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Hi i got my ultrasound today and was diagnosed to have enlarged liver with diffuse increase in parenchymal echopatttern. No discrete mass seen. The intrahepatic ducts are well defined and not dilated. Impression | Hi, Thanks for writing in. Your liver ultrasound report shows an enlarged liver with fatty changes. You might be having non-alcoholic fatty liver. Research shows that the components of metabolic syn Chat Doctor. The presence of hepatic fibrosis seems to be associated with known host and viral factors as well as the presence of abdominal obesity. You must get your scan and blood workup done annually or once in two years. |
I been having bright red blood when I been going to the bathroom especially on toilet paper after I wipe. Well this morning there was a lot of blood in the toilet and this afternoon there was a blood cover (or filled) sac that came out. I am a male and 26 years old. Should I be concenre.d | HelloThanks for your query, based on the facts that you have posted it appears that you have painless hematuria which needs to be investigated thoroughly. This could be due to 1) UTI 2) Stone in urinary system 3) Mass lesion in urinary system either in kidney, ureter. Or bladder. Please consult qualified Urologist for clinical assessment and get these investigations done under his guidance to find out the cause of Hematuria.1) Urine routine NAD culture 2) Ultrasound scanning of the abdomen 3) C. T scan of the Kidney, Ureter .and bladder with contrast medium.4) He may do endoscopic examination of bladder(Cystoscopy). Further treatment will depend upon the results of these tests and final diagnosis. Chat Doctor. |
hi i am form jalandhar, My daughter try to concive since two year but failed. age 27, height 5.4 wt 52 kgmedical checked all test ok, fellpin tube on time check docter says 95% blocked,Second time checked form another docter thay said tubes normal | Hi, I would like to know how the block was diagnosed? By the Dye test(Hysterosalphingography) or has a Laparoscopy operation to diagnose or treat tubal block been attempted. Sometimes tubal spasm during Hysterosalphingography can be mistaken as block, and may not be present on a repeat test. Since she is trying for two years now and if tubal factor is ruled, we would have made a diagnosis of unexplained infertility. The management for unexplained infertility for more than 2 years duration is IVF. Hope this helps. Regards. |
I am taking Rabipur injection against street dog bite on 09.04.2011 and I am to go to Chennai i.e.32 hrs train journey. What precautions should be taken on (1) Diet-whether veg. food or non-veg. food should be taken? (2) whether can come out in noon of summer? | HiT hank you for asking Chat Doctor. I have gone through your query. There are no restrictions in food or lifestyle when taking Raipur (antirabies prophylaxis) or after that. You can have whatever food you like vegetarian or non-vegetarian. Physicians usually tell avoiding alcohol and smoking just for health of patients. But this is also not related to antirabies vaccine, actually. You can come out in noon during summer also. Hope this may help you. Let me know if anything not clearThanks. |
I sneezed last Tuesday and dots of blood comes out along with some flu. Until now blood comes out in tiny drop on my tissue each time my nose swell. I also experiencing on and off fever, headache and chest pain for this past 3 weeks. May you help me on this? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of sinusitis (infection of paranasal sinuses) is more likely. So consult ENT doctor and get done endoscopic examination and x-ray of paranasal sinuses. You will mostly improve with antibiotics, antihistamine and anti-inflammatory Chat Doctor. Steam inhalation 4-5 times a day is also beneficial.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Sometimes when I have been sitting for a period of time and I get up and start walking, I start to get tingling and numbness in my hands and can feel weakness start to spread and I start to black out. I usually will grab onto something and try to stay conscious. The typical time this happens is when I have been sitting in my car in traffic for long periods of time, however, it has started happening during our Sunday service while I am sitting in the choir loft. We sit during the sermon and then stand up to sing an alter call hymn. | Welcome to Chat Doctor! After reading the query I can say form my clinical experience that the symptoms suggest that (most possibly) you have orthostatic hypotension- in which there is a sudden fall in blood pressure when one stands after sitting for some time. I will advise that you should get your blood pressure checked-in sitting and lying down position and see if there is fall of blood pressure ? Also, you might be having some high blood pressure which is not treated or treated partially and you need to revise the medicine. You should also get thyroid levels, sugar levels done, an ECG will also be helpful in ruling out other cardiac cause. You seem to be otherwise healthy person as nothing more is mentioned, so, the above causes are most possibly involved. I think by getting the test will pinpoint the diagnosis and solve the problem. Hope the reply is usefulness free to ask more questions |
My seven year old daughter has had a loose tooth for over two months. It is one of her top front teeth. When I looked in her mouth today, I was alarmed to see a 3-4mm hole in her gum above her loose tooth. When she wiggles her tooth, I can see what looks like maybe a broken root moving in and then sticking out her gum. Her grown up tooth has been growing behind the baby tooth for for several months. She is not in any pain. Will her gum heal by itself? | Hello, Thanks for posting your query.First let me inform you that the time of loosened tooth to be removed had passed already. The permanent successor has already erupted palatially, this will result in misalignment of front teeth since your milk teeth has not yet removed. The hole has appeared in gums due to resorption of root of milk tooth. Please do visit your dentist and get the milk teeth removed as soon as possible. Make sure that remaining milk teeth are shed at the appropriate time to help in eruption of permanent teeth in proper position. Always maintain good oral hygiene. Take care. |
I have had normal blood pressure all my life and recently it has spiked up to 175 or higher. My MD told me to monitor it for a week and I have. Something has made me feel so nauseated I ended up in ER. They did a couple tests, a CT scan with iodine, blood and urine tests and found nothing. This has been going on since last week and I don t know what to do. My legs are achy from the knees on down too. I have no appetite at all. I m sorry I thought this service was without fee. | Hello, I would explain that your symptoms seem to be related to high blood pressure values. For this reason, as all your tests have resulted normal, I would recommend starting antihypertensive therapy. In this regard, I would recommend starting a calcium channel blocker (amlodipine, lercanidipine) or an ARB (Alsatian, telmisartan, etc.). Hope I have answered your query. Let me know if I can assist you further. |
hi doc i have pain in my upper abdomen, nausea and heavy head. i have done endoscopy,ct scan abdomen,brain mra scan,got my eye test, went to ENT, but everything is normal. i have used nexium tab twice a day, then razo D,then nexpro 40 and now pantosec. out of four medicine pantosec 40 is little effective . could u help me with the dosage? | Hi. Pain in upper abdomen, nausea and heavy head with all the relevant investigations normal and only Panto sac helping a bit. It looks you have got a problem related to stress or anxiety or a spinal cord problem. I would suggest you to take a second opinion of another Gastrointestinal Surgeon and a Neurologist as a last chance get MRI of the spine and treatment for the stress done, I hope this may help to get a diagnosis as well as treatment Also go for test of blood - Tidal for typhoid, Malaria and X-ray chest to rule out a lung problem which can give referred pain in upper abdomen. |
I been having stomach problems for over 2 years now and nobody can find a reason. I have PCOS...and I think it is linked to that. The past month I been having Charlie Horse cramps on the bottom right side of my stomach. They only last a few minutes but Im worried. | Welcome to Chat Doctor. I have gone through your question. As pod polycystic ovarian disease does not cause stomach problem. Stomach problem or cramping on right side of abdomen happen to empty stomach or after meal?since How long it occurs? These clarification helps me better in diagnosing. AlthougChatDoctorplaints might be related to acid peptic disease. Avoid spicy, oily meal, take proton pump inhibitor like omeprazole or pantoprazole after consulting your family physician. Hope I answered our question. Would be happy to help you further. Take care. |
i have use of my hand and some use of my shoulder, but cannot bend my elbow. i have had nerveconduction tests which were apparently ok. i have had numerous mri scans - initially showing compression, but now free. however there has been damage and my condition continues. my docs and specialists want to sit on it for 6 months as they feel it is irreversible. my questiun is - can i do physio or exercises that may aid an improved function. cheers | Hello, As there is nerve root entrapment I will advise undergoing Physiotherapy. As this will help your body to regain the strength by working out on the muscles and get the joint space improved by which the nerve entrapment will be reduced as time passes by. The symptoms can be seen Chat Doctor. Surely a physiotherapist will be able to help you. Hope I have answered your query. Let me know if I can assist you further. Jay In |
i was suffering from mild endometrial hyperplasia. iam 29 years old. I was on a birth control pills for about 7 months. Now i stopped taking it on 11 march. I had a wthdrawal bleeding on 16 march. Now i am having pain in my lower abdomen, especially near uterous. My first period is due on 12th. Why i am feeling pain? Is anything to worry? | Hi, Thank you for choosing Chat Doctor. Sometimes with Chat Doctor. E medically known as dysmenorrhoea. It is not a major problem, I suggest you to take some painkillers which contains Metonymic acid after consulting your doctor. You need regular followup for your endometrial hyperplasia thing. And I suggest you to continue taking birth control pills, it is good at reducing this hyperplasia. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. |
Well my dad had the prostata removed now there are 2 lymhocelen right and left of his lowerbelly. Now his blood is really bad and he has an Anemie ( blood count is really bad) thats why nobody wants to operate. And he has a bloodclot in the right upper leg from all this. What is to do? | Hi, dairy have gone through your question. I can understand your concern. He has history of operation. Clotting is common after surgery. He should take warfarin to prevent further complication. He needs blood examination to know the type of anemia. Then he should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
Hi, I am vaishali Acharya age 38 got married in May 2013. have infection problem after intercourse alternate week. and one of my fly doc suggested me to take candid V3 tablet for 3 days and intewash cream. Could you guide me is it useful for me to use whenever i get this injection. | Hello, Welcome to Chat Doctor, There are so many infections which is related to genitals in a sexually active females. If you are getting these infections you need to have physical examination and laboratory investigations to find out the pathogens causing these symptoms. Candid V3 vaginal tablets can be used to treat candida vaginal infection, if you are having candid infections it will help to control the infection but other conditions like chlamydia, trachomas, herpes genitals and bacterial vaginosis can also present with these symptoms, which can not be cured by Candid V3. Thank you |
