, dairy have gone through your question. I can understand your concern. He has bone cancer. Possibility of cure depends on type and stage of cancer as well spread. In early stage of cancer chances of complete cure is high. In later stage possibilities of complete cure is low. Please send me details of cancer so that I can help you further. Thanks for using Chat Doctor. Wish you a very good health. |
My son had a depressed skull fracture 2 years ago, there were always 2 little bumps by his ears that were looked at earlier, now he is complaining it hurts behind his ear. these 2 bumps are now biggger and bulging out. Any ideas what this may be....... Part of his skull, or a calcum deposit? | Hi, dairy have gone through your question. I can understand your concern. You have bumps behind the ear. It can be due to sebaceous cyst or some other benign lesion or infectious cyst. You should go for examination and if required go for excision biopsy. It will give you exact idea. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi my friends mother is suffering from brain tumor Dr hav i just wana konw that how person behaves and what are the symptoms of brain tumours? do it causes severe headache? because 1 of my friend often has this kind of headaches. | HI! Welcome to Chat Doctor .com. The symptoms of brain tumors depend on tumor size, type, and location. Symptoms may be caused when a tumor presses on a nerve or damages a certain area of the brain. They also may be caused when the brain swells or fluid builds up within the skull. These are the most common symptoms of brain tumors |
My brother is having issues with his chest. He says he feels dizzy and has migraines a lot. He also has tremors and has difficulty breathing at night. He drinks a lot of water but he barely eats like he should. He has pains from his head to his abdomen. | Thanks for your question on Chat Doctor. In my opinion you should consult neurologist for migraine. As migraine may be the cause for dizziness. There are many good medicines for migraine are available. Stress avoidance is must. Eat timely, do not fast, avoid going out in the sun helps in migraine. For breathing issue I advise you chest x-ray and PFT (Pulmonary Function Test) to rule out bronchitis as a cause. If these are normal than stress and anxiety are the causes for breathing problem. So consult neurologist and discuss all these. |
Hi I have found a hard, non-movable lump underneath left-side of collarbone. I believe it s the infraclavicular lymph node that is swollen and hardened. I ve done some very preliminary research but wanted to inquire as to the possible causes other than lymphoma or breast cancer. Thank you very much for your time and attention. | Welcome to Chat Doctor .1. No, breast cancer will not be seen in supra curricular region generally.2. I would think in terms of lipomas initially - if there are no primary pathologies known to.3. If any primary pathology is there then I would think of a lymph nodal mass.4. In any case an ultrasound scan would figure out the content of the lesion and the extensions and involvement of adjacent structures. Anything to ask ? Do not hesitate. Thank you. |
hi is it possible to control ones mind by sitting in one place..i am feeling such effect i have meet one psychiatrist and i am feeling such effect i think now the that psychiatrist health is not good.. and if not that psychiatrist is not controlling my mind i think there is some god behind me i cant able to see | Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that the problem you are facing now is of your own creation. For the time being, science is incapable to answer your question. Because science is not yet developed enough to answer your query. But there is another view point. Today nobody living in this world is that capable to control somebody's mind. Such a capacity needs to be developed psychically as well as spiritually. Such a person is not available. Definitely not a psychologist or psychiatrist. Therefore, you should not worry. I suspect that you are troubled so because you could have developed paranoid schizophrenia. Please work with your psychiatrist to get good cure. Do trust him. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. Hope this answers your query. Available for further clarifications. Good luck. |
Hello. My son is almost three and I noticed a lump beneath the skin about a month ago. It is smaller than a pea, on the shin just below the knee. It is movable and painless. He has had a lump of similar size and characteristics beneath his left nipple since he was an infant which has never changed and his pediatrician has continued to monitor without concern. How can I tell if these are harmless cysts or malignant? (I just started working as an oncology nurse and everything seems like cancer to me now) Thank you! | As per your description, they may be lipomas (fat deposits). They usually found many. Unless they increase in size within in short time, become painful, skin changes or fixed, and hard (these are features warranty immediate doctor attention. The main thing is they will come back after removal in the same area. So as your pediatrician told the child needs close observation. As an oncology nurse if you are still dilemma, the better thing is to do FNAC from the swelling. |