I m a 39 year old woman.Ive been a waitress since I was 15,so I m used to hard work,being active and on my feet.However for about a month my left leg and harm has been hurting.Its a constant feeling.The last two days I have a knew symptom.My left wrist veins after I get off work and sit down have been blue and swollen.Theres a little pain.Wondering what could be happening. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swollen wrist. Well there can be many reasons for symptoms you mention in query like sudden impacts, arthritis, rheumatoid arthritis, carpal tunnel syn Chat Doctor. For now apply warm compresses, you can also put your wrist in hot water tub for 15 minutes daily and take ibuprofen or acetaminophen for pain. Do not lift heavy object with arm and give proper rest to your arm. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination, urine test. Doctor may recommend surgical removal or may prescribe antibiotics, allopurinol along with anti-inflammatory. Doctor may also recommend physical therapy. Doctor may fix the abnormality by plaster, splint or bandage in case of fracture. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
I woke up This morning sweating and vomiting getting chill bumps all over I had my a/c on and still felt as though I had a fever and have this bad abdominal pain and all my muscles were aching I keep getting Charlie horses and my muscles and I have hepatitis C could this be my liver levels | Hi. Thanks for your query. This may be unrelated to the Hepatitis C problems. The sudden appearance of sweating, vomiting, chill bumps, fever, pain in abdomen and Charlie Horses indicate that you are suffering from Septicemia, the cause of which may be intestinal infection. I would advise you to visit the ER. Nearby hospital, get admitted, investigated and treated. You need intravenous antibiotics and fluids, Investigations of blood, urine, stool, X-ray of the chest and abdomen and ultrasonography. |
Hi, My kid is 3.5 year old. she is having cold, running nose since 3 days. Day 1 - night she had high temperature, i gave Crocin syrup twice (night and morning). day 2- there were no temparature but running nose was there. I gave T-Minic syrup in evening. In night again, she had little temparature. Day 3 - morning i gave T-minic syrup. Shall I give both (T-Minic and Crycin) syrup to get out of running nose and temperature. What should be dosage and course for the same ?? | I am glad that you put up your query at Chat Doctor. I am sorry that your child is suffering from a respiratory tract infection which is a more technical way of saying common cold. The infection is indicated by the presence of fever which needs to be controlled by methods like cold sponging or medicines like paracetamol which are sold in brand names like Cronin, Cal pol, Pyrites etc. which is given at 15 mg/kg/dose. Such an infection generally has an allergic component associated along with, for which anti-allergics and cough syrups are given. Dominic contains Phenylephrine which is given at 0.2 mg/kg/dose 3 or 4 times a day. The amount in ml would depend upon the formulation of the syrup (medicine content in mg/ml). For giving medicines to a child, appropriate dosage is important as is the understanding of the actual condition. I strongly insist that you consult your pediatrician before using it. Your doctor would also be able to decide which medicines are to be given and whether antibiotics are to be prescribed along with. |
Hi, may I answer your health queries right now ? Please type your query here...I am smt. Swagata Manna, age 31, all types of blood test done and found oK. IUI failed 2 times. Husband seman analysis found 25 million/ml. Next step what to do?.Please suggest. email ID | Hi welcome to Chat Doctor. I have gone through you query. Your husband has normal semen analysis. Aa you had done 2 cycles of GUI intrauterine insemination. Continue this cycle for 1/2 time. If cant get success then take break for 2/3 cycles and consult gynecologist for next stage of treatment. As CSI intro cytoplasmic sperm injection and inf invited fertilization is good options. Hope I answered your question. Would be happy to help you further. Take care. |
I am on birth control (pill), and had unprotected sex. Heres the thing, I was only on the pill for 7 days and for 7 of those days I was taking Amoxicillin, and forgot my pill on the 8th day. My period was due 6 days before I had sex. I am a day late and had spotting of a redish/brown color today. It has stopped completly now. Could I be pregnant? | Hallow Dear, There are few issues in your query which need clarification to you. Let me explain one by one.1. If you miss just one pill during whole cycle of birth control pills, the effect of the pills remains, and they do not fail. So the chances of pregnancy are almost nil due to missing of one pill.2. On 6th day of the menstrual cycle, there is no egg present for the fertilization. The egg is released (ovulation) 14 days prior to next expected menses. The egg has life of 24 hours while the sperms are active for 72 hours. Hence, a period of about one week around the day of ovulation is the fertile period. Unprotected sexual intercourse in the fertile period is most likely to result in pregnancy. Your intercourse was far away from fertile period. 3. There only one method by which you can reliably detect pregnancy just one day after missing period; and that is Beta Chat Doctor test. This test can diagnose pregnancy even few days before missing period. The other home pregnancy tests which are performed on urine are reliable 8-10 days after missed period. Earlier, they may give false negative results. 4. If you had diarrhea after Doxycycline (which is a common side effect of these antibiotics), there is a chance that pills could have got expelled before complete absorption and then the pills may fail to offer protection from the pregnancy. I hope this helps you. |
For the past couple of months I have felt pain in my lower abdomen (similar to that of a menstrual cramp) when I become aroused. This occurs after orgasms as well. Does this sound like anything familiar? Very strange and occurs every time I am the slightest bit aroused. Becoming a real bother, and I am beginning to get worried. | Hello user, Mild pain is felt by some women in genitalia during arousal as the related organs got swelled up with blood during arousal, which causes mild pain. There is also mild pain in lower abdomen, during the days when there is ovulation, approx 14-15 days after last day of menses. If the pain is severe enough and bothering you day today life you are kindly advised to have a thorough gynecological checkup done. You are also advised to have an ultrasonography done of your pelvic region to rule out any mass lesion or adhesion or introverted uterus condition. Hope my info helped you regards, Chat Doctor. |
My son is 7 and has started stretching his neck back every 2 to 3 minutes and I am not sure why. At first I thought it was a nervous twitch that he would do with his eyes because it looked involuntary but then he started complaining about neck pain . We just got back from vacation and I remember he fell out of the hammock onto his neck and landed on his neck on to the sand underneath him. I have a Dr appointment July 7th but until then I will just continue to give him Advil for children and alternate cold and heat. the thing that is bothering me the most is that he arches his neck backwards. He tells me it helps the pain but he can not tell me if he is doing it or if it is an involuntary movement. Any suggestions would be welcomed until I can get him to the Dr. | Hello Chris;welcome to Chat Doctor If your son had a fall landing on his neck he may get pain due to a possible internal injury and to get relief it may be that he is stretching his neck because keeping it in a particular position may be helping him so to avoid the pain he is doing it. Normally it happens that when any person tries to take a particular position to avoid pain or excess pain he may land up doing it involuntarily as a reflex to the pain. Please do not worry and keep giving him painkiller when required and by the time 7th July appointment comes you can get an X-ray of the cervical spine (neck) done, and you will get the report and also come to know whether there is any injury or fracture which is bothering him. With the X-ray you may consult the doctor. Thanks |
i have been taking folic acid 5mg for three months now before falling preganant, however i recently read that this dose is usually only used for woman who have a risk of health problems like diabetes etc.is this safe for the baby when i do fall pregnant? | Hello, and I hope I can help you today. Folic acid, a B vitamin, is involved in proper development of an unborn fetus and efficiency of folic acid has been shown to be associated with an increased risk of certain kinds of birth defects, called neural tube defects. Is recommended by the CDC (centers for disease control) that women planning pregnancy take at least 400 mcg (micrograms) of folic acid daily. This is the minimum nutritional requirement recommended for this vitamin during pregnancy. Folic acid can also be prescribed up to 4 mg (milligrams)per day for women who are at increased risk for neural tube defects. These people include women who have to take certain medications during pregnancy that deplete folic acid, a family history of previously affected infant with a neural tube defect, and other inherited forms of clotting disorders.However, folic acid is a water-soluble vitamin, meaning that any excess in your system be washed out in your urine and there are no harmful effects on your body or the babies if you are taking higher than the recommended dose. So 5 mg is higher than the standard dose for pregnancy, however it really will not do you or the baby any harm. If anything you can cut the tablets in half and still have the adequate dose for supplementation and prevention of birth defects. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes, |
I am on lisinopryl for high blood pressure now for a year. my bp raises when i am under stress. for two years i have had a very stressful life, job, etc. i have read that raw garlic helps bp. what are your thoughts. is the capsule form as beneficial? | Garlic has been said to decrease blood pressure, its one of the food fad. Most of the big studies to prove its effect have found it to be clinically u non-significant, even the smaller trial garlic supplement could decrease the upper systolic Max to 3-4 mm Hg and lower diastolic to 2-3 mm Hg. So don't stop lisinopril and shift to garlic, you may take it as supplement as there is no harm but as a qualified doctor I cannot recommend the same. Regards Chat Doctor. |
Gday. I dont really know where to start but i suffer from panic disorder whereby it is affecting my life in that i am not living life to the fullest. I used to travel/fly heaps but now i am to scaed to get on a plan, train boat, bus numerous things even rollercoaster. It isnt the ride itself that scare me i love the feelings of a rollercoaster or the turbulence but i panick at the thought of going on a plane or waiting to get on a train/plane and then worry about having a panic attack in mid air or on the train or whatever it be. I have xanax that i was prescribed by my GP in 2011 and am stll on the first script so i only take it when i need to do something scary. But i havent used them to go on a plane or boat or train yet as i am still to scared and i also wish to take more than the one tablet that was suggested. I would like to take maybe three or four and see if it really helps. Any suggestions? | Hi, I have gone through your query. You are already diagnosed with Panic Disorder and on prescription of Alprazolam (Xanax). You haven't mentioned the dose. Alprazolam is a benzodiazepine and is not first line of treatment for Panic disorder as it causes tolerance, dependence and abuse. You are suffering from its tolerance and ongoing dose is not working on you. Rather than increasing the dose I would prefer that you should go for Selective Serotonin Re-uptake Inhibitors (SSRIs) like Fluoxetine and Cognitive behavioral therapy. It is better to consult a psychiatrist about the prescription and treatment. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. |
My 87 year old mother who is a Christian Scientist fell last week. We hired nurses for round the clock care and now her leg is swollen and leaking. (Weeping Edema) She is not able to walk, so I believe it is her hip that is injured. She was transported to a Christian Science Care facility this afternoon so her leg could be elevated and they could take better physical care of her. I read the cause of this Edema could be heart failure or the trauma to the leg. What is the likelyhood of her recovery without surgical/medical intervention? I live across the country and my sister is there with her. I am not sure how to proceed and would appreciate any advise. | Hello, First, the elderly should avoid falling as much as they can because they usually have osteoporosis. Second, after falling she should do a plain X-ray to ensure that she does not have a bone fracture. Normally after trauma the edema occurs, and it gradually decreases with the treatment. Moreover, if she had hypertension or diabetes or other chronic illnesses, the recovery would delay for a while. Finally, your mother should take antibiotics for possible infection (penicillin), Aspirin twice a day after meal, vitamin D (Alfacalcidol 0.5)one tablet every other day for one week then one tablet per week for one month, besides Chat Doctor. The healthy diet and avoiding prolonged bed rest are crucial for her. Hope I have answered your query. Let me know if I can assist you further. Take care |
My boy friend collapsed on tuesday. he kept complaining that he was sleepy. He doesnt sleep much. We took him to the hospital and they said it was fatigue he would be up on wednesday morning. On wednesday they said he had high blood pressure. He still is unconscionus | Thanks for your question on Chat Doctor. I can understand your concern. You should immediately take your boyfriend to emergency room and get done CT brain, blood pressure monitoring and electrolytes to rule out CV (cerebrovascular) stroke. He is having history of fall(collapsed), sleepiness, fatigue, high blood pressure and unconscious at present. So possibility of brain hemorrhage (rupture of blood vessel of brain) due to hypertension is more. This needs urgent treatment because this condition is life-threatening. So don't wait at home. Consult emergency room and start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks. |
Hi, i had severe pain below the liver last week and was hospitalized for 3 days . later on sonography, doctor says that i have multiple gall stones in my gall bladder largest measuring is 7.8mm, they are advicing me for an immidiate laproscopic surgery and they say that my gall bladder will be removed. is there any other way to remove gall stones without removing my complete gall bladder. Ill be curiously waiting for your reply sir, Thanks | Hi, Welcome to Chat Doctor, You are having gall stone with colic that is severe pain due to stones and treatment of choice is surgery if there is pain and nowadays laparoscopic surgery is safe and successful. Other forms of therapy is available but may not be suitable in acute stage, and you have to discuss with your treating doctor. Lithotripsy. This procedure uses ultrasound waves to break up gallstonesContact dissolution therapy. This treatment uses a thin, flexible tube called a catheter to place a chemical in the gallbladder to dissolve gallstones. If pain settles and medical therapy with OBT oral bile acid therapy may be useful in some. Hope this helps Take care Good Luck Chat Doctor. D. |
SIR i am vinoth20 years old...i started masturbating frm past 4 years...as i am suffering frm alopecia frm past 6 years...i am undergoing treatment with mintop 10 and some multivitamin tablets like nector plus and fine steroid...nw my hair seems to be good...is ther any chances for me to loss HAIR due to over masturbation...i saw in websites that ther s formation of DHT due to masturbation wich causes hair loss....but i am using MINTOP 10 twice a day...and masturbating thrice a week....pls justify ur answer....does it affect hair??? | Hi, It seems that most probably you might have male pattern baldness. Your query about effect of masturbation on hair growth. Remember, masturbation has no effect on hair. So do not worry. Masturbation is safe and do not harm to health. For hairless, you are taking finasteride, biotin and multivitamin... continue it for long time. And also continue to apply minoxidil 10 % solution. I hope you got my answer. Thanks. |
My 2 yr old daughter is suffering from fever from 8th Sep.Doctor prescribe her to give Sumo-l syrup SOS.But she did not cured,then on 13th Sep added 100mg Monocef-o CV syrup 2.5 ml twice a day.Till Now she is not cure & loose motion start from yesterday 2-3 times a day.Is this side effect of Monocef-o CV? I should consult to my doctor? | Hi, thank you for choosing Chat Doctor. Are you using the antibiotics till now? If so then they cause loose stools after prolonged use. How is your children fever? Has it come, come down in between and again started? If so it can be a new infection now. Kindly note that for any infection a 5 to 7 days course of antibiotics is usually enough unless its typhoid. Kindly get your child checked up and start her on probiotic sachets to improve her gut flora and reduce her stools. Hope this has helped you. Your vote of thanks is appreciated, Good luck, Chat Doctor. |
about a year ago I was lifting weights, overhead military press, the next few days my shoulder hurt like crazy and couldn t hardly move it, since then I cant hardly do pushups and I have pain all the time that wont go away, I have full range of motion but if I try to throw a ball it hurts like crazy, and it hurts to touch the top of my shoulder. | Hi, thanks for providing the brief history of you. As you mentioned the mechanism of injury us directly related to gumming exercises. I think you should strengthen the muscles of the shoulder girdle. Usually the gym injuries are common and treated slowly and gradually to avoid any further injuries. As you need to take a small visit to a physical therapist who can actually guide you to perform some special test to check what injury it might be. Also, you will be directed mild static exercises for the shoulder girdle muscles. It will progress to moderate and then Strengthening the shoulder girdle muscles. The muscles to focus on are the, pectoralis, triceps, biceps, deltoid, shoulder girdle, trapezius etc. Strenthening the muscles of the shoulder girdle will help you in further to avoid any sorts of pain. Also perform exercises for both sides to balance the strength in them. On a safer side an MRI will be of help to see any soft tissue Injury. Usually with proper exercises 99% of shoulder cases get benefit and avoid future injuries. With the grace of God I wish you a good health. |
Yes sometimes iam just sitting down then all of a sudden if feels like something hits me in the top of the chest more towards throat but iam berating fine hearts beating fine it s like I either lose air but I don t then I panic it just scares me a lot then I control my breathing been to a doc for it even the doc says she has the same thing that nobody really understands y it happens she said something that s starts with a p and it s every so of then It s like the wind knocked out of me for a second one time it hit and felt like I was going to pass out had to flap my arms in order to maintain from passing out | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Your symptoms are more suggestive of anxiety. But better to rule out cardiac and pulmonary causes first. So get done ECG to rule out cardiac cause. Get done chest x-ray and PFT (pulmonary function test) to rule out pulmonary causes. If all of the above are normal then no need to worry about major diseases. Anxiety appears more in your case. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. |
What are the signs of a heart attack...I am 61 yrs old, have been having severe chest pains, heavyness at chest, pounding so bad that I feel it in my throat, no numbing of the arms, my concern is I am getting these symptoms when sitting or laying down. Today I ate and started with the pain about 45 min later so I am hoping it is heartburn. Other times it just happens suddenly. I am waiting for insurance approval to see a cardiologist. | Hi, Patients with a heart attack usually present with severe chest pain which is prolonged, usually with about 30 minutes in duration, can radiate to the neck or arms and may occur at rest or with minimal exertion. Before a heart attack, patients with coronary heart disease would usually have milder exertional chest pains (but can also be precipitated by eating) which is relieved by rest or by intake of sublingual Nitrates. There are certain medications which are known to reduce the risk of heart attacks which includes antiplatelet, statins, beta-blockers and ACE-inhibitor medications, and are usually the regimen for chronic stable heart disease. But patients who are having a heart attack should be taken to a hospital to check for other parameters including a physical examination, blood test for a troponin I (a marker of heart muscle damage) as well as blood sugar and other blood tests as indicated, and a 2D echocardiogram to check for heart muscle and other structural problems. From these, the appropriated medications can be given to help lessen the risk of a major cardiac event, to improve your quality of life, which includes less frequent chest pains, or even a chest pain-free life. I would suggest either an outpatient or emergency room check-up for appropriate physical examination and management, as well as to rule out other causes of chest pain, which as you have mentioned, gastrointestinal, as well as pulmonary disease as a cause of the symptom. Hope I have answered your query. Let me know if I can assist you further. |
Hello,>This is Vijay here.>I have came across the Cyberknife technology through internet.>My father is 69 years old and was done ileal conduit last year in May 2009>for Bladder Ca in Hinduja Hospital, Mumbai from Dr. srininvasan and>was treated with chemotherapy from Dr. Asha kapadia.>He has undergone total 5 rounds of chemo with different medicine.>Last week we had his CT scan and bone scan which showed lesion in lower part>of spine from L1 to L5 and near lung as well.>Now we are consulting Dr. Suresh advani, who has advised radiation for next>10 days to him.>*Can cyberknife with your hospital be an option for him?( After radfiation)*>*Kindly suggest and if possible can we have telecon?*>>Hope to get a positive response from you side.>Thanks and regards, | Hello, Cyberknife is a precision technology using various refined forms of radiation. Particular criteria might be treated with cybercafe. The radiation is a concentration of gamma rays or protons. The radiation in which he is getting also a less intense treatment than cybercafe but the objective of treating the cancer is the same. Since he is having a spread of bladder to the lumbar spine therefore it is not possible to treat by cybercafe under given circumstances however it recommended that he continues with radiation therapy which he is getting. The cause for the inability to recommend cybercafe is the large area of spread of cancer and the cybercafe will not be able to treat the entire area. Chemotherapy and pain relief might be continued. Please do not worry. Hope I have answered your query. Let me know if I can assist you further. |
my son is 19 years old he got cold and cough , cough gets worse at night he cant sleep took him to the doctor twice first doctor said it is pollen allergy and mild throat infection only prescribed muconyl and bronochol but he said cough even more later doctor prescribed Levofin 500mg but cough is still there with same intensity, he could not sleep whole night. I started rubbing vicks and giving him steam he feels better for 1 hour or so and then starts coughing again. please help. | Hi, your son has acute infection which has increased his symptoms looking at his coughing I would say there are chances that he has bronchi constriction which is causing breathing problem and excessive coughing. For his infection let him take antibiotics but for his cough your doctor may have to start him with a bronchi dilator inhaler or at least tablets. Now coming to the allergy part, treatment has to be in step wise manner first if his symptoms is for few months a year like 2-3 months then you start an antihistamine which he has to take daily at night. If your symptoms still persist then your start using steroid nasal spray, it has no side effect, and it controls the allergy very well, and you should start 2 weeks before his symptoms start. If this also does not cure you. Then get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. This is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further and immunologist he will do skin prick test and immunotherapythank you Chat Doctor. |
Hi Doctor, i discover my leg got a lump last week, i cant see the lump from the surface of my leg. I can feel when i touch. It is not pain when i walk, but when i press harder, i can feel the pain. After one week..it does not pain anymore, and the lump become smaller...However, after this few weeks, i feel my leg get tired everyday...I dont know what happen. Im worry. | Hi, dairy have gone through your question. I can understand your concern. You may have some lump in leg. It can be ganglion cyst, soft tissue tumor or some other mass. You should go ultrasound study to know exact plan and location. If needed go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