I have a lump on the top of my right foot, which I ve had for a while now. The other night I felt a lump on the bottom of same foot, almost directly below the lump on top. It was very painful and made it difficult to walk. Do you have any idea what it would be? Thank you. | Hi. Read and understood your history of a lump on the right foot for a while, now the lump has extended to the lower part. This indicates that there is an infection spreading, and you need to take an antibiotic, anti-inflammatory medicines and may need incision and Chat Doctor. Consult a General Surgeon for clinical evaluation and have a clinical diagnosis, substantiated with MRI if required. Further management will depend upon the response to the medicines. |
I did Siemens test,and found coliform, motility active 20% sluggish 20% and dead 60%, count is 35*10 over 6 cell/ml. Pus cells 3-4hpf,volume 5.0ml,viscosity viscous,, I was treated with antibiotics to fight the bacteria and now taking oligocare,do I have to carry out another test to confirm the position | HiT hanks for using Chat Doctor All healthy males have some level of bacteria in their semen. These normally occurring flora colonize in the reproductive and urinary tracts and typically do not cause any harm. In males who aren't circumcised, bacteria may also colonize behind the foreskin. Overgrowth of these bacteria can be prevented through proper hygiene. Colonization of bacteria is not considered an infection. An infection is typically related to additional symptoms, such as urinary frequency or urgency. In your case, your semen analysis is not normal. There is no harm in checking status of sperm after one month of antibiotic course. Thanks |
my daughter is in her last month of a normal pregnancy and has developed the flu. she is throwing up and has the runs really bad. cant even keep a sip of water down. She is also having cramping in the top part of her uterus. Braxton Hicks????? what should she do? | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should immediately take your daughter to emergency room and start intravenous injections and treatment. She might be having labor pain too as she is having pain in uterus. So better, not to wait at home and start injectable treatment. She is having excessive vomiting, so oral Chat Doctor. So take her to the emergency room and start appropriate treatment. |
I have had a stiff neck for about 2 weeks now. Just neck. No shoulders. Recently been fighting a respiratory infection and sinus issues about 1 month No other real symptoms. No fever, headache, eye pain. No change in pillows or mattress. Primarily pain when I attempt to look left or right. Minimal pain when head moved downward. No pain when head moved back | Thanks for asking your question completely understand your issue it seems like you have spasm in neck muscles. You need to take some muscle relaxants and painkiller like etoricoxib after consulting your physician. For cough and sinusitis u need to take some antibiotics like lifetime and some antihistamines like montelukast and fexofenadine after consulting a pulmonologist .he can give you the prescription for the above-mentioned medicines thanks / regards feel free to ask more questions may god bless you with good health |
HI, i hurt my pinky finger about 6 weeks ago, i had x rays, nothing broken but from the last joint to the tip of my pinky won t straighten out. My Primary care put in a referral to see a hand specialist. the first time they can see me isn t intel june! Should i splint it? My husband said it looks like i tore ligaments boutinere ? | Hi, It may be due to contusion or thin hairline fracture which may not be visible in X-rays. As the first step of management, you can apply ice packs and can take analgesics like Tramadol or Diclofenac for pain relief. Generally, the symptoms will settle in a couple of days and if the pain persists you can consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. |