I have had recurring rashes, lasting for a week or so. They are red, not raised and have small scabs. They are particularly annoying on my scalp, but have appeared on my arms, my hands, my wrists and my chest. Creams prescribed by the doctor have done little to alleviate the symptoms. They first arrived soon after my return form Myanmar. I remember feeling physically low at the time but did not have a high fever. During investigations, the GP found a Keratoacanthoma, this was removed. Should I be concerned about scrub typhus? Could the Keratoacanthoma have been the eschar? The initial rash was nine months ago, but the most recent was last week. Thank you | Hi, It may be due to some allergy... may be called purity simplex. The rash may be pruritic, papulovesicular and crusted. It is not scrub typhus. And it is also not related to keratoacanthoma. Dust, grass, soap, pollutants. etc. may cause such rash. Consult the dermatologist for the perfect diagnosis and proper treatment. Apply mild steroid cream and take tab cetirizine 10 mg daily till the improvement. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
hi doc my age is 20 i am 70 kgs and my ht is 56 ....few months ago may be 2 0r 3 months.. i was on antibiotics (cephalosporins-cefuroxime) nd i think dats the reason i got yeast infection on my genital area.. m very not comfortable to talk abt dis to my parents and doc.. i searched online and got to know abt home remedies.. I came to know about sugarless yogurt.. would it really help me?Antifungals have so many side effects.. so why not any natural remedy?Thanks for your advice | Hi, Thanks for writing in. First you need to control the fungal infection by using antifungal medication or creams. If it is itching severely, please take antihistamine tablets. Keep your genital area Chat Doctor. Do not wear moist clothes. Try not to itch your genital region as this may spread the infection further. Sugarless yogurt will help treat yeast infections, but it may become messy for you. The antifungal cream is best option. Hope this helps |
i am taking diabetic medication like medformin, januvia and glipizide and two months ago I was injected with eligard for prostage cancer. Now my blood sugar is way up in the three to four hundred reading, I don t feel any symptoms, like blurry eyes. I sweat a lot and pee a lot at night. Dose my blood sugar reading have anything to do with my high blood reading. | Hello, Frequent Urination and sweating are symptoms of diabetes. Take proper control of diabetes and consult with your doctor. He may increase the dosage of medicines, start morning or evening walk at a moderate pace at least for 30 minutes daily. Once your diabetes is controlled, your symptoms will resolve. Keep track of your diabetes by FBS (Fasting blood sugar), RBS (Random blood sugar) and HbA1c (Hemoglobin A1c) tests. Hope I have answered your query. Let me know if I can assist you further. |
Hi I had pelvic pain in abdomen went to dr blood test revealed no infection but blood in urine. They assumed it was a kidney stone and gave me flow max pain seems to be getting better still have not passed a stone.went to urologist yesterday for x rays they found two small images could still not identify if it was a stone. Had sex with wife tonight afterwards urine seems to be weak & dribbling could this be a prostate issue I am a 39 yr old male? Thank you | Hi Welcome to Chat Doctor forum. In X-ray it may not be revealed, satisfactorily, You may need to have ultrasound scanning for clear image, I advise you to consult the urologist again for diagnosis. The other possibility may be the urinary tract infection. For that urine examination, and culture of urine may be needed. Take more of green leafy vegetables, pulses, sprouts and protein rich food, to develop the resistance, and support the treatment. Wising for a quick and complete recovery. Thank you. |
my left lung hurts sometimes when i breath deep an i have to breath deep for it to go away but just before it goes i feel a pop and it goes away then shortly after that i wheeze more i wheeze most of the time but hardly noticable i have asthma so is this normal or is it more serious? | Thanks for your question on Chat Doctor. I can understand your concern. Since you are having asthma, Unilateral (left sided) chest pain and wheezing should be evaluated for left sided lung infection. So consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. If chest x-ray is showing lung infection then you will need antibiotics, bucolic and expectorant Chat Doctor. If chest x-ray is normal then no need to worry much. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
goodevening doctor, my father 55 years old diadetic recently had a cardiac event and found triple heart disease and suggested a coronary bypass but my father afraid of this and refusing . so is it availale any alternative treatment what dr.george earali suggests. your kind reply will be greatly honoured. thank you. | Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, there is no alternative to coronary artery bypass grafting (CABG) especially in triple vessel disease (TVD). CABG is considered as gold standard treatment for TVD. But nowadays newer technique called CCP (external coronary counter pulsation) is available. It is non-invasive technique. In this patient is made to sleep in special apparatus where his calf muscles are squeezed periodically with pressure. By this, there is development of pressure wave in the blood vessels which can dislodge the clots in coronary arteries. You can try this for your father. No harm in it. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. |
I was on car crash last nite felt nothing but shaking up until last nite I couldn t sleep my left arm is dead felling with pins and needles pain pain on the bone off my neck few small things like couldn t remember my sons birthday for hospital records | Hello, As you met an accident in the car crash, I think you landed up giving whiplash injury to the neck where the nerves have got irritated and the pain is now radiating in nature. I request you to take a cervical soft collar for now and do an MRI scan as we need to know the status of the soft tissue in the cervical region. Using soft collar, hot water fermentation, static neck exercises and upper limb strengthening exercises will help reduce the symptoms. Please take this little careful because any injury caused once takes times to heal and troubles more if not treated well. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
hi my child keeps getting these bumps that appears to be bug bites, but they get hard as they get older.alot of people says there chiggers. we stay outside alot in grass and live near woods.I never see a bug, they just appear.I would like to find out exactly what it could be. thanks. | Hi, I understand your concerns. A photograph of the bumps are advised to analyze them further for a more specific opinion. If your child is having such problems for long time without any solution, my advice is to get him evaluated by dermatologist in order to determine the right diagnosis and take appropriate treatment. For the moment, I advise keeping a good hygienic measures, always wash his hands with warm water and soap. All the best! |
I found a hard lump in my back. Its on my right side,- right by bottom of my ribs. I have had 2 doctors feel it, & they say its my ribs. I KNOW its not a rib. its hard & round & its gotten bigger. I am starting to have a panic attack just writing this. Please help me. I am 31, turning 32 next week. I do smoke, but had an x-ray of my lung area when I first found it in February, & was told they saw nothing. | Hi, dear. I have gone through your question. I can understand your concern. You may have lump or it may be ribbed. Just go for ct scan to know the origin of lump and Amy connection with rib or not. If needed go for FNAC of that lump. Then 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. |
My son fell off playground equipment in May, and was told by the doctor that the bruise could take over 6 weeks to go away. There was a huge bump on the left side just above the hip that finally went away. Now the bruise is still there, and uder it, it is very hard. My son goes to the bathroom lots now (#2) like every 1/2 hour, and I m starting to wonder if there is a problem, and if it s the fall that may have caused this. I m getting very concerned, and all my doctor says is it will go away. It s been 4 months now, and it s still there. Should I demand to get him tested? | Hi, If the swelling has gone and there is no pain, nothing to worry. It will take few months for the color and hardness to return to normal. Frequent stools are not related to this. If recent onset, this may suggest acute gastroenteritis. If he has no fever, and the stools are not blood stained, just give him plenty of fluids like ORS solution after every stool to prevent deny Chat Doctor. If this is not getting better by 3-5 days, he develops fever, or stools become blood stained, kindly take him to doctor for antibiotic therapy. Avoid fruits, juices and sugary items till resolution. Hope I have answered your question. Let me know if I can assist you further. |
okay doctor sahib, i hope that u will be fine there, kindly help me in this matter that my teeth are yellowish day by day ,i used all kind of medicated tooth paste & maswak but not okay ,there4 plz give me a good suggestion for better health care, i m waiting 4 ur kind response,ur best frien shaheen jan | Thanks for using Chat Doctor. Read your query. Yellowish color of the teeth can be due to many factors including improper brushing, heavy intake of caffeine Chat Doctor. I would advise you to visit your local dentist and get your teeth cleaned and polished. Follow the post cleaning instructions with proper brushing and flossing. Use antiseptic mouth was for a while. Hope this was helpful. Thanks and warm regards. |
My 11 year old son has had a section on his mid-lower spine that has appeared to be a fading bruise for over two months now. Yesterday he did a few sit ups on the lawn and when he stood up his spine was bruised, deep purple, from shoulder blades to just above the tail bone. He also gets random, heavy nose bleeds and bruises easily on his shins. He had a general blood work up about 1 1/2 years ago and all came back normal except his ferratin was at the very bottom of the normal range. Should I be concerned that something serious is manifesting? | Hi, Welcome to this forum. From history noted, It seems to be some problem of concern. Child might need further specific evaluations such as clotting time, bleeding time, and factor analysis. Please visit a pediatric hematologist Disclaimer |
My 10 month old woke up one morning with red, swollen gums , foul-smelling breath, and whenever I try to brush her teeth , she cries and her gums start to bleed a little. Previously she had pearly white teeth which I brushed regularly. She is very cranky, no longer sleeps well at night, and isn t eating as much as normal. I took her to the E.R and was told she has gingivitis . I am seeking a second opinion. -Jasmine | Hello and welcome, Gingivitis is the inflammation of the gums leading to redness, pain, bleeding, swelling of gums. Infection of the gums leads to fowl mouth odor which is mainly caused due to deposition of bacterial plaque, calculus or other irritants like food debris. Your Baby is really very young and in her case, gingivitis is mainly because of stress due to improper sleep, poor oral hygiene and malnutrition.I would suggest you to maintain her oral hygiene nicely by regular brushing and mouth rinsing with lukewarm saline water. Visit a dentist for clinical evaluation, a course of doxycycline for 3 to 5 days helps subside the symptoms but do consult a doctor before any medication.I hope this helps, take care. |
hi! my father in law was diagnosed with a bile duct cancer, no metastasis found.he s 71 yrs.old this oct.4, he had hypertension before but now that he is suffering from the so called bile duct cancer he s blood pressure now is 90 - 70, or 110 - 60, what perhaps is his life span... i am worried coz my husband, his son is just 1 month away | Hi.noted history of bile duct cancer and hypertension. When was the last work-ups done? in regard to his life span, it is dependent on the cancer staging and/or the advancement of his disease. It is best if he consults with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. Complete metastatic workup must also be done. Diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
Hi I was in a dirt bike accident a week ago. I wrecked and hit my forehead and left side of my face against a fence post. Had a few cuts and some lumps but didnt go to the hospital. But now I am still coughing up what looks like brown blood and was wondering if i should get checked out. | Thanks for your question on Chat Doctor. I can understand your concern. Brown blood in coughing is hemoptysis. And you had bike accident recently, so possibility of internal nose, throat or lung injury is more likely for your hemoptysis. So better to consult ENT doctor and get done endoscopic examination of nose and throat and chest x-ray. If all these are normal then no need to worry about any internal injury. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Report of CT Scan of Brain of Smt. Bisakha Sen, aged - 57 yrs | Hi Alokananda, Welcome to Chat Doctor. The hypodense area detected on CT is suggestive of organized intra-cerebral hemorrhage of old origin and not a recent development. This organization of blood clot could trigger convulsions, as experienced by your wife. In addition to this according to the discharge summary she was also suffering from high blood pressure and breathing difficulty due to aspiration pneumonia. |
Hi , for the past 2 weeks i have had numerous weird numb sensations in my legs, arms ,and internal organs , at night especially when lying in bed it feels like all my body is going numb, am shaky and clumsy also , my head feels very muffled to , as each day passes the symptoms get worse , been to outpatients numerous times coming away with no explanation. Feeling very frustrated as i know their is something wrong , usually a fit healthy 43 year old . | HiI may suggest you to have your blood pressure monitored in lying posture at night and in the morning on rising and during daytime activity. Youmay have your own blood pressure measuring equipment (electronic) automatic reading type. The variations especially if at night is large, you may report to a physician your findings in the Old. Try measuring regularly for a week and make a record by noting time and date for the week chart. Best wishes |
Hi, I have middle back tenderness, and pain on gentle pressing of the spine specifically on one vertabrae. Also it feels that this vertabrae is very slightly enlarged, although not visibly. I am obviously concerned about this, but more so as lately my memory seems a bit impaired, and I am concerned it is related. What are the possibilities please? | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, you should know that the back pain and the tenderness while touching could be related to chronic degeneration of the spinal column. As the pain does not radiate and is localized only in the back and at one point, it seems to be just inflammation and not a herniated disc. Coming to this point, I would recommend a thoracolumbar column X-ray study and inflammation tests (PCR, sedimentation rate, complete blood count). Regarding the memory problems they are not related to the back pain. Working too much or lack of a balanced diet could be the causes. I would recommend regulating your daily regimen (alternate work with relax pauses, try to have a good sleeping hygiene) and take a balanced diet (full of vitamins, proteins, lipids and carboy Chat Doctor. Anxiety could also trigger all this situation. Hope you will find this answer helpful! Best wishes, |
Hello doctor, I am 22 weeks pregnant and have some concerns | Hi, No sonography every month will not cause harm to the baby especially after the 5th month. Initially there were a few concerns that repeated sonography in first few months can affect, but no substantial scientific evidence has come to show that it can affect. So it is safe, but not advised unless there is an indication for it. Since both you and your partner are fine, it is very unlikely that your baby will have any birth defects, especially if the 20-week scan has been normal. Hope this helps. Regards. |
My 11 year old son has lose of pigment that started on his left arm now is on his chest and neck. He also has a foot fungus problem and has lost some toe nails. I don t know if one has anything to do with the other but the lose of pigment is worrying me | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
Hi my son is 20 month old at 2 | Hi welcome to Chat Doctor I understand your concern, for fever you can do tepid sponging to bring it down. For vomiting, if he vomited immediately in 15-20 minutes you can try another dose, and do not give anything after that for 30 minutes or anti-emetic injection can be taken after consulting treating doctor. Also, important to note activity of baby, is baby active when fever is down, is he accepts feeds after vomiting is controlled, is he passing urine 4-6 hourly, if not he might need urgent consultation to rule out any serious illness and if required admission. Hope I answered your query revert if any other query thanks |
I have congestive heart failure. Heart was 13 times to big, 2 years ago. Over the last week, I started failing. Blood pressure yesterday was 112 over78, 82 beats a minute, temp 97.6, but can t sleep and going down hill quickly now. I did find out, I breath better in the mountains at 5111ft or above. | Hi, After going through your case I want to know - 1) Your age and gender. 2) What is the cause of CCF, any heart attack in past3) Associated conditions like Diabetes, blood pressure or cholesterol problem. 4) Current medication are you on. 5) Earlier 2DEcho report if available. 6) Habits like smoking and alcohol. 7) Any current symptoms like puffiness of face, swelling over body, breathing difficulties. 8) In night you are not able to sleep it is because of breathing difficulties and inability to lie down flat on bed or some other causes. Anemia (low hemoglobin), kidney problem or new heart damage, undue exertion, febrile illnesses may aggravate the heart failure. I will advise you to consult cardiologist and get done clinical Examination. Following investigation may be advisable that can help in management. 1) ECG. 2) 2DEcho to know pumping capacity of heart. 3) Blood tests for heart like cardiac enzymes (troponin I/T, CLIMB), Pro - BNP. 3) Kidney, liver function test, urine Examination. 4) Complete blood count. 5) Chest X-ray. Following may be helpful for you - 1) Restrict salt and water intake. 2) Strict compliance with your medicines. 3) May need increased dose of diuretic medicine if already on or otherwise needs to start it. |
Hi. I recently had sexual contact within the past 1.5 weeks with two partners. All contact was extremely low risk, only oral sex and dick/ass rubbing/frotting, without direct penetration; he did however line of the head with my hole and rub intently. Both claim to be HIV neg as well. However, yesterday I began to feel tired, and today it has gotten worse, as well as accompanied body aches, fever of 101.6, lightheadedness, and slight chills. I would typically be unconcerned, but given the symptoms, I am a tad worried even though everything was very low risk. Was do you think my risk is? Thank you. | Thanks to Chat Doctor I can understand your worry these symptoms due to either viral or fungal or bacterial infections .don't anyway test is negative, I would like to suggest once have a CBP, V Chat Doctor. .please you can take paracetamol 500\u00a0mg twice daily, monomer o 200\u00a0mg twice daily for 5 days . Genrally all the symptoms will subside don't worry after the reports check any abnormality is there or consult Chat Doctor FOREVER follow-up screening test after 3months. Ok don't worry |
I have been having mild to moderate chest pain for three days now. I am tired and weak. I have a low fever 99 to 100. I am also burping a lot. What could it be? Last night the pain in my chest started to feel like I was choking from my chest. It s hard to explain but, I considered going to the hospital. The pain in my chest is worse tonight. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult doctor and get done1. ECG2. Chest x ray3. Clinical examination and respiratory system. ECG is needed to rule out cardiac cause for your chest pain. Chest x-ray is needed to rule out lung infection. Because chest pain, fever and weakness in common in pneumonia. So better to rule out this first. So chest x-ray is needed. So, don't wait at home. Consult doctor and first diagnose yourself, then start appropriate treatment. |
I had polps from last 3 years.i was given ampicillin , montair, ciclonasal spray and predmet. Now the polyps have vanished and i am given montekLC. plus i am continuing ciclospray and predmet.Are there any chances of relaps after the treatment is stopped. | Hi there, Where exactly were the polyps? If the polyps were in your nose, then it's possible that these medications will prevent further polyp formation. If the polyps were in your colon, gallbladder, or anywhere else in your digestive system, then these medications are unlikely to have any effect on polyp formation, I hope this answers your questions. Please feel free to contact me should you have any further questions. |
Hello! My mother is 69 years old she had a stroke, two hip replacement and arthritis. I give her instaflex, she goes to physio therapy and other pain killers, I do not how help her, she always in pain. All her joints are swollen. If you can advise I would appreciate it. Than you in advance. Tarana | Hi just read about your mothers condition. You have said that all her joints are swollen so then if it's the small joints of the hands with the other major joints you will need to check out for rheumatoid arthritis even though she is much older. Swollen joints need elastic bandaging after pain cream applications. Cold packs may be applied if the swelling is recent.in case this has been going on for a while then the hand and feet can be immersed in warm salt water for a while. Excessive swelling means fluid collection which needs to be aspirated by a needle. Apart from the regular painkillers she will need medications like celecoxib or meloxicam. |
hi I started with my period on 18-Jan-14 and I got my pregnancy test done on 23-Feb-14 it came negative then I hade meprate medicine on 25-Feb till 1st of March .I just want to known when you dont no about pregnancy and you take this medicine will it harmfull if I am pregnant. | Hello dear, I understand your concern. In my opinion me prate is not suggested to take during pregnancy. If the lady is on me prate and pregnancy is accidentally detected then the me prate is stopped. Meprate is associated with genetic abnormalities in fetus. But of course there is no clear indication of damage caused by it. Your doctor might have prescribed only after the pregnancy is 100% ruled out. If you were pregnant the urine pregnancy test would have been positive. If you still want to confirm blood BChatDoctor test can be done to check for pregnancy. But any doctor prescribes it only after confirming the absence of pregnancy. So relax. Hope this helps. Best regards.... |
I have a bump on my anal area and it has been here for a week and a half. I dont think its a boil because its not hotter than the rest of my anus. What are some quick home remedies to get rid of it and what signs should I really be looking at to tell the difference? | Respected user, HiT hanks for using Chat Doctor.come have evaluated your query thoroughly.* This seems more likely to be a sentinel skin tag or hemorrhoid.* Needs confirmation with clinical examination.* Remedies for better outcome - Soft, light diet to get smooth bowel evacuations.- Avoid oily, spicy, non veg stuffs.- Site bath (sitting in tub filled with lukewarm water 10 min each 3 times a day) help a lot. Hope this clears your query. Welcome for further assistance. Regards. |
Hi, I have almost constant neck tension. Have done for years. Although it became suddenly worse a few weeks ago when I had a bout of pharyngitis. It s let me with a vague but nagging dull ache in my right side of my head. It s also causing some head throbbing on occasion when I stand up and even sit down. I m scared it is a brain tumour as I m occasionally stuck for the right words when speaking and it feels like my head is tender. I m feeling panicy and worried as it doesn t respond to ibuprofen, thank you | Hi, Thanks for writing in. As you have been having a constant neck tension for years, therefore it appears to be a chronic problem and less likely to be associated with a brain tumor. At times, during excessive coughing as you had from pharyngitis, there can be small muscle spasms or conditions within the head to cause pain in the head. This might happen due to irritation of nerves in the region. This can also be related to the balance mechanism if you find that there is some amount of discomfort when changing positions from standing to sitting. Please get a complete neurological examination done. For peace of mind you can get a CT scan brain done to confirm that there is no concern in the brain. Please avoid making sudden head and neck movements. |