hi from 10 days my bleeding cant stop .so i want to use Novelon tablets from today onwards.In 1 pack 21 tablets r there this course will be going for 3 months .so give me advise how to use these tablets. give me reply asap.please understand my problem thank u | Most women will have a period around 2 to 4 weeks after stopping the pill, but this depends on you and what your cycle is normally like. Weight, health, stress, exercise and conditions such as polycystic ovary syn Chat Doctor. Novel on tablet induces changes in the hormonal levels contributing to the prevention of pregnancy. Ethanol Estradiol works by replacing or replenishing the hormone estrogen that is normally produced in the body. Thus, this combination is better effective as a contraceptive for prevention of pregnancy. |
Hello, I am realy worried, I m taking evra patch every Tuesday. last week was my free patch week. last night i supposed to put my patch on but i forgot. this morning i had sex with my partner. and strait after sex i realized that i forgot to put one. then immediately i put on my patch. I just had my periods two days ago. Could you please advise me what should I do now? Am I safe? Thank you | Since you had your period, it sounds like you are safe now, and you should just continue with the patch as usual. In general though, you do need to put the patch on after no more than one week patch free, an even a few days delay can cause you to ovulate and the chances of pregnancy increase. In your case, it sounds like you got lucky, and you were only a day late, so you made it just in time. I hope this helps, please let me know if you have any more questions. |
on a few occasions over the last year or so I have suddenly gotten the smell of ammonia in my nose. its not constant, mainly when i take a shower and last night when i used my neti pot for minor congestion. if it were related to kidney failure it would be constant right? | Hi, I had gone through your question and understand your concerns. Yes, this is true, but also ammonia smell and kidneys function are not very related, so this should not worry you. If you have any doubts you can do blood urea and creatinine to see if kidneys work well. In some cases if this become constant or new smells occur, then you should see ENT doctor since it may sometimes indicate problems with nose and sinus infections or olfactory nerve issues. But, in most cases this is not indicating any pathological process. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. |
Hi, my mother just called me today to tell me she has received a diagnosis of bone cancer which has definitively spread throughout her entire pelvic region. This appointment was a follow up from a recent ER trip concerning her hip, which they said would need to be replaced. The Orthopedic Surgeon was the one who gave her this diagnosis this afternoon. There is also a major lump in her breast, which was not reviewed, but the Doctor did tell her she does not have very long. My question is | Hi, Thanks for writing in. The lump in the breast quickly requires a FNAC test which will give us information on the type of cells present and if they are likely a cancer. If you say there is a large lump which has grown suddenly then there is more than 50 percent chances it is a cancer. When we talk about fatality then we have to consider the stage in which a probable cancer is detected at the start of treatment there is disease spread to bones then it becomes stage 4 cancer and this has a survival of 2 years with the best treatment and care. If there is breast cancer and associated spread to the pelvis then amputation is not the treatment. This might cause more complications and the better treatment is by giving chemotherapy and pain relief. Please do not worry. |
My friend and neighbor has had respiratory problems since March. She went to the emergency room and was told she has a low white blood count, but also has a really bad respiratory infection or pneumonia. Could you tell me what are the possibilities? They did send her to a hospital in another co. | Thanks for your question on Chat Doctor. I can understand your concern. Pneumonia is an infection most commonly caused by bacteria. But in some cases pneumonia can be caused by fungal infection, parasitic infection, viral infection and tuberculosis. So we need to rule out all these in your friends case. And for this she needs to undergo bronchoscopic evaluation with BAD (bronchoalveolar lavage) analysis and biopsy. These will isolate the causative organism and guide us about effective antibiotic treatment. By this we can reduce total duration of treatment and speed up the recovery. Hope I have solved your query. Wishing good health to your friend. Thanks. |
i have severe ocd ( germs ) and severe depression and anxiety..i have been put on just about every psych med there is..my dr. had just put me on viibryd and it made me very ill, flu like symptoms, i take meds for my stomach issues nexuim and promethazine and was wondering if there are any meds out there that would not upset my stomach nor have alot of side effects? Thank-you | Hello...... Thanks for your query. Most of the psychotropic medication, particularly the anti-obsessional agents have abdominal side effects. Dividing the medication and using controlled release tablets is one option. The other option is psychotherapy (e.g. cognitive behavioral therapy/ exposure & response prevention) can be tried for OCD, and they are devoid of side effects since they are non-pharmacological methods. Wish you speedy recovery. Regards Chat Doctor. |