Hi! I took Lady pills prior to sex but it was still my 2nd day. I was very much worried because the condom was torn. I bought Nordette 21-pill pack with the dosage of 150mcg/30mcg. That s the only available dosage in my country. I ve read some blogs that Nordette should be 28 pills and it has a light orange color with a different dosage of what I bought. The Nordette pill I bought has white color. I m so worried. I took 4 pills 30 hours after the unprotected sex then took another 4 pills after 12 hours. Is the Nordette pill the same as the one advertised as emergency contraception? Please help | Hi vilcebrenede welcome to Chat Doctor, Corvette is a combined oral contraceptive pill composed of 150microgram of levonorgesterol and 30 micrograms of ethinylestradiol (or) 0.15milligram and 0.03milligram respectively and the pills can be of either white color or orange color.... Actually those 21 pills are the contraceptive pills and the remaining 7 are iron tablets, so it can contain either 21 or 28 pills.... Corvette can be taken as emergency pill up to 72 hours after unprotected intercourse and the dose you took is same, so it is safe only... Now coming to lady pills, if you have taken(taking) the lady pills regularly they offer an effective protection against pregnancy. So in all aspects you are safe now and nothing to worry.......... With regards, |
Hi, I have a 7mth old baby boy who is suffering with baby eczema for the last month or so. He has it mainly around his eyes and on his cheeks - very dry, scaly skin that is prone to inflammation and redness, also has had cradle cap since he was a month old. We have been given 3 cycles of cortizone creams, antibiotics and other medications for moisturizing and as I am breastfeeding exclusively have also had it suggested to eliminate all dairy products from my diet. It has been nearly a month and not much has changed. Just 2 days ago I was told by a homeopathic practitioner that it could be an iron deficiency and so have also added an iron supplement daily for me and for baby. Do you have any other suggestions for me? | Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. 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. Regards - |
At total rest, especially at high room temp, I feel air is not enough for me. Pulse oximeter justifies my feeling, it does show some lowering in oxygen saturation down to 93-94%. Funny thing is this feeling totally dissapears if I breath cold air from AC or start exercizing even with very aerobic exercize, then everyting comes to normal and better, and my lung function becomes pretty good, concidering just two years ago I quit (heavy) smoking. Spirometry shows no COPD, and CT shows very very light emphysema signs, not justifying my uncomfortable feeling at rest. Any idea what other possible dama- ges could cause my peculiar symptoms? Thanks a lot, Nik. | Hi thanks for contacting Chat Doctor... As you have smoking history COPD chances more .... But CT scan normal for it . Second your symptoms could be from cardiac cause like heart failure that can lead dyspnea.... So for further work up investigate with....1. Blood pressure measurement 2.ECG 3.ECHO etc.... Avoid smoking ..... If blood oxygen very lower than oxygen therapy needs to be given.... Take care ... Consult pulmonologist or physician for this ... |
As a younger child i had mild asthma but now im in my mid teens and I m having symptoms again. for the past few days I have felt tight in the chest and felt like i could breathe Ive had some shortness of breath but little to no coughing. Is this asthma or something else? | Thanks for consulting in Healthcare. I will tell you one-you should go to doctor, he should auscultate you, if he will listen to whistling, then you can suggest. In addition, do ECG for check your heart, you don't worry if it happens one time. Treatment of mild asthma include hypoallergenic diet, avoid oranges, chocolate, strawberries, tomato soup, markets juice, seafood, chicken, antihistamine, bronchodilator, antiinflammated. For example, Allegra 1 tab for night, albuterol 100mcg 1 dose 3 times, fluticazone spray for nose 2 dosages 100mcg 2 times after15 min after albuterol, hepatoprotector, macro lid antibiotic if you have My, or CHL, pneumonia. Best regards Chat Doctor. |
I am 27 weeks pregnant. I had a runny nose and sore throat last Friday. The sore throat went away, but my nose completely clogged for 5 days. I took a benadryl but it is still clogged. I used Afrin once, but it is still clogged to the point where I havent tasted food for 5 days and I can barely get any mucous out when I blow it. | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that you have upper respiratory tract infection also known as Common cold that is viral infection and as you are pregnant you can take only limited medications.Also, viral infection is self limiting and resolves within a day. You can take antibiotics like Amoxicillin to prevent secondary bacterial infection. Take Tylenol for pain. Do warm saline gargles, steam inhalations, saline nasal irrigation and use a humidifier in your room to breathe moist air, and it will soothe the nose and throat. You can take plenty of warm fluids and take sufficient rest. Do warm compresses over the chest and around the nose.avoid chilled and spicy foods. Hope this information helps. Thanks and regards. |
I am an LPN that is taking care of my little cousin who is a 3yr old m and he was diagnosed with pachygyria and in february developed seizures. They re not grandmal, he stares, then rolls his eyes in the back of his head, stiffens arms flexed and legs straight. Of course, as you know he has low muscle tone and I work with him by doing ROM, putting wrist supports and DAFOS on him for atleast 2hrs a day, and also put him in a stander, which he hates, but I m willing to try anything to improve his quality of life. I just really would like his parents to get a little sleep. He s got an appt. w/ a sleep specialist on friday and a sleep EEG in October. I just wanted to know if you had any suggestions. I d appreciate any tips. Thank You, Dee-Dee | Hello thanks for asking from Chat Doctor Pachygyria is a congenital disorder with malformation in brain. It usually manifests as seizures, mental retardation, developmental delay. Your cousin is 3 years old, and he is having sudden abnormal movements of extremities with rolling of eyeballs and no loss of consciousness. Most likely these are partial seizures. He is on DAGOS for foot deformities. One thing that need immediate attention is his seizure. Repeated seizures may cause damage to brain neurons which will further potentiate the mental retardation. So control of seizures should be first priority. He has schedule of EEG and after making diagnosis he should be given anti-epileptic Chat Doctor. |
i have numbness and tingling in arms, legs, feet, hands, lower back pain, and mucus in my throat for about 1 month now, every so often I will also have right jaw pain and an occasional headache. doctors cannot seem to figure out what is wrong with me. i had an mri of my head, spine, and lower back, blood tests done with an igg slightly elevated but of no concern. have polyclonal gammopathy. been tested for rheumatoid arthritis, celiac disease, hiv, tb, heavy metals, syphillis. ms ruled out by my xrays. everything is said to be normal. what is wrong with me. i seem to be getting worse by the day | Hi, Thanks for your query. The abnormal sensations that you have such as numbness, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
received meds (zpak, medrol pills, and nebulizer q6hr), for bronchitis (pneumonia ruled out by x-ray ) now going on 48hrs, coughing has been so severe when mucus builds up, it becomes spasmodic--- I now have a large area on Lside of diaphragm, and also near pancreas area, that is now giving me acute on a level of 9-10, localized pain, swelling and tenderness remain till next coughing spell. I cannot lie down or get any rest. I do not have pain upon breathing, or fever now-- localized coughing pain is sever and localized enough that I am concerned. It is nite time here, I and do not think it warrants an ER visit, but what else can I do to relieve this problem. | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain due to excessive coughing is more likely. Coughing causes strain on ribs and intercostal muscles. So apply warm water pad on affected areas of chest. Take painkiller and muscle relaxant Chat Doctor. Avoid movements causing pain. Don't worry, you will be alright with all these. Pain will definitely subside. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
hi i am 40 years old just quit smoking the other day now i am having astma all the time my lungs and chest feel sore and short of breath and wheezing most of the time. When i was smoking i got astma once a year. because i have quit smoking am i going to be like this for the rest of my life having breathing problems | Thanks for your question on Chat Doctor. I can understand your concern. Since you smoked, possibility of bronchitis is more for your symptoms. Bronchitis is inflammation of airways. It causes bronchospasm. This in turn causes chest pain, cough, breathing difficulty, wheezing sounding etc. 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). You will be alright with all these in 1-2 months. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Is yeast similar to whey? I just found out that my 5 year old has a yeast allergy. I read that yeast can contribute to eczema which he had severely for his first 2 years. I read the ingredients on the formula he used and whey protein was one of the first ingredients. Just wondering if that contributed to his allergy? | Hello. Thank you for asking at Chat Doctor. Yeast is not similar to whey. Whey proteins are a group of proteins mainly found in milk and milk products. Yeasts are microorganisms (fungi) which participates in processes like fermentation. Yeasts which are added in nutritional formulas are usually deactivated yeasts which are a good source of some nutrients for vegetarian people. So both are not same. Both yeasts and whey protein can cause allergies, but they are entirely different. As far as eczema is concerned, milk proteins are more likely to cause eczema as compared to yeast in child Chat Doctor. Hope this will solve your query. Feel free to ask to Chat Doctor if you have any further queries. Thank you & Regards. |
I have been experiencing sudden redness of my palms and they get really hot. I noticed it happens more when I am using them. The tops of my hands get small red patches . What could this be? | Hi...dear Thanks for choosing Chat Doctor., Redness and hot patches over the both., palms usually due to contact with Allergens..., It is called CONTACT DERMATITIS.....,1) Both palms dip into the salt lukewarm water daily ...,2) Clobetasol with gentamicin cream daily morning and evening...,3) Tab Ofloxacin 200 mg daily 2 times for 5 days...,4) Tab cetirizine daily nighttimes...for 15 days., ok...good luck., |
My son a respiratory therapist was recently diagnosed of having PTB ,left apex with cavitary formation.he already started taking medication for two weeks.What is the prognosis can he still find a job.The head of the department told him to take rest for one month. my son is 24 years old and weighs 60 kls. | Hello, thanks for using Chat Doctor. I had gone through your query. Prognosis of Chat Doctor. As you said your son is respiratory therapist, so there is more chance of getting TB from patients at hospital, it is advisable to undergo culture and sensitivity examination at the time of diagnosis itself rather than waiting for 3 months and then retesting again. Culture techniques take time about one month for reporting, as chance of acquiring |
Hi ive had a lump on my neck that has been there for more than a year now. At first it was small and barely noticeable, but now it has more than doubled in size and is very red and painful. I do have alot of sinus congestion and I think it may have something to do with it. I am setting up a docots appointment asap. | Hello! Thank you for the query. Lump on the neck which has gotten bigger sounds like an enlarged lymph node. As it is painful, sinus infection can be a factor of it. Sometimes such lump can appear due to lymphoma, therefore you should not ignore it. Other skin lesions like debacles cyst should be also considered. You are right consulting a doctor as soon as possible. Ultrasound of this area should be done. If it's an inflammatory sebaceous cyst, needs to be incised and Chat Doctor. If it is a lymph node, biopsy of it and blood work should be done. Hope this will help. Regards. |