i have creatinine 1.5 mg persisting for some years . bp is controlled for last 10 years for one pils a day.I am aged 48 and FBS is 105 last time. Now I feel some swelling in ankle while sitting in long periods.I am enged in office works. Pls advise if any further investigations are required, | Hello, swelling in feet on prolonged sitting is seen commonly in people. It occurs due to long time of feet at lower level than other body, and it becomes dependent part and causes swelling due to also fluid accumulation due to gravitation. I would suggest you to take frequent breaks for few minutes every half hour to stretch and walk around. You can also use some foot rest to keep feet at same level of that of your thigh and hip. See if that helps. If it still doesn't get your serum protein, albumin checked along with s. creatinine. I Hope I have helped your query. Thank you |
I found a hard lump in my breast. It is high and towards my arm pit. It is tender to the touch but otherwise no pain. I have also had a variety of other symptoms regarding my breasts at one time or another over the last 6 months. I dont even know if one has anything to do with the other. Those symptoms are, swelling, tenderness and warmth, also a itchy red rash looks like heat rash but doesnt feel like one. Its not prickly just itchy. I also have 2 skin tag like spots that appeared underneath my breast. do you think these are all related and possibly breast cancer. | Hello! Thank you for the query. Yes, this can be a breast cancer. You should not wait any longer with it. Please consult gynecologist and have an ultrasound of this lump. In case of solid mass, biopsy should be done to check under a microscope if it's a cancer or not. If it is also possible that you have some inflammation or just a cyst in your breast. But cancer needs to be ruled out at first. Hope this will help. Regards. |
MY MOM FINISHED TEAATMENT FOR HER BREAST CANCER 3 MONTHS AGO / CHEMO / RADIO / HERCEPTIN - NOW SHE IS ON TAMOXIFENSHE HAS A CHRONIC DRY COUGH AND ITCHING IN HER THROAT THAT COMES AND GOES ? IT DEVELOPED SOON AFTER MASTECTOMY WHAT WOULD BE THE CAUSE OF THIS ? | Hi, Dear,Thanks for the query to Chat Doctor App.I have gone through your query. In my opinion there are remote chances of coughing, which may indicate complications of Tamoxifen. Consult your chemo-doctor. I would advise urgent basis-Chest X-ray would resolve any new issue cropping up tamoxifen-pulmonary thromboembolic complications and any metastatic growth with breast cancer. In this scenario-I would stop the Tamoxifen-unless the risk of the complication of tamoxifen or resistance to tamoxifen is ruled out. Thnks. Wellcome again. |
Hello ...about 3 weeks ago my cat punctured my upper thigh. It got infected which I was treated for with antibiotics. The wounds are healing well but I can feel a hard line of something. Starting at one puncture leading to the outside of the other. Is this scar tissue? Or possibly a vein damaged? | Hi, I can understand your concern. A bite by a pet cat who had received anti rabies inoculation need not be worried of.* Injection of TT should be taken after the bite. Antibiotic ointment with regular cleaning/ Chat Doctor. The hard line you feel must be fibrous scar tissue. * In case cat is not inoculated, she must be observed for signs of rabies & anti rabies injections 3 doses taken side by side. Thanks. |
Hi doctor, i am shakthi from vysarpadi, this is for my mother who is 56-y-old, recently found to have blood sugar of 361, as result giddiness, tiredness, headache, vomiting sensation, etc.. Also ekg shows right bundle branch block suggesting abnormal EKG. Doctor suggested to see a diabetic specialist to control the blood sugar. Please advice how to face this problem whether to see a diabetes specialist or cardialogy dodoctor or so.. Now she is in home at rest . pls kindly help us in care of my mother, thank you | Thank you user for your query. Well so far as your LBBB is concerned you need to see a cardiologist as he has to rule out the causes of left bundle branch. The cause can be aortic stenosis, dilated cardiomyopathy, acute myocardial infarction, any coronary heart disease etc. As far as your diabetes is concerned well it's not clear that blood sugar is fasting or random. Kindly mention this clearly. As a matter of fact blood sugar is highly raised. She should immediately start insulin homolog 10 units before breakfast along with 1000\u00a0mg metformin. If you don't want to start insulin then you can start linagleptin 5 mg once a day and 1000\u00a0mg metformin at dinner. Kindly take due precautions on diet. Low carboy Chat Doctor. For more query you can contact me anytime. God Bless |