I have recently been diagnosed with RA, and am on 400 mg of hydroxyxchloroquine...I have pains in my hand joints and wrists, and when I saw the dr I didn t tell him about all the pains I was having, not really understanding what was going on and I thought I was just soar from not doing yoga anymore. in the last few weeks since I saw the doc and started meds, I am having more pains in more places and more intensity, im also suffering from severe anxiety..,.not really understanding what is going on. I also have bowl problems and the pills are making me nauseated and appetite has changed a lot.. I was told to call and book an appointment for 3 months from now..should I call earlier and tell them whats goingon? I keep thinking because I am worrying maybe im just noticing little things I didn t before...I am not sure what to believe with all the blogs...its scaring me the rate that my body is changing. I am 31 years old/. ( also had a ocular stroke 2 yrs ago..lost left eye sight and im also scared to lose my vision with the meds and the effects...)...any tips, resources to read or advice? | Hi, welcome to Chat Doctor forum. It appears that you have hyper acidity due to the Chat Doctor. Which in turn may cause the increase in pains. I advise you to consult your doctor for the sake of gastric hyper acidity, and relief. I usually advise to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically. Avoid taking potato, other tubers, tomato, egg, chicken, and seafoods till you get the relief of pains. Wishing for a quick and complete recovery. |
I wonder if I took about 1/2 a teaspoon a week of Cheratussin cough syrup (contains codeine) for my intractable chest congestion, (from allergies) if it would be okay. I ve tried multiple things, mucinex, antihist., humidifiers, etc. and none of them begin to work as well as the cherrarussin. I know its addictive and bad to take long term. But I have no addictions, and I would not get addicted. | Hi, Dear,Thanks for the query to Chat Doctor. I studied your query in depth. I am feel concerned about the worry and fear expressed by You. Dear please don't worry as things would resolve with my answer herewith. I would advise you not to self-medicate and hence stop it in future as I am there to help at my Chat Doctor online clinic. I would advise-Sputum-micro study, x-ray chest and CBC along with the check with your ER doctor. I think its due to the-Brochitis-URTI-. Prima facie- I would advise you today Chat Doctor. I would have advised-Antibiotics and expectorant than the chetussin syrup /so stop chetussin syrup for now-as your cough is not.responding for 1 wk now. Please take |
Hi, im currently taking lagap doxylag 100mg to reduce my acne, and my face do shows and improvement. i took it 2mths back for a period of 1 mth and stop for the next mth. on the 1st time i took it, sometimes i experienced nausea, however when i started to take it this time, im having a chest tighthening. it still bearable and i really wants to get rid of the acne. why is it cause chest tightening? will it become more serious that can harm my body? thanks | Hello, Most probably a gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy 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. Elevate head end of the bed or use pillows during sleep. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day along with your medicine to reduce acidity, reflux. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts. |
Doctor me and my mom are suffering from unknow. when new moon arrives or full moon arrives. My brain stops working and somatch swell hughe and my mom whole body swells and when those bads go away and me and mom are alright as if nothing happen. I brain start working like geniunus after four days after new moon or full moon. This problem lasts till 4 days. Worried both for my mom and me and my dad. I guess don t understand that what we are suffering from it is really pain full. Can you help? | Degree understand your concerns went through your details. I suggest you not to worry much. These are ancient beliefs that point towards abnormal behaviors of people who are affected with psychoses. In the modern science view, these are just superstitions. You need to talk to a psychiatrist and get treatment for this. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
I have a daughter that is 42 years old and she suffered from Guiardi and was put on one of the strong medications for Guiardi. After she took the medications she became manic in her behavior. We had her checked into a mental facility. They think it is bipolar but I want her tested for parasites that might still be present in her brain.. My daughter has never shown any signs of Bipolar before. I am not sure how to convince the dr. that this brain scan needs to be done. Since my daughter wants to get out of the hospital and we wont get her a lawyer she wont let us talk to her dr. What should I do? Please help. Is there a reason the dr. will not do further testing for Guiardi? | Hi, In my opinion, her doctor must have ordered a brain scan as that is one of the first things to do when someone presents with mental illness of new onset at such a late age. It is also possible that some of the medications that were given to her may have caused the mental disturbance. So, rather than worrying, please try to contact her doctor and discuss this in detail with him. If you find it difficult to contact him, write a letter seeking an appointment or talk to the hospital management. I am sure you will find them helpful. Hope this helps. Best wishes. |
I have been having knee issues for the past 2 months. I have gotten it checked by a doctor who said it was just tender after only doing a physical examination, and did everything they said I should but it has only gotten worse. I find it hard to walk up stairs, walk without frequent stops to rest my leg, and to do anything really. I am worried as it has been nonstop pain for almost 2 months. | Hi, I am sorry for the current health issues you are going through. Having knee pain might be due to arthritis or after having a history of trauma locally. As the pain is going on for 2 months, then, I advise discussing it further with orthopedist about running X-ray of knee to evaluate any possible damage. For the moment, I can advise to |
hi,DoctorI have done my sperm analysis test in which Detail Given BelowVolume - 3.0 MlLiquifection - 30 MtsAppearance - Thick And ViscousSperm Count - 60 mill/mlSperm Motility | Hello, Thanks for the query, Zinc and vitamin A is necessary for sperm development. Please take these supplements daily. You will get good relief with this. Get sperm analysis done again after a month. Please meet an infertility specialist if problem persists. 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 |
my 9 month old boy has a rash on his body not much on legs and arms but on face behind his ears its not bugging him or itchy, he did not go for his measles injection as he was sick had high temp and has runny tummy ive been to a normal gp says its not measels but could it maybe be baby measles. | Hello dear! A picture of the rash will help me more in diagnosing the condition. In the absence of fever it can be allergic rash/urticaria. It can be the start of measles if she is having watery eyes and runny nose with this. It can be viral exanthem. No need to worry, it will settle on its own. Give him spy. Levocetrizine 2 ml at night for 1 week. Hope it will help. Wishing your child good health |
Midpole of right kidney, small echogenic nodule measuring 13.5mm. X16.1mm is seen. Fairly well defined and probably represents a small angiomyolipoma.this can be followed up with a repeat ultra-sound in 2-3 mths.I was told this by the radiologist and he wrote it in the physicians report.I was asked to give it( report) to the physician.physician had a look at the sona. She did not mention the nodule she said everythin is normal.what now? | Hello Thanks for writing to ChatDoctorSmall echogenic nodule in kidney is generally due to angiomyolipoma. Renal angiomyolipomas (AML) are benign renal neoplasm and are composed of vascular, smooth muscle and fat elements. Angiomyolipomas are often found incidentally when the kidneys are imaged for other reasons or as part of screening in patients with tuberous sclerosis. It may cause spontaneous retroperitoneal hemorrhage. Risk of bleeding is proportional to the size of the lesion (> 4 cm diameter) so, it is important to know the size of lesion. Small angiomyolipomas found incidentally usually require no therapy, but follow-up is recommended to assess for growth. So, your radiologist has given you right advise. Proper treatment depend upon size and symptoms. Hope I have answered your question. Take Care Chat Doctor. |
I am a 39 year old lady, have had appendix out, have had 3 cesarians and a full hyrsterectomy. I have a history of small kidney stones for 8 yrs in both kidneys. Been hospitalised twice with the pain on passing. Last one passed was 5mm, very painfull with vomitting. This week, bloody urine for 6 days. My doc picked up UTI & assumed stones again, gave pain relief. Not coping at home, went to ED st Hospital. Catscan revealed a 14mm by 8mm stone in left kidney. Sitting in the pelvis of left kidney. Cant possibly pass. I live in a Regional area of Australia. Cant get it operated on for about a month as I have no private health insurance. My question is | HelloThanks for query. You are known to get recurrence of urinary stones since many years and now detected to have stone of a size of 14 mm in pelvis of your left kidney. The best treatment option for this stone to be removed is Extra Corporeal Shock Wave Lithography(ESL). This is a non-invasive technique and does not require hospitalization and can be done as out patient procedure so that one can carry on his/her routine work . It is a non obstructing stone and can be certainly managed for a couple of weeks till you decide to go for Estate following treatment 1) Antibiotics to prevent infection 2)Pain killers as on when required (Diclofenac or Cyclops)3) Chat Doctor. 4) Avoid lifting heavy objects You can go ahead for ESL once you decide to go for it preferably within a month or two. |
I am 39 years old and I have never had a history of seizures. However, 3 months ago I had a really bad one and was told today by my neurologist that I have epilepsy because of seizure like activity that showed up on two EEGs. On my first visit with him, he told me that the extremely bad sinus infection that I had not been treated for could only be a trigger not the cause of a seizure, especially in people who have epilepsy. I had an EEG and a CT scan performed on me when I was about 18 years old and there was nothing abnormal at that time. The reason for the checks when I was 18 was because I was having sharp pains in the right side of my head, which I called headaches. However, about 8 years ago, I was checked by a Dr who told me that these headaches were probably due to ear problems. These headaches, as I call them, have been persistent everyday for the last 20+ years with the exception of when I had a tooth extracted and the dentist gave me a shot of Lidocaine in my upper left jaw area. My question for you is this | Hello dear, welcome to Chat Doctor. Late onset epilepsy is a distinct entity. All your doctors were right in their management as per the prevalent presentations. These 2 EEG's if reported to show seizures, well then, you had them and need evaluation shave you have been advised fresh brain imaging?how are you now?hope you get well soon. Do not neglect medical advice on this issue. Good luck will be happy to get feedback. Thanks. |
I recieved an injection to my right buttock about 1 week ago today. I have had an area of numbness surrounded by an area of burning discomfort to the area since that time. The area is about the size of grapefruit. I am a nurse and know that my sciatic nerve was probably injured during the injection. My question is what do I need to do to treat my symptoms? Do I need any testing to rule out permanent damage? And is this going to be permanent? | The correct term used is nerve palsy. This is very important issue and needs correct training of health personal regarding safe and proper injection technique. Generally uppermost qua Chat Doctor. Thus site angle of penetration and depth of penetration needs to be assessed by a good physician, and only he must be allowed to give injections. Anyhow any nerve palsy symptom should be treated seriously and reported to neurologist immediately. |
I am currently taking Tamoxifen, 20mg for L BREAST non-invasive cancer. A TRAM procedure was done and it was recommended to take Tamoxifen for five years. But I would like to have more children plus I had a tubal ligation six years ago. If I am able to not be at risk of the cancer returning by stopping the tamoxifen, then a tubal-reversal would be a waste of time and I guess I should consider adoption? What do you think | Hello,Some cancers including breast cancer might show hormone-dependent behavior. It means that the amount of hormone circulating in the blood might decide the behavior of cancer. It is known that tamoxifen blocks the actions of estrogen and is used to treat and prevent some types of breast cancer. Therefore, if tamoxifen is stopped without recommendation, then there is unopposed action of hormones like estrogen which will then likely influence the recurrence of a cancer process. You might like to choose a surrogate mother for your child and complete your family and is a safe option than going for tubal reversal. Going in for adoption is a much safer method than to compromise on your health and take chances by stopping tamoxifen treatment. Please have a detailed discussion with your doctor. Hope I have answered your query. Let me know if I can assist you further. |
My sister has been in dialysis, hospital said she was better,....kidneys werer fine...now shes been told she has kidney disease....which probably was born with.... shes 47 and has IC, ....which took years for someone to belive the pain she was in.....shes been through soo..much .....now this.....does getting a donor for her kidney cost a fortune, even though she has insuriance...and a family member may be her donor....so scared, my whole family has been through so much! | Hi, welcome to our site. I am Chat Doctor. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Quertle fact remains that for a patient of chronic kidney disease, the best possible option is renal/kidney transplant. The options are available like dialysis (on machine) as well as peritoneal dialysis. But they are not as effective. Let's be clear, they are good options, but the best option is kidney transplant. The cost will depend on as per the center of your transplant, so I cannot comment on that fully. And if someone in the family is willing to donate a kidney, it is the best option, cause then you just have to go through a battery of tests to decide who is the best donor. Usually the first degree relatives like parents, siblings and child Chat Doctor. If you like, and if you are interested, I can guide you further. But I will need more details like your location, and her family tree and the comorbidities in the family etc hope this helps you. Inform the reports mentioned above so I can be of help further. Best of luck. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further.(If the answer has helped you, please indicate this) |
My 9 yr old daughter has an infection behind her ear that started when we took her piercing earrings out. It runs the length of the back of her ear in the crease. It is has liquid on it. Should I take her to see her doctor or is it something I can use antibiotic cream on? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint infection over the earlobe in the area of ear-piercing seems to be most probably an infection in the area of piercing while can also occur due to allergy to the metal present in the earring in case if you are not wearing earrings made of inert material like gold or plastic. It can cause allergic reaction by the decomposition products formed due to decomposition of the metal by reacting with air and water.1. I would suggest you to first gently remove your earrings and do not wear them again till you get the infection resolved.2. You can start cleaning the area of infection with antiseptic solution.3. Apply Triple antibiotic ointment over it.4. Do not let air or moisture to accumulate. When it resolves wear gold or plastic earrings only. If it worsens consult a General Physician and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor. . |
HI, I am 30 years old and my husband is the same age. We have been trying to conceive for almost two years. I had a missed miscarriage last year in September and had a septum removal (disovered during the D&C) in February. Since March we are trying to conceive but nothing happens. I also take low dose aspirin every day prescribed by a doctor as they have discovered that my blood clots a bit more than usual. My husband is alergic to aspirin and now I am worried that maybe that might stop us from conceiving. I also have very irregular periods, but the doctors keep telling me that since I have conceived once it will happen again. So what test should I do to get pregnant faster and should I continue taking the aspirin. Thank You | Hallow Dear, Low does aspirin will not cause infertility. You are having irregular menses; so it is most likely that you may not be ovulating regularly or at all. Please submit yourself for ultrasonography for ovulation monitoring. If you are not ovulating, you may need some treatment for ovulation induction. If you are ovulating, then try to plan your sexual relations on and around the day of ovulation. Also get your tubal patency and uterine cavity tested by Hysterosalpingography and Laparoscopy. Any block and/or adhesions may require surgical intervention. Husbands sperm quantity and quality should be assessed by semen examination. Please report to an infertility consultant. |
hi doctor I am 18 years old. I used to masterbate on a daily basis until I started getting some discomfort in feet especially my toes, my testicles were also sensitive when I lightly tapped them. After a while I got really bad pain in my sides so I quit masterbating for a few days, when I masterbated after 5 days some of the symptoms came back like sensitive testicles and discomfort in toes. | Hello, Masturbation is usually safe, normal, natural and never unhealthy. But excessive and vigorous masturbation can be stressful for many of your body parts including penis skin and testicles. You don't have to worry about the pain and sensitivity you are experiencing because that should cure itself within ten days or so. Please take rest from masturbation for around one month. If pain persist you should consult a doctor. Therefore, I suggest consulting a urologist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi i have TB Gold positive result i have completed AKT 4 for 4 Months and my gynaecologist suggested me AKT 3 for 2 months now i complted Akt 3 for one month, My MC date 18th Feb but i didn t found ChatDoctor pregnancy test possitive, is it safe to take AKT 3 during pregnancy, is there any side effects | Hi, Thanks for the query. I understand your concern. AKT kit is a three-pronged weapon to combat TB. There are no specific side effects of the Chat Doctor. . But you already had been on the kit for last 5 months & did not have any side effect. So be relaxed, & follow your doctors advise & get rid of TB the earliest. It's already 2 months after your last menses & home pregnancy test would have been + ve by now... provided you had regular menstruation. - I would advise for detaining pregnancy (in case It's not there at present)complete the course/ get your general condition improved & plan for a baby later on. - If pregnancy is +ve at present, carry on. Continue with anti TB |
hi, my daughter who is 8 was on a ride on toy today and fell off awkwardly at home and bumped her genitals on a sharpish rounded side of the ride on toy, we had family round so she didnt say what had happend at the time, but when she went to the toilet there was blood in her underwear, i checked her and she was not profusely bleeding but there was a small red mark on the outside of her genitals, she had a bath to ease her as she said she was uncomfortable, i checked her afterwards and there was a bruise there where she had bumped herself, she has also had another slight show of blood, but not like the first time which was less than half a teaspoon of blood... what should i look for and is there anythhing that can be done for her, she is fine in herself ..... | Hello, This is called a straddle injury. Usually it is minor and requires first aid care like you are providing. Antibiotic ointment or petroleum jelly to any small cut or abrasion. Frequent baths to keep clean (no special soap needed). If there is blood in the urine or urine stream, then this requires a pediatrician to evaluate for more serious injury to her insides. Hope I have answered your question. Let me know if I can assist you further. |
hi, i have been having terrible pain in my lower back at my tail bone especially, however i did visit a doctor and he mnetioned that ihad spondylitius and prescribed medication for the same. i have finished with my medication adn was feeling but but again again the pain has started. i can feel the pain more when i sit for a long time as my work place. please suggest... | Reclothe medicines are not the permanent cure for back pain. It will keep recurring. First, you should go for MRI of spine to know the extent of damage. There could be a disc prolapse causing nerve root compression. You must consult a physiotherapist and learn back strengthening exercises. Also take care of your posture. If you have to work for long sitting hours, I would suggest you take a walk around in your chamber after every 30-45mins. Take muscle relaxant and painkiller meds when needed. Hope this helps. |
Hello, I am a healthy woman, 75, 120 pounds 52 and my red blood cell are bigger than they use to be, said the doctor a few days ago. The iron is perfect.I use to drink 1 glass of red wine before dinner and I eat a lot of vegetable and fruits an a less meat.Should I stop drinking wine and having more food with B12 and acid folic? Rachel | Hi, dear. I have gone through your question. I can understand your concern. You have microcytic RBC. It's due to either it b12 or folic acid deficiency. Or it may be due to alcohol. You should stop taking alcohol. Just check your serum B12 level once and take vitamin B12 and folic acid supplements according to your doctors' advice. 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. |
sir my right knee comlete acl tear according MRI report . sir please help me what can i do surgery or physotheraphy..sir many doctors say to me surgery and some doctors says physo..sir i confuse please tell me the better suggestion to my knee ...I Thanks to you always sir. | Management of a complete ACL tear depends on certain factors such as age, level of physical activity and feeling / symptoms of instability, i.e. feeling of giving away at the knee joint.Therefore, if you are young playing sports/ physically active and with a feeling that the knee is going to give away or buckle then you certainly need surgery. However, prior to surgery you have to ensure your knee has complete range of movement,i.e. it can bend and straighten completely, no swelling should be present and your qua Chat Doctor. E the front thigh muscle should be well exercised for a successful outcome of surgery. I recommend 6 weeks physiotherapy prior to undergoing ACL reconstruction in cases divided surgery. If you are middle-aged with not many physical activities like sports and there are no symptoms of buckling then a conservative approach/ physiotherapy is recommended |
hello i m maha from pakistan i m 25 years old i have a problem with my periods that my period are irregular when i take tablet withdrawl bleeding comes and if i dont take tablet the problem id the same i am a married girl and now i want to conceive i had taken too much tablets like progyluton, primolut n and for conception i ate gonadil f and prolifen but my pregnancy doesnot occur am too much worry please answer my query thanks | Hi, I think you should go for evaluation first. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. Also do an AMH level. A semen analysis of your husband should be done. If anything is abnormal, you can take treatment for that. Also, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. If it doesn't work then you can go for GUI. Discuss with your doctor regarding this. Hope I have answered your question. Regards Chat Doctor. |
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