My ex had chlamydia, I believe she gave it to me, is it curable? Because after we had sexual intercourse, I started getting these white smelly discharge all around my penis, I shower everyday, I keep myself clean, but it just seems not to go away. It would itch also, at first it would seem like white bumps but when I wipe it off, it s just the white smelly discharge, help | Hello, Welcome to Chat Doctor, Chlamydia is 100% curable if I am your doctor I advise you that chlamydia is treated by either doxycycline 100 mg two times a day or azithromycin 1gm single dose. You can take one of the antibiotics prescribed above. During the week of treatment please avoid sexual intercourse to get away of the cross infection to the partner. Partner also given the same treatment for same period. Once both of you are cured, you can resume with sexual activity. Thank you. |
is it possible after the root canal fistul is appeared on the gum?what is the reason behind it??can you please tell me? | Hello, Welcome to Chat Doctor forum. Usually fistula develops due to spread of infection from periapical tissues into sinus spaces. If fistula appears on gums after root canal treatment, this is due to faulty diagnosis regarding teeth to be root canal treated. An x-ray will help to evaluate fistula through inserting GP cone into interdental tissue spaces. If necessary, adjacent teeth has to be root canal treated and abscess has to be Chat Doctor. Hope this helps. This fistula has to be try |
i feel pain in my rite side kidny when i walk when i work alot or do excercise or take calcium base food i m 34 and osteopenic thats y now a days taking green vegi milk egg calcium tablets doing excercise for osteo but my kidny pain is increasing hearting me alot | Hi, dairy have gone through your question. I can understand your concern. You should go for ultrasound abdomen to search any lesion in kidney. Then you should take treatment accordingly. You have osteopenia. You should check your vitamin D level and calcium level. If you have vitamin D deficiency then you should take a course of vitamin D supplements. Take high calcium diet. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi I have had hpv for abut 5 years now and since I had my last son 5 months ago my period has been very painful. I get severe back pains a few day before that last till my period ends. Lately I have noticed that wearing a tampon is extremely painful and hurts to pull them out or put them in. I noticed yesterday I started losing what I thought were just blood clots but today they have increased in size and are now white also. This is really startup.g to worry me because I m scared my hpv. Has now became cancerous. | I would have wanted to know if you have ever had a PAP smear done and if yes then whether it was normal. If not, then you need to get one done soon. The symptoms that you have described look more like an acute vaginal infection. So, take Tab Fluconazole 150\u00a0mg twice daily and place a Clotrimazole pessary daily into your vagina for 5 days. This should take care of the infection after which I suggest you get a PAP smear done by your gynecologist whether your symptoms are relieved. You should repeat the PAP every year after that if all goes well. |
hi, i have an accedient since 27/10/2013 broken tib and fib i have a surgery on 27/10/2013 and IM rod placed inside tibia till now i have a lot of pain in broken area doc said that it takes a time for tibia to heal plus there are a gap in bone , some doctors said that we can cut a peace of fib round 2 cm and do bone marrow for tib , another one want to do bone grafting others say that we just need more time so what i have to choose | Here you need to know if it's a normal fracture with just a cut in bone it takes 1 month to heal, if there is cut with segmental fracture where the fracture piece is not in touch with bone above and bone below then it takes 2-3 months time to heal. But if there is segmental fracture along with crushed bone pieces then it takes 4-6 month time to heal. Now here you need to see which kind of fracture you are having along with this age as well your diet and calcium with vitamin D tablets also matter a lot for healing. Here you have informed some doctors have suggested for bone grafting and some doctors have suggested to wait. I suggest if your fracture is healing and is better than what it was before after few months on x-ray then Don't worry it will be all right. It may take some time. You need to have good enough of calcium with vitamin D in diet as well as supplement. But if there is no healing sign even after 3-4 month, and it is still as it is meaning you can try with calcium and vitamin D supplement for 2 months and see later on x-ray. Or else you can go ahead for surgery that is bone grafting. If it's paining too much then make sure there is no infection as well no displacement of implant. And you can keep using hot and cold pack for some more relief. I have given you here general guideline, but I am sure this will be useful for you. Take care. |
Hello Doctors,16 months back I shifted to bangalore. Since then i have had nasal blockage nad very recurrent cold. But last 2-3 months, i am having severe breathing trouble. Have cosulted a pulmonologis and ENT as well. Was given some steroid inhalation. Breathing is normal while medication is on, but within a gap of a day or two, it comes back. Kindly suggest some solution. | Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows |
Yes, I had an orgasm at 1130pm last night and a few hours later woke up to severe pain in my testicles with the pain radiating outward to lower abdomen and the area between my scrotum and anus. It was so painful I broke out into a cold sweat and almost threw up. It would last 5-10 minutes and then go away, then return 10-15 minutes later. I went thru 3-4 cycles of this. It felt like it began in left testicle and then moved to the right testicle. It felt like something was squeezing my testicles and the pain radiated outward. I relate it to a pain from a kidney stone. What could this be?? I have soreness now today. thanks! | Thanks for query. The severe pain in Testicles with chills and vomiting strongly suggests infection of Testicle or Epididymis and needs to be confirmed. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of Scrotum.3) Color Doppler study of scrotum. In the mean wile start taking broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to |
I am a 49 year old female which has been diagnosed with svt and mild to moderate mvp with ejection fraction of 60%. I have been having a lot of skipped beats and extra beats and feels like pauses to me. I recently wore a holter monitor and it showed up 306 skipped beats and extra beats in groups of three at 231bmp and one pause for 2.1 seconds. I wrote in my diary exactly at the time it showed this, so it was what I was feeling. But when I visited the cardiologist he tried to tell me that it probably was an electrode that came loose or just a reading that wasnt correct due to the heart monitor. I take tenormin and have been on it for about 28 years. I have had the svt for a long time and have know about the mvp for several years, and was told at the emergency room one time that I had the atrial septal aneurysm and that it needed to be evaluated with a tee scope. The heart dr didn t even tell me about it whenever he did the echo test, and I found out like I said, whenever I visited er. | Hi, Look atrial aneurysms can be picked by echocardiography. If you are so stressed then undergo TEE. Secondly, 360 missed beats are too much, and it may be due to artifact or electrode misplacement. Secondly, you are taking atenolol so lesser chances of extra beats. Just keep a check on your blood pressure, sugar level. Avoid tea, coffee, alcohol or any stimulant Chat Doctor. Avoid undue physical or mental exertion. Try relaxation techniques like deep breathing exercises whenever you feel extra beats. Hope I have answered your query. Let me know if I can assist you further. |
hi doctor,am having unbearable pain in my legs after masturbation and also having pain in my chest and hands.are these due to increase in masturbation or sumthing else ?also having sharp pain at upper left chest which vanishes after flashing 5,8 times. | Dear, We understand your concerns went through your details. I assure you, the present symptoms, pain in your legs and the chest pain, are not associated with the current masturbation. Masturbation consumes a good amount of energy. If you masturbate in an already tired condition, it is quite natural that your body will show the fatigue and pain. Due to frequent masturbation, your energy will be used much more without replenishing energy. This could cause fatigue, tiredness and thereby depression and anxiety. Depression, stress and anxiety are known to produce physical symptoms such as pain. Still, as the chest pain is involved here, I suggest you to consult a physician for investigation. If you require more of my help in this aspect, please use this URL. http |
I have a large lump on my back, about the size of a babys fist. Im currently on anti-retroviral treatment (Atripla) but according to my partner Ive had this lump prior to diagnosis although Ive never noticed it. It is firm and doesnt move but isnt painful. I thought that it might be a lipoma? | Hi, Welcome to Chat Doctor. Based on the facts of your query, as the lump on your back was painless and existing before antiretroviral treatment, as confirmed from your partner and as it doesn't move, it seems to be either-a Lipoma or a Sebaceous Cyst on the back. Second opinion from your treating doctor and Dermatologist would rule out any antiretroviral induced Lipodystrophy causing fat lumps due to fat redistribution. So don't worry it. Consult your HIV treatment doctor, who would treat this lump with all the care it needs. Second opinion from Surgeon and FNAC Biopsy with hist pathological study of the back lump after the USG of the lump to rule out Sebaceous Cyst, would resolve your worries. This reply would resolve your current issues and would reduce your anxiety with it. Hope this reply would help you to plan treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVTS |
Hi, im 19 155 lbs. And 59, and today I scratched my hand on a rusty nail, the scratch BARELY bled. Not enough to run down my hand, and the spot that actually bled was VERY small, I went inside and washed it out with hand soap. should I need a tetanus shot? | Welcome to Chat Doctor. I appreciate your concern for the rusty nail injury. A puncture wound doesn't usually cause excessive bleeding. Often the wound seems to close almost instantly. But this doesn't mean treatment isn't necessary. The rusty nail injury you sustained can be dangerous because of the risk of tetanus infection. If you have had a tetanus shot in the past five years you need to take a booster dose of Injection Tetanus toxic within 48 hours of the injury. Hope this answers your query. |
i felt like my heart shrunk for a second, like someone squeezing it. Then i get a numb feeling in my head, its like the feeling before fainting. Then i start feeling dizzy and breathing difficulty. But it all happens in a few seconds. I first had it two or three months back while i was having dinner. Since then it became more common and has happened a few more times. I would like to know what are the possible causes because its kinda worrying. I m worried that it would get even worse. Thanks. | Hello, There are two possibilities, one is gastritis and reflux disease and second is cardiac arrhythmia. It can be an acidity and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. If none of the above symptoms are present, then there is a possibility of cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holder monitoring. So visit nearby cardiologist for this investigation. Ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. |
Age | Hi, thanks for sharing your health concern with team Chat Doctor! As per your description, I would like to advise you to take this medicine ALBENDAZOLE 400 mg at bedtime as a single dose by chewing only but before that you need to do a stool examination because there might be some more infections/pathology also! It is a safe Chat Doctor. Please feel free to write to us if any more queries or with the reports / follow-up... Wishing you the best health! |
Chronic infarcts in left occipital lobe,left basalgangila and corona radiata-multiinfract state.chronic ischemic changes in bilateral corona radiata and centrum semiovale.--this is problem sir..my grand father age is 69...weight-52kg..bp-170/190...rbs-103...sir can u say what the problem and what happens... | That means that those areas of the brain have been damaged due to interruption of blood supply to them. The distributions of those lesions makes me think of widespread damage to blood vessels walls, a process which has evolved over many years. It can be due to many factors, you mention one of them which is high blood pressure, other common factors are diabetes, smoking, high blood cholesterol. While there is not much you can do to reverse these infarcts, you should add Chat Doctor. Also, he should be started on aspirin. |
I have a small bump if u will - looks like a pimple (I have no skin issues) under my tongue (frenulum) on connective tissue between back of tongue n floor of mouth. I only noticed because I could feel the bump. Its small n appears to have a white head. Im healthy 56 f - am under stress with a move/fathers passing innaug/ & sons health issues. Monogamous for thirty years, but have smoked most of my life. Concerns? See a doc? Or give a few days n see if maybe goes away? Thanks. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pimple like bump under the tongue on the connective tissue that is lingual frenulum can be due to conditions like Traumatic ulcer caused due to injury caused by any hard foods or toothbrush bristles. I would suggest you to consult an Oral Physician and get evaluated, and a thorough clinical evaluation can help in diagnosis and treatment can be done accordingly. As of now you can start taking a vitamin B complex tablet daily. You can take anti-inflammatory painkiller like Advil or Alive if there is pain.] Do warm saline gargles. Avoid spicy and hot foods and Chat Doctor. . Take soft diet. Maintain a good oral hygiene. Hope this information helps. Thanks and regards. |
my 22 year old grandson has low back pain, lumbar radiation around, and limping. He is active at football and basketball. His doctor mentioned a possibility of ankylo spondylosis and some blood tests to check for a gene which might be involved. Please explain whaat this might mean. thank you | Hello, I have studied your case with diligence. You may need to do MRI spine. Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? Clinical examination is also required to diagnose it. You can do blood test for HLA-B27 to confirm it. If all tests are normal you may need proper exercises and lifestyle modifications. Till time continue medication and physiotherapy. 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 |
My son had an xray to see if he had enlarged adenoids. Recently, he had dental surgery for cavities and was under sedation. The dentist said he was a mouth breather and his adenoids looked enlarged. He doesnt have sleep apnea, but he does have chronic allergies with nasal congestion. His xray came back as having moderate adenoid and tonsils. He is 6 years old and was a premie. Will the ENTdoc suggest surgery? He sleeps normally. Sometimes, he coughs in bed at night, but doesnt awake, goes back to sleep. He doesnt stop breathing either. When he has a cold, sometimes it seems like he stops breathing for a couple of seconds. What do you usually advise? Thanks | Hello dear thanks for your query at ChatDoctori understand your concern regarding son indication for adenoid surgery are like following1 adenoids causing snoring, mouth breathing, sleep apnea, speech abnormalities2 recurrent sinus infection3 chronic ear infection associated with adenoids4 dental malocclusionsyour child does not seem to have any above problems there is no need for surgery urgently now. Take care to avoid child getting frequent nasal infections by avoiding cold items, dust, pollution. If any above-mentioned symptoms are there child might need surgery. For cold and cough give child plenty of water, no need for antibiotics, syrup minaret 6ml if not subsiding.regards |
hi, i had a scan of abdomen as part of the routine check and it showed that there is 5mm polyps in the gall bladder and everything else is normal. my surgeon is suggesting to get it removed as the gb polyps are pre-cancerous. i had under gone total thyroidactamy and it was turned out to be papilary maligancy. what would be your suggestion/recommendation | Hello and thank you for asking Chat Doctor. I have read your report and understand your concerns. Most of the gallbladder polyps are benign in nature, but malignant polyps are found in some cases. Symptoms don't help much here, since both types of polyps have poor symptoms. Any gallbladder polyp that is felt to be symptomatic should be removed. A lot of studies have been done to determine the factors when a laparoscopic cholecystectomy should be done. The cholecystectomy should only be undertaken in cases where there are clinical signs of gallbladder polyps (symptoms like pain etc), polyps with diameters greater than 10 mm, fast-growing polyps. Polyps under 10 mm should be followed-up with serial ultrasound examinations each 6 month. My opinion, in your case, if you don't have any symptoms is to wait before doing the surgical procedure. Each 6 months you need to do ultrasound of your gallbladder/EUS or MRI. And if you have symptoms do the surgery. If you have any other question, feel free to ask me. Chat Doctor. |
My mother-in-law has Klatskin tumor. She has had 3 stents and now her count is just elevated without blockage. She started turning jaundice last week. How long can she survive? There seems to be no option available to her at this point. Can she live months or are we talking days and weeks being jaundice? | Hi, I had gone through your question and understand your concerns. Klatskin tumor is cholangiocarcinoma at the confluence of the hepatic ducts and common hepatic duct above the level of cystic duct. It causes obstructive jaundice. Stenting / bypass are palliative options. Actually surgical resection is possible only in 5% cases. Condition has got 90% mortality in one year. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Regards. |
Hi my name is Elena.. i have a problem of pigmentation on my face and getting more and more i sed cream lightenning but this there i used few but just not going away ... i did used laser but not happenning,,, could u pls help me coz both of my face are nearly covered.... thank u so much | Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor. |
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